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1.
Isr J Health Policy Res ; 11(1): 33, 2022 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-36096805

RESUMEN

BACKGROUND: SARS-CoV-2 is an infectious virus, which has generated a global pandemic. Israel was one of the first countries to vaccinate its population, inaugurating the program on December 20, 2020. The objective of the current study is to investigate the projected daily COVID19 mortality growth rate with higher median age and population size of cities under two scenarios: with and without the BNT162b2 Pfizer vaccination against the SAR-COV2 virus. METHODS: This study employs a panel data-set. We follow the COVID19 mortality growth rate in each of the 173 Israeli cities and towns starting from March 21, 2020 (10 days after the first documentation of COVID19 cases in Israel) until September 21, 2021, where the BNT162b2 Pfizer vaccinations were available starting from December 20, 2020. RESULTS: Referring to the median age of municipal residents, findings suggest that the BNT162b2 Pfizer vaccinations attenuate the rise in anticipated daily mortality growth rate for cities and towns in which the median population age is 30 years old (the range in median age among the residents in the municipalities surveyed is 11-41 years). Moreover, referring to population size of cities, findings demonstrate that while under the scenario without vaccination, the daily mortality growth rate is anticipated to rise, under a comparable scenario with vaccination, daily mortality growth rate is anticipated to drop. CONCLUSIONS: In crowded cities, where the median age is high, two perspectives of early and intensive public policy interventions are clearly required. The first perspective is extensive medical treatment, namely, extension of availability of medical physical and online services; dispensing designated medications; expansion of hospitalization facilities and information services particularly to susceptible populations. All measures will be taken with attention to age accessibility of these means. The second perspective is prevention via establishment of testing and vaccination complexes; elevation of dedicated health services, generating selective lockdowns; education for increasing awareness to social distancing, wearing masks and other preventive means.


Asunto(s)
COVID-19 , Adolescente , Adulto , Vacuna BNT162 , COVID-19/prevención & control , Niño , Control de Enfermedades Transmisibles , Humanos , Israel/epidemiología , Densidad de Población , Política Pública , SARS-CoV-2 , Adulto Joven
2.
Zootaxa ; 5183(1): 343-354, 2022 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-36095442

RESUMEN

Geoica inbari sp. nov., living on Pistacia palaestina Boiss. (Anacardiaceae), is described based on apterous fundatrigeniae, fall migrants, embryos of apterous exules within fall migrants (fundatrispuriae) and the first instar larva of an apterous exule borne by a fall migrant, collected in the Mount Hermon area of Northern Israel. The new species differs from all other known Geoica species in its mitochondrial DNA, and from those known from Pistacia by the shape of the galls. It makes coral-shaped galls, while all congeners produce spherical galls. The new species is a member of the Geoica utricularia group and morphologically resembles Geoica wertheimae Brown Blackman, 1994.


Asunto(s)
Áfidos , Pistacia , Animales , Israel
3.
Hist Cienc Saude Manguinhos ; 29(3): 751-761, 2022.
Artículo en Español | MEDLINE | ID: mdl-36074360

RESUMEN

This article attempts to hypothetically reflect on how historians of science will write their research on the development of the covid-19 pandemic in Israel in the future, within a context that includes: the political crisis experienced by the country at that time; the history of the public health institutions established from the time of the first Jewish settlers in Palestine, at the beginning of the twentieth century, and slightly modified by a law of 1994; the conceptual schemes developed during the last decades by historians of public health and pandemics in general.


El presente artículo representa un intento de reflexionar hipotéticamente sobre la manera en que los historiadores de la ciencia escribirán en el futuro sus investigaciones sobre el desarrollo de la pandemia de la covid-19 en Israel, dentro de un contexto que incluye: la crisis política que vivió el país en esos momentos; la historia de las instituciones de salud pública establecidas desde la época de los primeros colonos judíos en Palestina, a principios del siglo XX, y modificadas ligeramente por una ley de 1994; los esquemas conceptuales desarrollados durante las últimas décadas por historiadores de la salud pública y las pandemias en general.


