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Journal of Clinical Medicine, Volume 15, Issue 4

2026 February-2 - 361 articles

Cover Story: Ear surgery has historically been performed with a microscope with a post-auricular incision. Endoscopic ear surgery (EES) is the single most significant area of innovation in the recent history of otologic surgery. The basic principle of EES involves the endoscope being inserted through the ear canal and bypassing narrow areas, facilitating a wide and magnified field of view of the middle and inner ear. The hidden recesses of the ear can thereby be readily seen and accessed. Minimally invasive of surgeries are made possible, which are widely acknowledged as improving outcomes such as pain, length of stay, and surgical complications. EES can be applied to a variety of otologic pathologies including cholesteatoma, tympanic membrane perforations, and otosclerosis and is increasingly becoming a part of standard otologic surgical training and practice. View this paper
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Articles (361)

  • Systematic Review
  • Open Access
1,051 Views
31 Pages

The Current State of Intraoperative Imaging in Maxillofacial Surgery: A Systematic Review

  • Charlotte Thomas,
  • Gary Dong,
  • Dorien I. Schonebaum,
  • Sanjana Challa,
  • Alynah J. Adams,
  • Emily Song,
  • Fatima Arif,
  • Jose A. Foppiani,
  • Warren Schubert and
  • Samuel J. Lin
  • + 1 author

23 February 2026

Background: In maxillofacial reconstruction, even small inaccuracies can compromise aesthetics, function, and safety. Surgeons currently rely on preoperative imaging; however, recent advances in intraoperative imaging now provide three-dimensional, r...

(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
  • Article
  • Open Access
1 Citations
1,072 Views
13 Pages

Expert Perspectives on Managing Iron Deficiency in People with CKD and/or HF

  • Sunil Bhandari,
  • John G. F. Cleland,
  • Fozia Z. Ahmed,
  • Fraser J. Graham,
  • Matt Hall,
  • Paul R. Kalra,
  • Philip A. Kalra,
  • Kate I. Stevens,
  • David C. Wheeler and
  • Imogen Taylor
  • + 4 authors

23 February 2026

Background: Iron deficiency (ID) is common among people with chronic kidney disease (CKD) and/or heart failure (HF). Despite the additional burden ID causes among people with CKD and HF, there is considerable uncertainty surrounding the best way to d...

(This article belongs to the Section Nephrology & Urology)
  • Article
  • Open Access
1 Citations
1,172 Views
16 Pages

Impact of Large Language Model Assistance on Radiologists’ Diagnostic Performance for Brain Tumors by Experience Level

  • Chae Won Song,
  • Byung Hyun Baek,
  • Seul Kee Kim,
  • Woong Yoon,
  • Yun Young Lee,
  • Ilwoo Park,
  • Jae Hyun Park,
  • Seol Bin Park and
  • In Woo Choi

23 February 2026

Background: Large language models (LLMs) may assist radiologists in interpreting brain tumor MRI. We compared the diagnostic accuracy of ChatGPT-4o and Claude 3.5 Sonnet with that of board-certified radiologists and trainees, and evaluated whether LL...

(This article belongs to the Section Clinical Research Methods)
  • Article
  • Open Access
1 Citations
879 Views
16 Pages

Cardio-Reno-Microvascular Phenotypes and Multifactorial Cardiometabolic Target Achievement in Type 2 Diabetes

  • Silvia Ana Luca,
  • Raluca Malina Bungau,
  • Andreea Herascu,
  • Alin Albai,
  • Sandra Lazar and
  • Bogdan Timar

23 February 2026

Background: Patients with type 2 diabetes (T2D) have high morbidity and mortality rates, mainly due to cardiovascular diseases (CVDs). Given the heterogeneity of this population, in whom atherosclerotic CVD may coexist with varying degrees of microva...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
1 Citations
905 Views
10 Pages

23 February 2026

Introduction: Ceramic-on-ceramic (CoC) articulation in total hip arthroplasty (THA) offers excellent wear characteristics but carries risks such as liner malseating and ceramic fracture. To solve these problems, monoblock acetabular cups with preasse...

