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  1. Article ; Online: Association between smoking and alopecia areata: a systematic review and meta-analysis.

    Khanimov, Israel

    International journal of dermatology

    2021  Volume 61, Issue 1, Page(s) e22–e24

    MeSH term(s) Alopecia Areata/epidemiology ; Alopecia Areata/etiology ; Humans ; Smoking/adverse effects
    Language English
    Publishing date 2021-09-01
    Publishing country England
    Document type Letter ; Meta-Analysis ; Systematic Review
    ZDB-ID 412254-9
    ISSN 1365-4632 ; 0011-9059 ; 1461-1244
    ISSN (online) 1365-4632
    ISSN 0011-9059 ; 1461-1244
    DOI 10.1111/ijd.15898
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Lower Incidence of Hypoglycemia With Angiotensin Receptor Blocker Versus ACE Inhibitor Therapy in People With or Without Diabetes.

    Khanimov, Israel / Zingerman, Boris / Rozen-Zvi, Benaya / Shimonov, Mordechai / Leibovitz, Eyal

    Clinical diabetes : a publication of the American Diabetes Association

    2024  Volume 42, Issue 2, Page(s) 300–307

    Abstract: This article describes a study examining the association between treatment with ACE inhibitors or angiotensin receptor blockers (ARBs) and incident hypoglycemia in patients with or without diabetes who were admitted to the internal medicine departments ... ...

    Abstract This article describes a study examining the association between treatment with ACE inhibitors or angiotensin receptor blockers (ARBs) and incident hypoglycemia in patients with or without diabetes who were admitted to the internal medicine departments of a tertiary hospital in the Tel Aviv district of Israel. The authors found that treatment with ARBs, but not ACE inhibitors, compared with treatment with neither, was associated with a reduced risk of hypoglycemia regardless of diabetes status.
    Language English
    Publishing date 2024-01-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025953-3
    ISSN 0891-8929
    ISSN 0891-8929
    DOI 10.2337/cd23-0039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The Effect of Percutaneous Endoscopic Gastrostomy on Prognosis of Patients at Risk of Malnutrition.

    Leibovitz, Eyal / Boaz, Mona / Khanimov, Israel / Mosiev, Gary / Shimonov, Mordechai

    The Israel Medical Association journal : IMAJ

    2023  Volume 25, Issue 3, Page(s) 215–220

    Abstract: Background: Despite its wide use, evidence is inconclusive regarding the effect of percutaneous endoscopic gastrostomy (PEG) in patients with chronic diseases and dementia among hospitalized patients with malnutrition.: Objectives: To examine the ... ...

    Abstract Background: Despite its wide use, evidence is inconclusive regarding the effect of percutaneous endoscopic gastrostomy (PEG) in patients with chronic diseases and dementia among hospitalized patients with malnutrition.
    Objectives: To examine the effect of PEG insertion on prognosis after the procedure.
    Methods: This retrospective analysis of medical records included all adult patients who underwent PEG insertion between 1 January 2009 and 31 December 2013 during their hospitalization. For each PEG patient, two controls similar in age, sex, referring department, and underlying condition were randomly selected from the entire dataset of patients admitted. The effect of PEG on mortality and repeated admissions was examined.
    Results: The study comprised 154 patients, 49 referred for PEG insertion and 105 controls (mean age 74.8 ± 19.8 years; 72.7% females; 78.6% admitted to internal medicine units). Compared to controls, the PEG group had a higher 2-year mortality rate (59.2% vs. 17.1%, P < 0.001) but the 2-year readmission rate did not differ significantly (44.9% vs. 56.2% respectively, P = 0.191). Regression analysis showed PEG was associated with increased risk of the composite endpoint of death or readmission (hazard ratio 1.514, 95% confidence interval 1.016-2.255, P = 0.041). No specific characteristic of admission was associated with increased likelihood of death or readmission. Among readmitted patients, reasons for admission and baseline laboratory data, including albumin and cholesterol, did not differ between the PEG patients and controls.
    Conclusions: In-hospital PEG insertion was associated with increased mortality at 2 years but had no effect on readmissions.
    MeSH term(s) Adult ; Female ; Humans ; Middle Aged ; Aged ; Aged, 80 and over ; Male ; Gastrostomy/adverse effects ; Enteral Nutrition ; Retrospective Studies ; Prognosis ; Malnutrition/diagnosis ; Malnutrition/epidemiology
    Language English
    Publishing date 2023-03-22
    Publishing country Israel
    Document type Journal Article
    ZDB-ID 2008291-5
    ISSN 1565-1088 ; 0021-2180
    ISSN 1565-1088 ; 0021-2180
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  4. Article: Transient Pruritic Erythema as a Forme Fruste of Solar Urticaria.

