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 03, 2021

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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:10.23937/2474-3674/1510126

COVID-19 Pneumonia: Guiding the Decision to Intubate Based on Work of Breathing Assessment Independent of Oxygenation

Amin Nadeem, Philip Fanapour, Mylene Apigo, Sunyoung Kim, Sanish George, Muhammad Khan, Azib Shahid, Charmi Patel, Ria Carnate and Raúl J Gazmuri

Article Type: Original Article | First Published: August 04, 2021

In most patients, COVID-19 pneumonia initially causes significant hypoxemia but without substantial impairment of lung compliance that would increase the work of breathing (WOB). Once adequate oxygenation is established, a tool to determine WOB independent of oxygen needs can guide the decision to intubate for invasive mechanical ventilation (IMV). We monitored oxygen requirements and WOB in 10 patients admitted with severe COVID-19 pneumonia (radiographic evidence of extensive lung disease with...

 Open Access DOI:10.23937/2469-5866/1410038

Long-Term Survival (23 Years) in a 26-Year-old Male after Antineoplaston Therapy for a Progressive, Diffuse Intrinsic Pontine Glioma: A Case Report

Stanislaw R. Burzynski, Gregory S. Burzynski, Tomasz Janicki and Samuel Beenken

Article Type: Case Report | First Published: August 08, 2021

Individuals suffering from diffuse intrinsic pontine glioma (DIPG) face a dismal prognosis with a median overall survival of approximately 11 months, and a 2-year survival rate of 10%. Long-term survival is very rare. To date, radiotherapy remains the standard of care at diagnosis, but offers a survival benefit of approximately 3 months. Chemotherapy has not shown to be effective. There is no Standard of Care for progressive DIPG after radiation therapy (RT). The purpose of this case report is t...

 Open Access DOI:10.23937/2377-4630/1410123

Comparison of the Effects of Target-Controlled Propofol Infusion and General Anesthesia with Desflurane on Postoperative Cognitive Functions in Controlled Hypotensive Anesthesia

Ayse Altun Gezgel, Fatih Dogu Geyik, Yucel Yuce, Ibrahim Gezgel, Banu Cevik and Kemal Tolga Saracoglu

Article Type: Clinical Study | First Published: August 13, 2021

We evaluated anesthesia depth, cerebral oxygenation and postoperative cognitive functions with NIRS and BIS monitoring and Mini-Mental State Examination (MMSE) score. We studied 60 patients with American Anesthesiologists Association (ASA) I-II, over 18 years of age, with a preoperative MMSE test score of 23 and above. Hemodynamic parameters, BIS and bilateral NIRS values were recorded. The mean arterial pressure (MAP) value was kept between 55-65 mmHg. MMSE test was repeated 1 hour before and 2...

 Open Access DOI:10.23937/2643-4512/1710060

Supporting the Frontline Workers during COVID-19 Pandemic: The Role of Non-Clinicians and Lessons Learned

Bhavana K, MD, Puneet Khanna, MD and Abhishek Singh, MD

Article Type: Short Communication | First Published: August 05, 2021

In a population of health care workers with a soaring level of burnout, this pandemic had the effect of rubbing salt to wound. The frontline workers were not only required to take this extra load, but their numbers had dwindled by illness, quarantine, and death. Though most of the focus during the pandemic has been related to clinical information, morbidity, mortality, and treatment strategies, there have been only a few reports highlighting the critical roles played by organizational leaders wh...

 Open Access DOI:10.23937/2572-407X.1510024

The Incidence and Predictors of Poor Glycemic Control among Adults with Type 2 Diabetes Mellitus in Ambulatory Clinic of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Cross Sectional Study

Gudisa Bereda and Gemechis Bereda

Article Type: Research Article | First Published: August 11, 2021

Diabetes mellitus refers to a grouping of metabolic diseases involving prolonged hyperglycemia caused by the inadequate secretion of insulin, poor insulin action, or a combination of the two. Poor glycaemic control is a major public health problem among patients with type 2 diabetes mellitus. To expose the incidence and predictors of poor glycemic control among adults with type 2 diabetes mellitus in ambulatory clinic of Mettu Karl Referral Hospital. An institutional based prospective cross-sect...

