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Introduction: On June 19, 2025, a high-powered ballistic missile directly struck an inpatient building at Soroka University Medical Center. Despite the successful evacuation of most patients earlier and the absence of fatalities, the blast caused significant damage to the hospital infrastructure and left dozens of healthcare workers emotionally affected. In response, Soroka's Resilience Unit activated its pre-established organizational model, developed over years of routine preparation for secondary trauma. The model includes proactive identification of distress, early psychological support, structured follow-up, leadership training, and collective coping interventions. Within the first 72 hours after the event, over 1,700 staff members were contacted directly, and 244 reported emotional distress-receiving immediate support. The event served as a real-time test of an integrated, trauma-informed system designed not only for crisis but for long-term organizational health. It highlighted the importance of proactive preparedness, leadership involvement, and maintaining a culture that legitimizes vulnerability and supports mental well-being across all levels of hospital staff. This case study suggests that resilience is not an individual trait alone, but an organizational outcome that must be actively cultivated over time.

Introduction: Measles (Rubeola) is one of the most contagious infeactious diseases, and throughout history it has caused enormous morbidity and mortality worldwide. Despite the success of vaccination in significantly reducing illness rates, the past decade has seen a troubling rise in outbreaks and an increased risk that certain developed countries - including Israel - may once again become endemic areas for the disease. This article reviews measles, the vaccine against it, and the re-emergence of the disease in Israel and the world in general in the previous decade. We discuss methods to prevent future outbreaks, and how to preserve measles elimination status in Israel.

Introduction: Nasal polyposis is a chronic inflammatory disorder of the mucosa characterized by the development of benign inflammatory growths within the nasal and sinus cavities. It is usually associated with chronic rhinosinusitis (CRS) but is also observed in aspirin-exacerbated respiratory disease, vasculitis, and cystic fibrosis. Its pathogenesis is believed to arise from a complex interaction of genetic predisposition, immune dysregulation, and environmental factors. It can present with nasal obstruction, anosmia, rhinorrhea and facial pain, thus reducing the quality of life of affected patients. Diagnosis is based on careful history and physical exam, including anterior rhinoscopy or endoscopic examination. Imaging studies help assess the disease's extent and aid in surgical planning. Treatment strategies may range from medical management with corticosteroids and targeted biologics to surgical intervention in severe or refractory disease cases. The role of surgery is to remove the anatomic obstruction in order to enhance the effect of topical intranasal steroids on the affected sinonasal mucosa postoperatively.

Introduction: Two patients, aged 72 years and 36 years, who underwent neurosurgical intervention using hemostatic materials intraoperatively, presented with clinical deterioration. Imaging demonstrated in both case collections were suspicious for abscess. In light of the clinical presentation and imaging findings, the patients underwent urgent repeat interventions in which sterile collections were found with surrounding brain edema, and in one case, the formation of granulomatous tissue at the surgical site. No macroscopic or laboratory evidence of an infectious process was found in either of the cases.

Introduction: The low-intensity treatment of acute myeloid leukemia (AML) with Venetoclax has led to a breakthrough in patients who cannot receive intensive chemotherapy. The combination of this drug with the hypomethylating agent (HMA) has yielded good results and low toxicity, but there is still a risk of side effects, including pancytopenia and the development of tumor lysis syndrome (TLS). This case report describes a patient with secondary AML that had transformed from chronic myelomonocytic leukemia (CMML) after the patient started initial treatment with these drugs, and developed a severe TLS syndrome, including the need for dialysis. However, the treatment was stopped after only one day and repeated tests found that the patient was in complete and prolonged remission from AML. This is a unique case of severe clinical TLS in a patient under this treatment regimen. Moreover, a prolonged and profound response after only a single day of partial treatment, as in this case, is unique and to the best of our knowledge there are no similar reports in the literature.

