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Journal of Clinical Medicine, Volume 14, Issue 23

2025 December-1 - 354 articles

Cover Story: Pulmonary arterial hypertension (PAH) is a life-threatening cardiovascular disease with a significant burden of morbidity and mortality. While existing clinical risk assessment tools provide valuable guidance, the precise role of individual clinical parameters in predicting survival remains unclear. This study aims to enhance our understanding of these parameters by leveraging machine learning techniques to identify and rank their importance in predicting mortality among PAH patients. Using the Database of Pulmonary Hypertension in the Polish Population registry dataset and explainable AI methods, this research highlights the potential of artificial intelligence to complement traditional risk assessment approaches, offering clinicians a personalized tool for improved decision-making and patient management. View this paper
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Articles (354)

  • Review
  • Open Access
1 Citations
2,021 Views
19 Pages

Spinal Cord Stimulation: Mechanisms of Action, Indications, Types, Complications

  • Chrysoula Vlachou,
  • Despoina Sarridou,
  • Vasilios Grosomanidis,
  • Ilias Voulgaris,
  • Helena Argiriadou and
  • Aikaterini Amaniti

4 December 2025

Recent advances in neuromodulation are opening new pathways for treating chronic pain, with spinal cord stimulation (SCS) poised for substantial transformation in the coming years. Evolving technologies and a deeper understanding of pain mechanisms a...

  • Review
  • Open Access
1 Citations
1,500 Views
25 Pages

Controversies in Cavernous Malformation Management: A Comprehensive Review of Current Literature

  • Erika Carrassi,
  • Edoardo Mazzucchi,
  • Laura Raus,
  • Mario Lecce,
  • Laura Marucci,
  • Alessia Farneti and
  • Stefano Telera

4 December 2025

Intracranial cavernous malformations (CMs) are angiographically occult, slow-flow vascular lesions composed of dilated, mulberry-like capillary clusters lacking intervening brain parenchyma. CMs typically have a low annual hemorrhage risk and are oft...

  • Systematic Review
  • Open Access
1,391 Views
21 Pages

Systemic Inflammatory Biomarkers (Interleukin-6, High-Sensitivity C-Reactive Protein, and Neutrophil-to-Lymphocyte Ratio) and Prognosis in Heart Failure: A Meta-Analysis of Prospective Cohort Studies

  • Ana-Maria Pah,
  • Stefania Serban,
  • Diana-Maria Mateescu,
  • Ioana-Georgiana Cotet,
  • Camelia-Oana Muresan,
  • Adrian-Cosmin Ilie,
  • Florina Buleu,
  • Maria-Laura Craciun,
  • Simina Crisan and
  • Adina Avram

4 December 2025

Background: Systemic inflammation plays a pivotal role in heart failure (HF) progression, yet no meta-analysis has synthesized prospective cohort data on interleukin-6 (IL-6), high-sensitivity C-reactive protein (hs-CRP), and neutrophil-to-lymphocyte...

  • Article
  • Open Access
404 Views
11 Pages

Multiplex PCR in Donor and Recipient Bronchoalveolar Lavage to Guide Early Antibiotic Prophylaxis Adaptation in Lung Transplantation: A Single-Center Cohort Study

  • Damien Barrau,
  • Geoffrey Brioude,
  • Alban Todesco,
  • Erwan Mesdon,
  • Benjamin Coiffard,
  • Christophe Guervilly,
  • Geoffray Agard,
  • Florence Daviet,
  • Benoit D'Journo and
  • Sami Hraiech
  • + 3 authors

4 December 2025

Background/Objectives: International guidelines recommend the use of antibiotic prophylaxis for lung transplantation (LT). Although multiplex PCR (mPCR) has been shown to hasten antibiotic adaptation during pneumonia, its use to guide antibiotic prop...

  • Article
  • Open Access
494 Views
14 Pages

Feasibility and Preliminary Effects of Ballet-Based Group Dance Intervention in Relapsing–Remitting Multiple Sclerosis: A Pilot Study

  • Daniela Ivaldi,
  • Roberta Lombardo,
  • Gabriele Triolo,
  • Giovanni Restuccia,
  • Carla Susinna,
  • Lilla Bonanno,
  • Carmela Rifici,
  • Giangaetano D'Aleo,
  • Edoardo Sessa and
  • Viviana Lo Buono
  • + 1 author

4 December 2025

Background: Group-based dance interventions (GBDIs) have emerged as a promising approach to rehabilitation for neurological disorders. This pilot study evaluated the feasibility and preliminary effects of a GBDI on motor function, cognition, fatigue,...

