Page 7 - DIFDUF
P. 7

725
                                                                                                      accountable for the contents of any advertisement or article.
                                                                                                      alone.  The  Israel  Medical Association  and  the  editors  of  "IMAJ"  are  not
                                                                                                      of the advertisers. Similarly, all articles are the responsibility of the authors
                                                                                                      All advertisements in this issue are put forward at the sole responsibility
 PERFECTOR
                                                                                                      editor-in-chief.
                                                                                                      Prywes.  During  the  32  years  of  publication.  Prof.  Prywes  served  as  its
                                                                                                      Journal  of  Medical  Sciences  that  was  initiated  in  1965  by  Prof.  Moshe
                                                                                                      The Israel Medical Association Journal (IMAJ) is the successor of the Israel
                                                                                                      Tel: (972-3) 610-0418, Fax: (972-3) 751-9673, email: imaj@ima.org.il
                                                                                                      11th floor, 35 Jabotinsky St., P.O. Box 3566, Ramat Gan 5251108, Israel
                                                                                                      Address: Israel Medical Association Journal (IMAJ), 2 Twin Towers,
                                                                                                      Tovy Malkin
                                                                                                      Editorial Secretary
                                                                                                      Judi Felber
                                                                                                      Manuscript and Production Editor
                                                                                                      Halevy Sima, MD
 Our studies [2,3] comprised 50 CRC
                                                                                                      Gurman Gabriel, MD
                                                                                                      Grotto Itamar, MD
                                                                                                      Grossman Ehud, MD
                                                                                                      Goddard Gisele, MD
                                                                                                      Glick Shimon, MD
                                                                                                      Eidelman Leonid, MD
                                                                                                      Ciechanover Aaron, MD
                                                                                                      Blachar Yoram, MD
                                                                                                      Birkenfeld Shlomo, MD
                                                                                                      Ben Yehuda Dina, MD
                                                                                                      Bentur Yedidia, MD
                                                                                                      Belhassen Bernard, MD
                                                                                                      Barzilai Asher, MD
                                                                                                      Baniel Jack, MD
 However, the serological test does not
                                                                                                      Balbir-Gurman Alexandra, MD
                                                                                                      Ashkenazi Shai, MD
 131118-COHANIM - 131118-COHANIM | 1 - B | 18-11-13 | 11:24:13 | SR:-- | Cyan
 #131118-COHANIM - 131118-COHANIM | 1 - B | 18-11-13 | 11:24:13 | SR:-- | Black
 131118-COHANIM - 131118-COHANIM | 1 - B | 18-11-13 | 11:24:13 | SR:-- | Yellow
                                                                                                      Atar Dan, MD
 131118-COHANIM - 131118-COHANIM | 1 - B | 18-11-13 | 11:24:13 | SR:-- | Magenta
                                                                                                      Amital Howard, MD
                                                                                                      Afek Arnon, MD
                                                                                                      Abu-Shakra Mahmoud, MD
                                                                                                      Associate Editors
                                                                                                      Joshua Shemer MD and Gad Keren MD
                                                                                                      Editor in chief
                                                                                                      Yehuda Shoenfeld MD FRCP
                                                                                                       Editorial Board
 #
 IMAGING LETTERS  1  1  1,2  1  4  1  3  1  1  1  1  Therefore, because active Hp-I, with   Thus, casting additional light in the   Department of Medicine, Second Medical Clinic,   Thessaloniki, Thessaloniki, Macedonia, Greece   Ippokration Hospital, Aristotle University of   1  and Panagiotis Katsinelos MD PhD    Kotronis MD , Sotirios Anastasiadis MD    Elizabeth Vardaka PhD , Georgios   Ioannis Venizelos MD PhD ,    Stergios Arapoglou MD PhD ,    Nikolaos Kapetanakis M
 post-Myocardial Infarction Ventricular Septal Defect:    Washington (DC): The National Academies Press; 2006. [Available from https://  14.  Mortaro A, Moretti F, Pascu D, et al. Adverse events detection through Global
                                                            Trigger Tool methodology: results from a 5-year study in an Italian Hospital and
            doi.org/10.17226/11623]. [Accessed 20 May 2018].
 Still a Deadly Complication 30 years after the    3.  Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized   opportunities to improve interrater reliability. J Patient Saf 2017. [Epub ahead
                                                            of print].
            patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991;
            324 (6): 377-84.
 first Transcatheter Closure  4.  Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential   15.  Karpov A, Parcero C, Mok CP, et al. Performance of trigger tools in identifying
                                                            adverse drug events in emergency patients: a validation study. Br J Clin Pharmacol
            adverse drug events. Implications for prevention. ADE Prevention Study Group.   2016; 82 (4): 1048-57.
