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Journal of Clinical Medicine, Volume 13, Issue 20

2024 October-2 - 266 articles

Cover Story: Hypertension is emerging as a modifiable risk factor for major neurocognitive disorders, contributing to neurodegenerative processes through vascular damage, inflammation, and blood–brain barrier disruption. However, the role of antihypertensive treatments in preventing or treating cognitive decline remains unclear, with mixed evidence varying by antihypertensive class and the type of neurocognitive disorder, including delirium, Alzheimer’s disease, vascular dementia, Lewy body dementia, and frontotemporal dementia. The complex, bidirectional relationship between hypertension and these disorders—along with variations in hypertension definitions, diagnostic criteria, and confounding factors like medication adherence—underscores the need for long-term studies to clarify the potential therapeutic benefits of antihypertensive treatments. View this paper
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Articles (266)

  • Article
  • Open Access
1 Citations
1,599 Views
22 Pages

Clinical and Electrocardiographic Predictors of Cardiac Resynchronization Therapy Response That Correlate with the 6 min Walking Test

  • Andrei Mihnea Rosu,
  • Theodor Georgian Badea,
  • Florentina Luminita Tomescu,
  • Andreea Liana Rosu,
  • Emanuel Stefan Radu,
  • Oana Andreea Popa,
  • Liliana Catalina Andrei and
  • Crina Julieta Sinescu

21 October 2024

Background: Cardiac resynchronization therapy is an essential treatment for heart failure patients. Candidates typically have cardiomyopathy accompanied by delayed electrical activation in the left ventricular lateral wall, causing uncoordinated cont...

  • Systematic Review
  • Open Access
3 Citations
4,232 Views
24 Pages

Allograft Prosthetic Composite (APC) for Proximal Humeral Bone Deficiency in Revision Reverse Shoulder Arthroplasty: A Technical Note and Systematic Review

  • Hean Wu Kang,
  • Christopher Child,
  • Kristine Italia,
  • Mirek Karel,
  • Luke Gilliland,
  • Helen Ingoe,
  • Jashint Maharaj,
  • Sarah Whitehouse,
  • Kenneth Cutbush and
  • Ashish Gupta

21 October 2024

Background: Proximal humeral bone deficiency in revision shoulder arthroplasty is an emerging and challenging problem as the use of reverse shoulder arthroplasty (RSA) increases. This paper presents a technical note discussing our detailed preoperati...

  • Article
  • Open Access
1,563 Views
9 Pages

Vertebral Body Morphology in Neuromuscular Scoliosis with Spastic Quadriplegic Cerebral Palsy

  • Göker Utku Değer,
  • Heon Jung Park,
  • Kyeong-Hyeon Park,
  • Hoon Park,
  • Mohammed Salman Alhassan,
  • Hyun Woo Kim and
  • Kun-Bo Park

21 October 2024

Background/Objectives: The distorted vertebral body has been studied in scoliosis; however, there is little knowledge about the difference between neuromuscular and idiopathic scoliosis. This study aimed to investigate the vertebral body morphology i...

  • Article
  • Open Access
1 Citations
2,053 Views
14 Pages

Diagnostic Utility of the “Air Sign” as a Radiological Indicator for Mandibular Body and Angle Fractures

  • Weronika Michalik,
  • Joanna Kuczera,
  • Jakub Bargiel,
  • Krzysztof Gąsiorowski,
  • Tomasz Marecik,
  • Paweł Szczurowski,
  • Grażyna Wyszyńska-Pawelec and
  • Michał Gontarz

21 October 2024

Background: To plan optimal treatment, obtain satisfactory outcomes, and avoid undesirable clinical errors, surgeons need to have efficient tools for providing a complete and prompt diagnosis. The aim of this study was to establish the sensitivity, s...

