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Research Article | Open Access

Published on: 02 Sep 2026

Article ID: wjcm.2026.i0204

Periodontal Status in Patients with Diffuse Astrocytomas and Oligodendrogliomas (WHO Grade 2 and 3): A Case – Control Study
Nikolaos Andreas Chrysanthakopoulos* 1,2,3 Vassiliki Vazintari 4

Background/Aim: While periodontal disease (PD) has been linked to various systemic malignancies, extensive research regarding its association with gliomas is currently lacking. The aim of the present study was to evaluate potential differences in periodontal status between patients diagnosed with diffuse astrocytomas and oligodendrogliomas (WHO Grade 2 and 3), and healthy controls.

Materials and Methods: In this retrospective case-control study, 85…

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Research Article | Open Access

Published on: 02 Sep 2026

Article ID: wjat.2026.i0205

The Effect of Tender Coconut Water on Cardiovascular Changes (Heart) Induced by Secondhand Cigarette Smoke in Male Wistar Rats
Aanuoluwapo Janet Adedokun* 1 Olulola Olutoyin Oladapo 2

Background: Second Hand Smoke (SHS) exposes nonsmokers to harmful chemicals that contribute to cardiovascular diseases, including endothelial dysfunction and increased oxidative stress. Tender Coconut Water (TCW), rich in antioxidants and essential nutrients, has been suggested as a potential natural intervention to mitigate SHS-induced cardiovascular damage.

Objective: This study aimed to evaluate the effects of TCW on structural and physiological…

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Research Article | Open Access

Published on: 29 Aug 2026

Article ID: wjbc.2026.h2901

Metabolic Spillover of Dysglycemia: Multiorgan Biochemical Signatures Across Kidney, Liver, and Lipid Pathways
Muhammad Rehan Uppal 1 Rizwan Uppal 1 Umar Saeed* 1 Muhammad Saad Uppal 1 Zahra Zahid Piracha 1

Background: Glycated hemoglobin (HbA1c) is a widely used indicator of chronic glycemic exposure and is central to diabetes diagnosis, monitoring, and prevention of microvascular and macrovascular complications. Because diabetes affects multiple organ systems, interpretation of HbA1c may be strengthened when renal, hepatic, and lipid biomarkers are assessed concurrently.

Objective: This study evaluated the age- and sex-stratified distribution of…

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Research Article | Open Access

Published on: 29 Aug 2026

Article ID: wjcm.2026.h2902

Beyond HBsAg Positivity: A Genotype-Resolved View of Hepatitis B Clinical and Serologic Diversity in Pakistan
Muhammad Rehan Uppal 1 Rizwan Uppal 1 Umar Saeed* 1 Muhammad Saad Uppal 1 Zahra Zahid Piracha 1

Hepatitis B Virus (HBV) remains a major contributor to chronic liver disease, cirrhosis, and hepatocellular carcinoma. Pakistan is considered an intermediate-burden country with heterogeneous regional prevalence and genotype distribution. This study summarizes clinical, demographic, serological, and treatment-related patterns in a Pakistani HBV dataset and interprets the findings in the context of known genotype distribution in Pakistan. De-identified electronic health-record data were…

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Research Article | Open Access

Published on: 29 Aug 2026

Article ID: wjim.2026.h2903

The Demographic Signature of Hepatitis C in Pakistan: Cross-Sectional Patterns Across Age and Sex
Muhammad Rehan Uppal 1 Rizwan Uppal 1 Umar Saeed* 1 Muhammad Saad Uppal 1 Zahra Zahid Piracha 1

Hepatitis C Virus (HCV) remains a major cause of chronic liver disease, cirrhosis, and hepatocellular carcinoma, and Pakistan continues to experience one of the highest HCV burdens globally. This cross-sectional study estimated HCV prevalence in a sample population from Pakistan and explored variations across age and gender groups. Fifty-seven individuals who underwent HCV testing during routine clinical assessment were included. HCV status was determined using serological testing, and…

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Case Report | Open Access

Published on: 29 Aug 2026

Article ID: wjr.2026.h2904

From Lesion Activity to Radiologic Regression: Longitudinal MRI Changes in Relapsing–Remitting Multiple Sclerosis Under Integrative Care
Muhammad Rehan Uppal 1 Umar Saeed* 1 Rizwan Uppal 1 Imaad Ur Rehman 1 Muhammad Saad Uppal 1 Zahra Zahid Piracha 1

Background: Multiple Sclerosis (MS) is a chronic inflammatory demyelinating disorder of the central nervous system in which Magnetic Resonance Imaging (MRI), cerebrospinal fluid findings, evoked potentials, and clinical follow-up remain central to diagnosis and monitoring. Many patients with MS also explore complementary or alternative approaches for symptom relief, although the evidence base for disease modification remains limited and inconsistent.

