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Journal of Pharmacology and Clinical Toxicology

Evaluation of Metals Content among Different Cosmetic Products in the Arabian Market

Research Article | Open Access | Volume 4 | Issue 1

  • 1. Department of Forensic Medicine and Clinical Toxicology, Alexandria University, Egypt
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Corresponding Authors
Sahar Y Issa, Department of Forensic Medicine and clinical Toxicology, Faculty of Medicine - Alexandria University, Egypt, Tel: 00966550748326
Abstract

Cosmetics’ use is very popular all over the world including Arabian countries. The use of some cosmetics as Kohl is part of culture and traditions in some countries, and is used since very young ages. This makes detection of heavy metal content in cosmetics marketed in Egypt and other Arabian markets of crucial importance.
Objective: To evaluate the levels of heavy metals content among different cosmetic products in the Arabian market.
Methods: Different brands of anti-freckle creams, eye shadows, eyeliners, facial powders, foundation, henna and lipsticks were purchased from open markets in Egypt and Saudi Arabia. Sample preparation and analysis was conducted, to estimate levels of twelve different metals (Pb, As, Cd, Ag, Ba, Al, Cr, Mn, Co, Ni, Cu, and Zn) using Inductively Coupled Plasma Mass Spectrometry (ICP-MS).
Results: The mean concentration of some studied metals as Aluminium, lead, arsenic, copper and nickel were higher than permissible levels for cosmetics in some of the studied samples.
Conclusion: In conclusion, cosmetics’ contamination with metals above permissible levels is very common in most of the products available in the developing world and Arabian markets. Physicians and users must be aware of the probable toxicity of these elements and of the clinical signs of systemic poisoning. Considering popular use of cosmetics by different age groups, the hazardous cumulative effects of prolonged exposure to low concentrations of metals like; Aluminium, lead, Arsenic, nickel and copper especially in children, cannot be ruled out. Further studies are recommended in addition, cosmetic market control and legislation procedures should be thoroughly implemented.

Keywords

• Cosmetics

• Henna

• Lipstick

• Heavy metals

• Aluminum

• Lead

• ICP-MS

• Traditional herbs

• Allergic dermatitis

• Poisoning

• Toxicity

• Arabian market

Citation

Ibrahim SY, Maguid RA (2016) Evaluation of Metals Content among Different Cosmetic Products in the Arabian Market. J Pharmacol Clin Toxicol 4(1):1062.

ABBREVIATIONS

DDW: Distilled and De-ionized Water; FDA: United State Food and Drug Administration; HNO3 : Nitric acid; HF: Hydrofluoric acid; HCl: Hydrochloric acid; PPD: Para- Phenylenediamine; ICPMS: Inductively Coupled Plasma Mass Spectrometry; HPLC: High Performance Liquid Chromatography; IS: Internal Standard; SD: Standard Deviation; Pb, As, Cd, Ag, Ba, Al, Cr, Mn, Co, Ni, Cu, and Zn: Lead, Arsenic, Cadmium, Silver, Barium, Aluminum, Chromium, Manganese, Cobalt, Nickel, Copper and Zinc consecutively

INTRODUCTION

The definition of a cosmetic identifies the site of application (epidermis, hair system, nails, lips, eyes) and the intended functions (cleaning, perfuming, changing the appearance, correcting body odours, protecting and keeping in good condition) [1]. During the past decades the safety of cosmetic products and their ingredients had attracted greater than ever attention; thus their toxicological safety evaluation is a relatively young discipline, which evolved in the second half of the 20th century. Up to the 1960s it was commonly believed that cosmetic products will never go beyond the surface of the human body. Therefore, local effects were the primary safety concern. The first consistent in vivo tests for skin and eye irritation were developed in the 1940s. Oral exposure can occur from wearing of cosmetic products containing heavy metal impurities around the mouth and also from hand to mouth contact [2,3].

Cosmetics products have infrequently been associated with severe health hazards; however, this does not mean that the use of cosmetics per se is safe. Particular attention needs to be paid to long-term safety aspects, since cosmetics products may be used extensively over a large part of the human lifespan and sensitive groups of the population such as children, old people, pregnant women, etc., may be affected. Therefore, safety-inuse for cosmetics products has been established in Europe by controlling the ingredients via their chemical structures, toxicity profiles, and patterns of exposure [4].

