251 results match your criteria: "Hadassah Hebrew-University Medical School[Affiliation]"

Central venous catheter-related venous thrombosis in children with end-stage renal disease undergoing hemodialysis.

Thromb Res

December 2018

Pediatric Hematology/Oncology Unit, Department of Pediatrics, Shaare Zedek Medical Center, Affiliated with Hadassah-Hebrew University Medical School, Jerusalem, Israel. Electronic address:

Article Synopsis
  • CVC-related venous thromboembolic (VTE) complications are common in children with end-stage renal disease (ESRD) who require long-term hemodialysis, making central venous catheters crucial for their care.
  • Frequent replacements of CVCs due to occlusion and thrombosis lead to increased risk of central vein issues, which can affect future dialysis access.
  • There's a need for improved strategies and research to identify predictors of CVC-related VTE, which could help develop effective thromboprophylaxis and preserve vascular access in these patients.*
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The nature-nurture debate regarding the origin of mental lines is fundamental for cognitive neuroscience. We examined natural-nurture effects on the mental time line, applying three different challenges to the directionality of time representation. We tested (1) patients with left-neglect and healthy participants, who are (2) left-to-right or right-to-left readers/writers, using (3) a lateralized left-right button press or a vocal mode in response to a mental time task, which asks participants to judge whether events have already happened in the past or are still to happen in the future.

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Article Synopsis
  • Enteropathogenic E. coli (EPEC) uses a type III secretion system to inject effector proteins, like EspH, into host intestinal cells, affecting signaling pathways.
  • EspH recruits the tetraspanin CD81 to infection sites initially, but later excludes itself from CD81 microdomains to effectively inhibit the MAPK/Erk signaling pathway, particularly in the context of TNF-α signaling.
  • The study suggests that EPEC employs this mechanism to suppress innate immunity and promote its survival in the host’s gut.
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Background: Accidental dural puncture frequency among pregnant women is about 1.5%, while approximately 60% of these women will suffer from post-dural puncture headache (PDPH) that may be debilitating.

Methods: Following IRB approval, we conducted a national survey of the lead anesthesiologist in 23 labor and delivery rooms in Israel.

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Article Synopsis
  • The Ahi1 gene is crucial for brain development and is linked to schizophrenia and other neuropsychiatric disorders.
  • Research using genetically modified mice (Ahi1+/-) indicates they exhibit reduced anxiety responses and altered brain connectivity, but it was unclear if this was due to resilience or cognitive deficits.
  • Studies showed that while wild-type mice were negatively affected by chronic stress, Ahi1+/- mice remained largely unaffected, suggesting Ahi1 under-expression during development may lead to a lack of stress responsiveness and altered brain function.
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How we manage Gaucher Disease in the era of choices.

Br J Haematol

August 2018

Gaucher Clinic, Shaare Zedek Medical Centre, Hadassah-Hebrew University Medical School, Jerusalem, Israel.

Treatment of Gaucher Disease (GD) is now beset with the abundance of therapeutic options for an individual patient, making the choice of therapy complex for both expert and non-expert clinicians. The pathogenesis of all disease manifestations is a gene mutation-driven deficiency of glucocerebrosidase, but the clinical expression and response of each of the clinical manifestations to different therapies can be difficult to predict. Enzyme replacement therapy has been available since 1991 and is well-established, with known efficacy and minimal toxicity.

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The influence of feeding position of the infant in the pathogenesis of ear and airway diseases has not been well established. We investigated the influence of instructing mothers to feed their 3-month old infants with their head in an upright position on ear and respiratory morbidity during a one-year follow-up. Mothers of 88 infants were instructed by trained nurses to feed their infants with their head in upright position (intervention group).

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[NEUROPSYCHIATRY AND COMPUTATIONAL MEDICINE].

Harefuah

March 2018

The Computational Neuropsychiatry Lab, Department of Neurology, Hadassah Hebrew University Medical School Department of Medical Neurosciences, Faculty of Medicine, Hadassah Hebrew University Medical School, Jerusalem, Israel.

