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Journal of Clinical Medicine, Volume 14, Issue 22

2025 November-2 - 369 articles

Cover Story: Topical tretinoin is a first-generation retinoid with well-established efficacy in acne and photoaging. Its pleiotropic actions on epidermal differentiation, inflammation, pigmentation and collagen remodeling support a broad range of dermatologic uses. This review summarizes evidence from clinical trials and prospective studies published between 2000 and 2025, including FDA-approved indications and expanding off-label applications. Beyond acne and photoaging, tretinoin shows potential benefits in melasma, post-inflammatory hyperpigmentation, acanthosis nigricans, striae distensae, scarring, flat warts, alopecia, actinic keratosis and field cancerization. Overall, tretinoin remains a versatile, well-tolerated therapy with growing relevance in modern dermatology. View this paper
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Articles (369)

  • Review
  • Open Access
1,716 Views
18 Pages

20 November 2025

Preoperative anemia and non-anemic iron deficiency are common in cardiac surgery patients. Both are frequently caused by absolute iron deficiency or are associated with chronic diseases and inflammation. Multiple studies have shown an association bet...

  • Article
  • Open Access
731 Views
19 Pages

Associations Between Health-Related Quality of Life and Clinical Factors in Lumbar Disc Herniation: Evidence from a Romanian Cohort Using the SF-36

  • Mădălina Duceac (Covrig),
  • Salim Camer,
  • Irina Luciana Gurzu,
  • Alina Pleșea-Condratovici,
  • Liviu Stafie,
  • Letiția Doina Duceac,
  • Lucian Eva,
  • Bogdan Gurzu,
  • Mădălina Nicoleta Matei and
  • Doina Carina Voinescu
  • + 2 authors

20 November 2025

Background: Lumbar disc herniation (LDH) has a substantial impact on health-related quality of life (HRQoL), mainly through pain, reduced mobility, and functional limitations. To better reflect these outcomes, we utilized the SF-36 survey, a well-est...

  • Perspective
  • Open Access
1,569 Views
15 Pages

Upper Gastrointestinal Crohn’s Disease: Shedding Light on the Obscure L4 Classification Meaning

  • Francesca Lusetti,
  • Cristina Bezzio,
  • Alice De Bernardi,
  • Michele Puricelli,
  • Gianpiero Manes and
  • Simone Saibeni

20 November 2025

Background/Objectives: Upper gastrointestinal Crohn’s disease (UGI-CD) is inconsistently defined and often underrecognized, obscuring epidemiology, complicating diagnosis, and delaying tailored care. The absence of a unified, operational defini...

  • Article
  • Open Access
762 Views
12 Pages

Real-World Visual and Refractive Results of Two Different Presbyopia Correcting Intraocular Lenses

  • Sarah Hinterberger,
  • Cornelia Artmayr,
  • Karanpreet Multani,
  • Kamran M. Riaz,
  • Seth M. Pantanelli,
  • Klemens P. Kaiser,
  • Achim Langenbucher,
  • Matthias Bolz and
  • Jascha A. Wendelstein

20 November 2025

Background/Objectives: To investigate visual acuity, refractive outcomes and the predictive accuracy of modern intraocular lens (IOL) power calculation formulas in eyes implanted with two presbyopia-correcting IOLs: trifocal Zeiss AT LISA TRI and the...

  • Review
  • Open Access
1 Citations
2,766 Views
37 Pages

The Development of Novel Therapies for Chronic Lymphocytic Leukaemia in the Era of Targeted Drugs

  • Tadeusz Robak,
  • Elżbieta Iskierka-Jażdżewska,
  • Anna Puła,
  • Pawel Robak and
  • Bartosz Puła

20 November 2025

Over the past decade, chronic lymphocytic leukaemia (CLL) treatment has shifted from chemoimmunotherapy to targeted oral agents, predominantly Bruton’s tyrosine kinase inhibitors (BTKis) and the BCL-2 inhibitor venetoclax. These therapies have...

