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Journal of Clinical Medicine, Volume 15, Issue 8

2026 April-2 - 369 articles

Cover Story: Head and neck reconstruction requires restoration of complex, interdependent functions while preserving facial form and identity. Traditional approaches prioritized flap survival and defect coverage; however, contemporary practice increasingly emphasizes reproducible functional and aesthetic outcomes. Over the past decade, advances in digital planning, intraoperative navigation, and robotic platforms have reshaped reconstructive strategy. These technologies have converged into a hybrid paradigm that integrates free tissue transfer with computer-aided design, virtual surgical planning, and intraoperative augmentation to enhance precision and consistency. Herein, we examine the evolution, applications, and limitations of hybrid reconstruction, with a focus on osseous reconstruction and outcome-driven care in modern head and neck surgery. View this paper
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Articles (369)

  • Systematic Review
  • Open Access
1 Citations
1,034 Views
12 Pages

Management of Ogilvie’s Syndrome: A Network Meta-Analysis

  • Orestis Ioannidis,
  • Christos Chatzakis,
  • Ioannis Mitrogiannis,
  • Elissavet Anestiadou,
  • Aliki Brenta,
  • Savvas Symeonidis,
  • Stefanos Bitsianis,
  • Efstathios Kotidis,
  • Manousos George Pramateftakis and
  • Stamatios Angelopoulos
  • + 1 author

21 April 2026

Background/Objectives: Ogilvie’s syndrome, or acute colonic pseudo-obstruction (ACPO), is defined by acute colonic dilatation without mechanical obstruction and carries a risk of ischemia and perforation if not promptly managed. Treatment strat...

(This article belongs to the Special Issue Personalized Management of Abdominal Surgery and Complications)
  • Article
  • Open Access
1 Citations
766 Views
12 Pages

The Impact of Bacterial Infections on Delayed Hematopoietic Recovery in Patients with Acute Leukemia After Induction and Consolidation Therapy

  • Krzysztof Gawronski,
  • Nadia Hussein,
  • Agnieszka Woźniak-Kosek,
  • Agata Zakrzewska,
  • Elżbieta Rutkowska,
  • Piotr Rzepecki and
  • Aneta Guzek

21 April 2026

Objective: To evaluate whether documented bacterial infection or neutropenic fever is associated with delayed hematopoietic recovery in patients with acute leukemia undergoing induction or consolidation chemotherapy. Methods: We conducted a retrospec...

(This article belongs to the Section Hematology)
  • Article
  • Open Access
959 Views
13 Pages

Continuous Spinal Anesthesia in Frail Patients Undergoing Orthopedic Hip and Knee Revision Surgery: Advantages, Indications, and Risk Management—A Single-Center Retrospective Experience

  • Yazan Abu Salem,
  • Emilia Cialdella,
  • Vincenzo Simili,
  • Federica Martorelli,
  • Giuseppe Monteleone,
  • Francesco Tasso,
  • Berardo Di Matteo,
  • Giuseppe Anzillotti,
  • Elizaveta Kon and
  • Marco Scardino

21 April 2026

Background: Frail patients undergoing hip and knee revision surgery represent a major anesthetic challenge because of advanced age and multiple comorbidities. Continuous spinal anesthesia (CSA) with titrated low-dose levobupivacaine may offer a poten...

(This article belongs to the Special Issue Total Joint Arthroplasty: Clinical Advances and Innovations in Surgical Techniques and Rehabilitation)
  • Article
  • Open Access
756 Views
13 Pages

The Potential Role of Large Language Models in Assisting Patients and Guiding Emergency Care Visits

  • Kristina Gerhardinger,
  • Josina Straub,
  • Julia Lenz,
  • Siegmund Lang,
  • Volker Alt,
  • Borys Frankewycz,
  • Maximilian Kerschbaum and
  • Lisa Klute

21 April 2026

Background/Objectives: Overcrowding in emergency departments (EDs) remains a critical challenge in modern healthcare systems, driven in part by patient uncertainty regarding symptom urgency and a lack of accessible medical guidance. Recent advances i...

