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All published articles 6159

Phenylketonuria from Classical Phenotypes to Base Editing and Targeted Small Molecules: A Critical Narrative Review of Mechanistic Advance and Translational Uncertainty

Stefan Bittmann, Elisabeth Luchter & Elena Moschüring-Alieva · Journal of Advances in Medicine and Medical Research · 2026

Phenylalanine hydroxylase deficiency, historically described as phenylketonuria, occupies an unusual position in medicine. It was the first inherited metabolic disorder for which dietary intervention prevented intellectual disability, the first to be detected through population n...

Open access Research Article 10.9734/jammr/2026/v38i106221

Evaluating the Clinical Use of Cefoperazone/ Sulbactam and Post-discharge Antibiotics Practices in Infectious Diseases Patients

Maitreyi Joshi, Siddharth Menon, Ajay Kharat, Pranita Vhorkate, Trupti Tuse & Shital Dhawane · Journal of Advances in Medicine and Medical Research · 2026

Background: Rational use of broad-spectrum antimicrobials and appropriate post-discharge de-escalation are important components of antimicrobial stewardship. Objectives: The study aims to evaluate the clinical use of Cefoperazone/Sulbactam in hospitalised patients with infectious...

Open access Research Article 10.9734/jammr/2026/v38i106219

Early Cardiometabolic Responses to Pharmacological Therapy in Patients with Metabolic Syndrome in Rural Southern Nigeria: A Prospective Observational Study

Harmony Uchenna Ibezim, Imesidayo Omua Eboreime-Oikeh, Chukwudalu Emmanuel Orji, Osarumwense Precious Otote, Gabriel Pelumi Ikusika & Helen Kwipnchep Njoya · Journal of Advances in Medicine and Medical Research · 2026

Background: Metabolic syndrome is a major public health concern because the clustering of cardiometabolic risk factors, particularly hypertension and impaired glucose metabolism, substantially increases the risk of cardiovascular disease and type 2 diabetes. Aim: This study evalu...

Open access Research Article 10.9734/jammr/2026/v38i106220

Post-treatment Dermal Thickness after Repeated Autologous Albumin Platelet-rich Fibrin Versus Hyaluronic Acid at the Nasolabial Fold: An Age-adjusted Ultrasound Comparative Study

Nina Hassani, Patrick Micheels, Nizar Kheireddine & Salah Eddine Hassani · Journal of Advances in Medicine and Medical Research · 2026

Background: Nasolabial-fold correction can be achieved with hyaluronic acid (HA) fillers or autologous platelet-rich fibrin-based materials, but post-treatment tissue thickness may reflect different structural effects. Aims: To determine whether repeated autologous albumin platel...

Open access Research Article 10.9734/jammr/2026/v38i106215

Diagnostic Agreement between Manual Liquid-Based Cytology and Histopathology among HIV-Positive Women at Machakos Level 5 Hospital, Kenya

Onesmus Muia Mutuku, Scholastica Gatwiri Mathenge, Titus Kamau Karuga & Kyama Cleophas Mutinda · Journal of Advances in Medicine and Medical Research · 2026

Aims: This study assessed the diagnostic agreement between manual liquid-based cervical cytology (MLBC) and histopathology among HIV-positive women attending Machakos Level 5 Hospital, Kenya. Study Design: A prospective comparative cross-sectional study. Place and Duration of Stu...

Open access Research Article 10.9734/jammr/2026/v38i106217

Cannabis and Cannabinoids in Cancer Treatment: A Critical Narrative Review of Supportive Care, Antitumour Evidence, Safety and Translational Gaps

Blessing Gerald Ibokette, Uyoyou Winners Efi, Efe Joseph Oni, Mohammed Eltaif Ali Mohammed, Luis Fernando Jimenez Cepeda, Sorrentina Awala, Ome Valentina Akpughe, Ediomo Ekabua, Sami Ahmed Ishag Salih, Claudiane Mouafo Madzoom, Onaolapo Oluwatayo, Huma Irfan, Abobaker Mohammed, Chijioke Okonkwo & Esan Folashade Janet · Journal of Advances in Medicine and Medical Research · 2026

Cannabis and cannabinoid-based products are increasingly used by people with cancer, yet the term “cancer treatment” encompasses two fundamentally different questions: whether cannabinoids can relieve cancer- or treatment-related symptoms, and whether they can modify tumour biolo...

Open access Research Article 10.9734/jammr/2026/v38i106212

Comparative Assessment of p53 Tumour Suppressor and Ki-67 Proliferative Markers in Prostatic Adenocarcinoma: A Prospective Immunohistochemical Study from Makurdi, North-Central Nigeria

Christian A. Agbo, Odezi F. Otobo, Innocent A. Abi, Williams T. Yongu, Isaac Akpor & Samuel K. Richard · Journal of Advances in Medicine and Medical Research · 2026

Background: Prostate cancer is the most common malignancy among Nigerian men, with the majority presenting late with high-grade disease. Objectives: This study aimed to evaluate the utility of p53 and Ki-67 biomarkers in Nigerian men with prostate cancer by determining their expr...

