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  • Article
  • Open Access
116 Views
20 Pages

Platelet Preservation and Functionality in Blood Treated for Autotransfusion: A Comparative In Vitro Study on Human Blood and In Vivo Study Using a Massive Hemorrhage Swine Model

  • Marine Schott,
  • Estelle Leroux,
  • Chloé Libaud,
  • Audrey Lafragette,
  • Mallorie Depond,
  • Ophélie Dauphouy,
  • Benoît Decouture,
  • Aurélia Leroux,
  • Stéphanie Boutroy-Perrin and
  • Gwenola Touzot-Jourde
  • + 2 authors

12 March 2026

During hemorrhagic procedures, autotransfusion is one of the main strategies for patient blood management. While conventional cell savers only concentrate red blood cells due to the centrifugation method, the innovative same™ autotransfusion me...

  • Review
  • Open Access
701 Views
20 Pages

The Role of Pulmonary Rehabilitation Programs in Patients with Lung Cancer: A Narrative Review

  • Stiliani Andreadou,
  • Angeliki Tanti,
  • Foteini Gkiliri,
  • Kriton Chatzikonstantinou,
  • Eleni Vatista and
  • Anna Christakou

26 February 2026

Background: Pulmonary rehabilitation (PR) is increasingly used across the lung-cancer care pathway, but the scope, effectiveness, and optimal delivery of programmes remain variably reported. Objective: To examine the effectiveness of PR in adults und...

  • Review
  • Open Access
640 Views
34 Pages

Advanced Microwave Imaging Techniques for Early Detection of Breast Cancer: A Review and Future Perspectives

  • Areej Safdar,
  • Behnaz Sohani,
  • Faiz Iqbal,
  • Roohollah Barzamini,
  • Amir Rahmani and
  • Aliyu Aliyu

3 February 2026

Breast cancer remains the most frequently diagnosed cancer in women worldwide, with outcomes strongly dependent on stage at detection. Conventional imaging modalities such as mammography, ultrasound and MRI are limited by reduced sensitivity in dense...

  • Article
  • Open Access
848 Views
12 Pages

21 January 2026

Background/Objectives: Diabetic Foot Ulceration (DFU) is one of the most debilitating and costly complications of diabetes mellitus, representing a significant cause of morbidity, disability, and healthcare burden worldwide. Refractory non-healing ul...

  • Article
  • Open Access
352 Views
14 Pages

16 January 2026

Background/Objectives: Mesenchymal stem cells (MSCs) are deemed to be a highly safe model for autologous and allogeneic cellular therapy, owing to their inherent lack of HLA-DR expression, immunomodulatory properties, homing ability, and plasticity a...

  • Case Report
  • Open Access
332 Views
17 Pages

15 January 2026

Background/Objectives: Pilates is a form of exercise that benefits people with bodily pain and movement limitations. The Clinical Pilates method assesses a patient through history taking and exercise testing to identify the patient’s problem si...

  • Interesting Images
  • Open Access
524 Views
5 Pages

6 January 2026

A 57-year-old man presented with fever and progressive odynophagia three days after a suspected fish bone impaction. Laboratory tests revealed leukocytosis (17,400/µL) and an elevated C-reactive protein level (8.93 mg/dL). Initial chest radiogr...

  • Article
  • Open Access
1 Citations
838 Views
9 Pages

Methods to Diagnose Adiposity (Overweight/Obesity) in Children and Avoid Misdiagnosis: Relative Fat Mass vs. Bioelectrical Impedance Analysis

  • Ana Rodriguez-Ventura,
  • Nayeli Zuñiga-Puente,
  • Luis F. Figueroa-Sanchez,
  • Jessica Guerrero,
  • Esveidy Sánchez,
  • Tanya Perez,
  • Fernanda Calzad and
  • Diana Peña

8 December 2025

Background/Objectives: Bioelectrical impedance analysis (BIA) and dual-energy X-ray absorptiometry (DXA) are the gold standard to measure fat mass, but they are unavailable in regular consultations. Relative Fat Mass (RFM) and Pediatric Relative Fat...

  • Article
  • Open Access
1,117 Views
12 Pages

Central Sensitization of Pain in Patients Presenting with Low Back Pain and Foot/Ankle Disorders

  • Manuel Andrada Alonso,
  • Nerea Mateo Guarch,
  • Matías Alfonso Olmos-García,
  • Conrado Saiz Modol,
  • Julio Doménech Fernández and
  • Rafael Llombart-Blanco

2 December 2025

Central sensitization of pain (CSP) is defined as the “increased responsiveness of nociceptive neurons in the central nervous system (CNS) to normal or subthreshold afferent input” The primary objective of this study is to compare the pre...

