International Medical Journal (ISSN:13412051)

Aim and Scope

Aim-

International Medical Journal ISSN: (13412051) is an international open-access journal publishes twelve times each year. The "International Medical Journal" is a peer-reviewed, monthly, online international research journal, which publishes original articles, research articles, review articles with top-level work from all areas of Medical Science Research and their application including Aetiology, bioengineering, biomedicine, cardiology, chiropody, ENT etc. Researchers in all Medical Science and Pharmacy fields are encouraged to contribute articles based on recent research. Journal publishes research articles and reviews within the whole field of Medical Science and Pharmacy Research, and it will continue to provide information on the latest trends and developments in this ever-expanding subject. International Medical Journal journal covers almost all disciplines of Medical Science and Pharmacy. Researchers and students of M.B.B.S, M.D., D.T.C.D., GYNE., M.S., M.Pharma, And PhD are requested to send their original research articles to International Medical Journal.

Scope-

International Medical Journal ISSN: (13412051) is a peer-reviewed journal. The journal seeks to publish original research articles that are hypothetical and theoretical in its nature and that provide exploratory insights in the following fields but not limited to:

Anatomy Physiology Biochemistry Pharmacology
Pathology Forensic medicine Microbiology Community Medicine
Otorhinolaryngology Internal Medicine General Surgery Obstetrics and Gynecology
Radiology Pulmonary Medicine Dermatology and Venereal diseases Infectious Diseases
Anaesthesia Cancer research Neurosurgery Orthopedics

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Latest Journals
International Medical Journal
Journal ID : IMJ-11-04-2020-410
Total View : 145

Abstract : Most of the service marketing literature believes that service quality is an essential for business performance and patient satisfaction, the questionnaire development is needed to measure the performance of hospital services in Indonesia. This type of research uses observational research with cross-sectional study design. The sample selection technique uses purposive sampling. The total of 148 valid questionnaires were analyzed. Data analysis uses Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) with Structural Equation Modeling (SEM) approach. The results of this study show that Hospital Service Performance Measurement Questionnaire (IHSPMQ) declared valid and reliable. In addition, this study provides evidence that the structural model proposed meets goodness of fit. The questionnaire consists of 41 indicators divided into eight dimensions. The eight dimensions are physical aspects (9 items), quality of medical care (6 items), quality of pharmaceutical care (8 items), administrative procedures (5 items), personnel quality (6 items), social responsibility (3 items), health insurance (2 items), outcome quality (2 items). The hospital managements can use the Indonesia Hospital Service Performance Measurement Questionnaire (IHSPMQ) as source of information and a part of service quality assurance system. This instrument can ease the problems identification, monitored and evaluate performance in each service dimension continuously.
Full article
International Medical Journal
Journal ID : IMJ-11-04-2020-409
Total View : 142

Abstract :

Context: Drug delivery through enteral feeding tubes (EFT) is complex and prone to errors. Aims: To identify errors of oral medication preparation and administration in adult patients with nasogastric tube (NGT) and their associated factors on blockage of the tube. Settings: A cross-sectional study was performed in March–June 2018 in six units at a tertiary level hospital in Yogyakarta, Indonesia. Methods: Seventy-nine patients with 106 oral therapy preparations following administrations via EFT, which were carried out by nurses, nursing assistants, and caregivers, were prospectively observed. The evaluation of errors used a standard checklist. Blockage of feeding tube was observed in the NGT hose. Data of patient characteristics were analyzed by descriptive analysis. Data of the association between variables were examined using bivariate analysis by chi-square test, whereas multivariate logistic regression was used to identify possible factors associated with feeding tube blockage. Results: The patients were mostly female (51.9%), middle-aged with age range of 41–64 years (49.4%) and with NGT bore size of 16 French (97.5%). Non-dilution with water of commercially available liquid forms of drugs (71.43%) was the most common preparation deviation from the guidelines. The most frequent improper administration involved not flushing the NGT with water between drug administrations (91.51%). An association was observed between occluded NGT and the incidence of preparation error, which involved crushed tablets or capsules, with p value < 0.05. Conclusions: Successful drug delivery through EFT requires the consideration of physicochemical drug and dosage form properties

