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Medical Sciences, Volume 14, Issue 1

2026 March - 159 articles

Cover Story: Objective & Methods: This study analyzed 78 patients with definite Meniere’s disease, divided into the following groups: Meniere’s disease only (n = 56) and Meniere’s disease with Migraine (n = 22). Researchers used contrast-enhanced MRI to evaluate the severity and distribution of endolymphatic hydrops. Results: Migraine comorbidity in Meniere’s disease is characterized by a shift from unilateral to symmetrical, bilateral endolymphatic hydrops that frequently involves the clinically healthy ear. Conclusions: Meniere’s disease patients with migraine display bilateral and symmetrical hydrops patterns. These findings suggest that migraine-related mechanisms may actively contribute to EH formation. Clinicians should consider comorbid migraine when bilateral hydrops is detected on MRI. View this paper
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Articles (159)

  • Review
  • Open Access
1 Citations
3,300 Views
14 Pages

23 March 2026

This review critically synthesizes current evidence regarding the natural history, advanced diagnostic imaging, and therapeutic interventions for acquired retinoschisis and retinoschisis-associated retinal detachment. A systematic search of PubMed an...

  • Article
  • Open Access
754 Views
12 Pages

Add-Ons of Heart Disease from the Cardiosurgical Perspective: Gender, Blood Groups and Renal Function

  • Madeline Günther,
  • Dimitrij Zilakov,
  • Ardawan J. Rastan and
  • Sebastian Vogt

23 March 2026

Background/Objectives: This retrospective exploratory study aimed to characterize sex-specific patterns of coronary artery disease (CAD) and valvular heart disease (VHD) in a cardiac surgical cohort. In clinical routine, men appear to be more commonl...

  • Systematic Review
  • Open Access
1,563 Views
17 Pages

Histopathological Changes Following Bromelain-Based Enzymatic Debridement (NexoBrid®): A Comprehensive Systematic Review of Preclinical and Clinical Evidence

  • Stefana Avadanei-Luca,
  • Dan-Cristian Moraru,
  • Andra-Irina Bulgaru-Iliescu,
  • Raluca Tatar,
  • Iulia Nacea,
  • Alexandru Hristo Amarandei,
  • Mihai-Codrin Constantinescu and
  • Mihaela Pertea

23 March 2026

Background: NexoBrid® (NXB; MediWound Ltd., Yavne, Israel) (anacaulase-bcdb) is a bromelain-based enzymatic debriding agent approved for eschar removal in burn care. Despite widespread clinical use, histological evidence of tissue-level changes a...

  • Article
  • Open Access
812 Views
20 Pages

22 March 2026

Background: Warfarin pharmacogenomics is critical due to its narrow therapeutic index and significant interpatient variability. While machine learning (ML) can predict anticoagulation control status (ACS), its “black-box” nature limits cl...

(This article belongs to the Special Issue Artificial Intelligence (AI) in Cardiovascular Medicine)
  • Communication
  • Open Access
752 Views
12 Pages

Are Atrial Fibrillation Risk Loci Universally Applicable? Insights from Whole-Genome Sequencing in a Polish Population

  • Michał Wasiak,
  • Mateusz Sypniewski,
  • Paula Dobosz,
  • Maria Stępień,
  • Anna Michalska-Foryszewska,
  • Patryk Rzońca and
  • Zbigniew J. Król

21 March 2026

Background: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia worldwide and has a substantial genetic component. Genome-wide association studies (GWASs) have identified more than 100 susceptibility loci; however, replication ac...

(This article belongs to the Section Cardiovascular Disease)
  • Article
  • Open Access
1,153 Views
14 Pages

Analysis of Potential Iron Toxicity in Hemodialysis Patients Under Intravenous Iron Treatment

  • Jessy Korina Peña-Esparragoza,
  • Alina Chávez-Guillén,
  • Paloma Ramos-López,
  • Oscar Rueda-Elías,
  • Susana López-Ongil,
  • Matilde Alique,
  • Rafael Ramírez-Chamond,
  • Julia Carracedo,
  • Diego Rodríguez-Puyol and
  • Patricia Martínez-Miguel

21 March 2026

Background/Objectives: Higher iron doses are used in the anemia treatment of hemodialysis patients, which allows for lower doses of erythropoiesis-stimulating agents; however, there are concerns regarding the risk of iron toxicity. This study aimed t...