  • Article
  • Open Access
7 Citations
2,817 Views
13 Pages

Dysmenorrhea in Polish Adolescent Girls: Impact on Physical, Mental, and Social Well-Being—Results from POLKA 18 Study

  • Michalina Drejza,
  • Katarzyna Rylewicz,
  • Ewa Majcherek,
  • Joanna Barwińska,
  • Grzegorz Łopiński,
  • Małgorzata Mizgier,
  • Katarzyna Plagens-Rotman,
  • Magdalena Pisarska-Krawczyk,
  • Grażyna Jarząbek-Bielecka and
  • Witold Kędzia

21 October 2024

Background: Dysmenorrhea, characterised by painful menstrual cramps, is a pressing issue among adolescent girls globally. It significantly impacts their quality of life and has been associated with increased mental health issues and engagement in ris...

  • Article
  • Open Access
1 Citations
2,859 Views
13 Pages

Evaluation and Treatment of Congenital Syphilis: A National Survey of US Pediatric Specialists

  • David B. Banks,
  • John M. Flores,
  • Jose Luis Paredes and
  • Simon L. Parzen-Johnson

21 October 2024

Background/Objectives: As congenital syphilis incidence continues to increase yearly in the United States (US), recommendations from government and professional organizations aim to inform effective clinical practice, although it is unclear how close...

  • Article
  • Open Access
8 Citations
6,012 Views
13 Pages

Enhanced Recovery After Surgery Protocols in One- or Two-Level Posterior Lumbar Fusion: Improving Postoperative Outcomes

  • Ji Uk Choi,
  • Tae-Hong Kee,
  • Dong-Ho Lee,
  • Chang Ju Hwang,
  • Sehan Park and
  • Jae Hwan Cho

21 October 2024

Background/Objectives: Enhanced recovery after surgery (ERAS) protocols optimize perioperative care and improve recovery. This study evaluated the effectiveness of ERAS in one- or two-level posterior lumbar fusion surgeries, focusing on perioperative...

  • Article
  • Open Access
3,306 Views
9 Pages

Self-Cross-Linked Hyaluronic Acid Gel for Adhesion Prophylaxis in Laparoscopic Deep Endometriosis Removal: Safety Report of a Prospective Pilot Study

  • Maya Sophie de Wilde,
  • Rajesh Devassy,
  • Harald Krentel,
  • Rudy Leon De Wilde and
  • Luz Angela Torres-de la Roche

21 October 2024

Background/Objectives: Surgical removal of deep endometriosis lesions is an established method of reducing patient symptoms, but it often results in iatrogenic adhesions that lead to further problems. This pilot study presents the safety evaluation o...

  • Systematic Review
  • Open Access
14 Citations
7,868 Views
20 Pages

Approaches to Deprescribing Proton Pump Inhibitors in Clinical Practice: A Systematic Review

  • Andrea Rossi,
  • Lara Perrella,
  • Stefano Scotti,
  • Elena Olmastroni,
  • Federica Galimberti,
  • Ilaria Ardoino,
  • Valentina Orlando,
  • Enrica Menditto,
  • Carlotta Franchi and
  • Manuela Casula

21 October 2024

Background: Proton pump inhibitors (PPIs) are some of the most frequently prescribed medications, but they are often used inappropriately, either being prescribed without a clear indication or continued for longer than necessary. In such cases, depre...

  • Article
  • Open Access
2 Citations
3,734 Views
14 Pages

Exploring Patient Empowerment in Major Depressive Disorder: Correlations of Trust, Active Role in Shared Decision-Making, and Symptomatology in a Sample of Italian Patients

  • Alessandro Rodolico,
  • Pierfelice Cutrufelli,
  • Giuliana Maccarone,
  • Gabriele Avincola,
  • Carmen Concerto,
  • Alfio Luca Cunsolo,
  • Antonio Di Francesco,
  • Rosaria Furnari,
  • Ludovico Mineo and
  • Maria Salvina Signorelli
  • + 4 authors

21 October 2024

Background/Objectives: Empowerment in medicine and psychiatry involves patients gaining control over health-related decisions, improving treatment adherence, outcomes, and satisfaction. This concept is especially significant in psychiatric care due t...

