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Scitemed Publishing Group

SciTeMed is an open access scholarly mega journal covering research in the fields of science, technology and medicine.

SciTeMed is a non-profit driven collaboration between the founders and researchers, it aims to improve the way valuable scientific discoveries are presented and shared. SciTeMed makes academic publishing more affordable without compromising its quality. SciTeMed editors, who are all working researchers, commit to their peer-reviewer responsibilities to uphold the academic credibility of every publication.

08/02/2025

Assessment of Nurses’ Self-Perceived Competence and Confidence in Providing Diabetes Education: A Quality Improvement Initiative

Clare Koning, PhD*; Adinet Lock, PhD; Breanne Kelly, MN; Sheila Finamore, MSN; Laurie Rosenzweig, MSN; Kashmiro Kainth, MHS

This quality improvement project highlights a critical shift in diabetes care. Acute care nurses report moderate competence, yet significant confidence gaps remain, particularly in insulin management and the use of new technologies under constant time pressure. These findings challenge the reliance on informal, nurse-led education and call for structured, multidisciplinary models with dedicated diabetes educators and digital tools designed for high-acuity settings. The study underscores the urgent need for targeted training to close these gaps, improve patient safety, and strengthen nurses’ roles as key protectors in chronic disease management.

Article: https://scitemed.com/article/5375/scitemed-de-2025-00199

PDF: https://scitemed.com/upload/5794/5375/scitemed.de.2025.00199.pdf?t=2131

07/01/2025

Reconstruction of Massive Chest Wall Defect After Bilateral Mastectomy Using a Bipedicled Deep Inferior Epigastric Perforator Flap: A Case Report

Samarth Gupta, MCh*; Rajan Arora, MCh; Kripa Shanker Mishra, MCh; Anchit Kumar, MCh; Nikhil Prasad, MCh

This case highlights the use of a bipedicled deep inferior epigastric perforator (DIEP) flap for reconstructing a massive 45 × 17 cm chest wall defect following bilateral mastectomy. By preserving abdominal musculature and utilizing preoperative computed tomographic angiography (CTA) for perforator mapping, the technique enabled tension-free bilateral microvascular anastomosis to the internal mammary arteries. The incorporation of submuscular mesh and minimal donor-site undermining maintained abdominal wall integrity. At six-month follow-up, no hernia or functional deficits were observed, and the patient reported high satisfaction on the BREAST-Q. This muscle-sparing strategy offers a viable alternative for large, midline-crossing chest wall defects where conventional flaps may be insufficient.

Article: https://scitemed.com/article/5378/scitemed-imj-2025-00198

PDF: https://scitemed.com/upload/5273/5378/scitemed.imj.2025.00198.pdf?t=0615

$Microsurgical Lymphatic Reconstruction for Refractory Chylous Ascites in Systemic Lupus Erythematosus: Case Report and L...$

06/11/2025

Microsurgical Lymphatic Reconstruction for Refractory Chylous Ascites in Systemic Lupus Erythematosus: Case Report and Literature Review

Ravikiran Naalla, MCh*; Srikant Aruna Samantaray, MCh; Sanjeev Patil, MS, DNB; Guduru Venkat Rao, MS, M**S, FRCS; Duvvur Nageshwar Reddy, MD, DM, DSc, FRCP

This article presents the first comprehensive review of refractory chylous ascites associated with systemic lupus erythematosus, analyzing 19 cases to propose an evidence-based therapeutic framework. It introduces lymphatic bypass surgery as an effective option for this rare complication, overcoming the limitations of conventional treatment. By integrating mechanical drainage, immunomodulation, and lymphangiogenesis, this approach achieves rapid and sustained resolution of ascites. The findings offer a novel surgical strategy for autoimmune lymphatic disorders and prompt a re-evaluation of their complex pathophysiology. This study demonstrates how surgical innovation can succeed where traditional therapies fail, offering new hope in managing refractory autoimmune disease.

Article: https://scitemed.com/article/4364/scitemed-imj-2025-00197

PDF: https://scitemed.com/upload/171/4364/scitemed.imj.2025.00197.pdf?t=0631

05/19/2025

NSD3::NUTM1 Fusion in Primary Parotid NUT Carcinoma: First Report and Comprehensive Literature Review

Dumindu Weerakkody, MD; Catherine Mitchell, MBBS, FRCPA; Marsali Newman, MBBS, FRCPA; Christopher McEvoy, PhD; Tian Gan, MD; Min Zhang, MD; Sally Ng, MBBS (Hons), FRACS*

This report presents the first documented case of parotid NUT carcinoma with an NSD3::NUTM1 fusion, characterized by rapid metastasis and patient death five weeks post-surgery. This outcome challenges prior reports suggesting favorable survival for non-thoracic NSD3::NUTM1 tumors, indicating potential parotid-specific aggression. By integrating 13 previously published cases with the current case, the article provides a comprehensive clinicopathological reference for this rare malignancy. While further validation is required, the findings advocate for targeted NUT immunohistochemistry and molecular profiling in undifferentiated parotid tumors. BET inhibitors show therapeutic potential, underscoring the need for early recognition and precision-based care.

