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Article ; Online: Differential application of cultural practices at the family and individual levels may alter heritability estimates.

Kolodny, Oren / Feldman, Marcus W / Lotem, Arnon / Ram, Yoav

2022 Volume 45, Page(s) e167

Abstract: Uchiyama et al. emphasize that culture evolves directionally and differentially as a function of selective pressures in different populations. Extending these principles to the level of families, lineages, and individuals exposes additional challenges to ...

Abstract	Uchiyama et al. emphasize that culture evolves directionally and differentially as a function of selective pressures in different populations. Extending these principles to the level of families, lineages, and individuals exposes additional challenges to estimating heritability. Cultural traits expressed
Language	English
Publishing date	2022-09-13
Publishing country	England
Document type	Journal Article
ZDB-ID	423721-3
ISSN	1469-1825 ; 0140-525X
ISSN (online)	1469-1825
ISSN	0140-525X
DOI	10.1017/S0140525X21001576
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Article ; Online: Efficacy, Safety, and Complications of Pigtail Thoracostomy for the Treatment of Pediatric Pleuropneumonia.

Tamary, Oren / Yaari, Arnon / Prokocimer-Yair, Zafnat / Feldman, Roi / Berant, Ron / Jacob, Ron / Samuel, Nir

Pediatric emergency care

2024

Abstract: Objective: Pigtail thoracostomy (PT) has become the mainstay technique for the drainage of pediatric pleuropneumonic effusions (PLPe). However, its efficacy and complication profile has been questioned when compared with video-assisted thoracoscopic ... ...

Abstract	Objective: Pigtail thoracostomy (PT) has become the mainstay technique for the drainage of pediatric pleuropneumonic effusions (PLPe). However, its efficacy and complication profile has been questioned when compared with video-assisted thoracoscopic surgery and larger bore traditional tube thoracostomy. The aim of this study was to assess the efficacy, safety, and complications associated with PT. Methods: A cross-sectional study at a freestanding tertiary children's hospital. We extracted the medical records of all children aged younger than 18 years treated with PT for PLPe from June 2016 to June 2020. The primary efficacy outcome was treatment failure defined as the need for a repeat drainage procedure, thoracostomy, or video-assisted thoracoscopic surgery. Secondary efficacy outcomes were length of hospital stay (LOS) and duration of in situ PT. The primary safety outcomes were adverse events during or after insertion. We also recorded any associated complications. Results: During the study period, 55 children required PT. The median age was 25 months (interquartile range, 14-52) and 58.2% were boys. Eight (14.4%) were bacteremic or in septic shock. There were no adverse events related to insertion. Forty-two (76.3%) children were treated with fibrinolysis. There were 2 (3.6%) treatment failures. The median LOS and PT durations were 13 and 4 days (interquartile ranges, 10-14.8, 3-6.7), respectively. Eight (14.4%) children experienced complications that were nonoperatively managed. Conclusions: Our findings suggest that PT drainage offers a safe and highly effective option for managing PLPe and carries a very low failure rate.
Language	English
Publishing date	2024-01-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	632588-9
ISSN	1535-1815 ; 0749-5161
ISSN (online)	1535-1815
ISSN	0749-5161
DOI	10.1097/PEC.0000000000003111
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Article ; Online: The use of real-time sonography-assisted fracture reduction in children with displaced forearm fractures.

Kotlarsky, Pavel / Feldman, Oren / Shavit, Itai / Eidelman, Mark

Journal of pediatric orthopedics. Part B

2021 Volume 31, Issue 3, Page(s) 303–309

Abstract: Pediatric forearm and wrist fractures are common; furthermore, some are displaced and require manipulation and reduction. The procedure is commonly performed without real-time image guidance and evaluated radiographically after reduction and casting, ... ...

