Review Article | DOI: https://doi.org/10.31579/2578-8868/426
*Corresponding Author: Jargin SV, Faculty of Medicine, Peoples’ Friendship University of Russia, 117198 Moscow, Russia. Email : sjargin@mail.ru
Citation: Jargin SV, (2026), Medical and Psychological Aspects of the War in Russia and Ukraine, J. Neuroscience and Neurological Surgery, 19(5) ; DOI :10.31579/2578-8868/426.
Copyright: © 2026, Jargin SV. 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: 10 July 2026 | Accepted: 17 July 2026 | Published: 24 July 2026
Keywords: Ukraine ; armed conflict ; healthcare ; public health ; surgery ; endoscopy ; biopsy ; psychology
This review analyzes medical and psychological aspects of the war in Ukraine. The separation of Russia from Europe started in 1917 and has continued thereafter. If the power shifts to the East, it will come along with losses of values like liberties and human rights. Disregard for laws and regulations, corruption and collectivism will come instead. The quality of many services, products and foodstuffs will decline. The lack of knowledge about other countries, misleading propaganda, suppressed envy and shame contribute to hostility against other nations. In this connection, drawbacks of the healthcare are discussed here. The following distinctions are pointed out: comparatively low life expectancy, medical science not repelling falsification, inefficient medications advertised and prescribed, invasive procedures applied without indications. Autocratic or military management style discourages criticism. Attributes of this style include the paternalistic approach to patients, bossy management, harassment of colleagues if they do not follow instructions or not collaborate in dubious research. Under conditions of paternalism, misinformation of patients and compulsory treatments are deemed permitted. Military and medical ethics are not the same. The comparatively short life expectancy in Russia is a strategic advantage as less healthcare investments and pensions are needed. A constructive alternative is a global leadership concentrated in the developed parts of the world, based on humanism and modern science. Gigantic projects could be realized by united humankind instead of rivalries and military expenditures. Wars within Europe testify to the courage of soldiers and irresponsibility of some leaders.
This review analyzes medical and psychological aspects of the war in Russia and Ukraine. The separation of Russia from Europe started in 1917 and has continued thereafter [1]. If the power shifts to the East, it will come along with losses of values like liberties and human rights. Disregard for laws and regulations, corruption and collectivism will come instead. The quality of many services, products and foodstuffs will decline. The following distinctions should be pointed out: comparatively low life expectancy, medical science not repelling falsification, inefficient medications advertised and prescribed, invasive procedures applied without indications [2-5]. Autocratic or military management style discourages criticism. Attributes of this style include the paternalistic approach to patients, bossy management, harassment of colleagues if they do not follow instructions or not collaborate e.g. in dubious publications. Under conditions of paternalism, misinformation of patients and compulsory treatments are deemed permitted [6]. Finally, the environmental protection and energy conservation is less popular in Russia than in other industrialized countries.
Russian leaders may be the first movers of a new historic period. If the world becomes multicentric as per Vladimir Putin, armed conflicts of various magnitudes will be permanent. In a sense, it would be a return to the medieval times. Indeed, the leading Russian ideologist Alexandr Dugin has written: “The Middle Ages were the golden age of mankind” [7]. A constructive alternative is the global leadership centered in developed parts of the world, based on humanism and modern science.
The declared reason of the Ukraine invasion was the anti-separatist activity in the Donbas since 2014. Apparently, this activity has been exaggerated. The coping with separatism within national borders is justifiable, exemplified by Russian activities in the Caucasus. The 1991 borders of Ukraine were recognized by all nations, including the Russian Federation (RF). Admittedly, a majority of residents in the southern and eastern parts of Ukraine are Russian-speaking whereas some people were disappointed that their region had not become a part of RF. Some residents of occupied territories voted for the unification with RF to avoid trouble as they don’t believe that the situation will be reverted. Many local inhabitants do not care much about liberties and human rights; what is important, is wealth and security. Therefore, significance of the referendums is limited. To be unbiased, such referendums must be performed not in conditions of occupation but under efficient international control e.g. within the framework of a peacekeeping mission.
