Jewish

犹太人
  • 文章类型: Journal Article
    研究人员调查了反对心理治疗的耻辱,犹太文化,拉比的影响,和宗教信仰是美国犹太人在开始心理治疗时认为的障碍(n=94)。研究人员发现污名是一种障碍(p=0.015)。年龄,location,性别,和关系状态被添加作为预测因子,揭示男性性别(t(84)=6.257,p<0.001)作为负预测因子,和拉比影响(t(84)=2.049,p=0.044)作为启动心理治疗的积极预测因子。
    The researchers investigated stigma against psychotherapy, Jewish culture, Rabbinical influence, and religiosity as perceived barriers by Jewish persons in the United States when initiating psychotherapy (n = 94). Researchers discovered stigma as a barrier (p = 0.015). Age, location, gender, and relationship status were added as predictors, revealing male gender (t(84) = 6.257, p < 0.001) as a negative predictor, and Rabbinical influence (t(84) = 2.049, p = 0.044) as a positive predictor for initiating psychotherapy.
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  • 文章类型: Journal Article
    这项研究考察了圣地亚哥社会经济上不同的犹太人和智利原住民马普切社区中种族内婚与社会经济地位(SES)之间的关系,智利。通过利用西班牙裔命名惯例来分析双重种族姓氏,我们在可追溯到1884年至今的综合数据集上追踪内婚模式。我们的分位数回归分析显示,来自犹太社区较低SES等级和马普切社区较高等级的个人更有可能具有混合的种族背景。这一发现显示了社会经济地位和婚姻选择之间微妙的相互作用,这表明这些因素显著影响了少数群体中SES的持久性和转化。该研究介绍了民族分离的生态模型,提供了一个理论框架,解释了种族群体中的社会经济异常值如何导致几代人的社会经济范围缩小。
    This study examines the relationship between ethnic endogamy and socioeconomic status (SES) within the socioeconomically divergent Jewish and Native-Chilean Mapuche communities of Santiago, Chile. By leveraging the Hispanic naming convention to analyze dual ethnic surnames, we trace endogamy patterns across comprehensive datasets that go back to 1884 up to the present. Our quantile regression analysis reveals that individuals from the lower SES brackets of the Jewish community and the higher brackets of the Mapuche community are more likely to have mixed ethnic backgrounds. This finding shows a nuanced interplay between socioeconomic standing and marital choices, suggesting that these factors significantly influence the persistence and transformation of SES within minority groups. The study introduces the Ecological Model of Ethnic Disaffiliation, providing a theoretical framework that explains how socioeconomic outliers within ethnic groups could lead to a narrowing of their socioeconomic range over generations.
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  • 文章类型: Journal Article
    BRCA基因检测可用于英国犹太人,但BRCA的在线信息提供未知。我们旨在评估英国组织(UKO)在线提供的BRCA信息,英国犹太社区组织(JCO)基因检测提供商(GTP)。Google搜索提供BRCA信息的组织是使用相关的关键字集进行的。前100个网站链接分为UKO/JCO/GTP;其他JCO通过社区专家进行了补充。使用定制的BRCA信息问卷对网站进行了审查。对五个领域的信息提供进行了评估:可访问性,范围,深度,准确度,和质量。将这些结构域组合以提供综合评分(最大评分=5)。结果进行了筛选(n=6856)和45个UKO,16名JCO,18个GTP提供了BRCA信息。可访问性高(84%,66/79)。范围不足,35%(28/79)处理>50%的项目。大多数(82%,65/79)描述的BRCA相关癌症:78%(62/79)提到了乳腺癌和/或卵巢癌,但只有34%(27/79)提到≥1胰腺,前列腺,黑色素瘤。很少有网站提供载波频率(24%,19/79)和犹太人口(20%,16/79).只有15%(12/79)的质量信息有一些/最小的缺点。总体信息提供从低到中等:中位数得分UKO=2.1(IQR=1),JCO=1.6(IQR=0.9),GTP=2.3(IQR=1)(最大分数=5)。网上缺乏高质量的BRCA信息。这些发现对英国犹太BRCA计划和考虑BRCA测试的人都有影响。
