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Research paper thumbnail of Does fasting during Ramadan increase the risk of developing Sialadenitis?

Background: Ramadan is a the within the Islamic lunar calendar, where Muslims are required to fas... more Background: Ramadan is a the within the Islamic lunar calendar, where Muslims are required to fast (abstain from food and drink) during the daytime (from sunrise to sunset) for the entire month. Due to connection between fasting, dehydration and siaadenitis, the aim of this study is to determine if there is a higher frequency of sialadenitis among the Muslim population during Ramadan compared to other months of the year. Methods: We conducted a retrospective cross-sectional study using the medical records of 120 Muslim patients admitted through the emergency room (ER) with a diagnosis of sialadenitis over a 5-year

Research paper thumbnail of Does fasting during Ramadan increase the risk of the development of sialadenitis?

BMC Oral Health, May 29, 2020

Background: Ramadan is a month within the Islamic lunar calendar when Muslims are required to fas... more Background: Ramadan is a month within the Islamic lunar calendar when Muslims are required to fast (abstain from food and drink) during the daytime (from sunrise to sunset) for the entire month. Due to the established connection between fasting and dehydration and acute sialadenitis, the aim of this study is to determine if there is a higher frequency of sialadenitis among the Muslim population during Ramadan than during other months of the year. Methods: We conducted a retrospective study using the medical records of 120 Muslim patients admitted to the emergency room (ER) and diagnosed with acute sialadenitis over a 5-year period at the Baruch Padeh Medical Center, Poriya, and St. Vincent de Paul (French) Hospital, Nazareth, both located in Israel. The study group were Muslim patients, with the aforementioned diagnosis, admitted during Ramadan, while the control group included patients diagnosed with sialadenitis during the rest of the year. We analyzed overall admission frequency as well as descriptive and diagnostic data, including age, sex, gland involved and several blood test results. Results: During the month of Ramadan, the admission of Muslims with a diagnosis of acute sialadenitis was more than double that during the other months of the yeara difference that was found to be statistically significant (p = 0.001). Additionally, we found that Ramadan sialadenitis patients had significantly higher leukocyte numbers at admission (p = 0.0085) and, importantly, a significantly higher level of dehydration (blood urea nitrogen (BUN)/ creatinine ratio) than non-Ramadan sialadenitis patients (p = 0.0001). Conclusion: There is evidence that fasting in Ramadan may increase the risk for the development of acute sialadenitis. Our results suggest that this may be the result of dehydration.

Research paper thumbnail of Factors associated with prolonged hospitalizations from odontogenic infections in children

Journal of Clinical Pediatric Dentistry, 2022

Objective: Oro-facial infections are common pathologies comprising a substantial health concern i... more Objective: Oro-facial infections are common pathologies comprising a substantial health concern in the pediatric population. Incorrect or late treatment may lead to serious and possibly lifethreatening complications. The aim of this study is to analyze variables associated with prolonged length of hospital stays (LOS) due to odontogenic infections in children. Study design: Data was collected from the records of patients (age <15 years) hospitalized due to odontogenic infections at Poriya Medical Center during the period of 1/2010-12/2015. Patients with oro-facial infections originating from other organs were excluded from the study as well as children with underlying systemic medical conditions that may affect recovery. Results: A total of 411 patients (mean age 6.5 ± 2 years) were included in this study, with 58.4% being male. There were significantly higher (p < 0.05) values of white blood cell (WBC) counts in patients with >3 days LOS. Patients with >3 days LOS were also significantly older (8.4 vs. 6.3 years). There were no significant differences in sex distribution or other clinical or laboratory parameters between the groups. Conclusion: Older child age and higher WBC counts on admission are indicators for prolonged LOS.

Research paper thumbnail of Does fasting in ramadan increase the risk of developing sialoadenitis?

International Journal of Oral and Maxillofacial Surgery, 2019

Objectives: To explore the frequency of renal colic (RC) secondary to urinary stones in Ramadan c... more Objectives: To explore the frequency of renal colic (RC) secondary to urinary stones in Ramadan compared to other months and seasons of the year. Methods: Retrospective cross-sectional study using medical records of 237 patients admitted through the emergency room (ER) with a diagnosis of RC secondary to urinary stones over a 10-year period at

Research paper thumbnail of Factors Associated With Prolonged Hospitalization of Children With Asthma

Archives of Pediatrics & Adolescent Medicine, 1995

Background: Complex surgeries such as a pancreatoduodenectomy (PD) traditionally have long hospit... more Background: Complex surgeries such as a pancreatoduodenectomy (PD) traditionally have long hospital stays (LOS). Methods: Patients who underwent elective PD at our institution from 8/2011-6/2015 were retrospectively examined. Interquartile ranges were calculated from LOS. Patient were compared between the highest quartile and the remainder of the cohort. Results: 492 patients had a median LOS of 9 days, with 106 (22%) admitted for >14 days. Characteristics associated with prolong hospitalization include age (p ¼ 0.004) and preoperative albumin <3.5 (p ¼ 0.007). Significant intra-operative measures associated with prolonged LOS were blood loss (EBL, p ¼ 0.004) and increased operative time (p ¼ 0.008). Any complication extended hospitalizations (p < 0.001). Patients in the top quartile were less likely to be discharged home (p < 0.0001) and more likely to be readmitted (p < 0.0001). Conclusion: Older patients with hypoalbuminemia are at higher risk of prolonged LOS following PD as well as high EBL, operative time, and surgical complications. Focused efforts to counsel and optimize patients pre-operatively and minimize intra-operative complications may shorten hospital stays.

