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Medicina, Volume 61, Issue 11

2025 November - 185 articles

Cover Story: SGLT2 inhibitors, initially developed for diabetes, demonstrate broad benefits beyond glycemic control. They significantly reduce cardiovascular death, heart failure hospitalizations, and chronic kidney disease progression, regardless of diabetes status. Mechanisms include natriuresis, improved mitochondrial function, anti-inflammatory/antifibrotic effects, and enhanced vascular health. Major trials (EMPA-REG, DAPA-HF, CREDENCE, etc.) and real-world data confirm efficacy across heart failure (all ejection fractions), CKD, and metabolic disorders. Guidelines now strongly recommend SGLT2is. They show promise in combination therapies (e.g., with GLP-1 RAs, MRAs) and represent a cornerstone, multi-organ protective strategy for the interconnected cardio–renal–metabolic syndrome, heralding a new therapeutic era. View this paper
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Articles (185)

  • Review
  • Open Access
1,387 Views
19 Pages

20 November 2025

Background and Objectives: Triple A syndrome (TAS) is a rare autosomal recessive disorder characterized by the triad of adrenocorticotropic hormone (ACTH)-resistant adrenal insufficiency, alacrimia (absence of tear production), and achalasia. This ar...

  • Opinion
  • Open Access
1,743 Views
13 Pages

20 November 2025

Third-wave cognitive-behavioral therapies (CBT3) have progressively shifted the focus of psychotherapy from symptom reduction to process-based and transdiagnostic mechanisms of change, emphasizing self-identification as a core dimension. Within this...

(This article belongs to the Special Issue New Insights into the Diagnosis, Management, and Interventions of Mood Disorders)
  • Review
  • Open Access
1 Citations
2,366 Views
17 Pages

Current Trends in the Treatment of Cervical Pregnancy: A Narrative Review

  • Nikoleta Stoyanova,
  • Angel Yordanov and
  • Nikola Popovski

20 November 2025

Background and Objective: Cervical pregnancy, as a rare type of ectopic pregnancy, can lead to life-threatening complications. Early diagnosis is crucial for optimal management and fertility-sparing strategies. However, despite advances in imaging an...

(This article belongs to the Section Obstetrics and Gynecology)
  • Article
  • Open Access
1,010 Views
10 Pages

Effects of Immunomodulatory Therapy on the Skin Barrier Function in Patients with Psoriasis Vulgaris

  • Anete Mālkalne,
  • Vanda Bondare-Ansberga,
  • Ilona Hartmane,
  • Ingmārs Mikažāns and
  • Lelde Reinberga

20 November 2025

Background and Objectives: Psoriasis vulgaris features epidermal barrier dysfunction. Materials and Methods: Barrier function changes were prospectively evaluated over 12 weeks during TNF-α inhibition with adalimumab, along with concurrent chan...

(This article belongs to the Special Issue Psoriasis and Related Conditions: Recent Advances and Controversies)
  • Feature Paper
  • Article
  • Open Access
1,616 Views
11 Pages

Elderly Men with De Novo Metastatic Castration-Sensitive Prostate Cancer: Therapy and Does Comorbidity Matter

  • Ugur Ozberk,
  • Selin Akturk Esen,
  • Alican Uguz,
  • Efnan Algın and ,
  • Oznur Bal,
  • Bulent Akıncı and
  • Dogan Uncu
  • + 2 authors+ 0 author

20 November 2025

Background and Objectives: Prostate cancer (PC) is largely a disease of elderly men, and de novo metastatic presentations are increasingly reported in this population. Yet older patients remain underrepresented in clinical trials, limiting the applic...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1,422 Views
14 Pages

20 November 2025

Background and Objectives: Lumbar interlaminar ventral epidural injection (LIVEI) offers a promising alternative to transforaminal epidural injection (TFEI) by enabling ventral epidural delivery while minimizing complication risks. While previous app...

