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Research Article | DOI: https://doi.org/10.31579/2690-1919/451
1 Department of Food Science & Technology, Faculty of Agricultural Sciences, University of Gezira, Wad-Medani, Sudan
2 Department of Biochemistry, Faculty of Medicine. University of Gezira, Wad-Medani, Sudan.
3 Department of Food Science & Technology, Faculty of Agricultural Sciences, University of Gezira, Wad-Medani, Sudan.
4 Department of Internal Medicine, Faculty of Medicine. University of Gezira, Wad-Medani, Sudan.
5 Department of Internal Medicine, Wad-Medani Teaching Hospital, Wad-Medani, Sudan.
*Corresponding Author: Sawsan A. Omer, Department of Internal Medicine, Faculty of Medicine. University of Gezira, Wad-Medani, Sudan.
Citation: Moawya I. Y. Abdalla, Ghada T. M. Abdoun, Emad AlDean O. A. Abdallh and Sawsan A. Omer, et al, (2024), Successful Bailout of Noonan Syndrome with Obstructive Hypertrophic Cardiomyopathy During Percutaneous Intramyocardial Septal Radiofrequency Ablation, J Clinical Research and Reports, 17(3); DOI:10.31579/2690-1919/451
Copyright: © 2024, Sawsan A. Omer. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 13 November 2024 | Accepted: 27 November 2024 | Published: 26 December 2024
Keywords: anemia; nutrition; dietary habits; iron deficiency; public health; sudan
Anemia remains a significant public health concern, particularly in developing countries like Sudan. Dietary factors play a crucialrole in its etiology and prevention. This study aimed to investigate the association between dietary habits and anemia among adult patients admitted in medical wards at Wad Madani Teaching Hospital. A cross-sectional study was conducted among adult patients attending admitted in medical wards at Wad Madani Teaching Hospital during 2021-2022. Data on sociodemographic characteristics, dietary intake, and hematological parameters were collected using a structured questionnaire and laboratory investigations. The results showed that most of the respondents live in Gezira State (69.9%) and the rest, in descending order, were from Sennar (15.7%), Gadarif (11.4%), Damazin (1.4), and South Kordofan (1.4%), States. The results showed statistically significant differences when using chi-square (p<0.05) for satistical analysis of the relationship between blood test for anemia and consumption of proteins, fats, carbohydrates, minerals and vitamins 0.000, 0.000, 0.000, 0.258 and 0.258 respectively. The results showed no statistically significant relationship when using chi-square (p<0.05) for the relationship between income and consumption of proteins, fats, carbohydrates, minerals and vitamins 0.274, 0.230, 0.768, 0.729 and 0.238 respectively. It was concluded that, Individuals who consumed insufficient amounts of vitamins, proteins, minerals had a higher rate of anemia. Income does not play a major role in determining the consumption of these essential nutrients. The study recommended that well-planned diet with enough iron and vitamins can help to prevent and correct anemia.
Anemia is a major public health problem, especially in developing countries including Sudan (Benoist et al., 2008). It is common in adult and the prevalence of anemia is increasing with advancing age (Woodman et al., 2005). There is a high prevalence of anemia among adults in different regions of Sudan, which hurts health. For instance, anemia prevalence was 35.6% in Sudanese women of reproductive age,23 (36.2%) in adults in Eastern Sudan,24 and (27.6%) in adults in Central Sudan (Elmardi et al., 2020).Mohamed et al., (2011) reported that 58.4% of pregnant women were affected by anemia in Sudan. Higher education is considered as the most important factor for accelerating economic, social, and cultural development in human communities. Responding to this vital role of higher education, the government of Sudan planned for a revolution in this sector, where the number of university students increased from 38,000 to 39,8733. Out of 39, 8733 students 26, 4752 (66.4%) were enrolled in universities of Khartoum state.
Anemia is a serious global public health problem that particularly affects young children, menstruating adolescent girls and women, and pregnant and postpartum women. WHO in 2023 estimates that 40% of children 6–59 months of age, 37% of pregnant women, and 30% of women 15–49 years of age worldwide are anemic.
