AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2641-8975/033
1Associate Professor, PhD (Post-Graduate in Medicine and Health), Federal University of Bahia.
2Full Professor, Post-doctoral, Thesis Supervisor Department of Internal Medicine and Diagnostic Support, Faculty of Medicine, Federal. University of Bahia.
*Corresponding Author: Romário Teixeira Braga Filho, Associate Professor, PhD (Post-Graduate in Medicine and Health), Federal University of Bahia.
Citation: Romário Teixeira Braga Filho, Argemiro D'Oliveira Júnior. (2022). Men's Health, Metabolic Syndrome and Quality of Life: An
Observational Study with Soldiers of the Military Police of Bahia State, Brazil. J. Diabetes and Islet Biology, 5(2); DOI:10.31579/2641-8975/033
Copyright: © 2022 Romário Teixeira Braga Filho, 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: 12 January 2022 | Accepted: 19 January 2022 | Published: 24 January 2022
Keywords: men’s health; metabolic syndrome; quality of life; military police
Men generally have a lower life expectancy and higher mortality than women in nearly all age groups. The military police profession, which main activity is the maintenance of public order and the prevention of crimes and transgressions of law, with high occupational stress and professional victimization, is mainly made up of men. Therefore, the study of the living conditions and health of police officers may be representative of the general male population. Addressing the risk factors for disease and death from cardiovascular causes is a high priority for health organizations, and most of these conditions are related to living environments and the quality of life. The participants of this observational design study were 452 military policemen of Bahia, Brazil who were candidates for a corporals training course. Quality of life was assessed by the World Health Organization Quality of Life Assessment Instrument (WHOQOL-BREF). The results of specific domains of this instrument are discussed, including the perception of quality of life and satisfaction with personal health. It is proposed to adopt a comprehensive and continuous care for the integral health of the military police, both in their professional activities and in their personal lives.
Men are subject to societal determinants that contribute to illness and mortality, and they also have a life expectancy of nearly eight years less than women. Men also have a higher mortality from all causes not related to gender, in almost all age groups [1]. Cardiovascular diseases have been a central cause of concern in health organizations; WHO predicts that by the year 2040, coexisting with the worldwide epidemic prevalence of cardiovascular diseases, Brazil will reach the worrying condition of champion of the world with an incredible increase of 250% in the prevalence of illness and death from cardiovascular diseases. Hence, there is a great need to adopt preventive measures related to cardiovascular disease risk factors [2].
Life expectancy in high-income countries is considered to have increased, with women generally surviving longer than men; this finding has several explanations, such as biological factors, sociodemographic conditions, healthy behaviors, health status, but it is questioned that little relevance has been given to the role that public health policies can play on these factors. A study was carried out in the United Kingdom with the objective of verifying the contribution of preventable causes of death, as a way of measuring the existence of public health policies and their impact on the quality of health status and on the gender gap related to life expectancy. It was noted in their results that preventable causes of death – with an emphasis on ischemic heart disease and injury – had greater contributions to the gender gap than non-preventable causes [3].
As a clinical condition that implies multiple risk factors to cardiovascular disease, Metabolic Syndrome (MS) has a high level of importance in the clinical setting, for it is frequently associated to living conditions – including daily lifestyles habits and the level of quality of life [4]. According to National Cholesterol Education Program – Adult Panel III (NCEP – ATP III) criteria, at least three of the following conditions should be present to establish the diagnosis of MS in men: 1. a systolic blood pressure of ≥130 mmHg and/or a diastolic blood pressure of ≥85 mmHg; 2. triglycerides ≥150 mg/dL; 3. fasting glucose ≥100 mg/dL; 4. HDL-cholesterol <40>102 cm) [5].
