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Journal of Clinical Medicine, Volume 15, Issue 14

2026 July-2 - 435 articles

Cover Story: Meningiomas, the most common CNS tumours, carry significant morbidity. Exogenous hormones are implicated in their growth, challenging clinicians to assess compound-specific risks, especially in patients with existing tumours or risk factors. This review synthesizes 2003–2026 cohort/case–control data on hormonal agents and meningioma traits. Risks vary; broadly defined HRT/contraceptives show mixed profiles, lacking dose/duration specificity. Progestins like depot medroxyprogesterone and desogestrel show higher duration-dependent risk, while cyproterone acetate (CPA) carries the strongest link, associated with multiple tumours and skull-base sites. Evidence strongly supports CPA risk, though menopausal therapy and oral contraceptives require more study, alongside translational work on molecular mechanisms. View this paper
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Articles (435)

  • Article
  • Open Access
1,149 Views
26 Pages

Intercostal Nerve Block for Bilateral Thoracoscopic Sympathectomy: A Prospective Observational Cohort Comparison of Three Analgesic Protocols

  • Marko Kantar,
  • Ivan Kuhajda,
  • Bojan Joksimović,
  • Radovan Jurić,
  • Nemanja Lazendić and
  • Danijela Radulović

22 July 2026

Background/Objectives: Bilateral thoracoscopic sympathectomy (BTS) is the definitive treatment for primary focal hyperhidrosis, yet postoperative pain remains an undertreated consequence with no established analgesic consensus. This study compared th...

(This article belongs to the Section General Surgery)
  • Article
  • Open Access
878 Views
26 Pages

Body and Mind Intertwined: Physical Activity Intensity, Sleep Quality, and Depressive Symptoms: Cross-Sectional Associations and Exploratory Path Analysis

  • Witold Wit Hryniewicz,
  • Igor Barczak,
  • Kacper Fręśko,
  • Zuzanna Szarzyńska,
  • Hubert Węclewski,
  • Jakub Żubrowski,
  • Barbara Cybula,
  • Bartosz Dmuchowski and
  • Agnieszka Pluto-Prądzyńska

22 July 2026

Background: The alarming trend of rising depression and insomnia among the world’s population, especially in young adults, demands urgent attention from both clinical and lifestyle medicine perspectives. This study aimed to evaluate whether hab...

(This article belongs to the Special Issue Mind–Body Connection: The Impact of Mental Health on Physical Well-Being)
  • Article
  • Open Access
742 Views
16 Pages

Determining a Clinically Applicable Cutoff in AI Algorithms for Predicting Clinical Deterioration: A Workload-Constrained, Alarm-Based Approach

  • Jaewon Jang,
  • Yong Jun Choi,
  • Taeyong Sim,
  • Ki-Byung Lee,
  • Ji-Hyun Kim,
  • Eun Young Cho,
  • Yuhyun Choi,
  • Sungsoo Hong,
  • Bo Mi Jung and
  • Jae Hwa Cho
  • + 2 authors

22 July 2026

Background: This retrospective study introduces an AI-driven VitalCare-Major Adverse Event Score (VC-MAES) developed to predict major in-hospital adverse events and determine optimal cutoff thresholds. VC-MAES was originally developed to predict a co...

(This article belongs to the Special Issue Advancing Clinical Medicine Through Artificial Intelligence (AI) and Digital Technology: 2nd Edition)
  • Article
  • Open Access
648 Views
20 Pages

Multimodal Prediction of Progression Toward Brain Death After Out-of-Hospital Cardiac Arrest

  • Jae Hun Oh,
  • Jisu Kim,
  • Jong Ho Zhu,
  • Mi Kyong Kwon,
  • Seung Pill Choi,
  • Hyo Joon Kim,
  • Kiwook Kim,
  • Hwan Song and
  • Soo Hyun Kim

22 July 2026

Background/Objectives: Some patients with severe hypoxic–ischemic brain injury after out-of-hospital cardiac arrest (OHCA) progress toward brain death, a trajectory not adequately captured by the conventional classification of favorable versus...

