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Journal of Clinical Medicine, Volume 8, Issue 6

2019 June - 154 articles

Cover Story: Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to alleviate symptoms during community-acquired pneumonia (CAP), while neither clinical data nor guidelines encourage this use. The mechanisms by which NSAID use would entail a complicated course in pneumonia still remain uncertain. The temporal hypothesis and the immunological hypothesis are the two main emerging hypotheses. Current data strongly support an association between NSAID intake during the outpatient treatment of CAP and a complicated course. This should encourage experts and scientific societies to strongly advise against the use of NSAIDs in the management of lower respiratory tract infections. View this paper
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Articles (154)

  • Article
  • Open Access
23 Citations
5,047 Views
14 Pages

Loss of XBP1 Leads to Early-Onset Retinal Neurodegeneration in a Mouse Model of Type I Diabetes

  • Todd McLaughlin,
  • Manhal Siddiqi,
  • Joshua J. Wang and
  • Sarah X. Zhang

Retinal neuronal injury and degeneration is one of the primary manifestations of diabetic retinopathy, a leading cause of vision loss in working age adults. In pathological conditions, including diabetes and some physiological conditions such as agin...

(This article belongs to the Special Issue Diabetic Retinopathy: Biomolecules and Pathophysiology)
  • Article
  • Open Access
19 Citations
11,218 Views
18 Pages

Pregnant Women’s Risk Perception of the Teratogenic Effects of Alcohol Consumption in Pregnancy

  • Isabel Corrales-Gutierrez,
  • Ramon Mendoza,
  • Diego Gomez-Baya and
  • Fatima Leon-Larios

There is ample evidence of the teratogenic effects of prenatal alcohol exposure, with long-term consequences throughout the entire life cycle. Nevertheless, research on risk perception of alcohol consumption among pregnant women is scarce. In order t...

(This article belongs to the Special Issue Diagnosis, Treatment and Prevention of Fetal Diseases and Fetal Risk Factors for Non-Communicable Diseases)
  • Review
  • Open Access
59 Citations
28,198 Views
22 Pages

Hormonal Contraceptives, Female Sexual Dysfunction, and Managing Strategies: A Review

  • Nerea M. Casado-Espada,
  • Rubén de Alarcón,
  • Javier I. de la Iglesia-Larrad,
  • Berta Bote-Bonaechea and
  • Ángel L. Montejo

In recent decades, hormonal contraceptives (HC) has made a difference in the control of female fertility, taking an unequivocal role in improving contraceptive efficacy. Some side effects of hormonal treatments have been carefully studied. However, t...

(This article belongs to the Special Issue Novel Research in Sexuality and Mental Health)
  • Article
  • Open Access
38 Citations
6,333 Views
16 Pages

Facial Appearance and Psychosocial Features in Orthognathic Surgery: A FACE-Q- and 3D Facial Image-Based Comparative Study of Patient-, Clinician-, and Lay-Observer-Reported Outcomes

  • Rafael Denadai,
  • Pang-Yun Chou,
  • Yu-Ying Su,
  • Chi-Chin Lo and ,
  • Hsiu-Hsia Lin,
  • Cheng-Ting Ho and
  • Lun-Jou Lo
  • + 2 authors+ 0 author

Outcome measures reported by patients, clinicians, and lay-observers can help to tailor treatment plans to meet patients’ needs. This study evaluated orthognathic surgery (OGS) outcomes using pre- and post-OGS patients’ (n = 84) FACE-Q re...

(This article belongs to the Section Otolaryngology)
  • Article
  • Open Access
47 Citations
4,494 Views
8 Pages

Multidisciplinary Management of Neuroendocrine Neoplasia: A Real-World Experience from a Referral Center

  • Ludovica Magi,
  • Federica Mazzuca,
  • Maria Rinzivillo,
  • Giulia Arrivi and ,
  • Emanuela Pilozzi,
  • Daniela Prosperi,
  • Elsa Iannicelli,
  • Paolo Mercantini,
  • Michele Rossi and
  • Francesco Panzuto
  • + 10 authors+ 5 authors

Purpose: Multidisciplinary approach is widely advised for an effective care of patients with neuroendocrine neoplasia (NEN). Since data on efficacy of multidisciplinary management of NENs patients in referral centers are scanty, this study aimed at a...

(This article belongs to the Special Issue Advances in Diagnosis and Therapy of Neuroendocrine Neoplasms)
  • Article
  • Open Access
38 Citations
4,795 Views
16 Pages

Osteosarcoma is the most common type of bone cancer. Multimodality treatment involving chemotherapy, radiotherapy and surgery is not effective enough to control osteosarcoma. Regorafenib, the oral multi-kinase inhibitor, has been shown to have positi...

