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Journal of Clinical Medicine, Volume 14, Issue 13

2025 July-1 - 424 articles

Cover Story: Venous thromboembolism (VTE) is a major source of preventable morbidity in neurocritically ill patients, yet the optimal timing and agent for pharmacologic thromboprophylaxis (PTP) remain uncertain. In this review of 90 studies, including 669,725 patients with traumatic brain injury, intracerebral hemorrhage, subarachnoid hemorrhage, or spinal cord injury, or those requiring neurosurgical intervention, early PTP (within 24–72 hours) was generally associated with reduced VTE risk without a consistently increased risk of bleeding. Enoxaparin showed potential benefits over unfractionated heparin in certain subgroups. Safety may be improved in some injury types, with early repeat imaging suggesting stable bleeding. Despite variability in study designs and quality, this updated assessment of the literature supports early, individualized PTP strategies. View this paper
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Articles (424)

  • Article
  • Open Access
8 Citations
6,406 Views
12 Pages

Ophthalmic Artery Doppler Indices at 11–13 Weeks of Gestation in Relation to Early and Late Preeclampsia

  • Nicoleta Gana,
  • Savia Pittokopitou,
  • Filippos Solonos,
  • Alina Perdeica and ,
  • Marina Fitiri and
  • Kypros H. Nicolaides
  • + 1 author+ 0 author

7 July 2025

Background/Objective: Preeclampsia (PE) remains a leading cause of maternal and fetal morbidity and mortality. Early prediction is crucial for timely intervention and management. The ophthalmic artery (OA) Doppler assessment in the first trimester ha...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
3 Citations
2,900 Views
14 Pages

Comparison of Validity and Reliability of Manual Consensus Grading vs. Automated AI Grading for Diabetic Retinopathy Screening in Oslo, Norway: A Cross-Sectional Pilot Study

  • Mia Karabeg,
  • Goran Petrovski,
  • Katrine Holen,
  • Ellen Steffenssen Sauesund and ,
  • Dag Sigurd Fosmark,
  • Greg Russell,
  • Maja Gran Erke,
  • Vallo Volke,
  • Vidas Raudonis and
  • Beata Eva Petrovski
  • + 9 authors+ 4 authors

7 July 2025

Background: Diabetic retinopathy (DR) is a leading cause of visual impairment worldwide. Manual grading of fundus images is the gold standard in DR screening, although it is time-consuming. Artificial intelligence (AI)-based algorithms offer a faster...

(This article belongs to the Special Issue Artificial Intelligence and Eye Disease)
  • Article
  • Open Access
1 Citations
2,903 Views
13 Pages

7 July 2025

Background: Emotional dysregulation (ED) is a transdiagnostic feature of multiple adolescent psychiatric disorders and a predictor of functional impairment and self-harming behaviors. Despite its clinical relevance, pharmacological treatments targeti...

(This article belongs to the Section Mental Health)
  • Systematic Review
  • Open Access
28 Citations
11,639 Views
15 Pages

7 July 2025

Background/Objectives: Robotic-assisted gait training (RAGT) is a promising adjunct to conventional rehabilitation for stroke survivors. However, its additive benefit over standard therapy remains to be fully clarified. This systematic review and met...

(This article belongs to the Section Clinical Rehabilitation)
  • Article
  • Open Access
1 Citations
1,669 Views
10 Pages

A Multi-Institutional Study on the Efficacy and Safety of Wearing a Custom-Made Compression Elastic Garment for 6 Months for Klippel–Trenaunay Syndrome with Venous Malformation

  • Miho Noguchi,
  • Sadanori Akita,
  • Fumio Nagai,
  • Tadashi Nomura and ,
  • Tsuyoshi Morishita and
  • Shunsuke Yuzuriha
  • + 1 author+ 0 author

7 July 2025

Background: Klippel–Trenaunay syndrome (KTS) is a congenital vascular malformation syndrome characterized by low-flow vascular anomalies, including venous malformation (VM) and lymphatic involvement. These anomalies may lead to limb asymmetry d...

(This article belongs to the Topic Diagnosis, Management, and Prognostic Assessment of Chronic Disease)
  • Review
  • Open Access
12 Citations
5,209 Views
20 Pages

7 July 2025

Oncoplastic breast-conserving surgery (OBCS), or oncoplastic surgery, has revolutionized the surgical management of breast cancer by integrating oncologic principles with reconstructive techniques to optimize both cancer control and aesthetic outcome...