Article: https://scitemed.com/article/5376/scitemed-aohns-2025-00196

PDF: https://scitemed.com/upload/5800/5376/scitemed.aohns.2025.00196.pdf?t=0549

04/21/2025

Drainless Versus Drain-Based DIEP Flap Breast Reconstruction: A Systematic Review and Meta-Analysis of Postoperative Complications

Steven Christian*; Richard Christian Suteja; Giovanca Verentzia Purnama; Rafael Kurnia Pratama Tokan; Eduardo Kenjiro; Jerry Chen; Albert Salim; Gede Wara Samsarga

This systematic review and meta-analysis provide a pragmatic evaluation of drain-free versus drain-based DIEP flap techniques for breast reconstruction, challenging the traditional reliance on drainage. By analyzing postoperative outcomes, the study highlights the potential for refining surgical strategies to enhance patient comfort and recovery without compromising safety. The findings offer a neutral perspective, suggesting that clinical practice may not necessarily depend on the use of drains. This revelation prompts medical professionals to reassess existing surgical approaches and may catalyze a paradigm shift in postoperative care. Presented with clear narrative and rigorous data analysis, the article encourages readers to consider the broader implications of surgical innovations on patient care protocols.

Article: https://scitemed.com/article/4350/scitemed-imj-2025-00195

04/03/2025

Optimizing Dysphagia Management in Head and Neck Cancer Radiotherapy: Advanced Imaging, Precision Dosimetry, and Rehabilitation

Sayan Kundu*; Bitan Pramanik; Chandrani Mallik; Koustav Majumder; Amitabh Ray

This narrative review advances the management of radiation-induced dysphagia in head and neck cancer treatment by integrating advanced imaging, precision dosimetry, and structured rehabilitation. Beyond focusing solely on dysphagia-optimized intensity-modulated radiotherapy, it explores a variety of approaches: MRI and CT provide detailed anatomical insights, while proton therapy offers a less toxic alternative, and early rehabilitation preserves swallowing function. This holistic model prioritizes patient quality of life, detailing how techniques like Do-IMRT reduce radiation to critical structures like the pharyngeal constrictors and larynx, maintaining effectiveness. The review advocates a multidisciplinary approach, encouraging collaboration among oncologists, radiologists, and therapists to enhance long-term patient well-being and promoting further research to elevate care standards.

Article Access:
Article Link: https://doi.org/10.24983/scitemed.aohns.2025.00194
PDF Download: https://scitemed.com/upload/5770/4344/scitemed.aohns.2025.00194.pdf?t=0513

03/29/2025

SciTeMed Waives Article Processing Charges for 3 Months – Supporting Open Research and Scientific Advancement

At SciTeMed, we're committed to promoting the global sharing of high-quality medical research. To further our mission and reduce barriers for researchers, we're excited to announce a special 3-month waiver of our standard Article Processing Charges, normally $790 USD per article, generously supported by our partnering organizations and academic foundations.

We aim to encourage more researchers to share their innovative findings and valuable clinical experiences with the international community. By waiving these fees, we hope to support open access to critical medical research, helping to drive forward scientific discovery and improve patient care worldwide.

Waiver Period: Effective immediately through June 30, 2025

Eligibility: All researchers whose papers are peer-reviewed and accepted for publication in SciTeMed journals.

We warmly invite medical researchers from all around the globe to take advantage of this special opportunity and submit their manuscripts.

Submit Your Manuscript Now →
https://scitemed.com/login

The SciTeMed Team

— This initiative is made possible through generous support from our partner organizations and academic foundations, reflecting our collective commitment to advancing open science and accessible knowledge.

12/27/2024

An ENT Physician’s Unexpected Encounter: Insights into Academic Stress Through a Clinical Case

Chin-Lung Kuo, MD, PhD

This editorial analyzes the extensive social and familial effects of rigorous educational demands in Taiwan, illustrated by a case study of a 45-year-old female music teacher with sudden sensorineural hearing loss. Forced to skip her medical appointments due to her child's demanding academic schedule, the incident highlights the profound impact of intense educational routines on family life. It critiques the prioritization of academic achievement over well-being, which places undue stress on both children and parents, advocating for a reevaluation of the emphasis on scholastic success versus holistic development. The piece calls for educational reforms towards nurturing, developmentally appropriate strategies that support natural growth and foster a lifelong love for learning. It promotes innovative teaching approaches, early intervention, and strategic use of educational technology to enhance learning outcomes, urging systemic changes to better prepare students for today's complex world. Overall, this is a commendable editorial that offers valuable insights into the need for educational reform.

