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. Lizi Jiaohuan Yu Xifu/Ion Exchange and Adsorption Fa yi xue za zhi

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-29-05-2020-484
Total View : 292
Title : The Management of Rheumatic Disease in the Era of COVID-19. Recommendations by ArLAR (Arab League Associations for Rheumatology)
Abstract : Patients with rheumatic diseases are the subject of a special concern in the era of COVID-19, since they are prone to a more severe and complicated viral illness. Early in the pandemic, rheumatologists and patients inquired whether to continue/ temporarily stop immunosuppressants including biologics, and what to do if patients are exposed/infected with COVID-19. So far, unfortunately no evidence-based international or local guidelines are available to address these issues. A group of rheumatologists drafted a set of recommendations and these are subjected/ agreed upon by experts from rheumatology societies that operates under the umbrella of Arab League Associations for Rheumatology. It is recommended that commitment to the protective measures endorsed by the (WHO) is the gold standard in the prevention and that immunosuppressants should not be stopped routinely. The recommendations give detailed advices about arranging routine clinic work and how to handle patients and medications in case of exposure/ infection by COVID-19. Suspected patients to have COVID-19 should follow the local protocol adapted by the country to call the pandemic hotline or attend the COVID-19 checkup points in healthcare facilities to be treated according to severity. It’s important to acknowledge that these recommendations are written according the currently available evidence, and might be updated according to the available data in the future.
Full article
International Medical Journal
Journal ID : IMJ-26-05-2020-482
Total View : 313
Title : Complications of Trans-catheter Aortic Valve Implantation in Al-Najaf Cardiac Center
Abstract : The present paper aims to evaluate immediate and short term complications of trans-catheter aortic valve implantation for four years’ period in Al-Najaf Cardiac Center, Iraq. A 53 patients with symptomatic severe aortic stenosis, mean age of (72.9 ± 5.6) years and (54.72%) males, they had high Society of Thoracic Surgeon (STS) score, Underwent trans-catheter aortic valve implantation procedure in Al-Najaf Cardiac Center from January 2015 to August 2019. The procedure was done under local anesthesia and conscious sedation via femoral approach, using both balloon expandable and self-expandable valves. All patients followed immediately post procedure and during period of hospitalization and thereafter periodically for procedure and valve related complications. Immediate and short term mortality was 5.66%, with majority occurs immediately after procedure due to severe paravalvular leak, rupture annulus and cholesterol embolization. Major vascular complications, moderate-severe paravalvular leak and conduction abnormalities were 5.88%, 15.45% and 37.73% respectively. Permanent pacemaker need for only two patients. We observed increase risk of pericardial effusion with balloon expandable valve (p value=0.019). Occurrence of other complications not significantly differs regarding type of valve. This study showed favorable rate of survival with procedural complication rates similar to international registered results.
Full article
International Medical Journal
Journal ID : IMJ-26-05-2020-481
Total View : 383
Title : FINANCIAL PROTECTION FOR UNIVERSAL HEALTH COVERAGE IN INDIA: ASSESSING THE INTENSITY OF CATASTROPHIC HEALTH EXPENDITURES
Abstract : India is currently taking steps to provide Universal Health Coverage (UHC) to its population as envisaged in the National Health Policy 2017. Providing financial protection is considered the backbone of UHC. Out-of-pocket (OOP) health care payment is the most important mechanism for health care payment in India. This study aims to investigate the effect of OOP heath care payments on catastrophic health expenditures (CHE). This research seeks to inform policy makers and health financing practitioners about the characteristics of beneficiaries and types of services to be considered for reducing likelihood of CHE in a system that intends to provide UHC. Data from the recent national survey by the National Sample Survey Organization, Social Consumption in Health 2014 is used to investigate the effect of OOP health expenditure on household welfare in India. Three aspects of catastrophic expenditure were analyzed in this paper: (i) intensity of ‘catastrophic’ health expenditure, (ii) socioeconomic inequality in catastrophic health expenditures, and (iii) factors affecting intensity of catastrophic health expenditures. The sample consisted of 65,932 households. CHE incidence was 10.94% in the whole population. Mean positive overshoot was 35.94% higher than the 10% threshold level of total household consumption expenditure. The intensity of CHE were higher for the poorer households. The multiple regression model showed that the intensity of CHE was higher among households with members having chronic illness, and if members had higher duration of stay in the hospital. Subsidizing healthcare to the households having elderly members and children is necessary to reduce CHE. Expanding health insurance coverage, increasing coverage limits, and inclusion of coverage for outpatient and preventive services are vital to protect households. Strengthening public primary health infrastructure and setting up of a regulatory organization to establish policies and conducts regular audits to ensure that private hospitals do not increase hospitalizations and the duration of stay are necessary.