    Azrielant, Shir / Khanimov, Israel / Sprecher, Eli / Ellenbogen, Eran

    The Israel Medical Association journal : IMAJ

    2020  Volume 22, Issue 4, Page(s) 227–231

    Abstract: Background: Solar urticaria (SU) is a rare and disabling photodermatosis. SU typically manifests as urticarial wheals and erythema appearing shortly after sun exposure. SU is often initially diagnosed clinically with subsequent confirmation through ... ...

    Abstract Background: Solar urticaria (SU) is a rare and disabling photodermatosis. SU typically manifests as urticarial wheals and erythema appearing shortly after sun exposure. SU is often initially diagnosed clinically with subsequent confirmation through photoprovocation tests. Early diagnosis is important for correct management of patients.
    Objectives: To present the clinical features of three cases of atypical presentation of SU and to discuss possible underlying mechanisms.
    Methods: We report a series of three patients who presented with transient pruritic erythema without wheals after sun exposure. All patients had photoprovocation tests conducted to confirm SU diagnosis and to determine their action spectra. Treatment outcomes were recorded.
    Results: All three patients developed classical manifestations of SU during photoprovocation tests within the UVA1 spectrum. Two patients required high-dose irradiation to provoke urticaria.
    Conclusions: Erythema without urticaria can be the primary manifestation of SU, especially in countries with sunny climates where natural skin hardening is common. Such cases require a high index of suspicion for SU and highlight the importance of photoprovocation testing to confirm the diagnosis.
    MeSH term(s) Adult ; Diagnosis, Differential ; Erythema/diagnosis ; Erythema/etiology ; Female ; Follow-Up Studies ; Humans ; Male ; Omalizumab/therapeutic use ; Photosensitivity Disorders/diagnosis ; Photosensitivity Disorders/drug therapy ; Pruritus/diagnosis ; Pruritus/drug therapy ; Pruritus/etiology ; Risk Assessment ; Sampling Studies ; Skin Tests/methods ; Sunlight/adverse effects ; Time Factors ; Treatment Outcome ; Urticaria/diagnosis ; Urticaria/drug therapy ; Urticaria/etiology
    Chemical Substances Omalizumab (2P471X1Z11)
    Language English
    Publishing date 2020-04-14
    Publishing country Israel
    Document type Journal Article
    ZDB-ID 2008291-5
    ISSN 1565-1088 ; 0021-2180
    ISSN 1565-1088 ; 0021-2180
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Changes in Serum Creatinine May Cause Hypoglycemia among Non-Critically Ill Patients Admitted to Internal Medicine Units.

    Zingerman, Boris / Khanimov, Israel / Shimonov, Mordechai / Boaz, Mona / Rozen-Zvi, Benaya / Leibovitz, Eyal

    Journal of clinical medicine

    2022  Volume 11, Issue 22

    Abstract: Background: The association between changes in serum creatinine levels and hypoglycemia during hospitalization was investigated. Methods: This was a retrospective analysis of medical charts. Patients were categorized as having significant change in ... ...

