Category Archives: Editorial

Bone marrow_Editorial

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Do bone marrow mononuclear cells can be used as a therapeutic target for trauma hemorrhagic shock?
Kumar M,1 Bhoi S2
Ph D Student,1 Additional Professor2
Department of Emergency Medicine, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
ABSTRACT
BMCs contain hematopoietic stem cells (HPCs), mesenchymal stem cells, epithelial progenitor cells lymphoid cells (lymphocytes, plasma cells), monocytes, and macrophages. BMCs modulate immune system, increased the growth of HPCs, reduced mobilization of HPCs into peripheral blood, and preserve bone marrow cellularity in injured tissue. Previous studies have shown that BMCs immunologically safe, no ethical issue and easily isolated. The author feels BMCs may be reduced mortality and improved outcome and have a therapeutic option for trauma or HS in human. Further research on this subject needs attentions.
KEY WORDS
Bone marrow mononuclear cells, Hemopoitic stem cells, Progenitors cells, Traumatic hemorrhagic shock.

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India new born_Deepshikha

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India newborn action plan

Sharma D

Consultant Pediatrics and Neonatology

Shalby Hospital, Indore, Madhya Pradesh, India

ABSTRACT
INAP is India’s renewed commitment to end preventable stillbirths and newborn deaths with a clear understanding that almost all of these deaths and subsequent disabilities are preventable; the plan is concerted effort toward translating these commitments into meaningful change for newborn.
KEY WORDS
India Newborn Action Plan, Neonatal Mortality, Still birth.

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Gut Barrier_Ashok Banga

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Gut barrier and Probiotics
Banga A

Consultant Pediatrician

Chirayu & Aastha Children Hospitals, Gwalior, India

ABSTRACT
To study the outcome of percutaneous tenotomy of tendo-achilles using a wide bore needle in Congenital Talipes Equino Varus. Scientifically proven probiotics so far are:1. Sachromyces boulardie.2. Sachromyces GG.3. Bacillus clausie.When given in proper dosage and for the proper duration. Sacharomyces GG is costly and is not available in Indian
market.
Various preparations in the market having different combinations in different strength are not yet backed by scientific approvals. Their effectiveness is not proven, safety not established and quality not
guaranteed and should, therefore, be avoided.
KEY WORDS
Antibiotics, Gut Barriers, Probiotics.

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sahu_pediatrics neurology

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Pediatric Neurology in India: Challenges and Opportunities
Sahu JK, Suthar R
Assistant Professor

Division of Peditric Neurology, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India

ABSTRACT
Pediatric neurology have been emerged as an important and flourishing super-speciality of pediatrics. Now there are many challenges and opportunities ahead and young pediatric neurologists should face the challenges and seize the opportunities.
KEY WORDS
Pediatrics Neurology, India, Challenges and Opportunities

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gupta_editorial

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Bringing Together Research and Practice
Dr Piyush Gupta
Professor of Pediatrics
University College of Medical Sciences, Delhi; and Editor-in-chief, Indian Pediatrics (2008-2013), New Delhi, India. Correspondence to: Dr Piyush Gupta, Block R-6-A, Dilshad Garden, Delhi 110095.
ABSTRACT
Research, to be meaningful to the community, should be able to affect or mold the practice of medicine, favorably. It is in this context that the International Journal of Medical Science Research & Practice (freely available at https://www.ijmsrp.com/) is being launched. And I feel fortunate to be writing the inaugural editorial. The aim of the journal is to bring together the researcher and the practitioner on the same platform, so as to build up the providers, expertise, and capacity for evidence-informed practice. IJMSRP is a quarterly, open access, peer reviewed journal with wide scope of subjects, i.e. basic medical science subjects (anatomy, physiology, biochemistry), para-clinical subjects (pathology, microbiology, pharmacology, forensic medicine, community medicine); and clinical sciences (medicine, surgery, obstetrics gynecology, orthopedics, pediatrics, ophthalmology, otolaryngology, psychiatry, dermatology, medical ethics, and medical education) etc. Professionals of all levels should benefit from the wide range of high quality, accessible articles published in this journal.What constitutes research and what kind of research deserves to be published is a never-ending debate. To me, every research is pertinent and merits publication as long as it is ethical, relevant (to be able to have an impact on practice of the specialty) and topical (applicable to current needs). The basic idea of a research is to clear doubts. The generalizability of the results would, however, depend upon the robustness of the methodology adopted to answer the research question. As there can be different paths to reach a destination, there can be several methodologies to answer a research question. Mount Everest has been conquered through various routes, and yet a perfect route is yet to be discovered—the ‘perfect route’ here referring to one where the mountaineer doesn’t face death, illness or any other hindrances in achieving the goal. Such a route may, perhaps, never be discovered yet the mighty peak will continue to be the attraction of the climbers, to satisfy their passion of adventure. Same is true for research; all methods have one/another flaw and thus there is no method ‘too perfect’ to answer a research question. Knowing that fully well, we seek answers, even though they may not be the ultimate unchallengeable truth to the research question, relevant to the practice of medicine. It is a boon in disguise that no research is perfect. Had it been, there would be no new hypotheses, no new postulates, and no new theories to work upon.Another question is “whether every research has to be novel”? Papers are often rejected for the lack of novelty. The editors not only look for a novelty in the research question, but equally so in the methods undertaken to solve this question. This may need some debate. Repetition of older experiments is also essential, not only to validate the earlier findings, but also to find out whether the results would change with change in setting of the study or experiment, or over a period of time. At the same time, a novel twist in the selection of participants, inclusion criteria, tools, case-definitions, outcome measures, study devotion, follow-up and statistical methods can serve to bring a new dimension to research. This needs to be amply highlighted when a paper is being sent for publication, so as to quench the editor’s inevitable thirst for novelty. No research question is ever too stale despite it being repeated. There can always be newer settings, different tools, diverse population groups, and novel outcome measures with the same research question. What’s more important is the honesty and confidence with which the research is conducted.For me, another desirable function of a research is that it should be able to generate more queries than it is able to answer. This is essential for a cascading and never-ending quest for knowledge. Once Mount Everest was conquered, it was not that the mountaineers stopped scaling the peak; rather, it was pursued with more vigor, it was planned with more knowledge and it revealed more of the mountain than had been known before. Several new questions were generated during each ascent and the focus then shifted to answering these, taking into consideration new parameters for the success of a journey like the shortest route, the safest route, the most feasible route, the least use of technological assistance, a differently-abled person as the traveler, preventing mortality and morbidity related to high altitude climbing, etc. A research question therefore remains alive by leaving in its wake more questions. That is the beauty of research. The natural hierarchical progression of translational research starts with the generation of research question, execution of technical research and its transformation into operational research before being finally absorbed as a policy into the (health) system.Fellow editors and researchers, the choice is yours. You can hunt for the perfect research, the one that efficiently gives a precise and correct answer, or you can look for the research where you are left newer questions to contend with. As for me, I believe that every research is perfect as long as it provides new dimensions, presents understandable strong evidences and admits limitations. You can look for the perfect research according to the parameters you set, but odds are, it’s right in front of your eyes.
KEY WORDS
Medical Journal, Research, Practice

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