(This article belongs to the Special Issue Current State of the Art in Breast Reconstruction)
  • Review
  • Open Access
3 Citations
1,939 Views
16 Pages

7 July 2025

Aberrant activation of Wnt/β-catenin signaling, frequently caused by oncogenic mutations, plays a crucial role in the development, progression, and therapy resistance of gastric, esophageal, hepatic, pancreatic, and colorectal cancers. Concurren...

(This article belongs to the Section Oncology)
  • Systematic Review
  • Open Access
17 Citations
4,831 Views
33 Pages

Pregestational Diabetes Mellitus and Adverse Perinatal Outcomes: A Systematic Review and Meta-Analysis

  • Dionysios Gazis,
  • Antigoni Tranidou,
  • Antonios Siargkas,
  • Aikaterini Apostolopoulou and ,
  • Georgia Koutsouki,
  • Dimitrios G. Goulis,
  • Christos Tsakalidis,
  • Ioannis Tsakiridis and
  • Themistoklis Dagklis
  • + 4 authors+ 0 author

7 July 2025

Background/Objectives: As the incidence of diabetes mellitus (DM) is increasing rapidly worldwide, it is anticipated that an increasing number of women will enter pregnancy with pregestational diabetes mellitus (PGDM) in the future. Compelling eviden...

(This article belongs to the Special Issue Clinical Risks and Perinatal Outcomes in Pregnancy and Childbirth: 2nd Edition)
  • Article
  • Open Access
10 Citations
2,528 Views
14 Pages

Impact of RSV Infection in Transplant and Immunocompromised Population: Incidence and Co-Infections: Retrospective Analysis of a Single Centre

  • Paolo Solidoro,
  • Antonio Curtoni,
  • Sara Minuto,
  • Nour Shbaklo and ,
  • Francesco Giuseppe De Rosa,
  • Alessandro Bondi,
  • Francesca Sidoti,
  • Filippo Patrucco,
  • Elisa Zanotto and
  • Rocco Francesco Rinaldo
  • + 9 authors+ 4 authors

7 July 2025

Respiratory syncytial virus (RSV) represents one of the main respiratory infections found among immunocompromised patients. Objective: The study analyzes the incidence of RSV infection in different populations of immunocompromised patients as organ t...

(This article belongs to the Section Respiratory Medicine)
  • Article
  • Open Access
5 Citations
3,746 Views
14 Pages

Hepatic Artery Thrombosis After Orthotopic Liver Transplant: A 20-Year Monocentric Series

  • Vincenzo Tondolo,
  • Gianluca Rizzo,
  • Giovanni Pacini,
  • Luca Emanuele Amodio and ,
  • Federica Marzi,
  • Giada Livadoti,
  • Giuseppe Quero and
  • Fausto Zamboni
  • + 3 authors+ 0 author

7 July 2025

Background/Objectives: Hepatic artery thrombosis (HAT) is a serious vascular complication in patients undergoing orthotopic liver transplantation (OLT). It is associated with a high risk of graft loss, re-transplantation (re-OLT), and mortality. This...

(This article belongs to the Section General Surgery)
  • Review
  • Open Access
4 Citations
4,594 Views
16 Pages

Hepatitis C—Everything a Primary Care Physician Needs to Know About Diagnosis, Management, and Follow-Up

  • Sindhuri Benjaram,
  • Shweta Kapur,
  • Anusha McKay,
  • Mohamad Khaled Almujarkesh and ,
  • Kassandra S. Carter,
  • Alexandra Picardal,
  • Diane Levine and
  • Prateek Lohia
  • + 3 authors+ 0 author

7 July 2025

Hepatitis C virus (HCV) infection is a major public health concern, with more than 58 million people chronically infected worldwide. The management of HCV, once the domain of specialists only, has been revolutionized by the advent of direct-acting an...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Systematic Review
  • Open Access
6 Citations
7,938 Views
15 Pages

7 July 2025

Background: The aim of this review was to analyze training interventions used and their effectiveness in improving pelvic floor muscle function related to urinary continence in postmenopausal women. We then characterized the recommended pelvic floor...

(This article belongs to the Section Sports Medicine)
  • Article
  • Open Access
2 Citations
2,516 Views
13 Pages

Correlation Between Dental Health and Aesthetic Components of Malocclusion in Junior High and High School Students: An Epidemiological Study Using Item Response Theory

  • Hiromi Sato,
  • Yudai Shimpo,
  • Toshiko Sekiya,
  • Haruna Rikitake and ,
  • Minami Seki,
  • Satoshi Wada,
  • Yoshiaki Nomura and
  • Hiroshi Tomonari
  • + 3 authors+ 0 author

7 July 2025

Background: The Index of Orthodontic Treatment Need (IOTN) is widely used to assess the need for orthodontic treatment. IOTN consists of the Dental Health Component (DHC) and the Aesthetic Component (AC), evaluating malocclusion morphologically and a...

