Welcome to the February 2010 issue of the Hadassah International eBulletin!
 
Opportunity for Giving (1 story): Update on Hadassah International's Five Projects: Matching our Medical Center's Needs
News From Our Units (2 stories): International Philanthropist and Entrepreneur Honored with Hadassah International's Highest Award
Young Hadassah International (2 stories): Young Hadassah Star: Joost van Raalte
Editors:
Lonye Rasch, Communications Chair; Patricia Levinson, Communications Co-Chair; Karen Lustig, Communications Team; Tamar Davis, Director of Operations; Rebecca Rafelson, Development & Marketing Associate
Team email:
communications@hadassah.org
To subscribe to the eBulletin, click here. All articles are available in English, French, Spanish, and German. If you wish to receive the eBulletin in a specific language, please resubscribe to the eBulletin and indicate your preferred language.

Hadassah Medical News
Hadassah Medical Center Saves Cypriot Mother and Twin Fetuses, One Growing Outside the Womb
Imaging of the mother's womb,
revealing one fetus inside (left)
and the other, outside.  
A Cypriot woman who discovered at 28 weeks of pregnancy that she was carrying twin fetuses--with one growing outside of her womb--was saved along with her babies by a multidisciplinary team of Hadassah physicians. This marks only the second time in known medical history that babies in this situation have been delivered successfully. 
 

Hadassah's Air Ambulance service, coordinated by Prof. David Linton, Director of Hadassah's Internal Intensive Care Unit as well as a pilot, brought the woman and her husband to Hadassah. Following two days of examining the patient, searching the medical literature (finding only one similar case), and discussing the options, Hadassah specialists in the fields of obstetrics, vascular surgery, general surgery, interventional radiology, and imaging, decided they could safely deliver the babies. 

 

Two healthy infants are now safe and doing well in Hadassah's Neonatology Department on Mount Scopus.

 

Hadassah's Air Ambulance service brings patients to Hadassah regularly in response to requests from colleagues in various countries who are unable to treat them.

 
Prof. Neri Laufer, head of Hadassah's Department of
Obstetrics and Gynecology, with the babies' parents.

The same day that the pregnant woman was brought to Hadassah, two other critically ill Cypriots were flown in, both on their own air ambulance, escorted by a Hadassah physician and Hadassah nurse. One was a woman with a severe heart disease, who had been misdiagnosed earlier and experienced near fatal complications. The second was a man with throat cancer. Both are now recovering well thanks to Hadassah's medical intervention.

 

The excited father of the twin babies told The Jerusalem Post that the saving of his wife and daughters by Hadassah was a "miracle." When the babies are old enough, he said, he wants to bring them to visit the doctors and nurses "who were perfect."

 
Click here to read The Jerusalem Post article by Judy Siegel-Itzkovich.
 
 
 
 
 

Quotable Quotes about Hadassah--Dalia Itzik, Member of Israel's Knesset and former Deputy Mayor of Jerusalem
  • Dalia Itzik
    (photo by Ariel Jerozolimski)
    As an Israeli and as a Jerusalemite, I have a special place in my heart for Hadassah. One cannot think of Jerusalem without thinking of Hadassah, without thinking of its excellent health services.
  • For almost a century, Hadassah has been building Israel. When we declared independence, we didn't need to establish a medical infrastructure, because Hadassah had already built it for us.
  •  After all these generations, Hadassah's hospitals are still at the forefront of Israeli medical treatment and research. Hadassah today continues to be a vital and significant factor in our health and well-being.
  •  During its lifetime, Hadassah has raised billions of dollars for Israel. But Hadassah's real value is incalculable. One cannot put a price tag on the dedication of an army of thousands of volunteers in the Diaspora, defending Israel and helping us build bridges to the rest of the world
    --Dalia Itzik, Member of Israel's Knesset and former Deputy Mayor of Jerusalem
 
Click here to read the full op-ed article as it appears in The Jerusalem Post.
 
 
 
 
 
 
 
 

Parkinson's: Hadassah's Physicians Battle the Disease on Two Bold Fronts

Prof. Benjamin Reubinoff, Director of
Hadassah's Center for Human Embryonic
Stem Cell Research
Treating today's Parkinson's disease patients with the latest innovations like Deep Brain Stimulation, Hadassah's physicians are simultaneously searching for a cure through world-leading stem cell research.