(This article belongs to the Special Issue Total Hip Arthroplasty Today: Trends, Challenges, and Future Directions)
  • Article
  • Open Access
913 Views
18 Pages

Association Between Body Mass Index and Clinical Outcomes of CDK4/6 Inhibitors in HR+/HER2− Metastatic Breast Cancer: A Real-World Cohort Study

  • Seval Orman,
  • Miray Aydoğan,
  • Nisanur Sarıyar Busery,
  • Sedat Yıldırım,
  • Hacer Şahika Yıldız,
  • Hamit Bal,
  • Utku Dönem Gündoğdu,
  • Seval Ay Ersoy,
  • Deniz Işık and
  • Nedim Turan
  • + 1 author

23 February 2026

Background: Body mass index (BMI) has been widely investigated as a potential prognostic factor in breast cancer; however, its clinical relevance in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2&m...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1,110 Views
17 Pages

Avoiding False-Positive Glaucoma Diagnosis in Myopic Eyes: Clinical Importance of OCT Scan Diameter

  • Saadet Gültekin Irgat,
  • Ramazan Demirel,
  • Ecem Ulutürk,
  • Alpaslan Koç,
  • Fatih Özcura and
  • Özlem Arık

23 February 2026

Background/Objectives: Diagnosing glaucoma in myopic eyes remains challenging because myopia-related structural changes can mimic glaucomatous damage on optical coherence tomography (OCT). This study aimed to identify the optimal circular scan diamet...

(This article belongs to the Section Ophthalmology)
  • Review
  • Open Access
1,047 Views
12 Pages

23 February 2026

Epileptic activities can affect various aspects including neuropsychological and social functions, which lead to reductions in quality of life (QOL) for epileptic children. Social function in epileptic children can be negatively impacted due to emoti...

(This article belongs to the Section Clinical Neurology)
  • Article
  • Open Access
2 Citations
1,011 Views
13 Pages

Early Prediction of 90-Day Periprosthetic Joint Infection After Hip Arthroplasty for Proximal Femur Fracture Using Machine Learning: Development and Temporal Validation of a Predictive Model

  • Nicolò Giuseppe Biavardi,
  • Francesco Pezone,
  • Federico Morlini,
  • Mattia Alessio-Mazzola,
  • Valerio Pace,
  • Pierluigi Antinolfi,
  • Giacomo Placella and
  • Vincenzo Salini

23 February 2026

Background: Periprosthetic joint infection (PJI) after hip arthroplasty for proximal femur fracture is a severe complication, and early postoperative identification remains challenging. This study developed and validated machine learning (ML) models...

(This article belongs to the Special Issue Clinical Advances in Trauma and Orthopaedic Surgery)
  • Article
  • Open Access
1 Citations
900 Views
13 Pages

Mixed-Reality-Assisted Physician-Modified Stent Grafts: An Experimental Pre-Clinical Feasibility Study Using the Valiant Captivia and Endurant II Stent Graft Systems

  • Johannes Hatzl,
  • Jana Ebner,
  • Christian Uhl,
  • Andreas Sebastian Peters,
  • Alexandru Barb,
  • Jonathan Fiering,
  • Alexandra Marquardt and
  • Dittmar Böckler

23 February 2026

Objectives: Physician-modified endografts (PMEGs) expand endovascular treatment options in urgent or cost-sensitive settings where industry-provided custom-made devices (CMDs) are not available. Current PMEG manufacturing techniques are time-consumin...

(This article belongs to the Special Issue Aortic Diseases: Modern Strategies in Diagnosis, Management, and Prevention of Complications)
  • Article
  • Open Access
3 Citations
991 Views
12 Pages

Real-Time Perfusion Assessment with Hyperspectral Imaging After Revascularization in Peripheral Artery Disease

  • Michaela Kluckner,
  • Wolfgang Hitzl,
  • Florian K. Enzmann,
  • David Wippel,
  • Maximilian Lutz and
  • Sabine Wipper

23 February 2026

Background/Objectives: Hyperspectral imaging (HSI) facilitates noninvasive assessment of tissue perfusion in patients with peripheral arterial disease. However, available studies are either based on small cohorts and provide no comparison to standard...

