Isr Med Assoc J
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Israel's population is diverse, with people of different religions, many of whom seek spiritual guidance during ethical dilemmas. It is paramount for healthcare providers to be familiar with different religious approaches. ⋯ Neonatologists must be sensitive to culture and religion when dealing with major ethical issues in the neonatal intensive care unit.
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Acute non-traumatic abdominal pain is typically evaluated by abdomino-pelvic computed tomography (CT) with oral and venous contrast. The accuracy of unenhanced CT for diagnosis in this setting has not been widely studied. ⋯ In this study, unenhanced CT proved to be a feasible, convenient and legitimate examination for the evaluation of patients with acute non-traumatic abdominal pain presenting to the ED.
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Rheumatic mitral stenosis (MS) is a relatively rare diagnosis in the developed countries and its treatment during pregnancy is challenging due to hemodynamic changes. With the demographic changes due to recent waves of immigration an increase in the prevalence of rheumatic heart disease is expected. ⋯ The number of total adverse events were higher among patients with severe MS. Patients with moderate and mild MS should be treated attentively, but good obstetric and maternal outcome can be expected.
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Unilateral renal agenesis is a rare finding. There are no large-scale studies reporting this finding in early pregnancy. ⋯ URA is a rare finding in early trans-vaginal sonography. Associated anomalies are very common and should be sought.