  • Case Report
  • Open Access
590 Views
8 Pages

20 November 2025

Background: Although rarely performed, sternal resection for chondrosarcoma presents considerable anesthetic challenges, particularly in both immediate and long-term pain management. Method: This case study details the anesthetic protocol adopted for...

  • Review
  • Open Access
1 Citations
2,181 Views
14 Pages

20 November 2025

Background: Intracranial aneurysm (IA) rupture is a devastating event in neurosurgery and a leading cause of subarachnoid hemorrhage. Although aneurysm size has been traditionally emphasized, recent research has highlighted multifactorial mechanisms...

  • Article
  • Open Access
2,125 Views
14 Pages

Algorithm-Guided Management of Thumb Amputation: A 20-Year Retrospective Review and Outcome Analysis

  • Maja Smorąg,
  • Piotr Węgrzyn,
  • Marta Jagosz,
  • Michał Chęciński,
  • Szymon Manasterski,
  • Jędrzej Króliński,
  • Marcin Syrko,
  • Patryk Ostrowski,
  • Katarzyna Kościelska-Kasprzak and
  • Ahmed Elsaftawy
  • + 1 author

20 November 2025

Background: The thumb accounts for 40–50% of hand function. Traumatic amputation of the thumb results in significant disability and necessitates a structured approach to management. Methods: We conducted a retrospective review of 144 patients t...

  • Review
  • Open Access
774 Views
31 Pages

Are Image-Based Deep Learning Algorithms of Kidney Volume in Polycystic Kidney Disease Ready for Clinical Deployment? A Systematic Review and Meta-Analysis

  • Emil Colliander,
  • Sebastian Tupper,
  • Mira Lansner Kielberg,
  • Marie Louise Liu,
  • Enrique Almar-Munoz,
  • Agnes Mayr and
  • Rebeca Mirón Mombiela

20 November 2025

Objectives: In patients with autosomal dominant polycystic kidney disease (ADPKD), total kidney volume (TKV) is the gold standard biomarker for assessing the risk of progression and the need for drug therapy. However, it is a time-consuming process....

  • Review
  • Open Access
2 Citations
1,854 Views
20 Pages

From Mesh to Modern Therapies: An Updated Narrative Review on Urogenital Prolapse

  • Diana Pop-Lodromanean,
  • Radu Chicea,
  • Dan-Georgian Bratu,
  • Livia-Mirela Popa,
  • Paula Anderco,
  • Nicolae Grigore and
  • Adrian Hașegan

20 November 2025

Urogenital prolapse (UP), a manifestation of pelvic organ prolapse (POP), is prevalent and burdensome, impairing urinary, bowel, sexual and psychosocial health. This review synthesizes evidence on epidemiology, mechanisms, clinical evaluation and tre...

  • Article
  • Open Access
502 Views
14 Pages

Effects of Subcutaneous Administration of Glucocorticoids by Pellets on a Mouse Model of Ligature-Induced Periodontal Disease

  • Rintaro Kato,
  • Takuma Sato,
  • Shunsuke Kako,
  • Masako Tabuchi,
  • Yuki Aoki,
  • Kai Kataoka,
  • Sho Okuni,
  • Yoshihiko Sugita,
  • Hatsuhiko Maeda and
  • Ken Miyazawa

20 November 2025

Background/Objective: Glucocorticoids (GC) have anti-inflammatory effects, but long-term use can suppress bone formation and cause osteoporosis. The impact of inflammatory environments, such as periodontitis, on alveolar bone metabolism remains insuf...

  • Article
  • Open Access
1,108 Views
16 Pages

20 November 2025

Background: Primary Biliary Cholangitis (PBC) is a chronic autoimmune liver disease, characterized by cholestasis and fibrosis. Ursodeoxycholic acid (UDCA) is the first-line treatment for normalizing markers, slowing progression, and improving outcom...

