Minimizing Tissue Injury and Incisions in Multilevel Biportal Endoscopic Spine Surgery: Technical Note and Preliminary Results
Conclusions: Combining multiple techniques during biportal surgery could decrease the number of incisions needed and preserve musculature with favorable clinical outcomes.PMID:38541240 | PMC:PMC10971946 | DOI:10.3390/medicina60030514 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Seung-Kook Kim Source Type: research

Unravelling the Antimicrobial, Antibiofilm, Suppressing < em > Fibronectin Binding Protein A < /em > ( < em > fnba < /em > ) and < em > cna < /em > Virulence Genes, Anti-Inflammatory and Antioxidant Potential of Biosynthesized < em > Solanum lycopersicum < /em > Silver Nanoparticles
Conclusions: The findings from this study indicate that biosynthesized AgNPs from Solanum lycopersicum exhibit promising antimicrobial and antioxidant properties against UTI pathogens, including strains resistant to multiple antibiotics. This suggests their potential as an effective alternative treatment for UTIs. Further research is warranted to fully understand the mechanisms of action and to explore the therapeutic applications of these nanoparticles in combating UTIs.PMID:38541241 | PMC:PMC10972527 | DOI:10.3390/medicina60030515 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Alsayed E Mekky Ahmed E M Abdelaziz Fady Sayed Youssef Shymaa A Elaskary Aly A Shoun Eman A Alwaleed Mahmoud Ali Gaber Abdulaziz A Al-Askar Alhadary M Alsamman Abdullah Yousef Gehad AbdElgayed Reda A Suef Mohamed A Selim Ebrahim Saied Mohamed Khedr Source Type: research

Ovarian Cancer and the Microbiome: Connecting the Dots for Early Diagnosis and Therapeutic Innovations-A Review
Medicina (Kaunas). 2024 Mar 21;60(3):516. doi: 10.3390/medicina60030516.ABSTRACTOvarian cancer, which ranks eighth among global female cancers and fifth in fatality, poses a significant health challenge owing to its asymptomatic early stages. Understanding the pathogenesis requires extensive research. Recent studies have emphasized the role of the gut and cervicovaginal microbiota in ovarian cancer. This review explores the current understanding of the relationship between the microbiome and ovarian cancer, considering the potential of biomarkers in the serum and various tissues. Insights into the influence of the microbio...
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Seo-Yoon Choi Jung-Hye Choi Source Type: research

Factors Influencing Burnout Syndrome and Depression in Dentists across Various Institutions
Conclusions: The findings reveal that dentists employed in ODHCs reported greater levels of EE. These results suggest a pressing need for enhancements in the work environments of dentists, especially in ODHCs.PMID:38541243 | PMC:PMC10971902 | DOI:10.3390/medicina60030517 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Levent Ci ğerim Zeynep Dilan Orhan İbrahim Doğru Nazl ı Hilal Kahraman Abdalrahim Hussein Hayrettin Ba ş Source Type: research

Current Status of Anti-Reflux Surgery as a Treatment for GERD
Medicina (Kaunas). 2024 Mar 21;60(3):518. doi: 10.3390/medicina60030518.ABSTRACTAnti-reflux surgery (ARS) is an efficient treatment option for gastroesophageal reflux disease (GERD). Despite growing evidence of the efficacy and safety of ARS, medications including proton pump inhibitors (PPIs) remain the most commonly administered treatments for GERD. Meanwhile, ARS can be an effective treatment option for patients who need medications continuously or for those who are refractory to PPI treatment, if proper candidates are selected. However, in practice, ARS is often regarded as a last resort for patients who are unresponsi...
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Jooyeon Lee Inhyeok Lee Youjin Oh Jeong Woo Kim Yeongkeun Kwon Ahmad Alromi Mohannad Eledreesi Alkadam Khalid Wafa Aljarbou Sungsoo Park Source Type: research

