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Journal of Clinical Medicine, Volume 14, Issue 10

2025 May-2 - 351 articles

Cover Story: Recently, there has been tremendous interest in the use of large language models (LLMs) in radiology. LLMs have been employed for various applications in cancer imaging, including improving reporting speeds and accuracy via the generation of standardized reports, automating the classification and staging of abnormal findings, incorporating appropriate guidelines, and calculating individualized risk scores. LLMs can also improve patients’ comprehension of imaging reports and translate them into multiple languages. Other future applications of LLMs include aiding patient management and preventing and predicting adverse events. However, limitations such as hallucinations and variable performances could present obstacles to their widespread clinical implementation. This review discusses the applications and limitations of LLMs in cancer imaging. View this paper
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Articles (351)

  • Article
  • Open Access
8 Citations
3,254 Views
10 Pages

Electric Scooter Trauma in Rome: A Three-Year Analysis from a Tertiary Care Hospital

  • Bruno Cirillo,
  • Mariarita Tarallo,
  • Giulia Duranti,
  • Paolo Sapienza and ,
  • Pierfranco Maria Cicerchia,
  • Luigi Simonelli,
  • Roberto Cirocchi,
  • Matteo Matteucci,
  • Andrea Mingoli and
  • Gioia Brachini
  • + 5 authors+ 0 author

21 May 2025

Background: Electric motorized rental scooters (ES) were introduced in Italy in 2019 as an alternative form of urban transportation, aiming to reduce traffic congestion and air pollution. As their popularity has grown, a parallel increase in ES-relat...

(This article belongs to the Section General Surgery)
  • Article
  • Open Access
1 Citations
1,115 Views
9 Pages

The Characteristics of Severely Injured Trauma Patients Admitted to a Level I Trauma Center with Pre-Injury Use of Oral Anticoagulation (OAC) or Antiplatelet Therapy (APT)

  • Valerie Weihs,
  • Anna Antoni,
  • Stephan Frenzel,
  • Silke Aldrian and ,
  • Stefan Hajdu and
  • Lukas L. Negrin
  • + 1 author+ 0 author

21 May 2025

Background: Little is known about the impact of pre-injury OAC/APT on severely injured trauma patients admitted to a level I trauma center. Our study focused on impact of pre-injury OAC/APT on the outcomes of this specific cohort of patients. Methods...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
1 Citations
1,461 Views
16 Pages

Clinical Value of Bioactive Adrenomedullin and Proenkephalin A in Patients with Left Ventricular Assist Devices: An Observational Study

  • Leyla Dogan,
  • Ahmad Abugameh,
  • Alish Kolashov,
  • Ajay Moza and ,
  • Andreas Goetzenich,
  • Christian Stoppe,
  • Mohammed Shoaib,
  • Deborah Bergmann,
  • Jan Spillner and
  • Rashad Zayat
  • + 6 authors+ 1 author

21 May 2025

Background/Objectives: In the context of acute heart failure, proenkephalin A (penKid) has emerged as a prognostic marker for acute kidney injury (AKI), whereas bioactive adrenomedullin (bio-ADM) has been identified as a significant biomarker linked...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
2 Citations
1,619 Views
7 Pages

21 May 2025

Background/Objectives: Primary Ciliary Dyskinesia (PCD) is a rare genetic condition characterized by compromised mucociliary clearance and chronic respiratory manifestations. Anosmia, or the loss of smell, is a lesser-known but clinically relevant sy...

(This article belongs to the Section Clinical Neurology)
  • Article
  • Open Access
6 Citations
4,295 Views
19 Pages

The Feasibility of a Guideline-Directed Medical Therapy Rapid Up-Titration Programme Among Real-World Heart Failure Patients: A Multicentre Observational Study

  • Fanni Bánfi-Bacsárdi,
  • Arnold Péter Ráduly,
  • Attila Borbély,
  • Noémi Nyolczas and ,
  • Attila Szilágyi,
  • Tamás G. Gergely,
  • Zsolt Forrai,
  • Judit Papp,
  • Orsolya Rátosi and
  • Balázs Muk
  • + 12 authors+ 7 authors

21 May 2025

Background: The 2023 ESC Heart Failure (HF) Guidelines recommend the rapid up-titration of guideline-directed medical therapy (GDMT) for all patients after HF hospitalisation. Real-world data on the implementation of a rapid up-titration programme (R...