(This article belongs to the Section Clinical Laboratory Medicine)
  • Article
  • Open Access
25 Citations
5,017 Views
10 Pages

Dysfunctional Coping Mechanisms Contribute to Dry Eye Symptoms

  • Sneh Patel,
  • Elizabeth R Felix,
  • Roy C Levitt,
  • Constantine D. Sarantopoulos and
  • Anat Galor

Dysfunctional coping behaviors, such as catastrophizing, have been implicated in pain severity and chronicity across several pain disorders. However, the impact of dysfunctional coping has not been examined under the context of dry eye (DE). This stu...

(This article belongs to the Special Issue Dry Eye Syndrome: New Insights on Epidemiology and Management)
  • Review
  • Open Access
49 Citations
6,411 Views
10 Pages

Congenital Heart Defects in Monochorionic Twins: A Systematic Review and Meta-Analysis

  • Manon Gijtenbeek,
  • Maryam R. Shirzada,
  • Arend D. J. Ten Harkel,
  • Dick Oepkes and
  • Monique C. Haak

Monochorionic (MC) twins are at an increased risk of developing congenital heart defects (CHDs) compared to singletons and dichorionic twins. The development of acquired CHDs in this specific group of twins is associated with twin–twin transfus...

(This article belongs to the Special Issue Diagnosis, Treatment and Outcome in Complicated Monochorionic Twins)
  • Review
  • Open Access
22 Citations
6,986 Views
14 Pages

Alteration of Epigenetic Modifiers in Pancreatic Cancer and Its Clinical Implication

  • Yu-Hsuan Hung,
  • Ming-Chuan Hsu,
  • Li-Tzong Chen,
  • Wen-Chun Hung and
  • Mei-Ren Pan

The incidence of pancreatic cancer has considerably increased in the past decade. Pancreatic cancer has the worst prognosis among the cancers of the digestive tract because the pancreas is located in the posterior abdominal cavity, and most patients...

(This article belongs to the Special Issue Current Standards and New Innovative Approaches for Treatment of Pancreatic Cancer)
  • Article
  • Open Access
19 Citations
5,481 Views
13 Pages

Shared Decision-Making in Chronic Patients with Polypharmacy: An Interventional Study for Assessing Medication Appropriateness

  • Valle Coronado-Vázquez,
  • Juan Gómez-Salgado,
  • Javier Cerezo-Espinosa de los Monteros,
  • Diego Ayuso-Murillo and
  • Carlos Ruiz-Frutos

Potentially inappropriate medications are associated with polypharmacy and polypathology. Some interventions such as pharmacotherapy reviews have been designed to reduce the prescribing of inappropriate medications. The objective of this study is to...

(This article belongs to the Special Issue The Future of Artificial Intelligence in Clinical Medicine)
  • Article
  • Open Access
69 Citations
6,187 Views
28 Pages

Few studies have investigated the real-life outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRP) for chronic pain. This study has four aims: investigate effect sizes (ES); analyse correlation patterns of outcome changes; defi...

(This article belongs to the Special Issue Rehabilitation for Persistent Pain Across the Lifespan)
  • Article
  • Open Access
38 Citations
8,879 Views
15 Pages

Asymmetric Dimethylarginine (ADMA) and Symmetric Dimethylarginine (SDMA) Concentrations in Patients with Obesity and the Risk of Obstructive Sleep Apnea (OSA)

  • Yana Arlouskaya,
  • Ada Sawicka,
  • Marek Głowala,
  • Joanna Giebułtowicz and ,
  • Natalia Korytowska,
  • Marek Tałałaj,
  • Grażyna Nowicka and
  • Małgorzata Wrzosek
  • + 3 authors+ 0 author

Asymmetric dimethylarginine (ADMA) and symmetric dimethylarginine (SDMA) are endogenous inhibitors of nitric oxide (NO) synthesis, and play a critical role in the process of endothelial dysfunction, and are considered markers of oxidative stress. The...

(This article belongs to the Section Endocrinology & Metabolism)
  • Article
  • Open Access
7 Citations
3,679 Views
14 Pages

High N-Terminal proB-Type Natriuretic Peptide Indicates Elevated Risk of Death after Percutaneous Coronary Intervention Compared to Coronary Artery Bypass Surgery in Patients with Left Ventricular Dysfunction

  • Christian Roth,
  • Matthias Schneider,
  • Daniel Dalos,
  • Clemens Gangl and ,
  • Christian Toth,
  • Georg Goliasch and
  • Rudolf Berger
  • + 2 authors+ 0 author

Background: Reduced left ventricular function (LVF) is a predictor for stent-thrombosis. In advanced heart failure (characterized by high NT-proBNP) with an activated coagulation system, coronary events clinically perceived as sudden death or death f...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
22 Citations
5,146 Views
11 Pages

Pulmonary Embolism and Coexisting Deep Vein Thrombosis: A Detrimental Association?