(This article belongs to the Special Issue Advances in Vascular and Endovascular Surgery: Second Edition)
  • Article
  • Open Access
1 Citations
976 Views
12 Pages

Symptom-Oriented, Connectome-Informed Deep Brain Stimulation for Asymmetric Dystonic Tremor: Unilateral Ventral Intermediate Nucleus (VIM) DBS Targeting a Tremor-Dominant Network

  • Olga Mateo-Sierra,
  • Javier Ricardo Pérez-Sánchez,
  • Beatriz De la Casa-Fages,
  • María Teresa Del Castillo,
  • Pilar Fernández,
  • Pascual Elvira,
  • José Paz and
  • Francisco Grandas

23 February 2026

Background: Deep brain stimulation (DBS) has traditionally followed diagnosis-driven, nucleus-centered targeting paradigms. Increasing evidence supports a circuit-based framework in which clinical outcomes depend on modulation of symptom-relevant net...

(This article belongs to the Section Clinical Neurology)
  • Article
  • Open Access
1,104 Views
12 Pages

Surgical Complications in Hirschsprung Disease and the Impact of Botulinum Toxin Injection on Hirschsprung-Associated Enterocolitis

  • Fatma Özcan Siki,
  • Mehmet Sarikaya,
  • İlhan Çiftci,
  • Gamze Kaygisiz Bayindir,
  • Metin Gündüz and
  • Tamer Sekmenli

23 February 2026

Background: Hirschsprung disease (HD) is associated with substantial postoperative morbidity, particularly due to Hirschsprung-associated enterocolitis (HAEC), despite definitive surgical treatment. Postoperative outcomes may vary according to the le...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Case Report
  • Open Access
950 Views
7 Pages

23 February 2026

Background: Endometriosis is a chronic, estrogen-dependent disorder that may extend beyond the pelvis to involve the gastrointestinal tract, most commonly the rectosigmoid and, less frequently, the small bowel. Although often asymptomatic, such lesio...

(This article belongs to the Section General Surgery)
  • Article
  • Open Access
1 Citations
1,205 Views
14 Pages

Range of Motion and Muscle Activity During the Front Kick in Karate Kyokushin

  • Jacek Kaczmarski,
  • Monika Błaszczyszyn and
  • Zbigniew Borysiuk

23 February 2026

Background/Objectives: The front kick is among the most commonly used techniques in martial arts. This study aimed to analyze the range of motion during the mae-geri kick in advanced-level Kyokushin karate practitioners compared to an intermediate-le...

(This article belongs to the Special Issue Advances in the Prevention, Diagnosis, and Rehabilitation of Sports Injuries)
  • Review
  • Open Access
3 Citations
1,908 Views
19 Pages

23 February 2026

In 2023, the terminology of metabolic dysfunction-associated steatotic liver disease (MASLD) was proposed. MASLD uses metabolic abnormalities as an inclusion criterion. On the other hand, sarcopenia is defined by decrease in muscle mass and muscle st...

(This article belongs to the Section Endocrinology & Metabolism)
  • Article
  • Open Access
10 Citations
1,020 Views
18 Pages

22 February 2026

Introduction: Acute coronary syndrome (ACS), encompassing unstable angina, NSTEMI, and STEMI, is a major cause of morbidity and mortality worldwide. Novel inflammatory and nutritional biomarkers may provide incremental value for risk stratification b...

(This article belongs to the Special Issue Acute Coronary Syndromes: Clinical Advances in Diagnosis and Treatment)
  • Article
  • Open Access
2 Citations
1,672 Views
14 Pages

Outcomes of First-Line PARP Inhibitor Therapy in Ovarian Cancer: A Multicenter Retrospective Analysis

  • Baris Koksal,
  • Hasan Cagri Yildirim,
  • Deniz Can Guven,
  • Fatih Kose,
  • Gorkem Koymen,
  • Ozlem Ozdemir,
  • Ugur Ozberk,
  • Efnan Algin,
  • Murad Guliyev and
  • Zafer Arik
  • + 47 authors

22 February 2026

Background: Poly(ADP-ribose) polymerase (PARP) inhibitors have been established as a first-line maintenance therapy in advanced epithelial ovarian cancer (EOC) following platinum-based chemotherapy. While phase III trials have demonstrated significan...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1 Citations
831 Views
13 Pages

Associations Between Nasal Receptors and Olfactory Dysfunction and Dysgeusia in Coronavirus Disease 2019 (COVID-19)