 Open Access DOI:10.23937/2378-3656/1410360

A Case Report on Primary Neuroendocrine Cancer of Vagina

Kumari Puja, Ashok Kumar Arya, Arun Yadav and Durgesh

Article Type: Case Report | First Published: July 31, 2021

Neuroendocrine tumors of the gynaecologic tract are rare, and pose a significant clinical challenge because of the tumor heterogeneity and lack of standardized guidelines for treatment. Primary neuroendocrine tumor of vagina is extremely rare and only 26 cases have been reported so far in literature. Most, but not all, neuroendocrine tumors of the gynaecologic tract have an aggressive clinical course and clinically share similarities with small cell lung cancer. Cumulative data supports a multi-...

 Open Access DOI:10.23937/2378-3656/1410359

The Heart Shape-Sign in Bilateral Medial Medullary Infarction; Complicated with Quadriparesis and Respiratory Failure

Liaquat Ali, Numan Amir, Naveed Akhtar, Osama Elalamy, Mohammed Alhatou, Gholam Adeli and Ambreen Iqrar

Article Type: Case Report | First Published: July 31, 2021

20% of ischemic strokes involve posterior circulation. The most common causes of posterior circulation large artery ischemia are atherosclerosis, embolism, and dissection. The most common location of atherosclerotic occlusive disease within the posterior circulation is the proximal portion of the vertebral artery in the neck within the first inches. Basilar artery occlusive disease most often presents as ischemia in the pons. Occlusion of the rostral portion of the basilar artery can cause ische...

 Open Access DOI:10.23937/2378-3656/1410358

A Case of COVID-19 Infection Associated with Severe Cold Agglutinin Autoimmune Haemolytic Anaemia

Prabhashini Kumarihamy, Sujeewa Gunaratne, Ashani Ratnayake, Hiranya Abeysinghe, Sahan Perera, Vishaka Rajapaksha and Navoda Wickramasinghe

Article Type: Case Report | First Published: July 31, 2021

COVID-19 is known to cause systemic disease with multiple organ dysfunctions. COVID-19 associated immune-mediated phenomena such as autoimmune haemolytic anaemia has been identified previously with rare incidence. However, the association between COVID-19 infection and autoimmune haemolytic anaemia is not fully evaluated. Here, we present a case of a previously well patient who developed severe cold agglutinin hemolytic anemia during the course of COVID-19 infection. Although there were no throm...

 Open Access DOI:10.23937/2378-3656/1410357

Acute Lymphoblastic Leukemia Mimicking Bilateral Wilms Tumour: A Radiologic Review

Adebola-Yusuf AO, Adefalujo AP, Oyelese AT, Ilori OJ, Ajiboye OF, Oyegunle AO and Emmanuel EE

Article Type: Case Report | First Published: July 31, 2021

Acute leukemia, the commonest cancer in children, accounts for approximately 30% of all childhood malignancies approximately 75% of which are Acute Lymphoblastic Leukemia (ALL) affects children of any age, commoner in ages 1-4 years, boys more than girls. The kidneys are sites of extra medullary leukemic involvement usually seen late in the course of the disease. ALL with renal involvement may mimic Wilms’s tumor due to overlap of their clinical and radiological findings. These include malaise...

 Open Access DOI:10.23937/2378-3656/1410356

Case Report: A Rare Case of Biatrial Thrombus in the Absence of Interatrial Shunt

Paul Elias, MD, Jonatan D Nunez Berton, MD, Marian T Calfa, MD and Azar Radfar, MD, PhD

Article Type: Case Report | First Published: July 31, 2021

In this rare case we describe a 56-year-old woman who presented with an acute pulmonary embolism (PE) complicated by right heart strain indicating the need for catheter-directed mechanical thrombectomy. Pre-operative two dimensional (2D) transthoracic echocardiogram (TTE) showed no evidence of intracardiac thrombi. Subsequently, post-operative 2D TTE indicated large biatrial thrombi with no evidence of PFO, or other intracardiac shunt. Here, we describe this rare and unique presentation and disc...

