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Journal of Clinical Medicine, Volume 15, Issue 16

2026 August-2 - 369 articles

Cover Story: BTK inhibitors have transformed CLL and other B-cell malignancies, but cardiovascular safety increasingly affects their use. Patients are often older with high comorbidity burdens. Cardiovascular events should be seen as reflections of patient vulnerability, not isolated toxicities. Atrial fibrillation and hypertension are the most common; heart failure, ventricular arrhythmias, and bleeding carry serious prognostic weight. These events arise from drug–comorbidity interactions and may force dose reduction or discontinuation, compromising efficacy. This review summarizes the burden, mechanisms, and management of these complications, and proposes a practical, patient-centered framework for risk stratification, early detection, and proactive intervention to preserve long-term benefit. View this paper
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Articles (369)

  • Article
  • Open Access
1,307 Views
13 Pages

Course of Testosterone Levels and Potential Biochemical Biomarkers of Androgenization with a Conservative Protocol of Androgen Hormone Therapy in Transgender Males

  • Guillermo Velasco de Cos,
  • María Teresa García Unzueta,
  • Ana Moyano Martínez,
  • Pedro Muñoz Cacho,
  • Aurelia Villar Bonet,
  • Armando Raul Guerra Ruiz,
  • Bernardo A. Lavin-Gómez,
  • Maialen Ormazabal Monterrubio and
  • Luis Alberto Vázquez

21 August 2026

Objectives: This study aimed to evaluate the hormonal, hematologic, and biochemical outcomes of a conservative protocol for androgen therapy for transgender males. Methods: This was an observational, prospective, and comparative study conducted in th...

(This article belongs to the Section General Surgery)
  • Review
  • Open Access
937 Views
25 Pages

Acute Ischemic Stroke in 2026: From Time to Penumbra—An Updated Narrative Review of Reperfusion Strategies with a Latin American Implementation Perspective

  • Danilo Alejandro Solarte Ordoñez,
  • Jose Leonel Zambrano Urbano,
  • Harold Enrique Vasquez Ucros,
  • Ana Gabriela Cruz Suarez,
  • Angie Estefanía Arcos Bastidas,
  • Juan David Camacho Bolaños,
  • Darío S. López Delgado,
  • Angela Catalina Vallejo Cajigas,
  • Oriana Rivera-Lozada and
  • Joshuan J. Barboza
  • + 1 author

21 August 2026

Background/Objective: The management of acute ischemic stroke (AIS) has evolved from rigid time-based treatment paradigms toward tissue-based selection guided by advanced neuroimaging, thereby expanding eligibility for reperfusion therapies. To provi...

(This article belongs to the Special Issue Acute Ischemic Stroke: Current Status and Future Challenges—2nd Edition)
  • Article
  • Open Access
411 Views
19 Pages

21 August 2026

Background/Objectives: Chronic low back pain (CLBP) is the leading global cause of years lived with disability, but long-term real-world evidence for non-surgical management remains scarce, particularly in low- and middle-income countries. This study...

(This article belongs to the Special Issue Advances in Chronic Pain Research and Therapy)
  • Systematic Review
  • Open Access
316 Views
24 Pages

Association Between Cardiovascular Diseases and Lingual Varices: A Systematic Review and Meta-Analysis

  • Aya El Kanfoud-Ezzarraa,
  • Sonia Egido-Moreno,
  • Ani Mantinyan-Hakobyan,
  • Mónica Blázquez Hinarejos,
  • Beatriz González-Navarro,
  • Anna Oliveras Serrano,
  • Eva Otero-Rey and
  • José López-López

21 August 2026

Background/Objectives: Cardiovascular diseases (CVD) remain the leading cause of mortality worldwide. Early identification of individuals at risk is essential to reduce disease burden. Lingual varices (LV), a common oral vascular condition, have been...

