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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
Case report
Full Version
Bilateral Sacroiliac Joint Fusion: A Case Report
Correspondence Address :
Dr. MV Ravishankar,
Assistant Professor, Department of Anatomy, JSS Medical College,
Sri Shivarathreeshwara Nagara, Mysuru-570015, Karnataka, India.
E-mail: ravishmvrs40@gmail.com
Sacroiliac (SI) joint is the articulation which forms the part of the bony pelvis. It plays an important role in locomotor activity, and childbirth during labour. It helps in the transmission and distribution of axial body weight from the spine to the pelvis. This synovial joint exhibit limited gliding movements within the joint cavity. About 15-30% of low backache aetiologies are attributed to SI joint dysfunction. People who are overweight, have co-morbid conditions, and pregnant women are at higher risk of developing vertebral joint deformities called spondylarthropathies. They are group of inflammatory disorders which are involving the vertebral spines and peripheral joints, where the symptom of stiffness is prominently seen. The anatomical variations in the SI joint morphology like accessory SI joint, iliosacral complex and sacral defect, dismorphic joint, are of compelling interest concerning SI joint pathologies from the orthopaedic viewpoint. This case report presents a bilateral fusion of SI joint, found in a skeleton in the museum of medical college.
Ankylosing spondylitis, Pelvis, Spondylarthropathy
In the museum bone bank of Department of Anatomy, JSS Medical College, Mysuru, Karnataka, India, a unique articulated pelvis was found. In that bony pelvis, on the right SI joint there was a complete fusion of inner lip and ventral surface of posterior most segment of iliac crest including both posterosuperior and posteroinferior iliac spine with the corresponding articular surface of sacrum. On the Left SI joint also there was complete fusion of inner lip and ventral surface of dorsal segment of ilium with the corresponding articular surface of sacrum excluding both posterosuperior and posteroinferior iliac spine (Table/Fig 1). Anteriorly, the articular margin of sacrum, ilium and articular surface of pubis were not fuse (Table/Fig 2). Except for the fusion, other features of sacrum like sacral hiatus, cornu, sacral foramina etc showed no abnormal anatomy. To ascertain the gender of the bone (pelvis), pelvic anthropometric were considered. The sacral index was found to be 96.3, the Ischiopubic Index (IPI) was 87.4, the angle of the greater sciatic notch was 50°, and the subpubic angle of 80° was recorded. From the above findings it was concluded that the pelvis belonged to a male (1).
Spondylarthropathy is a condition manifested with inflammation, fibrosis, calcification and reduced flexibility in the joints, it may even result in joint fusion. Biomineralisation involves the process of calcification; tissue mineralisation is a part of the physiological process but can take a pathophysiological diversion in selective tissues (arteries, cartilages, muscles, joints etc.,) in the human body (2). In the human body, SI joint is a prone skeletal entity often may show the changes of AS. This joint is involved in uniform distribution and transmission of body weight through the pelvic girdle. Clinically, about 15-30% of cases with the chief complaints of low backache are due to SI joint inflammation (3),(4) which is one of the important causes, often sidelined by the clinicians; it certainly requires a keen evaluation of structural and functional fitness of SI.
Bilateral fusion of SI is relatively a rare phenomenon, as reported in the present case. This malpresentation could be due to improper bone metabolism, inducing the undue formation of osteophytes, an additional growth of bone on its edge, which can lead to the bridging between the bones causing the symptoms of ankylosis. The chondrogenesis is a preliminary process of active bone formation associated with osteophyte bone formation, having a close resemblance with the healing process in the fractured bones (5).
The pelvis under discussion showed fusion of sacrum with the hip bone. Over a period of time there could be more and more bone deposition resulting in osteophyte formation further leading to fusion of articular parts between the ala of the sacrum with the ilium part of hipbone. Osteophyte formation could be due to the advanced ageing process, undue biochemical activity of cells, or because of mechanical stimuli, etc. It is seen commonly in the vertebral bones. Such structural changes are noticed even in healthy individuals without obvious symptoms until it causes undue compression on neighboring structures. Such changes may lead to a variable degree of stiffness, movement restriction and pain in the joints (6),(7). There are number of biological growth factors which influence the osteophyte bone formation. A multifunctional cytokine, called transforming growth factor β is shown to be involved in influencing the induction of osteophytic changes in humans (8).
To understand the unresolved clinical complaints of low back pain, non invasive radiological investigations play as an important role in its early clinical diagnosis. The segmental analytical approach of SI through Positron Emission Tomography and Computed Tomography (PET-CT) scans is useful in the process of quantification of inflammation, along with the assessment of the state of reactive bone formation through F-fluorodeoxyglucose (FDG) (18F-fludeoxyglucose) and NaF (Sodium Fluoride) assay, hence it is considered to be more sensitive when compared with Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) (9). Increase in Body Mass Index (BMI) causes constant stress on the locomotor activity which is associated with the inflammatory changes in the SI. Assessment of the metabolic activity by FDG and NaF PET/CT of either side of SI is correlated with the patient BMI. Since, there was difference in the extent of fusion of SI joint bilaterally, it may be inferred that there was a difference in the degree of inflammatory changes between the right and left SI joints. In a study, tracer uptake difference was found between the joint articular surfaces which may be attributed to the anatomical and physiological status with the advancing aging process. This could be attributed to the functional asymmetry of kinetic force transmitting from upper extremities during locomotor activities, may influence particular side of the body (10).
In some patients, with Ankylosing Spondylitis (AS), documented with positive clinical correlation with the Human Leukocyte Antigen (HLA)-B27, prevalence varies with the different ethnic groups (11),(12). The role of genetic component is strongly supported by higher concordance by showing the similarities in traits shared between a pair of twins (13). AS involves diversified aetiological factors which will ultimately results in the explicit manifestation of clinical deformities. Chronic inflammatory changes in the vertebrae may further lead to joint ankylosis.
Osteology is a basic prerequisite to pursue advanced learning in the musculoskeletal system. Among the set of AS disorders, the SI joint deformities poses great clinical challenges for its diagnosis and management of low back pain. The unbiased patient examination and selective radiological investigations are very much critical in early clinical diagnosis, without much time lapse. The knowledge of unusual variations like that in the present case is essentially important for Orthopaedicians, Neurosurgeons and Physiotherapists for treating the complaints of low back pain.
10.7860/JCDR/2021/49549.15255
Date of Submission: Mar 22, 2021
Date of Peer Review: Apr 29, 2021
Date of Acceptance: Jul 15, 2021
Date of Publishing: Aug 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? NA
• For any images presented appropriate consent has been obtained from the subjects. NA
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Mar 24, 2021
• Manual Googling: Jul 14, 2021
• iThenticate Software: Jul 30, 2021 (4%)
ETYMOLOGY: Author Origin
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