2. Case Studies
About Bhutan Health Journal
The Bhutan Health Journal, a publication of the Khesar Gyalpo University of Medical Sciences (KGUMSB), is a peer-reviewed print and online journal. The journal’s full text is available online at http://www.bhj.com.bt. Established in 2015.
BHJ abide by:
1. International Committee of Medical Journal Editors for Uniform Requirements for Manuscripts
Submitted to Biomedical Journals
2. World Association of Medical Editors for best editorial practice
3. Council of Science Editors for best editorial practice
3. Committee on Publication Ethics for practicing good publication ethics
You can also view our author guideline (printed version) from HERE [You need to have Acrobat Reader installed on your computer]
The Editorial Process
BHJ follows the principles of COPE, CSE, WAME and ICJME guidelines. The submitted manuscripts are duly acknowledged and initially reviewed for possible publication by the Editors with the understanding that they are being submitted only to the BHJ, have not been published, simultaneously submitted or accepted for publication elsewhere.
Rejection: More than 95% of the submitted manuscript is rejected by the preliminary in-house review process, mostly due to lack of BHJ format [to avoid preliminary rejection, please go through submission guideline in detail, follow them strictly and prepare your manuscript accordingly].
On average, 40-60% of the manuscripts with insufficient originality or insignificant message, serious scientific and technical flaws are rejected after peer review. However, we do encourage the author to resubmit after the revision if the research was conducted scientifically. The preliminary rejection of the manuscript is related to; manuscript being out of scope, manuscript not formatted correctly, not following checklist and guidelines accurately, submission below publishable standards, incomplete submission (e.g. lack of ethical approval letter for research article). The rejection could also be due to lack of originality, flaws in the METHODS section, generalizing and exaggerating the finding not supported by internal and external validity, peer reviewers' comment not adequately answered or unanswered, plagiarism, publication misconduct and more. While declining the submission, we do not make comment on each aspect of the manuscript but give the reason for inadequate BHJ formatting, which means one or all of the above reasons. If you follow the BHJ guideline in detail, you will find out the reason for the rejection. If you fail to pinpoint, we request you to consult a modern epidemiologist, methodologist, or medical statistician. Therefore, we request you to go through the author guideline in detail to avoid rejection of your submission.
We truly value your hard work and wish to publish most of the submissions to the BHJ. However, as we stated earlier, we follow the principles of COPE, CSE, WAME and ICJME guidelines. Hence, we have to maintain the highest standard of scientific values in our work. Therefore, we urge you to help us to improve science together. We hope that the rejection of your current submission will not deter you to continue submitting your work to the BHJ.
Publication and Decision Time: Time to first decision overall (average) within3 -5 days for initial decision (without review); 30-45 days (with the review). Those articles which have been submitted six months to a year ago undergo auto-pruning (automatic declining). It happens due to one of the following reasons i) to iii) or due to loss of contact with the authors.
If you find encounter delay and find no update on your BHJ submission account, which could be due to;
i) submission was incomplete or
ii) submission was without following JNMA format and supplementary documents or
iii) there is an issue with your submission (e.g. ethical issues or research misconduct or related)
Because of any of the above issues or any other reasons, if you do not receive any information or update about your submission within 2-4 weeks, please contact BHJ as soon as possible. We will make sure that your voice is heard and addressed appropriately.
N.B. Please do not contact on personal email, social media or phone number to Editor-in-Chief, Editorial team or BHJ staff related to your submission. All communication must be made via BHJ official email address only. BHJ best editorial practice ensures that it publishes the highest standard articles.
The Peer Review Process
The manuscripts are then sent to two expert peer reviewers blinded to the contributor’s identity and vice versa for meticulous review, inputs and comments. The final decision on whether to accept or reject the article are taken by the Editor-in-Chief based on editorial board and peer reviewers. The contributors are informed about the rejection/acceptance of the manuscript with the peer reviewer’s comments. Accepted articles have to be resubmitted after making the necessary changes or clarifying questions made during the peer review process.
The accepted articles are edited for grammatical, punctuation, print style and format errors and page proofs and are sent to the corresponding author who should return them within three days. Non-response to galley proof may result in the delay of publication or even rejection of the article.