  • Article
  • Open Access
791 Views
21 Pages

Early Detection of Acute Kidney Injury After Congenital Heart Surgery—Using Urine Proteomics to Identify New Biomarker Candidates: A Prospective Clinical Study

  • Raphael Seiler,
  • Alexa Leona Herre,
  • Marieluise Kirchner,
  • Matthias Ziehm,
  • Philipp Mertins,
  • Felix Berger,
  • Joachim Photiadis,
  • Giang Tong,
  • Liliya Brankova and
  • Jana Lücht
  • + 1 author

20 November 2025

Background: Acute kidney injury (AKI) is a frequent complication following congenital heart surgery and is associated with increased morbidity and mortality. Early recognition is crucial, yet standard clinical biomarkers result in delayed detection....

  • Article
  • Open Access
869 Views
20 Pages

20 November 2025

Background/Objectives: The increasing number and complexity of cardiac and neurosurgical procedures underscore the importance of effective perioperative care. One of the most serious postoperative complications is delirium, which prolongs hospitaliza...

  • Feature Paper
  • Article
  • Open Access
2 Citations
937 Views
12 Pages

Ultrasound-Guided Supraclavicular Nerves Block for Acute Pain Management in Clavicular Fractures—A Pragmatic Randomized Trial

  • Eckehart Schöll,
  • Mark Ulrich Gerbershagen,
  • Werner Vach,
  • Maria Rösli and
  • Rainer Jürgen Litz

20 November 2025

Background/Objectives: This pragmatic randomized controlled trial evaluated the efficacy of ultrasound-guided supraclavicular nerve (SCLN) block compared to standard pain management in patients with acute displaced clavicle fractures (CFs) in an emer...

  • Article
  • Open Access
563 Views
13 Pages

Artificial Intelligence-Based Evaluation of Post-Procedural Electrocardiographic Parameters to Identify Patients at Risk of Atrial Fibrillation Recurrence After Transcatheter Ablation

  • Gennaro De Rosa,
  • Marco Giuggia,
  • Mattia Peyracchia,
  • Martina Peddis,
  • Roberto Di Summa,
  • Elisa Pelissero,
  • Giuseppe Trapani,
  • Davide De Los Rios,
  • Fabio Ugliano and
  • Gaetano Senatore
  • + 1 author

20 November 2025

Background/Objectives: Arrhythmic recurrence is a common issue affecting a significant percentage of patients undergoing transcatheter ablation (TCA) of Atrial Fibrillation (AF). The use of artificial intelligence (AI) for the identification of elect...

  • Review
  • Open Access
1,039 Views
12 Pages

Projected Augmented Reality in Surgery: History, Validation, and Future Applications

  • Nikhil Dipak Shah,
  • Lohrasb Sayadi,
  • Peyman Kassani and
  • Raj Vyas

20 November 2025

Background/Objectives: Projected augmented reality (PAR) enables real-time projection of digital surgical information directly onto the operative field. This offers a hands-free, headset-free platform that is universally visible to all members of the...

  • Article
  • Open Access
449 Views
12 Pages

Comparative Evaluation of Sagittal Alignment in Total Knee Arthroplasty: Robot Sensor Versus Surgeon’s Eye and Influencing Factors

  • Dong Nyoung Lee,
  • Chang Hyun Nam,
  • Ji-Hoon Baek,
  • Suengryol Ryu,
  • Juneyoung Heo,
  • Ji Hyun Kim,
  • Su Chan Lee and
  • Sang Won Lee

20 November 2025

Background: Postoperative sagittal imbalance, including hyperextension and flexion contracture after total knee arthroplasty (TKA), adversely affects long-term outcomes. Conventional techniques depend on surgeons’ visual estimation, which may v...

  • Article
  • Open Access
516 Views
15 Pages

20 November 2025

Background/Objectives: Radiotherapy (RT) induces oxidative stress and structural damage in solid tissues, including the liver. This study aimed to investigate the histological and immunohistochemical effects of dexmedetomidine (DEX) and amifostine on...

