Flumazenil potentiation of postoperative morphine analgesia. (Tel-Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv) Clin J Pain 2000;16:193-199.

Pain Practice ◽  
2001 ◽  
Vol 1 (2) ◽  
pp. 203-204
Author(s):  
Avi A. Weinbroum ◽  
Marian Weisenberg ◽  
Valeri Rudick ◽  
Eran Geller ◽  
David Niv:
Keyword(s):  
Medical Center ◽  
Morphine Analgesia ◽  
Tel Aviv ◽  
Sackler Faculty ◽  
Postoperative Morphine

Effects of midazolam and thiopentone induction on postoperative morphine analgesia after isoflurane anaesthesia

2004 ◽  
Vol 16 (1) ◽  
pp. 65-69
Author(s):  
Isil Ozkocak ◽  
Murat Akcay ◽  
Yasar Pala ◽  
Bayazit Dikmen ◽  
Nermin Gogus
Keyword(s):  
Morphine Analgesia ◽  
Isoflurane Anaesthesia ◽  
Postoperative Morphine

An Israeli Model of a Hospital Emergency Information Center

1999 ◽  
Vol 14 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Margalit Drory ◽  
Jennie Posen ◽  
Doron Vilner ◽  
Karni Ginzburg ◽  
Bianca Lederman
Keyword(s):  
Crisis Intervention ◽  
Medical Staff ◽  
Medical Center ◽  
Community Organizations ◽  
Mass Casualties ◽  
Hospital Emergency ◽  
The Public ◽  
Tel Aviv ◽  
The Social ◽  
Information Center

AbstractThe Emergency Information Center model developed by the social work department of Tel Aviv Sourasky Medical Center is activated in cases of mass casualties following disasters. It aims to provide reliable information to help the public cope with confusion and uncertainty, and to enable the medical staff to concentrate on treating the casualties. The Information Center is comprised of several interrelated units within the hospital, and maintains contact with a range of community organizations. The article describes the structure and activities of the various units, and discusses a number of aspects relevant to personnel organization in crisis intervention.

Yield of Selective Magnetic Resonance Imaging in Preoperative Workup of Newly Diagnosed Breast Cancer Patients Planned for Breast Conserving Surgery

2012 ◽  
Vol 78 (4) ◽  
pp. 451-455
Author(s):  
Tehillah S. Menes ◽  
Sivan Zissman ◽  
Orit Golan ◽  
Fani Sperber ◽  
Joseph Klausner ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Cancer Patients ◽  
Medical Center ◽  
Breast Conserving Surgery ◽  
Newly Diagnosed ◽  
Breast Cancer Patients ◽  
Resonance Imaging ◽  
Tel Aviv

The role of routine preoperative magnetic resonance imaging (MRI) in newly diagnosed breast cancer patients planned for breast conserving surgery is presently being debated. In our medical center we practice selective use of preoperative MRI; we sought to examine the yield of MRI in this highly selected group of patients. A retrospective study of all newly diagnosed breast cancer patients presenting between January 2007 and July 2010 to the Tel Aviv Sourasky Medical Center (Tel Aviv, Israel) was completed. Patients planned for breast conserving surgery who underwent preoperative MRI were included in this study. Patients and tumor characteristics, indication for MRI, findings on MRI, consequent workup, and impact on surgical treatment were recorded. Association between preoperative characteristics and yield of MRI was examined. During the study period, 105 patients that were candidates for breast conserving surgery underwent pre-operative evaluation with MRI. Use of breast MRI increased over time. Rates of mastectomy were stable throughout the study years. Dense mammogram was the most frequent (51, 68%) indication for MRI. Additional suspicious findings were found in 41 (39%) patients, prompting further workup including 36 biopsies in 25 patients, of which 22 (61%) were with cancer. These additional findings prompted a change in the surgical plan in a third of the patients. In most patients (92; 88%) clear margins were achieved. Limiting the use of MRI in the preoperative workup of breast cancer patients to a selected group of patients can increase the yield of MRI.