(This article belongs to the Special Issue Clinical Updates on Cardiomyopathies and Heart Failure)
  • Review
  • Open Access
5 Citations
4,088 Views
20 Pages

21 May 2025

Background/Objectives: Laparoscopic surgery plays a central role in the management of abdominal trauma, particularly in patients with hemodynamic stability. Recently, single-port laparoscopic surgery (SPLS) has emerged as a technique that further red...

(This article belongs to the Section General Surgery)
  • Review
  • Open Access
5 Citations
9,925 Views
20 Pages

Efficacy and Safety of Transcranial Magnetic Stimulation for Treating Late-Life Depression: A Scoping Review

  • Ciprian-Ionuț Băcilă,
  • Monica Cornea,
  • Andrei Lomnasan,
  • Claudia Elena Anghel and ,
  • Andreea Maria Grama,
  • Cristina Elena Dobre,
  • Silvia Rusu and
  • Bogdan Ioan Vintilă
  • + 3 authors+ 0 author

21 May 2025

Background/Objectives: Transcranial magnetic stimulation (TMS) is a non-invasive and well-tolerated treatment, offering an effective alternative for elderly patients with depression, especially when side effects or comorbidities limit medication. Met...

(This article belongs to the Special Issue Innovations in the Treatment for Depression and Anxiety)
  • Review
  • Open Access
3 Citations
2,480 Views
20 Pages

Drug-Coated Balloons in All-Comer Population—Are We There Yet?

  • Florin-Leontin Lazar,
  • Horea Laurentiu Onea,
  • Calin Homorodean,
  • Ioan Cornel Bitea and ,
  • Diana Raluca Lazar,
  • Mihai Claudiu Ober,
  • Dan Tataru,
  • Maria Olinic,
  • Mihail Spinu and
  • Dan-Mircea Olinic
  • + 6 authors+ 1 author

21 May 2025

With the advancement of interventional coronary procedures, drug-coated balloons have become an increasingly common alternative to drug-eluting stents in the treatment of various lesions. This paradigm shift stems from several advantages that DCBs en...

(This article belongs to the Section Cardiovascular Medicine)
  • Review
  • Open Access
5 Citations
4,712 Views
17 Pages

Optimizing Imaging Techniques for Left Atrial Appendage Closure: Insights and Emerging Directions

  • Valentina Barletta,
  • Mattia Alberti,
  • Riccardo Agostini,
  • Fausto Pizzino and ,
  • Giancarlo Trimarchi,
  • Maria Grazia D’Alfonso,
  • Marco Solari,
  • Giulio Zucchelli and
  • Alberto Cresti
  • + 4 authors+ 0 author

21 May 2025

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in adults and is associated with significant morbidity and mortality, including an increased risk of stroke, heart failure, dementia, and recurrent hospitalizations. As life exp...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
1 Citations
5,080 Views
15 Pages

21 May 2025

Objective: to assess the association between attention-deficit/hyperactivity disorder (ADHD), type 1 diabetes mellitus (T1D), and cardiovascular comorbidities in adults. Methods: The Adult Self-Report Scale V1.1 (ASRS) for ADHD symptoms was electroni...

(This article belongs to the Section Clinical Neurology)
  • Review
  • Open Access
18 Citations
9,701 Views
14 Pages

21 May 2025

Aging is the primary risk factor for chronic diseases such as cardiovascular disease, cancer, and dementia. However, chronological age alone fails to capture individual variability in aging trajectories and disease susceptibility. Recent advances in...

  • Article
  • Open Access
6 Citations
2,200 Views
29 Pages

21 May 2025

Background: The aim of this study was to evaluate corneal endothelial changes following phacoemulsification cataract surgery with intraocular lens implantation in patients with type 2 diabetes (study group) and without diabetes (control group). The s...

(This article belongs to the Special Issue New Insights into Ocular Surface, Cornea, Cataract, and Refractive Surgery)
  • Case Report
  • Open Access
3 Citations
3,001 Views
11 Pages

21 May 2025

Background: The combination of two or more different types of traumatic dental injuries occurring concurrently to the same tooth presents a significant clinical challenge. By focusing on a rare combination of injuries, this case study explores the is...