Parkinson's disease, characterized by a brain malfunction which disrupts electrical signals to the body that govern balance and motor control, is caused by selective degeneration of a cluster of neurons. These neurons release dopamine, the neurotransmitter affecting locomotion. When the bulk of these cells (50 to 70 percent) are destroyed, Parkinson's symptoms appear. The disease expresses itself especially through tremors and the freezing of muscles. As the disease progresses, the tremors begin to interfere with daily activities and drastically impact the quality of life for patients and their families.

Conventional drug therapies supplement the dwindling amounts of dopamine produced by the remaining neurons; however, dopamine replacement medications do not slow the rate of neuron loss and their beneficial effects decrease over time. In addition, many patients develop severe side effects to the medications, including psychosis. Transplantation of fetus-derived dopaminergic neurons can relieve Parkinson's in some patients, but limited tissue supply is a major obstacle to widespread use.

Deep Brain Stimulation is the current state-of-the-art therapy for advanced Parkinson's disease. It often yields dramatic symptomatic improvements and enables the patient to reduce his drug therapy. The technique involves implanting electrodes, which are connected to a pacemaker, into the subthalamic nucleus of the brain. As with a heart pacemaker, neurosurgeons calibrate the electrodes to compensate for the degree of debilitation-–in this case, the severity of the particular patient's movement disorders.

Hadassah's neurosurgeons are world leaders in the micro-recording technique which provides accurate, real-time physiological analyses during surgery.

A multidisciplinary team of specialists in neurology, neurosurgery, neuropsychology, neuroimmunology, neurobiology, biochemistry, and genetics, as well as a team of psychologists and social workers help patients and their families decide on the best treatment options and ways to navigate daily life.
 
Stem Cell Therapy offers the first real possibility of curing Parkinson's disease through replenishing dying dopaminergic neurons. Human embryonic stem cells, which can proliferate indefinitely and mature into any cell type, could provide the means of creating an unlimited supply of human dopaminergic neurons for transplantation.

Hadassah researchers are world leaders in the development of human embryonic stem cell lines and in deriving neural cells from them. They were the first in the world to demonstrate that human embryonic stem cells can improve the functioning of a rat with Parkinson's disease.

More than three years ago, Hadassah's research team, headed by Prof. Benjamin Reubinoff, Director of Hadassah's Center for Human Embryonic Stem Cell Research at the Goldyne Savad Institute of Gene Therapy, and Prof. Tamir Ben-Hur, head of Hadassah's Department of Neurology, created cultures of primitive nerve cells from human embryonic stem cells and transplanted them into an area in the brain of a rat where there were no dopaminergic nerve cells. After three months it was clear that some of the transplanted human cells turned into dopaminergic nerve cells. Based on this discovery, the team has focused on causing a large number of neurons to proliferate, so that massive amounts can be transplanted. The goal is for these cells to replace the damaged neurons and cure the disease. When this effort is successful, the Hadassah team will examine the possibility of transplanting these specially cultivated human embryonic stem cells into Parkinson's patients, so their bodies can produce dopamine, thereby eradicating the disease!


Hadassah Medical Experts Were Key Players in Israel Rescue Mission To Haiti

During the Israel Rescue Mission to Haiti following the earthquake, a Hadassah Medical Center obstetrician delivered the Israeli field hospital's first baby and the mother, in gratitude, named him "Israel." When the surgeons ran out of medical screws needed to mend limb fractures, a Hadassah operating room nurse located the remnants of a local factory and, in searching through the ruins, found exactly the machine he needed to transform the medical nails he had into screws.

 

During its two-week stay, the Israeli team treated 1,111 patients, performed 317 life-saving surgeries, and helped bring 16 babies into the world. The Israeli rescue mission, arranged and managed by the Medical Corps and the Home Front Command of the Israel Defense Forces (IDF), was comprised of several dozen physicians and nurses, including three physicians and a nurse from Hadassah, who immediately set up a field hospital in a soccer stadium in Port au Prince. The hospital was replete with surgical and medical departments, two operating rooms--including high-tech monitors, suctioning equipment, and ventilators--an intensive care unit, an emergency room, and a maternity ward.
 
United States President Bill Clinton, speaking at the World Economic Forum in Davos, Switzerland, praised Israel for its efforts and thanked the team, on behalf of Haiti and the international community. "The Israeli facility was the only one capable of performing the advanced medical procedures that were needed," he said.
  