            JAMA 1995; 274 (1): 29-34.                    16.  Carnevali L, Krug B, Amant F, et al. Performance of the adverse drug event Trigger
 Florian Rey MD , Thibault Ronchard MD PharD , Jawad Chaara MD  and Stéphane Noble MD 1  5.  Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. The costs of adverse drug   Tool and the global Trigger Tool for identifying adverse drug events: experience
 1,2
 2
 2
            events in community hospitals. Jt Comm J Qual Patient Saf 2012; 38 (3): 120-6.  in a Belgian hospital. Ann Pharmacother 2013; 47 (11): 1414-9.
 1 Cardiology Division, Geneva University Hospital, Geneva, Switzerland   17.  Franklin BD, Birch S Schachter, Barber N. Testing a trigger tool as a method of
 2 Department of Medicine, Montreal Heart Institute, Montreal, Canada  6.  Institute of Medicine (US) Committee on Quality of Health Care in America.   detecting harm from medication errors in a UK hospital: a pilot study. Int J Pharm
            Crossing the Quality Chasm: A New Health System for the 21st Century.
            Washington (DC): National Academies Press (US); 2001.  Pract 2010; 18: 305-11.
                                                          18.  Perez Zapata Al, Gutierrez Samaniego M, Rodriguez Cuellar E, Andres Esteban
          7.  Connelly  TP,  Korvek  SJ.  Computer  Provider  Order  Entry  (CPOE).  StatPearls   EM, Gomez de la Camara A, Ruiz Lopez P. Detection of adverse events in general
            [Internet]. Treasure Island (FL): StatPearls Publishing; 2017 Jun–2017 Nov 8.   surgery using the “Trigger Tool” methodology. Cir Esp 2015; 93 (2): 84-90.
            [Available from https://www.ncbi.nlm.nih.gov/books/NBK470273/]. [Accessed   19.  Rozenfled S, Giordani F, Coelho S. Adverse drug events in hospital: pilot study
            1 June 2018].
 rate [3]. Our clinical case emphasizes the   cal management [4]. With an IABP, there   with Trigger Tool. Rev Sauide Publica 2013; 47: 1102-11.
 KEY WORDS:  intracardiac shunt, percutaneous   complexity of the management and the   may be a decrease in the left-to-right shunt,   8.  Leung AA, Keohane C, Amato M, et al. Impact of vendor computerized physician   20.  Azaz-Livshits T, Levy M, Sadan B, Shalit M, Geisslinger G, Brune K. Computerized
            order entry in community hospitals. J Gen Intern Med 2012; 27 (7): 801-7.
 coronary intervention (PCI), surgical   transcatheter closure of this type of VSD,   afterload, and oxygen consumption. It also   9.  Jha AK, Kuperman GJ, Teich JM, et al. Identifying adverse drug events:   surveillance of adverse drug reactions in hospital: pilot study. Br J Clin Pharmacol
                                                            1998; 45 (3): 309-14.
 closure, transcatheter closure,   especially 1 week after a myocardial infarc-  increases the coronary perfusion. In cases   development of a computer-based monitor and comparison with chart review   21.  Levy M, Azaz-Livshits T, Sadan B, Shalit M, Geisslinger G, Brune K. Computerized
 ventricular septal defect (VSD)  tion. Successful closure could decrease the   of refractory cardiogenic shock, a veno-  and stimulated voluntary report. J Am Med Inform Assoc 1998; 5 (3): 305-14.  surveillance of adverse drug reactions in hospital: implementation. Eur J Clin
 IMAJ 2018; 20: 720–721  30 day mortality rate to 30–40%.  arterial extracorporeal membrane oxygen-  10.  Institute of Healthcare Improvement. Trigger Tool for measuring adverse   Pharmacol 1999; 54 (11): 887-92.
            drug events. 2004. [Available from http://www.ini.org/resrources/pages/tools/
 A diagnosis of VSD should be con-  ation (ECMO) should be considered.   triggertoolformeasuringadversedrugevents.aspx]. [Accessed 8 Aug 2014].  22.  Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized
                                                            patients. Adverse drug events prevention study group. JAMA 1997; 277: 307-11.
 sidered in cases of pathologic cardiac   We describe a clinical case to empha-  11.  De Almeida SM, Romulado A, de Abreu Ferraresi A, Zelezoglo GR, Marra AR,   23.  Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor
 ost-myocardial infarction (MI) ven-  auscultation and confirmed by emergent   size the complexity of the management of   Edmond MB. Use of a trigger tool to detect drug reactions in an emergency   computerized physician order entry in four community hospitals: the importance
            department. BMC Pharmacol Toxicol 2017; 18 (1): 71.