(This article belongs to the Special Issue Novel Technologies to Assist Emergency Medical Care)
  • Review
  • Open Access
1,298 Views
28 Pages

Anti-Thrombotic Therapy Following Transcatheter Structural Heart Intervention

  • Francesco Tartaglia,
  • Giulia Antonelli,
  • Alessandro Gabrielli,
  • Mauro Gitto,
  • Arif A. Khokhar,
  • Francesca Soriente,
  • Pier Pasquale Leone,
  • Damiano Regazzoli,
  • Ole de Backer and
  • Giulio Stefanini
  • + 1 author

21 April 2026

Transcatheter structural heart interventions, including aortic, mitral and tricuspid valve replacement or repair, and patent foramen ovale, atrial septal defect, and left atrial appendage closure, have dramatically expanded over the past two decades,...

(This article belongs to the Special Issue Advances in Antithrombotic Therapy in Cardiovascular Medicine)
  • Review
  • Open Access
4 Citations
1,813 Views
16 Pages

Belimumab in Systemic Lupus Erythematosus: From B-Cell Biology to Disease Modification

  • Marc Xipell,
  • María Cecilia Garbarino,
  • Cristina Serrano del Castillo,
  • Laura Morantes,
  • Carla Bastida,
  • Ignasi Rodríguez-Pintó,
  • Jose A. Gómez-Puerta,
  • Gerard Espinosa,
  • Luis F. Quintana and
  • Ricard Cervera

21 April 2026

Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease in which B-cell dysregulation plays a central pathogenic role beyond autoantibody production. Advances in B-cell biology have led to the development of targeted therapies, inclu...

(This article belongs to the Special Issue Systemic Lupus Erythematosus: Current Trends and Therapeutic Innovations)
  • Article
  • Open Access
725 Views
14 Pages

Differential Effects of Oral Antidiabetic Drugs on Skeletal Muscle Mass and Hemoglobin Levels in Adults with Type 2 Diabetes Mellitus: A Prospective Real-World Cohort Study

  • Fatma Pınar Ziyadanoğlu,
  • Ece Çiftçi Öztürk,
  • Gamze Şengün,
  • Seher İrem Şahin,
  • Büşra Çetintulum Aydın and
  • Hayriye Esra Ataoğlu

21 April 2026

Background/Objectives: Beyond glycemic control, oral antidiabetic drugs (OADs) may exert class-specific effects on muscle mass and hematologic parameters. However, real-world evidence comparing these effects across OAD classes remains limited. This s...

(This article belongs to the Section Endocrinology & Metabolism)
  • Case Report
  • Open Access
548 Views
7 Pages

21 April 2026

Aim: Percutaneous liver ablation is a challenging procedure and operator-dependent. During the time when transarterial liver oncological therapies are favored over percutaneous liver ablation, we discuss the challenges of liver ablation with bowel in...

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

21 April 2026

Background: Patients with advanced chronic kidney disease (CKD) experience disproportionately high ischemic and bleeding risks following acute coronary syndrome (ACS), yet remain markedly underrepresented in randomized trials of antiplatelet therapy....

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

21 April 2026

Background/Objectives: To evaluate the short-term effects of structured physical activity (PA), alone or combined with dietary counselling, in early-stage chronic kidney disease (CKD) patients managed in primary healthcare (PHC). Methods: This non-ra...

(This article belongs to the Special Issue Chronic Kidney Disease Management: Integrating Pharmacotherapy, Biomarkers, and Lifestyle Interventions for Improved Outcomes)
  • Article
  • Open Access
1,593 Views
8 Pages

Diagnostic Performance of Prenatal Ultrasound to Detect Velamentous Cord Insertion in Twin Pregnancies

  • Kodai Minoura,
  • Hiroyuki Tsuda,
  • Yumiko Itoh,
  • Atsuko Tezuka and
  • Tomoko Ando

21 April 2026

Objective: We aimed to determine the ability of prenatal ultrasound to detect velamentous cord insertion (VCI) in twin pregnancies and identify factors influencing diagnostic sensitivity. Methods: This single-center retrospective study included twins...

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

21 April 2026

Objective: To evaluate the potential utility of the ratio of the maximal diameter of the bulging foramen ovale flap to the left atrial diameter (FOFD/LAD) for distinguishing false-positive prenatal suspicion of fetal coarctation of the aorta (CoA), a...

