Research Article | DOI: https://doi.org/10.31579/2690-1919/639
1Inter-university Laboratory of Human Movement Biology (LIBM EA 7424), Université Lyon 1, Villeurbanne, France
2Ramsay Santé, Clinique de la Sauvegarde, Lyon, France
3Balneo Des Maisons Neuves, Charvieux-Chavagneux, France
4Orthopedic Surgery Department, Lyon Ortho Clinic, Clinique de la Sauvegarde, Lyon, France
*Corresponding Author: Benoit Pairot de Fontenay., Inter-university Laboratory of Human Movement Biology (LIBM EA 7424), Université Lyon 1, Villeurbanne, France
Citation: Benoit Pairot de Fontenay, Oriane Satin, Iacopo Romandini, Nicolas Cance, Guillaume Demey, et al, (2026), Anterior Tibial Translation Under Axial Load: Distribution of Preoperative Values and Effect of Early Versus Delayed Weight-Bearing After Anterior Cruciate Ligament Reconstruction, J Clinical Research and Reports, 24(2); DOI:10.31579/2690-1919/639
Copyright: © 2026, Benoit Pairot de Fontenay. 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: 04 June 2026 | Accepted: 16 June 2026 | Published: 25 June 2026
Keywords: laxity; rehabilitation; anterior translation; healing; loading
Background/Aim: Static anterior tibial translation (SATT) is a functionally relevant measure of anteroposterior knee laxity following anterior cruciate ligament reconstruction (ACL-R). While early weight-bearing (EWB) is widely recommended postoperatively, its impact on graft integration in patients with elevated preoperative SATT remains unclear. This study aimed to (1) describe the distribution of preoperative SATT, dynamic anterior tibial translation (DATT), and posterior tibial slope (PTS); (2) assess their interrelationships; and (3) evaluate the effect of EWB versus delayed weight-bearing (DWB) on postoperative SATT and DATT in patients with high preoperative SATT.
Materials and Methods: A retrospective analysis was conducted on 206 patients who underwent ACL-R between 2017 and 2021. Radiographic measurement of PTS was obtained preoperatively, and those of SATT and DATT were obtained pre- and postoperatively. Patients with preoperative SATT ≥4mm were stratified into EWB and DWB groups. Statistical analyses included ANOVA and mixed-model comparisons to assess group differences and temporal evolution.
Results: Preoperative SATT ranged from -7.6mm to 11mm. PTS (p < 0.001), but not DATT (p = 0.133), differed based on preoperative SATT values. Among patients with elevated SATT (≥ 4mm), both SATT and DATT decreased significantly postoperatively (p < 0.001), with no significant interaction between weight-bearing protocol and time. However, overall SATT values differed between EWB and DWB groups (p < 0.001), likely reflecting baseline differences.
Conclusion: PTS but not DATT is associated with SATT, supporting the distinct biomechanical relevance of SATT and DATT. In patients with high preoperative SATT, both EWB and DWB protocols led to significant reductions in laxity, suggesting that EWB may be a safe strategy post-ACL-R, even in cases of pronounced preoperative SATT.
Following anterior cruciate ligament (ACL) rupture, surgical reconstruction aims to restore knee joint stability, with particular emphasis on anteroposterior control (Duthon et al., 2008). In the early postoperative phase, graft integration at both tibial and femoral insertion sites is critical, as it directly influences the reduction of anteroposterior laxity (Moretti et al., 2022). Promoting high-quality graft incorporation is therefore considered a key short-term objective following ACL reconstruction (ACL-R) (Moretti et al., 2022).
Anteroposterior knee stability is commonly quantified by measuring anterior tibial translation (ATT) (H. Dejour & Bonnin, 1994). This is most frequently assessed under dynamic conditions (DATT), as described by Pugh et al. (Pugh et al., 2009). In a study by Dejour et al. (D. Dejour et al., 2019b), the mean preoperative DATT difference between injured and contralateral knees was 5.7mm, which decreased to 2.7mm postoperatively. Although residual postoperative DATT does not necessarily impair functional recovery, it has been associated with an increased risk of reinjury (Cristiani et al., 2019; Fiil et al., 2022; Frobell et al., 2010).