(This article belongs to the Section Clinical Pediatrics)
  • Article
  • Open Access
20 Citations
7,191 Views
18 Pages

Complications Associated with Immunosuppressive Agents in Solid Organ Transplant Recipients: A Nationwide Analysis

  • Ah Young Lee,
  • Jonghyun Jeong,
  • Kyu-Nam Heo,
  • Soyoung Park and ,
  • Young-Mi Ah,
  • Ji Min Han,
  • Ju-Yeun Lee and
  • Sang Il Min
  • + 3 authors+ 0 author

21 May 2025

Background: Immunosuppressive therapies are vital for solid organ transplant (SOT) recipients to ensure graft survival, but long-term use can lead to complications. This study aimed to comprehensively evaluate the complications associated with immuno...

(This article belongs to the Section Immunology & Rheumatology)
  • Feature Paper
  • Article
  • Open Access
1 Citations
1,734 Views
25 Pages

Mental Health and Metabolic Outcomes in Early Postpartum in Women with Prediabetes After Gestational Diabetes: A Secondary Analysis of the MELINDA Trial

  • Yana Vanlaer,
  • Caro Minschart,
  • Karolijn Van den Keybus,
  • Nele Myngheer and ,
  • Toon Maes,
  • Christophe De Block,
  • Niels Bochanen,
  • Inge Van Pottelbergh,
  • Pascale Abrams and
  • Katrien Benhalima
  • + 13 authors+ 8 authors

21 May 2025

Aims: To examine the association between depressive symptoms and metabolic profile in women with prior gestational diabetes mellitus (GDM) and early postpartum prediabetes, and to explore whether a mobile-based lifestyle intervention affected mental...

(This article belongs to the Special Issue Gestational Diabetes: Cutting-Edge Research and Clinical Practice)
  • Article
  • Open Access
2 Citations
1,968 Views
10 Pages

Evaluation of Etiologies in Evisceration as Rare Cases: A 10-Year Single-Center Experience in the East Mediterranean Region of Türkiye

  • Burak Ulaş,
  • Altan Atakan Ozcan,
  • Burak Mete,
  • Hakan Demirhindi and ,
  • Merve Ademoğlu Gök and
  • Hülya Binokay
  • + 1 author+ 0 author

21 May 2025

Objectives: Evisceration is a rarely performed surgical procedure, and literature information regarding the characteristics of patients undergoing this surgery is limited. This study aims to evaluate the demographic features and etiological factors o...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
5 Citations
3,026 Views
14 Pages

A Nationwide Epidemiological Study of Chronic Kidney Disease Prevalence in a High-Risk Patient Population Without Prior Diagnosis in Primary Health Care in Poland

  • Alicja Jazienicka,
  • Mateusz Babicki,
  • Magdalena Krajewska,
  • Andrzej Oko and ,
  • Karolina Kłoda,
  • Aleksander Biesiada and
  • Agnieszka Mastalerz-Migas
  • + 2 authors+ 0 author

21 May 2025

Background/Objectives: Chronic kidney disease (CKD) affects 10 to 15% of the world population. Currently, there are no reliable epidemiological data on the prevalence of CKD in Poland. The aim of this study was to determine the prevalence of CKD in t...

(This article belongs to the Section Nephrology & Urology)
  • Article
  • Open Access
8 Citations
2,398 Views
17 Pages

Clinical Manifestations of Temporomandibular Disorders and Their Relationship with Sleep Disturbances and Emotional Disorders in a Spanish Pediatric Population: A Cross-Sectional Study

  • Fanny Esther Tapia-Sierra,
  • Jesús Miguel Ticona-Flores,
  • Guillermo Reichard-Monefeldt,
  • Naomi Elvira-Tapia and ,
  • Nuria Esther Gallardo-López and
  • Montserrat Diéguez-Pérez
  • + 1 author+ 0 author

21 May 2025

The etiology of temporomandibular disorders (TMDs) has been linked to various factors, including functional and psychological factors, which makes it difficult to identify associations between a single etiological factor and the signs and symptoms of...

(This article belongs to the Special Issue Bruxism and Temporomandibular Disorders: Current Advances and Future Challenges)
  • Systematic Review
  • Open Access
5 Citations
3,102 Views
15 Pages

Mineralocorticoid Receptor Antagonists in Heart Failure with Preserved Ejection Fraction: A Systematic Review and Meta-Analysis

  • Mithila Zaheen,
  • Fardin Ferdous,
  • Anjalee T. Amarasekera,
  • Johannes Petutschnigg and ,
  • Frank Edelmann and
  • Timothy C. Tan
  • + 1 author+ 0 author

21 May 2025

Background/Objectives: Heart failure with preserved ejection fraction (HFpEF) is a complex clinical syndrome with limited therapeutic options. Mineralocorticoid receptor antagonists (MRAs) have been shown to improve clinical outcomes in patients with...