Article: https://scitemed.com/article/4357/scitemed-aohns-2024-00193

PDF: https://scitemed.com/upload/3714/4357/scitemed.aohns.2024.00193.pdf?t=2324

11/07/2024

Neurohistological Evaluation of Sensory Nerve Regeneration in Canine Fasciocutaneous Free Flaps: Outcomes of Microsurgical Neurorrhaphy and Implications for Extremity Trauma Management

Vladimir Shur, MD, PhD, FAAOS*

The groundbreaking study illuminates the complex mechanisms of nerve regeneration within fasciocutaneous flaps through meticulous neurohistological evaluation, setting a new benchmark in experimental microsurgery. It challenges existing paradigms by demonstrating the transformative potential of sensory neurorrhaphy in animal models, suggesting possible clinical applications. The data reveal a dynamic interplay of nerve recovery and degeneration, offering critical insights that could revolutionize trauma management and reconstructive techniques. By bridging experimental findings with hypothetical clinical scenarios, this article inspires continued innovation and research, aimed at enhancing the efficacy of flap surgeries in restoring function and sensation, thus profoundly impacting future therapeutic strategies.

Article: https://scitemed.com/article/4285/scitemed-imj-2024-00192

PDF: https://scitemed.com/upload/5720/4285/scitemed.imj.2024.00192.pdf?t=0515

09/24/2024

Upper Extremity Reconstruction Post-Tumor Resection: Innovations and Challenges in Limb Preservation for Advanced-Stage Malignant Giant Cell Tumor of Bone

Hsin-Ying Lee, MD; Sung-Chuan Chao, MD, PhD*

This article presents an advanced surgical approach for treating malignant giant cell tumor of bone, emphasizing precision and ethical considerations. It leverages innovative pedicled flap technologies, as opposed to free flaps, enhancing limb functionality and patient quality of life. This technique equips surgeons with evidence that tailored surgical strategies can significantly improve outcomes in complex cases. The paper discusses technical challenges and highlights the application of supercharging and superdrainage techniques in limb reconstructions, methods well-established in microsurgery but infrequently used in oncological contexts. These techniques are crucial for optimizing flap viability and ensuring surgical success. Additionally, the manuscript underscores the profound impact of these advancements on patient lives, offering hope and showcasing tangible benefits. This narrative, blending scientific analysis with patient stories, enriches the understanding of limb reconstruction innovations in oncological surgery, making it invaluable for surgeons.

Article: https://scitemed.com/article/4316/scitemed-imj-2024-00191

PDF: https://scitemed.com/upload/5744/4316/scitemed.imj.2024.00191.pdf?t=0631

09/09/2024

Airway Obstruction Management in an Infant With a Large Vallecular Cyst: Awake Fiberoptic Intubation and Transoral CO₂ Laser Microsurgery for Effective Resection

Laura Li, BA; Nicholas Davidson, MS; Adam Parnass, MD; David L. Walner, MD*

This article presents a comprehensive discussion of advanced techniques in managing pediatric airway obstructions caused by vallecular cysts. By employing awake fiberoptic intubation and transoral CO₂ laser microsurgery, the authors highlight a thoughtful, evidence-based approach that emphasizes both safety and precision. While not groundbreaking, the depth of analysis in the decision-making process and procedural techniques offers invaluable insights for clinicians, particularly in pediatric otolaryngology. The article serves as a critical reference for handling complex airway cases, balancing innovative practices with established methods. Its significance lies in its contribution to optimizing patient safety, particularly in high-risk infant cases, making it essential reading for healthcare providers dealing with airway management challenges.

Article: https://scitemed.com/article/4294/scitemed-aohns-2024-00190

PDF: https://scitemed.com/upload/5730/4294/scitemed.aohns.2024.00190.pdf?t=0521

09/02/2024

Innovative Tubularized Radial Artery Forearm Flap Technique for Comprehensive Reconstruction of Total Nasal and Anterior Palatal Defects: A Case Study

Shruthi Chandrasekar, MD; Raja Tiwari, MD*; Maneesh Singhal, MD

This study introduces an advanced tubularized radial artery forearm flap (RAFF) technique, marking an enhancement over traditional methods in addressing complex nasal reconstructions. It integrates functional and aesthetic considerations through a structured, multi-stage reconstruction process, emphasizing the use of tubularized flaps. Key learning points include the detailed crafting of stable nasal passages, strategic use of costal cartilage for robust structural support, and tailored postoperative care with silicone splints. The tubularized RAFF technique not only optimizes patient outcomes and quality of life but also provides plastic surgeons with critical insights to refine their techniques in facial reconstruction. Indispensable for professionals in the field, this article enriches the understanding of sophisticated reconstructive challenges and solutions.

Article: https://scitemed.com/article/4257/scitemed-imj-2024-00189

PDF: https://scitemed.com/upload/5682/4257/scitemed.imj.2024.00189.pdf?t=0514

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