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Medicina, Volume 62, Issue 1

2026 January - 234 articles

Cover Story: Oral Janus kinase (JAK) inhibitors are rapidly expanding beyond their approved indications in dermatology. This review synthesizes real-world evidence from case reports and series describing off-label use of baricitinib, abrocitinib, upadacitinib, and ritlecitinib across a wide spectrum of inflammatory skin diseases. Autoimmune bullous, neutrophilic, lichenoid, granulomatous, follicular, and pruritic dermatoses frequently showed rapid and sustained clinical responses, often after failure of conventional therapies. The broad immunomodulatory activity of JAK inhibition enables disease control across heterogeneous pathogenic pathways, with generally favorable tolerability. These findings highlight the emerging role of oral JAK inhibitors as versatile therapeutic options in selected, refractory dermatologic conditions. View this paper
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Articles (234)

  • Article
  • Open Access
3 Citations
2,137 Views
21 Pages

Academic Point-of-Care Manufacturing in Oral and Maxillofacial Surgery: A Retrospective Review at Gregorio Marañón University Hospital

  • Manuel Tousidonis,
  • Gonzalo Ruiz-de-Leon,
  • Carlos Navarro-Cuellar,
  • Santiago Ochandiano and ,
  • Jose-Ignacio Salmeron,
  • Rocio Franco Herrera,
  • Jose Antonio Calvo-Haro and
  • Ruben Perez-Mañanes
  • + 3 authors+ 0 author

22 January 2026

Background and Objectives: Academic point-of-care (POC) manufacturing enables the in-hospital design and production of patient-specific medical devices within certified environments, integrating clinical practice, engineering, and translational resea...

(This article belongs to the Special Issue New Trends and Advances in Oral and Maxillofacial Surgery)
  • Article
  • Open Access
1,142 Views
11 Pages

Short-Term Effects of Swimming Goggle Use on Anterior Segment Parameters in Patients with Keratoconus

  • Nurullah Berk Açar,
  • Atılım Armağan Demirtaş,
  • Tuncay Küsbeci and
  • Mehmet Gencay Çetin

22 January 2026

Background and Objectives: Keratoconus is a bilateral but often asymmetric ectatic corneal disease characterized by progressive thinning, increased curvature, and conical shape of the cornea. Previous studies have reported that the use of swimming go...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
2,760 Views
11 Pages

22 January 2026

Background and Objectives: Early mother–newborn skin-to-skin contact (SSC) after birth is widely recommended to support neonatal physiological stabilization, including thermoregulation. Under routine clinical practice, however, SSC may be brief...

(This article belongs to the Special Issue Advances in Obstetrics and Maternal-Fetal Medicine)
  • Article
  • Open Access
3 Citations
1,571 Views
12 Pages

22 January 2026

Background and Objectives: To evaluate the magnitude, axis and age-related changes in corneal astigmatism in patients before cataract surgery. Materials and Methods: In this retrospective, cross-sectional, and observational study, data from 2152 eyes...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
1,062 Views
12 Pages

The Prevalence, Mechanisms, and Clinical Significance of Inferior Vena Cava Compression in Autosomal Dominant Polycystic Kidney Disease: A Multicenter Retrospective Cohort Study Based on TriNetX

  • Ahmad Matarneh,
  • Bayan Matarneh,
  • Abdelrauof Akkari,
  • Sundus Sardar and ,
  • Omar Salameh,
  • Navin Verma and
  • Nasrollah Ghahramani
  • + 2 authors+ 0 author

22 January 2026

Background and Objectives: Autosomal dominant polycystic kidney disease (ADPKD) is a leading cause of end-stage renal disease (ESRD). Progressive renal cyst growth in ADPKD can exert mass effects, including compression of the inferior vena cava (IVC)...

(This article belongs to the Section Urology & Nephrology)
  • Article
  • Open Access
1 Citations
2,909 Views
14 Pages

Comparison of the Efficacy of Pirfenidone and Nintedanib in the Treatment of Patients with Idiopathic Pulmonary Fibrosis—A Single-Center Experience

  • Nikola Trboljevac,
  • Sanja Dimic-Janjic,
  • Milica Kontic,
  • Maja Omcikus and ,
  • Branislav Ilic,
  • Filip Markovic,
  • Anka Postic,
  • Lidija Isovic,
  • Mihailo Stjepanovic and
  • Dragana Nenezic
  • + 5 authors+ 0 author

22 January 2026

Background and Objectives: Idiopathic pulmonary fibrosis (IPF) is a progressive, unpredictable, fatal interstitial lung disease. Antifibrotic therapy with pirfenidone or nintedanib slows functional decline, yet comparative real-world evidence remains...