(This article belongs to the Special Issue Anesthesiology, Resuscitation, and Pain Management)
  • Article
  • Open Access
789 Views
11 Pages

Impact of Distributing Test Result Reports for Chronic Viral Hepatitis on Awareness of Hepatitis Testing Among Non-Specialist Physicians

  • Jun Itakura,
  • Yutaka Ito,
  • Takashi Suzuki,
  • Yukiko Aoki and ,
  • Kaori Takamura,
  • Kenji Yajima,
  • Rie Miyahara,
  • Hiroyuki Uetake and
  • Yasuhiro Otomo
  • + 4 authors+ 0 author

20 November 2025

Background and Objectives: Patients who undergo hepatitis virus testing may remain unaware of their results in the absence of clinician feedback, particularly from non-specialists. To address this issue, we introduced patient-directed test result rep...

(This article belongs to the Section Epidemiology & Public Health)
  • Article
  • Open Access
4 Citations
2,177 Views
14 Pages

Prevalence, Clinical, and Immunological Features of Familial Type 1 Diabetes Among Children and Adolescents: A Retrospective Study from Saudi Arabia

  • Raed Abutaleb,
  • Saeed Yafei,
  • Abdulrahman Hummadi,
  • Yahia Solan and ,
  • Abdullah Khawaji,
  • Mohammed Hakami,
  • Ali Jaber Alhagawy,
  • Amer Al Ali,
  • Morghema Adawi and
  • Nouf Algohani
  • + 11 authors+ 6 authors

20 November 2025

Background and Objectives: Familial type 1 diabetes (FT1D) represents a distinct subgroup of T1D potentially influenced by shared genetic and environmental factors. Data from Middle Eastern populations—where both T1D incidence and consanguinity...

(This article belongs to the Section Endocrinology)
  • Article
  • Open Access
1 Citations
1,210 Views
13 Pages

Adipokines as Prognostic Biomarkers in Multiple Myeloma: A Case–Control Study

  • Nóra Obajed Al-Ali,
  • Dóra Csige,
  • László Imre Pinczés,
  • Katalin Farkas and ,
  • István Rebenku,
  • Andrea Domján,
  • György Panyi,
  • Zoltán Szekanecz,
  • Gabriella Szűcs and
  • László Váróczy
  • + 6 authors+ 1 author

20 November 2025

Background and Objectives: Multiple myeloma (MM) remains an incurable plasma cell malignancy with heterogeneous clinical outcomes. Although current prognostic systems integrate biochemical and cytogenetic parameters, they do not fully capture disease...

(This article belongs to the Special Issue Hematologic Malignancies: Diagnosis, Prognosis and Management)
  • Review
  • Open Access
2 Citations
3,194 Views
16 Pages

Checkpoint Inhibitor Pneumonitis: Key Insights for Pulmonologists

  • Candela Serra,
  • Mariana Benegas,
  • Xavier Alsina-Restoy,
  • Nuria Roger-Casals and
  • Fernanda Hernández-González

19 November 2025

Immune checkpoint inhibitors (ICIs) have transformed cancer therapy, offering significant efficacy and a generally favorable safety profile. However, they are associated with a spectrum of immune-related adverse events (irAEs), among which pneumoniti...

(This article belongs to the Special Issue Advances in Interstitial Lung Diseases: From Diagnosis to Treatment)
  • Article
  • Open Access
5 Citations
2,964 Views
24 Pages

Early Rehabilitation Versus Conventional Approaches in Post-Traumatic Hand Injuries with Multiple Lesions: Clinical Outcomes and Future Directions

  • Adriana Serban,
  • Andreea Grosu-Bularda,
  • Eliza-Maria Bordeanu-Diaconescu,
  • Georgiana-Ozana Tache and
  • Marius Stoica

19 November 2025

Background and Objectives: Complex hand injuries often lead to long-term functional impairment and require structured rehabilitation following surgery. While early rehabilitation may improve outcomes by preventing stiffness and adhesions, it can also...

(This article belongs to the Special Issue Recent Research and Trends in Plastic, Aesthetic and Regenerative Surgery)
  • Article
  • Open Access
1,095 Views
13 Pages

19 November 2025

Background and Objectives: The roles of final kissing balloon inflation (FKBI) in single stenting remain controversial, with no prior studies evaluating its impact on angiographic restenosis from the perspective of coronary microcirculation. This stu...