(This article belongs to the Section Nephrology and Urology)
  • Article
  • Open Access
1 Citations
2,662 Views
22 Pages

20 March 2026

Background: Sodium–glucose cotransporter-2 inhibitors (SGLT2i) are widely used in older adults for diabetes, heart failure, and kidney disease. This is the first network meta-analysis focusing on the effects of SGLT2i in older adults. Methods:...

(This article belongs to the Section Endocrinology and Metabolic Diseases)
  • Article
  • Open Access
1 Citations
1,475 Views
12 Pages

20 March 2026

Background: The multifactorial pathogenesis of bronchopulmonary dysplasia (BPD) includes prematurity, inflammation, and oxidative stress. Photobiomodulation therapy (PBMT) using near-infrared (NIR) laser sources was found to have anti-inflammatory ef...

(This article belongs to the Section Critical Care Medicine)
  • Article
  • Open Access
1 Citations
1,508 Views
15 Pages

Evaluating the Efficacy of CPS, HEART and TIMI Score in Emergency Department Patients with Non-Traumatic Chest Pain: A Pilot Study

  • Pietro Pozzessere,
  • Mattia Di Lauro,
  • Francesco Incantalupo,
  • Alessandro Cinquantasei,
  • Stefano Palazzo,
  • Mario Erminio Lepera,
  • Antonella Pistone,
  • Sandra De Matteis,
  • Marco Matteo Ciccone and
  • Angela Pia Cazzolla
  • + 3 authors

19 March 2026

Background and Aim: The correct identification of patients presenting with chest pain and the stratification of their risk for major adverse cardiovascular events (MACE) is essential. The aim of this study was to evaluate subjects who came to the ED...

(This article belongs to the Section Cardiovascular Disease)
  • Article
  • Open Access
1 Citations
1,475 Views
14 Pages

19 March 2026

Objectives: To evaluate the effectiveness of different optimization parameters on radiotherapy plan quality for seventeen head and neck cancer patients. Methods: Volumetric Modulated Arc Therapy with Simultaneous Integrated Boost (VMAT-SIB) plans, in...

(This article belongs to the Section Cancer and Cancer-Related Research)
  • Review
  • Open Access
2 Citations
748 Views
16 Pages

19 March 2026

Rigid internal fixation has long been the standard for fracture management; however, excessive construct stiffness can suppress interfragmentary strain, reduce callus formation, and impair secondary fracture healing. Low-elastic-modulus TiNbSn alloys...

(This article belongs to the Section Translational Medicine)
  • Article
  • Open Access
1 Citations
1,144 Views
13 Pages

Expression of Hexokinase-2 (HK2), Glutaminase-1 (GLS1) and Fatty Acid Synthase (FASN) in Gastric Cancer and Their Prognostic Significance

  • Elisa García-Martínez,
  • Leonardo S. Lino-Silva,
  • Adriana Romo-Pérez,
  • Leticia Bornstein-Quevedo,
  • Alma Chavez-Blanco,
  • Guadalupe Dominguez-Gomez,
  • Horacio N. Lopez-Basave,
  • Alejandro Padilla-Rosciano,
  • Consuelo Diaz-Romero and
  • Alfonso Duenas-Gonzalez
  • + 1 author

19 March 2026

Background/Objectives: To evaluate the immunohistochemical expression of hexokinase-2 (HK2), glutaminase-1 (GLS1), and fatty acid synthase (FASN) and its prognostic significance in diffuse gastric adenocarcinoma. Materials and Methods: Formalin-fixed...

(This article belongs to the Section Cancer and Cancer-Related Research)
  • Article
  • Open Access
1,331 Views
26 Pages

Psychological Distress in COPD Assessed by DASS-21-R: Multivariable Regression and Bayesian Analysis Across GOLD Stages

  • Adina Deliu,
  • Luana Alexandrescu,
  • Bogdan Cimpineanu,
  • Oana Cristina Arghir,
  • Sanda Jurja,
  • Ioan Tiberiu Tofolean,
  • Rodica Gabriela Enache,
  • Ioana Gherghisan,
  • Ionela Preotesoiu and
  • Doina Ecaterina Tofolean
  • + 5 authors

19 March 2026

Background: Psychological distress is a common comorbidity in chronic obstructive pulmonary disease (COPD), yet its relationship with disease severity remains incompletely understood. This study aimed to assess depression, anxiety, and stress using t...

