Skip to Content

Medicina, Volume 61, Issue 10

2025 October - 166 articles

Cover Story: Beyond motor deficits, stroke often leads to hidden cognitive and emotional disturbances that remain under-recognised in acute care. Utilising standardised neurological, cognitive, and emotional scales, three distinct profiles were discovered among the included patients: mild impairment, depressive, and vascular cognitive impairment. The analysis highlighted the influence of factors such as age, stroke severity, and education on patients’ cognitive recovery. However, depressive symptoms were not linked to the severity of neurological impairments, suggesting that emotional distress can manifest independently of physical deficits. Interestingly, even patients with minimal physical disability may experience profound cognitive or emotional difficulties. These findings emphasise the need for early, comprehensive neuropsychiatric evaluation in stroke care. View this paper
  • Issues are regarded as officially published after their release is announced to the table of contents alert mailing list .
  • You may sign up for email alerts to receive table of contents of newly released issues.
  • PDF is the official format for papers published in both, html and pdf forms. To view the papers in pdf format, click on the "PDF Full-text" link, and use the free Adobe Reader to open them.

Articles (166)

  • Article
  • Open Access
2 Citations
1,775 Views
13 Pages

A Clinical Prediction Model for Atypical Tuberculosis Manifestations Among Older Adults

  • Jun-Jun Yeh,
  • Jia-Hong Chen,
  • Yi-Ling Kuo,
  • Chieh-Hsuan Tsai and
  • Yung-En Ko

21 October 2025

Background and Objectives: Active pulmonary tuberculosis (aPTB) in the Older Adults (≥75 years) is frequently under-recognized in non-pulmonology settings due to atypical symptoms and multiple comorbidities. This study aimed to develop and validat...

(This article belongs to the Section Pulmonology)
  • Article
  • Open Access
1,240 Views
14 Pages

The Diagnostic and Prognostic Value of Reticulated Platelets in Ischemic Stroke: Is Immature Platelet Fraction a New Biomarker?

  • Fatih Cemal Tekin,
  • Osman Lütfi Demirci,
  • Emin Fatih Vişneci,
  • Abdullah Enes Ataş and ,
  • Hasan Hüseyin Kır,
  • Hasan Basri Yıldırım,
  • Çiğdem Damla Deniz,
  • Demet Acar,
  • Said Sami Erdem and
  • Mehmet Gül
  • + 5 authors+ 0 author

21 October 2025

Background and Objectives: Ongoing efforts to develop early diagnostic tools for Acute Ischemic Stroke (AIS) point out the advantages of accessible biomarkers such as Immature Platelet Fraction (IPF). This is particularly important for emergency depa...

(This article belongs to the Section Neurology)
  • Article
  • Open Access
1,477 Views
18 Pages

The Interplay of Orofacial Morphology, Gonial Angle, and Emotional Regulation in Speech and Functional TMJ Impairment and Personalized Approaches

  • Stefan Lucian Burlea,
  • Laura Elisabeta Checheriţă,
  • Ovidiu Stamatin,
  • Diana-Andreea Ilinca and ,
  • Vasilica Toma,
  • Vlad Proca,
  • Maria Antonela Beldiman,
  • Ana Elena Sîrghe,
  • Georgeta Burlea and
  • Anamaria Ciubară
  • + 7 authors+ 2 authors

21 October 2025

Background and Objectives: Speech sound disorders, particularly dislalia (DIS), often stem from multifactorial anatomical, functional, and emotional causes during child development. Early identification of risk factors can improve therapy outcomes an...

(This article belongs to the Section Pediatrics)
  • Article
  • Open Access
6 Citations
3,263 Views
14 Pages

21 October 2025

Background and Objectives: Swimmers are repeatedly exposed to overhead shoulder movements, which overload the surrounding soft tissue and may contribute to shoulder pain. These repetitive demands have also been implicated in the development of scapul...

(This article belongs to the Special Issue Sports Injuries: Prevention, Treatment and Rehabilitation)
  • Article
  • Open Access
3 Citations
1,437 Views
16 Pages

Redox Homeostasis and Antioxidant Response After Bariatric Surgery in Severe Obesity: Insights from a Controlled Clinical Cohort

  • Razvan Marius Ion,
  • Erzsébet Májai,
  • Mircea Dumitru Croitoru,
  • Oana Axina Rusti and ,
  • Gabriela Beresescu,
  • Ibolya Fülöp and
  • Radu Mircea Neagoe
  • + 2 authors+ 0 author

21 October 2025

Background and Objectives: Obesity represents a major public health concern worldwide, particularly in economically challenged regions, and is often associated with metabolic comorbidities such as type 2 diabetes mellitus, hypertension, and metabolic...