  • Article
  • Open Access
1,006 Views
13 Pages

Diagnostic Pitfalls of CT in Malignant Superior Cerebellar Artery Infarction: Implications for Treatment Decisions and Future Management Strategies

  • Maria Gollwitzer,
  • Baran Atli,
  • Vanessa Seiter,
  • Tobias Rossmann,
  • Eva Horner,
  • Anna Hauser,
  • Gracija Sardi,
  • Verena Sölva,
  • Andreas Gruber and
  • Kathrin Aufschnaiter-Hiessböck

20 November 2025

Background/Objectives: Superior cerebellar artery (SCA) infarction is a rare but clinically significant subtype of posterior circulation stroke. Extensive swelling in the SCA territory may cause downward brainstem compression and appear as brainstem...

  • Article
  • Open Access
1,019 Views
16 Pages

Cochlear Implantation in Children with Inner Ear Malformations: Auditory Outcomes, Safety and the Role of Anatomical Severity

  • Miriam González-García,
  • Cristina Alonso-González,
  • Francisco Ropero-Romero,
  • Estefanía Berrocal-Postigo,
  • Francisco Javier Aguilar-Vera,
  • Concepción Gago-Torres,
  • Leyre Andrés-Ustárroz,
  • Manuel Lazo-Maestre,
  • M. Amparo Callejón-Leblic and
  • Serafín Sánchez-Gómez

20 November 2025

Background/Objectives: Cochlear implantation (CI) has been shown to be effective in children with inner ear malformations (IEMs). However, outcomes vary with malformation type and anatomical complexity. Advances in radiological classification may imp...

  • Article
  • Open Access
996 Views
16 Pages

To Breathe or Not to Breathe: Spontaneous Ventilation During Thoracic Surgery in High-Risk COPD Patients—A Feasibility Study

  • Matyas Szarvas,
  • Csongor Fabo,
  • Gabor Demeter,
  • Adam Oszlanyi,
  • Stefan Vaida,
  • Jozsef Furak and
  • Zsolt Szabo

20 November 2025

Background: Spontaneous ventilation with intubation (SVI) during video-assisted thoracoscopic surgery (VATS) has been introduced as a hybrid technique that combines the physiological benefits of spontaneous breathing with the safety of a secured airw...

  • Article
  • Open Access
1 Citations
1,719 Views
16 Pages

Recurrence Patterns in Breast Cancer: A Single-Center Retrospective Analysis

  • Cristina Marinela Oprean,
  • Teodora Hoinoiu,
  • Larisa Maria Badau,
  • Radu Vidra,
  • Tiberiu Dragomir,
  • Gabriel-Mugurel Dragomir,
  • Daniel Piț,
  • Alexandru Catalin Motofelea,
  • Nadica Motofelea and
  • Daciana Grujic
  • + 1 author

20 November 2025

Background: Breast cancer mortality and long-term survival are influenced by the unpredictability of recurrences, which cause significant diagnostic and therapeutic challenges for oncology teams. The risk of local and distant recurrence is higher in...

  • Review
  • Open Access
2,120 Views
17 Pages

Recent Advancements in the Clinical Pathway of Respiration-Synchronized Hypoglossal Nerve Stimulation Therapy for Obstructive Sleep Apnea

  • Dorine Van Loo,
  • Eldar Tukanov,
  • Marijke Dieltjens,
  • Sara Op de Beeck,
  • Eli Van de Perck,
  • Johan Verbraecken and
  • Olivier M. Vanderveken

20 November 2025

Background: Respiration-synchronized hypoglossal nerve stimulation (HGNS) is an effective treatment option for selected patients with obstructive sleep apnea (OSA). While literature on the standardization of the post-implant care pathway for patients...

