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Novack, Victor

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https://www.readbyqxmd.com/read/29079374/estimations-of-a-degree-of-steroid-induced-leukocytosis-in-patients-with-acute-infections
#1
Amit Frenkel, Eric Kachko, Karin Cohen, Victor Novack, Nimrod Maimon
BACKGROUND: Glucocorticosteroids (GCS) are known to cause the hematologic effect of leukocytosis and neutrophilia. Leukocytosis is a key parameter in establishing the diagnosis of sepsis and in the estimation of its severity. OBJECTIVE: To quantify the effect of chronic or acute GCS treatment on the level of leukocytosis in patients with acute infectious process. METHODS: We conducted a retrospective cohort study of patients with an acute infection hospitalized in tertiary medical center between the years 2003-2014...
October 7, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29077789/benzodiazepine-consumption-is-associated-with-lower-blood-pressure-in-ambulatory-blood-pressure-monitoring-abpm-retrospective-analysis-of-4938-abpms
#2
Nitsan Mendelson, Bella Gontmacher, Allina Vodonos, Victor Novack, Muhammad Abu-AjAj, Arik Wolak, Haddar Shalev, Talya Wolak
Background and aim: The effect of chronic benzodiazepine use on blood pressure has not been documented. We aimed to evaluate whether regular benzodiazepine use can be associated to the results of ambulatory blood pressure monitoring (ABPM). Patients and methods: A retrospective analysis of the ABPM database between 2009 and 2015 was performed. The study groups were divided according to benzodiazepine treatment at least 3 months before ABPM. Generalized estimating equation (GEE) model analysis was conducted to estimate the association between benzodiazepine treatment and ABPM test measurements...
October 25, 2017: American Journal of Hypertension
https://www.readbyqxmd.com/read/28965037/characteristics-and-outcomes-of-critically-ill-medical-patients-admitted-to-a-tertiary-medical-center-with-restricted-icu-bed-capacity
#3
Iftach Sagy, Lior Fuchs, Yuval Mizrakli, Shlomi Codish, Liran Politi, Lior Fink, Victor Novack
BACKGROUND: In the emergency department (ED) critically-ill medical patients are treated in the resuscitation room (RR). No studies described the outcomes of critically-ill RR patients admitted to a hospital with low capacity of intensive care unit (ICU) beds. METHODS: We included all medical patients above 18 who were admitted to a RR of a tertiary hospital during 2011-2012. We conducted multivariate logistic and Cox regressions and propensity score (PS) matched analysis to analyze parameters associated with the study outcomes...
September 22, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28957341/efficacy-and-safety-of-sequential-versus-quadruple-therapy-as-second-line-treatment-for-helicobacter-pylori-infection-a-randomized-controlled-trial
#4
RANDOMIZED CONTROLLED TRIAL
Daniela Munteanu, Ohad Etzion, Gil Ben-Yakov, Daniel Halperin, Leslie Eidelman, Doron Schwartz, Victor Novack, Naim Abufreha, Pavel Krugliak, Alexander Rozenthal, Nava Gaspar, Alexander Moshkalo, Vitaly Dizingof, Alexander Fich
BACKGROUND AND AIMS: Quadruple therapy is recommended as second-line treatment for Helicobacter pylori eradication failure. However, high cost, multiple side effects, and low adherence rates are major drawbacks to its routine use. Our aim was to compare the efficacy and safety of sequential versus quadruple regimens as second line treatment for persistent Helicobacter pylori infection. METHODS: Prospective, randomized, open label trial was conducted at a large academic, tertiary care center in Israel...
2017: PloS One
https://www.readbyqxmd.com/read/28869099/impact-of-implementation-of-the-heart-pathway-using-an-electronic-clinical-decision-support-tool-in-a-community-hospital-setting
#5
Peter B Smulowitz, Yotam Dizitzer, Sarah Tadiri, Lara Thibodeau, Liudvikas Jagminas, Victor Novack
No abstract text is available yet for this article.
