9,824 results match your criteria: "The Hebrew University - Hadassah Medical School; michal.shoshkes@mail.huji.ac.il.[Affiliation]"

Inborn errors of immunity reveal molecular requirements for generation and maintenance of human CD4 IL-9-expressing cells.

J Allergy Clin Immunol

November 2024

Garvan Institute of Medical Research, Darlinghurst, Australia; School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, Australia. Electronic address:

Background: CD4 T cells play essential roles in adaptive immunity. Distinct CD4 T-cell subsets-T1, T2, T17, T22, T follicular helper, and regulatory T cells-have been identified, and their contributions to host defense and immune regulation are increasingly well defined. IL-9-producing T9 cells were first described in 2008 and appear to play both protective and pathogenic roles in human immunity.

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Article Synopsis
  • This study aims to examine the histopathology and outcomes in patients with retinoblastoma who underwent eye enucleation and had neovascular glaucoma (NVG).
  • The research included 1,420 total cases from five continents, revealing that 16% of patients with NVG were often at higher risk of severe histopathological findings.
  • The findings indicate that NVG is linked to more aggressive forms of the disease and a higher chance of metastasis, emphasizing the need for careful monitoring and treatment in these cases.
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How clinical exposure improves dental students' understanding of oral and maxillofacial surgery: A cross-sectional study.

J Dent Educ

November 2024

Department of Oral and Maxillofacial Surgery, Goldschelger School of Dentistry, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Purpose: To assess dental students' understanding of oral and maxillofacial surgery (OMFS) practice areas and examine changes in referral preferences across their educational progression in Israel.

Methods: A cross-sectional survey was conducted among 349 dental students from two Israeli universities (46.5% response rate).

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Immune digital twins for complex human pathologies: applications, limitations, and challenges.

NPJ Syst Biol Appl

November 2024

Biocomplexity Institute and Department of Intelligent Systems Engineering, Indiana University, Bloomington, Indiana, 47408, USA.

Digital twins represent a key technology for precision health. Medical digital twins consist of computational models that represent the health state of individual patients over time, enabling optimal therapeutics and forecasting patient prognosis. Many health conditions involve the immune system, so it is crucial to include its key features when designing medical digital twins.

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COPD Risk Phenotypes in Older Smokers: Evaluation in GLI- and GOLD-Defined Respiratory Impairment.

Lung

November 2024

Department of Medicine, Shaare Zedek Medical Center and Faculty of Medicine, Respiratory Research Unit, Pulmonary Institute, Hebrew University of Jerusalem, 12, Bayit Street, 91031, Jerusalem, Israel.

Purpose: In aging populations, the Global Initiative for Obstructive Lung Disease (GOLD) spirometry threshold may misclassify normal spirometry as airflow limitation. The Global Lung Initiative (GLI) method provides age-adjusted criteria. We investigated how the use of GOLD or GLI thresholds in an algorithm affects the classification of elderly smokers into COPD risk phenotypes.

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: Osteoporotic hip fractures in cirrhotic subjects are associated with increased post-fracture mortality. Our aim was to identify unfavorable factors that were associated with increased post-fracture mortality. : We employed a retrospective evaluation of the short- and long-term prognosis of cirrhotic patients that were admitted with a hip fracture to our institution.

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Objective:  Placenta accreta spectrum (PAS) is a term used to describe trophoblast invasion into the uterine wall. The condition can be FATAL: at labor due to a lack of spontaneous separation of the placenta from the uterine wall, leading to severe hemorrhage. In this study, we aim to evaluate preoperative risk factors for unplanned immediate hysterectomy in PAS uterine-preserving surgeries.

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Adult Onset Foveomacular Vitelliform Dystrophy Shows Genetic Overlap With Age-Related Macular Degeneration.

Invest Ophthalmol Vis Sci

November 2024

Department of Ophthalmology, Hadassah-Hebrew University Medical Center, and the Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.

Purpose: Adult-onset foveomacular vitelliform dystrophy (AFVD) shares phenotypic similarities with age-related macular degeneration (AMD). The genetic factors associated with AFVD are unknown in >80% of cases. This study evaluated the association of known AMD genetic risk variants with AFVD and compared systemic complement activation in these conditions.

