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Medical Sciences, Volume 12, Issue 3

2024 September - 18 articles

Cover Story: Fifty octogenarian patients (median age: 82 years) underwent the repair of acute aortic dissection (closed distal—22, open distal—28). The in-hospital mortality was 18% (open distal; 14.2% vs. closed distal; 22.7%, p = 0.44). Stroke was present in 26% (open distal; 28.6% vs. closed distal; 22.7%, p = 0.64). The median survival was 7.2 years (IQR; 4.5–11.6 years). Survival was comparable between the open and closed distal groups (median 10.6 vs. 7.2 years, p = 0.35, respectively). The critical preoperative status (HR; 3.2, p = 0.03) and composite endpoint (Renal Replacement Therapy, new CVA/neurological event, Length of stay > 30 days or return to theatre; HR; 4.1, p = 0.02) predicted adverse survival. Repair in selected octogenarians is associated with an acceptable short and long-term survival. View this paper
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Articles (18)

  • Article
  • Open Access
9 Citations
4,323 Views
8 Pages

Enhanced Osteoporosis Detection Using Artificial Intelligence: A Deep Learning Approach to Panoramic Radiographs with an Emphasis on the Mental Foramen

  • Robert Gaudin,
  • Wolfram Otto,
  • Iman Ghanad,
  • Stephan Kewenig,
  • Carsten Rendenbach,
  • Vasilios Alevizakos,
  • Pascal Grün,
  • Florian Kofler,
  • Max Heiland and
  • Constantin von See

20 September 2024

Osteoporosis, a skeletal disorder, is expected to affect 60% of women aged over 50 years. Dual-energy X-ray absorptiometry (DXA) scans, the current gold standard, are typically used post-fracture, highlighting the need for early detection tools. Pano...

  • Commentary
  • Open Access
3 Citations
9,513 Views
4 Pages

13 September 2024

The treatment landscape for metastatic renal cell carcinoma (RCC) has advanced significantly with first-line immunotargeted therapy combinations. However, no statistically significant differences were observed in the cohort of patients with favorable...

  • Article
  • Open Access
2 Citations
2,921 Views
10 Pages

Survival Analysis, Clinical Characteristics, and Predictors of Cerebral Metastases in Patients with Colorectal Cancer

  • Antoine Jeri-Yabar,
  • Liliana Vittini-Hernandez,
  • Jerry K. Benites-Meza and
  • Sebastian Prado-Nuñez

2 September 2024

Introduction: Colorectal cancer (CRC) is the third most common cancer globally and a leading cause of cancer-related deaths. While liver metastasis is common, brain metastasis (BM) is rare, occurring in 0.1% to 14% of cases. Risk factors for BM inclu...

  • Article
  • Open Access
3 Citations
1,767 Views
11 Pages

Survival and Durability of Minimally Invasive Mitral Valve Repair: Insights from Different Repair Techniques

  • Alessandra Iaccarino,
  • Ilaria Giambuzzi,
  • Denise Galbiati,
  • Enea Cuko,
  • Ginevra Droandi,
  • Sara Forcina,
  • Eraldo Kushta,
  • Alessio Basciu,
  • Alessandro Barbone and
  • Lucia Torracca
  • + 1 author

2 September 2024

This study evaluates the long-term outcomes of minimally invasive mitral valve repair (MIMVR) in patients with degenerative mitral regurgitation, focusing on survival, mitral valve repair failure, and re-operation rates. A cohort of patients undergoi...

  • Article
  • Open Access
2 Citations
2,272 Views
10 Pages

Perioperative and Long-Term Outcomes of Acute Stanford Type A Aortic Dissection Repair in Octogenarians

  • Hannah Masraf,
  • Manoraj Navaratnarajah,
  • Laura Viola,
  • Davorin Sef,
  • Pietro G. Malvindi,
  • Szabolcs Miskolczi,
  • Theodore Velissaris and
  • Suvitesh Luthra

2 September 2024

Background: The aims of this study were to assess the perioperative morbidity, mortality and long-term survival of octogenarians undergoing acute type A aortic dissection repair (ATAAD), and to compare open and closed distal anastomosis techniques. M...

