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:10.23937/2643-3966/1710026

A Case of Acute Aortic Failure and Cerebral Infarcts due to Infective Endocarditis in a Patient Addict to Fentanyl and Alcohol-Management and Treatment

Mohammad Alsalaldeh and AVefa Ozcan

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

Infective endocarditis (IE) is one of the cardiac inflammation diseases with high mortality and morbidity mainly affects the inner liner of the endocardium and the valves. The majority of the infective endocarditis is caused by infectious agents. Here in our case, we had a patient with IE associated with multiple cerebral hemorrhagic and infarct areas, brain abscess, pleural effusion, ARDS (Acute respiratory distress syndrome) and bicytopenia, with history of one attack pancreatitis and addiction to fentanyl and alcohol. When medical treatment becomes insufficient, surgery should take place in...

 Open Access DOI:10.23937/2643-4474/1710029

Successful Endovascular Treatment of Post-Traumatic Carotid -Cavernous Fistula of Flow-Diverter Stents

AA Sufianov, SM Karasev, RR Khafizov and RA Sufianov

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

Carotid - cavernous fistulas (CCF) are spontaneous or acquired communications between the internal carotid artery (ICA) and the cavernous sinus, which can be classified as direct or indirect. Direct fistulas between the internal carotid artery and the cavernous sinus can occur due to trauma, ruptures of intracavernous carotid artery aneurysms, collagen deficiency syndromes, stratification of arteries, fibromuscular dysplasia, and direct surgical trauma. Symptoms caused by CCF are associated with their size, duration, location, direction of the venous outflow, as well as the presence of arteria...

 Open Access DOI:10.23937/2469-5726/1510077

The Clever Deception by Silicone Gel-filled Breast Implant Manufacturers Regarding the Phenomenon of Gel Bleed

Arthur E Brawer, MD

Article Type: Commentary | First Published: November 08, 2019

From April of 1992 through November of 2006 a moratorium existed in the USA prohibiting the use of silicone gel-filled breast implants for routine cosmetic enhancement. This mandate, implemented by the Food and Drug Administration (FDA), centered around escalating claims of device-related systemic illness affecting hundreds of thousands of recipients who had these devices placed in their bodies during the 1970's and the 1980's. Varied theories of disease causation were proposed by numerous researchers, all of whom relied on the routine occurrence of silicone gel microdispersion to distant anat...

 Open Access DOI:10.23937/2572-4045.1510045

The Bone in Renal Transplant Recipients-A Nephrological and Orthopedic Review

Natacha Rodrigues, Filipe Rodrigues, Alice Santana and Pedro Neves

Article Type: Review Article | First Published: October 21, 2019

The definition of Chronic Kidney Disease - Mineral Bone Disorder (CKD-MBD) has suffered significant changes over the last decade as our knowledge on the matter grows. The complexity of this subject is even bigger if you consider renal transplant recipients (RTRs) - they already have a legacy of CKD-MBD previous to transplant, their bones will be under the direct and indirect effects of immunosuppression and they will develop CKD-MBD secondary to their graft (dis) function. All these issues occur in addition to the risk factors of the general population for bone disease. Diagnosis and managemen...

 Open Access DOI:10.23937/2643-4563/1710019

Usefulness of P16 and KI67 Immunostaining in Cervical Smear Cytology in Guatemalan Women: A Cross-Sectional Study

Alberto Garcia, MD, PhD, Angel Velarde, MD, MSCE, Francisco Quereda, MD, PhD, Jaume Ordi, MD, PhD, Orlando Rodas, MD, PhD, Erick Soch, MD, H Arturo Morales, MD, Federico Nave and Carlos Lopez, MD

Article Type: Original Research | First Published: October 18, 2019

Conventional cytology is an economic method for screening abnormalities in cervical smears, but with implications in false positive and false negative as compared to better detection of transformed cells with the Dual staining P16/KI67 proteins in cervical smears, therefore, we evaluate the validity and reproducibility of cytology with double staining of P16 and KI67 as compared to conventional cytology in cervical smears. Participants were 210 Guatemalan women with abnormalities in conventional cytology (ASCUS, AGUS, ASCH, LSIL, HSIL, and cervical cancer) that consulted from 2013-2014 to the ...

