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

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 Open Access DOI:10.23937/2469-5777/1510078

Isolated Avulsion Fracture Lesser Tuberosity of the Humerus, a Rare Presentation Post Seizure

Jaya TS, Hadizie D and TMS Muzaffar

Article Type: Case Report | First Published: September 18, 2019

Isolated humeral lesser tuberosity fracture is rare and is usually associated with fractures of the proximal humerus. Trauma precedes most reported cases. We report a isolated fractured lesser tuberosity occurring in a gentleman post seizure. Open reduction and internal fixation was performed. Functional outcome was successful, and the patient regained his normal pain-free shoulder function 3 months surgery. Avulsion Fracture Lesser Tuberosity of The Humerus is a rare injury that usually occurs in association with fractures involving two or three parts of the proximal humerus or in associatio...

 Open Access DOI:10.23937/2469-5777/1510077

Successful Non-Operative Management of Multi-Trauma Patient Suffering from Multiple Intra-Abdominal Injuries - A Case Report

Georgios Theodoros Liagkos, MD, Christos Chouliaras, MD, Aris Papadopoulos, MD and Constantine Vagianos, MD

Article Type: Case Report | First Published: September 14, 2019

Trauma represents the main cause of death among people under the age of 35 worldwide. Until the 90s, the operative management (OM) was the golden standard of treatment for trauma patients with abdominal bleeding. Over the last few decades, though, a shift has been made from operative to non-operative management (NOM) in haemodynamically stable trauma patients with findings of recent intra-abdominal bleeding and no signs of peritonitis. However, NOM may be particularly challenging in patients with multi-abdominal organ injuries since evaluation and total treatment may be exceptionally difficult...

 Open Access DOI:10.23937/2643-4474/1710023

Tension Pneumocephalus Causing Cerebral Venous Sinus Thrombosis

Nissar Shaikh, Gulzar Hussain, Adnan Khan, Muhammad Mohsin Khan, Mamdouh Al Mustafa, Moad Ehfeda, Muhammad Zubair and Umais Momin

Article Type: Case Report | First Published: September 13, 2019

A 38-year-old Asian male had craniotomy with excision of a left frontal mass which extended into the lateral ventricles. External ventricular and subdural drains were inserted at the end of the procedure. He received mannitol and furosemide intraoperatively. Immediately after surgery he developed tension pneumocephalus, diabetes insipidus and fever. Two days after surgery, magnetic resonance imaging (MRI) showed transverse, sagittal sinus thrombosis extending into the right internal jugular vein. Pre-operative MRI and thrombophilia markers were unremarkable. Cerebrospinal fluid (CSF) analysis ...

 Open Access DOI:10.23937/2572-4061.1510029

Toxicity Evaluation of Cellulose Nanofibers (Cnfs) for Cosmetic Industry Application

Soo Min Kim, Eun Ji Gwak, Seung Hwan Jeong, Sang Mock Lee, Woo Jong Sim and Jin Sik Kim

Article Type: Original Article | First Published: September 16, 2019

The two main types of nanocelluloses are cellulose nanofibers (CNF) and cellulose nanocrystals (CNC). Both CNFs and CNCs are nanoscale cellulose fibers that have shown reinforcing effects in polymer nanocomposites. CNCs and CNFs are different in shape, size and composition. Cellulose nanofiber (CNF) is produced by mechanical treatment with or without enzymatic or chemical pre-treatment. The material consists of long and thin fibers which form a three-dimensional network. It has high viscosity and high water holding capacity....

 Open Access DOI:10.23937/2474-3658/1510092

Spontaneous Skin Lesions: The Importance of Differential Diagnosis

Montilla Alvaro Mabel, Delgado Vidarte Ana and Alcantara Luna Sara

Article Type: Case Report | First Published: September 19, 2019

Dermatofitosis are cutaneous infections caused by fungus. They affect the keratinized surface layers epidermis, hair and nails. We report a case of a 42-year-old female patient who presented with erythematous annular lesions with a raised edge on the chest, back, neck, hands and arms. These lesions were compatible with erythema multiforme, subacute lupus and/or ringworm infection. The biopsy of lesions was done and the study showed the structures suggestive of fungi in hematoxylin-eosin staining. They were confirmed by PAS staining, starting antifungal treatment for 4 weeks with complete resol...

