ClinMed International Library

The ClinMed International Library is a repository and an open access publisher for medical research that covers a wide range of areas in Clinical Medicine. ClinMed serves as a global platform for medical practitioners and research scholars to foster their learning and professional acumen through an extensive portfolio of research articles and publications that can be accessed without any restrictions.

Dedicated to clinical medical research, we now publish over 70 quality peer-reviewed journals making all the articles freely accessible. The manuscripts submitted to ClinMed will be processed through standard parameters and international peer review systems. This has enabled us to establish new milestones in the global research arena in terms of cogency and integrity, and to disseminate highly credible and accredited research content for researchers, scholars, and practitioners across the globe.

We ensure that all researchers and authors publishing their papers with us retain copyrights, licensed under Creative Commons Attribution License that permits the unrestricted use and re-use of the content with proper citation.

ClinMed International Library

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Articles Published

All articles are fully peer reviewed, free to access and can be downloaded from our ClinMed archive.

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 Open Access DOI:10.23937/2377-9004/1410153

Refractory Hyperemesis Gravidarum in a Patient with Type 1 Diabetes Treated with Laparoscopically Assisted Feeding Jejunostomy Tube Placement

Melissa Chu Lam, MD, Briana Baxter, MD, Farrah Naz Hussain, MD, Kristina Martimucci Feldman, MD and Barak Rosenn, MD

Article Type: Case Report | First Published: November 04, 2019

Severe Hyperemesis gravidarum (HG) is a debilitating condition that affects less than 1% of pregnant women. Management of HG is further complicated in women with type 1 diabetes due to oscillations between hypo and hyperglycemia, often exacerbated by the presence of gastroparesis. We report a 25-year-old G1P0 with longstanding uncontrolled type 1 diabetes mellitus (HbA1C 10.5%), who presented to our service multiple times with hyperemesis and ketosis. On each of these admissions, she was diagnosed with starvation ketosis due to inability to tolerate any oral intake since the start of pregnancy...

 Open Access DOI:10.23937/2643-4474/1710028

A Review of Radiographic Imaging Findings of Ependymal Tumors

Maria Habib Hanna, MD, Bansal A, MD and Belani P, MD

Article Type: Review Article | First Published: October 24, 2019

Ependymomas are glial tumors that typically arise from the lining of the ventricles or the central canal of the spinal cord. The most common site of occurrence is within the posterior fossa. Subtypes of ependymomas include anaplastic ependymoma, myxopapillary ependymoma, and subependymoma. Its characteristic imaging features include findings of a heterogeneous mass with necrosis, calcifications, cystic changes, and hemorrhage. Treatment options includes partial resection with or without irradiation. Intracranial ependymomas are more commonly WHO Grade II and occur in both children and adults. ...

 Open Access DOI:10.23937/2643-4474/1710027

Our First Experience of Simultaneous Endovascular Embolization of Proximal Flow-related Aneurysm and Arteriovenous Malformation of the Brain with Liquid Embolic Agent

AA Sufianov, SM Karasev, RR Khafizov and RA Sufianov

Article Type: Case Report | First Published: October 21, 2019

Arteriovenous abnormalities of cerebral vessels are quite common. One of the main manifestations of this pathology are arteriovenous malformations. Also, a combination of malformations with aneurysmal expansion of the vascular wall of various localization is not rare. The frequent localization of such aneurysms are afferents going to the malformation site; therefore, such aneurysms are also called proximal flow-related aneurysms. As a rule, a combined approach is used mainly for endovascular treatment of such combined pathologies: Embolization of AVM with a liquid embolic agent and embolizatio...

 Open Access DOI:10.23937/2643-4474/1710026

Cerebellar Liponeurocytoma Presenting with Fatal Tumor Hemorrhage

Elia Guadagno, MD, Lorenzo Ugga, MD, Annarita Gencarelli, MD, Valentina Orlando, MD, Sergio Corvino, MD, Maria Rosaria Cervasio, MD, Sara Pignatiello, MD, Andrea Elefante, MD, Francesco Maiuri, MD and Maria Laura Del Basso De Caro, MD

Article Type: Case Report | First Published: October 18, 2019

Liponeurocytoma is a very rare tumor of the nervous system, with only 63 reported cases, mainly in the cerebellum and ventricular system. The key-points for the diagnosis are the histological findings of neurocytic cells with lipidic accumulation, with positivity for S-100 and synaptophysin and negativity for IDH-1, and the MR finding of hyperintensity areas on T1Wi corresponding to fatty tissue within the tumor. This article reports a case of cerebellar liponeurocytoma presenting with acute ictal onset due to significant tumor hemorrhage and resulting in poor outcome with death, after urgent ...

