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Medical Sciences, Volume 13, Issue 4

2025 December - 122 articles

Cover Story: The objective of this study was to evaluate changes in platelet indices (MPC, MPV, MPM) and reticulated platelets (RtcPlts) obtained using the ADVIA 2120 hematology analyzer (Siemens Hematology system) in the early stages of an infection and in acute coronary syndrome (ACS). Platelet indices (MPV, MPM) and RtcPlts were significantly altered (p > 0.005) in patients with suspected sepsis and in patients with ACS compared to the control subjects. Our data showed that a state of early platelet activation exists but is not disease-specific. View this paper
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Articles (122)

  • Article
  • Open Access
770 Views
17 Pages

18 December 2025

Background: Intestinal angioedema is an important drug-induced adverse effect that is often misdiagnosed due to vague and nonspecific symptoms. This study aimed to identify drugs with potential to cause intestinal angioedema by performing a dispropor...

  • Article
  • Open Access
606 Views
17 Pages

Transcriptomic, Redox Status and Adipocytokine Profiles in Metabolic Dysfunction-Associated Steatotic Liver Disease: Impact of Coexisting Type 2 Diabetes

  • Sanja Erceg,
  • Ana Ninić,
  • Jelena Kotur-Stevuljević,
  • Omar Ben Mariem,
  • Miloš Mitrović,
  • Jelena Munjas,
  • Miron Sopić,
  • Boško Misita,
  • Milica Mamić and
  • Ratko Tomašević
  • + 1 author

18 December 2025

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) commonly coexists with type 2 diabetes (T2D), but their independent contributions to redox imbalance, inflammation and immune signaling remain uncertain. Objectives: This st...

  • Systematic Review
  • Open Access
580 Views
13 Pages

IL-6 and Surgical Outcomes in Carotid Endarterectomy: A Systematic Review

  • Antónia Rocha-Melo-Sousa,
  • Márcio Brazuna,
  • Carmen Tavares,
  • Sai Guduru,
  • Mariana Fragão-Marques and
  • João Rocha-Neves

18 December 2025

Background: Interleukin-6 (IL-6) is a key inflammatory cytokine implicated in atherosclerotic plaque progression and carotid vulnerability. Although elevated IL-6 levels have been linked to cerebrovascular risk, its prognostic value in patients under...

  • Article
  • Open Access
512 Views
12 Pages

Serum Calcium Concentration Is Associated with Bone Mineral Density and Synonymous Variants in the RYR1 Gene in a Mexican-Mestizo Population

  • Tania V. López-Pérez,
  • Rogelio F. Jiménez-Ortega,
  • Armando Cruz-Rangel,
  • Diana I. Aparicio-Bautista,
  • Juan C. Fernández-López,
  • Adriana Becerra-Cervera,
  • Juan P. Reyes-Grajeda,
  • Jorge Salmerón,
  • Alberto Hidalgo-Bravo and
  • Rafael Velázquez-Cruz
  • + 1 author

17 December 2025

Background/Objectives: Serum calcium concentrations have been associated with bone mineral density (BMD), but results seem to depend on sex. Genetic variants in the Ryanodine Receptor1 (RYR1) gene have been previously associated with low BMD in postm...

  • Article
  • Open Access
440 Views
14 Pages

Respiratory Muscle Strength in Hypertensive Adults: Age- and Sex-Specific Reference Values for a Brazilian Population

  • Simone de Faria Rossetto,
  • Juscelio Pereira da Silva,
  • Afonso Santos de Lima,
  • Anderson Geremias Macedo,
  • Dalton Muller Pessôa Filho,
  • Albená Nunes Silva,
  • Thiago Roberto Lima Romero and
  • Giovane Galdino

17 December 2025

Background/Objectives: Hypertension is a major modifiable risk factor for cardiovascular disease and may negatively affect muscle strength through vascular and metabolic mechanisms. Nevertheless, reference values for respiratory muscle strength (RMS)...