  • Study Protocol
  • Open Access
1,230 Views
21 Pages

13 November 2025

Introduction: Current treatments for patients with stage III non-small-cell lung cancer (NSCLC) are not sufficiently personalized, resulting in suboptimal outcomes and high mortality rates. The Developing Circulating and Imaging Biomarkers Towards Pe...

  • Case Report
  • Open Access
1,256 Views
12 Pages

6 November 2025

Background and Clinical Significance: Primary Cutaneous Cribriform Apocrine Carcinoma (PCCAC) is a rare, inert low-grade cutaneous malignancy that is diagnosed on histopathologic assessment. PCCAC usually presents in middle-aged adults as a solitary,...

  • Article
  • Open Access
1,066 Views
15 Pages

31 October 2025

Background/Objectives: Bacteriophages are considered promising alternatives for the treatment of multidrug-resistant (MDR) Pseudomonas aeruginosa infections. Methods: Five bacteriophages with lytic activity against MDR P. aeruginosa were isolated fro...

  • Article
  • Open Access
1 Citations
1,666 Views
17 Pages

Latent Class Analysis of Aeroallergen Sensitization Profiles: Correlations with Sex, Age, and Seasonal Variation in Serum-Specific IgE—Cross-Sectional Study

  • Michelle Silva Szekut,
  • Tatiana Jung,
  • Ágatha Kniphoff da Cruz,
  • Laura Marina Ohlweiler,
  • Luiza Pedralli,
  • Rafaela Wickert Witz,
  • Fernanda Majolo and
  • Guilherme Liberato da Silva

2 October 2025

Background and objectives: Clinical laboratory analyses are essential for diagnosing and treating allergic diseases mediated by immunoglobulin E (IgE). Identifying the sources of sensitivity, subject to regional variations, enables the implementation...

  • Article
  • Open Access
1,060 Views
13 Pages

2 October 2025

Background/Objectives: Chronic ankle instability is a common issue after lateral ankle sprain. The DMA Clinical Pilates method hypothesizes impairments in tibialis anterior and fibularis longus muscles. Methods: A total of 14 adults with chronic ankl...

  • Case Report
  • Open Access
3,317 Views
9 Pages

Black Hairy Tongue Syndrome: Case Report and Review of the Literature

  • Constantinos Tsioutis,
  • Panagiotis Symvoulidis,
  • Marilena Solonos Haralambous,
  • Sakis Lambrianides,
  • Periklis Zavridis,
  • Paris Papakostas and
  • Aris P. Agouridis

30 September 2025

Background/Objectives: Black hairy tongue syndrome (BHT) is characterized by structural epithelial changes and a dark discoloration on the surface of the tongue, causing a variety of symptoms such as xerostomia, altered taste, and nausea. Methods: He...

  • Review
  • Open Access
2 Citations
4,003 Views
28 Pages

2 September 2025

Monkeypox (Mpox), a re-emerging zoonotic disease, has garnered global attention due to its evolving epidemiology, diverse clinical manifestations, and significant public health impact. The rapid international spread of the Mpox prompted the World Hea...

  • Article
  • Open Access
1,282 Views
10 Pages

28 August 2025

Background: multiple sclerosis (MS) presentation varies depending on the location and severity of the lesions affecting different areas of the spinal cord and brain. Extensive research has focused on specific systems to detect the disease in its vari...

  • Case Report
  • Open Access
1,607 Views
6 Pages

22 August 2025

Background: The incidence of chemical ocular trauma after accidentally instilling the “wrong” eyedrops is still frequent, but cases resulting from stamper ink refills are rare. Case Presentation: A 73-year-old man presented to our emergen...

  • Case Report
  • Open Access
2 Citations
2,511 Views
7 Pages

Diagnosis and Nonoperative Management of Uncomplicated Jejunal Diverticulitis: A Case-Based Review

  • Sariah Watchalotone,
  • Nicholas J. Smith,
  • Mehar A. Singh and
  • Imtiaz Ahmed

23 July 2025

Diverticulosis is characterized by sac-like bulges of the mucosa through weakened portions of the intestinal wall, and is a common pathology observed in adult patient populations. The majority of diverticular disease and associated complications, suc...

