Research Article | DOI: https://doi.org/10.31579/2639-4162/379
1 Department of Hematology and Blood Transfusion Science, Faculty of Medical Laboratory Science, Federal University Otuoke, Bayelsa State, Nigeria.
2Department of Hematology and Blood Transfusion Science, Faculty of Medical Laboratory Science, Imo State University, Owerri, Nigeria.
*Corresponding Author: Aloy-Amadi Oluchi, Department of Hematology and Blood Transfusion Science, Faculty of Medical Laboratory Science, Federal University Otuoke, Bayelsa State, Nigeria
Citation: Chinedu-M.Jane, Mbah Iyke, and Aloy-A. Oluchi, (2026), Evaluation of Long -Term Antiretroviral Therapy Use on Red Cell Indices Among Adults Receiving HIV Care at Federal Teaching Hospital Owerri Nigeria, J. General Medicine and Clinical Practice,9(10); DOI:10.31579/2639-4162/379
Copyright: © 2026, Aloy-Amadi Oluchi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 14 September 2026 | Accepted: 23 September 2026 | Published: 30 September 2026
Keywords: antiretroviral therapy; HIV mean corpuscular volume; mean corpuscular haemoglobin; red cell distribution width; Nigeria
Background: Antiretroviral therapy (ART) has reduced HIV-related illness and death, but hematological abnormalities remain common among people living with HIV. Red cell indices can help distinguish disturbances of cell size, hemoglobin content and cell-size variability, yet local evidence on their relationship with prolonged ART exposure is limited.
Objective: To evaluate the long - term use of antiretroviral therapy on red cell indices in HIV patients attending Federal Teaching Hospital, Owerri, Nigeria.
Methods: This exploratory comparative cross-sectional study included 35 adults at Federal Teaching Hospital, Owerri: 10 HIV-negative controls, 10 adults receiving ART for less than six months and 15 adults receiving ART for two to five years. Ethylenediaminetetraacetic acid-anticoagulated venous blood was analyzed with an automated hematology analyzer. Mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC) and red cell distribution width coefficient of variation (RDW-CV) were compared by one-way analysis of variance. Categorical abnormalities were compared by chi-square tests, and Pearson correlation assessed the relationship between ART duration and each index among participants receiving ART. Statistical significance was set at p < 0.05.
Results: Mean MCV was 81.89 ± 3.62 FL in controls, 77.04 ± 7.91 FL in the short-term group and 77.63 ± 6.75 FL in the long-term group (p = 0.186). Corresponding values were 29.21 ± 1.73, 27.99 ± 3.27 and 27.74 ± 3.13 pg. for MCH (p = 0.438); 356.90 ± 14.31, 363.10 ± 14.11 and 356.73 ± 13.71 g/L for MCHC (p = 0.492); and 14.47 ± 0.46%, 15.43 ± 3.48% and 14.96 ± 1.00% for RDW-CV (p = 0.559). Microcytosis occurred in 40.0% of controls and 60.0% of each ART group, but group differences in categorical abnormalities were not significant. ART duration was not significantly correlated with MCV, MCH, MCHC or RDW-CV.
Conclusion: In this small cross-sectional sample, red cell indices did not differ significantly according to ART exposure category, and longer treatment duration was not associated with progressive change in the measured indices. The frequent microcytosis and raised RDW-CV warrant investigation of iron status, nutritional factors and hemoglobin variants in adequately powered longitudinal studies.
