Composite index of Socioeconomic Status and Sustainable Development Goals

Review Article | DOI: https://doi.org/10.31579/2637-8892/371

Composite index of Socioeconomic Status and Sustainable Development Goals

  • Satyendra Nath Chakrabartty 1*

1Indian Ports Association, Indian Statistical Institute.

*Corresponding Author: Satyendra Nath Chakrabartty, Indian Ports Association, Indian Statistical Institute.

Citation: Satyendra Nath Chakrabartty. (2026), Composite index of Socioeconomic Status and Sustainable Development Goals, Psychology and Mental Health Care, 10(3): DOI:10.31579/2637-8892/371

Copyright: © 2026, Satyendra Nath Chakrabartty. 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: 14 March 2026 | Accepted: 25 March 2026 | Published: 31 March 2026

Keywords: socioeconomic status; sdg progress; multiplicative aggregation; progress path, relative importance; critical areas

Abstract

Methods to measure socioeconomic status (SES) interlinked with Sustainable Development Goals (SDGs) suffer from methodological limitations. Avoiding problems of scaling and selection of weights, the paper aims at aggregating subjective and objective measures of SES and SDGs by multiplicative aggregation to get composite indices 〖SES〗_t and I_(〖SDG〗_t )I_ reflecting overall improvement in a given period over the base period.  Proposed indices ensure that Index computed in stages = Index obtained in a single stage. The indices cover variables in any form like percentages, rates, simple counts, ordinal scores, composite indices of the components of SES or SDG and facilitate assessment of changes across time, identification of critical areas, ranking based on relative importance, testing of statistical hypothesis. Combining variables in different scales of measurement by monotonically increasing continuous variable is a novelty. Distance of a country from achieving SDGs can be computed by considering SDG targets in base-period figures. Empirical relationships between 〖SES〗_t and I_(〖SDG〗_t )I can be established by simple linear regression or relationship among constituent dimensions or targets of 〖SES〗_t and I_(〖SDG〗_t )I by multiple linear regression or canonical correlation analysis. 