(This article belongs to the Special Issue Coronary Artery Disease from Acute Manifestation to Long Term Consequences)
  • Article
  • Open Access
1 Citations
2,455 Views
17 Pages

19 November 2025

Background and Objectives: Subacromial pain syndrome (SAPS) is one of the most common musculoskeletal problems affecting the shoulder joint. In this study, we aimed to investigate the effectiveness of a rehabilitation program targeting humeral head d...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
1 Citations
1,060 Views
9 Pages

19 November 2025

Background and Objectives: Semaphorins are immunoregulatory proteins involved in inflammation and neurovascular modulation. Their roles in ischemic stroke pathogenesis and prognosis have recently gained attention. This study aimed to evaluate serum l...

(This article belongs to the Section Neurology)
  • Article
  • Open Access
1,542 Views
11 Pages

Identifying Aortic Arch Branching Variations Using Advanced Imaging Techniques

  • Elisabeth M. Mandler,
  • Moritz Horodecki-Tuchslau,
  • Johannes M. Mittendorfer,
  • Franz Kainberger and
  • Lena Hirtler

19 November 2025

Background and Objectives: The branching pattern of the aortic arch (AA) is highly variable, with the typical supra-aortic branching configuration observed in about three out of four cases. Even though some variants carry a heightened risk for certai...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
5 Citations
1,669 Views
18 Pages

EVD-Associated Infections in Subarachnoid Hemorrhage: Risk Factors and Clinical Predictions—A Retrospective Single-Center Study

  • Hraq Sarkis,
  • Abed Alrazzak Kerhani,
  • Ann-Kathrin Joerger,
  • Carolin Albrecht and ,
  • Chiara Negwer,
  • Maria Wostrack,
  • Arthur Wagner and
  • Bernhard Meyer
  • + 3 authors+ 0 author

19 November 2025

Background and Objectives: External ventricular drain (EVD)-associated infections are a serious complication in subarachnoid hemorrhage (SAH) patients, with reported incidence rates of 1–45%. Existing prediction models show limited perform...

(This article belongs to the Special Issue Neurosurgery for Brain or Spine Tumors: Recent Technical Advances)
  • Review
  • Open Access
2 Citations
4,155 Views
29 Pages

Choline in Adolescent Pregnancy: The Impact on Fetal Brain Development and Long-Term Cognitive Outcomes of Offspring

  • Abdul Jabar Khudor,
  • Marius Alexandru Moga,
  • Oana Gabriela Dimienescu,
  • Andrada Camelia Nicolau and ,
  • Cristian Andrei Arvătescu,
  • Mircea Daniel Hogea and
  • Natalia Ciobanu
  • + 2 authors+ 0 author

18 November 2025

Pregnancy in adolescence represents a major nutritional challenge, with competing demands between maternal development and fetal growth. Choline is the essential nutrient with a critical role for fetal brain development and exhibits distinct metaboli...

(This article belongs to the Topic Maternal Nutrition from Preconception, Through Pregnancy and Lactation)
  • Review
  • Open Access
11 Citations
2,663 Views
25 Pages

Arrhythmogenic Risk in iPSC-Derived Cardiomyocytes: Current Limitations and Therapeutic Perspectives

  • Dhienda C. Shahannaz,
  • Tadahisa Sugiura,
  • Brandon E. Ferrell and
  • Taizo Yoshida

18 November 2025

Background and Objectives: Induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) have revolutionized cardiac research by providing patient-specific models for studying arrhythmias. However, their clinical application is hindered by arrhythm...

(This article belongs to the Special Issue Ventricular Arrhythmias: Current Advances and Future Perspectives)
  • Article
  • Open Access
2 Citations
1,749 Views
22 Pages

18 November 2025

Background and Objectives: Breast cancer is the most common cancer in women, with approximately 80% being oestrogen receptor positive, necessitating adjuvant endocrine therapy (AET) to reduce recurrence. Treatment adherence is crucial, yet 10–5...

(This article belongs to the Special Issue Future Trends in Breast Cancer Management)
  • Article
  • Open Access
1 Citations
1,232 Views
11 Pages

Pediatric Early Warning System (PEWS) Association with ICU Mortality in Children with Acute Lymphoblastic Leukemia: A Cohort Study from Kazakhstan

  • Yedil Kurakbayev,
  • Abay Kussainov,
  • Kuanysh Umbetov,
  • Yernur Zikiriya and ,
  • Yergali Sarsekbayev,
  • Botagoz Turdaliyeva,
  • Nazira Nurgozhayeva and
  • Arai Tolemisova
  • + 3 authors+ 0 author

18 November 2025

Background and Objectives: Childhood acute lymphoblastic leukemia (ALL) carries substantial morbidity, mortality, and economic burden, particularly in middle-income countries. The Pediatric Early Warning System (PEWS) is designed to trigger timely es...

