Isr Med Assoc J
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Comparative Study
Endothelial Function Assessment in Patients with Erectile Dysfunction.
Erectile dysfunction (ED), a common problem in males of all ages, can be of organic, psychogenic or combined etiology. Organic ED is mainly caused by vascular and neurological disorders. One of the available tests for differentiating organic from inorganic ED is measuring penile tumescence and rigidity during the REM phase of sleep. However, this test lacks the ability to differentiate between a vascular and non-vascular cause of organic ED. ⋯ EndoPAT could be helpful in excluding organic ED.
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Case Reports
Extracorporeal Membrane Oxygenation as a Resuscitation Measure in the Pediatric Emergency Department.
Extracorporeal membrane oxygenation (ECMO) may serve as a bridge to regain cardiac function in refractory resuscitation. However, its use has so far been limited owing to low availability, especially in emergency departments. ⋯ Extracorporeal life support has enormous potential in the emergency department and warrants further assessment.
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Diabetes mellitus (DM) is a metabolic sequel in people infected with HIV, especially following the advent of HAART. This may be a particular concern in immigrants due to lifestyle changes. ⋯ HIV-infected Ethiopians are more likely to develop DM at low BMI values compared to non-Ethiopians. This observation questions the relevance of accepted BMI values in this population and suggests that preventive measures against DM be routinely taken in these subjects.
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Observational Study
Use of Physical Restraints in a General Hospital: a Cross-Sectional Observational Study.
Physical restraints are a common, albeit controversial, tool used in the acute care setting. ⋯ Physical restraints are relatively common in acute care wards. The use of physical restraints seems to correlate with certain patient characteristics but not with staff-to-patient ratios, and seems more common at night.