(This article belongs to the Section Surgery)
  • Review
  • Open Access
4 Citations
2,147 Views
11 Pages

A Multidisciplinary Perspective on Breast Phyllodes Tumors: A Literature Review

  • Alexandru-Gratian Naum,
  • Andra-Mara Ursu,
  • Paloma Moisii,
  • Corina-Veronica Lupascu-Ursulescu and ,
  • Liliana Gheorghe and
  • Irina Jari
  • + 1 author+ 0 author

21 October 2025

Phyllodes tumors, also known as cystosarcoma phyllodes, represent a rare and complex category of fibroepithelial neoplasms that primarily affect the breast. These tumors are characterized by their unique histological architecture, which resembles lea...

(This article belongs to the Section Surgery)
  • Article
  • Open Access
3 Citations
1,899 Views
11 Pages

21 October 2025

Background and Objectives: Hook plate fixation has been widely used for unstable distal clavicle fractures, but concerns remain regarding implant-related complications and the need for secondary removal. Locking plate fixation with supplementary cerc...

(This article belongs to the Special Issue Orthopedic Trauma: Surgical Treatment and Rehabilitation)
  • Article
  • Open Access
1 Citations
1,015 Views
15 Pages

Is the Thickness of the Margin Associated with Local Recurrence and Survival in Patients with Undifferentiated Pleomorphic Sarcoma?

  • Alparslan Yurtbay,
  • Furkan Erdoğan,
  • Bedirhan Albayrak,
  • Ferhat Say and ,
  • Yakup Sancar Barış and
  • Nevzat Dabak
  • + 1 author+ 0 author

20 October 2025

Background and Objectives: Undifferentiated pleomorphic sarcoma (UPS) is a rare but aggressive soft tissue tumor. Achieving a tumor-free surgical margin is believed to be crucial for reducing local recurrence; however, the effect of margin thickness...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1,922 Views
10 Pages

Impact of Delivery Mode on Neonatal Outcomes in Extremely Preterm Infants Born at 22 + 0 to 25 + 6 Weeks of Gestation

  • Filiz Markfeld-Erol,
  • Martin Kuntz,
  • Valeria Laufs,
  • Susanne Tippmann and ,
  • Ingolf Juhasz-Böss,
  • Annette Hasenburg and
  • Joscha Steetskamp
  • + 2 authors+ 0 author

20 October 2025

Background and Objectives: Extremely preterm infants (<28 weeks’ gestation) face high risks of morbidity and mortality, and the optimal mode of delivery for this population is debated. This retrospective study evaluated the impact of deliver...

(This article belongs to the Section Obstetrics and Gynecology)
  • Systematic Review
  • Open Access
5 Citations
5,275 Views
19 Pages

Blood Flow Restriction Training in Knee Arthroplasty: A Systematic Review of Current Evidence on Postoperative Muscle Strength and Function

  • Bassem Tiss,
  • Saoussen Layouni,
  • Hela Ghali,
  • Halil İbrahim Ceylan and ,
  • Iheb Nticha,
  • Sonia Jemni,
  • Raul Ioan Muntean,
  • Nicola Luigi Bragazzi and
  • Ismail Dergaa
  • + 4 authors+ 0 author

20 October 2025

Background and Objectives: Knee arthroplasty often leads to marked postoperative muscle weakness, with strength losses of up to 62% in the first month, contributing to functional impairment and patient dissatisfaction. Blood flow restriction (BFR) tr...

(This article belongs to the Section Orthopedics)
  • Review
  • Open Access
11 Citations
3,212 Views
15 Pages

Use of AI Histopathology in Breast Cancer Diagnosis

  • Valentin Ivanov,
  • Usman Khalid,
  • Jasmin Gurung,
  • Rosen Dimov and ,
  • Veselin Chonov,
  • Petar Uchikov,
  • Gancho Kostov and
  • Stefan Ivanov
  • + 3 authors+ 0 author

20 October 2025

Background and Objectives: Breast cancer (BC) is a global health concern for women; the disease contributes to significant morbidity and mortality. A key element in the diagnosis of BC involves the histopathological diagnosis, which determines patien...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
2 Citations
1,899 Views
14 Pages

20 October 2025

Background and Objectives: Breast lesions of uncertain malignant potential identified on biopsy, known as “B3 lesions,” constitute a significant portion of diagnoses in numerous published studies. These lesions are associated with a varia...