Anemia may be caused by several factors: nutrient deficiencies through inadequate diets or inadequate absorption of nutrients, infections (e.g. malaria, parasitic infections, tuberculosis and HIV), inflammation, chronic diseases, gynecological and obstetric conditions, and inherited RBC disorders. The most common nutritional cause of anemia is iron deficiency, although deficiencies in folic acid, vitamins B12 and A are also important causes. The WHO regions of Africa and south-east Asia are most affected with an estimated 106 million women and 103 million children affected by anemia in Africa and 244 million women and 83 million children affected in south-east Asia (WHO, 2023).
Due to the increase in the prevalence of anemia among peoples in Sudan and the lack of studies in this field, this was an initial step to conduct this research that includes studying the nutritional causes of anemia, in order to follow a diet containing iron, vitamins, minerals, carbohydrates, and folic acid to find a way to reduce the prevalence of anemia. The general objective of this research is to study the role of diets in prevalence of anemia among Sudanese adults in Wad-Medani, Gezira state, Sudan.
Site of study
This study was conducted at Wad Madani Teaching Hospital – in patients admitted to medical wards- in Wad-Medani city were targeted for the year (2021 - 2022), Gezira state, Sudan.
Population of study
All patients at Wad-Medani admitted in medical wards during the study period were included in a cross-sectional study to investigate the association between dietary habits and anemia among adult males and females’ patients over 18 years of age.
Inclusion and exclusion criteria
All cases that matched the study specifications and were confirmed to have anemia in medical wards at Wad-Medani Teaching Hospital during the year (2021-2022) were selected, and cases with any other type of diseases causing anemia and cases with hereditary anemia were excluded.
Questionnaire designing and applying
A questionnaire was administered about the potential risk factors for anemia, and the participants were interviewed at internal medicine wards at Wad-Medani Teaching Hospital after confirmation of diagnosis of anemia, and questions were asked in the local language. The questionnaire was designed and the interview was conducted within 20 minutes for each patient. The questionnaire consists of four parts, the first part is personal information, the second part is information about the disease, the third part is the diet before the disease, and the fourth part is the diet after the disease. This is in order to compare the diet before and after having anemia. The questionnaire also included other questions about nutritional habits, lifestyle, medical history, physical activity, dietary pattern, and family history of the disease. Food frequency questions were used to determine the amount and type of carbohydrates, proteins, fats, minerals, and different types of vitamins consumed for each food. A commonly used unit or volume is a specific size, slice, cup, or natural unit such as one apple. The total number of cases was 240 patients, and a sample of 150 was taken according to the formula for calculating the sample size. Due to the fact that some people left out and all the data was not available, there were missing values, so the sample size equals 140. Ethical approval was obtained from the Ministry of Health in Gezira State and Faculty of Agricultural Science ethical committee for the purpose of conducting the research as well as informed verbal consent from all participants. A group of (n = 140) agreed to participate in the questionnaire and provided nutritional information about their diet pattern before and after developing anemia. Laboratory chemical measurements were also performed for percentage of hemoglobin in the blood, iron and vitamin deficiency, and sickle cell anemia.
Statistical analysis
The amount of protein, fat, carbohydrates, minerals and vitamins was calculated individually and compared to the amounts consumed for each case. Differences between the means of individuals were determined through analysis of variance (ANOVA) and correlation. The relative risks of poverty were determined by comparison with these variables, measures of central tendency, standard deviation, percentage tables, F-test and Chi squarer were used in data analysis. Statistical analyzes were performed using the statistical software Statistical Package for the Social Sciences (SPSS) version 22.