  • Elena-Mihaela Cordeanu,
  • Hélène Lambach,
  • Marie Heitz,
  • Julie Di Cesare and ,
  • Corina Mirea,
  • Alix-Marie Faller,
  • Anne-Cécile Cavaro,
  • Anne-Sophie Frantz,
  • Sebastien Gaertner and
  • Dominique Stephan
  • + 6 authors+ 1 author

Background: The prognostic significance of coexisting deep vein thrombosis (DVT) in acute pulmonary embolism (PE) is controversial. This study aimed to provide routine patient care data on the impact of this association on PE severity and 3-month out...

(This article belongs to the Section Vascular Medicine)
  • Article
  • Open Access
20 Citations
5,409 Views
16 Pages

Stabilizing Techniques and Guided Imagery for Traumatized Male Refugees in a German State Registration and Reception Center: A Qualitative Study on a Psychotherapeutic Group Intervention

  • Catharina Zehetmair,
  • Inga Tegeler,
  • Claudia Kaufmann,
  • Anne Klippel and ,
  • Luise Reddemann,
  • Florian Junne,
  • Sabine C. Herpertz,
  • Hans-Christoph Friederich and
  • Christoph Nikendei
  • + 4 authors+ 0 author

Refugees have an increased risk of developing mental health problems. Due to the unstable setting in refugee state registration and reception centers, recommended trauma-focused treatment approaches are often not applicable. For this purpose, we devi...

(This article belongs to the Section Mental Health)
  • Article
  • Open Access
22 Citations
5,013 Views
10 Pages

25-Hydroxy Vitamin D Detection Using Different Analytic Methods in Patients with Migraine

  • Luca Gallelli,
  • Andzelika Michniewicz,
  • Erika Cione,
  • Aida Squillace and ,
  • Manuela Colosimo,
  • Corrado Pelaia,
  • Alessia Fazio,
  • Stefania Zampogna,
  • Francesco Peltrone and
  • Giulio Di Mizio
  • + 9 authors+ 4 authors

Objectives: The aim of this study was to evaluate the performance of different analytic methods, such as liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS), high-performance liquid chromatography-ultraviolet (HPLC-UV), enzyme-link...

(This article belongs to the Special Issue The Hypothalamic Neuropeptides' Role in Metabolic Diseases and Immunoregulation)
  • Article
  • Open Access
20 Citations
4,323 Views
15 Pages

Early Local Inhibition of Club Cell Protein 16 Following Chest Trauma Reduces Late Sepsis-Induced Acute Lung Injury

  • Philipp Störmann,
  • Nils Becker,
  • Jan Tilmann Vollrath,
  • Kernt Köhler and ,
  • Andrea Janicova,
  • Sebastian Wutzler,
  • Frank Hildebrand,
  • Ingo Marzi and
  • Borna Relja
  • + 4 authors+ 0 author

Blunt thoracic trauma (TxT) deteriorates clinical post-injury outcomes. Ongoing inflammatory changes promote the development of post-traumatic complications, frequently causing Acute Lung Injury (ALI). Club Cell Protein (CC)16, a pulmonary anti-infla...

(This article belongs to the Special Issue Acute Respiratory Distress Syndrome (ARDS): Pathophysiological Insights and Lung Imaging)
  • Review
  • Open Access
32 Citations
7,668 Views
17 Pages

Non-Invasive Biomarkers for Celiac Disease

  • Alka Singh,
  • Atreyi Pramanik,
  • Pragyan Acharya and
  • Govind K. Makharia

Once thought to be uncommon, celiac disease has now become a common disease globally. While avoidance of the gluten-containing diet is the only effective treatment so far, many new targets are being explored for the development of new drugs for its t...

(This article belongs to the Special Issue Diagnosis and Treatment of Small Bowel Disorders)
  • Article
  • Open Access
21 Citations
6,760 Views
13 Pages

We recently reported the results of a randomized, parallel-group, observer-masked, community-based clinical trial of 132 cognitively normal individuals aged 20–67 with below median aerobic capacity who were randomly assigned to one of two 6-mon...

