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:10.23937/2474-3674/1510094

Importance of Genetic Polymorphisms (Rs662 and Rs854560) of the Paraoxonase-1 Gene as Risk Factor for Acute Ischemic Stroke in Turkish Population

Nevin Karakus, Nursah Basol, Serbulent Yigit, Pinar Cogas, Tuba Ceviz, Ali Kablan and Osman Demir

Article Type: Research Article | First Published: December 11, 2019

Allele frequencies of PON1 gene Q192R and L55M polymorphisms didn’t demonstrate any significant differences between patients and controls (p > 0.05). However, genotype frequencies were significantly different between patients and controls in terms of Q192R polymorphism (p = 0.030). Statistically significant correlations were observed between systolic and diastolic blood pressures of patients and L55M polymorphism (p = 0.017 and p = 0.039, respectively). Heterozygosity for the both Q192R and L55M polymorphisms demonstrated a statistically significant association with acute ischemic stroke in ...

 Open Access DOI:10.23937/2378-2951/1410163

Two Unique Cases of Takotsubo Syndrome: Asymptomatic Takotsubo Complicated by Massive Left Ventricular Thrombus and Nightmare Induced Takotsubo Syndrome

Robert W Murdock, DO, Todd Thomas, DO and David K Murdock, MD

Article Type: Case Report | First Published: December 13, 2019

Takotsubo syndrome (TTS) typically presents like an acute coronary syndrome and is commonly associated with acute physical and/or emotional stress. TTS is characterized by transient moderate to severe left ventricular (LV) dysfunction in the absence of obstructive coronary artery disease (CAD). Excessive beta adrenergic stimulation remains the most widely accepted theory to account for development of TTS. Importantly a variety of commonly used pharmacologic agents which enhance catecholaminergic activity have been recognized as causing or facilitating TTS....

 Open Access DOI:10.23937/2469-5696/1410045

Prevalence of Antiphospholipid Antibodies in HIV-Infected Children in Ile-Ife, South-Western Nigeria

Oyelese AT, Salawu L, Adejuyigbe EA and Olasanmi O

Article Type: Review Article | First Published: December 12, 2019

Lupus anticoagulant (LA) and anticardiolipin antibodies (aCL) are acquired autoantibodies referred to as antiphospholipid antibodies (aPL). They can be found in infective and non-infective conditions. Infection with the Human immunodeficiency virus (HIV) can predispose patients to having these antibodies and this has been documented in Nigerian adult patients but not in the pediatric age group. To determine the prevalence of antiphospholipid antibodies in HIV-infected children and its association with the clinical stage of infection and possible hematological derangements were the aim of this ...

 Open Access DOI:10.23937/2377-4630/1410098

Anaesthesia Monitoring using Artificial Intelligence Techniques

Harry Mc Grath, Colin Flanagan, Liaoyuan Zeng and Yiming Lei

Article Type: Original Article | First Published: December 07, 2019

Artificial Intelligence (AI) will change our lives beyond recognition, it will have a far bigger impact than the internet or mobile technology. We are now at the threshold where machine intelligence is comparable with human intelligence, in certain limited aspects, for the first time in history. Enhancements in technology, both software and hardware, have resulted in some human decision-making being inferior to, and more erratic than, AI in many fields, including medicine. However, it is widely accepted that rather than compete with machines, using AI to support and help make better informed d...

 Open Access DOI:10.23937/2469-5742/1510066

Nephrocutaneous Fistula after Microwave Thermal Ablation and Literature Review

Marius Anglickis, Giedre Anglickiene, Gintare Andreikaite, Lina Miklyciute and Edmundas Starolis

Article Type: Case Report | First Published: December 13, 2019

Nephrocutaneous fistula is a very rare complication of renal surgery. It may be associated with renal tumors, nonfunctional kidneys, staghorn calculi, renal trauma or chronic urinary tract infections. Because of widely used imaging techniques an early detection of small renal tumors has modified the management of kidney cancer. Nephron sparing surgical resection remains the standard of care for T1 tumors less than 7 cm. For patients who are not amenable for surgery, microwave thermal ablation (MWA) is gradually becoming a preferred treatment modality. In this article we present a rare complica...

