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Diseases, Volume 13, Issue 12

2025 December - 28 articles

Cover Story: Palliative care represents an essential component in the comprehensive management of chronic heart failure. This systematic review highlights how structured palliative interventions—such as specialist consultations, multidisciplinary care pathways, and advance care planning—reduce key symptoms including dyspnea, fatigue, anxiety, and depression while improving functional capacity and quality of life. Evidence also suggests fewer hospital readmissions and enhanced clinician–patient communication. Early, patient-centered integration of palliative principles ensures care remains aligned with patient priorities across the trajectory of advanced heart failure. View this paper
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Articles (28)

  • Article
  • Open Access
1,180 Views
12 Pages

Efficacy of Polyvinylpyrrolidone–Zinc Gluconate and Taurine Gel in the Prophylaxis of Oral Mucositis in Adults Undergoing High-Dose Chemotherapy and Allogeneic Stem Cell Transplantation

  • Gaetana Porto,
  • Annalisa Pitino,
  • Mercedes Gori,
  • Martina Pitea,
  • Maria Eugenia Alvaro,
  • Giovanni Luigi Tripepi,
  • Giorgia Policastro,
  • Fortunata Martino,
  • Rosalba Daniela Minniti and
  • Massimo Martino
  • + 8 authors

18 December 2025

Background: Oral mucositis (OM) is a significant complication after allogeneic stem cell transplantation. Objectives: This prospective, observational cohort study assessed the effectiveness of a polyvinylpyrrolidone-zinc gluconate and taurine (PVP-ZG...

  • Article
  • Open Access
1 Citations
1,449 Views
16 Pages

Gaps in Community-Based Screening for Non-Communicable Diseases in Saudi Arabia

  • Ghadeer Al Ghareeb,
  • Zaenab M. Alkhair,
  • Zainab Alradwan,
  • Hussain Alqaissoom,
  • Horiah Ali Soumel,
  • Khadijah R. Alsaffar,
  • Fatema Muhaimeed,
  • Burair Alsaihati,
  • Mohammad N. Alkhrayef and
  • Ibrahim Alradwan

18 December 2025

Background: Non-communicable diseases (NCDs) such as cardiovascular diseases, diabetes, obesity, and cancer are the leading cause of mortality globally and in Saudi Arabia, accounting for more than 70% of all deaths. Despite national initiatives offe...

  • Article
  • Open Access
1,118 Views
16 Pages

Establishment of a Flow Cytometry Protocol for Binarily Detecting Circulating Tumor Cells with EGFR Mutation

  • Cheng-Yu Chang,
  • Chia-Chun Tu,
  • Shian-Ren Lin,
  • Chih-Hao Fang,
  • Po-Wei Tseng,
  • Wan-En Liao,
  • Li-Yun Huang,
  • Shiu-Lan Wang,
  • Wan-Yu Lai and
  • Jan-Mou Lee
  • + 2 authors

17 December 2025

Background: Patients with EGFR-mutated non-small cell lung cancer (NSCLC) respond well to EGFR tyrosine kinase inhibitors (TKIs), but current EGFR mutation profiling relies on invasive tumor biopsies. Developing less invasive approaches, particularly...

  • Article
  • Open Access
1 Citations
1,392 Views
12 Pages

Association of Vitamin D Deficiency with Diabetic Nephropathy in Type 2 Diabetes: A Hospital-Based Cross-Sectional Study

  • Shafia Bashir,
  • Geer Mohammad Ishaq,
  • Insha Mushtaq,
  • Mohammad Ashraf Ganie,
  • Imtiyaz Wani,
  • Muteb Alanazi,
  • Ibrahim Asiri,
  • Arshad Hussain,
  • Kashif Ullah Khan and
  • Sirajudheen Anwar

17 December 2025

Background/Objective: Diabetic nephropathy (DN), a key microvascular complication of type 2 diabetes (T2DM), drives significant morbidity, mortality, and healthcare costs. Vitamin D deficiency has been linked to renal dysfunction, but its role in DN...

