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:10.23937/2474-3682/1510141

Hemorrhagic Telangiectasia

Rkiouak, M Zaizae, I El Kassimi, N Sahel and Y Sekkach

Article Type: Image Article | First Published: February 13, 2020

A 45-year-old woman came to the internal Medical School A of Mohammed V Military Hospital, complaining of mild recurrent epistaxis related to telangiectasia at the nasal septum and chronic iron deficiency anemia requiring frequent blood transfusions with iron infusions. During his physical exam, we noticed telangiectasia lesions spread throughout her lower lip, tongue (Figure 1A), face, soft palate (Figure 1B) and outer ear (Figure 1C). Doing anterior rhinoscopy, we noticed hematic points on her septal mucosa and her right middle turbinate....

 Open Access DOI:10.23937/2474-3658/1510108

An Acute Gastroenteritis Outbreak Caused by Astrovirus Serotype 4 in a School of Shenzhen City, China, 2017

Luo Li, Li Yuan, Gao Zhiyong, Zeng Jinshui, Lian Yiyao, Song Wentao, Lv Bin, Chen Qi, Liu Na, Jin Miao, Liao Qiaohong, Wu shuyu, Li Zhongjie, Shi Guoqing and Ran Lu

Article Type: Research Article | First Published: January 29, 2020

Human astrovirus (HAstV) was first detected by Appleton and Higgins in 1975 in association with an outbreak of acute gastroenteritis in a maternity ward in England, and the same year named by Madeley and Cosgrove because of its star-like appearance. Astrovirus along with rotavirus, norovirus and sapovirus, is recognized as a common cause of viral acute gastroenteritis in adults and children. Similarly, with other enteric pathogens, the main clinical symptoms of astrovirus are vomiting, diarrhea, abdominal cramps and nausea. However, incubation period varies within those common enteric viruses ...

 Open Access DOI:10.23937/2474-3658/1510107

Influence of Land Cover and Host Species on Trypanosome Infection in Cattle and its Socio-Economic Impacts to Pastoralists of the Maasai Steppe, Tanzania

Kelvin Ngongolo, Gabriel Shirima, Emmanuel A Mpolya, Anna B Estes, Peter J Hudson and Paul S Gwakisa

Article Type: Research Article | First Published: January 29, 2020

We undertook a cohort field study in three villages of the Maasai Steppe: Sukuro, Kimotorok and Oltukai. The study took place in July 2017 and October 2017 and utilized 50 cattle from each village. Pastoralists were asked questions during each visit when blood sampled were taken to seek their viewpoint on the relative abundance of wildlife, habitat types and cultivation observed in the areas their cattle grazed. In addition, the percentage cover of cultivated land and habitat types in the grazing areas were determined during field visits and participatory mapping with pastoralists. A systemati...

 Open Access DOI:10.23937/2378-3001/1410096

Complications as Poor Prognostic Factors in Patients with Hemorrhagic Stroke: A Hospital-Based Stroke Registry

Rizaldy Taslim Pinzon and Vincent Ongko Wijaya

Article Type: Research Article | First Published: February 05, 2020

Stroke is one of the most important causes of global morbidity and mortality. In 2013, stroke was ranked second as the most common cause of death, responsible for 6.5 million deaths globally and the third most common cause of disability in the world. According to the latest world health organization (WHO) data published in 2017, stroke was the leading cause of death in Indonesia reached 332,663 or 19.79% of total deaths of the country. Stroke patients commonly experience medical complications such as pneumonia, urinary infection, decubitus, falls, deep vein thrombosis, and constipation from th...

 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....

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