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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.


  Last Updated: January 16, 2021

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 Open Access DOI:10.23937/2643-4474/1710046

Case Report: A Rare Case of Penetrating Trauma of Frontal Sinus with Anterior Table Fracture

Himanshu Raval, Mona Bhatt and Nihar Gaur

Article Type: Case Report | First Published: November 25, 2020

Head injury is common component of any road traffic accident injury. Injury involving only frontal sinus is uncommon and unique as its management algorithm is changing over time with development of radiological modalities as well as endoscopic intervention. Frontal sinus injuries may range from isolated anterior table fractures causing a simple aesthetic deformity to complex fractures involving the frontal recess, orbits, skull base, and intracranial contents. Only anterior table injury of front...

 Open Access DOI:10.23937/2572-4053.1510030

Correlation between Obstructive Sleep Apnea Syndrome, Arrhythmias and Autonomic Cardiac Activity: A Retrospective Case-Control Study

Cristina Anna Maria Lo Iacono, Enrico Reali, Paolo Perciballi and Mauro Cacciafesta

Article Type: Short Comunication | First Published: November 18, 2020

Obstructive sleep apnea (OSA) is a sleep respiratory disorder characterized by an intermittent complete or partial collapse of the upper airways, resulting in apnea and hypopnea events. Breathing pauses cause acute adverse effects including oxyhemoglobin desaturation, changes in blood pressure and heart rate, increased sympathetic activity, cortical arousals (micro awakenings) and sleep fragmentation. There is limited evidence to support the fact that mild OSA can have negative health consequenc...

 Open Access DOI:10.23937/2572-4053.1510029

Visualizing of Upper Respiratory Tract during Physiologicaly Sleep

Arman Afrashi

Article Type: Case Report | First Published: November 14, 2020

Obstructive sleep apnea is a disease consisting of episodes of partial or complete closure of the upper airway that occur during sleep and lead to breathing cessation defined as a period of apnea more than 10s. Symptom include restlessness, snoring, recurrent awakening, morning headache and excessive day time sleepiness. Diagnosis of obstructive sleep apnea is based on sleep history and polysomnography. Continuous positive airway pressure (CPAP) is the gold-standard treatment in severe OSAS. In ...

 Open Access DOI:10.23937/2474-3658/1510179

Small Viral Particle Aerosol Transmission of SARS-CoV-2, Influenza A and Measles: Dual Pandemics, Outbreaks and Public Health Protection with the Use of Face Shields and Face Coverings

Cameron Y S Lee, DMD, MD, PHD, MPH, MSEd

Article Type: Research Article | First Published: November 27, 2020

As the Covid-19 pandemic (SARS-CoV-2) continues to spread globally, the influenza virus circulates in communities capable of causing significant morbidity and mortality. Further, measles outbreaks are common events as well and may trail right behind the coronavirus that causes Covid-19 and the influenza virus. Recent aerosol studies have now demonstrated that respiratory pathogens less than 5 micrometers are able to be transmitted from human-to-human capable of causing great morbidity and mortal...

 Open Access DOI:10.23937/2474-3658/1510178

Seroprevalence of Hepatitis B and C and Associated Risk Factors among HIV-1 Infected Patients in a High Risk Border Region of South West Cameroon

Adamu Ndongho Ndifontiayong, Innocent Mbulli Ali, Jerimiah Mbogwe Ndimumeh, Jean Baptiste Sokoudjou, Jules-Roger Kuiate and Christopher Bonglavnyuy Tume

Article Type: Original Article | First Published: November 27, 2020

Coinfection of HIV with human retroviruses such as hepatitis B (HBV) and hepatitis C (HCV) has been associated with adverse liver disease outcomes including reduced survival, cancer and antiretroviral induced hepatotoxicity. In this study, we evaluated the prevalence of hepatitis B surface antigen (HBsAg) and hepatitis C antibody (HCVAb) among HIV-infected individuals diagnosed within six months in South West Cameroon and identified risk factors of coinfection. We performed a systematic screenin...