(This article belongs to the Special Issue Cardiac Arrest: Beyond Survival—Precision Neuroprognostication After Cardiac Arrest)
  • Article
  • Open Access
1 Citations
432 Views
13 Pages

Respiratory Versus Gastrointestinal Malignancies: Systemic Inflammation, Cardiovascular Burden, and All-Cause Mortality

  • Bozhidar Krastev,
  • Natalia Spasova,
  • Petranka Troyanova,
  • Elena Kinova and
  • Assen Goudev

22 July 2026

Background/Objectives: Systemic inflammation is common in patients with cancer and may reflect tumor activity, disease extent, and the patient’s overall clinical condition. The systemic immune-inflammation index (SII), calculated from neutrophi...

(This article belongs to the Section Oncology)
  • Review
  • Open Access
1,272 Views
18 Pages

Hypochloremia in Older Adults with Heart Failure: From Pathophysiology to Prognosis

  • Elisa Fabbri,
  • Lorenzo Maestri,
  • Gabriella Cucinotta and
  • Paolo Muratori

22 July 2026

Hypochloremia has recently emerged as an independent prognostic marker in heart failure (HF), which is especially common in older adults, where it represents a main cause of death and hospitalization. This narrative review of the literature aims to s...

(This article belongs to the Special Issue Patient-Oriented Treatments for Heart Failure)
  • Article
  • Open Access
603 Views
13 Pages

Angiotensin-Converting Enzyme (ACE) Insertion/Deletion (I/D) Polymorphism and Migraine Susceptibility and Phenotypes: A Clinical-Genetic Study in a United Arab Emirates (UAE) Cohort

  • Eslam ElNebrisi,
  • Mohamed Elshafei,
  • Sarah Safwat,
  • Lamia Ibrahim,
  • Mariam A. L. Younan,
  • Shyam Babu Chandran,
  • Mohamed Hussein and
  • Nadia M. ElRouby

22 July 2026

Background/Objectives: Migraine is a complex neurovascular disorder with a multifactorial genetic basis and remains a leading cause of neurological disability worldwide. The angiotensin-converting enzyme (ACE) insertion/deletion (I/D) polymorphism ha...

(This article belongs to the Special Issue Advances and Updates in Migraine)
  • Review
  • Open Access
793 Views
18 Pages

Beyond the Four Pillars: A Risk-Targeted Framework for Vericiguat—A Narrative Review

  • Jacek Kubica,
  • Aldona Kubica,
  • Robert Gajda,
  • Ewa Laskowska,
  • Julia M. Umińska,
  • Jakub Ratajczak,
  • Piotr Niezgoda,
  • Natalia Mrzywka,
  • Łukasz Szarpak and
  • Eliano P. Navarese

22 July 2026

Heart failure (HF) remains a major global health burden despite substantial therapeutic advances. Vericiguat, an oral soluble guanylate cyclase (sGC) stimulator, represents a distinct pharmacological strategy targeting impaired nitric oxide–sGC...

(This article belongs to the Special Issue Heart Failure: Treatment and Clinical Perspectives)
  • Article
  • Open Access
630 Views
23 Pages

Frugal Learning Methods for Kidney Segmentation in Non-Contrast MRI

  • Jan Podlaszewski,
  • Artur Klepaczko,
  • Ludomir Stefańczyk and
  • Marcin Majos

22 July 2026

Background/Objectives: Chronic kidney disease is a growing global health concern, necessitating effective tools for early detection and monitoring. While non-contrast T1-weighted magnetic resonance imaging offers a non-invasive means to assess kidney...

(This article belongs to the Section Nephrology & Urology)
  • Article
  • Open Access
484 Views
17 Pages

22 July 2026

Background: Pathological N staging remains central to prognostic assessment in colorectal adenocarcinoma; however, it captures nodal disease as an absolute count and does not account for the total number of examined lymph nodes. The lymph node ratio...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Article
  • Open Access
502 Views
12 Pages

22 July 2026

Background and Objectives: The effect of suture material on clinical outcomes in cervical cerclage remains debated. This pilot study compared two braided polyester suture materials with different manufacturing characteristics (Mersilene® and Unie...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
1 Citations
546 Views
13 Pages

22 July 2026

Background/Objectives: The increasing use of cardiovascular implantable electronic devices has increased the need for transvenous lead extraction (TLE), which carries a relevant complication risk. The SAFeTY score was developed to predict procedure-r...