Click here for a Ha'aretz article and video interview with Hadassah's Dr. Shir Dar, who delivered the baby.

 

Click here to view a CNN video which shows the sophisticated field hospital that the Israeli medical team created to help the Haitian victims.

Hadassah Physician Promotes Caring and Empathy as Powerful Adjuncts to Medical Treatment
Prof. Mayer Brezis
"Caring heals, but generally is not measured or rewarded in pay-for-performance health care," says Prof. Mayer Brezis, Director of Hadassah Hospital's Center for Clinical Quality and Safety and a faculty member of the Hadassah-Hebrew University Braun School of Public Health and Community Medicine.
 
Medical clowns at Hadassah
Prof. Brezis explains his position in an article entitled "Caring in Medicine: Missed Opportunity for Healing," which appeared in the December 2009 issue of Journal of Evaluation in Clinical Practice. There is little room for empathy in medical practice, he says, because many medical students are advised to suppress their emotions in relating to patients and focus instead on the technical aspects of medical treatment. Nevertheless, he notes that research proves empathy helps patients heal. He cites as an example the benefits of medical clowns in improving the health of hospitalized patients.

"New economic models are needed to reward caring," Prof. Brezis concludes.
 
 
 
 
 
 
 
 
 
 

Postpartum Depression is Linked with Particular Gene Pattern Following Delivery

A multidisciplinary team of physicians from the Hadassah Medical Center has discovered that a particular pattern of gene expression is present shortly after delivery in women who suffer from persistent postpartum depression (PD).

In a controlled study, the Hadassah team compared the gene expression profiles of blood mononuclear cells from mothers who experienced PD and those who did not. They discovered "a distinctive gene expression signature" among mothers with PD. The researchers conclude that "our data provide initial evidence indicating that blood cells sampled shortly after delivery may harbor valuable prognostic information for identifying the onset of persisting PD." In addition, they note that "some of the informative transcripts and pathways may be implicated in the differential vulnerability that underlies depression pathogenesis."

The authors--R.H. Segman, T. Goltser-Dubner, L. Canetti, E. Galili-Weisstub, and V. Pablov, Hadassah's Department of Psychiatry; I. Weiner and N. Friedman, Hebrew University School of Computer Science and Engineering; D. Hochner-Celnikier and A. Milwidsky, Hadassah's Department of Obstetrics and Gynecology--published their findings in the January 2010 issue of Molecular Psychiatry.


Nancy Falchuk Scholarship Recognizes Innovations in Nursing at Hadassah Medical Center
Nancy Falchuk
The 2009 Nancy Falchuk Nursing Scholarship recognized four nurses for their leadership roles in patient education and wound treatment. 
 
Ula Waslin of Hadassah Hospital-Mount Scopus was honored with the scholarship for initiating a project that educates patients prior to back surgery.

 

Judith Eisenberg and Rachel Ben-Simhon from Hadassah Hospital-Ein Kerem and Neomi Nalbandian from Hadassah-Mount Scopus, all specialists in wound treatment, developed a specific protocol for treatment, organized a targeted course for registered nurses, and publicized them in both hospitals to standardize treatment and prevent problems in wound care.
 
The nursing scholarship was created in 2004 with contributions from Hadassah International units around the world as a tribute to current Hadassah President Nancy Falchuk when she completed her term as President of Hadassah International. It enables outstanding nurses to pursue advanced study, conduct research or give a presentation at an international conference.

 


Opportunity for Giving
Update on Hadassah International's Five Projects: Matching our Medical Center's Needs
In consultation with The Hadassah Medical Center, Hadassah International adopted the following five projects. To support them is to endow a legacy of medical excellence in Jerusalem.  Choose a project and donate now!
 
The Hadassah Medical Center is relying on Hadassah International to play a major role in ensuring that we can stay on schedule in building this new Tower of Healing.
 
 
Thanks to Hadassah International contributions and a recent generous donation from a Switzerland foundation, the Hadassah Medical Center is able to begin the renovation of Pediatrics Section B at Hadassah Hospital-Mount Scopus. More funds are needed to complete the renovation.
 
   
The Hadassah Medical Center still needs funds to cover the costs of renovating and expanding the Department and buying new equipment.

 

 
 
The Medical Center still need funds to cover the cost of renovation and expansion, as well as new equipment.
 
 
 
While Hadassah International has helped to fund the Trilogy system, the Medical Center still requires funding to complete the Radiotherapy project.

