AUCTORES
Globalize your Research
case report | DOI: https://doi.org/10.31579/2639-4162/069
1Assistant professor, Obstetrics and Gynecology Department, Lebanese University, Beirut, Lebanon
2Obstetrics and Gynecology Department, Al Zahraa Hospital University Medical Center, Beirut, Lebanon.
3Medical Director, Heah of Obstetric and Gynecology Department, Director IVF center Abou Jaoude Hospital, Jal el Dib, Lebanon
4Medical Doctor, Radiology Department, Abou Jaoude Hospital, Jal el Dib, Lebanon
5Pathologist, Pathology Department, Al Zahraa Hospital University Medical Center, Beirut, Lebanon.
6Assistant professor of Radiology Colombia University, USA, Dianostic Radiology, Nuclear Medicine
7Obstetrics and Gynecology Department, Lebanese University, Beirut, Lebano
*Corresponding Author: Kariman Ghazal, MD Assistant professor, Obstetrics and Gynaecology Department Lebanese University.
Citation: Kariman Ghazal, Imad Abou Jawde, Sandra Hasbani, Marwan Saliba, Sami Faddoul and Fatima Hamiye (2022). Backward Falling Elderly. J. General Medicine and Clinical Practice. 5(3); DOI:10.31579/2639-4162/069
Copyright: © 2022 Kariman Ghazal, 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: 27 June 2022 | Accepted: 05 July 2022 | Published: 13 July 2022
Keywords: leiomyoma; misdiagnosed; sarcoidosis; torsion; ovarian fibroma
Preoperatively, torsion of ovarian fibroma is frequently misdiagnosed as an uterine leiomyo-ma. A 58-year-old lady who complained of nausea and stomach pain was proviso diagnosed with uterine leiomyoma. Right solid mass with maintained blood flow was visible on trans-vaginal ultrasonography and Doppler. A well-defined solid mass measuring 15 cm by 10 cm and most likely a subserous uterine leiomyoma with central necrosis and more positive lymph nodes were detected by magnetic resonance imaging on the right side of the pelvis. RMI re-sults were confirmed by PET scan, and the sarcoidosis pattern was confirmed by biopsy. The right ovary was the source of the solid mass at laparotomy, which had torsion evidence. Mi-croscopic analysis of the mass supported the diagnosis of ovarian fibroma with necrosis. The preoperative misdiagnosis of ovarian fibromas and the sarcoidosis diagnosis are both repre-sented in this article.
However, extra uterine masses provide a more difficult diagnostic problem. Pedunculated/Intra ligamentous leiomyomas or ovarian masses are two differential diagnoses for solid abdominopelvic extra uterine masses. Although imaging tools aid in the diagnosis, histology is crucial in excluding other possible diagnoses.[1]
Ovarian fibromas are the most frequent benign solid cancers of the ovary, accounting for 1-4 percent of all cases. They are typically found in middle-aged women [1], are frequently challenging to identify preoperatively, are commonly mistaken for uterine fibromas due to similar pathology, complications, clinical, and ultrasonic characteristics [2, 3], and are occasionally misdiagnosed as malignant carcinoma due to ascites and elevated serum CA-125 levels [5, 6].
In this case study, a 58-year-old postmenopausal woman with acute pelvic pain was clinically suspected to have a uterine fibroma pedunculated due to rapid growth of the mass in one year after cancer evaluation and imaging was diagnosed as a uterine fibroma with necrosis centrally and with RMI and PET scan released evident lymph nodes and
biopsied confirmed diagnosis of sarcoidosis. The patient's final diagnosis was an ovarian fibroma with necrosis central and torsion and she didn't know she had sarcoidosis.
To evaluate whether abdominal and pelvic tumors in postmenopausal females are benign or malignant, a strong index of suspicion is required.