Human immunodeficiency virus (HIV) attacks cells that express CD4 and progressively impairs cellular immunity when untreated. Combination ART suppresses viral replication, permits immune recovery and has changed HIV infection from a rapidly fatal disease into a manageable chronic condition for many patients. Even with effective treatment, however, clinical care must address anemia, cytopenias, chronic inflammation, nutritional deficiencies, opportunistic disease and adverse drug effects that may persist or arise during follow-up.1,2
Hematological abnormalities may occur at every stage of HIV infection. Their causes are often multiple and include direct or indirect marrow suppression, inflammatory inhibition of erythropoiesis, reduced erythropoietin response, hemolysis, blood loss, nutritional deficiency, renal disease, malignancy, opportunistic infection and medicine-related toxicity. Anemia is especially important because it may worsen fatigue, functional capacity and quality of life and has repeatedly been associated with advanced disease and poorer clinical outcomes.[3,4]
ART can improve hematological status by reducing viraemia, controlling opportunistic infections and allowing marrow recovery. The effect is not uniform across medicines or patients. Zidovudine, for example, is associated with marrow toxicity and commonly produces macrocytosis, whereas contemporary dolutegravir-based regimens generally have a different hematological profile. Regimen, adherence, treatment duration, baseline immune status, nutrition and coexisting disease therefore need to be considered when an abnormal full blood count is interpreted.[5,6]
Red cell indices provide information that hemoglobin concentration alone cannot supply. MCV estimates average erythrocyte volume and supports morphological classification into microcytic, normocytic and macrocytic patterns. MCH represents the average mass of hemoglobin per red cell, whereas MCHC estimates hemoglobin concentration within the packed red-cell volume. RDW-CV describes variability in erythrocyte size; a raised value suggests anisocytosis and may be useful when mixed or evolving causes of anemia are present.[7,8]
Interpretation of these indices remains contextual. Microcytosis commonly suggests iron-restricted erythropoiesis or a haemoglobinopathy, but it is not a diagnosis by itself. Macrocytosis may accompany folate or vitamin B12 deficiency, liver disease, reticulocytosis or exposure to selected antiretroviral agents. RDW-CV may rise before a uniform change in MCV becomes evident, although inflammation, hemolysis and recent treatment can also increase cell-size heterogeneity. Abnormal values should therefore prompt clinically review and targeted testing rather than automatic attribution to ART.[7–9]
Evidence from African treatment programmed shows that initiation of ART is often followed by improvement in hemoglobin and selected blood-cell indices, particularly when viral control reverses disease-related marrow suppression. Damtie and colleagues observed significant changes in several hematological variables after highly active ART, while Kibaru and colleagues described marked improvement within six months among HIV-infected children. More recent evaluation of adults starting dolutegravir-based therapy also found changes in immunopharmacological measures after treatment, although individual indices did not respond uniformly.[10–12]
Findings from one population cannot be transferred uncritically to another. Dietary iron intake, parasitic disease, chronic inflammation, menstrual and obstetric history, hemoglobin variants, glucose-6-phosphate dehydrogenase status and access to sustained clinical monitoring may modify the red-cell picture. In south-eastern Nigeria, a local comparison of patients at different stages of ART exposure may identify signals that merit closer investigation, even when the data are not sufficient to establish causality.[3,13]
.1 Study Design and Setting
An exploratory comparative cross-sectional study was conducted at Federal Teaching Hospital, Owerri, Imo State, Nigeria. The hospital is a tertiary referral facility with an HIV clinic and a clinical laboratory service capable of automated hematology testing. The design allowed red cell indices to be measured once and compared across participants classified by HIV status and duration of ART exposure.
2.2 Study Population and Grouping
The study included adults aged 18 years or older who attended the hospital during the study period. Thirty-five participants were enrolled: 10 HIV-negative controls, 10 HIV-positive participants who had received ART for less than six months and 15 HIV-positive participants who had received ART for two to five years. The repeated group definition of two to five years in the source abstract, study objectives and results was used consistently in this manuscript.
HIV-positive participants were recruited through the HIV clinic and had confirmed infection and current first-line ART use. Controls were apparently healthy adults with a documented negative HIV screening result. Because the source data did not provide a breakdown by individual ART regimen, sex, age, CD4 count, viral load or nutritional status, these factors were not introduced into the analysis or used to explain group differences.
2.3 Eligibility Criteria
HIV-positive adults were eligible when they had confirmed HIV infection, were receiving first-line ART, fell within either the less-than-six-month or two-to-five-year treatment category and gave informed consent. Controls were eligible when they were aged at least 18 years, had a negative HIV screening result, had no known chronic illness and provided consent.
Exclusion criteria were a known hematological disorder such as sickle cell disease or thalassemia, blood transfusion during the preceding three months, pregnancy or lactation, an active opportunistic infection requiring hospital admission, treatment with chemotherapy or other immunosuppressive medicines, chronic kidney disease, cirrhosis, active malignancy, recent major surgery or trauma, and inability or unwillingness to consent.
