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Clinics and Practice, Volume 16, Issue 1

2026 January - 22 articles

Cover Story: Cement augmentation of cephalomedullary head elements is used to improve fixation in osteoporotic trochanteric fractures, but it does not remove the need for accurate positioning and preserved sliding. This cover highlights a rare failure: a post-union subcapital femoral neck fracture around a cement-augmented helical blade. Despite acceptable initial metrics, sliding remained constrained and progressive varus displacement developed, redirecting load to the subcapital region rather than dissipating it through telescoping. Serial radiographs with complementary CT/MRI suggest that excessive construct stiffness can shift stress after union. We propose a position- and sliding-based guide to flag early warning signs—pain, progressive varus, and lack of sliding progression—and to prompt consideration of conversion to arthroplasty. View this paper
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Articles (22)

  • Article
  • Open Access
83 Views
16 Pages

Fatigue Among Caregivers of Hospitalized Patients

  • Eleni Maria Mitrou,
  • Lamprini Avramopoulou,
  • Dimitrios Alefragkis,
  • Athanasia Tsami and
  • Maria Polikandrioti

Introduction: Caregiving has been an emerging public health priority mainly due to the rapid pace of population aging, increase in chronic diseases and shortages of health professionals. In clinical settings, caregivers have a crucial role by providi...

  • Review
  • Open Access
97 Views
10 Pages

Elderspeak is a form of communication overaccommodation directed toward older adults, characterized by simplified language and an elevated pitch. While typically well-intentioned, it is rooted in ageist stereotypes and linked to negative health outco...

  • Case Report
  • Open Access
115 Views
8 Pages

Primary Uterine NUT Carcinoma: A Case Report and Literature Review

  • Tetsuro Shiraishi,
  • Iori Kisu,
  • Naomi Kaneko,
  • Takaaki Fukuda,
  • Jun Watanabe,
  • Ryoma Hayashi,
  • Akihisa Ueno,
  • Katsura Emoto,
  • Kanako Nakamura and
  • Wataru Yamagami
  • + 3 authors

Background: Nuclear protein in testis (NUT) carcinoma is a rare, aggressive, and poorly differentiated epithelial malignancy characterized by the rearrangement of NUTM1 (NUT midline carcinoma family member 1) on 15q14. It primarily originates along t...

  • Case Report
  • Open Access
339 Views
7 Pages

A Hypersexuality Subset Behavior Induced by Aripiprazole Overdose in an Antipsychotic Naïve Patient: A Case Report and Review of the Literature

  • Tiziano Serfilippi,
  • Silvia Piccirillo,
  • Alessandra Preziuso,
  • Valentina Terenzi,
  • Francesca Romagnoli,
  • Marella Tarini,
  • Vincenzo Lariccia,
  • Agnese Secondo and
  • Simona Magi

Background: Aripiprazole is an atypical antipsychotic that acts as a partial agonist on the dopamine receptor D2 while also displaying agonistic activity on the 5-HT1A and antagonistic activity on the 5-HT2A receptors. As a partial agonist, aripipraz...

  • Article
  • Open Access
135 Views
15 Pages

Anxiety and Depression in Patients with Colorectal Cancer Undergoing Ileostomy

  • Panagiota Makrygianni,
  • Maria Polikandrioti,
  • Ioannis Koutelekos,
  • Ilias Tsiampouris and
  • Georgios Vasilopoulos

Introduction: Patients with colorectal cancer who undergo ileostomy surgery confront multifaceted challenges that significantly impact their daily lives and cause symptoms of anxiety and depression. The aim of this study was to explore the anxiety an...

  • Article
  • Open Access
111 Views
14 Pages

Background: Cardiac amyloidosis is characterized by progressive myocardial and atrial infiltration, leading to atrial mechanical dysfunction, atrial fibrillation, and thromboembolic complications. Left atrial (LA) strain is an established marker of a...

  • Article
  • Open Access
185 Views
13 Pages

Effectiveness of Group Voice Therapy in Teachers with Hyperfunctional Voice Disorder

  • Nataša Prebil,
  • Rozalija Kušar,
  • Maja Šereg Bahar and
  • Irena Hočevar Boltežar

Background/Objectives: The aim of this study was to assess the short-term and long-term effectiveness of group voice therapy in changing vocal behaviour and improving voice quality (VQ) among teachers with hyperfunctional voice disorders (HFVD), usin...

  • Systematic Review
  • Open Access
373 Views
16 Pages

A Systematic Review of Personality Disorders in Patients with Gambling Disorder

  • Ioana Ioniță,
  • Mădălina Iuliana Mușat,
  • Bogdan Cătălin,
  • Constantin Alexandru Ciobanu and
  • Adela Magdalena Ciobanu

Background/Objectives: Gambling disorder (GD) is characterized by a high prevalence of co-occurring psychiatric disorders, including personality disorders (PDs), which may negatively influence clinical presentation, treatment outcomes, and relapse ra...

  • Review
  • Open Access
391 Views
30 Pages

Telehealth for Sexual and Reproductive Healthcare: Evidence Map of Effectiveness, Patient and Provider Experiences and Preferences, and Patient Engagement Strategies

  • Romil R. Parikh,
  • Nishka U. Shetty,
  • Chinar Singhal,
  • Prachi Patel,
  • Priyanka Manghani,
  • Ashwin A. Pillai,
  • Luz Angela Chocontá-Piraquive and
  • Mary E. Butler

Objective: The aim of this study was to systematically map evidence to inform best practices for sexual and reproductive healthcare delivered via telehealth (TeleSRH) in United States-based Title X-funded clinics. Methods: We searched three databases...

  • Case Report
  • Open Access
258 Views
12 Pages

Ventricular Asystole During Le Fort I Orthognathic Surgery: A Case Consistent with Trigeminocardiac Reflex and a Mini Review

  • Sucharu Ghosh,
  • Sandra Armanious,
  • Anirudh Nair,
  • Zeynep Ulku,
  • Daniel Sultan and
  • Robert Pellecchia

Introduction: The trigeminocardiac reflex (TCR) is a brainstem reflex in which trigeminal stimulation precipitates abrupt vagally mediated cardiovascular changes, ranging from bradycardia to asystole. While classically described during down-fracture...

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Clin. Pract. - ISSN 2039-7283