    BRCA genetic testing is available for UK Jewish individuals but the provision of information online for BRCA is unknown. We aimed to evaluate online provision of BRCA information by UK organisations (UKO), UK Jewish community organisations (JCO), and genetic testing providers (GTP). Google searches for organisations offering BRCA information were performed using relevant sets of keywords. The first 100 website links were categorised into UKOs/JCOs/GTPs; additional JCOs were supplemented through community experts. Websites were reviewed using customised questionnaires for BRCA information. Information provision was assessed for five domains: accessibility, scope, depth, accuracy, and quality. These domains were combined to provide a composite score (maximum score = 5). Results were screened (n = 6856) and 45 UKOs, 16 JCOs, and 18 GTPs provided BRCA information. Accessibility was high (84%,66/79). Scope was lacking with 35% (28/79) addressing >50% items. Most (82%, 65/79) described BRCA-associated cancers: breast and/or ovarian cancer was mentioned by 78%(62/79), but only 34% (27/79) mentioned ≥1 pancreatic, prostate, melanoma. Few websites provided carrier frequencies in the general (24%,19/79) and Jewish populations (20%,16/79). Only 15% (12/79) had quality information with some/minimal shortcomings. Overall information provision was low-to-moderate: median scores UKO = 2.1 (IQR = 1), JCO = 1.6 (IQR = 0.9), and GTP = 2.3 (IQR = 1) (maximum-score = 5). There is a scarcity of high-quality BRCA information online. These findings have implications for UK Jewish BRCA programmes and those considering BRCA testing.
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  • 文章类型: Journal Article
    我是一名犹太牧师,写这封信给我尊敬的同事伊玛目索海卜苏丹,祝福的记忆Sohaib和我在2008年夏天作为同一队列的一部分一起经历了我们的第一个临床田园教育单元。Sohaib于2021年不幸去世。这里,我思考我们如何应对当前的以色列-哈马斯战争。
    I am a Jewish chaplain and I felt moved to write this letter to my esteemed colleague Imam Sohaib Sultan, of blessed memory. Sohaib and I each experienced our first unit of Clinical Pastoral Education together as part of the same cohort in the summer of 2008. Sohaib died tragically in 2021. Here, I reflect on how we might respond to the current Israel-Hamas War.
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  • 文章类型: Journal Article
    背景:摩尔妊娠,包括完全和部分痣,代表一种罕见且神秘的妊娠期疾病,发病率可能存在种族差异。这项研究旨在调查以色列人口中种族与完全和部分磨牙妊娠风险的关系,同时考虑年龄差异。
    方法:对2007-2021年在以色列学术医疗中心记录的数据进行了回顾性研究。研究人群包括167名被诊断患有完全或部分痣的女性,通过组织学检查和P57免疫染色获得的数据。从电子病历中提取产妇的年龄和种族。发病率计算为每10,000例活产,一项巢式病例对照研究比较了阿拉伯和犹太妇女的人口统计学特征和磨牙妊娠发生率。统计分析包括年龄调整后的比较,相对风险计算和多变量逻辑回归。
    结果:磨牙妊娠的总体风险为22/10,000活产(95%置信区间[CI]18-25)。在阿拉伯妇女中,总风险为21(95%CI17-25),PM和CM:14(95%CI11-17)和7(95%CI5-10),分别。在犹太妇女中,总风险为23(95%CI18-29),PM和CM:12(95%CI8-17)和11(95%CI7-16),分别。与犹太妇女相比,阿拉伯妇女中,所有部分摩尔的比例较高:(65.3%vs.51.6%,p=0.05)。阿拉伯人的局部痣发生率高于犹太妇女,35-39岁(26岁vs.8/10,000,p=0.041),其他年龄组没有差异。在调整了年龄之后,犹太人中部分痣的相对风险低于阿拉伯人(0.7,95%CI0.4-1.0,p=0.053)。与犹太妇女相比,阿拉伯人,磨牙妊娠的平均年龄较年轻:31.0岁与35.1年。然而,其他因素在有磨牙妊娠的阿拉伯和犹太妇女之间没有显著差异.在多变量分析中,犹太种族与磨牙完全妊娠的风险更高(OR=2.19,95%CI1.09-4.41,p=0.028)。