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

Extracellular Matrix Tissue Patch for Septal Defect Repair in Pediatric Cardiac Surgery: A Single-Center Experience

  • Marcin Gładki,
  • Paweł R. Bednarek,
  • Anita Węclewska,
  • Tomasz Urbanowicz,
  • Anna Olasińska-Wiśniewska,
  • Bartłomiej Kociński,
  • Jowita Rosada-Kurasińska and
  • Marek Jemielity

22 July 2026

Background: Decellularized extracellular matrix (ECM) patches have emerged as a potential alternative to synthetic and autologous materials in pediatric cardiac surgery; however, clinical data on their use in septal defect repair remain limited. Meth...

(This article belongs to the Special Issue Clinical Management of Pediatric Heart Diseases)
  • Article
  • Open Access
652 Views
18 Pages

22 July 2026

Background/Objectives: Intra-abdominal hypertension (IAH) is a common but under-recognized condition in critically ill patients and is associated with adverse outcomes, particularly acute kidney injury (AKI) and mortality. However, the prognostic val...

(This article belongs to the Special Issue Acute Kidney Injury: Current Challenges and Future Directions in Diagnosis and Treatment)
  • Article
  • Open Access
512 Views
15 Pages

Evolution of Hemophilia Management in Italy: Results from a Delphi Consensus Study

  • Giancarlo Castaman,
  • Raimondo De Cristofaro,
  • Matteo Nicola Dario Di Minno,
  • Francesca Gatto,
  • Paolo Mariani,
  • Angelo Claudio Molinari,
  • Mariasanta Napolitano,
  • Cristina Santoro,
  • Rita Carlotta Santoro and
  • Ezio Zanon

22 July 2026

Background/Objectives: The clinical management of hemophilia has evolved with the introduction of innovative therapies that are reshaping treatment paradigms. Real-world implementation of these approaches may vary across centers. This modified Delphi...

(This article belongs to the Special Issue Bleeding Disorders and Hemophilia: Clinical Advances and Treatment)
  • Case Report
  • Open Access
661 Views
11 Pages

22 July 2026

Background: Atypical hemolytic uremic syndrome (aHUS) is a life-threatening thrombotic microangiopathy driven by uncontrolled activation of the complement alternative pathway, with pregnancy triggering 10–20% of cases (pregnancy-associated aHUS...

(This article belongs to the Section Nephrology & Urology)
  • Feature Paper
  • Article
  • Open Access
667 Views
18 Pages

Heart Failure with Preserved Ejection Fraction in Women with Breast Cancer Prior to Cancer Treatment: Insights from a Cardio-Oncology Assessment

  • Allegra Battistoni,
  • Marco Di Francesco,
  • Davide Bernardo,
  • Jacopo Capparelli,
  • Nicola Tartaglia,
  • Simona Pisegna,
  • Linda Piras,
  • Gianmarco Cellammare,
  • Pasqualino Raponi and
  • Emanuele Barbato
  • + 3 authors

22 July 2026

Background: Breast cancer patients are exposed to cardiovascular complications related to both pre-existing cardiovascular risk factors and cardiotoxic cancer therapies. Heart failure with preserved ejection fraction (HFpEF) is an emerging and often...

(This article belongs to the Special Issue Cardiotoxicity Within Cardio-Oncology: Clinical Advances from Prediction to Management)
  • Review
  • Open Access
1,425 Views
15 Pages

Percutaneous Coronary Interventions: Bleeding Risk Assessment and Management

  • Adil Salihu,
  • David Meier,
  • Thabo Mahendiran,
  • Aurelia Zimmerli,
  • Jeremie Buri,
  • Marine Klopfenstein,
  • Emmanuelle Scala and
  • Stephane Fournier

22 July 2026

Bleeding is one of the most common and feared complications after coronary angiography and percutaneous coronary intervention (PCI). It is associated with longer hospital stays, higher mortality, and worse clinical outcomes. As the number of patients...