Required Guidelines and Checklist
BHJ requires the use of an appropriate reporting guideline when writing any health research manuscript.
You must submit a completed checklist for the relevant guideline (and flow diagram if applicable) alongside your manuscript, indicating the manuscript page on which each checklist item is found. Editable checklists for reporting guidelines can be found here or on the EQUATOR Network site, which also gives general information on how to choose the correct guideline and why guidelines are important. Using a checklist helps to ensure you have used a guideline correctly.
At the minimum, your article must report the content addressed by each item of the identified checklist or state that the item was not considered in the study and, if relevant, the reason why not (for example, if you did not use blinding, your article should explain this). Meeting these basic reporting requirements will greatly improve the value of your manuscript, may facilitate/enhance the peer review process, and may enhance its chances for eventual publication.
Checklists are not simply an administrative hurdle. We ask you to complete a checklist because this helps you to check that you have included all of the important information in your article and because it helps our editors and reviewer to complete the same check. If the checklist indicates an item that you have not addressed in your manuscript, please either explain in the manuscript text why this information is not relevant to your study or add the relevant information.
Authors must check the EQUATOR Network, CONSORT and STROBE sites for any reporting guidelines that apply to your study design and ensure they include any required supporting information recommended by the relevant guidelines. Documentation (checklist) for specific studies should be uploaded as supporting information during manuscript submission.
Guidelines for Specific Study Types
Some common study types and the appropriate guidelines are listed below. If you cannot find an appropriate guideline here, search the full EQUATOR database and talk to our editor.
You may need to use more than one guideline, depending on your research. For example, if you randomly assigned human participants to one of two interventions, then conducted unstructured interviews with each participant, you will need to use CONSORT, COREQ, and TIDIER together. To make sure you collect all of the relevant guidelines, check each major heading, even if you have already found a relevant guideline under a previous major heading.
If you are reporting a review of a section of the existing literature
- Use the ENTREQ guideline for a review of studies that use descriptive data, such as unstructured interviews (qualitative data)
- Use the MOOSE guideline for a review of observational studies
- Use the PRISMA guideline for any other kind of systematic review or meta-analysis
If you are reporting descriptive data (either alone or alongside quantitative data)
- Use the COREQ guideline for reporting unstructured interviews and focus groups
- Use the CARE guideline for reporting one case study or a series of case studies, (SCARE for surgical case report)
- Use the SRQR guideline for any other descriptive data (qualitative research)
If you are reporting research into diagnosis
- Use the STARD guideline if you compared the accuracy of a diagnostic test with an established reference standard test
- Use the REMARK guideline if you evaluated the prognostic value of a biomarker
-Use the TRIPOD guideline if you developed, validated, or updated a prognostic or diagnostic prediction modelling tool.
If you are reporting research into an intervention or treatment on people
- Use the TIDIER guideline to fully describe your intervention
- Use the CHEERS guideline for an economic evaluation of the interventions
If you are reporting research into an intervention, treatment, exposure, or protective factor on people
- Use the CARE guideline for reporting one case study or a series of case studies, (SCARE for surgical case report)
- Use the CONSORT guideline or one of its extensions:
If you selected your participants before they received the intervention/exposure/etc. under study, AND
You controlled which intervention/exposure/etc. they each received, AND
You used a random allocation method to decide which intervention/exposure/etc. they each received. ie: a randomised controlled trial
Use the STROBE guideline or one of its extensions:
- If you selected your participants after they received the intervention/exposure/etc. under study, OR
- You selected your participants before they received the intervention/exposure/etc. under study AND you did not control which intervention/exposure/etc. they received (they decided/their doctor decided/life just happened)
ie: an observational study (cross-sectional, case-control, cohort)
Use the TREND guideline:
- If you selected your participants before they received the intervention/exposure/etc. under study, AND
- If CARE , CONSORT, and STROBE are not applicable to your research AND
- You used a non-random way to decide which intervention/exposure/etc. your participants received, such as which hospital they went to or what their clinical symptoms were.
ie: a non-randomised trial
BHJ follows the World Health Organization’s (WHO) definition of a clinical trial:
"a clinical trial is any research study that prospectively assigns human participants or groups of humans to one or more health-related interventions to evaluate the effects on health outcomes. Clinical trials may also be referred to as interventional trials. Interventions include but are not restricted to drugs, cells and other biological products, surgical procedures, radiologic procedures, devices, behavioural treatments, process-of-care changes, preventive care, etc."