(This article belongs to the Special Issue Prevention, Diagnosis and Treatment of Oral Mucosal Diseases)
  • Article
  • Open Access
263 Views
13 Pages

Electrophysiological Changes in Children with Isolated Persistent Left Superior Vena Cava: A Case–Control Study

  • Sule Arici,
  • Ozlem Surekli Karakus,
  • Gulperi Yagar Keskin,
  • Erkan Tas,
  • Fatih Alparslan Genc,
  • Sezin Bayraktar,
  • Metin Sungur and
  • Ayse Inci Yildirim

21 August 2026

Background: Persistent left superior vena cava (PLSVC) is the most common congenital anomaly of the thoracic venous system and is generally considered a benign variant. This study aimed to evaluate arrhythmia-related electrocardiographic parameters i...

(This article belongs to the Special Issue Pediatric Cardiology: Clinical Insights, Diagnostic Advances, and Therapeutic Challenges)
  • Review
  • Open Access
431 Views
25 Pages

21 August 2026

Catheter ablation is the cornerstone of rhythm control in atrial fibrillation (AF), yet recurrence remains common, and obesity is among the most consistently implicated modifiable risk factors. Weight reduction and metabolic pharmacotherapy are incre...

(This article belongs to the Special Issue Atrial Fibrillation: Contemporary Evidence from Prevention to Catheter Ablation)
  • Case Report
  • Open Access
263 Views
7 Pages

21 August 2026

Waterbirth has become a widely adopted alternative to a conventional delivery, with well-documented maternal benefits, but there is an ongoing debate regarding neonatal safety. We would like to report a case of a 10-day-old male neonate who developed...

(This article belongs to the Section Clinical Pediatrics)
  • Review
  • Open Access
350 Views
20 Pages

21 August 2026

Full-field stimulus threshold (FST) testing is a psychophysical method used to assess global retinal function, particularly in patients with severe visual impairment where conventional perimetry is unreliable. This review explores the development, cl...

(This article belongs to the Special Issue Advances in Retinal Diseases—Mechanisms, Diagnostics, and Emerging Therapies, 2nd Edition)
  • Article
  • Open Access
247 Views
11 Pages

MRI-Defined Osteonecrosis Extent After Locked Plate Fixation of Proximal Humeral Fractures: Correlation with Shoulder Motion and Radiographic Severity

  • Ahmet Serhat Aydin,
  • Dağhan Koyuncu,
  • Alper Şükrü Kendirici,
  • Mert Ballı,
  • Ali Erşen,
  • Görkem Durak and
  • Memduh Dursun

21 August 2026

Background/Objectives: Humeral head osteonecrosis is a recognised complication of locked plate fixation for proximal humeral fractures, yet the significance of necrotic lesion extent is poorly characterised. This study quantified MRI-defined osteonec...

(This article belongs to the Special Issue Shoulder and Elbow Diseases: Advances in Diagnosis, Treatment and Rehabilitation)
  • Review
  • Open Access
566 Views
17 Pages

More than Rehabilitation: The Role of Contextual Factors in Pain Perception and Recovery: What the Physiotherapy Literature Reports—A Narrative Review with a Systematic Search Strategy

  • Giulia Leonardi,
  • Francesco Bonanno,
  • Angelo Alito,
  • Francesca Cucinotta,
  • Clara Lombardo,
  • Antonio Di Dio,
  • Francesca Sposito,
  • Carmen Cucinotta,
  • Alfio Garofalo and
  • Simona Portaro

21 August 2026

Background: Pain is a multidimensional experience shaped not only by nociceptive input but also by cognitive, emotional, and social processes. In musculoskeletal (MSK) rehabilitation, outcome variability among patients with similar clinical presentat...

(This article belongs to the Special Issue Updates on Physiotherapy in Pain Management)
  • Review
  • Open Access
509 Views
21 Pages

Reprogramming the Evolution of High-Risk Prostate Cancer: Multidisciplinary Strategies to Delay Castration Resistance

  • Younghun Sim,
  • Jae Won Choi,
  • Dong Seob Kim,
  • Jeong Hyun Kim,
  • Sung Goo Yoon and
  • Jung Ki Jo

21 August 2026

Background/Objectives: High-risk prostate cancer is a biologically heterogeneous group of tumors carrying a substantial risk of progression to lethal, castration-resistant disease. Although androgen deprivation therapy (ADT) remains the therapeutic b...

