Some of these rates may justify general screening of healthy newborns by head ultrasound. Objectives: To assess the incidence of intracranial abnormalities among asymptomatic term newborns with HUS  and to detect high-risk populations that might need such screening. Methods: This was a prospective study in term newborns who underwent HUS and a neurological evaluation during the first 3 days of life.
The neurological examination results were unknown to the sonographist and the examiner was blinded to the HUS findings. The abnormal HUS findings were classified as significant or non-significant according to the current literature. Results: Abnormal HUS was found in Significant findings were noted in 3. There was no association between non-structural HUS findings hemorrhage or echogenicity and mode of delivery.
There was no relationship between any HUS abnormality and birth weight, head circumference and maternal age, ethnicity, education or morbidity. The rate of abnormal neurological, hearing or vision evaluation in infants with a significant abnormal HUS 5. Conclusions: There is no indication for routine HUS screening in apparently healthy term neonates due to the relatively low incidence of significant brain abnormalities in these infants in our population. Scleroderma Overlap Syndrome. Balbir-Gurman and Y.
Background: Overlap syndrome is an entity that satisfies the criteria of at least two connective tissue diseases. These conditions include systemic sclerosis, dermatomyositis or polymyositis, Sjogren's syndrome, rheumatoid arthritis and systemic lupus erythematosus. A combined pathology has impact on the clinical features, diagnosis and treatment. Objectives: To analyze the features of SSc  patients with overlap syndrome registered in the European EUSTAR database at our center and to review the literature focusing on clinical and diagnostic issues and new treatments.
Methods: We studied the medical records of consecutive SSc patients and reviewed cases with scleroderma overlap syndrome. Results: Forty patients satisfied the criteria for scleroderma overlap syndrome. The incidence of additional connective tissue diseases in the whole group and in the overlap syndrome group respectively was: dermatomyositis or polymyositis Coexistence of SSc and another CTD  aggravated the clinical course, especially lung, kidney, digestive, vascular and articular involvement. Non-rheumatic complications mimicked SSc complications. An additional rheumatic or non-rheumatic disease affected treatment choice.
Conclusions: The definition of scleroderma overlap syndrome is important, especially in patients who need high-dose corticosteroids for complications of a CTD. The use of novel biological therapies may be advocated in these patients to avoid the hazardous influences of high-dose steroids, especially renal crisis. In some overlap syndrome cases, biological agents serve both conditions; in others one of the conditions may limit their use.
In the absence of formal clinical trials in these patients a cautious approach is preferred. Perichondritis of the Auricle: Analysis of Cases.
Sports Med ; 41 (1): /11//$/0LEADING ARTICLEª Adis Data Information BV. All rig. Sports Medicine. ISSN: All Volumes & Issues. Volumes Volume 49 January - October Volume 41 January - December
Davidi, A. Paz, H. Duchman, M. Luntz and I. In more than half of the patients the etiology could not be determined. Since P. Badarny, H.
Rawashdeh, J. Meer, S. Abed and G. However, there was no correlation between the clinical response and these electrophysiological parameters. Pearson correlation test was used to correlate between the difference of similar electrophysiological parameters and duration of favorable clinical response and also between the differences among themselves. There was no correlation between duration of clinical response and the differences of either the distal latency sensory or motor or the amplitude.
There was also no correlation between the differences of motor median distal latency and sensory median distal latency. Leibenson, S.
Banani, A. Borer, M. Meirovitz, Y. Shemer Avni, D. Singer, F. Schlaeffer, M. Leibenson, T. Silberstein, A. Wiznitzer and K. Background: Concomitant human immunodeficiency virus and human papillomavirus infection increases both HPV  persistence and the risk of invasive cervical cancer.
An estimation of HPV prevalence among HIV  -positive women in Israel would contribute to improving care for this population and preventing morbidity and mortality related to cervical cancer.
Methods: The study population included 84 HIV-seropositive women. They were examined by a gynecologist and screened for HPV genotyping, and Pap smears were obtained for cervical cytology. Demographic, behavioral, and HIV infection variables were also recorded and analyzed. Results: Forty-nine Abnormal cervical cytology was present in 17 women The prevalence of pathological cervical cytology was much higher than in the general population. An extremely high prevalence of pathological colposcopies requiring further treatment was found.
Screening for HPV and premalignant changes in the uterine cervix is highly recommended in the HIV-seropositive population.
We suggest that colposcopy be considered part of the routine workup in HIV-seropositive woman. Bar-Yishay, A. Avital, C. Springer and I.
Background: In infants, small volume nebulizers with a face mask are commonly used to facilitate aerosol therapy. However, infants may be disturbed by mask application, causing poor mask-to-face seal and thus reducing the dose delivered.
Objectives: To compare lung function response to bronchodilator nebulization via two delivery devices: hood versus mask. Methods: We studied 26 recurrently wheezy infants aged Inhalations of 0. Response to inhalations was measured by maximal expiratory flows at functional residual capacity at 5 minute intervals after each dose, and area under the VmaxFRC  curve was documented. Results: A small but significant response to salbutamol was observed f ollowing the second inhalation with VmaxFRC, improving by Conclusions: Nebulized salbutamol induced a variable but positive response in wheezy infants.
Salbutamol via hood was as effective as conventional face mask delivery. Since it is simple and patient-friendly, it could replace the face mask method particularly with uncooperative infants. Landau, I. Berger, R.
Marom, D. Mandel, L. Ben Sira, A. Fattal-Valevski, T.
Peylan, L. Levi, S. Dolberg and H. Background: Major advances in the treatment of perinatal asphyxial—hypoxic ischemic encephalopathy followed the translation of hypothermia animal studies into successful randomized controlled clinical trials that substantially influenced the current standard of care.
Objectives: To present our preliminary experience with the first cases of clinical application of therapeutic hypothermia for PA-HIE  in what we believe is the first report on non-experimental hypothermia for PA-HIE from Israel. Methods: We reviewed the medical records, imaging scans, electroencephalograms and outcome data of the six identified asphyxiated newborns who were managed with hypothermia in our services in — Final approval of the version to be published.
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