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: January 18, 2022

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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:10.23937/2474-3674/1510131

Acute Delirium and Difficult Sedation Weaning in ICU Thiamine Deficiency Maybe a Possible not Uncommon Cause

Magdy Khames Aly, Ms

Article Type: Case Report | First Published: December 10, 2021

This is a case of 54-years-old critically ill H1N1 ARDS patient with prolonged ventilation and sedation and difficult weaning from sedation and mechanical ventilation. The case gives spotlight on not uncommon cause of delirium and failure of weaning in critically ill patients which is Vitamin B1 deficiency and how it is underestimated and should be put in mind while management those patients. Thiamine is a water-soluble vitamin that is absorbed in the jejunum by 2 processes. When the thiamine le...

 Open Access DOI:10.23937/2474-3674/1510130

Acupuncture Induced Multiorgan Failure

Nageswar Bandla, Andreea Mihai and Stephen Lord

Article Type: Case Report | First Published: December 10, 2021

Dating back to 100 BC, acupuncture has been performed safely for centuries for a wide range of medical conditions. Although a technically invasive procedure, reports of adverse incidents in the medical literature are thankfully very rare. We present a case of acupuncture induced multisensitive Staphylococcus aureus (MSSA) bacteraemia and septic shock, resulting in multiorgan failure and a prolonged intensive care stay. This case report serves to remind clinicians that although the overall risk o...

 Open Access DOI:10.23937/2474-3674/1510128

Dexamethasone versus Methylprednisolone in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis

Divyansh Bajaj, MD, Ankit Agrawal, MD, Manasvi Gupta, MD, Gaurav Manek, MD, Kurt Hu, MD and Umesha Boregowda, MD

Article Type: Original Research | First Published: November 18, 2021

The COVID-19 pandemic has led to millions of deaths throughout the world. Several randomized controlled trials have demonstrated that steroids reduce mortality in severe COVID-19 infection. The Center for Disease Control and Prevention has recommended dexamethasone as the first line of treatment. However, methylprednisolone is being used as the steroid of choice in many countries worldwide. We sought to perform a systematic review and metaanalysis to compare the outcomes with the use of these tw...

 Open Access DOI:10.23937/2378-2951/1410244

A 75-Year-Old Female with Left Anterior Descending Coronary Artery Originating from the Right Coronary Artery Presenting with Recurrent Major Bleeding due to Dual Antiplatelet Therapy Managed with Percutaneous Coronary Intervention and Ticagrelor Monotherapy

Bekele Alemayehu Shashu, MD

Article Type: Case Report | First Published: December 09, 2021

A 75-year-old female with unstable angina who was found to have anomalous left anterior descending coronary artery originating from the right coronary artery close to the ostium presented with recurrent major bleeding while on dual antiplatelet therapy with aspirin and clopidogrel following percutaneous coronary intervention despite treatment with proton pump inhibitor and blood transfusion. When aspirin was discontinued the bleeding episodes subsided for 5 months which was followed by return of...

 Open Access DOI:10.23937/2469-5831/1510043

An R Package Unified Dose Finding for Continuous and Ordinal Outcomes in Phase I Dose-Finding Trials

Haitao Pan, Chai-Wei Hsu, Rongji Mu and Shouhao Zhou

Article Type: Methodology | First Published: December 09, 2021

Phase I dose-finding trials are essential in drug development. By finding the maximum tolerated dose (MTD) of a new drug or treatment, a Phase I trial establishes the recommended doses for later-phase testing. The primary toxicity endpoint of interest is often a binary variable, to describe the event of a patient who experiences a dose-limiting toxicity. However, there is a growing interest in dose-finding studies involving non-binary outcomes, defined by either the weighted sum of rates of vari...

 Open Access DOI:10.23937/2469-5696/1410071

Coagulation Abnormalities in Pregnant Women with COVID-19

Vladimir Y Khryshchanovich, MD and Natalia Y Skobeleva, BS

Article Type: Letter to Editorial | First Published: December 18, 2021

Late pregnancy and the early postpartum period are characterized by the so-called physiological hypercoagulation: The concentration of blood clotting factors I, II, VIII, IX, X increases twice, the functional activity of platelets increases, and the fibrinolytic activity of serum decreases. On the one hand, the prothrombotic status reduces the risk of massive blood loss in childbirth, and on the other - creates prerequisites for the development of venous thromboembolism. In the context of assess...

