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Emergency operations are indicated for trauma and general surgery emergencies. The systematic approach to the injured resulted in proven better outcomes. The management of patients presenting with acute non-traumatic emergencies did not receive the same priorities.

The purpose of the current study is to obtain prospective data from the general surgery divisions in Israel regarding the burden of acute care surgery (ACS) and the local and national groundworks dedicated to these troublesome diseases.

A total of 25 (78.1%) of the 32 active surgical departments in Israel complied with the study. During the time frame of the study 1699 patients were admitted from the emergency departments of which 538 patients required surgical interventions. Only 16% of the hospitals in Israel have dedicated operating rooms, but 96% needed to cancel elective cases for emergency interventions during the morning hours; 51 (9.5%) elective cases were cancelled. Patients in need of emergency interventions waited 210 minutes in large hospitals (>1000 beds) significantly higher than medium (500-1000 beds) and small (<500 beds) hospitals (145 and 135 minutes respectively, p-0.006). Multivariate analysis showed that the size of the hospital (p<0.001), morning shift (p<0.001) and the diagnosis (p<0.001) were positively associated with long waiting times for surgery.

The study clearly shows that a profound organizational and attitudinal change is needed in regard to emergency surgery in Israel. ACS waiting time is a good additional.

The study clearly shows that a profound organizational and attitudinal change is needed in regard to emergency surgery in Israel. ACS waiting time is a good additional.

Antidepressant treatment may have some adverse clinical effects. One main effect is a switch to mania or to an affective episode with mixed features. This case report describes a young woman who developed a manic episode with mixed features, a couple of weeks following Selective Serotonin Reuptake Inhibitor (SSRI) initiation. During the episode she made a serious suicide attempt. This case report highlights the significance of clinical follow-up after antidepressant initiation.

Antidepressant treatment may have some adverse clinical effects. One main effect is a switch to mania or to an affective episode with mixed features. This case report describes a young woman who developed a manic episode with mixed features, a couple of weeks following Selective Serotonin Reuptake Inhibitor (SSRI) initiation. During the episode she made a serious suicide attempt. This case report highlights the significance of clinical follow-up after antidepressant initiation.

Euthanasia is a highly controversial issue due to ethical, legal, religious, social and psychological aspects.

To examine the attitudes of physicians regarding euthanasia and the background variables related to these attitudes.

A survey was administered to 131 physicians working at Barzilai Medical Center. Physicians were queried about their attitudes regarding euthanasia.

Most doctors have encountered terminally ill patients within their work or personal lives; 62% agreed that a person has the right to decide whether to expedite their own death; 56% thought they should accept a patient's request to prevent/stop life-preserving treatment; 53% agreed that euthanasia should be allowed, while about 20% thought that in any case, doctors should preserve the patient's life, even despite the patient's wishes to die. Forty percent of doctors faced the dilemma of ordering DNR (Do Not Resuscitate). Only half of the physicians had a familiarity with the law, and 41% didn't know if a DNR procedure exists in their department. Doctors specializing in internal professions held more positive attitudes toward euthanasia than other professions. In addition, the doctor's years of experience, level of secularity, and number of encounters with terminally ill patients each had a positive correlation with their respective attitudes towards euthanasia.

Attitudes toward euthanasia are quite positive, although data shows a conflict of values the sacredness of human life versus the desire to alleviate the patient's suffering and to respect their autonomy. It is recommended to re-discuss the law, and to inform physicians that the DNR procedure exists.

Attitudes toward euthanasia are quite positive, although data shows a conflict of values the sacredness of human life versus the desire to alleviate the patient's suffering and to respect their autonomy. It is recommended to re-discuss the law, and to inform physicians that the DNR procedure exists.

Lung cancer patients who contract the new coronavirus, appear to have a greater risk for severe COVID-19 illness along with early deterioration and death. However, the prognosis may depend on the cancer stage and the type of treatment administered.

Establishing updated treatments and care management regulations for lung cancer patients during the COVID-19 pandemic, based on worldwide clinical experience.

This article reviews the main recommendations described by the American and European Oncology Societies managing lung cancer patients infected by COVID-19.

In the current pandemic setting, attempts should be made to avoid jeopardizing the prognosis of lung cancer patients, by maintaining current guidelines in oncology practice. In cases of patients with active infection, the recommendation is to hold treatment until recovery. For other patients, due to the aggressive nature of lung cancer, the guidelines suggest not to delay curative treatments in non-metastatic disease and provide palliative treatment in shortened protocols.

The present summary of guideline recommendations provides different management strategies for patients with lung cancer. These care approaches attempt to solve new challenges raised by the COVID-19 pandemic. Each specific case must be considered individually.

The present summary of guideline recommendations provides different management strategies for patients with lung cancer. selleckchem These care approaches attempt to solve new challenges raised by the COVID-19 pandemic. Each specific case must be considered individually.