(This article belongs to the Special Issue New Developments in Diagnosis and Management of Breast Cancer)
  • Article
  • Open Access
1,650 Views
12 Pages

19 October 2025

Background and Objectives: Some cancer patients in palliative care need to access intravenous administration of medications to relieve symptoms. Few studies have explicitly assessed the safety and feasibility of peripherally inserted central catheter...

(This article belongs to the Section Epidemiology & Public Health)
  • Article
  • Open Access
1 Citations
1,336 Views
11 Pages

Effects of Lower Limb-Focused Low-Intensity Resistance Exercise Using Slow Movements on Locomotive Syndrome in Patients with Type 2 Diabetes Mellitus

  • Toru Morihara,
  • Kazufumi Hisamoto,
  • Naoki Okubo,
  • Hideki Fukushima and ,
  • Tomoyuki Matsui,
  • Machiko Hiramoto,
  • Masahide Hamaguchi,
  • Hiroshi Okada,
  • Takaaki Matsui and
  • Kenji Takahashi
  • + 7 authors+ 2 authors

19 October 2025

Background and Objectives: Type 2 diabetes mellitus (T2DM) is a major public health issue worldwide that leads to reductions in skeletal muscle mass and lower-limb function, thereby increasing the risk of locomotive syndrome (LS), a mobility-limiting...

  • Article
  • Open Access
1 Citations
1,161 Views
9 Pages

19 October 2025

Background and Objectives: Diffuse idiopathic skeletal hyperostosis (DISH)-related spinal fractures with marked anterior distraction are highly unstable and pose substantial surgical challenges. The transdiscal screw for diffuse idiopathic skeletal h...

(This article belongs to the Special Issue Spinal Surgery: Advances and Concerns)
  • Article
  • Open Access
2,312 Views
12 Pages

Plasma NfL and GFAP as Candidate Biomarkers of Disease Activity in NMOSD and MOGAD

  • Jarmila Szilasiová,
  • Miriam Fedičová,
  • Marianna Vitková,
  • Zuzana Gdovinová and ,
  • Jozef Szilasi,
  • Pavol Mikula and
  • Milan Maretta
  • + 2 authors+ 0 author

18 October 2025

Background and Objectives: Neuromyelitis optica spectrum disorder (NMOSD) and MOG antibody-associated disease (MOGAD) are distinct autoimmune demyelinating disorders of the central nervous system, characterized by different pathological and clinical...

(This article belongs to the Section Neurology)
  • Article
  • Open Access
1 Citations
1,955 Views
20 Pages

Diabetic Complication Profiles and Associated Risk Factors: A Comprehensive Analysis from Two Public Hospitals in the Najran Region, Southern Saudi Arabia

  • Farooq Wani,
  • Saeed AlMutyif,
  • Altaf Bandy,
  • Ashokkumar Thirunavukkarasu and ,
  • Ekremah Alzarea,
  • Muath Alsurur and
  • Basil Alomair
  • + 2 authors+ 0 author

18 October 2025

Background and Objectives: Diabetic complications represent a major healthcare challenge globally. The Kingdom of Saudi Arabia has one of the highest prevalence rates, yet comprehensive data on complication profiles from southern regions remain limit...

(This article belongs to the Section Endocrinology)
  • Article
  • Open Access
3 Citations
2,764 Views
14 Pages

18 October 2025

Background and objectives: Warfarin is a commonly used anticoagulant with a narrow therapeutic index that requires a precise dose to achieve efficacy and safety. Genetic variations in the CYP2C9 and VKORC1 genes significantly contribute to individual...

(This article belongs to the Section Genetics and Molecular Medicine)
  • Review
  • Open Access
10 Citations
1,352 Views
13 Pages

Antimicrobial Resistance and Causal Relationship: A Complex Approach Between Medicine and Dentistry

  • Giovanni Caivano,
  • Fabio Massimo Sciarra,
  • Pietro Messina,
  • Enzo Maria Cumbo and ,
  • Luigi Caradonna,
  • Emanuele Di Vita,
  • Salvatore Nigliaccio,
  • Davide Alessio Fontana,
  • Antonio Scardina and
  • Giuseppe Alessandro Scardina
  • + 5 authors+ 0 author

18 October 2025

Antimicrobial resistance (AMR) is widely recognized as a major global public health threat, yet its origins and implications extend beyond the simple misuse or overuse of antibiotics. This study explores AMR as a complex, multifactorial phenomenon sh...

