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 AMA, Agricultural Mechanization in Asia, Africa and Latin America Teikyo Medical Journal Journal of the Mine Ventilation Society of South Africa
Anaesthesia Cancer research Neurosurgery Orthopedics

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Latest Journals
International Medical Journal
Journal ID : IMJ-27-02-2020-293
Total View : 112

Abstract : Nodal metastasis is fairly common in Oral Squamous Cell Carcinoma and is hard to detect on physical examination. Thus, a cheap and reliable method for detection of lymph node metastasis is required. The objective of current study was to evaluate the sensitivity, specificity and diagnostic accuracy of contrast enhanced computed tomography (CECT) in detecting nodal metastasis in oral squamous cell carcinoma taking histopathology as gold standard. This cross sectional study comprised of n=125 diagnosed cases of oral squamous cell carcinoma. Preoperative CECT was done in each patient. Lymph nodes showing one or more features on CECT scan including ill-defined irregular bordered mass, non-enhancing mass in the nodal area greater than 1.5 cm for sub-mandibular & jugulodigastric nodes, greater than 0.8cm for retropharyngeal nodes, greater than 1.0 cm for all other nodes, grouping of 3 or more nodes in 6-15 mm area, central necrosis evidence with decrease density and/or dirty fat appearance with extra nodal spread were considered positive. At surgery lymph nodes were removed and diagnosed for oral squamous cell carcinoma metastasis on histopathology. Topographical correlation between dissected nodes and CECT scans was performed. Out of n=125 patients, n=89 (71.2%) patients were males and n=36 (28.8%) patients were females. The male to female ratio was 2.5:1. Mean age of the patients was found to be 53.61 ±16.72. Tongue was found to be the most common site of involvement with n=34 (27.2%) cases followed by buccal mucosa n=27 (21.6%) cases. It was found that the overall sensitivity of CECT scan was 77.97%, specificity 68.18%, positive predictive value (PPV) 68.66%, negative predictive value (NPV) 77.59% and the diagnostic accuracy of CECT scan was 72.8% taking histopathology as gold standard. CECT scan was found to have acceptable diagnostic accuracy and can be a helpful tool in detecting lymph node metastasis in Oral Squamous Cell Carcinoma.
Full article
International Medical Journal
Journal ID : IMJ-27-02-2020-291
Total View : 159

Abstract : We evaluate the diagnostic values of some biomarkers in detecting bacterial coinfection among 40 children with Adenovirus-related severe pneumonia. Interleukin (IL)-6, high-sensitivity C-reactive protein (hs-CRP) tests were conducted. Receiver operating characteristic (ROC) analysis was used to evaluate their diagnostic values. Study findings showed that 9 children had bacterial coinfections (22.5%). The area under the curves was 0.772, 0.696 and 0.575 for PCT, hs-CRP and IL-6, respectively. The optimal cut-off point for PCT was > 2.25 ng/ml (sensitivity 77%, specificity 40%), hs-CRP was > 51.6 mg/dl (sensitivity 50%, specificity 93%), and IL-6 was > 3.36 pg/ml (sensitivity 100%, specificity 31%).
Full article
International Medical Journal
Journal ID : IMJ-26-02-2020-287
Total View : 136

Abstract : Due to the fact that correct adoption of surgical approach in head and neck surgery is basically the ultimate goal of surgery, performing 2D and 3D modeling using MRI and CT scanning can lead to correct election of surgical approach and increase diagnosis. The purpose of this study was to use high-resolution CT scan and MRI slices to create 2D and 3D models of head and neck using 3D Slicer software in patients undergoing infratemporal and parapharyngeal tumors, and to compare the effect of 3D modeling. We also aimed to compare the effect of 3D versus 2D modeling in patients undergoing surgery and to evaluate the performance of experienced surgical staff in surgical procedure and tumor type diagnosis based on 3D model. The present case-series study was performed on 10 consecutive patients undergoing surgery for infratemporal and parapharyngeal tumors. A 3D-model consisting separate CT scans or MRI images of the head and neck areas was made. We used 3D Slicer software to reconstruct the anatomical atlas of the head and neck structure and specific tissues we want to extract from CT scans and MRI images. There was no significant difference between the type of tumor identified according to the surgeon's opinion for each patient before and after viewing the images. There was a significant difference before and after reviewing the reconstructed images of the patients according to the surgeons' viewpoints with regard to vascular and neural involvements. Examining the images effectively and significantly influences the choice of surgical approach independent to the experience of surgeons. The use of 2D and 3D modeling on imaging techniques is effective in choosing surgical approach of patients with infratemporal and parapharyngeal tumors.
Full article
International Medical Journal
Journal ID : IMJ-25-02-2020-286
Total View : 125

Abstract : Chronic Kidney Disease is associated with higher incidence of venous thromboembolism, including pulmonary embolism, and increased risk of morbidity and mortality. Study also showed the evidence of pulmonary hypertension related to chronic kidney disease is an independent predictor of mortality. Diagnosis of pulmonary embolism itself is challenging, especially in many comorbidities with similar features, as in pulmonary embolism or pulmonary hypertension complicated with chronic kidney disease. Multiple team approach could be necessary to improve patient evaluation and help clinical decisionmaking in order to provide the best possible care. The availability of many imaging modalities with special characteristics and accuracy can better help the diagnosis challenges.
Full article
International Medical Journal
Journal ID : IMJ-24-02-2020-285
Total View : 91

Abstract : To evaluate the effect of early palliative care integrated with standard oncologic care compared with standard oncologic care only on improvement of quality of life in patients with metastatic non -small cell lung cancer. 30patients diagnosed within 8 weeks as non-small cell lung cancer were included and randomized to two groups, the study group received standard oncologic care plus early palliative care in form of Oral megestrol acetate (Megace 160mg tablet, DEVA company) plus oral olanzapine (olapex 5mg tablet, Apex company) once neightly for management of anorexia and cachexia syndrome and nebulized morphine sulfate 5mg (0.5ml with 4ml normal saline) every 6 hours for management of dyspnea and management of pain according to severity of pain by using WHO ladder for cancer pain management. results revealed that the study group has high FACT-L score than the control group (95.2±13.74 versus 80±12.51) which means improve quality of life, also we found that megestrol acetate plus olanzapine improve appetite according to appetite VAS (5.73±1.03 versus 3.73±0.7) and increase body weight (60.55±8.48 versus 54.83±5.89). Early palliation of common symptoms with standard oncologic care improves quality of life in patient with metastatic non-small cell lung cancer, and the use of Megestrol acetate 160mg plus olanzapine 5mg improve appetite and increase body weight, and that Morphine sulfate nebulizer 5mg improve dyspnea but has no effect on oxygen saturation in patient with metastatic non-small cell lung cancer.
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