(This article belongs to the Special Issue The Effects of Exercise on Cognitive Function)
  • Article
  • Open Access
14 Citations
4,488 Views
8 Pages

Adiponectin, an anti-inflammatory and anti-atherogenic protein, affects glucose metabolism. High serum adiponectin levels are associated with decreased diabetes mellitus (DM) risks. Aortic arterial stiffness (AS) is associated with cardiovascular dis...

(This article belongs to the Special Issue Pathogenetic and Therapeutic Significance of Adipokines in Diabetes)
  • Article
  • Open Access
28 Citations
5,566 Views
12 Pages

Prediction of Titanium Implant Success by Analysis of microRNA Expression in Peri-Implant Tissue. A 5-Year Follow-Up Study

  • Maria Menini,
  • Paolo Pesce,
  • Domenico Baldi,
  • Gabriela Coronel Vargas and ,
  • Paolo Pera and
  • Alberto Izzotti
  • + 1 author+ 0 author

The aim of the present study is to evaluate the expression of microRNA (miRNA) in peri-implant soft tissue and to correlate epigenetic information with the clinical outcomes of the implants up to the five-year follow-up. Seven patients have been reha...

(This article belongs to the Special Issue Osseointegrated Oral implants: Mechanisms of Implant Anchorage, Threats and Long-Term Survival Rates)
  • Article
  • Open Access
44 Citations
5,946 Views
20 Pages

Analgesic and Antidepressant Effects of Oltipraz on Neuropathic Pain in Mice by Modulating Microglial Activation

  • Andrés Felipe Díaz,
  • Sara Polo,
  • Núria Gallardo,
  • Sergi Leánez and
  • Olga Pol

Nerve injury provokes microglial activation, contributing to the sensory and emotional disorders associated with neuropathic pain that do not completely resolve with treatment. In C57BL/6J mice with neuropathic pain induced by chronic constriction of...

(This article belongs to the Special Issue Glial Cells in Central Nervous System (CNS) Pathology and Repair)
  • Article
  • Open Access
25 Citations
6,244 Views
16 Pages

Saliva and Serum Immune Responses in Apical Periodontitis

  • Milla Pietiäinen,
  • John M. Liljestrand,
  • Ramin Akhi,
  • Kåre Buhlin and ,
  • Anders Johansson,
  • Susanna Paju,
  • Aino Salminen,
  • Päivi Mäntylä,
  • Juha Sinisalo and
  • Pirkko J. Pussinen
  • + 7 authors+ 2 authors

Apical periodontitis is an inflammatory reaction at the apex of an infected tooth. Its microbiota resembles that of marginal periodontitis and may induce local and systemic antibodies binding to bacteria- and host-derived epitopes. Our aim was to inv...

(This article belongs to the Special Issue Periodontitis: From Dysbiotic Microbial Immune Response to Systemic Inflammation)
  • Article
  • Open Access
55 Citations
6,074 Views
19 Pages

Fully Automated Support System for Diagnosis of Breast Cancer in Contrast-Enhanced Spectral Mammography Images

  • Annarita Fanizzi,
  • Liliana Losurdo,
  • Teresa Maria A. Basile,
  • Roberto Bellotti and ,
  • Ubaldo Bottigli,
  • Pasquale Delogu,
  • Domenico Diacono,
  • Vittorio Didonna,
  • Alfonso Fausto and
  • Daniele La Forgia
  • + 9 authors+ 4 authors

Contrast-Enhanced Spectral Mammography (CESM) is a novelty instrumentation for diagnosing of breast cancer, but it can still be considered operator dependent. In this paper, we proposed a fully automatic system as a diagnostic support tool for the cl...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
10 Citations
3,222 Views
7 Pages

Macular diseases cause vision loss, as the macula is the functional center for vision. In this study we assessed optical quality in eyes with macular diseases and evaluated the effectiveness of the Optical Quality Analysis System (OQAS) to detect mac...

(This article belongs to the Special Issue Application of Retinal and Optic Nerve Imaging in Clinical Medicine)
  • Article
  • Open Access
42 Citations
8,065 Views
24 Pages

Interrogation of Phenotypic Plasticity between Epithelial and Mesenchymal States in Breast Cancer

  • Sugandha Bhatia,
  • James Monkman,
  • Tony Blick,
  • Cletus Pinto and ,
  • Mark Waltham,
  • Shivashankar H Nagaraj and
  • Erik W Thompson
  • + 2 authors+ 0 author

Dynamic interconversions between transitional epithelial and mesenchymal states underpin the epithelial mesenchymal plasticity (EMP) seen in some carcinoma cell systems. We have delineated epithelial and mesenchymal subpopulations existing within the...