    Abstract Background: The association between changes in serum creatinine levels and hypoglycemia during hospitalization was investigated. Methods: This was a retrospective analysis of medical charts. Patients were categorized as having significant change in creatinine (SCIC) when serum creatinine levels rose or dropped ≥ 0.3 mg/dL from admission values at any time during their hospitalization. Patients were considered hypoglycemic if they had at least one documented glucose level ≤ 70 mg/dL during the hospitalization. Multiple logistic, linear and Cox regression analyses were used to ascertain the association between incident SCIC, severity and timing with incident hypoglycemia. Results: Included were 25,400 (mean age 69.9 ± 18.0, 49.3% were males). The rate of SCIC was 22.2%, and 62.2% of them were diagnosed upon admission. Patients with SCIC had a higher incidence of hypoglycemia compared to patients without (13.1% vs. 4.1%, respectively, p < 0.001). Patients with SCIC had an increased risk of hypoglycemia (OR 1.853, 95% CI 1.586−2.166, p < 0.001). The magnitude of SCIC was associated with the incidence (OR 1.316, 95% CI 1.197−1.447, p < 0.001) and the number of events (HR 0.054, 95% CI 0.021−0.087, p = 0.001). More than 60% of patients with hypoglycemia had their first event documented during days 0−6 after SCIC occurrence. Of those, the majority of events occurred on day 0−1, and the rate showed a gradual decrease throughout the first 5 days from SCIC occurrence. The results were similar for patients with and without DM. Conclusions: Changes in creatinine during hospitalization may cause hypoglycemia among patients admitted to internal medicine departments, regardless of DM status.
    Language English
    Publishing date 2022-11-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11226852
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  6. Article ; Online: Successful ligelizumab treatment of severe refractory solar urticaria.

    Hershkovitz, Yoav / Khanimov, Israel / Rubin, Limor / Dranitzki, Zvika / Talmon, Aviv / Ribak, Yaarit / Shamriz, Oded / Levi, Asi / Tal, Yuval

    The journal of allergy and clinical immunology. In practice

    2023  Volume 11, Issue 8, Page(s) 2576–2577

    MeSH term(s) Humans ; Urticaria, Solar ; Antibodies, Monoclonal, Humanized/therapeutic use ; Urticaria/drug therapy ; Omalizumab/therapeutic use
    Chemical Substances ligelizumab (L8LE0L691T) ; Antibodies, Monoclonal, Humanized ; Omalizumab (2P471X1Z11)
    Language English
    Publishing date 2023-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2843237-X
    ISSN 2213-2201 ; 2213-2198
    ISSN (online) 2213-2201
    ISSN 2213-2198
    DOI 10.1016/j.jaip.2023.01.052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Systemic Treatment With Glucocorticoids Is Associated With Incident Hypoglycemia and Mortality: A Historical Prospective Analysis.

    Khanimov, Israel / Boaz, Mona / Shimonov, Mordechai / Wainstein, Julio / Leibovitz, Eyal

    The American journal of medicine

    2020  Volume 133, Issue 7, Page(s) 831–838.e1

    Abstract: Purpose: The purpose of this study was to examine whether the increased glycemic variability associated with systemic glucocorticoid treatment is also associated with increased incidence of hypoglycemia.: Methods: All patients discharged from ... ...

    Abstract Purpose: The purpose of this study was to examine whether the increased glycemic variability associated with systemic glucocorticoid treatment is also associated with increased incidence of hypoglycemia.
    Methods: All patients discharged from internal medicine units between 2010 and 2013 were included in this retrospective analysis. Patients were assigned to 3 groups: Group 1: no steroids were prescribed;. Group 2: topical or inhaled steroids were prescribed with no systemic treatment; and Group 3: systemic steroids were prescribed, with or without topical or inhaled treatment.
    Results: A total of 45,272 patients were included in the study. Patients in Group 3 had significantly higher rates of hypoglycemia (10.9%) compared to patients in Group 2 (7.4%), and patients in Group 1 (7.3%). Patients with diabetes mellitus had higher rates of hypoglycemia compared to patients without diabetes mellitus (14.3% vs 4.9%) but exhibited similar trends in response to steroid treatment. Multivariate analysis showed that systemic steroids were associated with increased risk for hypoglycemia (odds ratio [OR] 1.513, 95% confidence interval [CI] 1.311-1.746, P <0.001). Hypoglycemia associated with systemic steroid treatment was also associated with increased risk of death (hazard ratio [HR] 2.328, 95% CI 1.931-2.807, P <0.001). Patients who were treated with systemic steroids but did not have hypoglycemia did not have higher mortality rates (HR 1.068, 95% CI 0.972-1.175, P = 0.171).
    Conclusion: Treatment with systemic steroids is associated with increased hypoglycemia incidence during hospitalization. Patients treated with steroids that had incident hypoglycemia had a higher 1-year mortality risk compared to patients without hypoglycemia treated with steroids.
    MeSH term(s) Aged ; Biomarkers/blood ; Blood Glucose/metabolism ; Critical Illness/therapy ; Female ; Follow-Up Studies ; Glucocorticoids/adverse effects ; Glucocorticoids/therapeutic use ; Hospitalization/trends ; Humans ; Hypoglycemia/blood ; Hypoglycemia/chemically induced ; Hypoglycemia/epidemiology ; Incidence ; Israel/epidemiology ; Male ; Prognosis ; Prospective Studies ; Survival Rate/trends
    Chemical Substances Biomarkers ; Blood Glucose ; Glucocorticoids
    Language English
    Publishing date 2020-01-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2019.12.026
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  8. Article ; Online: Association between estimated GFR and incident hypoglycaemia during hospitalization.