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New Issues

VOLUME 8, ISSUE 2

International Journal of Clinical Cardiology

ISSN: 2378-2951 | ICV: 89.24

VOLUME 8 | ISSUE 2 | 2021

VOLUME 8, ISSUE 2

Obstetrics and Gynaecology Cases - Reviews

ISSN: 2377-9004 | ICV: 88.42

VOLUME 8 | ISSUE 2 | 2021

VOLUME 7, ISSUE 1

Journal of Hypertension and Management

ISSN: 2474-3690 | ICV: 87.69

VOLUME 7 | ISSUE 1 | 2021

VOLUME 8, ISSUE 2

International Journal of Diabetes and Clinical Research

ISSN: 2377-3634 | ICV: 87.97

VOLUME 8 | ISSUE 2 | 2021

VOLUME 7, ISSUE 4

Journal of Infectious Diseases and Epidemiology

ISSN: 2474-3658 | ICV: 91.55

VOLUME 7 | ISSUE 4 | 2021

Featured Articles

Clinical Characteristics of Suspected COVID-19 in Pediatric Patients

Heather Yerdon, BS, Lauren Mutter, MD, Rick Tivis, MPH, Trevor Olsen, PhD and Anna Suessman, DO

DOI:10.23937/2474-3674/1510121



A Neural Mobilization Treatment Strategy for Patients with Neurogenic Claudication Related to Degenerative Lumbar Spinal Stenosis: A Prospective Case Series

Reid Gehring, PT, ScD, Joan Potter-Brunet, PT, DPT, Phillip Sizer, PT, PhD, Kerry Gilbert, PT, ScD and Jean-Michel Brismee, PT, ScD

DOI:10.23937/2469-5718/1510191



Spontaneous Proximal Tibiofibular Joint Ganglion Cyst as a Rare Cause of Acute Foot Drop: A Case Report

Nirguna Thalla, MD, MBA, W Daniel White, MD, J Taylor Mansfield, DO, Jason M Souza, MD and Matthew E Miller, MD

DOI:10.23937/2572-3243.1510095



Flow Related Aneurysm in Hemangioblastoma and Literature Review of Hemorrhagic Rate and Management Strategy

Choo Heng Tan, FRCS, Felicia HZ Chua, MBBS, MRCS and Peter Y wang, FRACS

DOI:10.23937/2643-4474/1710068


Featured Journals

Clinical Medical Reviews and Case Reports Editor-in-chief: Prof. Wei Wang

International Journal of Surgery Research and Practice Editor-in-chief: Prof. Brian Richard Davis

International Journal of Stem Cell Research & Therapy Editor-in-chief: Prof. Faris Farassati

International Journal of Clinical Cardiology Editor-in-chief: Prof. Breijo-Marquez

Journal of Genetics and Genome Research Editor-in-chief: Prof. Ming Zhan

Obstetrics and Gynaecology Cases - Reviews Editor-in-chief: Prof. Leslie Iffy

International Journal of Cancer and Clinical Research Editor-in-chief: Prof. Sulma I Mohammed

International Journal of Diabetes and Clinical Research Editor-in-chief: Prof. Masayoshi Yamaguchi

International Journal of Anesthetics and Anesthesiology Editor-in-chief: Prof. Ike Eriator

International Journal of Sports and Exercise Medicine Editor-in-chief: Prof. J David Prologo

Journal of Rheumatic Diseases and Treatment Editor-in-chief: Prof. Bruce M Rothschild

International Archives of Urology and Complications Editor-in-chief: Prof. Ajay Singla

International Journal of Psychology and Psychoanalysis Editor-in-chief: Prof. Joaquim JF Soares

Journal of Obesity and Weight-loss Medication Editor-in-chief: Prof. Timothy Koch

Trauma Cases and Reviews Editor-in-chief: Prof. William Min

Clinical Medical Image Library Editor-in-chief: Prof.

International Journal of Transplantation Research and Medicine Editor-in-chief: Prof. Lydia M Petrovic

Journal of Otolaryngology and Rhinology Editor-in-chief: Prof. John E. Nathan

Journal of Geriatric Medicine and Gerontology Editor-in-chief: Prof. Ryuichi Morishita

International Journal of Critical Care and Emergency Medicine Editor-in-chief: Prof. Yasushi Shibata

International Journal of Womens Health and Wellness Editor-in-chief: Prof. Erich Cosmi

International Journal of Brain Disorders and Treatment Editor-in-chief: Prof. Terry Lichtor

International Journal of Clinical Biostatistics and Biometrics Editor-in-chief: Prof. James Michael Hardin