(This article belongs to the Special Issue Optimizing Blood Management in Perioperative Cardiac Care: A Multidisciplinary Approach)
  • Systematic Review
  • Open Access
2,961 Views
23 Pages

Exercise Versus Standard Therapy in Steatotic Liver Disease Spectrum: A Systematic Review, Meta-Analysis, and Meta-Regression

  • Muhammad Ahsan Asif,
  • Saad Masood,
  • Syed Muhammad Ali Akbar,
  • Muhammad Hamza Khalid,
  • Abdul Rehman,
  • Mahnoor Imran,
  • Arooba Suhaib,
  • Muhammad Ans Asif,
  • Azeem Khalid and
  • Hassam Ali
  • + 3 authors

22 July 2026

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) affects nearly one-fourth of the world population and is closely linked to obesity, metabolic syndrome, and poor diet. We conducted a systematic review and meta-analysis to...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Article
  • Open Access
1 Citations
693 Views
15 Pages

Body Composition and Psychological Correlates of Resting Energy Expenditure and Activity in Adolescent Girls with Anorexia Nervosa

  • Stefano Lazzer,
  • Lara Mari,
  • Mattia D’Alleva,
  • Jacopo Stafuzza,
  • Simone Zaccaron,
  • Nicola Campigotto,
  • Enrico Rejc,
  • Gabriella Tringali,
  • Ilaria Grimoldi and
  • Alessandro Sartorio
  • + 3 authors

22 July 2026

Background: Anorexia Nervosa (AN) triggers profound metabolic and psychological adaptations during adolescence. This study investigated the relationships between resting energy expenditure (REE), body composition, physical activity (PA), and specific...

(This article belongs to the Section Mental Health)
  • Article
  • Open Access
957 Views
22 Pages

MRI Distribution of Foot Bone Marrow Edema of Presumed Algodystrophic/BMES-Like Origin: A Small Retrospective Case Series with 3-Month Clinical Follow-Up

  • Filippo Messina,
  • Carmelo D’Arrigo,
  • Marco Bonifacio,
  • Riccardo di Niccolo,
  • Valerio Cipolloni,
  • Marco Giuseppe Musorrofiti,
  • Raoul Saggini,
  • Marianna Oliva,
  • Alberto Lo Gullo and
  • Alessandro Conforti

22 July 2026

Background and Objectives: Foot bone marrow edema of presumed algodystrophic or bone marrow edema syndrome-like origin is clinically difficult to classify, and the relationship between MRI extent, pain severity, and functional impairment remains insu...

(This article belongs to the Topic Bone-Related Diseases: From Molecular Mechanisms to Therapy Development—2nd Edition)
  • Article
  • Open Access
500 Views
12 Pages

Patient Journey and Unmet Needs in Hidradenitis Suppurativa: Insights from an Italian Survey

  • Vincenzo Bettoli,
  • Alberto Maria Bertoldi,
  • Massimo Donini,
  • Natale Schettini,
  • Eleonora Adamo,
  • Lucia Casoli,
  • Alice Messi,
  • Arianna Tonelli,
  • Diletta Valsecchi and
  • Giuseppina Pintori

22 July 2026

Background/Objectives: Hidradenitis suppurativa (HS), a chronic, inflammatory skin condition, severely affects quality of life. Despite advances in understanding its pathophysiology, major gaps persist in diagnosis and management. This study examined...

(This article belongs to the Section Dermatology)
  • Article
  • Open Access
507 Views
15 Pages

Gestational-Age Clustering of Recurrent Placental Abruption: A Multicenter Retrospective Descriptive Study

  • Mako Nakamura,
  • Kaori Iino,
  • Takashi Ozaki,
  • Makiko Sato,
  • Yuki Osawa,
  • Kanji Tanaka,
  • Aisa Takeda,
  • Sota Takahashi,
  • Ryosuke Taniguchi and
  • Yoshihito Yokoyama
  • + 2 authors

22 July 2026

Background/Objectives: Placental abruption has a high risk of recurrence, but the timing of recurrence relative to the previous episode remains unclear. This study described the gestational-age distribution of recurrent placental abruption and compar...

(This article belongs to the Special Issue Advances in Managing High-Risk Pregnancies: Innovations in Diagnosis, Prevention and Clinical Care)
  • Article
  • Open Access
847 Views
12 Pages

22 July 2026

Background: This study aimed to investigate the association between serum potassium levels and the risk of cardiac arrest in patients admitted to the emergency resuscitation room and to identify the optimal potassium range associated with the lowest...

