Harefuah
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The provision of care for the dying patient confronts the caring team with very complex ethical dilemmas that doctors have no "medical" means to manage. Such decisions should be made according to the patient's will and preferences reflecting the value of life and the quality of life. However, many patients are not competent at this stage to decide or to express their wishes. ⋯ One resolution is the requirement that an explanation of the relevant medical information be given by a doctor or a nurse to the person who wishes to prepare written advance directives. This article suggests that the required explanation should be given within the framework of a discussion that simulates a process of informed consent for an unknown scenario at the end-of-life. Such discussions should be conducted as a dialogue, in which the doctor, first and foremost, Listens to the patient in order to clarify his/her worries and wishes, according to which specific medical orders can then be formulated.
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In this article the authors review the history of ophthalmology in the Holy Land in the era spanning from 1948 till nowadays. Although there is material concerning ophthalmology in the Holy Land, it is not well organized. ⋯ In this review the authors strived to present a view of ophthalmology in the Holy Land in its first steps. Moreover, the authors presented the latest developments in eye health care in local eye departments.
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Accurate clinical reports of in vitro fertilization cycle rank (IVF-CR] are important because of their predictive value of treatment success--clinical pregnancy. This parameter, therefore, facilitates decision-making on both individual and population levels. The District of Haifa and Western GaLilee currently enrolls about 700,000 insured people, and provides hundreds of IVF cycles (pick-ups and frozen-thawed) at a cost of millions of shekels each year. Hence, accurate reports of IVF cycle rank is extremely important in order to ensure that public funds are actually directed to couples who may benefit from them. ⋯ CLinicaL reports of IVF-CR are currently accurate in less than a third of the cases. It is recommended that national regulatory bodies should issue compulsory guidelines in relation to recording and reporting of IVF-CR.
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To assess the dimensions of the problem of domestic violence among patients in primary care practice. The study also aimed to examine the various kinds of violence and what family physicians know about the subject as it pertains to their patients. ⋯ In comparison to world literature, our study apparently has an under-reporting of cases of domestic violence by the participants. On the other hand, in most cases, the family physician is unaware of these cases of violence. The fact that only one-third of the victims of violence think that the physician is the right person to turn to with this problem, suggests that a deeper probe into the subject is necessary, by studying it and explaining it effectively to the public.