Asunto(s)
COVID-19 , Nombres , COVID-19/epidemiología , Humanos , Israel/epidemiología , Judíos/historia , Pandemias
5.
Isr J Health Policy Res ; 11(1): 31, 2022 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-36071536

RESUMEN

BACKGROUND: The breastfeeding initiation rate in Israel is approximately 90%, yet exclusive breastfeeding drops sharply in the early postnatal period. The study objective was to assess early postpartum professional breastfeeding support, its association with breastfeeding success and identification of risk factors for early breastfeeding discontinuation. METHODS: As part of a post-discharge newborn follow-up study, a convenience sample of 868 mothers attending Maternal and Child Health Centers (MCHCs) up to three months post-partum were interviewed using a 26-item questionnaire. Breastfeeding-related questions covered demographic variables, pregnancy and birth details; breastfeeding duration, lactation support in hospital and post-discharge; and problems experienced. RESULTS: Most mothers, 797 (91.8%), initiated breastfeeding in hospital. All women who initiated breastfeeding in the hospital reported exclusive breastfeeding; by two weeks postpartum, 70 women (13.2%) were supplementing with formula (partial breastfeeding). Kaplan-Meier Survival Analysis revealed an estimated mean duration of exclusive breastfeeding in the sample population of 66.8 ± 1.5 days. This duration was shorter for women with preterm births, low birthweight infants (LBW), cesarean births, and hospitalizations in neonatal intensive care units (NICU). A total of 472 (59.3%) breastfeeding mothers reported receiving in-hospital guidance. Of these, 290 (61.3%) were observed breastfeeding. Of all women who initiated breastfeeding, 280 (35.1%) attended MCHC follow-up within 72 h of hospital discharge. A higher proportion of women experiencing breastfeeding difficulties attended an MCHC within 72 h (131/297, 44.1%) compared to women not experiencing difficulties (148/499, 29.7%). The most frequently reported problems were mechanical (55.2%) or milk supply concerns (18.5%). First-time mothers were more likely to report problems, as were Jewish (vs Arab) mothers. CONCLUSIONS: Even in a population with high initiation rates of breastfeeding, breastfeeding duration, both exclusive and partial, is less than recommended. As much of this drop-off occurs during maternity leave, it is likely related to breastfeeding challenges other than employment. Breastfeeding support needs of women are currently not adequately met; staffing and time for both in-hospital and community-based counseling needs to be funded as well as mandated. Counseling hours should be tailored to assure adequate coverage of high-risk groups such as women after cesarean delivery and newborns requiring intensive care.


Asunto(s)
Cuidados Posteriores , Lactancia Materna , Lactancia Materna/psicología , Niño , Femenino , Estudios de Seguimiento , Humanos , Lactante , Recién Nacido , Israel/epidemiología , Alta del Paciente , Embarazo
6.
Euro Surveill ; 27(39)2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36177870

RESUMEN

We assess the immunogenicity and efficacy of Spikevax and Comirnaty as fourth dose COVID-19 vaccines. Six months post-fourth-dose, IgG levels were higher than pre-fourth dose at 1.58-fold (95% CI: 1.27-1.97) in Spikevax and 1.16-fold (95% CI: 0.98-1.37) in Comirnaty vaccinees. Nearly 60% (159/274) of vaccinees contracted SARS-CoV-2. Infection hazard ratios (HRs) for Spikevax (0.82; 95% CI: 0.62-1.09) and Comirnaty (0.86; 95% CI: 0.65-1.13) vaccinees were similar, as were substantial-disease HRs, i.e. 0.28 (95% CI: 0.13-0.62) and 0.51 (95% CI: 0.27-0.96), respectively.