Some heavy metals have been used as cosmetics ingredients previously. Examples include the preservative thimerosal (mercury), the hair dye lead acetate and a number of tattoo pigments such as red cinnabar (mercuric sulphide). As the issue of heavy metals as intentional cosmetics ingredients has been thoroughly studied, awareness turns nowadays to the presence of these substances as impurities [5]. It is therefore evident that any action devoted to the definition of the possible risks for the consumer due to the presence of toxic substances in a cosmetic formulation is to be robustly supported. That’s why, many countries legalized the procedures to be followed for the commercialization of cosmetic products [6].

METHODS

Heavy metals

Accurately weighed portion (0.1 – 0.2g) of each cosmetic sample was transferred to a TEFLON digestion tube (120 mL) and 7.0 mL of the acid mixture Nitric/ Hydrofluoric/hydrochloric acids (HNO3 /HF/HCl, 4.5:2:0.5) was introduced. The tube was sealed and the sample was digested inside a microwave oven (Milestone ETHOS 1600). After being cooled to ambient temperature, the tube was opened; the inside of the lid was rinsed with distilled and de-ionized water (DDW) and the mixture heated on a hotplate (120 °C) for 30 minutes to drive off the residual HF and HCl. The resulting digest was filtered in a polypropylene flask using 1% HNO3 and made up to 50ml volume. For ICPMS measurement the clear digest obtained were diluted 10 times using DDW. Samples and standard reference materials (SRM) were prepared in a batch of six including a blank (HNO3 /HF/HCl) digest [7]. Twelve different metals (Pb, As, Cd, Ag, Ba, Al, Cr, Mn, Co, Ni, Cu, and Zn) in all prepared solutions were quantified subsequently by ICP-MS.

Chemicals

High purity water (Specific resistivity 18 MΩ cm-1) obtained from a Milli Q - pure water purification system (Millipore SAS, France) was used throughout the work. All solvents, chemicals and, reagents used were purchased from MERCK, (Darmstadt, Germany).

Samples

Different brands of anti-freckle creams, eye shadows, eyeliners, facial powders, foundation, lipsticks and henna were purchased from local markets in Egypt, and Saudi Arabia. All the samples were purchased by different commercial suppliers located in the local markets of both countries. The brand names were blinded and given the codes 1 to 25. The other details are presented in Table 1.

Table 1: Details of purchased cosmetic products.

Sample Code Type Uses as written on the product
1- 3 Anti-freckle creams Depigmentation, skin cleansing and fairness.
4 - 6 Eye shadows Cosmetic colouring of eye lids.
7 - 9 Eye liners Eye Demarcation.
10 - 12 Facial powders Improve the complexion.
13 - 15 Foundations Anti-aging, tone up the skin, tighten the pores.
16 - 18 Lip sticks Lip colour, and moisturizer.
19 - 25 Henna powder Skin pigmentation and Tattooing.

Statistical analysis

Data for metal estimation have been tabulated and the results were analyzed statistically and expressed as mean ± SD. The concentrations of metals were presented in table (2),

Table 2: Concentrations of metals in cosmetic products.