(This article belongs to the Section Intensive Care/ Anesthesiology)
  • Systematic Review
  • Open Access
3 Citations
2,587 Views
13 Pages

18 November 2025

Background/Objectives: Next-generation drugs, such as JAK inhibitors and biologics, have proved to be very effective treatment choices in several autoimmune and autoinflammatory skin disorders. However, these drugs are not without risk. Due to their...

(This article belongs to the Section Dermatology)
  • Retraction
  • Open Access
809 Views
1 Page

18 November 2025

The Journal retracts the article “The Superiority of Compressed Colchicine Tablets Over Coated Colchicine Tablets for Familial Mediterranean Fever” [...]

  • Article
  • Open Access
2 Citations
1,278 Views
20 Pages

Comparative Outcomes of Pancreaticogastrostomy and Pancreaticojejunostomy Following Pancreaticoduodenectomy: A Retrospective Cohort Study from a Romanian High-Volume Center

  • Septimiu Alex Moldovan,
  • Emil Ioan Moiș,
  • Florin Graur,
  • Vlad Ionuț Nechita and ,
  • Luminița Furcea,
  • Florin Zaharie,
  • Raluca Bodea,
  • Simona Mirel,
  • Mihaela Ştefana Moldovan and
  • Nadim Al Hajjar
  • + 8 authors+ 3 authors

17 November 2025

Background and Objectives: Pancreaticogastrostomy (PG) and pancreaticojejunostomy (PJ) are the two most frequently employed reconstruction techniques following pancreaticoduodenectomy (PD), yet the optimal method remains debated. The objective of thi...

(This article belongs to the Section Gastroenterology & Hepatology)
  • Review
  • Open Access
4 Citations
3,216 Views
19 Pages

Femoral Malunion and Its Correction: A Review

  • Rahul Vaidya,
  • Matthew Mazur,
  • Ihunanya Agomuoh,
  • David Abdelnour and ,
  • Magd Boutany and
  • Robert Teitge
  • + 1 author+ 0 author

17 November 2025

Background and Objectives: Femoral malunion, defined as healing of a femoral fracture in an anatomically incorrect position, can lead to significant biomechanical and functional impairment despite modern fixation techniques achieving union rates near...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
1,767 Views
24 Pages

Evaluation of Hematological, Biochemical, and Coagulation Tests in Patients with Hepatitis C

  • Ieva Janulaityte,
  • Gintare Petkute,
  • Asta Maciuliene,
  • Jurgita Borodiciene and ,
  • Jokubas Kareiva and
  • Astra Vitkauskiene
  • + 1 author+ 0 author

17 November 2025

Background and Objectives: Hepatitis C virus (HCV) remains a significant cause of chronic liver disease worldwide. While direct-acting antivirals achieve high cure rates, the interplay between viral load, gender, and routine laboratory parameters rem...

(This article belongs to the Topic Human Anatomy and Pathophysiology, 3rd Edition)
  • Review
  • Open Access
3 Citations
2,217 Views
10 Pages

Globicatella sanguinis—A Literature Review of Case Reports

  • Carmen Valerica Rîpă,
  • Roxana Gabriela Cobzaru,
  • Luminita Smaranda Iancu,
  • Miruna Raluca Rîpă and ,
  • Gabriela Popescu,
  • Alexandra Maștaleru,
  • Andra Oancea and
  • Maria Magdalena Leon
  • + 3 authors+ 0 author

17 November 2025

Globicatella sanguinis is a rare and distinct Gram-positive coccus, first described in 1992, and part of the normal human microbiota. Although infrequent, it can cause serious infections such as urinary tract infections, meningitis, and endocarditis,...

(This article belongs to the Section Infectious Disease)
  • Article
  • Open Access
2 Citations
1,375 Views
15 Pages

17 November 2025

Background and Objectives: Neuropathic pain is a prevalent and disabling consequence of spinal cord injury (SCI), adversely affecting physical function, psychological health, social engagement, and overall quality of life. Objectives: This study aime...

