- Diagnostic and Surgical Challenges of Cauda Equina Syndrome in Elderly Patients with Diabetes Mellitus: A Systematic Review and Meta-Analysis of Clinical, Radiological, and Surgical Outcomes. [Systematic Review]Clin Ter. 2026 Sep-Oct; 177(5):1299-1316.CT
- CONCLUSIONS: Elderly diabetic patients with CES experience delayed diagnosis and increased perioperative risk. Early surgical decompression within 48 hours and optimal glycaemic control are key determinants of improved outcomes. Tailored diagnostic pathways for this population are warranted.
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- Thyroid Cancer Management in Contemporary Practice: A Systematic Review and Meta-Analysis of Diagnostic Pathways, Surgical Strategies, Airway Challenges, and Mediastinal Extension. [Systematic Review]Clin Ter. 2026 Sep-Oct; 177(5):1281-1298.CT
- CONCLUSIONS: This meta-analysis provides the most comprehensive and up-to-date quantitative synthesis of surgical complexity in thyroid cancer across diagnostic, airway, surgical, and mediastinal domains. Locally advanced disease is consistently associated with increased rates of difficult airway management, tracheal invasion, and requirement for thoracic surgical access, highlighting its substantially elevated perioperative risk profile. These findings underscore the importance of structured multidisciplinary preoperative assessment, advanced airway planning, and the routine use of intraoperative neuromonitoring in high-risk cases to optimise surgical safety and outcomes.
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- Stalking behaviors and Personality Disorders: A systematic review. [Systematic Review]Clin Ter. 2026 Sep-Oct; 177(5):1273-1280.CT
- CONCLUSIONS: PD diagnosis appears to be a risk factor associated with stalking behavior. A more precise research focus on the evaluation of the individual's psychological profile is warranted in order to prevent recidivism and plan tailored interventions.
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- Multisystem Burden of Paediatric Systemic Lupus Erythematosus: A Systematic Review and Meta-Analysis of Neuropsychiatric, Renal, Ocular, and Immunological Outcomes. [Systematic Review]Clin Ter. 2026 Sep-Oct; 177(5):1257-1272.CT
- CONCLUSIONS: High disease activity in pSLE is strongly associated with major organ involvement across multiple systems. These findings support the use of disease activity indices for risk stratification and highlight the need for multidisciplinary monitoring and region-specific management strategies.
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- Perioperative Biologic and Targeted DMARDs in Patients with Rheumatic Diseases Undergoing Orthopedic Surgery: A Systematic Review and Meta-Analysis. [Systematic Review]Clin Ter. 2026 Sep-Oct; 177(5):1242-1256.CT
- CONCLUSIONS: Perioperative continuation of bDMARDs and tsDMARDs increases infection risk but reduces disease flare. Management should be individualized, considering drug-specific risks, including biomarker suppression and thromboembolism.
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- Delivery Riders at the Crossroads of Occupational Health, Climate Change, and Algorithmic Management. [Review]Clin Ter. 2026 Sep-Oct; 177(5):1238-1241.CT
- Delivery riders have become a defining workforce of contemporary urban economies, yet existing occupational health frameworks remain poorly adapted to the realities of platform-mediated work. This editorial proposes a shift from static, factor-based models of risk toward a dynamic and cumulative perspective, and provides a comparative classification of regulatory approaches worldwide, highlightin…
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- From Infection Control to Healthcare System Resilience: Lessons Learned from SARS-CoV-2 Research in Healthcare Workers. [Review]Clin Ter. 2026 Sep-Oct; 177(5):1234-1237.CT
- The COVID-19 pandemic placed unprecedented pressure on healthcare systems and exposed healthcare workers (HCWs) to biological hazards, organizational pressures, and psychological strain. Evidence generated during the emergency shows that HCW protection cannot rely on isolated measures, but requires an integrated framework combining epidemiological surveillance, contact tracing, infection preventi…
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- Evaluation of Artificial Intelligence (AI) for Myocardial Infarction Health Information: Expert Accuracy Assessment and User Trust Survey. [Journal Article]Clin Ter. 2026 Sep-Oct; 177(5):1216-1233.CT
- CONCLUSIONS: Expert assessments confirmed that ChatGPT generally provides accurate and safe cardiovascular health information; nevertheless, considerable inter-reviewer variability-especially the markedly lower completeness scores from the external evaluator-reveals significant gaps in content depth. These results indicate that ChatGPT functions more appropriately as an adjunctive educational resource rather than a replacement for professional medical consultatio n, emphasizing the necessity for enhanced safety mechanisms, clearer user instructions, and standardized content protocols when addressing high-stakes health topics. ChatGPT should be considered an adjunctive resource rather than a substitute for urgent professional medical assessment in suspected heart attack cases.
