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Stepp K, Tal M, Magnazi G, Henn O, Kim J, Chudnoff S, Keidar R. 8798 Pressure-Induced Fibroid Ischemia: First-in-Human Experience with a Novel Device for Laparoscopic Treatment of Symptomatic Fibroids. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Gluck O, Barber E, Feldstein O, Kerner R, Keidar R, Ginath S, Wolfson I, Bar J, Sagiv R. 1206 The Effect of Sub-Cutaneous and Intra-Peritoneal Anesthesia on Post Laparoscopic Pain: A Randomized Controlled Trial. J Minim Invasive Gynecol 2019. [DOI: 10.1016/j.jmig.2019.09.495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Melcer Y, Mendlovic S, Klin B, Keidar R, Lysyy O, Herman A, Maymon R. Fetal diagnosis of testicular torsion: what shall we tell the parents? Prenat Diagn 2014; 35:167-73. [DOI: 10.1002/pd.4512] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2014] [Revised: 09/22/2014] [Accepted: 09/26/2014] [Indexed: 11/08/2022]
Affiliation(s)
- Y. Melcer
- Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center; Zerifin, Israel, affiliated with the Sackler School of Medicine, Tel-Aviv University; Tel-Aviv Israel
| | - S. Mendlovic
- Department of pathology, Assaf Harofeh Medical Center; Zerifin, Israel, affiliated with the Sackler School of Medicine, Tel-Aviv University; Tel-Aviv Israel
| | - B. Klin
- Department of Pediatric Surgery, Assaf Harofeh Medical; Zerifin, Israel, affiliated with the Sackler School of Medicine, Tel-Aviv University; Tel-Aviv Israel
| | - R. Keidar
- Department of Neonatology, Assaf Harofeh Medical Center; Zerifin, Israel, affiliated with the Sackler School of Medicine, Tel-Aviv University; Tel-Aviv Israel
| | - O. Lysyy
- Department of Diagnostic Imaging, Assaf Harofeh Medical Center; Zerifin, Israel, affiliated with the Sackler School of Medicine, Tel-Aviv University; Tel-Aviv Israel
| | - A. Herman
- Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center; Zerifin, Israel, affiliated with the Sackler School of Medicine, Tel-Aviv University; Tel-Aviv Israel
| | - R. Maymon
- Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center; Zerifin, Israel, affiliated with the Sackler School of Medicine, Tel-Aviv University; Tel-Aviv Israel
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Naor Dovev M, Maymon R, Keidar R, Reish O, Melcer Y, Vaknin Z. [Prenatal diagnosis of trisomy 13 and trisomy 18: the experience of Assaf-Harofe Medical Center]. Harefuah 2014; 153:453-498. [PMID: 25286634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
INTRODUCTION Trisomy 18 and 13 are the most common autosomal trisomies, after trisomy 21, and their frequency is rising due to the increased maternal age of pregnant women. The fetuses suffer from multi-organ damage that may lead to many gestational complications as well as short life expectancy. OBJECTIVE To assess the indications for prenatal karyotyping of trisomy 13 (T-13, Patau syndrome) and trisomy 18 (T-18, Edwards syndrome) during pregnancy in our medical center. METHODS This retrospective cohort study involved all singleton pregnancies locally diagnosed or referred to our Institute because of T-13 and T-18, during the years 1998-2011. RESULTS There were 1879 cases of termination of pregnancies (TOPs) because of fetal indications, of them 53 cases of T-18 and 10 cases of T-13. The main indications for prenatal karyotyping in our study group were abnormal sonographic findings during anomaLy scans. In addition, 7 newborns with T-18 and 3 infants with T-13 were born in our hospital during the same period of time. We examined all cases that led to the Live birth of newborns with chromosomal anomalies, stemming from the Lack of extraction of the tests mentioned above and/or ignoring findings that raise suspicion that requires performing prenatal karyotyping during pregnancy. DISCUSSION Our findings corresponded with other studies and showed that prenatal diagnosis of T-13/T-18 due to abnormal sonographic finding is rising. CONCLUSIONS Our study shows that it was possible to identify the vast majority of T-13/T-18 among the pregnant women who had an increased risk based on a combination of the routine screening tests applied in Israel.