(This article belongs to the Special Issue Delaying the Progression to Castration Resistance: Integrating Multidisciplinary Strategies and Tumor Survival Mechanisms in High-Risk Prostate Cancer)
  • Article
  • Open Access
335 Views
27 Pages

Explainable Multimodal Machine Learning Predicts 90-Day Treatment Failure in Older Patients with Fragility Fractures of the Pelvis

  • Kangwei Wang,
  • Yulin Cao,
  • Nan Gao,
  • Cong Ma,
  • Jianwen Wang,
  • Zishen Xia,
  • Aiwen Gui,
  • Yong Liu and
  • Yuxiong Weng

21 August 2026

Background: Fragility fractures of the pelvis (FFP) are increasingly encountered in older adults, yet early deterioration is difficult to anticipate because fracture instability interacts with frailty and systemic vulnerability. We developed and vali...

(This article belongs to the Special Issue Clinical Applications of Artificial Intelligence and Machine Learning in Diagnosis and Therapy)
  • Article
  • Open Access
532 Views
14 Pages

21 August 2026

Objective: Open surgical repair (OSR) remains an important treatment for abdominal aortic aneurysm (AAA), but its invasiveness contributes to substantial perioperative risk. Although Enhanced Recovery After Surgery (ERAS) pathways have improved outco...

(This article belongs to the Special Issue Aortic Diseases: Modern Strategies in Diagnosis, Management, and Prevention of Complications)
  • Review
  • Open Access
440 Views
19 Pages

21 August 2026

Dental caries is a biofilm-mediated, non-communicable, multifactorial disease in which the balance between demineralization and remineralization determines whether an initial enamel lesion remains stable, arrests, or progresses toward cavitation. Con...

(This article belongs to the Special Issue Oral Health and Systemic Diseases: Clinical Insights)
  • Article
  • Open Access
327 Views
19 Pages

Association Between Preoperative Cerebrovascular High-Risk Status and Long-Term Ischemic Stroke After EVAR

  • Linyao Zhu,
  • Chengxin Weng,
  • Jichun Zhao,
  • Bin Huang,
  • Ding Yuan,
  • Tiehao Wang,
  • Jinting Ge,
  • Huawei Zhang and
  • Jiarong Wang

21 August 2026

Objective: To investigate the impact of asymptomatic high-risk status for ischemic stroke on patients with abdominal aortic aneurysm undergoing endovascular aortic repair (EVAR). Methods: Eligible patients with abdominal aortic aneurysm who underwent...

(This article belongs to the Section Vascular Medicine)
  • Article
  • Open Access
282 Views
11 Pages

Comparison of Two Surgical Techniques for Implantation of the Ponto® Bone Conduction Implant

  • Paulina Podlawska-Nowak,
  • Wojciech Gawęcki and
  • Anna Bartochowska

21 August 2026

Objectives: The aim of this study was to compare the surgical and postoperative clinical outcomes of punch-only and linear incision techniques for implantation of the Ponto® bone conduction implant. Methods: Surgical and follow-up data were colle...

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

Comparison of Perioperative, Oncologic, and Functional Outcomes Following Robotic and Laparoscopic Intersphincteric Resection for Low Rectal Cancer: A Systematic Review and Meta-Analysis

  • Konstantinos Kossenas,
  • Maximos Frountzas,
  • Athanasios Syllaios,
  • Nikolaos Pararas,
  • Panagiotis Kokoropoulos,
  • Dimosthenis Michelakis,
  • Konstantinos Tsimogiannis,
  • Dimitrios Symeonidis and
  • Dimitrios Schizas

21 August 2026

Background: Intersphincteric resection (ISR) is a technically demanding sphincter-preserving procedure for low rectal cancer. While robotic surgery may offer technical advantages, evidence comparing robotic ISR (R-ISR) and laparoscopic ISR (L-ISR) re...