Abstract	Pediatric forearm and wrist fractures are common; furthermore, some are displaced and require manipulation and reduction. The procedure is commonly performed without real-time image guidance and evaluated radiographically after reduction and casting, leading to multiple reduction attempts and malalignment. Although fluoroscopy can provide real-time assessment of fracture alignment during the procedure, it is not readily available in many emergency departments (EDs) and involves radiation exposure. Ultrasonography is an alternative real-time imaging modality that is inexpensive and readily available. The purpose of this study was to determine whether the use of real-time bedside sonography during closed reduction of distal and middle third forearm fractures can decrease the number of reduction attempts and reduce the number of patients requiring surgery. We compared the results of a conventional blind manipulation, fracture reduction, and casting to fracture reduction under real-time ultrasonographic guidance, in patients treated in our ED between 2014 and 2016. Overall, 458 patients with distal or middle third fractures were included. Of these reductions, 289 were performed without real-time imaging (group 1) and 169 under real-time ultrasound guidance (group 2). In group 1, 10% of patients required re-reduction, and 5% of patients needed surgery. In group 2, only one patient (0.6%) required re-reduction and 1% of patients required surgery due to fracture instability. In conclusion, the current study shows that real-time ultrasound-guided forearm fracture reduction is an effective and inexpensive method for correction of displaced forearm and wrist fractures in children, which does not involve any radiation exposure.
MeSH term(s)	Child ; Closed Fracture Reduction/methods ; Forearm ; Humans ; Radius Fractures/diagnostic imaging ; Radius Fractures/surgery ; Ulna Fractures/diagnostic imaging ; Ulna Fractures/surgery ; Ultrasonography
Language	English
Publishing date	2021-05-28
Publishing country	United States
Document type	Journal Article
ISSN	1473-5865
ISSN (online)	1473-5865
DOI	10.1097/BPB.0000000000000886
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Article: Keeping up with the information explosion: a surge in consumption of data on pediatric SARS-CoV-2 infection by pediatric emergency physicians.

Feldman, Oren / Boukai, Amit / Shavit, Itai

International journal of emergency medicine

2020 Volume 13, Issue 1, Page(s) 27

Abstract: PEM-Database.org is an unaffiliated, not-for-profit website, dedicated to the field's advancement of pediatric emergency medicine. PEM-Database published the first early access pediatric-related SARS-CoV-2 articles on March 13th, two days following the ... ...

Abstract	PEM-Database.org is an unaffiliated, not-for-profit website, dedicated to the field's advancement of pediatric emergency medicine. PEM-Database published the first early access pediatric-related SARS-CoV-2 articles on March 13th, two days following the World Health Organization's declaration of a global pandemic. Over the following 2 weeks, the number of PEM-Database entries increased dramatically. This surge expresses interest by pediatric emergency medicine physicians in data on pediatric SARS-CoV-2 infection.
Keywords	covid19
Language	English
Publishing date	2020-05-19
Publishing country	England
Document type	Letter
ZDB-ID	2411462-5
ISSN	1865-1380 ; 1865-1372
ISSN (online)	1865-1380
ISSN	1865-1372
DOI	10.1186/s12245-020-00285-x
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Book ; Online: Author response for "A new perspective for mitigation of SARS-CoV-2 infection

Oren Kolodny / Michael Berger / Marcus W. Feldman / Yoav Ram

priming the innate immune system for viral attack"

2020

Keywords	covid19
Publisher	The Royal Society
Publishing country	uk
Document type	Book ; Online
DOI	10.1098/rsob.200138/v2/response1
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Keeping up with the information explosion

Oren Feldman / Amit Boukai / Itai Shavit

International Journal of Emergency Medicine, Vol 13, Iss 1, Pp 1-

a surge in consumption of data on pediatric SARS-CoV-2 infection by pediatric emergency physicians

2020 Volume 3

Abstract: Abstract PEM-Database.org is an unaffiliated, not-for-profit website, dedicated to the field’s advancement of pediatric emergency medicine. PEM-Database published the first early access pediatric-related SARS-CoV-2 articles on March 13th, two days ... ...

Abstract	Abstract PEM-Database.org is an unaffiliated, not-for-profit website, dedicated to the field’s advancement of pediatric emergency medicine. PEM-Database published the first early access pediatric-related SARS-CoV-2 articles on March 13th, two days following the World Health Organization’s declaration of a global pandemic. Over the following 2 weeks, the number of PEM-Database entries increased dramatically. This surge expresses interest by pediatric emergency medicine physicians in data on pediatric SARS-CoV-2 infection.
Keywords	SARS-CoV-2 ; Pandemic ; Pediatrics ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; covid19
Language	English
Publishing date	2020-05-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Emergency Department Waiting Times in an Israeli Children's Hospital During Times of Military Conflict.

