Volume 13, Issue 5, May, 2026

Original Research Articles
1

Vajrajwala Mungara.

Efficacy of Proprioceptive Neuromuscular Facilitation Diagonal Patterns Integrated with Task-Oriented Circuit Training on Gait Speed, Postural Control, and Gross Motor Function in Children with Spastic Diplegic Cerebral Palsy: A Prospective, Single-Blind Randomized Controlled Trial.

Int. Arch. Integr. Med., 2026; 13(5): 1-12.

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DOI: 10.5281/zenodo.20541242

https://doi.org/10.5281/zenodo.20541242

2

Vajrajwala Mungara.

Virtual Reality Combined with Task-Oriented Training on Gait and Balance in Post-Stroke Individuals: A Randomized Controlled Trial.

Int. Arch. Integr. Med., 2026; 13(5): 13-30.

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DOI: 10.5281/zenodo.20541356

https://doi.org/10.5281/zenodo.20541356

3

Muntaha Abed Sameer, Ozlem Bulantekin Duzalan.

Assessment of medication adherence in individuals with chronic diseases.

Int. Arch. Integr. Med., 2026; 13(5): 31-40.

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DOI: 10.5281/zenodo.20541481

https://doi.org/10.5281/zenodo.20541481

4

SJ Sanketh, Vishal K.

A Study of Red Cell Parameters in Treatment Naive Chronic Renal failure Patients: A Hospital Based Cross-sectional Study.

Int. Arch. Integr. Med., 2026; 13(5): 41-51.

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DOI: 10.5281/zenodo.20541566

https://doi.org/10.5281/zenodo.20541566

5

Roobal Behal, Bushra Iftikhar, Suhail Majid Jan.

Assessment of oral self-care in patients with periodontitis attending Government Dental College Srinagar: A questionnaire based study.

Int. Arch. Integr. Med., 2026; 13(5): 52-61.

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DOI: 10.5281/zenodo.20541655

https://doi.org/10.5281/zenodo.20541655

Case Report
6

Alisha Khan, Banka Sai Swetha, Divya Donepudi, Gunvanti Rathod.

Decoding Small Cell Lung Cancer: Biology, Biomarkers, and Novel Therapeutic Strategies. Int. Arch. Integr. Med., 2026; 13(5): 62-67.

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DOI: 10.5281/zenodo.20541776

https://doi.org/10.5281/zenodo.20541776

Review Articles
7

S. Rit, Ruby Chaudhary, Trilok Chand.

Integrating Miasmatic Analysis in the Homeopathic Management of ArnoldChiari Malformation I.

Int. Arch. Integr. Med., 2026; 13(5): 68-75.

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DOI: 10.5281/zenodo.20541981

https://doi.org/10.5281/zenodo.20541981

8

Maria Jose Viquez Angulo, Marco Andrey Vega Chaves, Stefanny Nikole Trejos Castro, Fernando Rodriguez Flores, Dilan Javier Cambronero Vega, Ariel Francisco Carranza Villalobos.

Computed Tomography in the Early Diagnosis of Mesenteric Ischemia: Diagnostic Performance and Clinical Utility.

Int. Arch. Integr. Med., 2026; 13(5): 76-90.

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DOI: 10.5281/zenodo.20542093

https://doi.org/10.5281/zenodo.20542093

9

Katherin Duran Chavarria, Ariel Francisco Carranza Villalobos, Daniela Consumi Cordero, Maria Lucia Soto, Stephanie Paola Serrano Jimenez, Rachel Alfaro Villalobos.

Molluscum contagiosum in the pediatric population: Clinical approach and controversies in therapeutic management.

Int. Arch. Integr. Med., 2026; 13(5): 91-102.

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DOI: 10.5281/zenodo.20542203

https://doi.org/10.5281/zenodo.20542203

10

Juan Carlos Rojas Chaves, Esther Barrantes Gonzalez, Oswaldo Gabriel Ruiz Arce, Marcela Rodriguez Morales, Zianny Pamela Gonzalez Benavides, Daniela Consumi Cordero.