Sample Number Metals studied (Mean ± SD)
Pb As Cd Ag Ba Al Cr Mg Co Ni Cu Zn
1 33.100±1.975 1.563±0.038 0.625±0.000 0.076±0.010 ND 230±21.63 27.07 ± 6.15 112±0 2.06± 0.19 2.14± 0.18 20.5±0.7 6.6±0.00
2 20.580±3.746 1.430±0.035 0.658±0.058 0.083±0.010 38.58± 3.26 275±55.75 7.3± 4.97 3508±115 1.06± 0.12 3.74± 0.68 21.9±0.3 4.8±0.15
3 16.630±3.992 1.887±0.021 0.625±0.000 0.278±0.011 ND 325±69.50 5.60 ± 4.12 1358±14 ND 23.1± 0.25 22.2±0.5 6.89±0.09
4 6.750±2.479 3.423±0.045 0.992±0.321 2.183±0.026 66.15± 3.06 3780±95.09 12.0± 3.50 2071±566 ND 9.65± 1.53 24.3±0.5 21.11±0.24
5 12.030±3.995 2.923±0.045 0.692±0.115 0.157±0.021 21.30± 4.02 806±90.27 1.40 ± 2.20 475±38 ND ND 19.5±0.1 31.4±0.34
6 9.390±3.438 3.683±0.181 1.158±0.208 0.309±0.021 54.15± 3.10 1122±87.40 3.74 ± 1.70 8317±83 3.34 ±0.61 3.41± 0.74 22.0±0.6 18.69±0.40
7 11.350±2.963 2.237±0.038 1.092±0.252 0.072±0.014 ND 313±32.01 1.15 ± 0.22 5316±101 ND 8.45± 12.30 19.9±0.2 49.26±0.26
8 96.430±1.975 1.557±0.042 1.875±0.499 0.065±0.010 1.1± 0.05 582±12.86 0.69 ± 0.15 7917±196 ND ND 22.9±0.2 50.78±0.41
9 21.400±1.302 2.927±0.047 1.258±0.551 1.095±0.031 ND 4779±82.56 4.70 ± 0.95 8350±307 1.06± 0.09 ND 23.2±0.5 56.57±0.57
10 11.300±1.988 3.213±0.040 0.758±0.153 0.311±0.012 ND 5311±66.58 0.69 ± 2. 13 8112±481 ND ND 20.4±0.1 46.12±0.26
11 6.750±0.563 2.637±0.038 0.725±0.173 0.041±0.007 ND 4825±77.03 24.70 ± 5.20 10681±900 0.4± 0.21 3.2± 0.34 48.5±0.4 50.49±0.58
12 10.040±1.158 3.077±0.191 0.792±0.231 0.041±0.004 32.07± 3.51 4268±36.83 8.72± 0.04 4929±97 ND 7.1± 0.30 49.1±0.8 54.01±0.14
13 7.400±1.975 2.927±0.047 0.858±0.343 0.168±0.007 18.1± 1.05 4917±109.8 4.30± 0.12 5146±159 1.30 ±0.3 ND 10.0±0.3 50.46±2.51
14 1.470±0.852 2.263±0.021 0.825±0.100 0.118±0.004 ND 4511±89.61 0.44 ± l.35 475±38 ND 18.1± 2.30 10.4±0.3 39.65±0.30
15 12.850±0.577 2.013±0.006 0.785±0.115 0.278±0.011 2.07± 0.51 5505±31.64 2.16±0.32 5108±97 ND 1.53± 0.15 9.4±0.3 35.66±6.99
16 11.12±2.64 1.42±0.031 l.1 7 ± 1.20 0.14±0.032 28.18± 3.14 ND 25.41 ± 5.20 15±3.24 1.11 ±0.5 ND 41.1±0.4 4.1±0.17
17 7.214±1.21 3.021±0.133 0.07 ± 0.65 0.141±0.09 ND 344±12.47 9.50 ± 2.43 ND ND 3.22± 0.64 19.1±0.5 ND
18 9.350±2.963 1.651±0.035 1.40 ± 0.46 0.321±0.024 ND 52±10.16 0.69 ± 0.15 19±4.211 ND ND 22.1±0.64 14.8±0.11
19 6.430±1.975 2.470±0.124 0.08 ± 1.25 0.355±0.018 2.18± 1.14 12±14.81 12.06 ± 3.50 ND 1.04 ±0.7 ND 4.12±0.2 24.1±0.16
20 8.400±1.302 1.830±0.120 0.09 ± 1.35 0.214±0.054 3.22± 1.02 ND 26.07 ± 6.15 25±7.29 ND 7.21± 0.14 16.1±0.8 3.2±0.14
21 11.300±1.988 ND 3.50 ± 0.70 0.147±0.025 2.14± 0.19 82±12.71 5.60 ± 4.12 79±13.24 ND ND 39.1±0.5 ND
22 8.400±1.975 3.927±0.047 0.958±0.343 0.268±0.007 17.1± 1.05 494±109.8 4.60± 0.12 524±159 1.80 ±0.3 7.11± 0.14 11.0±0.3 50.15±2.51
23 1.240±0.85 2.215±0.021 0.425±0.100 0.248±0.004 ND 421±89.61 0.31 ± l.35 275±38 ND 15.7± 2.30 7.4±0.3 24.65±0.30
24 14.850±0.577 2.013±0.006 0.715±0.115 0.278±0.011 2.07± 0.51 545±31.64 2.16±0.32 547±24 ND 1.85± 0.15 9.1±0.3 35.25±6.99
25 17.4±2.64 1.42±0.031 l.1 7 ± 1.20 0.14±0.032 28.11± 3.14 ND 20.41 ± 5.20 11±3.24 1.11 ±0.5 ND 32.1±0.4 7.1±0.17

and were expressed as mean ± SD.