  • Article
  • Open Access
3 Citations
2,042 Views
15 Pages

Traits of Developmental Disorders in Adults With Listening Difficulties Without Diagnosis of Autism Spectrum Disorder And/or Attention-Deficit/Hyperactivity Disorder

  • Chie Obuchi,
  • Tetsuaki Kawase,
  • Yuka Sasame,
  • Yayoi Yamamoto,
  • Kaori Sasaki,
  • Junya Iwasaki,
  • Hidehiko Okamoto and
  • Kimitaka Kaga

21 October 2024

Background: Some individuals have a normal audiogram but have listening difficulties (LiD). As many studies have investigated the relationship between listening and developmental disorders, the traits of developmental disorders might explain the symp...

  • Review
  • Open Access
7 Citations
2,379 Views
15 Pages

Viscoelastic Hemostatic Testing as a Diagnostic Tool for Hypercoagulability in Liver Transplantation: A Narrative Review

  • Khaled Ahmed Yassen,
  • Dur I Shahwar,
  • Aqeel Qasem Alrasasi,
  • Feras Aldandan,
  • Danah Sami Alali,
  • Maryam Yousef Almuslem,
  • Nouran Hassanein,
  • Imtiyaz Khan and
  • Klaus Görlinger

21 October 2024

Liver transplantation is a complex surgical procedure in which various forms of coagulation dysfunction can occur, including perioperative hypercoagulability. The hemostasis balance in liver graft recipients with end-stage liver disease can shift to...

  • Article
  • Open Access
1 Citations
2,319 Views
11 Pages

21 October 2024

Objectives: This study aims to compare the effects of kinesio tape (KT) on the rectus femoris muscle in athletes and novices under pre- and post-fatigue conditions. Methods: Nineteen male volunteers took part, and fatigue was assessed using the Borg...

  • Article
  • Open Access
5 Citations
3,619 Views
9 Pages

21 October 2024

Aim: To compare shock wave-enhanced emission photoacoustic streaming (SWEEPS) with sonic- and ultrasonically activated irrigation systems in removing Enterococcus faecalis biofilm from the root canal system. Methodology: Fifty human single-canalled m...

  • Article
  • Open Access
1 Citations
1,757 Views
10 Pages

Comparative Efficacy of Classic Versus Horizontal Incision Techniques in Skin-Reducing Mastectomy: A Single Center Retrospective Analysis

  • Andrea Vittorio Emanuele Lisa,
  • Alessandro Mela,
  • Sergio Miranda,
  • Mario Alessandri Bonetti,
  • Manuela Bottoni,
  • Mattia Intra,
  • Eleonora Pagan,
  • Vincenzo Bagnardi and
  • Mario Rietjens

21 October 2024

Background: The reconstruction of large breasts carries a heightened risk profile. While skin-reducing mastectomy (SRM) techniques facilitate the correction of breast ptosis, they are frequently associated with a high incidence of vascular complicati...

  • Article
  • Open Access
1 Citations
2,071 Views
10 Pages

21 October 2024

Background/Objectives: Aggregate prescribing behavior for inflammatory lesions of rosacea has been described, but individual physician behavior has not been characterized. This study aims to assess the modern state of topical rosacea drug selection b...

  • Article
  • Open Access
1 Citations
1,508 Views
10 Pages

Cardiovascular Precision Medicine and Remote Intervention Trial Rationale and Design

  • Deborah Reynolds,
  • Rachel A. Annunziato,
  • Jasleen Sidhu,
  • Gad Cotter,
  • Beth A. Davison,
  • Koji Takagi,
  • Sarah Duncan-Park,
  • David Rubinstein and
  • Eyal Shemesh

21 October 2024

Background: It has recently been shown that excessive fluctuation in blood pressure readings for an individual over time is closely associated with poor outcomes, including increased risk of cardiovascular mortality, coronary heart disease and stroke...

  • Feature Paper
  • Review
  • Open Access
12 Citations
5,848 Views
24 Pages

Incorporating Therapeutic Education and Exercise in Migraine Management: A Biobehavioral Approach

  • Roy La Touche,
  • Arão Belitardo de Oliveira,
  • Alba Paris-Alemany and
  • Álvaro Reina-Varona

21 October 2024

The main objective was to perform a description of the potential biobehavioral factors that influence disability in patients with migraines and develop a multimodal physiotherapy treatment proposal incorporating therapeutic education and exercise pre...