Introduction

Multidimensional socioeconomic status (SES) indicates social standingof individuals, families, communities, based on their income, education, power, occupation, etc. and access to socio-economic and cultural resources like money, shelter, food, healthcare, education, social opportunities, etc. (Smith et al. 2011). Higher SES generally correlates with better standard of living, better access to services, and increased opportunities for personal and family, development of cognitive and socio-emotional processes (Migeot et al., 2022; Judd et al., 2020). Lower SES is associated with low level of education, poverty and financial insecurity, poorer health outcomes, greater likelihood of diseases, reduced life expectancy, etc. which affect adversely social progress involving measures of basic human well-being (Suri et al., 2011). While SES is more concerned with social standing relative to others, social development deals with societal evolution and changes over time with emphasis on progress in societal advancement and enhancing capabilities. Major components of SES includes income, education attainments, occupations, etc. which are associated with availability of opportunities, resources, and outcomes, etc. Social development covers  factors like education, healthcare, stable family environments, access to resources, and positive social and emotional development, social and economic disparities, etc., most of which are included in Sustainable Development Goals (SDGs). Both SES and social development are interlinked since improvement in one can lead improvement in the other. A nation may be benefitted by focusing on SES-inequities and reducing SES gaps which can influence progress toward the SDGs. A number of goals and targets of SDGs require policy implementation leading to the socio-economic development including development of the disadvantaged groups and/or impoverished people (Niaz, 2021). However, there is a lack of standardized method of assessing SES. Methodologically sound method of SES facilitates better understanding of changes in society structure with respect to professional development, employment including female labour force participation rate (FLFPR), active social participation (ASP) in community life, politics, civil society, awareness on active citizenship relating to rights and responsibilities, mutual respect and non-violence in accordance with human rights and democracy (Livingstone et al .2005; Hoskins, 2009). SES is interlinked with the SDGs as socioeconomic inequality can hinder progress on SDGs. The top seven SDGs like: No Poverty (SDG-1),  Zero Hunger (SDG-2), Good health and well-being (SDG-3) , Quality Education (SDG-4), Gender equality (SDG-5), Clean water and sanitation(SDG-6), Affordable and Clean Energy (SDG-7) are primarily focused on social development including impoverished segment of the society (Sachs, 2012).  SES can also influence other indicators of SDGs relating to decent work opportunities (Goal 8), infrastructure development (Goal 9), safe and inclusive human settlements (Goal 11), peaceful and inclusive societies (Goal 16), etc. (UN, 2015). The envisaged path of SDGs' till 2030 also describes path of achieving socioeconomic progress (Eisenmenger et al., 2020). SDGs covering various socioeconomic dimensions of sustainability, may not be comprehensive (Bissio, 2019). Accordingly, additional indicators of socioeconomic development have been considered like quality of life (QOL) (Ventegodt et al., 2005), dwelling places (Murgaš and Klobučnǐk, 2016), happiness in life (Headey and Yong, 2019), life satisfaction (Li and Raine, 2014), ethnicity (Michalos and Zumbo, 2001), etc. An index of SES status at a given year for a country was proposed in terms of relevant SDG indicators and other socio-economic indicators (Chakrabartty, 2024). However, empirical relationships of SDG progress towards a safe and just operating space for humanity are not known (O'Neill et al., 2018) The variables considered for measurement of SES and SDGs are in ratio scales, ordinal scales and categorical. While some variables are collected from secondary data in ratio scale, many are obtained by survey using questionnaires or scales developed for the purposes resulting in ordinal data. Desirability of inclusions of more variables to measure SDGs and also SES have been discussed and likely to be continued in near future. Inclusion of a broader set of indicators and dimensions was felt needed for effective socioeconomic strategies of local and national governments (Buettner et al., 2020). Most important issue is aggregation of these variables measured in different levels of measurement with different units, different score ranges and unknown distributions of the component variables and the resulting composite index (CI) to facilitate meaningful measurement and comparison across pace and time by parametric analysis including testing of statistical hypothesis. There is no standardized method of aggregating subjective and objective measures in evaluating SDG progress and SES status. The paper aggregates subjective and objective measures of SES and SDGs by multiplicative aggregation to get composite index (CI) reflecting status and overall improvement in t-th period from the base period (0-th period) by for SES and for the i-th SDG which can be aggregated across the 17 SDGs to find overall SDG status of a country by Desired properties satisfied by the indices  and along with application areas are addressed. 

Literature survey:

Few indicators of SES and SDG do not appear to have adequate coverage. For example, energy used and material-environment interactions are not covered by the SDG indicator 8.2.1. Similarly SDG indicator 8.3.1 ignores informal employment across genders in different sectors. In addition, non-uniform definitions of employment and unemployment across surveys adds to the problem. Value of domestic material consumption (DMC) for a country may depend on outsourcing of material-centric industrial production to other countries. No poverty in SDG-1 considers the international poverty line as $1.25 at 2017 Purchasing Power Parity (PPP) per capita per day (UN DESA 2023).  This has been revised to $1.90 per person per day by the World Bank (2021) and updated to $2.15 per day (World Bank, 2022). Separate poverty lines for rural and urban areas after adjusting inflation appears to be logical. However, poverty line approach cannot reflect deprivations in multi-dimensional set up. The multidimensional poverty index (MPI).reflecting multiple deprivations beyond the monetary dimensions considers three dimensions, each with different number of indicators (UNDP-OPHI 2021). MPI suffers from compensatory approach and ignores food insecurity, death rate; maternal mortality, access to hospitals, health insurance, etc. and inter-temporal poverty (movement of individuals in and out of poverty) (Sahasranaman, 2021). In addition, assumption of items or dimensions of MPI are independent (no correlations) is not realistic (Nicole 2011). Cut-off mark of multidimensional deprivation score is arbitrary. Chakrabartty (2024b) proposed an index of overall multidimensional poverty by multiplicative aggregation. Both SES and SDGs involve subjective and objective measures. Arithmetic aggregation of scores of a chosen set of independent or correlated indicators is not meaningful since levels of items in questionnaires or scales are not equidistant with respect to trait under consideration. The psychological distance between successive levels of the Zung Self-Rating Depression Scale (ZSDS) (Zung, 1965) such as “A little of the time”, “Some of the time”, “Good part of the time” and “Most of the time” is not uniform. If distance between i-th and j-th rung of 10-rungs of the MacArthur Scale ofSubjective Social Status is denoted by), then 2* and may not show behavior of the latent construct in accurate fashion. Hierarchy of occupations in six classes suggested by Azeez et al. (2016) does not represent equal distance between successive classes. Putting housewives, unemployed educated youths and apprentices into the lowest hierarchy i.e. around 40% of working-age population (WAP) of India is unfair.  Even for objective measures of SES, methods to convert people or households in a fixed score range could be non-equidistant. Assigning scores of 0 – 8 for each chosen objective measures by Zhao et al. (2023) in rather arbitrary. Other SES measuring scales have been developed considering monetary dimensions like income, wealth, assets, etc. and non-monetary dimensions like education, maternal education, occupation, household prestige, water and sanitation, etc. However, too much reliance on income-based criteria which changes with change in Consumer Price Index (CPI) only limits accurate assessment of socioeconomic disparities. Each such scale with limitations may not be appropriate for comparisons across space and time (Kishore et al. 2017). Likert-type scales are used for measuring perceptions and attitudes to assess SES like Work and Meaning Inventory (WMI) using 5-point scale and SDG indicators like 11.3.2 (urban management structures), SDG 16.7.2 (political system responsiveness), etc. Levels of ordinal items are not equidistant and thus, scale scores as sum of item are not meaningful (Lee and Soutar, 2010). Non-meaningful addition of item scores implies computation of mean, variance, correlation, etc. may be distorted. Other limitations of Likert-type scales are: 

  • May be biased due to social desirability which may deviated from actual situations (Fastame et al. 2017)
  • Equal importance to the items contradicts different values of item parameters like item-total correlations, correlations between pair of items, factor loadings of items, etc.
  • Increase in number of levels changes score distribution and influence item/test parameters like reliability, validity more than the underlying variable (Lim, 2008). 

     Many SES and SDG indicators are in proportions, percentages, averages, rates (like mortality rate, dropout rate, participation rate, percentage of trained teachers, number of Health Workers per 100,000 population, material footprint per capita (8.4.1 of SDG-8), water-use efficiency, count data and different sub-indicators which are unit free.  Howeveraddition is not admissible for variables in percentages and proportions like average speed of cars. In case > for 50% regions and for the remaining regions of a country, could be zero, since percentage literacy rate average of percentage literacy rate of different genders. The resulting CI needs to satisfy at least the Translation Invariance property (result is independent of order of the constituent variables) and Aggregation Consistency (Index computed in two stages = Index computed in a single stage). The SDG index adopted in the Sustainable Development Report 2024 (Sachs et al. 2024) does not satisfy the above said two desirable properties. Here, each indicator () is first normalized by Min–Max transformation and then normalized indicators for each goal are averaged without weights. The approach is not beyond criticism since average scores suffer from compensability or substitutability effect where low value of indicators can be offsetted by high value of other indicators (Herrero et al. 2010), and countries with missing data 20 percent of the indicators were ignored. Moreover, probability distribution of s obtained by Min–Max transformation are not known. Meaningful addition of two variables X +Y= Z requires knowledge of probability distribution function (pdf) of X and Y to compute) which also requires knowledge of pdf of Z. Thus, average of unit free normalized scores may not be meaningful. Polinesi (2025) considered to follow ???????????????? distribution with positive parameters α and β where the pdf of Y is for 0< y src="https://auctoresonline.org/uploads/articles/1775120460image1.png"> equals (????)(????)????(????,????) and ???? is the Gamma function. The parameters α and β were taken as maximum likelihood estimates (MLE). But MLE assumes identically distributed variables coming from a specified probability distribution. If and , the distribution could be expressed in terms of the most likely value of the distribution (mode) and concentration (absence of variability).  Despite following apparently complicated approach through beta distribution, Polinesi (2025) found no significant differences in levels of well-being levels before and after the COVID 19 pandemic. Other illustrative limitations of Min–Max transformation giving relative measures are:

  • It gives uniform score range for each indicator but, changes common reference point like mean (Mazziotta and Pareto, 2021). 
  • Sample specific and may be outliers, and may be removed (Bidarbakhtnia, 2018). Change in either or or both can alter ranks of the indicators (Seth and Villar, 2017).
  • Its sensitivity to outliers and non-robustness to changing data, require re-computation if new data has different minimum or maximum values.
  • Indicators for which score-ranges are small tend to be overestimated.
  • is not meaningful for indicators in percentages. Min-Max normalization in terms of logarithm of scores, used by UNDP (2010) for income component as  is influenced by change of origin and properties like Translation Invariance and Aggregation Consistency are not satisfied (Chakravarty, 2003).
  • between raw scores () and normalized scores ( 1 since change in y

resulting from increase in x i.e. is differs and is not constant. 

  •  Example showing Country A exceeding Country B by Min–Max normalization, but reverse inequality for weighted sum was given by Chakrabartty, (2024). 

OECD transformed value of an indicator for i-th country at t-th time to =  

where denotes the standard deviation(SD) of X based on all countries in the t-th year. But, does not lie between 0 and 1.  is interpreted as the i-th country is far away from the target. is influenced by outliers which could be replaced by robust estimators (Rousseeuw &  Croux ,1993). The -score, may not perform well for highly skewed distributions (Gennari and D’Orazio, 2020). In addition, SDG targets are given either in absolute terms or in relative terms with reference to the baseline year (e.g. Target 1.2 to reduce “proportion of men, women and children of all ages living in poverty from the baseline figures” at least by half), which vary across countries.  Bidarbakhtni (2020) normalized SDG indicators by a different transformation where relative value of an indicator was arbitrarily taken as for 2000 and for 2030 followed by computation of arithmetic mean . However, denominators of are different and thus, average is not meaningful.  Different normalization methods in general and Min-Max transformation in particular, change shape of distributions of normalizes scores and distort the results (Mazziotta and Paretoa, 2021). For SES also different transformations were used for normalizations. Oka, (2021) compared different transformations for normalizations and found different interpretations of the regression coefficients of multilevel logistic regression analyses of the effect of neighborhood SES on health. SDG Index by ordered weighted average of all SDGs was obtained by Ruiz-Morales et al. (2021) where weights to the targets were based on subjective evaluations of experts. Weights at indicator levels may perform better than weights at target levels (Asadikia, et al. 2024). SES were also evaluated by weighted sum where weights were found following different approaches. However, properties of CI depend heavily on way the weights are found. Different selection of weights may not ensure minimum variance of the resultant CI or equal correlation of CI with the component indicators.  Psaki et al. (2014) considered weighted sum approach to measure Monthly per capita income of households (HI) selecting weights from PCA, MPI, conditional random forests (RF), along with maternal education, and found linear regression equations of HI on MPI and RF were different and concluded that RF analysis could be a better alternative to PCA for SES scores. Moreover, weighted sum approach is also associated with compensability among the targets/indicators and is undesirable (Mariani and Ciommi, 2022). Muhammad et al. (2021) found that asset indices using PCA weights and unweighted indices performed with similar efficiency and SES of households can be well assessed without weights. PCA weights suffer from sampling errors, ignore indictors which are weakly correlated with CI.  Moreover, PCA starts with correlation matrix which may be distorted by outliers present in data, normalization methods, etc. However, selection of weights are not uniform to assess CI like SES or SDG as weighted sum (UN-DESA, 2024). Methods of measuring SDG progress by different methodologies with different underlying assumptions, statistical features, etc. may not measure the same thing since measurement of SDG progress by SDSN, UNESCAP, and OECD approaches answered differently based on aggregation methods, selection and scoring of indicators. Thus, aggregation of SDG-indicators and indicators of SES avoiding scaling and weighted sum could be desirable Indicators like growth rates, income, social indicators, etc. exhibit right-skewed pattern, similar to lognormal distributions, rather than a symmetric normal distribution.  Thus, use of lognormal distribution is more appropriate. Lognormal distributions are common when effects multiply rather than add. Product of results of throwing 4 dice for 1000 times gave rise to asymmetrical distribution (Harvey et al. 2025). When effects of different factors on the multidimensional index are multiplicative, the index follows a lognormal distribution (https://www.mhnederlof.nl/lognormal.html) i.e. if X follows lognormal then log(X) follows normal and vice versa. 