(This article belongs to the Special Issue Clinical Update on Prenatal Diagnosis and Maternal Fetal Medicine)
  • Article
  • Open Access
2 Citations
1,120 Views
24 Pages

KDH-Net: Explainable Medical AI for Multiclass Kidney Disease Characterization from CT Images

  • Md Serajun Nabi,
  • Su Waddy Tun,
  • Shahaba Alam,
  • Muhammad Kabir Abdullahi,
  • Hasanul Bannah,
  • Istiyak Amin Santo,
  • Arbab Sufyan Wadood,
  • Golam Md Mohiuddin,
  • Zaka Ur Rehman and
  • Hezerul Bin Abdul Karim

21 April 2026

Background: Accurate differentiation of kidney diseases such as cysts, tumors, stones, and normal tissue from computed tomography (CT) images remains challenging due to overlapping visual characteristics and variability in data distributions. While d...

(This article belongs to the Section Machine Learning and Artificial Intelligence in Clinical Medicine)
  • Systematic Review
  • Open Access
891 Views
17 Pages

21 April 2026

Objectives: Hidradenitis suppurativa (HS) is a chronic, inflammatory skin disease that significantly impairs patients’ quality of life, especially in its moderate to severe forms. Traditional treatments, including antibiotics, hormonal therapie...

(This article belongs to the Special Issue Hidradenitis Suppurativa: Clinical Diagnosis, Treatment, and Management)
  • Article
  • Open Access
1 Citations
476 Views
9 Pages

Unexpected Positive Cultures After Failed Proximal Humerus Osteosynthesis: Why a Two-Stage Procedure Could Be Safer

  • Raffaele Garofalo,
  • Nunzio Lassandro,
  • Angelo De Crescenzo,
  • Riccardo Ranieri,
  • Angelo Del Buono and
  • Alberto Fontanarosa

21 April 2026

Background: Treatment of failed osteosynthesis of fractures of the proximal humerus with one-stage or two-stage surgery is difficult and clinical results are poor. The aim of this work is to evaluate the microbiological positivity of devices removed...

(This article belongs to the Special Issue Orthopedic Surgery: Latest Advances and Future Prospects—2nd Edition)
  • Systematic Review
  • Open Access
1 Citations
1,054 Views
17 Pages

Periodontal Disease and Oral Squamous Cell Carcinoma: A Systematic Review and Meta-Analysis of Risk and Survival Outcomes

  • Gabriela Guadalupe Zambrano Manzaba,
  • Luis Chauca-Bajaña,
  • Carlos Andrés Guim Martínez,
  • Sara Isabel Marcalupo Llerena,
  • Andrea Ordoñez Balladares,
  • Byron Velasquez Ron,
  • Carlos Enrique Cuevas-Suárez,
  • Abigailt Flores-Ledesma,
  • Veronica Natalia Maroto Hidalgo and
  • Gina Fernanda Vásquez Armas

21 April 2026

Background/Objectives: Oral squamous cell carcinoma (OSCC) accounts for over 90% of oral malignancies and remains associated with substantial global morbidity and mortality. Although tobacco and alcohol are established risk factors, they do not fully...

(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
  • Technical Note
  • Open Access
4,960 Views
11 Pages

21 April 2026

Background/Objectives: Coronary perforations are infrequent but potentially fatal complications during percutaneous coronary intervention (PCI). Interventional management aims to stop extravasation and restore distal flow to prevent tamponade and car...

(This article belongs to the Special Issue Clinical Insights and Emerging Techniques in Interventional Cardiology)
  • Article
  • Open Access
802 Views
16 Pages

21 April 2026

Background: Treatment options for vulvar lichen sclerosus (VLS) remain limited; therefore, therapies that improve quality of life and reduce neoplastic risk are needed. Photodynamic therapy (PDT) is a potential option. This study aimed to evaluate qu...

(This article belongs to the Special Issue Autoimmune Skin Diseases: Innovations, Challenges, and Opportunities)
  • Article
  • Open Access
869 Views
13 Pages

21 April 2026

Background: Chronic low-grade inflammation contributes to early glucose dysregulation, but comparative evidence on complete blood count-derived inflammatory indices in prediabetes remains limited. This study aimed to compare the associations of five...