    结论:这项研究强调了以色列人群中磨牙妊娠风险的种族差异。犹太种族与完全磨牙怀孕的风险较高有关,而阿拉伯女性患部分痣的风险明显较高。这些发现强调了在研究妊娠期疾病时需要考虑种族。进一步的研究应寻求阐明导致这些差异的潜在因素。
    BACKGROUND: Molar pregnancies, encompassing complete and partial moles, represent a rare and enigmatic gestational disorder with potential ethnic variations in incidence. This study aimed to investigate relations of ethnicity with risks of complete and partial molar pregnancies within an Israeli population while accounting for age differences.
    METHODS: A retrospective study was conducted of data recorded during 2007-2021 in an academic medical center in Israel. The study population comprised 167 women diagnosed with complete or partial moles, for whom data were obtained through histological examination and P57 immunostaining. Maternal age and ethnicity were extracted from electronic medical records. Incidence rates were calculated per 10,000 live births, and a nested case-control study compared demographic characteristics and molar pregnancy incidences between Arab and Jewish women. Statistical analyses included age-adjusted comparisons, relative risk calculations and multivariate logistic regression.
    RESULTS: The overall risk of molar pregnancy was 22 per 10,000 live births (95% confidence interval [CI] 18-25). Among Arab women, the overall risk was 21 (95% CI 17-25), and for PM and CM: 14 (95% CI 11-17) and 7 (95% CI 5-10), respectively. Among Jewish women, the overall risk was 23 (95% CI 18-29), and for PM and CM: 12 (95% CI 8-17) and 11 (95% CI 7-16), respectively. Among Arab women compared to Jewish women, the proportion of all the partial moles was higher: (65.3% vs. 51.6%, p = 0.05). The incidence of partial mole was higher among Arab than Jewish women, aged 35-39 years (26 vs. 8 per 10,000, p = 0.041), and did not differ in other age groups. After adjusting for age, the relative risk of partial moles was lower among Jews than Arabs (0.7, 95% CI 0.4-1.0, p = 0.053). For Arab compared to Jewish women, the mean age at molar pregnancies was younger: 31.0 vs. 35.1 years. However, other factors did not differ significantly between Arab and Jewish women with molar pregnancies. In multivariate analysis, Jewish ethnicity was significantly associated with a higher risk of complete molar pregnancies (OR = 2.19, 95% CI 1.09-4.41, p = 0.028).
    CONCLUSIONS: This study highlights ethnic differences in molar pregnancy risk within the Israeli population. Jewish ethnicity was associated with a higher risk of complete molar pregnancies, while Arab women had a significantly higher risk of partial moles. These findings underscore the need to consider ethnicity when studying gestational disorders. Further research should seek to elucidate the underlying factors contributing to these differences.
