Zohar Rubinstein | Tel Aviv University (original) (raw)
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Papers by Zohar Rubinstein
Prehospital and Disaster Medicine, May 1, 2023
Introduction: In 2014, the residency program adopted a new chief resident model. Multiple other p... more Introduction: In 2014, the residency program adopted a new chief resident model. Multiple other programs had adopted a similar style of having all final-year residents have a "chief" role. Chief residents are meant to be leaders in the residency, have a direct influence on the program, and serve as liaisons with other department chiefs. Method: Prior to 2014, the program had three chief residents a year: one Admin, one Academic, and one Recruitment. They were chosen using a vote amongst residents/faculty, with the ultimate decision made by the residency leadership. Many other residents were interested, and often qualified, but were ultimately not chosen. In 2014, the all-chief model was adopted. Each PGY-3 would have a responsibility. The goal was to give each a leadership opportunity, and a tangible product as they transition to fellowships or new jobs. The residents were allowed to pick their position, with some influence by residency leadership. Residents were encouraged to create new roles which aligned with their personal interests or career goals.
American Journal of Clinical Hypnosis, Jul 1, 1985
Abstract Dental and dental-related behavioral dysfunctions, such as dental anxiety or phobia, ext... more Abstract Dental and dental-related behavioral dysfunctions, such as dental anxiety or phobia, extreme gagging reflex, orofacial pain, rejection of prosthesis, glossal symptoms, and others, often cause severe problems during routine dental treatment. The multidisciplinary team of the Consultatory Outpatient Clinic for Behavioral Dysfunctions of the School of Dental Medicine, Tel-Aviv University, works toward creating a proper environment for the treatment of such patients and developing adequate therapeutic modalities. The philosophical approach of the treatment is reviewed, and various case histories are discussed.
Israel Journal of Health Policy Research, Jul 15, 2015
Emergency and disaster situations such as war or terrorism can leave a devastating impact on the ... more Emergency and disaster situations such as war or terrorism can leave a devastating impact on the mental well-being of victimized populations. In Israel, the civilian aspects of trauma-related mental distress were first extensively tackled during the 1980s, and mainly within the terror-stricken Jerusalem and the localities along the northern border. Since then, a systematic process of trial and error has led to the evolution of emergency mental health services in the country. Over the course of about forty years, it has grown to be an exemplary one. It is a system deeply rooted in the ground, resulting from both a change of discourse and a naturalistic process of lesson learning, that is, drawing conclusions from actual fieldwork. This process and its implications on the mental well-being of Israelis are thoroughly discussed in this research.
Prehospital and Disaster Medicine
Introduction:Health Organizations (HOs) worldwide are vital to any nation’s capacity to withstand... more Introduction:Health Organizations (HOs) worldwide are vital to any nation’s capacity to withstand crises. The COVID-19 pandemic increased the HOs’ awareness of the importance of Organizational Resilience to ensure Operational Continuity during crises.This study aimed to identify the main elements affecting HOs’ resilience, to enable their application in long-term processes of capacity building.Method:A cross-sectional study examining the level of organizational resilience in HOs was performed, in a general hospital (group A) and one region of Emergency Medical Services–EMS (group B). A structured questionnaire, consisting of 29 items, was developed, validated, and subsequently used to assess organizational resilience. The questionnaire encompassed: ethos, organizational culture, leadership and human capital, situational awareness, adaptability, organizational performance, and learning ability.Results:The respondents included 225 participants from the hospital and 214 from the EMS. B...
We congratulate Somer et al for this interesting and important research. 1 During the 34 days of ... more We congratulate Somer et al for this interesting and important research. 1 During the 34 days of fighting of the Second Lebanon War II (12 July to 14 August 2006), civilians in Israel’s northern region suffered a bombardment of approximately 4,000 rockets. On average, daily attacks were around 120 rockets struck daily. The rockets attacks resulted in 2,774 anxiety and acute stress reaction casualties that were evacuated from the scene. Subsequently, the bombardments led to a high prevalence of post-traumatic stress disorders (PTSD). 2 Previous research investigated factors that increase the risk of developing PTSD symptoms.The risk factors include: degree of exposure, history of prior trauma, peri-traumatic dissociation, and perceived direct-life threat. 3 Bleich et al studied the psychiatric implications of SCUD missile attacks on the civilian population during the Persian Gulf War in 1991, and found, in a survey of 12 hospitals admitting casualties in Israel, that approximately 43...
