Aus Maree - Academia.edu (original) (raw)

Papers by Aus Maree

Research paper thumbnail of Increased prevalence of attention-deficit hyperactivity disorder symptomatology in patients with familial Mediterranean fever

Modern Rheumatology, Sep 20, 2021

Research paper thumbnail of Clinical Characteristics and Management of Snake Bite Injuries in the Jerusalem Area

Journal of Clinical Medicine

Venomous snake bites can constitute medical emergencies, and without immediate care may be life-t... more Venomous snake bites can constitute medical emergencies, and without immediate care may be life-threatening. This study describes the characteristics and management of patients suffering from snake bite injuries (SNIs) in the Jerusalem area. A retrospective analysis of all patients who were admitted to the Hadassah Medical Center emergency departments (EDs) due to SNIs between 1 January 2004 and 31 March 2018 was conducted. During this period, 104 patients were diagnosed with SNIs, of whom 32 (30.7%) were children. Overall, 74 (71.1%) patients were treated with antivenom, 43 (41.3%) were admitted to intensive care units, and 9 (8.6%) required treatment with vasopressors. No mortality was recorded. On ED admission, none of the adult patients presented with an altered mental state compared to 15.6% of the children (p < 0.00001). Cardiovascular symptoms were observed in 18.8% and 5.5% of the children and adults, respectively. Fang marks appeared in all of the children. These finding...

Research paper thumbnail of An Institutional Analysis of Malignancy Rate in Bethesda III and IV Nodules of the Thyroid

Background: Bethesda III and IV nodules constitute a problematic entity, with previous reports de... more Background: Bethesda III and IV nodules constitute a problematic entity, with previous reports demonstrating a large variability in their malignancy rate between different institutions and regions. Methods: A retrospective analysis recognized patients who underwent thyroidectomy due to Bethesda III and IV nodule between 2011 and 2016. The primary outcome was to identify the malignancy rate in these nodules. A secondary outcome was to recognize predictors of malignancy in these patients. Results: During the study period 176 thyroidectomies were performed due to Bethesda III/IV lesions. This group had a mean age of 47.1 years ± 14.6 years and 73.9% were females. They had a mean of 1.6 ± 1.0 nodules per patient and a mean size 30.6 mm ± 16.6 mm. Total thyroidectomy was performed in 48.3%, and lobectomy in 51.7%. Malignancy was identified in 109 patients (61.9%) on final pathology, leading to the performance of completion thyroidectomy in 47/91 (51.6%) of the patients who first underwen...

Research paper thumbnail of Arum palaestinum poisoning: revenge of the witch

European Journal of Pediatrics, 2020

The Arum palaestinum plant is one of the 26 species of the Arum genus of the Araceae family. This... more The Arum palaestinum plant is one of the 26 species of the Arum genus of the Araceae family. This plant species is found through the Mediterranean region, Western Asia, and Europe. The leaves and seeds of the plant contain needle-shaped oxalate crystals that can irritate the affected tissue (skin, oral cavity, or GI tract) upon exposure. Up to this date, there is no available literature supporting the epidemiology or the clinical manifestations of poisoning by this plant. We retrospectively reviewed all Arum palaestinum exposures to children younger than 18 years of age reported to the Israel National Poison Information Center during 2017 from the IPIC computerized data system. We extracted demographic data and clinical data from those digital files. We reviewed the files of 53 patients' files and found slight male predominance (58% vs. 42%), and the age of exposure ranged from 9 month to 15 years. The main site of exposure was at home in most cases (47%) followed by outdoor exposure in 40% of the cases. In 66% of the cases, minor clinical manifestations were reported, mainly erythema and mouth irritation, agitation, and drooling. Asymptomatic patients composed 34% of the cases. In 17% of the cases, patients were recommended to visit an ambulatory facility, and other 15% of the cases were referred to the emergency department. There were no cases of severe poisoning, upper airways compromise, or death. Conclusion: Poisoning by Arum palaestinum is one of the most common pediatric plant poisoning in Israel. Our study supports with clinical data for the first time that this poisoning is self-limited, confined to the affected mucosa, and most likely does not necessitate any intervention. What is Known • A. palaestinum poisoning is one of the most common pediatric plant poisoning in Israel. • The leaves and seeds of the plant contain needle-shaped oxalates crystals. What is New • Pediatric exposure to A. palaestinum usually causes only mild and self-limited poisoning. • Expectant observation is the preferred management of such exposure.

Research paper thumbnail of Increased prevalence of attention deficit hyperactivity disorder in children with Familial Mediterranean Fever

Pediatric Rheumatology, 2015

Research paper thumbnail of Clinical Characteristics and Management of Snake Bite Injuries in the Jerusalem Area

Journal of Clinical Medicine

Venomous snake bites can constitute medical emergencies, and without immediate care may be life-t... more Venomous snake bites can constitute medical emergencies, and without immediate care may be life-threatening. This study describes the characteristics and management of patients suffering from snake bite injuries (SNIs) in the Jerusalem area. A retrospective analysis of all patients who were admitted to the Hadassah Medical Center emergency departments (EDs) due to SNIs between 1 January 2004 and 31 March 2018 was conducted. During this period, 104 patients were diagnosed with SNIs, of whom 32 (30.7%) were children. Overall, 74 (71.1%) patients were treated with antivenom, 43 (41.3%) were admitted to intensive care units, and 9 (8.6%) required treatment with vasopressors. No mortality was recorded. On ED admission, none of the adult patients presented with an altered mental state compared to 15.6% of the children (p < 0.00001). Cardiovascular symptoms were observed in 18.8% and 5.5% of the children and adults, respectively. Fang marks appeared in all of the children. These finding...

