Preparation and Quality Evaluation of Buckwheat Incorporated Bread

Research | DOI: https://doi.org/10.31579/2637-8914/058

Preparation and Quality Evaluation of Buckwheat Incorporated Bread

  • Arjun Ghimire 1*
  • Laxmi Aryal 2
  • Ranjana Poudel 3

*Corresponding Author: Arjun Ghimire. Department of Food Technology, Central Campus of Technology, Dharan, Nepal.

Citation: Arjun Ghimire, Laxmi Aryal and Ranjana Poudel (2021) Preparation and Quality Evaluation of Buckwheat Incorporated Bread. J Nutrition and Food Processing, 4(5); DOI:10.31579/2637-8914/058

Copyright: © 2021 Arjun Ghimire, 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: 27 June 2021 | Accepted: 22 July 2021 | Published: 03 August 2021

Keywords: buckwheat; composite bread; iron content; sensory characteristics; emulsifiers; anti-staling agents; potassium persulphate; saccharomyces cerevisiae; DOE

Abstract

This study aimed to optimize buckwheat flour in bread. The product formulation was based on the results obtained from the DOE (Design of Expert) v 7.1.5. Buckwheat flour incorporated bread was prepared with the incorporation of buckwheat flour in 10%, 17.5%, 20%, 25%, 30%, 32.5%, and 40% concentration with wheat flour. The physical properties of buckwheat were analyzed along with the different physical properties of the prepared product. The proximate along with iron content and sensory analysis of buckwheat incorporated bread of different concentrations was carried out and the means were compared at a 5% level of significance. 

The physical properties of buckwheat revealed the l/b ratio of 1.51, bulk density of 70.23 Kg/HL, and 1000 Kernel weight of 22.12g, respectively. Physical analysis of the bread formulations showed that the loaf volume and specific loaf volume decreased while the weight increased with the incorporation of buckwheat flour. The lowest loaf volume of 204 cm3 and specific loaf volume of 1.86cm3/g was recorded for 40% buckwheat incorporated bread with an increased weight of 109.40g. The protein, fat, crude fiber, ash, and iron were found to be 12.55%, 4.89%, 1.56%, 2.43%, and 3.27 mg/100 g respectively, in 25% buckwheat flour incorporated bread. The formulation of 25% buckwheat flour was found to be best in sensory characteristics in terms of color, taste, flavor, crumb appearance, and overall acceptability. Hence, the results concluded that 25% buckwheat incorporated flour bread was the optimum bread formulation for the preparation of composite bread.

Introduction

Bread is a mixture of flour, water, yeast, and sodium chloride, with or without butter, kneaded, fermented, and cooked in an oven in the proper proportions. Bread baking is one of the earliest human pursuits [1]. The World Health Organization advises that each individual consumes 250 grams of bread each day which varies by country. As a result, baked goods are one of the most frequently eaten foods on the planet, with yearly global bread consumption exceeding 9 billion kg (20 billion lb) [6]. The volume, texture, color, and flavor of bread are usually used to determine its quality [14].

Bread is a leavened product made from wheat flour sugars released from starch by the action of natural flour enzymes. It differs from other typical foods in that it is a leavened product made from the fermentation of wheat flour sugars freed from starch by the action of natural flour enzymes. Baker's yeast is the commercial name for the organism Saccharomyces cerevisiae, which causes fermentation. Sugar is transformed into moisture and CO2 during fermentation. Due to the expansion of water vapor and CO2 as a result of the high temperature, they function as an insulator, limiting a rapid rise in bread crumb temperature and the potential of excessive moisture evaporation. To start the fermentation process, sugar is introduced, and the salt is used to strengthen the gluten and convert the yeast's activity into regulated dough expansion [20]. Fresh bread has a brownish, crispy crust, a nice scent, fine slicing qualities, a soft, elastic crumb texture, and a moist mouthfeel [12]. To attain the necessary quality, functional food additives such as emulsifiers and anti-staling agents in bread are now required because of automation, large-scale manufacturing, and rising customer demand for high quality, convenience, and extended shelf life [28]. Emulsifiers are very essential in large-scale, industrial bread baking because they increase dough strength, improve the rate of hydration, enhance crumb structure, improve slicing characteristics, improve gas holding capacity, and lengthen shelf life [20].