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  • 文章类型: Journal Article
    目标:虽然先前的研究表明消极的宗教应对与痛苦有关,目前尚不清楚这是否代表普遍的精神斗争或由负面事件激活的特定脆弱性。此外,过去的研究将应对视为一种稳定的现象,尽管它可能会波动。这项研究同时对两个模型进行了纵向测试,并检查了应对与困扰之间的关系。
    方法:当前的研究是对397名参与者在3年内在线收集的纵向数据进行的二次分析。生活事件,消极的宗教应对,对抑郁症状进行了六次评估,和线性混合效应模型用于分析数据。
    结果:消极的宗教应对在很大程度上是稳定的,随着压力的增加。平均消极应对较高的参与者报告了更多的抑郁症状,无论生活环境如何(即,主要效果),可能反映了广义的精神斗争。此外,那些在给定时间平均应对能力较高或水平特别高的人在经历更多负面生活事件时报告的症状水平甚至更高(即,适度效应)。
    结论:结果表明,先前的研究融合了两种不同的现象-精神斗争和消极应对。这具有重要的理论和研究意义,并表明可以将灵性和宗教纳入治疗。
    OBJECTIVE: While previous research indicates that negative religious coping relates with distress, it is unclear if this represents generalized spiritual struggles or a specific vulnerability activated by negative events. Moreover, past research treats coping as a stable phenomenon, although it likely fluctuates. This research simultaneously tested both models longitudinally and examined the relationship between coping and distress.
    METHODS: The current study is a secondary analysis of longitudinal data collected online over 3 years from 397 participants. Life events, negative religious coping, and depressive symptoms were assessed on six occasions, and linear mixed-effect models were used to analyze data.
    RESULTS: Negative religious coping was largely stable with increases at times of stress. Participants with higher mean negative coping reported more depressive symptoms regardless of life circumstances (i.e., main effect), likely reflecting generalized spiritual struggles. In addition, those with higher mean coping or with particularly high levels at a given time reported even higher levels of symptoms when they experienced more negative life events (i.e., moderation effect).
    CONCLUSIONS: Results suggest that previous research merges two distinct phenomena-spiritual struggles and negative coping. This has important theoretical and research implications and suggests that integrating spirituality and religion into treatment can be warranted.
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  • 文章类型: Journal Article
    我们对犹太人的态度进行了调查,和经验,临终关怀。问题分为三个方面:(1)对犹太人临终关怀的期望;(2)这种关怀的经验;(3)对“死亡权”的态度。“检查信仰的教派差异,和坚持,Halakha(犹太法律),我们证实了文献中描述的许多期望。我们在整个犹太教派的特定需求领域发现了显着的细微差别,在接受生命支持和辅助自杀方面。注意犹太人信仰的细微差别可以有效和令人满意地进行犹太人的临终护理。
    We conducted a survey of Jewish attitudes towards, and experiences with, end-of-life care. Questions fell into three areas: (1) Expectations for Jewish end-of-life care; (2) Experiences with such care; and (3) Attitudes toward the \"right to die.\" Examining denominational differences in belief in, and adherence to, Halakha (Jewish law), we confirm many expectations described in the literature. We find notable nuances in specific areas of need across Jewish denomination, and in terms of acceptance of the withdrawal of life support vs assisted suicide. Care for the nuances of Jewish belief is indicated for effective and satisfying Jewish end-of-life care.
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  • 文章类型: Journal Article
    医疗保健结果的种族差异仍然存在,即使人口共享相同的环境因素和医疗基础设施。妇科恶性肿瘤是一个重大的健康问题,这使得探索这些差异在不同种族之间的发生率方面是如何表现的成为必要。
    本研究旨在调查阿拉伯裔和犹太裔以色列女性妇科恶性肿瘤发病率的种族差异。
    我们的研究采用了纵向,基于人群的回顾性队列设计。
    2010年至2019年以色列人群的妇科癌症诊断数据来自国家登记处。计算疾病发病率和年龄标准化。对阿拉伯和犹太患者进行了比较,泊松回归模型用于分析显著的速率变化。
    在犹太妇女中,2014年至2019年,妇科恶性肿瘤的年龄标准化比率(ASR)从288降至251(p<0.001).然而,在同一时期,阿拉伯妇女的ASR没有显著变化,利率从192到186(p=0.802)。在学习期间,卵巢癌的发病率在犹太妇女中显著下降(p=0.042),而阿拉伯妇女的比率保持稳定(p=0.102)。对于子宫癌观察到类似的趋势。从2017年到2019年,犹太妇女的CINIII(宫颈上皮内瘤变3级)的ASR显着增加,年增长率为43.3%(p<0.001)。阿拉伯妇女也出现了类似的大幅上升,年增长率为40.5%(p<0.001)。相比之下,从2010年至2019年,两种种族背景的女性中浸润性宫颈癌的发病率保持稳定.
