Publications by authors named "Michal Vinker-Shuster"

Purpose: Procedural sedation (PS) became a crucial component of pediatric care in the late 20th century, necessitating an effective and safe balance. Due to growing demand, it is often performed by pediatric residents, sometimes without formal training. The study aimed to assess the quality and complication rates of a pediatric residents' PS training program.

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: Fibromyalgia (FM) patients are known to have medical comorbidities. This study characterized the rates of infectious diseases in FM patients compared to the general population. : A nationwide population-based case-control study was conducted, including all patients diagnosed with FM by a rheumatologist compared to a matched 5:1 control group within a large health maintenance organization in Israel (January 2002 to December 2023).

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  • This study investigated the effectiveness of serum folic acid testing in children and teens in a developed country without mandatory food fortification, analyzing data from over 20,000 patients aged 0-18 between 2008 and 2018.
  • Out of the patients tested, only 4.3% had folic acid deficiency, and the majority did not show signs of anemia, suggesting low rates of severe deficiency in the population studied.
  • The research highlighted that certain factors, such as male gender, older age, higher BMI, and specific medication usage (like antipsychotics or drugs for ADHD), increased the risk of folic acid deficiency, but routine testing may not be necessary for healthy children in developed countries.
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  • - The study aimed to explore the link between helminth infections and celiac disease (CeD) by comparing demographic and clinical data between individuals with CeD and a control group.
  • - The research used electronic health records from Leumit Health Care Services, finding no significant differences in age, gender, socioeconomic status, or ethnicity between the groups, although intestinal helminthiases were more common in CeD cases, particularly pinworm infections.
  • - The results challenge existing beliefs about the hygiene hypothesis by suggesting a possible unexpected connection between CeD and helminth infections, prompting further investigation into this relationship.
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With the transition to distance-learning at the beginning of the COVID-19 outbreak, several countries required parents and their children to remain at home, under lockdown. Many parents found themselves taking on additional responsibilities regarding their children's education. However, children do not always interpret their parents' intentions as they intended.

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Objective: To assess the correlation of co-morbid ADHD and diabetes-related complications in patients with type-1-diabetes-mellitus (T1DM).

Methods: A retrospective cross-sectional study was conducted during 2018 using the Leumit-Health-Services(LHS) database. Diabetes-related complications were assessed in patients with T1DM and ADHD (T1DM-ADHD+) and compared with patients with T1DM alone (T1DM-ADHD-).

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  • - The COVID-19 lockdown led to a sedentary lifestyle for children and adolescents, prompting a study to evaluate its impact on their weight.
  • - A study at a pediatric outpatient clinic analyzed the weight data of 229 children and found that overall weight percentiles significantly increased after lockdown (from 38.82 to 40.44).
  • - Notably, boys and younger children (under 6 years) showed significant weight percentile increases post-lockdown, while girls maintained their higher baseline weight percentiles without change.
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Gram-negative rod (GNR) infections adversely affect the outcome of patients with malignancies and following hematopoietic stem cell transplantation (HSCT). This retrospective observational study aimed to describe the epidemiology, outcome, and resistance patterns of GNR bacteremia in children with hematologic malignancies (HM) and after HSCT during the period spanning from 2010 to 2014 in a tertiary children's hospital. A total of 270 children were included in the analysis; 65 (24%) developed 85 episodes of GNR bacteremia; the rate was 36/122 (29.

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Objective: To assess the interactions between attention-deficit hyperactivity disorder (ADHD) and type 1 diabetes mellitus (T1DM), including diabetes outcomes and patients' general health status.

Methods: Primary care and hospital records of patients aged 5 to 18 years with T1DM were analyzed using the Leumit Health Services database. The diabetic control and general health of patients with T1DM and ADHD diagnoses were compared with those of patients with T1DM alone in a cross-sectional study.

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To assess the association of ankylosing spondylitis (AS) and ischemic heart disease (IHD) compared to traditional cardiovascular (CV) risk factors. Primary care and hospital records of patients with AS were analyzed, using the largest health maintenance organization in Israel, the "Clalit" Health Services data. These patients were compared with age- and gender-matched controls regarding the proportion of IHD in a cross-sectional study.

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Introduction: A 63-year-old, right-handed woman with a history of hypertension presented to the ED with left arm paresis of 2 days duration. Three weeks before admission, she had flu-like symptoms with intermittent left arm weakness that had recovered briefly but recurred 2 days prior to her presentation. On neurological examination, GCS was 15 and cranial nerves' function was normal.

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