Hiatal Hernia Evaluation Before Bariatric Surgery: Should It Be Routinely Done?

Purpose: The necessity of routine preoperative esophagogastroduodenoscopy (EGD) and upper gastrointestinal series (UGIS) in the evaluation of hiatal hernia (HH) among bariatric surgery candidates is controversial since most are detected during surgery, regardless of the preoperative work-up. The aim is to determine the accuracy of preoperative EGD and UGIS for HH diagnosis among bariatric surgery candidates.

Material And Methods: The records of bariatric surgery patients between 2011 and 2015 were reviewed.

MRI features have a role in pre-surgical planning of colloid cyst removal.

Background: Endoscopic resection is becoming a well-established treatment option for patients with colloid cysts of the third ventricle. A disadvantage of this approach is the decreased ability to resect cysts in their entirety. Correlations between magnetic resonance imaging (MRI) features and cyst content could potentially help surgeons decide on the extent of resection and approach.

A medulloblastoma showing an unusually long doubling time: reflection of its singular nature.

Case Description: In this paper, we present a case of a 4-year-old male diagnosed with a desmoplastic, SHH-type medulloblastoma. Retrospectively, we discovered that the patient underwent an MRI scan at 21 months for reasons unrelated, revealing a T1-enhanced lesion at the vermis, later recognized as the source of the tumor. This unique case provides us with a glimpse into the natural history of this tumor.

M-mode echocardiographic values in a cohort of young healthy individuals.

Objectives: To determine normal M-mode values in healthy young adults and to evaluate whether these values differ among those in whom echocardiography was performed routinely and those in whom echocardiography was performed based on clinical grounds.

Methods: A cross-sectional study evaluating a large cohort of young academy applicants of the Israeli air force in the years 1994-2010. Studies were divided into those performed routinely and those performed because of abnormal ECG or physical examination findings.

[Attention deficit disorder in the preschool years: its characteristics and course from infancy to toddlerhood].

Diagnosis of Attention Deficit Disorder with/without hyperactivity in school-age children is based on the presence of the three main symptoms: lack of attention, impulsivity and hyperactivity. In infants and toddlers, these symptoms may very well be contingent to their development stage, but may also signify early signs of attention deficit disorder. Diagnosis in the age group of 2-5 years is very challenging, because reliable criteria are still lacking.

Genotypic variation of HIV-1 reverse transcriptase and protease: comparative analysis of clade C and clade B.

Objective: To compare drug-resistant variants from untreated (naive) and treated patients infected with clade B or C virus.

Methods: Consecutive samples (165) from patients throughout Israel were analyzed. All those in the treated group were failing highly active antiretroviral therapy.

Diagnoses and interactive patterns of infants referred to a community-based infant mental health clinic.

Objectives: To describe the distribution of symptoms and diagnoses in a community-based infant mental health clinic and to compare play and feeding interactions of referred and nonreferred infants.

Method: The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC 0-3) was used to diagnose 113 referred infants (60% were boys). Thirty additional dyads were matched with 30 nonreferred dyads.

Assessment of caregiver-child interaction in the context of a preschool psychiatric evaluation.

Assessment of the caregiver-child relationship has become an intrinsic part of the preschool child psychiatric evaluation. Normal and abnormal development of relationship is influenced by a myriad of genetic, psychological, cultural, and environmental factors in both the caregiver and the young child. In the past, professionals from different fields, like pediatrics, neurology, development, and social welfare, would understand the child and his or her environment with their own tools.

Positive margins of breast biopsy: is reexcision always necessary?

Background And Objectives: Breast-conserving surgery requires excision of all gross tumor and subsequent radiation therapy. It is generally accepted that the presence of microscopically positive margins requires reexcision. The goal of this study was to identify characteristics that distinguish breast biopsy specimens with positive margins that when reexcised are free from residual tumor.

Spontaneous leak and transection of permanent subclavian catheters.

Background And Objectives: Implanted central venous access ports are frequently used. Spontaneous break and catheter transection are serious but rare complications of permanent subclavian catheters. We report our experience with this serious complication and identify possible warning signs.

Laser Doppler flowmetry in lower extremity ischemia: application and interpretation.

The present study was undertaken in order to develop numerical criteria for the parameters of laser Doppler flowmetry-skin blood flow velocity and pulse wave amplitude in the evaluation of lower extremity ischemia. Fifty limbs of young healthy volunteers were examined in order to obtain baseline normal values. Patient population was divided into moderately ischemic (52 limbs) and severely ischemic (22 limbs), based on patients' complaints, physical examination, ankle-brachial indices, pulse volume recordings and arteriographies.

Poliovirus vaccination responses in HIV-infected patients: correlation with T4 cell counts.

HIV infection is known to impair both cellular and humoral immunity. The antibody levels to poliovirus were measured in 17 HIV-infected and 3 HIV-seronegative homosexual men before and after vaccination with enhanced inactivated poliovirus vaccine (eIPV). The subjects were tested for neutralizing antibodies to poliovirus types 1, 2, and 3; the number of peripheral blood T4 cells and lymphocyte responses after stimulation with phytohemagglutinin, concanavalin A, and pokeweed mitogen were measured.

Towards a rationalization of biological psychiatry: a study in psychobiological epistemology.

Contemporary biological psychiatry is in a seemingly inchoate state. I assert that this state of biological psychiatry is due to its violation of an epistemological criterion of rationality, i.e.