Harefuah, 2010
The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to contin... more The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to continuous missile attacks during Lebanon War II is described in this study. Casualties were treated in community stress centers (CSC) erected ad-hoc, as a result of cooperation between the Mental Health Section of the Home Front Command of the Israel Defense Forces (IDF), the Mental Health Services of the Ministry of Health (MOH) and the Emergency and Disaster Management Division of the MOH. A total of 536 casualties were admitted to the centers. Eighteen were evacuated to the zone hospitals due to physical problems. The remaining casualties were released within 2-4 hours of intensive intervention according to the protocol. Symptoms of casualties ranged from anxiety (and ASR)--90%; fear (mainly agoraphobia)--7%; adaptation--2%; sleep disturbances--1%. Mental health intervention included counseling talk--80%; ventilation--9%; relaxation--3%; non-verbaL intervention--3%; fulfillment of basic ne...
INTRODUCTION The treatment of anxiety and acute stress reaction (ASR) in civilian casualties expo... more INTRODUCTION The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to continuous missile attacks during Lebanon War II is described in this study. Casualties were treated in community stress centers (CSC) erected ad-hoc, as a result of cooperation between the Mental Health Section of the Home Front Command of the Israel Defense Forces (IDF), the Mental Health Services of the Ministry of Health (MOH) and the Emergency and Disaster Management Division of the MOH. RESULTS A total of 536 casualties were admitted to the centers. Eighteen were evacuated to the zone hospitals due to physical problems. The remaining casualties were released within 2-4 hours of intensive intervention according to the protocol. Symptoms of casualties ranged from anxiety (and ASR)--90%; fear (mainly agoraphobia)--7%; adaptation--2%; sleep disturbances--1%. Mental health intervention included counseling talk--80%; ventilation--9%; relaxation--3%; non-verbaL intervention--3%; fu...
Israel Journal of Health Policy Research, 2015
Emergency and disaster situations such as war or terrorism can leave a devastating impact on the ... more Emergency and disaster situations such as war or terrorism can leave a devastating impact on the mental well-being of victimized populations. In Israel, the civilian aspects of trauma-related mental distress were first extensively tackled during the 1980s, and mainly within the terror-stricken Jerusalem and the localities along the northern border. Since then, a systematic process of trial and error has led to the evolution of emergency mental health services in the country. Over the course of about forty years, it has grown to be an exemplary one. It is a system deeply rooted in the ground, resulting from both a change of discourse and a naturalistic process of lesson learning, that is, drawing conclusions from actual fieldwork. This process and its implications on the mental well-being of Israelis are thoroughly discussed in this research.
Harefuah, 2010
The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to contin... more The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to continuous missile attacks during Lebanon War II is described in this study. Casualties were treated in community stress centers (CSC) erected ad-hoc, as a result of cooperation between the Mental Health Section of the Home Front Command of the Israel Defense Forces (IDF), the Mental Health Services of the Ministry of Health (MOH) and the Emergency and Disaster Management Division of the MOH. A total of 536 casualties were admitted to the centers. Eighteen were evacuated to the zone hospitals due to physical problems. The remaining casualties were released within 2-4 hours of intensive intervention according to the protocol. Symptoms of casualties ranged from anxiety (and ASR)--90%; fear (mainly agoraphobia)--7%; adaptation--2%; sleep disturbances--1%. Mental health intervention included counseling talk--80%; ventilation--9%; relaxation--3%; non-verbaL intervention--3%; fulfillment of basic ne...