  • Article
  • Open Access
792 Views
20 Pages

Obesogenic Dysregulation of Human Periprostatic Adipose Tissue Promotes the Viability of Prostate Cells and Reduces Their Sensitivity to Docetaxel and Cabazitaxel

  • Mariana Feijó,
  • Lara R. S. Fonseca,
  • Gonçalo Catarro,
  • Cátia V. Vaz,
  • Carlos Rabaça,
  • Bruno J. Pereira,
  • Eugenia Gallardo,
  • Endre Kiss-Toth,
  • Sara Correia and
  • Sílvia Socorro

16 December 2025

Background: Periprostatic adipose tissue (PPAT) has been shown to play a significant role in prostate cancer (PCa) development and progression. This relationship is further exacerbated by obesity, as PPAT-secreted factors increase PCa aggressiveness...

  • Article
  • Open Access
1 Citations
679 Views
19 Pages

Empowering Patients: A Multicomponent Workshop Improves Self-Management and Quality of Life in Chronic Pain

  • María Victoria Ruiz-Romero,
  • María Begoña Gómez-Hernández,
  • Ana Porrúa-Del Saz,
  • María Blanca Martínez-Monrobé,
  • Natalia Gutiérrez-Fernández,
  • Almudena Arroyo-Rodríguez,
  • Rosa Anastasia Garrido-Alfaro,
  • Néstor Canal-Diez,
  • María Dolores Guerra-Martín and
  • Consuelo Pereira-Delgado

15 December 2025

Background: Chronic pain is a prevalent and disabling condition, affecting 20–30% of the global population, which requires multidisciplinary approaches integrating non-pharmacological therapies and promoting patient engagement in self-managemen...

  • Review
  • Open Access
558 Views
18 Pages

Why and How Are Infants with Hutchinson–Gilford Progeria Syndrome Born Without Severe Manifestations?

  • Mariia A. Erokhina,
  • Ekaterina A. Vorotelyak,
  • Andrey V. Vasiliev and
  • Vepa K. Abdyev

15 December 2025

Children with Hutchinson–Gilford progeria syndrome (HGPS) are born without height and weight abnormalities, and postnatal development is delayed from two months of age. The pathophysiological manifestations of HGPS can be categorized into the t...

  • Article
  • Open Access
1,384 Views
13 Pages

15 December 2025

Background: Guidelines suggest that a single lifetime measurement of lipoproteina(a) [Lp(a)] is sufficient for most patients as its levels are largely genetically determined and do not significantly change over time. The aim of the study was to asses...

  • Article
  • Open Access
717 Views
18 Pages

Effect of N-Acetyl-L-Cysteine (NAC) on Inflammation After Intraperitoneal Mesh Placement in an Escherichia coli Septic Rat Model: A Randomized Experimental Study

  • Styliani Parpoudi,
  • Ioannis Mantzoros,
  • Orestis Ioannidis,
  • Konstantinos Zapsalis,
  • Thomai Gamali,
  • Dimitrios Kyziridis,
  • Christos Gekas,
  • Elissavet Anestiadou,
  • Savvas Symeonidis and
  • Stamatios Angelopoulos
  • + 6 authors

14 December 2025

Background/Objectives: The safety of intraperitoneal mesh placement in contaminated fields remains controversial because of the increased risk of inflammation and adhesion formation. N-acetyl-L-cysteine (NAC) has antioxidant, pro-fibrinolytic and ant...

  • Editorial
  • Open Access
450 Views
5 Pages

14 December 2025

Artificial intelligence (AI) is reshaping robotic rehabilitation and shifting practice beyond pre-programmed repetitive movement patterns toward data-driven and personalised therapeutic interventions for people with neurological and musculoskeletal i...

  • Article
  • Open Access
524 Views
20 Pages

Determinants of Entero-Invasive and Non-Entero-Invasive Diarrheagenic Bacteria Among HIV-Positive and HIV-Negative Adults in Ghana

  • Hagen Frickmann,
  • Fred Stephen Sarfo,
  • Betty Roberta Norman,
  • Albert Dompreh,
  • Shadrack Osei Asibey,
  • Richard Boateng,
  • Veronica Di Cristanziano,
  • Tafese Beyene Tufa,
  • Ulrike Loderstädt and
  • Kirsten Alexandra Eberhardt
  • + 4 authors

12 December 2025

Objectives: This observational and cross-sectional study investigated differential associations between entero-invasive and non-entero-invasive enteric pathogens and HIV infection, considering socioeconomic, clinical and immunological aspects. In a G...