(This article belongs to the Section Neurology)
  • Article
  • Open Access
1 Citations
997 Views
11 Pages

Association Between Thyroid-Stimulating Hormone and Estimated Glomerular Filtration Rate in the Third Trimester of Pregnancy: A Retrospective Cross-Sectional Study in Euthyroid Women

  • Canan Satır Özel,
  • Yaşar Sertbaş,
  • Şeyma Taştekin,
  • Asya Tancer Özçelik and ,
  • Meltem Sertbaş,
  • Özge Kınlı Yıldız and
  • Abdulkadir Turgut
  • + 2 authors+ 0 author

16 November 2025

Background and Objectives: This study investigated the relationship between thyroid function and renal parameters during the third trimester of pregnancy in euthyroid women, a physiological interaction that remains poorly characterized. Materials and...

(This article belongs to the Special Issue Advances in Obstetrics and Maternal-Fetal Medicine)
  • Article
  • Open Access
3 Citations
1,775 Views
16 Pages

Intravenous Lidocaine for Postoperative Pain and Recovery After Robotic Prostate Adenomectomy: A Retrospective Observational Cohort Study

  • Georgiana Maria Popa,
  • Simona-Alina Abu-Awwad,
  • Ahmed Abu-Awwad,
  • Carmen-Ioana Marta and ,
  • Erika Bimbo-Szuhai,
  • Mihaela Gabriela Bontea,
  • Adrian Gheorghe Osiceanu,
  • Anca Mihaela Bina,
  • Cristian Mihai Moisa Cezar and
  • Mihai O. Botea
  • + 6 authors+ 1 author

16 November 2025

Background and Objectives: Effective perioperative pain management remains a key goal of enhanced recovery protocols, especially in minimally invasive urologic surgery, where optimizing comfort while limiting opioid exposure is essential. Intravenous...

(This article belongs to the Special Issue Anesthesiology, Resuscitation, and Pain Management)
  • Article
  • Open Access
3,097 Views
16 Pages

Interstitial Lung Disease Secondary to Sjogren’s Syndrome and Antisynthetase Syndrome: Converging Disease Trajectories

  • Giuseppe Muscato,
  • Giulia Morina,
  • Evelina Fagone,
  • Mary Fruciano and ,
  • Elisa Gili,
  • Serafina Martella,
  • Stefano Palmucci,
  • Domenico Sambataro,
  • Carlo Vancheri and
  • Gianluca Sambataro
  • + 5 authors+ 0 author

15 November 2025

Background and Objectives: Interstitial lung disease is one of the main causes of mortality in Sjögren’s Syndrome (SjS) and Anti-Synthetase Syndrome (ASyS). The objective of the study is to compare clinical, serological and radiological fe...

(This article belongs to the Section Pulmonology)
  • Feature Paper
  • Article
  • Open Access
1 Citations
1,156 Views
13 Pages

Optimization of Postoperative Antimicrobial Therapy in Surgical Patients Using a Clinical Decision Support System: Use Patterns and Clinical Outcomes

  • Miguel Ángel Amor García,
  • Irene Orozco Cifuentes,
  • Raquel Moreno Díaz,
  • José Antonio Martínez Consuegra and
  • Carmen de Cáceres Velasco

15 November 2025

Background and Objectives: Antimicrobial stewardship plays a key role in the surgical setting by reducing the incidence of healthcare-associated infections and limiting the emergence of antimicrobial resistance. Clinical Decision Support Systems (CDS...

(This article belongs to the Special Issue Evaluation, Management, and Outcomes in Perioperative Medicine)
  • Article
  • Open Access
2 Citations
1,742 Views
19 Pages

Multimodal Rehabilitation in Spinal Cord Lesion: Comparative Outcomes of Vojta Therapy and Lokomat Training

  • Anamaria Gherle,
  • Carmen Delia Nistor-Cseppento,
  • Liviu Lazar,
  • Ștefania Deac and ,
  • Mirela Elena Bodea,
  • Florin Mihai Marcu,
  • Sebastian Tirla and
  • Mariana Lidia Cevei
  • + 3 authors+ 0 author

15 November 2025

Background and Objectives: Spinal cord lesion is a severe disorder of the central nervous system, leading to partial or complete interruption of nerve impulse transmission between the brain and the periphery and causing severe neurological and functi...