  • Systematic Review
  • Open Access
1 Citations
924 Views
20 Pages

Diagnostic Applications of Ultrasound Imaging in Dental Implantology: A Systematic Review

  • Carlo Barausse,
  • Subhi Tayeb,
  • Martina Sansavini,
  • Gerardo Pellegrino and
  • Pietro Felice

20 November 2025

Background/Objectives: Conventional radiographic methods, although considered the gold standard for dental implantology, are not exempt from certain limitations, including their two-dimensional nature, the exposure to ionizing radiation and the inabi...

  • Systematic Review
  • Open Access
1,365 Views
13 Pages

Balancing Safety and Efficacy: Factor XIa INHIBITORS vs. DOACs in Patients with Atrial Fibrillation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • Jacinthe Khater,
  • Marco Frazzetto,
  • Shamin Hayat Mahmud,
  • Ashkan Yahyavi,
  • Sara Malakouti,
  • Bharat Khialani and
  • Bernardo Cortese

20 November 2025

Background: Current ESC guidelines recommend the use of oral anticoagulant therapy in patients with atrial fibrillation to reduce the risk of arterial embolization. Recently, Factor XIa inhibitors were investigated as an alternative to the commonly u...

  • Case Report
  • Open Access
1,041 Views
16 Pages

Mitochondrial Macular Dystrophy—A Case Report and Mini Review of Retinal Dystrophies

  • Grzegorz Rotuski,
  • Katarzyna Paczwa,
  • Justyna Mędrzycka,
  • Radosław Różycki and
  • Joanna Gołębiewska

20 November 2025

Background: Retinal dystrophies are often challenging to diagnose. At early stages, they may resemble benign retinal pigment epithelium alterations and drusen present in otherwise healthy individuals. With the increased incidence of autoimmunity-rela...

  • Article
  • Open Access
676 Views
18 Pages

Perioperative Patient Blood Management in Primary Knee and Hip Arthroplasty—Nonsense or Necessity?

  • Johannes Neugebauer,
  • Clemens Strassegger,
  • David Putzer,
  • Melanie Schindler,
  • Adriana Palacio-Giraldo,
  • Markus Neubauer,
  • Gianpaolo Leone,
  • Herbert Koinig and
  • Dietmar Dammerer

20 November 2025

Background/Objectives: The perioperative management of a patient’s blood values involves the optimization of anemia management in the pre-, intra-, and postoperative periods to avoid blood transfusions. The purpose of this study was to determin...

  • Article
  • Open Access
1 Citations
506 Views
11 Pages

Male Gender and Normal Trochlear Anatomy Are Associated with a Higher Risk of Osteochondral Fracture Following Patellar Dislocation: A Retrospective Review of 261 Skeletally Mature Patients

  • Johannes Rüther,
  • Markus Geßlein,
  • Michael Millrose,
  • Maximilian Willauschus,
  • Jonas Beck,
  • Niklas Engel,
  • Andreas Kopf,
  • Hermann Josef Bail and
  • Lotta Hielscher

20 November 2025

Background: Osteochondral fractures (OCFs) following acute patellar dislocation significantly influence treatment decisions and long-term prognosis, yet reliable risk stratification remains elusive. This study aimed to identify demographic and trochl...

  • Article
  • Open Access
617 Views
17 Pages

The Impact of OXTR, COMT, and GRIN2B Polymorphisms on Brain Development in Preterm Infants

  • Eon Yak Kim,
  • Hyuna Kim,
  • Yong Hun Jang,
  • Woochang Hwang,
  • Junho K Hur,
  • Young-Eun Kim,
  • Sungmin Lim,
  • Dong-Hye Ye and
  • Hyun Ju Lee

20 November 2025

Background/Objectives: Preterm infants are at risk for developmental delays due to immature brain development and increased sensitivity to environmental stress. Genetic factors, such as polymorphisms in *OXTR* rs2268490, *COMT* rs4818, and *GRIN2B*,...

  • Case Report
  • Open Access
901 Views
14 Pages

20 November 2025

Objectives: Alexander disease (AxD) is a rare neurodegenerative disorder that represents a group of leukodystrophies with severe disability and premature death, mostly with an infancy/childhood onset. In rare cases of late-onset phenotypes, symptoms...