  • Article
  • Open Access
515 Views
13 Pages

Outcome and Toxicity of Moderately Hypofractionated Post-Prostatectomy Radiotherapy: A Retrospective Study

  • Rocchina Vilella,
  • Fiorella D’Auria,
  • Luciana Valvano,
  • Barbara D’Andrea,
  • Antonietta Montagna,
  • Giovanni Castaldo,
  • Ilaria Benevento,
  • Angela Pia Solazzo,
  • Manuela Botte and
  • Luciana Rago
  • + 2 authors

12 December 2025

Background: In this study, we retrospectively analyzed clinical and toxicity outcomes of 67 prostate cancer (PCa) patients undergoing moderately hypofractionated radiotherapy (RT) after prostatectomy, with adjuvant or salvage intent. Methods: Irradia...

  • Article
  • Open Access
411 Views
15 Pages

Evaluation of Cell Mimics as Potential Quality Controls for Human Leukocyte Immunophenotyping

  • Louis Waeckel,
  • Brigitte Le Mauff,
  • Jacques Trauet,
  • Julie Demaret,
  • Ahmed Boumediene,
  • Margarita Hurtado-Nedelec,
  • Arnaud Ciree,
  • Gwladys Bourdenet and
  • Claude Lambert

11 December 2025

Background. Routine lymphocyte counting requires quality assurance validation using quality controls (QCs) that closely resemble fresh human blood leukocytes. This study aimed to evaluate a novel artificial product designed to mimic leukocyte light s...

  • Article
  • Open Access
512 Views
11 Pages

Echocardiographic Alterations in Subjects with Sarcopenia and Right Heart Failure

  • Arturo Orea-Tejeda,
  • Luis Aldo Delgado-Pérez,
  • Benigno Valderrábano-Salas,
  • Dulce González-Islas,
  • Álvaro Montañez-Orozco,
  • José Carlos Ruan-Díaz,
  • María José Hernández-Hernández,
  • Edgar Lozano-Hernández,
  • Carlos Patricio Chávez-Guzmán and
  • Karla García-Díaz

10 December 2025

Background: Chronic heart failure (HF) is a significant public health issue. The principal risk factors for left ventricular diastolic dysfunction (LVDD) include older age, female sex, obesity, hypertension, smoking, and diabetes, among others, all o...

  • Article
  • Open Access
1,207 Views
16 Pages

Montreal Cognitive Assessment (MoCA) Norms for Older Patients with a Depressive Disorder

  • Myrthe E. Scheenen,
  • Rob H. S. van den Brink,
  • Styliani Konstantinidou,
  • Astrid Lugtenburg,
  • Jasmijn Spit,
  • Gert-Jan Hendriks,
  • Paul Naarding,
  • Nathalie R. de Vent,
  • Roy P. C. Kessels and
  • Hans W. Jeuring
  • + 1 author

10 December 2025

Background: Interpretation of cognitive performance in older patients with depression is challenging considering the association between late-life depression and (early-stage) neurodegenerative disease. The Montreal Cognitive Assessment (MoCA) is wid...

  • Article
  • Open Access
557 Views
11 Pages

Universal Hip Ultrasound Screening in Newborns: A 21-Month Prospective Observational Study in a Spoke Center

  • Neftj Ragusa,
  • Nefer Roberta Gianotto,
  • Virginia Deut,
  • Chiara Mattivi,
  • Francesca Compagno,
  • Marta Cherubini Scarafoni,
  • Silvia Dominici and
  • Massimo Berger

10 December 2025

Background: Developmental dysplasia of the hip (DDH) encompasses a spectrum of neonatal hip abnormalities that, if not detected and treated early, may lead to long-term orthopedic sequelae. Universal ultrasound screening using Graf’s method has...

  • Review
  • Open Access
997 Views
32 Pages

8 December 2025

PANoptosis is an integrated form of regulated cell death that combines pyroptosis, apoptosis, and necroptosis through a coordinated molecular platform known as the PANoptosome. Autophagy, in parallel, maintains immune homeostasis by controlling cellu...