  • Article
  • Open Access
1,430 Views
11 Pages

Use of Instrumented Timed Up and Go in Adults with Traumatic Brain Injury

  • Shanti M. Pinto,
  • Nahir A. Habet,
  • Tamar C. Roomian,
  • Kathryn M. Williams,
  • Marc Duemmler,
  • Kelly A. Werts,
  • Stephen H. Sims and
  • Mark A. Newman

23 July 2025

Objective: The primary objective was to identify whether there were differences in performance for the individual subcomponents of the instrumented timed “Up and Go” (iTUG) between adults with traumatic brain injury (TBI) and healthy cont...

  • Article
  • Open Access
1,217 Views
10 Pages

Novel Association of rs17111557(T) in PCSK9 with Higher Diastolic Blood Pressure in Northern Ghanaian Adults: Candidate Gene Analysis from an AWI-Gen Sub-Study

  • Joseph A. Aweeya,
  • Lord J. J. Gowans,
  • Engelbert A. Nonterah,
  • Victor Asoala,
  • Patrick Ansah,
  • Michele Ramsay and
  • Godfred Agongo

22 July 2025

Background/Objectives: Cardiovascular diseases are a global health issue with an increasing burden and are exacerbated by hypertension. High blood pressure is partly attributed to genetic variants that are generally not well understood or extensively...

  • Article
  • Open Access
2,381 Views
19 Pages

Characterizing Behavior, Sex and Subtype in Childhood ADHD via the Related Spectrum of Functional Network Connectivity at Rest

  • Emily Lundstrum,
  • Haylee Hudson,
  • Parth Patel,
  • Caitlyn Busch,
  • Channelle Gordon and
  • Anastasia Kerr-German

13 June 2025

Background/Objectives: This study investigates sex differences in the neural profiles of children with and without ADHD using functional near-infrared spectroscopy (fNIRS). Specifically, it explores the functional connectivity patterns in female and...

  • Article
  • Open Access
2 Citations
4,132 Views
18 Pages

Decreased Effectiveness of a Novel Opioid Withdrawal Protocol Following the Emergence of Medetomidine as a Fentanyl Adulterant

  • Kory S. London,
  • Philip Durney,
  • TaReva Warrick-Stone,
  • Karen Alexander and
  • Jennifer L. Kahoud

23 May 2025

Background/Objectives: Philadelphia has experienced a surge in illicit fentanyl adulterated with alpha-2 agonist sedatives. Initially, xylazine (“tranq”) was the predominant adulterant, and a novel multimodal withdrawal protocol was effec...

  • Article
  • Open Access
5,895 Views
30 Pages

Neuro-Cranio-Vertebral Syndrome Associated with Ehlers–Danlos Syndrome: Diagnosis and Treatment

  • Miguel B. Royo-Salvador,
  • Marco V. Fiallos-Rivera and
  • Horia C. Salca

Background: Patients with Ehlers–Danlos Syndrome (EDS) and craniocervical instability are treated with extensive craniocervical fixation. A new argument and treatment are proposed related to filum terminale collagen dysfunction: the Neuro-Crani...

  • Article
  • Open Access
1 Citations
2,368 Views
12 Pages

29 April 2025

Background: Diabetic foot osteomyelitis is a complex condition to manage, with substantial risk of treatment failure, which could necessitate major amputations. Surgical debridement and prolonged systemic antibiotic therapy have been the mainstay of...

  • Article
  • Open Access
3,229 Views
29 Pages

27 March 2025

Background: In functional magnetic resonance imaging (fMRI), functional network connectivity (FNC) captures temporal coupling among intrinsic connectivity networks (ICNs). Traditional FNC analyses often rely on linear models, which may overlook compl...

  • Article
  • Open Access
1 Citations
2,382 Views
25 Pages

Validation of Replicable Pipeline 3D Surface Reconstruction for Patient-Specific Abdominal Aortic Lumen Diagnostics

  • Edoardo Ugolini,
  • Giorgio La Civita,
  • Moad Al Aidroos,
  • Samuele Salti,
  • Giuseppe Lisanti,
  • Emanuele Ghedini,
  • Gianluca Faggioli,
  • Mauro Gargiulo and
  • Giovanni Rossi

25 March 2025

Background: Accurate prognoses are challenging in high-risk vascular conditions, such as abdominal aortic aneurysms, and limited diagnostic standards, decision-making criteria, and data semantics often hinder clinical reliability and impede diagnosti...

  • Review
  • Open Access
3,384 Views
20 Pages

Photodynamic Therapy for Thyroid Cancer

  • Julia Inglot,
  • Joanna Katarzyna Strzelczyk,
  • Dorota Bartusik-Aebisher and
  • David Aebisher

14 March 2025

Background/Objectives: Thyroid cancer is the most common cancer of the endocrine system worldwide. Despite many available therapeutic options, the mortality rate of some subtypes, including anaplastic thyroid cancer, is still significant. Photodynami...