  • Article
  • Open Access
1 Citations
558 Views
14 Pages

Multinational Survey on the Symptom Approach to Diagnosis and Therapy Adopted by Physicians in the Treatment of Gastrointestinal Sarcoidosis

  • Salvatore Nicolosi,
  • Giorgio Monteleone,
  • Giulia Bandini,
  • Michael Hughes,
  • Zsuzsanna McMahan,
  • Elena Bargagli,
  • Filippo Martone,
  • Gianluca Ziosi,
  • Paola Confalonieri and
  • Barbara Ruaro
  • + 2 authors

20 November 2025

Background: Gastrointestinal (GI) sarcoidosis is a rare manifestation of systemic disease, with limited evidence to guide diagnosis and treatment. Methods: A 75-item international survey was completed by 132 clinicians from multiple specialties and h...

  • Systematic Review
  • Open Access
1,022 Views
25 Pages

Refracture and Mortality Following Surgical Management of Osteoporotic Vertebral Fractures: A Systematic Review and Meta-Analysis with Patient-Level Survival Modeling

  • Maher Ghandour,
  • Ümit Mert,
  • Miguel Pishnamaz,
  • Frank Hildebrand,
  • Rolf Sobottke,
  • Koroush Kabir and
  • Mohamad Agha Mahmoud

20 November 2025

Background/Objectives: Osteoporotic vertebral fractures (OVFs) are a growing global health burden, often managed surgically with vertebroplasty or kyphoplasty. However, long-term outcomes such as refracture and mortality remain poorly characterized a...

  • Case Report
  • Open Access
633 Views
12 Pages

Kaposiform Hemangioendothelioma of the Oral Cavity in an Adult Woman: A Case Report

  • Martina Caputo,
  • Gaspare Palaia,
  • Daniele Pergolini,
  • Alessandra Putrino,
  • Amelia Bellisario,
  • Gianluca Tenore,
  • Federica Rocchetti,
  • Angela Galeotti,
  • Cira Rosaria Tiziana Di Gioia and
  • Umberto Romeo

20 November 2025

Background: Kaposiform hemangioendothelioma (KHE) is a rare, locally aggressive vascular tumor that shares histological features with Kaposi’s sarcoma. It usually occurs in infancy or early childhood and is seldom reported in adults. The most c...

  • Article
  • Open Access
1 Citations
824 Views
14 Pages

Tooth Loss and Cardiovascular Risk Burden in Myocardial Infarction Patients

  • Corina Cinezan,
  • Camelia Bianca Rus,
  • Alexandra Cinezan and
  • Luminita Ligia Vaida

20 November 2025

Background: Oral and cardiovascular health share inflammatory and behavioral pathways. Chronic oral inflammation leading to tooth loss may reflect systemic vascular injury. The relationship between tooth loss and cardiovascular risk among patients wi...

  • Article
  • Open Access
563 Views
11 Pages

20 November 2025

Background/Objectives: Intravitreal anti–vascular endothelial growth factor (anti-VEGF) therapy is the standard treatment for neovascular age-related macular degeneration (nAMD), but concerns remain regarding its potential effects on optic nerv...

  • Article
  • Open Access
1,803 Views
12 Pages

Middle Meningeal Artery Embolization in the Treatment of Chronic Subdural Hematoma: A Two-Center Retrospective Study

  • Francesco Adduci,
  • Bruno Del Sette,
  • Giancarlo Salsano,
  • Greta Venturi,
  • Carmelo Sturiale,
  • Massimo Dall’Olio,
  • Claudia Rolla Bigliani,
  • Pietro Fiaschi,
  • Luigi Cirillo and
  • Lucio Castellan

20 November 2025

Background: Chronic subdural hematoma (cSDH) is a common condition, particularly in individuals over 65 years of age. Its pathophysiology involves traumatic and inflammatory processes, culminating in hematoma formation. Although surgical drainage is...