  • Article
  • Open Access
490 Views
12 Pages

Cytokine Profiles and Inflammatory Implications in Chagas Disease: Associations with Ventricular Function and Conduction Disorders

  • Mario Principato,
  • Maria Victoria Carvelli,
  • Analia Gladys Paolucci,
  • Silvia Miranda,
  • Guillermo Alberto Keller,
  • Manuel Lago,
  • Guillermo Di Girolamo and
  • Justo Carbajales

8 December 2025

Background: The roles of cytokines and chemokines in the pathogenesis of Chagas cardiomyopathy (CC) have been proposed, yet their clinical significance with respect to conduction disturbances and left ventricular ejection fraction (LVEF) remains uncl...

  • Review
  • Open Access
1,180 Views
23 Pages

Nuclear Medicine Imaging Biomarkers in Parkinson’s Disease: Past, Present, and Future Directions

  • Anna Lisa Martini,
  • Stelvio Sestini,
  • Dinahlee Saturnino Guarino and
  • Paola Feraco

7 December 2025

Parkinson’s disease (PD) is a multifaceted neurodegenerative disorder characterized by dopaminergic neuronal loss and widespread α-synuclein pathology. Nuclear medicine imaging offers essential in vivo tools for early diagnosis, different...

  • Communication
  • Open Access
564 Views
9 Pages

Short-Term Outcomes of a Structured Self-Rehabilitation Program After Mini-Open Latarjet Procedure in Military Personnel: A Prospective Observational Study

  • Kyriakos Bekas,
  • Ioannis Bampis,
  • Alexandros Stamatopoulos,
  • Apostolos-Apollon Papadimitriou,
  • Konstantinos Vamvakeros,
  • Ioannis Kechagias and
  • Achilleas Boutsiadis

7 December 2025

Background/Objectives: The COVID-19 pandemic limited access to in-person physiotherapy, raising concerns about post-operative rehabilitation outcomes. This prospective observational study, without a control group, evaluated whether a self-rehabilitat...

  • Article
  • Open Access
601 Views
16 Pages

Exploring New Frontiers: A Cross-Sectional Analysis of Explosive Phase and Muscle Activation During Maximal Biting in Women with Temporomandibular Disorder and Orofacial Pain

  • Bianca Rossi Botim,
  • Mayra Evelise Cunha dos Santos,
  • Arthur Ferreira Esquírio,
  • Kariny Realino do Rosário Ferreira,
  • Ana Clara Leal,
  • Gabriel Alves Godinho,
  • Maria de Cássia Souza Macedo,
  • Thaís Carvalho Oliveira,
  • Gabriela Lopes Gama and
  • Alexandre Wesley Carvalho Barbosa
  • + 1 author

6 December 2025

Background: Temporomandibular disorders (TMDs) are associated with altered masticatory muscle function and pain. Although electromyographic parameters have been extensively studied, the rate of force development (RFD) remains an underexplored biomark...

  • Article
  • Open Access
630 Views
15 Pages

5 December 2025

Introduction: The incidence of NSCLC increases with age, with a median of approximately 70 years at diagnosis. Historically, treatment strategies for locally advanced cancers have been developed predominantly in younger populations, often excluding e...

  • Article
  • Open Access
849 Views
11 Pages

Evaluation of Bone Mineral Density: Correlating MRI Cervical Vertebral Bone Quality, CT Hounsfield Units, and DEXA T-Scores

  • Rose Fluss,
  • Riana Lo Bu,
  • Alireza Karandish,
  • Sertac Kirnaz,
  • Rafael De la Garza Ramos,
  • Saikiran G. Murthy,
  • Reza Yassari and
  • Yaroslav Gelfand

4 December 2025

Background/Objectives: Dual-energy X-ray absorptiometry (DEXA), the gold standard for assessing bone mineral density (BMD), may yield inaccurate results in certain populations. This has prompted interest in alternative imaging methods, including the...

  • Article
  • Open Access
1 Citations
429 Views
11 Pages

4 December 2025

Background: The relationship between glycaemia and the variables of haematocrit, serum total protein and lipids possibly plays a role in pathological processes and hence is a subject of interest. Estimated blood viscosity causes impaired blood flow a...