  • Review
  • Open Access
13 Citations
8,036 Views
13 Pages

Odontoid Fractures: A Review of the Current State of the Art

  • Aria Nouri,
  • Michele Da Broi,
  • Adrien May,
  • Insa Janssen,
  • Granit Molliqaj,
  • Benjamin Davies,
  • Naveen Pandita,
  • Karl Schaller,
  • Enrico Tessitore and
  • Mark Kotter

21 October 2024

Odontoid fractures (OFs) represent up to 15% of all cervical fractures encountered and present most commonly amongst elderly patients, typically in the setting of low energy trauma such as falls. The Anderson and D’Alonzo classification and Roy...

  • Article
  • Open Access
3 Citations
3,077 Views
12 Pages

Analyzing the Impact of Rehabilitation Utilizing Neurofunctional Exercises on the Functional Status of Stroke Patients

  • Rafał Studnicki,
  • Karolina Studzińska,
  • Tomasz Adamczewski,
  • Rita Hansdorfer-Korzon and
  • Maciek Krawczyk

21 October 2024

Background/Objectives: Physical rehabilitation based on neurofunctional exercises can have a positive impact on restoring functionality and enhancing the quality of life of these individuals. Therefore, the purpose of this study is to analyze the eff...

  • Article
  • Open Access
14 Citations
7,537 Views
13 Pages

Venous Excess Ultrasound Score Is Associated with Worsening Renal Function and Reduced Natriuretic Response in Patients with Acute Heart Failure

  • Sofya Sovetova,
  • Kristina Charaya,
  • Tamerlan Erdniev,
  • Dmitry Shchekochikhin,
  • Alexandra Bogdanova,
  • Sergey Panov,
  • Natalya Plaksina,
  • Elmira Mutalieva,
  • Natalia Ananicheva and
  • Denis Andreev
  • + 1 author

21 October 2024

Background: The venous excess ultrasound score (VExUS) is used to objectify systemic venous congestion. The aim of the paper was to determine the association between VExUS grades and worsening renal function (WRF), reduced natriuretic response, diure...

  • Article
  • Open Access
5 Citations
2,488 Views
14 Pages

21 October 2024

Objectives: To examine the effects of glucagon-like-peptide-1 receptor agonists (GLP1-RAs) on diabetic retinopathy (DR) progression, visual acuity (VA), central subfield thickness (CST), and response to intravitreal injections (IVIs) in the Hadassah...

  • Article
  • Open Access
4 Citations
2,350 Views
13 Pages

Early Hospital Discharge on Day Two Post-Robotic Lobectomy with Telehealth Home Monitoring

  • Giuseppe Mangiameli,
  • Edoardo Bottoni,
  • Alberto Tagliabue,
  • Veronica Maria Giudici,
  • Alessandro Crepaldi,
  • Alberto Testori,
  • Emanuele Voulaz,
  • Umberto Cariboni,
  • Emanuela Re Cecconi and
  • Giuseppe Marulli
  • + 4 authors

21 October 2024

Background: Despite the implementation of enhanced recovery programs, the reported average postoperative length of stay after robotic lobectomy remains as 4 days. In this prospective study, we present the outcomes of early discharge (on day 2) with t...

  • Article
  • Open Access
2 Citations
2,561 Views
12 Pages

Adherence to Exercise in People with Lung or Head and Neck Cancer: Self-Reported Symptoms and Motivation During Cancer Treatment Need to Be Considered

  • Matheus Pedroso,
  • Isis Grigoletto,
  • Letícia Oliveira,
  • Sarah Martins,
  • Lara Costa,
  • Karina Pozo,
  • Paloma Borges,
  • Livia Regio,
  • Isabela Duarte and
  • Ercy Ramos
  • + 1 author

21 October 2024

Objectives: Symptoms and motivation may impact adherence to home-based exercise training programs (HETP) during cancer treatment (CT) for lung or head and neck cancer. This study aimed to identify self-reported symptoms and their frequency, as well a...