(This article belongs to the Section Clinical Laboratory Medicine)
  • Article
  • Open Access
1 Citations
872 Views
18 Pages

Impact of Allergic Diseases or Obstructive Sleep Apnea Risk on Severe Mycoplasma pneumoniae Pneumonia in Children: A Clinical Study and Nomogram Construction

  • Zonglang Yu,
  • Jingrong Song,
  • Yu Fu,
  • Rui Li,
  • Ruimeng Ma,
  • Tienan Feng,
  • Mengting Zhang,
  • Shuping Jin and
  • Xiaoying Zhang

21 April 2026

Background/Objectives: This study aimed to investigate the impact of allergic diseases (AD) or obstructive sleep apnea (OSA) risk, as a host factor, on the development of severe Mycoplasma pneumoniae Pneumonia (SMPP) in children by analyzing the clin...

(This article belongs to the Section Clinical Pediatrics)
  • Systematic Review
  • Open Access
976 Views
23 Pages

21 April 2026

Background: The Middle East and North Africa (MENA) region faces a high cardiovascular disease (CVD) burden alongside endemic serum 25(OH)D (vitamin D) deficiency. This systematic review examines the relationship between vitamin D deficiency and CVD...

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

21 April 2026

Background/Objectives: Squamous cell metaplastic breast carcinoma (SCMBC) is a rare and aggressive breast cancer subtype with limited imaging and prognostic data. This study aimed to characterize the multimodal imaging features, clinicopathological p...

(This article belongs to the Special Issue Breast Cancer: Advances in Clinical and Personalized Practices)
  • Article
  • Open Access
738 Views
14 Pages

Orbital Doppler Ultrasonography and Optic Nerve Sheath Diameter in Pediatric Brain Death Evaluation

  • Mehmet Ali Durmuş,
  • Alper Karacan,
  • Onur Taydaş,
  • Mehmet Özgür Arslanoğlu,
  • Zeynep Yıldız,
  • Onur Paşa,
  • Sinan Taşdoğan,
  • Tunahan Dertli,
  • Laçin Tatlı Ayhan and
  • Mehmet Halil Öztürk
  • + 1 author

21 April 2026

Background/Objectives: Brain death determination in children is clinically challenging. When standard clinical examination cannot be completed or reliably interpreted, ancillary testing is required—yet many established methods depend on infrast...

(This article belongs to the Section Nuclear Medicine & Radiology)
  • Systematic Review
  • Open Access
1 Citations
996 Views
18 Pages

Periodontitis and Pancreatic Cancer Risk: A Systematic Review, Meta-Analysis, and Trial Sequential Analysis

  • Kareelend Andreina Segura Cueva,
  • Andrea Bermúdez Velásquez,
  • Carlos Andrés Guim Martínez,
  • Luis Chauca-Bajaña,
  • Leonardo Javier Siguencia Suárez,
  • Byron Velásquez Ron,
  • Carlos E. Cuevas-Suárez,
  • Abigailt Flores-Ledesma,
  • Alejandro Ismael Lorenzo-Pouso and
  • Andrea Ordoñez Balladares

21 April 2026

Introduction: Pancreatic cancer is one of the most lethal malignancies worldwide, and its incidence continues to rise. Periodontitis, a highly prevalent chronic inflammatory disease, has been linked to several systemic conditions, including a potenti...

(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
  • Article
  • Open Access
778 Views
17 Pages

21 April 2026

Background/Objectives: Type 2 diabetes mellitus (DM) commonly coexists with heart failure (HF) and is associated with increased cardiovascular (CV) morbidity and mortality. Although dipeptidyl peptidase-4 (DPP-4) inhibitors are widely used for glycem...

(This article belongs to the Section Cardiovascular Medicine)
  • Reply
  • Open Access
365 Views
2 Pages

21 April 2026

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(This article belongs to the Section Anesthesiology)
  • Article
  • Open Access
799 Views
19 Pages

20 April 2026

Background: The elderly are vulnerable to chronic diseases and altered lipid metabolism, leading to poor outcomes, including mortality. We investigated the association between Korean Medicine (KM) utilization, blood lipid levels, and health outcomes...

(This article belongs to the Special Issue Innovations in Geriatric Care: Managing Chronic Diseases and Emerging Challenges in an Aging World)
  • Systematic Review
  • Open Access
847 Views
14 Pages

20 April 2026

Background/Objectives: High-risk prostate cancer patients undergoing radical prostatectomy remain at significant risk of biochemical recurrence and metastasis. Immediate adjuvant external beam radiotherapy (EBRT) has been proposed to improve outcomes...

