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.

Articles Search by   Keyword   |   Journal title   |   Author name   |   DOI

 Open Access DOI:10.23937/2643-3907/1710030

Advanced Perineural Invasion of a Cutaneous Squamous Cell Carcinoma Involving the Supraorbital, Supratrochlear and Optic Nerves

Dharmika Tailor, James Alexander Potter and Phillip Ameerally

Article Type: Case Report | First Published: January 30, 2020

Perineural invasion (PNI) refers to the infiltration of tumour cells into the perineural space of a nerve. It is predominately associated with cutaneous squamous cell carcinomas (cSCC). While PNI has a low level of incidence, it significantly affects the prognosis leading to a poorer outcome. We report a rare case of extensive PNI from a scalp cSCC in a Caucasian gentleman. The supraorbital, supratrochlear and optic nerves were involved requiring an orbital exenteration as part of the surgical management of the cSCC. This is a unique case where a distant cSCC resulted in perineural and intrane...

 Open Access DOI:10.23937/2643-4555/1710012

The Follow-Up of Thyroid Disease in 188 Pregnant Women According to the Guidelines of ATA (American Thyroid Association) 2017

Sema Yuksekdag, Aysun Firat, Abdullah Yildiz and Ethem Unal

Article Type: Original Research | First Published: February 03, 2020

Thyroid disease in pregnancy is a common clinical problem. Since the guidelines for the management of these disorders by the American Thyroid Association (ATA) were first published in 2011, significant clinical and scientific advances have occurred in the field. A major and substantial change in the new guidelines includes raising the upper limit in the normal thyroid function tests. For Thyroid Stimulating Hormone (TSH), the upper limit was 2.5 mU/L in the 2011 guidelines. Normal upper limit in pregnancy is raised to 4.0 mU/L in 2017 revision. In the present study, we evaluated our pregnant p...

 Open Access DOI:10.23937/2377-9004/1410159

Immature Fetiform Teratoma: An Unexpected Cause of Retroperitoneal Mass

Fernando Vazquez Rueda, Maria Rosa Ibarra Rodriguez, Francisco Javier Murcia Pascual, Sharmila Devi Ramnarine Sanchez, Sandra Rocio Wiesner Torres and Rosa Maria Paredes Esteban

Article Type: Case Report | First Published: February 06, 2020

A 5-month-old with normal prenatal checks, with a right permeable hydrocele antecedent, a non-painful and well-delimited mass, which occupied the entire right hemi abdomen, was incidentally detected. Ultrasound and abdominal CT show a retroperitoneal lesion that occupied the entire abdominal cavity, with the presence of fat bulbs and calcifications, which did not depend on any organic structure. Tumor markers were normal. Laparotomy was performed with complete exéresis of tumour. Histopathological study showed a mixed composition, being compatible with immature fetiform teratoma. Favorable ev...

 Open Access DOI:10.23937/2377-9004/1410158

Uterine Rupture Following Misoprostol Induction of Labour at 36 Weeks Gestation in an Unscarred Uterus

Ansong G, Sebuabe SA and Afrani AK

Article Type: Case Report | First Published: January 30, 2020

Case report of a 33-year-old G5P3+1SA diagnosed with an intrauterine foetal death at 36 weeks gestation and induction of labour started with 400 ug of misoprostol vaginally, which was complicated by a uterine rupture with subsequent referral and management in our facility. Intra-operative findings during laparotomy revealed uterine rupture with a macerated still birth intra-abdominally and moderate hemoperitoneum. Uterine rupture in an unscarred uterus following unsuccessful induction is an adverse effect that needs to be monitored and also requiring high index of suspicion to be diagnosed. A ...

 Open Access DOI:10.23937/2469-5726/1510078

Bechet or Not, that is the Question?

Adnan N Kiani, Monthida Fangtham, Wilmer Sibbitt, Roderick Fields and Nicole S Emil

Article Type: Brief Report | First Published: January 30, 2020

A 20-year-old female with recurrent childhood ear infections, and reported history of recurrent oral, genital ulcerations and UTIs, presented as transfer from outside hospital with concern for Behcet syndrome. The patient initially had a 3-4-month history of fever, oral and genital ulcerations and worsening respiratory symptoms. She was initially treated at urgent care with antivirals and nitrofurantoin. She was later admitted to an outside hospital with worsening of aforementioned symptoms and respiratory failure, briefly in ICU for worsening respiratory status. She was treated with Zosyn and...