RESULTS

Laboratory studies

In this study, we have tested twenty five cosmetic products for the presence of twelve different metals (Pb, As, Cd, Ag, Ba, Al, Cr, Mn, Co, Ni, Cu, and Zn) using ICP-MS. The distribution of heavy metals in samples studied is shown in Table 2 expressed as mean ± SD. Metals were detected in most of the samples in varying concentrations. However, clear patterns indicating that metal concentrations were related to specific brands, cost, or color were not detected. The result of this experiment revealed that the distribution frequency of metals among the studied samples were; Pb, As, Cd, Ag >Zn, Mg > Al > Ba, Ni > Co. The distribution frequency of Cobalt was the least among the studied elements (detected in 10 samples only). Aluminium was detected in most of the studied samples (22 samples).

DISCUSSION

Back in ancient Egypt, Greece, and Roman Empire times, women had been applying some reddish mineral or plant pigment to their cheeks and lips for the purpose of beautification. Therefore, the history of lip cosmetics might have been over thousands of years [8]. To ensure safety and efficacy, cosmetic products are regulated and controlled worldwide. However, harmonization of laws dealing with cosmetics is far from being achieved and regulatory frameworks vary greatly between countries making it practically impossible for a global industry to sell the same product on all markets [1]. Cosmetics have often been considered by many dermatologists, more dangerous than good [9]. They may contain more than 10,000 ingredients which are related to many diseases like cancer, birth defects, developmental and reproductive harms. Knowing such poisonous effects the [10] completely forbidden the presence of nine ingredients including coal tar colors, formaldehyde, glycol ethers, lead, mercury, Phenylenediamine, phthalates in cosmetic products.

The density of heavy metals is five folds more than that of water [11]. These includes: antimony, arsenic, bismuth, cadmium, cerium, chromium, cobalt, copper, gallium, gold, iron, lead, manganese, mercury, nickel, platinum, silver, tellurium, thallium, tin, uranium, vanadium and zinc. Essential metals when present in higher concentration show toxic effects as well [10].

Exposure to metals may occur through the diet, medications environmental exposure and cosmetics use [12]. The use of underarm anti-perspirant has been investigated as a possible cause of breast cancer. Basis for breast carcinogenesis may be due to the binding of various chemical constituents including metals to DNA and promotion of damaged cells growth, that’s why some directives banned the use or presence of the heavy metals, Cd, Co, Cr, Ni, and Pb as impurities in the preparation of cosmetics [13]. Information about dermal exposure to metal toxins is very scanty, and few data exist on the personal care products and their role in inducing toxicities [14].

The study of metal content in some cosmetic products raise the concern about potential public health hazards; though, metals in cosmetic products are not currently regulated by the FDA. Although metal concentrations in cosmetic products have been reported by studies performed in many countries [15-17] interpreting how these reported concentrations may be related to potential health risk is challenging.

The increasing health awareness and, the increased availability of cosmetic products in different markets draws the attention of researchers and clinicians to find adverse effects related to heavy metal contamination [18,19]. Although some cosmetics are benign; others can cause or are supposed to cause harmful effects such as cancer, allergic reaction, mutations, as well as respiratory, developmental and reproductive problems [20]. High levels of cadmium have been linked to DNA mismatches. Increased zinc levels has been reported to produce clinical illness similar to that caused by lead toxicity, and can easily be mistakenly diagnosed as lead poisoning [21].

There are currently no international standards for impurities in cosmetics. Limits have been established in Germany. Rather than taking a risk-based approach, the German limits are based on levels that could be technically avoided. Thus, heavy metal impurities were limited to anything above normal background levels. Heavy metal levels in cosmetic products above the values listed later are considered technically avoidable. Lead: 20 ppm, Arsenic: 5 ppm, Cadmium: 5 ppm, Mercury: 1 ppm, Antimony: 10 ppm [22].