Research paper thumbnail of Clinical and Prognostic Significance of the Eighth Edition Oral Cancer Staging System

Cancers

Objectives: The most notable changes in the eighth edition of the AJCC Cancer Staging System incl... more Objectives: The most notable changes in the eighth edition of the AJCC Cancer Staging System include incorporating the depth of invasion (DOI) into T staging and extranodal extension (ENE) into N staging. In this study, we retrospectively assessed the prognostic and clinical implications of the eighth TNM staging system. Materials and Methods: Patients with Oral Squamous Cell Carcinoma (OSCC) who were treated surgically between 2010 and 2017 were retrospectively reviewed. Tumors were first staged according to the seventh edition and restaged using the eighth edition. The prognostic value of the resultant upstaging was evaluated. Results: Integrating the DOI into the T classification resulted in the upstaging of 65 patients, whereas incorporating ENE into the N staging resulted in the upstaging of 18 patients (p < 0.001). Upstaging due to DOI integration had no significant effect on OS or DSS (p > 0.05). Conclusion: Our results demonstrate the importance of incorporating ENE in...

Research paper thumbnail of Does fasting during Ramadan increase the risk of the development of sialadenitis?

Background: Ramadan is a month within the Islamic lunar calendar when Muslims are required to fas... more Background: Ramadan is a month within the Islamic lunar calendar when Muslims are required to fast (abstain from food and drink) during the daytime (from sunrise to sunset) for the entire month. Due to the established connection between fasting and dehydration and acute sialadenitis, the aim of this study is to determine if there is a higher frequency of sialadenitis among the Muslim population during Ramadan than during other months of the year. Methods: We conducted a retrospective study using the medical records of 120 Muslim patients admitted to the emergency room (ER) and diagnosed with acute sialadenitis over a 5-year period at the Baruch Padeh Medical Center, Poriya, and St. Vincent de Paul (French) Hospital, Nazareth, both located in Israel. The study group were Muslim patients, with the aforementioned diagnosis, admitted during Ramadan, while the control group included patients diagnosed with sialadenitis during the rest of the year. We analysed overall admission frequency ...

Research paper thumbnail of Does fasting during Ramadan increase the risk of developing Sialadenitis?

Background: Ramadan is a the within the Islamic lunar calendar, where Muslims are required to fas... more Background: Ramadan is a the within the Islamic lunar calendar, where Muslims are required to fast (abstain from food and drink) during the daytime (from sunrise to sunset) for the entire month. Due to connection between fasting, dehydration and siaadenitis, the aim of this study is to determine if there is a higher frequency of sialadenitis among the Muslim population during Ramadan compared to other months of the year. Methods: We conducted a retrospective cross-sectional study using the medical records of 120 Muslim patients admitted through the emergency room (ER) with a diagnosis of sialadenitis over a 5-year

Research paper thumbnail of Does fasting during Ramadan increase the risk of the development of sialadenitis?

BMC Oral Health, May 29, 2020

Background: Ramadan is a month within the Islamic lunar calendar when Muslims are required to fas... more Background: Ramadan is a month within the Islamic lunar calendar when Muslims are required to fast (abstain from food and drink) during the daytime (from sunrise to sunset) for the entire month. Due to the established connection between fasting and dehydration and acute sialadenitis, the aim of this study is to determine if there is a higher frequency of sialadenitis among the Muslim population during Ramadan than during other months of the year. Methods: We conducted a retrospective study using the medical records of 120 Muslim patients admitted to the emergency room (ER) and diagnosed with acute sialadenitis over a 5-year period at the Baruch Padeh Medical Center, Poriya, and St. Vincent de Paul (French) Hospital, Nazareth, both located in Israel. The study group were Muslim patients, with the aforementioned diagnosis, admitted during Ramadan, while the control group included patients diagnosed with sialadenitis during the rest of the year. We analyzed overall admission frequency as well as descriptive and diagnostic data, including age, sex, gland involved and several blood test results. Results: During the month of Ramadan, the admission of Muslims with a diagnosis of acute sialadenitis was more than double that during the other months of the yeara difference that was found to be statistically significant (p = 0.001). Additionally, we found that Ramadan sialadenitis patients had significantly higher leukocyte numbers at admission (p = 0.0085) and, importantly, a significantly higher level of dehydration (blood urea nitrogen (BUN)/ creatinine ratio) than non-Ramadan sialadenitis patients (p = 0.0001). Conclusion: There is evidence that fasting in Ramadan may increase the risk for the development of acute sialadenitis. Our results suggest that this may be the result of dehydration.