  • Review
  • Open Access
1,459 Views
27 Pages

Microbiome and Heart Failure: A Comprehensive Review of Gut Health and Microbiota-Derived Metabolites in Heart Failure Progression

  • Chukwudi Kingsley Orjichukwu,
  • Rita Ogochukwu Orjichukwu,
  • Peter Kanayochukwu Akpunonu,
  • Paul Chikwado Ugwu and
  • Somtochukwu Godfrey Nnabuife

4 December 2025

A multifaceted clinical disease, heart failure (HF) is typified by decreased cardiac function and systemic symptoms caused by anatomical or functional abnormalities in the heart. Although traditional studies have concentrated on hemodynamic and neuro...

  • Review
  • Open Access
2,375 Views
18 Pages

Delirium Management in Critical Care: Are We Moving Forward or Still Treading Water?

  • Sergej Marjanovic,
  • Ivana Berisavac,
  • Vladimir Tutus,
  • Stefan Boskovic,
  • Maja Omcikus,
  • Tea Jankovic,
  • Adi Hadzibegovic,
  • Sanja Ratkovic,
  • Jasmina Opacic and
  • Jovana Stanisavljevic

3 December 2025

Delirium is one of the most common yet most elusive syndromes in the ICU, marked by fluctuating disturbances in awareness and attention arising from complex, multifactorial pathophysiological processes. Despite decades of research and the identificat...

  • Article
  • Open Access
557 Views
15 Pages

3 December 2025

Background/Objectives: The quality of trial data reporting within the field of anesthesiology has, to date, been insufficiently examined. This study aims to investigate the consistency of reporting for WHO Data Set Items, trial outcomes, and adverse...

  • Article
  • Open Access
547 Views
12 Pages

Assessment of Oral Hygiene Behavioral and Demographic Risk Factors for Extrahepatic Manifestations of Hepatitis C

  • Mihai Oprea,
  • Andreea Cândea,
  • Alexandra Roman,
  • Ion Rogoveanu,
  • Allma Roxana Pitru,
  • Claudiu Marinel Ionele,
  • Dorin Nicolae Gheorghe,
  • Flavia Mirela Nicolae,
  • Dora Maria Popescu and
  • Petra Surlin
  • + 2 authors

3 December 2025

Background: Hepatitis C (HC) remains a major public health concern, affecting approximately 50 million people globally. In addition to hepatic damage, HC induces extrahepatic manifestations (EHMs), including oral conditions such as oral lichen planus...

  • Article
  • Open Access
1 Citations
659 Views
19 Pages

Epidemiological and Clinical Changes in Pediatric Acute Mastoiditis Before and After the COVID-19 Pandemic: An Eight-Year Retrospective Study from a Tertiary-Level Center

  • Marco Sarno,
  • Antonia Pascarella,
  • Antonietta De Lucia,
  • Pietro Spennato,
  • Fabio Savoia,
  • Camilla Calì,
  • Alida Casale,
  • Adelia Dora,
  • Giulia Meccariello and
  • Giuseppe Cinalli
  • + 15 authors

2 December 2025

Background: Acute mastoiditis is the most frequent suppurative complication of acute otitis media in children. AM can lead to both extracranial complications and intracranial complications. Recent studies suggest an increase in cases after the COVID-...

  • Article
  • Open Access
490 Views
18 Pages

Incidence of Post-Procedural Conduction Disturbances and Rates of Permanent Pacemaker Implantation in Older and Newer Generations of Transcatheter Aortic Heart Valves

  • Mostafa Salem,
  • Philipp Laing,
  • Insa Kühling-thees,
  • Wiebke Kasper,
  • Jakob Voran,
  • Hatim Seoudy,
  • Rafael Rangel,
  • Johanne Frank,
  • Derk Frank and
  • Mohammed Saad

30 November 2025

Objective: This analysis compares new (G2) versus old (G1) generations of transcatheter heart valves (THVs) in transcatheter aortic valve replacement (TAVR) procedures, focusing on key outcomes: post-procedural conduction disturbance (CD) and permane...