     The steps of bread production include combining the ingredients, resting the dough, splitting and shaping it, proving, and baking, with the intermediate stage varying greatly depending on the kind of result. The dough is exposed to various shear and significant extensional deformations (including fracture) during mixing, fermenting, and baking, which is primarily influenced by temperature and water hydration [25]. Several physical changes occur during the bread-making process, with gluten proteins being primarily responsible for the creation of bread dough structure and starch being mostly responsible for final textural qualities and stability [24].

     Buckwheat (Fagopyrum esculentum), a Polygonaceae dicotyledonous plant, is a moisture-loving, cool-climate annual grain with a lot of promise for application in sustainable tropical cropping systems. Buckwheat cultivation is not limited to a certain type of soil or fertilizer need, and it is also cultivated at higher elevations in Nepal and Bhutan, over 3,000 meters [31]. Buckwheat is a gluten-free pseudo-cereal with a high nutritional content that has been proved to have several health benefits. The many products created from the inclusion of buckwheat flour may be used in gluten-free meals for gluten-intolerant patients. Buckwheat is well-known for being a good source of nutritionally important protein, lipid, dietary fiber, and minerals, and when combined with other health-promoting components like phenolic compounds and sterols, as well as antioxidant capacity, it is gaining popularity as a potential functional food [13].

    Many studies on the nutritional content of ordinary wheat flour loaves have been conducted. The findings of that study point to a fundamental shortcoming in such bread, which is mostly due to a lack of mineral content. As a result, the necessity for this research was identified to address a deficit in wheat loaves by partially incorporating buckwheat flour, which has a higher mineral content than regular wheat flour, and to make gluten-free bread.

 

Materials and Methods

1. Preparation of buckwheat incorporated bread

The essential ingredients for bread including wheat flour, buckwheat, butter, yeast, saccharine, table salt were procured from the local market of Dharan, Nepal. 

All chemicals, glassware, and equipment required were used from the laboratory of Dharan Multiple Campus, Dharan, Nepal. 

A simple flow diagram of the preparation of buckwheat incorporated bread is shown in (Figure 1).

Figure 1. Flowchart of bread making process

2. Formulation of recipe

Design Expert v 7.1.5 software is used to create the recipe. A rotatable central composite design is used to formulate the recipe. The independent variables for the experiment are the concentration of buckwheat flour. The recipe formulation for the buckwheat incorporated bread was carried out as given in Table 1.

Table 1. Recipe formulation for bread 

The bread was made as per the recipe formulation done and coded names A, B, C, D, E, F, G, and H, were given to each recipe. Composite bread was prepared using the straight dough development method as in (Figure 1).

3. Analysis of raw materials and products 

3.1 Determination of physical properties of buckwheat

The knowledge of the physical properties of different grain is necessary for the design of various separating, handling, sorting, and grading equipment. 

3.1.1 (l/b ratio) 

l/b ratio of grain was determined as mentioned in [26].

3.1.2 Bulk density 

The bulk density was measured as mentioned in [7] by pouring the grains into the funnel-shaped hopper, the hopper was centered over the measuring bushel, the hopper valve was opened quickly, and the grains were allowed to flow freely into the measuring bushel. After the bushel was filled, the excess material was leveled off with gentle zigzag strokes using the standard Seedburo striking stick. The filled measuring bushel was then weighed, and the mass of grains in the bushel was determined by subtracting the mass of the measuring bushel itself. The bulk density (ρ) of grain was then calculated using Eq. 1:

Equation 1

3.1.3 1000 kernels weight 

The 1000 kernel weight of raw materials was determined by measuring the weight of 1000 kernels of buckwheat seeds after selecting the appropriate sample size by the quartering method as stated by [5]. 

3.2 Determination of physical properties of the product 

3.2.1 Volume 

The volume of bread was determined by the rapeseed displacement method as mentioned in AACC (1995) for white bread. 

