https://lamintang.org/journal/index.php/ijcims <p>International Journal of Clinical Inventions and Medical Sciences (IJCIMS) provide a valuable platform for academicians, scholars, researchers and students to share their knowledge, ideas, development and insights of the most up-to-date research that focuses on the area of Medical/Biomedical Research, Preclinical Research and Clinical Research.</p> <p>IJCIMS published in English and twice a year (March and September).</p> en-US <p>The copyright to this article is transferred to International Journal of Clinical Inventions and Medical Science (IJCIMS) if and when the article is accepted for publication. The undersigned hereby transfers any and all rights in and to the paper including without limitation all copyrights to IJCIMS. The undersigned hereby represents and warrants that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required. The undersigned represents that he/she has the power and authority to make and execute this assignment.</p> <p>We declare that:<br>1. This paper has not been published in the same form elsewhere.<br>2. It will not be submitted anywhere else for publication prior to acceptance/rejection by this Journal.<br>3. A copyright permission is obtained for materials published elsewhere and which require this permission for reproduction.</p> <p>Furthermore, I/We hereby transfer the unlimited rights of publication of the above mentioned paper in whole to IJCIMS. The copyright transfer covers the right to reproduce and distribute the article, including reprints, translations, photographic reproductions, microform, electronic form (offline, online) or any other reproductions of similar nature. The corresponding author signs for and accepts responsibility for releasing this material on behalf of any and all co-authors. After submission of this agreement signed by the corresponding author, changes of authorship or in the order of the authors listed will not be accepted.</p> <p>Retained Rights/Terms and Conditions<br>1. Authors retain all proprietary rights in any process, procedure, or article of manufacture described in the work.<br>2. Authors may reproduce or authorize others to reproduce the work or derivative works for the author’s personal use or for company use, provided that the source and the IJCIMS copyright notice are indicated, the copies are not used in any way that implies IJCIMS endorsement of a product or service of any employer, and the copies themselves are not offered for sale.<br>3. Although authors are permitted to re-use all or portions of the work in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use.</p> <p>The authors agree to the terms of this Copyright Notice, which will apply to this submission if and when it is published by this journal (comments to the editor can be added at the "Comments for the Editor").</p> journal.lamintang@gmail.com (Yusram, S.Pd., M.Pd.) ijcims.lamintang@gmail.com (Ahmed Abdillah) Thu, 24 Sep 2026 00:00:00 +0000 OJS 3.1.2.0 http://blogs.law.harvard.edu/tech/rss 60 https://lamintang.org/journal/index.php/ijcims/article/view/987 <p>Vietnam operates a unique, state-mandated healthcare system that structurally integrates Traditional Vietnamese Medicine (TVM) within conventional hospitals. However, the operational success of this dual model relies heavily on the clinical behaviors and collaborative practices of Western-trained conventional physicians. This multi-center, cross-sectional study investigated the levels of objective knowledge, professional attitudes, and cross-departmental referral workflows regarding TVM among conventional physicians practicing in major urban medical hubs in Vietnam. A validated, 28-item structured questionnaire was distributed to licensed modern medicine physicians across tertiary (Tier-1) and secondary (Tier-2) hospitals in Hanoi and Ho Chi Minh City. Data from 412 completed surveys were analyzed using descriptive statistics and binary logistic regression to identify independent predictors of active referral workflows. The data revealed a critical “Attitude-Knowledge Paradox.” While a majority of conventional physicians exhibited highly positive cultural attitudes toward TVM (Mean Likert Score: 3.8  0.6), objective pharmacological knowledge was critically low (Mean Score: 4.2 1.8 out of 10). Specifically, 78.4% of respondents failed to identify verified herb-drug interactions. Consequently, active outbound referrals were low (24.3%) and heavily restricted to chronic musculoskeletal pain (82.0%) and neurological rehabilitation (68.0%). The leading institutional bottlenecks were a lack of randomized controlled trial (RCT) data on native Vietnamese flora (86.5%) and fears of unpredictable drug-herb toxicities (79.2%). Formal TVM exposure during medical school was a powerful independent predictor of active clinical referral practice (aOR = 2.45; 95% CI: 1.32 - 4.56; p &lt; 0.01). Structural integration in Vietnamese hospitals has not achieved functional clinical synthesis. Conventional physicians default to defensive prescribing habits due to an educational vacuum and a lack of evidence-based pharmacological parameters. To bridge this divide, the Ministry of Health must prioritize pharmacology-focused curriculum reforms, automated electronic drug-herb interaction screening, and state-funded clinical trials for indigenous phytotherapeutics.</p> Nguyễn Ngọc Mai Thảo, Le Hoang Nam, Phạm Quốc Anh, Đặng Thị Hồng Nhung Copyright (c) 2026 International Journal of Clinical Inventions and Medical Sciences (IJCIMS) https://creativecommons.org/licenses/by-sa/4.0 https://lamintang.org/journal/index.php/ijcims/article/view/987 Mon, 21 Sep 2026 00:00:00 +0000 https://lamintang.org/journal/index.php/ijcims/article/view/1047 <p>Parallel imaging shortens lumbar MRI examinations but factor-3 GRAPPA produces spatially varying noise that can obscure clinically important structures. Evidence for a simple, reproducible spectral subtraction denoising approach in clinically acquired 3T lumbar examinations remains limited. This paired pretest-posttest study evaluated MATLAB-based spectral subtraction denoising (SSD) in 16 patients with clinically diagnosed lumbar disc herniation. Sagittal T2-weighted TSE-GRAPPA images acquired at acceleration factor 3 were processed by estimating the background-noise spectrum, directly subtracting it from the image spectrum, retaining the original phase, and applying an inverse Fourier transform. Signal-to-noise ratio (SNR) was measured in five anatomical regions, and two radiologists with more than five years of experience independently performed blinded five-point visual grading. Paired differences were assessed with the Wilcoxon signed-rank test; acceleration-factor comparisons used the Friedman test, and interobserver agreement used Cohen’s kappa. SSD increased SNR in every evaluated structure, with the largest absolute gains in the vertebral body (+1.81) and degenerated nucleus pulposus (+0.41). Overall visual information improved (p &lt; 0.001); four of five structures improved significantly, whereas the vertebral body showed a ceiling effect (p = 0.236). Interobserver agreement increased from κ = 0.60 to κ = 0.72. The findings support SSD as a low-complexity post-processing option for preserving diagnostic visibility in accelerated lumbar MRI. Larger multicenter studies should compare SSD with modern learning-based denoisers and evaluate diagnostic accuracy.</p> Ildsa Maulidya Mar’athus Nasokha, Retno Wati, Mei Arnefia Copyright (c) 2026 International Journal of Clinical Inventions and Medical Sciences (IJCIMS) https://creativecommons.org/licenses/by-sa/4.0 https://lamintang.org/journal/index.php/ijcims/article/view/1047 Mon, 21 Sep 2026 00:00:00 +0000