Full article
International Medical Journal
Journal ID : IMJ-26-05-2020-480
Total View : 300
Title : L-arginineameliorates atherosclerosis by eliciting anti-inflammatory/antioxidant activity in rabbits
Abstract : The study was designed to investigate the effect of L-arginine on atherosclerosis particularly by identification of some elements of inflammatory and oxidative cascades. Eighteen local domestic rabbits (male) were introduced and allocated into 3 groups (6 rabbits per group) and the duration of the study was 12 weeks. The first one was considered as a negative control group in which animals received normal diet only. The second one was the group in which rabbits received dietenriched with cholesterol (5 %). The last group was the one in which received dietenriched with cholesterol (5 %) together with oral L-arginine (1.5%). At the end of the study, animals were sacrificed, and blood sampleswere to identify serumlevels endothelin-1(ET-1) and tumor necrosis factor-alpha (TNF-α). Lipid parameters (TC, TG, HDL-C, LDL-C and VLDL-C) were also determined in the serum. Aorta was isolated to detect total antioxidant capacity (TAC) and intimal thickness. Treatment of rabbit with L-arginine was associated withsignificant elevation of serum level of TC, HDL-C and LDL-C but insignificant reduction in TG and VLDL-C level when compared with untreated group. Treatment with L-arginine was associated withinsignificant elevation ofboth serum TNF-α level and aortic TAC andinsignificant reduction in serum ET-1andaortic intima thickness when compared with untreated rabbits. L-argininehas a potential ameliorating effect on atherosclerosis. This was mainly achieved by its inhibitory effects on some inflammatory and oxidative cascades.
Full article
International Medical Journal
Journal ID : IMJ-24-05-2020-479
Total View : 252
Title : INCIDENCE OF CATASTROPHIC HEALTH EXPENDITURES IN INDIA: SOCIOECONOMIC INEQUALITY AND DETERMINANTS
Abstract : India is currently taking steps to provide Universal Health Coverage (UHC) to its population as envisaged in the National Health Policy 2017. Providing financial protection is considered the backbone of UHC. Out-of-pocket (OOP) health care payment is the most important mechanism for health care payment in India. This study aims to investigate the effect of OOP heath care payments on catastrophic health expenditures (CHE). This research seeks to inform policy makers and health financing practitioners about the characteristics of beneficiaries and types of services to be considered for reducing likelihood of CHE in a system that intends to provide UHC. Data from the recent national survey by the National Sample Survey Organization, Social Consumption in Health 2014 is used to investigate the effect of OOP health expenditure on household welfare in India. Three aspects of catastrophic expenditure were analyzed in this paper: (i) incidence of ‘catastrophic’ health expenditure, (ii) socioeconomic inequality in catastrophic health expenditures, and (iii) factors affecting incidence of catastrophic health expenditures. The sample consisted of 65,932 households. CHE incidence was 10.94% in the whole population. The odds of incidence of CHE were higher for the poorer households. Using the logistic regression model it was observed that the odds of incidence of CHE was higher among the households with at least one child aged less than 5 years, one elderly person, one secondary educated female member, and if at least one member in the household used a private healthcare facility for treatment. Subsidizing healthcare to the households having elderly members and children is necessary to reduce CHE. Expanding health insurance coverage, increasing coverage limits, and inclusion of coverage for outpatient and preventive services are vital to protect households. Strengthening public primary health infrastructure and setting up of a regulatory organization to establish policies and conducts regular audits to ensure that private hospitals do not increase hospitalizations and the duration of stay are necessary.
Full article
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