    我们的发现表明,以色列的阿拉伯妇女患妇科癌症的发病率较低,保证对保护因素进行进一步调查。两个种族都证明了宫颈筛查的有效利用。
    UNASSIGNED: Ethnic disparities in healthcare outcomes persist, even when populations share the same environmental factors and healthcare infrastructure. Gynecologic malignancies are a significant health concern, making it essential to explore how these disparities manifest in terms of their incidence among different ethnic groups.
    UNASSIGNED: To investigate ethnic disparities in the incidence of gynecologic malignancies incidence among Israeli women of Arab and Jewish ethnicity.
    UNASSIGNED: Our research employs a longitudinal, population-based retrospective cohort design.
    UNASSIGNED: Data on gynecologic cancer diagnoses among the Israeli population from 2010 to 2019 was obtained from a National Registry. Disease incidence rates and age standardization were calculated. A comparison between Arab and Jewish patients was performed, with Poisson regression models being used to analyze significant rate changes.
    UNASSIGNED: Among Jewish women, the age-standardized ratio (ASR) for gynecologic malignancies decreased from 288 to 251 (p < 0.001) between 2014 and 2019. However, there was no significant change in the ASR among Arab women during the same period, with rates going from 192 to 186 (p = 0.802). During the study period, the incidence of ovarian cancer decreased significantly among Jewish women (p = 0.042), while the rate remained stable among Arab women (p = 0.102). A similar trend was observed for uterine cancer. The ASR of CIN III (Cervical Intraepithelial Neoplasia Grade 3) in Jewish women notably increased from 2017 to 2019, with an annual growth rate of 43.3% (p < 0.001). A similar substantial rise was observed among Arab women, with an annual growth rate of 40.5% (p < 0.001). In contrast, the incidence of invasive cervical cancer remained stable from 2010 to 2019 among women of both ethnic backgrounds.
    UNASSIGNED: Our findings indicate that Arab women in Israel have a lower incidence rate of gynecologic cancers, warranting further investigation into protective factors. Both ethnic groups demonstrate effective utilization of cervical screening.
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  • 文章类型: Journal Article
    目的:评估被诊断为进行性圆锥角膜的人群角膜交联(CXL)干预的临床结果。
    方法:这项单中心回顾性队列研究包括2015年1月至2019年12月在以色列南部一家主要教学医院接受标准CXL或加速CXL治疗进行性圆锥角膜的连续患者。对患者的医疗档案进行了审查,并提取和分析了有关人口统计学,临床和断层摄影特征的术前和术后数据。
    结果:这项研究包括166名患者(代表198只眼),其中98名患者(123只眼)是贝都因人,68名患者(75只眼)是犹太人。总的来说,126例(144只眼)随访至少12个月(16.84±5.76)。患者平均年龄为20.62±7.1岁。两个民族在最佳矫正视力方面存在显著的基线差异(BCVA;p<0.001),未矫正视力(UCVA;p<0.001),平均角膜曲率(p=0.028),和角膜厚度(p<0.001)。BCVA的重大变化,UCVA,和12个月后发现各组的测厚参数。负二项回归分析显示最大角膜曲率低于55D(RR=1.247,p<0.001),和标准的CXL程序(RR=1.147,p=0.041)与12个月后KC的稳定性显着相关。然而,患者来源的效应大小可以忽略不计(RR=1.047,p=0.47)。
    结论:在这项研究中,与犹太人人口相比,贝都因人患有进行性圆锥角膜。随访12个月后,CXL对改善两组BCVA和UCVA均有显著疗效。发现患者起源对KC稳定性的影响可以忽略不计。
    OBJECTIVE: To assess clinical outcomes of corneal cross-linking (CXL) intervention in a population diagnosed with progressive keratoconus.
