AUCTORES
Globalize your Research
Review Article | DOI: https://doi.org/10.31579/2639-4162/168
Instiuto de Ciencias Económico Adminstrativas, Universidad Autónoma del Estado de Hidalgo
*Corresponding Author: Tirso Javier Hernández Gracia, Instiuto de Ciencias Económico Adminstrativas, Universidad Autónoma del Estado de Hidalgo.
Citation: Javier C. Guillén, Tirso JH. Gracia, Cruz G. Lirios, (2024), Occupational Stress in The Covid-19 Era, J. General Medicine and Clinical Practice, 7(8); DOI:10.31579/2639-4162/168
Copyright: © 2024, Tirso Javier Hernández Gracia. 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: 01 April 2024 | Accepted: 17 April 2024 | Published: 22 April 2024
Keywords: work stress; emotional exhaustion; job depersonalization and professional frustration
The objective of the present work was to specify a model for the study of work stress, considering a review of the literature that emphasizes three components related to exhaustion, neglect and frustration. A non-experimental, cross-sectional and correlational study was carried out with a selection of 100 workers from a public hospital, considering their working hours, as well as their seniority. A structural equation model was established in which exhaustion was the hegemonic component that explained the highest percentage of variance with 27%, although the research design limited the results to the research scenario, suggesting its extension to another. context.
Work stress understood as the somatization of an occupational disease and indicated by high levels of exhaustion and resistance, negligence and commitment, as well as frustration and violence has been a central theme and theme of the organizational agenda (García, 2020a). Work stress understood as the somatization of an occupational disease and indicated by high levels of exhaustion and resistance, negligence and commitment, as well as frustration and violence has been a central theme and theme of the organizational agenda (Garcia, 2019a). It is an adaptive syndrome and it develops in three phases; 1) resistance to the increase in demands and the reduction of psychological and organizational resources, 2) alarm or intensification of the work rhythm, as well as a disproportionate increase in objectives, tasks and goals, 3) exhaustion or maximization of individual functions and resources, as well as low performance and increased errors (Adams, 2020). Since the work stress process is a complex problem, this work approaches it from a theoretical approach of its components, emphasizing the link with organizations and their central actors such as leaders, talents, peers and operatives (García, 2020b). Next, the models and instruments that measure occupational stress are addressed, highlighting the environment, the individual and the organization as central axes of reducing demands and increasing resources to prevent the syndrome (Molina, 2020).
Theory of occupational stress
Productive and health care organizations are prone to develop a stress structure or, in the opposite case, a happiness structure, both derived from a structure of group dynamics, organizational climate and conflicts. homework and relationships García, 2020c). Done and hospitals in both entities’ prevention of diseases and attention to health, stressful relationships develop between their representatives and employees (Juárez, 2020). Psychological studies around stress have shown the existence of a three-dimensional structure in which three factors converge: emotional exhaustion, job depersonalization and professional frustration. These investigations shown that stress is influenced by interpersonal and intergroup relations. In this sense, group dynamics has been identified as the main mechanism of influence that, from conflicts, modifies the work structure of an organization (Korstanje, 2020). In the case of stress, relationship conflicts and task conflicts are the main causes of emotional exhaustion and job depersonalization. Some studies show that the conflict in relationships influences this last (García, 2020d). Others argue that organizational climate would not have a significant effect on emotional exhaustion or in professional frustration (Elizarraráz, 2020). However, it is evident that the factors that make up a structure of job happiness are determinants of professional frustration (García, 2020e). Such causal variables are dedication, enjoyment, and work vigor (Quiroz, 2020). As happiness factors at work increase, professional frustration decreases. However, these studies show causal relationships between factors without having demonstrated their structure (García, 2019a). Therefore, this research is to goose demonstrate the three - dimensional structure supported by the theory of job stress (Bermudez, 2019).
The theory of work stress raises three explanatory dimensions of exhaustion, frustration and neglect observed in health and education professionals predominantly in their occupational field (Carreon, 2019a). These are three components that by themselves suggest a prevalence of stress, although together they denote a mental illness known as the syndrome of overwork and which is indicated by high levels of conflict within the organization (Garcia, 2019b). It is assumed that in occupational settings, since occupational health is focused on people rather than organizations, there are signs of exhaustion, as would be the case of those who carry out exhaustive work based on their degree of competence, relationship with superiors or peers (Aguilar, 2019). These types of workers suffer from exhaustion due to their function, although as they gather the merits to perform another function they continue to act with occupational sacrifice, assuming that their merits are not enough (García, 2019c). It is a very common condition in vertical organizations, focused on traditional leadership, unilateral communication and normative motivation (Carreon, 2019b). Negligence is often assimilated as a strategy or response to the increase in an increasingly expensive and complex labor demand in terms of effort and cooperation, being deferred to the person least capable or motivated to carry out the management, production or translation. of homework (Carreon, 2019c). The developing syndrome is often indicated by solipsistic communication, self-centered motivation, and absence of goals and objectives, always attributable to the organization, leaders, or peers (Hernandez, 2019).