(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
  • Article
  • Open Access
1 Citations
1,912 Views
16 Pages

Comparison of Magnetic Resonance Imaging Scales for Assessment of Interval Changes of Arthropathy in Boys with Severe Hemophilia

  • Ningning Zhang,
  • Manuel Carcao,
  • Danial M. Ignas,
  • Brian M. Feldman and ,
  • Pamela Hilliard,
  • Rahim Moineddin,
  • Ann Marie Stain,
  • Paul Babyn,
  • Victor S. Blanchette and
  • Andrea S. Doria
  • + 5 authors+ 0 author

7 July 2025

Background/Objectives: The variety of magnetic resonance imaging (MRI) scales available to measure soft tissue and osteochondral changes in joints of persons with hemophilia poses challenges in evaluating published clinical/research studies. To evalu...

(This article belongs to the Section Hematology)
  • Article
  • Open Access
1 Citations
2,325 Views
17 Pages

Clinical Predictors of Inpatient Mortality and Poor Postoperative Course After aSAH Microsurgical Clipping: A 10-Year Experience from a Peruvian Tertiary Care Center

  • Fernando Terry,
  • Alejandro Enríquez-Marulanda,
  • Nathaly Chinchihualpa-Paredes,
  • Meiling Carbajal-Galarza and ,
  • Claudia L Vidal-Cuellar,
  • Guiliana Mas-Ubillus,
  • Bruno Diaz-Llanes,
  • Carlos Quispe-Vicuña,
  • Niels Pacheco-Barrios and
  • Jaime Lopez-Calle
  • + 11 authors+ 6 authors

7 July 2025

Background/Objectives: Aneurysmal subarachnoid hemorrhage (aSAH) is a medical emergency with a high mortality rate requiring urgent treatment. This study aimed to identify clinical predictors of inpatient mortality and poor postoperative course after...

(This article belongs to the Special Issue Acute Care for Traumatic Injuries and Surgical Outcomes)
  • Article
  • Open Access
5 Citations
1,926 Views
13 Pages

7 July 2025

Background: Acute Aortic Syndrome (AAS), encompassing aortic dissection (AD), intramural hematoma (IMH), and penetrating atherosclerotic ulcer (PAU), presents diagnostic challenges due to its varied manifestations and the critical need for rapid asse...

(This article belongs to the Section Nuclear Medicine & Radiology)
  • Article
  • Open Access
8,595 Views
14 Pages

E-Gastryal® + Magnesium Alginate Plus PPI vs. PPI Alone in GERD: Results from the GENYAL® Randomized Controlled Trial

  • Cristiano Spada,
  • Daniele Salvi,
  • Silvia Pecere,
  • Francesca Mangiola and ,
  • Simone Varca,
  • Serban Rosu,
  • Vora Prateek,
  • Petru Vasile Ciobanca,
  • Adrian Goldis and
  • Guido Costamagna
  • + 6 authors+ 1 author

7 July 2025

Background: Up to one-third of patients with gastroesophageal reflux disease (GERD) have persistent symptoms despite proton-pump inhibitor (PPI) therapy. E-Gastryal® + MgAlg (Aurora Biofarma, Italy) is a mucosal protective agent that enhances bar...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Review
  • Open Access
5 Citations
4,037 Views
22 Pages

Narrative and Pictorial Review on State-of-the-Art Endovascular Treatment for Focal Non-Infected Lesions of the Abdominal Aorta: Anatomical Challenges, Technical Solutions, and Clinical Outcomes

  • Mario D’Oria,
  • Marta Ascione,
  • Paolo Spath,
  • Gabriele Piffaretti and ,
  • Enrico Gallitto,
  • Wassim Mansour,
  • Antonino Maria Logiacco,
  • Giovanni Badalamenti,
  • Antonio Cappiello and
  • Sandro Lepidi
  • + 9 authors+ 4 authors

7 July 2025

The natural history of focal non-infected lesions of the abdominal aorta (fl-AA) remains unclear and largely depends on their aetiology. These lesions often involve a focal “tear” or partial disruption of the arterial wall. Penetrating ao...