  • Review
  • Open Access
378 Views
16 Pages

Atrial Myxoma in Both Chambers: Biatrial or Bilateral? A Rare Case Resected via Endoscopic Approach and Literature Review

  • Marius Mihai Harpa,
  • Emanuel-David Anitei,
  • Hussam Al Hussein,
  • Mihaly Veres,
  • Simona Gurzu,
  • Diana Roxana Opriș,
  • Fiat Emilia Sorina,
  • Emil Marian Arbănași,
  • Claudiu Ghiragosian and
  • Robert Balan
  • + 2 authors

30 November 2025

Background: Primary cardiac tumors are exceedingly rare, with myxomas representing the most common benign type among these tumors, predominantly located in the left atrium. Biatrial involvement is an exceptional presentation, reported in less than 2....

  • Review
  • Open Access
725 Views
26 Pages

COVID-19 and Lung Cancer Interactions: A Literature Review

  • Szabolcs-Attila László,
  • Edith-Simona Ianoși,
  • Anca-Meda Văsieșiu,
  • Mioara Szathmáry,
  • Maria Beatrice Ianoși,
  • Delia-Liana Rachiș,
  • Gabriel Nistor and
  • Gabriela Jimborean

30 November 2025

This review aims to discuss the apparent reduction in pulmonary cancer incidence in the general population during and shortly after the COVID-19 pandemic from a biological and pathophysiological mechanistic point of view. While the epidemiological ev...

  • Review
  • Open Access
1 Citations
602 Views
20 Pages

Redox-Immune Axis and Ozone Pollution: From Oxidative Stress to Thymic Involution and Neurodegeneration

  • Marlen Valdés-Fuentes,
  • Erika Rodríguez-Martínez and
  • Selva Rivas-Arancibia

29 November 2025

Chronic exposure to low concentrations of ozone leads to oxidative stress, which disrupts immune regulation. The thymus gland plays a crucial role in the maturation and differentiation of T lymphocytes, cells essential for the body’s defense an...

  • Article
  • Open Access
455 Views
11 Pages

Assessment of Residual Oxidative Stress in Patients with Well-Controlled Hypertension: A Pilot Cross-Sectional Study

  • Wuthichai Preechakul,
  • Putcharawipa Maneesai,
  • Poungrat Pakdeechote,
  • Weerapon Sangartit,
  • Metee Iampanichakul,
  • Kittisak Sawanyawisuth,
  • Somchai Ruangwannasak and
  • Sittichai Khamsai

28 November 2025

Background/Objectives: Although hypertension is linked to oxidative stress, it remains unclear whether this pro-oxidant state persists after achieving recommended blood pressure (BP) control. This pilot study aimed to explore the presence of residual...

  • Article
  • Open Access
634 Views
15 Pages

Prophylactic vs. Intermediate Tinzaparin Dosage for the Thromboprophylaxis of Acutely Ill Medical Patients at High Risk of Venous Thromboembolism

  • Karolina Akinosoglou,
  • Stamatia Tsoupra,
  • Ioannis Chandroulis,
  • Eleni Polyzou,
  • Vasiliki Dimakopoulou,
  • Konstantinos Moulakakis,
  • Angelos Perperis,
  • Eleni Karlafti,
  • Elvira Ztriva and
  • Christos Savopoulos
  • + 3 authors

27 November 2025

Background/Objectives: Venous thromboembolism (VTE) is the third most common cardiovascular condition, with higher rates among hospitalized patients. The limited efficacy of universal prophylaxis strategies has led to individual VTE risk assessments...

  • Systematic Review
  • Open Access
2,147 Views
17 Pages

Effectiveness of Pain Neuroscience Education in Reducing Pain, Disability, Kinesiophobia, and Catastrophizing in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis

  • Luisa Medina-Viedma,
  • Irene Cortés-Pérez,
  • Esteban Obrero-Gaitán,
  • María Catalina Osuna-Pérez,
  • Ángeles Díaz-Fernández,
  • María del Carmen López-Ruiz and
  • Noelia Zagalaz-Anula

27 November 2025

Background and objectives: Pain neuroscience education (PNE) is a therapeutic strategy aimed at reconceptualizing pain in patients with chronic low back pain (CLBP). This systematic review with a meta-analysis (SRMA) aimed to assess the effectiveness...