Around the world, the military police profession is generally considered a risky occupation with high level of stress and professional victimization [6]. In Brazil, Military Police Corps are State Forces that, along with other agencies – as Federal Police, Federal Highway Police, Federal Railway Police, States’ Civilian Polices, and States’ Military Fire Brigades - constitute Organizations designed to provide public safety, as it is stated by the Constitution of Federative Republic of Brazil, promulgated on October 5, 1988. States’ Military Polices and the Military Fire Brigades are subject to the Governors of the states, of the Federal District and of the Territories; they are ancillary forces and reserve of the Army. Military Polices are specially designed to maintain public order, and to prevent occurrences of transgression to law and public order; their main instrument of work is the presence of the policemen around the public space, where they act as uniformed and ostensive police patrolling. In order to achieve the daily maintenance of public order and the prevention of occurrences of violence and crimes against the physical integrity of citizens and public and private properties, military policemen usually face situations of violence. Military policemen usually work within military forces characterized by rigid structures of hierarchy and discipline; in such a situation they frequently experience high levels of psychological distress, besides physical illness and professional victimization that are harmful occurrences related to the risky professional activities [7, 8]. Like other segments of the services sector, public security was excluded from the agenda of economic studies for a long time. In the time of the dictatorship – when Military Police Corps were frequently the first (or even the only) barriers between popular protests and representatives of Governments - the opinions of the general public and intellectuals were directed against the Military Police; it was not until after the 1990s that public safety was seen as a part of the social construction within a democratic perspective. As a more recent phenomenon, the public security professionals—albeit in an understated way—begin to rely on the interest of scholars and scientistsdedicated to the subject of health conditions related to work[9]. Understanding the lack of efficient mechanisms of attention to men’s health in general, and more, including the historical reasons reported above, the importance of developing a health care program for the military police justifies a study to understand the living conditions of military policemen and learn how they perceive their quality of life and health. This one is part of a larger study[10,11].whose theme was focused on the health of men; the main objective was to increase the knowledge and understanding of the living conditions and risks of illness and death from cardiovascular causes experienced by military policemen of Bahia. In this study, the quality of life of this specific population is reported and evaluated, as well as the hypothesis of how it was related to the presence or absence of the MS clinical picture is analyzed.
This study is an observational design of an intrinsic qualitative nature for it intends to broaden the understanding of how the participants experience the spectrum of the conditions of well-being, health and disease, as well as how quality of life is related to the MS occurrence in the subjects studied; the main instrument of assessment of quality of life in this research – the WHOQOL-BREF - utilizes the subjective perception of the subjects; the relevance of the fact that the main verb of the qualitative analysis is to understand is also pointed out; therefore, there is a continuous act that follows understanding, that is to interpret[12]; even though the results and discussion are presented also with quantitative components of socio-demographic, anthropometric, blood pressure, clinical, and laboratory data, and the statistically processed results of the questionnaire on quality of life; thus, the qualitative and quantitative aspects of this research are interlaced. Assessment of the components of MS used NCEP – ATP III criteria [13]. The population studied were military police soldiers of the State of Bahia; a convenience sample was composed of two groups of soldiers (256 and 196, for a total of 452 soldiers) convened in January and March 2012 for selection, including medical evaluation and a physical fitness test, for the Training Course for Military Police Corporals; the course is a prerequisite for promotion to a rank above that of the soldiers; so a corporal is in a rank designed to command a small military unit composed of some soldiers. The only criterion for the formation of groups was the date of enlistment in the Corps and the vacancies were rigorously filled by the older. The soldiers came before the medical board with the results of the medical examinations, which included the level of fasting glucose, total cholesterol and fractions, and triglycerides. When examined, anthropometric data (weight, height, body mass index, waist circumference) and blood pressure were recorded, as well as information about the presence of previous diagnosed diseases and their treatment. The individual assessment of quality of life used the World Health Organization Quality of Life - Brief Version (WHOQOL-BREF), a shorter form of the original questionnaire – World Health Organization Quality of Life – 100 (WHOQOL 100) - that contains 100 questions[14,16]. The WHOQOL-BREF consists of 26 questions; the initial two are general questions aboutquality of life and self-perceived health status, while the remaining issues are about the four domains: physical, psychological, environmental, and social; while in WHOQOL-100 each one of the 24 facets is assessed by 4 questions, in WHOQOL-BREF every facet is assessed by only one question. As described above, there are four domains, and each one include specifics facets, as follows:
1. Physical domain (facets: pain and discomfort; energy and fatigue; sleep and rest; mobility; activities of daily living; dependence on medication or treatments; ability to work);
2. Psychological domain (facets: positive feelings; thinking, learning, memory and concentration; self-esteem; body image and appearance; negative feelings; spirituality, religion, personal beliefs);
3. Social domain (facets: personal relationships; social support; sexual activity);
4. Environmental domain (facets: physical security and protection; home environment; financial resources; health and social care – availability and quality; opportunities for acquiring new information and skills; participation in and opportunities for recreation / leisure; physical environment: pollution / noise / traffic / climate; transport)[14,15]. The questionnaire is self-administered; each question admits five types of responses in a Likert scale ranging from 1 to 5 points; the higher the score, the higher the quality of life. The completed questionnaires were processed by specific syntax (directions that are originally attached to the instrument) using SPSS version 17. The same software was used for compiling the descriptive statistics, including socio-demographic, anthropometric, clinical, and laboratory data.
