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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
Neonatal Database
PSANZ 2008 Abstract Presented
Development of an Open Source Integrated Clinical and Audit Neonatal Database
Callander I1, Kluckow M 2,
NICUS3
1- Liverpool Hospital Sydney
2- Royal North Shore Hospital Sydney
3- Neonatal Intensive Care Unit Study (NSW & ACT)
NICUS data (includes ANZNN data) has been collected in a purpose built database since the beginning of 2007. This follows an extensive review of data system requirements and methodology at the National Perinatal Data System Planning Workshop in 2004. The new Neonatal Database has been constructed with minimal funding using MS SQL Data Server to house data, and MS Access as the user frontend. The system has been implemented in all 10 member tertiary hospitals with no significant cost required. Data is entered as DateTimed records where possible, using the OHIO (Observational Historical Investigations Outcomes) Principle and Audit Outcomes are then derived. NICUS Data collected since 1992 is archived in the new database and is available for comparative analysis using either the built-in reporting module (graphical outputs included) or powerful adhoc pivot table analysis from MS Excel. Data for other audits including ANZNN can be exported. The Clinical module of the Neonatal Database, is a quasi live data entry system designed to assist in day to day clinical management as well as generate discharge summaries. Initially implemented at Liverpool Hospital, this module is being progressively taken up by other units and has the functionality to manage patients as they move between hospitals. The NICUS Audit Officers have the ability to see auditable clinical data, correct it and lock it after discharge. The Neonatal Database is available for ANZNN member hospitals free of charge, however a strong case can be made for the formation of a consortium allowing for improved development. The open source model allows maximum flexibility and adaptability, but requires local IT support to implement.
You may enlarge the screenshots below in a new window by clicking on them.
| Clinical Module: | |
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This is the first screen after logging on and shows the current inpatient list.
Babies can be moved to different bed locations from this screen. Enter the baby
data screen by double clicking... More recently a handover module has been created specifically for nursing handover and moves quickly from patient to patient with extra tools for planning and tasking. |
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Worksheet printout with derived clinical information plus freetext additives |
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Patient Data Screen: Patient descriptives along top Current treatments, results and active problems down left side (calculated from data on the fly). All Tabs show intially; Birth, Pregnancy and Mother Tabs are hidden by default after 3 days (they can be made visible by clicking on the perinatal summary that is generated from them) The Jaundice Tab is hidden after 10 days (made visible by clicking on Jaundice info on left side. |
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Patient Data Screen looks like this after 10 days. The Admissions Tab has 3 separate areas - Admission: The where why and how of each admission (if multiple admissions - click on one of interest) Planning: Future screening of brain, eyes, hearing, Immunisations, Planning of transfers Discharge: Where to and under who's care. Followup plans and Generation of Discharge Summary (one per admission) |
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Respiratory Respiratory diagnoses and treatments. Respiratory support Blood gases Treatments with effect on respiratory system Chest Xrays (XRay image files may be linked to these reports) |
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As the FiO2 and MAP/CPAP/PEEP are being changed during daily activities these values are being recorded so that they can be reviewed graphically against respiratory support / treatments by clicking on the "Graph" button on the Respiratory tab. |
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Nutrition Growth parameters with graphing of weight and HC Fluid intake - both intravenous and enteral |
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Jaundice Maternal & Baby Blood Group and Coombs, causes of jaundice Bilrubin levels (in umol/l - mg/dl would be minor change in a stored procedure) Treatments of jaundice Temporal graphing of Bilirubin level versus treatment against customisable gestation dependant lines for phototherapy and exchange transfusion. |
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Other Tab - includes Cardiac (incl echo results), Neuro (incl EEG), NEC and
Freetext problems. Problems entered as freetext are able to be datetimed to admissions, and will show on worksheets and in the discharge summary. |
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Treatments & Procedures Treatments: Medications, Volume expanders and blood products, Vaccinations, Therapeutic hypothermia, Jaundice Treatments (also viewable on Jaundice tab) Catheters: Venous & arterial lines, pleural drainage, urinary catheter Surgical Procedures (ICD-10 coded) |
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Test Results Blood Tests: (these are entered manually at present, although if these were available electonically then importation would be possible Infection screening: Multiple culture sites and organisms (pending and negative options) Brain Imaging:Ultrasound, MRI & CT (image files may be linked to these examinations) Eye Examinations:(retinoscope images could be easily linked as for brain images) |
