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Case Series | Open Access

Published on: 13 Dec 2025

Article ID: wjed.2025.l1301

Primary Hyperparathyroidism Revealed by a Brown Tumor: A Series of 9 Cases
Gorgi K* 1 Chaouche M 1

Brown tumors are bone manifestations of hyperparathyroidism (HPT). They usually occur in severe forms accompanied by signs of periosteal bone resorption. Their treatment mainly relies on parathyroidectomy.

We report a series of 9 cases of primary hyperparathyroidism revealed by a brown tumor. These clinical cases highlight the importance of phosphocalcic assessment in the presence of any bone swelling suggestive of a brown tumor.

Keywords: Brown Tumor;

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Case Series | Open Access

Published on: 13 Dec 2025

Article ID: wjed.2025.l1302

Oncocytic Carcinoma: A Series of 5 Cases
Gorgi K* 1 Chaouche M 1

Oncocytic thyroid carcinoma is a rare tumor characterized by the proliferation of Hürthle (oncocytic) cells. It is an aggressive tumor and is insensitive to radioiodine therapy. We report a series of five patients diagnosed with oncocytic carcinoma.

Keywords: Oncocytic Carcinoma; Hürthle Cell Tumor; Total Thyroidectomy; Radioiodine Therapy

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Case Series | Open Access

Published on: 13 Dec 2025

Article ID: wjed.2025.l1303

Diabetic Ketoacidosis and Thromboembolic Disease in Type 1 Diabetes: A Series of 5 Cases
Gorgi K* 1 Chaouche M 1

Diabetic ketoacidosis (DKA) is a frequent complication that generally evolves favorably; however, thromboembolic complications may occur. Pulmonary embolism is a rare complication. We report a series of five cases of type 1 diabetic female patients presenting with DKA complicated by thromboembolic disease, along with a review of the literature.

Keywords: Thrombosis; Hypercoagulability; Prophylactic Anticoagulation; Pulmonary Embolism

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Systematic Review | Open Access

Published on: 13 Dec 2025

Article ID: wjp.2025.l1304

Umbilical Anomalies and Exomphalos: A Review of Current Practice
Zaparackaite I 1 Govani ND 2 Singh H 3 Singh SJ 4 Mehta AR 5 Midha PK 5 Patel R 2 Patel RV* 2

Objective: To review current practice in the diagnosis and management of umbilical anomalies, with emphasis on exomphalos.

Design: Narrative review of published literature and clinical guidelines.

Results: Umbilical anomalies range from minor hernia of the cord to giant exomphalos. Antenatal diagnosis is feasible with ultrasound and MRI. Management strategies vary from primary closure to staged silo reduction and…

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Research Article | Open Access

Published on: 12 Dec 2025

Article ID: wjor.2025.l1201

Impact of Oral Contraceptive and Hormone Replacement Therapy Use Resulting in Increased Risk of Meniscal Degeneration in Female Athletes
Amari Eubanks 1 Kiana Allen 1 Dy’Quan Kearney 1 Diwane Mills 1 Damon Ross 1 Madison Burnard 2 Elizabeth Beyene 4 Mekdem Bisrat* 4 Syed Fahad Gillani 3 Miriam Michael 3,4

Background: Meniscus degeneration is the gradual breakdown of cartilage in the knee that could lead to osteoarthritis. Female athletes in high-impact sports are at an increased risk, but the underlying reason for this is unknown. The deficiency of sex hormones (i.e, Estrogen) is known to influence connective tissue and joint health. Still, the impact of elevated hormones, such as those from oral contraceptives and hormone replacement therapy, is unknown. The study aims to…

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Research Article | Open Access

Published on: 12 Dec 2025

Article ID: wjor.2025.l1202

Femur Fracture Risk in HIV-Positive Patients with End Stage Renal Disease: A Comparative Analysis from 2004 2013 to 2014–2023
Keleb Mehari 1 Damon Ross 1 Justin Morrison 1 Ryan Mitchell 1 Rawan Elkomi 1 Syed Fahad Gillani 2 Samrawit Zinabu 2 Mekdem Bisrat* 2 Miriam Michael 2

Background: While femur fractures typically affect the elderly, HIV-positive patients with end stage renal disease (ESRD) are at an accelerated risk due to prolonged antiretroviral therapy (ART) use and bone loss. The combined impact of these factors on fracture trends remains under-explored.

Objective: To evaluate the association between femur fractures and the coexistence of HIV and ESRD, and to analyze trends in fracture incidence and…

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Systematic Review | Open Access

Published on: 10 Dec 2025

Article ID: wjptr.2025.l1001

Mechanobiology-Driven Physiotherapy Intervention to Reverse Sarcopenic Cellular Aging: A Randomized Controlled Trial Integrating Myokine Profiling, Mitochondrial Function, and Epigenetic Biomarkers
P. Muthukrishnan* 1 G. Shanmugalakshmi 2

Sarcopenia manifests as age-related skeletal muscle loss accompanied by progressive mitochondrial dysfunction, impaired myokine signaling, and epigenetic aging—yet few randomized controlled trials explore physiotherapy's capacity to reverse these molecular hallmarks. This double-blind parallel RCT evaluated a 12-week mechanobiology-optimized progressive resistance protocol versus stretching control in 80 community-dwelling sarcopenic adults (aged 65-75 years, EWGSOP2 criteria). Primary…

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Review Article | Open Access

Published on: 10 Dec 2025

Article ID: wjp.2025.l1002

Understanding Etiopathogenesis, Pathophysiology, Diagnosis and Innovative Approaches to Management of Infantile Colic: A Narrative Review of the Literature and Multi-center Experience
Zaparackaite I 1 Govani ND 2 Singh H 3 Singh SJ 4 Mehta AR 5 Midha PK 5 Patel R 2 Patel RV* 2

Objective: Infantile colic is a common functional gastrointestinal disorder characterized by excessive crying in otherwise healthy infants. This review synthesizes current evidence on epidemiology, etiopathogenesis, pathophysiology, diagnostic criteria, and management strategies in the light of our multicentre international evidence based long term experience.

Design: Narrative review of published systematic reviews, meta-analyses, and guidelines…

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Research Article | Open Access

Published on: 08 Dec 2025

Article ID: wjptr.2025.l0801

Assessment of the Dynamic Gait Index with and without Cognitive Load in Elderly Non-fallers
Dr. Meghana Mukesh* 1 Dr. S. Nandhakumar 2 Dr. Tittu Thomas James 1

Aims: Most of the rehabilitation assessments concentrate on a unidimensional approach which focuses on challenging and measuring either the executive function (cognitive) components of the task or on its motor components of fallers. This study aimed to assess dynamic balance tasks with and without cognitively load in elderly non-fallers.

Methods: Totally 30 elderly participants with age of 65.57 ± 4.00 were included in the study. Non fallers were…

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Research Article | Open Access

Published on: 06 Dec 2025

Article ID: wjptr.2025.l0601

Post-stroke Depression and Its Relationship with Balance Impairment and Mobility in Patients with Chronic Stroke Hemiparesis – A Correlational Study
Dr. Anamika Sahu* 1 Dr. Ranjeet Singha 2 Dr. Tittu Thomas James 3

Background: Stroke is defined as the immediate loss of neurological function caused by an interruption of the blood supply to the brain or because of the bursting of blood vessels in the brain. A major problem that has been encountered and recorded by clinicians after a stroke attack is depression, which has been found out in almost 33% of patients, and is termed as post-stroke depression (PSD). The balance in gait impairment in stroke patients affects the functional…

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