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Medicina, Volume 57, Issue 9

September 2021 - 139 articles

Cover Story: Existential suffering refers to one’s angst from a perceived loss of meaning, hope, relationships, and a sense of self in thinking about death and dying. Quality palliative care not only takes care of patients’ physical pain and existential suffering but also fills their last days with opportunities for redemption, spiritual growth, and restoration of relations. Our paper proposes that this could be achieved through a holistic approach with a focus on spiritual care, as illustrated by a healing wheel involving healthcare professionals, the community, the patient, and a Higher Power. View this paper
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Articles (139)

  • Article
  • Open Access
6 Citations
3,530 Views
16 Pages
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Bariatric Surgery: Late Outcomes in Patients Who Reduced Comorbidities at Early Follow-Up

  • Rebeca Rocha de Almeida,
  • Felipe J. Aidar,
  • Márcia Ferreira Cândido de Souza,
  • Victor Batista Oliveira,
  • Joselina Luzia Menezes Oliveira,
  • Leonardo Baumworcel,
  • Larissa Monteiro Costa Pereira,
  • Larissa Marina Santana Mendonça de Oliveira,
  • Jamille Oliveira Costa and
  • Raysa Manuelle Santos Rocha
  • + 6 authors
Medicina2021, 57(9), 995;https://doi.org/10.3390/medicina57090995

21 September 2021

Backgroundand Objectives: In severe obesity, a relevant weight loss can promote the reduction of comorbidities, such as systemic arterial hypertension (SAH), dyslipidemia, and diabetes mellitus (DM2). Bariatric surgery (BS) has been an essential reso...

Full Article
  • Case Report
  • Open Access
1 Citations
2,685 Views
4 Pages
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Giant Pulmonary Artery Thrombotic Material, Due to Chronic Thromboembolic Pulmonary Hypertension, Mimics Pulmonary Artery Sarcoma

  • Helen Triantafyllidi,
  • Dimitrios Iordanidis,
  • Aikaterini Mpahara,
  • Maria Mademli,
  • Dionyssia Birmpa,
  • Stylianos Argentos,
  • Dimitrios Benas,
  • Paraskevi Trivilou,
  • Konstantinos Anagnostopoulos and
  • Eckhard Mayer
Medicina2021, 57(9), 992;https://doi.org/10.3390/medicina57090992

20 September 2021

In this article, we present the case of a 38-year-old female who suffered from serious respiratory distress. After an extensive pulmonary artery imaging diagnostic work-up (CTPA, MRA and PET), we were unable to differentiate between chronic thromboem...

Full Article
  • Article
  • Open Access
6 Citations
4,753 Views
7 Pages
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The Development of Large Radicular Cysts in Endodontically Versus Non-Endodontically Treated Maxillary Teeth

  • Ruth Schvartzman Cohen,
  • Tomer Goldberger,
  • Ina Merzlak,
  • Igor Tsesis,
  • Gavriel Chaushu,
  • Gal Avishai and
  • Eyal Rosen
Medicina2021, 57(9), 991;https://doi.org/10.3390/medicina57090991

20 September 2021

Background and Objectives: Large radicular cysts of the maxilla present a clinical challenge, as they may cause recurrent infection, severe alveolar bone loss and disruption of the nasal and maxillary sinus floors. The aim of this study was to evalua...

Full Article
  • Article
  • Open Access
5 Citations
2,942 Views
10 Pages
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Perceived Positive and Negative Life Changes in Testicular Cancer Survivors

  • Sigrun Vehling,
  • Karin Oechsle,
  • Michael Hartmann,
  • Carsten Bokemeyer and
  • Anja Mehnert-Theuerkauf
Medicina2021, 57(9), 993;https://doi.org/10.3390/medicina57090993

20 September 2021

Background and objectives: Despite a generally good prognosis, testicular cancer can be a life-altering event. We explored perceived positive and negative life changes after testicular cancer in terms of frequency, demographic and disease-related pre...