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Full article
International Medical Journal
Journal ID : IMJ-11-04-2020-408
Total View : 185

Abstract : Availability and affordability of essential medicines for chronic diseases in low- and middle-income countries both in the public and private sectors were considered low. This study aimed to evaluate medicines availability for non-communicable diseases (diabetes, hypertension, and cardiovascular disease), as well as to explore prices and the affordability of those drugs. Survey methodology was based on World Health Organization and Health Action International Manual (WHO/HAI). The survey was conducted in 24 health facilities randomly selected based on the representative for public and private health facilities. Chronic diseases including diabetes, hypertension, and cardiovascular disease, and twelve key medicines were identified and investigated. A high availability (>80%) of the medicines for diabetes was seen in the survey. Metformin had the highest availability among all medicines (100%). Captopril had the highest availability (87.50%) among hypertension medicines while propranolol had the lowest (66.67%). For cardiovascular medicines, a quite low availability (50-80%) was seen where simvastatin had the highest availability (62.50%) and Isosorbid dinitrate had the lowest (50%). The prices of 8 medicines were higher than IRP of the particular medicine. It means that the prices of theses medicines in most health facilities were expensive and not efficient. Less than ten day’s wages were required to buy a month’s supply of all medicines observed in this study. Over all availability of NCDs (diabetes, hypertension, and cardiovascular disease) medicines was suboptimal. Procurement price for most medicines surveyed was not efficient. All medicines surveyed are generally affordable to the lowest income community in the country. The relatively low availability and high MPR of NCDs medicines in health facilities of is a concern to make regulations to ensure availability and affordability of essential medicines in Indonesia. These policies are also important in the era of universal health coverage.
Full article
International Medical Journal
Journal ID : IMJ-10-04-2020-407
Total View : 163

Abstract : Cancer due to secondhand smoke has an economic impact on society. One important element of this economic impact is the indirect cost associated with premature death (ICPD) of cancer due to secondhand smoke in Indonesia. This study aimed to estimating the indirect cost associated with premature death (ICPD) of cancer due to secondhand smoke in Indonesia. Epidemiological study using prevalence based is conducted. Estimation of ICPD of cancer due to secondhand smoke in Indonesia was conducted by multiplying smoking attributable cancer mortality with life expectancy and the average income. Life expectancy of Indonesian was taken from the WHO data Life Tables year 2016, while the average income of Indonesian population per gender was retrieved from National Statistics Bureau 2018. Total indirect cost associated with premature death (ICPD) of cancer related to secondhand smoke was IDR 1,832 trillion. ICPD of cancer due to secondhand smoking on male (IDR 1,270 trillion) was greater than ICPD of cancer due to secondhand smoking on female (IDR 562,101 million). Estimation the burden of cancer related to secondhand smoke helps the government in determining health programs and to reduce the burden of cancer related to secondhand smoke in Indonesia.
Full article
International Medical Journal
Journal ID : IMJ-09-04-2020-406
Total View : 142

Abstract : Over the past decades of years’ general practitioners (GPs) became the front men of health care provision in Kazakhstan. The country’s government is committed to increasing availability of GPs with a focus on teaching of critically thinking professionals capable to maintain the level of care envisaged by international standards. This study aimed at provision of descriptive analysis on distribution of GPs in South Kazakhstan region in comparison with the whole country and to describe the basic health indicators in relation to the manpower available. This was a retrospective cross-sectional study, which was based on the data obtained from the Registry of medical manpower established by the Observatory of manpower resources in health care. There was an insignificant variation in the proportion of GPs out of all medical professionals between South Kazakhstan region and the whole country. Regionally, the supply of GPs grew abruptly from 4.76 per 10,000 populations in 2015 to 7.37 per 10,000 populations in 2016. This growth was also established at the national level and ranged from 4.56 per 10,000 populations in 2015 to 4.72 per 10,000 populations in 2016. In response to increasing supply of GPs, the decreasing rates of all-cause mortality, declining numbers of heart and infant deaths were observed both regionally and nationally. Increasing GPs supply is generally associated with many favorable outcomes related to population health. There is a need to conduct longitudinal studies in order to reveal effects produced by increased GPs supply on health indicators of Kazakhstani population.
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