 Open Access DOI:10.23937/2572-4193.1510068

Preoperative Computed-Tomography for Endoscopic Sinus Surgery: A Simplified Checklist

Saad M Alshammari, MD and Nada A Alshaikh, MD

Article Type: Research Article | First Published: October 21, 2019

Endoscopic sinus surgery (ESS) gained growing popularity with indications expanding beyond rhinosinusitis. Preoperative high-resolution computed tomography (CT) scan is essential in providing the surgical map for surgeons. In addition of being a diagnostic imaging technique, it gives valuable information about origin, nature and extension of the pathology to adjacent structures. Therefore, preoperative review of para-nasal sinuses (PNS) CT scan is crucial in order to perform successful and complete surgery with avoidance of complications. Variable preoperative CT checklists were published in l...

 Open Access DOI:10.23937/2469-5734/1510102

Alternative Technique for Suture in Surgeries of Mandibles

Geninho Thome, Thomas Berry, Larissa Carvalho Trojan, Carolina Accorsi Cartelli, Marcos Boaventura de Moura and Sergio Rocha Bernardes

Article Type: Case Report | First Published: October 28, 2019

The surgical procedure for dental implants presents predictable long-term results. An important part of the surgical procedure is suture, which plays an important role in healing, reconstructing and remodeling soft tissue and promoting hemostasis of the region. The purpose of this case report is to introduce an alternative technique for performing suture in implant surgery of lower total arch. Four implants were placed in the patient’s jaw, all with a minimum torque of 60 Ncm. A small perforation it is performed in the lingual/buccal face of alveolar bone, between implants previously placed,...

 Open Access DOI:10.23937/2469-5734/1510101

Clinical Trial on the Influence of the Consumption of Dyes during Supervised and Domestic Tooth Bleaching

Natalia Maria Velozo dos Santos, Fernanda Buccolo Losada and Renata Pedrosa Guimaraes

Article Type: Research Article | First Published: October 21, 2019

The demand for a harmonious smile and with whiter teeth is currently one of the main reasons that lead the patient to look for a dental treatment, since the appearance of the smile has great relevance on the psychological and interpersonal aspects. The chromatic change of teeth happens due to extrinsic and intrinsic factors. Changes in intrinsic origin may happen due to systemic diseases, changes in tooth formation, dental trauma, pulpal necrosis, drug use, fluorosis and by the dental aging process itself. Among the extrinsic factors are: Smoking, medications such as Chlorhexidine, accumulatio...

 Open Access DOI:10.23937/2643-3907/1710028

Mylohyoid Flap and Platelet Rich Fibrin in the Treatment of Medication Related Osteonecrosis of the Jaws

Michael Erlichman, DDS, Pooja Gangwani, DDS, MPH and Sneha Shah, DMD

Article Type: Case Series | First Published: November 07, 2019

Bisphosphonate medications are widely prescribed for the treatment of osteoporosis and cancer metastases to bone. However, these medications are among a list of agents which are implicated in medication related osteonecrosis of the jaw (MRONJ). A variety of non-surgical and surgical approaches are indicated in the treatment of this condition, depending on disease severity. This case series demonstrates the success of the mylohyoid flap in combination with platelet rich fibrin (PRF) in achieving closure of necrotic bony defects....

 Open Access DOI:10.23937/2643-3907/1710027

Dental Rehabilitation in Class III Anomaly with Oligodontia after Palatal Distraction and Osteotomy under Cone-Beam CT Assistance

Manfred Nilius, MD, DDS, MSc, Günter Lauer, MD, DMD, PhD and Matthias C Schulz, DMD, PhD

Article Type: Original Article | First Published: October 28, 2019

Rehabilitation of angle class III deformity concomitant with oligodontia with great functional, esthetic and social impairment for the patient needs a combined orthodontic-surgical treatment. To achieve secure, quick and stable dental and facial rehabilitation, backward planning with cone-beam CT navigation best supports the multidisciplinary approach. Here we show longtime stability of more than 5 years after thoroughly planning, bimaxillary osteotomy with an implant guided transpalatal distractor (Surgi-Tec All-in-One), conceptional extractions and alveolar augmentation in a male patient wit...

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