  • Article
  • Open Access
1 Citations
2,671 Views
10 Pages

The Effect of Acute High-Altitude Exposure on Oral Pathogenic Bacteria and Salivary Oxi-Inflammatory Markers

  • Pamela Pignatelli,
  • Simona Mrakic-Sposta,
  • Danilo Bondi,
  • Domenica Lucia D’Antonio,
  • Adriano Piattelli,
  • Carmen Santangelo,
  • Vittore Verratti and
  • Maria Cristina Curia

20 October 2024

Background: The environment can alter the homeostasis of humans and human microbiota. Oral health is influenced by high altitude through symptoms of periodontitis, barodontalgia, dental barotrauma, and a decrease in salivary flow. Microbiota and infl...

  • Systematic Review
  • Open Access
8 Citations
12,294 Views
13 Pages

20 October 2024

Background/Objectives: Anterior cruciate ligament (ACL) reconstruction (ACLR) is often followed by significant muscle atrophy and subsequent loss of strength. Blood flow restriction training (BFRT) has recently emerged as a potential mode of rehabili...

  • Article
  • Open Access
1,514 Views
12 Pages

Association Between Arch-Shaped Hypo-Autofluorescent Lesions Detected Using Fundus Autofluorescence and Postoperative Hypotony

  • Yuji Yoshikawa,
  • Jun Takeuchi,
  • Aya Takahashi,
  • Masaharu Mizuno,
  • Tomoka Ishida,
  • Takashi Koto and
  • Makoto Inoue

20 October 2024

Background: Chorioretinal folds are observed after vitrectomy due to ocular collapse caused by low intraocular pressure. The purpose of this study is to investigate the relationship between the postoperative hypotony, chorioretinal folds, and the fun...

  • Article
  • Open Access
1 Citations
2,678 Views
12 Pages

Evaluating the Effectiveness of Nivolumab in Metastatic Lung Cancer Among Patients Aged 65 and Older

  • Deniz Isik,
  • Özkan Alan,
  • Goncagül Akdağ,
  • Sedat Yildirim,
  • Oğuzcan Kınıkoğlu,
  • Yunus Emre Altintas,
  • Ezgi Turkoglu,
  • Heves Surmeli,
  • Tugba Basoglu and
  • Nedim Turan
  • + 3 authors

20 October 2024

Background: Lung cancer remains the leading cause of cancer-related mortality globally, predominantly affecting older individuals. Despite the increasing use of immune checkpoint inhibitors (ICIs) like nivolumab in non-small cell lung cancer (NSCLC),...

  • Article
  • Open Access
1 Citations
3,456 Views
13 Pages

Transcutaneous Tibial Nerve Stimulation for Quality-of-Life Improvement and Sleep Deficiency in Women with Primary Dysmenorrhea: A Randomized Clinical Trial

  • Marta Correyero-León,
  • Javier Calvo-Rodrigo,
  • Jorge Juan Alvarado-Omenat,
  • Rocío Llamas-Ramos and
  • Inés Llamas-Ramos

20 October 2024

Background: Primary dysmenorrhea is a leading cause of chronic cyclic pelvic pain, contributing to a reduced quality of life and sleep disturbances in women. The objective of this study was to assess the effectiveness of transcutaneous tibial nerve s...

  • Article
  • Open Access
1 Citations
4,051 Views
14 Pages

Key Factors Driving Physiotherapy Use in Patients with Nonspecific Low Back Pain: Retrospective Clinical Data Analysis

  • Dalia M. Alimam,
  • Muteb J. Alqarni,
  • Mawaddah H. Aljohani,
  • Mohammed A. Alqarni,
  • Abdulrahman M. Alsubiheen and
  • Asma S. Alrushud

20 October 2024

Background/objectives: Understanding the factors that influence physiotherapy (PT) service use among patients with nonspecific lower back pain (LBP) is necessary to optimize treatment strategies, healthcare resource allocation, and the planning of va...