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- The Role of MRI Volumetric Assessment of Hippocampus and its Parts in Early Diagnosis of Mesial Temporal Lobe Epilepsy in Epileptic Children. A case-control study. [Journal Article]Clin Ter. 2026 Sep-Oct; 177(5):1208-1215.CT
- CONCLUSIONS: MRI volumetric assessment is a valuable adjunct to conventional MRI for detecting subtle hippocampal and hippocampal subfield volume loss in children with epilepsy, including those with normal conventional MRI findings. Quantitative volumetric analysis may improve the detection of structural abnormalities associated with MTLE and supports its use as a complementary imaging tool in the diagnostic evaluation of pediatric epilepsy.
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- Comparative study between contrast enhanced mammography and breast MRI in local pre-operative staging of invasive lobular carcinoma: A cross-sectional study. [Journal Article]Clin Ter. 2026 Sep-Oct; 177(5):1201-1207.CT
- CONCLUSIONS: Both CEM and MRI are effective imaging modalities for preoperative staging of invasive lobular carcinoma. MRI provides superior accuracy in assessing tumor size and disease extent and remains the preferred staging modality. However, CEM offers excellent performance in evaluating multifocality, multicentricity, and laterality, making it a valuable alternative when MRI is unavailable or contraindicated.
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- Role of Direct MRI Arthrography by Combined Distal Radioulnar and Radiocarpal Compartment Contrast Injection Over Conventional MRI in Detection and Differentiation of Triangular Fibrocartilage Complex Injuries. [Journal Article]Clin Ter. 2026 Sep-Oct; 177(5):1188-1200.CT
- CONCLUSIONS: Direct MRA using combined compartment injection is highly accurate and superior to conventional MRI in diagnosing TFCC injuries. It should be considered an essential imaging tool for evaluating chronic wrist pain and planning surgical intervention.
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- Hepatocyte Growth Factor in Children of Primary Ciliary Dyskinesia and Its Relation to Disease Severity. A case-control study. [Journal Article]Clin Ter. 2026 Sep-Oct; 177(5):1176-1187.CT
- CONCLUSIONS: HGF levels in both serum and BAL fluid are significantly associated with disease severity in children with primary ciliary dyskinesia.
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- Outcome of Pediatric Living Donor Liver Transplantation for Cholestatic Liver Disease in Different Body Weight Groups. A Retrospective Cohort Study. [Journal Article]Clin Ter. 2026 Sep-Oct; 177(5):1166-1175.CT
- CONCLUSIONS: Children weighing less than 10 kg at the time of LDLT have higher postoperative morbidity, particularly pneumonia and portal vein thrombosis, but achieve survival comparable to that of heavier recipients. Low body weight alone should not be considered a contraindication to pediatric LDLT in experienced centers.
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- Left ventricular myocardial strain analysis by feature tracking cardiac magnetic resonance in patients with autoimmune rheumatic diseases: A case-control study. [Journal Article]Clin Ter. 2026 Sep-Oct; 177(5):1159-1165.CT
- CONCLUSIONS: Patients with autoimmune rheumatic diseases exhibit subclinical left ventricular dysfunction despite preserved ejection fraction and absence of myocardial fibrosis on late gadolinium enhancement imaging. CMR feature tracking represents a sensitive and noninvasive imaging technique for early identification of myocardial involvement in ARDs.
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- Exploring the Role and Changes of a Disintegrin and Metalloproteinase with a Thrombospondin Type 1 Motif, Member 13 and Von Willebrand Factor Ag in Patients with Acute Myelogenous Leukemia. [Journal Article]Clin Ter. 2026 Sep-Oct; 177(5):1153-1158.CT
- CONCLUSIONS: Newly diagnosed AML patients demonstrate significant imbalance in the VWF-ADAMTS13 axis, characterized by elevated VWF levels and reduced ADAMTS13 activity. These findings support the presence of early endothelial dysfunction and hemostatic disturbance prior to treatment initiation. Further large-scale prospective studies are needed to determine the prognostic and clinical significance of these biomarkers.
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