2.4 Sample Size and Sampling Considerations
The project initially calculated a larger target for a three-group comparison but recruited 35 participants because of time, cost and eligibility constraints. The final allocation was unequal, with more participants in the long-term group. Since the achieved sample was well below the stated target, this analysis is best regarded as exploratory. Failure to reject a null hypothesis in this setting does not establish equivalence or absence of a clinically relevant effect.[15]
2.5 Blood Collection and Laboratory Analysis
Approximately 3mL of venous blood was collected aseptically into an EDTA tube. Each specimen was identified with a unique code, mixed gently by inversion and transported to the hematology laboratory. Testing was performed within two to four hours of collection to limit storage-related changes in erythrocyte volume and morphology. Pre-analytical handling followed standard principles for cellular hematology specimens.16
Red cell indices were generated with an automated hematology analyzer. MCV was derived from the measured red-cell volume distribution or from the relation between haematocrit and red-cell count, depending on the analyzer architecture. MCH was calculated from haemoglobin concentration and red-cell count, while MCHC was calculated from haemoglobin and haematocrit. RDW-CV expressed the coefficient of variation of the red-cell volume distribution.[7,16]
For categorical analysis, MCV below 80 FL was classified as low, 80–100 FL as normal and above 100 FL as high. MCH below 27 pg. was considered low, 27–32 pg. normal and above 32 pg. high. MCHC below 320 g/L was classified as low, 320–360 g/L normal and above 360 g/L high. RDW-CV below 11.5% was classified as low, 11.5–14.5% normal and above 14.5% high. These thresholds were retained from the source dataset; analyzer-specific reference intervals should be used in clinical practice.[7,16]
2.6 Quality Assurance
Quality measures covered the pre-analytical, analytical and post-analytical phases. Samples were checked for correct identification, adequate volume, clotting and timely analysis. Commercial control materials at appropriate concentration levels were run before patient samples, results were accepted only when controls were within the laboratory limits, and reagents and maintenance procedures followed the manufacturer’s instructions. Unexpected analyser results were reviewed and repeat testing or blood-film examination was considered where indicated.[16]
2.7 Statistical Analysis
Continuous variables were summarised as mean ± standard deviation. One-way analysis of variance compared each red cell index across controls, short-term ART users and long-term ART users. Categorical distributions were summarised as frequency and percentage and compared with chi-square tests. Pearson correlation coefficients assessed linear relationships between treatment duration and the four indices among the 25 ART-treated participants. A two-sided p value below 0.05 was considered statistically significant. Given small expected cell counts in several categorical comparisons, chi-square findings should be interpreted cautiously; an exact test would be preferable in a larger reanalysis of the participant-level dataset.[15]
2.8 Ethical Considerations
The source project reports that ethical approval was obtained from the Health Research Ethics Committee of Federal Teaching Hospital, Owerri, before data collection. Participants received information about the study and gave written informed consent. Codes rather than names were used on specimens and study records, access to identifiable information was restricted, and clinically relevant abnormalities were communicated through the appropriate clinical pathway. The research was described as conforming to the principles of the Declaration of Helsinki.[17]
3.1 Mean Red Cell Indices Across Study Groups
Table 1 presents the group means. None of the four indices differed significantly across the three groups. Mean MCV was lower in both ART groups than in controls, but the overall comparison did not reach statistical significance (F = 1.776, p = 0.186). Mean MCH followed a similar descriptive pattern (F = 0.847, p = 0.438).
The short-term ART group had the highest mean MCHC and RDW-CV. However, group differences were not statistically significant for MCHC (F = 0.724, p = 0.492) or RDW-CV (F = 0.591, p = 0.559). The relatively wide standard deviations for MCV and RDW-CV in the short-term group indicate greater within-group variability than was observed among controls.