ATT can also be assessed under axial load, know as static ATT (SATT), a less commonly used but functionally relevant measure (Mazy et al., 2025; Pineda et al., 2024; Romandini et al., 2023a). SATT accounts for the axial forces acting on the knee during monopodal weight-bearing, which influences anteroposterior laxity. It is measured via a true lateral radiograph taken in single-leg stance with the knee flexed to 20° (H. Dejour & Bonnin, 1994). In ACL-deficient knees, SATT averages 2.6mm (D. Dejour et al., 2019a), though values range widely from - 4.9mm to 14mm, primarily influenced by posterior tibial slope (PTS). Notably, elevated preoperative SATT values tend to persist postoperatively (D. Dejour et al., 2019b).
Current rehabilitation guidelines advocate for early weight-bearing following ACL-R (Kotsifaki et al., 2023), yet they do not consider preoperative SATT values (Basri Sezer et al., 2021). This raises concern that, in patients with high preoperative SATT, early weight-bearing may compromise graft incorporation and hinder the reduction of anteroposterior laxity under load-bearing conditions.
To date, limited data exist on the variability of SATT measured via radiography after ACL rupture. Further investigation into how DATT and PTS evolve in relation to SATT could help validate previously observed associations (D. Dejour et al., 2019a).
Moreover, it remains unclear whether patients with elevated preoperative SATT might benefit from delayed weight-bearing to promote greater postoperative reduction in SATT.
The primary objective of this study is to describe preoperative SATT, DATT, and PTS values. The secondary objective is to evaluate, in patients with elevated preoperative SATT, the impact of postoperative weight-bearing timing (early versus delayed) on the evolution of SATT and DATT following ACL-R. We hypothesize that delayed weight-bearing will result in greater reductions in SATT and DATT among patients with elevated preoperative SATT.
Ethics
All patients provided informed consent for the use of their data for research, and the study was approved by the ethical board (Scientific Board of Ramsay Santé, France) under the reference number COS-RGDS-2020-03-006-DEJOUR-D.
Study Design and Eligibility Criteria
This retrospective study reviewed all patients who underwent ACL-R between January 2017 and December 2021. Inclusion criteria were: (1) age over 15 years; [2] ACL-R using a hamstring tendon graft; and (3) available weight-bearing lateral knee x-rays (true lateral view with the 2 condyles overlapping) obtained preoperatively and postoperatively (performed between 5 and 12 months after surgery).
Exclusion criteria were: [1] revision ACL-R; [2] injury to the contralateral ACL; [3] associated procedures such as extra-articular tenodesis (modified Lemaire technique); and (4) osteotomy.
Study Population
Of the 623 patients initially assessed for eligibility, 206 patients fulfilled all inclusion/exclusion criteria and were included in the study (Figure 1).
Figure 1: Flowchart of included patients
X-ray Measurements
All patients underwent both pre- and post- surgery radiographic evaluation in the same institution and radiology department. SATT and PTS were measured on a true lateral x-ray of the knee in single-leg stance at 20° of flexion. SATT was defined as the distance between two parallel lines drawn on the x-ray: the first line was parallel to the posterior tibial cortex and tangent to the posterior aspect of the medial tibial plateau, and the second to the posterior medial femoral condyles (D. Dejour et al., 2017, 2019a). SATT was measured on the injured side. A positive value indicates forward displacement of the tibia, while a negative value indicates backward displacement.
PTS was defined as the angle between a line perpendicular to the tibial diaphysis and a line tangent to the anterior and posterior edges of the medial tibial plateau (Brazier et al., 1996; H. Dejour & Bonnin, 1994) (Figure 2a).
DATT was measured using Telos dynamic stress x-rays with a standardised anterior force of 150 N applied to the tibia. The distance between the tangent to the posterior aspect of the medial tibial plateau parallel to the posterior tibial cortex and a tangent to the medial femoral condyle was measured on both the injured and healthy contralateral knees. DATT was defined as the difference between these two values, with greater values indicating increased anterior laxity on the injured side (Figure 2b) (Panisset et al., 2012).