Health Canada has taken a similar approach in the establishment of heavy metal impurity limits, as the department has always maintained that impurities in cosmetics should be reduced to the extent that is technically feasible [23]. Most of the cosmetic samples in this study were found to contain high concentration of metals, particularly; Pb, Al, Cu, Ni, Mg and Zn which showed a wide variation among the samples and products. The differences in concentration of the studied metals between the samples may be attributed to the difference in the origin of the cosmetic samples.

Aluminium was detected in nearly most of the studied samples (22 samples), whereas Pb, As, Cd, Cr, Cu and Ag were detected in all the studied samples. Significant concentrations of aluminium (5505± 31.64 ppm) have been found in one product (sample 15) and 5311± 66.58 ppm in sample number (10). Worth mentioning, [16] had highlighted the adverse developmental effects of aluminium toxic exposure on children and infants.

Cobalt, Barium and Nickel were the least detected elements. Cadmium, chromium and Silver were detected in all samples, while Cobalt was only detected in ten samples. Some directives banned the use of heavy metals, Cd, Co, Cr, Ni, and Pb as impurities in the preparation of cosmetics [24,25].

Very high lead concentration was measured also in four samples which reached 96.43, 21.4, 17.4 and 14.85 ppm in samples number (8, 9, 25, and 24) respectively. This high lead value poses an alert for all users of such products, as any cosmetic product is considered technically avoidable when they exceed the 10 ppm Pb limits [23]. It is likely that an exposure to more than 0.005 ppm of cadmium can be hazardous to human health. However, level of exposure that is well thought-out as a high limit is diverse because the cadmium effect may increase or decrease depending on other factors as the form, type and duration of exposure [25].

Arsenic was detected in all the studied samples, the highest level detected was 3.927 (sample 22), six of the studied samples showed results for As higher than 3 ppm which is the permissible As level in cosmetics [23] Fifteen (15) of the tested samples contained nickel, with levels ranging from 1.53 ppm in sample (15) to 23.1 ppm in sample number (3). The presence of high concentrations of nickel (more than 5 ppm) was detected in eight samples of studied cosmetic products. Usually, nickel salts are used as dye mordant and pigments. Nickel allergy caused by eye shadow has been reported by [2], who reported that even 1 ppm may set off a pre-existing allergy.

Maximum concentration of Copper was 49.1 ppm detected in sample (12) which is higher than many of the studies conducted for cosmetic products [26,21]. The maximum value of cobalt (3.34 ppm) obtained in this study in sample number (6) was found to be lower than those reported elsewhere [26].

The metals analyzed in this study were not listed as ingredients on any of the tested products. Due to absence of manufacturer testing and regulatory monitoring of such products, it is possible that the producing companies are not even attentive that their commercial final products are contaminated. These metal contaminants likely get into the products when below standard ingredients are used. Manufacturers should test the used raw ingredients before using them in making the final products to be able to track the origin of such contaminants [27].

CONCLUSION

The current study revealed that the continuous use of such contaminated cosmetics could result in an increase in some metal levels in the human body beyond acceptable limits. Such findings call for instant mandatory regular testing programs to check metals’ concentration in cosmetic products that are imported to Egypt, Saudi Arabia and other parts of the Arabian markets in order to limit their plethora and hence protect the consumers’ health. Further efforts are needed to enlighten the users and the general public on the dangers of using unknown misbranded products that are pumped in large quantities to many markets in the Arab world.

REFERENCES

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8. Brown VJ. Metals in lip products: a cause for concern? Environ Health  Perspect. 2013; 121: 196.

9. Groot ACD, Nater JP, Weyland JW. Unwanted Effects of Cosmetics and Drugs Used in Dermatology. Elsevier. 1994; 1: 2–15.

10. US FDA. United State Food Drug and Cosmetic Act on Hazardous Chemicals in Cosmetics. 2011.

11. Al-Trabulsy, HAM, Khater AEM, Habani, FI. Heavy elements concentrations, physicochemical characteristics and natural radionuclides levels along the Saudi coastline of the Gulf of Aqaba. Arab. J. Chem. 2013; 6: 183–189.