(This article belongs to the Special Issue From Monitoring to Management: Addressing Challenges in Type 1 and Type 2 Diabetes Care)
  • Case Report
  • Open Access
2 Citations
1,362 Views
11 Pages

Unusual Neuropsychiatric Presentation of Cryptococcus neoformans Meningoencephalitis in an Immunosuppressed Patient with Rheumatoid Arthritis: A Case Report

  • Sinthia Vidal-Cañas,
  • Manuel David Mayoral-Valencia,
  • Esteban Artunduaga-Cañas,
  • Esteban Pineda-Arias,
  • Danna Alejandra Betancourt Cañas and
  • Daniela Arturo-Terranova

17 December 2025

Central nervous system (CNS) cryptococcosis caused by Cryptococcus neoformans is a severe opportunistic infection that primarily affects individuals with impaired cellular immunity. Although the classic presentation includes headache, fever, and meni...

(This article belongs to the Section Infectious Disease)
  • Article
  • Open Access
965 Views
18 Pages

CT-Based Attenuation Correction Algorithm for Quantitative L-Shell X-Ray Fluorescence Imaging of Gold Nanoparticles in Murine Tumor Tissues

  • Marin Lohff,
  • Gerret Haroske,
  • Theresa Staufer,
  • Jan Scheunemann,
  • Florian Ziegler,
  • Jannis Haak,
  • Kazuya Kabayama,
  • Xuhao Huang,
  • Koichi Fukase and
  • Florian Grüner

16 December 2025

Background: Gold nanoparticles (GNPs) are widely used in nanomedicine as drug carriers, including in targeted radionuclide therapy where therapeutic radionuclides are bound to GNPs. Quantitative assessment of their biodistribution is essential. X-ray...

  • Article
  • Open Access
1 Citations
1,333 Views
18 Pages

Fluid Shear Stress Modulates Inflammation in Breast Cancer Microenvironment

  • Abir Abdullah Alamro,
  • Ohood Amin AlSuwaidi,
  • Amani Ahmed Alghamdi,
  • Saba Abdi,
  • Atekah Hazzaa Alshammari and
  • Reem Nasser Alotaibi

15 December 2025

Background: Fluid shear stress (FSS) is a biomechanical force that can produce phenotypic changes in the cells that are directly in contact with the flow of fluid. Accumulating evidence indicates high FSS to possess the potential ability to prevent t...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
1 Citations
1,015 Views
13 Pages

Association Between Obesity and Serum Leptin Levels in Brazilian Female Shift Workers

  • Raquel Toresan Andretta,
  • Janaína Cristina da Silva,
  • Anderson Garcez,
  • Ingrid Stähler Kohl,
  • Karina Giane Mendes,
  • Thais Basso,
  • Maria Teresa Anselmo Olinto and
  • Heloísa Theodoro

15 December 2025

Background: Leptin is a hormone that plays a crucial role in regulating energy homeostasis and it is associated with adiposity. Women engaged in work shifts are often exposed to circadian disruption and metabolic changes that may contribute to increa...

  • Article
  • Open Access
1,936 Views
11 Pages

The Application of Stepwise Pelvic Devascularisation in the Management of Severe Placenta Accreta Spectrum as Part of the Soleymani and Collins Technique for Caesarean Hysterectomy: Surgical Description and Evaluation of Short- and Long-Term Outcomes

  • Hooman Soleymani majd,
  • Lamiese Ismail,
  • Prasanna Supramaniam,
  • Aakriti Aggarwal,
  • Annie E. Collins,
  • Lee Lim,
  • Susan Addley,
  • Alicia Hunter,
  • Lexie Pert and
  • Sally L. Collins
  • + 5 authors

15 December 2025

Background: Severe (FIGO grade 3b & c) placenta accreta spectrum (PAS) is potentially a life-threatening condition due to catastrophic haemorrhage at delivery. Consequently, interventional radiology (IR) techniques are often employed to prevent m...

  • Article
  • Open Access
1,087 Views
14 Pages

15 December 2025

Background/Objectives: Diffuse large B-cell lymphoma (DLBCL) exhibits substantial clinical heterogeneity and poor prognosis in relapsed/refractory (R/R) settings. PRO-MIND is a prospective, multicenter real-world study evaluating tafasitamab–le...