(This article belongs to the Section Cardiology)
  • Systematic Review
  • Open Access
16 Citations
6,853 Views
13 Pages

Consensus-Based Recommendations for Assessing Post-Intensive Care Syndrome: A Systematic Review

  • Helmar Bornemann-Cimenti,
  • Johanna Lang,
  • Sascha Hammer,
  • Kordula Lang-Illievich and ,
  • Sebastian Labenbacher,
  • Stefan Neuwersch-Sommeregger and
  • Christoph Klivinyi
  • + 2 authors+ 0 author

21 May 2025

Background: Post-intensive care syndrome encompasses physical, cognitive, and psychological impairments that persist in patients after discharge from an intensive care unit. There is considerable variation in the tools used for assessment. This syste...

(This article belongs to the Special Issue Clinical Advances in Critical Care Medicine)
  • Article
  • Open Access
2 Citations
9,519 Views
11 Pages

Incidence and Risk Factors for Incisional Hernia Following Ileostomy Takedown: A Retrospective Cohort Study

  • Tamás Talpai,
  • Flaviu-Ionuţ Faur,
  • Cătălin-Alexandru Pîrvu,
  • Daniela Marinescu and ,
  • Cristi Tarta,
  • Dragos Nicolae Margaritescu,
  • Stelian Pantea,
  • Cristian Nica,
  • Rãzvan-Sorin Albu and
  • Valeriu Șurlin
  • + 8 authors+ 3 authors

21 May 2025

Background: Incisional hernias are a frequent complication following ileostomy closure, with rates reaching 24%. Protective ileostomies are commonly performed in colorectal surgery, but their closure presents a significant risk for abdominal wall def...

(This article belongs to the Special Issue Hernia Surgery and Postoperative Management)
  • Article
  • Open Access
2 Citations
1,349 Views
11 Pages

Diagnostic Significance in Estimating Tumor Burden Using Extracellular Salivary Biomarkers in Gastric Cancer Patients

  • Sung Eun Oh,
  • Jong Bae Seo,
  • Jeongeun Noh,
  • Sung Kim and ,
  • Yong Kim and
  • Ji Yeong An
  • + 1 author+ 0 author

21 May 2025

Background: We investigated the possibility of predicting tumor burden with salivary extracellular RNA (exRNA) biomarkers in gastric cancer patients. Methods: Saliva samples were prospectively collected from 50 gastric cancer patients who underwent g...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Review
  • Open Access
2 Citations
2,774 Views
16 Pages

Limus Devices for the Treatment of SFA: Latest Outcomes and Future Perspectives

  • Genti Xhepa,
  • Agostino Inzerillo,
  • Ilinca Constantinescu,
  • Pierre Faerber and ,
  • Adrien Gleyzolle,
  • Pierpaolo Biondetti,
  • Filippo Del Grande,
  • Edon Xhepa,
  • Simone Mortellaro and
  • Alexis Ricoeur
  • + 7 authors+ 2 authors

21 May 2025

Globally, cardiovascular disease is a leading cause of disability and early death, affecting 422.7 million people and causing 17.9 million deaths (31% of global deaths) in 2015. Peripheral arterial disease, previously overlooked compared to coronary...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
1 Citations
2,943 Views
12 Pages

Retrospective Study on the Efficacy of Platelet-Rich Plasma Treatment in the Recovery of Quadriceps Muscle Strength After Anterior Cruciate Ligament Reconstruction in Non-Professional Athletes

  • Roxana Mihaela Munteanu,
  • Bogdan Voicu,
  • Diana Șandru,
  • Arpad Solyom and ,
  • Pia Simona Făgăraș and
  • Tudor Sorin Pop
  • + 1 author+ 0 author

21 May 2025

Background/Objectives: This retrospective study aimed to evaluate whether PRP infiltrations improve quadriceps muscle strength recovery following anterior cruciate ligament reconstruction (ACLR), while minimizing the recovery time required to resume...