| Parameter | Control n = 10 | Short-term ART n = 10 | Long-term ART n = 15 | F | p value |
|---|---|---|---|---|---|
| MCV (FL) | 81.89 ± 3.62 | 77.04 ± 7.91 | 77.63 ± 6.75 | 1.776 | 0.186 |
| MCH (pg.) | 29.21 ± 1.73 | 27.99 ± 3.27 | 27.74 ± 3.13 | 0.847 | 0.438 |
| MCHC (g/L) | 356.90 ± 14.31 | 363.10 ± 14.11 | 356.73 ± 13.71 | 0.724 | 0.492 |
| RDW-CV (%) | 14.47 ± 0.46 | 15.43 ± 3.48 | 14.96 ± 1.00 | 0.591 | 0.559 |
Table 1: Mean red cell indices across the three study groups. Values are mean ± standard deviation. ART, antiretroviral therapy; MCV, mean corpuscular volume; MCH, mean corpuscular haemoglobin; MCHC, mean corpuscular haemoglobin concentration; RDW-CV, red cell distribution width coefficient of variation
3.2 Distribution of Abnormal Red Cell Indices
Low MCV occurred in 4 of 10 controls (40.0%), 6 of 10 short-term ART users (60.0%) and 9 of 15 long-term ART users (60.0%). No participant had an MCV above 100 fL. The distribution of MCV categories did not differ significantly across groups (χ² = 1.151, p = 0.562).
Low MCH was most frequent in the short-term ART group, where it occurred in 4 participants (40.0%), compared with 1 control (10.0%) and 4 long-term ART users (26.7%). One long-term ART participant had an MCH above 32 pg. The overall distribution was not statistically significant (χ² = 2.497, p = 0.287).
No participant had an MCHC below 320 g/L. Values above 360 g/L occurred in 3 controls (30.0%), 6 short-term ART users (60.0%) and 6 long-term ART users (40.0%). Raised RDW-CV was common in all groups and affected 5 controls (50.0%), 5 short-term ART users (50.0%) and 9 long-term ART users (60.0%). Neither the MCHC distribution (χ² = 1.925, p = 0.382) nor the RDW-CV distribution (χ² = 0.345, p = 0.841) differed significantly.
| Index | Category | Control n = 10 | Short-term n = 10 | Long-term n = 15 |
|---|---|---|---|---|
| MCV | Low <80 FL | 4 (40.0) | 6 (60.0) | 9 (60.0) |
| Normal 80–100 FL | 6 (60.0) | 4 (40.0) | 6 (40.0) | |
| High >100 FL | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
| MCH | Low <27 pg. | 1 (10.0) | 4 (40.0) | 4 (26.7) |
| Normal 27–32 pg. | 9 (90.0) | 6 (60.0) | 10 (66.7) | |
| High >32 pg. | 0 (0.0) | 0 (0.0) | 1 (6.7) | |
| MCHC | Low <320 g/L | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Normal 320–360 g/L | 7 (70.0) | 4 (40.0) | 9 (60.0) | |
| High >360 g/L | 3 (30.0) | 6 (60.0) | 6 (40.0) | |
| RDW-CV | Low <11.5% | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Normal 11.5–14.5% | 5 (50.0) | 5 (50.0) | 6 (40.0) | |
| High >14.5% | 5 (50.0) | 5 (50.0) | 9 (60.0) |
Table 2: Distribution of red cell index categories. Values are n (%). Percentages use the group denominator.
3.3 Correlation Between ART Duration and Red Cell Indices
Among the 25 participants receiving ART, treatment duration had a negligible positive correlation with MCV (r = 0.041, p = 0.844) and a negligible negative correlation with MCH (r = −0.040, p = 0.849). MCHC had the largest absolute coefficient, but the inverse relationship remained weak and non-significant (r = −0.228, p = 0.272). RDW-CV was also not significantly related to treatment duration (r = −0.103, p = 0.623).
| Parameter | Pearson r | p value |
|---|---|---|
| MCV (FL) | 0.041 | 0.844 |
| MCH (pg.) | −0.040 | 0.849 |
| MCHC (g/L) | −0.228 | 0.272 |
| RDW-CV (%) | −0.103 | 0.623 |
Table 3: Correlation of ART duration with red cell indices among ART-treated participants (n = 25).
4.1 Principal Findings
This exploratory study found no statistically significant difference in MCV, MCH, MCHC or RDW-CV among HIV-negative controls, patients receiving ART for less than six months and patients receiving ART for two to five years. Treatment duration was also not significantly correlated with any index among ART-treated participants. These results do not demonstrate that ART has no effect on erythropoiesis. They show only that this sample did not provide sufficient evidence of a group difference or linear duration-response relationship.
