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:10.23937/2378-346X/1410004

Eye-Fixation Behavior in Major Depressive Disorder and the Influence of Pharmacological Therapy: A Microperimetric Study

Enzo Maria Vingolo, Serena Fragiotta, Alessandro Cutini, Pier Luigi Grenga and Giuseppe Bersani

Article Type: Research Article | First Published: December 29, 2014

Background: To evaluate retinal function and fixation stability in major depressive disorder (MDD) and the influence of antidepressant therapy, using the MP-1 microperimeter. Methods: 25 patients with MDD (57 +/- 13.73 years) and 25 healthy subjects (HS) (56.41 +/- 15.73 years) were enrolled. According to the Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV), single (296.2) or recurrent episode (296.3) of MDD was included. Retinal sensitivity, fixation stability, and bivariate contour ellipse area (BCEA) were obtained using MP-1....

 Open Access DOI:10.23937/2469-570X/1410003

Functionalized Nanoscaffolds to Promote Osteogenic Differentiation in Adipose Derived Human Mesenchymal Stem Cells

Venu Polineni, Chi-Shuo Chen, Wei-Chun Chin and Anand Gadre

Article Type: Research Article | First Published: December 15, 2014

Biocompatible polymers have been successfully implemented to generate nanofibers for bone tissue engineering. This work focused on generating and functionalizing Poly-l-Lactic-coGlycolic Acid (PLGA) nanofiber scaffolds in the range of 700 nm using the electrospinning technique. Our specific objective is to design synthetic biodegradable scaffolds comprising electrospun nanofibers that will not only be osteoconductive but also contain porosity for bone cell ingrowth enhanced with Adipose derived human Mesenchymal Stem Cells (AdhMSCs) and a sufficient amount of bioactive ingredient such as Demin...

 Open Access DOI:10.23937/2469-570X/1410002

Impact of New Genome Editing Tools on iPS Cell Based Therapies

Jianbo Wu and Radbod Darabi

Article Type: Review Article | First Published: December 14, 2014

Embryonic stem cells (ES cells) have unique differentiation and self- renewal potential which makes them a potential candidate for cell therapy in degenerative disorders. However, the limitation of deriving ES cells from embryos and their immune-incompatibility hinder their clinical applications. Fortunately, by introduction of somatic cell reprogramming technology into induced pluripotent stem cells (iPS cells), the limitations of ES cells have been circumvented. Therefore iPS cells have been considered as a promising cell source for clinical application in regenerative medicine....

 Open Access DOI:10.23937/2378-2951/1410017

Patients Treated with Catheter Ablation for Atrial Fibrillation have Long-Term Renal Function Similar to Patients without Atrial Fibrillation

David L. Johnson, John D. Day, Brian G. Crandall, J. Peter Weiss, Heidi T. May, Tami L. Bair, Jeffrey S. Osborn, Jeffrey L. Anderson, Joseph B. Muhlestein, Donald L. Lappe and T. Jared Bunch

Article Type: Research Article | First Published: December 29, 2014

Background: Atrial fibrillation (AF) has been reported to worsen renal function over time. Renal dysfunction in the setting of AF decreases response to rhythm control approaches and increases risk of cardiovascular morbidity and mortality. Aggressive rhythm control approaches, such as catheter ablation, may interrupt this cycle and impact renal function favorably over time. Methods: Patients were enrolled from the large ongoing prospective Intermountain Cardiovascular Health Study....

 Open Access DOI:10.23937/2378-2951/1410016

Use of Statins in an Australian Elderly Population

Svetla Gadzhanova, Elizabeth Roughead and Jenni Ilomaki

Article Type: Research Article | First Published: December 28, 2014

Background: Statins are the fist drug choice for lowering high cholesterol and are one of the most widely used classes of medicines in Australia. Although well tolerated, some adverse effects are dose and potency dependent to which older people are particularly susceptible. Objective: The aim of this study was to examine the use of statins in elderly Australians, and how usage had changed over time with respect to dose and potency of statin prescribed....

 Open Access DOI:10.23937/2378-2951/1410015

Necrotizing Pancreatitis Causing Acute Focal Pericarditis

William F McIntyre, Andres Enriquez, Kevin Michael and Adrian Baranchuk

Article Type: Case Report | First Published: December 15, 2014

We describe the case of a 39-year old man with acute necrotizing pancreatitis. A twelve-lead electrocardiogram (A) showed signs of pericarditis and a computed tomography of the abdomen showed focal pericardial effusion, confirming the diagnosis....

 Open Access DOI:10.23937/2378-2951/1410014

A Case Report of Immediate Extubation Post Primary PCI in STEMI

Sharan Rufus Ponniah, Pradeepto Ghosh, Nagapradeep Nagajothi, Srinivasa Satti, Kavitha Nidamanuri and Baskar Rajala

Article Type: Case Report | First Published: December 16, 2014

We report a case of immediate extubation following primary percutaneous intervention (PCI) for ST elevation myocardial infarction (STEMI). The optimal timing of extubation following revascularization in STEMI is unclear. Early extubation in this scenario, if feasible has a mortality benefit. Duration of mechanical ventilation following STEMI is a strong predictor of mortality. In this case, we report a scenario of immediate extubation following revascularization, which we believe contributed to the patient's mortality benefit. We present this case to emphasize the importance of early withdrawa...

 Open Access DOI:10.23937/2378-3672/1410002

Cockroach Allergy, Respiratory Allergic Diseases and Its Immunotherapy

Oner Ozdemir

Article Type: Review Article | First Published: December 31, 2014

Cockroach allergen-derived proteases play a direct role on airway epithelial as well as dendritic cells thru activation of the protease activated receptor (PAR)-2. Cockroach-derived proteases lead to an increased penetration of cockroach allergen thru disturbing airway epithelial integrity, which can activate innate immune cells (e.g., dendritic cells) via binding to Toll-like receptor or C-type lectin receptors. The activated dendritic cells promote the adaptive immune system cells to a Th2 cell response and subsequently increase risk of sensitization....

 Open Access DOI:10.23937/2378-3672/1410001

Polarization of Human THP-1 Macrophages: Link between Adenosine Receptors, Inflammation and Lipid Accumulation

Michael J. Littlefild, Isaac Teboul, Iryna Voloshyna and Allison B. Reiss

Article Type: Research Article | First Published: December 08, 2014

Rationale: Macrophages are key players in inflammation and atherosclerosis. They express surface receptors of different subtypes for the endogenous autocoid adenosine. Macrophages within atherosclerotic lesions attain two clear-cut functional phenotypes M1 (pro-inflammatory) and M2 (immunosuppressive). This study examines the relative expression of adenosine receptors and proteins involved in cholesterol transport in THP-1 human macrophages upon differentiation into M1 and M2 subtypes....

 Open Access DOI:10.23937/2378-3656/1410013

Recurrent Ischemic Strokes as the First Manifestation of A Pancreatic Cancer

Rosaria Renna

Article Type: Case Report | First Published: January 03, 2015

A 56-year-old Caucasian woman presented to the Emergency Department of our hospital with acute headache and a speech disorder characterized by mild aphasia and dysarthria. She had a history of arterial hypertension and nicotism for several years. Neurological evaluation at admission revealed mild motor aphasia and dysarthria (NIHSS: 2). Brain computed tomography (CT) showed two hypodense lesions, in the lef temporal and the right frontal lobes respectively. Results of laboratory tests revealed elevated values of serum lactate dehydrogenase (753 UI/l), gammaglutamyltransferase (195UI/l), alanin...

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