The main thing is to avoid a new East-West conflict. True winners would be those who stay outside, as it was through the 20th century. The war is distracting people from internal problems facilitating screw-tightening, postponing solutions in the public health and social affairs. All those participating (factually or on paper) will obtain the war veteran status thus acquiring privileges over fellow-citizens. This is a motive both to participate in the warfare and to exaggerate its dimensions. Overmanned militias both in the Donbas and in Chechnya were a remedy against unemployment due to the overpopulation in the latter and coal mines closures in the former [8].
Social and environmental perspective
The conflict in Ukraine has impeded environmental policies in Europe and elsewhere. The war itself is damaging for the environment. The conflict between two major agricultural countries has negative impact on the global food supply. As food prices rise, some nations are likely to cope by converting forests to fields. International tensions and conflicts are among reasons to boost childbearing, which sometimes amounts to the reproductive coercion [9]. Pro-natalist policies are counterproductive in view of the global overpopulation. The demographic growth contributes to the shortage of food and energy in many regions. The energy could be supplied by nuclear power plants (NPPs). Well-managed NPPs pose less of a risk than those running on fossil fuels. Nuclear facilities practically do not emit greenhouse gases. By analogy with the Chernobyl accident, the war damage and shutdown of the Zaporozhie NPP (largest NPP in Europe) enhance demands for fossil fuels well in agreement with the interests of oil and gas producers. The weightiest argument against NPPs is that they are potential war targets. Escalation of conflicts contributes to boosting of fossil fuel prices. Apparently, this has been one of the motives to unleash and continue the war in Ukraine. Should the world become multipolar, armed conflicts will become permanent.
The worldwide use of atomic energy must be managed by a powerful international executive based in developed countries, albeit not in those threatening with nuclear weapon [10]. It would enable construction of nuclear facilities in optimally suitable places, notwithstanding national borders, considering all socio-political, geophysical conditions and reliability of local personnel. In this way, accidents like in Fukushima Daiichi due to the earthquake and tsunami, or Chernobyl, caused by violation of written instructions [11,12], would be avoided. Development of nuclear energy would create jobs for qualified workforce; otherwise, the know-how will be relocated to countries with less influential green movements. Probably not all writers and green activists exaggerating medical and ecological side effects of nuclear energy do realize that they serve the interests of fossil fuel producers. Citizens should be aware that their best intentions are exploited to disadvantage their own countries [13].
Medical Aspects
Since the 1980s, numerous former party and military functionaries, their relatives and protégées, have been introduced into educational, scientific and medical institutions in RF. Being not accustomed to hard and meticulous work, some of them have been involved in misconduct of various kind [3]. They will become more dominant thanks to the current war. Those participating in the conflict, factually or on paper, will obtain the veteran status and hence privileges over fellow citizens, occupy leading position without adequate training and selection. At the same time, some relatives of higher officers evaded mandatory military service under various pretexts [14].
Among mechanisms contributing to the persistence of suboptimal and outdated methods in medicine has been the lack of professional autonomy [15], autocratic or military managerial style discouraging criticism and polemics. Suboptimal practices have been used as per instructions of healthcare authorities and leading experts’ publications. To name but a few: the overuse of Halsted and Patey mastectomy with excision of pectoral muscles, electrocoagulation of endocervical ectopies without cyto- or histological check for precancerous changes, parabulbar injections of placebos, gastric resections for peptic ulcers, overuse of surgery for bronchial asthma, pediatric respiratory conditions, diabetes mellitus and tuberculosis [2-4], excessive use of bronchoscopy for research and practice e.g. in conscripts with supposed pneumonia: 1478 procedures in 977 patients 19,5±0,1 years old in one study [16,17]. The personnel training could have been one of the motives to overuse invasive procedures. The military needs experienced surgeons.