  • Article
  • Open Access
1,413 Views
18 Pages

A Comprehensive Study of Xenon Anesthesia in Patients with Locally Advanced Gastric Cancer: A Single-Center Study

  • Natalia Yunusova,
  • Vladimir Faltin,
  • Dmitry Svarovsky,
  • Olga Cheremisina,
  • Elena E. Sereda,
  • Alexandra Augustinovich,
  • Evgeny Usynin,
  • Marina Stakheyeva,
  • Gelena Kakurina and
  • Sergey Afanasiev
  • + 3 authors

18 March 2026

Objective: The objective of this study was to choose the optimal anesthesia method for gastric cancer patients undergoing surgery with lymph node dissection. Materials and Methods: The study included 53 patients with stage T1-4aN0-3M0 gastric cancer,...

  • Review
  • Open Access
1 Citations
2,416 Views
14 Pages

Safety and Efficacy of Dexmedetomidine as an Adjuvant in Epidural Anesthesia for Labor Analgesia: A Narrative Review

  • Josephine M. Feeney,
  • Seth J. Duet,
  • Cailyn B. Jones,
  • Anthony J. Baffi,
  • Sandy Rayes Elmalakh,
  • Kristin Nicole Bembenick,
  • Sahar Shekoohi and
  • Shahab Ahmadzadeh

18 March 2026

Effective pain management during labor must balance adequate maternal pain relief with preservation of maternal participation and fetal safety. Epidural anesthesia remains the gold standard for labor analgesia. However, commonly used local anesthetic...

  • Article
  • Open Access
1,552 Views
14 Pages

FOXP3+ Cells in Tertiary Lymphoid Structures Have Adverse Impact on Overall Survival in Patients with Gastric Cancer

  • Ana Paparella Karaman,
  • Tomislav Ivanović,
  • Krešimir Mustapić,
  • Katarina Vukojević,
  • Luka Minarik,
  • Merica Glavina Durdov and
  • Petar Đolonga

18 March 2026

Background/Objectives: Patients with local/locally advanced gastric cancer (GC) undergo gastrectomy/lymphadenectomy, but recurrences are common and the disease usually progresses to death. Tertiary lymphoid structures (TLS) of varying maturity can be...

  • Article
  • Open Access
1,704 Views
15 Pages

Risk of Functional Disorders and/or Thyroid Autoimmunity and Its Association with 25OH Vitamin D and Magnesium Levels: A Population-Based Case-Control Study

  • Hernando Vargas-Uricoechea,
  • Alejandro Castellanos-Pinedo,
  • Karen Urrego-Noguera,
  • María V. Pinzón-Fernández,
  • Ivonne A. Meza-Cabrera,
  • Hernando Vargas-Sierra and
  • Valentina Agredo-Delgado

18 March 2026

Background/Objectives: Vitamin D (Vit-D) and magnesium (Mg) levels have been associated with an increased risk of developing functional thyroid disorders or autoimmune thyroid diseases (AITD). In this study, our objective was to evaluate if 25-hydrox...

(This article belongs to the Section Endocrinology and Metabolic Diseases)
  • Article
  • Open Access
1 Citations
1,588 Views
17 Pages

18 March 2026

Background/Objectives: Severe oral mucositis is widely viewed as a transient toxicity of antineoplastic therapy. Whether its long-term consequences differ between cancers that directly damage the upper aerodigestive tract (cancers of the lip, oral ca...

(This article belongs to the Special Issue Feature Papers in Section “Cancer and Cancer-Related Research”)
  • Article
  • Open Access
1 Citations
781 Views
14 Pages

18 March 2026

Objectives: To investigate the potential associations between the daily consumption of unprocessed/minimally processed foods and serum phosphorus levels, CD3+, and CD45+ cell counts in clinically stable people living with HIV (PLHIV). Methods: This i...

(This article belongs to the Section Immunology and Infectious Diseases)
  • Article
  • Open Access
1 Citations
1,579 Views
13 Pages

Lipemic Plasma Identified Blood Donors: Triglyceride Variability and Exploratory Machine Learning Analysis

  • Sirinya Sitthirak,
  • Sodsai Narkpetch,
  • Rujira Nonsa-ard,
  • Manit Nuinoon,
  • Poonsup Sripara,
  • Krittamate Saisuwan,
  • Saengrawee Thammawithan and
  • Yanisa Rattanapan

17 March 2026

Background/Objectives: Early detection of cardiometabolic irregularities is crucial for averting cardiovascular illness; however, demographic cohorts that consistently engage with healthcare systems like habitual blood donors are inadequately leverag...

