Introduction: Subtotal thyroidectomy preserves glandular tissue intending to maintain hormonal autonomy; however, the viability of the remnant is unpredictable, complicating postoperative pharmacological management.

Objective: To analyze available scientific evidence on the indication, dosage regimens, and clinical outcomes of levothyroxine use in patients undergoing subtotal thyroidectomy.

Methodology: A systematic…

Monoclonal Gammopathy of Renal Significance (MGRS) is a clinical entity characterized by renal damage caused by monoclonal proteins secreted by clonal plasma or B-cell proliferative disorders, without meeting criteria for overt hematologic malignancies like multiple myeloma or lymphoma. From a hematologist's viewpoint, early identification of the underlying clone is crucial for guiding targeted therapy to preserve renal function.

MGRS lesions are classified into organized…

Background: Preeclampsia is a major contributor to maternal and perinatal morbidity and mortality. While known risk factors include chronic hypertension, diabetes, and autoimmune disease, emerging evidence suggests a potential association between Chlamydia trachomatis infection and hypertensive disorders of pregnancy.

Objective: To evaluate whether Chlamydia trachomatis infection is associated with an increased risk of…

Quantitative assessment of muscle mechanical properties is critical in physiotherapy. The BFpress device allows objective measurement of lumbar muscle compression resistance, but normative data are lacking. This observational study measured 150 healthy physiotherapists (≈2/3 male, 1/3 female; Age 20-55) in prone position at L4-L5. Most participants (≈135) had values 25-27 kg, while ≈15 exceeded 30 kg. All were asymptomatic. Maximum recorded value: 38 kg. These preliminary reference values…

The main topic of this review is invasive procedures used in the Russian healthcare without sufficient indications. This topic is interconnected with paternalism, disregard for the principles of informed consent, professional autonomy and scientific polemics. In conditions of paternalism, misinformation of patients, persuasion and compulsory treatments are regarded to be permissible. In the healthcare, partly due to low wages, various kinds of unofficial payments have become widespread. In…

Purpose: The purpose of this study is to examine and compare the financial performance of IndiGo Airlines and Emirates, identify how their different business models influence profitability and efficiency, and evaluate their long-term financial sustainability and competitive position in the global aviation industry.

Research Methodology: The study adopts a hypothesis-based research methodology, using quantitative financial data from secondary…

Background: Objective assessment of muscle resistance and muscle spasm in physiotherapy practice remains limited, as clinical evaluation is commonly based on subjective palpation [4, 8]. Compression-based measurement approaches may provide more objective clinical information.

Purpose: To present a preliminary clinical application of the Muscle Compression Resistance Index (MCRI) using the BFpress device in a patient with lumbar muscle spasm…

A 69-year-old otherwise healthy patient, with a history of pterygium excision and an 11×6 mm conjunctival autograft secured with Tisseel fibrin glue in the left eye three months prior, presented for postoperative evaluation following phacoemulsification and intraocular lens implantation performed the previous day.

Corrected visual acuity was 0.3 LogMAR. Slit-lamp biomicroscopy revealed a recurrent nasal pterygium, an old corneal leukoma, and minimal corneal edema. The patient was…

We read with great interest the recently published randomized controlled trial by Krishna Prakash and Muthukrishnant Titled “Comparative Effectiveness of Neuromuscular Re-Education Versus Conventional Strengthening on Sensorimotor Control, Dynamic Knee Stability, Pain Modulation, Gait Performance, and Fall Risk in Geriatric Patients with Knee Osteoarthritis” [1].

The authors should be applauded for tackling an essential and therapeutically relevant problem in geriatric…

Recurrent pregnancy loss (RPL) is a rare occurrence in routine medical practice complicating 1-3% of all pregnancies. They represent a real diagnostic challenge due to the multitude of possible etiologies, and remain unexplained in more than 50% of cases. We report the original observation of a 32-year-old Tunisian woman investigated for six recurrent early miscarriages. The investigations concluded with a dual etiology: Hashimoto's thyroiditis (free thyroxine at 6 pmol/, thyroid stimulating…