The classical model of medicine is based on, first, history taking, followed by physical examination, data analysis by the clinician and their further validation using biological tests. Based on this, the clinician may plan the medical treatment. In neuropsychiatry, this model is even more limited as physical examination is based mostly on a patient-doctor conversation, and biological or imaging tests are directed mostly to extract the structural basis for the clinical manifestations.

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In mental time travel (MTT) one is "traveling" back-and-forth in time, remembering, and imagining events. Despite intensive research regarding memory processes in the hippocampus, it was only recently shown that the hippocampus plays an essential role in encoding the temporal order of events remembered, and therefore plays an important role in MTT. Does it also encode the temporal relations of these events to the remembering self? We asked patients undergoing pre-surgical evaluation with depth electrodes penetrating the temporal lobes bilaterally toward the hippocampus to project themselves in time to a past, future, or present time-point, and then make judgments regarding various events.

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Background And Purpose: Conversion disorder (CD), or functional neurological disorder, is manifested as a neurological disturbance that is not macroscopically visible on clinical structural neuroimaging and is instead ascribed to underlying psychological stress. Known for many years in neuropsychiatry, a comprehensive explanation of the way in which psychological stress leads to a neurological deficit of a structural-like origin is still lacking.

Methods: We applied whole-brain network-based data-driven analyses on resting-state functional magnetic resonance imaging, recorded in seven patients with acute-onset, stroke-like CD with unilateral paresis and hypoesthesia as compared with 15 age-matched healthy controls.

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Aim: The family context of children with ADHD plays a role in intervention outcomes, especially when parents are involved in treatment. Parental participation in evidence-based treatment for ADHD may play a role in improving their own parenting self-efficacy (PSE) as well as child outcomes. This study examined the impact of Cognitive-Functional (Cog-Fun) intervention in occupational therapy (OT) for school-aged children with ADHD, on PSE.

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Effects of spatial attention on mental time travel in patients with neglect.

Cortex

April 2018

Istituti Clinici Scientifici Maugeri Hospital IRCCS, Castel Goffredo, Italy; Department of Psychology, University of Bologna, Bologna, Italy.

Numerous studies agree that time is represented in spatial terms in the brain. Here we investigate how a deficit in orienting attention in space influences the ability to mentally travel in time, that is to recall the past and anticipate the future. Right brain-damaged patients, with (RBD-N+) and without neglect (RBD-N-), and healthy controls (HC) were subjected to a Mental Time Travel (MTT) task.

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NKp46 Receptor-Mediated Interferon-γ Production by Natural Killer Cells Increases Fibronectin 1 to Alter Tumor Architecture and Control Metastasis.

Immunity

January 2018

The Lautenberg Center for General and Tumor Immunology, Department of Immunology and Cancer Research, IMRIC, Faculty of Medicine, The Hebrew University Medical School, Jerusalem, Israel. Electronic address:

Natural killer (NK) cells are innate lymphoid cells, and their presence within human tumors correlates with better prognosis. However, the mechanisms by which NK cells control tumors in vivo are unclear. Here, we used reflectance confocal microscopy (RCM) imaging in humans and in mice to visualize tumor architecture in vivo.

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The Israel Journal of Health Policy Research (IJHPR) will soon be completing 6 years of publication. During this period, it has published well over 300 articles and has become a stable and vital part of Israeli health care. The number of IJHPR articles published annually has increased significantly over time, and the number of submissions has increased even more significantly.

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Background: Congenital Cytomegalovirus (CMV) is a very common intrauterine infection which can cause severe developmental disabilities. Transmission of the virus to the fetus occurs in only 40% of primarily infected women. The probability of intrauterine transmission is higher when infection occurs during the second trimester of pregnancy than in the first trimester.