Open access Research Article 10.9734/jammr/2026/v38i106213

Association between Ultra-processed Food Consumption and History of Colorectal Cancer among U.S. Adults: A Cross-sectional Analysis of National Health and Nutrition Examination Survey (2017– March 2020)

Genevieve O. Onwughalu, Blen W. Nedassa, Joel Udoye, Enemuo Henry Idinmachukwu & Okelue E. Okobi · Journal of Advances in Medicine and Medical Research · 2026

Background: Ultra-processed foods constitute a substantial proportion of dietary intake among U.S. adults and have been associated with several chronic diseases. Evidence regarding their relationship with colorectal cancer remains limited and inconsistent, particularly in nationa...

Open access Research Article 10.9734/jammr/2026/v38i106214

Antimicrobial Susceptibility of Urinary Tract Pathogens in a Resource-Limited Southern Nigerian Setting: Data to Inform Local Stewardship Frameworks

Sandra Chinonyerem Ogbusi, Harmony Uchenna Ibezim, Chika Samuel Chukudi, Osarumwense Precious Otote & Loveth Jenywuojo Ejeh · Journal of Advances in Medicine and Medical Research · 2026

Background: Urinary tract infections (UTIs) contribute substantially to infectious disease morbidity, while locally derived antimicrobial resistance data remain limited in many semi-urban Nigerian settings. This study assessed uropathogen prevalence and antimicrobial susceptibili...

Open access Research Article 10.9734/jammr/2026/v38i106210

Factors Contributing to Pneumococcal Vaccination Hesitancy among Caregivers of Children with Sickle Cell Anaemia in a Resource-limited Setting: Implications for Vaccine Coverage

Ayuba Zakar & Falmata Grema Mustapha · Journal of Advances in Medicine and Medical Research · 2026

Background: Children with sickle cell anaemia (SCA) are at increased risk of invasive pneumococcal disease, making pneumococcal vaccination an important preventive measure. However, vaccine hesitancy may reduce uptake, particularly in resource-limited settings where access to vac...

Open access Research Article 10.9734/jammr/2026/v38i106211

Importance of Recognising Signs and Symptoms of Pre-eclampsia for Nursing Care in Primary Health Care: A Narrative Review

Irene Gomes Ferreira De Oliveira, Karen Caroline Sousa Santos, Francilene Silva Santos, Ana Beatriz Acioli Faria, Bianca Abreu Pantoja, Carlos Eduardo Santos De Sousa, Denise Sena Maués, Felipe Valino Dos Santos, Fernanda Menezes Correa, João Antônio Carvalho Corrêa, Caio Vieira Pires, Leonardo Magalhães Santos, Maylane Cristina BARROS Sousa, Maytê Figueira Coimbra, Naiá Estrela Pinheiro, Nicholas Russo Amanajás, Richelly Cristine Queiroz Martins, Verena Salim Ramos De Almeida, Walter Lopes Neto, Wiliane Freire Pinheiro & Camila Carvalho do Vale · Journal of Advances in Medicine and Medical Research · 2026

Objective: To synthesise current evidence on the recognition of signs and symptoms of pre-eclampsia and to examine how this recognition supports safe nursing care in primary health care. Methods: A narrative review with a structured literature search was undertaken. PubMed/MEDLIN...

Open access Research Article 10.9734/jammr/2026/v38i106209

Diversity in Storage Abnormalities on Vascular Cell Adhesion Molecules (VCAM-1), Intercellular Adhesion Molecule-1 (ICAM-1), and P-selectin (SELP) in CPDA-1-Whole Blood Containing Specific ABO Antigens

Augustine Okereke Abani, Stella Urekweru Ken-Ezihuo & Jeremiah Zacchaeus Awortu · Journal of Advances in Medicine and Medical Research · 2026

Background: Blood storage is associated with progressive biochemical and cellular changes that may alter the concentrations of soluble adhesion molecules. Vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule-1 (ICAM-1), and P-selectin (SELP) are important m...

Open access Research Article 10.9734/jammr/2026/v38i106208

Patterns before Pathology: Artificial Intelligence in Early Diagnostics and Precision Patient Care

Muhammad Ibtisam Ahmad, Muhammad Ibrahim Ahmed & Ahmad Sajjad Ashraf · Journal of Advances in Medicine and Medical Research · 2026

Background: Artificial intelligence (AI) and machine learning (ML) are increasingly used to support earlier diagnosis, risk stratification, clinical decision-making, and personalised care. However, an operational gap persists between algorithmic performance and safe bedside imple...

Open access Research Article 10.9734/jammr/2026/v38i96207

DNA Methylation Triage after High-Risk Human Papillomavirus Detection: A Critical Narrative Review of Oncogenic Risk Stratification and Precision Cervical Cancer Prevention in West Africa

T. O. Adedipe · Journal of Advances in Medicine and Medical Research · 2026

High-risk human papillomavirus (hrHPV) DNA testing has transformed cervical cancer screening because it detects infection with substantially greater sensitivity than morphology-based approaches. Its principal limitation is biological: most hrHPV infections do not progress to canc...

Open access Research Article 10.9734/jammr/2026/v38i96205

A Retrospective Analysis of Clinical Outcomes Following Human Deviations from Algorithmic Recommendations

Shrouk Elsalamony & Hossameldin Mosa Sharaf · Journal of Advances in Medicine and Medical Research · 2026

Background: Artificial intelligence (AI)-based decision-support systems are increasingly used in perioperative care to support risk assessment, resource allocation, and surgical planning. However, these systems may not capture qualitative clinical information or “soft data” recog...

Open access Research Article 10.9734/jammr/2026/v38i96206