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 Gongcheng Kexue Yu Jishu/Advanced Engineering Science

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-12-12-2021-1089
Total View : 483

Abstract : Gentamicin is an antibiotic with a narrow therapeutic index, therefore to determine the dosage must be individualized to made concentration of drug in the blood reaches the level of effectiveness and does not cause toxicity and prevents drug resistance. This research aims to see the accuracy of gentamicin concentration from the doses given. This type of research is a descriptive observational study with a retrospective approach to 42 medical record samples that received gentamicin using purposive sampling technique in RSUD Arifin Achmad. The results of the study showed that the percentage of accuracy of the Cssave concentration of 97.62% indicated that the dose given was in the therapeutic range and 2.38% below the therapeutic range. Accuracy of concentration based on Cssmax, exact concentration of 14.28%, concentration of less than 82.86% and excess concentration of 2.86%. The accuracy of the Cssmin concentration is 100% the right concentration. So can be concluded that the dose of gentamicin given to pediatric patients is not yet reached its concentration in providing effectiveness, because dose given to the patient was not based on calculation of individual doses..
Full article
International Medical Journal
Journal ID : IMJ-11-12-2021-1088
Total View : 380

Abstract : Indonesia is one of countries with the largest number of new tuberculosis (TB) cases in the world, ranking 2nd out of 30 countries after India which has a high burden for TB cases in 2017. The problem encountered in TB treatment is the resistance of Mycobacterium tuberculosis to antituberculosis’s drugs. This study aims to determine the correlation between drug consumption adherence with MDR TB cases and to determine the risk factors (patient adherence in taking medication) on MDR TB cases. This research is a type of observational study with a descriptive analytic method and a case control study design using a questionnaire filled out by TB and MDR TB patients at community public health in Pekanbaru, Riau Province, Indonesia. Total sampling technique was used for collecting data in the case group, whereas the data from the control group were collected using purposive sampling technique. There were 36 patients which were appointed as sample in this study, consisted of 18 TB patients and 18 MDR TB patients. The results revealed that statistical tests obtained p-value <0.05, namely 0.003 with an OR value of 9.1 (95% CI 1.99-41.44). It means that there is a significant relationship between adherence to drug consumption with the incidence of MDR TB. Patients who do not adhere to drug consumption have 9.1 times risk of suffering from MDR TB compared to patients who are adhere to drug consumption..
Full article
International Medical Journal
Journal ID : IMJ-09-12-2021-1086
Total View : 396

Abstract : The diagnosis of heart failure is associated with many comorbid psychological distress factors such as depression, anxiety, and hostility that significantly affect patients’ health outcomes and prognosis. This study aims to investigate if the combined effect of comorbid psychological distress factors is a predictors of the cardiac emergency visits, re-hospitalization, and mortality and among adult heart failure patients. A sample of 419 of patients with heart failure were recruited. Data collected in relation to Depression, anxiety, and hostility. Event-free survival was defined as the time to the first event. Cox proportional hazards hierarchal regressions were constructed to determine the predictors of free survival in heart failure patients. The analysis showed that in first block, comorbidity and New York Heart Association class were the only significant variables, while in the second block, none of the variables was significant except depression, comorbidity and New York Heart Association. In the final model, the interaction between depression, anxiety, and hostility was not significant. The combined effect of depression, anxiety, and hostility were not significant predictor of free survival among patients with heart failure. Nevertheless, depression was the only factor that predicts free survival among patients with heart failure..
Full article
International Medical Journal
Journal ID : IMJ-09-12-2021-1085
Total View : 463

Abstract : Hypertension presents a distinctive problem in treatment. One of the major contributing factors to poor control of blood pressure is patient adherence. In this study, we investigated adherence in elderly hypertensive patients who had difficulty accessing medicines due to living far from the health care center about age and the duration of illness. It was a descriptive exploratory. Samples of this study were elderly hypertensive patients who lived far from the healthcare center in several districts in Pekanbaru in the Province of Riau, Indonesia. Data was collected using MGL (Morisky, Green, and Levins) adherence scale. A total of 110 respondents, divided into four groups (middle age, 45-59; elderly, 60-74; old, 75-90; and very old, >90 years old). Adherence measurement showed that 41 (37.27%) patients had medium adherence, and 69 (62.73%) patients had low adherence to their antihypertensive. The patients with the highest rate of low adherence were the elderly (35, 31.82%) with duration of illness of 1-5 years (30, 27.27%). Based on the Gamma test, the correlation was weak, and the direction is negative (-0.259), and there is no significant relationship between age groups, and medication adherence (p=0.120). The correlation between duration of illness with adherence was very weak (-0.071) with negative direction, and there is no significant relationship between duration of illness and medication adherence (p=0.7). Most of the respondents had low medication adherence. There was a weak correlation; between age group with medication adherence, and there is a very weak correlation between duration of illness with medication adherence..
Full article
International Medical Journal
Journal ID : IMJ-06-12-2021-1082
Total View : 409

Abstract : Ectopic pregnancy occurs when a fertilized ovum implants outside the uterine cavity. In India, the incidence of ectopic gestation ranging from 1-2 %. Risk factors include a history of pelvic inflammatory disease, cigarette smoking, fallopian tube surgery, previous ectopic pregnancy, and infertility treatment. Ectopic pregnancy should be considered in any patient presenting early in pregnancy with vaginal bleeding or lower abdominal pain in whom intrauterine pregnancy has not yet been established. In early pregnancy, an increase in serum Hcg of less than a minimum threshold in 48hours is suggestive of abnormal pregnancy. Hcg consistent with a growing or resolving gestation do not eliminate the possibility of an ectopic pregnancy. Here, we are discussing two case reports of ectopic pregnancy- A 21 years old women who is a Gravida 3 Para 2 Live 1 with 4 weeks of amenorrhea and right sided abdominal pain. Her Urine pregnancy test turned out to be weekly positive with low beta Hcg value of 155.90 m IU/ml. A 29 years old women who is a Gravida 6, Para 2 Living 2 Abortion 3 with previous 2 LSCS with 4 weeks of amenorrhea, abdominal pain and bleeding per vaginum with high levels of Beta Hcg – 28,629m IU/ml. This illustrates the ongoing clinical diagnostic challenges associated with ectopic pregnancy. The rarity of this disease, together with the diagnostic dilemma and surgical challenges which it poses, makes Ectopic Pregnancy challenging to manage..
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