    METHODS: This single-center retrospective cohort study included consecutive patients who underwent standard CXL or accelerated CXL for progressive keratoconus at a major teaching hospital in southern Israel between January 2015 and December 2019. Patients\' medical files were reviewed, and pre-operative and post-operative data regarding demographics and clinical and tomographic characteristics were extracted and analyzed.
    RESULTS: This study included 166 patients (representing 198 eyes), out of which 98 patients (123 eyes) were ethnically Bedouin, and 68 patients (75 eyes) were ethnically Jewish. Overall, 126 patients (144 eyes) had a follow-up of at least 12 months (16.84 ± 5.76). The mean patient age was 20.62 ± 7.1 years old. There were significant baseline differences between the two ethnic groups in best-corrected visual acuity (BCVA; p < 0.001), uncorrected visual acuity (UCVA; p < 0.001), mean keratometry (p = 0.028), and corneal thickness (p < 0.001). Significant changes in BCVA, UCVA, and pachymetry parameters within each group were found after 12 months. Negative binomial regression analysis showed a maximal keratometry below 55D (RR = 1.247, p < 0.001), and a standard CXL procedure (RR = 1.147, p = 0.041) are significantly related to the stability of KC after 12 months. However, the effect size of the origin of patients is negligible (RR = 1.047, p = 0.47).
    CONCLUSIONS: In this study, the Bedouin population suffered from more progressive keratoconus when compared to the Jewish population. CXL was significantly effective in improving BCVA and UCVA in both groups after 12 months of follow-up. The effect size of the origin of patients on the stability of KC was found to be negligible.
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  • 文章类型: Journal Article
    异种移植,将动物器官移植到人类体内,可以解决移植器官短缺的问题。这将增加预定的机会,选择性移植,即使对于目前没有资格接受人体器官的患者。然而,异种移植提出了具体的伦理和哲学问题,也就是说,身体部位与灵魂和精神的个人认同,人与动物之间的关系,以及与医学和社会伦理问题有关的挑战。这三个一神论宗教都有与异种移植有关的法律和观点。本学术评论从宗教法律裁决的角度考察了三种一神论宗教的神学和观点及其对异种移植(种间)的关注,与程序相关的伦理考虑,通过宗教经文和三个信仰社区的学者的裁决。这项审查应被视为对这些问题进行广泛调查的继续,随着移植领域向临床试验发展。人们发现,这三种宗教中的任何一种都没有提出基本的宗教理由来禁止使用动物器官作为治疗严重和危及生命的疾病的手段。然而,每个宗教都有一定的限制,涉及动物的治疗和移植器官的选择。
    Xenotransplantation, transplanting animal organs into humans, may offer a solution to the shortage of organs for transplantation. This would increase the chances for scheduled, elective transplantation, even for patients currently ineligible for receiving a human organ. However, xenotransplantation raises specific ethical and philosophical issues, that is, a personal identification of the body parts with the soul and spirit, the relationships between humans and animals, and challenges related to issues of medical and social ethics. The three monotheistic religions have laws and perspectives pertaining to xenotransplantation. This scholarly review examines the theology and viewpoints of the three monotheistic religions and their concerns regarding xenotransplantation (interspecies) in terms of religious-legal rulings, the ethical considerations related to the procedure, through religious scriptures and rulings of scholars of the three faith communities. This review should be viewed as a continuation of an extensive investigation of these issues, as the field of transplantation advances toward clinical trials. It was found that there are no fundamental religious reasons presented by any of the three religions to prohibit the use of animal organs as a means of treating severe and life-threatening conditions. However, there are certain limitations prescribed by each religion relating to the treatment of the animals and the choice of organs to be transplanted.
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