  • Article
  • Open Access
690 Views
11 Pages

Outcome of Fontan Patients After Reaching Adolescence: The Impact of Hypoplastic Left Heart Syndrome

  • Pinar Bambul Heck,
  • Andreas Schüttler,
  • Alfred Hager,
  • Masamichi Ono,
  • Jürgen Hörer,
  • Peter Ewert and
  • Oktay Tutarel

4 December 2025

Background/Objectives: Data on the long-term outcomes of hypoplastic left heart syndrome (HLHS) patients compared to other single-ventricle patients reaching adolescence after Fontan surgery is limited. This study analyzes the outcomes of HLHS patien...

  • Review
  • Open Access
1,094 Views
14 Pages

Noninvasive Ventilation Effectiveness in Amyotrophic Lateral Sclerosis

  • Jesús Sancho,
  • Santos Ferrer and
  • Jaime Signes-Costa

4 December 2025

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects motor neurons; respiratory problems are the leading cause of death and hospital admissions and are secondary to progressive weakness of the respiratory muscle...

  • Feature Paper
  • Review
  • Open Access
1,294 Views
25 Pages

Basic Optics Underlying Current Intraocular Lenses

  • Yengwoo Son,
  • Seung Pil Bang and
  • Choul Yong Park

4 December 2025

As surgeries using multifocal intraocular lenses (IOLs) to correct both cataracts and presbyopia have become common, it has become essential for clinicians to understand their basic optical characteristics to select the optimal lens for their patient...

  • Systematic Review
  • Open Access
577 Views
18 Pages

4 December 2025

Introduction: This systematic review aimed to evaluate the effectiveness of preoperative home-based exercise training on clinical outcomes in patients undergoing pulmonary surgery. Methods: A comprehensive literature search was conducted on 25 Octobe...

  • Review
  • Open Access
2 Citations
1,268 Views
22 Pages

Artificial Intelligence for Predicting Difficult Airways: A Review

  • Meruyert Alatau,
  • Johann Bauer and
  • Vitaliy Sazonov

4 December 2025

Background: Accurately predicting difficult airways is essential to ensuring patient safety in anesthesiology and emergency medicine. However, traditional assessment tools often lack sufficient sensitivity and specificity, particularly in high-pressu...

  • Article
  • Open Access
501 Views
13 Pages

Involvement of Iliofemoral Arteries in PET/CT Is Associated with Atherosclerotic Risk Factors in Takayasu’s Arteritis

  • Sema Kaymaz-Tahra,
  • Salih Ozguven,
  • Aysegul Avcu,
  • Nuh Filizoglu,
  • Ali Ugur Unal,
  • Tunc Ones,
  • Tanju Yusuf Erdil,
  • Fatma Alibaz-Oner and
  • Haner Direskeneli

4 December 2025

Background/Objectives: Takayasu’s arteritis (TAK) is an inflammatory vascular disease, but atherosclerotic mechanisms may also contribute to vascular injury in TAK. This study aimed to evaluate the clinical and imaging characteristics of TAK pa...

  • Article
  • Open Access
722 Views
20 Pages

4 December 2025

Background: The relationship between sagittal malocclusion, temporomandibular disorders (TMD), and musculoskeletal pain remains uncertain. Methods: Cross-sectional study (April 2020–August 2021) in Małopolska, Poland. Ninety participants (...

  • Article
  • Open Access
513 Views
12 Pages

Real-World Clinical Outcomes and Biopsy Patterns of Older Patients with Unresected Non-Small-Cell Lung Cancer Treated with Primary Stereotactic Body Radiotherapy

  • Pragya Rai,
  • Su Zhang,
  • Yan Song,
  • Chi Gao,
  • Anya Jiang,
  • Jiayang Li,
  • Peixi Jiang,
  • James Signorovitch,
  • Ashwini Arunachalam and
  • Megan E. Daly
  • + 2 authors

4 December 2025

Background/Objectives: We describe the real-world survival and utilization of lung biopsy in Medicare patients with unresected stage I-IIB (N0) non-small-cell lung cancer (NSCLC) receiving primary stereotactic body radiotherapy (SBRT) in the US. Meth...