Overview of Cochrane Systematic Reviews for Rehabilitation Interventions in Individuals with Upper Limb Fractures: A Mapping Synthesis
Conclusions. This overview provided the effect and the certainty of evidence of rehabilitation interventions available after ULFs using a mapping synthesis. To date, there is a need to further the effectiveness and safety of these interventions for persons with ULFs, improving methodological quality of the research in the field.PMID:38541195 | PMC:PMC10971878 | DOI:10.3390/medicina60030469 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Sara Liguori Antimo Moretti Giuseppe Toro Chiara Arienti Michele Patrini Carlotte Kiekens Stefano Negrini Giovanni Iolascon Francesca Gimigliano Source Type: research

Minimally Invasive Management and Diagnosis of Ectopic Splenic Pregnancy
This report describes the case of a 32-year-old woman with ectopic pregnancy in the spleen, which was complicated by active bleeding. The patient complained of intermittent pain in her left side and lower abdomen that lasted several days. The serum beta-human chorionic gonadotropin (β-hCG) was increased, but no intrauterine gestational sac was found via transvaginal sonography. A computed tomography (CT) examination revealed the presence of a heterogeneous structure in the left peritoneal cavity, inferior to the spleen; signs of active extravasation; and a large amount of hemorrhagic fluid in the pelvis. An angiography ex...
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Vestina Strak šytė R ūta Mikšytė Ugn ė Kulnickaitė Simas Gudelevi čius Source Type: research

The Effect of Thyroid Surgery on the Accuracy of Palpation-Based Cricothyroid Membrane Identification in Female Patients: A Prospective Observational Cohort Study
Conclusions: Thyroid surgery history in female patients may hinder the accurate palpation-based identification of the CTM, suggesting a need for enhanced clinical practices and considerations during airway management training.PMID:38541197 | PMC:PMC10971964 | DOI:10.3390/medicina60030471 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Jaesik Park A Rim Yang Hyunji Lee Kwangsoon Kim Min Suk Chae Source Type: research

Italian Survey on Endoscopic Biliary Drainage Approach in Patients with Surgically Altered Anatomy
Conclusions: This survey shows that the endoscopic BD approach is extremely heterogeneous, especially in patients with Roux-en-Y reconstruction or after ERCP failure in Billroth-II reconstruction. Percutaneous BD is still taken into account by a significant proportion of centers in the case of Roux-en-Y anatomy. The total number of endoscopic BD procedures performed in non-tertiary centers is usually low, but this result does not correspond to an adequate rate of referral to more experienced centers.PMID:38541198 | PMC:PMC10972116 | DOI:10.3390/medicina60030472 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Aurelio Mauro Cecilia Binda Alessandro Fugazza Giuseppe Vanella Vincenzo Giorgio Mirante Stefano Mazza Davide Scalvini Ilaria Tarantino Carlo Fabbri Andrea Anderloni None On Behalf Of The I-Eus Group Source Type: research

New Perspectives in Third Molar Auto-Transplantation: Literature Review and a Case Report of Clinical, Financial and Forensic Implications
Medicina (Kaunas). 2024 Mar 13;60(3):473. doi: 10.3390/medicina60030473.ABSTRACTThird molar extraction is the most common procedure in oral and maxillofacial surgery. Third molars are considered less functional than other teeth and are often extracted. Sometimes, they are also used for auto-transplantation for the benefit of oral rehabilitation. Since many biological factors are involved in this surgical approach, herein, we outline a review of the biological characteristics of medico-legal/forensic interest, in addition to presenting a successful clinical case. A scoping review of currently available research data (follow...
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Alessandra Putrino Enrico Marinelli Alessandro Agrillo Simona Zaami Source Type: research