Registering Clinical Trials
All clinical trials submitted to BHJ must be entered in a publicly accessible registry approved by the WHO or ICMJE. See the list of approved registries.
BHJ consider prospective trial registration (that is, registration before participant enrollment has begun) to be best publication practice, as recommended by the ICMJE. Clinical trials that began to enrol participants before ICMJE recommendations took effect on July 1, 2005 may be retrospectively registered, if trial registry accepts.
Focus and Scope
BHJ invites original research papers, review articles, case reports, medical education, viewpoints letter to the editor containing new insight into any aspect of Medical & Health Science that are not published or not being considered for publication elsewhere. The journal is particularly interested and welcomes papers in basic and clinical medical sciences, medical education, public health, hospital and healthcare management, research and publication ethics, too.
It is written by BHJ editors or invited (Guest Editorial) on most pertinent issues on Health in Bhutan or in the world. It undergoes a fast-track peer review process.
BHJ accept researches conducted in the field of basic and clinical medical sciences, medical education, public health, hospital and healthcare management, allied health sciences and research and publication ethics, with the maximum length of 2500-3500 world (excluding abstract of 250 words). It undergoes a rigorous peer review process. Please expect lots of communication from the BHJ.
Required Submission Documents:
Required Submission Documents:
Required Submission Documents:
This section is invited by the editorial board.
Required Submission Documents: 1. Forwarding Letter, 2. Authorship, 3. Declaration, 4. Manuscript (in BHJ template using authors' guideline)
University and Health News
This section includes information about Unviersity activities and health events nationally. The submission to this section is open to Bhutanese only.
PEER REVIEW PROCESS
The Chief Editor, together with the editorial board will ensure the following peer review policy:
1. Double-blind: The manuscript will be blinded when sending out for review. The author is anonymous to the reviewer and the reviewer is anonymous to the author as well.
2. One-stage review: The reviewer is involved in the initial review of the manuscript only, i.e. not involved in evaluating the revisions made by the author based on the reviewer’s comments. Rather, the Chief Editor carries the manuscript forward following the initial review.
3. In rare, controversial and special circumstances; Two-stage review: Those papers that require revision as suggested by the reviewer will be sent back to that same reviewer for him/her to evaluate the manuscript once again after revised re-submission from the author.
The author has to submit their manuscript according to BHJ policy.
- All submitted article will undergo international peer review with blinding for two peer reviewers, simultaneously. If the decision conflicts between the two, it will be sent to a third peer reviewer.
- The typical review will take minimum 4-6 weeks which includes 2 weeks for peer review and remaining weeks for peer review handling process. However, this may take a little longer due to unseen workloads.
- When the article is received from peer reviewer there will be one of the following outcomes and the decision choices include:
Accept Submission: The submission will be accepted without revisions.
Revisions Required: The submission will be accepted after minor changes have been made according to the reviewer's comment.
Resubmit for Review: The submission needs to be re-worked, but with significant changes, may be accepted. It will require a second round of review, however.
Resubmit elsewhere: When the submission does not meet the focus and scope of BHJ.
Decline Submission: The submission will not be published in the journal.
All comments received from the reviewers will be passed on to the authors within 4-6 weeks after getting back from the reviewers. Regardless of whether or not the submission is accepted for publication, it is essential that appropriate feedback is provided to the contributors.
BHJ respect the views, opinion, comments and decision of the reviewer. However, the right for acceptance and rejection of the manuscript is reserved with the Editor-in-Chief, on the basis of maintaining the integrity of the science, following the guideline of ICJME, WAME, CSE, COPE.