(This article belongs to the Special Issue Current Advances and Future Perspectives in Cardiac Arrest and Cardiogenic Shock)
  • Systematic Review
  • Open Access
612 Views
15 Pages

Hypofractionated Versus Conventional Postmastectomy Radiotherapy in Implant-Based Breast Reconstruction: A Systematic Review and Meta-Analysis

  • Ji Hyeon Joo,
  • Yongkan Ki,
  • Youn-Joo Jung,
  • Hyun Yul Kim,
  • Ki Seok Choo,
  • Kyung Jin Nam and
  • Su Bong Nam

22 July 2026

Background/Objectives: The safety of hypofractionated postmastectomy radiotherapy (HF-PMRT) in patients undergoing implant-based breast reconstruction remains uncertain because of concerns regarding radiation-related reconstructive complications. We...

(This article belongs to the Special Issue Radiation Therapy: Recent Trends and Future Perspectives)
  • Article
  • Open Access
560 Views
11 Pages

22 July 2026

Objective: The aim of this study is to identify clinical and obstetric factors associated with acute postoperative pain in pregnant women undergoing primary elective cesarean section and, in particular, to investigate the relationship between intraop...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
416 Views
14 Pages

22 July 2026

Background/Objectives: To assess the refractive and visual outcomes after implantation of an isofocal optic-design intraocular lens (IOL) with double C-loop haptics following cataract surgery in eyes with primary open-angle glaucoma (POAG). Methods:...

(This article belongs to the Special Issue Cataract and Refractive Surgery, and Intraocular Lens (IOL) Implantation: Advancing Diagnosis and Management)
  • Article
  • Open Access
819 Views
15 Pages

22 July 2026

Background: Recurrent lumbar disc herniation (rLDH) significantly impairs outcomes following percutaneous endoscopic lumbar discectomy (PELD). Accurate individualized risk prediction remains challenging. This study aimed to develop and compare multip...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
458 Views
12 Pages

Accuracy of Robot-Assisted Pedicle Screw Placement: Two-Center Experience with Learning Curve Analysis

  • Ismail Zaed,
  • Carlo Brembilla,
  • Giuseppe De Gennaro Aquino,
  • Ernesto Pizzica,
  • Jad El Choueiri,
  • Leonardo Di Cosmo,
  • Francesco Marchi,
  • Ivan Cabrilo,
  • Davide Milani and
  • Gabriele Capo
  • + 1 author

22 July 2026

Background: Accurate pedicle screw placement remains essential in spinal instrumentation, and robotic navigation has been introduced to improve safety, reproducibility, and workflow standardization. This study evaluated the accuracy of robot-assisted...

(This article belongs to the Special Issue Novel Approaches and Techniques in Neurosurgery)
  • Article
  • Open Access
577 Views
16 Pages

22 July 2026

Background: Alcohol-associated fatty liver disease (AFLD) is a major public health concern and remains one of the leading causes of chronic liver disease in the United States. Understanding the interplay between obesity, metabolic dysfunction, and li...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Article
  • Open Access
584 Views
15 Pages

Hydrocortisone vs. Methylprednisolone in Community-Acquired Pneumonia: A Propensity Score Matching Study

  • Juan Sebastian Hernández Puentes,
  • Alirio Rodrigo Bastidas,
  • Eduardo Andres Tuta Quintero,
  • Catalina Marenco Galvis,
  • Juanita Fetecua Chaparro,
  • Alejandra Mora Vega,
  • Valeria Leyton Franco,
  • María José Juvinao Morales,
  • María José Castro Salas and
  • Lina María López Nuñez
  • + 6 authors

21 July 2026

Community-acquired pneumonia is one of the main causes of morbidity and mortality due to infections worldwide. This has led to the study of the use of corticosteroids as adjunctive therapy, which has shown an inclination to provide clinical benefits....

