AUCTORES
Globalize your Research
Review Article | DOI: https://doi.org/10.31579/2637-8892/027
Primary Health Centre Banja Luka, Bosnia and Herzegovina Medical Faculty, University of Banja Luka, Bosnia and Herzegovina.
*Corresponding Author: Kosana Stanetić, Associate Professor of Family Medicine Address (office): Zdrave Korde 4Address (home): Vojvode Momčila 9/a 78 000 Banja Luka Bosnia and Herzegovina.
Citation: Kosana Stanetić, Burnout syndrome in family physicians – experiences from Bosnia and Herzegovina, J Psychology and Mental Health Care. 2(2); DOI: 10.31579/2637-8892/027
Copyright: © Kosana Stanetić. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 19 March 2018 | Accepted: 05 April 2018 | Published: 10 April 2018
Keywords: burnout syndrome; medical profession; family physicians
The burnout syndrome is a response to a long term chronic emotional and interpersonal stressors that are related to workplace. It emerges as the consequence of non-harmonized relations between employees on one, and working environment on the other side. It is defined as chronic work stress that includes three dimensions: the sense of the emotional exhaustion, the negative approach to providing services (depersonalization) and the sense of reduced personal accomplishment. It occurs most often in persons who work in direct contact with other people. Medicine is one of the professions at the greatest risk of suffering from burnout syndrome. The results of the studies conducted in the neighbouring countries, in Europe and in the world showed a big prevalence of burnout syndrome among medical workers, especially in physicians. The acquired results indicate that there is a need to undertake measures for prevention of the burnout syndrome.
Term ”burnout syndrome” was for the first time used by psychoanalyst Herbert Freudeberger from New York in 1970. year to describe status of physical and mental exhaustion caused by the personal professional life. The syndrome presents the process of physical and mental exhaustion in persons employed in certain fields: educational employees, health care employees, workers employed in social services and employed in public services for emergency situations. Burnout syndrome at working place presents special problem in so called „service occupations“ where the essence of the job makes relation provider-receiver of services [1-4].
Burnout syndrome at work is a long term response to emotional and interpersonal stressors that are related to working place. It occures as the consequence of non-harmonized relations between employees on one, and working environment on the other side. It is characterized by psychical or emotional exhaustion, fatigue and depression, whereas there is a grater accent on psychical thenphysical symptoms. Affected persons have fatigue, malaise, undefined physical pain for longer periods of time (headache, back pain, insomnia, gastric problems etc.). Affected persons are sensitive, permanently tensed, impulsive, grasp at alcohol or drugs, and can express sadness, pessimism, tightness, emotional rigidity, hypersensitivity, helplessness, sense of despair. Etiopathogenesis of the burnout syndrome at work is complex but it is generally considered that a prolonged „negative stress“ is a key factor in its occurrence. Individual characteristics of individuals and impossibility of successful stress overcoming also have an important role. Negative feelings of persons with a high level of the burnout syndrome at work are related to loss of feeling for professional responsibilities, loss of capability for self-realization and loss of personal perspective. Feeling of existence absurdity and loss of interest for everything that happens influence all life spheres of the person with burnout syndrome at work. If the person is in this state for longer period of time it loses capability to enjoy life, and the quality of life of these persons is significantly decreased [5,6].
Burnout syndrome at work is defined as a chronic work stress that includes three dimensions: the sense of the emotional exhaustion, the negative approach in providing services (depersonalization), the sense of decreased satisfaction and the lack of professionalism (lack of personal satisfaction). This definition is recommended by means of basic studies conducted with the aim of finding the best instrument for investigating of these phenomena (Maslach Burnout Inventory, Maslach & Jackson, 1981, 1986) [7].
During the previous period we are all exposed to numerous of stressors coming from the outside environment, and among stressors many are originating from the working environment and causing professional stress. Professional stress is one of the hardest harms for the health care workers that are exposed every day to numerous changes and demands of their working place. All the things that change established life habits, „unbalance the organism“ and request adaptation to the new situation present stress. If the causes of stress are regarding to working environment, then we speak about working stress that represents the greatest risk factor for developing of the burnout syndrome at work [8].