Research paper thumbnail of Factors associated with prolonged hospitalizations from odontogenic infections in children

Journal of Clinical Pediatric Dentistry, 2022

Objective: Oro-facial infections are common pathologies comprising a substantial health concern i... more Objective: Oro-facial infections are common pathologies comprising a substantial health concern in the pediatric population. Incorrect or late treatment may lead to serious and possibly lifethreatening complications. The aim of this study is to analyze variables associated with prolonged length of hospital stays (LOS) due to odontogenic infections in children. Study design: Data was collected from the records of patients (age <15 years) hospitalized due to odontogenic infections at Poriya Medical Center during the period of 1/2010-12/2015. Patients with oro-facial infections originating from other organs were excluded from the study as well as children with underlying systemic medical conditions that may affect recovery. Results: A total of 411 patients (mean age 6.5 ± 2 years) were included in this study, with 58.4% being male. There were significantly higher (p < 0.05) values of white blood cell (WBC) counts in patients with >3 days LOS. Patients with >3 days LOS were also significantly older (8.4 vs. 6.3 years). There were no significant differences in sex distribution or other clinical or laboratory parameters between the groups. Conclusion: Older child age and higher WBC counts on admission are indicators for prolonged LOS.

Research paper thumbnail of Does fasting in ramadan increase the risk of developing sialoadenitis?

International Journal of Oral and Maxillofacial Surgery, 2019

Objectives: To explore the frequency of renal colic (RC) secondary to urinary stones in Ramadan c... more Objectives: To explore the frequency of renal colic (RC) secondary to urinary stones in Ramadan compared to other months and seasons of the year. Methods: Retrospective cross-sectional study using medical records of 237 patients admitted through the emergency room (ER) with a diagnosis of RC secondary to urinary stones over a 10-year period at

Research paper thumbnail of Factors Associated With Prolonged Hospitalization of Children With Asthma

Archives of Pediatrics & Adolescent Medicine, 1995

Background: Complex surgeries such as a pancreatoduodenectomy (PD) traditionally have long hospit... more Background: Complex surgeries such as a pancreatoduodenectomy (PD) traditionally have long hospital stays (LOS). Methods: Patients who underwent elective PD at our institution from 8/2011-6/2015 were retrospectively examined. Interquartile ranges were calculated from LOS. Patient were compared between the highest quartile and the remainder of the cohort. Results: 492 patients had a median LOS of 9 days, with 106 (22%) admitted for >14 days. Characteristics associated with prolong hospitalization include age (p ¼ 0.004) and preoperative albumin <3.5 (p ¼ 0.007). Significant intra-operative measures associated with prolonged LOS were blood loss (EBL, p ¼ 0.004) and increased operative time (p ¼ 0.008). Any complication extended hospitalizations (p < 0.001). Patients in the top quartile were less likely to be discharged home (p < 0.0001) and more likely to be readmitted (p < 0.0001). Conclusion: Older patients with hypoalbuminemia are at higher risk of prolonged LOS following PD as well as high EBL, operative time, and surgical complications. Focused efforts to counsel and optimize patients pre-operatively and minimize intra-operative complications may shorten hospital stays.

Research paper thumbnail of Clinical and Prognostic Significance of the Eighth Edition Oral Cancer Staging System

Cancers

Objectives: The most notable changes in the eighth edition of the AJCC Cancer Staging System incl... more Objectives: The most notable changes in the eighth edition of the AJCC Cancer Staging System include incorporating the depth of invasion (DOI) into T staging and extranodal extension (ENE) into N staging. In this study, we retrospectively assessed the prognostic and clinical implications of the eighth TNM staging system. Materials and Methods: Patients with Oral Squamous Cell Carcinoma (OSCC) who were treated surgically between 2010 and 2017 were retrospectively reviewed. Tumors were first staged according to the seventh edition and restaged using the eighth edition. The prognostic value of the resultant upstaging was evaluated. Results: Integrating the DOI into the T classification resulted in the upstaging of 65 patients, whereas incorporating ENE into the N staging resulted in the upstaging of 18 patients (p < 0.001). Upstaging due to DOI integration had no significant effect on OS or DSS (p > 0.05). Conclusion: Our results demonstrate the importance of incorporating ENE in...

Research paper thumbnail of Does fasting during Ramadan increase the risk of the development of sialadenitis?

Background: Ramadan is a month within the Islamic lunar calendar when Muslims are required to fas... more Background: Ramadan is a month within the Islamic lunar calendar when Muslims are required to fast (abstain from food and drink) during the daytime (from sunrise to sunset) for the entire month. Due to the established connection between fasting and dehydration and acute sialadenitis, the aim of this study is to determine if there is a higher frequency of sialadenitis among the Muslim population during Ramadan than during other months of the year. Methods: We conducted a retrospective study using the medical records of 120 Muslim patients admitted to the emergency room (ER) and diagnosed with acute sialadenitis over a 5-year period at the Baruch Padeh Medical Center, Poriya, and St. Vincent de Paul (French) Hospital, Nazareth, both located in Israel. The study group were Muslim patients, with the aforementioned diagnosis, admitted during Ramadan, while the control group included patients diagnosed with sialadenitis during the rest of the year. We analysed overall admission frequency ...