 Open Access DOI:10.23937/2572-4193.1510069

A Revisit of Open Repair for Zenker's Diverticulum Compared to Endoscopic Repair

Ryan Marshall, MD, Gobind Gill, MD, Mohamad Babi, MD, Kirk Withrow, MD and Do-Yeon Cho, MD

Article Type: Research Article | First Published: November 04, 2019

The purpose of our study is to prove open repair (OR) for Zenker's diverticulum can result in similar lengths of stay in the hospital, and similar convalescent periods when compared to endoscopic repair (ER). Retrospective chart review was performed between 2013-2018 for those patients who had surgical repair of Zenker's diverticulum by two surgeons. After discussing all risks, benefits, and alternatives, patient made a decision whether to have ER vs OR of Zenker's diverticulum. These findings suggest OR and ER have a similar length of hospital stay although the operative time is longer with a...

 Open Access DOI:10.23937/2572-3243.1510070

Metatropic Dysplasia - Description of a Newborn with Suspected Epiphyseal Dysplasia

Agnieszka Byrwa, Izabela Michalus, Paulina Adamiecka and Elzbieta Jakubowska-Pietkiewicz

Article Type: Case Report | First Published: October 21, 2019

The paper presents a female neonate with a suspected skeletal defect that was eventually diagnosed as metatropic dysplasia. This is the first case of this disease in our Clinic. Clinical course of the disease was discussed as well as findings of additional examinations and the differentiation from other diseases with a similar clinical picture. Newborns have a narrow and elongated chest with extremely short limbs, with bones resembling dumbbells. Other problems associated with dysplasia involve the spine - the vertebrae are excessively flattened, and any excessive movement of the cervical spin...

 Open Access DOI:10.23937/2572-3243.1510069

Muscle Magnetic Resonance Imaging versus Clinical Function in Duchenne Muscular Dystrophy

Yingyin Liang, PhD, Jie Li, MD, Chen Yang, MD, Xue Xu, MD, Guidian Li, MD, Rongxing He, Dr and Cheng Zhang, PhD

Article Type: Original Article | First Published: October 17, 2019

Impairment in patients with Duchenne muscular dystrophy (DMD) has been evaluated primarily by muscle fiber microscopy examination. Pathologic examination is limited by the choice of muscle and the invasiveness of muscle biopsy. Magnetic resonance imaging (MRI) of the muscle is a noninvasive method of evaluating muscle preservation. To compare muscle MRI and clinical function in patients at different stages (from early to terminal stage) of DMD, and to evaluate the correlation between fatty infiltration grade on MRI and clinical functional scale....

 Open Access DOI:10.23937/2474-3658/1510097

Climate Variability and Its Impact on the Incidence by Dengue in Six Endemic States of the Mexican Republic

Perez Contreras Irma, Alvarado Bravo Krystel Mariel, Barragan Gonzales Alin and Velasco Perez Daniel Alejandro

Article Type: Research Article | First Published: November 04, 2019

Climate variables are one of the main drivers of dengue epidemics and the proliferation of their vectors. Significant relationships have been found between fluctuations in temperature, rainfall, and the incidence of dengue. The interaction between high levels of these variables significantly influences the increase in the incidence after at least one month of this event. The confirmed cases of dengue reported in the epidemiological bulletins of the Epidemiology General Directorate were collected. Seven states with the highest incidence in the Mexican Republic during the years 2016- 2018 throug...

 Open Access DOI:10.23937/2474-3658/1510096

Hepatitis C in Adults and Children: A Cross-Sectional Review from a Tertiary Hospital, Northeast Nigeria during the Period 2008-2015

Isaac Warnow Elon, Ajani Ayomikun, Jalo Iliya, Alkali Yaya, Oyeniyi Christianah, Okolie Henry, Saidu Abubakar, Jibrin Bara, Aremu John, Kudi Ayuba, Danlami Halilu and Charanchi Musa

Article Type: Original Article | First Published: November 04, 2019

HCV is a leading cause of liver cirrhosis, hepatocellular carcinoma and liver failure related deaths among children, adolescents and adults worldwide. Sub-Saharan Africa suffers disproportionately from lack of access to both screening for HCV and treatment services with a resultant high rate of chronic hepatitis C related morbidity and mortality. Nigeria is considered among countries with high Hepatitis C burden and the national prevalence average in 2013 was estimated to be 2.2%. Routine screening for hepatitis C antibody in the country is however sub-optimal. The present study sought to dete...

 Open Access DOI:10.23937/2469-5858/1510082

Implementation of Comprehensive Medication Management Review (CMR) in the Ambulatory Care Setting

Andrew Giaquinto, Pharm D, Ashmi A Philips, Pharm D, AAHIVP, Michael Casias, Pharm D, BCIDP, Navin Philips, Pharm D, BS, DPLA, and Geralyn M Prosswimmer, MD, FAAP

Article Type: Research Article | First Published: November 04, 2019

The purpose of this project was to conduct pharmacotherapeutic management of patients in the outpatient setting in a standardized manner. A CMR program was implemented at select ambulatory care sites within our healthcare system. This review identified and addressed medication-related concerns in order to optimize disease state management and attain positive patient outcomes. This prospective review included patients 80 years or older with polypharmacy concerns, categorized as having greater than 10 medications. Evaluation assessed for therapeutic duplications, potential interactions, side eff...

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