Military and medical ethics are not the same. The comparatively short life expectancy in Russia is a strategic advantage as less healthcare investments and pensions are needed. In conditions of legitimacy and high ethical standards, the market economy stimulates a competition of constructive ideas, innovations and treatment quality. In conditions of disrespect for laws and ethics, the competition turns to discrediting of the free healthcare, manipulation towards paid services, and harassment of non-paying patients. Actually, Russia needs international help in the field of healthcare. Obstacles to the importation of medical products have adverse consequences: domestic products are promoted sometimes despite lower quality and possible counterfeiting. Moreover, relatives of superior officers and functionaries have been involved in immoral and illegal activities. High social positions held by perpetrators prevented reporting [14].
Some medical topics have been reviewed previously [2-5], where details and more references can be found. Here follow selected examples. According to the author’s estimates after temporary practice in Europe, an average size of malignant tumors in surgical specimens was larger in RF than abroad. Obviously, it reflects the efficiency of cancer diagnostics. Outside of the former SU, almost all mastectomy specimens were without muscle. The worldwide tendency towards more conservative breast cancer management remained unnoticed in RF for decades. The modified radical mastectomy of Patey with the removal of pectoralis minor muscle has been a standard treatment until recently; but the Halsted procedure with the removal of both pectoralis muscles was applied as well. The Halsted operation was presented as the main treatment modality for breast cancer in some textbooks edited in the 21st century [18,19], further references are in [4]. As the overtreatment had been realized, the chief surgeon of the Health Ministry, retired colonel Mikhail Kuzin recommended for less advanced cases the modified radical mastectomy of Patey with the excision of the pectoralis minor muscle. This latter procedure is also associated with adverse effects; it was extensively used in RF during last decades. Kholdin, Dymarskii and others recommended, patented and applied even more extended modalities of mastectomy, references are in [4]. Considering the breast cancer incidence, millions of women of different ages have undergone mutilating procedures with the muscle removal during the Soviet and post-Soviet times.
The cauterization or cryodestruction of endocervical ectopies (pseudo-erosions) independently of the presence of epithelial dysplasia have been applied routinely. Ectopies were found at mass examinations and treated by coagulation. This disagrees with the international practice. In particular, the recommended treatment of large ectropions by diathermoconization was noticed to cause complications. Destructive treatments of endocervical ectopies were patented recently. At the same time, Pap-smears have been rare and technically suboptimal, cervical cancer being detected averagely late; more details and references are in [20].
Even if a Pap-smear or cervical biopsy was performed, it did not always prevent the overtreatment, the more so as the difference between the terms metaplasia and dysplasia has not been uniformly understood. Pathologists e.g. at the Ostroumov Hospital in Moscow were discouraged from using the term ‘metaplasia’ to prevent remittance of patients to oncological institutions (dispensaries) and overtreatment. Of note, single-layered columnar epithelium beyond the external cervical orifice i.e. endocervical ectopy is generally considered normal. The cause was not (only) lack of knowledge: stressed women, needlessly redirected to an oncological institution, were easier to manipulate towards paid treatments. Furthermore, parabulbar and subconjunctival injections of carcinine, taurine and mildronate used in age-related ophthalmic conditions were seen to be complicated by hematomas. A benefit from a short-term enrichment of these substances in orbital tissues can hardly be understood, while parabulbar injections are associated with risk. Injections of cell suspensions obtained from abortion material into coronary vessels in cardiomyopathy [21] have been commented previously [22]. In conditions of suboptimal procedural quality assurance, endoscopic and endovascular manipulations can lead to infectious and thrombotic complications.
The “pancreatic blood shunting into the systemic blood flow” was applied as a surgical treatment of diabetes mellitus of both 1 and 2 types [23-26]. The physiological rationale sounds unconvincingly: “Creating a more optimal interaction of subcutaneously administered insulin and pancreas-secreted glucagon” [24]. Apart from several publications from the former SU, no reports on this treatment of diabetes were found. Thrombosis and peritoneal adhesions were observed post-surgery, while acidosis was a typical occurrence [25]. The anti-diabetic effect of the shunting was reported to be moderate both in humans and in preceded experiments with dogs. In the experiment, the majority of dogs did not survive the induction of diabetes by streptozotocin or pancreatic resection with subsequent shunting surgery [27]. Nonetheless, the porto-systemic shunting in diabetes was positively characterized until recently [25,26].