All measurements were performed using Horos DICOM viewer software (version 3.3.6), and excellent reliability of these methods has been previously reported (Pineda et al., 2024).
Figure 2 : a) Lateral right knee radiograph demonstrating Posterior Tibial Slope (PTS). Measurement of PTS in monopodal WB x-rays. PTS is the angle formed between a line (B) perpendicular to the tibial diaphyseal axis (A) and the line (C) tangent to the most superior points at the anterior and posterior edges of the medial plateau; b) Lateral right knee radiograph demonstrating Static Anterior Tibial Translation (SATT). Measurement of SATT in monopodal WB x-rays. The posterior tibial cortex is the reference (line A). Two lines are traced parallel to line A and. tangent to posterior part of the medial plateau (line B) and medial femoral condyle (line C). SATT is the distance between line B and C
Surgical Technique
All surgeries were performed by two senior orthopedic surgeons (DD and GD) of the same orthopedic department. All ACL-R were performed under general anesthesia with the application of a pneumatic thigh tourniquet. Intraoperatively, the condition of the menisci and ligaments was confirmed via direct visualization and probe palpation.
When meniscal lesions were present, appropriate treatment was undertaken. Tears in the red-red or red-white zones were repaired using all-inside suture. For posterior root tears, a transosseous repair was performed. Meniscectomy was reserved for non-suturable tears.
Hamstring autografts from semitendinosus and/or gracilis tendons were harvested. The graft was prepared either as a two-strand construct (semitendinosus and gracilis) or as a four-strand semitendinosus-only graft (ST4).
The femoral tunnel was created using an outside-in technique, and the tibial tunnel was drilled with an angle of 60°. The graft was then passed from tibia to femur and secured using interference screws or a Pullup fixation device.
Postoperative Rehabilitation
From 2017 to 2019, patients with a radial or posterior root meniscal tear followed a delayed weight-bearing protocol (no loading for 21 days). From 2019 to 2021, patients presenting with a PTS ≥ 12°, preoperative SATT ≥ 5mm, and/or a radial or posterior root meniscal tear followed a delayed weight-bearing protocol (no loading for 21 days). All other patients were allowed to progressively resume weight-bearing immediately after surgery.
Apart from the difference in weight-bearing timing, both groups underwent the same structured physiotherapy regimen beginning immediately postoperatively, based on national rehabilitation guidelines (HAS, 2008). The rehabilitation was divided into four progressive phases:
First phase (0 to ~45 days post-op): Early Protective Phase
A non-aggressive rehabilitation protocol was implemented, focusing on: 1) Reduction of inflammation, 2) Muscle activation, and 3) Restoration of range of motion (particularly full knee extension to 0°).
Patients in the early weight-bearing group (EWB) were allowed to begin gait re-education using two crutches from the outset. In contrast, those in the delayed weight-bearing group (DWB) began gait training only after the initial 3-week non-weight-bearing period.
Second phase (Day 45 to Month 3): Autonomy Phase
This phase aimed to establish functional independence with goals including: 1) Improved neuromuscular control, 2) Further range of motion gains, and 3) Progression to unilateral and symmetrical bilateral weight-bearing.
Third phase (Month 3 to Month 6): Strengthening and return to sport Phase
Focused on restoring physical performance capabilities through: 1) Development of muscular endurance and strength, 2) Active joint stabilisation under load, 3) Achievement of full joint mobility, and 4) Initiation of running and jumping tasks.
Phase 4 (Month 6 to Month 9): Sport-Specific Training Phase
This final stage was tailored to the patient’s sport and performance level, with emphasis on: 1) Increased workload tolerance, 2) Optimization of landing strategies, 3) Improved confidence and stability during directional changes, and 4) Equalization of strength and explosiveness between limbs.