(This article belongs to the Section Pulmonology)
  • Article
  • Open Access
3 Citations
2,127 Views
20 Pages

Machine Learning-Based Prediction and Feature Attribution Analysis of Contrast-Associated Acute Kidney Injury in Patients with Acute Myocardial Infarction

  • Neriman Sıla Koç,
  • Can Ozan Ulusoy,
  • Berrak Itır Aylı,
  • Yusuf Bozkurt Şahin and ,
  • Veysel Ozan Tanık,
  • Arzu Akgül and
  • Ekrem Kara
  • + 2 authors+ 0 author

22 January 2026

Background and Objectives: Contrast-associated acute kidney injury (CA-AKI) is a frequent and clinically significant complication in patients with acute myocardial infarction (AMI) undergoing coronary angiography. Early and accurate risk stratificati...

(This article belongs to the Section Urology & Nephrology)
  • Article
  • Open Access
6 Citations
1,899 Views
20 Pages

Dermatology “AI Babylon”: Cross-Language Evaluation of AI-Crafted Dermatology Descriptions

  • Emmanouil Karampinis,
  • Christina-Marina Zoumpourli,
  • Christina Kontogianni,
  • Theofanis Arkoumanis and ,
  • Dimitra Koumaki,
  • Dimitrios Mantzaris,
  • Konstantinos Filippakis,
  • Maria-Myrto Papadopoulou,
  • Melpomeni Theofili and
  • Dimitrios Sgouros
  • + 9 authors+ 4 authors

22 January 2026

Background and Objectives: Dermatology relies on a complex terminology encompassing lesion types, distribution patterns, colors, and specialized sites such as hair and nails, while dermoscopy adds an additional descriptive framework, making interpret...

(This article belongs to the Section Dermatology)
  • Article
  • Open Access
1,435 Views
12 Pages

Total Neoadjuvant Therapy Versus Conventional Chemoradiotherapy in Rectal Cancer: Impact on Tumor Regression Grade and the Predictive Value of CEA

  • Aikaterini Sarafi,
  • Aikaterini Leventi,
  • Klaountia Athitaki,
  • Konstantinos Stamou and ,
  • Ioannis Papaconstantinou and
  • Dimitrios Korkolis
  • + 1 author+ 0 author

22 January 2026

Background and Objectives: The introduction of total neoadjuvant therapy (TNT) in the preoperative stage has been associated with improved oncological outcomes. However, TNT may lead to tissue fibrosis and be accompanied by increased difficulty durin...

(This article belongs to the Special Issue Novel Insights in Laparoscopic Surgery of Colorectal Carcinoma)
  • Article
  • Open Access
1,108 Views
12 Pages

21 January 2026

Background and Objectives: Degenerative lumbar spinal stenosis (DLSS) frequently manifests as lower leg radiating pain (LLRP), requiring selective nerve root block (SNRB). Comprehensive and Integrative Medical Services (CIMS)—a multimodal progr...

(This article belongs to the Section Orthopedics)
  • Systematic Review
  • Open Access
2 Citations
1,729 Views
18 Pages

Oral Microbiome and Metabolome Changes During Orthodontic Treatments: A Systematic Review of Limited Clinical Evidence

  • Michela Boccuzzi,
  • Riccardo Aiuto,
  • Leonardo Lombardo,
  • Matteo Piasente and ,
  • Andrea Edoardo Bianchi and
  • Alberto Clivio
  • + 1 author+ 0 author

21 January 2026

Background and Objectives: Recent advances in dentistry include microbiological and metabolomic analyses, which have the potential to improve the understanding of oral microbiome–host imbalances during orthodontic treatment. Fixed appliances, f...

(This article belongs to the Special Issue Recent Breakthroughs in Orthodontic Treatment)
  • Systematic Review
  • Open Access
6 Citations
5,969 Views
20 Pages

Clinical Characteristics, Microbiological Spectrum, Biomarkers, and Imaging Insights in Acute Pyelonephritis and Its Complicated Forms—A Systematic Review

  • Marius-Costin Chițu,
  • Teodor Salmen,
  • Paula-Roxana Răducanu,
  • Carmen-Marina Pălimariu and ,
  • Bianca-Margareta Salmen,
  • Anca Pantea Stoian,
  • Viorel Jinga and
  • Dan Liviu Dorel Mischianu
  • + 3 authors+ 0 author

21 January 2026

Background and Objectives: Acute and obstructive pyelonephritis (AOP) management, despite advancements in diagnostic imaging and antimicrobial therapy, is characterized by delayed recognition and increasing antimicrobial resistance. This review aimed...