Pathophysiological Effects of Skin Aging on Wound Healing and Postoperative Outcomes in Geriatric Patients Undergoing Oncologic Dermatologic Surgery: A Bibliographic Review.

Int. Arch. Integr. Med., 2026; 13(5): 103-116.

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DOI: 10.5281/zenodo.20542350

https://doi.org/10.5281/zenodo.20542350

11

Josue Campos Chinchilla, Enmanuel Jose Morales Delgado, Daniela Consumi Cordero, Daniel Ramirez Aguilar, Angelica Dayanna Rodriguez Luna, Katherine Maria Blandon Carmona.

Surgery Versus Conservative Management in Grade III Ankle Sprain.

Int. Arch. Integr. Med., 2026; 13(5): 117-131.

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DOI: 10.5281/zenodo.20544311

https://doi.org/10.5281/zenodo.20544311

12

Josue Campos Chinchilla, Nathalie Rodriguez Herrera, Daniela Consumi Cordero, Carmen Andrea Soto Rojas, Angelica Dayanna Rodriguez Luna, Katherine Maria Blandon Carmona.

Patellar Tendinopathy: Comparison of Postoperative Rehabilitation Protocols and Their Impact on Functional Recovery.

Int. Arch. Integr. Med., 2026; 13(5): 132-143.

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DOI: 10.5281/zenodo.20544410

https://doi.org/10.5281/zenodo.20544410

13

Diana Patricia Vargas Viquez, Karina de Los Angeles Montero Salazar, Karina Sandoval Gonazlez, Ekaterina Daniela Hernandez Baker, Allan Mauricio Castro Sibaja, Kevin Vargas Tenorio.

Delirium versus Dementia in the Hospitalized Older Adult: Diagnostic Challenges and Clinical Approach.

Int. Arch. Integr. Med., 2026; 13(5): 144-155.

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DOI: 10.5281/zenodo.20544693

https://doi.org/10.5281/zenodo.20544693

14

Maria Jose Viquez Angulo, Marco Andrey Vega Chaves, Stefanny Nikole Trejos Castro, Jose Pablo Rosales Jimenez, Boris Fernandez Barrantes, Ariel Francisco Carranza Villalobos.

Targeted Anti-Inflammatory Therapies in Atherosclerosis: Beyond Lipid Control With Statins.

Int. Arch. Integr. Med., 2026; 13(5): 156-168.

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DOI: 10.5281/zenodo.20544772

https://doi.org/10.5281/zenodo.20544772

15

Diana Patricia Vargas Viquez, Esteban Garcia Prado, Maria Gabriela Arroyo Salas, Kevin Jose Salazar Lopez, Stefanny Nikole Trejos Castro, Fernando Rodriguez Flores.

Blunt Abdominal Trauma in the Emergency Department: Initial Evaluation and Evidence-Based Surgical Decision-Making.

Int. Arch. Integr. Med., 2026; 13(5): 169-190.

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DOI: 10.5281/zenodo.20544868

https://doi.org/10.5281/zenodo.20544868

16

Joshua Granados Apu, Gabriel Munoz Jackson, Josue Campos Chinchilla, Juan Carlos Rojas Chaves, Claudia Gabriela Fallas Corrales, Alvaro Alexander Chaves Alguera.

Myocarditis versus Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA): The Role of Cardiac Magnetic Resonance in Differential Diagnosis.

Int. Arch. Integr. Med., 2026; 13(5): 191-204.

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DOI: 10.5281/zenodo.20544949

https://doi.org/10.5281/zenodo.20544949

17

Juan Carlos Rojas Chaves, Josue Campos Chinchilla, Miguel Caled Trejos Roman, Kevin Jose Salazar Lopez, Ivonne Hodgson Salas, Luis Enrique Vasquez Villalobos.

Disseminated Intravascular Coagulation: Diagnosis in Complex Clinical Scenarios.

