Functions of Irradiation and Its effects on the Food safety and Quality

Review Article | DOI: https://doi.org/10.31579/2642-9756/216

Functions of Irradiation and Its effects on the Food safety and Quality

  • Fahim Shaltout

1Department Food Control, Faculty of Veterinary Medicine, Benha University, Egypt.

*Corresponding Author: Fahim Shaltout

Citation: Citation: Fahim Shaltout, (2024), Functions of Irradiation and Its effects on the Food safety and Quality, J. Women Health Care and Issues, 7(6); DOI:10.31579/2642-9756/216.

Copyright: Copyright: © 2024, Fahim Shaltout. 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: 08 July 2024 | Accepted: 15 July 2024 | Published: 03 August 2024

Keywords: food irradiation; quality; safety; meat

Abstract

The Food irradiation is a tried-and-true technique that's frequently used to improve the quality and the safety of the meat. With the application of this technique, the growth of bacteria, viruses, and parasites is successfully inhibited. By postponing spoiling and inhibiting the growth of the germs, it also extends the shelf life and improves the quality of the items. Provided that the right dosage is applied, the radiation has no effect on the colour, the taste, or the texture of the meats. Its impact on the chemical and the nutritional properties of the meat is more complicated, though, as it may change the vitamins, the fatty acids, the amino acids, and produce the free radicals that oxidise the fat. The impact of these modifications is dependent on a number of factors, such as the kind of the meat, the storage conditions, and the radiation exposure. The Meat's physical characteristics, such as its softness, the texture, and the dose-dependent ability to retain the water, can also be impacted by the radiation. Low amounts of the radiation may enhance texture and softness, while excessive doses cause protein denaturation, which adversely affects these characteristics. The regulatory and the public perception elements of the food irradiation are also examined in this study. Although the radiation is permitted and regulated in many nations, its use is debatable and causes anxiety in the public. The Food irradiation is a dependable method of enhancing the safety and the quality of the meat; nevertheless, it is important to take into account the effects it may have on the chemical, physical, and nutritional characteristics of the product when selecting the right dosage and application. To better understand the long-term effects of the radiation on the meat and allay consumer worries, further study is thus required.

Introduction

The Meat is a valuable element of the human diet as it contains essential elements such as the protein, the vitamins, and the minerals. However, these foods are also vulnerable to microbial pathogens and spoilage, posing significant risks to the human health. The Ionizing radiation is used in the food irradiation to maintain the safety and quality of the food items, specifically the meat [1,2,3,4,5,6,7 and 8].

For decades, the food irradiation has been used to reduce microbial contamination and extend the storage period. The procedure entails subjecting the food item to a regulated amount of the ionizing radiation, usually accomplished by applying gamma rays, electron beams, or X-rays. The radiation disrupts the DNA and other cellular components of microbes, making them unable to reproduce and causing their death.The procedure also the breaks down some of the molecules in the food product, which can affect its nutritional quality and sensory properties [46,47,48,49,50,51,52,53 and 54].

Despite its potential benefits, the food irradiation remains controversial, with concerns about its safety, efficacy, and impact on the nutritional quality and sensory properties of food products [55,56,57,58,59,60,61,62 and 63]. Some critics argued that the food irradiation could create the harmful compounds or destroy the essential nutrients. In contrast, others questioned the need for the irradiation, considering other food safety measures, such as the good manufacturing practices and the foodtesting. The Consumer acceptance of the irradiated food products also needs to be addressed, with some people expressing concerns about their safety and the acceptability [73,74,75,76,77,78,79,80 and 81].

This comprehensive research aims to critically evaluate the existing literature on the food irradiation and its repercussions on the quality and safety of the meat. The proof of the irradiation effectiveness at lowering the microbial contamination and prolonging the shelf life of the meats is explored along with its potential impact on the physical and the chemical characteristics, nutrient content, and sensory properties (92, 93, 94, 95, 96, 97, 98, 99 and 100). This paper will also address the regulatory framework for the food irradiation, including labeling requirements and government oversight, as well as identify areas for further research and policy development (101,102,103,104,105,106,107 and 108).