Full Article
  • Article
  • Open Access
4 Citations
3,058 Views
7 Pages
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Aging of the Nigrostriatal Tract in the Human Brain: A Diffusion Tensor Imaging Study

  • Jeong-Pyo Seo and
  • Dong-Kyun Koo
Medicina2021, 57(9), 994;https://doi.org/10.3390/medicina57090994

20 September 2021

Background and Objectives: The loss of dopamine neurons in the nigrostriatal tract (NST) is one of the main pathological features of Parkinson’s disease (PD), and degeneration of the NST leads to the motor symptoms observed in PD, which include hypok...

Full Article
  • Article
  • Open Access
5 Citations
2,783 Views
6 Pages
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Detecting Binocular Diplopia in Orbital Floor Blowout Fractures: Superiority of the Orthoptic Approach

  • Juraj Timkovic,
  • Jiri Stransky,
  • Petr Handlos,
  • Jaroslav Janosek,
  • Hana Tomaskova and
  • Jan Stembirek
Medicina2021, 57(9), 989;https://doi.org/10.3390/medicina57090989

19 September 2021

Background and Objectives: In patients with orbital floor blowout fracture (OFBF), accurate diagnosis of ocular motility disorder is important for decisions about conservative or surgical therapy. However, the accuracy of the traditional test for det...

Full Article
  • Article
  • Open Access
5 Citations
8,290 Views
11 Pages
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Orthopedic Surgeons’ Views of Hyaluronic Acid Formulations in the Management of Knee Osteoarthritis: A Questionnaire-Based Cross-Sectional Study

  • Shahd Alnasser,
  • Fatima AlHussain,
  • Hassan Asiri,
  • Abdullah Almutairi,
  • Hisham Alsanawi,
  • Anas AR Altamimi,
  • Yousif A. Asiri,
  • Omar A. Almohammed and
  • Yazed AlRuthia
Medicina2021, 57(9), 990;https://doi.org/10.3390/medicina57090990

19 September 2021

Background and Objectives: Multiple hyaluronic acid (HA) products were approved and marketed to manage osteoarthritis (OA). Although these products are widely prescribed by orthopedic surgeons to manage OA, especially knee OA, the therapeutic value o...

Full Article
  • Communication
  • Open Access
3 Citations
2,842 Views
9 Pages
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Production of a Soluble Recombinant Antibody Fragment against MMP9 Using Escherichia coli

  • Chang-Hun Yeom and
  • Hee-Jin Jeong
Medicina2021, 57(9), 981;https://doi.org/10.3390/medicina57090981

18 September 2021

Matrix metalloproteinase 9 (MMP9) is involved in several aspects of the pathology of cancer, including invasion, metastasis, and angiogenesis. In this study, we expressed a recombinant scFv-type anti-MMP9 antibody in soluble form using Escherichia co...

Full Article
  • Article
  • Open Access
5 Citations
3,011 Views
8 Pages
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Necessity of Immediate MRI Imaging in the Acute Care of Severely Injured Patients

  • Daniel Popp,
  • Maximilian Kerschbaum,
  • Daniel Mahr,
  • Claudius Thiedemann,
  • Antonio Ernstberger,
  • Isabel Wiesinger,
  • Wolf Bäumler,
  • Volker Alt and
  • Andreas Schicho
Medicina2021, 57(9), 982;https://doi.org/10.3390/medicina57090982

18 September 2021

Background and Objectives: The standard diagnostic procedure for a patient with a suspected polytrauma injury is computed tomography (CT). In individual cases, however, extended acute imaging using magnetic resonance imaging (MRI) can provide valuabl...

Full Article
  • Article
  • Open Access
9 Citations
6,207 Views
13 Pages
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Clinical Results of a Massive Blood Transfusion Protocol for Postpartum Hemorrhage in a University Hospital in Japan: A Retrospective Study

  • Daigo Ochiai,
  • Yushi Abe,
  • Rie Yamazaki,
  • Tomoe Uemura,
  • Ayako Toriumi,
  • Hiroko Matsuhashi,
  • Yuya Tanaka,
  • Satoru Ikenoue,
  • Yoshifumi Kasuga and
  • Ryuji Tanosaki
  • + 1 author
Medicina2021, 57(9), 983;https://doi.org/10.3390/medicina57090983

18 September 2021

Background and objectives: Massive postpartum hemorrhage (PPH) is the most common cause of maternal death worldwide. A massive transfusion protocol (MTP) may be used to provide significant benefits in the management of PPH; however, only a limited nu...

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