(This article belongs to the Section Oncology)
  • Feature Paper
  • Article
  • Open Access
638 Views
11 Pages

20 April 2026

Background/Objectives: The objective of this investigation was to assess the prevalence of sarcopenia and identify its related risk factors in patients with rheumatoid arthritis (RA) using data from the nationally representative 2008–2011 Korea...

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

Exploring the Needs and Perspectives of Patients with Obesity to Inform Health Care Practice: A Focus Group Study

  • Gloria Marchesi,
  • Giada Rapelli,
  • Gaia Roselli,
  • Giulia Spina,
  • Michelle Semonella,
  • Gianluca Castelnuovo and
  • Giada Pietrabissa

20 April 2026

Background/Objectives: This qualitative study investigated the perspectives and lived experiences of individuals with obesity, with a specific focus on psychological needs, beliefs, attitudes, and experiences related to psychological support. The stu...

(This article belongs to the Section Mental Health)
  • Review
  • Open Access
3,048 Views
16 Pages

Cytisine—New Challenges of a Well-Known Drug in the Treatment of Nicotine Addiction

  • Lidia Bieniasz,
  • Karol Wróblewski,
  • Angelika Kamizela,
  • Agnieszka Szyszkowska,
  • Waldemar Grzegorzewski and
  • Anna Czerniecka-Kubicka

20 April 2026

Cytisine is a plant-derived quinolizidine alkaloid found, among other sources, in the seeds of the common laburnum (Laburnum anagyroides). It has properties that enable it to act as a partial agonist of brain nicotinic α4β2 receptors, whic...

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

Validation and Comparative Analysis of a Contemporary Non-Contact Corneal Aesthesiometer

  • Ally L. Xue,
  • Alexis Ceecee Britten-Jones,
  • Dian Zhuang,
  • Catherine J. Jennings,
  • Alex Muntz,
  • Stuti L. Misra,
  • Laura E. Downie and
  • Jennifer P. Craig

20 April 2026

Background: Corneal sensitivity is a key indicator of ocular surface health. This prospective, cross-sectional study evaluated agreement between corneal sensitivity thresholds obtained from equivalent stimulus settings on a contemporary, enhanced dua...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
796 Views
9 Pages

The Tela Cutis Nasi Flap: A Technical Note on Nasal Sill Reconstruction in Secondary Cleft Rhinoplasty

  • Łukasz Banasiak,
  • Oskar Komisarek,
  • Vanessa Olichwer,
  • Paweł Radkowski,
  • Paweł Burduk and
  • Krzysztof Dowgierd

20 April 2026

Background: Despite advances in cleft rhinoplasty, the nasal sill remains an underappreciated subunit, yet it plays a crucial role in nostril symmetry and aesthetic balance. Hypoplasia or absence of the nasal sill on the cleft side often persists aft...

(This article belongs to the Section Otolaryngology)
  • Review
  • Open Access
1 Citations
1,891 Views
30 Pages

Liver Xenotransplantation: From Early Primate Trials to the First-in-Human Porcine Bridging Therapies

  • Alexandru Grigorie Nastase,
  • Alin Mihai Vasilescu,
  • Ana Maria Trofin,
  • Nicolae Florin Iftimie,
  • Juan José Segura-Sampedro,
  • Ramona Cadar,
  • Iulian Buzincu,
  • Alexandra Davidescu,
  • Anda Lucia Nastase and
  • Cristian Dumitru Lupascu
  • + 2 authors

20 April 2026

Liver transplantation remains the definitive treatment for end-stage liver disease and acute liver failure, yet a critical and persistent shortage of donor organs results in thousands of preventable deaths annually worldwide. Xenotransplantation has...

(This article belongs to the Special Issue Clinical Advances in Abdominal Surgery)
  • Article
  • Open Access
656 Views
12 Pages

20 April 2026

Background: Congenital heart disease (CHD) represents a major cause of perinatal morbidity and mortality, and fetal echocardiography is essential for its early diagnosis and management. Maternal smoking has been suggested as a potential teratogenic f...

(This article belongs to the Section Cardiology)
  • Article
  • Open Access
524 Views
11 Pages

20 April 2026

Background/Objectives: To evaluate changes in corneal topography and densitometry (CD) 3 months after accelerated corneal collagen crosslinking (CXL) for keratoconus and to investigate influencing factors. Methods: Twenty-one (41 eyes) patients with...