  • Review
  • Open Access
1,947 Views
12 Pages

Occupational Therapy in the Treatment of Breast Cancer-Related Lymphedema: A Narrative Review

  • Ana Belén Jiménez-Jiménez,
  • Irene Elvira-Pastor,
  • Fernando Jesús Mayordomo-Riera and
  • María Nieves Muñoz-Alcaraz

17 March 2026

Background/Objectives: Breast Cancer-Related Lymphedema (BCRL) is one of the most prevalent complications among patients, causing physical limitations and a negative impact on their quality of life. Given its chronic nature and influence on personal...

  • Review
  • Open Access
1 Citations
2,974 Views
56 Pages

The Mental Health–Acute Coronary Syndrome Continuum: Bidirectional Pathophysiological Links and Clinical Implications

  • Alexandra Herlaș-Pop,
  • Andrei-Flavius Radu,
  • Ada Radu,
  • Gabriela S. Bungau,
  • Delia Mirela Tit,
  • Elena Emilia Babes and
  • Cristiana Bustea

16 March 2026

Mental health disorders (MHDs) and acute coronary syndromes (ACSs) demonstrate reciprocal pathophysiological connections with substantial prognostic implications. Despite robust evidence linking MHDs to adverse cardiovascular outcomes, the bidirectio...

  • Communication
  • Open Access
781 Views
13 Pages

Genetic Variants Associated with Life Expectancy in Patients with Chagas Disease

  • Mario Bruno Principato,
  • Maria Victoria Carvelli,
  • Analia Paolucci,
  • Camila Principato,
  • Rocio Villa Fernandez,
  • Nicolas Aguirre,
  • Gabriel Ercoli,
  • Guillermo Alberto Keller,
  • Guillermo Di Girolamo and
  • Justo Carbajales
  • + 1 author

16 March 2026

Single nucleotide polymorphisms (SNPs), as common genetic variations, can influence biological processes. Identifying these variations is crucial for recognizing high-risk subgroups, guiding preventive strategies, and enabling personalized management...

  • Article
  • Open Access
2,040 Views
14 Pages

Reference Intervals for Hemoglobin and Hematocrit Adjusted for Altitude, Sex, and Age: A Big Data-Based Study in the Colombian Population

  • Esteban Morales-Mendoza,
  • María del Pilar Suarez-Ramos,
  • Marcela Godoy-Corredor,
  • Natalia Gomez-Lopera,
  • Juan Felipe Combariza-Vallejo,
  • Jossie Murcia and
  • Mario A. Isaza-Ruget

14 March 2026

Background: Hemoglobin (Hb) and hematocrit (Hct) reference intervals (RIs) are critical for diagnosing hematological disorders. However, existing reference values often do not account for demographic and environmental variability. Particularly in cou...

  • Review
  • Open Access
1,060 Views
13 Pages

Preoperative Botulinum Toxin Type A Use in Giant Inguinal Hernia Repair: A Scoping Review

  • Agostino Fernicola,
  • Luigi Ricciardelli,
  • Alessio Cece,
  • Floriana Porcaro,
  • Domenico Parmeggiani,
  • Michele Santangelo and
  • Gennaro Quarto

13 March 2026

Purpose: Giant inguinal hernias (GIHs) are rare and technically demanding conditions, associated with loss of domain and abdominal wall compliance. Preoperative botulinum toxin type A (BtxA) has been increasingly used in complex ventral hernia repair...

  • Review
  • Open Access
3 Citations
3,548 Views
58 Pages

Current Insights into Clinical, Molecular, and Therapeutic Approaches to Acute Respiratory Distress Syndrome

  • Manuel Gonzalez-Plascencia,
  • Margarita L. Martinez-Fierro,
  • Alfredo Salazar de Santiago,
  • Ana G. Castañeda-Miranda,
  • José I. Badillo-Almaraz and
  • Idalia Garza-Veloz

13 March 2026

Acute respiratory distress syndrome (ARDS) remains a leading cause of morbidity and mortality in critically ill patients despite advances in supportive care and lung-protective ventilation. The syndrome is characterized by biological heterogeneity in...