 Open Access DOI:10.23937/2469-5858/1510076

The Prevalence of Frailty and Its Association with Adverse Drug Reactions in Hospitalized Older Adults

Selina Cheong Tingting, Goh Wen Yang, Ong Eng Hui, Siti Nurhana Abdul Karim, See Lin Li and Edward Chong Kah Chun

Article Type: Research Article | First Published: September 18, 2019

The complex interplay between altered pharmacokinetics and pharmacodynamics, greater multimorbidity and polypharmacy, are associated with increased risk of adverse drug reactions (ADR) in older adults. There remains a paucity of data on the association between frailty and ADRs. We aimed to determine the association between frailty and the prevalence, presentation and severity of ADRs among hospitalized older adults. This was a retrospective, cross-sectional study in an acute care hospital in Singapore. The first 150 older adults admitted from emergency department or outpatient clinic under Ger...

 Open Access DOI:10.23937/2469-5858/1510075

A Novel Dual-Task Balance Challenge to Prevent Falls in Older Adults: A Randomized Pilot Study

Ruth E Taylor-Piliae, PhD, RN, FAHA, Chiu-Hsieh (Paul) Hsu, PhD, Hanne Dolan, MSN, RN, PhD Student, Nima Toosizadeh, PhD and Jane Mohler, NP-C, MPH, PhD4

Article Type: Research Article | First Published: September 16, 2019

A Matter of Balance (MOB) is a national community-based fall prevention program focusing on cognitive restructuring to manage concerns about falling, though does not include a balance-training component. A dual-task balance challenge (DTBC) comprising weight transfer using fixed and random ordering of ankle-reaching balance tasks was added to MOB, to determine of this would lead to reduced fall risk. The study aims were to assess acceptance, satisfaction, safety and adherence to the interventions, examine changes in fall risk, and monitor incident falls for 3-months post-intervention. A singl...

 Open Access DOI:10.23937/2469-5858/1510074

Labial Fusion in a Postmenopausal Woman Presenting with Lower Urinary Tract Symptoms: A Case Report

Jung-Ting Lin, Chin-Kai Huang, Lan-Yin Huang, Pei-Ying Wu and Yu-Fang Huang

Article Type: Research Article | First Published: September 12, 2019

Acute or chronic lower urinary tract symptoms (LUTS) may be secondary to labial fusion in menopause. Early detection and treatment may help prevent progression of the condition. A 61-year-old, nulligravida, postmenopausal woman without sexual experience presented with partial labial fusion accompanying urinary tract infection and urinary retention. There was no follow up and five years later, when a transurethral catheterization failed during surgery for head and neck cancer, complete labial fusion and involuntary urine loss were observed in the patient. Uniquely, she had a sequence of differe...

 Open Access DOI:10.23937/2469-5858/1510073

The Effect of Music Listening on Anxiety and Pain in Chronically and Terminally Ill Patients

Kalen Hendra, MD, Catherine Sims, MD and Soheir Boshra, MD

Article Type: Research Article | First Published: September 11, 2019

Numerous studies have shown that music therapy (MT) and music listening (ML) can improve patient symptoms such as anxiety, pain, and relaxation. To investigate the effect of multiple ML sessions and the association between patient expectations and outcomes, patients were recruited from two nursing and rehabilitation centers in Roanoke, Virginia. Patients received three 30-minute ML sessions (experimental) or no intervention (control). Patient data included the Edmonton Symptom Assessment System (ESAS), vitals, and an expectations questionnaire. No difference was observed between the experiment...

 Open Access DOI:10.23937/2378-3648/1410046

Modifiers of Severity in Autism Spectrum Disorder

Sandra P Smieszek

Article Type: Research Article | First Published: September 14, 2019

Autism Spectrum Disorder (ASD) comprises a complex of neurodevelopmental disorders primarily characterized by deficits in verbal communication, impaired social interaction and repetitive behaviors. The complex genetic architecture of ASD encompasses profound clinical heterogeneity, which poses huge challenges in understanding its pathophysiology. We conducted a large scale association analysis of the MSSNG whole genome sequencing data to elucidate potential modifiers of ASD severity. Using linear regression, we have directly tested the association between 6,198,166 SNPs and Vineland Adaptive B...

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