Demographic characteristics of respondents
The study showed, as in Table (1), that more than half of the respondents (51.4%) were married and about a third (30%) of them were unmarried, while the percentage of widows and divorcees was (15.7%) and (2.9%) respectively. The study also showed that about two-thirds of the respondents were of average income, more than a quarter of them were of low income and (12.9%) were of sufficient income. The results of the study Table (1) showed that most of the respondents live in Gezira State (69.9%) and the rest, in descending order, are from Sennar (15.7%), Gadarif (11.4%), Damazin (1.4%), and Kordofan (1.4%), States. This is due to the presence of the hospital in Gezira State. The economic incomes also varied from middle income (61.4) to low income (25.7) and sufficient income (12.9), a natural reflection of their occupation of agriculture and marginal work, which may negatively affect their nutritional awareness and expose them to diet-related anemia. According to Silvia et al., (2022) in Brazil, their results was similar to our current study, as they reported that poverty was a reality for 39.7% of individuals. A positive correlation between hemoglobin levels and per capita income was found. Nowaj et al., in India (2023), their results were unlike this study. They found that among all variables, economic status dominantly controls the anemia level in all social groups. Anemia prevalence of the poor and poorest group of general women were much worse than the women of richer and richest groups.
| Items | State | Town | Percent |
| Residence | Gezira | Wad Medani | 35.7 |
| ELHasahiesa | 17.1 | ||
| ALManagel | 17.1 | ||
| Sinnar | Sinnar | 15.7 | |
| ALGadarif | ALGadarif | 11.4 | |
| South Kordofan | Babanosa | 1.4 | |
| ALDamazin | ALDamazin | 1.4 | |
| Total | 100.0 | ||
| Categories | |||
| Social status | Married | 51.4 | |
| Single | 30.0 | ||
| Divorced | 2.9 | ||
| Widow/er | 15.7 | ||
| Total | 100.0 | ||
| Income | low | 25.7 | |
| Average | 61.4 | ||
| Adequate | 12.9 | ||
| Total | 100.0 | ||
Table 1: Distribution of respondents according to their demographic characteristics: residence, social status and income. (n=140)
The association between income and nutrients intake
In Table (2), the results reported that none of the nutrients showed a significant association with income, as all of the significance (p<0>et al., in South Korea (2021) their results support our current study, as they reported that in their study investigated the association between household income quintile and nutrient intake using data from KNHANES 2019. A total of 5088 South Korean adults were analyzed. Their results were on the contrary with or present study, reported that some nutrients are not consumed appropriately in the Korean population. Furthermore, they suggest that household income is significantly associated with the intake of overall minerals and several individual nutrients. These results suggest that nutritional assistance is required for certain vulnerable groups, and provide supplementary data for appropriate interventions or further research. According to Silvia et al., (2022) in Brazil, revealed that poverty was a reality for 39.7% of individuals. A positive correlation between hemoglobin levels and per capita income was found as well as a negative correlation with EBIA scores and cardiovascular risk. Nowaj et al., in India (2023), their results disagree with our current study, as they reported that in their study. They found that among all variables, economic status dominantly controls the anemia level in all social groups. Anemia prevalence of the poor and poorest group of general women were much worse than the women of richer and richest groups of SC and ST, OBC.
| Source of Variation | Sum of Squares | Df | Mean Square | F | Sig. | |
| Protein | Between Groups | 0.621 | 2 | 0.310 | 1.289 | .279 |
| Within Groups | 32.979 | 137 | 0.241 | |||
| Total | 33.600 | 139 | ||||
| Fat | Between Groups | 0.926 | 2 | 0.463 | 1.774 | .174 |
| Within Groups | 35.760 | 137 | 0.261 | |||
| Total | 36.686 | 139 | ||||
| Carbo-hydrate | Between Groups | 0.022 | 2 | 0.011 | 0.040 | .961 |
| Within Groups | 38.264 | 137 | 0.279 | |||
| Total | 38.286 | 139 | ||||
| Mineral | Between Groups | 0.071 | 2 | 0.035 | 0.310 | .734 |
| Within Groups | 15.615 | 137 | 0.114 | |||
| Total | 15.686 | 139 | ||||
| Vitamin | Between Groups | 0.290 | 2 | 0.145 | 1.433 | .242 |
| Within Groups | 13.881 | 137 | 0.101 | |||
| Total | 14.171 | 139 | ||||
Table 2: ANOVA table for association of proteins, fats, carbohydrates, minerals, vitamins, with income.