  • Article
  • Open Access
557 Views
11 Pages

Risk of Chronic Kidney Disease and Implications in Patients with Atrial Fibrillation for the Development of Major Adverse Cardiovascular Events with Machine Learning

  • Pedro Moltó-Balado,
  • Josep-Lluís Clua-Espuny,
  • Carlos Tarongi-Vidal,
  • Paula Barrios-Carmona,
  • Victor Alonso-Barberán,
  • Maria-Teresa Balado-Albiol,
  • Andrea Simeó-Monzó,
  • Jorge Canela-Royo and
  • Alba del Barrio-González

27 November 2025

Background: Atrial fibrillation (AF) and chronic kidney disease (CKD) often overlap and may amplify cardiovascular risk. Whether renal dysfunction should be incorporated into composite cardiovascular endpoints in AF remains uncertain. We aimed to qua...

  • Systematic Review
  • Open Access
758 Views
12 Pages

Neurocognitive Impairment in Idiopathic Pulmonary Fibrosis: A Systematic Review of Current Evidence

  • Dacian Mihart,
  • Alexandru Florian Crisan,
  • Vlad Carunta,
  • Daniel Trăilă,
  • Emanuela Tudorache and
  • Cristian Oancea

27 November 2025

Background: Idiopathic pulmonary fibrosis (IPF) is a progressive disease with a major impact on respiratory function, but also with possible underestimated effects on cognitive function. Although interest in cognitive impairment in chronic respirator...

  • Article
  • Open Access
480 Views
8 Pages

Pure Endoscopic Orbital Decompression in Graves’ Orbitopathy: A Comprehensive Retrospective Analysis of Objective and Subjective Outcomes

  • Santiago Almanzo,
  • Miguel Saro-Buendía,
  • Inés Tortajada-Torralba,
  • Cristina Peris-Moreno,
  • Enrique España-Gregori,
  • Miguel Armengot and
  • Alfonso García-Piñero

27 November 2025

Background and Objectives: Graves’ orbitopathy (GO) is an autoimmune disease that can cause severe visual dysfunction and cosmetic impairment. Pure endoscopic orbital decompression reduces proptosis with minimal external morbidity. However, stu...

  • Article
  • Open Access
611 Views
21 Pages

A Lightweight Cross-Gated Dual-Branch Attention Network for Colon and Lung Cancer Diagnosis from Histopathological Images

  • Raquel Ochoa-Ornelas,
  • Alberto Gudiño-Ochoa,
  • Sergio Octavio Rosales-Aguayo,
  • Jesús Ezequiel Molinar-Solís,
  • Sonia Espinoza-Morales and
  • René Gudiño-Venegas

26 November 2025

Background/Objectives: Accurate histopathological classification of lung and colon tissues remains difficult due to subtle morphological overlap between benign and malignant regions. Deep learning approaches have advanced diagnostic precision, yet mo...

  • Article
  • Open Access
546 Views
17 Pages

Leukocyte Ratios Predict Metastasis, Recurrence, and Mortality in Breast Cancer Patients Receiving Cytotoxic Chemotherapy

  • Carolina Coradi,
  • Aedra Carla Bufalo Kawassaki,
  • Ana Paula Vieira,
  • Camila Elizandra Rossi,
  • Caryna Eurich Mazur,
  • Claudiceia Risso Pascotto,
  • Cleide Viviane Buzanello,
  • Dalila Moter Benvegnú,
  • Franciele Aní Caovilla Folador and
  • Carolina Panis
  • + 9 authors

26 November 2025

Background/Objectives: Breast cancer is a leading cause of female mortality worldwide. Immune system dynamics, reflected in hematological ratios derived from leukocytes, have been increasingly recognized for their prognostic value in cancer patients....

  • Article
  • Open Access
527 Views
16 Pages

Impact of Elexacaftor–Tezacaftor–Ivacaftor on Muscle Composition in Cystic Fibrosis: An AI-Assisted Chest CT-Based Body Composition Analysis

  • Matthias Welsner,
  • Florian Stehling,
  • Wolfgang Gruber,
  • Dirk Westhölter,
  • Sivagurunathan Sutharsan,
  • Christian Taube,
  • Erik Büscher,
  • Felix Nensa,
  • Sebastian Zensen and
  • Marcel Opitz
  • + 7 authors

26 November 2025

Background: This study aimed to investigate longitudinal changes in muscle mass, quality, and composition (sarcopenia and myosteatosis) in adult people with cystic fibrosis (pwCF) using artificial intelligence (AI)-assisted body composition analysis...

