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Biomedical subjects

David Rabinerson

Publications and source records attributed to David Rabinerson.

13 recordsLinked to original sources
PubMed2006

Hysteroscopy combined with hysterosalpingo contrast sonography (HyCoSy): a new modality for comprehensive evaluation of the female pelvic organs.

AIM: Hysterolaparoscopy is the gold-standard procedure for mechanical evaluation of the female pelvic organs. However, it is invasive and potentially life-threatening. The purpose of the present study was to assess the value of an alternative, minimally invasive technique. METHOD: All consenting women who reached the stage of mechanical evaluation in their infertility work-up were invited to participate in the study. All underwent diagnostic hysteroscopy followed by hysterosalpingo contrast sonography (HyCoSy) performed in a single session on an outpatient basis. Patient clinical data were collected prospectively. RESULTS: Twenty women participated in the study, 6 with primary infertility and 14 with secondary infertility. All procedures yielded satisfactory evaluation of the uterine cavity and uterine and ovarian structures, fallopian tube patency, and relationship between the fallopian tube fimbrial edges and the ovaries. All patients were discharged within 2 h; there were no complications during or after the procedure. CONCLUSION: The combination of hysteroscopy and hysterosalpingo contrast sonography (HyCoSy) can provide a comprehensive, functional and relatively non-invasive evaluation of the female pelvic organs.

Adult↗
PubMed2006

[The reviewers' review].

Peer review is a process designed to ensure quality, integrity and novelty of scientific or medical studies, published in scientific journals. This process accompanies scientific publication since it began and is the cornerstone of scientific appreciation and acceptance. Since peer review is a non-transparent process and lacks standardized criteria for evaluation, it thereby attracts extensive criticism, as discussed in this article. Editors and reviewers of this journal have a special responsibility when discussing a submitted article, since this journal is the only scientific-medical platform in the Hebrew language.

Humans↗
PubMed2006

[The sense of taste].

The taste sense is one of the five human senses. It is essential to our survival because it enables the individual the choice of correct food, which, in turn, is crucial for one's existence, maintenance and function. This is a complicated chemical sense, which operates in conjunction with other senses such as vision, smell and touch, and is also associated with the operation of temperature and consistency receptors. There are five basic tastes: bitter, sweet, sour, salty and "fleshy" (umami), each of which has a role in food selection, being responsible for the recognition of certain chemicals, which may be either necessary or dangerous to our body. The taste cell is located in the taste buds, which, in turn, are situated in the tongue, oral cavity and the proximal third of the esophagus. This translates the chemical signal of tastants in food to electrical stimulation that transfers the signal to higher processing centers in the brain, in a process called transduction, which is explained in this review. Disturbances in the taste sense, as well as effects of industrial exposure on this sense are also described. The accumulated knowledge about the taste sense might enable future breakthroughs in the processed food industry.

Brain↗
PubMed2006

[Domestic violence against women and the role of the obstetrician/gynecologist].

Domestic violence against women is a worldwide phenomenon affecting women of all age groups and socio-economic backgrounds. It may take the form of mental, as well as physical or sexual abuse. Pregnant women are not excluded from being abused. The physical and mental health of women who suffer domestic violence is compromised in comparison with women who are not subjected to violence. These women are reluctant to report their problem to physicians and they, in turn, do not sufficiently investigate the possibility of exposure to domestic violence with their patients. In Israel there is comprehensive protective legislation concerning domestic violence against women and a developed welfare system managed by social workers. Nevertheless, the efforts to protect and help these women will remain futile without early recognition, identification and referral of such women by the attending physicians. Among physicians, the obstetrician/gynecologists have a unique role, since on many occasions they serve as the primary care physicians of women who suffer from domestic violence. They are therefore able to recognize and offer help to these women.

Battered Women↗
PubMed2005

[Kos and lesbos or the physician and the lesbian patient].

Two to twelve percent of women define themselves as lesbians. Based on this data it has been estimated that 3-6% of patients who visit a physician are lesbians. In light of the growing awareness to gay/lesbian issues during the last decade, the special medical needs of the lesbian population have been sought and defined. This review presents an array of such special medical needs. Furthermore, the issue of physician-lesbian patient interaction, which is the key element in improving medical service to this unique population of women, is discussed.