  • Ana María Piqueras-Sánchez,
  • José Francisco López-Gil,
  • Diego Hellín-Meseguer,
  • Juan Cabezas-Herrera,
  • Ginés Francisco Blesa-Llaona,
  • José Meseguer-Cabezas,
  • Enrique Bernal-Morell,
  • Alfredo Minguela-Puras and
  • José Antonio Díaz-Manzano

22 February 2026

Background/Objectives: Olfactory dysfunction and dysgeusia are common neurosensory manifestations of Coronavirus Disease 2019 (COVID-19), affecting approximately 60% of patients. These symptoms have been mechanistically linked to receptors involved i...

(This article belongs to the Special Issue Update on Acute Severe Respiratory Infections: 2nd Edition)
  • Case Report
  • Open Access
1,057 Views
11 Pages

22 February 2026

Background/Objectives: Steroid-induced glaucoma (SIG) or ocular hypertension is a well-known complication after corticosteroid exposure to the eye, particularly intravitreal dexamethasone implantation. The main mechanism of elevated intraocular press...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
1 Citations
1,080 Views
11 Pages

Relationship Between Perivascular Fat Inflammation and Coronary Atherosclerotic Plaque Composition

  • Leif-Christopher Engel,
  • Rafael Adolf,
  • Salvatore Cassese,
  • Erion Xhepa,
  • Adnan Kastrati,
  • Michael Joner,
  • Heribert Schunkert,
  • Martin Hadamitzky and
  • Philipp Nicol

22 February 2026

Background: Perivascular fat attenuation index (FAI) derived from coronary CT angiography (CCTA) has emerged as a quantitative biomarker of vascular inflammation, with potential to improve risk stratification in coronary artery disease (CAD) patients...

(This article belongs to the Special Issue Cardiac Imaging in Cardiovascular Disorders)
  • Review
  • Open Access
2 Citations
9,529 Views
32 Pages

Exercise Stress Testing in Clinical Cardiology: A Practical Guide to Performance and Interpretation

  • Chiara Carluccio,
  • Francesco Bressan,
  • Matteo Pizzolato,
  • Amedeo De Antoni,
  • Simone Ungaro,
  • Dorottya Balla,
  • Alberto Cipriani,
  • Manuel De Lazzari,
  • Martina Perazzolo Marra and
  • Francesca Graziano
  • + 3 authors

22 February 2026

Exercise stress testing remains one of the most widely used and cost-effective diagnostic tools in clinical cardiology. Beyond the traditional evaluation of induced ischemia, it provides valuable information on functional capacity, blood pressure res...

(This article belongs to the Section Cardiovascular Medicine)
  • Review
  • Open Access
6 Citations
1,735 Views
18 Pages

Sex and Gender Differences in Chronic Kidney Disease—Explained by the Brenner–Luyckx Concept of Hyperfiltration

  • Sylvia Stracke,
  • Jonas Wille,
  • Angelina Smolka,
  • Ron Henkel,
  • Kirubel Biruk Shiferaw,
  • Dagmar Waltemath,
  • Frieder Keller,
  • Tilman Schmidt,
  • Robert Wolf and
  • Philipp Töpfer
  • + 2 authors

22 February 2026

At the beginning of life, there are no sex differences in fetal kidney growth, nephron endowment nor in the prevalence of low birth weight. In chronic kidney disease (CKD) in adults, however, significant sex- and gender-specific differences exist in...

(This article belongs to the Special Issue Chronic Kidney Disease Management: Integrating Pharmacotherapy, Biomarkers, and Lifestyle Interventions for Improved Outcomes)
  • Review
  • Open Access
8 Citations
6,257 Views
25 Pages

Pelvic Congestion Syndrome: The Gynecological Perspective

  • Christian Krambeck,
  • Karolin Tesch,
  • Rafał Watrowski,
  • Nicolai Maass and
  • Ibrahim Alkatout

22 February 2026

Background/Objectives: Chronic pelvic pain (CPP) is defined as pelvic pain lasting longer than six months and is a common yet often overlooked condition, affecting over 40% of women worldwide and accounting for about 10% of gynecological consultation...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
2 Citations
950 Views
16 Pages

22 February 2026

Background: Minimally invasive spinal stabilization (MISS) is increasingly used in metastatic spine surgery, but comparative evidence vs. open posterior stabilization (OPEN) remains limited. We compared perioperative outcomes, focusing on wound-relat...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
1 Citations
806 Views
10 Pages

22 February 2026

Background/Objectives: Preterms often experience unnecessary delays in discharge. This quality improvement (QI) project aimed to reduce length of stay (LOS) in the neonatal intensive care unit (NICU). Methods: In this before-and-after intervention st...

