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.

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

 Open Access

Hba1c Variability, Absolute Changes in Hba1c, and the Risk of Poor Glycemic Control among Older Adults with Diabetes Enrolled in Medicare Advantage Plans
Dingwei Dai, Susannah Higgins and Natan Szapiro
Article Type: Research Article | First Published: July 01, 2016
Healthcare claims data for all diabetes patients aged 65 years or older and continuously enrolled in Medicare Advantage plans in Independence Blue Cross from 2013 to 2014 and had ≥ 3 HbA1c measurements in the 2013 measurement year (MY). We used patients' zip codes to link to US census data to get socioeconomic status information. Poor glycemic control was identified as the most recent HbA1c level > 9.0% during the MY. HbA1c variability was defined as within-subject standard deviation of HbA1c levels; absolute change in HbA1c was defined as the difference between the most recent HbA1c level and the first HbA1c level measured in MY2013. Multivariable logistic regression models were created, with poor glycemic control in MY2014 as the outcome.

 PDF  Full Article  DOI:10.23937/2377-3634/1410063


 Open Access

The Impact of Energy Drink Consumption on Vascular Endothelial Function
R Matthew Brothers
Article Type: Research Article | First Published: June 07, 2016
Vascular endothelial dysfunction contributes to a variety of cardiovascular and metabolic diseases. Despite anecdotal reports of adverse cardiovascular and hemodynamic effects of energy drink consumption there has been very little scientific research conducted on this important topic. Furthermore, the limited research available has not yielded consistent results. This study tested the hypothesis that consumption of a commercially available energy drink would have no effect on endothelial function as assessed by the post-occlusive hyperemic response (reactive hyperemia index, RHI).

 PDF  Full Article  DOI:10.23937/2377-3634/1410062


 Open Access

Ethanolic Extract of Bauhinia forficata: Metabolic Effects in Diabetic and Normoglycemic Rats
Liana de Oliveira Gomes, Francislaine Aparecida dos Reis Livero, Aline Maria Stolf, Carlos Eduardo Alves de Souza, Michele Pontes Werneck, Cristiane Vizioli de Castro Ghizoni, Maria Helena Verdan, Jose Ederaldo Queiroz Telles, Rosangela Locatelli Dittrich, Maria Elida Alves Stefanello, Jurandir Fernando Comar and Alexandra Acco
Article Type: Original Article | First Published: June 06, 2016
Diabetes is a group of metabolic diseases characterized by hyperglycemia and associated complications, such as dysfunction and failure of the eyes, kidneys, nerves, brain, heart, and blood vessels. Diabetes may result from defects in secretion and/or insulin action involving specific pathogenic processes, including destruction of pancreatic beta cells, insulin resistance, and insulin secretion disorders. The estimated prevalence of diabetes nowadays is about 150 million people worldwide, and this is expected to rise to 552 million by 2030, increasing in numbers as much the adult population grows.

 PDF  Full Article  DOI:10.23937/2377-3634/1410061


 Open Access

Piriform Margin Augmentation as a Treatment for Persistent Nasal Valve Dysfunction: A Cadaveric Investigation and Report of Initial Clinical Results
Randolph B Capone, Michael M Kim and Dane J Genther
Article Type: Clinical Study | First Published: June 02, 2016
Background: Revision nasal valve reconstruction is one of the few treatment options available for patients with persistent nasal valve dysfunction after primary functional rhinoplasty. Revision nasal surgery is challenging, hampered by the presence of scar tissue, incorporated grafts, and the morbidity of obtaining additional autologous cartilage. Objective: In order to enhance nasal valve function while avoiding revision nasal surgery, a sublabial technique was developed to increase the projection of the piriform margin via allograft augmentation.

 PDF  Full Article  DOI:10.23937/2572-4193.1510021


 Open Access

Bilateral Osteochondrosis of Medial Cuneiform and Tarsal Scaphoid: A Case Report
Ceccarelli F, Carolla A and Calderazzi F
Article Type: Case Report | First Published: May 27, 2016
Osteochondrosis has been found in most of the bones of the body. We report a rare case report of bilateral osteochondrosis of medial cuneiform and tarsal scaphoid. A five year-old white child with a completely benign medical history presented with bilateral foot pain. Radiographical studies showed a bilateral irregular outline and an increased density of medial cuneiforms and tarsal scaphoids. Physical activity restriction and medical therapy appear to be sufficient for pain relief. This "syndrome" is self-limiting and it resolves in few months with relief of the foot pain.