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Goldberg M, Luknar-Gabor N, Keidar R, Katz Y. Synthesis of complement proteins in the human chorion is differentially regulated by cytokines. Mol Immunol 2006; 44:1737-42. [PMID: 17005253 DOI: 10.1016/j.molimm.2006.07.298] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2006] [Revised: 07/13/2006] [Accepted: 07/24/2006] [Indexed: 11/26/2022]
Abstract
The aim of the current paper was to determine the chorion's contribution to complement synthesis in the placenta and its regulation by cytokines. Biosynthetic labeling followed by immunoprecipitation with polyclonal antibodies was performed in chorionic tissue and chorion-derived cells. Eight complement proteins, factor B, C3, C1r, C1s, C1 inhibitor, factor H, C4 and C2 were detected in chorionic tissue and were secreted extracellularly. In chorion-derived cells, IL-1beta stimulated factor B synthesis but had no effect on C1r, C1 inhibitor, C1s, factor H and C4. TNFalpha had no stimulative effect on any of the complement proteins tested. In contrast, both IL-1beta and TNFalpha highly induced IL-6 secretion in chorion-derived cells, demonstrating the overall responsiveness of these cells to these stimuli. Interestingly, IFN-gamma increased the synthesis of C1s, C1r, C1 inhibitor, C4 and factor H in chorion-derived cells. The fact that the latter two complement proteins have opposing effects on immune activation of the complement cascade demonstrates the complex balance required to both maintain an ability to ward off infections but simultaneously suppress the immune response to enable tolerance of the allograft fetus.
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Affiliation(s)
- M Goldberg
- Institute of Allergy and Immunology, Assaf Harofeh Medical Center, Zerifin 70300, Israel.
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Ben-Haim M, Carmiel M, Lubezky N, Keidar R, Katz P, Blachar A, Nimrod A, Sorkine P, Oren R, Klausner JM, Nakache R. Donor recruitment and selection for adult-to-adult living donor liver transplantation in urgent and elective circumstances. Isr Med Assoc J 2005; 7:169-73. [PMID: 15792263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
BACKGROUND Adult-to-adult living donor liver transplantation is becoming an alternative to cadaveric transplantation in urgent and elective settings. Donor selection crucially affects donor safety and recipient outcome. OBJECTIVE To present our algorithm of urgent and elective donor selection. METHODS Urgent selection is expeditious and protocol-based. Elective selection permits a comprehensive process. Both include medical, psychosocial and surgical-anatomic evaluations. Liver volumes and vascular anatomy are evaluated with computerized tomographic angiography. Informed consent is obtained after painstaking explanations. Independent institutional committees review and approve all cases. RESULTS Between July 2003 and June 2004 we evaluated 43 potential live donors for 12 potential recipients (fulminant hepatic failure, n = 5; chronic end-stage liver disease, n = 6; primary graft non-function, n = 1). Thirty-three candidates (76%) were excluded due to blood type incompatibility (n = 14, 42%), incompatible anatomy (n = 8, 24%)--including problematic volume distribution (n = 2) or vascular anatomy (n = 6)--psychosocial issues (n = 4, 12%), or medical co-morbidity (n = 7, 22%). Five recipients (FHF, n = 4; chronic ESLD, n = 1) were successfully transplanted from living donors. In the acute setting, two patients (FHF, PGNF) died in the absence of an appropriate donor (cadaveric or living donor). In the elective group, one patient died of unexpected variceal bleeding and one received a cadaveric graft just before the planned living donor transplantation was performed. One candidate was transplanted overseas and two cases are scheduled. The ratio of compatibility for donation was 34% (10/29) for blood type-compatible candidates. CONCLUSIONS Donor selection for living donor liver transplantation is a complex, labor-intensive multidisciplinary process. Most exclusions are due to blood type incompatibility or anatomic details. Psychosocial aspects of these donations warrant special attention.