  • Article
  • Open Access
1,745 Views
15 Pages

Long-Term Outcomes After Therapeutic Induction in Patients with Functional Dyspepsia

  • Takayuki Kitano,
  • Toshihiko Tomita,
  • Masatoshi Mieno,
  • Hirofumi Onishi,
  • Hideki Yoneda,
  • Hiroo Sei,
  • Hirotsugu Eda,
  • Toshiyuki Sato,
  • Mikio Kawai and
  • Shinichiro Shinzaki
  • + 4 authors

20 November 2025

Background: This multicenter retrospective study evaluated the long-term outcomes of functional dyspepsia (FD) and factors associated with treatment resistance over a 3-year period after treatment initiation. Methods: A total of 111 patients diagnose...

  • Article
  • Open Access
637 Views
23 Pages

The Effect of Splenectomy on Postoperative Morbidity and Survival in Patients with Peritoneal Carcinomatosis

  • Serkan Ademoğlu,
  • İsa Caner Aydın,
  • Ahmet Orhan Sunar,
  • Mehmet Ömer Özduman,
  • Uğur Duman,
  • Mürşit Dinçer,
  • Erdal Polat and
  • Mustafa Duman

20 November 2025

Background/Objectives: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are effective treatment modalities for patients with peritoneal carcinomatosis (PC), though splenectomy is frequently required and its impact on...

  • Article
  • Open Access
491 Views
12 Pages

Robotic Versus Sternotomy Approach for Left Atrial Myxoma Resection: A Retrospective Single-Center Study

  • Gabriel Saiydoun,
  • Saadé Saade,
  • Costin Radu,
  • Eric Bergoend and
  • Thierry Folliguet

20 November 2025

Objectives: This study aimed to compare survival and outcomes between robotic-assisted and conventional sternotomy myxoma resection. Methods: This retrospective single-center study included 16 consecutive patients undergoing left atrial myxoma resect...

  • Article
  • Open Access
658 Views
9 Pages

Could MR Angio Replace Digital Subtraction Angiography for Verification of Occlusion Rate of Cerebral Aneurysms?

  • Rasmus Moldt Holmager,
  • Jonas Jensen,
  • Troels Halfeld Nielsen and
  • Sune Munthe

20 November 2025

Background/Objectives: Cerebral aneurysms affect 3–5% of the population and carry a risk of rupture. Post-treatment imaging is essential to detect residual or recurrent filling. Digital subtraction angiography (DSA) is the gold standard, but it...

  • Article
  • Open Access
1 Citations
1,099 Views
15 Pages

Differential Diagnosis of Infectious Versus Autoimmune Encephalitis Using Artificial Intelligence-Based Modeling

  • David Petrosian,
  • Nataša Giedraitienė,
  • Vera Taluntienė,
  • Dagnė Apynytė,
  • Haroldas Bikelis,
  • Gytis Makarevičius,
  • Mantas Jokubaitis and
  • Mantas Vaišvilas

20 November 2025

Background: Encephalitis is a severe and potentially life-threatening inflammatory disorder of the central nervous system. Without prompt diagnosis and appropriate treatment, it often results in poor clinical outcomes. The study aimed to develop an a...

  • Feature Paper
  • Review
  • Open Access
1,014 Views
22 Pages

20 November 2025

Angiography-derived physiology (ADP) has emerged as a validated, wire-free method for the functional assessment of coronary artery disease (CAD). By avoiding pressure-wire instrumentation and hyperemic agents, ADP reduces procedure time, radiation ex...

  • Article
  • Open Access
598 Views
17 Pages

Smoking Amplifies Comorbidity-Associated Risk in Orthopaedic Surgery: A Multiplicative Interaction

  • Edith Simona Ianoși,
  • Daria-Maria Roșu,
  • Arpad Solyom,
  • Bianca Liana Grigorescu,
  • Mara Vultur and
  • Maria Beatrice Ianoși

19 November 2025

Background: The success of orthopaedic surgery is fundamentally biological, yet the synergistic effect of smoking and comorbidities on surgical outcomes is not well quantified. We hypothesised that active smoking multiplies the risk conferred by comm...