Incidence and Risk Factors for Community and Hospital Acquisition of Clostridium difficile Infection in the Tel Aviv Sourasky Medical Center

2017 ◽  
Vol 38 (8) ◽  
pp. 912-920 ◽  
Author(s):  
Wasef Na’amnih ◽  
Amos Adler ◽  
Tamar Miller-Roll ◽  
Dani Cohen ◽  
Yehuda Carmeli
Keyword(s):  
Risk Factors ◽  
Clostridium Difficile ◽  
Confidence Interval ◽  
Family Member ◽  
Incidence Rate ◽  
Odds Ratio ◽  
Close Contact ◽  
Medical Center ◽  
Tel Aviv ◽  
Hospital Acquired

OBJECTIVESTo estimate the incidence and identified risk factors for community-acquired (CA) and hospital-acquired (HA) Clostridium difficile infection (CDI)METHODSWe conducted 2 parallel case-control studies at Tel Aviv Sourasky Medical Center from January 1, 2011, to December 31, 2014. We identified persons with CDI, determined whether infection was community or hospital acquired, and calculated incidence rates from 2007 to 2014. We collected demographic, clinical, and epidemiological information for CDI cases and hospitalized control cases and estimated the odds ratio with 95% confidence interval using conditional logistic regression.RESULTSIn total, 1,563 CDI cases were identified in the study. The incidence rate of CA-CDI and HA-CDI increased by 1.6-fold and 1.2-fold, respectively, during 2012–2014. However, the incidence rate of CA-CDI was 0.84 per 100,000 (95% CI, 0.52–1.30), the rate for HA-CDI was 4.7 per 10,000 patient days (95% CI, 4.08–5.38), respectively, in 2014. We identified several factors as independent variables significantly associated with HA-CDI: functional disability, presence of nasogastric tube, antibiotic use, chemotherapy, infection by extended-spectrum β-lactamases, and mean of albumin values. Risk factors independently associated with CA-CDI were close contact with a family member who had been hospitalized in the previous 6 months, inflammatory bowel disease, and home density index (adjusted odds ratio, 25.7; 95% confidence interval, 3.99–165.54; P=.001).CONCLUSIONSThe identification of the main modifiable risk factors for HA-CDI (antibiotic exposure and hypoalbuminemia) and for CA-CDI (close contact with a family member who had been hospitalized in the previous 6 months) is likely to optimize prevention efforts; these factors are critical in preventing the spread of CDI.Infect Control Hosp Epidemiol 2017;38:912–920

Perception of patients regarding telemedicine at times of COVID-19: Did they miss the personal touch?

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 260-260
Author(s):  
Shira Peleg Hasson ◽  
Barliz Waissengrin ◽  
Marah Hodruj ◽  
Eliya Shachar ◽  
Sharon Pelles ◽  
...  
Keyword(s):  
Medical Center ◽  
Gynecological Cancer ◽  
Treatment Interruption ◽  
Clinic Visit ◽  
Ambulatory Activity ◽  
Virtual Communication ◽  
Tel Aviv ◽  
Lung Malignancies ◽  
Almost All

260 Background: The patient-oncologist relationship is cultivated from the first clinic visit, trust and assurance established throughout the follow up period until the end of life. In March 2020, with the break of the COVID-19 pandemic, social distancing restrictions were implement throughout Israel. The adoptions of telemedicine services were incorporate as a response at our institution. Almost all ambulatory activity in the oncology division in Tel Aviv Medical Center was converted to telemedicine services. Several studies report favorable results regarding patient preference and cost effectiveness of telemedicine. Methods: We conducted a telephone interview questionnaire assessing patient satisfaction. Inclusion criteria included solid tumor patients over 18 years who utilized the telemedicine platform at Tel Aviv Sourasky Medical Center between March 2020 - May 2020. We aimed to evaluate patient's perspectives and preferences regarding telemedicine and assess whether this virtual communication affects the patient-doctor relationship. Results: Following the COVID-19 outbreak, 400 telephone calls were made to patients, 100 patients agreed to participate and surveyed. Fifty-two percent were female. The majority of patients independently downloaded the telemedicine application and did not encounter technical constraints (67%). Family members and friend attended 45% of telemedicine visits. Patients cancer diagnosis included colorectal cancer (47%), breast cancer (18%), genitourinary cancer (18%), sarcoma (9%) lung malignancies (6%), gynecological cancer (1%) and CNS tumors (2%). Visit intent included post-treatment follow up (40%), active treatment follow (53%), and first visit intake (7%). The majority of patients felt their emotional needs were met (88%) and felt that their treatment was not harmed due to absence of a physical visit (84%). Almost all patients (99%) felt their privacy was maintained. Ninety-five percent of patients affirmed that the virtual visit relieved their worries regarding treatment interruption. Importantly, 75% of patients affirmed their interest to continue telemedicine regardless of COVID-19 pandemic. Conclusions: Telemedicine is an acceptable platform that may replace follow up visits without comprising patients’ experience. Our data call for research and development of tools enabling long-term implementation of remote telemedicine and assess the patient-physician relationship and quality of care among oncology patients.

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