(This article belongs to the Special Issue Clinical Diagnosis and Management of Neonatal Diseases)
  • Review
  • Open Access
5 Citations
1,992 Views
32 Pages

Artificial Intelligence for Opioid Safety Surveillance from Clinical Text: A Clinically Focused Review

  • Md Muntasir Zitu,
  • Dwight Owen,
  • Ashish Manne,
  • Yuxi Zhu,
  • Samar Binkheder and
  • Lang Li

22 February 2026

Opioid-related iatrogenic harms, including opioid use disorder, overdose, and opioid-induced respiratory depression, constitute a major patient safety challenge. Although clinicians document key safety signals in unstructured clinical narratives, man...

(This article belongs to the Section Machine Learning and Artificial Intelligence in Clinical Medicine)
  • Review
  • Open Access
1,310 Views
12 Pages

Dupilumab-Related Ocular Surface Disease in Atopic Dermatitis: Risk Stratification, Monitoring, and Persistence-Preserving Management

  • Stefano Bighetti,
  • Luca Bettolini,
  • Carlo Alberto Maronese,
  • Federica Macchi,
  • Zeno Fratton,
  • Vincenzo Maione,
  • Mario Valenti,
  • Giovanni Paolino,
  • Andrea Carugno and
  • Mariateresa Rossi
  • + 4 authors

22 February 2026

Background/Objectives: Dupilumab-related ocular surface disease (DROSD) is a significant safety challenge in atopic dermatitis (AD) management, potentially leading to treatment interruption despite cutaneous efficacy. This narrative review evaluates...

(This article belongs to the Section Dermatology)
  • Review
  • Open Access
1 Citations
3,614 Views
14 Pages

Pulsed Field Ablation for Atrial Fibrillation: Contemporary Clinical Evidence and Real-World Experience in Redo Ablation

  • Ioanna Koniari,
  • Eleni Artopoulou,
  • Scott Gall,
  • Gavin S. Chu,
  • Rafail Koros,
  • Maria Bozika,
  • Kassiani-Maria Nastouli,
  • Georgios Leventopoulos,
  • Shajil Chalil and
  • Aruna Arujuna

22 February 2026

Atrial fibrillation (AF) is the most common prevalent sustained arrhythmia and is associated with stroke, heart failure, and impaired health-related quality of life. Due to the complexity of the initiation and the persistence of AF, the pulmonary vei...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
919 Views
10 Pages

22 February 2026

Background/Objectives: Chronic persistent postoperative pain after cardiac surgery, first described as Post CABG Pain Syndrome (PCPS), has been a well-recognized problem since 1989. This study investigated the effect of a single preoperatively admini...

(This article belongs to the Special Issue Advances in Anesthesia for Cardiac Surgery)
  • Article
  • Open Access
996 Views
15 Pages

Genetic Polymorphism of IL-1A, IL-1B and TNFA Predicting the Presence of Periodontopathogenic Bacteria

  • Nina Kalajzic,
  • Ajka Pribisalic,
  • Marina Adriana Jezina Buselic,
  • Samra Prentic Bakic,
  • Dunja Petricic,
  • Ferdinand Josip Buselic,
  • Davorka Sutlovic and
  • Sendi Kuret

22 February 2026

Background/Objectives: Periodontitis is a chronic inflammatory disease characterized by complex interactions between periodontal pathogens and the host immune response. Pro-inflammatory cytokines, particularly interleukins, may influence bacterial co...