Asunto(s)
Vacunas contra la COVID-19 , COVID-19 , COVID-19/prevención & control , Estudios de Seguimiento , Humanos , Inmunoglobulina G , Israel/epidemiología , ARN Mensajero , SARS-CoV-2/genética
7.
Isr J Health Policy Res ; 11(1): 34, 2022 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-36127744

RESUMEN

BACKGROUND: The COVID-19 pandemic had a major impact on primary care and primary care physicians (PCPs) in Israel and around the world. There is paucity of information regarding treatment of patients with COVID-19 in the community, since most research was performed in hospitals. The aim of this study was to describe the Israeli PCPs' experience. METHODS: This study is a part of an international cross-sectional study, the PRICOV-19. A translated version of the questionnaire was distributed among Israeli PCPs from December 2020 to July 2021. In this study, we describe the Israeli results and compare them to the international results. RESULTS: 5,961 respondents from 29 countries answered the questionnaire, 94 from Israel, with an Israeli response rate of 16%. Israeli PCPs reported an increase in use of telemedicine from 11 to 49% during the COVID epidemic. PCPs also reported a decline in their wellbeing; absence of secured time slots for keeping updated; perception that the Ministry of Health guidelines were a threat to the staff wellbeing and organization of practice and delays in the examination of non-COVID urgent cases. CONCLUSIONS: The findings of this study raise concerns regarding the PCPs experience and may form the basis for an improved process of care. Guidelines for proper usage of telemedicine, substitutes for the physical examination and procedures for minimizing delayed patient examination for urgent conditions should be developed. Government directives and clinical guidelines should be communicated in a timely manner, with secured timeslots for physicians' self-learning or updating. Ensuring physicians' well-being in general should be an organization priority.


Asunto(s)
COVID-19 , Médicos de Atención Primaria , COVID-19/epidemiología , Estudios Transversales , Humanos , Israel/epidemiología , Pandemias/prevención & control
8.
Sci Rep ; 12(1): 15434, 2022 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-36130974

RESUMEN

Economic and industrial progress frequently comes at the expense of environmental sustainability. For the early Iron Age (~ eleventh to ninth centuries BCE) smelters of the ancient copper industry of the Timna Valley, southern Israel, where today the hyper-arid Aravah Desert provides sparse vegetation, woody fuel for metallurgical furnaces constituted the greatest limiting factor for continued operations. This study presents the first investigation into the fuel sources relied upon by this industry during its most intensive period, as reflected by hundreds of charcoal samples collected from two well-stratified and chronologically anchored accumulations of industrial waste. The two sites demonstrate similar results: a heavy reliance on the local vegetation, particularly Retama raetam (white broom) and the ecologically significant Acacia spp. (acacia thorn trees), two high-calorific and high-burning taxa best suited for such purposes. It was also observed that over the course of the industry, the search for fuel expanded, as evidenced by the later appearance of taxa unsuited for the prevailing regional conditions, hinting at the detrimental toll the industry took on the local ecosystem. Altogether, it is suggested that the lucrative copper industry ended due to limits in the availability of fuel, caused by anthropogenic hastening of desertification and environmental degradation.


Asunto(s)
Acacia , Cobre , Carbón Orgánico , Ecosistema , Residuos Industriales , Israel , Metalurgia
9.
Health Promot Int ; 37(5)2022 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-36166262

RESUMEN

Established in 1990, Israel's Healthy Cities Network (HCN) performed its first evaluation in 2003-2004. A decade later, the present evaluation was implemented to assess members' compliance with the European HCN requirements and to determine progress made since the initial evaluation. A total of 31 of the existing 42 HCN members participated in this mixed methods evaluation. Based on the Monitoring, Accountability, Reporting, and Impact assessment framework, the evaluation questionnaire integrated Healthy Cities' principles and strategies. Univariate and bivariate analyses were used to investigate municipality performance as well as associations between indicators and structural or process measures. Matched-paired t-tests were performed to compare HCN member cities' initial evaluation with the current evaluation. Qualitative analyses explored the processes involved in implementing the Healthy Cities approach. The current evaluation found that Israel's HCN complies with all European HCN requirements, except for producing a city health profile. Increased coordinators' time investment, maintaining municipal health steering committee meetings and attending HCN activities were positively associated with better score on all dimensions. There was no significant difference between the two evaluation scores for all HCN cities collectively; however, within city comparisons indicated significant change. Coordinators reported that there was added value in HCN membership and conveyed a need for better network facilities, publicity and improved public relations. This evaluation validates the previous evaluation's findings and informs decision makers and municipal leaders regarding potential areas to modify or expand, both on the municipality level and the network at large.