  • Article
  • Open Access
2,132 Views
10 Pages

Prevalence and Impact on Quality of Life of Small Intestinal Bacterial Overgrowth (SIBO)-Related Symptoms in Patients with Upper Gastrointestinal Cancer

  • Rosa Rosania,
  • Achim J. Kaasch,
  • Katrin Bose,
  • Friedrich Sinner,
  • Christian Müller,
  • Jochen Weigt,
  • Verena Keitel and
  • Marino Venerito

13 December 2025

Introduction: Although patients with upper gastrointestinal (GI) cancer have an increased risk of developing small intestinal bacterial overgrowth (SIBO) due to disease- and treatment-related factors, SIBO remains underdiagnosed in oncology. Aim and...

  • Case Report
  • Open Access
1,048 Views
9 Pages

A Rare Case of Cervicofacial Nocardiosis and Associated Mandibular Osteomyelitis: Therapeutic Challenges in a Transplant Patient

  • Parth M. Dhamelia,
  • Bhargav P. Patel,
  • Gabriel Godart,
  • Shifa Karatela,
  • Rohit Chitale,
  • Ravi Durvasula and
  • Justin Oring

12 December 2025

Cervicofacial actinomycosis is a well-recognized infectious disease caused by Actinomyces, a Gram-positive filamentous bacterium. In contrast, Nocardia, a morphologically similar, hyphae-forming organism, is an exceedingly rare cause of cervicofacial...

  • Systematic Review
  • Open Access
8 Citations
4,328 Views
28 Pages

Zinc and Type 2 Diabetes: A Systematic Review with a Narrative Synthesis of Their Bidirectional Relationship and Clinical Perspectives for Personalized Nutritional Support

  • Evgeniya Klein,
  • Daria Velina,
  • Sherzodkhon Mutallibzoda,
  • Svetlana Tefikova,
  • Olga Orlovtseva,
  • Alexander N. Kosenkov,
  • Dmitry Kulikov and
  • Igor Nikitin

11 December 2025

Background: Type 2 diabetes mellitus (T2DM) remains one of the most significant public health problems, and its incidence rate is steadily increasing worldwide despite scientific and technological progress in the field of medicine. The focus of resea...

(This article belongs to the Special Issue From Monitoring to Management: Addressing Challenges in Type 1 and Type 2 Diabetes Care)
  • Article
  • Open Access
1,185 Views
13 Pages

Clinical Implications of Upregulated RSAD2 Gene Expression in Hepatocellular Carcinoma

  • Leung Li,
  • Nelson L. S. Tang,
  • Stephen L. Chan,
  • David Ryan Johnson,
  • Frankie Mo,
  • Jane Koh,
  • Tsz-Ki Kwan,
  • Edwin P. Hui,
  • Landon Long Chan and
  • Winnie Yeo
  • + 2 authors

8 December 2025

Background: JAK/STAT interferon signaling interacts with the PI3K/AKT/mTOR pathway to drive hepatocellular carcinoma (HCC) progression and metastasis. RSAD2, an interferon-inducible gene, is upregulated by the PI3K/AKT/mTOR pathway and serves as...

  • Article
  • Open Access
877 Views
11 Pages

Relationship Between Apolipoprotein E Genotypes, Unhealthy Weight Status, and Cognitive Impairment in Older Adults of Predominantly African Descent

  • Jean-Pierre Clotilde,
  • Livy Nicolas,
  • Laurent Larifla,
  • Fritz-Line Velayoudom,
  • Stanie Gaete,
  • Yann Ancedy,
  • Ingrid Cirederf,
  • Rosan Fanhan and
  • Lydia Foucan

6 December 2025

Background: Apolipoprotein E4 (APOE4) represents a major genetic risk factor for Alzheimer’s disease. Objectives: We aimed to analyze the relationship between cognitive impairment (CI), unhealthy weight status, and APOE genotypes in individuals...

