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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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 Open Access DOI:10.23937/2469-5831/1510019

Correlation Statistic for Assessing a Diagnostic Value Based on a Bivariate Bernoulli Distribution with Application to a Retrospective Single-Center Clinical Study

Xiaoyong Wu, Jayesh P Rai, Guohua Yan, Srivastava DK and Shesh N Rai

Article Type: RESEARCH ARTICLE | First Published: March 04, 2019

Assessing the performance of diagnostic tests for repeated binary measurements is very important in clinical trials and diagnostic medicine. The gastric-emptying studies involve 4-hourly measurements of emptying. Empirical results suggest that the gastric emptying results over time are correlated and therefore failure to consider the correlation in statistical measures may not produce satisfactory assessments. If these measurements are highly correlated/associated, early gastric emptying can be used to predict late gastric emptying which offers an opportunity to reduce the number of repeats. A...

 Open Access DOI:10.23937/2474-1353/1510090

Relationship of Socioeconomic Status Indicators to Obesity in Hispanic and Non-Hispanic White Middle-Aged Women: A Population Study

Shirley AA Beresford, Deborah J Bowen, Alyson J Littman, Denise L Albano, KC Gary Chan, Shelby L Langer, Wendy E Barrington and Donald L Patrick

Article Type: Research Article | First Published: February 28, 2019

Obesity rates differ between Hispanic and White (non-Hispanic) women in the United States, with higher rates among Hispanic women. Socioeconomic processes contribute to this disparity both at the individual and the environmental level. Understanding these complex relationships requires multilevel analyses within cohorts of women that have a shared environment. In population-based samples of Hispanic and White (non-Hispanic) women from the same neighborhoods, we evaluated within each ethnic group a) The association of individual-level socioeconomic status (SES) with body mass index (BMI); and b...

 Open Access DOI:10.23937/2572-3243.1510064

Effectiveness of Three Treatment Strategies on Quality of Life for Patients with Chronic Low Back Pain: A Multidisciplinary Approach as Key to Success

Eloy Ovando-Sanders, Lilia Patricia Bustamante-Montes, David Gustavo Rodriguez-Cisneros and Rafael Gonzalez-Alvarez

Article Type: Research Article | First Published: February 27, 2019

Low back pain (LBP) is one of the highest prevalence problems of public health. LBP affects up to 85% people worldwide. Somebody will be affected at less in one point of his life. LBP represent an enormous economic burden on society; its total cost includes: Direct medical costs, work absenteeism, insurance, lost production and disability benefits. Current treatments range from bed rest, physiotherapy, oral analgesic, muscle relaxants, injection of corticosteroids, local anesthetic, surgery, cell based therapies aiming repair a herniated intervertebral disc and an emerging technique which use ...

 Open Access DOI:10.23937/2377-3634/1410101

The Level of Satisfaction of Diabetic Patients with Healthcare Personnel Attending Outpatient Health Clinics in Jamaica

Paula Barrett-Brown, Donovan McGrowder and Dalip Ragoobirsingh

Article Type: Research Article | First Published: February 23, 2019

The burden of diabetes mellitus is increasing in low-income and middle-income countries, and it is a major contributor to premature mortality. The care of patients with diabetes mellitus is multidisciplinary and involves a number of healthcare personnel. Effective communication between diabetic patients and healthcare personnel influence self-management and health outcomes. The study evaluated the diabetic patient's assessment of the communication skills of the healthcare providers, as well as an assessment of the patients' understanding of the health information....

 Open Access DOI:10.23937/2474-1353/1510089

Development of In Vitro Fertilization, a Very Important Part of Human Reproductive Medicine, in the Last 40 Years

Marte Myhre Reigstad and Ritsa Storeng

Article Type: Mini Review | First Published: February 22, 2019

It is estimated that, worldwide, over 8 million babies are born following infertility treatment with in vitro fertilization (IVF) since the birth of world's first IVF baby 40 years ago. Recent estimates suggest that by year 2100, 400 million individuals or 3% of the world population may be alive as a result of IVF and other fertility treatments. The developments within infertility treatment using techniques and procedures that evolved from initially animal and lately human research are enormous. Some of the technological advances in reproductive medicine have also contributed to developments a...