The descriptive findings deserve separate consideration from the hypothesis tests. Mean MCV and MCH were lower in both ART groups than in controls, and 60% of each ART group met the study threshold for microcytosis. The short-term group also had the highest proportion with low MCH. These patterns could reflect iron-restricted erythropoiesis, inflammation, inherited hemoglobin traits, dietary factors or disease-related effects, but the study did not measure ferritin, transferrin saturation, C-reactive protein, hemoglobin genotype, renal function or viral suppression. A causal explanation is therefore not supported by the available data.[3,7,9]
4.2 Comparison with Previous Studies
The absence of a statistically significant group difference is compatible with the fact that ART-related hematological responses vary by baseline disease severity, regimen and timing of measurement. Damie and colleagues reported improvement in several hematological abnormalities after ART initiation in Ethiopian adults. Gudina and colleagues likewise documented immunopharmacological change following dolutegravir-based ART. Those before-and-after designs measured change within patients, whereas the present cross-sectional comparison measured different people at one time point; this methodological difference can readily produce different estimates.[10,11]
Kibaru and colleagues found marked improvement in blood indices within six months of ART among Kenyan children. Their population and design differ substantially from those used here: children have age-dependent reference intervals and different nutritional and treatment contexts, and their study used repeated clinical records. The present data neither confirm nor refute that early improvement. Instead, they indicate that the mean indices of the two treated adult groups were broadly similar at the time of measurement.[12]
Studies comparing treated and untreated populations have also shown that anemia and cytopenias remain common despite ART. Enawgaw and colleagues identified differences in hematological and immunological parameters among treated and treatment-naïve adults in north-west Ethiopia, while Gedefaw and colleagues reported anemia and associated factors in both ART-naïve and ART-experienced groups. Such evidence supports a multifactorial model in which treatment may improve HIV-related marrow suppression while other causes of anemia persist.[18,19]
Regimen composition is central to interpretation. Zidovudine exposure is a recognized cause of macrocytosis and may also contribute to anemia through marrow toxicity. Tamir and colleagues compared anemia among patients receiving regimens with and without zidovudine and found clinically relevant differences. No macrocytosis was observed in the current sample, but individual drug histories were not available. The absence of macrocytosis cannot therefore be used to infer that a particular regimen was safe or absent.[6,20]
The lack of a significant correlation with ART duration should also be interpreted carefully. Duration is only one dimension of exposure; dose interruptions, adherence, regimen changes and periods of virological failure may alter biological effects. A Pearson coefficient tests a linear relationship and may miss non-linear early changes followed by stabilization. With only 25 treated participants, even a moderate relationship could remain statistically undetected. The coefficients are therefore descriptive estimates with considerable uncertainty, not evidence that duration is biologically irrelevant.[15]
4.3 Interpretation of Microcytosis and RDW-CV
Microcytosis was the most consistent categorical pattern, affecting more than half of ART-treated participants. In clinical practice, a low MCV should lead to assessment of haemoglobin concentration and the broader blood count, review of the peripheral film and, where indicated, measurement of ferritin and transferrin saturation. In inflammatory states, ferritin can be normal or raised despite restricted iron availability, so interpretation may require an inflammatory marker and clinical context. Haemoglobin analysis is appropriate when thalassemia or another haemoglobin variant is plausible.[7,9]
Raised RDW-CV occurred in half of controls and short-term ART users and in 60% of long-term users. RDW-CV reflects dispersion of cell volume and is sensitive to mixed cell populations, but it is not specific for a single disorder. Iron deficiency, vitamin B12 or folate deficiency, hemolysis and recovery after treatment can all widen the distribution. Its high frequency in controls weakens an ART-specific explanation and suggests that community nutritional or inherited factors may have contributed.[8,9]
MCHC values above 360 g/L were also frequent, particularly in the short-term group. True hyperchromia is physiologically limited because haemoglobin solubility constrains intracellular concentration. High MCHC can occur with spherocytes or red-cell dehydration, but it may also result from analytical interference, cold agglutination, lipemia, haemolysis or a mismatch between measured haemoglobin and haematocrit. A raised MCHC should therefore trigger specimen and analyser checks rather than be labelled automatically as hyperchromic anaemia.[7,16]
4.4 Clinical Implications