  • Review
  • Open Access
3 Citations
1,422 Views
22 Pages

5 December 2025

Chronic hepatitis C virus (HCV) infection remains a major global health burden, responsible for substantial morbidity and mortality despite the advent of curative antiviral therapy. HCV induces hepatic injury and carcinogenesis through direct viral e...

(This article belongs to the Special Issue Viral Hepatitis: Diagnosis, Treatment and Management—2nd Edition)
  • Article
  • Open Access
1,632 Views
15 Pages

Colorectal Cancer in the U.S., 1999–2021: Declining Rates, Rising Concerns, and Persistent Disparities

  • Qais Bin Abdul Ghaffar,
  • Sayed Maisum Mehdi Naqvi,
  • Garrett Shields,
  • Ebubekir Daglilar and
  • Harleen Chela

4 December 2025

Background: Colorectal cancer (CRC) incidence and mortality have declined in the United States over the past two decades, yet disparities persist by age, sex, race/ethnicity, and geography. To characterize population-level survival signals, we examin...

(This article belongs to the Special Issue Diseases: From Molecular to the Clinical Perspectives)
  • Systematic Review
  • Open Access
2 Citations
3,802 Views
25 Pages

Musculoskeletal Sequelae of Post-COVID-19 Syndrome: A Systematic Review

  • Claudia Tatiana Zuñiga-Jimenez,
  • Diego Fernando Rojas-Esguerra,
  • Aida Paola Muñoz-Martinez,
  • Diana Carolina Mendoza-Guzman and
  • Jorge Enrique Daza-Arana

3 December 2025

Background/Objectives: COVID-19 infection is a respiratory illness that affects multiple body systems, including the musculoskeletal system. In August 2024, Colombia reported 6 million infections and a 2.2% mortality rate related to COVID-19. Post-CO...

  • Article
  • Open Access
4,629 Views
17 Pages

Effects of Short-Term (20-Day) Alternate-Day Modified Fasting and Time-Restricted Feeding on Fasting Glucose and IGF-1 in Obese Young Women

  • Dian Aristia Rachmayanti,
  • Purwo Sri Rejeki,
  • Raden Argarini,
  • Hermina Novida,
  • Sri Soenarti,
  • Shariff Halim,
  • Chy’as Diuranil Astrid Permataputri and
  • Sheeny Priska Purnomo

1 December 2025

Background: Obesity is a metabolic condition that may impair insulin sensitivity and disrupt glucose homeostasis. Since insulin and glucose affect insulin-like growth factor-1 (IGF-1), disruptions in this axis may elevate the risk of chronic diseases...

  • Systematic Review
  • Open Access
7 Citations
3,309 Views
19 Pages

Palliative Care in Chronic Heart Failure: A Systematic Review of Its Impact on Symptoms, Quality of Life, and Decision-Making Process

  • Tatiana Dramba,
  • Andrei-Emilian Popa,
  • Mihaela Poroch,
  • Gema Bacoanu,
  • Irina Mihaela Esanu,
  • Elena Popa and
  • Vladimir Poroch

1 December 2025

Background: Palliative care has emerged as a key component in the management of chronic heart failure, addressing persistent physical and psychosocial symptoms that often remain insufficiently controlled by conventional cardiology. This systematic re...

  • Review
  • Open Access
8 Citations
5,194 Views
14 Pages

Sepsis and the Liver

  • Eleni V. Geladari,
  • Anastasia-Amalia C. Kalergi,
  • Apostolos A. Evangelopoulos and
  • Vasileios A. Sevastianos

28 November 2025

Background/Objectives: Sepsis-associated liver injury (SALI) is a critical and often early complication of sepsis, defined by distinct hyper-inflammatory and immunosuppressive phases that shape patient phenotypes. Methods: Characterizing these phases...