The editors will be responsible for directing the manuscripts to the appropriate reviewers who have the knowledge and/or expertise in the requisite fields. Each manuscript will be accepted (sometimes on a conditional basis pending suggested changes) or declined based on the reviewers' comments, and other factors by Editor-in-Chief’s decisions. In the case of a controversial groundbreaking article that could have a far-reaching impact on the field, further reviews may be sought. The decision ultimately rests with the Editor-in-Chief.
Peer Reviewers will be provided with Review Guidelines, once they accept to review the submission. BHJ will rate reviewers on a five-point quality scale after each review.
Please submit all the following documents while submitting your new manuscript to BHJ:
1. Forwarding letter
5. Ethical Approval letter*
*This is for research article only. Ethical approval letter should be taken before starting the research. Any research without ethically approved by recognized ethical review board is of no value. The Research Ethics Board of Health is the apex body for looking after the ethics in research in Bhutan.
However, ERB/IRC has been established at KGUMSB since 2018. Therefore, depending on which areas a researcher belongs to the ethical clearance needs to be sort.
For international author - please provide ethical approval letter from your institutional ethical committee or national body responsible for ethics in research.
Any submission without the above documents and manuscript not in BHJ format will be rejected outright. Therefore to avoid such errors and rejection, please submit your article with all supplementary and required files along with the use of appropriate template given below.
The majority of the submitted manuscript lack proper formatting, on the top of that heading and subheading, is not correctly written. Therefore, we encourage you to use the appropriate template for your manuscript.
1. Original Article Template and Short report
2. Case Report Template
3. Review Article Template
4. Viewpoint Template
Please go through BHJ checklist, template and supplementary files during the preparation of r your manuscript. We use Vancouver style for references, please use the guidance available at CITING MEDICINE citing materials accurately. Use of incorrect, inappropriate citation and erroneous bibliographic listing may possibly invalidate your manuscript at BHJ.
1. BHJ Checklist (must read)
MUST HAVE INFORMATION
To minimize the rejection (or return for revision) of your article please do the followings:
BHJ allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The BHJ work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.
It includes report of a case with literature review that includes, an unexpected association between diseases or symptoms, an unexpected event in the course of observing or treating a patient, findings that shed new light on the possible pathogenesis of a disease or an adverse effect, unique or rare feature of a disease, unique therapeutic approaches, approaches to a disease management, a patient whose diagnosis was difficult to make, changes in one or more patients with chronic conditions over an extended time period, report on two or more patients with similar characteristics who received different interventions and had different outcomes, atypical management of patients with common problems, a typical patient presentations, apply theory to patient or client management, report on an administrative or academic experience.
Word limit for the case report should be approximately Approximately, 1500-2000 words (excluding title, unstructured abstract of 150 words and references) has been permitted for case reports. Number of references depends upon the type of case but we recommend limit it to 5-10 references.
These are literature based reviews of the current state of understanding on a topic which analyzes, or discusses management and treatment approaches to any clinical conditions in the field of clinical medicine to improve the quality of patient care or the understanding of a disease process. Articles relevant to our Bhutan’s context are particularly encouraged.
Word limit for the article has to be approximately ~2500-3000 words (excluding unstructured abstract (200 words) and references of (> 50 and <100).
Letter to the editor may be regarding any clarifications or explanations about the published article in the Journal or feedback or important commentaries within the word limit of 500-1000 words. We do not require abstract but references up to 5.
These are usually solicited but unsolicited material may also be considered (approx. 1000 to 1200 words). A maximum of 10- 12 references may be included. Editorials should not have tables and figures. The editorial shall on be on topic/areas of national importance or recent updates in the field of Medicine and Health systems.
Selected summaries are of important articles published elsewhere and they provide a short summary of the paper in the reviewer’s words (not the original authors’ published abstract) followed by comments (approx. 800- 1000 words). A copy of the original publication should accompany the submission.
These are research article which doesn't fit exactly into research article but findings are interesting, e.g. pilot study. It undergoes the peer review process . A short report may include up to 1-2 tables or figures and 12 to 15 references.
The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.
Click Here for online review process
Click Here for online submission process
BHJ Print ISSN: 2413-2993; Online ISSN:2415-1114; is published by KGUMSB.
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