  • Article
  • Open Access
1 Citations
1,051 Views
12 Pages

Time to Death and Nursing Home Admission in Older Adults with Hip Fracture: A Retrospective Cohort Study

  • Yoichi Ito,
  • Norio Yamamoto,
  • Yosuke Tomita,
  • Kotaro Adachi,
  • Masaaki Konishi and
  • Kunihiko Miyazawa

4 December 2025

Background: Hip fractures in older adults are sentinel events linked to high mortality and functional decline. Few studies have quantified long-term survival probabilities, standardized mortality ratios (SMRs), and risks of new nursing home admission...

  • Article
  • Open Access
470 Views
16 Pages

Body Weight Distribution and Balance in Patients with Valgus or Varus Knee Deformity Treated with Hemiepiphysiodesis

  • Paweł Leyko,
  • Monika Zaborska,
  • Agnieszka Walczak,
  • Łukasz Tomczyk,
  • Marcin Pelc,
  • Aleksander Mnich,
  • Igor Kowal and
  • Piotr Morasiewicz

4 December 2025

Background: Biomechanical disorders may result from joint deformities. The purpose of this prospective research was to assess total load distribution over the lower limbs and balance in individuals before and after an hemiepiphysiodesis procedure per...

  • Review
  • Open Access
1,311 Views
15 Pages

Physical Activity and Education in the Care of IBD: The Role of the Physiotherapist—A Narrative Review

  • Zita Kovács,
  • Péter Bacsur,
  • Blanka Bernadett Kasza,
  • Tamás Molnár and
  • Andrea Domján

4 December 2025

Inflammatory bowel diseases (IBD), including Crohn’s disease (CD) and ulcerative colitis (UC), are chronic, immune-mediated conditions that significantly affect quality of life (QoL). The disease can cause extraintestinal manifestations, the mo...

  • Review
  • Open Access
1,103 Views
14 Pages

Chronic Hydroxyurea Therapy in Children with Sickle Cell Anemia: Mechanisms of Action, Systemic Effects, and Long-Term Safety

  • Federica Fogliazza,
  • Martina Berzieri,
  • Giulia Carbone,
  • Davide Ciriaco and
  • Susanna Esposito

4 December 2025

Sickle cell disease (SCD) is the most common monogenic disorder worldwide and remains a major cause of morbidity and mortality. Sickle cell anemia (SCA), the homozygous HbSS genotype, represents the most severe and frequent form within the spectrum o...

  • Article
  • Open Access
2,099 Views
15 Pages

Cosmetic Benefits of Medium-Depth Chemical Peels for Moderate Acne Lesions and Atrophic Acne Scars: A Single-Arm Clinical Trial in Young Adults

  • Anna Deda,
  • Magdalena Hartman-Petrycka,
  • Marta Gędoś,
  • Martyna Wojciechowska and
  • Dominika Wcisło-Dziadecka

4 December 2025

Background: Acne vulgaris is a common inflammatory disorder with significant clinical and psychosocial impacts. Medium-depth chemical peels are increasingly used to manage both active acne lesions and atrophic acne scars. This study aimed to quantita...

  • Review
  • Open Access
2,180 Views
25 Pages

Mavacamten for Obstructive Hypertrophic Cardiomyopathy: Targeting Sarcomeric Hypercontractility with Demonstrated Long-Term Safety and Efficacy—A Narrative Review

  • Ghaith K. Mansour,
  • Ali F. Altebainawi,
  • Ahmad W. Hajjar,
  • Sabry Babiker H. Sayed,
  • Fares A. Alazem and
  • Muhammad Raihan Sajid

4 December 2025

Hypertrophic cardiomyopathy (HCM) is the most prevalent hereditary cardiovascular disorder characterized by unexplained left ventricular hypertrophy, sarcomeric hypercontractility, and dynamic left ventricular outflow tract (LVOT) obstruction in appr...

  • Article
  • Open Access
657 Views
17 Pages

ZTE MRI for Rotator Cuff Tear Arthropathy: Integrated Bone–Muscle Analysis and Its Association with Pseudoparesis

  • Engin Türkay Yılmaz,
  • Serkan İbik,
  • Vedat Yaman,
  • Şeyda Betül Fındık,
  • Üstün Aydıngöz and
  • Gazi Huri

4 December 2025

Background/Objectives: Evaluating glenoid changes in rotator cuff tear arthropathy (RCTA) is crucial for preoperative planning. MRI with zero echo time (ZTE) sequence, which produces CT-like images, allows for the assessment of osseous morphology as...