Shavit, Itai / Feldman, Oren

Military medicine

2018 Volume 183, Issue 1-2, Page(s) e28–e31

Abstract: Introduction: During military conflicts in southern Israel, many families moved north, and hospitals and primary care clinics under threat of missile attacks referred their patients to hospitals outside the combat zone, causing overcrowding of the ... ...

Abstract	Introduction: During military conflicts in southern Israel, many families moved north, and hospitals and primary care clinics under threat of missile attacks referred their patients to hospitals outside the combat zone, causing overcrowding of the emergency departments (ED). The study objective is to examine the effect of military conflicts on ED waiting time in a children's hospital outside the combat zone. Materials and methods: A retrospective cohort study of patients admitted between January 2011 and December 2015 was conducted. Multivariable regression was used to examine the effect of age, gender, triage category, arrival time, weekday, and period of admission (peacetime and time of military conflict) on waiting time. Results: Totally, 79,825 children were admitted in peacetimes and 3,058 in times of military conflict. Factors that most influenced shorter waiting times were triage category 1 (change in waiting time: -25.5%; 95% confidence interval: -29.3 to -21.7) or triage category 2 (change in wait time: -21.8%; 95% confidence interval: -23.7 to -20.05). Arriving during times of military conflict did not influence ED waiting time (p=0.18). ED waiting times during times of peace and times of military conflict were 38 min of interquartile range (21-65) and 38 min of interquartile range (22-65), respectively. Conclusions: In this report of a large cohort of patients, waiting times were similar during periods of peace and periods of military conflict. The findings suggest that the 2012 and the 2014 military conflicts did not influence ED waiting times in a hospital outside the combat zone, despite the population shift that occurred during these conflicts. This study is the first to examine the association between periods of military conflict and ED waiting time in children.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Cohort Studies ; Crowding ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/statistics & numerical data ; Female ; Hospitals, Pediatric/organization & administration ; Hospitals, Pediatric/statistics & numerical data ; Humans ; Infant ; Israel ; Male ; Multivariate Analysis ; Retrospective Studies ; Time Factors ; Waiting Lists ; Warfare/statistics & numerical data
Language	English
Publishing date	2018-02-05
Publishing country	England
Document type	Journal Article
ZDB-ID	391061-1
ISSN	1930-613X ; 0026-4075
ISSN (online)	1930-613X
ISSN	0026-4075
DOI	10.1093/milmed/usx054
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Article ; Online: Comparison of three intraosseous access devices for resuscitation of term neonates: a randomised simulation study.

Keller, Alon / Boukai, Amit / Feldman, Oren / Diamand, Raz / Shavit, Itai

Archives of disease in childhood. Fetal and neonatal edition

2021 Volume 107, Issue 3, Page(s) 289–292

Abstract: Objectives: To compare the success rates and ease of use of three intraosseous (IO) access devices used in term neonates.: Design: A three-arm randomised controlled simulation study was conducted.: Setting: A simulation laboratory.: Participants! ...

Abstract	Objectives: To compare the success rates and ease of use of three intraosseous (IO) access devices used in term neonates. Design: A three-arm randomised controlled simulation study was conducted. Setting: A simulation laboratory. Participants: Seventy-two paediatric residents completing their emergency department rotation as part of their residency training, and 20 paediatric specialists. Intervention: Using an animal bone model, the one-attempt success rate of the EZ-IO drill, the NIO-I needle and the Jamshidi needle was compared. Uncooked Cornish Hen bones were used because of their similarity in length and diameter to the bones of neonates. Participants were asked to record the perceived ease of use of their assigned device using a 5-point Likert Scale. Main outcome measure: The main outcome was the visualisation of flow emerging from the distal end of the bone, and perceived ease of use of the three IO devices. Results: The EZ-IO, NIO-I and Jamshidi groups included 30, 31 and 31 participants, respectively, with median (IQR) years of experience of 3 (2-5), 3 (2-6) and 4 (3-5) years. Participants had significantly lower one-attempt success rates with the EZ-IO drill than with the NIO-I and the Jamshidi needles (14 of 30 (46.7%) vs 24 of 31 (77.4%); p=0.016, and 14 of 30 (46.7%) vs 25 of 31 (80.7%); p=0.007, respectively). The median (IQR) ease-of-use score of the EZ-IO drill was higher than that of the NIO-I and Jamshidi needles (5 (4-5) vs 4 (4-5); p=0.008, and 5 (4-5) vs 4 (3-4); p=0.0004, respectively). Conclusions: Although easier to use, the EZ-IO drill demonstrated lower success rates than the IO needles in establishing IO access on a neonatal bone model.
MeSH term(s)	Animals ; Chickens ; Child ; Female ; Humans ; Infant, Newborn ; Infusions, Intraosseous ; Resuscitation
Language	English
Publishing date	2021-08-02
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2007331-8
ISSN	1468-2052 ; 1359-2998
ISSN (online)	1468-2052
ISSN	1359-2998
DOI	10.1136/archdischild-2021-321988
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Article ; Online: Safety of pediatric sedation and analgesia during burn dressing changes by pediatric residents.