(This article belongs to the Topic The Pathogenesis and Treatment of Immune-Mediated Disease)
  • Communication
  • Open Access
3 Citations
816 Views
7 Pages

Use of Recombinant Human Deoxyribonuclease I in Primary Ciliary Dyskinesia Bronchiectasis—A Real Life Pilot Study

  • Moshe Heching,
  • Liora Slomianksy,
  • Eviatar Naamany,
  • Joel Weinberg and
  • Mordechai R. Kramer

12 March 2026

Introduction: Recombinant human deoxyribonuclease I (rhDNase) cleaves DNA in mucus, facilitating increased mucociliary clearance of purulent sputum. In cystic fibrosis (CF), rhDNase improves pulmonary function and decreases exacerbations. Conversely,...

(This article belongs to the Section Pneumology and Respiratory Diseases)
  • Article
  • Open Access
1 Citations
1,067 Views
14 Pages

Chronic Obstructive Pulmonary Disease as an Independent Predictor of Left Main Coronary Artery Disease

  • Beatrice Ragnoli,
  • Carlotta Bertelegni,
  • Leonardo Brugiatelli,
  • Tarsi Giovanni,
  • Fausto Chiazza and
  • Mario Malerba

11 March 2026

Background: Chronic obstructive pulmonary disease (COPD) is increasingly recognized as a disorder linked to increased cardiovascular risk, often coexisting with coronary artery disease (CAD), yet angiographic data on coronary involvement in COPD rema...

  • Review
  • Open Access
2,104 Views
23 Pages

Artificial Intelligence in Cardiovascular Imaging: From Automated Acquisition to Precision Diagnostics and Clinical Decision Support

  • Minodora Teodoru,
  • Alexandra-Kristine Tonch-Cerbu,
  • Dragoș Cozma,
  • Cristina Văcărescu,
  • Raluca-Daria Mitea,
  • Florina Batâr,
  • Horea-Laurentiu Onea,
  • Florin-Leontin Lazăr and
  • Alina Camelia Cătană

11 March 2026

Cardiovascular imaging is a cornerstone of modern cardiology, yet its clinical impact is limited by operator dependence, inter-observer variability, time-consuming workflows, and unequal access to advanced expertise. Artificial intelligence (AI), par...

(This article belongs to the Special Issue Artificial Intelligence (AI) in Cardiovascular Medicine)
  • Article
  • Open Access
2 Citations
1,961 Views
28 Pages

The Effect of Viniferin on Liver Cancer: Research Based on Network Pharmacology, Molecular Docking and Molecular Dynamics Simulation

  • Saowanee Maungchanburi,
  • Onwara Wongmek,
  • Poolsak Baitahay,
  • Asron Saweak,
  • Maroof Wangkaranae,
  • Wanmai Kongwattananon,
  • Suphasarang Sirirattanakul,
  • Moragot Chatatikun,
  • Atthaphong Phongphithakchai and
  • Chutima Jansakun
  • + 2 authors

11 March 2026

Background/Objectives: Hepatocellular carcinoma (HCC) is a primary malignancy often driven by metabolic syndrome, fatty liver disease, and chronic hepatitis. These conditions foster a pro-inflammatory microenvironment that promotes tumor progression....

(This article belongs to the Special Issue Feature Papers in Section “Cancer and Cancer-Related Research”)
  • Article
  • Open Access
1 Citations
1,415 Views
11 Pages

Remimazolam Bolus Prevents Emergence Agitation After Rhinologic Surgery: A Randomized, Triple-Blind, Controlled Trial

  • Grgur Prižmić,
  • Filip Periš,
  • Marinela Jozeljić Pešić,
  • Ana Maria Mitar,
  • Ana Bego,
  • Sanja Pavičić Perković and
  • Sanda Stojanović Stipić

10 March 2026

Background/Objectives: Emergence agitation (EA) is common after rhinologic surgery and may cause self-injury, bleeding, and prolonged post-anesthesia care unit (PACU) stay. Remimazolam is an ultra-short-acting benzodiazepine that may reduce EA withou...

  • Article
  • Open Access
1,394 Views
37 Pages

The Signal in the Extreme: A Systematic Outlier Framework Identifies Discrete Immunometabolic Subtypes in Human and Cellular Models

  • Julio Jesús Garcia-Coste,
  • Karla Aidee Aguayo-Cerón,
  • Judith Espinosa-Raya,
  • Alexis Alejandro García-Rivero,
  • Carina López-Leyva,
  • Rocío Alejandra Gutiérrez-Rojas,
  • Cruz Vargas-De-León and
  • Rodrigo Romero-Nava

9 March 2026

Background: Conventional omics analysis often treats outliers as noise, yet they may harbor critical biological insights. Objetive: This study proposes a paradigm shift: actively investigating outliers to discover biologically relevant subtypes withi...