(This article belongs to the Section Epidemiology & Public Health)
  • Article
  • Open Access
1 Citations
2,117 Views
12 Pages

Psychological and Behavioral Predictors of Postpartum Lumbopelvic Pain: A Multivariate Analysis

  • Ignacio Jiménez-de-Ory,
  • Angelika Mazur,
  • Ángel Oliva-Pascual-Vaca,
  • María Benito-de-Pedro and ,
  • Tomás Fernández-Rodríguez and
  • Elena Sonsoles Rodríguez-López
  • + 1 author+ 0 author

17 October 2025

Background and Objectives: Postpartum lumbopelvic pain (PLPP) is a common condition that negatively affects many women’s quality of life. We aimed to analyze the influence of emotional well-being, kinesiophobia, and sleep quality as predictors...

(This article belongs to the Topic New Advances in Musculoskeletal Disorders, 2nd Edition)
  • Article
  • Open Access
1,393 Views
13 Pages

Pleth Variability Index or Inferior Vena Cava Collapsibility Index? Prospective Observational Study in Volume Control and Follow-Up Acute Kidney Injury

  • Ecem Ermete Güler,
  • Ejder Saylav Bora,
  • Hüseyin Acar,
  • Süleyman Kırık and ,
  • Burak Acar and
  • Şakir Hakan Aksu
  • + 1 author+ 0 author

17 October 2025

Background and Objective: Acute kidney injury (AKI) is a serious condition requiring prompt fluid resuscitation, yet both under- and over-treatment carry risks. Accurate volume assessment is essential, especially in emergency settings. The Inferior V...

  • Systematic Review
  • Open Access
8 Citations
4,997 Views
30 Pages

Do SGLT2 Inhibitors Improve Cardiovascular Outcomes After Acute Coronary Syndrome Regardless of Diabetes? A Systematic Review and Meta-Analysis

  • Ioana Maria Suciu,
  • Silvia Ana Luca,
  • Simina Crișan,
  • Alina-Ramona Cozlac and ,
  • Svetlana Stoica,
  • Constantin Tudor Luca,
  • Bogdan Timar and
  • Dan Gaita
  • + 3 authors+ 0 author

17 October 2025

Background and Objectives: This systematic review and meta-analysis aims to evaluate whether the benefits of sodium–glucose co-transporter-2 (SGLT2) inhibitors on cardiovascular outcomes extend when initiated in patients with acute coronary syn...

(This article belongs to the Special Issue Advances in Acute Myocardial Infarction)
  • Article
  • Open Access
2 Citations
1,085 Views
15 Pages

Changes in Speckle Tracking Echocardiography Values of the Descending Thoracic Aorta with Rising Positive End-Expiratory Pressure Levels

  • María Belén Martínez-Lechuga,
  • Javier Hidalgo-Martín,
  • José Ángel Ramos Cuadra,
  • Julia Manetsberger and ,
  • Ana Blanco-Serrano,
  • Veronica Todaro,
  • Gabriel Heras-La-Calle,
  • María Leyre Lavilla Lerma,
  • Juan Carlos Fernández-Guerrero and
  • Manuel Ruiz-Bailén
  • + 5 authors+ 0 author

16 October 2025

Background and Objectives: The aim of this study is to evaluate the changes in speckle tracking velocity vector analysis (VVI) values within the descending thoracic aorta (DTA) in patients with cardiogenic shock (CS) who are on mechanical ventilation...

(This article belongs to the Special Issue New Insights into Heart Failure)
  • Article
  • Open Access
1,428 Views
12 Pages

16 October 2025

Background and Objectives: Partial gluteal tendon tears in native hips are often misdiagnosed as greater trochanteric pain syndrome, resulting in ineffective conservative treatment and persistent symptoms. Although surgical repair techniques exist, d...