August 24, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28859952/predictors-of-post-colonoscopy-emergency-department-use
#6
Laurie B Grossberg, Alina Vodonos, Konstantinos Papamichael, Victor Novack, Mandeep Sawhney, Daniel A Leffler
BACKGROUND AND AIMS: Unplanned hospital visits within 7 days of colonoscopy were recently proposed as a quality measure. It is unknown whether patient, procedure, or endoscopist characteristics predict post-colonoscopy emergency department (ED) visits. Our aim was to determine the incidence and relatedness of ED visits within 7 days of colonoscopy and to identify predictors of post-colonoscopy ED use. METHODS: In this retrospective, single-center, cohort study, we evaluated outpatient colonoscopies performed at a tertiary academic medical center or affiliated facility between January 2008 and September 2013...
August 30, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28837902/estimating-daily-minimum-maximum-and-mean-near-surface-air-temperature-using-hybrid-satellite-models-across-israel
#7
Adar Rosenfeld, Michael Dorman, Joel Schwartz, Victor Novack, Allan C Just, Itai Kloog
Meteorological stations measure air temperature (Ta) accurately with high temporal resolution, but usually suffer from limited spatial resolution due to their sparse distribution across rural, undeveloped or less populated areas. Remote sensing satellite-based measurements provide daily surface temperature (Ts) data in high spatial and temporal resolution and can improve the estimation of daily Ta. In this study we developed spatiotemporally resolved models which allow us to predict three daily parameters: Ta Max (day time), 24h mean, and Ta Min (night time) on a fine 1km grid across the state of Israel...
November 2017: Environmental Research
https://www.readbyqxmd.com/read/28795077/sensitive-molecular-diagnostics-for-cutaneous-leishmaniasis
#8
Orli Sagi, Anat Berkowitz, Shlomi Codish, Victor Novack, Aviv Rashti, Fouad Akad, Yonat Shemer-Avni
BACKGROUND: Rapid diagnosis of cutaneous leishmaniasis (CL) and identification of Leishmania species is highly important for the disease management. In Israel, CL is caused mainly by Leishmania major and Leishmania tropica species. METHODS: We established an easy to handle point of care lesion-swabbing, combined with a highly sensitive multiplex real time PCR (multiplex qPCR) for accurate and rapid diagnosis of Leishmania species. RESULTS: Using three probes: one general for: Leishmania species, and two specific for L major, and L tropica, we screened 1783 clinical samples collected during two years...
2017: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/28735151/do-air-pollution-and-neighborhood-greenness-exposures-improve-the-predicted-cardiovascular-risk
#9
Maayan Yitshak-Sade, Itai Kloog, Victor Novack
BACKGROUND: Numerous studies show associations between exposure to Particulate Matter and Cardiovascular disease (CVD). Current cardiovascular equations incorporate the major risk factors for CVD. The patients' environment, however, is not incorporated in these equations. METHODS: In a retrospective analysis, we assessed the contribution of neighborhood greenness and particulate matter (coarse-PM and PM<2.5μm-PM2.5) to the development of CVD by analyzing the change in prediction abilities...
October 2017: Environment International
https://www.readbyqxmd.com/read/28681644/the-effect-of-ards-on-survival-do-patients-die-from-ards-or-with-ards
#10
Lior Fuchs, Mengling Feng, Victor Novack, Joon Lee, Jonathan Taylor, Daniel Scott, Michael Howell, Leo Celi, Daniel Talmor
OBJECTIVE: To investigate the contribution of acute respiratory distress syndrome (ARDS) in of itself to mortality among ventilated patients. DESIGN AND SETTING: A longitudinal retrospective study of ventilated intensive care unit (ICU) patients. PATIENTS: The analysis included patients ventilated for more than 48 hours. Patients were classified as having ARDS on admission (early-onset ARDS), late-onset ARDS (ARDS not present during the first 24 hours of admission), or no ARDS...
