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. Azerbaijan 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-26-02-2021-767
Total View : 503

Abstract : The objectives of this study were to examine the helpfulness on assessment of guidance and counselling services in helping undergraduate and post graduate students with psychiatric problems and found out the actual factors causing psychiatric problems among undergraduate and post graduate students who were studying at Rajamangala University of Technology Thanyaburi. The researcher used quantitative and qualitative methods to investigate the assessment of guidance and counselling services in helping undergraduate and post graduate students with psychiatric problems at Rajamangala University of Technology Thanyaburi. The respondents who participate in this study were 139 Undergraduate and post graduate students, they agreed that the assessment of guidance and counselling services were helpful to them in coping with psychiatric problems at Rajamangala University of Technology Thanyaburi. As a result of the reliability coefficients (Cronbach Alpha) the helpfulness on assessment of guidance and counselling services by undergraduate and post graduate students) n = 139, the Crobach Alpha ranged from 0.88 to 0.95. Semi-structured interviews were used to gather data from three undergraduate students and three post graduate students who faced psychiatric problems..
Full article
International Medical Journal
Journal ID : IMJ-23-02-2021-766
Total View : 497

Abstract : “To compare efficacy of 30 mg v/s 60 mg of 1% 2- Chloroprocaine as a spinal anaesthetic agent for short duration surgeries and early ambulation of patient” Observational double blind study was carried out on 60 patients (equal in both groups) belonging to ASA (American Society of Anaesthesiologists) grade I and II, aged between 18 to 65 years, including either gender, and meeting all inclusion exclusion criteria scheduled for elective lower abdominal surgical procedures under spinal anaesthesia after obatining Institute Ethics Committee Clearance. All cases will be completed within the stipulated time. The statistical analysis will be done by using ‘T Test’ for at 95% confidence interval. The sensory block onset, motor block onset, peak sensory and motor block, regression of sensory block by two segments and complete sensory block regression was quite fast with low dose of drug. The wearing off of motor block, mode of rescuse analgesia and voiding of urine was statistically non-significant. Urinary retention was not seen in any cases. The dermatomal level achieved with low dose was lower as comapred to the higher dose. Preservative free 1% 2-Chloroprocaine can be used as a drug for sub arachnoid block especially for day care surgeries. Inj 1% 2-Chloroprocaine has shorter onset and duration of action. This property makes it an ideal agent for day care surgeries..
Full article
International Medical Journal
Journal ID : IMJ-22-02-2021-765
Total View : 470

Abstract : Laryngoscopy and subsequent tracheal intubation causes a fugitive tachycardia and hypertension as a result of sympathoadrenal stimulation. Many modalities have been proposed and practiced to attenuate this pressor response to laryngoscopy and intubation. It includes both pharmacological and non-pharmacological methods. This randomized double blind prospective study had been designed to compare the efficacy of oral gabapentin 800mg, IV fentanyl 2 µg/kg and a combination of both the drugs in obtunding the hemodynamic responses such as HR, SBP, DBP & MAP during laryngoscopy and intubation and also to observe the adverse effects of the above mentioned study drugs, if any. After approval from medical ethics committee, Dr D Y Patil Medical College and Hospital, Pune, the study was carried out on seventy-five (75) patients undergoing elective surgeries under standard general anaesthesia after obtaining consent from the patients. Group G patients received cap. gabapentin 800mg 2h prior to intubation, Group F patients received Inj. fentanyl 2µg/kg IV given 5mins prior to intubation, Group GF patients received Cap. gabapentin 800mg given 2h prior to intubation and Inj. fentanyl 2µg/kg IV given 5mins prior to intubation. All hemodynamic measurements like HR, SBP, DBP & MAP were recorded at 1 min, 3 min, 5 min, 10 min & 15 min after intubation. The patients were monitored for any adverse effects of the drugs. There was no statistically considerable difference between the study groups with respect to baseline parameters of HR, SBP, DBP, MAP and SpO2.There was substantial difference in mean HR, SBP, DBP & MAP values at laryngoscopy, at 1, 3, 5, 10 and 15mins following laryngoscopy and intubation between the three groups. Patients belonging to group GF showed significant attenuation of all the above said parameters effectively and the values were statistically significant when compared to other groups. (p < 0.05). The observed side effects were minimal and not significant statistically (p > 0.05). Based on the current clinical study, Oral gabapentin 800mg given 2 hours prior to intubation along with fentanyl at dose of 2µg/kg IV given 5mins before intubation is effective in attenuating the hemodynamic responses to laryngoscopy and tracheal intubation when compared to individual administration of either oral gabapentin 800mg or IV fentanyl 2µg/kg. Incidence of adverse effects is very less in all three groups and was not statistically significant..
Full article
International Medical Journal
Journal ID : IMJ-19-02-2021-763
Total View : 452

Abstract : To evaluate the efficacy of adjuvant Neostigmine with intrathecal Bupivacaine in postoperative pain management in vaginal surgeries. 60 subjects between the age of 18-60, undergoing vaginal surgeries under spinal anaesthesia, with stable haemodynamic parameters were included in the study. Prior consent was taken from the patients explaining them the objectives and procedure of the study in their native language. Patients were divided into two groups of 30 patients each. Group I - 12.5mg hyperbaric bupivacaine (2.5ml), Group II - 50 mcg of neostigmine with 12.5 mg hyperbaric bupivacaine (2.5ml). The difference in the onset of sensory, peak anaesthesia in Group I and Group II + the onset of motor anaesthesia, peak anaesthesia in Group I and Group II was non-significant between the two groups. The VAS score was measured at various time intervals postoperatively, the difference was significantly lesser at all the time intervals in Group II suggesting the analgesic action of neostigmine. As observed from our study it was evident that neostigmine reduces the need for rescue analgesia in patients undergoing vaginal surgeries..
Full article
International Medical Journal
Journal ID : IMJ-19-02-2021-762
Total View : 482

Abstract : To study the effect of entropy monitoring on isoflurane consumption in patients undergoing general anaesthesia. A total of 30 patients each (total n=60 patients) were included in two groups: Group E (study group) and Group C (comparator/control group). Minimum MAC of 0.6 was maintained, the amount of isoflurane required was titrated according to the allocated group of patient. All monitoring data were recorded manually on proforma at baseline, at 5, 10, 20 and 30 minutes, 1, 1.5 & 2 hours’ interval beginning from the start of controlled ventilation after induction. The MAC values and Entropy score were non-significant at baseline (p value > 0.05), but were significantly higher in Group C at all the other time points (p value < 0.05) as compared to group E, statistically significant. In addition, Group E displayed early time to open eyes, early time to extubation and time to shift to recovery and lesser consumption of Isoflurane, with no serious adverse events. Entropy group showed better ENTROPY scores and MAC values. Group E can be employed as an adjunctive anaesthetic measure in patients requiring general anaesthesia & will also help to facilitate volatile anaesthetic titration, reduced consumption..
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