There were 452 participants in this study with a mean age of 45.8 years. Two groups were formed based on the mean age: group 1 consisted of those aged <45>
The physical and laboratory data that are related to the risk factors for cardiovascular diseases are presented in Table 1.
All officers included in the study were men; the mean age was 45.8 years (ranging from 42 to 57 years); the mean Body Mass Index was equal to 27.84 kg/m2 (ranging from 19.10 to 39.21 kg/m2); waist circumference had an average of 97.12cm (ranging between 65 and 129cm); the mean Systolic Blood Pressure was 129.73mmHg (ranging from 90 to 200mmHg); the mean Diastolic Blood Pressure was 84.36mmHg (minimum 70 and maximum 120mmHg); the mean fasting glucose was 99.70mg/dl (ranging from 68 to 346mg/dl); total cholesterol had an average of 205.17mg/dl (ranging between 109 and 396mg/dl); HDL Cholesterol had an average of 45.02mg/dl (varying between 22 and 94mg/dl); the mean triglyceride dosage was 187.14mg/dl (ranging between 37 and 1227mg/dl)
The findings of the physical examination and laboratory tests are summarized as follows: adapted from [11].
*Body Mass Index
Adapted: (Braga Filho & D’Oliveira Júnior, 2013)
Table 2 shows the participants’ answers to the WHOQOL-BREF that refer to the different domains of quality of life they experience, their perception of the quality of life, and satisfaction with their own health.
| N | Minimum | Maximum | Mean | Std. Deviation | |
|---|---|---|---|---|---|
| To what extent do you think your life makes sense? | 443 | 1 | 5 | 4.29 | .748 |
| How satisfied are you with your sex life? | 450 | 1 | 5 | 4.07 | .798 |
| How satisfied are you with your personal relationships (friends, relatives, acquaintances, colleagues)? | 450 | 1 | 5 | 4.02 | .767 |
| How satisfied are you with yourself? | 450 | 1 | 5 | 4.00 | .834 |
| Are you comfortable with your body? | 449 | 1 | 5 | 3.95 | 1.031 |
| How well are you able to get around? | 450 | 0 | 5 | 3.72 | .938 |
| How satisfied are you with the support you receive from your friends? | 447 | 1 | 5 | 3.68 | .744 |
| How satisfied are you with your ability to work? | 449 | 1 | 5 | 3.63 | .816 |
| Do you have enough energy for your day-to-day activities? | 448 | 1 | 5 | 3.60 | .840 |
| How would you rate your quality of life? | 452 | 1 | 5 | 3.60 | .761 |
| How satisfied are you with your ability to perform day-to-day activities? | 447 | 1 | 5 | 3.56 | .810 |
| How satisfied are you with your access to health services? | 449 | 1 | 5 | 3.51 | .899 |
| How satisfied are you with the conditions of the place you live? | 449 | 1 | 5 | 3.40 | 1.043 |
| How well do you concentrate? | 445 | 1 | 5 | 3.38 | .764 |
| How much do you enjoy life? | 448 | 1 | 5 | 3.37 | .801 |
| How secure do you feel in your daily life? | 441 | 1 | 5 | 3.25 | .903 |
| How satisfied are you with your sleep? | 450 | 1 | 5 | 3.19 | .995 |
| How satisfied are you with your mode of transportation? | 450 | 1 | 5 | 3.08 | 1.169 |
| How healthy is your physical environment (climate, noise, pollution, appearance)? | 449 | 1 | 5 | 3.07 | .853 |
| How satisfied are you with your access to health services? | 450 | 1 | 5 | 2.97 | 1.024 |
| How available to you is theinformation you need in your day-to-day activities? | 449 | 1 | 5 | 2.84 | .853 |
| How much time do you spend on leisure activities? | 451 | 1 | 5 | 2.68 | .812 |
| How much medical treatment do you need to accomplish your day-to-day activities? | 445 | 1 | 5 | 2.45 | 1.089 |
| Do you have enough money to meet your needs? | 449 | 1 | 5 | 2.31 | .737 |
| To what extent do you think your physical pain prevents you from doing what you want or need to do? | 444 | 1 | 5 | 2.24 | 1.009 |
| How often do you have negative feelings such as bad mood, despair, anxiety, or depression? | 449 | 1 | 5 | 2.01 | .844 |
| Valid N (listwise) (missing data are excluded) | 373 |
Table 2: Means of research subjects' responses to the WHOQOL-BREF questionnaire, in descending order.
