New Methods and Technology of Pharmaceutical Packaging in the Future

Research Article | DOI: https://doi.org/10.31579/2693-7247/124

New Methods and Technology of Pharmaceutical Packaging in the Future

  • Ashwin Singh Chouhan

Jai Narain Vyas University (New Campus), Jodhpur, Rajasthan India. 

*Corresponding Author: Ashwin Singh Chouhan, Jai Narain Vyas University (New Campus), Jodhpur, Rajasthan India.

Citation: Ashwin S. Chouhan, (2023), New Methods and Technology of Pharmaceutical Packaging in the Future, J. Pharmaceutics and Pharmacology Research, 6(3); DOI:10.31579/2693-7247/124

Copyright: © 2023, Ashwin Singh Chouhan. 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: 23 March 2023 | Accepted: 30 March 2023 | Published: 08 April 2023

Keywords: pharmaceutical packaging; materials; recent advances; food products; methods; technology

Abstract

Pharmaceutical packaging may be defined as the science, art and technology of enclosing or protecting products from distribution, storage, sale and usage including printed material employed in the finishing of a pharmaceutical product. We conducted this research paper by observing the different types of reviews, as well as conducting and evaluating literature review papers. The packaging can be defined as an economical means of providing presentation, protection, identification information, containment, convenience and compliance for a product during storage, carriage, display and until the product is consumed. Packaging must provide protection against climatic conditions biological, physical and chemical hazards and must be economical. The packaging of pharmaceutical a product is very important with regard to its stability, acceptance of the patient, transport, etc. There will always scope for advancement and improvement of pharmaceutical packaging.

Pharmaceutical packaging may be defined as the science, art and technology of enclosing or protecting products from distribution, storage, sale and usage including printed material employed in the finishing of a pharmaceutical product. It’s absolutely necessary to select the right package for a product; because the container or the package forms an integral part of the product. This is true not only for pharmaceutical products, but also for food products, consumer durables or electronic devices. The basic purpose of packaging is to protect the integrity, purity, potency and quality of the product. Packaging is, therefore, a technology and a science, which deals with the study of materials and methods used to pack the product; and also the knowledge of the machinery used for packing the product. In the manufacture, storage, and marketing of pharmaceutical products, package design and packaging are of paramount importance. This is so, because a faulty or defective packaging system can lead to destabilization of a drug, causing serious, untoward or toxic manifestation in the patient. Packaging is important in material handling, storage and transportation. A drug may become totally useless or even toxic, of the container reacts with the contents, regardless of how well the product is formulated.

Packaging must provide protection against climatic conditions biological, physical and chemical hazards and must be economical. Stability of the product throughout the shelf life. Package should provide adequate information related to the contents including legal requirements, route of administration, storage conditions, batch number, expiry date, and manufacturers name and address and product license number. Package should assist in patient compliance. Package should preferably have an aesthetically acceptable design. The primary packaging consist of those packaging components which have a direct contact with the product (i.e. bottle, cap, cap liner, label etc.) The main functions of the primary package are to contain and to restrict any chemical, climatic or biological or occasionally mechanical hazards that may cause or lead to product deterioration. Packaging must also function as a means of drug administrations. The packaging external to the primary package is known as the secondary packaging. The secondary packaging mainly provides the additional physical protection necessary to endure the safe warehousing and for refill packaging. 

Ideal qualities of a pharmaceutical packaging 

  1. It should have sufficient mechanical strength so as to withstand handling, filling, closing and transportation. 
  2. It should not react with the contents stored in it. 
  3. It should be of such shape that can be elegant and also the contents can be easily drawn from it. 
  4. It should not leach alkali in the contents. 
  5. The container should not support mould growth. 
  6. The container must bear the heat when it is to be sterilized. 
  7. The contents of container should not be absorbed by the container. 
  8. The material used for making the container should be neutral or inert. 
  9. Any part of the container or closure should not react with each other. 
  10. Closure should be of non-toxic nature and chemically stable with container contents. 

Types of packaging materials 

The following materials are used for the construction of containers and closures. 

  1. Paper and board 
  2. Rubber 
  3. Glass 
  4. Plastic 
  5. Metal 

Advances in pharmaceutical packaging 

Cypak's advanced medication monitoring and report card systems 

This is an advanced packaging technology can enable to patients to communicate with healthcare professionals through printed technology. This record the time and data that a pill was taken based on when it is removed from its blister pack. This allows the patients to log their feedback on side effects and treatment efficacy and upload it. This technology holds significant potential for new levels of patient-doctor interface to workout best treatment plan. Sensor-based packaging concepts are best applied in clinical trials. This helps in drug development to establish whether a drug is ineffective or simply not being taken properly. 