Proposed method:

At the start, ensure positive relationship of each indicator with CI i.e. higher value of each indicator implies better performance.  Avoiding scaling and weights, it is proposed to aggregate such indicator scores by multiplicative aggregation of

Let be the values in the t-th period of m-indicators (subjective and objective) of SES and corresponding values in the base period are where (. Define  which equivalent is to

                                                                                             (1)

Similarly, denoting observed values of n-indicators of the i-th target of  j-th SDG at t-th year by and the corresponding base period values as , the ratios can be aggregated to obtain index of the of the i-th target of the j-th SDG as: 

or equivalently                           (2)

Using (2), status of a SDG (say j-th) at t-th year (is given by combining K-number of targets as                                                                                                                  (3)

Status of all the 17 SDGs at a particular year (say t-th year) for a country is obtained as 

                                                                                            (4)

Global status of SDGs can be obtained by aggregating country-wise status of p-number of countries at t-th period as                      

                                                                                                                      (5)

Multiplicative models can be easily converted to additive models by taking logarithm on both sides of each of equation (1) to (5). For example,

                                                                      (6)

is differentiable and following normal distribution since distribution of GM  approaches lognormal distribution taking only positive real values (Alf and Grossberg, 1979).

Each index can be multiplied by 100 to maintain parity of composite indices.

Properties: 

  • Each proposed index is expressed as a monotonically increasing continuous variable, with significant reduction of trade-offs among the constituent indicators. 
  • Unit-free indicesand satisfies translation invariance property and aggregation consistency. 
  • 1% increase in   1% increase in and 1% increase in 1% increase in when all others are unchanged. Thus, and curve is linear. The same is true for
  • The indices of SES and SDG can be computed for disadvantaged groups, regions, genders, urban & rural, etc. satisfying aggregation consistency since:

= ==and 

= = = =

  • Each proposed index satisfy Time–reversal test since and 
  • Chain indices can be formed since =
  • Relative importance of j-th indicator of is given by partial derivatives of with respect to . Similarly, relative importance of the targets of the SDGs can be derived. 
  • The SDG targets and SES-indicators can be ranked with respect to the relative importance. The targets (or indicators) getting high ranks are the main drivers of the spatial variations of SDG (or SES) of a country and help prioritizing SDG targets for targeted interventions to have significant positive impact in short run. 
  • could reflect contribution registered by a country to global SDG at t-th period.  
  • implies improvement of SES in successive periods. Responsiveness of SES measurement and extent of improvement is reflected by  * 100. Similarly, 

progress of in successive years can be measured by *100, positive value of which indicates effectiveness of the adopted policy measures. 

  • Progress in successive years can be plotted across time periods to give progress path of an index with unchanged base period. Chain indices can translate progress with changing base period. Such progress paths indicates trends of progress better than trends given by CAGR considering only two terminating time periods.
  • The i-th indicator of j-th SDG is critical if Similarly, i-th indicator of SES is critical if .Critical indicators merit managerial attention for necessary corrective action to arrest poor performances. 
  • Can be disaggregated by income, gender, age, ethnicity, disability, geographic location, or other characteristics.
  • How far a country is at t-th period from the 2030 SDG targets can be obtained by replacing denominators of by the corresponding SDG targets.
  • Linear regression equations can be fitted between and and find predictive power of in prediction of Similarly, multiple linear regression can be established with each of the proposed indices as dependent variable and or  as independent variables where -coefficients can be interpreted as influence of the chosen independent variable to predict the proposed indices.
  • The indices are applicable for data in any forms like Count data (like number of countries adopting national disaster risk reduction strategies (SDG 1.5.3)); Ordinal scores used for evaluation of MPI, ZSDS, MacArthur SSS Scale, etc.; Proportion (like proportion of population living below the national poverty line, by sex and age (SDG 1.2.1)), Ratios like Maternal mortality ratio (SDG 3.1.1), Rates like density of Health Workers, rate of participation, share of renewable energy, etc.; Averages (like average hourly earnings of female and male employees, by occupation, age and persons with disabilities (SDG 8.5.1)); data in other forms like change in water-use efficiency expressed in USD per cubic meter (SDG 6.4.1), Gini index for SDG 10 and even composite indices of the components like Agriculture Orientation Index for government expenditures (SDG 2.a.1), Active Participation Index, Index of Poverty, etc.