(This article belongs to the Special Issue Epithelial-Mesenchymal Plasticity in Cancer Metastasis: Molecular Reprogramming, Cellular Adaptation, and Clinical Implications)
  • Article
  • Open Access
16 Citations
4,688 Views
15 Pages

Very Low-Density Lipoproteins of Metabolic Syndrome Modulates STIM1, Suppresses Store-Operated Calcium Entry, and Deranges Myofilament Proteins in Atrial Myocytes

  • Yi-Lin Shiou,
  • Hsin-Ting Lin,
  • Liang-Yin Ke,
  • Bin-Nan Wu and ,
  • Shyi-Jang Shin,
  • Chu-Huang Chen,
  • Wei-Chung Tsai,
  • Chih-Sheng Chu and
  • Hsiang-Chun Lee
  • + 4 authors+ 0 author

Individuals with metabolic syndrome (MetS) are at high risk for atrial myopathy and atrial fibrillation. Very low-density lipoproteins (VLDLs) of MetS (MetS-VLDLs) are cytotoxic to atrial myocytes in vivo and in vitro. The calcineurin–nuclear f...

(This article belongs to the Special Issue Novel Biomarkers for Heart Disease)
  • Article
  • Open Access
10 Citations
4,661 Views
8 Pages

The SAMe-TT2R2 Score Predicts Warfarin Control in an Australian Population with Atrial Fibrillation

  • Nijole Bernaitis,
  • Gemma Clark,
  • Sarah Kohja,
  • Stephanie Leong and
  • Shailendra Anoopkumar-Dukie

Background: Warfarin requires regular monitoring with the time in therapeutic range (TTR), a common indicator of control and TTR > 70% is indicative of efficient anticoagulation. The SAMe-TT2R2 (sex, age, medical history, treatment, tobacco use, r...

(This article belongs to the Special Issue Warfarin Versus the Non-vitamin K Oral Anticoagulants (NOACs) in Clinical Practice)
  • Article
  • Open Access
25 Citations
5,401 Views
10 Pages

The Effect of Donors’ Demographic Characteristics in Renal Function Post-Living Kidney Donation. Analysis of a UK Single Centre Cohort

  • Maria Irene Bellini,
  • Sotiris Charalampidis,
  • Ioannis Stratigos,
  • Frank J.M.F. Dor and
  • Vassilios Papalois

Introduction: There is a great need to increase the organ donor pool, particularly for living donors. This study analyses the difference in post-living donation kidney function according to pre-donation characteristics of age, genetic relationship wi...

(This article belongs to the Special Issue Recent Advances and Clinical Outcomes of Kidney Transplantation)
  • Review
  • Open Access
15 Citations
7,917 Views
17 Pages

Clinical Approach to the Patient in Critical State Following Immunotherapy and/or Stem Cell Transplantation: Guideline for the On-Call Physician

  • Catalin Constantinescu,
  • Constantin Bodolea,
  • Sergiu Pasca,
  • Patric Teodorescu and ,
  • Delia Dima,
  • Ioana Rus,
  • Tiberiu Tat,
  • Patriciu Achimas-Cadariu,
  • Alina Tanase and
  • Hermann Einsele
  • + 6 authors+ 1 author

The initial management of the hematology patient in a critical state is crucial and poses a great challenge both for the hematologist and the intensive care unit (ICU) physician. After years of clinical practice, there is still a delay in the proper...

(This article belongs to the Section Hematology)
  • Article
  • Open Access
9 Citations
4,028 Views
11 Pages

Peroral Cholangioscopy-Guided Forceps Biopsy and Endoscopic Scraper for the Diagnosis of Indeterminate Extrahepatic Biliary Stricture

  • Masayuki Kato,
  • Takumi Onoyama,
  • Yohei Takeda,
  • Soichiro Kawata and ,
  • Hiroki Kurumi,
  • Hiroki Koda,
  • Taro Yamashita,
  • Wataru Hamamoto,
  • Yuri Sakamoto and
  • Hajime Isomoto
  • + 6 authors+ 1 author

Background: Peroral cholangioscopy (POCS) has become a widely-used technique in diagnosing indeterminate biliary strictures, enabling optical viewing of the biliary system and targeted biopsies under direct vision. The diagnostic utility of the new e...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Article
  • Open Access
47 Citations
6,720 Views
22 Pages

1H Nuclear Magnetic Resonance (NMR)-Based Cerebrospinal Fluid and Plasma Metabolomic Analysis in Type 2 Diabetic Patients and Risk Prediction for Diabetic Microangiopathy

  • Huan-Tang Lin,
  • Mei-Ling Cheng,
  • Chi-Jen Lo,
  • Gigin Lin and ,
  • Shu-Fu Lin,
  • Jiun-Ting Yeh,
  • Hung-Yao Ho,
  • Jr-Rung Lin and
  • Fu-Chao Liu
  • + 4 authors+ 0 author

Insulin resistance and metabolic derangement are present in patients with type 2 diabetes mellitus (T2DM). However, the metabolomic signature of T2DM in cerebrospinal fluid (CSF) has not been investigated thus far. In this prospective metabolomic stu...