(This article belongs to the Section Urology & Nephrology)
  • Article
  • Open Access
1 Citations
2,797 Views
20 Pages

Why Our Youth Vape?—A Trend Analysis Based on Cross-Sectional Annual Surveys of Middle and High School Students in the U.S.

  • Tianyuan Guan,
  • Zhaochong Yu,
  • Preethi Bhosle,
  • Chen Li and ,
  • Kai Sun and
  • Marepalli B. Rao
  • + 1 author+ 0 author

21 January 2026

Background and Objectives: E-cigarette use among middle and high school students steadily increased in the last decade, raising significant public health concerns. It is argued that e-cigarettes contain a lower level of toxicants than combustible tob...

(This article belongs to the Section Epidemiology & Public Health)
  • Article
  • Open Access
2 Citations
2,947 Views
10 Pages

Intralesional Platelet-Rich Plasma for Treating Chronic Peyronie’s Disease: A Single-Center Retrospective Cohort Study

  • Luigi Pucci,
  • Celeste Manfredi,
  • Catello Sansone,
  • Simone Tammaro and ,
  • Giorgio Stanziola,
  • Nunzio Langella,
  • Giuseppe Dachille,
  • Davide Arcaniolo,
  • Marco De Sio and
  • Maurizio Carrino
  • + 5 authors+ 0 author

21 January 2026

Background and Objectives: Peyronie’s disease (PD) is a chronic fibrotic disorder of the tunica albuginea causing penile deformity and sexual dysfunction. Platelet-rich plasma (PRP) has been proposed as a regenerative therapy with potential dis...

(This article belongs to the Special Issue New Advances in Urology and Nephrology Disease: From Diagnosis to Treatment—2nd Edition)
  • Feature Paper
  • Article
  • Open Access
1 Citations
2,074 Views
14 Pages

A Comprehensive Patient-Centric Analysis of Disease Burden, Treatment Challenges, and Unmet Needs in Behçet’s Disease: Insights from a Large Cohort Study

  • Samar Tharwat,
  • Ibrahim Moustafa I. A. Abdalla,
  • Marwa A. F. Elhefnawi,
  • Ahmed M. M. Abutaleb and ,
  • Dana M. Zein,
  • Alia A. I. Abdelmaksoud,
  • Rawan S. Elmetwalli,
  • Hana M. Elkilany,
  • Rolan M. M. Abdelaziz and
  • Mohammed Kamal Nassar
  • + 5 authors+ 0 author

21 January 2026

Background and Objectives: Behçet’s disease (BD) is a multisystem inflammatory disorder with significant physical, psychological, and social burdens. However, patient-reported outcomes and subjective symptom experiences remain under-reco...

(This article belongs to the Section Hematology and Immunology)
  • Article
  • Open Access
1 Citations
1,294 Views
12 Pages

Protective Effects of Chitosan and Rosuvastatin on Renal Structure and Lipid Metabolism in Rabbits Fed a High-Fat Diet

  • Carlos Alberto Araujo Chagas,
  • Lucas Alves Sarmento Pires,
  • Beatriz Correa Rodriguez,
  • Bruna Fernanda De Souza Ribeiro and ,
  • Albino Fonseca Junior and
  • Marcio Antonio Babinski
  • + 1 author+ 0 author

21 January 2026

Background and Objectives: This study compared the effects of rosuvastatin and chitosan on the kidneys of rabbits fed a high-fat diet. Materials and Methods: In total, 28 New Zealand White rabbits (Oryctolagus cuniculus) were randomly divided into fo...

(This article belongs to the Section Urology & Nephrology)
  • Article
  • Open Access
4 Citations
2,130 Views
13 Pages

Untargeted LC-HRMS-Based Metabolomic and Antibacterial Potential of Sargassum duplicatum Against Multidrug-Resistant Bacteria

  • Feri Susanto,
  • Riyanti,
  • Hamdan Syakuri,
  • Muhammad Nursid and ,
  • Till F. Schäberle,
  • Ute Mettal,
  • Jae-Suk Choi and
  • Maria Dyah Nur Meinita
  • + 3 authors+ 0 author

20 January 2026

Background/Objectives: The rise in antimicrobial resistance is one of the major challenges to global health systems, which necessitates the development of new antibacterial compounds. The bioactive compounds of brown seaweed Sargassum duplicatum have...