  • Article
  • Open Access
6 Citations
2,920 Views
10 Pages

Renal Cell Carcinoma with Venous Tumor Thrombus: 15 Years of Experience in an Oncology Center

  • Gabriel Faria-Costa,
  • Rui Freitas,
  • Isaac Braga,
  • Maria Ana Alzamora,
  • Sanches Magalhães,
  • João Carvalho,
  • Jorge Correia,
  • Vítor Moreira Silva,
  • Francisco Lobo and
  • António Morais
  • + 1 author

20 October 2024

Background: The purpose of this study is to report the experience of a single Portuguese oncology center in the management of patients with renal cell carcinoma (RCC) and venous tumor thrombus (VTT). Methods: This is a retrospective analysis of all p...

  • Review
  • Open Access
5 Citations
3,879 Views
15 Pages

Anti-Hyperglycemic Medication Management in the Perioperative Setting: A Review and Illustrative Case of an Adverse Effect of GLP-1 Receptor Agonist

  • Abby R. Goron,
  • Courtney Connolly,
  • Arielle N. Valdez-Sinon,
  • Ashley Hesson,
  • Christine Helou and
  • Gregory W. Kirschen

20 October 2024

A host of anti-hyperglycemic agents are currently available and widely prescribed for diabetes and weight loss management. In patients undergoing surgery, use of these agents poses a clinical challenge to surgeons, anesthesiologists, and other periop...

  • Article
  • Open Access
2 Citations
2,612 Views
10 Pages

20 October 2024

Background/Objectives: Autoimmune hepatitis (AIH) is a chronic inflammatory liver disease caused by an autoimmune attack on hepatocytes. The first-line treatment for AIH comprises two core components: glucocorticoids and thiopurine analog inhibitors...

  • Article
  • Open Access
8 Citations
9,328 Views
10 Pages

20 October 2024

Background: Several GLP-1 receptor agonists (GLP-1 RAs) are used to treat type 2 diabetes (T2DM). Their cardio- and renal-protective effects and their association with substantial weight loss have been evident and progressively expanded their role in...

  • Case Report
  • Open Access
2 Citations
3,235 Views
11 Pages

20 October 2024

Background: Immune checkpoint inhibitor (ICI) therapy is becoming the standard of care for the treatment of advanced non-small-cell lung cancer. However, T-cell activation by ICIs frequently induces a flare-up of preexisting autoimmune diseases such...

  • Article
  • Open Access
2,661 Views
11 Pages

An Analysis of the Time Required for the Diagnosis of ASD and the Factors Influencing Its Duration in a Sample of the Pediatric Population from Poland

  • Krzysztof M. Wilczyński,
  • Lena Cichoń,
  • Aleksandra Stasik,
  • Katarzyna Kania,
  • Natalia Rodak,
  • Michał Wizner and
  • Małgorzata Janas-Kozik

20 October 2024

Background/Objectives: Early diagnosis of autism spectrum disorder (ASD) is a very important factor for improving the quality of life of people on the spectrum, but it still remains a major problem in Europe, especially concerning girls. In this stud...

  • Article
  • Open Access
1 Citations
3,531 Views
14 Pages

Prescribing Hydroxyurea in Sickle Cell Disease Patients: The Pattern and Association with Co-Prescribed Medications Used to Manage the Disease Complications

  • Nida Alsaffar,
  • Mohammed Ali Alsaleh,
  • Abdulmonem Ali Alsaleh,
  • Neda Z. Ghanem,
  • Mohammad Hussain Al khamees,
  • Mohammed A. Alqurain,
  • Jenan Almatouq,
  • Bader AlAlwan and
  • Aymen A. Alqurain

19 October 2024

Background and Objectives: Hydroxyurea (HU) is an effective medication used to reduce the frequency of painful crises associated with sickle cell disease (SCD). However, data describing its prevalence among SCD patients in the Eastern Region of Saudi...

  • Article
  • Open Access
6 Citations
5,296 Views
13 Pages

Evaluating Anesthesia Practices, Patient Characteristics, and Outcomes in Electroconvulsive Therapy: A Two-Year Retrospective Study

  • Bogdan Ioan Vintilă,
  • Claudia Elena Anghel,
  • Mihai Sava,
  • Alina-Simona Bereanu,
  • Ioana Roxana Codru,
  • Raul Stoica,
  • Alexandra-Maria Vulcu Mihai,
  • Andreea-Maria Grama,
  • Alina Camelia Cătană and
  • Ciprian-Ionuț Băcilă
  • + 3 authors

19 October 2024

Background: Electroconvulsive therapy (ECT) is a well-established treatment for various psychiatric disorders. This retrospective study evaluates anesthesia practices, patient characteristics, and outcomes in ECT over a two-year period at the “...