Majority of authors think that causes of the syndrome may come from the characteristics of professional activities and from individual characteristics of the persons. According to Maslach, reasons for developing of the burnout syndrome often do not depend on person but on conditions at working place. Some personal characteristics have an effect oh the development of syndrome: high level of emotional liability, high level of self-control (e.g. keeping of negative emotions), predisposition for high level of anxiety and depressive reactions, rigid personality structure. Professional stress is not a problem for mentally „strong“ persons, but problems with unsolved situations in relations with associates, unclear social position and support, lack of emotional support of the colleagues and managers also may be the cause for occurrence of the burnout syndrome at work among these persons [9-11]. Empirical researches showed that situational factors have stronger influence at status of mental exhaustion compared to personal characteristics of individuals. Persons preoccupied with work and exposed to frequent interpersonal conflicts during the longer period of time in greater number have symptoms of emotional exhaustion [12, 13].
Health care workers represent the profession with the highest risk for getting ill from burnout syndrome at work. They give high emotional contribution in solving the most subtle physical, psychical and social problems of their patients. The social contact of health care workers is not only directed towards patients but also towards associates at work, superior structures, patients’ parents and relatives and other persons [14,15]. Health care workers are exposed to increased risk of getting ill from burnout syndrome at work also due to the influence of other harmful factors related to working place. Ionizing and non-ionizing radiation, vibrations, various chemical vapours, adverse microclimate conditions, work in unphysiological body posture, work in shifts, and specially night shift work are important risk factors for getting ill from burnout syndrome at work. Stresses at working place and so called „mental pollution“ may influence the burnout syndrome developing. As the most common causes of stress at the working place are considered: interpersonal relations at working place (relations with patients, colleagues, managers), satisfaction or dissatisfaction with work, possible conflict situations at working place, insufficient education for performing working tasks, overwork, unrealized promotion in service and other. [16-19].
Large scale research of the representation of the burnout syndrome at work in family physicians in 12 European countries (Bulgaria, Croatia, France, Greece, Hungary, Italy, Poland, Portugal, Sweden, Spain, Great Britain and Turkey) revealed that 43% examinees had high level of emotional exhaustion, 35% high level of depersonalization, 32% low level of personal satisfaction, and 12% had expressed symptoms of burnout syndrome at work in all three dimensions. The conclusion of this study is that burnout syndrome at work is common problem in physicians at primary health care [20]. The study conducted in Great Britain included 295 physicians at primary health care. Research results showed high level of burnout syndrome with interviewed physicians, and physicians that have not been working full working time had less level of burnout syndrome at work comparing to physicians who have been working full working time [21]. Research conducted among 123 Canadian family physicians showed that 42.5% physicians have high level of stress, and 47.9% high level of emotional exhaustion and depersonalization [22]. Study conducted in Denmark was made by interviewing of 379 active family physicians. Research investigated prevalence of syndrome concerning membership in the group for Continuous medical education. Study results presented that prevalence of burnout syndrome at work with interviewed family physicians was 25%. Prevalence of burnout was significantly higher with physicians that were not members of the group for Continuous medical education [23]. Research about presence of burnout syndrome at work in health care workers in Inđija (Serbia) was conducted among 152 health care employees: 37 physicians, 88 nurses and 27 physical therapists. Research results showed that burnout syndrome at work was present in 46.7% examinees, and considering profession, syndrome was present in 23.9% physicians, 50.0% nurses and 37.0% physical therapists [24]. In the research conducted in Serbia, the level of exposure of physicians to professional stress was investigated, the level of stress in a group of general practitioners and psychiatrists and level of occurrence of the burnout syndrome was compared. Research involved 30 general practitioners from the Health care centre “dr Laza K. Lazarević“from Šabac and 30 psychiatrists from the Institute of Psychiatry of the Clinical centre of Serbia in Belgrade. Research results showed that 58% of examinees are (63% of general practitioners and 53% of psychiatrists) at high risk from burnout syndrome at work on the subscale of emotional exhaustion; 59% of examinees are (47% of general practitioners and 70% of psychiatrists) at high risk from the syndrome on the depersonalization scale, while on the scale of personal satisfaction 93% of examinees are (87% of general practitioners and 100% of psychiatrists) at low and 7% (13% of general practitioners and 0% of psychiatrists) at medium risk from burnout on the personal satisfaction scale [25]. Study conducted in Zagreb (Croatia) where there was interviewed 41 health care worker in internal medicine intensive care unit and 30 health care workers in surgery intensive care unit showed that the majority of examinees meet criteria for moderate level of burnout syndrome at work. Examinees employed in internal medicine intensive care unit expressed higher level of emotional exhaustion comparing to examinees in surgery intensive care [26].
