Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 57511

AbstractMaterial and MethodsCase ReportDiscussionConclusionReferencesDOI and Others
Article in PDF How to Cite Citation Manager Readers' Comments (0) Audio Visual Article Statistics Link to PUBMED Print this Article Send to a Friend
Advertisers Access Statistics Resources

Dr Mohan Z Mani

"Thank you very much for having published my article in record time.I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual.I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding the balance.
I wish all success to your journal and look forward to sending you any suitable similar article in future"

Dr Mohan Z Mani,
Professor & Head,
Department of Dermatolgy,
Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018

Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."

Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018

Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."

Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018

Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."

Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
On Sep 2018

Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."

Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata

Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
On Aug 2018

Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".

Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
On Aug 2018

Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".

Dr. Mamta Gupta
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018

Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.

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)
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.
On April 2011

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
On Jan 2020

Important Notice

Case report
Year : 2012 | Month : May | Volume : 6 | Issue : 3 | Page : 469 - 471 Full Version

The Anomalous Trunkus Brachiocephalicus And Its Clinical Significance

Published: May 1, 2012 | DOI:
Ananda Rani.V.S, Shifan Khandey, T.Srimathi, T.Muthukumar

1. Corresponding Author: 2. Post Gradaute, Department of Anatomy, 3. Assistant Professor, Department of Anatomy, 4. Associate Professor, Department of Anatomy, Sri Ramachandra Medical college, Porur,Chennai-116, India

Correspondence Address :
Dr. Ananda Rani.V.S.
Associate Professor, Department of Anatomy,
Sri Ramachandra Medical college, Porur,
Chennai-116, India.
Phone: 9444949866


The brachiocephalic trunk is a major short artery from the arch of the aorta which supplies the right arm and head. The anomalous course of the brachiocephalic trunk is significant because it can cause fatal haemorrhage during any midline neck surgery. The vascular sling can cause tracheal compression in infants The present study points out the significance of the pre-surgical evaluation of the vascular pattern in the corresponding area.


Brachiocehalic trunk,Tracheal compression

A case of the aberrant origin and the course of the brachiocephalic trunk has been presented here. As the pre tracheal region is frequently approached for life saving surgical procedures, the unnoticed vascular anomalies in this region may turn fatal. This case is of diagnostic importance because it is the commonest cause of air way compression by a vascular ring in children. The mere shifting of the origin of the brachiocephalic trunk may cause tracheal indentation.

Material and Methods

During routine dissection of the neck in a 60-years old male cadaver [death due to cardiac arrest], a horizontally placed artery was noticed just below the thyroid isthmus. The artery was traced upto its origin and its termination. The adjacent and related viscera were examined for ruling out any compression effects and haemodynamic changes.

Case Report

The artery which crossed the trachea along the lower border of the thyroid gland was identified as the brachiocephalic trunk. The morphology of the artery was normal. Its origin was 2.2 cms to the left of the midline. By an oblique course, it crossed the trachea over the 4th and 5th tracheal rings and reached upto the 3rd ring (Table/Fig 1). On reaching the right side, it divided into the right common carotid artery and the right subclavian artery. The level of its termination was 2.2cm above the right sterno clavicular joint. The brachio cephalic trunk was 6.7cm long. The trachea did not reveal any signs of a constriction. The thyroid gland showed normal morphology. The heart did not show any haemo dynamic alteration.


The brachiocephalic trunk is otherwise called as the innominate artery. Normally, it arises from the convexity of the aortic arch, posterior to the centre of manubrium sterni. Its origin is anterior to the trachea and posterior to the left brachio cephalic vein. From the posterior part of the inferior portion of the manubrium of the Sectionsternum, the arterial trunk passes upwards to the level of the right sternoclavicular joint and it divides into right the sub-clavian artery and the right common carotid artery (1). In our specimen, the origin of the brachiocephalic trunk was shifted to the left of the midline by 2.2 cm. The left brachiocephalic vein did not show any anatomical variation.A minimal shift in the origin to the left of the trachea is actually normal in children (2).The aberrant innominate artery which arises on the left side and crosses the trachea from the left to the right may cause tracheal indentation and pressure changes in the trachea (3). The syndrome of innominate artery compression of the trachea was first reported in1948 (4). The symptomatic innominate artery syndrome is more likely to arise in patients with a crowded superior mediastinum (5).One of the causes of tracheomalacia is the extrinsic pressure which is caused by an aberrant artery and one of the major causes of congenital vascular compression is an anomalous innominate artery (6). The symptomatic patients typically present with expiratory stridor, cough, recurrent bronchopulmonary infections, and occasionally, apnoea (7).In our specimen, the trachea was apparently normal. By 3 years of age, the growth of the aortic arch causes the innominate artery to move cranially to the right, and anteriorly, away from the trachea. Other factors, including the continued growth of the supportive tracheal cartilage, thymic involution, and rib cage growth may also be partially responsible for the decreased incidence of the tracheal compression with advancing age (8). In the present case, we could not make out any haemodynamic changes in the heart, as it was noted in some studies (9). The absence of the haemodynamic changes may be due to the oblique turning of the artery to the right instead of an acute bending. Our case showed an anomalous innominate artery origin to the left side of the trachea, as well as a high crossing of the vessel over the fourth and fifth tracheal rings, reaching upto the lower border of the thyroid isthmus. While some authors noticed a similar course (10), some others reported that the brachiocephalic trunk was positioned in an abnormally high level over the 2nd tracheal ring (11). The most probable cause of this abnormality in the course of the blood vessels of the aortic arch might be a disproportional elongation and increase of their diameter during the embryonic life (12). A genetic association of the chromosome 22q11 deletion and the aortic arch anomaly has been postulated (13). The majority of the patients with innominate artery compression of the trachea are successfully treated with medical management. Arteriopexy, entailing the anterior suspension of the innominate artery to the sternum, and reimplantation of the innominate artery to a more proximal site on the ascending aorta are the most commonly used methods of surgical repair for obtaining a symptomatic relief (8). The high localization of the common carotid artery and the brachiocephalic trunk across the trachea increases the risk of injury to these vessels in percutaneous procedures and in any surgeries which are related to them (11) Percutaneous dilatational tracheotomy (PDT) is becoming increasingly popular in the present day critical care medicine. In contrast to the surgical approach, PDT involves a blind puncture and dilation of the pretracheal space, which may predispose to dangerous complications in patients with vascular anomalies. Many surgeons have reported both the peri and the post operative complications of the severe bleeding which was caused due to aberrant pretracheal vessels (14). A post-operative haemorrhage may occur due to the erosion of a highly placed artery (15). A preoperative knowledge of these individual anatomical variations of the trajectory of vessels of the cervical region of the neck has clinical surgical importance.


