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Dear Friends,
As we begin another new year, we are pleased to provide you with another new service – the English edition of our electronic newsletter. We hope you will find this compilation of news from our hospitals, general medical information, medical questions and answers – and even a healthy recipe – interesting and informative.
We look forward to hearing from you with your comments and suggestions for future issues.
Sincerely,
Hadassah Medical Organization.
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Amniotic Fluid Embolism – An Obstetrical Nightmare
Amniotic Fluid Embolism is a rare, life threatening syndrome that can occur during labor when the amniotic fluid that should surround and protect the embryo penetrates the mother's veins. According to different reports, it occurs once in every 8,000 to every 80,000 pregnancies
When it does occur, suddenly and without warning – usually during birth or immediately after labor – it causes cardiovascular disorders, acute respiratory failure, coagulation problems and damage to vital anatomic systems, all of which are sometimes irreversible and fatal to both mother and child.
Circumstances that place the mother at greater risk of developing an Amniotic Fluid Embolism include a Caesarean section; tears in the uterus or cervix; placenta previa, where the placenta is attached to the uterine wall close to or covering the cervix; or placenta acreta, when the placenta attaches itself too deeply into the wall of the uterus. Other risk factors, such as speeding up of labor, delivery after the age of 35 and fetal distress, are quite common and do not serve as warning signs for an Amniotic Fluid Embolism.
History. When Amniotic Fluid Embolism was first documented during the 1930s and 1940s, it was described as catastrophic; the woman in labor suddenly experienced hemodynamic shock due to acute heart failure, loss of consciousness and soon after, massive bleeding caused by coagulation problems – and then, death.
For the full article - click here.
Prof. Uriel Elchalal, Head, High Risk Pregnancy Clinic, Department of Obstetrics and Gynecology, Hadassah University Hospital-Ein Kerem, Jerusalem.
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What are the common treatments for snoring and sleep apnea?
Heavy snoring can be a nuisance for the couple and other family members. Sometimes it is not just an esthetic problem but a symptom for a syndrome called Obstructive Sleep Apnea. This syndrome mostly caused by narrowing and blockage of the upper respiratory tract .This may lead to complete or partial breathing stop, which ends by awakening. This phenomenon causes severe sleeping interruptions. A person that suffers from this syndrome usually doesn't remember the multiple awakenings, but his or her body does; it lowers the quality of life and can lead to car accidents due to sleepiness. In addition, high blood pressure, cardiac problems, strokes and overall mental distress substantially increase. The main risk factors for this common syndrome are overweight and certain anatomic features. The common way to diagnose it and evaluate the severity of the syndrome is over-night surveillance in a sleep laboratory. This examination, called polysomnography, determines (among other tests) the rate of breathing stops per hour and the level of body oxygenation.
Change of lifestyle and a weight loss are powerful measures to handle the problem.
Main treatments include:
· CPAP – Continuous Positive Airway Pressure. During this treatment A mask that is connected to a blower supplies a positive pressured air to the patient while he or she is asleep. This treatment is considered to be the most effective though it does not get a lot of response.
· Surgery – done by an otorhinolaryngologist in certain cases.
· Dental Device –
There is a variety of approaches. The most common mechanism employed is by promoting the lower jaw using a device, accurately fits the dental arch, worn while sleeping. The device's effect includes promoting the lower jaw and the tongue base, stretching the muscles, widening the upper respiratory tract, and eventually creating a free air pass.
For the full article - click here.
Dr Yaron Haviv
* Faculty of Dental Medicine of the Hebrew University, Hadassah in En Kerem.
* Hadassah Optimal
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Nutrition and Skin
Unlike supposedly scientific opinions heard now and then, nutrition has an affect on the skin only when the body lacks vitamins and minerals. When a person eats traditional food and doesn't lack a specific ingredient, the food preserves the existence of the skin, as the existence of other organs, and not more than that. The food does not make the skin fresher, smoother or younger.
If a person eats traditional balanced food, the skin does not look healthier due to over eating of particular types of food such as vegetables, fruits, eggs, almonds, nuts and so on.
Let's count a few ingredients in our nutrition, which in states of lack may affect the skin, and describe the different affects. (Note that we'll describe the affects on the skin alone and not on other systems). | |
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Completely Hadassah
For many of Hadassah employees, it is much more than a working place. Rivka (Ricky) Mansora is one of them. Ricky has been working at the Hadassah Medical Center for the last 33 years, and is part of the salaries department in the human resources division. She was born at Hadassah. Recently, Ricky came acrioss a picture of her, as a 8 months old baby, with her mother, which was taken at Hadassah, and was published in a newspaper 50 years ago.
In the pictures: Ricky and her mom, then and now.
Doctors at Hadassah Warn: Dangerous Increased Phenomenon among Young Women - Accidental Swallowing of Sewing Pins
Gastroenterologists at Mount Scopus and Ein Kerem Hospitals were recently called several times, at times at night, to perform emergency endoscopy on young women who have swollen sewing pins. They say that these are young women who use sewing pins and needles to attach head covering to their hair. Many of them use the pins for sewing or knitting, tend to hold them between their lips and accidentally swallow them.
"We urge them to avoid holding pins and needles with the mouth or teeth. Swallowing a needle might cause severe damage to the intestine, such as piercing it, which might lead to surgery", emphasized Prof. Michael Wilschanski, Director, Pediatric Gastroentrology Unit at Hadassah.
Juvenile Prisoners for Children with Cancer at Hadassah
A big and colorful paper mache lion sculpture arrived at Hadassah Ein Kerem hospital recently. The sculpture was created by Juvenile prisoners at the Ofek prison as a gift to hospitalized children at the Department of Pediatric Oncology Hematology at Hadassah. The sculpture was created under the inspiration of the leading character in the Hebrew children book "There are no Such Lions".
The creators used only materials they could find in the prison. Symbolically, they used iron wires, normally used for prison fences, to create the pattern and skeleton of the sculpture. Then they collected papers and newspapers in the prison to create the paper mache.
In addition, they purchased several copies of the book, by raising funds, and they even donated their own money.
The project is called "Feeling with your hands", and is the result of collaboration between "Chayim" (life) foundation for Israeli children with cancer and prisoners at Ofek juvenile prison. The goal of the project is to bring color, light and happiness to the children, who can climb on the sculpture and play with it, thus giving the prisoners a sense of belonging to the community.
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Grilled St. Peter's Fish with Root Vegetables Salsa
(10 servings)
Ingredients:
10 St. Peter's Fish filets
1 parsley root, peeled and diced
1 celery root, peeled and diced
1 beet, peeled and diced
1 carrot, peeled and diced
1 red chilly pepper, clean from seeds and diced
Squeezed lemon juice of 4 lemons
1 spoon of Silan (natural date honey)
2 spoons of olive oil
4 spoons of chopped coriander
2 cloves of garlic, crushed
Method:
Heat the oven to 220°C (about 430°F(.
Place the filets in a baking dish on baking paper, the skin side up. Gently spread a bit of olive oil on top of them, and bake for 7 minutes, until the fish is soft.
Pour the olive oil, the silan and lemon juice into a bowl, and mix. Add the coriander, garlic, chilly, carrot, beet, celery root and parsley root, and mix.
Serve the fish with the salsa.
Dr. Rani Polak, Head of cooking classes, Hadassah Optimal.
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