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:10.23937/2643-4059/1710016

Review of the Effect of Religion on Anxiety

William C Stewart, MD, Megan J Wetselaar, BA, Lindsay A Nelson, BS and Jeanette A Stewart, RN

Article Type: Review Article | First Published: November 04, 2019

Very little information is available about the influence of religion upon anxiety. The objective of this article is to review the medical literature regarding the influence of personal religious belief and religious-based activities on anxiety. Studies were reviewed evaluating anxiety and the effect of religion in peer reviewed medical literature by using search terms in PubMed and Cochrane data bases. There were 32 studies included. This review showed, in almost every study, that religion in general, religious training, spirituality, faith, prayer, religious community and worship were associa...

 Open Access DOI:10.23937/2378-3419/1410127

Spontaneous Regression of Hepatic Diffuse Large B-cell Lymphoma in HIV and HCV Positive Patient: A Novel Case Study

Albert Alhatem, Saiaditya Badeti, Chen Liu, Dongfang Liu and Donghong Cai

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

Diffuse large B-cell lymphoma (DLBCL) rarely occurs in the liver. Spontaneous regression of this tumor is extremely rare. We are reporting the first case of hepatic DLBCL, and we are reviewing the English literature for cases of spontaneous regression of DLBCL and cancer in general. A 60-year-old gentleman with a history of HIV and HCV infections presented with an incidental liver mass. He was diagnosed with DLBCL germinal cell type with high grade features based on the results of pathological/cytogenetics studies. He started HCV and HIV medication but refused lymphoma chemotherapy. Radiologic...

 Open Access DOI:10.23937/2469-5866/1410031

Optic Perineuritis Secondary to Sjogreen’s Syndrome: Case Report

Juliana Emy Tolachinski Oikawa, Julia Gomes Leite de Souza, Vitoria Caroline Cardoso Ferreira, Paulo Roberto Wille, MD, PhD, Laura Fiuza Parolin, MD and Marcus Vinícius Magno Goncalves, MD, PhD

Article Type: Case Report | First Published: November 04, 2019

Optic perineuritis (OPN) is a rare inflammatory disease involving the optic nerve sheath, causing pain and disc edema and is often bilateral. The diagnosis of OPN is commonly based on magnetic resonance imaging (MRI) findings and clinical features. In MRI it is possible to visualize a circumferential enhancement around the intraorbital optic nerve with preservation of the nerve itself (doughnut sign). This is better seen in contrast-enhanced and suppressed coronal MRI sequences with fat. Magnetic resonance imaging may also show enhancement of orbital fat and slight increase in extraocular musc...

 Open Access DOI:10.23937/2377-4630/1410097

Levo-Bupivacaine vs. Ropivacaine for Post-Operative Pain Relief after Pre-Emptive Intraperitoneal Instillation in Laparoscopic Appendicectomy

Thiruselvi Subramaniam and Tan Ann Jee

Article Type: Original Article | First Published: October 26, 2019

Pain in the immediate postoperative period is found to be less after laparoscopic than after conventional surgical techniques. Ropivacaine is often in favour of Bupivacaine to avoid the risks of toxicity. Levo-bupivacaine, a safer version of bupivacaine is a contender to Ropivacaine. We compare the pain relief provided by Ropivacaine and Levo-bupivacaine instilled intra-abdominally during laparoscopic surgery for acute appendicitis. This is a double blinded randomized placebo- controlled study conducted on 120 patients in a public hospital over a period of 10 months. Using patient control anal...

 Open Access DOI:10.23937/2469-5742/1510064

Skull Metastasis in Prostate Cancer: A Compilation of Four Cases along with Review of the Literature

Brahima KIRAKOYA Fasnewinde Aristide KABORE, Babagana Mustapha ABUBAKAR, Mohamed SIMPORE, Bienvenue Desire KY and Aïssata OUEDRAOGO

Article Type: Research Article | First Published: November 06, 2019

Skull metastasis in prostate cancer is rare and is seen in advanced cases. We study four cases seen in our facility with the aim of identifying challenges in making diagnosis and treatment of these patients. We also reviewed the literature. This study involved four men age 55, 65, 66 and 69 years. In two cases, the skull metastases were discovered during evaluation for primary skull swelling, no lower urinary tract symptoms (LUTS) at presentation. In the other two cases, skull metastases were discovered when the patients were evaluated for metastases after the diagnosed prostate cancer. There ...