  • Review
  • Open Access
4 Citations
2,076 Views
13 Pages

9 March 2026

Background: Atrial fibrillation (AF) is a prevalent arrhythmia closely associated with cardiometabolic disorders and systemic inflammation. Epicardial adipose tissue (EAT), located in direct contact with the atrial myocardium, has emerged as a biolog...

(This article belongs to the Section Cardiovascular Disease)
  • Review
  • Open Access
1,341 Views
21 Pages

Combination of Antidepressants and Chemotherapeutic Agents to Overcome P-Glycoprotein-Mediated Resistance in Cancer Patients: A Systematic Review

  • Antonio Restaino,
  • Mario Pinto,
  • Giulio Carriero,
  • Antonio Maria D’Onofrio,
  • Silvia Montanari,
  • Delfina Janiri,
  • Giovanni Camardese,
  • Lorenzo Moccia,
  • Gabriele Sani and
  • Alessio Simonetti

7 March 2026

Background/Objectives: P-glycoprotein (P-gp, ABCB1/MDR1) is a key ATP-binding cassette transporter involved in multidrug resistance in cancer, limiting intracellular accumulation of various chemotherapeutic (CT) agents. Several antidepressants (ADs)...

(This article belongs to the Section Cancer and Cancer-Related Research)
  • Article
  • Open Access
1 Citations
1,536 Views
17 Pages

Effects of Photobiomodulation Therapy on Pain and Healing of Episiotomies and Grade 2 and 3 Perineal Lacerations After Vaginal Delivery: A Prospective Observational Cohort Study

  • Luir Jose Ruaro Filho,
  • Mônica Vieira Barcellos,
  • Flavia Bezerra Provazi Pesci,
  • Larissa Camargo e Silva,
  • Juliana Carla Eleutério dos Santos,
  • Alexia Jacobs,
  • Ana Flávia Araújo Litwinczuk,
  • Maria Fernanda Setúbal Destro Rodrigues,
  • Lara Jansiski Motta and
  • Rebeca Boltes Cecatto
  • + 1 author

6 March 2026

Tissue trauma related to operative vaginal delivery or the use of episiotomy has been associated with complications such as pain and infection, and successful management is a key factor in promoting a faster and better recovery after delivery. Strate...

(This article belongs to the Section Gynecology)
  • Review
  • Open Access
1 Citations
2,499 Views
22 Pages

Modulation of Microbiome–Mitochondria Axis as a Novel Approach for Treatment of Obesity: A Scoping Review

  • Andreea Roxana Lista,
  • Ciskey Vanessa Ayala Mosqueda,
  • Rafael Palacios,
  • María José García Mansilla,
  • María Jesús Rodríguez Sojo,
  • Ailec Ho Plágaro,
  • Jorge Garcia Garcia,
  • Julio Gálvez,
  • Alba Rodríguez Nogales and
  • María José Rodríguez Sánchez
  • + 1 author

6 March 2026

Background: Obesity is a multifactorial, chronic disease characterised by excessive fat accumulation, low-grade inflammation, and metabolic dysfunction. Emerging evidence suggests that the gut microbiome–mitochondria axis may play a significant...

(This article belongs to the Section Endocrinology and Metabolic Diseases)
  • Review
  • Open Access
2 Citations
2,439 Views
20 Pages

5 March 2026

Measurable residual disease (MRD) has become a central determinant of prognosis and treatment planning in acute myeloid leukemia (AML). MRD assessment is now aided by a wide range of technologies, including next-generation sequencing, PCR-based assay...

(This article belongs to the Section Cancer and Cancer-Related Research)
  • Article
  • Open Access
897 Views
21 Pages

An EV-Guided Multi-Compartment Proof-of-Concept Framework for Biomarker Prioritization in Cholangiocarcinoma

  • Kanawut Kotawong,
  • Sittiruk Roytrakul,
  • Narumon Phaonakrop,
  • Kesara Na-Bangchang and
  • Wanna Chaijaroenkul

5 March 2026

Background: Cholangiocarcinoma (CCA) is a highly heterogeneous malignancy in which numerous biomarker candidates have been reported, yet few progress to clinical use. Beyond biological complexity, this low translational yield reflects the lack of sys...

  • Article
  • Open Access
926 Views
11 Pages

4 March 2026

Background and Objectives: Non-O ABO blood groups have been linked to higher coronary risk, plausibly via hemostatic and lipid pathways. However, evidence in Japanese populations and imaging-defined disease is limited. We examined whether ABO status...