| Items | Scale | Low income | Median income | Adequate income | p- value, sig. Chi-square | |||
| % | ||||||||
| Protein | Weak | 12.8 | 40 | 7.1 | .274 | |||
| Adequate | 12.8% | 21.4% | 9.6% | |||||
| Total | 25.7% | 61.4% | 12.8% | |||||
| Fat | Weak | 18.5% | 40% | 9.6% | .230 | |||
| Adequate | 7.1% | 20% | 7.1% | |||||
| More | 0.0% | 1.4% | 1.2% | |||||
| Total | 25.7% | 4.3% | 12.8% | |||||
| Carbohydrate | Weak | 14.2% | 37.1% | 7.1% | .768 | |||
| Adequate | 11.4% | 22.8% | 9.6% | |||||
| More | 0.0% | 1.4% | 0.0% | |||||
| Total | 25.7% | 61.4% | 12.8% | |||||
| Mineral | Weak | 21.4% | 54.2% | 11.4% | .729 | |||
| Adequate | 4.3% | 7.1% | 1.2% | |||||
| Total | 25.7% | 61.4% | 20% | |||||
Vitamin
| Weak | 22.8% | 52.8% | 12.8% | .238 | |||
| Adequate | 4.8% | 8.6% | 0.0% | |||||
| Total | 25.7% | 61.4% | 12.8% | |||||
| *P-value considered significant at equal or less than 0.05 | ||||||||
Table 3: Association of Proteins, Fats, carbohydrates, Minerals and Vitamins with income. (n=140)
The association between social status and nutrients intake
Table (4) showed the statistical analysis of the F test by using analysis of variance (ANOVA) showed that the results for proteins; fats; carbohydrate and minerals the sum of squares of differences between and groups were (2.351; 0.846; 1.934 and 0.280), respectively, resulting in an average difference between their squares of (0.784; 0.282; 0.645 and .093). The calculated F value was recorded as (3.41; 1.070; 2.412 and 0.825) at a probability level (P < 0 href="https://pubmed.ncbi.nlm.nih.gov/?term=Sharif+N&cauthor_id=36730352">Nowaj et al., in India (2023), their results agree with our current study, as they reported that in their study. They found that among all variables,
economic status dominantly controls the anemia level in all social groups. Anemia prevalence of the poor and poorest group of general women were much worse than the women of richer and richest groups of SC&ST, OBC. The odds of women having anemia were lower among higher educated and urban women as compared to the non-educated and rural women, irrespective of social group. The prevalence of anemia decreases with increased age of women and increases with the number of child bearing. All differences were statistically significant. In a study similar to our current study in Sudan, Mohammed et al., (2011) reported that the incidence of anemia among pregnant women was 58.4%. Higher education is considered the most important factor compared to other factors such as economic, social and cultural factors in human societies. Sadiq et al., in Iraq (2023) Children of married mothers are more affected by anemia. Families with high overcrowding showed the lowest rate of HB. They experienced low socioeconomic status as a result. The degree of anemia was significantly correlated with the child’s age, residence, mother’s educational level, father’s job, and socioeconomic position. Their results are consistent with the current findings.In his study in (2011) Milliman, indicated that despite all the recent social and economic developments and health-related improvements, anemia remains a widespread global public health problem affecting individuals at any stage of life in both developing and developed countries, causing serious effects on quality of life, morbidity and mortality. His results are consistent with the current findings.
| ANOVA | ||||||
| Sum of Squares | Df | Mean Square | F | Sig. | ||
| Protein | Between Groups | 2.351 | 3 | .784 | 3.411 | .019 |
| Within Groups | 31.249 | 136 | .230 | |||
| Total | 33.600 | 139 | ||||
| Fat | Between Groups | .846 | 3 | .282 | 1.070 | .364 |
| Within Groups | 35.840 | 136 | .264 | |||
| Total | 36.686 | 139 | ||||
| Carbo-hydrate | Between Groups | 1.934 | 3 | .645 | 2.412 | .069 |
| Within Groups | 36.351 | 136 | .267 | |||
| Total | 38.286 | 139 | ||||
| Mineral | Between Groups | .280 | 3 | .093 | .825 | .482 |
| Within Groups | 15.405 | 136 | .113 | |||
| Total | 15.686 | 139 | ||||
| Vitamin | Between Groups | .123 | 3 | .041 | .397 | .755 |
| Within Groups | 14.048 | 136 | .103 | |||
| Total | 14.171 | 139 | ||||
| *If Fcal. is equal or greater than Ftab., the differences consider significant at P<0> | ||||||
Table 4: Association of Proteins, Fats, carbohydrates, Minerals, Vitamins, with social status. (n=140)
The association between nutrients intake with blood test before and after test of anemia.