  • Article
  • Open Access
2 Citations
3,751 Views
49 Pages

Single-Eye Porcine Retinal Pigment Epithelium Cell Cultures—A Validated and Reproducible Protocol

  • Philipp Dörschmann,
  • Justine Wilke,
  • Nina Tietze,
  • Johann Roider and
  • Alexa Klettner

10 February 2025

Background: Age-related macular degeneration (AMD) is the leading cause of severe vision loss in industrialized nations. AMD models based on standardized optimized cell culture models are warranted. The aim of this study is to implement a standard op...

  • Article
  • Open Access
2,066 Views
12 Pages

30 January 2025

Background: Although “found down” trauma patients are not subject to any general definition in Germany, the term describes a recurrent clinical picture in the care of adult patients, especially in pre-hospital emergency settings. It is ch...

  • Case Report
  • Open Access
3,882 Views
7 Pages

Cocaine-Induced Limbic Encephalopathy Manifesting as Acute Amnesia: A Case Report

  • Leah Mitra Bourgan,
  • Lindsay Michelle Wong,
  • Prithvi Setty,
  • Adan Junaid,
  • Shahnawaz Karim and
  • Forshing Lui

21 January 2025

Background: Cocaine has been shown to cause cytotoxic neuronal damage, which has been implicated in cases of leukoencephalopathy. We present a case of cocaine-induced toxic encephalopathy resulting in predominant lesions to the gray matter on magneti...

  • Article
  • Open Access
1 Citations
3,166 Views
17 Pages

High Glucose Concentration on the Metabolic Activity of C6 Glia Cells: Implication in Alzheimer’s Disease

  • Karla Aketzalli Hernández-Contreras,
  • Fausto Rojas-Durán,
  • María Elena Hernández-Aguilar,
  • Deissy Herrera-Covarrubias,
  • Marycarmen Godinez-Victoria,
  • Jorge Manzo-Denes,
  • César Antonio Pérez-Estudillo,
  • Fernando Rafael Ramos-Morales,
  • Rebeca Toledo-Cárdenas and
  • Gonzalo Emiliano Aranda-Abreu

9 January 2025

Background: Alzheimer’s disease (AD), the leading cause of dementia worldwide, poses an increasing global health burden, yet its pathogenesis remains poorly understood. Diabetes mellitus (DM), characterized by chronic hyperglycemia, has been id...

  • Systematic Review
  • Open Access
1 Citations
3,450 Views
21 Pages

Cardiometabolic Risk Factors Among African University Students: A Systematic Review

  • Jude Eteneneng Enoh,
  • Roland Tiagha Akah and
  • Benedicta Nkeh-Chungag

27 December 2024

Background: Cardiometabolic risk factors such as hypertension, overweight, and obesity have become increasingly common among African students who tend to become more sedentary in urban environments. This systematic review aimed to determine and ident...

  • Review
  • Open Access
4 Citations
10,193 Views
40 Pages

Review of Multimodal Data Acquisition Approaches for Brain–Computer Interfaces

  • Sayantan Ghosh,
  • Domokos Máthé,
  • Purushothaman Bhuvana Harishita,
  • Pramod Sankarapillai,
  • Anand Mohan,
  • Raghavan Bhuvanakantham,
  • Balázs Gulyás and
  • Parasuraman Padmanabhan

2 December 2024

There have been multiple technological advancements that promise to gradually enable devices to measure and record signals with high resolution and accuracy in the domain of brain–computer interfaces (BCIs). Multimodal BCIs have been able to ga...

  • Article
  • Open Access
2,135 Views
7 Pages

28 November 2024

Background: Obesity is a common problem in adults with intellectual disability, but to our knowledge, there are no reports which address the problem of “sarcopenic obesity” in younger adults with intellectual disability. Methods: We perfo...

  • Article
  • Open Access
1 Citations
3,462 Views
17 Pages

Validation of a Precise Impactor in a Rodent Cervical Spinal Cord Injury Hemi-Contusion Model

  • Jose A. Castillo,
  • Michael Nhien Le,
  • Christopher Pivetti,
  • Jordan E. Jackson,
  • Edwin Kulubya,
  • Zachary Paxton,
  • Camille Reed,
  • Khadija Soufi,
  • Arash Ghaffari-Rafi and
  • Rachel Russo
  • + 5 authors

25 November 2024

Background: Cervical spinal cord injuries (SCIs) are the most common type of human SCI. Although various animal SCI contusion models have been developed to mirror human pathology, few have described cervical-level injuries. This study aims to validat...