(This article belongs to the Special Issue Periodontal Diseases and Systemic Health: Pathogenesis, Prevention and Management)
  • Article
  • Open Access
1 Citations
706 Views
12 Pages

Myocardial Work Indices Predict Survival Post TAVI in Aortic Stenosis Patients

  • Michał Jakub Błaszkiewicz,
  • Tomasz Grzegorz Witkowski,
  • Wojciech Bombała,
  • Michał Kosowski,
  • Piotr Kübler,
  • Krzysztof Aleksandrowicz,
  • Ewa Anita Jankowska and
  • Marcin Protasiewicz

22 February 2026

Background: Left Ventricle Myocardial Work (LVMW) has shown utility in assessing patients with aortic stenosis (AS) in recent studies. In the present study, we evaluated the predictive value and optimal cut-off values of LVMW parameters measured prio...

(This article belongs to the Special Issue The New Perspective in Transcatheter Aortic Valve Implantation (TAVI))
  • Perspective
  • Open Access
4 Citations
2,277 Views
17 Pages

22 February 2026

Mycoplasma pneumoniae infections declined sharply during COVID-19 non-pharmaceutical interventions but have resurged in multiple regions after restrictions were lifted. This narrative Perspective synthesizes recent epidemiologic and molecular observa...

(This article belongs to the Section Respiratory Medicine)
  • Review
  • Open Access
5 Citations
2,461 Views
34 Pages

Point-of-Care EEG for Non-Convulsive Seizure and Status Epilepticus: Advances, Limitations, and Future Directions

  • Ana Leticia Fornari Caprara,
  • Jamir Pitton Rissardo,
  • Hana Rababeh,
  • April Pivonka,
  • Priya Shah,
  • Kaitlyn Piotrowski,
  • Matthew George Petruncio,
  • Anusha Keshireddy,
  • Zehra Jaffri and
  • Evren Burakgazi-Dalkilic
  • + 4 authors

22 February 2026

Point-of-care electroencephalography (POC-EEG) has emerged as a practical tool for the rapid detection of non-convulsive seizures (NCS) and non-convulsive status epilepticus (NCSE) in acute neurological settings where access to conventional EEG is of...

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

21 February 2026

Introduction: Central nervous system (CNS) involvement is reported to represent 5% of extranodal diffuse large B cell lymphoma (DLBCL) at diagnosis. To stratify patients’ risk of CNS involvement, the CNS-International Prognostic Index (CNS-IPI)...

(This article belongs to the Section Hematology)
  • Systematic Review
  • Open Access
1 Citations
4,285 Views
18 Pages

21 February 2026

Background: The labia minora are cutaneous folds richly innervated along their entire edge and are important for the protection of internal structures. Several studies have emphasized the wide interindividual variability in labia minora appearance. A...

(This article belongs to the Section Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine)
  • Article
  • Open Access
1 Citations
1,637 Views
12 Pages

The Effect of Dry Eye Disease Treatment Prior to Cataract Surgery on Refractive Error Reduction

  • Katarzyna Biela,
  • Mateusz Winiarczyk,
  • Beata Gumieniak-Goch and
  • Jerzy Mackiewicz

21 February 2026

Background/Objectives: Dry-eye disease (DED) is a disorder of the eye surface associated, among other things, with tear film instability. It can lead to abnormal biometry results, especially with respect to keratometry. DED is more common in the elde...

(This article belongs to the Special Issue Cataract and Refractive Surgery and Intraocular Lens Implantation: Clinical Advances and Perspectives)
  • Article
  • Open Access
917 Views
13 Pages

Low Detection Rate of Possible Anesthesia-Related Complications After Pediatric Inguinal Hernia Repair Challenges Current Postoperative Monitoring Protocols

  • Roxanne Eurlings,
  • Nakhari A. S. Alberto,
  • Joep P. M. Derikx,
  • Hamit Cakir,
  • Michiel W. P. de Wolf,
  • Wim G. van Gemert and
  • Ruben G. J. Visschers

21 February 2026

Background: Inguinal hernia repair (IHR) is frequently performed in infants, often under general anesthesia. Preterm infants are routinely monitored for 24 h postoperatively, due to high reported rates of respiratory complications. However, recent da...