 Open Access DOI:10.23937/rmi-2017/1710009

Use of Extracorporeal Life Support in Postpartum in a Patient with Amniotic Fluid Embolism Complicated by Left Ventricular Failure and Disseminated Intravascular Coagulopathy

Tong Carmen, Chin Hsuan, Lim Yvonne, Gerard Leong and Lim Yeong Phang

Article Type: Case Report | First Published: February 23, 2019

Amniotic fluid embolism is a rare but catastrophic complication of pregnancy. We describe our institutional experience with extracorporeal membrane oxygenation (ECMO) use in a pregnant women who presented with amniotic fluid embolism and was complicated by disseminated intravascular coagulopathy and postpartum haemorrhage (PPH) who subsequently developed left ventricular failure requiring ECMO therapy. In this report we describe the effective value of extracorporeal membrane oxygenation in the successful treatment of a patient with amniotic fluid embolism with uterine conserving management of ...

 Open Access DOI:10.23937/2469-5696/1410036

Diffuse Large B-Cell Lymphoma during Complete Remission of Acute Myeloid Leukemia (M4Eo) Exhibiting Immunoglobulin Heavy Chain Gene Rearrangement and Inv(16)

Kodai Kuriyama, Hiroki Hosoi, Masaya Shimanuku, Toshiki Mushino, Shogo Murata, Akinori Nishikawa, Shinobu Tamura, Nobuyoshi Hanaoka and Takashi Sonoki

Article Type: Case Report | First Published: January 25, 2019

In previous studies, it has been reported that 10-20% of acute myeloid leukemia (AML) cases showed immunoglobulin heavy chain gene (IGH) rearrangements, a genetic hallmark of B-cell differentiation. However, the clinical significance of this is uncertain. Here, we report a case of diffuse large B-cell lymphoma (DLBCL) after complete remission (CR) from AML that exhibited an IGH rearrangement. The patient was diagnosed with AML (M4Eo) with inversion of chromosome 16 [inv(16)]. Interestingly, the AML cells showed a monoallelic IGH rearrangement, as detected by the Southern blot analysis. The rea...

 Open Access DOI:10.23937/2377-3634/1410100

A Medical Case Masquerading as Surgical Pathology in an Individual Living with Diabetes

Ravikumar Ravindran and Kofi Obuobie

Article Type: Case Report | First Published: January 21, 2019

Diagnosing the cause of abdominal pain in a young type 1 diabetic can be a challenging task and involves a wide array of differential diagnosis. Most commonly the pain is thought to be secondary to diabetic neuropathy. It becomes even more problematic if there is significant weight loss, if extensive investigations have not found any organic pathology and if the pain does not fit into any pattern of diabetic neuropathy. We present such a case where a young 21-years-old female diabetic had lost 16 kgs in 6 months due to diffuse left sided abdominal pain with radiation to the back. It was also a...

 Open Access DOI:10.23937/2469-5696/1410035

Utilizing Extended Red Blood Cell Parameters to Distinguish Iron-Deficient Erythropoiesis - Related Disorders in Malaysian Female Population

Angeli Ambayya, Andrew Octavian Sasmita, Subramanian Yegappan and Jameela Sathar

Article Type: Research Article | First Published: January 20, 2019

The full blood count (FBC) analyzers, Sysmex XE-5000 and Unicel DxH 800, are equipped to perform routine and extended parameters tests; thus, this study considered extended red blood cell (eRBC) parameters to distinguish iron-deficient erythropoiesis related disorders. Malaysian female subjects comprising three main ethnic groups (Malay, Chinese and Indian) were included. Three groups of findings were distinguished based on FBC, morphology, and iron status of the subjects: normal, latent iron deficiency (LID) and iron deficiency anemia (IDA). Spearman's correlation test was performed to assess...

 Open Access DOI:10.23937/2474-1353/1510088

Level of Maternal Satisfaction and its Determinants at Health Facilities in Mizan-Aman Town, Ethiopia: Cross Sectional Study

Teklemariam Ergat Yarinbab, Wasihun Adraro Ambo, Tariku Regea and Addisu G/Mariam

Article Type: Research Article | First Published: January 04, 2019

Maternal satisfaction on institutional delivery service is the most frequently reported indicator in the evaluation of the quality of maternity services. While increasing service availability and maintaining acceptable quality standards, it is important to assess maternal satisfaction with care in order to make it more responsive and culturally acceptable, ultimately leading to enhanced utilization and improved outcomes. Maternal satisfaction determines the level of institutional delivery service utilization. Therefore, the aim of this study was to assess the determinants of maternal satisfact...

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