David Tvildiani Medical University

Open-Loop Deep Brain Stimulation Versus Closed-Loop Responsive Neurostimulation in Drug-Resistant Bitemporal Epilepsy: A Narrative Review

Abstract Drug-resistant bitemporal epilepsy presents a therapeutic challenge when resective surgery is not feasible due to bilateral seizure onset or eloquent cortex involvement. Neuromodulation has emerged as an alternative, with open-loop deep brain stimulation (DBS) and closed...

Association of gaming with international student’s mental health and well-being at Georgian universities

Internet Gaming Disorder (IGD) is a behavioral addiction with notable psychological and social consequences. Although studied globally, limited data exist on IGD among international students in culturally distinct contexts like Georgia. This study explored the associations betwee...

Impact of systemic hormonal imbalances on sebaceous gland disorders: An in-depth review integrating clinical, endocrine, and therapeutic insights

Sebaceous gland disorders (SGDs), including acne vulgaris, seborrheic dermatitis, sebaceous hyperplasia, and hidradenitis suppurativa, are strongly influenced by systemic hormonal regulation. Androgens, insulin, insulin-like growth factor-1 (IGF-1), estrogens, and progesterone mo...