 Open Access DOI:10.23937/2469-5858/1510105

An Ounce of Prevention: Reducing the Risk of COVID-19 Transmission in Long-Term Care Facilities

Robert J Fischer, MD, Kimberly K Morris, MD, Luke A McCorkel, BA, MA, Steven M Case, RN, BSN, CCM, ACM-RN, Hieu H Pham, RN, BSN and Brian G Henneman, PE

Article Type: Original Article | First Published: December 05, 2020

Determine LTCF risk factors for a COVID-19 outbreak and recommend strategies for closing gaps in facility preparedness through a multidisciplinary team assessment carried out on site. Data was obtained during visits to 14LTCFs, completion of a standard assessment tool through interviews with site staff and leadership and tours of the facility campus. In all five dimensions of preparedness (staffing, professional medical support, infection control, engineering controls and testing), the degree of...

 Open Access DOI:10.23937/2469-5858/1510104

Delirium as an Initial Presentation of COVID-19: Implications in Diagnosis and Possible Long-Term Effects

Daniel J Greenberg, DO and Christine Carosella, MD

Article Type: Case Report | First Published: December 05, 2020

Most patients with coronavirus disease 2019 (COVID-19) experience fever, cough, and malaise. Neurologic manifestations are receiving more recognition. One systematic review found the most frequent findings included headache (20.1%) and smell and taste dysfunction (59.2% and 50.8%, respectively). Impaired consciousness, defined as agitation or confusion, occurred 5.1%, and was more common in severe or critical patients (11.9%). Further, cases of asymptomatic infection may be as high as 40% to 45%...

 Open Access DOI:10.23937/2378-3516/1410147

The Role of Intermediate Respiratory Care Units in Preventing ICU Collapse during the COVID Pandemic

Sarah Heili Frades, MD, María del Pilar Carballosa de Miguel, MD, Alba Naya Prieto, MD, Itziar Fernández Ormaechea, MD, Farah Ezzine de Blas, MD, Pablo Lopez Yeste, MD, Francisco Jos Laso Del Hierro, MD, Ainhoa Izquierdo Perez, MD, Marwan Mohamed Choukri, MD, Herminia Ortiz Mayoral, MD, Abdulkader El Hachem Debek, MD, Andres Gimenez Velando, MD, Marcel Jose Rodriguez Guzman, MD, Elena Cabezas Pastor, Pablo Minguez, PhD, Ignacio Mahillo Fernández, PhD, Antonio Herrero González, Lorena de la F

Article Type: Research Article | First Published: November 30, 2020

There is limited information describing features and outcomes of patients requiring Intermediate Respiratory Care Unit (IRCU) hospitalization for COVID19 disease and as of yet, no mechanical or medical treatments have clearly demonstrated efficacy in IRCU. Demographics and clinical variables on admission, as well as medical and mechanical therapeutic interventions, were extracted from Electronic Clinical Records in 274 SARS-CoV-2 infected patients attending a third level hospital IRCU. Using mul...

 Open Access DOI:10.23937/2572-3235.1510071

Dose Profile Study in Head CT Scans Using a Male Anthropomorphic Phantom

Álvaro Mauricio Ladino Gómez, Priscila do Carmo Santana and Arnaldo Prata Mourão

Article Type: Academic Research | First Published: November 27, 2020

Computed Tomography (CT) is an efficient and non-invasive method to obtain data about internal structures of the human body. CT scans contribute with the highest absorbed doses in population due X-ray beam attenuation and it has raised concern in radiosensitive tissues. Techniques for the optimization of CT scanning protocols in diagnostic services have been developing with the objective of decreasing the absorbed dose in patient, aiming image quality within acceptable parameters for diagnosis b...

 Open Access DOI:10.23937/2643-4563/1710025

Evaluation of Clinical and Pathological Features of Follicular Lymphoma - A Three Year Descriptive Study in a Regional Cancer Centre in Western India

Rukmini Bezbaruah and Biren Parikh

Article Type: Original Article | First Published: November 22, 2020

This was a retrospective study where cases of FL were collected from the department of Oncopathology, at a tertiary care centre over 3 years from January 2017 to December 2019. Statistical analysis was done using the Software Statistical Package for the Social Sciences (SPSS) Version 20. Age range was from 35 to 84 years. Out of 69 cases, 18 cases (26%) were grade I, 32 cases (46%) were grade II, and 19 cases (27%) were grade III. Ki67 showed significant correlation in case of grade, stage, FLIP...

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