Yes; but It is preferable to add the difference between the sexes in the previous literature, especially that the two cases in the study are female. A 58-year-old post-menopausal multiparous woman in G5 P5 gravida 5 para 5 ( 5 pregnancy and 5 delivery) reported to the emergency room complaining of nausea, vomiting, and a 6-day history of severe abdominal pain that first appeared in the right lower quadrant before spreading to the entire abdomen. She had previously experienced sporadic episodes of stomach pain, dysuria, pollakiuria, and a feeling of abdominal heaviness in the months before. All of her vital indicators were within the usual range. She took intravenous analgesic as a pain reliever after receiving a tentative diagnosis of uterine fibroma from a CT scan. (Figure 1)
For inquiry and follow-up, the patient came back to the clinic. In the right iliac fossa and hypogastrium, a palpable, firm mass the size of a 16-week uterus was seen during a physical examination. Its bottom limit could not be attained, and it lacked a tender and clearly defined limit. A vaginal examination indicated an expanding uterus and a 15 cm-long, uncomfortable, irregular lump that was firm in consistency. The mass was not affected by cervical movements, according to pelvic ultrasonography, which revealed a non-homogeneous mass (15 cm 10 cm) in the upper and right lateral uterine (Figure 2), endometrium thickness of 4 mm. The same mass was also located directly anterior to the uterus and continuous with it (Figure 3). Doppler control is negative in the mass. (Figure 4).
Recent abdominal and pelvic ultrasounds do not show any pelvic mass based on the history. (Figure 5)
Biochemical and hematologic tests that were routinely conducted were normal. Every tumor marker was also within normal limits. A well-defined lobulated mass lesion (15cm .10 cm.9.3 cm) located anterior to the uterus and superior to the bladder was discovered by MRI. It looked to shift the uterus posteriorly, extended up to the anterior abdominal wall anteriorly, and compressed the bladder dome inferiorly. Superiorly, it extended up to level L5-S1. On T2, it showed a heterogeneous signal strength that was more intense than the myometrium and iliopsoas (Figure 6), and on T1 had isointense myometrium and hyperintense iliopsoas (Figure 7)
According to imaging, it was determined that it was a right pedunculated fibroid with necrosis in the center and more obvious lymph nodes, which advised Pet scans with biopsy to confirm the diagnosis of sarcoidosis.
The research subject gave written approval for a laparotomy and the preoperative tests conducted by hospital protocol were normal for the full blood count hemoglobin. Laparotomy was performed, and the solid mass, which was torsioned and measured 15 cm by 10 cm, was discovered to be coming from the right ovary irregularly surfaced, black, the blue-encapsulated mass that is twisted three times is linked to the right ovary (Figure 8, Figure 9) via a twisted pedicle.
The left adnexa and uterus both seemed healthy. Both a bilateral salpingo-oophorectomy and a complete hysterectomy were carried out. The diagnosis of ovarian fibroma with widespread ischemia necrosis was established based on pathological and immunohistochemical results For follow-up appointments for the sarcoidosis every three months, the patient was released on the third postoperative day
Ovarian mesenchymal neoplasms are rare, non-specific, and pose challenging issues for diagnosis, histogenesis, behaviour, and therapy [5]. Between the ages of 20 and 65, ovarian fibromas are diagnosed, with mean ages falling between the fifth and sixth decade [6-8]. In 4–8% of patients, ovarian fibromas can be bilateral, and in 10% of instances, they can be numerous [5], notably in Gorlin syndrome [9, 10], or they can be accompanied by pleural effusion and ascites in Meigs syndrome [11]. It is infrequently linked to hirsutism or infertility [13] and frequently observed concurrently with uterine leiomyoma, suggesting a similar hormonal stimulation. Despite their size, these tumours are frequently asymptomatic and are typically found during routine examinations [1]. They can occasionally present as abdominal enlargement, urinary symptoms, or abdominal pain [5], and on occasion in our instance [14, 15] with torsion, which is uncommon in postmenopausal patients.