Limitations

Considers no missing data. Treatment of missing data may be taken up as a future study. Cautions to be exercised if value of a positive ratio is <1 src="https://auctoresonline.org/uploads/articles/1775120609image.png"><0 src="https://auctoresonline.org/uploads/articles/1775120610image.png">The proposed approach assumes positive numerical values for each SDG target, since without clear targets, quantification of progress towards these targets face significant limitations. Introduction of new indicator like Indicator on imported deforestation in SDG-15 in SDG Report 2024 creates problem in comparability. To ensure comparability, value of each new indicators needs to be collected or estimated separately for the base period and subsequent periods. 

Discussion

Proposed multiplicative aggregation of subjective and objective measures of SES and SDGs, irrespective of inter-correlations among the indicators and dimensions (targets) to get composite indices and reflecting overall improvement in a given period over the base period has theoretical advantages. The approach avoiding normalization and weights restores distributional characteristics of the chosen indicators. For each index, lower achievement in an indicator is not linearly compensated by higher achievement in another indicator and thus, substitutability between indicators is reduced significantly. It also ensures that 1% increase in an indicator implies 1% increase on  or . Knowledge of probability distribution of each proposed index helps to undertake testing statistical hypothesis like = or  .  Rejection of = or  can be probed to identify indicator(s) showing poor performance, which provides direction of improvement.  Empirical relationships can be established between and by simple linear regression. Similarly, relationship among constituent dimension or targets of  and can be found by multiple linear regression or canonical correlation analysis. Progress path of or for generate time series data indicating trend of progress better than CAGR. Similarity of progresspaths of two countries can be evaluated by suitable measure of similarity like cosine similarity of two s-dimensional vectors and (Chakrabartty and Sinha, 2022).

Conclusion

The proposed indices with wide coverage of data in any forms have aggregation consistency and offer significant benefits to improved aggregation of SDGs including SDG progress at national/global level are recommended. Future empirical investigations are suggested for empirical investigations of the salient features of the proposed approach along with empirical relationships among the indices and their constituent dimensions or targets, robustness for generalization of findings including treatment of missing data.

Declarations

Acknowledgement: Nil

Conflict of Interests: Nil.

Funding: No grants received. 

Data availability: No datasets generated or analyzed in the study.

Code availability: No application of software package or custom code

Authors’ contribution: The single author is involved in Conceptualization, Methodology, 

Writing- Original draft preparation, Writing- Reviewing and Editing.

References

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"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".

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Jesus Simal-Gandara

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.

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Douglas Miyazaki

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.

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Dr Griffith

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.

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Dr Tong Ming Liu

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.

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Husain Taha Radhi

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.

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S Munshi

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.

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Tania Munoz

“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”.

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George Varvatsoulias

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.

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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.

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Khurram Arshad

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.

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Gomez Barriga Maria Dolores

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.

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Lin Shaw Chin

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.

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Maria Dolores Gomez Barriga

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.

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Dr Maria Dolores Gomez Barriga

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¨.

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Dr Maria Regina Penchyna Nieto

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.

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Dr Marcelo Flavio Gomes Jardim Filho

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!”

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Zsuzsanna Bene

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

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Dr 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.

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Lin-Show Chin

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.