  • Article
  • Open Access
1 Citations
1,298 Views
13 Pages

Exploring the Role of the Head Rotation Sit-Up Test in Identifying Epley-Responsive, Non-Classical Presentations of BPPV

  • Ryo Yoneima,
  • Kenji Nishio,
  • Hiromasa Kawashima,
  • Sota Sakamoto and ,
  • Tomohiro Nakamura,
  • Akihiro Sawa,
  • Ayaka Kakiwaki,
  • Hiroyuki Taguchi,
  • Satoshi Senzaki and
  • Kiyomi Yoshimoto
  • + 10 authors+ 5 authors

20 January 2026

Background and Objectives: The Dix–Hallpike test (DHT) is the standard diagnostic maneuver for posterior semicircular canal benign paroxysmal positional vertigo (BPPV). However, some patients present with positional symptoms compatible with BPP...

(This article belongs to the Section Sports Medicine and Sports Traumatology)
  • Article
  • Open Access
1 Citations
2,000 Views
17 Pages

Misophonia in Individuals with Obsessive–Compulsive Disorder: Its Relationship with Anxiety Sensitivity and Mindfulness

  • Mahmut Onur Karaytuğ,
  • Lut Tamam,
  • Mehmet Emin Demirkol,
  • Zeynep Namlı and ,
  • Caner Yeşiloğlu,
  • Sinem Çetin Demirtaş,
  • Ali Meriç Kurt,
  • Hale Nur Çakar,
  • Efsun Damla Altın and
  • Mahmut Gürbüz
  • + 5 authors+ 0 author

20 January 2026

Background and Objectives: This study aimed to examine the severity of misophonia symptoms in individuals diagnosed with obsessive–compulsive disorder (OCD) and to evaluate the pattern of the relationship between misophonia and OCD symptom seve...

(This article belongs to the Section Psychiatry)
  • Review
  • Open Access
2,129 Views
23 Pages

Reconsidering Rehabilitation and Lifestyle Approaches to Improve Quality of Life in People with Multiple Sclerosis: A Scoping Review

  • Elena Bianca Basalic,
  • Nadinne Alexandra Roman,
  • Diana Minzatanu,
  • Adina Ionelia Manaila and ,
  • Ionut Cristian Cozmin Baseanu and
  • Roxana Steliana Miclaus
  • + 1 author+ 0 author

20 January 2026

Background: Multiple sclerosis (MS) involves complex physical, cognitive and behavioral challenges that collectively affect quality of life. Integrating lifestyle components such as sleep optimization, dietary behaviors, stress management, and self-m...

(This article belongs to the Special Issue Clinical Recent Research in Rehabilitation and Preventive Medicine)
  • Article
  • Open Access
1,049 Views
12 Pages

The Impact of Concurrent Proton Pump Inhibitors on Nivolumab Response in Metastatic Non-Small Cell Lung Cancer: A Multicenter Real-Life Study

  • Engin Hendem,
  • Mehmet Zahid Koçak,
  • Ayşegül Merç Çetinkaya,
  • Gülhan Dinç and ,
  • Melek Çağlayan,
  • Muzaffer Uğraklı,
  • Dilek Çağlayan,
  • Murat Araz,
  • Melek Karakurt Eryılmaz and
  • Mehmet Artaç
  • + 9 authors+ 4 authors

20 January 2026

Background and Objectives: Clinically meaningful drug–drug interactions may be overlooked in oncology. Proton pump inhibitors (PPIs) may modulate outcomes with immune checkpoint inhibitors (ICIs) by altering the gut microbiome, altering the imm...

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

20 January 2026

Background and Objectives: The effect of growth hormone (GH) on body composition is well recognized, and recombinant human GH (rGH) therapy may improve lean mass and related parameters. The aim of this study was to analyze changes in body composition...

(This article belongs to the Section Endocrinology)
  • Article
  • Open Access
953 Views
12 Pages

20 January 2026

Background and Objectives: Sentinel lymph node (LN) biopsy (SLNB) remains to be the standard approach for surgical axillary staging of breast cancer (BC) patients. The aim of this study was to investigate the factors that affect axillary LN involveme...