  • Article
  • Open Access
11 Citations
3,349 Views
25 Pages

Advancing Brain MRI Image Classification: Integrating VGG16 and ResNet50 with a Multi-Verse Optimization Method

  • Nazanin Tataei Sarshar,
  • Soroush Sadeghi,
  • Mohammadreza Kamsari,
  • Mahrokh Avazpour,
  • Saeid Jafarzadeh Ghoushchi and
  • Ramin Ranjbarzadeh

24 November 2024

Background/Objectives: The accurate categorization of brain MRI images into tumor and non-tumor categories is essential for a prompt and effective diagnosis. This paper presents a novel methodology utilizing advanced Convolutional Neural Network (CNN...

  • Case Report
  • Open Access
2 Citations
2,664 Views
6 Pages

Inflammatory Bowel Disease in Activated PI3Kδ Syndrome: An Uncommon Complication of a Rare Condition

  • Vanessa Nadia Dargenio,
  • Vincenzo Rutigliano,
  • Baldassarre Martire,
  • Bénédicte Pigneur,
  • Costantino Dargenio,
  • Ruggiero Francavilla and
  • Fernanda Cristofori

12 November 2024

Background/Objectives: Monogenic primary immunodeficiencies represent a group of disorders with varying levels of severity, many of which remain poorly understood. Activated phosphoinositide-3 kinase delta syndrome (APDS) is a rare genetic condition...

  • Review
  • Open Access
5 Citations
6,635 Views
29 Pages

Synthesis and Characterization of Carbonaceous Materials for Medical Applications: A Comprehensive Review

  • Ebenezer C. Nnadozie,
  • Kennedy I. Ogunwa,
  • Vitalis I. Chukwuike,
  • Onyinyechukwu O. Nnadozie and
  • Charles Ehikhase

2 November 2024

Carbonaceous materials have gained significant attention in recent years for their various applications in the field of medicine and biotechnology. This comprehensive review explores the synthesis and characterization of carbon-based materials and th...

  • Review
  • Open Access
1 Citations
8,983 Views
18 Pages

22 October 2024

Smokeless tobacco (ST) is an alternative to smoking, which involves not the burning of tobacco. Although ST has been used for thousands of years, its health effects are not well characterized, and it is the subject of misconceptions throughout societ...

  • Article
  • Open Access
2 Citations
3,436 Views
11 Pages

9 October 2024

Background: Muscle biopsy, the gold standard for assessing muscle aerobic capacity, is an invasive procedure. Noninvasive alternatives, such as 31-phosphorus magnetic resonance spectroscopy (31P-MRS) and near-infrared spectroscopy (NIRS), provide val...

  • Article
  • Open Access
1 Citations
2,867 Views
15 Pages

The Relationship between Vitamin D and TyG Index in Prediabetes and Type 2 Diabetes Mellitus among an Indian Tribal Community: A Cross-Sectional Study

  • Roshan Kumar Mahat,
  • Prasanna Kumar Rathor,
  • Vedika Rathore,
  • Manisha Arora,
  • Suchismita Panda and
  • Gujaram Marndi

8 October 2024

Background: Vitamin D deficiency is thought to increase the likelihood of insulin resistance (IR) and diabetes onset. The objective of this study was to examine the association between the triglyceride glucose (TyG) index and vitamin D levels in indi...

  • Article
  • Open Access
4,437 Views
9 Pages

1 October 2024

Aim: This study aims to estimate equivalent doses (EqDs) and life attributable risks (LARs) for pediatric patients who underwent chest–abdominal–pelvic (CAP) CT examinations in Madinah, Saudi Arabia. Methodology: This retrospective study...

  • Review
  • Open Access
3 Citations
3,813 Views
23 Pages

Application of the Hub-and-Spoke Model in Antimicrobial Stewardship Programmes: A Scoping Review

  • Ayesha Iqbal,
  • Yuhashinee Kumaradev,
  • Gizem Gülpinar,
  • Claire Brandish,
  • Maxencia Nabiryo,
  • Frances Garraghan,
  • Helena Rosado and
  • Victoria Rutter

1 October 2024

Background: The hub-and-spoke model (HSM) offers a framework for efficient healthcare service delivery. This scoping review seeks to explore the implementation and effectiveness of the HSM in antimicrobial stewardship (AMS) programmes. Methods: The P...

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