(This article belongs to the Section Cardiovascular Disease)
  • Review
  • Open Access
1 Citations
2,001 Views
29 Pages

Prognosis of Pregnancy-Associated Breast Cancer: A Systematic Review of Contemporary Observational Studies

  • Dimitrios Zouzoulas,
  • Tilemachos Karalis,
  • Iliana Sofianou,
  • Panagiotis Tzitzis,
  • Themistoklis Mikos,
  • Eleni Timotheadou,
  • Grigoris Grimbizis and
  • Dimitrios Tsolakidis

3 March 2026

Background/Objectives: Pregnancy-associated breast cancer (PABC) is uncommon but increasingly encountered as more women delay childbearing. Its prognostic impact remains controversial, particularly for cancers diagnosed in the early postpartum period...

  • Article
  • Open Access
1 Citations
2,439 Views
19 Pages

Drawing the Line: From U-Net-Based Glioblastoma Segmentation to Machine Learning-Driven Survival Prediction

  • Costin Chirica,
  • Bogdan-Ionuț Dobrovăț,
  • Sabina-Ioana Chirica,
  • Oriana-Maria Onicescu,
  • Andreea Rotundu,
  • Emilia-Adriana Marciuc,
  • Laura-Elena Cucu,
  • Daniela Pomohaci,
  • Răzvan-Constantin Anghel and
  • Maria Magdalena Leon
  • + 3 authors

3 March 2026

Background/Objectives: Glioblastoma (GB) remains the most prevalent primary malignant brain tumor in adults, characterized by its aggressive nature and poor prognosis. The present study endeavored to contribute to the development of advanced computat...

(This article belongs to the Special Issue Artificial Intelligence in Oncologic Imaging: Advances in Medical Image Segmentation and Predictive Modelling)
  • Article
  • Open Access
980 Views
16 Pages

Clinical Evolution of a Cohort of Patients with COVID-19 Treated with Usual Medical Care Plus Polymerized Type I Collagen During the Pandemic Emergency

  • Aurelio Perez-Favila,
  • Idalia Garza-Veloz,
  • Lucia S. Hernandez-Marquez,
  • Maria C. Martinez-Vazquez,
  • Edgar F. Gutierrez-Vela,
  • Ivan Delgado-Enciso,
  • Alfredo Salazar de Santiago,
  • Francisco Luna-Pacheco,
  • Celia E. Luna-Pacheco and
  • Margarita L. Martinez-Fierro
  • + 1 author

3 March 2026

Introduction: The COVID-19 pandemic created an urgent need for safe and accessible outpatient treatments. Polymerized type I collagen (PTIC) has demonstrated potential immunomodulatory effects, but its clinical utility in patients with COVID-19 remai...

(This article belongs to the Section Pneumology and Respiratory Diseases)
  • Article
  • Open Access
2 Citations
1,340 Views
15 Pages

Mid-Regional Pro-Adrenomedullin as a Translational Biomarker of Microcirculatory Dysfunction in Sepsis: A Prospective Observational Study

  • Rachael Cusack,
  • Alexis Garduno,
  • Sanja Cumpf,
  • Pramila Reyes-Morales,
  • Marc Leone,
  • Alfonso Blanco Fernández,
  • Alejandro Rodriguez and
  • Ignacio Martin-Loeches

2 March 2026

Background/Objectives: Mid-regional pro-adrenomedullin (MR-proADM) is a biomarker of endothelial dysfunction in sepsis. Its relationship with real-time microcirculatory alterations in critically ill patients remains insufficiently characterised. Meth...

(This article belongs to the Section Critical Care Medicine)
  • Systematic Review
  • Open Access
1,883 Views
24 Pages

Systematic Review of Monoclonal Antibody Therapies in Relapsing Multiple Sclerosis: Comparator-Stratified Analysis of Relapse and Disability Outcomes

  • Alin Ciubotaru,
  • Cristina Grosu,
  • Alexandra Maștaleru,
  • Victor Constantinescu,
  • Daniel Alexa,
  • Roxana Covali,
  • Laura Riscanu,
  • Robert-Valentin Bilcu,
  • Laura-Elena Cucu and
  • Emilian Bogdan Ignat
  • + 6 authors

27 February 2026

The Background: monoclonal antibody therapies represent high-efficacy treatment options for relapsing forms of multiple sclerosis (MS). However, the absence of direct head-to-head randomized trials and the use of heterogeneous comparators across pivo...