Established in 1990, Israel's Healthy Cities Network (HCN) performed its first evaluation in 2003­2004. A decade later, the present evaluation was implemented to assess members' compliance with the European HCN requirements and to determine progress made since the initial evaluation. A total of 31 of the existing 42 HCN members participated in this evaluation. Based on the Monitoring, Accountability, Reporting, and Impact assessment framework, the evaluation questionnaire integrated Healthy Cities' principles and strategies, integrating both closed and open-ended questions. The current evaluation found that Israel's HCN complies with all European HCN requirements, except for producing a city health profile. Increased coordinators' time investment, maintaining municipal health steering committee meetings and attending HCN activities were positively associated with better performance on dimensions of equity policy and management. There was no significant difference between the two evaluation scores for all HCN cities collectively; however, within city comparisons indicated significant change. Coordinators reported that there was added value in HCN membership and conveyed a need for better network facilities, publicity and improved public relations. This evaluation validates the previous evaluation's findings and informs decision makers and municipal leaders regarding potential areas to modify or expand, both on the municipality level and the network at large.


Asunto(s)
Salud Urbana , Ciudades , Humanos , Israel , Encuestas y Cuestionarios
10.
Health Promot Int ; 37(5)2022 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-36166264

RESUMEN

Following the outbreak of the global COVID-19 pandemic, governments around the world issued guidelines designed to prevent contagion. This longitudinal study explored variables associated with citizens' adherence to these guidelines. Questionnaires were administered to a panel of Israeli citizens three times: in June (Time 1, n = 896), July (Time 2, n = 712) and August (Time 3, n = 662) 2020. The relationships of perceived loss of resources (e.g. stable employment) at Time 1 with adherence to guidelines at Time 2 and Time 3 were moderated by assumptions about controllability: The relationships were stronger for people who believed that appropriate behavior would lead to positive outcomes and prevent negative outcomes. The results indicate that messages about the pandemic should be accompanied by encouraging messages regarding the ability to control.


Asunto(s)
COVID-19 , Pandemias , COVID-19/epidemiología , COVID-19/prevención & control , Gobierno , Humanos , Israel/epidemiología , Estudios Longitudinales , Pandemias/prevención & control
11.
Harefuah ; 161(9): 540-545, 2022 Sep.
Artículo en Hebreo | MEDLINE | ID: mdl-36168154

RESUMEN

INTRODUCTION: Planning the future national hospitalization system requires consideration of demographic trends, innovative treatments and policy approaches. The existing situation alone does not allow proper planning in extremely dynamic systems that operate within the framework of scarce resources. OBJECTIVES: To identify managers' attitudes regarding hospital planning, deployment and managerial mechanisms in comparison with evidence in the literature. METHODS: A survey among hospital managers following a focused conference. RESULTS: Of the 50 respondents, half of the group thought that a general hospital should include 900-2000 beds. The majority prefer an autonomous management style, or a cluster of only a few hospitals. In a scenario of overload and shortage of beds, the majority prefer adding beds to the existing hospital, while about a quarter of the respondents suggest establishing another hospital in the area, or merging nearby hospitals. About half supported home care, or transferring patients to a nearby hospital, including in the private sector, or the transfer of appropriate patients to chronic care institutions. About a third of the respondents supported telemedicine. In terms of national deployment, the preference was that the hospital should be located in high population areas and able to provide sufficient geographical accessibility. Yet, 60% of participants emphasized the importance of social determinants to low socio-economic populations. CONCLUSIONS: The survey revealed original standpoints and ideas towards willingness to promote targeted solutions. Healthcare leaders should consider and adapt local ideas to achieve effective planning following the insights of those working in the field. DISCUSSION: Targeted conferences aimed at discussing health policy are an effective platform for presenting complex issues and for sharing ideas with colleagues for the benefit of meaningful long-term processes.