(This article belongs to the Special Issue Clinical Advancements in Laparoscopic Surgery for Gastrointestinal Diseases)
  • Review
  • Open Access
399 Views
17 Pages

Impact of Pregnancy and the Postpartum Period on Sudden Sensorineural Hearing Loss and Other Audiological Changes

  • Natalia Tomala,
  • Paweł Fecica,
  • Agata Ciećka,
  • Julia Graca,
  • Gabriela Dudek,
  • Anna Tracz,
  • Natalia Domaradzka,
  • Daria Kluba,
  • Karolina Dorobisz and
  • Katarzyna Pazdro-Zastawny

21 August 2026

Background/Objectives: Pregnancy is associated with profound hormonal, hemodynamic, and metabolic changes that may affect the auditory and vestibular systems. However, evidence regarding pregnancy-related audiological disturbances remains limited due...

(This article belongs to the Section Otolaryngology)
  • Article
  • Open Access
874 Views
12 Pages

Neutropenia and Lymphopenia in Systemic Lupus Erythematosus: Distinct Phenotypes and Associated Factors in a Saudi Multicenter Study

  • Roaa Aljohani,
  • Ghada Aljanobi,
  • Khawla K. Alghanim,
  • Nadeem Butt,
  • Alaa Ahmed,
  • Farah Alabbasi and
  • Samar Alharbi

21 August 2026

Background/Objectives: Neutropenia and lymphopenia are common hematologic manifestations of systemic lupus erythematosus (SLE), but whether they represent distinct phenotypes is not well established. This study evaluated their prevalence, patterns, a...

(This article belongs to the Section Immunology & Rheumatology)
  • Review
  • Open Access
445 Views
33 Pages

21 August 2026

Background/Objectives: Persistent spinal pain syndrome type 2 (PSPS-T2) is treated with two mechanistically distinct interventional families: epidural adhesiolysis (EA), directed at structural epidural pathology, and neuromodulation (NM), directed at...

(This article belongs to the Special Issue Spine Surgery and Postoperative Management)
  • Feature Paper
  • Article
  • Open Access
403 Views
18 Pages

21 August 2026

Background/Objectives: Proximal junctional kyphosis (PJK) is a frequent mechanical complication following adult spinal deformity (ASD) surgery, and osteoporosis is a well-recognized risk factor. However, whether the underlying risk factor profiles fo...

(This article belongs to the Special Issue Advances in Spinal Deformity: Current Challenges and Future Directions)
  • Article
  • Open Access
207 Views
17 Pages

Integrated Cranio-Cervical Organization in Adults: Association Between Morphocranial Pattern and Segmental Cervical Alignment After Orthodontic Treatment

  • Marta Serra Alierta,
  • Meritxell Sánchez-Molins,
  • Aroa Casado Rodriguez,
  • Maria Cristina Manzanares Cespedes and
  • Juan Gonzalo Olivieri

21 August 2026

Objective: This study aimed to examine the association between the study-specific Cl-Na/Cl-Ba cranial-base angle and segmental cervical organization in adults, considering both inclination and sagittal spatial position, and to explore whether longitu...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
366 Views
14 Pages

21 August 2026

Purpose: We aimed to describe retinal pigment epithelium (RPE) tears in patients with neovascular age-related macular degeneration (AMD) and pigment epithelial detachment (PED), focusing on OCT features and AI-assisted image analysis. Methods: This r...

(This article belongs to the Special Issue Imaging and Molecular Biomarkers: The New Approach to Degenerative Retinal Diseases)
  • Systematic Review
  • Open Access
345 Views
32 Pages

21 August 2026

Background/Objectives: Mechanical power (MP) quantifies the energy delivered to the respiratory system during ventilation and serves as a promising marker for ventilator-induced lung injury (VILI). According to its original definition by Gattinoni, M...

(This article belongs to the Special Issue Advancing Mechanical Ventilation in Critical Care: From Clinical Foundations to Personalized Strategies)
  • Review
  • Open Access
463 Views
20 Pages

Charcot–Marie–Tooth Cavovarus Foot: Current Concepts and Emerging Strategies for Deformity Correction

  • Sung Jun Moon,
  • Young Ki Min,
  • Glenn B. Pfeffer,
  • Byung Ki Cho,
  • Chan Kang,
  • Yea Eun Kang,
  • Woo Jin Shin and
  • Jae Hwang Song

21 August 2026

Charcot–Marie–Tooth (CMT) disease is the most prevalent inherited peripheral neuropathy, characterized by progressive motor and sensory dysfunction resulting from a wide spectrum of genetic abnormalities. More than 70% of affected individ...