(This article belongs to the Section Gastroenterology)
  • Article
  • Open Access
1 Citations
2,346 Views
21 Pages

Immunological Monitoring During Anti-CD20 Therapies to Predict Infection Risk and Treatment Response in Multiple Sclerosis Patients

  • Gabriel Torres Iglesias,
  • Ana Martínez-Feito,
  • Laura Otero-Ortega,
  • MariPaz López-Molina,
  • Inmaculada Puertas,
  • Andrea Gonzalez-Torbay,
  • Claudia Geraldine Rita,
  • Mireya Fernández-Fournier,
  • Sara Sánchez Velasco and
  • Eduardo López-Granados
  • + 2 authors

28 November 2025

Background: Immunological monitoring in multiple sclerosis (MS) patients treated with disease-modifying drugs may help predict infectious complications and guide treatment. The main objective of this study was to evaluate whether anti-CD20 treatments...

  • Feature Paper
  • Article
  • Open Access
3 Citations
1,474 Views
14 Pages

Impact of an Evidence-Based Bundle on Catheter-Associated Sepsis Incidence in Neonatal Intensive Care: A Quality Improvement Project

  • Anna Sala,
  • Valentina Pivetti,
  • Francesca Castoldi,
  • Francesca Viaroli,
  • Marco Chiera,
  • Gianluca Lista and
  • Francesco Cavigioli

28 November 2025

Background: Central line-associated bloodstream infections (CLABSIs) in neonatal intensive care units (NICUs) pose a significant risk, especially for very low birth weight infants due to their immature immune systems and the need for invasive procedu...

  • Systematic Review
  • Open Access
2 Citations
1,228 Views
20 Pages

Circulating Interleukin-6 as a Prognostic Biomarker for Mortality in Melioidosis: A Systematic Review and Meta-Analysis

  • Supphachoke Khemla,
  • Chaimongkhon Chanthot,
  • Anchalee Chittamma,
  • Jongkonnee Thanasai,
  • Atthaphong Phongphithakchai,
  • Moragot Chatatikun,
  • Jitbanjong Tangpong,
  • Sa-ngob Laklaeng and
  • Wiyada Kwanhian Klangbud

27 November 2025

Background: Melioidosis, caused by Burkholderia pseudomallei, remains a major cause of sepsis-related mortality in tropical regions. Despite effective antimicrobial therapy, deaths frequently result from dysregulated host inflammation rather than unc...

  • Article
  • Open Access
3 Citations
1,597 Views
13 Pages

26 November 2025

Background: Acinetobacter baumannii is classified within the ESKAPE-E group of pathogens, recognized for its role in causing severe infections, and is often associated with various healthcare-related infection (HAIs) types, particularly in intensive...

(This article belongs to the Section Infectious Disease)
  • Systematic Review
  • Open Access
2 Citations
2,159 Views
23 Pages

Regional Cerebral Oxygen Saturation and Risk of Delirium: A Systematic Review and Meta-Analysis

  • Begoña Rochina-Rodríguez,
  • Francisco Miguel Martínez-Arnau and
  • Pilar Pérez-Ros

25 November 2025

Background: Delirium onset is associated with increased comorbidity and mortality. Identifying reliable delirium biomarkers remains challenging. Regional cerebral oxygen saturation (rSO2) offers an objective, easily obtainable measure suitable for ho...

(This article belongs to the Special Issue Diseases: From Molecular to the Clinical Perspectives)
  • Case Report
  • Open Access
1 Citations
1,100 Views
13 Pages

24 November 2025

Neutropenic patients with acute myeloid leukemia (AML) are at high risk for severe, multidrug-resistant infections. Sepsis due to carbapenem-resistant Pseudomonas aeruginosa (CRPA) in this population often leads to septic shock and acute respiratory...

  • Review
  • Open Access
2 Citations
1,083 Views
14 Pages

Biological and Therapeutic Roles of Stem Cells in Head and Neck Carcinoma: Implications for Maxillofacial Surgery

  • Luca Michelutti,
  • Alessandro Tel,
  • Marco Zeppieri,
  • Chiara Martinazzo,
  • Massimo Robiony,
  • Caterina Gagliano,
  • Fabiana D’Esposito,
  • Matteo Capobianco and
  • Marieme Khouyyi

22 November 2025

Background: Head and neck carcinomas represent a heterogeneous group of aggressive malignancies with often poor prognosis and high recurrence rates. In recent years, the identification and characterization of cancer stem cells (CSCs) within these tum...

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Diseases - ISSN 2079-9721