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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
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Articles (166)

  • Article
  • Open Access
938 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...

  • Article
  • Open Access
711 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,
  • Hasan Hüseyin Kır,
  • Hasan Basri Yıldırım,
  • Çiğdem Damla Deniz,
  • Demet Acar,
  • Said Sami Erdem and
  • Mehmet Gül

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...

  • Article
  • Open Access
728 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,
  • Vasilica Toma,
  • Vlad Proca,
  • Maria Antonela Beldiman,
  • Ana Elena Sîrghe,
  • Georgeta Burlea and
  • Anamaria Ciubară
  • + 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...

  • Article
  • Open Access
1,529 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...

  • Article
  • Open Access
1 Citations
693 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,
  • Gabriela Beresescu,
  • Ibolya Fülöp and
  • Radu Mircea Neagoe

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...

  • Review
  • Open Access
903 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,
  • Liliana Gheorghe and
  • Irina Jari

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...

  • Article
  • Open Access
1 Citations
931 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...

  • Article
  • Open Access
543 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,
  • Yakup Sancar Barış and
  • Nevzat Dabak

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...

  • Article
  • Open Access
1,081 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,
  • Ingolf Juhasz-Böss,
  • Annette Hasenburg and
  • Joscha Steetskamp

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...

  • Systematic Review
  • Open Access
2,955 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,
  • Iheb Nticha,
  • Sonia Jemni,
  • Raul Ioan Muntean,
  • Nicola Luigi Bragazzi and
  • Ismail Dergaa

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...

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Medicina - ISSN 1648-9144