Research paper thumbnail of Increased prevalence of attention-deficit hyperactivity disorder symptomatology in patients with familial Mediterranean fever

Modern Rheumatology, Sep 20, 2021

Research paper thumbnail of Clinical Characteristics and Management of Snake Bite Injuries in the Jerusalem Area

Journal of Clinical Medicine

Venomous snake bites can constitute medical emergencies, and without immediate care may be life-t... more Venomous snake bites can constitute medical emergencies, and without immediate care may be life-threatening. This study describes the characteristics and management of patients suffering from snake bite injuries (SNIs) in the Jerusalem area. A retrospective analysis of all patients who were admitted to the Hadassah Medical Center emergency departments (EDs) due to SNIs between 1 January 2004 and 31 March 2018 was conducted. During this period, 104 patients were diagnosed with SNIs, of whom 32 (30.7%) were children. Overall, 74 (71.1%) patients were treated with antivenom, 43 (41.3%) were admitted to intensive care units, and 9 (8.6%) required treatment with vasopressors. No mortality was recorded. On ED admission, none of the adult patients presented with an altered mental state compared to 15.6% of the children (p < 0.00001). Cardiovascular symptoms were observed in 18.8% and 5.5% of the children and adults, respectively. Fang marks appeared in all of the children. These finding...

Research paper thumbnail of An Institutional Analysis of Malignancy Rate in Bethesda III and IV Nodules of the Thyroid

Background: Bethesda III and IV nodules constitute a problematic entity, with previous reports de... more Background: Bethesda III and IV nodules constitute a problematic entity, with previous reports demonstrating a large variability in their malignancy rate between different institutions and regions. Methods: A retrospective analysis recognized patients who underwent thyroidectomy due to Bethesda III and IV nodule between 2011 and 2016. The primary outcome was to identify the malignancy rate in these nodules. A secondary outcome was to recognize predictors of malignancy in these patients. Results: During the study period 176 thyroidectomies were performed due to Bethesda III/IV lesions. This group had a mean age of 47.1 years ± 14.6 years and 73.9% were females. They had a mean of 1.6 ± 1.0 nodules per patient and a mean size 30.6 mm ± 16.6 mm. Total thyroidectomy was performed in 48.3%, and lobectomy in 51.7%. Malignancy was identified in 109 patients (61.9%) on final pathology, leading to the performance of completion thyroidectomy in 47/91 (51.6%) of the patients who first underwen...

Research paper thumbnail of Arum palaestinum poisoning: revenge of the witch

European Journal of Pediatrics, 2020

The Arum palaestinum plant is one of the 26 species of the Arum genus of the Araceae family. This... more The Arum palaestinum plant is one of the 26 species of the Arum genus of the Araceae family. This plant species is found through the Mediterranean region, Western Asia, and Europe. The leaves and seeds of the plant contain needle-shaped oxalate crystals that can irritate the affected tissue (skin, oral cavity, or GI tract) upon exposure. Up to this date, there is no available literature supporting the epidemiology or the clinical manifestations of poisoning by this plant. We retrospectively reviewed all Arum palaestinum exposures to children younger than 18 years of age reported to the Israel National Poison Information Center during 2017 from the IPIC computerized data system. We extracted demographic data and clinical data from those digital files. We reviewed the files of 53 patients' files and found slight male predominance (58% vs. 42%), and the age of exposure ranged from 9 month to 15 years. The main site of exposure was at home in most cases (47%) followed by outdoor exposure in 40% of the cases. In 66% of the cases, minor clinical manifestations were reported, mainly erythema and mouth irritation, agitation, and drooling. Asymptomatic patients composed 34% of the cases. In 17% of the cases, patients were recommended to visit an ambulatory facility, and other 15% of the cases were referred to the emergency department. There were no cases of severe poisoning, upper airways compromise, or death. Conclusion: Poisoning by Arum palaestinum is one of the most common pediatric plant poisoning in Israel. Our study supports with clinical data for the first time that this poisoning is self-limited, confined to the affected mucosa, and most likely does not necessitate any intervention. What is Known • A. palaestinum poisoning is one of the most common pediatric plant poisoning in Israel. • The leaves and seeds of the plant contain needle-shaped oxalates crystals. What is New • Pediatric exposure to A. palaestinum usually causes only mild and self-limited poisoning. • Expectant observation is the preferred management of such exposure.

Research paper thumbnail of Increased prevalence of attention deficit hyperactivity disorder in children with Familial Mediterranean Fever

Pediatric Rheumatology, 2015

Research paper thumbnail of Clinical Characteristics and Management of Snake Bite Injuries in the Jerusalem Area

Journal of Clinical Medicine

Venomous snake bites can constitute medical emergencies, and without immediate care may be life-t... more Venomous snake bites can constitute medical emergencies, and without immediate care may be life-threatening. This study describes the characteristics and management of patients suffering from snake bite injuries (SNIs) in the Jerusalem area. A retrospective analysis of all patients who were admitted to the Hadassah Medical Center emergency departments (EDs) due to SNIs between 1 January 2004 and 31 March 2018 was conducted. During this period, 104 patients were diagnosed with SNIs, of whom 32 (30.7%) were children. Overall, 74 (71.1%) patients were treated with antivenom, 43 (41.3%) were admitted to intensive care units, and 9 (8.6%) required treatment with vasopressors. No mortality was recorded. On ED admission, none of the adult patients presented with an altered mental state compared to 15.6% of the children (p < 0.00001). Cardiovascular symptoms were observed in 18.8% and 5.5% of the children and adults, respectively. Fang marks appeared in all of the children. These finding...