(This article belongs to the Section Surgery)
  • Article
  • Open Access
1 Citations
1,807 Views
10 Pages

Combined Clavicular Hook Plate and Coracoid Screw Fixation for Coracoid Process Fractures Associated with Acromioclavicular Joint Dislocation

  • Bong Gun Lee,
  • Young Seok Lee,
  • Chang-Hun Lee,
  • Wan-Sun Choi and ,
  • Chang-Woo Woo and
  • Young-Hoon Jo
  • + 1 author+ 0 author

20 January 2026

Background and Objectives: Coracoid process (CP) fractures combined with acromioclavicular (AC) joint dislocation are extremely rare, and evidence guiding optimal surgical management remains limited. This retrospective, single-center case series stud...

(This article belongs to the Special Issue Orthopedic Trauma: Surgical Treatment and Rehabilitation)
  • Review
  • Open Access
3 Citations
2,165 Views
24 Pages

Obesity and Its Clinical Implications in End-Stage Kidney Disease

  • Kristina Petruliene,
  • Alanta Zilinskiene,
  • Ruta Vaiciuniene,
  • Kestutis Vaiciunas and ,
  • Inga Arune Bumblyte and
  • Egle Dalinkeviciene
  • + 1 author+ 0 author

20 January 2026

Both obesity and chronic kidney disease (CKD) are increasingly recognized as global epidemics. Their escalating incidence and far-reaching health implications highlight the urgent need for comprehensive prevention and management strategies. This revi...

(This article belongs to the Special Issue End-Stage Kidney Disease (ESKD))
  • Article
  • Open Access
1,082 Views
17 Pages

From Exhaustion to Empowerment: A Pilot Study on Motor Control-Based Exercise for Fatigue and Quality of Life in Long COVID-19 Patients

  • Carmen Jiménez-Antona,
  • Ricardo Moreta-Fuentes,
  • David Varillas-Delgado,
  • César Moreta-Fuentes and
  • Sofía Laguarta-Val

20 January 2026

Background and Objectives: Long COVID-19 (LC) is a multifaceted condition characterized by persistent fatigue and impaired health-related quality of life (HRQoL). Exercise intolerance and post-exertional symptom exacerbation (PESE) pose challenges fo...

(This article belongs to the Special Issue Exercise Rehabilitation Strategies for Long-Term Conditions in the Post-Pandemic Era)
  • Article
  • Open Access
1,450 Views
12 Pages

The Role of DLNO in the Functional Assessment of Patients with Idiopathic Pulmonary Fibrosis

  • Pasquale Tondo,
  • Josuel Ora,
  • Matteo Pio Natale,
  • Giulia Scioscia and ,
  • Bartolomeo Zerillo,
  • Matteo Salvatore Di Maggio,
  • Paola Rogliani and
  • Donato Lacedonia
  • + 3 authors+ 0 author

19 January 2026

Background and Objectives: Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive interstitial lung disease characterized by alveolar-capillary membrane remodeling and impaired gas diffusion. The diffusing capacity of the lung for nitric oxide...

(This article belongs to the Section Pulmonology)
  • Article
  • Open Access
1,363 Views
14 Pages

Prognostic Value of the National Early Warning Score Combined with Nutritional and Endothelial Stress Indices for Mortality Prediction in Critically Ill Patients with Pneumonia

  • Ferhan Demirer Aydemir,
  • Murat Daş,
  • Özge Kurtkulağı,
  • Ece Ünal Çetin and ,
  • Feyza Mutlay and
  • Yavuz Beyazıt
  • + 1 author+ 0 author

19 January 2026

Background and Objectives: Pneumonia is a leading cause of intensive care unit (ICU) admission and is associated with high mortality, particularly among patients with multiple comorbidities. Accurate early risk stratification is essential for guiding...

(This article belongs to the Special Issue Multidisciplinary Approaches and Recent Advances in Anesthesiology and Critical Care)
  • Article
  • Open Access
2 Citations
2,355 Views
14 Pages

19 January 2026

Background and Objectives: Usual interstitial pneumonia (UIP) is associated with progressive fibrosing interstitial lung diseases (PF-ILD) and poor survival in patients with fibrosing interstitial lung disease (FILD). We aimed to investigate the pred...

(This article belongs to the Special Issue Advances in Interstitial Lung Diseases: From Diagnosis to Treatment)
  • Article
  • Open Access
2 Citations
2,271 Views
13 Pages

Early SGLT2 Inhibitor Therapy in Acute Coronary Syndrome: Mitigating Adverse Remodeling in High-Risk Phenotypes—A Real-World Study

  • Teodora Mateoc,
  • Ioana-Maria Suciu,
  • Dan Gaiță,
  • Andor Minodora and ,
  • Roxana Popescu,
  • Tania Vlad,
  • Corina Flangea,
  • Călin Muntean and
  • Daliborca-Cristina Vlad
  • + 4 authors+ 0 author

19 January 2026

Background and Objectives: SGLT2 inhibitors are foundational in heart failure therapy, yet their impact on left ventricular (LV) remodeling immediately following acute coronary syndrome (ACS) remains less defined. This study evaluated the association...