The tracheal air way compression in children can be due to the anomalous innominate artery syndrome. Obstructive respiratory symptoms occur in only a fraction of such cases, and symptomatic patients are most commonly detected in the first year of their lives. The tracheal indentation was found to be age-related. This syndrome is rarely seen in children who are older than 1.5 years of age. So, this anatomical variation plays a key role in the diagnosis and management of symptomatic airway obstruction. The recognition of vascular anomalies is necessary to avoid a potential catastrophic haemorrhage or other complications during percutaneous and surgical procedures on the trachea and the neck. To avoid hazardous bleeding complications, we recommend at least an ultrasound scan prior to any surgical procedure.


Gray H, Williams PL.Gray’s Anatomy; 38th international edition; GiorgioGabella ; Churchill Livingstone publication, Edinburgh; Angiology The arterial system; 2000; 1513..
Strife JL, Baumel AS, Dunbar JS. Tracheal compression by the innominate artery in infancy and childhood. Radiology. 1981 Apr;139(1):73-5.
Anson BJ, Maddock WG. Callander ’s Surgical Anatomy; Chapter13; The thoracic cavity and its contents; 4th edition, WB Saunders company; Philadelphia;1959; p317.
Gross RE, Neuhauser EBD. Compression of the trachea by an anomalous innominate artery: An operation for its relief A.M.A. Amer. J. Dis. Child. 1948;75:570..
Berdon WE, Baker DH, Bordiuk J, et al. Innominate artery compression of the trachea in infants with stridor and apnea. Radiology 1969;92:272-278.
Goldman SA, Rimell FL, Meza MP. Diagnosis and management of the left main stem bronchus compression. Ann Otol Rhinol Laryngol;1997;106:461-65.
Wiatrak BJ. Congenital anomalies of the larynx and the trachea. Otolaryngol Clin North Am 2000;33:91-110.
Adler SC, Isaacson G, Balsara RK. Innominate artery compression of the trachea: Diagnosis and treatment by anterior suspension-a 25-year experience. Ann Otol Rhinol Laryngol 1995;104:924-27.
Kumar GR, Mehta CD. The anomalous origin and the potentially hazardous course of the brachiocephalic artery. Journal of the Anatomical Society of India, 2007;56(2):38-41.
Bertram S, Emshoff R, Norer B. Ultrasonographic anatomy of the anterior neck. J Oral Maxillofac Surg 1995; 53: 1420–4.
Racic G, Matulic J, Roje Z, Dogas Z, Vilovic K. An abnormally high bifurcation of the brachiocephalic trunk as a potential operative hazard: A case report. Otolaryngol. Head Neck Surg; 2005;133(5):811-3.
Venieratos D. Anagnostopoulou S. The abnormal course of the right common carotid artery. Anatomic presentationof a case report. Bull. Assoc. Anat. 1986;70(209):31-2.
Momma K, Matsuoka R, Takao A. Aortic arch anomalies which are associated with the chromosome 22q11 deletion (CATCH 22). Paediatr Cardiol; 1999;20:97-102.
Mukadam GA, Hoskins E. The aberrant brachiocephalic artery precluding the placement of a tracheostomy. Anaesthesia 2002; 57(3):297-8.
Muhammad JK, Major E, Wood A, Patton DW. Percutaneous dilatational tracheostomy: haemorrhagic complications and the vascular anatomy of the anterior neck. A review based on 497 cases. International Journal of Oral Maxillofacial Surgery 2000;29: 217–22

Tables and Figures
[Table / Fig - 1]
DOI and Others

DOI: JCDR/2012/3607:1962


Date of Submission: Jul 10, 2011
Date of Peer Review: Nov 26, 2011
Date of Acceptance: Dec 20, 2011
Date of Publishing: May 01, 2012

JCDR is now Monthly and more widely Indexed .
  • 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
  • Google
  • Popline (reproductive health literature)