  • Feature Paper
  • Article
  • Open Access
444 Views
11 Pages

Selected Serum Biomarkers in Patients with Relapsing-Remitting Multiple Sclerosis—A 3-Year Prospective Pilot Study

  • Przemyslaw Puz,
  • Katarzyna Maciejowska,
  • Daria Gendosz de Carrillo,
  • Malgorzata Janik and
  • Anetta Lasek-Bal

25 November 2025

Background: The aim of this study was to evaluate the significance of serum concentrations of the inflammatory marker osteopontin, the blood–brain barrier damage marker occludin, and the neurodegeneration marker neurofilament light chain (NFL)...

  • Feature Paper
  • Article
  • Open Access
535 Views
18 Pages

Development of a MassARRAY Genotyping Platform and Its Clinical Application for Venous Thromboembolism Risk Assessment in Thai Patients

  • Dollapak Apipongrat,
  • Chonlada Laoruangroj,
  • Oytip Nathalang,
  • Pasra Arnutti,
  • Montalee Theeraapisakkun and
  • Wittawat Chantkran

24 November 2025

Background: Venous thromboembolism (VTE) is a multifactorial disorder influenced by both genetic and environmental factors, with substantial variability in susceptibility across populations. Data on VTE-associated genetic variants in Asian population...

  • Article
  • Open Access
564 Views
11 Pages

Biochemical and Hematological Predictors of Mortality in Thai Patients with COVID-19

  • Supaporn Wiwattanakul,
  • Rutchaporn Taweerutchana,
  • Kitsarawut Khuancharee,
  • Pornparn Rojanasang,
  • Pongwut Suwannarat,
  • Prapaporn Panichchob,
  • Pornsuk Romputtan,
  • Nopparut Teravaninthorn,
  • Nichapat Wiriyakunakorn and
  • Monpat Chamnanphon

24 November 2025

Background: Coronavirus disease (COVID-19), caused by SARS-CoV-2 infection, presents a broad spectrum of clinical manifestations, ranging from asymptomatic cases to severe and fatal outcomes. Studies have shown that laboratory parameters fluctuate in...

  • Systematic Review
  • Open Access
1,272 Views
43 Pages

24 November 2025

Background: Diffuse large B-cell lymphoma (DLBCL) is a biologically heterogeneous malignancy, with various outcomes despite significant advances in therapeutic options. Current conventional prognostic tools, e.g., the International Prognostic Index (...

  • Article
  • Open Access
1 Citations
704 Views
14 Pages

Effectiveness of Physical Activity with Sports Scientist (PASS) Programme Among Patients with Non-Communicable Diseases in Primary Care: A Randomised Controlled Trial

  • Apichai Wattanapisit,
  • Poramet Hemarachatanon,
  • Kamlai Somrak,
  • Saranrat Manunyanon,
  • Sanhapan Wattanapisit,
  • Phiphat Khlongdi,
  • Kiattisak Pechpan,
  • Areekul Amornsriwatanakul,
  • Piyawat Katewongsa and
  • Mark Stoutenberg
  • + 6 authors

21 November 2025

Objectives: This study examined the effectiveness of a physical activity (PA) promotion intervention administered by a sports scientist as part of team-based care in a primary care setting. Methods: A randomised controlled trial was conducted. Physic...

  • Article
  • Open Access
1,213 Views
20 Pages

Empirical Antibiotic Therapy in Chronic Endometritis With and Without Focal Lesions: A Prospective Cohort Study

  • Iwona Gawron,
  • Lucja Zaborowska,
  • Kamil Derbisz,
  • Inga Ludwin and
  • Artur Ludwin

21 November 2025

Objective: This study aimed to evaluate the efficacy of empirical antibiotic therapy in treating chronic endometritis (CE) associated with abnormal uterine bleeding (AUB), infertility, or intrauterine lesions. Methods: The prospective cohort study in...

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Med. Sci. - ISSN 2076-3271