(This article belongs to the Special Issue Pneumonia: From Diagnosis to Treatment)
  • Article
  • Open Access
366 Views
9 Pages

Blood Biomarker Tenascin-C for Detection of Radiation Cardiotoxicity: An Animal Model

  • Ecem Demir,
  • Karolin Yanar,
  • Pınar Atukeren,
  • Serbay Ozkan,
  • Gözde Erkanlı Şentürk,
  • Melike Ülker,
  • Şefika Arzu Ergen,
  • Songül Karaçam and
  • Fazilet Öner Dinçbaş

21 July 2026

Purpose: The aim of this study was to test the hypothesis that Tenascin-C (TNC) levels increase following thoracic radiotherapy (RT), and that elevated serum TNC levels are associated with corresponding increases in myocardial TNC expression in histo...

(This article belongs to the Section Oncology)
  • Review
  • Open Access
811 Views
19 Pages

The Shifting Boundary Between Invasive and Non-Invasive Angiographic Investigation in Contemporary Cardiology and Cardiac Surgery: An Up-to-Date Narrative Review

  • Justin Ren,
  • Colin Royse,
  • William Chan,
  • Dion Stub,
  • Garry W. Hamilton,
  • Jason E. Bloom,
  • Tobias Fruehwald,
  • Nilesh Srivastav and
  • Alistair Royse

21 July 2026

Background: Invasive coronary angiography has historically been the reference standard for coronary, valvular, and structural heart disease. Over the past decade, coronary computed tomography angiography (CCTA), CT-derived fractional flow reserve (CT...

(This article belongs to the Special Issue Interventional Cardiology—Challenges and Solutions)
  • Article
  • Open Access
424 Views
16 Pages

Hyperuricemia Reflects Cardiometabolic Burden Rather than Left Ventricular Systolic Dysfunction Across Heart Failure Phenotypes: Insights from a Real-World Acute Heart Failure Cohort

  • Raluca Ibănescu,
  • Sebastian Ciurescu,
  • Roxana Buzaș,
  • Anda Gabriela Militaru,
  • Diana-Alexandra Mîțu,
  • Loredana Nicoleta Ionică,
  • Iacob-Daniel Goje,
  • Ciprian Rachieru,
  • Paul-Gabriel Ciubotaru and
  • Daniel-Florin Lighezan
  • + 2 authors

21 July 2026

Background/Objectives: Acute heart failure (AHF) is a leading cause of global morbidity, necessitating the search for reliable biomarkers to guide risk stratification. While hyperuricemia is highly prevalent in heart failure patients and historically...

(This article belongs to the Special Issue Clinical Updates in Heart Failure: Innovations in Diagnosis, Therapy and Management)
  • Article
  • Open Access
456 Views
10 Pages

21 July 2026

Background/Objectives: Intracochlear electrocochleography (ECochG) is increasingly used to monitor cochlear function during cochlear implantation, particularly in patients with residual hearing. However, optimal acquisition parameters and interpretat...

(This article belongs to the Special Issue Clinical Advances in Hearing Loss: Diagnosis, Treatment, and Management)
  • Review
  • Open Access
1,113 Views
18 Pages

21 July 2026

Breast implant illness (BII) describes a constellation of systemic symptoms reported by some patients after breast implantation, including fatigue, cognitive dysfunction, arthralgia, myalgia, sicca symptoms, skin manifestations, and mood disturbance....

(This article belongs to the Special Issue Plastic and Reconstructive Surgery: Cutting-Edge Expert Perspective)
  • Article
  • Open Access
535 Views
16 Pages

Dynamic Infrared Thermography Reveals Bilateral Thermal Recovery Asymmetry in Scoliosis

  • Daniel Faizy,
  • Ramazan Beşir Yaman,
  • Seda Nilgün Dumlu,
  • Tuğçe Yavuz,
  • Muhammet Alptekin Kocaoğlu,
  • Akif Albayrak and
  • Hande Argunsah

21 July 2026

Background: Repeated radiographic monitoring exposes scoliosis patients to cumulative radiation. Dynamic infrared thermography (DIT) may provide a non-invasive alternative by characterizing thermal recovery behavior following controlled cooling. This...