(This article belongs to the Section Ophthalmology)
  • Technical Note
  • Open Access
2 Citations
944 Views
22 Pages

20 April 2026

Background: Achondroplasia, the most common genetic dwarfism caused by the FGFR3 mutation (autosomal dominant, 80% de novo), results in a disproportionately short stature. Thoracolumbar kyphosis (TLK), combined with characteristic spinal canal stenos...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
766 Views
21 Pages

Risk Stratification in Pulmonary Embolism: Prognostic Value of PESI, WELLS, PADUA, and IMPROVE Scores in Relation to Laboratory Markers

  • Daniela Nicoleta Crisan,
  • Talida Georgiana Cut,
  • Alexandra Herlo,
  • Sorin Deacu,
  • Lucian-Flavius Herlo,
  • Nina Ivanovic,
  • Lavinia Simona Neculai-Candea,
  • Andreea Nelson Twakor,
  • Gabriela-Florentina Țapoș and
  • Raluca Dumache

20 April 2026

Background: Pulmonary embolism (PE) is a major cause of morbidity and in-hospital mortality and requires rapid clinical assessment for diagnosis, risk stratification, and management. Several validated clinical prediction tools, including the Pulmonar...

(This article belongs to the Special Issue Recent Advances in Pulmonary Embolism and Thrombosis: 2nd Edition)
  • Review
  • Open Access
1,499 Views
12 Pages

20 April 2026

Over the past decades, neurosurgery has undergone a profound transformation driven by technological innovation and a paradigm shift toward patient-centered outcomes. Historically evaluated through mortality rates and extent of resection, modern neuro...

(This article belongs to the Special Issue Neurosurgery Advancements: Techniques and Patient Outcomes)
  • Feature Paper
  • Article
  • Open Access
1,252 Views
20 Pages

Reference Intervals for Serum Ferritin in Older Adults—Results from the Prospective SENIORLAB Study

  • Galina Ludin,
  • Rita Maria Baron,
  • Urs E. Nydegger,
  • Marlene Jarquin Campos,
  • Pedro Medina Escobar,
  • Benjamin Sakem,
  • Harald Renz,
  • Karin Jung,
  • Lorenz Risch and
  • Martin Risch

20 April 2026

Background: Test descriptions from major diagnostic manufacturers do not include ferritin reference intervals (RIs) for individuals aged 60 and older. The absence of older adults-specific RIs contrasts with the widespread use of serum ferritin testin...

(This article belongs to the Special Issue Challenges and Advances in Geriatrics and Gerontology)
  • Review
  • Open Access
1 Citations
899 Views
27 Pages

Early Sepsis Diagnosis as a Global Imperative: The Role of Raman Spectroscopy

  • Andrea Piccioni,
  • Fabio Spagnuolo,
  • Marina Sebastiani,
  • Alberto Valentini,
  • Giuseppe Pezzotti,
  • Marcello Candelli,
  • Marcello Covino,
  • Marco De Spirito,
  • Antonio Gasbarrini and
  • Francesco Franceschi

20 April 2026

Background/Objectives: Sepsis is a leading cause of hospital mortality and represents a time-sensitive medical emergency. Current diagnostic strategies rely on clinical assessment, severity scores, biomarkers, and blood cultures. However, blood cultu...

(This article belongs to the Special Issue Sepsis and Septic Shock: Diagnosis, Treatment, and Prognosis)
  • Article
  • Open Access
1 Citations
1,006 Views
13 Pages

Peak Inspiratory Flow Capability for Simulated Dry Powder Inhaler Resistances in Asthma Patients Prescribed Pressurized Metered-Dose Inhalers with Valved Holding Chambers: The USE-DPI Study

  • Lara Bravo Quiroga,
  • José Miguel González Moro,
  • Francisco Javier Álvarez-Gutiérrez,
  • Krasimira Baynova,
  • Mariam De La Poza Abad and
  • José Luis Izquierdo Alonso

20 April 2026

Background: Inhaled therapy is the mainstay of asthma management, yet many patients are prescribed pressurized metered-dose inhalers (pMDIs) with valved holding chambers (VHCs) based on a presumed low inspiratory capacity, often without objective mea...