Prehospital and disaster medicine
Prehospital and Disaster Medicine, May 1, 2023
Introduction: In 2014, the residency program adopted a new chief resident model. Multiple other p... more Introduction: In 2014, the residency program adopted a new chief resident model. Multiple other programs had adopted a similar style of having all final-year residents have a "chief" role. Chief residents are meant to be leaders in the residency, have a direct influence on the program, and serve as liaisons with other department chiefs. Method: Prior to 2014, the program had three chief residents a year: one Admin, one Academic, and one Recruitment. They were chosen using a vote amongst residents/faculty, with the ultimate decision made by the residency leadership. Many other residents were interested, and often qualified, but were ultimately not chosen. In 2014, the all-chief model was adopted. Each PGY-3 would have a responsibility. The goal was to give each a leadership opportunity, and a tangible product as they transition to fellowships or new jobs. The residents were allowed to pick their position, with some influence by residency leadership. Residents were encouraged to create new roles which aligned with their personal interests or career goals.
American Journal of Clinical Hypnosis, Jul 1, 1985
Abstract Dental and dental-related behavioral dysfunctions, such as dental anxiety or phobia, ext... more Abstract Dental and dental-related behavioral dysfunctions, such as dental anxiety or phobia, extreme gagging reflex, orofacial pain, rejection of prosthesis, glossal symptoms, and others, often cause severe problems during routine dental treatment. The multidisciplinary team of the Consultatory Outpatient Clinic for Behavioral Dysfunctions of the School of Dental Medicine, Tel-Aviv University, works toward creating a proper environment for the treatment of such patients and developing adequate therapeutic modalities. The philosophical approach of the treatment is reviewed, and various case histories are discussed.
Israel Journal of Health Policy Research, Jul 15, 2015
Emergency and disaster situations such as war or terrorism can leave a devastating impact on the ... more Emergency and disaster situations such as war or terrorism can leave a devastating impact on the mental well-being of victimized populations. In Israel, the civilian aspects of trauma-related mental distress were first extensively tackled during the 1980s, and mainly within the terror-stricken Jerusalem and the localities along the northern border. Since then, a systematic process of trial and error has led to the evolution of emergency mental health services in the country. Over the course of about forty years, it has grown to be an exemplary one. It is a system deeply rooted in the ground, resulting from both a change of discourse and a naturalistic process of lesson learning, that is, drawing conclusions from actual fieldwork. This process and its implications on the mental well-being of Israelis are thoroughly discussed in this research.
Prehospital and Disaster Medicine
Introduction:Health Organizations (HOs) worldwide are vital to any nation’s capacity to withstand... more Introduction:Health Organizations (HOs) worldwide are vital to any nation’s capacity to withstand crises. The COVID-19 pandemic increased the HOs’ awareness of the importance of Organizational Resilience to ensure Operational Continuity during crises.This study aimed to identify the main elements affecting HOs’ resilience, to enable their application in long-term processes of capacity building.Method:A cross-sectional study examining the level of organizational resilience in HOs was performed, in a general hospital (group A) and one region of Emergency Medical Services–EMS (group B). A structured questionnaire, consisting of 29 items, was developed, validated, and subsequently used to assess organizational resilience. The questionnaire encompassed: ethos, organizational culture, leadership and human capital, situational awareness, adaptability, organizational performance, and learning ability.Results:The respondents included 225 participants from the hospital and 214 from the EMS. B...
We congratulate Somer et al for this interesting and important research. 1 During the 34 days of ... more We congratulate Somer et al for this interesting and important research. 1 During the 34 days of fighting of the Second Lebanon War II (12 July to 14 August 2006), civilians in Israel’s northern region suffered a bombardment of approximately 4,000 rockets. On average, daily attacks were around 120 rockets struck daily. The rockets attacks resulted in 2,774 anxiety and acute stress reaction casualties that were evacuated from the scene. Subsequently, the bombardments led to a high prevalence of post-traumatic stress disorders (PTSD). 2 Previous research investigated factors that increase the risk of developing PTSD symptoms.The risk factors include: degree of exposure, history of prior trauma, peri-traumatic dissociation, and perceived direct-life threat. 3 Bleich et al studied the psychiatric implications of SCUD missile attacks on the civilian population during the Persian Gulf War in 1991, and found, in a survey of 12 hospitals admitting casualties in Israel, that approximately 43...