The Sources and the Principles of the Food Irradiation

The Ionizing radiation, such as the gamma rays, X-rays, or the high-energy electrons, is used to irradiate the food. The Food irradiation is generally determined by the absorbed dose expressed in Gray (Gy) or kilo Gray (kGy), with 1 Gray being equivalent to 1 J/kg of product. The technique is considered a safe and effective way to decrease or eliminate hazardous microbes, prolong shelf life, as well as enhance the quality and safety of the food products. The principles of the food irradiation are determined by the ability to disrupt the genetic material of microorganisms, preventing them from reproducing or causing the illness. The irradiation affects the microorganisms’ genetic material (the DNA or the RNA) directly and indirectly. The Direct irradiation can break the bonds between the base pairs in the genetic material, killing the cell’s reproduction ability. Then, on the other hand, the damage to the water molecules creates the free radicals and the reactive oxygen species, which damage the genetic material indirectly [134,135,136,137,138,139 and 140]. The Irradiation also helps to break down certain enzymes and the proteins in the food that can contribute to the spoilage, thereby increasing the shelf life [141,142,143,144,145 and 146]. USA, Canada, as well as several European and Asian nations, allow the food irradiation by using the Cobalt-60, the cesium-137, and the electron-beam accelerators. The Cobalt-60, the most prevalent source of the ionizing radiation for the food irradiation, is a radioactive isotope that emits gamma rays capable of penetrating deep into the food products to destroy harmful microorganisms. Cesium-137 is another source of the ionizing radiation, although it is less commonly used than cobalt-60. In addition, the electron-beam accelerators are used for the food irradiation. These devices generate high-energy electrons that can penetrate the food products to eliminate the harmful microorganisms and extend the shelf life [154,155,156,157,158,159 and 160]. Irradiating the foods has several benefits, including multifunctional applications as well as guaranteed safety and security. The spectrum produced is effective against bacterial spores across a broad range of concentrations. The processing does not involve heat, it is safe for the food, does not significantly reduce nutrient levels, leaves no chemical residues, and is simple to control during the use [37,38,39,40,41,42,43,44 and 45]. To effectively lengthen the lifespan of irradiated food products, the following principles must be observed as the Radurization uses low doses of 0.1–1 kGy. This amount inhibits respiration, delays ripening, disinfects pests, and inactivates the Trichinella parasite. The Radicidation is referred to as a moderate dose. This radiation uses a quantity of approximately 1–10 kGy, which has the effect of reducing the spoilage and the microbial pathogens including Salmonella sp. And Listeria monocytogenes. This dosage is typically found in the frozen foods and its application is identical to that of pasteurization, except irradiation does not rely on the thermal energy. The Radapertization uses extremely high doses which are above or equal to 10 kGy, ranging between 30 and 50 kGy. This dose is typically used in the sterilization process because its effect can kill all microorganisms in the foodstuffs up to the level of spores [161,162,163,164 and 165]. The food irradiation sources and the principles are based on the ability of the ionizing radiation to disrupt the genetic material of the microorganisms, enzymes, and proteins in food products, culminating in improved the safety and the quality. The use of the irradiation is regulated by the national and the international authorities to ensure its safety and effectiveness [166,167,168,169,170 and 171].

The Effects of the Irradiation on the Meat

3.1. The Microbial Safety
The Microbial safety is a critical aspect of the meat production and the consumption, as these products can be a source of various harmful microorganisms that can cause the foodborne illness. The Meat products are potentially contaminated with various pathogens, such as the Salmonella, the Escherichia coli, the Campylobacter, and the Listeria monocytogenes, leading to severe illness or the death in vulnerable populations [9,10,11,12,13,14,15 and 16].

Contamination might occur at the production, the processing, or the distribution stage, including on the farm, during transport, in the slaughterhouses or the processing facilities, and in the retail outlets or at the home. The Improper handling and the storage of the meat products can also increase the risk of contamination. The Foodborne illness outbreaks related to the meat have been reported globally, with the various types of products being implicated, including the ground beef, the chicken, the pork, and the processed meats. These outbreaks have led to significant public health and economic consequences, highlighting the importance of effective interventions to reduce the risk of the contamination [109,110,111,112,113,114,115,116 and 117].

The Irradiation has been studied extensively for its efficacy in reducing the microbial contamination of the meat. By exposing the food to the ionizing radiation, the latter reduces or eliminates the harmful microorganisms that can cause the foodborne illness. Previous research showed that the irradiation could effectively reduce levels of the pathogens such as the Salmonella and the Escherichia coli as well as the levels of the spoilage organisms, leading to improve the microbial safety and a reduced the risk of the foodborne illness. The effectiveness of various types of the ionizing radiation on the meat, including the gamma rays and the e-beams, has been studied [82, 83, 84, 85, 86,87, 88, 89,90 and 91]. The gamma ray irradiation is more effective than e-beam irradiation is at inhibiting the microbial growth in the meat. The UV light effectively eliminates the Salmonella spp., the Pseudomonas, the Micrococcus, and the Staphylococcus on the meat. The shelf life of the meat products is extended by eliminating these contaminant ting bacteria. The Gamma irradiation at low doses can improve the microbiological safety, ensure safety, and extend the chicken meat’s shelf life without affecting the quality. Three kGy gamma-irradiated bovine meat reduced the growth of the mesophilic bacteria, the coliforms, and the Staphylococcus aureus. The Food and Drug Administration (FDA) determined that a 3.5 kGy gamma ray irradiation dose effectively eliminates the pathogenic microbes from the fresh meat. The Irradiation had the effect of slowing the growth of the bacterial cells and deactivating their metabolism. The Bacteria are inherently resistant to the effects of the irradiation and, in the lag phase or inactive state will be more resistant. In contrast, those in the growth phase will be more vulnerable [64,65,66,67,68,69,70,71 and 72]. 