  • Article
  • Open Access
2 Citations
2,551 Views
16 Pages

A New Tool for Extracting Static and Dynamic Parameters from [18F]F-DOPA PET/CT in Pediatric Gliomas

  • Michele Mureddu,
  • Thomas Funck,
  • Giovanni Morana,
  • Andrea Rossi,
  • Antonia Ramaglia,
  • Claudia Milanaccio,
  • Antonio Verrico,
  • Gianluca Bottoni,
  • Francesco Fiz and
  • Rosella Trò
  • + 2 authors

19 October 2024

Background/Objectives: PET imaging with [18F]F-DOPA has demonstrated high potential for the evaluation and management of pediatric brain gliomas. Manual extraction of PET parameters is time-consuming, lacks reproducibility, and varies with operator e...

  • Article
  • Open Access
11 Citations
2,478 Views
8 Pages

Impact of Aging and Knee Osteoarthritis on Lower Limb Alignment and CPAK Classification: Gender Differences in a Japanese Cohort

  • Kento Harada,
  • Yu Mori,
  • Masayuki Kamimura,
  • Takashi Aki,
  • Tomoki Koyama and
  • Toshimi Aizawa

19 October 2024

Objective: This study investigates the impact of age and knee osteoarthritis (OA) on the coronal plane alignment of the lower extremity in Japanese males and females, utilizing the Coronal Plane Alignment of the Knee (CPAK) classification system. Met...

  • Review
  • Open Access
3 Citations
5,501 Views
16 Pages

Breast Cancer Adjuvant Radiotherapy and Chemotherapy Sequencing: Sequential, Concomitant, or What Else? A Comprehensive Review of the Adjuvant Combinations Journey

  • Grazia Lazzari,
  • Antonietta Montagna,
  • Barbara D’Andrea,
  • Antonella Bianculli,
  • Giovanni Calice,
  • Raffaele Tucciariello,
  • Giovanni Castaldo,
  • Vito Metallo,
  • Giuseppina De Marco and
  • Ilaria Benevento

19 October 2024

Background: To date, in breast cancer (BC) treatment, adjuvant chemotherapy (A-CT) has preceded adjuvant radiotherapy (A-RT). In the last twenty years, the adjuvant treatment of BC has quickly evolved due to better knowledge of its molecular biology,...

  • Article
  • Open Access
1,458 Views
12 Pages

Predictive Value of Monocyte-To-Lymphocyte Ratio in Differentiating Heart Failure with Reduced Ejection Fraction in Patients with Severe Aortic Stenosis—A Retrospective Analysis

  • Anna Olasińska-Wiśniewska,
  • Tomasz Urbanowicz,
  • Bartłomiej Perek,
  • Marcin Misterski,
  • Kajetan Grodecki,
  • Marek Grygier,
  • Ewa Straburzyńska-Migaj and
  • Marek Jemielity

19 October 2024

Background/Objectives: Advanced calcific aortic stenosis, with or without coronary artery disease [CAD], may lead to severe systolic dysfunction. The aim of the study was to reveal clinical and laboratory parameters that may differentiate patients wi...

  • Review
  • Open Access
8 Citations
4,429 Views
20 Pages

19 October 2024

The advent of endovascular aortic surgery has led to the rise of novel techniques and devices in treating pathologies of the aorta. While endovascular surgery has been well established in the descending thoracic and abdominal aorta, the endovascular...