January 1, 2017: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28681542/hospital-volume-and-mortality-after-trans-jugular-intrahepatic-portosystemic-shunt-creation-in-the-united-states
#11
Ammar Sarwar, Lujia Zhou, Victor Novack, Elliot B Tapper, Michael Curry, Raza Malik, Muneeb Ahmed
The link between higher procedure volume and better outcomes for surgical procedures is well established. We aimed to determine if procedure volume affected inpatient mortality in patients undergoing transjugular intra-hepatic portosystemic shunt (TIPS). An epidemiological analysis of an all-payer database recording hospitalizations during 2013 in the United States (Nationwide Readmissions Database) was performed. All patients' ≥18 years old undergoing TIPS during a hospital admission (n=5529) without concurrent or prior liver transplantation were selected...
July 6, 2017: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/28642012/evaluation-of-a-device-combining-an-inferior-vena-cava-filter-and-a-central-venous-catheter-for-preventing-pulmonary-embolism-among-critically-ill-trauma-patients
#12
Victor F Tapson, Joshua P Hazelton, John Myers, Claudia Robertson, Ramyar Gilani, Julie A Dunn, Marko Bukur, Martin A Croce, Ann Peick, Sonlee West, Lawrence Lottenberg, Jay Doucet, Preston R Miller, Bruce Crookes, Rajesh R Gandhi, Chasen A Croft, Anthony Manasia, Brian A Hoey, Howard Lieberman, Oscar D Guillamondegui, Victor Novack, Gregory Piazza, Samuel Z Goldhaber
PURPOSE: To evaluate efficacy and safety of a novel device that combines an inferior vena cava (IVC) filter and central venous catheter (CVC) for prevention of pulmonary embolism (PE) in critically ill patients. MATERIALS AND METHODS: In a multicenter, prospective, single-arm clinical trial, the device was inserted at the bedside without fluoroscopy and subsequently retrieved before transfer from the intensive care unit (ICU). The primary efficacy endpoint was freedom from clinically significant PE or fatal PE 72 hours after device removal or discharge, whichever occurred first...
June 20, 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/28611878/physician-variability-in-management-of-emergency-department-patients-with-chest-pain
#13
Peter B Smulowitz, Orit Barrett, Matthew M Hall, Shamai A Grossman, Edward A Ullman, Victor Novack
INTRODUCTION: Chest pain is a common emergency department (ED) presentation accounting for 8-10 million visits per year in the United States. Physician-level factors such as risk tolerance are predictive of admission rates. The recent advent of accelerated diagnostic pathways and ED observation units may have an impact in reducing variation in admission rates on the individual physician level. METHODS: We conducted a single-institution retrospective observational study of ED patients with a diagnosis of chest pain as determined by diagnostic code from our hospital administrative database...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28538437/single-operator-ultrasound-guided-central-venous-catheter-insertion-verifies-proper-tip-placement
#14
Ori Galante, Tzachi Slutsky, Lior Fuchs, Alexander Smoliakov, Yuval Mizrakli, Victor Novack, Evgeni Brotfein, Moti Klein, Amit Frenkel, Leonid Koifman, Yaniv Almog
OBJECTIVES: To evaluate whether a single-operator ultrasound-guided, right-sided, central venous catheter insertion verifies proper placement and shortens time to catheter utilization. DESIGN: Prospective observational study with historical controls. SETTING: Adult ICUs. PATIENTS: Sixty-four consecutive patients undergoing ultrasound-assisted right-sided central venous catheterization compared with 92 serial historic controls who had unassisted central catheter insertion at the same sites...
October 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28530339/-health-scares-a-chronicle-unnecessary-anxiety
#15
REVIEW
Iftach Sagy, Dan Greenberg, Alan Jotkowitz, Leonid Barski, Victor Novack
A health scare is an event characterized by fear of catastrophic consequences with little actual results. Regardless of these negligible results, the health, social and economic impacts of such events may be significant. Health scares are spread throughout four major groups: the media, relevant medical experts, policy makers and the public at large. In this review, we described two recent cases in Israel: the case of Eltroxin exchange that occurred in Israel as well as other countries, in addition to the polio virus spread in sewage, in the context of health scares...