(This article belongs to the Special Issue Advances and Trends in Pediatric Surgery)
  • Article
  • Open Access
764 Views
20 Pages

The Role of Indocyanine Green Angiography and Axillary Reverse Mapping in Breast Reconstruction Surgery

  • Teodora Mihaela Peleaşǎ,
  • Aniela Nodiți-Cuc,
  • Rǎzvan Ioan Andrei,
  • Maria Teodora Popa and
  • Alexandru Blidaru

21 February 2026

Introduction: Implant-based breast reconstruction is associated with an increased risk of ischemic complications, which may result in implant loss, suboptimal aesthetic outcomes, and delays in adjuvant oncological treatment. Additionally, axillary su...

(This article belongs to the Special Issue Personalized Modern Oncological Strategies for Breast Cancer Treatment)
  • Case Report
  • Open Access
1,044 Views
13 Pages

Management of Great Saphenous Vein and Inferior Vena Cava Leiomyosarcomas: Two Surgical Case Reports and Literature Review

  • Patrik Buzgǎu,
  • Emil-Marian Arbănași,
  • Claudiu Constantin Ciucanu,
  • Réka Bartus,
  • Eliza-Mihaela Arbănași,
  • Adrian Vasile Mureșan,
  • Eliza Russu,
  • Marius-Alexandru Beleaua,
  • Emőke Horváth and
  • Gian Luca Grazi
  • + 3 authors

21 February 2026

Background: Vascular leiomyosarcoma (LMS) is an exceptionally rare and aggressive soft tissue sarcoma arising from the smooth muscle cells of the vascular wall. They account for approximately 0.5–2% of adult soft-tissue sarcomas and are the mos...

(This article belongs to the Special Issue Clinical Perspectives of Vascular and Endovascular Surgeries)
  • Article
  • Open Access
1 Citations
944 Views
15 Pages

CBCT-Based Orthodontic Classification Using Commercial AI: Completeness and Accuracy in Independent Validation

  • Natalia Kazimierczak,
  • Nora Sultani,
  • Szymon Krzykowski,
  • Zbigniew Serafin and
  • Wojciech Kazimierczak

21 February 2026

Background/Objectives: Artificial intelligence (AI) tools for orthodontic diagnosis are increasingly used in clinical practice; however, there is limited evidence regarding their performance in CBCT-based assessments. In this study, we evaluated the...

(This article belongs to the Special Issue Artificial Intelligence (AI) in Dental Clinical Practice)
  • Article
  • Open Access
1 Citations
1,036 Views
15 Pages

Long-Term Outcomes of Mechanical Mitral Valve Replacement: A Comparison of Four Valve Types

  • Amr A. Arafat,
  • Fatimah A. Alhijab,
  • Monirah A. Albabtain,
  • Musab Kiddo,
  • Rwan Alghamdi,
  • Saud Alshehri,
  • Ismail M. Alnaggar,
  • Mostafa A. Shalaby,
  • Huda H. Ismail and
  • Khaled A. Alotaibi

21 February 2026

Background: The choice of mechanical prosthesis for mitral valve replacement (MVR) is critical, yet data comparing long-term outcomes across different valve types are still needed. This study aimed to compare the long-term clinical and echocardiograp...

(This article belongs to the Special Issue Advances in Structural Heart Diseases)
  • Review
  • Open Access
1,375 Views
9 Pages

21 February 2026

Background: In 2016, Charles McMonnies advanced a theory positing that the use of scleral lenses might result in an elevation of intraocular pressure (IOP) due to the compression of the episcleral veins, consequently diminishing the eye’s capac...

(This article belongs to the Special Issue Clinical Advances in Scleral Lenses: New Insights in Lens Fitting and Customization)
  • Opinion
  • Open Access
1 Citations
2,633 Views
10 Pages

The Lyme Disease Vaccine Paradox

  • Eric L. Siegel and
  • Stephen M. Rich

21 February 2026

Lyme disease causes a significant financial and health burden. Recent advances in developing new Lyme disease vaccines have renewed optimism that vaccination may serve as an additional strategy to reduce this burden. Vaccination alone will not addres...