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

Lung Cancer Screening in a Population from Northeast Italy Exposed to Both Asbestos and Smoking: A Cost-Effectiveness Analysis

  • Rami Cosulich,
  • Chloe Thomas,
  • Fabiano Barbiero,
  • Duncan Gillespie,
  • Ettore Bidoli,
  • Maria Assunta Cova,
  • Stefano Lovadina,
  • Alessandra Guglielmi,
  • Luigino Dal Maso and
  • Elisa Baratella
  • + 3 authors

20 April 2026

Background: Past workplace exposure to asbestos in combination with tobacco smoking has increased the risk of lung cancer for some residents in an area within the Friuli Venezia Giulia region, Northeast Italy. In light of studies showing that lung ca...

(This article belongs to the Section Respiratory Medicine)
  • Article
  • Open Access
711 Views
12 Pages

Cardiovascular Health Among Employees of a Brazilian Tertiary Hospital Assessed by the Life’s Essential 8 Score: A Cross-Sectional Pilot Study

  • Erlon Oliveira de Abreu-Silva,
  • Fernanda Jafet El Khouri,
  • João Gabriel Sanchez,
  • Angela Cristine Bersch-Ferreira,
  • Alexandre Biasi,
  • Timo Siepmann and
  • Aline Marcadenti

20 April 2026

Background/Objectives: The American Heart Association Life’s Essential 8 (LE8) is a tool proposed to categorize overall cardiovascular health (CVH), ranging from 0 to 100 and classifies CVH as low (<50), moderate (50–79) or high (≥8...

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

Effects of Thoracentesis in Patients Under Invasive Mechanical Ventilation: A Retrospective Analysis of Clinical and Paraclinical Parameters

  • Danilo Andrés Cáceres-Gutiérrez,
  • Héctor Fabio Escobar-Vargas,
  • Diana Marcela Bonilla-Bonilla,
  • Jorge Enrique Daza-Arana,
  • Heiler Lozada-Ramos and
  • María Angelica Rodríguez-Scarpetta

20 April 2026

Background: Thoracentesis is pivotal in managing pleural effusion (PE), particularly in invasive mechanical ventilation (IMV), with documented improvements in respiratory mechanics, oxygenation, and hemodynamic parameters. However, its efficacy may v...

(This article belongs to the Section Respiratory Medicine)
  • Review
  • Open Access
2 Citations
1,498 Views
22 Pages

Targeting Psychological Pain After a Suicide Attempt: Scoping Review and Intervention Protocol

  • Laura Comendador,
  • Diego J. Palao,
  • Antoni Sanz,
  • Jorge Andreo-Jover,
  • Enrique Baca-García,
  • Maria Luisa Barrigón,
  • María Teresa Bobes-Bascarán,
  • María Ángeles Botí,
  • Marina Diaz-Marsá and
  • Victor Perez-Sola
  • + 14 authors

20 April 2026

Background/Objectives: Psychological pain—also termed psychache or mental pain—has been suggested to constitute a relevant factor in the emergence of suicidal behaviour. Despite conceptual advances, empirical research on interventions spe...

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

20 April 2026

Objectives: The transition from in-person to online formats for clinical case discussions has transformed the way medical professionals collaborate and share knowledge. The current pilot study investigates the potential impact of this shift by compar...

(This article belongs to the Topic Digital Patient Care: Bridging Technology and Clinical Practice)
  • Article
  • Open Access
567 Views
12 Pages

20 April 2026

Background/Objectives: Twin pregnancies carry substantially elevated perinatal risks, yet tools for first-trimester risk stratification remain limited. This retrospective cohort study evaluated the predictive value of crown–rump length (CRL) an...

(This article belongs to the Special Issue AI in Maternal Fetal Medicine and Perinatal Management)
  • Article
  • Open Access
1,081 Views
23 Pages

Caring for the ‘Heads-Down Generation’: Screen Time and Physical Health Complaints Among Adolescents in Poland

  • Joanna Mazur,
  • Alicja Kozakiewicz,
  • Katarzyna Porwit,
  • Dorota Kleszczewska,
  • Maciej Białorudzki and
  • Zbigniew Izdebski

20 April 2026

Background/Objectives: Digital media play an important role in the lives of contemporary adolescents. While associated with many benefits, they also pose risks to physical health related to prolonged screen time and non-ergonomic body posture. This s...

(This article belongs to the Section Ophthalmology)

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J. Clin. Med. - ISSN 2077-0383