(This article belongs to the Special Issue Anterior Cruciate Ligament (ACL): Innovations in Clinical Management)
  • Article
  • Open Access
2,176 Views
11 Pages

Pulmonary Function and Nocturnal Hypoxemia Patterns in Patients with Obstructive Sleep Apnea

  • Claudia Lucia Toma,
  • Filip Radu,
  • Dragos-Cosmin Zaharia,
  • Ionela Belaconi and
  • Stefan Dumitrache-Rujinski

21 May 2025

Background/Objective: Obesity is a documented risk factor for impaired pulmonary function and abnormal oxyhaemoglobin levels during sleep. This functional impairment becomes more significant when there are additional respiratory pathologies, such as...

(This article belongs to the Section Respiratory Medicine)
  • Article
  • Open Access
4 Citations
5,160 Views
10 Pages

Accuracy of Red Blood Cell Parameters in Predicting α0-Thalassemia Trait Among Non-Anemic Males

  • Benchaya Phanthong,
  • Pimlak Charoenkwan,
  • Threebhorn Kamlungkuea,
  • Suchaya Luewan and
  • Theera Tongsong

21 May 2025

Background/Objectives: Red blood cell (RBC) parameters are routinely used to screen for α- and β-thalassemia traits as part of prenatal diagnosis for severe fetal thalassemia in countries with a high prevalence of the disease. In clinical practice, t...

(This article belongs to the Special Issue Clinical Trends and Prospects in Laboratory Hematology)
  • Feature Paper
  • Article
  • Open Access
3 Citations
2,591 Views
12 Pages

Virtual Reality as an Adjuvant Treatment for Acute Pain During an Interventional Process with Capsaicin: A Feasibility Study

  • Anna Server,
  • Maria Sonsoles Cepeda Diez,
  • Carlos Suso-Ribera,
  • Sara Guila Fidel Kinori and ,
  • Diana Castilla,
  • Francisco Javier Medel and
  • Azucena García-Palacios
  • + 2 authors+ 0 author

21 May 2025

Background/Objectives: This feasibility study explores the use of virtual reality (VR) as an adjunct therapy during capsaicin administration for individuals with chronic neuropathic pain. Chronic neuropathic pain poses significant management challeng...

(This article belongs to the Section Anesthesiology)
  • Systematic Review
  • Open Access
15 Citations
4,609 Views
22 Pages

Cluster Analysis in Diabetes Research: A Systematic Review Enhanced by a Cross-Sectional Study

  • Binura Taurbekova,
  • Radmir Sarsenov,
  • Muhammad M. Yaqoob,
  • Kuralay Atageldiyeva and ,
  • Yuliya Semenova,
  • Siamac Fazli,
  • Andrey Starodubov,
  • Akmaral Angalieva and
  • Antonio Sarria-Santamera
  • + 4 authors+ 0 author

21 May 2025

Background: Diabetes mellitus is a heterogeneous metabolic disorder that poses substantial challenges in the management of patients with diabetes. Emerging research underscores the potential of unsupervised cluster analysis as a promising methodologi...

(This article belongs to the Section Endocrinology & Metabolism)
  • Article
  • Open Access
3 Citations
2,913 Views
10 Pages

Post-Esophagectomy Dumping Syndrome: Assessing Quality of Life of Long-Term Survivors

  • Dionysios Dellaportas,
  • Ioannis Margaris,
  • Eleftherios Tsalavoutas,
  • Zoi Gkiafi and ,
  • Anastasia Pikouli,
  • Despoina Myoteri,
  • Nikolaos Pararas,
  • Panagis M Lykoudis,
  • Constantinos Nastos and
  • Emmanuel Pikoulis
  • + 5 authors+ 0 author

21 May 2025

Background/Objectives: Survival rates for esophageal cancer patients have markedly improved. Inevitably, attention has been drawn to functional and quality-of-life problems. The aim of the current study was to investigate the prevalence of dumping sy...

(This article belongs to the Special Issue Gastroesophageal Cancer: Advances in Clinical Diagnosis and Management)
  • Opinion
  • Open Access
4 Citations
6,880 Views
14 Pages

Open Mouth Posture Syndrome (OMPS): Classification

  • Can-Florian Keleş,
  • David Morais,
  • Anand Marya,
  • Omar Fawzi Chawshli and ,
  • Adith Venugopal and
  • Ute Ulrike Botzenhart
  • + 1 author+ 0 author

21 May 2025

Objectives: This narrative review aims to redefine Open Mouth Posture Syndrome (OMPS) as a multifactorial condition with overlapping symptoms and a cyclical pathophysiology. A novel classification system for OMPS subtypes is proposed to standardize r...