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Sonila Qirko

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.

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Luiz Sellmann

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.

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Zhao Jia

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."

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Thomas Urban

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.

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Cristina Berriozabal

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.

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Dr Tewodros Kassahun Tarekegn

"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".

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Dr Shweta Tiwari

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.

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Dr Farooq Wandroo

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.

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Dr Anyuta Ivanova

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.

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Dr David Vinyes

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.

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Gertraud Teuchert-Noodt

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

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Dr Elvira Farina

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.

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Dr Oleg Golyanovski

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.

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Dr Susan Anne Smith

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.

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Dr Farahnaz Fallahian

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.

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Dr Victor Olagundoye

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.

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Dr Susan Anne Smith

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

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Dr Eric S Nussbaum

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.

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Hala Al Shaikh

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.

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Dr Rakhi Mishra

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.

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Dr Walter F Riesen

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.

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Dr Jelle Lettinga

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

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Dariusz Ziora

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.

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Dr Ravi Shrivastava

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.

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Dr Aline Tollet

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.

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Dr Chiara Giuseppina Beccaluva

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

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Dr Claudio Ligresti

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.

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Dr Matteo Bonori

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.

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Edouard Kujawski

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

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Dr Andriy Sinelnyk

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.

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Dr Meng-JouLe

Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed

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Mahmoud Kamal Moustafa Ahmed

Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.

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Dr Elena Salvatore

Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal

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Christoph Maurer

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.

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Baciulescu Laura

Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.

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Dr Mamoun Magzoub

International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.

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Joel Yat Seng Wong

Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.

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Dr Perlat Kapisyzi

Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.

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Dr Ted Christopher

Dear Grace Pierce, Editorial Coordinator of the journal IJCCR, I had a very positive experience with Auctores - Journal throughout the publication process. The Editorial Team was highly responsive, professional, and supportive at every stage. I would like to extend my sincere thanks to the Editor: Grace Pierce, for her guidance and assistance. The peer-review process was smooth and constructive, helping improve the quality of my work. I would gladly recommend Auctores Journal to fellow researchers and authors. Dr. SABITA SINHA, Medical Oncologist, MD (Electro Homeopathy).

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Dr SABITA SINHA

Dear Maria Emerson, Editorial Coordinator of - Journal of Clinical Research and Reports. ''I am pleased to provide this testimonial following the publication of our recent case report in this journal. The peer review process was rigorous, constructive, thorough, and conducted in a timely manner. The reviewers’ comments were thoughtful, detailed, and highly constructive, contributing substantially to the refinement, clarity, and scientific robustness of our manuscript. The process was conducted with professionalism and academic integrity throughout. The support provided by the editorial office was exemplary. Communication was consistently prompt, clear, and courteous at all stages of the submission and publication process. The editorial team demonstrated a high level of organization and responsiveness, ensuring that all queries were addressed efficiently and that the process remained transparent and well-coordinated. The overall quality of the journal is reflected in its strong editorial standards, commitment to scientific excellence, and dedication to publishing clinically meaningful research. It has been a privilege to publish our work in this journal, and we would welcome the opportunity to contribute further in the future.'' Best wishes from, Dr. Efstratios Trogkanis, Cardiologist.

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Dr Efstratios Troganis

Dear Reader: We have published several articles in the Auctores Publishing, LLC, journal, Clinical Medical Reviews and Reports in recent years (CMRR). This is an ‘open access’ journal and the following are our observations. From the initial invitation to submit an article, to the final edits of galley proofs, we have found CMRR personnel to be professional, responsive, rapid and thorough. This entire process begins with Catherine Mitchell, Editorial Coordinator. She is simply outstanding, and, I believe, unparalleled in her capacity. I cannot imagine a more responsive and dedicated Editorial Coordinator. As I read the dates and timing of her correspondence with us, it seems that she never sleeps. I hope Auctores Publishing, LLC, appreciates her efforts as much as these authors do. Thank you to Auctores Publishing, LLC, to the Editorial Staff/Board, and to Catherine Mitchell from a grateful author(s).

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Dr Gary Merrill