The mean BMI - indicative of being overweight - and the increased mean abdominal circumference – are both conditions considered risk factors for cardiovascular diseases according to the WHO standards[17]. The fasting glucose mean found is close to the cutoff point adopted by the International Diabetes Federation (IDF) as a criterion of impaired fasting glucose (≥100 mg/dl), and the mean level of triglycerides is above the cutoff point for consideration as a component factor of MS by NCEP – ATP III criteria (≥150 mg/dl) [13]. A high alcohol intake, a question not specifically addressed in this study, is associated with elevated levels of serum triglycerides, but also with cardiovascular diseases, fatty liver disease, and alcoholic etiology of acute pancreatitis [18]; this should be a remaining point to be cleared in further studies. A population-based study conducted in a city in southern Brazil showed that being overweight (BMI >25 kg/m2) and having an increased waist circumference (> 102 cm) increased the chance of having hypertension by 1.66 and 1.48 times, respectively, more than those considered normal [19]. A population-based study conducted in a city in southeastern Brazil involving men enrolled in the Family Health Program found overweight/obesity in 43.3% of the participants[20]. In the present study, the prevalence of overweight/obesity was 72.64%; with this finding, we should consider the population studied in increased risk for developing hypertension, one of the most prevalent cardiovascular diseases.
About the assessment of quality of life, the responses to the questionnaire are subjective. An informal review of the questionnaire data showed a relatively low mean (with a score range of 0 to 100) that was observed in the physical and environmental domains, specifically about satisfaction with personal body appearance, living conditions, access to health services, and the availability of the necessary information for everyday activities. Participants also noted that there were few opportunities for leisure activities and some negative feelings were reported. These may be explained, at least partly, by the limitations associated with aging and occupational stress, which can affect physical well-being, leading to lower average scores in the physical domain. The lowest rating in the environmental domain, the ambient quality of life, may reflect the inadequate conditions that citizens (including military policemen) experience in daily life, struggling to adjust to an urban environment with excessive noise, visual and air pollution, inadequate urban cleanliness, and the poor condition of public roads; a set of conditions that are widely discussed throughout the populations. The reduction in skills due to aging may explain the overall lower means in the older group compared to the younger group. Satisfaction with personal health was lower in the older compared to the younger group, and only assessment of quality of life was equivalent in the former to the mean of the entire group.
Data from the Ministério da Saúde – DATASUS – Departamento de Informática do Sistema Único de Saúde do Brasil (Ministry of Health - Information Technology Departament of the Unified Health System in Brazil) showed a male/female prevalence ratio of 1,188 in fetal deaths between 2000 and 2009, which suggests an innate male vulnerability [21]. The difference in the rates of illness and mortality might be explained by genetic and hormonal factors or lifestyle and habits (alcohol, smoking, working conditions), but the rates may also be a consequence of how the masculine identity is formed and the roles of men and women in society. Men adopt a role that society recognizes as masculine; associated behaviors subjectively, but ostensibly, distance and distinguish them from those other behaviors considered by society as typical of children, homosexuals, or women. To achieve this identity, there is a denial of sensitive and tender behavior, which includes the denial of pain; this affirms the male roles of providers and leaders while sacrifices self-preservation[22]. The PNAISH - Programa Nacional de Atenção Integral à Saúde do Homem (National Policy for Integral Attention to Men’s Health) was established by Ordinance No. 1.944/GM, of the Ministry of Health of Brazil, on August 27, 2009, with the primary objective of reducing morbidity and mortality rates by addressing risk factors for disease, facilitating access to services, and encouraging preventative health behaviors. The different meanings that managers and health professionals attach to PNAISH were collected in a study of six narratives and 21 semi-structured interviews; the perceptions of the policy included: a need to meet the health demands of men in primary care, considering the human being as a whole; an attempt to reduce urological problems; as a vague directive, without strategies for attracting men to health services and appropriate care actions; and the inability to capture the attention of men [23]. PNAISH, unlike other political directives, such as those related to the status of women and blacks, did not arise out of a social movement, but was a government decision. The policy seeks to change the conditions that produce inequalities in care between men and women [23,24]. The medicalization of health care by the primary care sector focuses attention on the care of women, thus producing gender inequalities in the operation of health services and professional performance. Women receive more organized and complete care while men receive insufficient care and little attention to their specific needs [25].