    Khanimov, Israel / Zingerman, Boris / Korzetz, Asher / Boaz, Mona / Shimonov, Mordechai / Wainstein, Julio / Leibovitz, Eyal

    Nephrology (Carlton, Vic.)

    2021  Volume 27, Issue 2, Page(s) 162–170

    Abstract: Background: Kidney function is a significant factor associated with increased incidence of hypoglycaemia, especially among patients with diabetes mellitus (DM). We here quantified the association between elevated creatinine and incident hypoglycaemia ... ...

    Abstract Background: Kidney function is a significant factor associated with increased incidence of hypoglycaemia, especially among patients with diabetes mellitus (DM). We here quantified the association between elevated creatinine and incident hypoglycaemia among patients admitted to internal medicine departments, with and without DM.
    Methods: This is a retrospective cohort analysis study. Included were all patients discharged from internal medicine units between 2010 and 2013. Patients were excluded if creatinine levels rose or dropped more than 0.3 mg/dL during hospitalization. The CKD-EPI equation was used to calculate glomerular filtration rate (eGFR). Logistic regression analysis (backward LR method) was used to study the association between eGFR and hypoglycaemia incidence.
    Results: Included were 39 316 patients (mean age 68.0 ± 18.0 years, 49.3% males, 25.9% with DM, eGFR 69.5 ± 24.9 mL/min/1.73 m
    Conclusion: Among non-critically-ill patients hospitalized in internal medicine departments, reduced eGFR is associated with increased risk of hypoglycaemia. Glucose monitoring for all inpatients with CKD is suggested, regardless of DM status.
    MeSH term(s) Aged ; Aged, 80 and over ; Cohort Studies ; Female ; Glomerular Filtration Rate ; Hospitalization ; Humans ; Hypoglycemia/epidemiology ; Hypoglycemia/physiopathology ; Incidence ; Male ; Middle Aged ; Retrospective Studies
    Language English
    Publishing date 2021-11-27
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1303661-0
    ISSN 1440-1797 ; 1320-5358
    ISSN (online) 1440-1797
    ISSN 1320-5358
    DOI 10.1111/nep.13984
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  9. Article ; Online: Documented hypoglycemia is associated with poor short and long term prognosis among patients admitted to general internal medicine departments.

    Leibovitz, Eyal / Khanimov, Israel / Wainstein, Julio / Boaz, Mona

    Diabetes & metabolic syndrome

    2018  Volume 13, Issue 1, Page(s) 222–226

    Abstract: Aim: To study the association of documented hypoglycemia with length of stay, 30-day mortality, and 1-year mortality, among patients with and without diabetes admitted to internal medicine units.: Methods: The electronic medical records of all ... ...