(This article belongs to the Section Epidemiology & Public Health)
  • Article
  • Open Access
600 Views
14 Pages

Perceived Impact of a Junior–Senior Inpatient Team Model on Clinical Workflow, Supervision, and Workload in a Tertiary Gastroenterology Department: A Mixed-Methods Study

  • Akira Uchiyama,
  • Hiroo Fukada,
  • Tsutomu Takeda,
  • Hirofumi Fukushima,
  • Maki Tobari,
  • Dai Ishikawa,
  • Toshio Fujisawa,
  • Kenichi Ikejima,
  • Akihito Nagahara and
  • Hiroyuki Isayama

21 February 2026

Background: In many inpatient settings, physician coverage is organized around single-attending responsibility, which can create challenges in supervision and workload distribution, particularly in procedurally intensive environments. To address thes...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Review
  • Open Access
1,255 Views
16 Pages

21 February 2026

Background/Objectives: Robotic-assisted radical prostatectomy (RARP) is a standard treatment for localized and locally advanced prostate cancer; however, optimizing oncologic control while preserving urinary continence and erectile function remains c...

(This article belongs to the Section Nephrology & Urology)
  • Review
  • Open Access
1 Citations
2,165 Views
14 Pages

Point-of-Care Transcranial Doppler Sonography at the Intensive Care Unit—A Practical Review of the Fundamentals

  • Péter Siró,
  • Zsófia Fülesdi,
  • Csilla Molnár,
  • Róbert Almási,
  • László Csiba and
  • Béla Fülesdi

20 February 2026

Point-of-care ultrasonography (POCUS) has become an integral part of intensive and emergency care. Despite the widespread use and availability of multipurpose ultrasound devices, the regular assessment of intracranial circulatory conditions has not b...

(This article belongs to the Special Issue Current Challenges and Innovations in Emergency Medicine: From Prehospital Care to Critical Decision-Making in the Emergency Department)
  • Review
  • Open Access
15 Citations
1,635 Views
17 Pages

Integrating Psychiatric, Psychotherapeutic, and Nursing Care in Intranasal Esketamine for Treatment-Resistant Depression

  • Vassilis Martiadis,
  • Fabiola Raffone,
  • Serena Testa,
  • Concetta Iaccarino,
  • Paolo Giunnelli,
  • Ada Orrico,
  • Emilia Carbone,
  • Salvatore Clemente,
  • Carmine De Simone and
  • Carlo Ignazio Cattaneo
  • + 4 authors

20 February 2026

Background/Objectives: Intranasal esketamine has emerged as an effective treatment for patients with treatment-resistant depression (TRD), providing rapid symptom relief when conventional antidepressant strategies fail. While its pharmacological effi...

(This article belongs to the Special Issue New Clinical Advances in Depressive Disorders and Treatment-Resistant Depression)
  • Article
  • Open Access
1,287 Views
18 Pages

Estimating the Clinical, Quality-of-Life and Economic Impact of Optimized Management of Type 2 Diabetes Patients in Spain

  • Óscar Martínez-Pérez,
  • Seila Lorenzo-Herrero,
  • Ester Amado-Guirado,
  • Fernando Gómez-Peralta,
  • Jesús Balea-Filgueiras,
  • Joan Barrot,
  • Alberto Cordero,
  • Carlos Crespo,
  • Virginia Pascual and
  • Mónica Cerezales

20 February 2026

Background: Type 2 diabetes (T2D) is associated with acute and chronic complications, entailing significant use of healthcare resources. Clinical guidelines recommend holistic management and recognize the critical role of obesity and cardio-renal pro...

(This article belongs to the Special Issue Chronic Complications of Type 2 Diabetes: Prevalence, Prevention, and Management)
  • Feature Paper
  • Article
  • Open Access
2 Citations
1,058 Views
18 Pages

The Predictive Value of Clinical and Systemic Inflammatory Biomarkers in Emergency Colic Cancer Surgery: A Retrospective Study

  • Adrian Marius Silaghi,
  • Crenguta Sorina Serboiu,
  • Dragos Serban,
  • Vlad Denis Constantin,
  • Corneliu Tudor,
  • Ion Motofei,
  • Gebran Hussein,
  • Paul Lorin Stoica,
  • Marina Ionela Nedea and
  • Tudor Mihai Badescu
  • + 1 author

20 February 2026

Background/Objectives: Emergency surgery for complicated colon cancer carries high morbidity and mortality, largely driven by systemic inflammation and organ dysfunction. This study aims to investigate the predictive value of preoperative inflammator...

(This article belongs to the Special Issue Clinical Advances in Abdominal Surgery)

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J. Clin. Med. - ISSN 2077-0383