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Journal of Personalized Medicine, Volume 15, Issue 4

April 2025 - 40 articles

Cover Story: Hepatocellular carcinoma (HCC) and cholangiocarcinoma (CC) constitute the main hepatobiliary liver cancers (HBLCs) with alarming epidemiological projections. In recent decades, alterations in gut microbiota composition, with relative mutual implications on the “gut–liver axis” and “gut–biliary axis” permeability status, have been proposed as pathogenetic deus ex machina. In patients with HCC and CC, gut-derived metabolites, including bile acids (BAs), short-chain fatty acids (SCFAs), and oxidative-stress-derived products, configure a network of mediators severely impacting the onset and progression of HBLC. In the Era of Precision Medicine, the clarification of microbiota composition and functioning in HCC and CC settings can contribute to the identification of individual signatures, potentially providing novel diagnostic markers, therapeutic approaches, and prognostic–predictive tools. View this paper
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Articles (40)

  • Article
  • Open Access
2 Citations
2,641 Views
17 Pages

Patient Experience with Intranasal Esketamine in Treatment-Resistant Depression: Insights from a Multicentric Italian Study (REAL-ESKperience)

  • Marco Di Nicola,
  • Maria Pepe,
  • Giacomo d’Andrea,
  • Ilaria Marcelli,
  • Mauro Pettorruso,
  • Ileana Andriola,
  • Stefano Barlati,
  • Matteo Carminati,
  • Carlo Ignazio Cattaneo and
  • Massimo Clerici
  • + 20 authors

21 April 2025

Background. Treatment-resistant depression (TRD) is a prevalent, high-burden disorder. Esketamine nasal spray (ESK-NS) has been approved for, T.R.D.; and efficacy has been observed in both clinical trials and real-world studies. However, observations...

  • Article
  • Open Access
2 Citations
1,002 Views
13 Pages

Multimodal Performance of GPT-4 in Complex Ophthalmology Cases

  • David Mikhail,
  • Daniel Milad,
  • Fares Antaki,
  • Jason Milad,
  • Andrew Farah,
  • Thomas Khairy,
  • Jonathan El-Khoury,
  • Kenan Bachour,
  • Andrei-Alexandru Szigiato and
  • Taylor Nayman
  • + 2 authors

21 April 2025

Objectives: The integration of multimodal capabilities into GPT-4 represents a transformative leap for artificial intelligence in ophthalmology, yet its utility in scenarios requiring advanced reasoning remains underexplored. This study evaluates GPT...

  • Article
  • Open Access
850 Views
12 Pages

Frailty as a Predictor of Post-Traumatic Stress Disorder After Advance Care Planning Communication Intervention by Trained Care Managers in Long-Term Care Service Users in Japan: A Secondary Analysis

  • Mariko Miyamichi,
  • Kyoko Oshiro,
  • Shozo Okochi,
  • Noriyasu Takeuchi,
  • Tomoe Nakamura,
  • Terumi Matsushima,
  • Masako Okada,
  • Yoshimi Kudo,
  • Takehiro Ishiyama and
  • Tomoyasu Kinoshita
  • + 2 authors

21 April 2025

Background/Objectives: Advance care planning is essential in a community; however, intervention studies by care managers remain scarce. This study aims to determine the relationship between frailty and post-traumatic stress disorder among long-term c...

  • Review
  • Open Access
2,696 Views
12 Pages

The Optimal Age for Oophorectomy in Women with Benign Conditions: A Narrative Review

  • Aikaterini-Gavriela Giannakaki,
  • Maria-Nektaria Giannakaki,
  • Konstantinos Nikolettos,
  • Christina Pagkaki and
  • Panagiotis Tsikouras

19 April 2025

Objective: Oophorectomy is a common procedure for benign uterine conditions, historically recommended for women aged 40–45 and older due to the belief that ovarian preservation had no significant benefits. This review evaluates the literature o...

  • Article
  • Open Access
1 Citations
810 Views
17 Pages

17 April 2025

Background/Objectives: The coronavirus disease 2019 (COVID-19) pandemic significantly disrupted global healthcare. This study explores the effects of perioperative COVID-19 infection on postoperative outcomes, aiming to refine risk assessment and enh...

  • Article
  • Open Access
2 Citations
1,066 Views
26 Pages

Genetic Predictors of Paxlovid Treatment Response: The Role of IFNAR2, OAS1, OAS3, and ACE2 in COVID-19 Clinical Course

  • Mykhailo Buchynskyi,
  • Iryna Kamyshna,
  • Iryna Halabitska,
  • Pavlo Petakh,
  • Valentyn Oksenych and
  • Oleksandr Kamyshnyi

17 April 2025

Background: This study investigated the role of genetic polymorphisms in IFNAR2, OAS1, OAS3, and ACE2 as predictors of Paxlovid treatment response, specifically examining their influence on the clinical course and laboratory parameters of COVID-19 pa...

  • Case Report
  • Open Access
1 Citations
1,248 Views
7 Pages

17 April 2025

Background: B-cell-depleting drugs targeting the CD20 antigen have been increasingly implemented as an “exit strategy” from natalizumab for relapsing–remitting multiple sclerosis (RRMS) patients due to the increased risk of progress...

  • Article
  • Open Access
1,256 Views
18 Pages

Post-Extraction Bone Changes in Molars Within Personalized Implant-Prosthetic Therapy as Evaluated with Fractal Analysis of CBCT

  • Antonia Samia Khaddour,
  • Sanda Mihaela Popescu,
  • Mihaela Ionescu,
  • Alex Ioan Sălan,
  • Răzvan Eugen Ghiţă,
  • Melania Olimpia Cojocaru,
  • Iulia Roxana Marinescu,
  • Marina Olimpia Amărăscu and
  • Emma Cristina Draghici

16 April 2025

Background: Implant-prosthetic therapy requires a detailed assessment of the bone structure before designing a personalized treatment plan. Tooth extraction at the molar level is followed by a series of bone changes dependent on the patient’s g...

  • Article
  • Open Access
864 Views
17 Pages

Integrating Novel and Classical Prognostic Factors in Locally Advanced Cervical Cancer: A Machine Learning-Based Predictive Model (ESTHER Study)

  • Federica Medici,
  • Martina Ferioli,
  • Arina Alexandra Zamfir,
  • Milly Buwenge,
  • Gabriella Macchia,
  • Francesco Deodato,
  • Paolo Castellucci,
  • Luca Tagliaferri,
  • Anna Myriam Perrone and
  • Pierandrea De Iaco
  • + 8 authors

15 April 2025

Background/Objective: This study aimed to assess the prognostic significance of pretreatment nutritional and systemic inflammatory indices (IIs), and body composition parameters in patients with locally advanced cervical cancer (LACC) treated with ch...

  • Article
  • Open Access
1,945 Views
15 Pages

12 April 2025

Objectives: Carotid geometry and cardiovascular risk factors play a significant role in the development of carotid atherosclerotic plaques. This study aimed to investigate the correlation between carotid plaque formation and carotid artery geometry c...

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J. Pers. Med. - ISSN 2075-4426Creative Common CC BY license