                                                            of decision support. Jt Comm J Qual Patient Saf 2013; 39 (7): 312-8.
 P tricular septal defect (VSD) is a rare   transthoracic echocardiography (TTE).   a VSD complication. It is one of the rare   12.  Deilkas ET, Risberg MB, Haugen M, et al. Exploring similarities and differences in   24.  Lau I, Kirkwood A. Measuring adverse drug events on hospital medicine units
 complication in the era of primary percu-  Hemodynamic stabilization, mainly with   cases cited in the literature in which the   hospital adverse events rates between Norway and Sweden using Global Trigger   with the Institute for Healthcare Improvement Trigger Tool: a chart review. Can J
 taneous coronary intervention (PCI) [1,2].   the insertion of an intra-aortic balloon   transcatheter closure of VSD was per-  Tool. BMJ Open 2017; 7 (3): e012492.  hosp Pharm 2014; 67 (6): 423-8.
 Still, it is associated with a high mortality   pump (IABP), is the first step in its clini-  formed after 7 days.  13.  Rutberg H, Borgstedt-Risberg M, Gustafson P, Unbeck M. Adverse events in   25.  Hug BL, Witkowski DJ, Sox CM, et al. Adverse drug event rates in six community
            orthopedic care identified via the Global Trigger Tool in Sweden – implications
                                                            hospitals and the potential impact of computerized physician order entry for
            on preventable prolonged hospitalizations. Patient Saf Surg 2016; 12: 23.  prevention. J Gen Intern Med 2009; 25: 31-8.
 figure 1. Post-myocardial infarction ventricular   A  B  C
 septal defect: a deadly complication  Capsule
 [A] Transthoracic echocardiogram (TTE) apical   Deconstructing probiotics
 view showed the presence of a large ventricular
 septal defect (VSD) [B] TTE apical view highlighted   Besides supporting host metabolism, our intestinal microbiota   This process was dependent on intestinal dendritic cells that
 with color Doppler showed left-to-right shunt   also plays a vital role in modulating functions of immune cells   express Toll-like receptor 2. Thus, microbial components, rather
 through the VSD [C] The left anterior oblique at a   in the gut. Verma and colleagues examined how a particular   than live microbes, could potentially be used to treat microbial
 45 degree and cranial 25 degree ventriculogram   probiotic strain,  Bifidobacterium bifidum, promotes the   dysbiosis associated with gastrointestinal disorders, including
 showed a VSD with sufficient distance from the   generation of regulatory T cells (Tregs) in the intestine. β-glucan/  colitis and Crohn’s disease.
 apex and a 14 mm defect size [D] The steps of the
 percutaneous VSD closure with the insertion of the   D  galactan polysaccharides derived from the cell wall of B. bifidum   Sci Immunol 2018; 3: eaat6975
 closure device using a transeptal access via the   were responsible for promoting Treg induction in the intestine.   Eitan Israeli
 transfemoral venous route. The defect was crossed
 using a balloon tip catheter, and an Amplatz Super
 Stiff TM  ST-1 guidewire (Boston Scientific, USA) was   Capsule
 subsequently positioned in the right pulmonary
 artery to advance the 12F delivery system [E]
 TM
 A 20 mm Amplatzer  Post-MI VSD Occluder    E  F  G  Cancer chromatin accessibility landscape
 (St. Jude Medical, USA) [f] TTE apical view showed   The Cancer Genome Atlas (TCGA) provides a high-quality   cancer predisposition were revealed, transcription factors and
 the device at the level of the interventricular
 septum [g] TTE apical view highlighted by color   resource of molecular data on a large variety of human   enhancers driving molecular subtypes of cancer with patient
 Doppler showed a mild residual leak  cancers. Corces and co-authors used a recently modified assay   survival differences were identified, and non-coding mutations
            to profile chromatin accessibility to determine the accessible   associated with clinical prognosis were discovered.
            chromatin landscape in 410 TCGA samples from 23 cancer
            types. When the data were integrated with other omics data             Science 2018; 362: eaav1898
            available for the same tumor samples, inherited risk loci for                    Eitan Israeli
 720                                                                                                            669
   2   3   4   5   6   7   8   9   10   11   12