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Stress-related psychopathology is highly prevalent among elderly individuals and is associated with detrimental effects on mood, appetite and cognition. Conversely, under certain circumstances repeated mild-to-moderate stressors have been shown to enhance cognitive performance in rodents and exert stress-inoculating effects in humans. As most stress-related favorable outcomes have been reported in adolescence and young-adulthood, this apparent disparity could result from fundamental differences in how aging organisms respond to stress.

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First Year of Israeli Newborn Screening for Severe Combined Immunodeficiency-Clinical Achievements and Insights.

Front Immunol

November 2017

Pediatric Department A and the Immunology Service, Jeffrey Modell Foundation Center, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Article Synopsis
  • Severe combined immunodeficiency (SCID) can be detected in newborns through T cell receptor excision circle (TREC) quantification from dried blood spots, and Israel's first year of SCID newborn screening diagnosed 8 cases, indicating a prevalence of 1 in 22,500 births.
  • The study found associations between consanguineous marriages, Muslim ethnic origin, and SCID occurrence, along with the emergence of a founder effect for specific SCID types.
  • Findings revealed that TREC levels increase with gestational age and birth weight; for extremely premature infants, adjustments to screening thresholds are necessary to reduce false positives, with a notable rise in TREC values observed between 28 and 30 weeks of gestation
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Five years' experience in an anesthesiology antenatal clinic for high-risk patients.

J Perinat Med

April 2018

Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with the Hadassah-Hebrew University Medical School Ein-Karem, Jerusalem, Israel.

Introduction: The aim, of this study is to describe our approach and outcomes in an outpatient anesthesia/analgesia antepartum clinic among ambulatory high-risk obstetric patients.

Methods: This was a retrospective evaluation of the activity of the anesthesiology antenatal clinic from its inception in 2010 until 2016 (a 5-year period). The clinic works in collaboration with the Department of Obstetrics and Gynecology.

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Any medical treatment, whether it be medication, behavioral therapy or medical procedure, can affect the patient in a very complex way. Each of these forms of medical treatment have both psychobiological and physiological effects on the patient, with interactions between those levels. When considering the specific efficacy of a new treatment, there is therefore a need to neutralize the psychobiological effect by comparing the effect of the treatment to the effect of a placebo - a treatment involving similar characteristics which does not produce that physiological effect.

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Evidence for Functional Networks within the Human Brain's White Matter.

J Neurosci

July 2017

Computational Neuropsychiatry Laboratory, Department of Medical Neurosciences, Hadassah Hebrew University Medical School, Jerusalem 91120, Israel.

Investigation of the functional macro-scale organization of the human cortex is fundamental in modern neuroscience. Although numerous studies have identified networks of interacting functional modules in the gray-matter, limited research was directed to the functional organization of the white-matter. Recent studies have demonstrated that the white-matter exhibits blood oxygen level-dependent signal fluctuations similar to those of the gray-matter.

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Background: Due to increasing numbers of elderly, seriously ill patients and shortage of ICU beds, many hospitals have established monitoring units (MU) in their medical departments.

Objectives: (1) To assess the national prevalence of MUs in medical departments; (2) to determine the outcome of consecutively admitted MU patients; (3) to evaluate patient/ family satisfaction with care.

Methods: The case control study included all 123 patients hospitalized in the MU during a 5-month period, compared with two control groups: (1) 123 patients admitted to medical departments, matched at a ratio of 1:1 by gender, age±10 years and mechanical ventilation; (2) all 52 medical patients treated in the ICU.

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Is Syncope Always a Predictor of Unfavorable Outcome?

Isr Med Assoc J

January 2017

Electrophysiology Unit, Heart Institute, Meir Medical Center, Kfar Saba, and Hadassah-Hebrew University Medical School, Jerusalem, Israel.

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Background: Cigarette smoking is a widespread problem around the world. In Israel, the prevalence of smoking is 23%. Smokers who are Orthodox abstain from smoking during the Sabbath, i.

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