(This article belongs to the Special Issue Foot and Ankle Surgery: Clinical Challenges and New Insights: 2nd Edition)
  • Article
  • Open Access
303 Views
13 Pages

Atrial Fibrillation and Documented Heart Failure in Patients Hospitalized with COVID-19: A Secondary Analysis of a Single-Centre Cohort from Western Romania

  • Ana-Maria Pah,
  • Cristiana Adina Avram,
  • Maria Rada,
  • Gheorghe Stoichescu-Hogea,
  • Adina Bucur,
  • Dan Alexandru Surducan,
  • Abdeldayem Mahmoud,
  • Ovidiu Calin Ilie,
  • Claudiu Avram and
  • Maria-Laura Craciun
  • + 2 authors

21 August 2026

Background/Objectives: Atrial fibrillation (AF) and heart failure (HF) frequently coexist, but later-pandemic data from Eastern Europe are limited. We evaluated their documented coexistence in patients hospitalized with COVID-19; the study was not de...

(This article belongs to the Special Issue Heart Failure Management Innovations, Evidence, and the Patient Perspective)
  • Review
  • Open Access
550 Views
17 Pages

21 August 2026

Background/Objectives: Obstructive sleep apnea (OSA) is a highly prevalent sleep-related breathing disorder caused by recurrent upper-airway collapse during sleep, leading to intermittent hypoxia, sleep fragmentation, and excessive daytime sleepiness...

(This article belongs to the Section Pharmacology)
  • Article
  • Open Access
211 Views
13 Pages

21 August 2026

Background: This study aims to assess the effectiveness and safety of modified parasternal nerve block (MPSB) in providing perioperative analgesia and improving postoperative recovery in patients undergoing off-pump coronary artery bypass grafting (O...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
388 Views
14 Pages

Arterial dP/dtmax Response to Fluids and Norepinephrine During Intraoperative Hypotension: A Prospective Physiological Study

  • Andrea Russo,
  • Manuel Ignacio Monge García,
  • Antonio Maria Dell’Anna,
  • Tiziano Torce’,
  • Salvatore Silvio Melcore,
  • Giuseppe Romano,
  • Francesco Scialanga,
  • Tiziana Iacobucci,
  • Flaminio Sessa and
  • Paola Aceto
  • + 2 authors

21 August 2026

Background: Intraoperative hypotension during major abdominal surgery is common and can result from changes in preload, afterload, or myocardial contractility. Recognising the underlying cause is essential for targeted haemodynamic management. Arteri...

(This article belongs to the Topic Advances in Hemodynamic Monitoring)
  • Article
  • Open Access
337 Views
20 Pages

21 August 2026

Background/Objectives: The apelin/APJ system has demonstrated neuroprotective effects in experimental studies by regulating key pathogenic mechanisms of ischemic stroke, including oxidative stress, apoptosis, cerebral edema, and inflammation. This st...

(This article belongs to the Special Issue Acute Ischemic Stroke: Current Status and Future Challenges—2nd Edition)
  • Article
  • Open Access
248 Views
12 Pages

Clinical Management of Ovarian Hyperstimulation Syndrome with Furosemide at a Tertiary Referral Center—A Retrospective Data Analysis

  • Daniel Mayrhofer,
  • Katharina Walch,
  • Marlene Hager,
  • Rebecca Künz,
  • Alina Hoeltz,
  • Rodrig Marculescu,
  • Johannes Ott and
  • Julian Marschalek

21 August 2026

Background/Objective: Ovarian hyperstimulation syndrome (OHSS) is a severe complication during controlled ovarian hyperstimulation. Ascites and consecutive hemoconcentration may lead to potentially life-threatening complications like thromboembolic e...

