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-08-02-2021-755
Total View : 478

Abstract : Hernia is the protrusion of the viscous or part of the viscous into the wall of the containing cavity by a normal or acquired defect. It is possible to categorise these defects as spontaneous (primary) or acquired or by their position on the abdominal wall. Usually acquired hernias occur after surgical incisions and are therefore referred to as incisional hernias. This is a prospective comparative study done on 50 patients with midline incisional hernia, during the period September 2018 to August 2020 satisfying inclusion criteria, attending Surgery OPD. Parameters compared include Time required for surgery, Surgical Site Infection, Duration of hospital stay, Recurrences, Cost. Anatomical repair techniques take lesser operative time compared to meshplasty. It is associated with early return to physical activity, and shorter hospital stay It has been associated with higher recurrence rate than mesh repair. Meshplasty is the almost the gold standard for the incisional hernia, it has better quality of life post-surgery and no recurrence, however it associated with higher incidence of local wound complications compared to anatomical repair and more cost than anatomical repair. Meshplasty with polypropylene mesh is superior to anatomical repair with regard to the recurrence of the hernia..
Full article
International Medical Journal
Journal ID : IMJ-08-02-2021-754
Total View : 414

Abstract : Antibiotics are chemical substances derived from living organisms that can hamper the life cycle of other organisms. Ampicillin belongs to the penicillin group of β-lactam antibiotics and has broad- spectrum activity. Ampicillin has been used extensively to treat bacterial infections for a long and it is one of the highly prescribed antibiotics. Cloxacillin is a semisynthetic antibiotic in the same class as penicillin which is active against penicillinase-producing staphylococci as well as other gram-positive pathogens. Antibacterial drugs are also used commonly as a fixed-dose combination. The use of a fixed-dose combination of antibiotics is more common in developing countries. Ampicillin has also been used in combination with other antimicrobials, β-lactamase inhibitors such as Cloxacillin to improve its efficacy, broaden antimicrobial coverage and reduce the development of drug resistance. This combination demonstrates synergistic effect and helpful in the real-world treatment of a wide range of complicated infections including aerobic, anaerobic, and mixed infections. It is also utilized for the treatment of resistant infections, and for veterinary purposes. The synergistic effect of ampicillin and cloxacillin combination may be useful in those ampicillin-resistant strains as well as where the broader antibacterial coverage required. Real-world evidence required for its resurgence and effective antibacterial therapeutic alternative where a broad spectrum of antibiotics may consider future use and to avoid the further resistance..
Full article
International Medical Journal
Journal ID : IMJ-08-02-2021-753
Total View : 435

Abstract : Gynaecomastia is the benign enlargement of male breast tissue (>2 cm palpable, firm, subareolar gland and ductal tissue) due to a relative drop in changes due to the influence of androgens or rise in the effects under the influence of estrogen. Pseudogynaecomastia on the other hand is enlargement of the breast due to deposition of excess adipose tissue. This disease is caused by multiple factors like Physiological factors, endocrine and non-endocrine factors, drug induced and idiopathic. This is a prospective observational study of 20 cases of male patients with enlarged breasts presented during the period between September 2018 to August 2020.Patients with enlarged breasts satisfying the inclusion criteria, attending Surgery OPD. The evaluation of gynaecomastia is a tricky process. A serial approach that begins with meticulous history taking and physical examination may eliminate the need for a cumbersome work- up. Appropriate clinical workup with appropriate investigations to confirm gynaecomastia and rule out malignancy is essential. The etiology is usually benign and treated conservatively or surgically depending on the grade of gynaecomastia. Pseudogynaecomastia is due to fat accumulation in the breast area, causing “female-like breasts”. This condition is most often present in overweight or obese males. The treatment ranges from weight loss via diet and exercise, to weight loss bypass procedures or male breast reduction surgery..
Full article
International Medical Journal
Journal ID : IMJ-06-02-2021-751
Total View : 382

Abstract : The pressor response to direct laryngoscopy and endotracheal intubation precipitating a significant haemodynamic response is an established phenomenon and thus, a cause of concern for anesthesiologist’s all over the world. Various methods have been tried to counter these effects and increase the safety of the procedure like, use of intravenous local anesthetic agents eg. Intravenous lignocaine, drugs like beta-blockers eg. Esmolol and Metoprolol, narcotic analgesics like Fentanyl, topical lignocaine spray, Gabapentin, alpha 2 agonist drugs like Dexmedetomidine and clonidine intravenously and many more. This current study was planned to compare intravenous lignocaine with intravenous Dexmedetomidine for attenuation of pressor response. a prospective randomized study was carried out on Total 60 patients which were equally, 30 each into Group L and Group D. Group L received injection Lignocaine intravenously 1.5 mg/kg, 3 minutes prior to induction and Group D received injection Dexmedetomidine 1mcg/kg, 10 minutes prior to induction. After analysing the results obtained, it was concluded that injection Dexmedetomidine 1mcg/kg, 10 minutes prior to induction is more efficient when compared to injection lignocaine 1.5mg/kg for attenuation of pressor response to laryngoscopy and endotracheal intubation..
Full article
International Medical Journal
Journal ID : IMJ-04-02-2021-749
Total View : 346

Abstract : Laparoscopic and open surgeries have been compared with conflicting results regarding their clinical outcome and systemic responses. The Alterations in serum levels of certain biochemical markers correlate directly with extent of tissue damage and inflammatory reaction. This study compares the intensity of tissue injury by assessing plasma C-reactive protein (CRP), lactic dehydrogenase (LDH), and cortisol in patients undergoing laparoscopic hysterectomy compared to abdominal hysterectomy. This study was conducted at Ain Shams University Maternity Hospital from May 2018 to February 2020. 80 women candidates for hysterectomy were recruited and randomized into two groups; group (A) included 40 cases who underwent abdominal hysterectomy, and group (B): included 40 cases that underwent laparoscopic hysterectomy. laparoscopic hysterectomy group has a significantly better postoperative recovery compared to the laparotomy group. However, the mean operation time was longer, but the duration of hospital stay was shorter and postoperative Hb drop was lower in the laparoscopy group compared with the laparotomy group. Regarding inflammatory response and tissue damage, CRP and LDH significantly increased postoperatively in both groups. Postoperative mean serum CRP and LDH were significantly higher in the laparotomy group (11.62±4.32, 272.21±76.67 respectively) compared to laparoscopy group (8.12±3.25, 153.53±40.46) (p<0.05). There were no significant differences in cortisol level. TLH is associated with less tissue trauma as assessed by lower postoperative CRP and LDH values, it also offers significant clinical benefits, including less blood loss and shorter hospital stay, it should be considered in women with benign gynecologic conditions, especially in experienced centers..
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