Harefuah
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Physicians are the backbone of every medical system. Physician function and behavior have a major impact on the function and outcomes of medical systems. Physician behavior is influenced by sets of incentives that are an inherent part of the medical system. ⋯ Physician behavior is influenced by a combination of all three types of incentives and not by a single incentive. The material incentive has more influence on recruitment while the social incentive has a stronger influence on retainment and attrition reduction. This article discusses the modern physician's environment in view of incentive sets and its impact on the medical system.
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The immigration of Ethiopian Jews to Israel posed new challenges to their family physicians. The gaps in health beliefs between the Ethiopian immigrants and western medicine culture imposed difficulties on the work of the medical team. ⋯ They presented many different complaints, with no medical explanations. Their stories illuminate personal, social and cultural concepts which characterize these women.
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In Israel, 280,000 pupils travel daily to school and back home by means of school transportation. In an effort to increase school transportation safety, the installation of lap belts in school transportation vehicles is required since September 1, 2006. In Israel, laws are often passed with good intentions, but frequently without exploring the potential outcomes. ⋯ On the contrary, lap-shoulder belts may reduce the risk of abdominal injuries by up to 50% relative to lap-only belts. In conclusion, policy makers aimed to implement regulations which will reduce injuries and fatalities. However, neglecting to carry out an in-depth professional review has brought about a regulation requiring lap belts in school buses; a decision which, according to international research studies, can potentially increase the injury risks among pupils.
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The clinical significance and clinical characteristics of patients with myocardial infarction involving the posterior wall of the left ventricle is not well-defined. The angiographic findings and their correlation with the eletrocardiographic (ECG) findings may be of high therapeutic importance. ⋯ The major artery causing involvement of the posterior wall is the right coronary artery. In patients with myocardial infarction involving the posterior wall, infarct size is similar to that of anterior wall myocardial infarction, and with similar complications rate. However, the incidence of significant mitral valve insufficiency and congestive heart failure is high in patients with posterior wall involvement. Posterior leads assessment should be conducted routinely in patients with suspected myocardial infarction.
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Contradictory evidence exists as to the rate of use of healthcare services by Israeli immigrants from the former Soviet Union (fSU). ⋯ The use of community healthcare services among immigrants is similar to the use among veteran Jews. However, the immigrant population in Israel utilizes preventive services less often than the veteran Jewish population.