Sex Differences in Insomnia and Circadian Rhythm Disorders: A Systematic Review
Medicina (Kaunas). 2024 Mar 13;60(3):474. doi: 10.3390/medicina60030474.ABSTRACTInsomnia and circadian rhythm disorders are increasingly common in modern society and lead to significant challenges for people's health and well-being. Some studies suggests that men and women differ in neurohormonal secretion, biological processes, and brain morphology. Thus, such differences may affect the etiology, manifestation, and course of sleep disorders, including insomnia and circadian rhythm. This systematic review aims to synthesize the existing literature on sex differences in insomnia and circadian rhythm disorders. PubMed, MEDLI...
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Evelina Paj ėdienė Vilt ė Urbonavičiūtė Vita Ramanauskait ė Lukas Strazdauskas Ambra Stefani Source Type: research

Environmental Exposure to Pesticides and the Risk of Child Neurodevelopmental Disorders
Conclusions: The areas with the highest greenhouse concentration had higher incidences of neurodevelopmental disorders, particularly in boys, and lower age of referral. Chromosomal abnormalities were prevalent for prenatal diagnoses, gestational age below thirty-two weeks for perinatal diagnoses, and brain damage for postnatal diagnoses. Future studies should analyze the connection between pesticide exposure and neurodevelopmental disorders using spatial point pattern analysis.PMID:38541201 | PMC:PMC10972353 | DOI:10.3390/medicina60030475 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Rocio Parr ón-Carrillo Bruno Jos é Nievas-Soriano Tesif ón Parrón-Carreño David Lozano-Paniagua Rub én Trigueros Source Type: research

The Role of Continuous Glucose Monitoring in Detecting Early Dysglycemia and Clinical Outcomes in Patients with Cystic Fibrosis
Medicina (Kaunas). 2024 Mar 14;60(3):477. doi: 10.3390/medicina60030477.ABSTRACTCystic fibrosis-related diabetes (CFRD) is the most common comorbidity in patients with cystic fibrosis (CF). CFRD has been correlated with important clinical outcomes, including poor nutrition, reduced pulmonary function, and earlier mortality. However, clinical decline due to abnormalities of blood glucose (dysglycemia) begins early in CF, before the diagnosis of CFRD by the gold-standard oral glucose tolerance test (OGTT). Continuous glucose monitoring (CGM) has been validated in patients with CF and has been recognized as a valuable tool in...
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Lora Stanka Kirigin Bilo š Velimir Altabas Andrea Vuki ć Dugac Maja Bareti ć Source Type: research

Primary Thyroid Lymphoma: A Retrospective-Observational Study in a Single Institutional Center
Conclusions: PTL represents a diagnosis that needs to be taken into account, especially in women with a history of Hashimoto autoimmune thyroiditis, presenting a cervical tumor with progressive growth. PTL is a lymphoid neoplasia with favorable outcome, with relatively long survival if it is diagnosed at younger ages.PMID:38541203 | PMC:PMC10971821 | DOI:10.3390/medicina60030476 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Octavia Vita Alis Dema Robert Barna Remus Cornea Dan Brebu Mihaela Vlad Oana Popa Ioana Muntean Diana Szilagyi Mihaela Iacob Maria Iordache Marioara Cornianu Dorela Codruta Lazureanu Source Type: research

Relationship between < em > XPA < /em > , < em > XPB/ERCC3 < /em > , < em > XPF/ERCC4 < /em > , and < em > XPG/ERCC5 < /em > Polymorphisms and the Susceptibility to Head and Neck Carcinoma: A Systematic Review, Meta-Analysis, and Trial Sequential Analysis
Conclusions: The analysis identified two polymorphisms, rs17655 and rs751402, as being significantly associated with the risk of HNC. The study underscored the influence of various factors, such as the type of cancer, ethnicity, source of control, and sample size on these associations.PMID:38541204 | PMC:PMC10972270 | DOI:10.3390/medicina60030478 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - March 28, 2024 Category: Universities & Medical Training Authors: Mohammad Moslem Imani Masoumeh Basamtabar Sattar Akbari Edris Sadeghi Masoud Sadeghi Source Type: research