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15. Adepoju-Bello AA, Oguntibeju OO, Adebisi RA, Okpala N, Coker HAB. Evaluation of the concentration of toxic metals in cosmetic products in Nigeria. Afr J Biotechnol. 2012; 11: 16360 – 16364.

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18. Saeed M, Muhammad N, Khan H, Khan SA. Analysis of toxic heavy metals in branded Pakistani herbal products. J. Chem. Soc. Pak. 2010; 32: 471–475.

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20. Duggan A, Charnley G, Chen W, Chukwudebe A, Hawk R, Krieger RI, et al. Di-alkyl phosphate biomonitoring data: assessing cumulative exposure to organophosphate pesticides. Regul Toxicol Pharmacol. 2003; 37: 382-395.

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22. Al-Dayel O, Hefne J, Al-Ajyan T. Human exposure to heavy metals from cosmetics. Orient. J. Chem. 2011; 27: 01–11

23. Health Canada, Consumer product safety. Draft guidance on heavy metal impurities in cosmetics. 2011

24. EC. Directive 2003/15/EC of the European Parliament and of the Council of 27 February 2003 amending Council Directive 76/768/ EEC on the approximation of the laws of the Member States relating to cosmetic products Official Journal of the European Union, 11.3.2003, L. 2003; 66: 26-35.

25. ATSDR: Agency for Toxic Substances and Disease Registry, (2012): Public Health Statement for Cadmium: September 2012.

26. Amartey EO, Asumadu-Sakvi AB, Adjei FK, Quashie GO, Duodu, Bentil NO. Determination of heavy metals concentration in hair pomades on the Ghanian market using atomic absorption spectrometry technique. Br. J. Pharmacol. Toxicol. 2011; 2: 192–198.

27. Sahar Y Issa, Marwa M Fawzi, Mohammed G Saad, et al. Determination of metals and Para- Phenylenediamine levels in some commercial brands of henna (Lawsonia inermis); Journal of Pharmacology and Clinical Toxicology. Under publication. 2015.

Ibrahim SY, Maguid RA (2016) Evaluation of Metals Content among Different Cosmetic Products in the Arabian Market. J Pharmacol Clin Toxicol 4(1):1062.