Female↗
PubMed2005

[Genital piercing].

Piercing is defined as puncturing an organ in order to place a jewel in the perforated site. There is almost no external organ in the human body that has escaped piercing. The origin of piercing traces back to the dawn of human history. Piercing is performed for decorative or symbolic purposes. Genital piercing (male or female) has recently extended into Western societies in general and to Israel in particular. The aim of genital piercing is said to be both decorative and for the enhancement of sexual pleasure. There are several types of genital piercing. The procedure is performed by non-medical persons, not within medical institutions, and may involve severe complications. Israeli legislation that regulates genital piercing is lacking.

Body Piercing↗
PubMed2004

Lost levonorgestrel IUD: diagnosis and therapy.

A lost intrauterine device (IUD) is an uncommon event. Recently, a new levonorgestrel-releasing intrauterine system was introduced. In view of several cases of an unusual diagnostic discrepancy in the location of a lost levonorgestrel-releasing IUD in our department, we sought to determine if the extrauterine location of lost levonorgestrel-releasing IUDs differs from that of lost copper IUDs. The medical files of all patients with a diagnosis of lost IUD who were admitted to Rabin Medical Center from 2000 to 2003 were reviewed. Fourteen women were identified, 9 with levonorgestrel-releasing IUDs and 5 with copper IUDs. In six of the nine cases of a lost levonorgestrel-releasing IUD, there was a clear discrepancy between the presumed location of the device by diagnostic evaluation and its actual location on surgical extraction. All six devices were embedded in the omentum; four were located in the upper abdomen. No such discrepancies were noted for the copper IUDs (0 vs. 66%, p < 0.05). No significant difference in peritoneal adhesions was noted between the groups (55% vs. 66%, respectively, p = 0.095). It is concluded that lost levonorgestrel-releasing IUDs are associated with a higher rate of localization errors by clinical evaluation than copper IUDs. Lost levonorgestrel-releasing IUDs might be found in the mid-upper abdomen, embedded in omentum tissue, and this area should be explored first during laparoscopy.

Adult↗
PubMed2004

[Sexual dysfunction in women].

BACKGROUND: Sexual dysfunction in women is quite prevalent and encompasses all ages, cultures and socio-economical statuses. The various array of sexual dysfunction in women adversely affects their quality of life on the one hand and their relationship with their spouses on the other. GOALS: To overview the issue of sexual dysfunction in women while focusing on the latest medical treatment options available. METHODS: Review of the relevant medical literature. RESULTS: Medical treatment of sexual dysfunction in women is based on medications that either enhance blood flow into the female sex organs, mediate sexual neurological response or increase female libido. Most of these treatments are still experimental, yet have demonstrated encouraging preliminary results. CONCLUSIONS: Medical treatment of female sexual dysfunction (FSD) is an evolving discipline in contemporary medicine that has recorded several successes. However, in light of its complexity, much is still left to be resolved in the complete understanding of the female sexual response and treatment should be adjusted accordingly.

Female↗
PubMed2002

[Epulis during pregnancy].

Epulis is a hyperplastic lesion, which originates from the buccal mucosa and mainly from gingival tissues. It is characterised by several histologic types, of which the prevalent type during pregnancy is the granulomatous type, which is composed mainly of capillary vessels and endothelial proliferation. This lesion is referred to as "pregnancy tumor". The true prevalence of this lesion during pregnancy is unknown, though its peak incidence is during the third decade of life--compatible with pregnancy age. Furthermore, epulis is more prevalent among women than men (1:4-7). Normally, epulis appear on the frontal part of the maxilla during the third trimester. The lesion usually causes no symptoms apart from its very presence. Etiologic factors are improper maintenance of oral hygiene which lead to chronic gingivitis and high gingival levels of active progesterone which acts in a yet unindefined mechanism. Treatment includes firstly removal of irritating factors and secondly surgical conservative excision of the lesion.

Adult↗