Asunto(s)
Atención a la Salud , Hospitales , Hospitalización , Humanos , Israel , Encuestas y Cuestionarios
12.
Harefuah ; 161(9): 577-580, 2022 Sep.
Artículo en Hebreo | MEDLINE | ID: mdl-36168162

RESUMEN

INTRODUCTION: Public health and welfare organizations, as well as governmental agencies in Israel, charged with the provision of services for children with special needs and their families, have reached a timely watershed. This large network finds its roots at the dawn of the last century in the history of the notable efforts made by idealistic individuals who immigrated to the country and in the many Jewish philanthropic community organizations, charged with helping others less fortunate. Beginning with services for the handicapped, who were either victims of polio or suffering from cerebral palsy, the gamut of providers blossomed to encompass many others in need, which today number in the hundreds of thousands each year, suffering from a wide range of impairments, and with a multitude of needs. We found it incumbent upon us to undertake a prodigious review of those pioneering individuals and organizations, contributing to the current wealth of services available to the public.


Asunto(s)
Parálisis Cerebral , Personas con Discapacidad , Poliomielitis , Niño , Humanos , Israel , Judíos
14.
Isr Med Assoc J ; 24(9): 559-563, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36168173

RESUMEN

BACKGROUND: To mitigate the spread of coronavirus disease 2019 (COVID-19), national guidelines, in accordance with international health authorities, mandated 14 days of quarantine for every close contact of a confirmed COVID-19 patient. Although health benefits are obvious, consequences are profound, especially for organizations required to maintain operational preparedness. OBJECTIVES: To present the Israel Defense Force (IDF) experience with outbreaks regarding quarantined individuals. To weigh the consequences of quarantined individuals needed for workforce and operation. METHODS: All positive COVID-19 cases in the IDF, as measured by a positive rRT-PCR test result, between 29 February and 18 May 2020 were evaluated. Numbers of positive individuals, quarantined individuals, and confirmatory exams conducted were collected. We compared the events in four units with the largest outbreaks and assessed the impact of confirmed cases, tests conducted, and workforce loss due to quarantine. RESULTS: Of the 187 soldiers who tested positive for COVID-19, source of infection was traced to 140 soldiers (75%). Almost no medical treatment was delivered, and hospitalization was rare. We found a median of 15.2% (interquartile range 5.3-34) for decline in unit workforce due to quarantine measures. Maximum reduction reached 47% of the workforce in one unit. CONCLUSIONS: Despite a relatively small number of confirmed cases, units underwent a substantial change in mode of operation due to the toll of quarantined individuals. In certain populations and organizations, perhaps a more liberal application of isolation and contact tracing is suitable due to the heavy economic burden and consequences in term of operational readiness.


Asunto(s)
COVID-19 , COVID-19/epidemiología , COVID-19/prevención & control , Brotes de Enfermedades/prevención & control , Humanos , Israel/epidemiología , Instalaciones Militares , SARS-CoV-2
15.
Isr Med Assoc J ; 24(9): 564-569, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36168174

RESUMEN

BACKGROUND: Coronavirus disease 2019 (COVID-19) led to two nationwide lockdowns in Israel, reducing both supply and demand for medical services in the Israel Defense Force (IDF). IDF soldiers serve on bases within Israel, and most of them return home at the end of the day, similar to other armies in the world. OBJECTIVES: To analyze the health services provided by the IDF with regard to policy changes during lockdowns. METHODS: We compared medical encounters between different services provided by the IDF Medical Corps. We related them to specific time periods: pre-first lockdown, first lockdown (and corresponding timeframes of the previous 3 years), between lockdowns, second lockdown, and post-second lockdown. RESULTS: Compared to past periods, we found a similar reduction of 27-30% in primary care medical encounter rates during the two lockdowns: 42-43% in sick days and 50-54% in referrals to the emergency department. Referral rates to all specialist medical encounters and elective surgeries decreased significantly during the first lockdown period and increased 1.2-3.5 times during the second lockdown. CONCLUSIONS: A continuance of the shift to telehealth is required to withstand a future lockdown, with a full supply of secondary medical services attuned to core medical issues relevant for combat personnel. A liberal sick leave policy is required to eliminate unnecessary in-person visits, thus reducing the risk of infection.