In table (5) the results showed that there were statistically significant differences when using chi-square (p<0>
The findings are in concordance with the previous studies. According to Rathi et al., (2021), inadequate dietary intake, poor nutritional status, heavy smoking, and alcohol consumption are associated with the risk of anemia. Dietary patterns with high intakes of eggs, meat, organ meats, rice or flour products, fried foods, sugary beverages, and processed foods significantly increased the risk of anemia, and was associated with decreased hemoglobin, hematocrit, and red blood cells, but increased white blood cells and C-reactive protein levels. Moreover, current alcohol drinkers, as well as people who were underweight, overweight, obese, and central obese, were more likely to increase their risk of anemia by 46%, 20%, 23%, 34%, and 28%, respectively. Fishman, (2014) reported that vitamin A can improve haematological indicators and enhance the efficacy of iron supplementation. Both folate and vitamin B12 can prevent and correct megaloblastic anemia, this is consistent with our present study which found that there was significant association between carbohydrate and vitamin intake and anemia. Before the test, 54.3% of respondents had very low blood tests results, 32.9% had weak results, and 12.8% had normal results. After the test, there was a significant improvement, with only 12.8% having very weak results, 72.9% having weak results, and 14.3% having normal results. The association between blood test results for vitamins and anemia was highly significant (p<0>
| Items | Scale | Before Anemia | After Anemia | p- value, sig Chi-square | |
| % | % | ||||
| Protein | Weak | 60 | 0.0 | .000 | |
| Adequate | 40 | 58.6 | |||
| More | 0 | 41.4 | |||
| Total | 100 | 100 | |||
| Fat | Weak | 64.3 | 10 | .000 | |
| Adequate | 34.3 | 87.2 | |||
| More | 1.4 | 2.8 | |||
| Total | 100 | 100 | |||
| Mineral | Weak | 87.2 | 45.7 | .000 | |
| Adequate | 12.8 | 54.3 | |||
| Total | 100 | 100 | |||
Carbo- hydrate
| Weak | 58.6 | 61.4 | .258 | |
| Adequate | 40 | 34.3 | |||
| More | 1.4 | 4.2 | |||
| Total | 100 | 100 | |||
| Vitamin | Weak | 88.6 | 52.9 | .258 | |
| Adequate | 11.4 | 47.1 | |||
| Total | 100 | 100 | |||
| *P-value considered significant at equal or less than 0.05 | |||||
Table 5: Association of Proteins, Fats, carbohydrates, Minerals, Vitamins and blood test before and after test of anemia.
Based on the results, the study concluded that, individuals who consumed insufficient amounts of vitamins had a higher rate of anemia due to chronic diseases compared to those who consumed adequate amounts of vitamins. Income does not play a major role in determining the consumption of these essential nutrients.
Recommendations
Based on the study and the obtained results, the followings are recommended:
Acknowledgement
The authors would like to thank the department of Food Science in the Faculty of Agricultural sciences, University of Gezira. Thanks, extended to all the participants from Wad-Medani Teaching Hospital for their collaboration as well as the hospital administrators.
Disclosure of conflict of interest
All authors have no conflict of interest
Ethical approval
Ethical approval was obtained from the Ministry of Health in Gezira State and the Faculty of Agricultural sciences, University of Gezira ethical committee for the purpose of implementing the study as well as informed verbal consent from all participants
Funding
The Authors and participants did not receive any type of funding.
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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.