We analysed the distribution of preoperative SATT, DATT and PTS across all included subjects. To evaluate how preoperative DATT and PTS differ based on the distribution of the preoperative SATT, we conducted two one-way analyses of variance (ANOVA). The fixed factor was the preoperative SATT value divided by quartile (less than sign Q1, Q1less than or equal to SATT less than sign Q2, Q2less than or equal to SATT less than sign Q3 and greater than or equal to Q3). Post-hoc tests were performed if a significant factor effect (SATT quartiles) was found (p less than sign 0.05).
For the second objective of this study, we defined a high SATT as any value at or above the third quartile (greater than or equal to Q3). Based on this threshold, patients with elevated SATT (greater than or equal to Q3) were selected for sub analysis. These patients were categorised according to their postoperative weight-bearing instructions: EWB versus DWB. Preoperative characteristics were compared between the two groups using chi-square tests for categorical variables and Student's t-tests for continuous variables.
To evaluate the effect of early versus delayed weight-bearing on SATT evolution, a two-way mixed ANOVA was conducted. The within-subject factor was TIME (preoperative vs. postoperative), and the between-subject factor was GROUP (DWB vs. EWB).
All statistical analyses were performed using JASP software (version 0.14.1.0), with the significance level set at p less than sign 0.05.
Distribution of preoperative SATT, DATT and PTS
The mean preoperative SATT, DATT and PTS were 2.2 ± 3.5mm, 4.6 ± 4.0mm, and 9.2 ± 2.8°, respectively. All distribution data are summarized in Table 1 and Figure 3.
| Minimum | Q1 | Median | Mean | Q3 | Maximum | |
| Preoperative SATT (mm) | -7.6 | 0.0 | 2.0 | 2.2 | 4.0 | 11.0 |
| Preoperative DATT (mm) | -6.3 | 3.0 | 5.0 | 4.6 | 7.0 | 15 |
| PTS (°) | 1.0 | 7.0 | 9.5 | 9.2 | 11.0 | 17.0 |
Q1: first quartile; Q3: third quartile.
Table 1: Distribution of preoperative value of static anterior tibial translation (SATT) and dynamic anterior tibial translation (DATT), and posterior tibial slope (PTS).
Figure 3: Preoperative (PRE-OP) distribution of static anterior tibial translation (SATT) and dynamic anterior tibial translation (DATT), and posterior tibial slope (PTS)
Relationship between preoperative SATT and preoperative DATT and PTS
For DATT, there was no significant difference based on the distribution of SATT (p=0.133).
For PTS, there was a significant difference based on the distribution of SATT (p less than sign 0.001). Post-hoc tests found significant differences in PTS between SATT Q1 and Q2/Q3/Q4 (pless than sign 0.001, p less than sign 0.002 and p less than sign 0.001, respectively). Significant difference between Q2 and Q4 (pless than sign 0.01), and between Q3 and Q4 (p less than sign 0.01) were also found. All results are presented in Table 2.
| PRE-OP SATT (mm) | PRE-OP DATT (mm) | PTS (°) |
| Q1 (<0> | 5.0 ± 3.4 | 6.9 ± 2.6 |
| Q2 (0.0≤SATT<2> | 4.1 ± 4.7 | 9.1 ± 2.4† |
| Q3 (2.0≤SATT<4> | 3.9 ± 3.7 | 9.0 ± 3.0† |
| Q4 (≥4.0) | 5.4 ± 3.8 | 10.7 ± 2.3†,ŧ,¥ |
†: significant difference with Q1; ŧ: significant difference with Q2; ¥: significant difference with Q3.