(This article belongs to the Special Issue Clinical Advances in Aortic Disease and Revascularization)
  • Article
  • Open Access
2,987 Views
20 Pages

Prophylactic Intra-Aortic Balloon Pump Implantation Reduces Peri-Interventional Myocardial Injury During High-Risk Percutaneous Coronary Intervention in Patients Presenting with Low Normal Blood Pressure and with Heart Failure

  • Sascha d’Almeida,
  • Stefanie Andreß,
  • Sebastian Weinig,
  • Benjamin Mayer and ,
  • Wolfgang Rottbauer,
  • Sinisa Markovic and
  • Dominik Buckert
  • + 2 authors+ 0 author

7 July 2025

Background: Intra-aortic balloon pump (IABP) augments coronary perfusion during high-risk percutaneous coronary interventions (PCI). We sought to identify patients who benefited from prophylactic IABP (P-IABP) compared to rescue-IABP (R-IABP). Method...

(This article belongs to the Section Cardiovascular Medicine)
  • Review
  • Open Access
20 Citations
8,924 Views
18 Pages

The Role of C-Reactive Protein in Acute Myocardial Infarction: Unmasking Diagnostic, Prognostic, and Therapeutic Insights

  • Andreas Mitsis,
  • Stefanos Sokratous,
  • Georgia Karmioti,
  • Michaela Kyriakou and ,
  • Michail Drakomathioulakis,
  • Michael M. Myrianthefs,
  • Christos Eftychiou,
  • Nikolaos P. E. Kadoglou,
  • Stergios Tzikas and
  • George Kassimis
  • + 6 authors+ 1 author

7 July 2025

C-reactive protein (CRP) has emerged as a valuable biomarker in acute myocardial infarction (AMI), offering multiple insights into diagnosis, prognosis, and therapeutic strategies. In the diagnostic domain, elevated CRP levels serve as an early indic...

(This article belongs to the Special Issue Acute Coronary Syndromes: From Diagnosis to Treatment)
  • Article
  • Open Access
2 Citations
4,019 Views
13 Pages

Association of Atrial Fibrillation with Incident Probable Dementia and Cognitive Impairment in the Systolic Blood Pressure Intervention Trial (SPRINT)

  • Parham Samimisedeh,
  • Richard Kazibwe,
  • Christopher L. Schaich,
  • Timothy M. Hughes and
  • Elsayed Z. Soliman

7 July 2025

Background: The association between atrial fibrillation (AF) and dementia and cognitive decline in individuals with hypertension is not well established. Methods: The Systolic Blood Pressure Intervention Trial (SPRINT) enrolled participants with hype...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
2,417 Views
13 Pages

7 July 2025

Background: Patients with ST-elevation myocardial infarction (STEMI) and multivessel coronary artery disease (MVD) who undergo complete revascularization (CR) have a more favorable prognosis than those who receive incomplete revascularization (IR), a...

(This article belongs to the Special Issue Acute Myocardial Infarction: Clinical Advances in Prognostic Stratification, Diagnosis, and Treatment)
  • Article
  • Open Access
8 Citations
5,716 Views
14 Pages

The Efficacy of Albumin Infusion in Septic Patients with Hypoalbuminemia: An International Retrospective Observational Study

  • Hsin-Yu Liu,
  • Yu-Ching Chen,
  • Ju-Fang Liu,
  • Pei-Sung Hsu and ,
  • Wen-Pin Cheng and
  • Shih-Sen Lin
  • + 1 author+ 0 author

7 July 2025

Background/Objectives: Albumin supplementation is widely used for hypoalbuminemia treatment in patients with critical illness, especially those with cirrhosis. However, studies have demonstrated that routine albumin administration is not always advan...

(This article belongs to the Special Issue Sepsis: New Insights into Diagnosis and Treatment)
  • Review
  • Open Access
4 Citations
4,451 Views
21 Pages

Clinical Application of rhBMP-2 and Three-Dimensinal Preformed Titanium Mesh with Allograft and Xenograft for Peri-Implant Horizontal and Vertical Bone Augmentation–A Narrative Review with Technical Report

  • Yeong Wook Kim,
  • Saverio Cosola,
  • Young Sam Kim,
  • Young Min Park and ,
  • Ugo Covani,
  • Aimone Fabbri and
  • Giovanni Battista Menchini-Fabris
  • + 2 authors+ 0 author

7 July 2025

The reconstruction of a severely resorbed alveolar bone is a significant challenge in dental implantology and maxillofacial surgery. Traditional bone grafting materials, including autogenous, allogeneic, xenogeneic, and alloplastic materials, have li...

