Topic Review
Visible Light as a Therapeutic Option for Pigmentary Disorders
Visible-light therapy (VLT) is commonly used for various skin diseases, mostly as a second-line option. Likewise, it plays a primary or adjunctive role in the clinical management of pigmentary disorders. In the treatment of pigmentary disorders, there are three primary types of visible-light therapies utilized: laser, intense pulsed light (IPL), and LED therapy. Each type of light has unique features and mechanisms that cater to different skin conditions and disorders.
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  • 25 Dec 2023
Topic Review Peer Reviewed
Vibroacoustic Pollution in the Neonatal Ward
Excessive noise pollution is often a problem for neonatal nurseries. Noise pollution involves not only noise but also vibrations. The main difference between them is that noise can be heard, and vibrations are felt. The human ear cannot detect waves outside the range of 20 Hz–20 KHz. Waves from 0 Hz to 80–100 Hz should be considered vibrations. Both can be transmitted to the neonate through the incubator’s operational mechanisms and other noise sources. Neonatal units’ noise is well studied but very little is known about vibration. This entry focuses on the importance of vibrations reaching the inside of incubators in neonatal nurseries.
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  • 25 Dec 2023
Topic Review
Molecular Pathology for Sex Cord–Stromal Tumors of Ovary
Ovarian sex cord–stromal tumors (SCSTs) account for 8% of all primary ovarian neo-plasms. Accurate diagnosis is crucial since each subtype has a specific prognostic and treatment. Apart from fibrosarcomas, stromal tumors are benign while sex cord tumors may recur, sometimes with a significant time to relapse. Although the diagnosis based on morphology is straightforward, in some cases the distinction between stromal tumors and sex cord tumors may be tricky. Indeed, the immunophenotype is usually nonspecific between stromal tumors and sex cord tumors.
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  • 25 Dec 2023
Topic Review
Clinical and Forensic Aspect of Xylazine Poisoning
Xylazine abuse is emerging globally, while the identification of xylazine lethal cases poses a great challenge in clinical and forensic practice. The non-specific symptoms delay the diagnosis and treatment of xylazine poisoning, the pathological changes and lethal concentration of xylazine in body fluid and organs of fatal xylazine poisoning cases are seldom reported and the other toxins detected in such cases complicate the role of xylazine in the cause of death. 
  • 214
  • 25 Dec 2023
Topic Review
Neonatal Physiologic Changes Affecting Drug Disposition Process
Neonates are the most physiologically immature and vulnerable to drug dosing. There is a pronounced difference in the anatomical and physiological profiles between neonates and older people, affecting the absorption, distribution, metabolism, and excretion of drugs in vivo, ultimately leading to changes in drug concentration. 
  • 172
  • 25 Dec 2023
Topic Review
Imaging of Lymphatic System for Cancer Related Lymphedema
Lymphedema is a progressive chronic condition affecting approximately 250 million people worldwide, a number that is currently underestimated. In Western countries, the most common form of lymphedema of the extremities is cancer-related and less radical surgical intervention is the main option to prevent it. Standardized protocols in the areas of diagnosis, staging and treatment are strongly required to address this issue. 
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  • 25 Dec 2023
Topic Review
Tools and Methods for Diagnosing Developmental Dysgraphia
Handwriting is a complex perceptual motor task that requires years of training and practice before complete mastery. Its acquisition is crucial, since handwriting is the basis, together with reading, of the acquisition of higher-level skills such as spelling, grammar, syntax, and text composition. Despite the correct learning and practice of handwriting, some children never master this skill to a sufficient level. These handwriting deficits, referred to as developmental dysgraphia, can seriously impact the acquisition of other skills and thus the academic success of the child if they are not diagnosed and handled early.
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  • 25 Dec 2023
Topic Review
Oxidative Stress and Nrf2 Pathway in Multiple Sclerosis
The pathogenesis of multiple sclerosis (MS) suggests that, in genetically susceptible subjects, T lymphocytes undergo activation in the peripheral compartment, pass through the BBB, and cause damage in the CNS. They produce pro-inflammatory cytokines; induce cytotoxic activities in microglia and astrocytes with the accumulation of reactive oxygen species, reactive nitrogen species, and other highly reactive radicals; activate B cells and macrophages and stimulate the complement system. Inflammation and neurodegeneration are involved from the very beginning of the disease. They can both be affected by oxidative stress (OS) with different emphases depending on the time course of MS. Thus, OS initiates and supports inflammatory processes in the active phase, while in the chronic phase it supports neurodegenerative processes. A still unresolved issue in overcoming OS-induced lesions in MS is the insufficient endogenous activation of the Nuclear Factor Erythroid 2-Related Factor 2 (Nrf2) pathway, which under normal conditions plays an essential role in mitochondria protection, OS, neuroinflammation, and degeneration. Thus, the search for approaches aiming to elevate endogenous Nrf2 activation is capable of protecting the brain against oxidative damage. However, exogenous Nrf2 activators themselves are not without drawbacks, necessitating the search for new non-pharmacological therapeutic approaches to modulate OS.
  • 218
  • 25 Dec 2023
Topic Review
Antioxidant/Anti-Inflammatory Effects of Garlic in Ischemic Stroke
Stroke represents one of the main causes of death and disability in the world; despite this, pharmacological therapies against stroke remain insufficient. Ischemic stroke is the leading etiology of stroke. Different molecular mechanisms, such as excitotoxicity, oxidative stress, and inflammation, participate in cell death and tissue damage. At a preclinical level, different garlic compounds have been evaluated against these mechanisms. Additionally, there is evidence supporting the participation of garlic compounds in other mechanisms that contribute to brain tissue recovery, such as neuroplasticity. After ischemia, neuroplasticity is activated to recover cognitive and motor function. Some garlic-derived compounds and preparations have shown the ability to promote neuroplasticity under physiological conditions and, more importantly, in cerebral damage models. 
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  • 25 Dec 2023
Topic Review
Modified Rankin Scale Prediction
Clinical models are simple algorithms, developed by the medical community, that predict the functional outcome usually from no more than ten variables using simple arithmetic, as they are meant to be computed by humans.
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  • 25 Dec 2023
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