 PDF  Full Article  DOI:10.23937/2469-5777/1510037


 Open Access

Endoscopic Biopsy using High-Dose Fluorescein Sodium for Malignant Brain Tumors
Takeshi Okuda, Mitsugu Fujita, Hiromasa Yoshioka, Takayuki Tasaki, Shuichi Izumoto and Amami Kato
Article Type: Case Report | First Published: July 01, 2016
The utility of endoscopic biopsy using high-dose fluorescein sodium in biopsy of malignant brain tumors was investigated. The subjects were 9 patients with malignant brain tumors (malignant lymphoma 5, glioblastoma 3, metastatic brain tumor 1). After making an incision in the dura mater, 20 mg/kg fluorescein sodium were administered intravenously. A transparent sheath was then inserted under neuronavigation guidance. To observe the tumor, an endoscopic biopsy was performed using normal white light endoscopy with a rigid endoscope, without the use of an excitation filter or other special devices.

 PDF  Full Article  DOI:10.23937/2378-3001/3/4/1052


 Open Access

Neurology and Cardiac Arrhythmias
Zhengqin Zhai, Min Tang and Shu Zhang
Article Type: Short Review | First Published: June 25, 2016
A host of studies on the cardiac innervation have found a complex link known as cardiac autonomic nervous system (CANS), connecting extracardiac nerves, intracardiac ganglia, and myocardial cells. Now it is well known that CANS plays a critical role in regulating the functions of the heart and its imbalance is regarded as one of the major causes of cardiac arrhythmias. With the development of medical technology and the advancement of ideas, several novel therapies of arrhythmias through modulating the activity of CANS have emerged. This review is aimed to address the relationship between CANS and cardiac arrhythmias, and the present situation of novel treatment approaches.

 PDF  Full Article  DOI:10.23937/2378-3001/3/3/1051


 Open Access

Permanent Memory Deficits with Normal MRI Following Heat Stroke after Physical Activity and Sauna
Massimiliano Ruggeri and Priscilla Rosini
Article Type: Case Report | First Published: June 24, 2016
Heat stroke is the result of high heat stress and determines multi-organ dysfunction with predominant encephalopathy. Heat stroke only rarely leads to permanent neurologic deficits with a propensity to cerebellar dysfunction while memory disorders are very unusual. We report a unique case of a patient who suffered from a heat stroke after strenuous physical activity and sauna, resulting in persistent memory deficit with normal acute and follow-up normal MRI. Neuropsychological assessment suggested an involvement of the hippocampal-depending memory process. This is the only case in literature with long-lasting memory deficit with no MRI abnormalities, following heat stroke after excessive exercise and sauna.

 PDF  Full Article  DOI:10.23937/2378-3001/3/3/1050


 Open Access

Clinical Observation of 84 Days Delayed Delivery of the Second Fetus in Twin Pregnancy
Julia E Dobrokhotova, Oleg V Makarov, Pavel V Kozlov and Pavel A Kuznetsov
Article Type: Case Report | First Published: July 04, 2016
Perinatal morbidity and mortality in preterm labor is significantly higher than in on-term delivery. The share of preterm infants accounts for approximately 70% of all cases of early neonatal mortality. One of the most important independent risk factors for preterm birth is multiple pregnancy. The risk of delivery before 30, 32 and 34 weeks in twin pregnancy is about 4%, 8% and 16%, respectively. In general, the frequency of preterm labor with twins is 6 times higher than in singleton pregnancies.

 PDF  Full Article  DOI:10.23937/2377-9004/1410091


 Open Access

The Use of Advanced Reproductive Technologies while Breastfeeding: A Role for in Vitro Maturation
Catherine S Rose and Bruce I Rose
Article Type: Case Report | First Published: July 01, 2016
Breastfeeding provides significant health benefits for both the mother and child. There is a decreased risk of ovarian and breast cancer, the development of diabetes, and myocardial infarction for women who breastfed their child. The risk decreases even more significantly if the mother is exclusively breastfeeding without supplementation of formula and the longer the mom and baby choose to breastfeed. For the child, breastfeeding decreases the risk of childhood leukemia, childhood obesity, asthma, sudden infant death syndrome (SIDS), and acute otitis media.

 PDF  Full Article  DOI:10.23937/2377-9004/1410090


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