Editor-in-Chief:	Richard Alweis, Rochester Regional Health

Published quarterly by Rochester Regional Health, Advances in Clinical Medical Research & Healthcare Delivery (ACMRHD) is a diamond open access journal that publishes original research, guidelines, case reports and series, narrative reviews, systematic reviews and commentaries on a broad range of medical topics. We accept submissions in all article categories and we do not charge article processing fees. For more details see our information for authors. If you are interested in joining our team of volunteer peer reviewers of submissions to the journal, please contact us.

Current Issue: Volume 5, Issue 1 (2025)

Editorial

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Advances in 2024: Update and Thanking Our Peer Reviewers
Richard Alweis, Christina Goodermote, and Elizabeth Mamo

Brief Report

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Monroe County Medical Society Abstract Competition
Janine Fogarty

Case Reports

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Clozapine Induced Eosinophilic Pleural Effusion with Peripheral Eosinophilia After Two Years: A Case Report and Literature Review
Emiliya Boriskina and Christopher J. Etterle

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Unilateral Hearing Loss Caused by Bilateral Otosclerosis in the Context of Prior Viral Infection - Case Report
Ryan Tam, Michael Mullinax, Timothy Ehmann, and Bryan Scott

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Coexisting Renal Artery Stenosis and Large Angiomyolipoma in a Solitary Kidney: A Therapeutic Dilemma
Yohannes B. Tilahun and Arjun Sekar

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Special Patient Populations - A Case Report of a Jehovah’s Witness
Michael P. Mullinax, S. Jiaming Lin, Paige M. Kieper, Jake W. Vogel, and Orlando Nunez Isaac

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A Compelling Case of the Use of Electroconvulsive Therapy in Severe Treatment Resistant Depression with Suicidality
Neha Narayanan, Ryan Tam, and James Mead

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Unique Case of Acute Pancreatitis Linked to L-Arginine Supplement Use In A Bodybuilder
Farah Majdoub, Sarah Hewitt, Rohail Baig, Luke Pettet, Thaddeus John Sullivan, and Daniel Chin

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Murder Mystery Solved! Unmasking Multi-Generational Familial Death As a Result of Brugada Syndrome
Ryan Tam, Sandres Aodish, Jeremiah Tom, and Mohammad Jawish

Articles

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Improving Vitamin B12 Monitoring in Metformin-Treated Patients: A Quality Improvement Project
Himal Kharel, Zeni Kharel, Abdullah A. Orakzai, Aditya Sanjeevi, Prajjwol D. Bhatta, Ali S. Mohamed, Tripti Jain, Aniket-Vijay Rao, Daniel Idoate Domench, Mouna Reghis, and Hassan Saeed

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One Center's Experience of Pulmonary Embolism after COVID-19: Impact of Vaccination Status
Cara Gose, Kaylee Dixon, and Andrea M. Bodine MD

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Abdominal/Pelvic CT Scans ordered Pre-Physical Exam in the Emergency Department, A Pilot Study
Ryanne M. Burke, Hannah Zazulak, and Andrea M. Bodine MD

Imaging-Video-Audio Media

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Enfortumab vedotin induced cutaneous manifestations
Zeni Kharel and Farhan S. Imran