(This article belongs to the Special Issue Scoliosis: Advances in Diagnosis and Management)
  • Article
  • Open Access
566 Views
22 Pages

Effects of TNF-α and L-Arginine Ex Vivo Treatment on Left Internal Mammary Artery (LIMA) Grafts

  • Beste Dipcin,
  • Fatemeh Ataei,
  • Ahmet Turan Keskintas,
  • Gokcen Ozgun,
  • Sevde Altuntas,
  • Burak Onal,
  • Lutfi Çağatay Onar,
  • Didem Melis Oztas,
  • Bukem Tanoren and
  • Murat Ugurlucan

21 July 2026

Background: Coronary artery bypass grafting (CABG) is the standard revascularization procedure, and the left internal mammary artery (LIMA) is the most widely used conduit owing to its long-term patency and favorable impact on survival. Although fibr...

(This article belongs to the Section Cardiovascular Medicine)
  • Review
  • Open Access
787 Views
12 Pages

Newly Diagnosed Diabetes Mellitus as an Etiology of Anejaculation and Primary Male Infertility: A Case Report and Review of the Literature

  • Milan Patel,
  • Hannah Moreland,
  • Arya Anvar,
  • Frank Glover,
  • Ankith Maremanda,
  • Nicholas A. Deebel,
  • Joshua Halpern and
  • Robert Brannigan

21 July 2026

Diabetes Mellitus (DM) is becoming increasingly prevalent among young men. While DM is known to cause a myriad of health issues ranging from cardiovascular complications to vision loss, its impact on male reproductive health is often unrecognized. In...

(This article belongs to the Special Issue Prevention and Management of Sexual Dysfunction)
  • Article
  • Open Access
395 Views
14 Pages

21 July 2026

Background/Objectives: Reflux remains one of the main limitations of one-anastomosis gastric bypass (OAGB), potentially impairing postoperative quality of life and requiring revisional surgery in refractory cases. Conversion to Roux-en-Y gastric bypa...

(This article belongs to the Section General Surgery)
  • Article
  • Open Access
590 Views
15 Pages

Efficacy and Safety of Avatrombopag in Patients with Chronic Liver Disease and Thrombocytopenia Undergoing Elective Surgery

  • Weihua Cao,
  • Fengxin Chen,
  • Hongxiao Hao,
  • Xin Wei,
  • Xinxin Li,
  • Ziyu Zhang,
  • Wen Deng,
  • Shiyu Wang,
  • Linmei Yao and
  • Minghui Li
  • + 6 authors

21 July 2026

Background/Objectives: The aim of this study was to evaluate the efficacy and safety of avatrombopag in patients with chronic liver disease (CLD) and thrombocytopenia scheduled for elective invasive/minimally invasive procedures, providing clinical g...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Systematic Review
  • Open Access
893 Views
15 Pages

Clopidogrel Versus Prasugrel Versus Ticagrelor in Patients with Acute Coronary Syndrome: New Insights from a Large Registry Compared to Randomized Clinical Trials—A Structured Review

  • Julia Umińska,
  • Tomasz Białoszyński,
  • Michał Skrzypek,
  • Mariusz Gąsior,
  • Piotr Adamski,
  • Robert Gajda,
  • Paul A. Gurbel,
  • Klaudyna Grzelakowska,
  • Tomasz Dominiak and
  • Eliano Pio Navarese
  • + 6 authors

21 July 2026

Background: Due to inconsistent evidence regarding oral P2Y12 inhibitors in patients with ACS, we critically assessed the results of the PL-ACS registry in comparison to the results of randomized clinical trials (RCTs). Methods: Publications describi...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
464 Views
12 Pages

21 July 2026

Background/Objectives: Rectal gastrointestinal stromal tumors (GISTs) near the dentate line (DL) present significant surgical challenges due to anatomical constraints and difficulty preserving anal function. Endoscopic intermuscular dissection (EID)...

(This article belongs to the Special Issue Advances in Endoscopic Techniques for Gastrointestinal Diseases)
  • Systematic Review
  • Open Access
681 Views
14 Pages

Time in Range and Adverse Outcomes in Type 2 Diabetes: A Quantitative Synthesis

  • Furong Qu,
  • Qinbo Yang,
  • Qingyue Zeng,
  • Zhipeng Li and
  • Jing Li

21 July 2026

Objective: We aimed to quantify the prognostic value of glucose monitoring-derived time in range (TIR), including continuous glucose monitoring (CGM), flash glucose monitoring (FGM), and fingertip capillary glucose monitoring (FCGM), for predicting a...

