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: November 30, 2020

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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:10.23937/2378-3001/1410105

A Novel Automated Algorithm Effectively Titrates Stimulation in an Implantable Vagus Nerve Stimulation Device

Imad Libbus, PhD, Enea Dede, MD, Scott Stubbs, BSEE, Lorenzo DiCarlo, MD, Scott Mazar, MSEE, Badri Amurthur, MSEE MBA and Bruce H KenKnight, PhD

Article Type: Brief Report | First Published: November 11, 2020

Autonomic Regulation Therapy (ART) using chronic Vagus Nerve Stimulation (VNS) is in development for patients with heart failure who remain symptomatic despite standard care. In the ANTHEM-HF Pilot Study, a therapeutic VNS intensity was successfully achieved in patients with HFrEF using manually programmed VNS up-titration. An algorithm has been developed for automatically intensifying VNS in small increments to a programmable target intensity, and capable of adjustments during the up-titration ...

 Open Access DOI:10.23937/2469-5742/1510075

Urinothorax Following Microwave Ablation of a Renal Mass

Matt Miller, HBA, Blake Hamilton, MD and Keith Quencer, MD

Article Type: Case Report | First Published: November 11, 2020

Percutaneous ablation of renal masses is an alternative to partial nephrectomy. The three main techniques for ablation of these masses are Radiofrequency ablation, cryoablation and microwave ablation. We report a case of an 83-year-old man who underwent microwave ablation of a renal mass complicated by delayed development of an urinothorax eventually necessitating nephrectomy. Urinothorax following percutaneous renal ablation has not previously been described in the published literature. Compare...

 Open Access DOI:10.23937/2572-4193.1510092

A Rare Case of Actinomyces odontolyticus Infection after Injection Laryngoplasty with Deflux

Kelti Munroe, BSc, Jonathan Melong, MD and Timothy Brown, MD, FRCSC

Article Type: Case Report | First Published: November 06, 2020

Actinomyces odontolyticus is a grampositive, anaerobic bacteria that is part of the normal oral commensal flora. It has been previously demonstrated to be a rare cause of endogenous bacterial infections in humans. In the current case report, we present a rare case of vocal cord infection caused by Actinomyces odontolyticus after injection laryngoplasty with Deflux in an otherwise healthy male patient. A 61-year-old healthy male was taken to the operating theater for injection laryngoplasty for a...

 Open Access DOI:10.23937/2572-4193.1510091

A Rare Presentation of Gradenigo’s Syndrome

Nilam U. Sathe, MBBS, MS ENT, Dharmishtha R. Kaku, MBBS, MS ENT, DNB ENT, Anjali Taku, MBBS, MS ENT, Muniram Pawara, MBBS, MS ENT and Vani K. Gupta, MBBS, MS ENT, DNB ENT

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

Gradenigo’s syndrome is a characteristic triad of suppurative otitis media, pain in distribution of trigeminal nerve and abducens nerve palsy. Early diagnosis and management of Gradenigo’s syndrome is important as it can give rise to fatal complications. Careful clinical history and physical examination, neuroimaging are needed for a differential diagnosis. We present a case report of unusual presentation and eitiological cause of Gradenigo’s syndrome and its effective management. Patient ...

 Open Access DOI:10.23937/2474-3658/1510173

Self-Swab and Saliva Collection for the Diagnosis of Covid-19. What Do Patients Feel About Them?

Hwang SY, Tan SY, Tan PT and Siau C

Article Type: Brief Report | First Published: November 07, 2020

SARS-CoV-2 is the virus being detected for tests for the illness COVID-19. The current gold standard for diagnosis of COVID-19 is a healthcare worker (HCW) performed nasopharyngeal (NP) swab. The IDSA (Infectious Diseases Society of America) suggests using nasopharyngeal, mid-turbinate, or nasal specimens rather than an oropharyngeal (or saliva) specimen because of limited data suggesting lower sensitivity with oropharyngeal specimens. However, subsequent studies have suggested that saliva speci...