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Tumor analysis of BRCA carriers reveals genomic similarities although separated by time.

Discov Oncol

November 2024

Department of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, Hebrew University Medical School, 91120, Jerusalem, Israel.

Among the dominant pathogenic genes (PG) in breast cancer are BRCA1/2. Knowing whether a patient carry one of these alterations is meaningful as it affects management. A substantial question is to what extent are the genomic profile of a tumor and its characteristics affected by the germline profile of BRCA1/2 and what is the possible contribution of other environmental factors.

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Generation of tumor neoantigens by RNA splicing perturbation.

Trends Cancer

November 2024

Department of Biochemistry and Molecular Biology, Institute for Medical Research Israel-Canada (IMRIC), Hebrew University and Hadassah Medical School, Jerusalem, Israel. Electronic address:

Immunotherapy has revolutionized cancer treatment, but the limited availability of tumor-specific neoantigens still remains a challenge. The potential of alternative mRNA splicing-derived neoantigens as a source of new immunotherapy targets has gained significant attention. Tumors exhibit unique splicing changes and splicing factor mutations which are prevalent in various cancers and play a crucial role in neoantigen production.

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Article Synopsis
  • A phase II clinical study evaluated the effectiveness of a treatment combo (ibrutinib, bendamustine, and rituximab) in patients with relapsed or refractory aggressive B-cell non-Hodgkin lymphoma after stem cell transplants or in elderly patients.
  • The study showed a 49.1% overall response rate among patients who received at least one cycle, with better outcomes for those with relapsed disease (72.3%) versus refractory disease (37.8%).
  • Patients experiencing complete or partial responses had significantly longer median overall survival of 28.1 months, while common side effects included fatigue, diarrhea, and nausea, indicating that the treatment is both safe and effective for those needing potential transplantation.
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The IsletTester mouse: an immunodeficient model with stable hyperglycemia for the study of human islets.

Diabetes

November 2024

Institute of Diabetes, Obesity, and Metabolism, Perelman School of Medicine, The University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, USA 19104.

Article Synopsis
  • The current gold standard for testing human islet or stem cell-derived β-like cell function involves implanting them in immunodeficient mice, but existing models have limitations like unstable hyperglycemia and high morbidity.
  • Researchers developed the IsletTester mouse using CRISPR-Cas9 to create a stable hyperglycemic model, showing normal life span and fertility with consistent glucose levels.
  • This new model allows for better study of human islet biology and serves as a valuable preclinical tool for evaluating stem cell-derived islet products.
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In recent decades, the recognition of the importance of sex, gender and their interrelationship for health research and for the practice of medicine has grown. Accordingly, the move to include gender medicine in medical school curricula has gained momentum in many countries. This article reviews the challenges of integrating this subject into medical school curricula and details the recent initiative to mainstream gender medicine into the six-year curriculum of the Hadassah-Hebrew University Medical School in Jerusalem, Israel.

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Hepatitis C virus (HCV) is hypothesised to be a public health problem in Ethiopia, and systematic review evidence suggested 1%-3% seroprevalence. We aimed to estimate the seroprevalence of HCV overall and across regions of Ethiopia. We estimated HCV seroprevalence using the 2016 Ethiopian Demographic and Health Survey (EDHS-2016).

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Background: Delirium, an acute brain dysfunction, is proposed to be highly prevalent in clinical care and shown to significantly increase the risk of mortality and dementia.

Objectives: To report on the global prevalence of clinically documented delirium and delirium-related clinical practices in wards caring for paediatric and adult patients in healthcare facilities.

Design: A prospective, cross-sectional, 39-question survey completed on World Delirium Awareness Day, 15 March 2023.

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Lung allograft dysbiosis associates with immune response and primary graft dysfunction.

J Heart Lung Transplant

November 2024

Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, New York University Grossman School of Medicine, New York, New York; NYU Langone Transplant Institute, NYU Langone Health, New York, New York. Electronic address:

Article Synopsis
  • Lower airway dysbiosis, characterized by an increase in specific bacteria, is linked to various severity grades of primary graft dysfunction (PGD) after lung transplantation, particularly in moderate and severe cases.
  • A study involving lower airway samples from 96 lung transplant recipients showed correlations between PGD severity and elevated levels of inflammatory markers, particularly neutrophils and specific cytokines, indicating a distinct inflammatory response.
  • Results suggest that microbial differences may influence host immune signaling, potentially exacerbating inflammation and contributing to PGD pathogenesis, highlighting the importance of microbial balance in lung health post-transplant.
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Interventional Oncology Meets Immuno-oncology: Combination Therapies for Hepatocellular Carcinoma.