(This article belongs to the Special Issue Clinical Research in Orthopaedics and Trauma Surgery)
  • Review
  • Open Access
2 Citations
5,984 Views
20 Pages

Chromosomal Roadblocks in Male Fertility: Mechanisms, Risk Factors and Syndromes

  • Achilleas G. Mitrakas,
  • Christina-Angelika Alexiadi,
  • Sofia Gargani,
  • Triantafyllos Alexiadis and ,
  • Sofia-Panagiota Alexopoulou,
  • Olga Pagonopoulou and
  • Maria Lambropoulou
  • + 2 authors+ 0 author

16 October 2025

Male infertility affects nearly 15% of couples worldwide, with chromosomal abnormalities representing a major underlying cause. This review explores how numerical and structural chromosomal anomalies, along with environmental exposures, lifestyle fac...

(This article belongs to the Special Issue From Conception to Birth: Embryonic Development and Disease)
  • Article
  • Open Access
1,674 Views
12 Pages

Evaluation of the Performance of StypCelTM Absorbable Hemostat for Intraoperative Hemorrhage Control in Neurosurgery: A Multicenter, Single-Arm Study in Riga, Latvia

  • Kaspars Auslands,
  • Evelina Kocane,
  • Evija Bergfelde,
  • Egils Valeinis and ,
  • Julija Dolgopolova,
  • Jekabs Aksiks and
  • Igors Aksiks
  • + 2 authors+ 0 author

16 October 2025

Background and Objectives: Intraoperative bleeding during neurosurgical procedures poses a significant risk by increasing morbidity and mortality, obscuring the surgical field and prolonging operative time and hospitalization. Effective hemostasis is...

(This article belongs to the Section Neurology)
  • Article
  • Open Access
1 Citations
2,003 Views
19 Pages

16 October 2025

Background and Objectives: Inherited disorders of calcium metabolism are rare pediatric conditions with diverse manifestations, including seizures, growth impairment, and renal or skeletal complications. Precise molecular diagnosis is crucial for eff...

(This article belongs to the Section Pediatrics)
  • Article
  • Open Access
1 Citations
2,474 Views
15 Pages

A Comparative Study of Five Target Volume Definitions for Radiotherapy in Glioblastoma Multiforme

  • Kamuran Ibis,
  • Kubra Ozkaya Toraman,
  • Canan Koksal Akbas,
  • Ozlem Guler Guniken and ,
  • Korhan Kokce,
  • Sezi Ceren Gunay,
  • Rasim Meral and
  • Musa Altun
  • + 3 authors+ 0 author

16 October 2025

Background and Objectives: This study aimed to compare target volumes and organ-at-risk (OAR) doses using five different volume definitions in radiotherapy (RT) planning of patients with glioblastoma multiforme (GBM). Materials and Methods: Rigid ima...

(This article belongs to the Special Issue High-Grade Gliomas: Updates and Challenges)
  • Article
  • Open Access
1 Citations
1,942 Views
15 Pages

En Bloc Bipolar Prostate Enucleation Using the Mushroom Technique with Early Apical Release: Short-Term Outcomes

  • Zoltán Kiss,
  • Mihály Murányi,
  • Alexandra Barkóczi,
  • Gyula Drabik and ,
  • Attila Nagy and
  • Tibor Flaskó
  • + 1 author+ 0 author

16 October 2025

Background and Objectives: While transurethral resection of the prostate remains the gold standard for surgical treatment of benign prostatic hyperplasia, anatomical endoscopic enucleation of the prostate provides a safe, durable, and size-independen...

(This article belongs to the Section Urology & Nephrology)
  • Article
  • Open Access
5 Citations
1,097 Views
13 Pages

Prevalence and Patterns of Oral Behaviors in Romanian Adults: An Exploratory Study

  • Alexandra Lavinia Vlad,
  • Olivia Andreea Marcu,
  • Ioana Scrobota,
  • Ioan Andrei Țig and ,
  • Raluca Ortensia Cristina Iurcov and
  • Gabriela Ciavoi
  • + 1 author+ 0 author

16 October 2025

Background and Objectives: Harmful repetitive oral behaviors impose an excessive load on the stomatognathic system. Being unconscious and involuntary, patients are often unaware of their occurrence and, consequently, of their potential consequences....

(This article belongs to the Section Dentistry and Oral Health)
  • Article
  • Open Access
5 Citations
2,528 Views
14 Pages

Molecular Subtypes and Survival Patterns in Female Breast Cancer: Insights from a 12-Year Cohort

  • Ionut Marcel Cobec,
  • Ingolf Juhasz-Böss,
  • Peter Seropian,
  • Sarah Huwer and ,
  • Vlad Bogdan Varzaru,
  • Andreas Rempen and
  • Aurica Elisabeta Moatar
  • + 2 authors+ 0 author

16 October 2025

Background and Objectives: Breast cancer is one of the most common cancers in women and the most common cause of cancer death. Hormone receptors, specifically the estrogen receptor (ER) and progesterone receptor (PR), as well as human epidermal growt...