Wedge biopsies from the pancreas and kidney were collected from diabetic patients intraoperatively. The histological descriptions included glomerulitis with mesangial interposition, double-contoured glomerular basement membranes and mesangiolysis, presented as typical features and consecutive phases of diabetic glomerulosclerosis [28]. These features are in fact characteristic of membranoproliferative glomerulonephritis, which, if found in a diabetic patient, should be interpreted as a superimposed condition possibly needing therapy. The kidney biopsy is generally indicated for diabetics only if a renal condition other than diabetic nephropathy is suspected. Of note, renal and pancreatic biopsies are associated with risks. The same can be said about renal and splenic venography, celiac arteriography and other invasive procedures performed within the framework of the diabetes surgery by the same scientists. The overuse of renal biopsy has been discussed previously [29].
Some surgical treatments of gastroduodenal ulcers in the former SU have been different from the international practice [30]. According to the author’s observations, resection of the stomach was rarely performed abroad for peptic ulcers, the volume being smaller, usually corresponding to antrectomy. For perforated ulcers, a local excision was usually performed; and a ring-shaped specimen was sent for histological examination. Laparoscopic procedures are currently on the rise. In the former SU, a primary gastrectomy (2/3-3/4 of the stomach), antrectomy with vagotomy, or a simple suture (depending on the patient’s condition) have been usually performed; references are in [4]. At least a fivefold decrease in gastric resection frequency among ulcer patients during last decades has been reported from some institutions, which indicates an overuse in the recent past; references are in [4]. However, the attitude delineated above is reappearing today, notably, in military-medical institutions [31]. The military needs trained surgeons. In recent publications, gastrectomy has been designated as the most frequent, main or singular surgical treatment of gastric ulcers [32-34], applicable for any ulcer location [31]. As before, appeals to “radicalism” can be heard, advantages of early surgery for uncomplicated ulcers being emphasized [31,34].
Another surgical procedure with no analogy in the contemporary international practice is the thoracotomy with the lung denervation for bronchial asthma referred to as “the most recognized method” in the guidelines by the Ministry of Health [35]. Thoracotomy with the pulmonary root skeletonization was called “the most recognized surgical procedure to treat severe asthma” [35]. The pulmonary root skeletonization method was patented and recommended both for “infectious-allergic” and steroid-dependent asthma. Lung denervations, segment- and lobectomies were advocated even for those asthma patients in whom the medical treatment “had a temporary effect”, especially in the presence of inflammatory lesions in the lungs. It was recommended that medical therapy prior to the surgery should be of limited duration [35]. Segment- and lobectomies were applied as an independent method of asthma treatment, even in those cases when medical therapy was effective. Indications for the surgical treatment included local pulmonary lesions such as bronchiectasis, pneumocirrhosis and bronchitis deformans (the two latter terms are used in RF) [36]. Resections were performed for extensive and bilateral lesions, also in remissions, deemed necessary for a radical healing of asthma. This concept was advocated by Fedor Uglov, who declared that “removal of infectious focus” is the main purpose of asthma surgery. Chronic pneumonia was claimed to be “the basis of bronchial asthma” [36]. Asthmatics were transferred from therapeutic departments for the surgical and bronchoscopic treatment. “After a course of therapeutic bronchoscopies”, Uglov and co-workers performed segment- and lobectomies [36], removing pulmonary tissues regarded by them to be abnormal. The same procedures were applied also in children with persistent cough and recurrent pneumonias. Some histological descriptions deviated from those in the standard editions of pulmonary pathology, being apparently adapted to the concept of surgical treatment details and references are in [4].