  • Article
  • Open Access
4 Citations
3,761 Views
11 Pages

HLA Genetic Diversity and Chronic Hepatitis B Virus Infection: Effect of Heterozygosity Advantage

  • Adriana Tălăngescu,
  • Maria Tizu,
  • Bogdan Calenic,
  • Dan Florin Mihăilescu,
  • Alexandra Elena Constantinescu and
  • Ileana Constantinescu

29 August 2024

This research aims to determine whether HLA heterozygosity confers a protective effect against hepatitis B virus infection by analyzing the relationship between HLA diversity and the risk of hepatitis B virus (HBV) infection. A total of 327 hepatitis...

  • Review
  • Open Access
4 Citations
6,746 Views
18 Pages

Emerging Cancer Immunotherapies: Cutting-Edge Advances and Innovations in Development

  • Monica Maccagno,
  • Marta Tapparo,
  • Gabriele Saccu,
  • Letizia Rumiano,
  • Sharad Kholia,
  • Lorenzo Silengo and
  • Maria Beatriz Herrera Sanchez

28 August 2024

The rise in biological therapies has revolutionized oncology, with immunotherapy leading the charge through breakthroughs such as CAR-T cell therapy for melanoma and B-ALL. Modified bispecific antibodies and CAR-T cells are being developed to enhance...

  • Article
  • Open Access
1 Citations
2,546 Views
12 Pages

Antibiotic Resistance & Extended-Spectrum ß-Lactamase Production in Clinical and Non-Clinical Isolates in Tabuk

  • Badriah Alanazi,
  • Ghulam Muhiuddin,
  • Yazeed Albalawi,
  • Khalid Alhazmi,
  • Othman Alzahrani,
  • Marai Alamri,
  • Hisham Alshadfan and
  • Mohammad Zubair

18 August 2024

The increasing prevalence of antibiotic resistance, driven by the production of extended-spectrum beta-lactamases (ESBLs), presents a critical challenge to current medical treatments, particularly in clinical settings. Understanding the distribution...

  • Article
  • Open Access
4 Citations
2,360 Views
14 Pages

Beneficial Bacteria in the Gut Microbiota May Lead to Improved Metabolic and Immunological Status in Chronic Obstructive Pulmonary Disease

  • Fabine Correia Passos,
  • Lucas Matheus Gonçalves de Oliveira,
  • Fabíola Ramos Jesus,
  • Dalila Lucíola Zanette,
  • Odilon Lobão Leal Neto,
  • Margarida Célia Lima Costa Neves,
  • Antônio Carlos Moreira Lemos and
  • Gyselle Chrystina Baccan

16 August 2024

The progression of chronic obstructive pulmonary disease (COPD) is characterized by functional changes in the airways. The lung–gut axis and gut microbiota (GM) have been linked to the pathophysiology of airway diseases. Regarding COPD, studies...

  • Article
  • Open Access
3 Citations
2,289 Views
10 Pages

Subclinical Enthesopathy in Psoriasis—An Ultrasonographic Study

  • Rucsandra Cristina Dascălu,
  • Andreea Lili Bărbulescu,
  • Ștefan Cristian Dinescu,
  • Cristina Elena Biță,
  • Loredana Elena Stoica and
  • Florentin Ananu Vreju

16 August 2024

The present study is aimed at assessing the presence and prevalence of subclinical entheseal changes in Psoriasis (PsO) patients using musculoskeletal ultrasonography (US), conjoined with the analysis of possible differences in terms of demographic,...

  • Article
  • Open Access
6 Citations
4,581 Views
10 Pages

Successes and Challenges in Clinical Trial Recruitment: The Experience of a New Study Team

  • Man Hung,
  • Amir Mohajeri,
  • Konstantinia Almpani,
  • Gabriel Carberry,
  • John F. Wisniewski,
  • Kade Janes,
  • Brooklyn Janes,
  • Chase Hardy,
  • Golnoush Zakeri and
  • Frank W. Licari
  • + 6 authors

14 August 2024

Participant recruitment is one of the most challenging aspects of a clinical trial, directly impacting both the study’s duration and the quality of its results. Therefore, reporting successful recruitment strategies is crucial. This study aimed...

  • Article
  • Open Access
3 Citations
6,132 Views
14 Pages

Hemodialysis without Systemic Anticoagulation: A Randomized Controlled Trial to Evaluate Five Strategies in Patients at a High Risk of Bleeding

  • Pedro H. Franca Gois,
  • David McIntyre,
  • Sharad Ratanjee,
  • Anita Pelecanos,
  • Carla Scuderi,
  • Chungun L. Janoschka,
  • Kara Summers,
  • Haibing Wu,
  • Belinda Elford and
  • Helen G. Healy
  • + 1 author

4 August 2024

Background: There has been growing interest in exploring combined interventions to achieve a more effective heparin-free treatment approach. Aim: to evaluate combination of interventions compared to standard practice (intermittent flushes) to prevent...