  • Article
  • Open Access
1 Citations
2,201 Views
14 Pages

Factors Affecting Visual Acuity After Anti-Vascular Endothelial Growth Factor Therapy in Neovascular Age-Related Macular Degeneration: A Multicenter Study in Japan

  • Aoi Kominami,
  • Shuhei Tomita,
  • Aki Kato,
  • Koichi Ono,
  • Masaru Takeuchi,
  • Masaya Imazeki,
  • Hiroto Terasaki,
  • Yuki Yamamoto,
  • Tatsuya Jujo and
  • Tsutomu Yasukawa
  • + 8 authors

19 October 2024

Background/Objectives: Anti-vascular endothelial growth factor (VEGF) therapy is the first-line treatment for neovascular age-related macular degeneration (nvAMD). While proactive and adequate treatment generally leads to better visual outcomes, vari...

  • Article
  • Open Access
1 Citations
1,783 Views
14 Pages

Prognostic Impact of Pulmonary Diseases in 952 Patients with Thoracic and/or Abdominal Aortic Aneurysm

  • Yoichi Kobayashi,
  • Takashi Ishiguro,
  • Naho Kagiyama,
  • Makoto Sumi and
  • Noboru Takayanagi

19 October 2024

Background/Objectives: Pulmonary diseases are common in patients with thoracic aortic aneurysm (TAA) and abdominal aortic aneurysm (AAA). Although high prevalences of chronic obstructive pulmonary disease and lung cancer (LC) are known, the prevalenc...

  • Perspective
  • Open Access
14 Citations
3,332 Views
13 Pages

Advancing Clinical Practice: The Potential of Multimodal Technology in Modern Medicine

  • Yaara Artsi,
  • Vera Sorin,
  • Benjamin S. Glicksberg,
  • Girish N. Nadkarni and
  • Eyal Klang

19 October 2024

Multimodal technology is poised to revolutionize clinical practice by integrating artificial intelligence with traditional diagnostic modalities. This evolution traces its roots from Hippocrates’ humoral theory to the use of sophisticated AI-dr...

  • Review
  • Open Access
9 Citations
5,407 Views
15 Pages

Fetal Teratomas: Advances in Diagnosis and Management

  • May Abiad,
  • Nikan Zargarzadeh,
  • Ali Javinani,
  • Eyal Krispin and
  • Alireza A. Shamshirsaz

19 October 2024

Fetal teratomas, though rare, represent a significant proportion of tumors arising during fetal development. These tumors arise from pluripotent cells and can present in varying degrees of severity, ranging from incidental findings to life-threatenin...

  • Review
  • Open Access
11 Citations
8,191 Views
23 Pages

Contemporary Use of Drug-Coated Balloons for Coronary Angioplasty: A Comprehensive Review

  • Nicola Verde,
  • Giuseppe Ciliberti,
  • Luca Pittorino,
  • Marco Ferrone,
  • Michele Franzese,
  • Massimo Russo,
  • Angelo Cioppa,
  • Grigore Popusoi,
  • Luigi Salemme and
  • Giuseppe Di Gioia
  • + 1 author

19 October 2024

The interventional treatment of coronary artery disease (CAD) has undergone significant improvements thanks to technological innovations. Nowadays, percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation is the standard of...

  • Article
  • Open Access
1,357 Views
9 Pages

19 October 2024

Objective: The study aimed to use the systemic lupus erythematosus risk probability index (SLERPI) to assess if patients with idiopathic granulomatous mastitis (IGM) meet the criteria for systemic lupus erythematosus (SLE). Methods: A total of 62 pat...

  • Article
  • Open Access
1 Citations
2,306 Views
12 Pages

Renal Allograft Function and the Tacrolimus C/D Ratio: Insights from a Prospective Study on MeltDose Tacrolimus

  • Alicja Dębska-Ślizień,
  • Izabella Kuźmiuk-Glembin,
  • Roman Hożejowski,
  • Dorota Kamińska,
  • Magdalena Krajewska,
  • Anna Zawiasa-Bryszewska,
  • Ilona Kurnatowska,
  • Katarzyna Smykał-Jankowiak,
  • Maciej Głyda and
  • Ewa Kwiatkowska
  • + 3 authors

19 October 2024

Background: The tacrolimus concentration-to-dose (C/D) ratio is valuable for optimizing nephrotoxicity-related renal outcomes. Prospective data on the C/D ratio in kidney transplant recipients newly treated with MeltDose tacrolimus are limited. We an...

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J. Clin. Med. - ISSN 2077-0383