 Open Access DOI:10.23937/2690-3164/1710012

Critical Limb Ischaemia for Thrombosed Common Femoral Artery Aneurysm: A Successful Hybrid Treatment

Orellana Dávila Bernardo, MD, Fresilli Mauro, MD, Oddi Fabio Massimo, MD, Diotallevi Nicolò, MD, Ascoli Marchetti Andrea and Ippoliti Arnaldo

Article Type: Case Report | First Published: December 13, 2021

True atherosclerotic aneurysms of the common femoral artery (CFA) are rare and often associated with other peripheral or aortic aneurysms. Degenerative aneurysms of the lower extremity most commonly involve the popliteal artery, while they are rarely detected in the femoral region. In this region, aneurysms most frequently involve the common femoral artery (CFA), whereas true aneurysms of the superficial femoral artery (SFA) represent only 15% to 25% of femoral arterial aneurysms. We report a ca...

 Open Access DOI:10.23937/2469-5742/1510079

Comparative Effectiveness of Single-Dose of Fosfomycin vs. Cefoxitin Plus Ciprofloxacin as A Prophylaxis to Prevent Transrectal Prostate Biopsy Complications

JM Abascal Junquera, Lluis Fumadó Ciutat, Blanca Gasa Galmes, Santiago Grau Cerrato, Marcos Busto Barrera, Juan P Horcajada, Nuria Juanpere Rodero, Marina Munarriz Polo, Anna Sanromà Salvà, Laura Polaina Barroso, Carles Solà Marqués, Raquel Checa Sánchez and Lluis Cecchini Rosell

Article Type: Original Article | First Published: December 13, 2021

The antibiotic prophylaxis for prostate biopsy is not well established, usually is based on fluoroquinolones, but there is an increase of resistance. We explore the efficacy of Fosfomycin trometamol in comparison with ciprofloxacin plus cefoxitin as prophilaxis of this procedure. A total of 432 transrectal ultrasound guided prostate biopsies were performed: 241 patients received prophylaxis with cefoxitin 2 g i.v. 1 hour before the procedure combined with ciprofloxacin 750 mg p.o. 1 hour before ...

 Open Access DOI:10.23937/2643-3966/1710048

External Multicenter Validation of the Mehran Risk Score for Contrast Induced Acute Kidney Injury

Nashwa Abdulsalam

Article Type: Original Article | First Published: December 16, 2021

Contrast induced acute kidney injury (CIAKI) is a known complication of percutaneous coronary intervention (PCI). Mehran Risk Score (MR score) has been previously shown to predict CIAKI, renal replacement therapy (RRT), and one-year mortality in patients undergoing PCI. The purpose of our study was to externally validate the MR score. To examine the utility of the MR score we reviewed records of 931 adult patients who underwent PCI in 2005 at 3 academic medical centers. Patients with acute myoca...

 Open Access DOI:10.23937/2474-3682/1510193

Teleconsultation in COVID Era can be Unwholesome at Times

Bhushan Bhalgat, Suresh Singh, Pravin Kumar, Phanindra Kumar Swain, Kamal Kishore Lakhera and Raj Govind Sharma

Article Type: Images in Surgery | First Published: December 13, 2021

COVID-19 pandemic has led to a vast increase in the number of teleconsultations. These images alongside are a perfect example of misinterpreted diagnosis due to unwanted importance to radiological investigations without performing a proper clinical examination. The X-ray chest PA view (see Figure 1) was advised by family physician of the patient on a well-known multiplatform messaging app when the patient complained of 'chhati mai gaath hai' (translated to English: 'swelling in the chest'). Afte...


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New Issues


International Journal of Clinical Cardiology

ISSN: 2378-2951 | ICV: 89.24

VOLUME 8 | ISSUE 2 | 2021


Obstetrics and Gynaecology Cases - Reviews

ISSN: 2377-9004 | ICV: 88.42

VOLUME 8 | ISSUE 2 | 2021


Journal of Hypertension and Management

ISSN: 2474-3690 | ICV: 87.69

VOLUME 7 | ISSUE 1 | 2021


International Journal of Diabetes and Clinical Research

ISSN: 2377-3634 | ICV: 87.97

VOLUME 8 | ISSUE 2 | 2021


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


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


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


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


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