(This article belongs to the Special Issue Oral and Maxillofacial Surgery: Current Advances and Future Directions)
  • Review
  • Open Access
4 Citations
4,561 Views
15 Pages

7 July 2025

Intraoperative cell salvage (ICS) is a blood conservation technique utilized in major surgery, yet its application in oncologic procedures remains debated. Concerns persist about the theoretical risk of metastasis through reinfusion of tumor cells, d...

(This article belongs to the Section Anesthesiology)
  • Article
  • Open Access
6 Citations
2,386 Views
16 Pages

Right Atrial Pressure/Pulmonary Capillary Wedge Pressure Ratio Predicts In-Hospital Mortality in Left Ventricular Assist Device Recipients

  • Berhan Keskin,
  • Aykun Hakgor,
  • Bilge Yilmaz,
  • Korhan Erkanli and ,
  • Beytullah Cakal,
  • Arzu Yazar,
  • Yahya Yildiz,
  • Bilal Boztosun and
  • Ibrahim Oguz Karaca
  • + 4 authors+ 0 author

7 July 2025

Background/Objectives: Right ventricular failure (RVF) is a major contributor to early mortality after left ventricular assist device (LVAD) implantation. While various markers of right ventricular function and right ventriculoarterial coupling have...

(This article belongs to the Special Issue Advanced Therapy for Heart Failure and Other Combined Diseases)
  • Article
  • Open Access
1,509 Views
9 Pages

Three-Dimensional Model Improves Body Image Perception After Bariatric Surgery

  • Cyril Gauthier,
  • Matthieu Poussier,
  • Célia Lloret-Linares,
  • Marc Danan and
  • Anamaria Nedelcu

7 July 2025

Background: Despite losing weight, the majority of subjects retained an obese view of themselves. The aim of the study was to evaluate the usefulness of a 3D modeling tool in improving the body image of patients who have undergone bariatric surgery....

(This article belongs to the Section General Surgery)
  • Feature Paper
  • Review
  • Open Access
29 Citations
23,998 Views
21 Pages

7 July 2025

Transthyretin-related (ATTR) amyloidosis is a progressive, multisystem disease caused by the extracellular deposition of misfolded transthyretin (TTR) monomers as insoluble amyloid fibrils. Clinical manifestations vary widely and may include cardiomy...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
5 Citations
3,734 Views
10 Pages

Microencapsulated Sodium Butyrate in the Prevention of Acute Radiotherapy Proctitis: Single-Center Prospective Study

  • Renato Cannizzaro,
  • Stefania Maiero,
  • Paola Pelizzo,
  • Marco Gulotta and ,
  • Sonia Facchin,
  • Giulia Tessarolo,
  • Antonella Zucchetto,
  • Fabio Matrone,
  • Stefano Realdon and
  • Roberto Bortolus
  • + 5 authors+ 0 author

7 July 2025

Background/Objectives: Prostate cancer is the most frequent cancer in men, for which Radiotherapy (RT) is used as a radical or post-surgical treatment. Actinic proctitis is one of the most disabling side effects of RT. Intestinal microbiome studies h...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Protocol
  • Open Access
1,983 Views
18 Pages

Glucose Homeostasis, Metabolomics, and Pregnancy Outcomes After Bariatric Surgery (GLORIA): Protocol for a Multicentre Prospective Cohort Study

  • Ellen Deleus,
  • Niels Bochanen,
  • Dries Ceulemans,
  • Hanne Debunne and ,
  • Bénédicte Denys,
  • Roland Devlieger,
  • Ina Geerts,
  • Annouschka Laenen,
  • Lisbeth Jochems and
  • Katrien Benhalima
  • + 18 authors+ 13 authors

7 July 2025

Background: Metabolic bariatric surgery is a highly effective and long-lasting treatment for obesity and related chronic conditions. Women of reproductive age represent the largest group undergoing these procedures. Observational studies suggest an i...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
5 Citations
2,866 Views
13 Pages

A Novel Approach to the Study of Pathophysiology in Patients with Obstructive Sleep Apnea Using the Iowa Oral Performance Instrument (IOPI)

  • Andrés Navarro,
  • Gabriela Bosco,
  • Bárbara Serrano,
  • Peter Baptista and ,
  • Carlos O’Connor-Reina and
  • Guillermo Plaza
  • + 1 author+ 0 author

7 July 2025

Background: Myofunctional therapy has emerged as a treatment option for obstructive sleep apnea (OSA). The Iowa Oral Performance Instrument (IOPI) enables objective measurement of lingual and orofacial muscle strength, although it was originally desi...

