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Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."
Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011
Dr. Shankar P.R.
"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."
Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011 Anuradha
Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.
Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020
Images in Medicine
Full Version
A Classical Case of Juvenile Recurrent Parotitis
Correspondence Address :
Dr. K Mithun Nilgiri,
Junior Resident, Department of Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri-Chinchwad, Pune-411018, Maharashtra, India.
E-mail: mithunnilgirik@gmail.com
A five-year-old child presented with the chief complaint of bilateral neck swelling (more on the left side) (Table/Fig 1), accompanied by episodes of intense pain and intermittent fever since one year. Over the course of one year, the child experienced recurring episodes of bilateral neck swelling. These episodes were accompanied by intense pain, fever, and a pervasive sense of being unwell. Despite the child being immunocompetent and having no significant medical history, these episodes persisted. Each recurring episode unfolded roughly 6-7 times annually and spanned 5 to 10 days, mandating the administration of antibiotics, antipyretics, and analgesics to alleviate the prevailing symptoms.
On examination, the child was conscious, oriented to time, place, and person. The patient was febrile (100°F), Pulse rate: 120 beats per minute, Respiratory rate: 22 breaths per minute, Blood pressure: 90/60 mmHg, Oxygen saturation: 99% on room air. Systemic examination was within normal limits. Local examination of the parotid glands revealed bilateral enlargement (left > right). The parotids were tender to touch, and a local increase in temperature over the parotids was noted. No obvious discharge of pus was observed.
Extensive tests examining connective tissue and serological markers such as Rheumatoid Factor (RF), Antinuclear Antibody (ANA) Blot, Anti Ro (SSA), Anti La (SSB) Antibodies, Mumps IgM and IgG, Epstein Barr IgM and IgG Antibodies, Cytomegalovirus (CMV) IgM and IgG Antibodies, Complete Blood Count (CBC), C-Reactive Protein (CRP), Serum amylase, Salivary amylase, Human Immunodeficiency Virus (HIV), Hepatitis B surface antigen (HBsAg), etc., did not reveal any significant findings.
The High-Resolution Ultrasound of the Neck (HR-USG) provided detailed insights into the condition. It indicated that both parotid glands were enlarged (Table/Fig 2),(Table/Fig 3). Within these glands, multiple hypoechoic areas were observed. No obvious abscesses, stones, or masses were noted. Parotid ducts were not dilated. In the left parotid gland, there was an indication of increased blood flow, as evidenced by heightened signals observed on power Doppler imaging (Table/Fig 4).
The differential diagnoses for the child’s symptoms and USG findings included acute bacterial parotitis (bacterial infection causing gland inflammation), HIV parotitis (viral infection in HIV-positive individuals), parotitis associated with tuberculosis (tuberculosis-related gland swelling), sialolithiasis (salivary stones causing blockage), Sjögren’s syndrome (autoimmune disorder leading to gland enlargement), and sarcoidosis (systemic inflammatory disease causing granulomas in glands).
After ruling out every condition through investigations, the final confirmatory diagnosis of Juvenile Recurrent Parotitis (JRP) was established.
The patient was initiated on a seven-day course of amoxicillin-clavulanic acid, administered at a dosage of 30 mg/kg/day. Intravenous fluids were provided to maintain adequate hydration, and analgesia and antipyresis were managed with paracetamol and ibuprofen. Symptomatic relief was achieved through the application of warm compressions to the inflamed parotid glands. Upon completing the antibiotic regimen, the patient was discharged and is currently undergoing routine follow-up in the outpatient department. Furthermore, the patient received counseling on more aggressive treatment options, including parotid duct ligation, parotidectomy, and tympanic neurectomy, in the event of recurrent and persistent symptoms. JRP is characterised by recurrent, non obstructive, and non suppurative episodes of pain and swelling in the parotid gland, often accompanied by fever and malaise. The exact cause remains uncertain, with factors such as hereditary genetics, congenital ductal malformations, bacterial or viral infections, allergies, and autoimmune manifestations being proposed (1). This case involving a five-year-old was consistent with the typical onset of JRP between three and five years of age. While unilateral parotid gland enlargement is prevalent in 66-74% of cases, rare instances of bilateral enlargement can occur, resulting in varying degrees of discomfort, as observed in this specific case (2).
The diagnosis of JRP is confirmed through recurrent parotid swelling, typically observed through USG, considered the gold standard for diagnosis and follow-up. USG reveals an enlarged gland with multiple small hypoechoic areas corresponding to sialectasis, excluding possibilities like stones, abscesses, or mass lesions. Hypoechoic areas on USG typically appear darker than surrounding tissues, suggesting differences in tissue density or composition. Increased blood flow in the context of an enlarged gland could signify inflammation, infection, or another vascular issue within the glandular tissue (3). Additional diagnostic tools include conventional sialography, sialendoscopy, magnetic resonance sialography, and magnetic resonance imaging, which can provide more details, but due to financial constraints, they were not used in the present case. Early recognition and accurate diagnosis, often facilitated by USG, are crucial for appropriate management and follow-up care (4). The approach to treating JRP has shifted from invasive procedures to more conservative methods. The use of antibiotics remains controversial due to the rare purulent nature of the condition. In acute episodes, antibiotics and analgesics are administered to prevent further glandular damage and alleviate symptoms (5). JRP typically resolves spontaneously after puberty in most cases, but it can persist into adulthood, leading to progressive destruction of the parotid gland and transforming into chronic parotitis in some instances. While the prognosis is generally favourable, JRP significantly impacts a child’s quality of life, causing feeding difficulties during attacks and leading to school absenteeism, affecting both academic performance and social interactions (6). This case underscores the diagnostic challenge posed by JRP and highlights the significance of HR-USG as a key diagnostic tool. The rarity of bilateral involvement and the shift towards conservative treatments are notable aspects. Despite a generally favourable prognosis, the potential for morbid recurrences emphasises the need for early recognition and appropriate management.
Child, Immunocompetent, Inflammation, Salivary gland, Ultrasonography
DOI: 10.7860/JCDR/2024/68346.19409
Date of Submission: Oct 29, 2023
Date of Peer Review: Jan 14, 2024
Date of Acceptance: Feb 26, 2024
Date of Publishing: May 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Oct 30, 2023
• Manual Googling: Feb 06, 2024
• iThenticate Software: Feb 23, 2024 (4%)
ETYMOLOGY: Author Origin
EMENDATIONS: 6
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase
- EBSCOhost
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)
- www.omnimedicalsearch.com