Because of its solid form, relationship with ascites and pleural effusions [16], as well as its high CA-125 levels [8], which are particularly prominent in torsion due to necrosis and inflammation [4], ovarian fibroma can also mimic ovarian cancer. Typically, ultrasound features lack specificity [16]. When ovarian torsion is suspected, doppler imaging is the preferred examination. Due to bleeding, oedema, coexisting bulk, free pelvic fluid, a lack of arterial or venous flow, and a twisted vascular pedicle [14], the ovary typically appears swollen, amorphous, hypoechoic, and heterogeneous. Ovarian fibromas typically show up on a CT scan as uniform tumors with delayed enhancement [8, 17]. A midline adnexal mass that is rotated toward the pelvic side opposite to that of the patient's torsion is among the diagnostic indicators Ascites and uterine deviation to the afflicted ovary's side [14]. Ovarian fibromas must frequently be further characterized with MRI in order to be distinguished from other solid ovarian tumors [16]..
Due to the leiomyoma's degeneration, which included bleeding, necrosis, cyst formation, calcareous and sarcomatous degeneration [2, 5], the tumour showed up on T1 as a well-circumscribed low signal intensity mass with mixed signal intensity on T2. In fact, solid mass, size greater than 10 cm, internal hypervascularity, advanced age, spread of the tumour into the pelvis or adjacent viscera, and metastases are all indicative markers of malignancy [13]. While, tube thickening, ascites, diversion to the twisted side, bleeding in the thickened tube, and torsion knot are suggestive indications of torsion. [17].
Due to its rarity, and in our case, we assume that the torsion of the ovarian fibroma was a false-positive diagnostic of uterine fibroma with necrosis and hazy somatotypes In actuality, surgical removal is required for ovarian fibroma treatment. Preoperatively, uterine leiomyoma is frequently mistaken for ovarian fibroma. According to Leung et al, The diagnosis of an ovarian fibroma or a solid ovarian tumor was correctly made preoperatively in only 5 patients (21.7%) [18] In a retrospective comparative analysis of 97 patients with ovarian fibroma/fibrothecoma Yeon Jean Cho et al, found that 42.2% of cases were misdiagnosed as uterine myomas and 6.2% were misdiagnosed as malignant ovarian tumors [19]. Other retrospective analysis of 47 women with ovarian fibromas, Son et al. reported five occurrences of laparoscopic ovarian cystectomy. [7] 15 ovarian fibromas were treated in a series of cases by ovariectomies (five cases), adnexal resections (three cases), and total hysterectomies with salpingo, according to Târcoveanu et al (five cases). [13] High-resolution ultrasonography and color Doppler in 10 of the cases in the Târcoveanu et al. investigation pointed to the presence of an ovarian fibroma whereas computed tomography (CT) and magnetic resonance imaging (MRI) were only suggestive for the diagnosis of ovarian fibroma in three cases. [13] When the transvaginal ultrasound revealed the solid nature of the left adnexal mass, the investigated case was re - evaluated by MRI and given a preliminary diagnosis of leiomyoma.
A well-defined solid hypointense mass, most likely a subserous anterior wall uterine leiomyoma, was visible on MRI in the right side of the pelvis. The solid ovarian mass, approximately 15 cm by 10cm, was discovered during an exploratory laparotomy and was coming from the right ovary. A mass in the right ovary with ovary was removed. The removed mass's postoperative histologic analysis supported the ovarian fibroma diagnosis. According to Najmi et al, young women with ovarian fibromas should consider cystectomy while perimenopausal or postmenopausal women should consider salpingo-oophorectomy. [1] The right ovarian tumour was removed from the investigated case along with a total abdominal hysterectomy and a left annessiectmy. In the blood sample collected before to surgery for cross-matching, the ovarian reserve indicators were normal. The patient was sent home with instructions to monitor sarcoidosis. The preoperative misinterpretation of ovarian fibroma with uterine leiomyoma with torsion and the diagnosis of sarcoidosis are highlighted in this study.
The most frequent benign solid tumor of the ovary, ovarian fibromas are rare. Despite its rarity, it ought to be taken into account in the differential diagnosis before surgery. Ovarian fibromas are frequently misdiagnosed as uterine leiomyomas and occasionally as malignant ovarian tumors. In perimenopausal or postmenopausal women, the usual treatment option for ovarian fibromas is salpingo-oophorectomy, which entails surgical removal along with immunohistochemistry testing for a certain diagnosis.
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.