(This article belongs to the Special Issue Obstructive Sleep Apnea: Latest Advances and Prospects)
  • Article
  • Open Access
5 Citations
3,972 Views
12 Pages

Systemic Biologic Treatment for Psoriasis in Elderly Patients

  • Sapir Glazer Levavi,
  • Ronny Maman,
  • Shany Sherman,
  • Daniel Mimouni and
  • Lev Pavlovsky

7 July 2025

Approximately 3–13% of patients with psoriasis are first affected after age 60 years. Numerous studies have investigated the use of biologic agents for the treatment of psoriasis, but the routine exclusion of elderly adults from clinical trials...

(This article belongs to the Section Dermatology)
  • Article
  • Open Access
11 Citations
4,486 Views
17 Pages

7 July 2025

Introduction: Social prescribing is an innovative approach that connects individuals to community-based activities to promote well-being. This study explores the barriers and facilitators influencing older adults’ engagement in social prescribi...

(This article belongs to the Section Geriatric Medicine)
  • Article
  • Open Access
2 Citations
1,612 Views
12 Pages

Assessment of Bronchodilator Response in Patients with CF and Non-CF Bronchiectasis—A Randomized Controlled Study

  • Mordechai Pollak,
  • Ronen Bar-Yoseph,
  • Moneera Hanna,
  • Noa Serruya and ,
  • Guy Gut,
  • Lea Bentur and
  • Michal Gur
  • + 2 authors+ 0 author

7 July 2025

Objectives: Although patients with bronchiectasis tend to have obstructive nonreversible lung functions, some have bronchodilator response (BDR), and a relatively large number are treated with bronchodilators. We assessed BDR in patients with cystic...

(This article belongs to the Section Respiratory Medicine)
  • Article
  • Open Access
2 Citations
1,089 Views
9 Pages

Characterisation of Ventricular Nucleotide Metabolism and Clinical Predictors Associated with the Onset of Atrial Fibrillation Following Cardiac Surgery

  • Daniel Paul Fudulu,
  • Arnaldo Dimagli,
  • Marco Moscarelli,
  • Rahul Kota and ,
  • Tim Dong,
  • Marco Gemelli,
  • Manraj Sandhu,
  • Saadeh Suleiman and
  • Gianni D. Angelini
  • + 4 authors+ 0 author

7 July 2025

Introduction: Postoperative atrial fibrillation (POAF) is a common complication after heart surgery, adversely impacting clinical outcomes and healthcare costs. Little is known about the dynamics of nucleotide metabolism associated with the developme...

(This article belongs to the Special Issue Current Clinical Treatments and Challenges for Cardiovascular Diseases)
  • Review
  • Open Access
25 Citations
14,316 Views
28 Pages

The Complex Relationship Between Heart Failure and Chronic Obstructive Pulmonary Disease: A Comprehensive Review

  • Luiza Elena Corneanu,
  • Mara Sînziana Sîngeap,
  • Victoria Mutruc,
  • Ovidiu Rusalim Petriș and ,
  • Tudor P. Toma,
  • Victorița Șorodoc,
  • Laurențiu Șorodoc and
  • Cătălina Lionte
  • + 3 authors+ 0 author

6 July 2025

The coexistence of heart failure (HF) and chronic obstructive pulmonary disease (COPD) presents a significant clinical challenge due to the common risk factors, overlapping symptoms, and complex pathophysiological interactions and mechanisms. This co...

(This article belongs to the Section Cardiovascular Medicine)
  • Review
  • Open Access
7 Citations
3,054 Views
19 Pages

DSC Perfusion MRI Artefact Reduction Strategies: A Short Overview for Clinicians and Scientific Applications

  • Chris W. J. van der Weijden,
  • Ingomar W. Gutmann,
  • Joost F. Somsen,
  • Gert Luurtsema and ,
  • Tim van der Goot,
  • Fatemeh Arzanforoosh,
  • Miranda C. A. Kramer,
  • Anne M. Buunk,
  • Erik F. J. de Vries and
  • Anouk van der Hoorn
  • + 6 authors+ 1 author

6 July 2025

MRI perfusion is used to diagnose and monitor neurological conditions such as brain tumors, stroke, dementia, and traumatic brain injury. Dynamic Susceptibility Contrast (DSC) is the most widely available quantitative MRI technique for perfusion imag...