(This article belongs to the Special Issue Oral and Maxillofacial Surgery: Recent Advances and Future Directions)
  • Article
  • Open Access
2,495 Views
13 Pages

Evidence for the Necessity of Objective Hearing Tests in Cochlear Implantation Assessment: Excluding Functional Hearing Loss Cases

  • Anita Gáborján,
  • Márton Kondé,
  • Marianna Küstel,
  • Nóra Kecskeméti and ,
  • László Tamás,
  • Ildikó Baranyi,
  • Gábor Polony and
  • Judit F. Szigeti
  • + 3 authors+ 0 author

20 May 2025

Background/Objectives: Cochlear implantation is a crucial intervention for individuals with severe hearing loss, aiming to restore auditory function and improve quality of life. The decision to recommend cochlear implantation critically depends on ac...

(This article belongs to the Special Issue Current Advances in Assessment and Intervention for Hearing Loss and Cochlear Implantation)
  • Article
  • Open Access
4 Citations
1,237 Views
13 Pages

Crystal Ball in a Blood’s Drop: Unlocking Hidden Prognostic Power in the Neutrophil-to-Lymphocyte Ratio (NLR) and the Platelet-to-Lymphocyte Ratio (PLR) for Elderly Hip Fracture Patients

  • Andrea Perna,
  • Giuseppe Rovere,
  • Marco Passiatore,
  • Andrea Franchini and ,
  • Luca Macchiarola,
  • Francesco Maruccia,
  • Raffaele Vitiello and
  • Franco Lucio Gorgoglione
  • + 3 authors+ 0 author

20 May 2025

Background/Objectives: Hip fractures in elderly patients are associated with high morbidity and mortality, requiring early risk stratification to optimize management. Systemic inflammatory markers such as the neutrophil-to-lymphocyte ratio (NLR) and...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
1 Citations
1,467 Views
9 Pages

Cognitive Impairment in ANCA-Associated Vasculitis: A Cross-Sectional Pilot Study

  • Marion Camard,
  • Ana Moises,
  • Katia Bourdic,
  • Laura Venditti and ,
  • Christian Denier,
  • Julien Henry,
  • Raluca Sterpu,
  • Perla David,
  • Mathilde De Menthon and
  • Fanny Urbain
  • + 9 authors+ 4 authors

20 May 2025

Objectives: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) comprises rare systemic vasculitides that can present with cognitive dysfunction. However, data on the screening and characterization of cognitive dysfunction in AAV r...

(This article belongs to the Section Immunology & Rheumatology)
  • Review
  • Open Access
8 Citations
13,912 Views
18 Pages

Perspective on Perinatal Birth Canal Injuries: An Analysis of Risk Factors, Injury Mechanisms, Treatment Methods, and Patients’ Quality of Life: A Literature Review

  • Patrycja Głoćko,
  • Sylwia Janczak,
  • Agnieszka Nowosielska-Ogórek,
  • Wiktoria Patora and ,
  • Olga Wielgoszewska,
  • Mateusz Kozłowski and
  • Aneta Cymbaluk-Płoska
  • + 2 authors+ 0 author

20 May 2025

Perineal injuries are a common complication of vaginal delivery, affecting 75–85% of women. This review examines current knowledge on risk factors, classification, treatment, and quality of life impacts. Risk factors are divided into maternal,...

(This article belongs to the Special Issue Gynecologic and Obstetric Pathologies: From Birth to Menopause (Third Edition))
  • Article
  • Open Access
3,246 Views
16 Pages

20 May 2025

Background/Objectives: The nephrotoxicity of immune checkpoint inhibitors (ICIs) combined with proton pump inhibitors (PPIs) has been recognized but lacks a comprehensive analysis. We conducted an in-depth investigation of renal adverse events (rAEs)...