The most significant component of the work stress syndrome is the frustration that when associated with violence is a pending issue for organizations (García, 2020e). It is a common problem in companies dedicated to the efficiency, effectiveness and effectiveness of their processes and products, such as optimization and innovation (Carreon, 2019c). The condition develops and develops in talents rather than leaders or peers, as well as other types of logistics or operational personnel (Espinoza, 2019). Studies of work stress and systematic reviews of occupational health have shown the prevalence of these three factors, as well as the hegemony of exhaustion as a visible factor in the syndrome of overwork associated with occupational diseases and accidents (García, 2020f).
Studies of occupational stress
In the framework of the strategic alliances between organizations and institutions for the labor insertion of talents, the models and instruments that measure the problem have focused their attention on the skills determined by self-confidence, self-efficacy and self-esteem (García, 2020g). The Stress Control Scale states that the worry of error and the somatization of anxiety are determinants of skills and is in the prevention of an accident (Carreon, 2019d). The Perceived Stress Scale includes reagents alluding to stressors; assessment of the situation, resources and environment, as well as emotional and behavioral responses, associated with sociodemographic variables as determinants of the physiology of somatization of disease, although it only refers to working hypotheses to be tested in differential situations of resources and demands (García, 2019e). Both models generalize their relationships from considering that the demands of the environment affect the resources of organizations, including the psychological resources of those who suffer from stress (Martínez, 2019). In a more specific sense and continuing with this principle of external influence on biomedical aspects (García, 2019f). The Psychological Stress Scale sets out to differentiate chronic and acute levels to establish its relationship with the metabolic syndrome, indicated by the waist circumference, and the level of trigricerides, cholesterol, glucose and pressure (Garcia, 2019g). This biomedical model links the internal factors of the individual with molecular biomedical aspects (Sanchez, 2019). The three models with their corresponding instruments seem to demonstrate that the work environment even affects biomedical aspects that would indicate a level of resistance, alarm or exhaustion (Hernandez, 2019). Consequently, the measurement of factors related to this process of internalization of demands and externalization of effects involves at least three components that would make up a robust structure (García, 2020h).
Sample. He interviewed or 100 employees (M = 35,4 SD = 2,3 and M = 1’324,31 SD = 243,56 USD) of the hospital General of the city of Cuernavaca, Morelos (Mexico). Instrument. Is utilize the Scale Job Stress, that measurement exhaustion, depersonalization and frustration of staff. It includes 138 items, with four response options ranging from 0 = "strongly disagree" to 5 = "strongly agree". Procedure. Respondents were informed that the results of the study would not positively or negatively affect their contractual employment status with the institutes where they work. Once solved the questionnaire, the trend of answers and verified, in cases where its response or he focused on a choice, he asked the participants to write on the back the reasons for their decisions. The data was processed in the SPSS and LISREL software, in their student versions.
A normality analysis was performed to establish the distribution of the answers to the questions and questions of the instrument. The selection criteria included the values that are between - 3 to +3. The items and questions excluded for exceeding the allowable range. Subsequently, exploratory factor analysis of main components with varimax rotation to corroborate the three - dimensional structure. The selection criteria reagent was configured factors higher correlation 0 300 between each reagent and the appropriate factor. The first factor, referred to emotional exhaustion, explained 27 % of the variance; the second, related to labor depersonalization, 7%, and the third, which refers to the frustration staff, the 5 %.
Table 1. Descriptive instrument
Note: Elaborated with data study: M = Mean, SD = Standard Deviation, ɑ = Alpha excluded value item. Method: Principal, Axes Extraction; Promax, Adequation and Sphericity ⌠χ2 = 23,1 (24df) p < ,05; KMO = ,781⌡F1 = Exhaustion (27% total variance explained and alpha with ,756), F2 = Negligence (7% total variance explained and alpha with ,771), F3 = Frustration (5% total variance explained and alpha with ,780). 0 = "strongly disagree" to 5 = "strongly agree". Finally, the reliability of the underlying factors was established. Table 2 shows the values of normality and reliability of the subscales that measure the factors found. The factor of emotional exhaustion scored low reliability, which means the heterogeneity of results in relation to the systematization of interviews with the same subjects. In contrast, the factors that allude to job depersonalization, professional frustration and work stress obtained enough reliability values. Once the normality, validity and reliability of the subscales were demonstrated, a correlation was carried out between the factors to establish their direct and significant associative relationships. Table 2 shows three significant associations between the factors. Only in the established one between professional frustration and depersonalization is there a negative relationship. In other words, as the lack of achievement increases, personalized attention increases. In this sense, the lack of socialization is to link with stress at work. Finally, another contributing factor to stress is lack of achievement.