 Open Access DOI:10.23937/2469-5858/1510085

Potential Clinical Consequences of Medication Process Problems in Older Home Care Patients

Nienke E Dijkstra, MSc, Carolien GM Sino, PhD, Marieke J Schuurmans, PhD, Marcel L Bouvy, PhD, Aline Bouwes, PhD and Eibert R Heerdink, PhD

Article Type: Research Article | First Published: February 03, 2020

Home care professionals regularly observe drug-related problems during home care provision. Problems related to the process of the medication therapy could involve discrepancies in medication prescriptions between the hospital discharge letter and the medication administration record lists (MARL) or insufficient drug delivery. The objective of this study is to determine the potential clinical consequences of medication process problems observed by home care professionals, since those consequences have not been assessed before....

 Open Access DOI:10.23937/2469-5858/1510084

Prevention of Frailty in the Elderly through Physical Activity and Nutrition

Brunilda Elezi, Erjona Abazaj, Marsida Kasa and Skender Topi

Article Type: Research Article | First Published: January 27, 2020

Frailty is considered often as a physical impairment in the elderly and its characteristics are weakness, weight loss, exhaustion, a decrease of the physical activity accumulating also comorbidity. It is considered the geriatric syndrome related to the aging process, declining of biological reserve that results in an increase of vulnerability for negative results including disability, hospitalization, and death. Frailty was defined as “a state of increased vulnerability on the stress factors due to the decline of the neuromuscular, metabolic, physiologic reserve and immune systems....

 Open Access DOI:10.23937/2469-5750/1510078

Albumin, Important Therapy & When to Use It in Ten Patients (Adult & Child): Case Report

Nathasia and Sukmawati Tansil Tan

Article Type: Case Report | First Published: February 03, 2020

Toxic epidermal necrolysis (TEN) is a life-threatening drug reaction that requires immediate medical treatment. Mortality due to TEN cases is quite high until now and the main cause reported is multiple organ dysfunction syndrome. A 7-year-old child, was diagnosed TEN with 86% blistered skin, after receiving Metampiron. Given 20% albumin 50 ml from the first day treated until 20 days, also fluid resucitation, steroids, antibiotics, vitamin C, neurobion, paracetamol, antihistamines, oral hygiene, steroid and antibiotic ointment for body, eye ointment, woundcare, and high nutritions....

 Open Access DOI:10.23937/2474-1353/1510110

Pre-Twin Screen - A Multi-Disciplinary Approach for a Personalized Prenatal Diagnostics and Care for Twin Pregnancies

Hamutal Meiri, Nadav Kugler, Ran Svirsky, Oliver Kagan, Richard Nicolas Brown, Piere Miron, Antoni Borrell, Anna Gonce, Mar Bennasar, Annegret Geipel, Brigitte Strizek, Argyro Syngeleki, Kypros Nicolaides, Howard Cuckle and Ron Maymon

Article Type: Research Article | First Published: January 30, 2020

The prevalence of twin pregnancies is rising globally due to increased assisted conception and advanced maternal age in pregnancy. Twin pregnancies have 5-9 times higher frequencies of fetal chromosomal and structural abnormalities, often deliver preterm, and have high prevalence of gestational diabetes mellitus (GDM), preeclampsia (PE), and intrauterine growth restriction (IUGR) compared to singletons. Twins have special complications such as twins-to twin transfusion syndrome in mono chorionic (MC) twins. Consequently, more twins are born prematurely, suffer from low birth weight, cerebral p...

 Open Access DOI:10.23937/2378-3397/1410107

In Vivo Small Bowel Length is Longer than in Formalin-Fixed Cadavers

Randal Zhou, MD, Bruce A Orkin, MD, FACS, FASCRS, James M Williams, PhD, Anthony Serici, BS, Jennifer Poirier, PhD, Walid El-Bermani, MBChB, PhD, Ronald Bohn, PhD and Areta Kowal-Vern, MD, FCAP, FASCP

Article Type: Research Article | First Published: February 03, 2020

Surgeons require accurate ranges of normal small bowel length (SBL) to benefit patients. The relationship between cadaveric SBL and in vivo human SBL is not known. We hypothesized that cadaveric SBL is significantly different compared to human SBL. SBL was measured prospectively in 167 formalin- fixed cadavers; and studied in 118 without intestinal surgery. A standardized and reproducible method of small bowel measurement was utilized in both in vivo and cadaveric subjects. Small bowel was measured in situ from the Ligament of Treitz to the ileocecal valve. These measurements were compared to ...

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