(This article belongs to the Special Issue Diabetes, Hypertension, and Cardiovascular Diseases: New Insights, Risk Factors, and Drug Therapies)
  • Article
  • Open Access
1,545 Views
17 Pages

TAVI Performance at a Single Center over Several Years: Procedural and Clinical Outcomes

  • Huseyin Dursun,
  • Bihter Senturk,
  • Tugce Colluoglu,
  • Cisem Oktay and ,
  • Hacer Uysal,
  • Husna Tuğçe Simsek,
  • Sercan Karaoglan,
  • Zulkif Tanriverdi and
  • Dayimi Kaya
  • + 4 authors+ 0 author

18 January 2026

Background and Objectives: Transcatheter aortic valve implantation (TAVI) has become the mainstay of treatment for symptomatic aortic stenosis (AS) in patients over 70 years of age. It is also indicated for younger patients with significant comorbidi...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
1,517 Views
12 Pages

Therapeutic Outcomes of Fingolimod and Interferon Beta-1a in Relapsing–Remitting Multiple Sclerosis: A Real-World Study from Jordan

  • Arwa Al Anber,
  • Ola Abu Al Karsaneh,
  • Dua Abuquteish,
  • Osama Abdallah and ,
  • Mohammad A. Issa,
  • Mohammad Sa’adeh and
  • Dena Kilani
  • + 2 authors+ 0 author

18 January 2026

Background and Objectives: Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system with rising prevalence in the Middle East. Real-world comparative data on disease-modifying therapies from this region remain limited. Th...

(This article belongs to the Section Pharmacology)
  • Article
  • Open Access
1,401 Views
13 Pages

Paradoxical Effect of Obesity on Survival Outcomes in Prostate Cancer Patients Receiving Enzalutamide and Abiraterone

  • Bahattin Engin Kaya,
  • Mehmet Zahid Koçak,
  • Oğuzhan Yıldız,
  • Talat Aykut and ,
  • Ali Fuat Gürbüz,
  • Ömer Genç,
  • Melek Karakurt Eryılmaz,
  • Murat Araz and
  • Mehmet Artaç
  • + 4 authors+ 0 author

18 January 2026

Background and Objectives: Overweight and obesity is defined as a Body Mass Index (BMI) of 25.0–29.9 kg/m2 and ≥30.0 kg/m2. The prognostic significance of obesity in metastatic prostate cancer is still unclear, especially between the castrat...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
2 Citations
1,527 Views
15 Pages

Multi-Marker Approach in Sepsis: A Clinical Role Beyond SOFA Score

  • Gun Hyuk Lee,
  • Hanah Kim,
  • Hee-Won Moon,
  • Yeo-Min Yun and ,
  • Seungho Lee and
  • Mina Hur
  • + 1 author+ 0 author

18 January 2026

Background and Objectives: Procalcitonin (PCT), presepsin (PSEP), interferon-λ3 (IFN-λ3), and bioactive adrenomedullin (bio-ADM) are promising sepsis biomarkers. We explored the clinical utility of a multi-marker approach using these fo...

(This article belongs to the Collection The Utility of Biomarkers in Disease Management Approach)
  • Article
  • Open Access
1 Citations
1,122 Views
12 Pages

Clinicopathological Predictors of Axillary Pathological Complete Response and Its Prognostic Significance in Clinically Node-Positive (cN+), HER2-Positive Breast Cancer Following Neoadjuvant Therapy

  • Şahin Bedir,
  • Uğur Alp Yeşilova,
  • Merve Tokoçin,
  • Burçin Çakan Demirel and ,
  • Yakup Bozkaya,
  • Abdilkerim Oyman,
  • Murad Guliyev,
  • Hamza Abbasov,
  • Nebi Serkan Demirci and
  • Gökmen Umut Erdem
  • + 9 authors+ 4 authors

18 January 2026

Background and Objectives: This study aimed to identify clinicopathological factors associated with axillary pathological complete response (ApCR) in patients with HER2-positive breast cancer presenting with clinically node-positive disease (cN+) con...