In addition to the documented evidence that being male is a risk factor for disease and death, the level of education seems to be associated with a better quality of life, more access to health services, and better health. A study with a sample of 449 men in a city in the southern region of Brazil showed that men with less education were more likely to have alcohol dependency, a sedentary lifestyle, unhealthy habits, a higher prevalence of self-rated health as poor or very poor, and at least one chronic disease, such as hypertension. Access to health services—except dental services—were not associated with the level of education [1].
Other conditions related to socioeconomic factors and quality of life often influence the occurrence of physical and psychological distress amongst policemen [6,8,26].
Police officers are mostly men, which allows the study of the health status of police officers and their quality of life (even when special issues that apply to the police are considered) to be, at least in part, generalized for the assessment of health and quality of life of most men. A study involving 1,110 military policemen in the city of Rio de Janeiro revealed that the majority of the police force were men (96.3%), between 31 to 40 years (43.1%), 48.2 % of mixed race, and 75.4% were married. Using the Self-Report Questionnaire (SRQ-20) to detect psychological distress and minor psychiatric disorders, 35.7% (95% CI: 32.9% to 38.6%) of the respondents had symptoms of psychological distress. The authors of the study concluded that the need to react quickly in the face of difficult situations - which is a frequent occurrence in the exercise of police activities - and dissatisfaction with life as a whole explained psychological distress better than socio-demographic characteristics [6]
This study evaluated quality of life in a convenience sample of the military police of Bahia and health status as assessed by physical and laboratory data. A high prevalence of hypertension, overweight/obesity, and dyslipidemia were found. The participants reported low satisfaction with quality of life, especially in the physical and environmental domains, indicative of the decline of physical well-being and the poor environmental conditions in which their daily activities are carried out. The main limitation of this study is the convenience sample, which obtained data may not be generalizable to the general population or even the whole of the Military Police Corps. The sample was selected by the human resources administration sector based exclusively on length of service (94.8% had between 20 and 25 years of service); therefore, these individuals are a mirror for the entirety of military police soldiers that are nearing 30 years of service providing public safety. This profession is fraught with stress and risks; thus, military police soldiers deserve special care and continued attention to full health specificities and needs, as well as attention to the conditions in which they spend their professional and personal lives.
Acknowledgement and Credits:
We thank SAGE JOURNALS – in special The American Journal of Men’s Health – for publishing two previous articles - that are together the first part of the first author’s Doctoral Thesis; the presente article is the third one that along with the fourth one - also presented to publish at this moment - are completing the cited Doctoral Thesis. Presenting this article in another Journal to publish complies with SAGE Journals copyright rules, for it has no economic purpose, and is part of the process of publishing the remaining articles, completing the Doctoral Thesis of the first Author.
For this purpose, part of the content of the previously published articles can be used to maintain coherence and a better understanding of the third and fourth articles, which complement the Doctoral Thesis.
The previous published articles are as follows:
Metabolic Syndrome and Military Policemen’s Quality of Life:
An Interdisciplinary Comprehensive Approach
Romário Teixeira Braga Filho, MD, PhD, Argemiro D’Oliveira Júnior, PhD
First published in november, 26, 2013
https://doi.org/10.1177/1557988313510928
The Prevalence of Metabolic Syndrome among Soldiers of the Military Police of Bahia State, Brazil
Romário Teixeira Braga Filho, MD, MMedSc, Argemiro D’Oliveira, Jr., PhD
First Published in March, 12, 2014
https://doi.org/10.1177/1557988314526750
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Ethical considerations: The study was approved by the Ethics Committee of Complexo Universitário Professor Edgard Santos, Federal University of Bahia, and was conducted in accordance with the principles of Ethics in Research with Humans and the Declaration of Helsinki.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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!
"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 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 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 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.
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 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.
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.
“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”.
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.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
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.
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, 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.
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.
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, 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.
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!”
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
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.
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 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.