 Open Access DOI:10.23937/2474-3658/1510172

Infectious Diseases in Times of Conflict and War: The Loyal Companions

Isaac I, Malaeb M, Bou khalil A, Musharrafieh U and Bizri AR3

Article Type: Literature Review | First Published: November 04, 2020

The association between war, conflict, massive force displacement and infectious diseases has long been established. The influx of large numbers of syrian refugees to Lebanon burdened the country’s infrastructure on several levels, including the public health sector. The aim of this article is to evaluate the association between certain reportable infectious diseases, and the presence of Syrian refugees in Lebanon. Data, from non-governmental organizations and the Lebanese Ministry of Public H...

 Open Access DOI:10.23937/2474-3658/1510171

Liver Abscess and Septic Pulmonary Dissemination by Klebsiella pneumoniae in a Hispanic Male: A Case Report

Jorge Cardenas, Galit Balayla and Carlos I Bustamante

Article Type: Case Report | First Published: November 04, 2020

Klebsiella pneumoniae invasive syndrome (KPIS) is a life-threatening condition with rising incidence across the globe. It is characterized by a monobacterial primary pyogenic liver abscess with or without additional dissemination. Some of the possible metastatic complications include endophthalmitis, lung nodules, meningitis, and potentially inflammation of any organ. Despite the wide distribution of common K. pneumoniae, invasive syndrome is often overlooked due to low incidence of hypervirulen...

 Open Access DOI:10.23937/2469-5793/1510130

Knowledge and Attitude of Osteoporosis among Female Patients Attending Najran University Hospital, KSA

Awad M. Al-Qahtani, Nasser S. Al-Qahtani, Faisal S. Al-Qahtani, Sami H. Alfaifi, Dhafer M. Alshehri, Rishi K. Bharti, Ayoub A. Al-shaikh, Shehata Farag and Syed E. Mohmood

Article Type: Research Article | First Published: November 04, 2020

The bone is a living organ that continues in growth before and after the puberty. Osteoporosis (OP) is characterized by deterioration in the micro-architecture of bone tissue that leads to increased bone frailty and susceptibility to fragility (low trauma) fractures. Preventive measures including patient education and exercise can reduce hip fractures related to osteoporosis. The mean age of the study sample was 28.17 ± 9.76. The maximum number of women were belonging to (21-30 Yrs.) age group ...

 Open Access DOI:10.23937/2469-567X/1510070

False Negative Tuberculin Skin Test (TST) Response in Asymptomatic HIV-1 Infected Blood Donors with Subclinical Iron Overload Developing High Incidence of Pulmonary Tuberculosis on Follow Up

Alice Verghese, Naveen Kumar Singh and Debasish Chattopadhya

Article Type: Review Article | First Published: November 06, 2020

Tuberculin skin testing (TST) response as a predictive tool for development of pulmonary tuberculosis (PT) in Human Immunodeficiency Virus type-1 (HIV-1) infected subjects, is likely to be more valuable at early stage of illness in order to adapt timely management strategy. Earlier reports on HIV-1 infected blood donors with history of oral iron intake and biochemical evidence of iron overload documented development of high incidence of PT on follow up. A group of HIV-1 infected asymptomatic blo...

 Open Access DOI:10.23937/2378-3397/1410120

Surgical Management of an Intrathoracic Desmoid Tumor: A Rare Presentation

Santivañez JJ, Diaz A, Jiménez A and García Herreros LG

Article Type: Case Report | First Published: November 09, 2020

Desmoid tumor is a rare connective tissue tumor, accounting for approximately 3.5% of connective tissue tumors and 0.3% of all solid tumors. It can originate in any part of the body; however, we find them more frequently in extremities, thorax and abdomen. True intrathoracic desmoid tumors however (arise within the thoracic cavity) are remarkably rare. The main problem is the ability to continue growing more than in other locations, and the high relapse rates of this tumor. Adequate surg...


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