(This article belongs to the Section Obstetrics & Gynecology)
  • Review
  • Open Access
466 Views
13 Pages

The Role of General Practitioners in Actinic Keratosis Management in Europe: A Dermato-Oncologists Initiative

  • Claas Ulrich,
  • Markus V. Heppt,
  • Giuseppe Argenziano,
  • Maria Concetta Fargnoli,
  • Carla Ferrándiz-Pulido,
  • Thomas Jouary,
  • Aimilios Lallas,
  • César Martins,
  • Klara Mosterd and
  • Alba Crespo-Cruz
  • + 2 authors

21 August 2026

Background/Objectives: Actinic keratosis (AK) is the key precursor of invasive cutaneous squamous cell carcinoma (cSCC). Rising incidence, ageing populations, and limited dermatologists’ availability, particularly in rural and underserved regio...

(This article belongs to the Section Dermatology)
  • Article
  • Open Access
228 Views
18 Pages

21 August 2026

Background: The ability of preseason screening to identify athletes at risk for non-contact lower-limb injury remains uncertain. Purpose: To determine whether knee and ankle joint tests, body mass index (BMI), prior lower-limb injury, and Functional...

(This article belongs to the Special Issue Sports Injuries: Emerging Trends in Risk Mitigation, Management and Recovery)
  • Correction
  • Open Access
202 Views
3 Pages

Correction: Padrós-Augé et al. Effects of Strength Training on Neck Muscle Function and Tenderness in Patients with Chronic Headache: A Secondary Analysis of a Clinical Trial. J. Clin. Med. 2025, 14, 7364

  • Jordi Padrós-Augé,
  • Gemma Victoria Espí-López,
  • Henrik Winther Schytz,
  • Karen Søgaard,
  • Rafel Donat-Roca,
  • Henrik Baare Olsen and
  • Bjarne Kjeldgaard Madsen

21 August 2026

In the original publication [...]

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

Endoscopic Activity Prediction in Ulcerative Colitis Using Hemogram-Derived Inflammatory Indices: Impact of Azathioprine Use on Diagnostic Performance

  • Muhammed Kaya,
  • Gökhan Evren,
  • İbrahim Durak,
  • Tolga Düzenli,
  • Hüseyin Köseoğlu and
  • Mustafa Sadeçolak

21 August 2026

Objective: In ulcerative colitis (UC), endoscopic assessment remains central to disease monitoring, but repeated colonoscopy is invasive and resource-intensive. This study evaluated the association and discriminatory performance of the systemic immun...

(This article belongs to the Topic Advances in Comprehensive Management Strategies for Inflammatory Bowel Disease)
  • Review
  • Open Access
696 Views
25 Pages

Infective Endocarditis on Aortic Valve: From Diagnosis to Cardiac Surgical Intervention—Narrative Review

  • Francesco Loreni,
  • Federico Fortuni,
  • Alessandro Affronti,
  • Romina Pantanella,
  • Simone Perticoni,
  • Davide Di Lazzaro,
  • Antonio Nenna,
  • Raffaele Barbato,
  • Ciro Mastroianni and
  • Marcello Bergonzini
  • + 3 authors

20 August 2026

Infective endocarditis (IE) continues to represent a major challenge for global health systems. In 2019, its annual incidence was estimated at 13.8 cases per 100,000 individuals, contributing to approximately 66,300 deaths worldwide. Due to its high...

(This article belongs to the Special Issue Current Status, Challenges and Future Directions in Aortic Valve Replacement)
  • Review
  • Open Access
398 Views
17 Pages

The Importance of the First 24 Postoperative Hours: Does Current Evidence Support Short-Stay High-Acuity Care After Gynecologic Oncology and Complex Abdominal Surgery?

  • Vasilios Pergialiotis,
  • Maria Fanaki,
  • Rafaela Panagopoulou,
  • Pantelis Antonakis,
  • Konstantinos Bramis,
  • Emmanouil Stamatakis,
  • Dimitrios Efthimios Vlachos,
  • Dimitrios Haidopoulos and
  • Nikolaos Thomakos

20 August 2026

Background: Postoperative admission to critical care facilities is frequently employed following complex abdominal and gynecologic oncology surgery; however, the clinical value of routine short-stay (≤24 h) high-acuity care remains uncertain as th...