(This article belongs to the Special Issue Recent Advancements in Nuclear Medicine and Radiology)
  • Article
  • Open Access
1 Citations
1,810 Views
15 Pages

Spatial Distribution and Post-COVID-19 Health Complications in Older People: A Brazilian Cohort Study

  • Franciele Aline Machado de Brito,
  • Carlos Laranjeira,
  • Stéfane Lele Rossoni,
  • Amira Mohammed Ali and ,
  • Maria Aparecida Salci and
  • Lígia Carreira
  • + 1 author+ 0 author

6 July 2025

Background/Objectives: In the aftermath of the COVID-19 pandemic, individuals infected with SARS-CoV-2 have progressively displayed a range of symptoms linked to protracted COVID during the post-acute phase of illness. Concurrently, in several nation...

(This article belongs to the Section Geriatric Medicine)
  • Systematic Review
  • Open Access
5 Citations
8,382 Views
16 Pages

Review of the Safety and Clinical Considerations of Vasoconstrictor Agents in Dental Anesthesia During Pregnancy

  • Andrei Urîtu,
  • Victor Bogdan Buciu,
  • Ciprian Roi,
  • Doina Chioran and ,
  • Denis Mihai Serban,
  • Nicolae Nicoleta,
  • Elena Lavinia Rusu,
  • Mihai Ionac,
  • Mircea Riviș and
  • Sebastian Ciurescu
  • + 5 authors+ 0 author

6 July 2025

Background: The use of vasoconstrictors in dental anesthesia during pregnancy raises clinical concerns due to their potential effects on uteroplacental blood flow and fetal well-being. Despite widespread use, the safety profiles of agents such as epi...

(This article belongs to the Special Issue Clinical Management of Oral Healthcare in Diverse Patient Populations: Second Edition)
  • Article
  • Open Access
1 Citations
1,819 Views
14 Pages

Exploring Intensity-Dependent Echogenic Response to Percutaneous Electrolysis in Tendon Tissue: A Cadaveric Study

  • Miguel Malo-Urriés,
  • Jacobo Rodríguez-Sanz,
  • Sergio Borrella-Andrés,
  • Isabel Albarova-Corral and ,
  • Juan Carlos Martínez-Zamorano and
  • Carlos López-de-Celis
  • + 1 author+ 0 author

6 July 2025

Background: Percutaneous electrolysis (PE) is an emerging therapeutic approach for tendinopathies, applying a galvanic current through a dry-needling needle to induce regenerative tissue responses. However, current dosing strategies are often empiric...

(This article belongs to the Section Nuclear Medicine & Radiology)
  • Systematic Review
  • Open Access
11 Citations
2,176 Views
14 Pages

6 July 2025

Background: Epicardial adipose tissue (EAT) may contribute to the pathogenesis of atrial fibrillation (AF). The attenuation of EAT assessed by means of computed tomography (CT) may reflect the severity of local tissue inflammation. This study aimed t...

(This article belongs to the Special Issue Cardiac Electrophysiology: New Insights and Future Directions)
  • Article
  • Open Access
8 Citations
5,582 Views
12 Pages

Hashimoto’s Thyroiditis and Female Infertility: A Clinical and Statistical Investigation of Endocrine and Ovarian Markers

  • Emilia Cristina Popa,
  • Laura Maghiar,
  • Teodor Andrei Maghiar,
  • Ilarie Brihan and ,
  • Laura Monica Georgescu,
  • Bianca Anamaria Toderaș,
  • Liliana Sachelarie,
  • Loredana Liliana Hurjui and
  • Anca Huniadi
  • + 4 authors+ 0 author

6 July 2025

Background: Hashimoto’s thyroiditis (HT), the most prevalent autoimmune thyroid disorder in reproductive-age women, has been linked to diminished ovarian reserve and subfertility. This study aimed to evaluate the relationship between HT and key...

(This article belongs to the Special Issue Female Infertility: Clinical Diagnosis and Treatment)
  • Article
  • Open Access
3 Citations
1,523 Views
10 Pages

5 July 2025

Background/Objectives: This study evaluates the structural strength of various fixation models for distal tibial fractures using finite element analysis, comparing the biomechanical performance of different interlocking and blocking screw configurati...

(This article belongs to the Section Orthopedics)
  • Systematic Review
  • Open Access
7 Citations
4,100 Views
25 Pages

Paternity After Treatment of Cryptorchidism: A Systematic Review

  • Anna Lund Henriksen,
  • Ida-Marie Poulsen,
  • Freja Sørensen and
  • Jens Fedder

5 July 2025

Background: Male infertility can arise from various causes, accounting for 30–50% of infertility cases. The aim of this systematic review is to establish paternity outcomes in men treated for cryptorchidism during childhood, and to evaluate the...