(This article belongs to the Special Issue New Developments in Diagnosis and Management of Breast Cancer)
  • Article
  • Open Access
3 Citations
1,708 Views
11 Pages

The Status of Metabolic Control in Patients with Diabetes Attending Primary Care Clinics in Madinah, Saudi Arabia

  • Eman Alfadhli,
  • Amal M. Qasem Surrati,
  • Ruqaya Saleh Masoud,
  • Yaseera Ali Gadi and ,
  • Walaa A. Alahmadi and
  • Mohammed Khalid Turkistani
  • + 1 author+ 0 author

16 October 2025

Background and Objectives: The comprehensive control of diabetes and its related comorbidities is essential to avoid diabetes complications and reduce diabetes care expenses. Nevertheless, several reports have uncovered a gap in diabetes management a...

(This article belongs to the Special Issue Diabetes, Hypertension, and Cardiovascular Diseases: New Insights, Risk Factors, and Drug Therapies)
  • Review
  • Open Access
1 Citations
1,661 Views
9 Pages

Esophageal Injury in Patients with Ankylosing Spondylitis After Cervical Spine Trauma: Our Case Series and Narrative Review

  • Nenad Koruga,
  • Alen Rončević,
  • Mario Špoljarić,
  • Tomislav Ištvanić and ,
  • Stjepan Ištvanić,
  • Vedran Farkaš,
  • Klemen Grabljevec,
  • Anđela Grgić,
  • Tatjana Rotim and
  • Anamarija Soldo Koruga
  • + 7 authors+ 2 authors

16 October 2025

Introduction: Ankylosing spondylitis (AS) is a chronic inflammatory disorder that causes progressive ossification and fusion of the spine, particularly in the cervical region. This results in a rigid spinal column that is highly susceptible to unstab...

(This article belongs to the Section Neurology)
  • Systematic Review
  • Open Access
5 Citations
4,883 Views
14 Pages

16 October 2025

Background and Objectives: Early orthodontic intervention during the mixed dentition phase is commonly used to intercept developing malocclusions and potentially reduce the need for more complex treatment later. However, there is limited and conflict...

(This article belongs to the Special Issue Recent Advances in Orthodontics and Dental Medicine)
  • Article
  • Open Access
1,772 Views
10 Pages

Biomarkers to Predict Acute Kidney Injury in Patients with Trauma

  • In Sik Shin,
  • Myoung Jun Kim,
  • Da Kyung Kim,
  • Joon Hyeong Sohn and
  • Kwangmin Kim

16 October 2025

Background and Objectives: Acute kidney injury (AKI) is a common complication in patients with trauma and is associated with increased morbidity and mortality rates. Early identification of patients at risk of AKI may enable timely intervention and i...

(This article belongs to the Section Surgery)
  • Review
  • Open Access
2 Citations
1,756 Views
13 Pages

Tumor Growth Rate in Neuroendocrine Neoplasms: An Additional Tool for Treatment Strategies?

  • Roberta Modica,
  • Alessia Liccardi,
  • Elio Benevento,
  • Roberto Minotta and ,
  • Gianfranco Di Iasi,
  • Massimo Di Nola,
  • Michele Coletta and
  • Annamaria Colao
  • + 3 authors+ 0 author

16 October 2025

Background and Objectives: Neuroendocrine neoplasms (NENs) are rare, mainly gastro-entero-pancreatic tumors with heterogeneous biology and multiple therapeutic options. Assessing treatment response remains challenging. Standard evaluation relies on R...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
4 Citations
2,405 Views
17 Pages

Comparison of Ultrapreservation and Retzius-Sparing Techniques in Robotic Radical Prostatectomy: Single-Center Experience

  • Murat Beyatlı,
  • Hasan Samet Güngör,
  • Hakan Bahadir Haberal,
  • Abdurrahman İnkaya and ,
  • Resul Sobay,
  • Ahmet Tahra and
  • Eyüp Veli Küçük
  • + 2 authors+ 0 author

15 October 2025

Background and Objectives: This study aimed to compare perioperative, functional, and oncological outcomes of ultrapreservation and Retzius-sparing techniques in robotic radical prostatectomy for patients with localized prostate cancer. Materials and...