High preoperative SATT Population and Group Comparisons
Based on the established threshold, we identified a cohort of 62 patients with elevated preoperative SATT (≥4mm). Among these, 30 patients underwent EWB, while 32 followed a DWB protocol. All baseline characteristics of the two groups are detailed in Table 3.
| DWB group | EWB group | |
| n | 32 | 30 |
| Age | 33.5±11.7 (16.3 – 56.7) | 32.1±12.1 (17.5 – 57.2) |
| Gender | ||
| Female | 15 | 17 |
| Male | 17 | 13 |
| Operated side | ||
| Right | 16 | 15 |
| Left | 16 | 15 |
| Graft | ||
| SG | 18 | 20 |
| ST4 | 14 | 10 |
| Concurrent meniscal surgery | ||
| No | 16 | 16 |
| Medial | 12 | 9 |
| Lateral | 10 | 8 |
Effect of Early vs. Delayed Weight-Bearing
Descriptive data for PTS, pre- post- operative SATT and DATT are reported in Table 4. For SATT, results from the two-way mixed ANOVA indicated no significant interaction between TIME (pre- vs. postoperative) and GROUP (EWB vs. DWB; p = 0.288). However, there
was a significant main effect of TIME (p < 0 href="https://en.wikipedia.org/wiki/Less-than_sign">less than sign 0.001) reflecting an overall difference in SATT magnitude between EWB and DWB (Figure 4).
Figure 4: Preoperative (PREOP) and postoperative (POSTOP) SATT for EWB and DWB groups. SATT: static anterior tibial translation; EWB: early weight-bearing; DWB: delayed weight-bearing.
| DWB group (n= 32) | EWB group (n= 30) | |
| PTS (°) | 11.6 ± 2.5 (5 – 16)* | 9.7 ± 1.8 (5 – 13)* |
| Preoperative SATT (mm) | 6.9 ± 2 (4 - 11)* | 5.4 ± 1.8 (4 – 10)* |
| Preoperative DATT (mm) | 5.7 ± 4.5 (-6.3 – 15) | 5.1 ± 2.8 (-0.3 – 11) |
| Postoperative SATT (mm) | 5.1 ± 2.4 (0.0 – 10.4)* | 2.9 ± 1.9 (0.0 – 7.1)* |
| Postoperative DATT (mm) | 2.4 ± 4.0 (-4.6 – 8.8) | 1.8 ± 3.7 (-7.0 – 8.0) |
*: Statistical significant difference between groups (p <0>
Table 4: Posterior tibial slope (PTS) values, pre- and postoperative values of static anterior tibial translation (SATT) and dynamic anterior tibial translation (DATT) for early (EWB) and delayed (DWB) weight-bearing groups.
For DATT, results from the two-way mixed ANOVA indicated no significant interaction between TIME (pre- vs. postoperative) and GROUP (EWB vs. DWB; p = 0.978). However, there was a significant main effect of TIME (p < 0>
Figure 5: Preoperative (PRE-OP) and postoperative (POST-OP) DATT for EWB and DWB groups. DATT: dynamic anterior tibial translation; EWB: early weight-bearing; DWB: delayed weight-bearing.
The most important finding of this study is that SATT distribution is associated with PTS values but not with DATT values. SATT and DATT decrease significantly postoperatively, but the weight-bearing protocol does not appear to impact this decrease.
Analysis of preoperative SATT values revealed substantial variability, ranging from -7.6mm to 11mm. Notably, 15.6% of patients exhibited negative SATT values, indicative of posterior tibial translation, contrary to classical biomechanical models that predict anterior tibial shift under axial loading in ACL-deficient knees. This apparent paradox may be attributed to factors such as PTS and the presence or absence of medial meniscal lesions, both of which are known to influence knee laxity following ACL injury (D. Dejour et al., 2019a).
Additionally, the potential contribution of hamstring activation during weight-bearing, particularly in patients experiencing pain, cannot be excluded. This muscular engagement may elicit a posterior shift of the tibia relative to the femur, thereby affecting SATT measurements (MacWilliams et al., 1999).
DATT values also demonstrated considerable variability. However, when stratified by SATT distribution, no significant differences were observed. This finding supports the interpretation that SATT and DATT are distinct yet complementary measures of anteroposterior laxity in ACL-deficient knees (H. Dejour & Bonnin, 1994). In contrast, a clear association was identified between elevated SATT values and increased PTS, consistent with previous research (D. Dejour et al., 2019a).