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The Na+, Hb, WCC (Neut), Plat results can be reviewed graphically against relevant treatments by clicking on the "Graph" button on the Test Results tab. |
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Automated links to Image & Other files associated with patient (Files must
start with MRN) As well as having specific image files linked to XRays, Ultrasounds & MRI's you can have Images and Documents linked to a patient non-specifically |
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Discharge Summary generated from the data plus freetext other problems. Created in MS Word with option for using own hospital letterhead. Of course it is then editable for the final product. Can copy the charts from the database into windows clipboard and paste into summary if desired. The database records that the summary was generated (with audittrail) |
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| Audit Module: |
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Subset of the clinical dataset is mainted at a high level of accuracy by the designated audit officer. It can be seen whether the clinical discharge summary has been completed (the notes are no longer needed) |
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The mode of data entry is very similar to the clinical module, but is cut down in
quantity. Respiratory and Feeding outputs are able to be seen before final closure and locking of the baby record with the generation of a new record in the audit table (calculated summary data outputs). |
| Followup Module: | |
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The Followup module has been created specifically for the follow-up of premature infants according the the requirements of NICUS NSW. The list shows clinic appointments in chronological order. Assessments of Growth and Development are recorded here to enable the association of outcome data with inpatient data. |
| Reports Module: | |
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As this database is capable of having data from multiple institutions (linked live
OR imported) there needs to be thought about who should be able to see data from
outside the users intitution. SQL server has security capabilities that make this
very straight forward. Outputs can be separated as local or pooled with other institutions. It is also very easy to have and Excel spreadsheet that is dynamincally linked to a query within the database that allows specific reports to certain users. |
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Monthly Unit Report with calculated occupancy broken down by level of care. |
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Benchmarking between hospitals (large scale comparison of audit data) This interface is extremely powerful and enables complicated analysis from within the module. Of course adhoc reporting is still possible using a query analyser tool. |
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Line charts (customisable for Year or Gestation on X axis) also available as well as bar charts. If these charts are copied and pasted into other office applications (Word, Excel, Powerpoint) then the data is also within the object (ie not just a graphic) |
| Admin Module: | |
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Update user access, hospital defaults, change lookup tables, enter SQL code (able to make backend structural changes from here) plus access to the actual tables, forms and code (if permission allows). |
| Electronic Logbook: | |
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This is currently set up for medical staff to log procedures, counselling and education
sessions (linked to the actual procedure within the database wherever possible).
There is no reason this could be broadened to non-medical staff. The logbook can be exported to an excel spreadsheet for transportability. |
| Data Queries from external applications: | |
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It is easy to connect to the data (with permission) from outside the database. Shown here is an Excel spreadsheet that displays a PivotTable and Chart. The chart can be sent as it is to anyone however if the spreadsheet can connect to the SQL Server (with permission) then the data can be refreshed and the table manipulated; then if you double click on a grouping the individual babies can be displayed (you have to see it live to believe it). |
| Follow-up and Family Support Modules: | |
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The Followup module and Family Support module have been implemented for specialised
purposes and can be used as a template for those who would like to create an add-on
module for themselves. Each hospital can configure which assessment tools will be administered at their institution and make them available. The growth measures continue from the inpatient period and are graphed with centile charts against corrected age. |
Obstetrix Data Import:
If your hospital uses the 'Obstetrix' database (Australia only), we have commissioned a one-way import program (perinatal data seeds a new record in the Neonatal Database) - contact Dr Martin Kluckow for details (one off payment AU$1000 required to retrieve initial outlay)
Last Updated : 5 Dec 2015
First Published : 5 Feb 2007