Cypak’s advanced medication technology is used in targeting clinical trials market, as poor date resulting from non-compliance can be financially devastating in this context [1]. 

 

 

Figure 1: Cypak's advanced medication monitoring and report card systems.

Burgopak's sliding cr blister pack 

Burgopak healthcare and technology- won the award for the “Most Innovative Child Resistant Packaging Design” at the Pharmapack Paris exhibition. The Burgopak's sliding CR blister pack can only be opened by applying force at two different points on the packaging. 

The blister pack and leaflets are coordinated with the outer box, which insures the product is never separated from its packaging [2]. 
 

 

 

Figure 2: Burgopak's Sliding CR Blister Pack.

Pharma small hands resistant (shr): a re-closed and tear resistant carton 

A reclosable and tear-resistant carton is ideal for highly toxic drugs. Stora Enso and Bosch launched Pharma small hands resistant (SHR). Stora Enso Pharma SHR is a child restraint reclosable carton. It is ideal for highly toxic drugs and it is easy to use for senior adults. It is tested with the highest F=1 rating in the US. It is an innovative paperboard package system it only requires simple squeeze and pull manoeuvre [3].

 

Figure 3: Pharma Small Hands Resistant (SHR): A re-closed and tear Resistant Carton.

The Silenor® PatientStarter Kit features

The Silenor®Patient Starter Kit features a novel carton design that when opened resemble a bedroom completewith bed and nightstand. Containedwithin the design is a seven count unit dose carded blister, removable from the design to enable portability and convenience. To support patient compliance and adherence, the bed carton design contains a literature pocket, housing the medication guide, the Sleep -Saver™Program prescription discountcard, and a multi-panel color leaflet completewith instructions on taking Silenor®, description of side effects, guides to enrolling in the Sleep -Saver™ program including website and tollfree number, as well as additional information on insomnia treatment. (Compliance Prompting, 2010)


 

 

Figure 4: The Silenor® Patient Starter Kit features

Eco-FriendlyPharma Packaging

Environmental considerations must not lead to any compromise on a package'ssafety or accessibility. New pharmaceutical packaging concepts are beginning to emerge that addressenvironmental concerns withoutsacrificing packaging advancesmade in the last decade

Ecoslide-RX sustainable compliance packaging

Folding Box Company and Legacy Pharmaceutical Packaging launched their Ecoslide - RX sustainable compliance packaging.

The pack is made from 100% recycled material,using unbleached paperboard and a clay-coated surface designed to house blisterpackaging with a minimum of unsustainable film and foil.

The slide package meets all the modern expectations for child-resistance and accessibility for seniors, but doesn't require heat sealing in the manufacturing process, reducing both costs and energy usage [4]. 
 

 

Figure 5: Ecoslide-RX sustainable compliance packaging

Prefilled syringes

Advantages and driving factors of prefilled syringes

Self-filling a syringe can be a cumber-some process, which is not only slow but can also result in incorrect dosages and spillages. The availability of prefilled syringes introduced both convenience and accuracy to self- administered drugs. The increased use of prefilled syringes is not only following the general consumertrend of a growing demand for convenient and easy-to-use products – it is also driven by the pharmaceutical producersas a consequence of improved safety and the reduction in drug overfills [5].

Packaging against counterfeiting

AS per FDA - counterfeit drugs account for 10% of all medication in the US. EU believes between 1% and 3% of medicines. Latest developments are fluorescent labels,packaging with laser surface authentication, which can be identified through a unique code , and near field communication (NFC) tags [6].

In India for instance,drug companies have been sending their medicines to overseas markets including an obligatory sport barcode on their outermostpackaging, started in October 2011.

These are distinct aspects to deciphering and de- complexifying the counterfeit pharmaceutical supply chain. One that is probablymore in use today by almost all pharmaceutical companiesworldwide is the Product-Based tracking methodology which incorporates the use of high technology system to identify counterfeit products in the market.

These technologies include Tamper-evident packaging, holographic, bar codes and the more recent RFID.

It is true that a security device on packaging components provides no assurance as to authenticity of the contents, which mayhave been substituted or adulterated.

Security device alone do not reduce counterfeits, but are designed to make them easier to detect.