In patients presenting with elevated preoperative SATT (≥4mm), we investigated whether the timing of weight-bearing initiation, early versus delayed, impacted the reduction of SATT following ACL-R. Contrary to our initial hypothesis, the findings revealed no effect of the weight-bearing protocol after ACL-R for both SATT and DATT. This suggests that, even in cases of pronounced preoperative anterior tibial translation, the evolution of SATT and DATT post-surgery is not significantly influenced by the weight-bearing strategy employed.
In the delayed weight-bearing group, patients were instructed to avoid loading the operated limb for 21 days postoperatively. Conversely, patients in the early weight-bearing group were permitted to bear weight as tolerated, guided primarily by postoperative pain levels. Pain, particularly during stance and gait, often acts as a natural limiter of axial loading in the early postoperative phase (Lutz et al., 2016). Whereas we did not monitor effective loading, this suggests that the mechanical loading difference between the two groups may have been minimal during the initial recovery period, potentially accounting for the absence of significant differences in SATT reduction over time.
Our findings diverge from those previously reported by our group (Romandini et al., 2023b). However, a key methodological distinction in the present study lies in the targeted inclusion of patients with a preoperative SATT ≥4mm across both early and delayed weight-bearing groups. This deliberate selection enhances the internal validity and robustness of the comparison and may explain the observed discrepancy in outcomes.
Animal studies investigating the impact of weight-bearing on postoperative outcomes suggest that progressive loading yields superior results compared to either immediate return to high-impact activities or prolonged immobilization (Camp et al., 2017). However, evidence from human studies remains limited. Tyler et al. (Tyler et al., 1998) reported no significant effect of early weight-bearing on postoperative DATT, while Tajima et al. (Tajima et al., 2019) found no differences in functional scores, DATT, Tegner activity scale, or muscle recovery between early and delayed weight-bearing groups following ACL-R.
Current clinical guidelines advocate for early weight-bearing after ACL-R to promote recovery (Kotsifaki et al., 2023). Our findings, derived from a cohort specifically selected for elevated preoperative SATT, align with these recommendations and reinforce the notion that early weight-bearing may be appropriate regardless of initial SATT values. As emphasized in existing guidelines, early weight-bearing should be introduced progressively and in a controlled manner, tailored to patient tolerance and any concomitant surgical procedures (e.g., vertical meniscal tear repair) (Kotsifaki et al., 2023).
This study has several strengths. First, we included patients with a pre-operative SATT ≥ 4mm for both the early and delayed weight-bearing groups. This enhanced the internal validity and robustness of our comparisons. Second, surgeries were performed by only two senior orthopedic surgeons from the same orthopedic department. Additionally, all pre- and post-surgery radiographic evaluations were conducted in the exact same institution and radiology department. This minimizes procedural and evaluative variability.
We must also aknowlege several limitations. First, its retrospective design introduces potential bias. Group allocation to early weight-bearing or delayed weight-bearing was not based on a preoperative SATT ≥4mm. Instead, delayed weight-bearing was protocolized for patients with an SATT ≥5mm, a posterior tibial slope ≥12° from 2019, and/or a radial or posterior root meniscal tear (Romandini et al., 2023b). Consequently, treatment protocol may have influenced the outcomes. Nonetheless, the number of meniscal procedures and preoperative DATT did not differ significantly between groups, mitigating concerns about major confounding. Second, the reliability of SATT measurement on one x-ray is high (Pineda et al., 2024), however, reliability of SATT between two x-rays for the same patient (e.g. one week apart) has not been evaluated.
In this cohort of ACL-deficient patients, PTS showed a significant association with preoperative SATT, while no correlation was found between SATT and DATT. In patients with preoperative SATT ≥4mm, both SATT and DATT decreased postoperatively, independently of the weight-bearing protocol. These results suggest that EWB after ACL-R may be a safe option even in patients with high preoperative SATT, although further prospective studies are warranted.
This study received no funding.
The GCS Ramsay Sante pour l’ Enseignement et la Recherche granted the ethical approval.
All participants provided their written consent.
None
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Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
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.
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 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.
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
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!”
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, 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.
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.
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, 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.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
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.
“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”.
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.
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.
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 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.
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 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 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 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!
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