Received : 21 Aug 2015
Accepted : 12 Apr 2016
Published : 15 Apr 2016
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Launched : 2016
JSM Women's Health
ISSN : 2578-3696
Launched : 2016
Clinical Research in HIV or AIDS
ISSN : 2374-0094
Launched : 2013
Journal of Endocrinology, Diabetes and Obesity
ISSN : 2333-6692
Launched : 2013
Journal of Substance Abuse and Alcoholism
ISSN : 2373-9363
Launched : 2013
JSM Neurosurgery and Spine
ISSN : 2373-9479
Launched : 2013
Journal of Liver and Clinical Research
ISSN : 2379-0830
Launched : 2014
Journal of Drug Design and Research
ISSN : 2379-089X
Launched : 2014
JSM Clinical Oncology and Research
ISSN : 2373-938X
Launched : 2013
JSM Bioinformatics, Genomics and Proteomics
ISSN : 2576-1102
Launched : 2014
JSM Chemistry
ISSN : 2334-1831
Launched : 2013
Journal of Trauma and Care
ISSN : 2573-1246
Launched : 2014
JSM Surgical Oncology and Research
ISSN : 2578-3688
Launched : 2016
Annals of Food Processing and Preservation
ISSN : 2573-1033
Launched : 2016
Journal of Radiology and Radiation Therapy
ISSN : 2333-7095
Launched : 2013
JSM Physical Medicine and Rehabilitation
ISSN : 2578-3572
Launched : 2016
Annals of Clinical Pathology
ISSN : 2373-9282
Launched : 2013
Annals of Cardiovascular Diseases
ISSN : 2641-7731
Launched : 2016
Journal of Behavior
ISSN : 2576-0076
Launched : 2016
Annals of Clinical and Experimental Metabolism
ISSN : 2572-2492
Launched : 2016
Clinical Research in Infectious Diseases
ISSN : 2379-0636
Launched : 2013
JSM Microbiology
ISSN : 2333-6455
Launched : 2013
Journal of Urology and Research
ISSN : 2379-951X
Launched : 2014
Journal of Family Medicine and Community Health
ISSN : 2379-0547
Launched : 2013
Annals of Pregnancy and Care
ISSN : 2578-336X
Launched : 2017
JSM Cell and Developmental Biology
ISSN : 2379-061X
Launched : 2013
Annals of Aquaculture and Research
ISSN : 2379-0881
Launched : 2014
Clinical Research in Pulmonology
ISSN : 2333-6625
Launched : 2013
Journal of Immunology and Clinical Research
ISSN : 2333-6714
Launched : 2013
Annals of Forensic Research and Analysis
ISSN : 2378-9476
Launched : 2014
JSM Biochemistry and Molecular Biology
ISSN : 2333-7109
Launched : 2013
Annals of Breast Cancer Research
ISSN : 2641-7685
Launched : 2016
Annals of Gerontology and Geriatric Research
ISSN : 2378-9409
Launched : 2014
Journal of Sleep Medicine and Disorders
ISSN : 2379-0822
Launched : 2014
JSM Burns and Trauma
ISSN : 2475-9406
Launched : 2016
Chemical Engineering and Process Techniques
ISSN : 2333-6633
Launched : 2013
Annals of Clinical Cytology and Pathology
ISSN : 2475-9430
Launched : 2014
JSM Allergy and Asthma
ISSN : 2573-1254
Launched : 2016
Journal of Neurological Disorders and Stroke
ISSN : 2334-2307
Launched : 2013
Annals of Sports Medicine and Research
ISSN : 2379-0571
Launched : 2014
JSM Sexual Medicine
ISSN : 2578-3718
Launched : 2016
Annals of Vascular Medicine and Research
ISSN : 2378-9344
Launched : 2014
JSM Biotechnology and Biomedical Engineering
ISSN : 2333-7117
Launched : 2013
Journal of Hematology and Transfusion
ISSN : 2333-6684
Launched : 2013
JSM Environmental Science and Ecology
ISSN : 2333-7141
Launched : 2013
Journal of Cardiology and Clinical Research
ISSN : 2333-6676
Launched : 2013
JSM Nanotechnology and Nanomedicine
ISSN : 2334-1815
Launched : 2013
Journal of Ear, Nose and Throat Disorders
ISSN : 2475-9473
Launched : 2016
JSM Ophthalmology
ISSN : 2333-6447
Launched : 2013
Annals of Psychiatry and Mental Health
ISSN : 2374-0124
Launched : 2013
Medical Journal of Obstetrics and Gynecology
ISSN : 2333-6439
Launched : 2013
Annals of Pediatrics and Child Health
ISSN : 2373-9312
Launched : 2013
JSM Clinical Pharmaceutics
ISSN : 2379-9498
Launched : 2014
JSM Foot and Ankle
ISSN : 2475-9112
Launched : 2016
JSM Alzheimer's Disease and Related Dementia
ISSN : 2378-9565
Launched : 2014
Journal of Addiction Medicine and Therapy
ISSN : 2333-665X
Launched : 2013
Journal of Veterinary Medicine and Research
ISSN : 2378-931X
Launched : 2013
Annals of Public Health and Research
ISSN : 2378-9328
Launched : 2014
Annals of Orthopedics and Rheumatology
ISSN : 2373-9290
Launched : 2013
Journal of Clinical Nephrology and Research
ISSN : 2379-0652
Launched : 2014
Annals of Community Medicine and Practice
ISSN : 2475-9465
Launched : 2014
Annals of Biometrics and Biostatistics
ISSN : 2374-0116
Launched : 2013
JSM Clinical Case Reports
ISSN : 2373-9819
Launched : 2013
Journal of Cancer Biology and Research
ISSN : 2373-9436
Launched : 2013
Journal of Surgery and Transplantation Science
ISSN : 2379-0911
Launched : 2013
Journal of Dermatology and Clinical Research
ISSN : 2373-9371
Launched : 2013
JSM Gastroenterology and Hepatology
ISSN : 2373-9487
Launched : 2013
Annals of Nursing and Practice
ISSN : 2379-9501
Launched : 2014
JSM Dentistry
ISSN : 2333-7133
Launched : 2013
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