Asunto(s)
COVID-19 , Personal Militar , COVID-19/epidemiología , COVID-19/prevención & control , Control de Enfermedades Transmisibles , Brotes de Enfermedades , Humanos , Israel/epidemiología
16.
Isr Med Assoc J ; 24(9): 579-583, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36168176

RESUMEN

BACKGROUND: Vehicle-ramming attacks have become a common tactic for terror organizations worldwide. However, the medical implications of vehicle-ramming attacks remain unknown. OBJECTIVES: To investigate the characteristics of vehicle-ramming attack incidents and casualties in order to assist in guiding the policy of medical organizations. METHODS: In this study we included all vehicle-ramming attacks recorded in the Israel Defense Forces-Trauma Registry between 2015 and 2019. Records were screened using text mining of incident, casualty, and injury descriptions. The selected records were examined manually to ensure that they were vehicle-ramming attacks. Incident and casualty data were retrieved from the trauma registry. RESULTS: During the years 2015-2019, a total of 36 vehicle-ramming attacks with 113 casualties were documented in the trauma registry. The median number of casualties, urgent casualties, and fatalities per incident was 3 (interquartile range [IQR] 2-5), 1 (IQR 1-2), and 1 (IQR 1-1), respectively. Of the incidents, 15 (42%) had three or more casualties. The most prevelant day of the week was Friday with 9 incidents (25%). Within the day, 21 incidents (58%) occurred between the hours of 12:00 and 18:00. Commonly injured body regions were lower extremities (55%), head (28%), and upper extremities. Ten victims (9%) died before arriving at a hospital. CONCLUSIONS: Vehicle-ramming attacks tend to have multiple casualties, be deadly, occur more often on Fridays and in the afternoon, and result mostly in injuries to the extremities and the head. These findings could guide policymaking to improve medical response to vehicle-ramming attacks.


Asunto(s)
Incidentes con Víctimas en Masa , Terrorismo , Humanos , Israel/epidemiología , Sistema de Registros
17.
Isr Med Assoc J ; 24(9): 606-611, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36168181

RESUMEN

BACKGROUND: Medical organizations worldwide aim for equity and diversity in the medical profession to improve care quality. Data on whether the caregiver gender affects outcomes in the prehospital setting are essential but scarce compared to available in-hospital studies. OBJECTIVES: To analyze the rates of missed injuries in the prehospital setting and determine whether these rates were associated with the gender of the on-field physician or paramedic. METHODS: A retrospective record review was conducted, which included trauma records documented in two trauma registries, the prehospital Israel Defense Forces-Trauma Registry (IDF-TR), and the in-hospital Israeli National Trauma Registry (INTR). Missed injuries were defined as injuries documented in the INTR but not in the IDF-TR. A multivariable regression analysis was performed to assess the association between provider's gender and missed injuries. RESULTS: Of 490 casualties, 369 (75.3%) were treated by teams that included only male paramedics or physicians. In 386 (78.8%) cases, a physician was a part of the prehospital team. In all, 94 (19.2%) casualties sustained injuries that were missed by the prehospital medical team. Missed injuries were not associated with the gender of the paramedic or physician (odds ratio 1.242, 95% confidence interval 0.69-2.193). CONCLUSIONS: No association was found between the gender of the medical provider in the prehospital setting and the rate of missed injuries. These results should encourage prehospital emergency medical systems to aim for a balanced and diverse caregiver population.