(This article belongs to the Special Issue Clinical Translation of Technological Innovations in Diabetes Therapeutics)
  • Review
  • Open Access
1,375 Views
27 Pages

Current Clinical Perspectives of Biomarkers in Respiratory Diseases: A Narrative Review

  • Swathi Gurajala,
  • Shoug Yousif Al Humoud,
  • Ghada Fouad Al Yousif,
  • Rana Ali Alameri,
  • Gayathri Pandurangam,
  • Aya Khalid Ali Fayyomi,
  • Sally Abed,
  • Nada Sami Sardidi,
  • Mashael Mamdouh Alrayes and
  • Nada Al Ghannam
  • + 3 authors

21 July 2026

Respiratory medicine is transitioning from symptom-driven, standardized care to a more precise, patient-specific approach guided by molecular profiling. This evolution is being enabled by advances in liquid biopsy, multiomics, and artificial intellig...

(This article belongs to the Special Issue Emerging Biomarkers and Novel Diagnostic Tools in Respiratory Diseases: From Bench to Bedside)
  • Case Report
  • Open Access
1 Citations
615 Views
8 Pages

21 July 2026

Background: The clinical presentation of nasal mucosal necrosis, an exceedingly rare manifestation of secondary antiphospholipid syndrome (APS) in patients with systemic lupus erythematosus, often mimics invasive fungal sinusitis (IFS), causing diagn...

(This article belongs to the Section Immunology & Rheumatology)
  • Systematic Review
  • Open Access
848 Views
36 Pages

Green Light Therapy for Pain and Pain-Related Psychosocial Outcomes: A Systematic Review of Human Studies

  • Jaclyn Bain,
  • Anirudh Kompella,
  • Ryan Millan,
  • Emily P. Jones and
  • Caroline Sawicki

21 July 2026

Background/Objectives: Pain and psychosocial distress are highly prevalent across acute and chronic medical conditions and may negatively affect quality of life, treatment adherence, and clinical outcomes. Green light therapy has emerged as a non-pha...

(This article belongs to the Special Issue Advances and Clinical Comparisons in Analgesia: Pharmacological, Non-Pharmacological, and Device-Based Approaches)
  • Article
  • Open Access
991 Views
12 Pages

Risk Factors for Postoperative Complications in Hallux Valgus Surgery: A Retrospective Cohort Study

  • Isabel Buendía-Ayala,
  • Josefa Buendía-Ayala,
  • Lucille Ridgell,
  • Camila Miño,
  • José Francisco López-Gil,
  • Pedro Juan Tarraga-López and
  • Mateo Amando López-Cara

21 July 2026

Background/Objectives: Hallux valgus is a common forefoot deformity whose surgical correction generally yields favorable functional outcomes. However, postoperative complications remain a clinically relevant concern, and the contribution of preoperat...

(This article belongs to the Special Issue Joint Repair and Replacement: Current Challenges and Opportunities)
  • Systematic Review
  • Open Access
738 Views
16 Pages

Evolution of Friedreich’s Ataxia Management Across Established and Emerging Therapies—Systematic Review and Meta-Analysis

  • Basel Garah,
  • Hisham Aljabri,
  • Abdullah Aljohani,
  • Ethar Alnuzha,
  • Arwa Maihoub,
  • Reenad Almuzaini,
  • Layan Aljohani,
  • Layan Alshamani and
  • Majed Alluqmani

21 July 2026

Background: Friedreich’s ataxia (FRDA) is a neurodegenerative disorder driven by frataxin deficiency, resulting in mitochondrial dysfunction and reduced nuclear factor erythroid 2-related factor 2 (Nrf2) signaling. Pharmacologic trials have yie...

(This article belongs to the Section Clinical Neurology)
  • Article
  • Open Access
655 Views
16 Pages

21 July 2026

Background: Surgical sepsis complicated by acute kidney injury (AKI) is associated with high mortality, and early risk stratification remains challenging. The prognostic nutritional index (PNI), derived from serum albumin and lymphocyte count, reflec...

(This article belongs to the Special Issue Sepsis and Septic Shock: Diagnosis, Treatment, and Prognosis)

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J. Clin. Med. - ISSN 2077-0383