International Medical Journal     Volume 33, Number 2
CONTENTS
EDITORIAL 72 Bridging the Gap: The Evolution and Future of Nutritional Psychiatry

Takahiko Nagamine

REVIEW ARTICLE 74

Iron Oxide Nanoparticles in Bioimaging: An Immunological Perspective and Certain Aspects of the Immune System's Response to Iron Oxide Nanoparticles

Anna Marcinkowska, Agata Król

  80 Nanocellulose and Hybrid Nanoparticles: A Next-Generation Platform for Biomedical and Regenerative Therapies

Anna Marcinkowska, Agata Król

  83 The Ketogenic Diet as an Alternative Therapeutic Approach in Drug-Resistant Epilepsy: A Comprehensive Review of Evidence from 2019-2025

Anna Marcinkowska, Julia Marcinkowska

  87 Effectiveness of Pharmacological Pain Management for Severe Symptoms in Primary Dysmenorrhea: Review

Jana Kozlowska, Simone Szymczyk, Zofia Golabek, Kacper Krol, Anna Marcinkowska, Urszula Zaluska

  92 From the Skin to the Joint: Role of Anaerobic Bacteria in Prosthetic Joint Infections

Kamila Falana, Karol Ludwinek, Paweł Kuczyński, Małgorzata Kozioł

  96 The Diagnostic Accuracy of Thoracic Ultrasound versus Chest X-Ray in the Assessment of Pleural Effusion: A Systematic Review

Tehmina Kouser, Farheen Naz, Hilal Ahmad Malik, Muhammad Zubair

  99 The Effect of Walking Training on Intermittent Claudication in Patients with PAD: from Molecular Mechanisms to Modern Telemedicine Models

Alicja Dankowska, Małgorzata Zielonka, Jakub Białek, Patrycja Stygar, Agnieszka Roszyk, Agnieszka Bajkacz, Izabela Polakowska, Zuzanna Głowacka, Agata Bęben, Kamil Orczyk

  105 Oral GnRH Antagonists for Endometriosis-Associated Pain: Narrative Review 2019-2025

Natalia Radwańska, Katarzyna Popielec-Jakubiec, Miroslav Kablak, Konrad Puchalski, Izabela Polakowska, Bartłomiej Labut

  109 Impact of a Gluten-Free Diet on Biomarkers and Intestinal Recovery in Children and Adolescents with Celiac Disease

Laura Więek, Oksana Zinko, Karolina Buczynska-Dymicka, Martyna Bajek, Konrad Puchalski, Karolina Urban-Michalak, Anna Bigdon, Martyna Pietrzak-Chmiel, Dominika Gosztyla, Kinga Ściurka

  112 Biopsychosocial Chronic Pain: Neurobiological, Psychological and Social Perspectives: A Review Article

Diana Morawska, Przemysław Drabik, Klaudia Marchewka, Agata Sadowska, Alex Malinowski, Wiktoria Białek, Kryspin Adameczek, Wiktoria Oczkowska, Aleksandra Pelczar, Aleksandra Osińska

  115 Telemedicine: Achievements, Limitations and Future Perspectives

Justyna Jończy, Konrad Puchalski, Natalia Laskowska, Paweł Liszka, Miraslau Kabak, Monika Ryczek, Adrianna Kępa, Maciej Łapiński, Aleksandra Zimnoch-Włodarczyk

  119 Feasibility of Artificial Intelligence in Preliminary Patient Diagnosis Using Digital Medical History

Natalia Laskowska, Konrad Puchalski, Justyna Jończy, Miraslau Kabak, Monika Ryczek, Józef Struś Maciej Łapiński, Kinga Ciecierska, Patryk Przekota

  122 De-Escalation of Chronic Respiratory Therapies in Cystic Fibrosis in the Era of Highly Effective CFTR Modulators

Jakub Perediatkiewicz, Paweł Mateusz 」uczak, Konrad Puchalski, Wojciech Urbański, Paweł Liszka, Agata Ogórek, Klaudia Maria Olejnik-Chlewicka, Marta Zasiadła, Klaudia Martyna Patrzykąt, Jakub Brodowski

  126 Physical Activity as an Effective and Safe Non-Pharmacological Intervention in Rheumatoid Arthritis: A Narrative Review

Konrad Puchalski, Natalia Laskowska, Justyna Jończy, Miraslau Kabak, Monika Ryczek, Adrianna Kępa, Maciej ńapiński

  130 Cardiovascular Health and Metabolic Markers in Endurance Athletes on Plant-Based Diets: A Narrative Review

Miraslau Kabak, Konrad Puchalski, Natalia Laskowska, Justyna Jończy, Adrianna Kępa, Maciej Łapiński, Kinga Ciecierska, Monika Ryczek

  134 Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS): A Narrative Review of Current Knowledge and Clinical Management

Maja Sygacz

  137 Probiotics as a Therapeutic Approach in Ulcerative Colitis

Joanna Toporowska-Kaźmierak, Mateusz Banasik, Aleksandra Adamczyk, Maria Ważny, Agnieszka Gancarz, Marta Sowińska, Michał Gut, Damian Bezara, Agata Żak, Miłosz Tworek