Classification of Anti-Counterfeit Technologies Overt (Visible) Features:

Overt features are intended to enable end users to verify authenticity of a pack. Such features will normally be prominently visible,and difficult or expensive to reproduce.

The lists of overt features are follows:

Holograms:

Optically VariableDevices (OVD):

Colour ShiftingSecurity Inks and Films

Security Graphics

Sequential ProductNumbering

On-Product Marking


 

Figure 6: Overt (Visible) Features

Covert (Hidden) Features

The purpose of a covert feature is to enable the brand owner to identify counterfeited product.The general public will not be aware of its presence nor have the means to verify it. If compromised or publicized, more covert features will lose some security value. The list of Covert features includes:

  • InvisiblePrinting
  • Embedded Image
  • DigitalWatermarks
  • Hidden marks and printing
  • Laser coding
  • Substrates
  • Anti-copy and Anti-scan design
  • Odour
     

Figure 7: Covert (Hidden) Features

Forensic markers:

There is a wide range of high technology solutions which require laboratory testing or dedicated filed test kits to scientifically prove authenticity of the products.The list includes:

  • ChemicalTaggants
  • Biological Taggants
  • DNA Taggants
  • Isotoperatios
  • Micro-taggants [7]

Serialization/Track and Trace technologies

A number of Track and Trace applications are under development for the pharmaceutical sector. These involveassigning a unique identity to each stock unit during manufacture, which then remains with it through the supplychain until its consumption [7].


 

 

Figure 8: Serialization Track/trace Technology, RFID, Topography - Authentic & Counterfeit product

Tamper Resistant Packaging

The requirement for tamper resistantpackaging is now one of the major considerations in the development of packaging for pharmaceutical products.Tamper resistant packageis one having an indicatorto entry in which, if missing, can reasonably be expected to provide visibleevidence to consumers that tampering has occurred. FDA approves the following configurations as tamper resistant packaging: Film wrappers, Blister package, Strip package, Bubble pack, Shrink seals, and bands Oil, paper, plastic pouches, Bottle seals, Tape seals, Breakable caps, and Aerosol containers.

Advancement in Pharmaceutical Packaging 

The TalkingPackaging

There are two developments in talking packaging at this moment. The “TalkPack ” from Wipak Walsrode GmbH in Germany, a system , which can be invisibly integrated into any printed image on any packaging material, but needs a special scanning pen. A recent development by VTT Technical Research Centre of Finland using tags with NFC (Near Field Communication) based technology connectedto NFC- enabled mobile phones to download text, audio or web page productinformation, which can be played back on their handset [8]. 

 

Figure 9: Talk Pack-Wipac

A special pen-shaped reader is used to retrieve the stored information and to replay it as audio files and render speech, music or sounds audible and thus the consumer can obtain information on the manufacturer, brand, shelf-life or other information. Talk Pack does not require any RFID or microchips. The dot code is simply printed on top of images and texts using a special varnish. This technology can be used with all printingtechnologies and package types. Dispensing caps or Functional caps - store dry or liquid supplements separately from the water-released by the consumer they form energy or vitamindrink or sometimesa medicinal drink. Everything from pharmaceuticals to nutraceuticals, can be packed and properlydosed by a dispensed cap [9]. 

Recent changesand development in Inhalers (MID, pMID, DPI, nebulizers)

Hydrofluoroalkane (HFA) propellant replacing the chlorofluorocarbon (CFC) due to concerns about the latter’s damaging effect on the ozone layer. The US Food and Drug Administration (FDA) have ruled that no CFC MDIs will be sold in the US after 2008. As a result of the requirement to use HFA propellants, challenges arose with respect to re- designing formulation, valves, and actuators and conducting clinical trials.The elastomeric components in existing meteringvalves are generallyincompatible with HFA propellants, and some surfactant.

 

 

Figure 10: Dispensing cap

DPI devicesare categorized as Single-unit dose inhalers in which each doseis loaded into the device before use (Aerolizer™, Novartis; Handihaler™, Boehringer Ingelheim) and Multidose reservoir inhalers in which a large supply of drug is pre- loaded into the device (Turbuhaler ™ or Flexhaler ™, AstraZeneca; Twisthaler ™, Schering-Plough). Multiunitdose inhalers in which several single doses are individually sealed and discharged each time the device is actuated (Diskus™, GlaxoSmithKline). The Aerolizer uses separate single-dose capsuleswhile the Flexhaler, Diskus, and Twisthaler all have dose indicators. In contrast, pMDIs do not have anindependent means by which to monitor the number of doses remaining in the device, the FDA issued guidelines that recommended manufacturers integrate.