There are numerous researches on presence of burnout syndrome at work in resident physicians. Research conducted in USA showed that syndrome is present in 50% resident physicians. Burnout syndrome at work was the most present in resident physicians from gynaecology and obstetrician (75%), and the least present in physicians at specialization from family medicine (27%) [27]. In the article „Resident Burnout“ there are summarized and published results of 15 different researches on prevalence and causes of burnout syndrome at work in resident physicians. Researches were conducted in the period from 1983 until 2004. According to researches’ results it is concluded that intensive work, limited control and disturbance of relation job-home due to numerous obligations at specialization are the most important predisposing factors for developing of the burnout in resident physicians. Studies’ results have indicated that a high level of syndrome is connected with depression and inadequate patient care [28].
Research conducted during 2011 in family medicine physicians in Republic of Srpska (Bosnia and Herzegovina) included 259 family medicine physicians employed in seven health care centres and physicians at specialization from family medicine. Prevalence of doctors with a high stress level (75.3%) was extremely high. The majority of interviewed physicians had a high (46.0%) level of emotional exhaustion, low (46.9%) level of depersonalization, low (43.1 %) level of personal satisfaction. The level of emotional exhaustion was statistically significantly higher in female examinees, while at levels of stress, depersonalization and personal satisfaction there was not statistically significant difference regarding the sex. Results of the same research showed that there is positive correlation in a stress level in general practitioners and specialists ( p=0.000), whereat specialists had more accentuated stress level compared to general practitioners. General practitioners had higher level of personal satisfaction compared to specialists, while specialists had significantly more expressed emotional exhaustion compared to general practitioners (p=0.000). At depersonalization levels, statistically significant difference between general practitioners and specialists was not found [29]. Results of the same research showed that the level of stress and emotional exhaustion is significantly higher in older physicians (>50 years of life) and with more years of service (>21 years) [30].
Research conducted in resident physicians from family medicine in Republic of Srpska presented that 59.6% of examinees had high level of stress, 25.6% high level of emotional exhaustion, 25.6% high level of depersonalization, and 42.5% low level of personal satisfaction [31]. Research results in resident physicians from family medicine in Republic of Srpska showed that marital status and number of children in the family do not have influence on level of stress and burnout syndrome at work [32].
Research in Republic of Srpska (Bosnia and Herzegovina) was conducted during 2015. in which the level of stress and burnout syndrome at work in physicians employed in hospital and family physicians has been evaluated. In this study 151 physicians participated, out of whom there were 49
Results of numerous researches conducted in the world, Europe and surrounding countries showed high level of burnout syndrome at work in physicians of all specialties. During the last fifteen years in Republic of Srpska reform in primary health care has been intensively conducted, and each reform aggravates health status of physicians and level of burnout syndrome at work is increased. Family physician is during whole working time in a direct contact with patients, burdened with a great number of patients with chronic diseases, their social and other problems for which he is not always in a possibility to find a solution. Patients often have greater expectations from a family physician then one can give, what often brings physician in a state of chronic stress. Family medicine doctors are additionally burdened with a lot of administration, lack of time to receive all patients, and in Bosnia and Herzegovina they are also significantly burdened with solving their patients’ social problems. Self-help and care about oneself is not a part of professional education of doctors and mainly takes very low place on the doctors’ priority list. These data indicate necessity of undertaking measures on prevention of stress and burnout syndrome at work.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