The following treatments were applied to alcoholics: prolonged intravenous infusions, sorbent hemoperfusion, endolymphatic and endobronchial drug delivery, pyrotherapy with sulfozine (oil solution of sulphur for intramuscular injections), endoscopic and surgical biopsies of internal organs, cholangiopancreato- and angiography without clear indications also for research [37]. The detoxification by intravenous infusions of sodium chloride, dextran, magnesium (Mg) sulphate, glucose solutions etc. have been recommended for various forms of alcohol dependence and alcoholism including the “moderately severe withdrawal syndrome” [38-40]. This is at variance with the international practice. Intravenous glucose and Mg are generally not recommended in the settings of alcohol withdrawal syndrome. Excessive infusions of Mg-containing solutions are associated with adverse effects. Repeated intravenous manipulations are associated with risks and discomfort. In conditions of suboptimal procedural quality assurance, endovascular and endoscopic manipulations can transmit viral hepatitis, which was known to occur to many alcohol-dependent patients. A combination of the viral and alcoholic liver injury is unfavorable. Compulsory treatments of alcoholics with tuberculosis included repeated bronchoscopies. Among others, vocal cord injuries were observed in such patients. Vigorous apomorphine- and mechanically induced vomiting as emetic (aversive) therapy of alcohol dependence induced hemoptysis in patients with tuberculosis [37]. It was reported in 1994 that ~60% of patients of a “phtisio-narcological” institution for compulsory treatment escaped while a half of them was returned with the help of the police [41]. Conditions in dentistry have been described elsewhere [5]. For example, in case of a tooth extraction, some dentists at state polyclinics offer a choice: “Do you want a paid or free injection?” The payment is unofficial i.e. under-the-counter. Anesthesia after the free injection is incomplete at best. According to the World Medical Association, the pain treatment is a human right.
Many above-cited experts or their relatives hold their positions now as before, reflecting the attitude to ethics in the healthcare and, by inference, in the society and its rulers [3]. It is known that the concept of informed consent has not been uniformly accepted in Russia. Today, patients are sometimes requested to sign in advance a form certifying their blanket consent to unnamed diagnostic and therapeutic procedures. Factors contributing to the persistence of suboptimal methods included the partial isolation from the international scientific community, authoritative or military management style, disapproval of criticism, disregard of the rules of scientific polemics, insufficient use of the foreign literature and unavailability of many internationally used handbooks even in central medical libraries. Disregard for the principles of informed consent together with authoritative and paternalistic attitudes towards patients contributed to the use of invasive methods with questionable indications.
Psychopathological aspect
Psychological aspects of the war in Ukraine and bellicosity of some leaders have been discussed elsewhere [42]. Here is an updated summary. Vladimir Putin’s saying “If a fight is [perceived as] inevitable, you must strike first” may be a trace of juvenile ways of defending against bullies, presumably related to an intergenerational traumatic chain [43]. Physical abuse of children in families and bullying at schools are well-known problems in Russia, often neglected by teachers and authorities, who not always reacted to known cases of child abuse. It has been estimated recently that 14% of all children are exposed to violence, two million are regularly beaten by their parents, and 10% of them die from such treatment [44]. According to another source, 40% of children are beaten in families [45]. The prevalence of family violence in Russia during last decades has been estimated to be 45-70 times higher than, for example, in England and France [46]. Yet in 2017 some forms of family violence have been officially decriminalized in Russia.
Both bullying and family violence have been described in biographies of Vladimir Putin. His father is said to have beaten the boy. There is evidence supporting an association between childhood trauma and bullying with various psychiatric symptoms, including persecutory delusions. Reportedly, the worse a child is treated, especially by his father, the more frequent are paranoid ideations in the adult life; details and references are in [42]. In fact, it is not so much the Russian population who perceive external threats as it is their leader who is re-enacting his puerile experiences [43]. Aggressiveness may be a way to defend self-esteem, blaming others in order to maintain a positive self. In regard to the demolition of the Ukrainian infrastructure including churches [47], Putin may be in grip of the idea that the “denazification” can be achieved through extensive devastation. There is an opinion that Putin’s phantasm of Ukraine’s denazification is an idée fixe based on entangled memories of what he has heard about the World War II. Putin wants to resist the imagined attack from the West; in the process, he may strive to become a new Stalin by completing the latter’s unfinished business of conquering Europe [48]. Many people subscribe to delusions at large. It is possible for a majority to be deluded and minority not to be deluded [49]. Homogeneity of thinking is a predictor of conformism that is conducive to dictatorship [50].