(This article belongs to the Topic The Pathogenesis and Treatment of Immune-Mediated Disease)
  • Communication
  • Open Access
1,130 Views
8 Pages

Quantifying the Learning Curve in Ultrasound-Guided Vascular Access: Proficiency Metrics of Self-Taught Axillary Vein Puncture for CIED Implantation

  • Dimitrios A. Vrachatis,
  • Konstantinos A. Papathanasiou,
  • Ioannis Anagnostopoulos,
  • Sotiria G. Giotaki,
  • Maria Kousta,
  • Christos Karavasilis,
  • Christos Piperis,
  • Panagiotis Tolios,
  • Andreas Kaoukis and
  • Spyridon Deftereos
  • + 4 authors

27 February 2026

Background: Ultrasound (US)-guided axillary vein puncture (AVP) is an established technique for cardiac implantable electronic device (CIED) implantation. Yet real-world data concerning shifting from conventional venous access into US-guided AVP are...

(This article belongs to the Section Cardiovascular Disease)
  • Article
  • Open Access
1,729 Views
14 Pages

Clinical and Metabolic Predictors of Response to Focused Extracorporeal Shockwave Therapy in Rotator Cuff Tendinopathy: A Retrospective Cohort Study

  • Sveva Maria Nusca,
  • Eleonora Latini,
  • Gabriele Santilli,
  • Gioia Beccarini,
  • Valerio Bova,
  • Flavia Santoboni,
  • Valter Santilli,
  • Giorgio Felzani,
  • Fabrizio Perroni and
  • Mario Vetrano
  • + 2 authors

27 February 2026

Background: Rotator cuff tendinopathy is a major cause of shoulder pain and disability. Focused extracorporeal shockwave therapy (ESWT) is an established conservative treatment option; however, the predictive factors influencing the treatment respons...

(This article belongs to the Section Translational Medicine)
  • Article
  • Open Access
964 Views
15 Pages

Purpose in Life and Estimated Type 2 Diabetes Risk: Cross-Sectional Associations Across Three Validated Risk Scores in 93,077 Spanish Working Adults

  • Pilar García Pertegaz,
  • Pedro Juan Tárraga López,
  • Irene Coll Campayo,
  • Carla Busquets-Cortés,
  • Ángel Arturo López-González and
  • José Ignacio Ramírez-Manent

26 February 2026

Background: Psychosocial well-being has been increasingly recognized as a relevant factor in cardiometabolic health; however, evidence linking Purpose in Life with type 2 diabetes risk across validated prediction tools remains limited. This study exa...

(This article belongs to the Section Endocrinology and Metabolic Diseases)
  • Article
  • Open Access
1,139 Views
16 Pages

Biomechanical Voice Parameters as Potential Biomarkers for Phenotype Differentiation in Amyotrophic Lateral Sclerosis: A Cross-Sectional Study

  • Margarita Pérez-Bonilla,
  • Marina Mora-Ortiz,
  • Paola Díaz-Borrego,
  • María Nieves Muñoz-Alcaraz,
  • Fernando J. Mayordomo-Riera and
  • Eloy Girela-López

26 February 2026

Background/Objectives: Amyotrophic lateral sclerosis (ALS) is a clinically heterogeneous neurodegenerative disease in which bulbar involvement frequently affects speech and voice production. Although acoustic voice analysis can detect phonatory alter...

  • Review
  • Open Access
2 Citations
1,872 Views
24 Pages

Immunotherapies for Ischemic Stroke Patients: Current Status and Future Directions

  • Riley M. McCabe,
  • Lauren Hurley,
  • Kasey Pull and
  • Nafisa M. Jadavji

25 February 2026

Background/Objectives: Ischemic stroke occurs when a thrombus forms within a blood vessel in the brain. This results in reduced levels of oxygen and glucose, leading to the death of cells and a reduction in function. There are several molecular signa...

(This article belongs to the Section Cardiovascular Disease)
  • Review
  • Open Access
2 Citations
2,277 Views
21 Pages

25 February 2026

Background/Objectives: Hepatocellular carcinoma (HCC) commonly arises from chronic liver diseases that show progressing fibrosis and cirrhosis. The molecular mechanisms driving the transition from advanced fibrosis to overt malignancy remain poorly d...

(This article belongs to the Special Issue Feature Papers in Section “Cancer and Cancer-Related Research”)

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Med. Sci. - ISSN 2076-3271