The Chemical Properties
The chemical properties of the irradiated meat refer to the changes that occur to the chemical constituents and compositions of the food due to exposure to the ionizing radiation. The Irradiation can cause both desirable and undesirable effects on the chemical characteristics of the meat, depending on the dose and the specific compounds in the food. One of the most significant changes often observed in the irradiated meat products is the formation of the free radicals. They become reactive molecules that damage cellular components and cause the oxidative stress. This leads to the lipid oxidation, which causes off-flavors and odors, as well as a decline in the nutritional quality due to the loss of the essential fatty acids and other nutrients. 

However, the irradiation at the lower doses also aids the lipid oxidation by reducing the levels of peroxides and other reactive species. This procedure also affects the protein content of the meat, leading to alterations in the composition of the amino acids, protein structure, and the digestibility [126,127, 128, 129, 130,131,132 and 133]. These changes have potentially positive and negative effects, mostly on the nutritional value of the food, that are contingent upon the particular proteins involved and the dose of the radiation used. The positive effects of the irradiation include the fact that the irradiation can cause the formation of the reactive species, such as the free radicals, which can cause the formation of the covalent bonds between the amino acids in the protein molecules. This cross-linking can change the structure of a protein molecule and make it resistant to the enzymatic digestion, which causes a decrease in the protein digestibility [27,28,29,30,31,32,33,34 35 and 36]. The Irradiation can also cause the denaturation of the protein molecules. The Denaturation involves opening the protein structure, which can facilitate the interactions between the amino acids and increase the accessibility of the digestive enzymes to the protein molecules, and it can also improve the protein digestibility. However, the irradiation can also cause adverse effects; namely, the excessive irradiation can cause a breakdown of or the change in the amino acid compounds in the protein molecules, which causes a decrease in the overall amino acid content and, consequently, decreases the protein digestibility. The electron-beam irradiation at less than 3 kGy did not affect changes in the quality of the smoked duck flesh (the amino acids, the fatty acids, and the volatiles) during the storage [118,119,120,121,122,123,124 and 125].

Aside from these chemical changes, the irradiation also affects the vitamin content of the meat products, with some vitamins being more sensitive than others. For example, the irradiation leads to a loss of the vitamin C, while other vitamins, such as the vitamin A and E, are relatively stable. The Irradiation has been shown to alter the meat’s oxidation–reduction ability, accelerating the lipid oxidation, the protein breakdown, and the flavor and the odor changes [147,148,149,150,151,152 and 153].

When combined with certain antioxidants, such as the flavonoids, the irradiation can help prolong the induction period of the lipid oxidation. The storage of the irradiated meat at 5–10 C for one week almost did not change the pH, the texture, the total volatile base nitrogen (TVBN), or the microbe number. The higher dose of the UV irradiation increased 2-thiobarbituric acid (TBA) content, decreased water-holding capacity (WHC), and decreased the beef color intensity and tenderness. Two point five and 5 kGy gamma irradiation reduced nitrite content in the chicken sausages and prevented the oxidation when combined with antioxidants. The titratable acidity and the acid value in the meat samples can be reduced by the irradiation [17,18,19,20,21,22,23,24,25 and 26].

Conclusion

One promising technique that might enhance the safety and the quality of the meat is the food irradiation. According to recent study, the irradiation can preserve the nutritional value of the meat products, decrease microbial contamination, and increase shelf life.
To overcome this issue, more study is necessary as the sensory characteristics can be adversely affected. It is also significant to remember that labelling regulations for irradiated meat products exist, and that the irradiation in the food processing is governed by both the national and the international bodies. The Government organisations play a crucial role in guaranteeing the security and the quality of the customers. 

Conflicts of Interest

The author declares no conflicts of interest

References

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.

img

Virginia E. Koenig

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.

img

Delcio G Silva Junior

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.

img

Ziemlé Clément Méda

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.

img

Mina Sherif Soliman Georgy

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.

img

Layla Shojaie

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.

img

Sing-yung Wu

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.

img

Orlando Villarreal

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.

img

Katarzyna Byczkowska

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.

img

Anthony Kodzo-Grey Venyo

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.

img

Pedro Marques Gomes

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.

img

Bernard Terkimbi Utoo

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.

img

Prof Sherif W Mansour

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.

img

Hao Jiang

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.

img

Dr Shiming Tang

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.

img

Raed Mualem

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.

img

Andreas Filippaios

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.

img

Dr Suramya Dhamija

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.

img

Bruno Chauffert

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!

img

Baheci Selen

"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".

img

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.

img

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.

img

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.

img

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.

img

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.

img

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.

img

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”.

img

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.

img

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.

img

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.

img

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.

img

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.

img

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.

img

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¨.

img

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.

img

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!”

img

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

img

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.

img

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.

img

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.

img

Luiz Sellmann