(This article belongs to the Special Issue Type 2 Diabetes: Update on Pathophysiology and Treatment)
  • Article
  • Open Access
16 Citations
6,348 Views
18 Pages

Comparison of Oncologic Outcomes in Laparoscopic versus Open Surgery for Non-Metastatic Colorectal Cancer: Personal Experience in a Single Institution

  • Chong-Chi Chiu,
  • Wen-Li Lin,
  • Hon-Yi Shi,
  • Chien-Cheng Huang and ,
  • Jyh-Jou Chen,
  • Shih-Bin Su,
  • Chih-Cheng Lai,
  • Chien-Ming Chao,
  • Chao-Jung Tsao and
  • Jhi-Joung Wang
  • + 6 authors+ 1 author

The oncologic merits of the laparoscopic technique for colorectal cancer surgery remain debatable. Eligible patients with non-metastatic colorectal cancer who were scheduled for an elective resection by one surgeon in a medical institution were rando...

(This article belongs to the Special Issue Clinical Medicine for Healthcare and Sustainability)
  • Article
  • Open Access
24 Citations
4,741 Views
17 Pages

Effects of a Lifestyle Intervention in Routine Care on Short- and Long-Term Maternal Weight Retention and Breastfeeding Behavior—12 Months Follow-up of the Cluster-Randomized GeliS Trial

  • Julia Hoffmann,
  • Julia Günther,
  • Lynne Stecher,
  • Monika Spies and ,
  • Dorothy Meyer,
  • Julia Kunath,
  • Roxana Raab,
  • Kathrin Rauh and
  • Hans Hauner
  • + 4 authors+ 0 author

Postpartum weight retention (PPWR) is associated with an increased risk for maternal obesity and is discussed to be influenced by breastfeeding. The objective was to evaluate the effect of a lifestyle intervention delivered three times during pregnan...

(This article belongs to the Special Issue Health in Preconception Pregnancy and Postpartum)
  • Article
  • Open Access
8 Citations
3,840 Views
11 Pages

Circulating Concentrations of GDF11 are Positively Associated with TSH Levels in Humans

  • Juan Añón-Hidalgo,
  • Victoria Catalán,
  • Amaia Rodríguez,
  • Beatriz Ramírez and ,
  • Adrián Idoate-Bayón,
  • Camilo Silva,
  • Carmen Mugueta,
  • Juan C. Galofré,
  • Javier Salvador and
  • Javier Gómez-Ambrosi
  • + 6 authors+ 1 author

Growth differentiation factor 11 (GDF11) is a member of the transforming growth factor (TGF)-β superfamily which declines with age and has been proposed as an anti-aging factor with regenerative effects in skeletal muscle in mice. However, recen...

(This article belongs to the Section Endocrinology & Metabolism)
  • Article
  • Open Access
26 Citations
5,073 Views
16 Pages

Feasibility, Tolerability and Efficacy of Carfilzomib in Combination with Lenalidomide and Dexamethasone in Relapsed Refractory Myeloma Patients: A Retrospective Real-Life Survey of the Sicilian Myeloma Network

  • Concetta Conticello,
  • Alessandra Romano,
  • Vittorio Del Fabro,
  • Enrica Antonia Martino and ,
  • Valeria Calafiore,
  • Giuseppe Sapienza,
  • Valerio Leotta,
  • Marina Silvia Parisi,
  • Uros Markovic and
  • Francesco Di Raimondo
  • + 23 authors+ 18 authors

Background: The ASPIRE (NCT01080391) phase 3 trial showed the efficacy of carfilzomib, lenalidomide and dexamethasone (KRd) triplet for relapse and refractory multiple myeloma (RRMM). However, little is known about safety and efficacy of KRd outside...

(This article belongs to the Section Hematology)
  • Article
  • Open Access
7 Citations
3,406 Views
12 Pages

Haemotherapy with Fibrinogen for Perioperative Bleeding Prevention—A View on Arterial Thrombogenesis and Myocardial Infarction in the Rat In Vivo

  • André Heinen,
  • Vera Welke,
  • Friederike Behmenburg,
  • Martin Stroethoff and ,
  • Volker Stoldt,
  • Till Hoffmann,
  • Markus W. Hollmann and
  • Ragnar Huhn
  • + 3 authors+ 0 author

Major blood loss during cardiac surgery is associated with increased morbidity and mortality. Clinical pilot studies indicated that preoperative fibrinogen supplementation reduces postoperative blood loss without increasing thrombotic complications....