Introduction: Health workers in the various fields of medicine such as physicians, nurses, physiotherapists and occupational therapists are exposed daily to difficult moral and ethical situations. The ten commandments preceded their time by establishing and setting guidelines to these daily dilemmas. Teaching these basic rules and their implementation in the daily practice, should already be initiated at the start of the medical education. They are important basic addendum to the armamentarium of knowledge and skills of the medical students. The aim of this manuscript is to review these commandments in lieu of current medical activities, and discuss their application in various medical fields.

Introduction: "Healthcare Innovation" evolved as a key conceptual and practical paradigm to promote science and medicine, clinical excellence, added value and significant global impact. Enthusiasm and curiosity regarding innovation are increasing in order to gain clinical benefit, while barriers to implementation decrease. Moreover, we are challenged to encourage education for innovation in daily practice and research.

Objectives: "Round table" discussions were conducted to estimate professionals' engagement, deliberating the potential benefits versus applicability efforts, and the willingness to invest in innovations in the most effective pathway.

Methods: Discussions involving hospital managers, directors of innovation centers, representatives of the IDF medical corps, the academia, industry, media, and physicians.

Results: Four issues emerged: 1) The borders of innovation in practice, 2) The medical education students, physicians and managers, 3) The role of initiators bridging socio- geographical gaps, 4) The requirements to establish a national ecosystem.

Conclusions: Discussing challenges and opportunities in healthcare innovation paves the way toward improved systemic processes on a national level, by creating value tailored to one or more of the players. A network of peers, engineers, data scientists and information specialists yields benefit. Bottom-up requirements and needs ("demand") are more important than the supply of theoretical innovative ideas, especially given the current era of instability and uncertainty of the Israeli healthcare system.

Introduction: The field of orthopedic trauma surgery is vital and comprises a vast number of orthopedic injuries. In recent years, there has been a surge in emergency department referrals and surgeries performed because of acute skeletal trauma. Rapid and high-quality treatment enables swift rehabilitation and lowers healthcare costs. Nonetheless, it is difficult to recruit new orthopedic trauma surgeons and provide them with a well-designed training program in line with world standards. Recently, we introduced the first Israeli orthopedic trauma center at Hadassah Medical Center. This center runs a novel fellowship program in orthopedic trauma. Each year, two residents are recruited to the program and receive high quality training. They perform a variety of orthopedic surgeries, take part in national and international courses, and are involved in the academic field as well. They continue their training in leading trauma centers around the world for a year or two years to further develop their skills. These doctors will return to hospitals across the country with practical knowledge, creating a new community of trauma surgeons and providing a top-notch national orthopedic trauma service.

Introduction: Predatory journals are illegitimate scientific publications, and their methods of handling manuscripts and publications deviate from accepted standards, often involving fraud and deception. Irregular practices include: lack of peer review, charging excessive publication fees, and various violations of copyright and academic ethics. This phenomenon severely damages the credibility and ethics of medical sciences. In this review, we describe this phenomenon and its scope, examine its characteristics and the dangers it poses, and present methods for identifying these journals and avoiding their use.

Introduction: Posterior sternoclavicular joint (SCJ) dislocation is a rare injury, usually caused by a direct blow to the medial chest wall. The SCJ is inherently unstable due to its bony components and most of its stability is derived from surrounding soft tissue. Among skeletally immature patients it is important to differentiate between true SCJ dislocation and fractures through the medial clavicle growth plate. There is a high anatomical proximity between the SCJ and mediastinal retrosternal structures, as the thoracic blood vessels, and traumatic posterior SCJ dislocation has the potential of harming these anatomical structures and creating significant symptoms and even life-threatening symptoms during injury or during treatment. Diagnosis of posterior SCJ dislocation can be challenging and necessitates focused physical examination and radiological work-up including X-rays and a CT scan. Treatment posterior SCJ dislocations includes prompt reduction of the joint, mostly open reduction of the joint and stabilization with internal fixation. Due to the risk of damage to the blood vessels in the chest, a thoracic surgeon should be involved in the surgical procedure. Open reduction and internal fixation of this injury is a safe and efficient treatment, with a low complication rate, that allows fast and full recovery of the injured limb and avoids long term symptoms and complications.