(This article belongs to the Special Issue Clinical Applications of Modern Technologies in Neurosurgery and Spine Surgery)
  • Article
  • Open Access
7 Citations
1,158 Views
17 Pages

Integrating Renal and Metabolic Parameters into a Derived Risk Score for Hyperuricemia in Uncontrolled Type 2 Diabetes: A Retrospective Cross-Sectional Study in Northwest Romania

  • Lorena Paduraru,
  • Dana Carmen Zaha,
  • Timea Claudia Ghitea,
  • Radu Fodor and ,
  • Cosmin Mihai Vesa and
  • Mihaela Simona Popoviciu
  • + 1 author+ 0 author

15 November 2025

Background and Objectives: Hyperuricemia is frequent in patients with uncontrolled type 2 diabetes (T2D) and may reflect intertwined renal and metabolic dysfunction. Simple tools to identify those at highest risk are lacking. Materials and Methods: W...

(This article belongs to the Section Endocrinology)
  • Article
  • Open Access
4 Citations
3,573 Views
12 Pages

Machine Learning Methods for the Prediction of Intraoperative Hypotension with Biosignal Waveforms

  • Jae-Geum Shim,
  • Wonhyuck Yoon,
  • Sang Jun Lee,
  • Se-Hyun Chang and ,
  • So-Ra Jung and
  • Jun Young Chung
  • + 1 author+ 0 author

14 November 2025

Background and Objectives: Intraoperative hypotension (IOH) is of great importance in preventing diseases such as postoperative myocardial infarction, acute kidney injury, and mortality. This study aimed to develop and validate machine learning and d...

(This article belongs to the Special Issue Advanced Clinical Approaches in Perioperative Pain Management)
  • Article
  • Open Access
1,823 Views
13 Pages

14 November 2025

Background and Objectives: Familial clustering and autoimmune multimorbidity are frequently observed in vitiligo. However, the clinical implications of a positive family history across generations remain unclear. In this study, a positive family hist...

(This article belongs to the Special Issue Autoimmune Diseases: Advances and Challenges)
  • Article
  • Open Access
965 Views
17 Pages

Integrative Evaluation of Atrial Function and Electromechanical Coupling as Predictors of Postoperative Atrial Fibrillation

  • Mladjan Golubovic,
  • Velimir Peric,
  • Marija Stosic,
  • Milan Lazarevic and ,
  • Dalibor Stojanovic,
  • Dragana Unic-Stojanovic,
  • Vesna Dinic and
  • Dejan Markovic
  • + 3 authors+ 0 author

14 November 2025

Background and Objectives: Postoperative atrial fibrillation (POAF) remains one of the most frequent complications after cardiac surgery, increasing the risk of morbidity, prolonged hospitalization, and adverse long-term outcomes. Although several cl...

(This article belongs to the Section Intensive Care/ Anesthesiology)
  • Article
  • Open Access
1,174 Views
24 Pages

14 November 2025

Background and Objectives: Heart failure (HF) represents a clinical syndrome characterized by symptoms and signs such as fatigue, dyspnea, edema of the lower limb, or pulmonary rales. It usually occurs in elderly individuals due to decreased cardiac...

(This article belongs to the Special Issue New Insights into Heart Failure)
  • Article
  • Open Access
5 Citations
1,670 Views
20 Pages

Evaluation of a Hybrid CNN Model for Automatic Detection of Malignant and Benign Lesions

  • Karima Bahmane,
  • Sambit Bhattacharya and
  • Alkhalil Brahim Chaouki

14 November 2025

Background and Objectives: Stratifying thyroid nodules according to malignancy risk is a crucial step in early diagnosis and patient care. Recently, deep learning techniques have emerged as powerful tools for medical diagnostics, particularly with co...