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Affiliation(s)
- Menahem Ben-Haim
- Department of Surgery B, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
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Morag I, Goldman M, Koren-Morag N, Batash D, Keidar R, Heyman E. 62 Excessive Gain Weigh: An Early Sign of Necrotizing Enterocolitis in Premature Infants. Paediatr Child Health 2004. [DOI: 10.1093/pch/9.suppl_a.37ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Abstract
A newborn of a SSRI-treated mother presented with lethargy, no crying, and no response to tactile stimulation. EEG findings were abnormal. Laboratory and clinical evaluations were normal. He recovered at the age of two weeks. Serotonin is a neurotransmitter that has an important roll in pain modulation during fetal neurodevelopment. We suspect these symptoms are attributed to the intrauterine exposure to paroxetine, through modulation of pain signals.
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Affiliation(s)
- I Morag
- Neonatal Intensive Care Unit, Assaf Harofeh Medical Center, Zerifin, Israel.
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Mushkat Y, Ascher-Landsberg J, Keidar R, Carmon E, Pauzner D, David MP. The effect of betamethasone versus dexamethasone on fetal biophysical parameters. Eur J Obstet Gynecol Reprod Biol 2001; 97:50-2. [PMID: 11435009 DOI: 10.1016/s0301-2115(00)00498-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Clinical observations suggest that betamethasone reduces maternal perception of fetal movements and short term variability, but that this dose not occur after treatment with dexamethasone. OBJECTIVES To compare the effect of betamethasone and dexamethasone on fetal biophysical parameters. METHODS In a randomized, prospective, double blind study, 20 courses of betamethasone and 20 courses of dexamethasone were given in random sequence to patients with imminent preterm labor. During the first 32h after initiation of treatment, fetal movements were counted by the mothers and recorded by ultrasound, and a nonstress test was performed. RESULTS Betamethasone induced a significant decrease in fetal movements as perceived by the mother and observed by ultrasound. Fetal breathing movements also decreased. Dexamethasone did not change fetal body movements. Neither drug changed the short term variability. CONCLUSIONS Unlike betamethasone, dexamethasone does not induce a decrease in fetal movements. Dexamethasone might, therefore, be preferred for enhancement of lung maturation in imminent preterm labor.
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Affiliation(s)
- Y Mushkat
- Lis Maternity Hospital, Souraski Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Str., 64239 Tel-Aviv, Israel.
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Affiliation(s)
- R Keidar
- Transplantation Unit, Tel Aviv Sourasky Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv, Israel
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Groutz A, Gordon D, Keidar R, Lessing JB, Wolman I, David MP, Chen B. Stress urinary incontinence: prevalence among nulliparous compared with primiparous and grand multiparous premenopausal women. Neurourol Urodyn 1999; 18:419-25. [PMID: 10494112 DOI: 10.1002/(sici)1520-6777(1999)18:5<419::aid-nau2>3.0.co;2-z] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The study was conducted to assess the prevalence of stress urinary incontinence in premenopausal nulliparae, primiparae, and grand multiparae, and to examine possible obstetric risk factors. Three hundred consecutive nulliparae, primiparae, and grand multiparae, 20 to 43 years of age, were interviewed during the third postpartum day of their consequent delivery about the symptom of stress urinary incontinence. Women were asked whether they had experienced stress urinary incontinence before, during, or after previous pregnancies and how troubled they were by their incontinence. Details of general and gynecologic history, parity, mode of previous deliveries, and birth weights were sought. Main outcome measures included prevalence of pregnancy-related and (persistent) nonpregnancy-related stress urinary incontinence. Prevalence of persistent stress urinary incontinence was significantly higher in grand multiparae compared with nulliparae (21% vs. 5%, respectively; P = 0.0008). Prevalence of persistent stress urinary incontinence among grand multiparae who had been delivered of at least one baby weighing more than 4,000 g was significantly higher than in those who did not (29.4% vs. 16.7%, respectively). The birth weight of the first newborn and operative vaginal delivery were not found to be associated with increased risk of stress urinary incontinence. Grand multiparity was found to be associated with an increased risk of developing persistent stress urinary incontinence during reproductive ages. The delivery of at least one baby weighing more than 4,000 g seems to be a predominant factor. Neurourol. Urodynam. 18:419-425, 1999.
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Affiliation(s)
- A Groutz
- Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv, Israel
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