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.



  Last Updated: December 01, 2020

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

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 Open Access DOI:10.23937/2378-3656/1410242

Efficacy and Safety of GLP-1 Agonists in Chronic Kidney Disease: A Case Series

Awdishu L and Morello CM

Article Type: Case Series | First Published: November 17, 2018

Tight glycemic control has been demonstrated to reduce the incidence of microvascular complications in type 1 and 2 diabetes. However, tight control comes at a risk of hypoglycemia, which is further increased in advanced diabetic kidney disease. GLP-1 agonists significantly lower HgA1c and have added benefits of early satiety and weight loss. However, the safety and efficacy of these agents has not been well documented in CKD stage 3-4....

 Open Access DOI:10.23937/2469-5734/1510071

Successful Treatment of Persistent Bleeding from Gingival Ulcers in an Adolescent Patient with Irsogladine Maleate

Atsushi Masui, Yoshihiro Morita, Takaki Iwagami, Masakazu Hamada, Hidetaka Shimizu and Yoshiaki Yura

Article Type: Case Report | First Published: November 17, 2018

Gingival ulcer is often accompanied by severe pain and bleeding and prevents the practicing of appropriate oral hygiene. Most inflammatory and immune-mediated gingival ulcers can be successfully treated with topical corticosteroids, but those refractory to corticosteroids are difficult to treat. An 18-year-old female visited our clinic with a complaint of gingival bleeding. Since topical corticosteroids and oral antibiotic were not effective for gingival ulcers of the patient, an anti-gastric ul...

 Open Access DOI:10.23937/2474-3674/1510054

Regional Citrate Anticoagulation in Continuous Renal Replacement Therapies

Domingo Daga-Ruiz, Jonathan Pérez-Vacas, Fernando Segura-Gonzalez, Gonzalo Moratalla-Cecilia, Araceli Puerto-Morlan, Pilar Nuevo-Ortega and Alba Fernandez-Porcel

Article Type: Original Article | First Published: November 16, 2018

We designed this Observational prospective cohort study to assess the safety, effectiveness and efficiency of the introduction of Regional Citrate Anticoagulation (RCA) as election strategy for Continuous Renal Replacement Therapies (CRRT). All patients in need of CRRT without contraindications to the use of RCA were included. It was necessary to adapt and implement the original RCA protocol, for the first time in a Spanish ICU. A total of 90 patients between October 2016 and October 2017 were i...

 Open Access DOI:10.23937/2469-5777/1510065

A Pharmacokinetic Analysis of Continuously Infused Piperacillin/Tazobactam in Critically Ill Trauma Patients

Kevin M Silinskie, Bradley D Domonoske and Christine S Cocanour

Article Type: Research Article | First Published: November 16, 2018

To define the serum pharmacokinetics of a fixed-dose of piperacillin/tazobactam at 24, 48, and 72 hours of therapy when administered as a continuous infusion in critically ill trauma patients. Although we found a wide variability in serum piperacillin/tazobactam concentrations, the administration of a 16/2 g per day dose as a continuous infusion achieves optimal pharmacokinetic parameters for commonly isolated microorganisms in critically ill trauma patients....

 Open Access DOI:10.23937/2469-5734/1510070

Conservative Treatment of Primary and Nonsyndromic Odontogenic Keratocyst: An Overview of the Practice

Yuri Slusarenko da Silva and Maria da Graca Naclerio-Homem

Article Type: Research Article | First Published: November 16, 2018

Odontogenic Keratocyst (OKC) is a locally aggressive odontogenic cyst with a high recurrence rate after treatment. Several conservative surgeries have been suggested in the treatment of Keratocysts but working with an overview of the practice may render better outcomes. We conducted a literature review in the databases MEDLINE, Web of Science, Scopus, Cochrane Library and Google Scholar as well as in the gray literature (books and thesis) for studies reporting on the pathogenesis, clinical prese...

 Open Access DOI:10.23937/2378-3656/1410241

Hyponatraemia Workup Leading to a Diagnosis of Primary Empty Sella Syndrome: A Case Report

Guillermo Ropero Luis, Sonia Santamaria Fernandez, Jesica Martín Carmona and Ricardo Gomez Huelgas

Article Type: Case Report | First Published: November 16, 2018

A 61-year-old woman was admitted to our ward - after her third visit to the Emergency Department in two months - because of progressive lethargy, weakness, and persistent euvolaemic hyponatraemia. Based on the results of the first diagnostic workup (complete blood count, serum and urinary biochemistry), a diagnosis of Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) was established. A comprehensive second diagnostic workup was performed, leading to the diagnosis of anterior hypop...

 Open Access DOI:10.23937/2469-5823/1510105

Marital Adjustment of Women Living in Two Different Provinces of Turkey and their Attitudes towards Violence against Women

Betül Aktas, Hasret Yalcinoz Baysal and Medine Yilmaz

Article Type: Research Article | First Published: November 16, 2018

The study is a descriptive and cross-sectional one. The population of the study included 18-49 year old married women residing in the eastern (Erzurum) and the western (İzmir) part of Turkey. Of these women, 303 who presented to the Family Health Center for any reason and volunteered to participate in the study comprised the study sample. To collect the study data, the Sociodemographic Characteristics Questionnaire, the Attitudes towards Violence against Women Scale and the Marital Adjustment S...

 Open Access DOI:10.23937/2377-4630/1410081

Apneic Oxygenation and High Flow

Ayten Saracoglu, Halime Hanim Pence, Mehmet Yilmaz and Kemal Tolga Saracoglu

Article Type: Review Article | First Published: November 16, 2018

Prevention and minimizing serious complications during difficult airway management is an important goal for anesthesia providers. Using the high flow cannula oxygenation systems it is possible to improve the clinical outcomes, increase patient safety and reduce the rate of complications. A possible mechanism of this method can be explain by 'Aventilatory Mass Flow' which is a physilogical phenomenon. Several methods can be used to implement apneic oxygenation such as nasopharyngeal catheter, nas...

 Open Access DOI:10.23937/2469-5777/1510064

Assessing Familiarity of Personnel in an Army-Clinic with New American Heart Association's Basic Life Support (AHA- BLS) 2015 Guideline Updates: A Cross-Sectional Study & Commentary

Meshkini M

Article Type: Research Article | First Published: November 16, 2018

"Despite Accidents, Injuries are predictable and preventable". Cardiovascular events are categorized as common sudden death causes in almost every epidemiological study worldwide, which concerns everybody's preparation and readiness to overcome these issues in the scene of accident. This study was designed as a descriptive cross-sectional one to assess familiarity of an army-clinic personnel with new changes and updates of the latest resuscitation guidelines. For this purpose, a questionnaire wa...

 Open Access DOI:10.23937/2469-5769/1510045

Acute Necrotizing Encephalopathy in Children: A Case Report and Literature Review

Ping Yuan and Min Zhong

Article Type: Case Report | First Published: November 16, 2018

Acute necrotizing encephalopathy (ANE) is a rare clinical-imaging syndrome with unknown etiology, characterized by acute fulminant severe encephalopathy and brain damage with multifocal symmetry. ANE has no specific clinical symptoms and signs, similar to common encephalitis or encephalopathy symptoms. The characteristic brain imaging examination is diagnostically significant. To date, no specific treatment for ANE is available and the prognosis is poor. Here, we reported a typical case of ANE i...

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