(This article belongs to the Special Issue Diagnosis and Treatment of Urologic Oncology)
  • Article
  • Open Access
3 Citations
2,190 Views
17 Pages

15 October 2025

Background and Objectives: Metabolic dysfunction-associated steatotic liver disease (MASLD) is closely linked with type 2 diabetes mellitus (T2D) and obesity. Despite its growing prevalence, effective pharmacological interventions remain limited, wit...

(This article belongs to the Section Endocrinology)
  • Article
  • Open Access
1,112 Views
13 Pages

15 October 2025

Background and Objectives: This study aimed to evaluate whether delayed intra-articular application of injectable platelet-rich fibrin (i-PRF) improves clinical and radiologic outcomes compared to nanofracture alone. Materials and Methods: A total of...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
2 Citations
1,485 Views
17 Pages

Sudomotor Dysfunction of Feet Is Associated with Cardiac Autonomic Neuropathy in Patients with Type 2 Diabetes: A Cross-Sectional Study

  • Alexandra Gogan,
  • Sandra Lazar,
  • Ovidiu Potre,
  • Vlad-Florian Avram and ,
  • Andreea Herascu,
  • Minodora Andor,
  • Florina Caruntu and
  • Bogdan Timar
  • + 3 authors+ 0 author

15 October 2025

Background and Objectives: Cardiac autonomic neuropathy (CAN) is a common but also underdiagnosed complication of diabetes mellitus (DM), associated with high cardiovascular risk and mortality. Sudomotor dysfunction can serve as an early indicator of...

(This article belongs to the Section Endocrinology)
  • Article
  • Open Access
1 Citations
1,192 Views
11 Pages

A Minimally Invasive Fixation Versus Double Plating of Associated Posterior Malleolus and Fibula Fractures—A Comparative Human Cadaveric Biomechanical Study

  • Konstantin Ganchev,
  • Preslav Penev,
  • Ivan Zderic,
  • Kajetan Klos and ,
  • R. Geoff Richards,
  • Dimitar Raykov,
  • Boyko Gueorguiev,
  • Lionel Llano and
  • Karl Stoffel
  • + 4 authors+ 0 author

15 October 2025

Background and Objectives: Ankle fractures are common and occur in up to 25% of cases with posterior malleolus (PM) involvement. The gold standard for their treatment considers posterior approaches and plating of both the PM and fibula. However, in e...

(This article belongs to the Section Orthopedics)
  • Review
  • Open Access
5 Citations
6,326 Views
11 Pages

Reappraising Use of Flecainide for Atrial Fibrillation and Ventricular Arrhythmias in Structural Heart Disease Patients

  • Dimitrios Tsiachris,
  • Sotirios C. Kotoulas,
  • Ioannis Doundoulakis,
  • Christos-Konstantinos Antoniou and ,
  • Michail Botis,
  • Konstantinos Pamporis,
  • Nikolaos Argyriou,
  • Aikaterini-Eleftheria Karanikola,
  • Panagiotis Tsioufis and
  • Konstantinos Tsioufis
  • + 6 authors+ 1 author

15 October 2025

Background: Flecainide, a class Ic antiarrhythmic agent, has long been contraindicated in structural heart disease (SHD) due to findings of the Cardiac Arrhythmia Suppression Trial (CAST). However, its proven efficacy in patients without structural a...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
4 Citations
1,282 Views
12 Pages

15 October 2025

Background and Objectives: Although nutritional status is critical to the clinical outcomes of septic patients, studies on this topic are limited. We aim to assess the prognostic value of five nutritional screening tools (NSTs) for septic patients bo...

(This article belongs to the Section Intensive Care/ Anesthesiology)
  • Article
  • Open Access
1 Citations
2,744 Views
12 Pages

15 October 2025

Background and Objectives: While sleep paralysis (SP) is a well-defined disorder, its pathophysiology and causes remain elusive. We aimed to assess the prevalence of sleep paralysis among higher education students and determine factors associated wit...

