Harefuah
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Although humans spend as much as a third of their life sleeping, many schools of medicine around the world do not provide sufficient knowledge about the physiology and pathology of sleep to their students, as if diseases fall asleep at night. People suffering from impaired sleep are often unaware of the problem. ⋯ The latter type is associated with several sleep disorders, among which are: obstructive sleep apnea, periodic limb movement in sleep, narcolepsy, idiopathic hypersomnia and circadian rhythm sleep disorders. To provide accurate diagnosis and appropriate treatment, medical education programs should offer the students a deeper knowledge of sleep medicine.
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Multicenter Study
[The management of pediatric appendicitis: an opinion survey of Israeli pediatric surgeons].
Appendicitis remains the most common acute surgical condition of the abdomen in children. However, considerable controversy still exists among surgeons as to the management of pediatric appendicitis. The goal of this study was to determine current practice patterns and provide a foundation for evidence-based outcome studies that would standardize patient care. ⋯ There is an apparent consensus on the many aspects of perioperative and postoperative care of pediatric appendicitis among Israeli Pediatric Surgeons (IPS). This study consolidates current opinions on appropriate management of pediatric appendicitis, providing a foundation for evidence-based outcome studies.
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Multicenter Study
[The role of nonoperative management of penetrating renal trauma].
Penetrating renal trauma has been treated traditionally by renal exploration. In view of the successful outcome of nonoperative treatment of major blunt renal trauma, there has been a gradual shift in the approach to penetrating renal injuries, in selected cases. This study reviews the local experience with the conservative approach to penetrating renal injuries. ⋯ The present study presents a successful conservative approach to penetrating renal injuries in 10 out of 18 cases. All renal units in the nonoperated patients were preserved in comparison to only half in the surgically treated patients. Hence, nonoperative treatment is a reasonable option for the majority of minor penetrating renal injuries as well as in many selected high-grade injuries. This approach provides maximal preservation of the injured kidney with manageable complications.
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Multicenter Study Clinical Trial
[Efficacy and safety of levetiracetam (keppra) add-on treatment in adult patients with refractory epilepsy in two tertiary centers].
Levetiracetam (LEV) is a new generation anti-epileptic drug, which has been approved as add-on therapy for partial epilepsy. The mechanism of LEV is not yet completely understood. ⋯ The results of this study, as well as previous studies, suggest that LEV is a well-tolerated new antiepileptic drug, and as an add-on therapy it may effectively improve seizure control in patients with intractable epilepsy.