The results support continued attention to red cell morphology in HIV care but do not justify reducing the frequency of full blood count monitoring. Monitoring schedules should follow national or institutional guidance and should be individualized according to regimen, symptoms, baseline abnormalities, renal function, pregnancy status, intercurrent illness and evidence of treatment failure. A non-significant difference from a small study cannot establish that less frequent testing is safe.[5,14]
The most practical implication is diagnostic rather than schedular. When microcytosis, low MCH or raised RDW-CV is detected, clinicians should avoid assuming that ART is the cause. A focused history and laboratory work-up can identify menstrual or gastrointestinal blood loss, inadequate dietary intake, parasitic infection, chronic inflammation, renal disease or an inherited haemoglobin disorder. Correct identification matters because iron supplementation is inappropriate when iron deficiency has not been demonstrated and may distract from another cause.[3,7,9]
Baseline testing remains useful because it allows later results to be interpreted against the patient’s own pretreatment pattern. Follow-up testing is especially important after treatment initiation or a regimen change and whenever symptoms such as fatigue, dyspnea, pallor, bleeding, fever or weight loss develop. Where zidovudine is prescribed, haemoglobin and MCV require particular attention; where another regimen is used, monitoring should still reflect the person’s clinical risks.5,6,20
4.5 Strengths and Limitations
A strength of the study is its direct focus on four routinely reported red cell indices and its inclusion of both early and established ART groups alongside HIV-negative controls. The categorical presentation also shows clinically recognisable patterns that may be obscured when only group means are reported. Conducting the work in a Nigerian tertiary facility adds preliminary evidence from a setting that remains less represented in the literature.
The principal limitation is the small sample size. The study recruited fewer than half of its calculated target, reducing precision and statistical power. Sparse cells also make the asymptotic chi-square approximation questionable. Confidence intervals and effect sizes were not available in the source results, and participant-level data were not supplied for recalculation. The findings should consequently be treated as hypothesis-generating rather than definitive.[15]
The cross-sectional design prevents assessment of change within the same patient and cannot separate treatment effects from pre-existing differences between groups. Controls were HIV-negative, so comparisons simultaneously reflect HIV status and ART exposure. A stronger design would measure patients before ART and at standardized intervals after initiation, with an HIV-positive untreated comparison included only where ethically and clinically appropriate.[15]
Residual confounding is also substantial. The study lacked age and sex distributions, body mass index, diet, menstrual history, haemoglobin concentration, reticulocyte count, iron studies, vitamin B12, folate, renal and liver indices, inflammatory markers, CD4 count, viral load, haemoglobin genotype and information on malaria or helminth infection. Specific ART regimens and adherence were not analyzed. Each omitted variable could influence red cell indices independently of treatment duration.[3,5,7]
Among 35 adults studied at Federal Teaching Hospital, Owerri, mean MCV, MCH, MCHC and RDW-CV did not differ significantly across HIV-negative controls, short-term ART users and long-term ART users. Within the treated group, none of the indices had a significant linear correlation with ART duration. The data therefore provide no statistical evidence of progressive alteration in these indices with longer ART exposure, but the small sample and cross-sectional design preclude a conclusion of equivalence or long-term haematological safety.
Microcytosis and raised RDW-CV were frequent in both treated and untreated groups. These findings merit investigation for iron deficiency, inflammation, nutritional deficiency and haemoglobin variants rather than attribution to ART alone. An adequately powered longitudinal study with documented regimens and relevant clinical and biochemical covariates is required to determine how red cell indices change after treatment initiation in this population.
6 Recommendations
Declarations
Ethics Approval and Consent to Participate
The source project states that ethical approval was obtained from the Health Research Ethics Committee of Federal Teaching Hospital, Owerri, and that all participants gave written informed consent. The approval number was not provided in the source document and should be inserted before journal submission.
Competing Interests
No competing interest
Funding
The authors received no funding
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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.
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
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.
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
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.