(This article belongs to the Section Anesthesiology)
  • Article
  • Open Access
19 Citations
3,638 Views
24 Pages

Distinct Chemokine Dynamics in Early Postoperative Period after Open and Robotic Colorectal Surgery

  • Malgorzata Krzystek-Korpacka,
  • Marek Zawadzki,
  • Paulina Lewandowska,
  • Krzysztof Szufnarowski and ,
  • Iwona Bednarz-Misa,
  • Krzysztof Jacyna,
  • Wojciech Witkiewicz and
  • Andrzej Gamian
  • + 3 authors+ 0 author

Stress response to robot-assisted colorectal surgery is largely unknown. Therefore, we conducted a prospective comparative nonrandomized study evaluating the perioperative dynamics of chemokines: IL-8/CXCL8, MCP-1/CCL2, MIP-1α/CCL3, MIP-1β...

(This article belongs to the Special Issue Robotic Surgery)
  • Article
  • Open Access
33 Citations
5,841 Views
11 Pages

Antiarrhythmic Effect of Sacubitril-Valsartan: Cause or Consequence of Clinical Improvement?

  • António Valentim Gonçalves,
  • Tiago Pereira-da-Silva,
  • Ana Galrinho,
  • Pedro Rio and ,
  • Luísa Moura Branco,
  • Rui Soares,
  • Joana Feliciano,
  • Rita Ilhão Moreira and
  • Rui Cruz Ferreira
  • + 4 authors+ 0 author

Sacubitril/Valsartan (LCZ696) reduced sudden cardiac death in the PARADIGM-HF trial. However, the mechanism by which LCZ696 reduces ventricular arrhythmias remains unclear. The aim of this study was to compare electrocardiographic (ECG) parameters an...

(This article belongs to the Special Issue Acute and Chronic Heart Failure)
  • Article
  • Open Access
21 Citations
3,760 Views
17 Pages

Role of Low Ankle–Brachial Index in Cardiovascular and Mortality Risk Compared with Major Risk Conditions

  • Lia Alves-Cabratosa,
  • Maria Garcia-Gil,
  • Marc Comas-Cufí,
  • Jordi Blanch and ,
  • Anna Ponjoan,
  • Ruth Martí-Lluch,
  • Marc Elosua-Bayes,
  • Dídac Parramon,
  • Lourdes Camós and
  • Rafel Ramos
  • + 5 authors+ 0 author

Cardiovascular prevention is of particular interest in persons with asymptomatic peripheral arterial disease. We aimed to quantify its association with mortality and cardiovascular outcomes, compared to other indicators of high risk. We performed a r...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
15 Citations
4,604 Views
17 Pages

Using a meta-analysis, meta-regression, and a meta-epidemiological approach, we conducted a systematic review to examine the influence of interdisciplinary multimodal pain therapy (IMPT) dosage on pain, disability, return to work, quality of life, de...

(This article belongs to the Special Issue Rehabilitation for Persistent Pain Across the Lifespan)
  • Article
  • Open Access
79 Citations
8,086 Views
15 Pages

Supervised Machine Learning Based Multi-Task Artificial Intelligence Classification of Retinopathies

  • Minhaj Alam,
  • David Le,
  • Jennifer I. Lim,
  • Robison V.P. Chan and
  • Xincheng Yao

Artificial intelligence (AI) classification holds promise as a novel and affordable screening tool for clinical management of ocular diseases. Rural and underserved areas, which suffer from lack of access to experienced ophthalmologists may particula...

(This article belongs to the Special Issue The Future of Artificial Intelligence in Clinical Medicine)
  • Article
  • Open Access
5 Citations
3,994 Views
14 Pages

Response-Related Factors of Bone Marrow-Derived Mesenchymal Stem Cells Transplantation in Patients with Alcoholic Cirrhosis

  • Haripriya Gupta,
  • Gi Soo Youn,
  • Sang Hak Han,
  • Min Jea Shin and ,
  • Sang Jun Yoon,
  • Dae Hee Han,
  • Na Young Lee,
  • Dong Joon Kim,
  • Soon Koo Baik and
  • Ki Tae Suk
  • + 5 authors+ 0 author

Liver cirrhosis leads to hepatic dysfunction and life-threatening conditions. Although the clinical efficacy of autologous bone marrow-derived mesenchymal stem cells (BM-MSC) transplantation in alcoholic cirrhosis (AC) was demonstrated, the relevant...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Article
  • Open Access
7 Citations
3,585 Views
9 Pages

Background: Warfarin has long been the only oral anticoagulant (OAC) available, but options now include non-vitamin K antagonists. Prescribing an OAC may be influenced by patient factors and preferences influenced by dosing, monitoring, and adverse e...