(This article belongs to the Section Pharmacology)
  • Article
  • Open Access
2 Citations
1,320 Views
10 Pages

Socioeconomic Disadvantage, Residential Remoteness and Access to Specialised Interventions in Cerebral Palsy: A Cross-Sectional Study

  • Simon P. Paget,
  • Kirsty Stewart,
  • Lisa Copeland,
  • Emma Waight and ,
  • Nadine Smith,
  • Felicity Baker,
  • Jennifer Lewis and
  • on behalf of the Australian Selective Dorsal Rhizotomy Research Group and Australian Paediatric Intrathecal Baclo-fen Research Group
  • + 3 authors+ 0 author

20 May 2025

Aim: Socioeconomic factors are known to influence access to health services, including for children with cerebral palsy (CP). This study aims to determine whether socioeconomic disadvantage and/or geographical remoteness influence access to specialis...

(This article belongs to the Special Issue Toward Improved Evaluation, Treatment, and Management of Movement Disorders and Cognitive Impairments in People with Cerebral Palsy)
  • Review
  • Open Access
8 Citations
3,335 Views
11 Pages

PSMA PET as a Tool for Active Surveillance of Prostate Cancer—Where Are We at?

  • Jonathon Carll,
  • Jacinta Bonaddio and
  • Nathan Lawrentschuk

20 May 2025

Active surveillance remains the preferred treatment for men with low-risk prostate cancer and select men with favourable intermediate-risk prostate cancer. It involves the close observation of clinicopathological parameters to assess for disease prog...

(This article belongs to the Section Nuclear Medicine & Radiology)
  • Article
  • Open Access
2 Citations
2,514 Views
15 Pages

20 May 2025

Background: The effectiveness of treatment depends on recognizing the needs and limitations of patients. Hope is a personal resource that facilitates the treatment and recovery process. Dispositional hope encompasses goal-directed action, whereas per...

(This article belongs to the Special Issue Treatment Personalization in Clinical Psychology and Psychotherapy)
  • Article
  • Open Access
4 Citations
3,238 Views
14 Pages

Comparative Outcomes of Amblyopia Treatment in High Astigmatism: Stability and Sustained Improvements

  • Chia-Chen Hsu,
  • Lung-Chi Lee,
  • Hsu-Chieh Chang,
  • Chun-Hao Huang and
  • Ke-Hung Chien

20 May 2025

Background/Objectives: Astigmatism is a major risk factor for amblyopia. While optical correction improves visual acuity (VA), the long-term treatment outcomes, particularly in children with high astigmatism, remain understudied. This study aimed to...

(This article belongs to the Special Issue Advanced Research in Myopia and Other Visual Disorders)
  • Review
  • Open Access
5 Citations
6,409 Views
35 Pages

20 May 2025

Cardiovascular magnetic resonance imaging (MRI) is an advanced cardiac imaging modality that is often required when evaluating athletic individuals. Unrestricted imaging planes, excellent spatial resolution, and a lack of ionising radiation are some...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
2 Citations
8,079 Views
11 Pages

Heart Rate Variability Prediction of Stimulant-Induced Creativity Gains in Attention-Deficit/Hyperactivity Disorder

  • Carrina Appling,
  • Nanan Nuraini,
  • Eric Hart,
  • David Wang and ,
  • Aneesh Tosh,
  • David Beversdorf and
  • Bradley Ferguson
  • + 2 authors+ 0 author

20 May 2025

Background/Objectives: Attention-deficit/hyperactivity disorder (ADHD) is a highly prevalent condition etiologically related to suboptimal levels of dopamine (DA) and norepinephrine (NE) that is typically treated with psychostimulant medication. In i...

(This article belongs to the Special Issue Clinical Advances in Child Neurology)
  • Article
  • Open Access
3 Citations
2,989 Views
10 Pages

Real-Time Measurement of Intrarenal Pressure Using LithoVue™ Elite: Focus on Small Ureteral Access Sheaths and Appropriate Irrigation Settings

  • Naoto Tanaka,
  • Jose Carlo Elises,
  • Fukashi Yamamichi,
  • Yasuhiro Kaku and ,
  • Yosuke Fukiishi,
  • Masaichiro Fujita and
  • Takaaki Inoue
  • + 2 authors+ 0 author

20 May 2025

Background/Objectives: Intrarenal pressure (IRP) plays a critical role in ensuring the safety of retrograde intrarenal surgery (RIRS), as elevated IRP is associated with complications such as pyelovenous backflow, infection, and renal injury. LithoVu...