(This article belongs to the Section Neurology)
  • Article
  • Open Access
3 Citations
1,082 Views
13 Pages

Prognostic Impact of Concomitant Beta-Blocker Use on Survival in EGFR-Mutant Metastatic Non-Small Cell Lung Cancer Patients Treated with Erlotinib

  • Oğuzhan Yıldız,
  • Talat Aykut,
  • Bahattin Engin Kaya,
  • Ömer Genç and ,
  • Ali Fuat Gürbüz,
  • Fatih Saçkan,
  • Melek Karakurt Eryılmaz,
  • Mehmet Zahid Koçak,
  • Murat Araz and
  • Mehmet Artaç
  • + 5 authors+ 0 author

15 October 2025

Background and Objectives: Erlotinib, a tyrosine kinase inhibitor (TKI), is an established therapy for patients with metastatic non-small cell lung cancer (NSCLC) harboring epidermal growth factor receptor (EGFR) mutations. Preclinical and clinical e...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1,825 Views
13 Pages

Glandular Transposition Technique for the Correction of Advanced Gynecomastia in Post-Bariatric Patients: A Case Series on a Conservative Strategy for Natural Aesthetic Outcomes

  • Feliciano Ciccarelli,
  • Felice Moccia,
  • Maria Giovanna Vastarella,
  • Arturo Amoroso and ,
  • Claudia Vastarella,
  • Vincenzo Vastarella and
  • Gorizio Pieretti
  • + 2 authors+ 0 author

15 October 2025

Background and Objectives: Advanced gynecomastia/pseudogynecomastia (Simon grades IIb–III) in post-bariatric patients presents both esthetic and technical challenges. Conventional excisional methods often result in flattened chest contours, ext...

(This article belongs to the Special Issue New Advances and Challenges in Plastic Surgery)
  • Article
  • Open Access
3 Citations
1,758 Views
20 Pages

Participation of the Periosteum, Endosteum, and Hematogenous Marrow in the Early Osseointegration of a Titanium Implant Inserted in Contact with the Hematogenous Marrow

  • Cristian Adrian Ratiu,
  • Cosmin Sinescu,
  • Danut Dejeu,
  • Ovidiu Tica and ,
  • Corina Moisa,
  • Camelia Anca Croitoru,
  • Ioana Adela Ratiu,
  • Virgil-Florin Duma,
  • Adrian Todor and
  • Vasile Rus
  • + 6 authors+ 1 author

14 October 2025

Background and Objectives: Implant osseointegration has been widely studied over the past few decades, particularly focusing on surface modifications that aim to improve integration. However, the literature includes few studies regarding the role of...

(This article belongs to the Special Issue Advances in Soft and Hard Tissue Management Around Dental Implants)
  • Article
  • Open Access
1 Citations
1,644 Views
12 Pages

Comparison of Ultrasound-Guided Quadratus Lumborum Plane Block and External Oblique Intercostal Plane Block for Postoperative Analgesia After Laparoscopic Cholecystectomy: A Two-Center Randomized Controlled Trial

  • Cem Kıvılcım Kaçar,
  • Andaç Dedeoğlu,
  • Hülya Tosun Söner,
  • Enes Çelik and ,
  • Okan Andıç,
  • Fatma Acil,
  • Hakan Akelma,
  • Osman Uzundere and
  • Erhan Gökçek
  • + 4 authors+ 0 author

14 October 2025

Background and Objectives: Although various regional anesthesia techniques are commonly used for laparoscopic cholecystectomy (LC), to date, no randomized controlled trial has compared the effectiveness of Quadratus Lumborum Plane Block (QLB) and Ext...

(This article belongs to the Section Intensive Care/ Anesthesiology)
  • Article
  • Open Access
1 Citations
1,379 Views
20 Pages

Mental Health and Age-Related Differences in Community During the COVID-19 Pandemic: A Cross-Sectional Study from Southeastern Türkiye

  • Pakize Gamze Erten Bucaktepe,
  • Vasfiye Demir Pervane,
  • Ömer Göcen,
  • Sercan Bulut Çelik and ,
  • Fatima Çelik,
  • Öznur Uysal Batmaz,
  • Ahmet Yılmaz,
  • Tahsin Çelepkolu and
  • Kürşat Altınbaş
  • + 4 authors+ 0 author

14 October 2025

Background and Objectives: The COVID-19 pandemic has caused profound disruptions in socioeconomic, and health domains, with significant implications for mental well-being. The aim of this study was to evaluate the impact of the pandemic on stress, an...

(This article belongs to the Special Issue The Burden of COVID-19 Pandemic on Mental Health, 2nd Edition)

of 4

XFacebookLinkedIn
Medicina - ISSN 1648-9144