Diskus Inhaler Technique

Device innovators and manufacturers were honored as AANMA’s first innovative technology award at the 15th annual Allergy & Asthma Day Capitol Hill on Thurs., A DISKUS® is a dry-powder inhaler that holds 60 doses. It features a built-in counter, so that you always know how many doses you have left in it. First dry powder inhaler that simplifies asthma care by combining an inhaled corticosteroid with a long-acting bronchodilator in one device [10]. 

 

 

 

Figure 11: Diskus Inhaler

Recent Technical Advancements in Parenteral packaging Blow-Fill-Seal Technology

It is developed in Europe in the 1930s and introduced in the US in the 1960s, has emerged as a preferred method for aseptic packaging of pharmaceutical and healthcare products due to unrivalled flexibility in containerdesign, overall productquality, product output and low operational costs.

 

Figure 12: Blow fills seal process

Blow-Fill-Seal Vs. Conventional AsepticProcessing

Uninterrupted sequence

  • Reductionin the number of parts required to assemble the package
  • Blow-fill-seal offers a cost advantage over conventional asepticprocessing
  • It produces a one-piece, aseptically filled container with a built-in safety seal

Applications

Blow-fill-seal technology is commonly used for ophthalmic and respiratory drugs,and it is also beingemployed for Parenteral and dental and veterinary products. Since blow-fill-seal technology is suitable for unit dose, its use is increasingas more and more companiesmove to single-use packages. Processoperates at low temperatures and incorporates several fill systems,allowing flexibility in terms of the volatility and viscosity of products that can be packaged.

There are two types of blow-fill-seal packaging:

1]The Micro Dose package      2] TheTwist- Tip vial

 

 

Figure 13: (a) Micro Dose Package       (b) The Twist Tip Vial

These packages are made using a modified blow- fill-seal process. One of the more recent advancements in blow-fill-seal technology is the abilityto insert sterilepackaging components into the containerto make it a multiusecontainer [11]. 

Syreen Prefilled Syringe Design 

Environmental awareness is even starting to extend to the syringe market. It replaces glass with cyclic olefin polymer (COP). This material has allowed secondary packaging altogether as the COP design forms its own outer shell. The ability of packed syringes to clip into place eliminates the need for packaging materials like cardboard.

 

 

Figure 14: Syreen Prefilled Syringe Design.

Stora Enso – PHARMA Ddsi Wireless 

This technology is based on conductive ink on a carton board-based blister inlay, which is connected to a cellular module embedded in the package. 

  • The removal of pills is tracked and the information can be sent to an electronic database automatically via GSM or GPRS cellular networks. 
  • A doctor can simply use the packaging data to track a patient’s medication intake. 
  • The system can also issue phone calls and text messages to the patient, healthcare professionals and even relatives. 

Even voice and sound-based packaging system have been developed to help blind and illiterate patients take their medicines safely.
 

 

Figure 15: Stora Enso- Pharma DDSI Wireless.

Robotics in Pharmaceutical Packaging:

In many instances robotics are utilized to automate the existing manual processsuch as loading a cartoners, horizontal form fill seal machines or blister machines. In these cases, the advantages include increased speed, efficiency and as increaseto overall equipmenteffectiveness (OEE), Other advantages may lead to reduced cost, reduced injury and eliminating re-work. Robots extremely accurate and repeatable. They operate 24/7 and, with optionslike vision and line tracking,can verify placementof product and track movement of continuous motion machines to keep up with production speed.

Robotic cells typically offer a very small foot printcompared with other type of packaging equipment. At the same time, these cells offer a generouswork envelope, allowingthe installed equipmentto handle multiplepackaging lines. A typical roboticloading assembly, or collating system uses a foot print less than 3’ x 3’. Even a dual cell palletizer, typically a large robotic packagingmachine, only occupies less than 12’x 10’ of floor space. In addition to small foot print, robotic packaging lines can save space by using a single robotic cell for multiple functions, eliminating the need for additional equipment. For example, a robotic case packing and palletizing cell can be created that both loads products into cases but also places the filled cases on a pallet, reducingthe equipment and space required.

Material and Methods

We conducted this research paper by observing the different types of reviews, as well as conducting and evaluating literature review papers.