Int. Arch. Integr. Med., 2026; 13(5): 205-216.

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DOI: 10.5281/zenodo.20545030

https://doi.org/10.5281/zenodo.20545030

18

Miguel Caled Trejos Roman, Josue Campos Chinchilla, Yakira Delgado Angulo, Stephanie Paola Serrano Jimenez, Maria Celeste Leiton Duran, Braulio Zuniga Aleman.

Intraoperative Hypotension: Critical Thresholds, Hypotensive Burden, and Perioperative Clinical Consequences.

Int. Arch. Integr. Med., 2026; 13(5): 217-231.

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DOI: 10.5281/zenodo.20545166

https://doi.org/10.5281/zenodo.20545166

19

Miguel Caled Trejos Roman, Maria Jose Solis Marin, Yakira Delgado Angulo, Yoysi Leilani Duarte Molina, Isis Karolina Vega Vega, Stephanie Paola Serrano Jimenez.

Opioid-Free Anesthesia (OFA): Evidence, Controversies, and Limits in Perioperative Practice.

Int. Arch. Integr. Med., 2026; 13(5): 232-244.

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DOI: 10.5281/zenodo.20545250

https://doi.org/10.5281/zenodo.20545250

20

Maria Gabriela Arroyo Salas, Yoysi Leilani Duarte Molina, Stefanny Nikole Trejos Castro, Luis Enrique Vasquez Villalobos, Fernando Rodriguez Flores, Frandanny Vallejo Rivas.

Imaging Diagnosis and Risk Stratification in Fatty Liver Disease: Correlation With Fibrosis and Comparison With Elastography.

Int. Arch. Integr. Med., 2026; 13(5): 245-258.

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DOI: 10.5281/zenodo.20545321

https://doi.org/10.5281/zenodo.20545321

21

Maria Jose Solis Marin, Ricardo Arturo Vargas Fernandez, Maria Nicole Aguilar Cordero, Boris Fernandez Barrantes, Oswaldo Gabriel Ruiz Arce, Daniel Ramirez Aguilar.

Persistent Human Papillomavirus Infection: Immunological Mechanisms and Progression to Cancer.

Int. Arch. Integr. Med., 2026; 13(5): 259-271.

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DOI: 10.5281/zenodo.20550452

https://doi.org/10.5281/zenodo.20550452

22

Manuel Alejandro Ramirez Solano, Josue Campos Chinchilla, Ivonne Hodgson Salas, Carolina Barrientos Hernandez, Maria Gabriela Arroyo Salas, Kevin Jose Salazar Lopez.

POCUS vs Computed Tomography in Acute Abdominal Pain: Acute Emergency Management and Clinical Outcomes.

Int. Arch. Integr. Med., 2026; 13(5): 272-283.

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DOI: 10.5281/zenodo.20550484

https://doi.org/10.5281/zenodo.20550484

23

Sofia Segreda Castro, Luis Enrique Vasquez Villalobos, Ricardo Arturo Vargas Fernandez, Maria Nicole Aguilar Cordero, Boris Fernandez Barrantes, Maria Celeste Leiton Duran.

Polycystic Ovary Syndrome Phenotypes: Beyond Rotterdam Toward an Integrated Clinical, Metabolic, and Biological Classification.

Int. Arch. Integr. Med., 2026; 13(5): 284-296.

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DOI: 10.5281/zenodo.20550515

https://doi.org/10.5281/zenodo.20550515

24

Stefanny Nikole Trejos Castro, Luis Enrique Vasquez Villalobos, Frandanny Vallejo Rivas, Enmanuel Jose Morales Delgado, Kristian Lewis Thomas, Ellen Daniela Sanchez Ramirez.

Intra-Abdominal Drains in Surgery: Current Utility or Obsolete Practice.

Int. Arch. Integr. Med., 2026; 13(5): 297-308.

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DOI: 10.5281/zenodo.20550553

https://doi.org/10.5281/zenodo.20550553