  • Review
  • Open Access
6 Citations
9,890 Views
14 Pages

Ultrasound Features in Gout: An Overview

  • Cristina Dorina Pârvănescu,
  • Andreea Lili Bărbulescu,
  • Cristina Elena Biță,
  • Ștefan Cristian Dinescu,
  • Beatrice Andreea Trașcǎ,
  • Sineta Cristina Firulescu and
  • Florentin Ananu Vreju

The accurate diagnosis of gout frequently constitutes a challenge in clinical practice, as it bears a close resemblance to other rheumatologic conditions. An undelayed diagnosis and an early therapeutic intervention using uric acid lowering therapy (...

  • Article
  • Open Access
1 Citations
2,100 Views
13 Pages

Prognostic Role of Pre- and Post-Treatment [18F]FDG PET/CT in Squamous Cell Carcinoma of the Oropharynx in Patients Treated with Chemotherapy and Radiotherapy

  • Francesco Dondi,
  • Maria Gazzilli,
  • Domenico Albano,
  • Alessio Rizzo,
  • Giorgio Treglia,
  • Antonio Rosario Pisani,
  • Carmen Palumbo,
  • Dino Rubini,
  • Manuela Racca and
  • Francesco Bertagna
  • + 1 author

Background: The prognostic role of imaging with [18F]fluorodeoxyglucose ([18F]FDG) positron emission tomography/computed tomography (PET/CT) in oropharynx cancer (OPC) has been demonstrated in the past. The aim of this study was to assess the prognos...

  • Review
  • Open Access
3 Citations
2,276 Views
14 Pages

Emerging Indications for Neoadjuvant Systemic Therapies in Cutaneous Malignancies

  • Domingos Sávio do Rego Lins Junior,
  • Beatriz Mendes Awni Cidale,
  • Ana Zelia Leal Pereira,
  • Jacqueline Nunes de Menezes,
  • Eduardo Bertolli,
  • Francisco Aparecido Belfort and
  • Rodrigo Ramella Munhoz

Patients with cutaneous malignancies and locoregional involvement represent a high-risk population for disease recurrence, even if they receive optimal surgery and adjuvant treatment. Here, we discuss how neoadjuvant therapy has the potential to offe...

  • Article
  • Open Access
4 Citations
4,615 Views
18 Pages

Quantifying Lumbar Foraminal Volumetric Dimensions: Normative Data and Implications for Stenosis—Part 2 of a Comprehensive Series

  • Renat Nurmukhametov,
  • Manuel De Jesus Encarnacion Ramirez,
  • Medet Dosanov,
  • Abakirov Medetbek,
  • Stepan Kudryakov,
  • Laith Wisam Alsaed,
  • Gennady Chmutin,
  • Gervith Reyes Soto,
  • Jeff Ntalaja Mukengeshay and
  • Salman Sharif
  • + 10 authors

Introduction: Lumbar foraminal stenosis (LFS) occurs primarily due to degenerative changes in older adults, affecting the spinal foramina and leading to nerve compression. Characterized by pain, numbness, and muscle weakness, LFS arises from structur...

  • Review
  • Open Access
3 Citations
4,413 Views
13 Pages

Human Immunodeficiency Virus (HIV) remains a significant global health challenge with approximately 38 million people currently having the virus worldwide. Despite advances in treatment development, the virus persists in the human population and stil...

  • Review
  • Open Access
14 Citations
12,390 Views
17 Pages

Conservative Treatment in Avascular Necrosis of the Femoral Head: A Systematic Review

  • Evgeniy Nikolaevich Goncharov,
  • Oleg Aleksandrovich Koval,
  • Eduard Nikolaevich Bezuglov,
  • Aleksandr Aleksandrovich Vetoshkin,
  • Nikolay Gavriilovich Goncharov,
  • Manuel De Jesus Encarnación Ramirez and
  • Nicola Montemurro

Introduction: Avascular necrosis (AVN) of the femoral head is a pressing orthopedic issue, leading to bone tissue death due to disrupted blood supply and affecting the quality of life of individuals significantly. This review focuses on conservative...

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Med. Sci. - ISSN 2076-3271