(This article belongs to the Section Nephrology & Urology)
  • Review
  • Open Access
78 Citations
10,472 Views
40 Pages

20 May 2025

Background: Digital twin (DT) technology, integrated with artificial intelligence (AI) and machine learning (ML), holds significant potential to transform oncology care. By creating dynamic virtual replicas of patients, DTs allow clinicians to simula...

(This article belongs to the Topic Artificial Intelligence in Public Health: Current Trends and Future Possibilities, 2nd Edition)
  • Article
  • Open Access
3 Citations
1,710 Views
8 Pages

20 May 2025

Background: Mixed urinary incontinence (MUI), particularly the urge-predominant subtype, involves both stress urinary incontinence (SUI) and urge urinary incontinence (UUI), posing a therapeutic challenge. Duloxetine, a serotonin–norepinephrine...

(This article belongs to the Special Issue Current Clinical Advances in Urinary Incontinence)
  • Article
  • Open Access
2 Citations
1,887 Views
9 Pages

20 May 2025

Objectives: To assess the long-term safety and efficacy of the Serasis® inside-out transobturator midurethral sling (MUS), a partially absorbable soft tape for stress urinary incontinence (SUI). Methods: A cohort study of 146 consecutive women wh...

(This article belongs to the Section Nephrology & Urology)
  • Article
  • Open Access
6 Citations
2,209 Views
13 Pages

Glycocalyx Disintegration Is Associated with Mortality in Chronic Heart Failure

  • Patricia P. Wadowski,
  • Martin Hülsmann,
  • Irene M. Lang,
  • Christian Schörgenhofer and ,
  • Joseph Pultar,
  • Constantin Weikert,
  • Thomas Gremmel,
  • Sabine Steiner,
  • Renate Koppensteiner and
  • Bernd Jilma
  • + 6 authors+ 1 author

20 May 2025

Background: Glycocalyx disintegration is associated with adverse outcomes in patients with trauma or sepsis. As microvascular dysfunction has an impact on disease progression in chronic heart failure (CHF) patients, we hypothesized that changes in mi...

(This article belongs to the Special Issue European Independent Foundation in Angiology/Vascular Medicine (VAS) Collection on Vascular Medicine)
  • Article
  • Open Access
1 Citations
2,185 Views
10 Pages

Postoperative Refractory Diarrhea After Margin Accentuation of the Superior Mesenteric Artery with Irreversible Electroporation in Pancreaticoduodenectomy

  • Eline-Alice Brys,
  • Filip Gryspeerdt,
  • Nikdokht Rashidian,
  • An Verena Lerut and ,
  • Pieter Dries,
  • Luís Abreu de Carvalho and
  • Frederik Berrevoet
  • + 2 authors+ 0 author

20 May 2025

Background: Pancreatic ductal adenocarcinoma (PDAC) presents a challenge due to its poor prognosis. Irreversible electroporation (IRE) shows promise in improving margin clearance and increasing R0 and R1 indirect resection rates. Although IRE is beli...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Review
  • Open Access
4 Citations
34,232 Views
15 Pages

20 May 2025

Over the past two decades, cardiovascular disease (CVD) prevention guidelines have progressively lowered LDL-C targets to <70 mg/dL for high-risk individuals based on the assumption of a linear relationship between LDL-C levels and CVD risk. Howev...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
7 Citations
1,500 Views
14 Pages

20 May 2025

Background/Objectives: Posterior pelvic ring fractures are severe injuries requiring surgical stabilization, often through sacroiliac (SI) screw fixation. However, improper screw placement poses risks of neurovascular injury and implant failure. Defi...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
1 Citations
7,163 Views
11 Pages

The Effect of Eight Weeks of Passive Heat Therapy on Mental Health, Sleep, and Chronic Pain in Persons with Spinal Cord Injury: A Pilot Study

  • Hannah Uhlig-Reche,
  • Sven Hoekstra,
  • Yubo Wu,
  • Dean Lundt Kellogg and ,
  • Terry Romo,
  • Christof A. Leicht and
  • Michelle B. Trbovich
  • + 2 authors+ 0 author

20 May 2025

Background/Objectives: Rates of depression, anxiety, sleep disturbances, and chronic pain are higher in people with spinal cord injury (SCI) compared with able-bodied individuals. Passive heat therapy (PHT), which raises core body temperature, may be...

(This article belongs to the Special Issue Clinical Management and Rehabilitation of Spinal Cord Injury)

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J. Clin. Med. - ISSN 2077-0383