(This article belongs to the Special Issue Warfarin Versus the Non-vitamin K Oral Anticoagulants (NOACs) in Clinical Practice)
  • Review
  • Open Access
21 Citations
6,355 Views
16 Pages

The New Era for Reno-Cardiovascular Treatment in Type 2 Diabetes

  • Clara García-Carro,
  • Ander Vergara,
  • Irene Agraz,
  • Conxita Jacobs-Cachá and ,
  • Eugenia Espinel,
  • Daniel Seron and
  • María José Soler
  • + 2 authors+ 0 author

Diabetic kidney disease (DKD) is the leading cause of end-stage renal disease in the developed world. Until 2016, the only treatment that was clearly demonstrated to delay the DKD was the renin-angiotensin system blockade, either by angiotensin-conve...

(This article belongs to the Special Issue Clinical Research on Diabetic Complications)
  • Article
  • Open Access
18 Citations
4,028 Views
14 Pages

The Role of Genetic Factors in Characterizing Extra-Intestinal Manifestations in Crohn’s Disease Patients: Are Bayesian Machine Learning Methods Improving Outcome Predictions?

  • Daniele Bottigliengo,
  • Paola Berchialla,
  • Corrado Lanera,
  • Danila Azzolina and ,
  • Giulia Lorenzoni,
  • Matteo Martinato,
  • Daniela Giachino,
  • Ileana Baldi and
  • Dario Gregori
  • + 4 authors+ 0 author

(1) Background: The high heterogeneity of inflammatory bowel disease (IBD) makes the study of this condition challenging. In subjects affected by Crohn’s disease (CD), extra-intestinal manifestations (EIMs) have a remarkable potential impact on...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Article
  • Open Access
26 Citations
5,455 Views
9 Pages

This study aims to assess the clinical efficacy and safety of eravacycline for treating complicated intra-abdominal infection (cIAI) in adult patients. The PubMed, Web of Science, EBSCO, Cochrane databases, Ovid Medline, Embase, and ClinicalTrials.go...

(This article belongs to the Special Issue Clinical Medicine for Healthcare and Sustainability)
  • Article
  • Open Access
37 Citations
7,302 Views
18 Pages

Sex Differences in the Presence and Severity of Alcohol Hangover Symptoms

  • Albertine E. van Lawick van Pabst,
  • Lydia E. Devenney and
  • Joris C. Verster

Studies have demonstrated significant sex differences in alcohol intoxication effects. In contrast, the majority of studies on the alcohol hangover phase did not investigate sex differences. Therefore, the current study examined possible sex differen...

(This article belongs to the Special Issue The Alcohol Hangover: Causes, Consequences, and Treatment)
  • Review
  • Open Access
33 Citations
7,019 Views
24 Pages

A Systematic Review of NAFLD-Associated Extrahepatic Disorders in Youths

  • Lucia Pacifico,
  • Francesco Massimo Perla,
  • Mario Roggini,
  • Gianmarco Andreoli and ,
  • Miriam D’Avanzo and
  • Claudio Chiesa
  • + 1 author+ 0 author

Background: There is growing evidence that non-alcoholic fatty liver disease (NAFLD) is a disease affecting not only the liver but also extrahepatic organs. Aim: To investigate whether in youths NAFLD is associated with extrahepatic complications suc...

(This article belongs to the Special Issue Non-Alcoholic Steatohepatitis (NASH))
  • Review
  • Open Access
50 Citations
11,379 Views
16 Pages

Levamisole in Children with Idiopathic Nephrotic Syndrome: Clinical Efficacy and Pathophysiological Aspects

  • Anne K. Mühlig,
  • Jun Young Lee,
  • Markus J. Kemper,
  • Andreas Kronbichler and ,
  • Jae Won Yang,
  • Jiwon M. Lee,
  • Jae Il Shin and
  • Jun Oh
  • + 3 authors+ 0 author

Steroid sensitive nephrotic syndrome is one of the most common pediatric glomerular diseases. Unfortunately, it follows a relapsing and remitting course in the majority of cases, with 50% of all cases relapsing once or even more often. Most children...

(This article belongs to the Special Issue Clinical Symptoms, Diagnostics and Treatments of Chronic Kidney Diseases (CKD))

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J. Clin. Med. - ISSN 2077-0383