(This article belongs to the Collection Frontiers in Breast Cancer Diagnosis and Treatment)
  • Review
  • Open Access
3 Citations
2,334 Views
14 Pages

17 January 2026

Background and Objectives: Subclinical paroxysmal atrial fibrillation (AF) is often undetected by conventional screening strategies, until complications emerge. Artificial intelligence (AI) applied to sinus rhythm electrocardiograms has emerged as a...

(This article belongs to the Special Issue Advances in Atrial Fibrillation: Mechanisms, Diagnosis, and Emerging Therapies)
  • Article
  • Open Access
2,077 Views
18 Pages

Effects of Exogenous SARS-CoV-2 S1 Protein and mRNA Vaccines on Mixed Neuronal–Glial Cell Cultures

  • Vytenis Markevičius,
  • Eimina Dirvelytė-Valauskė,
  • Urtė Neniškytė and
  • Vilmantė Borutaitė

17 January 2026

Background and Objectives: SARS-CoV-2 produces potentially pathogenic molecules, such as single-stranded RNA and spike proteins, which can potentially activate microglial cells. In this study, we aimed to investigate whether SARS-CoV-2 spike protein...

(This article belongs to the Special Issue Advances in the Field of Neurology: Innovations in Research and Treatment)
  • Article
  • Open Access
2 Citations
1,221 Views
16 Pages

An Early Warning Marker in Acute Respiratory Failure: The Prognostic Significance of the PaCO2–ETCO2 Gap During Noninvasive Ventilation

  • Süleyman Kırık,
  • Mehmet Göktuğ Efgan,
  • Ejder Saylav Bora,
  • Uğur Tavşanoğlu and ,
  • Hüseyin Özkan Öz,
  • Burak Acar and
  • Sedat Yıldızlı
  • + 2 authors+ 0 author

17 January 2026

Background and Objectives: Acute respiratory failure (ARF) has a heterogeneous course in the emergency department (ED), and early prediction of noninvasive mechanical ventilation (NIMV) failure is difficult. The PaCO2–ETCO2 gap reflects ventila...

(This article belongs to the Section Intensive Care/ Anesthesiology)
  • Article
  • Open Access
951 Views
14 Pages

Intragastric Localization as a Determinant of Peg Complications: A Comparative Analysis of Proximal and Distal Placements

  • Suat Evirgen,
  • Şirin Çetin,
  • Şencan Acar,
  • Abdurrahman Şahin and ,
  • Yavuz Pirhan,
  • Hakan Sivgin and
  • Meryem Çetin
  • + 2 authors+ 0 author

17 January 2026

Background and Objectives: While percutaneous endoscopic gastrostomy (PEG) is a standard procedure for long-term enteral nutrition, the impact of precise intragastric tube localization on complications remains underexplored. This study aimed to deter...

(This article belongs to the Section Gastroenterology & Hepatology)
  • Article
  • Open Access
782 Views
12 Pages

16 January 2026

Background and Objectives: Brain metastases frequently evolve over time in multiple waves, especially in patients with prolonged survival. Despite repeated imaging and targeted therapies, lesion-level continuity is fragmented in clinical practice, as...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1,340 Views
11 Pages

Anaemia as a Determinant of Cognitive Dysfunction in Peritoneal Dialysis Patients: Evidence from a Single-Centre Study

  • Mira Novković Joldić,
  • Branimirka Aranđelović,
  • Jelena Vojnović,
  • Dario Novaković and ,
  • Blanka Slavik,
  • Milica Knežević and
  • Dragana Milutinović
  • + 2 authors+ 0 author

16 January 2026

Background and Objectives: Cognitive disorders are a significant health problem in patients undergoing peritoneal dialysis and can profoundly impair both quality of life and treatment outcomes. Early identification of risk factors for the development...

(This article belongs to the Section Urology & Nephrology)
  • Article
  • Open Access
1 Citations
1,639 Views
10 Pages

16 January 2026

Background and Objectives: Autosomal dominant polycystic kidney disease (ADPKD) is the most common monogenic kidney disease, and the only approved pharmacological therapy shown to slow disease progression is tolvaptan. This study presents a long-term...

