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-15-03-2020-346
Total View : 152

Abstract : Ultrasound-guided supraclavicular brachial plexus block reduces the probability of major complications occurrence. Adjuvants are added to local anesthetics to improve various block characteristics. Clinical and preclinical data demonstrate the analgesic actions of adenosine. The present study aims to compare the analgesic efficacy and safety of ultrasound guided continuous supraclavicular brachial plexus block using levobupivacaine alone and that of levobupivacaine combined with adenosine for anesthesia and pain control in upper limb cancer surgery. Outcome parameters included success rate, time of onset of the sensory block, motor block, visual analogue scale (VAS) for pain, at 30 min, 2 h, 12 h, 24 h, 36 h, and 48 h postoperatively, time to first rescue analgesia and analgesia related complications. The study included 120 adult ASA I-II patients scheduled for different upper limb cancer surgeries. A bolus dose is 40 ml of 0.25% of levobupivacaine alone in LB group or 40 ml of 0.25% levobupivacaine + 12 mg adenosine in LBA group. We noted significantly shorter time to sensory block in the LBA group. However, no significantly differences were noted between the studied groups regarding motor block score. Also, there were significantly lower VAS values in LBA group throughout the study assessment intervals. Moreover, there was significantly shorter time to rescue anesthesia in LB group. Both groups had equal success rates (98.3 %) with no side effects. In conclusion, adding adenosine to levobupivacaine during ultrasound-guided supraclavicular brachial plexus block has many advantages but it doesn’t affect the analgesic success rate.
Full article
International Medical Journal
Journal ID : IMJ-14-03-2020-345
Total View : 140

Abstract : The state of hemolysis in newborns has a variety of causes. One of them is due to the immunological reactions of the mother's erythrocytes antibodies to the baby's erythrocytes antigens. The hemolysis can occur after the baby born. This condition is called the hemolysis of a newborn with clear clinical or laboratory findings. The following case showed minimal signs that needed further discussion. This following case was a 2-days-old infant with jaundice and anemia confirmed by a physical examination. Laboratory results found a decreased hemoglobin concentration, increased indirect bilirubin, non-reactive CRP, B Rh-positive blood group, negative Coombs test and negative antibody screening result. The peripheral blood smear showed mild anemia. Mother's blood group was O Rh-positive. The doctors programmed a blood transfusion, but the crossmatch results from various blood bags corresponding to the infant's blood group showed positive major incompatibility results. The diagnosis of hemolytic newborns with minimal signs was made. Blood transfusions are not carried out in this case, but monitoring was required to see the hemolytic state of the infant. Administering corticosteroid therapy is recommended as a first step towards this situation. The hemolytic state of newborns needs a complete clinical and laboratory examination to conclude the diagnosis carefully and cautiously.
Full article
International Medical Journal
Journal ID : IMJ-14-03-2020-343
Total View : 171

Abstract : This study aimed to investigate intubation success using the new C-MAC video laryngoscope (VL) in comparison with the traditional flexible fiber-optic laryngoscopy (FFL) in patients with head and neck cancer with an anticipated difficult airway. This prospective study included 72 patients scheduled for major surgery due to cancers involving the head and neck. Routine preoperative assessment was done in addition to the LEMON scoring system to predict difficult intubation. The participants were randomized into two groups; C-MAC Group intubated with a C-Mac VL and Fiberoptic Group intubated with FFL. Hemodynamic variables, intubation time, number of intubation attempts, and attacks of hypoxia during intubation. LEMON score of all patients ranged from 7 to 9, with no significant difference between the two groups (p = 0.463). The intubation success rate was 100% in the Fiberoptic Group from the first attempt in all patients compared to 94.4% in the C-MAC group (p= 0.493). Four patients out of the 34 successful cases in the C-MAC group needed a second attempt of intubation. Intubation time was 32.4±4.9 seconds in the Fiberoptic Group compared to 14.9±3.9 seconds in the C-MAC group (p < 0.001). The hemodynamic characteristics were within the clinically accepted range in the two groups 1 and 5 minutes after intubation. C-MAC video laryngoscopy can be a useful alternative to fiberoptic bronchoscope for the management of difficult intubation in patients with head and neck cancers. It has similar efficacy and safety and shorter intubation time.
Full article
International Medical Journal
Journal ID : IMJ-14-03-2020-342
Total View : 162

Abstract : The association between alcohol consumption and pancreatitis has been well known. However, the threshold of an individual's differences in vulnerability and duration of alcohol consumption is not well established. This study aimed at investigating other factors that support alcohol in developing pancreatitis. About 25 published articles that discussed the association between alcohol consumption and developing pancreatitis were critically reviewed. It was found that alcohol abuse per se is not sufficient to cause pancreatitis, the type of alcoholic beverage, the amount consumed, the duration of consumption, and the drinking style, all coordinate together to develop the disease. The mortality rate was found to be 63 %, and 23 % in men and women respectively. It was concluded that pancreatitis is a major complication of alcohol abuse. However, it is not clear why don’t all alcohol abusers develop pancreatitis. This indicated that additional risk factors were involved. This issue demands further investigation to identify these factors.
Full article
International Medical Journal
Journal ID : IMJ-13-03-2020-341
Total View : 190

Abstract : Fungal infection is not life threatening to patients due to blood malignancies and as a result of intensive chemotherapy, solid tumor and the use of immunosuppressive drugs for organ transplant patients. The samples were mostly blood, sputum, urine, bronchi-alveolar lavage, CSF and wound swabs. Each sample was examined by conventional methods as wet mount and stained smears to culture on various media like Dextrose agar, brain heart infusion agar and blood agar, diagnosed by APE 20 Candida to be cultured on SDA using 20μ, 50μ [microns] concentration disks of drug amphotracin B and fluconazole 20μ for all patients, and was tested after 18 hours of incubation, rings above 20 mm considered positive while less 5 mm were all negative according to NICM standards. The commonest yeasts recovered were Cryptococcus neoformans Candida albicans,and Geotrichum candidum ,most of those isolates yeasts showed resistance to both concentration of amphotracine B disks mostly in cryptococcus neoformans, the fungal infection in patients being used in a massive way to protect from invasive fungal infections the incidence of resistant strains of various of yeasts showed a higher rate of drug resistance in vivo and in vitro as well endangering the drug use in daily practice as a safe drug in daily medical practice. Many types of yeast are resisting the broad spectrum anti-fungal drug as amphotracine-B, in vitro reflecting an alarming sign on the use of this drug in medical practice as preemptive or empirical strategies of IFI management.
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