(This article belongs to the Special Issue Clinical Advances and Prospects in Gynecologic Oncology Surgery)
  • Article
  • Open Access
316 Views
19 Pages

20 August 2026

Objective: To examine acute BEFORE–AFTER changes in maximum, mean, and median surface-EMG RMS amplitudes recorded from four shoulder-girdle muscles around scheduled collegiate volleyball training sessions. Methods: Sixteen male collegiate volle...

(This article belongs to the Special Issue Sports Injuries: Emerging Trends in Risk Mitigation, Management and Recovery)
  • Article
  • Open Access
291 Views
12 Pages

Regional Variations in Melanoma Histologic Characteristics: A Multicenter Cohort Study from Two Southeastern European Countries

  • Jelena Jeremić,
  • Branko Suđecki,
  • Miloš Bojić,
  • Zoran Bukumirić,
  • Zorka Inić,
  • Milan Jovanović,
  • Milan Stojičić,
  • Zoran Terzić,
  • Marinko Paunović and
  • Marko S. Jović
  • + 1 author

20 August 2026

Background/Objectives: Cutaneous melanoma prognosis is largely determined at diagnosis, with Breslow thickness, subtype and other histopathological aspects being key prognostic indicators. Variations in healthcare organization and environmental facto...

(This article belongs to the Special Issue Skin Cancer: Prevention, Diagnosis, Quality of Life and Treatment Outcomes)
  • Article
  • Open Access
297 Views
18 Pages

20 August 2026

Background: Childhood asthma is clinically heterogeneous, yet simple clinical approaches for describing concurrent disease burden are limited. We tested whether a two-axis phenotype matrix—built from early-onset and/or high-burden wheeze and at...

(This article belongs to the Special Issue Advances in the Management of Chronic Cough and Severe Asthma)
  • Article
  • Open Access
334 Views
12 Pages

Prevalence, Serotype Distribution, and Antimicrobial Resistance of Streptococcus agalactiae Among Pregnant Women in Greece: A Retrospective Study

  • Anthia Chasiakou,
  • George Kaparos,
  • Stamatia Chasiakou,
  • Stiliani Demeridou,
  • Vasiliki Koumaki and
  • Athanasios Tsakris

20 August 2026

Background: Streptococcus agalactiae (group B Streptococcus, GBS) remains a leading cause of invasive infections in pregnant women, fetuses, and neonates. Universal screening at 36–37 weeks of gestation and intrapartum antimicrobial prophy...

(This article belongs to the Section Infectious Diseases)
  • Systematic Review
  • Open Access
335 Views
21 Pages

Sensorineural Hearing Loss in Major Systemic Autoimmune Rheumatic Diseases: A Systematic Review and Meta-Analysis

  • Amer Saffouri,
  • Alaa Safia,
  • Sameer Sawaed,
  • Azzam Azzam,
  • Sohaib Omari,
  • Yassin Rabah and
  • Uday Abd Elhadi

20 August 2026

Background: Sensorineural hearing loss (SNHL) has increasingly been recognized as an extra-articular manifestation of systemic autoimmune rheumatic disease (SARDs), but its burden and clinical characteristics remain inconsistent. This systematic revi...

(This article belongs to the Section Immunology & Rheumatology)
  • Article
  • Open Access
257 Views
14 Pages

Fentanyl Exposure Is Associated with Adverse Respiratory Outcomes in Ventilated Preterm Neonates: A Retrospective Matched Cohort Study

  • Maria Di Chiara,
  • Gianluigi Laccetta,
  • Maria Chiara De Nardo,
  • Lucia Dito and
  • Gianluca Terrin

20 August 2026

Background/Objectives: Fentanyl is widely used in ventilated preterm neonates, but respiratory safety evidence is limited. We assessed the association between fentanyl exposure during mechanical ventilation and respiratory outcomes in preterm neonate...