Paranoid rulers tend to promote mentally abnormal individuals and rely on their opinions [51]. An example is Aleksandr Dugin, called the “Putin’s Brain” [52], who preaches Russia’s westward expansion resorting to religious and mystic vocabulary. His writings have been analyzed previously [42]. Dugin’s delusion-like ideas include the “Western plot to undermine Russia” and “Eternal struggle between Land and Sea”, the latter probably being a reminiscence of the novel “1984” by George Orwell. Admittedly, more recent Dugin’s writings contain reasonable conclusions. Criticizing globalization, he noticed that for a national bureaucracy (read: Nomenklatura) it would imply a loss of status. This seems to be the main motive of the anti-globalist ideology prevailing in the Russian officialdom these days. References are in the preceding paper [42].
Paranoid individuals are often self-centered, arrogant and vulnerable at the same time. In a sense, paranoid grandiosity is a shield for a fragile ego. The insecurity of a paranoid ruler may contribute to violence. A belief that others intend harm leads to aggression. Paranoia is generally characterized by a hostile disposition and aggressive behavior against perceived enemies. Paranoiacs are motivated to prove that they are right but have limited abilities to test whether their beliefs are realistic. Their thinking is characterized by jumping to conclusions. This bias may lead to mysterious and religion-related ideas. Certain war instigators and terrorists are paranoid in their tendency to present themselves as prophets and world saviors. Some of them are aggressive against delusional goals, as is the case with the “denazification” of Ukraine. Of note, such ideas are virulent. Mentally healthy people can be susceptible to appeals supported by mystic rhetoric, a predisposing condition being fear of strangers and projection of hatred upon them. This susceptibility is exploited by the propaganda.
In the former Soviet Union, paranoia was recognizable both in authorities and in the whole society [53]. Paranoid politicians search for new enemies and resuscitate old hatreds. This is what we are observing in RF today. The more different a stranger, the more suitable is he or she as a target for externalization. The enemy becomes a reservoir for negated aspects of the self. A lack of knowledge regarding other countries, misleading propaganda, suppressed shame and envy contribute to hostility. Moreover, envious people blame those who make them feel ashamed by comparison. Some functionaries are descendants of the rural proletariat who burnt mansions in 1917 and committed violent crimes, envy being one of the motives. This tradition has evolved to kleptocracy.
The psychological projection in paranoid individuals is regarded to be an aberration of shame; being unable to tolerate shame, they project it onto others and thus disown. In its turn, intense shame confers vulnerability for paranoia [54]. Repressed shame may cause aggression [55]. Shame is associated with different psychiatric conditions and symptoms. There are reasons to be ashamed in today’s Russia, as reflected by a comparatively low life expectancy mainly due to the suboptimal healthcare.
Russian leaders are currently blamed for aggression. Should the world become multipolar, armed conflicts may become permanent. In some ways, this would be a return to the 20th century, or even earlier times. A constructive alternative is a global leadership concentrated in the developed parts of the world, based on humanism and modern science. Gigantic projects could be realized by united humankind instead of rivalries and military expenditures. Wars within Europe testify to the courage of soldiers and irresponsibility of some leaders. The winners are those who remain outside. Hostility toward the West is justified by the alleged “centuries of Western hostility toward Russia” [56]. The Tatar-Mongol yoke (1237-1480), the most effective “hostility towards Russia”, was not mentioned in the context, although it is a realistic perspective in view of demographic and economic developments. Ideally, peace should be achieved through negotiations.
The rhetoric around Ukraine conflict is going too far: obscenities, declarations of jihad and appeals to use nuclear weapon [10,57-59]. All the above is associated with shame. Repressed shame may cause aggression [55]. Some crew change seems to be necessary. Kleptocratic, corrupt, bigoted, and mendacious Putin-regime is to blame. Those responsible and wirepullers, deserve the death penalty not less than persons sentenced in the past as war criminals. In conclusion, Russian leadership should cooperate with European neighbors and other developed nations.
The author declares that he has no competing interests.
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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.