 Open Access DOI:10.23937/2643-4512/1710033

Odontogenic Keratocysts Associated with Dental Displacement for Orbita Floor: Case Report

Marcelo B Bastos, Mariana MM de Carvalho, Daiana CP de Santana, Priscila V Fialho, Luis CC dos Santos, Alana D Barboza, Diego M de O. Barbosa and Alexandre M Seixas

Article Type: Case Report | First Published: December 14, 2019

The odontogenic keratocyst (OKC) is a benign pathology that presents characteristics of aggression and local recurrence. The WHO considered it as an odontogenic tumor in 2005, but in the most recent classification in 2017 it was once again considered as an odontogenic developmental cyst. Most of the time it presents a symptomatically, but the patient can report the pain symptomatology. The aim of this article is to report a clinical case of OKC on maxilla describing its characteristics and forms of treatment. Male patient, 15-years-old, referred to the bucomaxillofacial surgery service of Hosp...

 Open Access DOI:10.23937/2572-407X.1510019

No Significant Difference in Outcomes for Surgical Treatment of Thyroid Cancer in Kidney Transplant Recipients - Analysis of the HCUP NIS Data

Darren B Abbas, MD, Eric Goldschmidt, MD, Christina Camick, MD, Weikai Qu, MD, PhD and Jorge Ortiz, MD

Article Type: Original article | First Published: December 13, 2019

Solid organ transplant recipients, and in particular Kidney Transplant (KTx) patients, are at increased risk for developing thyroid cancers due to immunosuppression and improved long-term survival post-transplant. Using the HCUP NIS database, we compared mortality rate, disposition, LOS, and total hospital charge between KTx and Non-KTx patients following thyroidectomy for thyroid cancer during 2008-2014. Propensity score matching was performed using demographics, payer, income, hospital characteristics, elective admission, and in-hospital mortality index score. There were no significant diffe...

 Open Access DOI:10.23937/2643-3966/1710027

Thrombus in Transit in Right Atrium with Ecograph Pulmonary Infarction in Patient with Massive Pulmonary Thromboembolism

Edroso Jarne Paloma Eugenia, Arche Banzo Maria Jose, Pascual Bielsa Ana and Obon Azuara Blanca

Article Type: Case Report | First Published: December 16, 2019

We describe the case of a 61-year-old female who was admitted to our tertiary centre with 15-day of dyspnea and whitish expectoration. The patient had a history of deep vein thrombosis and pulmonary thromboembolism a year ago, anticoagulated until a few months ago with acenocumarol. The patient was diagnosed with pulmonary thromboembolism by CT-scan and deep vein thrombosis in the proximal segment of the left femoral vein....

 Open Access DOI:10.23937/2572-4193.1510070

Giant Epidermoid Cyst of the Bony External Ear Canal - A Rare Case Report

Muzeyyen Dogan

Article Type: Case Report | First Published: December 05, 2019

Epidermal cyst of the bony external auditory canal in adults is rare. Only nine cases are reported in the literature. They occasionally tend to develop into a malignancy. A 35-years-old female presented with complaints of decreased hearing and fullness at the left ear. The severity of these symptoms increased gradually for 6 months. On physical examination, the left otoscopy showed a mass that was completely occluding the canal; the tympanic membrane was not visualized. The property of this mass was round, smooth, soft and covered with normal skin. The left tympanic membrane was not evaluated ...

 Open Access DOI:10.23937/2474-1353/1510108

Fundal Placenta Percreta Presenting as Acute Abdomen: A Case Report and the Role of CT-scan in Management

Mohamad K Ramadan, MBBCh-FACS, Bassam Sammak, MD, FRCR, Amani Mohsen, MD, Haneen Hijazi, MD and Dominique A Badr, MD

Article Type: Case Report | First Published: December 06, 2019

Fundal abnormally invasive placentae (AIP) rate is not precisely known, though, it is thought to be infrequent. Acute abdomen due to uterine rupture is an atypical and an extremely rare presentation. Hereby, we report the case of a 33-year-old G3P2002 who presented at 21-weeks with acute abdomen. CT-Scan and color-Doppler ultrasound showed massive hemoperitoneum with a fundal placenta actively bleeding into the abdominal cavity. At laparotomy, the uterus had a 3 cm dent in its left fundal area through which villi were protruding and actively bleeding. Uterine rupture due to non-previa AIP shou...

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