Asunto(s)
Servicios Médicos de Urgencia , Heridas y Lesiones , Servicios Médicos de Urgencia/métodos , Humanos , Israel/epidemiología , Masculino , Sistema de Registros , Estudios Retrospectivos , Heridas y Lesiones/diagnóstico , Heridas y Lesiones/epidemiología , Heridas y Lesiones/terapia
18.
Mar Pollut Bull ; 183: 114090, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36057153

RESUMEN

The Dead Sea (DS) sediment samples from two different sites on the west coast were analyzed. The objective is to document sediment characterization in order to study the interrelation existing among ingredients. The analyses show that Fe, Mg and Zn are the most significant trace elements found in the Sediment. Anthropogenic activities such as Industries, untreated sewage, agricultural wastes are some of the pollution sources that are considered to be lethal to the marine ecosystem. The DS is slowly disappearing at an alarming rate of 1 m/year. Hence a constant and precise mitigation, monitoring and management is mandatory. The present work is part of such goal in order to understand the health of the DS ecosystem. A cumulative and consistent effort of the Governments, stakeholders, tourists and the public will help in order to preserve and protect the health of the rare DS marine ecosystem for future generations.


Asunto(s)
Metales Pesados , Oligoelementos , Contaminantes Químicos del Agua , Ecosistema , Monitoreo del Ambiente , Sedimentos Geológicos/análisis , Israel , Metales Pesados/análisis , Aguas del Alcantarillado/análisis , Oligoelementos/análisis , Contaminantes Químicos del Agua/análisis
19.
Mar Pollut Bull ; 183: 114080, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36057156

RESUMEN

This study provides an analysis of the current state of microplastic (MP) contamination along the Mediterranean coastline of Israel. Six strategic sites were monitored in this study - each representing a unique coastal environment. We conclude that Tel Aviv and Hadera, both located near stream estuaries, were highly contaminated (18,777 particles/m3) with MP compared to the other locations. The MP detected included both secondary MP and pristine polymeric pellets. In-depth characterization of the MP illustrated a large percentage of both fragmented and film MP morphologies and the most common MP polymers were polyethylene and polypropylene. Further particle analysis showed that MPs were contaminated with biofilm, including microorganisms such as diatoms, as well as metal residues. Through the spatial analysis presented herein we suggest that local rivers are significant contributors to MP contamination along the Mediterranean Sea coastline of Israel and may pose a direct threat to environment and human health.


Asunto(s)
Microplásticos , Contaminantes Químicos del Agua , Monitoreo del Ambiente , Humanos , Israel , Plásticos/química , Polietilenos , Polipropilenos , Contaminantes Químicos del Agua/análisis
20.
Int J Qual Health Care ; 34(3)2022 Sep 16.
Artículo en Inglés | MEDLINE | ID: mdl-36062971

RESUMEN

BACKGROUND: During 2020, Israel experienced two COVID-19-related lockdowns that impacted the provision of primary and secondary preventive care. METHODS: We examined the month-by-month performance of selected preventive care services using data from Israel's national Quality Indicators in Community Healthcare program. Process of care measures included hemoglobin A1c (HbA1c) testing, cholesterol testing, colon cancer screening and mammography. Intermediate outcome measures included low-density lipoprotein control and HbA1c control. Measures were stratified by sex and by area-level socioeconomic position (SEP). Diabetes and mammography are presented in this abstract due to space limitations. RESULTS: Annual HbA1c testing among persons with diabetes decreased from 90.9% in 2019 to 88.0% in 2020. Performance of HbA1c tests during lockdown months was as low as half the usual amount. There were compensatory increases in testing during post-lockdown months that did not quite make up for the missed tests. In 2019, 9.0% of Israelis with diabetes had poor glycemic control (HbA1c ≥ 9.0); in 2020, it was 8.8%. In total, 4.5% fewer mammograms were performed in 2020 compared with 2019. Women in the lowest SEP level performed 10.4% fewer mammograms in 2020 than in 2019, while women in the highest SEP level performed 3.1% more mammograms. CONCLUSIONS: Prolonged COVID lockdowns in 2020 were associated with marked decreases in the performance of preventive health services during those months. Compensatory spikes following the end of lockdowns partly, but did not completely, make up for the missed care. COVID lockdowns may have exacerbated socioeconomic disparities in some preventive health services.


Asunto(s)
COVID-19 , Diabetes Mellitus , COVID-19/epidemiología , Colesterol , Control de Enfermedades Transmisibles , Femenino , Hemoglobina A Glucada/análisis , Humanos , Israel/epidemiología , Lipoproteínas LDL , Servicios Preventivos de Salud
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