(This article belongs to the Section Clinical Pediatrics)
  • Article
  • Open Access
269 Views
15 Pages

The Usefulness of Falls Efficacy Scale-International in Predicting Falls in Chronic Kidney Disease Patients

  • Patryk Jerzak,
  • Mariusz Kusztal,
  • Krzysztof Benc,
  • Wioletta Dziubek,
  • Łukasz Rogowski,
  • Bożena Ostrowska,
  • Maja Pieczaba,
  • Maciej Gołębiowski,
  • Wiktoria Kłosowska and
  • Tomasz Gołębiowski
  • + 2 authors

20 August 2026

Background: The Falls Efficacy Scale-International (FES-I) is an assessment tool designed to measure the level of fear of falling in older adults. This scale was developed to evaluate how much an individual fears falling during various daily activiti...

(This article belongs to the Section Nephrology & Urology)
  • Systematic Review
  • Open Access
784 Views
13 Pages

20 August 2026

Background: Sleep-dependent glymphatic clearance has emerged as a potential mechanism linking sleep disruption with Alzheimer’s Disease (AD) pathology. However, the relationship between objectively measured sleep and glymphatic function across...

(This article belongs to the Section Clinical Neurology)
  • Review
  • Open Access
498 Views
18 Pages

Prenatal mTOR-Inhibitor Therapy for Fetal Cardiac Rhabdomyomas: Indications, Treatment Duration and Perinatal Outcomes

  • Ioannis Kyvernitakis,
  • Katharina Schramm,
  • Gert Wiegand,
  • Bernd Feyerabend and
  • Ahmet Alexander Baschat

20 August 2026

Background: Fetal cardiac rhabdomyomas are strongly associated with tuberous sclerosis complex (TSC). Although many remain asymptomatic and regress spontaneously, large tumors may cause ventricular inflow or outflow obstruction, arrhythmia, impaired...

(This article belongs to the Special Issue Clinical Advances in Prenatal Diagnosis and Fetal Therapy)
  • Review
  • Open Access
698 Views
28 Pages

The Relationship Between Eosinophilic Esophagitis and Laryngeal Manifestations: Pathophysiology, Clinical Overlap, and Diagnostic Challenges

  • Ionut Costin,
  • Mihai Dumitru,
  • Ovidiu Berghi,
  • Daniela Vrinceanu,
  • Alina Lavinia Antoaneta Oancea,
  • Andrei Cozea,
  • Alexandru Moldoveanu and
  • Georgeta-Carmen Fierbinteanu-Braticevici

20 August 2026

Background: Eosinophilic esophagitis (EoE) is a chronic type 2 immune-mediated esophageal disease defined by esophageal dysfunction and eosinophil-predominant inflammation. Beyond classic gastrointestinal symptoms, patients may present with aerodiges...

(This article belongs to the Special Issue Clinical Advances in Gastrointestinal Inflammation)
  • Article
  • Open Access
323 Views
15 Pages

Impact of Guideline-Directed Medical Therapy on Left Ventricular Function in Heart Failure Patients with Conventional Right Ventricular Pacing

  • Liviu Cirin,
  • Oana Pătru,
  • Silvia Luca,
  • Paul Ciubotaru,
  • Roxana Buzaș,
  • Constantin-Tudor Luca,
  • Daniel Lighezan and
  • Dragoș Cozma

20 August 2026

Background/Objectives: Heart failure (HF) in patients with conventional right ventricular pacing with significant pacing percentages is still a subject of concern, and management of HF in this population has historically been difficult; however, nove...

(This article belongs to the Special Issue Heart Failure Management Innovations, Evidence, and the Patient Perspective)
  • Article
  • Open Access
311 Views
20 Pages

20 August 2026

Objectives: To determine whether the superior anatomical control achieved with a treat-and-extend (T&E) anti-VEGF regimen translates into better five-year visual outcomes than a pro re nata (PRN) regimen in treatment-naïve center-involving d...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
348 Views
12 Pages

20 August 2026

Objectives: The aim of this study was to evaluate the reliability, accuracy, and morbidity of dynamic sentinel lymph node biopsy (DSNB) in patients with intermediate- and high-risk penile cancer who had clinically negative lymph nodes, with a focus o...

(This article belongs to the Section Nephrology & Urology)

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J. Clin. Med. - ISSN 2077-0383