  140 Artificial Intelligence in Psychiatry: Opportunities, Challenges, and Future Directions

Maja Sygacz, Rafał Patryn, Radosław Januszczak, Wiktoria Bojarska, Julianna Cholewa, Agnieszka Barbara Białek, Gabriela Anna Gilarska

  144 Physical Activity as a Modifiable Risk Factor for Parkinson's Disease: A Narrative Review of Cohort Studies and Meta-Analyses

Kinga Mehal, Weronika Martyna Pielich, Michalina Bąk, Karolina Stróżyk, Natalia Balicka-Dworczak, Natalia Siusta, Kamil Malinowski, Karolina Szamocka, Tomasz Kuliński, Wiktor Zawadziński

  149 The Periodontitis and Alzheimer's Disease: Pathophysiological Mechanisms, Epidemiological Evidence, and Clinical Implications: A Narrative Review

Wojciech Pondo, Aleksandra Jędras, Katarzyna Bednarz, Gabriela Czerepak, Katarzyna Gliwa, Weronika Pociask, Weronika Czajkowska, Aleksandra Barszcz, Wiktoria Zowczak, Jakub Pest

  153 The Potential of Probiotics in the Treatment of Hyperlipidemia: A Review of Current Knowledge

Aleksandra Adamczyk, Agata Żak, Mateusz Banasik, Gabriela Grylowska, Anna Paluch, Anna Ignatowicz, Katarzyna Gunia, Andrzej Palak, Marcin Rebizant, Michał Tryba

  157 Swimmer's Shoulder in Competitive and Recreational Swimmers: Risk Factors, Prevention and Rehabilitation

Natalia Siusta, Kinga Mehal, Weronika Martyna Pielich, Michalina Bąk, Natalia Balicka-Dworczak, Kamil Malinowski, Karolina Szamocka, Tomasz Kuliński, Karolina Stróżyk, Wiktor Zawadziński

  162 Acrocyanosis in Physically Active Young Adults: Pathophysiology, Differential Diagnosis and Clinical Implications

Kamil Malinowski, Kinga Mehal, Weronika Martyna Pielich, Michalina Bąk, Natalia Balicka-Dworczak, Natalia Siusta, Karolina Szamocka, Tomasz Kuliński, Karolina Stróżyk, Wiktor Zawadziński

  166 The Most Common Overuse Injuries in Runners: Risk Factors and Prevention Strategies: A Literature Review

Weronika Martyna Pielich, Kinga Mehal, Natalia Balicka-Dworczak, Natalia Siusta, Wiktor Zawadziński, Karolina Szamocka, Michalina Bąk, Kamil Malinowski, Tomasz Kuliński, Karolina Stróżyk

ORIGINAL ARTICLE 171 Nonverbal Intelligence in Total Sleep Deprivation

Mohammad Habibur Rahman Khan, Ismat Habib Khan Parsa

  175 Heart Failure with Preserved Ejection Fraction (HFpEF): A Diagnostic and Therapeutic Challenge in Modern Cardiology

Anna Marcinkowska, Julia Marcinkowska

  180 Adipose Tissue as an Endocrine Organ: Updated Insights into Hormonal Dysfunction in Obesity

Anna Marcinkowska, Julia Marcinkowska, Sabina Jóźwiak, Karolina Pawelec

  186 Ischemia with No Obstructive Coronary Arteries (INOCA) in Women: Coronary Microvascular Dysfunction, Endothelial Biology and Diagnostic Pathways

Anna Marcinkowska, Julia Marcinkowska

  191 Gender Differences in Takotsubo Syndrome: Epidemiology, Pathophysiology, Stress-Related Triggers, and Clinical Outcomes

Anna Marcinkowska, Julia Marcinkowska

  195 Iron Deficiency without Anemia: Diagnostic Challenges, Neurocognitive Effects, and Clinical Implications Across Age Groups

Anna Marcinkowska, Julia Marcinkowska

  200 Postmenopausal Hormone Decline and Cardiovascular Aging: The Role of Estrogen, Autonomic Imbalance, and Microvascular Dysfunction

Anna Marcinkowska, Julia Marcinkowska

  205 The Noroma Puppet and the Shifting Paradigms of Emergency Medicine: An Allegory for Epistemological Humility

Çağdaş Can

  208 The Acoustic Stethoscope: Lung Ultrasound and the Evolving Paradigm of Thoracic Imaging

Çağdaş Can

  211 Dexamethasone and Magnesium as Co-Analgesics in Multimodal Postoperative Pain Management

Rumin Magdalena, Gosztyla Dominika, Abramowicz Amanda Dolores, Domagala Kornelia Anna

CASE REPORT 216 Vertical Clinical Toxicology: The Effects of Altitude and Depth via Emergency Department Cases

Çağdaş Can

  219 Application of Targeted Therapy with PARP Inhibitors (olaparib) in Pancreatic Malignancy with Homologous Recombination DNA Repair (HDR) Deficiency

Gabriela Kempisty, Julia Karwatowska, Małgorzata Lachowicz, Bartosz Kwiatek, Iryna Misiura, Wiktor Winiarski, Mateusz Korfanty, Katarzyna Szklener

  221 Metastatic Testicular Mixed Germ Cell Tumor Mimicking Pulmonary Hemorrhage

Wiktoria Biaœek, Aleksandra Osińska, Karolina Wyżkiewicz, Radosław Sochocki, Andrzej Materniak