(This article belongs to the Special Issue Artificial Intelligence: A Possible 'Game Changer' in the Fight Against Cancer)
  • Article
  • Open Access
2 Citations
2,604 Views
20 Pages

Avocado–Soybean Unsaponifiables Enhance Tendon Healing via Anti-Inflammatory and Antioxidant Mechanisms in a Rat Achilles Injury Model

  • Mustafa Dinç,
  • Ömer Cevdet Soydemir,
  • Hünkar Çağdaş Bayrak,
  • Recep Karasu and ,
  • Bilal Aykaç and
  • Mehmet Emre Topcu
  • + 1 author+ 0 author

14 November 2025

Background and Objectives: Tendon healing is a multifactorial process influenced by inflammation and oxidative stress. Avocado–soybean unsaponifiables (ASU), recognized for their anti-inflammatory and antioxidant properties in osteoarthritis, h...

  • Perspective
  • Open Access
5 Citations
2,221 Views
16 Pages

14 November 2025

This perspective comprehensively analyzes the invasive pullback pressure gradient (PPG), a novel physiological index that characterizes the longitudinal distribution of coronary artery disease and guides revascularization strategy modified in 14% of...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
1,160 Views
9 Pages

Prevalence and Characteristics of Sexual Dysfunction in Patients Treated with Immune Checkpoint Inhibitors

  • Betul Aktepe,
  • Oktay Halit Aktepe,
  • Pinar Ezgi Dama,
  • Tugce Ulasli and ,
  • Ilkay Tugba Unek,
  • Aziz Karaoglu,
  • Mehmet Hamid Boztas and
  • Suayib Yalcin
  • + 3 authors+ 0 author

14 November 2025

Background and Objectives: Sexual dysfunction (SD) is common in cancer but remains poorly characterized among patients receiving immune checkpoint inhibitors (ICIs). This study aimed to determine the prevalence and predictors of SD in ICI-treated pat...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1,573 Views
13 Pages

Clinicopathological Profiles and Survival Outcomes of Patients with Gastric Cancer According to the Borrmann Endoscopic Classification: A Single-Center Retrospective Cohort Study

  • Andrés Camilo Pachón-Mendoza,
  • Oscar Daniel Pacheco-Can,
  • Felipe Angulo-Várguez,
  • Dayana Williams-Jacquez and ,
  • Marlene Chaurand-Lara,
  • Ana Ligia Gutiérrez-Solis,
  • Azalia Avila-Nava,
  • Mariana Irigoyen-Anguiano,
  • Rodolfo Chim-Aké and
  • Roberto Lugo
  • + 6 authors+ 1 author

14 November 2025

Background and Objective: Gastric cancer (GC) is a serious public health problem in southeastern Mexico. Some cases go undiagnosed or are diagnosed at advanced stages of the tumors. Borrmann classification is the method used by endoscopists to classi...

(This article belongs to the Section Gastroenterology & Hepatology)
  • Article
  • Open Access
1 Citations
3,446 Views
15 Pages

Comparative Effects of Abdominal Bracing and Valsalva Maneuver on Cerebral and Peripheral Hemodynamics in Healthy Adults: A Randomized Crossover Study

  • Ji-Hyeon Yu,
  • Ju-Yeon Jung,
  • Yeong-Bae Lee,
  • Jeong-Min Shim and ,
  • Young-Don Son,
  • Jiwon Yang and
  • Chang-Ki Kang
  • + 2 authors+ 0 author

14 November 2025

Background and Objectives: Blood flow is critical for tissue oxygenation, and alterations in cerebrovascular and peripheral circulation have important health implications. This study aimed to examine the impact of distinct mechanisms for increasing i...

(This article belongs to the Special Issue Physical Therapy: A New Perspective)
  • Article
  • Open Access
2 Citations
1,401 Views
20 Pages

13 November 2025

Background and Objectives: Age-related macular degeneration (AMD) is an age-associated retinal disorder characterized by blood–retinal barrier (BRB) breakdown and pathological angiogenesis, leading to vascular leakage. The intravitreal administ...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
3 Citations
2,768 Views
12 Pages

Emergency Management of Perforated Gastro-Duodenal Ulcers: Surgical Strategies, Outcomes, and Prognostic Determinants in a Tertiary Eastern European Center

  • Oprescu Macovei Anca Monica,
  • Dana Paula Venter,
  • Stefan Mihai,
  • Constantin Oprescu and ,
  • Andrei Gabriel,
  • Dumitriu Bogdan,
  • Valcea Sebastian,
  • Gheorghiu Alexandra-Oana and
  • Ilie Stan Madalina
  • + 4 authors+ 0 author

13 November 2025

Background and Objectives: Perforated gastro-duodenal ulcers (PGDUs) are life-threatening surgical emergencies with high morbidity and mortality. This study aimed to evaluate surgical strategies, outcomes, and prognostic factors in patients treated f...