  • Article
  • Open Access
586 Views
15 Pages

Mortality Prediction in Diffuse Large B-Cell Lymphoma Using Supervised Machine Learning Models—A Retrospective Study

  • Cosmin-Daniel Minciuna,
  • Dorina Minciuna,
  • Angela-Smaranda Dascalescu,
  • Amalia Titieanu,
  • Vlad-Andrei Cianga,
  • Ion Antohe,
  • Ingrid-Andrada Vasilache,
  • Catalin-Doru Danaila and
  • Lucian Miron

19 November 2025

Background/Objectives: Diffuse large B-cell lymphoma (DLBCL) is a biologically and clinically heterogeneous malignancy with variable outcomes. Accurate risk prediction at diagnosis remains essential to guide treatment and follow-up strategies. In thi...

  • Article
  • Open Access
818 Views
18 Pages

Impact of Ventilation Discontinuation During Cardiopulmonary Bypass: A Prospective Observational Study

  • Tatyana Li,
  • Azhar Zhailauova,
  • Iwan Wachruschew,
  • Aidyn Kuanyshbek,
  • Shaimurat Tulegenov,
  • Perizat Bukirova,
  • Bekaidar Zhakupbekov,
  • Ilya Nikitin,
  • Dauren Ayaganov and
  • Theodoros Aslanidis
  • + 3 authors

19 November 2025

Background: Discontinuing mechanical ventilation during cardiopulmonary bypass (CPB) is common but may adversely affect postoperative pulmonary function. This study aimed to evaluate the impact of stopping ventilation during CPB on postoperative gas...

  • Systematic Review
  • Open Access
5 Citations
2,979 Views
18 Pages

Global Trends in Joint Arthroplasty: A Systematic Review and Future Projections

  • Bence Gusztáv Stubnya,
  • Mercedes Schulz,
  • Szilárd Váncsa,
  • Gábor Sándor Szilágyi,
  • Attila Szatmári and
  • Zoltán Bejek

19 November 2025

Background/Objectives: Osteoarthritis, the principal indication for joint arthroplasty, has doubled in incidence since 1990. Advances in surgical techniques, combined with an ageing population, have driven a substantial rise in arthroplasty procedure...

  • Article
  • Open Access
1,132 Views
13 Pages

Prevalence of Familial Hypercholesterolemia and Its Association with Cardiovascular Risk in a Cross-Sectional Adult Population

  • Kairat Davletov,
  • Indira Baibolsynova,
  • Nurdaulet Umirbekov,
  • Ainagul Auyelbekova,
  • Sergey Lee,
  • Ruslan Kulmanbetov and
  • Mukhtar Kulimbet

19 November 2025

Background/Objectives: Familial hypercholesterolemia (FH) is an inherited lipid disorder that markedly elevates lifetime risk of premature cardiovascular disease (CVD), yet remains under-recognized globally. We aimed to estimate the prevalence of phe...

  • Review
  • Open Access
1 Citations
2,657 Views
16 Pages

The da Vinci Single-Port Robotic Platform in General Surgery: A Scoping Review of Current Applications and Outcomes

  • Silvio Caringi,
  • Antonella Delvecchio,
  • Annachiara Casella,
  • Cataldo De Palma,
  • Valentina Ferraro,
  • Rosalinda Filippo,
  • Matteo Stasi,
  • Nunzio Tralli,
  • Tommaso Maria Manzia and
  • Riccardo Memeo
  • + 1 author

19 November 2025

Introduction: The da Vinci Single-Port (SP) robotic system represents a newer minimally invasive surgical development with greater articulation and reduced surgical footprint through the use of a single incision. While originally applied in urology a...

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J. Clin. Med. - ISSN 2077-0383