Result and discussion

The packaging can be defined as an economical means of providing presentation, protection, identification information, containment, convenience and compliance for a product during storage, carriage, display and until the product is consumed. Packaging must provide protection against climatic conditions biological, physical and chemical hazards and must be economical. Pharmaceutical packaging is a multiphase broad process which is classified into primary, secondary and tertiary level. Presently, numerous advancements and changes are taken into consideration for product safety, stability and patient’s compliances. An important role of pharmaceutical packaging is to transform the formulation into an attractive and marketable product. So many issues regarding the pharmaceutical product like stability, sale, patient compliance etc are related with the packaging and in regard to this; present review is done on the various advancements in the packaging techniques and selection of packaging material. The review details several of the recent pharmaceutical packaging trends that are impacting packaging industry, and offers some predictions for the future.

Packaging should provide protection, identification, information, convenience and compliance for a productduring storage, carriage,display and until such time the product is consumed. A thorough background about the product, the market, the distribution system and other facilities available has to be considered while selecting a packaging material. Pharmaceutical packaging should look into concerned issues like child safety, patient compliance,patient traceability, tamperingand diversion of pharmaceutical products. Now, major additional concerns of drug counterfeiting. Considerable steps have to be taken to ensure packaging traceability. Some manufacturers have affixed the use of barcodes to pharmaceutical products.Tracing pharmaceuticals right from their origin at a chemical plant to the patient beside may be attainable when Radio Frequency Identification (RFID) is embedded throughout the pharmaceutical packaging and makes it easier to ensure that the product is authentic and thereby improves the efficiency of drug supply chain. Advanced integrated robotic systems are becoming more and more common in packaging lines for a wide variety of applications and at the same time it lowers costs, reducesrisks, and shortens times.

Conclusion

The packaging of pharmaceutical products is very important with regard to its stability, acceptance of the patient, transport, etc. There will always scope for advancement and improvement of pharmaceutical packaging. Therefore, new techniques like Cypak’s advanced medication, Syreen prefilled syringe design, etc. Seems to be promising in pharmaceutical product packaging.  In recent decades, pharmaceutical packaging technology has been an important technique in the pharmaceutical industry. After formulation, the next step is packaging. It is an important process in pharmaceuticals because it provides protection for products, identification & protection against physical damage and also gives compliance with the products & improves patient compliance. Some other better research will go into packaging for better results and pharmaceutical companies are increasingly working to improve productivity and reduce costs in their manufacturing and packaging operations. It gives good quality packs& good sales & also economical results. Expanding markets and innovative marketing strategies have led to an increased demand for packaging products. Pharmaceutical packaging will be a multiphase broad process which is classified into primary, secondary and tertiary levels. Presently, numerous advancements and changes will take into consideration product safety, stability and patient compliance. An important role of pharmaceutical packaging is to transform the formulation into an attractive and marketable product.

Acknowledgment

We thankful way to all of the honest and extraordinarily supporting pals for his or her assist and assist for the finishing touch of work. Last however now no longer the least, we grateful to all folks who cooperated and helped me immediately or circuitously to perform this work.

Ethical Approval

Ethical approval turned into now no longer required for this letter. All facts used are publicly accessible.

Funding

There have been no outside reasserts’ of investment for this research. 

Financial Support and Sponsorship

Nil.

Declaration of Competing Interest

All authors are, do now no longer record any conflicts of hobby with inside the writing of this letter.

Authors’ Contribution

The first authors developed the proposal, undertook the literature search and review, and then collect and analyse the data under supervision of my respective advisers. The second author gives constructive comments and guidance and work with the main author with respect to the research objective.

References

Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.

img

Virginia E. Koenig

Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.

img

Delcio G Silva Junior

Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.

img

Ziemlé Clément Méda

Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.

img

Mina Sherif Soliman Georgy

We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.

img

Layla Shojaie

The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.

img

Sing-yung Wu

Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.

img

Orlando Villarreal

Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.

img

Katarzyna Byczkowska

Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.

img

Anthony Kodzo-Grey Venyo

Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.

img

Pedro Marques Gomes

Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.

img

Bernard Terkimbi Utoo

This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.

img

Prof Sherif W Mansour

Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.

img

Hao Jiang

As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.

img

Dr Shiming Tang

Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.

img

Raed Mualem

International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.

img

Andreas Filippaios

Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.

img

Dr Suramya Dhamija

Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

img

Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

img

Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

img

Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

img

Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

img

Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

img

Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

img

Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

img

S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

img

Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

img

George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

img

Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

img

Khurram Arshad