Hubara, Evyatar / Berzon, Baruch / E Nellis, Marianne / Ram, Reut / Kassif Lerner, Reut / Alfandary Many, Yael / Feldman, Oren / Pessach, Itai

Paediatric anaesthesia

2023 Volume 33, Issue 7, Page(s) 546–551

Abstract: Background: Acute pain and anxiety management during pediatric burn dressing change is very challenging. There are limited data regarding feasibility and safety of sedation administration by nonanesthesiologists. We sought to describe the implementation ...

Abstract	Background: Acute pain and anxiety management during pediatric burn dressing change is very challenging. There are limited data regarding feasibility and safety of sedation administration by nonanesthesiologists. We sought to describe the implementation of a sedation protocol for pediatric residents during burn dressing changes in the pediatric ward. Methods: An analgesia and sedation protocol was designed and implemented in the pediatric wards in 2015. Retrospective data were collected on all children who were sedated by pediatric residents for burns in the pediatric wards over a 4-year period in our hospital. Demographics, burn characteristics, and data regarding adverse events were collected from patients' electronic medical records. The main outcomes were successful procedure completion and safety. Results: During the study period, 1130 sedations were performed in 272 patients by pediatric residents. The median age was 2.5 years (IQR 1.3-9.1). Sixty-two percent (695/1130) of the patients were male. The majority of the burns (84%, 955/1130) were <20%, and the majority of the patients (91%, 1030/1130) had an ASA (American Society of Anesthesiologists) score of 1. The incidence rate of adverse events was 4.3% (49/1130) and 1.3% (15/1130) for serious adverse events . There were no statistically significant differences in gender, age, ASA, or burn degree between patients with or without adverse events. Conclusions: We designed and implemented an analgesia and sedation protocol for pediatric residents to be applied in patients during burn dressing change. The implemented protocol in the pediatric wards was found to be feasible and with a low incidence of adverse events.
MeSH term(s)	Child ; Humans ; Male ; Child, Preschool ; Female ; Retrospective Studies ; Hypnotics and Sedatives/therapeutic use ; Analgesia/methods ; Burns/therapy ; Acute Pain ; Bandages ; Conscious Sedation/methods
Chemical Substances	Hypnotics and Sedatives
Language	English
Publishing date	2023-04-03
Publishing country	France
Document type	Journal Article
ZDB-ID	1086049-6
ISSN	1460-9592 ; 1155-5645
ISSN (online)	1460-9592
ISSN	1155-5645
DOI	10.1111/pan.14652
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Article ; Online: Bridging cultural gaps: interdisciplinary studies in human cultural evolution.

Kolodny, Oren / Feldman, Marcus W / Creanza, Nicole

Philosophical transactions of the Royal Society of London. Series B, Biological sciences

2018 Volume 373, Issue 1743

MeSH term(s)	Cultural Evolution ; Humans ; Interdisciplinary Research
Language	English
Publishing date	2018-02-12
Publishing country	England
Document type	Introductory Journal Article
ZDB-ID	208382-6
ISSN	1471-2970 ; 0080-4622 ; 0264-3839 ; 0962-8436
ISSN (online)	1471-2970
ISSN	0080-4622 ; 0264-3839 ; 0962-8436
DOI	10.1098/rstb.2017.0413
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