  • Feature Paper
  • Article
  • Open Access
503 Views
15 Pages

The Role of the Lymphocyte Transformation Test in Immune-Related Adverse Events from Immune Checkpoint Inhibitors: A Case Series

  • Fiorela C. Dueñas Lopez,
  • Zoraida del Solar Moreno,
  • Daniela Aguilar-Concepción,
  • Carmen Ruiz-Fernández,
  • Ibtissam Akatbach-Bousaid,
  • Olga Rogozina,
  • Susana Martín-López,
  • Ana Martínez Feito,
  • Miguel González-Muñoz and
  • Elena Ramírez

4 December 2025

Background: Immune-related adverse events (irAEs) represent a considerable complication associated with the use of immune checkpoint inhibitors (ICIs) in oncology patients. Assessing causality is particularly challenging in patients administered mult...

  • Article
  • Open Access
1,685 Views
18 Pages

Artificial Intelligence Physician Avatars for Patient Education: A Pilot Study

  • Syed Ali Haider,
  • Srinivasagam Prabha,
  • Cesar Abraham Gomez-Cabello,
  • Ariana Genovese,
  • Bernardo Collaco,
  • Nadia Wood,
  • Mark A. Lifson,
  • Sanjay Bagaria,
  • Cui Tao and
  • Antonio Jorge Forte

4 December 2025

Background: Generative AI and synthetic media have enabled realistic human Embodied Conversational Agents (ECAs) or avatars. A subset of this technology replicates faces and voices to create realistic likenesses. When combined with avatars, these met...

  • Article
  • Open Access
461 Views
12 Pages

4 December 2025

Background/Objectives: Different disease subtypes in neovascular age-related macular degeneration (nAMD) influence treatment burden, yet existing classifications such as the pachychoroid neovasculopathy (PNV)/non-PNV dichotomy may not fully capture c...

  • Article
  • Open Access
564 Views
10 Pages

Practice Patterns and Trends in Temperature Control After Cardiac Arrest: A Multi-Specialty Survey

  • Casey T. Carr,
  • Melody B. Eckert,
  • Nilan Bhakta,
  • Faheem W. Guirgis,
  • Charlotte Hopson,
  • Carolina B. Maciel and
  • Torben K. Becker

4 December 2025

Background/Objectives: Temperature control after cardiac arrest remains a recommended component of post-cardiac arrest care, yet substantial practice variability persists. Conflicting evidence regarding optimal temperature targets and mixed interpret...

  • Case Report
  • Open Access
537 Views
9 Pages

A Healthy Pregnancy During Treatment of Metastatic Melanoma with Immune Checkpoint Inhibitors: A Case Report

  • Corinna Schneider,
  • Melánia Pozsgai,
  • Csongor Németh,
  • Zita Battyáni and
  • Zsuzsanna Lengyel

4 December 2025

Background/Objectives: With the increasing use of immune checkpoint inhibitors (ICIs), their administration in pregnant patients is expected to become more frequent. Although immunotherapy has transformed melanoma treatment, its use during pregnancy...

  • Review
  • Open Access
2,256 Views
23 Pages

Rehabilitation in Amyotrophic Lateral Sclerosis: Recommendations for Clinical Practice and Further Research

  • Andreas Gratzer,
  • Natalie Gdynia,
  • Nadine Sasse,
  • Rainer Beese,
  • Cordula Winterholler,
  • Yvonne Bauer,
  • Carsten Schröter and
  • Hans-Jürgen Gdynia

4 December 2025

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative condition characterized by the degeneration of upper and lower motor neurons. This degeneration leads to a gradual muscle weakness, dysarthria, dysphagia, respiratory insufficienc...

  • Review
  • Open Access
3 Citations
938 Views
14 Pages

4 December 2025

Diabetic nephropathy (DN) is a leading cause of end-stage renal disease (ESRD) globally. Beyond metabolic and haemodynamic stress, the complement system has emerged as a contributor to glomerular and tubulointerstitial injury. In type 1 diabetes mell...