    Abstract Aim: To study the association of documented hypoglycemia with length of stay, 30-day mortality, and 1-year mortality, among patients with and without diabetes admitted to internal medicine units.
    Methods: The electronic medical records of all patients hospitalized in internal medicine departments at E. Wolfson Medical Center, Holon, Israel, between 1/1/2010 and 31/12/2013, were reviewed. Data extracted included all glucose measurements (performed using an institutional blood glucose monitoring system). Patients were considered hypoglycemic if at least one hypoglycemic event was recorded. Regression analysis was used to assess the association between documented hypoglycemia and length of stay, 30-day and one-year mortality. Age, sex, reason for admission, and the Charlson comorbidity index were entered as covariates, and the most conservative model was developed.
    Results: The study population included 45,272 patients (mean age 68.9 ± 17.8 years, 49.4% males, 21.0% had diabetes mellitus). The rate of hypoglycemia in the total study population was 7.5% (16.8% among DM patients, 6.0% among patients without diabetes, p < 0.001). Patients with documented hypoglycemia had a longer length of hospital stay (9.3 ± 18.7 vs. 3.1 ± 6.4 days, p < 0.001), as well as higher risk for both 30-day (23.7% vs. 7.0%, p < 0.001) and 1-year mortality (41.6% vs. 15.3%, p < 0.001). Cox regression analysis showed that hypoglycemia significantly increased risk death at one year (HR 2.436, 95% CI 2.298-2.582, p < 0.001) independent of age, sex, the Charlson comorbidity index, DM status and reason for admission.
    Conclusion: Documented hypoglycemia is associated with prolonged length of hospital stay and increased risk for both 30-day and 1-year mortality, regardless of diabetes mellitus status.
    MeSH term(s) Aged ; Biomarkers/analysis ; Blood Glucose/analysis ; Blood Glucose Self-Monitoring ; Diabetes Mellitus, Type 2/drug therapy ; Documentation ; Female ; Follow-Up Studies ; Glycated Hemoglobin A/analysis ; Hospitalization/statistics & numerical data ; Humans ; Hypoglycemia/chemically induced ; Hypoglycemia/diagnosis ; Hypoglycemic Agents/adverse effects ; Internal Medicine ; Male ; Prognosis ; Risk Factors
    Chemical Substances Biomarkers ; Blood Glucose ; Glycated Hemoglobin A ; Hypoglycemic Agents ; hemoglobin A1c protein, human
    Language English
    Publishing date 2018-07-17
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2273766-2
    ISSN 1878-0334 ; 1871-4021
    ISSN (online) 1878-0334
    ISSN 1871-4021
    DOI 10.1016/j.dsx.2018.07.004
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  10. Article ; Online: Tinea capitis caused by Trichophyton tonsurans among adults: Clinical characteristics and treatment response.

    Galili, Eran / Goldsmith, Tomer / Khanimov, Israel / Arbel, Chen / Sharvit, Sharon / Lyakhovitsky, Anna / Shemer, Avner / Barzilai, Aviv / Astman, Nadav

    Mycoses

    2022  

    Abstract: Background: Trichophyton tonsurans tinea capitis has become a growing epidemiological concern. Yet, its clinical manifestations and treatment response, specifically among adults, have only been described among small sample size studies.: Objective: ... ...

    Abstract Background: Trichophyton tonsurans tinea capitis has become a growing epidemiological concern. Yet, its clinical manifestations and treatment response, specifically among adults, have only been described among small sample size studies.
    Objective: To assess clinical manifestations and treatment outcome of T. tonsurans tinea capitis among adults.
    Patients and methods: A retrospective cohort study was carried out among 111 adults with T. tonsurans tinea capitis. Diagnosis was confirmed by fungal culture or polymerase chain reaction. Examinees' demographics, disease characteristics and treatment response were measured. The risk factors for the treatment failure were evaluated.
    Results: The mean age was 20.1 years (±3.1), with men (98.2%) outnumbering women. The follow-up lasted 12.2 months (±5.6). The majority of T. tonsurans tinea capitis was seen in the occipital area (87.6%). In 78.9% of the cases, the scalp manifestation was non-inflammatory (scaly plaques and papules:76.1% and seborrhoea-like: 2.8%). 21.1% of cases presented with inflammatory tinea capitis (21.1%; Kerion: 10.1% and pustular: 11%). Concomitant involvement of other than scalp areas was common: tinea corporis was seen in 38.7% of the cases; tinea faciei and barbae in 24.3%; nape and anterior neck in 76.6% and 2.7% of the cases, respectively. An adequate treatment course with oral terbinafine resulted in 83.2% clinical cure rate. Treatment failure was significantly associated with concomitant tinea corporis (odds ratio 3.9; 95% confidence interval 1.3-12.1, p-Value< .02).
    Conclusion: The most common clinical presentation of T. tonsurans tinea capitis included occipital scaly plaques and papules with concomitant non-scalp lesions. Oral terbinafine was found to be highly effective. Concomitant tinea corporis increased the risk for treatment failure.
    Language English
    Publishing date 2022-10-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 392487-7
    ISSN 1439-0507 ; 0933-7407
    ISSN (online) 1439-0507
    ISSN 0933-7407
    DOI 10.1111/myc.13536
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