(This article belongs to the Special Issue Chronic Kidney Disease: From Early Detection to Modern Management Strategies)
  • Article
  • Open Access
935 Views
24 Pages

Unequal Regional Access to ACL Reconstruction in Romania: A Nationwide Epidemiologic Assessment (2017–2023)

  • Gloria Alexandra Tolan,
  • Cris Virgiliu Precup,
  • Roxana Furau,
  • Bogdan Uivaraseanu and ,
  • Delia Mirela Tit,
  • Gabriela S. Bungau,
  • Mirela Marioara Toma,
  • Tiberiu Sebastian Nemeth and
  • Cristian George Furau
  • + 4 authors+ 0 author

16 January 2026

Background and Objectives: Access to anterior cruciate ligament reconstruction (ACLR) varies substantially across health systems, yet national-level data from Eastern Europe remain limited. This study provides the first nationwide, regionally stratif...

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

Integration of the GRIm Score with Pathologic Immune and Stromal Markers to Develop a Combined Prognostic Model in Gastric Cancer: A Retrospective Single-Center Study

  • Gökhan Öztürk,
  • Ebru Taştekin,
  • Canberk Topuz,
  • Aysun Fatma Akkuş and ,
  • Tayyip İlker Aydın,
  • Sernaz Topaloğlu,
  • Bülent Erdoğan,
  • Muhammet Bekir Hacıoğlu and
  • Ahmet Küçükarda
  • + 4 authors+ 0 author

16 January 2026

Background and Objectives: The Gustave Roussy Immune (GRIm) score, reflecting systemic inflammation and nutritional status, has emerged as a simple and reproducible prognostic biomarker in various malignancies. However, its prognostic interaction wit...

(This article belongs to the Section Oncology)
  • Review
  • Open Access
5 Citations
4,837 Views
55 Pages

JAK-Inhibitors Beyond the Label: Emerging Applications in Dermatology

  • Giulio Foggi,
  • Francesco D’Oria,
  • Costanza Falcidia,
  • Matteo Bianco and ,
  • Luciano Ibba,
  • Alessandra Narcisi,
  • Antonio Costanzo and
  • Luigi Gargiulo
  • + 3 authors+ 0 author

16 January 2026

Background and Objectives: Oral Janus kinase (JAK) inhibitors have become an important therapeutic class in dermatology, with approved indications including atopic dermatitis and alopecia areata. Owing to their broad immunomodulatory effects and rapi...

(This article belongs to the Section Dermatology)
  • Article
  • Open Access
1,170 Views
10 Pages

16 January 2026

Background and Objectives: Obesity is a major contributor to female reproductive dysfunction, frequently resulting in menstrual irregularity, anovulation, and subfertility. Bariatric surgery improves metabolic health; however, its effect on reproduct...

(This article belongs to the Section Surgery)
  • Article
  • Open Access
1,407 Views
12 Pages

Evaluating Comorbidity Scores in Geriatric Ovarian Cancer: A Retrospective Cohort Analysis

  • Simay Cokgezer,
  • Naziye Ak,
  • Muhammet Senkal,
  • Aysel Safaraliyeva and ,
  • Didem Tastekin and
  • Pınar Mualla Saip
  • + 1 author+ 0 author

16 January 2026

Background and Objectives: This study aimed to comparatively evaluate the association of commonly used comorbidity scores with survival, mortality, and recurrence in ovarian cancer patients aged 50 years and above. Materials and Methods: In this sing...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1 Citations
1,381 Views
13 Pages

16 January 2026

Background and Objectives: The anatomically demanding structure of curved root canals increases the technical difficulty of retreatment procedures. This study aimed to evaluate the retreatment efficacy of various rotary and reciprocating instruments...

(This article belongs to the Section Dentistry and Oral Health)
  • Review
  • Open Access
5 Citations
3,862 Views
18 Pages

16 January 2026

Background and Objectives: Bladder cancer (BC) represents a significant global health burden, ranking as the tenth most commonly diagnosed malignancy worldwide, with an incidence rate of 5.6 per 100,000 person-years annually. The research team aimed...

(This article belongs to the Special Issue Updates on Genitourinary Cancers)
  • Review
  • Open Access
1 Citations
3,149 Views
13 Pages

The Role of Ophthalmic Artery Doppler in Predicting Preeclampsia: A Review of the Literature

  • Nicoleta Gana,
  • Ancuța Năstac,
  • Livia Mihaela Apostol,
  • Iulia Huluță and ,
  • Corina Gica,
  • Gheorghe Peltecu and
  • Nicolae Gica
  • + 2 authors+ 0 author

16 January 2026

Background and Objectives: Preeclampsia (PE) complicates 2–8% of pregnancies globally, with a higher incidence in developing countries. This condition poses significant risks to maternal and fetal health, contributing substantially to maternal...

(This article belongs to the Special Issue Advances in Reproductive Health)

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Medicina - ISSN 1648-9144