  • Article
  • Open Access
1,200 Views
19 Pages

The Mediating Role of Self-Esteem in the Relationship Between Loneliness and Phubbing: Evidence from a Cross-Sectional Study

  • Joanna Furmańska,
  • Magdalena Dworakowska,
  • Maja Gębarowska,
  • Aleksandra Grzanka and
  • Małgorzata Szcześniak

4 December 2025

Background/Objectives: In today’s reality, the mobile phone accompanies people in almost every area of life. Technological progress offers a range of conveniences, facilities, and opportunities. At the same time, researchers observe new phenome...

  • Article
  • Open Access
751 Views
13 Pages

4 December 2025

Background/Objectives: Posterior vitreous detachment (PVD) is an age-related physiological process, yet the clinical and biometric factors influencing its progression remain incompletely characterized in adults undergoing routine ophthalmic evaluatio...

  • Systematic Review
  • Open Access
812 Views
14 Pages

Lower Limb Deformity in Different Types of Rickets

  • Anahita Mayr,
  • Benjamin Kraler,
  • Catharina Chiari,
  • Gabriele Hartmann,
  • Adalbert Raimann and
  • Gabriel T. Mindler

4 December 2025

Background/Objectives: Rickets is a pediatric disorder caused by impaired mineralization of the growth plate, primarily due to deficiencies in vitamin D, calcium, or phosphate. Lower limb deformities are among the most clinically relevant skeletal ma...

  • Article
  • Open Access
661 Views
14 Pages

Predicting Shunt-Dependency After Aneurysmal Subarachnoid Hemorrhage: A Multicenter Validation Study

  • Maryam Said,
  • Christoph Wipplinger,
  • Andrea Cattaneo,
  • Tamara M. Wipplinger,
  • Ekkehard Kunze,
  • Patrick Dömer,
  • Simeon Helgers,
  • Ramazan Jabbarli and
  • Johannes Woitzik

3 December 2025

Background: The clinical utility of risk scores predicting shunt dependency after aneurysmal subarachnoid hemorrhage (aSAH) remains limited due to scarce validation data. This multicenter pooled analysis aimed to assess the predictive accuracy of exi...

  • Systematic Review
  • Open Access
1,689 Views
18 Pages

Maternal Smoking During Pregnancy and Risk of Autism Spectrum Disorder in Offspring: A Systematic Review and Meta-Analysis

  • Afroditi Peltekidi,
  • Vaidas Jotautis,
  • Maria Tzitiridou-Chatzopoulou,
  • Vasiliki E. Georgakopoulou,
  • Aikaterini Sousamli,
  • Athina Diamanti,
  • Victoria Vivilaki,
  • Eirini Orovou and
  • Antigoni Sarantaki

3 December 2025

Background/Objectives: Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental condition characterized by persistent social-communication deficits and repetitive behaviors. While genetic factors play a major role, prenatal environmental...

  • Article
  • Open Access
1,544 Views
16 Pages

Guilt and Unfinished Business in Bereavement: Rumination as a Pathway to Prolonged Grief and Trauma

  • Sara Albuquerque,
  • Beatriz Barbas Pereira,
  • Alexandra Coelho and
  • Ricardo Pinto

3 December 2025

Background: Bereavement often elicits complex emotional and cognitive reactions, including guilt, unresolved relational concerns, and repetitive negative thinking. Although grief-specific rumination is recognized as a key process that can intensify p...

  • Review
  • Open Access
1 Citations
2,288 Views
23 Pages

Platelet-Rich Plasma (PRP) and Recombinant Growth Factor Therapies in Cutaneous Wound Healing: Mechanisms, Clinical Applications, and Future Directions

  • Abu-Bakr Ahmed,
  • Spencer Thatcher,
  • Joshua Khorsandi,
  • Zahra Ahmed,
  • Michael Lee,
  • Adam Jaouhari,
  • Braydon Bond and
  • Aftab Merchant

3 December 2025

Background: Chronic cutaneous wounds such as diabetic foot ulcers, venous leg ulcers, pressure injuries, and burns remain a global clinical burden. These wounds are often arrested in inflammatory or ischemic stages due to impaired angiogenesis and gr...

  • Article
  • Open Access
640 Views
13 Pages

3 December 2025

Background/Objectives: A medical–government conflict in South Korea in 2024 led to the collective resignation of resident physicians, causing severe workforce shortages in tertiary hospitals. This study aimed to investigate temporal changes in...