December 2016: Harefuah
https://www.readbyqxmd.com/read/28475282/risk-of-intracranial-hemorrhage-in-ground-level-fall-with-antiplatelet-or-anticoagulant-agents
#16
Michael Ganetsky, Gregory Lopez, Tara Coreanu, Victor Novack, Steven Horng, Nathan I Shapiro, Kenneth A Bauer
OBJECTIVES: Anticoagulant and antiplatelet medications are known to increase the risk and severity of traumatic intracranial hemorrhage (tICH), even with minor head trauma. Most studies on bleeding propensity with head trauma are retrospective, are based on trauma registries, or include heterogeneous mechanisms of injury. The goal of this study was to determine the rate of tICH from only a common low-acuity mechanism of injury, that of a ground-level fall, in patients taking one or more of the following antiplatelet or anticoagulant medications: aspirin, warfarin, prasugrel, ticagrelor, dabigatran, rivaroxaban, apixaban, or enoxaparin...
October 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28419353/the-effect-of-ramadan-fast-on-the-incidence-of-renal-colic-emergency-department-visits
#17
I Sagy, V Zeldetz, D Halperin, M Abu Tailakh, V Novack
Background: Renal colic (RC) is one of the most common reasons for emergency department (ED) visits. Although RC is associated with high ambient temperature and with physiological changes that occur during fast, the literature on between Ramadan and RC incidence is scarce. Aim: To investigate the association of ED visits with RC during Ramadan fast. Methods: We obtained health data of patients visited the ED of a large tertiary centre during the years 2004-15, with a primary diagnosis of RC...
September 1, 2017: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/28412072/do-slow-and-steady-residents-win-the-race-modeling-the-effects-of-peak-and-overall-resident-productivity-in-the-emergency-department
#18
Joshua W Joseph, Victor Novack, Matthew L Wong, Larry A Nathanson, Leon D Sanchez
BACKGROUND: Emergency medicine residents need to be staffed in a way that balances operational needs with their educational experience. Key to developing an optimal schedule is knowing a resident's expected productivity, a poorly understood metric. OBJECTIVE: We sought to measure how a resident's busiest (peak) workload affects their overall productivity for the shift. METHODS: We conducted a retrospective, observational study of resident productivity at an urban, tertiary care center with a 3-year Accreditation Council for Graduate Medical Education-approved emergency medicine training program, with 55,000 visits annually...
August 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28372641/the-impact-of-safety-regulations-on-the-incidence-of-upper-extremity-power-saw-injuries-in-the-united-states
#19
Michael M Vosbikian, Carl M Harper, Ashlyn Byers, Adva Gutman, Victor Novack, Matthew L Iorio
PURPOSE: Over 50,000 power saw-related injuries occur annually in the United States. Numerous safety measures have been implemented to protect the users of these tools. This study was designed to determine which interventions, if any, have had a positive impact on the safety of the consumer or laborer. METHODS: We queried the National Electronic Injury Surveillance System database for hand and upper-extremity injuries attributed to power saws from 1997 to 2014. Demographic information including age, sex, date of injury, device, location, body part involved, diagnosis, and disposition was recorded...
April 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28350752/the-yield-of-endoscopic-investigation-for-unintentional-weight-loss
#20
Naim Abu-Freha, Yotam Lior, Shira Shoher, Victor Novack, Alexander Fich, Alexander Rosenthal, Ohad Etzion
AIM: The aim of this study was to assess the yield of endoscopic evaluation in isolated unintentional weight loss (UWL) patients compared with patients with weight loss and additional symptoms or signs. PATIENTS AND METHODS: A retrospective review of all patients who underwent an endoscopic evaluation for the investigation of UWL at Soroka University Medical Center between 2006 and 2012. Data on clinical indication, endoscopic, and laboratory finding were retrieved...
May 2017: European Journal of Gastroenterology & Hepatology
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