 
 
 
 
 
 

News from our Units
International Philanthropist and Entrepreneur Honored with Hadassah International's Highest Award
International Philanthropist and Entrepreneur Regine Sixt, esteemed member of the Hadassah Germany Board of Governors, was presented with Hadassah International's prestigious 2009 Citizen of the World Award in December by Hadassah Germany President Prof. Dr. Med. Dr. H.c. Thomas Ruzicka (pictured to her left) and Director of Hadassah Germany and Europe Gady Gronich.
With Mrs. Sixt for this important
occasion were her two sons, Alexander
and Konstantin, standing to the left of
Hadassah Germany President
Prof. Dr. Med. Dr. H.c. Thomas Ruzicka.
 
Mrs. Sixt is the co-owner of the Sixt Group, the largest international car leasing and rental company, and founder of the Regine Sixt Children's Aid Association. She has spearheaded several avenues of fundraising for pediatrics at the Hadassah Medical Center, as well as supporting projects to help disadvantaged children around the world. 
 
For more information, contact Hadassah Germany at info@hadassah.de.
 
 
 
 
 
 
 
 
 
 
 
 

Hadassah New Zealand Scholarship Winner Reports Meaningful Clinical Experience at Hadassah Hospital
Dr. Ben Sedley, touring the Charlotte R. Bloomberg
Mother and Child Center with Hadassah Guide
Annette Magnus.
Clinical Psychologist
Ben Sedley, Hadassah New Zealand Valda Knight Memorial Scholarship recipient for 2009, returned from his clinical experience at the Hadassah Medical Center "impressed by the clear procedures put into place following a traumatic event, whether a terrorist attack or motor vehicle accident." He also admired "the staff's ability to work effectively with children and young people from so many different ethnicities and backgrounds." 
 

The teams he encountered, Dr. Sedley relates, "were able to offer therapy in Hebrew, Arabic, Russian, French, and English.  The inpatient unit ran therapy groups comprised of Jews and Arabs, ultra-Orthodox and secular Jews, and immigrants from all around the world."

 

Dr. Sedley, Senior Clinical Psychologist at Wellington's Capital and Coast District Health Board Child and Adolescent Mental Health Service, met with Dr. Esti Galili, head of the Jerusalem Crisis Intervention Center; Dr. Chani Dietscher, Clinical Psychologist in the Hadassah Adolescent Inpatient Unit; and Dr. Fortunato Ben-Harosh, Director, Orion Post-Trauma Center for Children. He also visited the Neve Michael Youth Village and met with the manager for Someone to Run With, a drop-in center for homeless young adults.

 

"I really enjoyed talking to the staff about how they are able to develop empathy with people from wildly different political views," he relates, "--for example, a Jewish staff member and a Palestinian patient the day after a bus bombing, or a Palestinian psychiatrist working with Israeli families the day after being harassed by soldiers at a border crossing. None of the staff I spoke to found it difficult to separate people and politics. As Dr. Ben-Harosh said, all politics are left at the door and all clients are just people experiencing difficulties."

Dr. Ben Sedley, viewing the patient and family lounge
overlooking the Jerusalem Hills in the Dyna and Fala
Weinstock Department of Pediatric Hemato-Oncology.

Established in memory of Valda Knight, president of Hadassah New Zealand from 1996 until her death in 2007, the scholarship provides New Zealand health sector workers with an opportunity for professional development and comparative study at Hadassah. It is funded by the Knight Family Trust. Dr. Sedley, who holds a Ph.D. in children and "young people's understanding of mental illness," works primarily with adolescents experiencing difficulties with depression, anxiety or family issues.

 

He reports that he admired the flexibility Hadassah illustrates in meeting the therapeutic needs of each patient beyond dealing with the trauma incident. Hadassah has an effective screening process, he notes, which identifies those young people who are more likely to develop post-traumatic stress symptoms. Its health professionals ensure that the families are aware of what type of symptoms to watch for and who to contact if they see them materializing.

 

Dr. Sedley worked in London in 2008 at the West London National Health Service as part of the Cognitive Behavioural Therapy Team, offering his services to adults who were depressed or anxious as a result of trauma. He also worked in Jerusalem as a youth counselor.

 

When asked what he would like others to know about the Hadassah Medical Center, Dr. Sedley said:

"The Hadassah Medical Center is a world-class institution with state-of-the-art medical and psychological services. Its wards and facilities are designed to be able to withstand terror attacks and cope after horrific tragedies, yet at the same time, it is a friendly environment designed to make a patient's hospital visit as pleasant as possible."
 