Radiology

November 2024

From the Departments of Radiology (R.B., J.C.) and Digestive Diseases (Hepatology) (J.C.), Yale University School of Medicine, New Haven, Conn; Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (R.S.); Department of Medical Oncology, Geffen School of Medicine, University of California Los Angeles, Los Angeles, Calif (R.F.); Center for Cancer Research, National Institutes of Health, Bethesda, Md (T.F.G.); Department of Radiology, Hadassah Hebrew University Medical Center, Hebrew University, Jerusalem, Israel (S.N.G.); and Department of Biomedical Engineering, Yale School of Engineering and Applied Sciences, 789 Howard Ave, Clinic Bldg 363H, New Haven, CT 06520 (J.C.).

The management of hepatocellular carcinoma (HCC) is undergoing transformational changes due to the emergence of various novel immunotherapies and their combination with image-guided locoregional therapies. In this setting, immunotherapy is expected to become one of the standards of care in both neoadjuvant and adjuvant settings across all disease stages of HCC. Currently, more than 50 ongoing prospective clinical trials are investigating various end points for the combination of immunotherapy with both percutaneous and catheter-directed therapies.

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Double lesson.

Patient Educ Couns

February 2025

The Faculty of Medicine, Hebrew University and Hadassah Medical School, Jerusalem, Israel. Electronic address:

Article Synopsis
  • - The experience of a single long-term patient provided important insights into clinical practice.
  • - It highlighted the significance of being mindful and reflective in one's work.
  • - The relationship built over the years emphasized the fulfillment found in maintaining long-term patient connections.
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Article Synopsis
  • IQOS is a heated tobacco product promoted as a safer alternative to traditional cigarettes and has received FDA approval for its reduced exposure claims.
  • A study of 84 interviews revealed varied perceptions about IQOS's advertising claims, with many participants interpreting claims of reduced exposure and risk differently and questioning the credibility of the studies backing those claims.
  • The findings suggest a need for regulators and researchers to closely monitor how harm reduction messages are conveyed to prevent misunderstandings among consumers.
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Objective: We aim to study association of BMI of EC patients, with the level of agreement between preoperative and postoperative tumor grade.

Methods: A retrospective study. We included patients with EC diagnosed in an outpatient clinic which had surgical staging as in our division.

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Background: Real-world data regarding the use of dupilumab in children with atopic dermatitis (AD) are limited.

Objectives: To evaluate the real-world efficacy of dupilumab in children with moderate-to-severe AD over an extended follow-up period.

Methods: This was a retrospective study of patients (≤ 18 years) with moderate-to-severe AD treated with dupilumab in four Israeli tertiary centres.

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Israeli dentists' knowledge, attitudes, and practices regarding smoking cessation care.

Isr J Health Policy Res

November 2024

Braun School of Public Health and Community Medicine, The Faculty of Medicine, Hebrew University of Jerusalem-Hadassah Medical Center, Jerusalem, Israel.

Background: The 5A's model for brief smoking cessation care (SCC) is recommended for dentists to reduce the negative impacts of smoking on oral health. This study investigates Israeli dentists' adherence to the 5A's guidelines and explores factors influencing their knowledge, attitudes, and practices.

Methods: An online cross-sectional survey was conducted among Israeli dentists during June-August 2020.

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[THERAPEUTIC INTERVENTIONS IN ACUTE STRESS DISORDER (ASD)].

Harefuah

November 2024

Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel, Department of Psychiatry, Hadassah Medical Center, Jerusalem, Israel.

Acute stress disorder (ASD) is a disorder that appears after exposure to a life-threatening event and lasts between three days and a month. In this article, we review therapeutic approaches to this disorder. The information collected, to date, has not demonstrated the effectiveness of drug therapy in preventing the development of post-traumatic stress disorder (PTSD), and therefore, there is no recommendation for providing drug therapy as a routine treatment for ASD.

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