 Open Access DOI:10.23937/2469-5742/1510063

Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know

Bruno Costa do Prado, Gustavo Silva Schafascheck and Alana Rocha Puppim

Article Type: Research Article | First Published: October 17, 2019

Adrenal tumors may be a benign finding or imply a high level of morbidity and mortality due to their hormonal activity, or to a possible malignant histology. Medical literature indicates that this condition is due to the improvement of the technique and dissemination in a wide range of imaging methods, increasing considerably the diagnosis of adrenal nodules and its immediate treatment. When treating a patient with adrenal tumors, the main concern of the professional should be to establish if the lesion is a malignant neoplasm and if there is some hormonal functioning, which are two occurrence...

 Open Access DOI:10.23937/2643-4512/1710031

Assessment on the Awareness of the Overweight People towards Benefits of Physical Activities on the Prevention of Chronic Disease: A Case Study of Wolaita Sodo Town, Ethiopia

Tarekegn Girma

Article Type: Research Article | First Published: November 06, 2019

World Health Organization (WHO) estimated in 2011 that 34% of Ethiopian population is dying from non-communicable diseases, with a national cardiovascular disease prevalence of 15%, cancer and chronic obstructive pulmonary disease prevalence of 4% each, and diabetes mellitus prevalence of 2%. Therefore, purpose of this study was to understand the level of awareness shared by overweight people towards benefits of physical activities on the prevention of the chronic disease; in Wolaita Sodo town, Ethiopia. Totally, one hundred twenty (120) subjects, in which 51 female and 69 male were selected f...

 Open Access DOI:10.23937/2643-4512/1710030

The Prevalence of Work-Related Muskuloskeletal Disorders (WRMSDs) and Related Factors among Occupational Disease Clinic Patients

Zeynep DOGRUL, MD, Nejdiye MAZICAN, MD and Meral TURK, Prof. Dr.

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

Work-related musculoskeletal disorders (WRMSDs) are one of the common health problems of employees. WRMSDs are impairments of bodily structures such as muscles, joints, tendons, ligaments, nerves, bones and the localised blood circulation system, that are caused or aggravated primarily by work and by the effects of the immediate environment in which work is carried out. The aim of this study is; to determine the prevalence of work related musculoskeletal disorders and the related factors such as socio-demographic characteristics and working conditions among occupational disease outpatient clin...

 Open Access DOI:10.23937/2643-3966/1710025

Coronary Artery Involvement Following Kawasaki Disease: A Case Report of a 5 Month Old African Infant

Tumwebaze Hilda, Ndagiire Emma, Namuyonga Judith, Twalib Aliku, Lwabi Peter and Lubega Sulaiman

Article Type: Case Report | First Published: November 07, 2019

Kawasaki disease (KD) is an acute systemic vasculitis which progresses to cause coronary artery abnormalities as a complication. Echocardiographic and cardiac angiographic data indicate that 20-40% of untreated KD patients develop coronary artery abnormalities. However, majority of the lesions regress over time. Timely treatment with high dose intravenous immunoglobulins (IVIG) and high dose of aspirin has been found reduce the incidence of developing coronary artery aneurysms to 2%-3%. Data on KD in the African region is unavailable. We present a case of a 5 month old infant that presented at...

 Open Access DOI:10.23937/2643-3966/1710024

Relationship Between Mean Platelet Volume-to-Platelet Count Ratio and the Presence and Severity of Coronary Artery Ectasia

Ramazan Asoglu and Emin Asoglu

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

Atherosclerosis plays an essential role in the etiopathogenesis of coronary artery ectasia (CAE). The mean platelet volume/platelet count (MPV/PLT) ratio is a new biomarker, and increased MPV/PLT ratio was a predictor of cardiovascular mortality in patients with the acute coronary syndrome. We aimed to assess the association between the CAE and MPV/PLT ratio. The present study included 50 patients with CAE and 45 healthy subjects prospectively. The CAE was defined as dilation of the coronary artery > 1.5-fold the diameter of the adjacent normal coronary vessels The severity of isolated CAE was...

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