For more information, contact Hadassah New Zealand at info@hadassah.co.nz.

Young Hadassah International
Young Hadassah International Star: Joost van Raalte
In between finishing medical school and applying for residency, Joost Van Raalte, Chair of Young Hadassah Holland, makes it his priority to carve out time to lead a generation of enthusiastic young volunteers in their efforts to support the Hadassah Medical Center  
 
Joost joined Young Hadassah International in 2008 at the age of 25, after a stint at Hadassah Hospital-Ein Kerem. A medical student, Joost interned in the orthopedic trauma surgery department, where he was entrenched in the fabric of the hospital. He quickly became captivated with the diversity and compassion of the hospital staff and visitors, as well as the universal treatment provided, regardless of ethnicity. He describes his experience at Hadassah "as the time of his life."

 

Upon his return to Amsterdam, Joost sought out Gennie Freene, then chair of Young Hadassah Holland. It was not long before Joost joined the board and ascended to the role of Chair. Joost is determined to augment Holland's focus on Israel while building a unique niche for Young Hadassah International. Joost strives to make Young Hadassah International the hip organization, where young people come to have a good time while supporting medicine and peace-building. "I love the fact that young people all over the world are fundraising for the same great cause, the Hadassah Medical Organization," he says.

 

Young Hadassah Holland remains one of the most successful of the Young Hadassah International units, raising tens of thousands of euros for the Hadassah Medical Center each year. Joost contends that the key to success has been to remain active, appealing, and visible, by holding at least three to four widely publicized events each year.

 

"We are fortunate to have people like Joost representing Young Hadassah International. His enthusiasm and drive are invaluable and have made Holland an effective fundraising unit, having already raised close to $15,000 this year," said Liz Bazini, Chair of Young Hadassah International.  

 

Indeed, Joost is busy organizing multiple events, all the while expanding YH Holland's board and strengthening its internal organization. As Joost says, "I want to show people that "Hadassah is for everyone--Muslims, Palestinians, and Jews."


Young Hadassah Volunteer, Dr. Romina Libster, Crosses the Globe to Study H1N1's Impact on Children
Young Hadassah International Volunteer and Immediate Past Chair of YHI Argentina, Dr. Romina Libster, witnessed the benefits of globally sharing her home country's experience with the H1N1 virulent 2009 flu virus, while working in the Vanderbilt Vaccine Research Program at Vanderbilt University in Nashville.
 
Since October 2009, Romina has been working with Dr. Kathryn Edwards in Vanderbilt University's Vaccine Research Program to uncover some of the mystery surrounding the fatal H1N1 virus. Dr. Fernando Polack, an associate professor of Pediatrics at Vanderbilt, had been conducting research in Argentina during the height of the outbreak there, when he and Libster saw a significant influx of children to their clinic with fatal viral symptoms. "We had been noticing many more ill children in our clinic earlier as well," Romina told a Vanderbilt reporter, "but H1N1 had not yet been identified. Dr. Polack, realizing it was H1N1, called us to his house and said, 'This is it.' We knew we needed to learn everything we could from this virus right away."

Observing the progression of H1N1 in the Southern Hemisphere prior to the peak outbreak in the Northern Hemisphere, allowed Polack and Libster to gather information about the virus, in hopes that scientists could avoid a pandemic. Pollack found that children were ten times more at risk to become seriously or fatally ill when contracting the H1N1 virus. Furthermore, he discovered specific underlying conditions that made children more vulnerable, such as chronic lung diseases like asthma or bronchopulmonary dysplasia (BPD) and neurologic diseases.

Their findings, which subsequently have been confirmed elsewhere, appear in the December 23 issue of the New England Journal of Medicine, in an article entitled "Pediatric Hospitalizations Associated with H1N1 Influenza in Argentina."
 
To read an article by Romina, click here.

Hadassah International Medical Relief Association, Ltd.
Hadassah International Medical Relief Association, Ltd.

Hadassah International unites people of all faiths and nationalities in their mission to improve lives around the globe through support of pioneering medical research, teaching, and healing at the Hadassah Medical Organization in Jerusalem.

 

Transcending politics, religion, and geographical boundaries to enhance world health, the Hadassah MedicalCenter was nominated for a Nobel Peace Prize.



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