  • Case Report
  • Open Access
565 Views
9 Pages

Rare Localization of Extramammary Paget’s Disease in the Axilla: A Case Report and Literature Review

  • Vera Smolyannikova,
  • Marina Krot,
  • Andrey Filatov,
  • Alina Mordovina,
  • Maria Kharitonova,
  • Olga Gafurova,
  • Valentina Kudryashova,
  • Yulia Lutokhina,
  • Sergey Pirozhkov and
  • Marina Vukolova

3 December 2025

Extramammary Paget’s disease is a rare malignant tumor that frequently presents in areas rich in apocrine glands, most often affecting the skin of the perianal area: the labia minora, clitoris, scrotum, penis, skin of the lower abdomen, and ing...

  • Article
  • Open Access
382 Views
12 Pages

Systemic Vascular Calcification After Lung Transplantation: The Role of Mammographic Breast Arterial Calcifications

  • Jonathan Andreas Saenger,
  • Jasmin Happe,
  • Elizabet Nikolova,
  • Caroline Maier,
  • Ela Uenal,
  • Denise Bos,
  • Thomas Frauenfelder and
  • Andreas Boss

3 December 2025

Objective: This study systematically evaluates the association between breast arterial calcifications (BACs) on mammography and systemic vascular calcifications detected by computed tomography (CT) in female lung transplant recipients, representing t...

  • Systematic Review
  • Open Access
697 Views
23 Pages

Graduated Compression Stockings for Thromboprophylaxis in Orthopaedic and Trauma Surgery: A Rapid Review and Meta-Analysis

  • Dirk Stengel,
  • Daniela Schnorbus,
  • Axel Ekkernkamp,
  • Matthias Münzberg,
  • Beate Schmucker,
  • Lina El Kassar,
  • Flemming Rohrmann and
  • Paul A. Grützner

3 December 2025

Background/Objectives: The utility and value of graduated compression stockings (gCS) as an adjunct to pharmacological thromboprophylaxis, with and without low-molecular-weight heparins (LMWH) and other anticoagulants, in avoiding any thromboembolic...

  • Systematic Review
  • Open Access
1 Citations
917 Views
23 Pages

Health Literacy in Inflammatory Bowel Disease: A Systematic Review of Health Outcomes, Predictors and Barriers

  • Caterina Mercuri,
  • Rita Nocerino,
  • Vincenzo Bosco,
  • Teresa Rea,
  • Vincenza Giordano,
  • Michele Virgolesi,
  • Patrizia Doldo and
  • Silvio Simeone

3 December 2025

Background/Objectives: Inflammatory bowel disease (IBD), including Crohn’s Disease and Ulcerative Colitis, requires complex treatment and active patient participation. Health literacy (HL), defined as the ability to access, understand, and appl...

  • Review
  • Open Access
1,030 Views
17 Pages

Non-Invasive Biomarkers for Eosinophilic Esophagitis: Latest Developments and Future Directions

  • Serena Marulo,
  • Alessandra Macrì,
  • Peppino Mirabelli,
  • Laura Aurino,
  • Rossella Turco,
  • Raduan Ahmed Franca and
  • Paolo Quitadamo

3 December 2025

Eosinophilic esophagitis (EoE) is an emerging disease characterized by chronic inflammation of the esophagus. EoE is a multifactorial disorder, likely resulting from the combination of genetic predisposition, epithelial barrier dysfunction, environme...

  • Review
  • Open Access
1,401 Views
23 Pages

Post-Caustic Esophagitis: Updated Clinical Insights and Practical Lessons from Case Illustrations

  • Bogdan Oprita,
  • Alice Elena Diaconu,
  • Bogdan Dinu,
  • Anca Arina Ghiorghiu and
  • Ruxandra Oprita

3 December 2025

Background: Caustic ingestion represents a severe clinical emergency, leading to variable and often unpredictable outcomes. The severity depends on the nature of the corrosive agent, the amount ingested, and the timing of management. Summary: This re...

  • Review
  • Open Access
857 Views
11 Pages

3 December 2025

Surgical navigation is a rapidly advancing area of innovation that has extended from its roots as a tool based on rigid anatomical landmarks into the complex domain of soft-tissue surgery. Three complementary technologies—fluorescence-guided su...