| M | SD | F1 | F2 | F3 | F1 | F2 | F3 | |
| F1 | 24,32 | 14,35 | 1.000 | 1,821 | ,521 | ,439 | ||
| F2 | 21,35 | 18,21 | - 0.363 * | 1.000 | 1,789 | ,531 | ||
| F3 | 20,35 | 15,46 | 0.394 ** | 0.568 *** | 1.000 | 1,721 |
Table 2. Correlation and covariations between factors
Note: Elaborated with data study; M = Mean, SD = Standard Deviation, F1 = Exhaustion, F2 = Negligence, F3 = Frustration. * p < ,01, ** p < ,001, *** p < ,0001
Associative relationships are preliminary to causal relationships. Therefore, a successive step multiple linear regression analysis was performed to establish the main effect of the exposed factors. The causal relationships between the factors. From the successive step’s technique, it was established that the factor corresponding to personal frustration has a direct positive and significant effect on work stress. In a second moment, the factor that alludes to personal depersonalization turned out to be the determining variable in work stress. In this sense, the negative and significant association between the factors suggests the absence of effects of variables not included in the model. However, to demonstrate non-collinearity, a covariance analysis was performed. The analysis of covariances was carried out with the LISREL software. Consider is to r on the "phi" parameters and "zeta" to establish the absence or presence of collinear relationship and the effect of other variables inferred by the level of disturbance. Two-dimensional structure of work stress. The covariance parameter “phi” is very high, which means that the effect of other variables not included in the model is minimal and with it the probabilities of collinearity. However, it is noted that the disturbance parameter is very high, evidenced in the incidence of other variables. In order to observe the structure of axes, trajectories and relationships between the three established factors and their indicators, we proceeded to estimate a model of structural equations. A structure of reflective relationships is observed between the factors with respect to their indicators, as well as the prevalence of the total variance explained by the exhaustion factor (see Figure 1).
Source: Elaborated with data study; F = Factor, F1 = Exhaustion, F2 = Negligence, F3 = Frustration.; R = Reactive, e = Error measurement indicator The adjustment parameters ⌠χ = 24,3 (12 df) p > ,05; GFI = ,997; CFI = ,995; RMSEA = ,007⌡suggest the non-rejection of the hypothesis regarding the theoretical relationships reported in the literature regarding the findings observed in the present work.
Figure 1. Structural equation modelling
The contribution of this work to the state of knowledge lies in the establishment of an exploratory factor structure as evidence of validity and reliability of the instrument that measures the axes, trajectories, and relationships between exhaustion, neglect, and frustration proposed in the work stress model. However, the research design has limitations regarding the findings, which are not generalizable and are confined to the surveyed sample, as well as the suggestion to extend the work to other samples in order to contribute to the validity of the instrument. In relation to the models and instruments reviewed, the present work notes the same prevalence of the exhaustion factor, although the validity is less than that reported by the other studies. The construction of an instrument with greater reliability and validity will allow us to discuss the scope of this phenomenon as part of occupational health in the face of contingencies in which demands are exacerbated and resources are scarce. Thus, with regard to the work environment as a determinant of the asymmetries between demands and resources, as well as its effects on the syndrome of overwork, it is necessary to establish the factors that most influence occupational health and its consequences on stress and the depletion. In the case of organizational variables such as work environment, training and training centered on objectives, tasks and goals, indicators of job demand, this study indicates that its effects must be observed in exhaustion. As goals become more complex, tasks are intensified, and goals are prolonged, work-related stress seems to fall on the exhaustion of those who are responsible for carrying out the strategies and tasks to achieve these ends. Regarding the effects of stress and exhaustion on performance, competitiveness and innovation, this study has shown a 27% variance explained by this factor, which suggests the inclusion of other factors such as neglect or frustration. Research lines concerning external factors as determinants of other variables concomitant to exhaustion will allow us to explain occupational risks and their effects on occupational health.
The structure of work stress is two-dimensional. Professional frustration and job depersonalization are the main determining factors. Although first is the leading cause of work -related stress, the effect of other variables is evident, including: the exhaustion emotional in the case of stress ; he dedication, enjoyment and vigor at work in the case of happiness at work ; and leadership, task conflicts and relationships in the case of group dynamics at work. In other words, under a stressful structure a structure of individual happiness and group dynamics could underlie. The influence of structural factors in each of them could demonstrate the ambivalence that characterizes productive organizations.
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.