Harefuah, 2010
The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to contin... more The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to continuous missile attacks during Lebanon War II is described in this study. Casualties were treated in community stress centers (CSC) erected ad-hoc, as a result of cooperation between the Mental Health Section of the Home Front Command of the Israel Defense Forces (IDF), the Mental Health Services of the Ministry of Health (MOH) and the Emergency and Disaster Management Division of the MOH. A total of 536 casualties were admitted to the centers. Eighteen were evacuated to the zone hospitals due to physical problems. The remaining casualties were released within 2-4 hours of intensive intervention according to the protocol. Symptoms of casualties ranged from anxiety (and ASR)--90%; fear (mainly agoraphobia)--7%; adaptation--2%; sleep disturbances--1%. Mental health intervention included counseling talk--80%; ventilation--9%; relaxation--3%; non-verbaL intervention--3%; fulfillment of basic ne...
INTRODUCTION The treatment of anxiety and acute stress reaction (ASR) in civilian casualties expo... more INTRODUCTION The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to continuous missile attacks during Lebanon War II is described in this study. Casualties were treated in community stress centers (CSC) erected ad-hoc, as a result of cooperation between the Mental Health Section of the Home Front Command of the Israel Defense Forces (IDF), the Mental Health Services of the Ministry of Health (MOH) and the Emergency and Disaster Management Division of the MOH. RESULTS A total of 536 casualties were admitted to the centers. Eighteen were evacuated to the zone hospitals due to physical problems. The remaining casualties were released within 2-4 hours of intensive intervention according to the protocol. Symptoms of casualties ranged from anxiety (and ASR)--90%; fear (mainly agoraphobia)--7%; adaptation--2%; sleep disturbances--1%. Mental health intervention included counseling talk--80%; ventilation--9%; relaxation--3%; non-verbaL intervention--3%; fu...
Israel Journal of Health Policy Research, 2015
Emergency and disaster situations such as war or terrorism can leave a devastating impact on the ... more Emergency and disaster situations such as war or terrorism can leave a devastating impact on the mental well-being of victimized populations. In Israel, the civilian aspects of trauma-related mental distress were first extensively tackled during the 1980s, and mainly within the terror-stricken Jerusalem and the localities along the northern border. Since then, a systematic process of trial and error has led to the evolution of emergency mental health services in the country. Over the course of about forty years, it has grown to be an exemplary one. It is a system deeply rooted in the ground, resulting from both a change of discourse and a naturalistic process of lesson learning, that is, drawing conclusions from actual fieldwork. This process and its implications on the mental well-being of Israelis are thoroughly discussed in this research.
Harefuah, 2010
The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to contin... more The treatment of anxiety and acute stress reaction (ASR) in civilian casualties exposed to continuous missile attacks during Lebanon War II is described in this study. Casualties were treated in community stress centers (CSC) erected ad-hoc, as a result of cooperation between the Mental Health Section of the Home Front Command of the Israel Defense Forces (IDF), the Mental Health Services of the Ministry of Health (MOH) and the Emergency and Disaster Management Division of the MOH. A total of 536 casualties were admitted to the centers. Eighteen were evacuated to the zone hospitals due to physical problems. The remaining casualties were released within 2-4 hours of intensive intervention according to the protocol. Symptoms of casualties ranged from anxiety (and ASR)--90%; fear (mainly agoraphobia)--7%; adaptation--2%; sleep disturbances--1%. Mental health intervention included counseling talk--80%; ventilation--9%; relaxation--3%; non-verbaL intervention--3%; fulfillment of basic ne...
Prehospital and disaster medicine