Harefuah
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Making the correct diagnosis is essential for any physician. On occasions, this thorny task may demand profound knowledge combined with analytical skills. During the ages, logical devices were developed to help the bewildered physician accomplishing this task. This article will review some of the more celebrated devices. "Perfection is achieved, not when you have nothing more to add, but when you have nothing more to take away" Antoine de Saint-Exupery (Wind, Sand and Stars)
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Retirement can be traumatic, and physicians are not immune. The Israeli Medical Association (IMA) has been conducting a preparatory course for retirement for its members reaching retirement. The objective of the present study was to survey the characteristics of participating physicians, to map their activities following retirement, to gauge their appreciation of the course, and to assess their willingness to continue their association with the IMA. ⋯ This preliminary survey of physician retirement in Israel found that once physicians ceased working, many considered their life quality unfitting. The need to remain associated with the IMA is indicative of the large social and emotional importance of this membership.
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Cranberries have long been the focus of interest for their beneficial effects in preventing urinary tract infections (UTIs). Cranberries contain two compounds with anti-adherence properties, which prevent fimbriated E. coli from adhering to uroepithelial cells in the urinary tract. ⋯ Most importantly, the trials have used a wide variety of cranberry products, such as cranberry juice concentrate, juice cocktail, and cranberry capsules, and have employed different dosing regimens. Further research is required to clarify unanswered questions regarding the role of cranberries in protecting against UTI in general and in women with anatomical abnormalities in particular.
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Randomized Controlled Trial Comparative Study Clinical Trial
[A prospective, randomized double-blind study on the treatment of anal fissures with Nitroglycerin ointment].
Anal fissure is a common disease. Treatment includes conservative measures or surgery. One of the treatment options is topical Nitroglycerin ointment. ⋯ According to our study, there was no benefit regarding healing or pain relief, in treating patients suffering from an anal fissure with Nitroglycerin ointment in combination with stool softeners and sitz baths, compared to the same treatment without Nitroglycerin ointment.
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In this case study two combined, light-general and lumbar epidural anesthetics were administered to a premature neonate for the repair of gastroschisis. The female infant's body weight was 1400 grams (first operation) and 1700 grams (second operation). The epidural catheter was inserted between the low-lumbar vertebrae using the "loss of resistance" for saline technique. ⋯ Neither respiratory or hemodynamic depression, nor bupivacaine toxicity were observed. The anesthetic and analgesic management is presented in the article. Technical aspects of lumbar epidural anesthesia, it's advantages over the caudal approach and dosages of epidural anesthetics in small infants, as well as complications and risks are emphasized.