  • Article
  • Open Access
664 Views
11 Pages

Balancing Chloride and Glucose in Critical Illness: A 10 Year Study on Diluent Strategies and ICU Outcomes

  • Payam Rahimi,
  • Furkan Tontu,
  • Batoul Khoundabi,
  • Sinan Aşar,
  • Çağatay Nuhoğlu,
  • Tuğba Yücel Yenice,
  • Nuri Burkay Soylu,
  • Emral Canan and
  • Zafer Çukurova

3 December 2025

Background: High-chloride solutions such as 0.9% saline are widely used for medication dilution in intensive care units (ICUs) and are an underrecognized source of hyperchloremia and acid–base disturbances. Excess chloride reduces the strong io...

  • Article
  • Open Access
685 Views
10 Pages

Development and Validation of a CNN-Based Diagnostic Pipeline for the Diagnosis of Otitis Media

  • Hee Won Seo,
  • Dong Woo Ko,
  • Jaehoon Oh,
  • Juncheol Lee,
  • Yong Bae Ji,
  • Sang-Yoon Han,
  • Byeong In Moon,
  • Jae Hoon Jeong and
  • Jae Ho Chung

3 December 2025

Background/Objectives: Accurate diagnosis of otitis media (OM) using otoscopic images is often challenging, particularly for non-specialists. Artificial intelligence (AI), especially deep learning-based methods, has shown promising results in support...

  • Review
  • Open Access
1,672 Views
12 Pages

Fungal Infection in HIV-Infected Patients—Is It Still a Challenge?

  • Martyna Biała,
  • Natalia Słabisz and
  • Brygida Knysz

3 December 2025

Fungi are one of the major causes of opportunistic infections in people living with HIV/AIDS. Pneumocystis jirovecii, Cryptococcus neoformans, Histoplasma capsulatum, and Candida spp. are especially more likely to affect HIV-infected individuals. Int...

  • Review
  • Open Access
512 Views
14 Pages

Cucurbiturils in Oxygen Delivery and Their Potential in Anemia Management

  • Daniel Papiu,
  • Alexandra Nadaban,
  • Adelina Palcu,
  • Alciona Sasu,
  • Gabriela Mara,
  • Paul Albu,
  • Casiana Boru and
  • Coralia Cotoraci

3 December 2025

Efficient oxygen transport and accurate anemia diagnostics remain significant medical challenges, as current therapies suffer from stability limitations, immunogenic risks, and inadequate sensitivity. Cucurbiturils (CB[n]), a family of pumpkin-shaped...

  • Article
  • Open Access
873 Views
13 Pages

Trends in Mortality from Diabetes and Other Non-Communicable Diseases Among Sri Lankan Adults: A Retrospective Population-Based Study, 2004–2020/2021

  • Harshana Munasinghe,
  • Pansujee Dissanayaka,
  • Mangalika Jayasundara,
  • Mapa Prabhath Piyasena,
  • Sobha Sivaprasad and
  • Manjula D. Nugawela

3 December 2025

Background: Non-Communicable Diseases (NCDs) are the leading cause of adult mortality worldwide, accounting for 74% of deaths. In Sri Lanka, assessing NCD mortality trends is essential for public health planning. This study evaluated trends in total...

  • Case Report
  • Open Access
950 Views
13 Pages

3 December 2025

Background/Objectives: Smith–Lemli–Opitz syndrome (SLOS) is a genetic metabolic disorder characterized by impaired cholesterol synthesis and a wide range of developmental anomalies. This article presents a case of a girl with SLOS, diagno...

  • Article
  • Open Access
471 Views
17 Pages

3 December 2025

Background/Objectives: There is limited information on the interplay between passive joint motion and joint kinematics from three-dimensional gait analysis (3DGA) and its longitudinal evolution in cerebral palsy (CP). We aimed to associate clinical m...

  • Review
  • Open Access
2,000 Views
18 Pages

Management of Calcified Coronary Lesions—A Review of Plaque Modification Methods

  • Piotr Kałmucki,
  • Paulina Skonieczna,
  • Artur Baszko and
  • Tomasz Siminiak

3 December 2025

Coronary artery disease remains the leading cause of cardiovascular morbidity and mortality worldwide, affecting millions of individuals each year. Coronary artery calcification is a common finding in patients with advanced atherosclerosis and repres...

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J. Clin. Med. - ISSN 2077-0383