(This article belongs to the Section Gastroenterology & Hepatology)
  • Article
  • Open Access
1 Citations
1,370 Views
18 Pages

The Microbiological Spectrum and Antibiotic Resistance in Acute Acalculous and Calculous Cholecystitis: A Seven-Year Study in a Tertiary Center

  • Cosmin Vasile Obleaga,
  • Ovidiu Mircea Zlatian,
  • Oana Mariana Cristea,
  • Alexandra Rosu-Pires and ,
  • Alexandru Marin Pascu,
  • Mirela-Marinela Florescu,
  • Claudiu Marinel Ionele,
  • Ion Rogoveanu,
  • Alexandru Valentin Popescu and
  • Sergiu Marian Cazacu
  • + 6 authors+ 1 author

13 November 2025

Background and Objectives: Acute acalculous cholecystitis (AAC) is rare, mostly in older males, with cardiovascular diseases, diabetes, critical illness, or systemic infection. Antibiotherapy before or after cholecystectomy is important for preventin...

(This article belongs to the Special Issue Emerging Trends in Infectious Disease Prevention and Control)
  • Article
  • Open Access
1 Citations
1,282 Views
10 Pages

Impact of Hemoglobin Levels During Definite Chemoradiotherapy of Patients with Locally Advanced Head and Neck Squamous Cell Carcinoma on Survival

  • Sandy Hazko,
  • Amed Ahmed,
  • Robert Michael Hermann,
  • Mathias Alexander Sonnhoff and ,
  • Athanasia Warnecke,
  • Frank Bruns,
  • Robert Blach,
  • Hans Christiansen and
  • Jan-Niklas Becker
  • + 4 authors+ 0 author

13 November 2025

Background and Objectives: This study aims to investigate the impact of hemoglobin (Hb) level changes during radiochemotherapy (RCT) on the survival of patients with locally advanced head and neck squamous cell carcinoma (HNSCC). Materials and Method...

(This article belongs to the Section Oncology)
  • Review
  • Open Access
2 Citations
1,917 Views
14 Pages

Contemporary Management of Popliteal Artery Aneurysms: A Comprehensive Review

  • Giulia Bertagna,
  • Valentina Scarati,
  • Nicola Troisi and
  • Raffaella Berchiolli

13 November 2025

Background and Objectives: current guidelines recommend surgical treatment for asymptomatic popliteal artery aneurysm > 20 mm in diameter, although without any suggestion about the preferred treatment choice. The two main treatment options are ope...

(This article belongs to the Section Surgery)
  • Article
  • Open Access
4 Citations
2,461 Views
10 Pages

Diagnosis and Surgical Treatment Outcomes of Cardiac Myxoma: Twenty Years of Data at a Single Institution

  • Gabriele Jakuskaite,
  • Povilas Jakuska,
  • Rimantas Benetis,
  • Jolanta Justina Vaskelyte and
  • Egle Ereminiene

13 November 2025

Background and Objectives: Cardiac myxoma (CM) is the most common primary benign neoplasm of the heart. This study’s objective was to analyse diagnostic features of CM, surgical data and postoperative courses of patients over a 20-year period i...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
3 Citations
1,796 Views
13 Pages

Temporal Trends of Dengue Surveillance in Sardinia, Italy: Implications of Climate Change on Human and Entomological Monitoring

  • Giovanna Deiana,
  • Isabella Figoni,
  • Antonella Arghittu,
  • Guglielmo Campus and ,
  • Giuseppe Satta,
  • Cipriano Foxi,
  • Andrea Piana,
  • Paolo Castiglia and
  • Marco Dettori
  • + 4 authors+ 0 author

12 November 2025

Background and Objectives: Climate change is modifying the ecological and climatic conditions that influence the distribution and activity of arthropod vectors. Rising temperatures and prolonged warm seasons have favored the establishment of Aedes al...

(This article belongs to the Special Issue Emerging Trends in Infectious Disease Prevention and Control)

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Medicina - ISSN 1648-9144