(This article belongs to the Section Reproductive Medicine & Andrology)
  • Systematic Review
  • Open Access
13 Citations
5,037 Views
53 Pages

Hypersensitivity in Orthodontics: A Systematic Review of Oral and Extra-Oral Reactions

  • Alessandra Amato,
  • Stefano Martina,
  • Giuseppina De Benedetto,
  • Ambrosina Michelotti and ,
  • Massimo Amato and
  • Federica Di Spirito
  • + 1 author+ 0 author

5 July 2025

Background/Objectives: This systematic review analyzed the epidemiologic and macro/microscopic features of manifestations of hypersensitivity reactions with oral and extra-oral involvement in orthodontic patients with fixed (FAs) or removable (RAs) a...

(This article belongs to the Special Issue Oral Health and Dental Care: Current Advances and Future Options)
  • Article
  • Open Access
6 Citations
1,214 Views
20 Pages

Comprehensive Assessment of Biventricular and Biatrial Myocardial Strain Parameters at Six Years Postpartum in a Cohort of Women with Previous Hypertensive Disorders of Pregnancy

  • Andrea Sonaglioni,
  • Federico Napoli,
  • Rebecca Dell’Anna,
  • Gian Luigi Nicolosi and ,
  • Stefano Bianchi,
  • Michele Lombardo,
  • Sergio Harari and
  • Chiara Lonati
  • + 3 authors+ 0 author

5 July 2025

Background: Over the past decade, few echocardiographic investigations have assessed myocardial strain parameters in women with a history of hypertensive disorders of pregnancy (HDP), and their findings have been inconsistent. Moreover, no study has...

(This article belongs to the Special Issue Hypertension and Cardiovascular Disease: Clinical Updates and Perspectives)
  • Systematic Review
  • Open Access
6 Citations
10,419 Views
16 Pages

5 July 2025

Background/Objective: The objective of this study is to compare the relative effectiveness of combination therapy (exercise plus manual therapy) versus single-modality physiotherapy interventions for improving pain and function in patients with rotat...

(This article belongs to the Section Clinical Rehabilitation)
  • Article
  • Open Access
1 Citations
944 Views
10 Pages

Factors Associated with Employment in a Cohort of Patients with Systemic Sclerosis

  • Cristina A. Vrancianu,
  • Cristiana Grigore,
  • Ioan Ancuta,
  • Mihai Bojinca and
  • Ana Maria Gheorghiu

5 July 2025

Background/Objectives: Systemic sclerosis (SSc) is a multisystemic chronic autoimmune disease, which leads to disability and possibly early retirement. The objective of our study was to explore the associations between employment status (ES) and demo...

(This article belongs to the Section Immunology & Rheumatology)
  • Case Report
  • Open Access
1 Citations
2,467 Views
13 Pages

Complicated Diagnosis and Treatment of Rare Painless Acanthamoeba Keratitis

  • Dominika Wróbel-Dudzińska,
  • Marta Ziaja-Sołtys,
  • Beata Rymgayłło-Jankowska,
  • Monika Derda and ,
  • Robert Klepacz,
  • Daniel Zalewski,
  • Tomasz Żarnowski and
  • Anna Bogucka-Kocka
  • + 3 authors+ 0 author

5 July 2025

Objectives: The aim was to present the complicated diagnostic and therapeutic process of atypical, painless keratitis caused by a cosmopolitan protozoan of the genus Acanthamoeba. Methods: This Case Report describes a medical case involving a 48-year...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
1 Citations
1,372 Views
13 Pages

Three-Dimensional Transesophageal Echocardiography Is Useful for Preventing Prosthetic-Patient Mismatch After Surgical Aortic Valve Replacement

  • Kazuki Yoshida,
  • Haruka Sasaki,
  • Hiroyuki Takaoka,
  • Moe Matsumoto and ,
  • Yusei Nishikawa,
  • Yoshitada Noguchi,
  • Shuhei Aoki,
  • Katsuya Suzuki,
  • Satomi Yashima and
  • Yoshio Kobayashi
  • + 10 authors+ 5 authors

5 July 2025

Introduction: Prosthesis-patient mismatch (PPM) in surgical aortic valve replacement (SAVR) is known to be a poor prognostic factor. However, the parameters for preventing postoperative PPM in SAVR have not been established. Materials and Methods: Tw...

(This article belongs to the Section Cardiology)

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J. Clin. Med. - ISSN 2077-0383