Case

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Review Article | Open Access

Published on: 29 Aug 2026

Article ID: wjim.2026.h2905

From Resurgence to Eradication: Reframing Pakistan’s Polio Landscape, 2020–April 2025
Umar Saeed* 1 Zahra Zahid Piracha 2 Munir Akmal Lodhi 1 Qudrat Ullah Malik 1 Muzamil Hasan Najmi 1 Muhammad Rehan Uppal 3 Rizwan Uppal 3 Muhammad Saad Uppal 3

Pakistan, together with Afghanistan, remains one of the final reservoirs of endemic Wild Poliovirus type 1 (WPV1). This review synthesizes Pakistan's polio trajectory from 2020 through April 2025, focusing on case trends, environmental surveillance, programmatic responses, and persistent barriers to eradication. The review used published and grey literature from WHO, the Global Polio Eradication Initiative (GPEI), CDC, UNICEF, Pakistan Polio Eradication Programme reports, and peer-reviewed…

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Research Article | Open Access

Published on: 29 Aug 2026

Article ID: wjnfs.2026.h2906

The Metabolic Architecture of Bone Health: Vitamin D, Adiposity, and DXA-Derived Skeletal Phenotypes
Muhammad Rehan Uppal 1 Umar Saeed* 1 Rizwan Uppal 1 Muhammad Saad Uppal 1 Zahra Zahid Piracha 1

Background: Vitamin D is essential for calcium absorption, skeletal mineralization, and musculoskeletal health. However, the relationship between serum 25-Hydroxyvitamin D [25(OH) D], Body Mass Index (BMI), and DEXA-defined osteopenia or osteoporosis remains debated, particularly in populations with heterogeneous nutritional, lifestyle, and clinical risk factors.

Objective: This study evaluated the distribution of vitamin D status and Bone Mineral…

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Research Article | Open Access

Published on: 29 Aug 2026

Article ID: wji.2026.h2907

The Vitamin D–IgE Axis: Cross-Sectional Evidence of an Inverse Association in Tertiary Care Patients
Muhammad Rehan Uppal 1 Umar Saeed* 1 Rizwan Uppal 1 Muhammad Saad Uppal 1 Zahra Zahid Piracha 1

Background: Vitamin D is classically linked with calcium homeostasis and skeletal health, but accumulating evidence indicates that vitamin D signalling also participates in innate and adaptive immune regulation. Because Immunoglobulin E (IgE) is central to allergic sensitization, the relationship between circulating 25-Hydroxyvitamin D [25(OH)D] and total IgE may provide clinically relevant insight into pro-allergic immune balance.

Objective: This…

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Research Article | Open Access

Published on: 29 Aug 2026

Article ID: wjid.2026.h2908

HIV/HBV Co-Infection Among Cameroonian Patients Followed at the EPC Hospital of Djoungolo, Yaoundé - Prevalence and Associated Factors
Georges Teto* 1 Mariam Oudah Dephallah 2 Rachel Kamgaing 1 Beatrice Dambaya 1,3 Alex Durand Nka 1 Ezechiel Ngoufack Jagni Semengue 1 Desiré Takou 1 Collins Chenwi 1 Aude Christelle Ka’e 1 Grace Angong Beloumou 1 Constant Anatole Pieme 4 Joseph Fokam 1,4,5,6,7 Alexis Ndjolo 1,4

Background: Co-infection with Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) worsens liver prognosis and accelerates immunosuppression. In sub-Saharan Africa, updated data on this co-infection remain limited. This study aimed to determine the prevalence of HBV serological markers and identify factors associated with HIV/HBV co-infection among People Living with HIV (PLHIV) followed at the EPC Hospital of Djoungolo (Yaoundé,…

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