3.2.2 Specific loaf volume of the bread 

Specific loaf volume of bread is defined as the ratio of the volume of bread to the weight of bread. The specific loaf volume of bread was determined as illustrated by [3] as shown in Eq. 2. 

Equation 2

3.3 Proximate analysis 

3.3.1 Moisture content

The moisture content of the sample was determined by heating in an oven at 100 ± 5°C to get constant weight [23].

3.3.2 Crude fat

The crude fat content of the samples was determined by solvent extraction method using soxhlet apparatus and solvent petroleum ether [23].

 3.3.3 Crude protein content

The crude protein content of the samples was determined indirectly by measuring total nitrogen content by the micro Kjeldahl method. Factor 6.25 was used to convert the nitrogen content to crude protein [23].

 3.3.4 Crude fiber content

The crude fiber content of the samples was determined by the method given by [23].

3.3.5 Total ash

The total ash content of the samples was determined by following the method given by Ranganna (1986) using a muffle furnace. 

3.3.6 Carbohydrate

The carbohydrate content of the sample was determined by a difference method as given in Eq. 3.

Equation 3

3.4 Iron content

The iron content of the sample was determined as per [23]. The iron in foods was determined by converting the iron to ferric form using oxidizing agents like potassium persulphate or hydrogen peroxide and then treating with potassium thiocyanate to form the red ferric thiocyanate which was measured calorimetrically at 480 nm.

3.5 Sensory analysis

Sensory scores were done by the semi-trained panelists according to the 9-point hedonic scale (9=like extremely, 1= dislike) for composite bread formulations.  The sensory of the product was done in a closed room so that panelists can sensory the product without any disturbance for evaluation of crumb appearance, color, texture, taste, flavor, and overall acceptability of buckwheat flour incorporated bread.

3.6 Statistical Analysis

The obtained mean data from proximate analysis and sensory evaluations were analyzed statistically by Genstat Discovery Edition 3 (DE3), for Analysis of Variance (ANOVA) at a 5% level of significance.

Results and Discussion

This effort was done to make several bread formulations using varied proportions of buckwheat flour and wheat flour. Because bread is a product that is frequently consumed by the general public, buckwheat integrated bread was chosen as a vehicle to drive nutritious components in this study because it provides value to the nutritional profile. Physical and chemical analyses of the key basic components were performed initially.

1. Physical properties of buckwheat

The physical properties of the buckwheat are shown in Table 2.

Table 2. Physical properties of buckwheat seed

The values are the means of triplicate samples and the values in the parenthesis are standard deviation. The length of the buckwheat ranged from 3.6- 6.52 mm. The breadth ranged from 2.73- 4.22 mm, and the length to breadth ratio of buckwheat ranged from 1.31-1.54. The study conducted by [30] showed similar values for the l/b ratio of buckwheat seeds. Bulk density was found to be 70.23 kg/Hl while 1000 kernels' weight was found to be 22.12g. The study conducted by [4] showed slightly lower values for 1000 kernels weight and bulk density. The reason for this variation in the present study may be due to varietal divergence.

2. Chemical composition of wheat flour and buckwheat flour

The chemical composition of wheat flour and buckwheat flour is shown in Table 3. 

Table 3: Chemical composition of wheat flour and buckwheat flour

The values are the means of triplicate samples and the values in the parenthesis are standard deviation. The protein, fat, crude fiber, ash, and carbohydrate of wheat flour were found to be 13.46, 1.55, 0.59, 1.55, and 78.5% respectively [4]. Reported respective proximate values were 12.73, 12.86, 1.80, 0.67, 1.38, and 73.9% respectively. And that for buckwheat flour, the similar values were found to be 10.75, 2.34, 0.90, 2.60, and 80.93 respectively which was in the normal range as described by [4]. The iron content of wheat flour and buckwheat flour was found to be 0.92 and 2.44mg/100g respectively which was in the normal range as described by [4]. The gluten content of the wheat flour was found to be 9.95%, while in the case of buckwheat flour gluten was not observed which resembles the gluten-less explanation of buckwheat flour as explained by [8]. 

3. Physical parameters of buckwheat flour incorporated bread.

Table 4: Physical parameters of buckwheat incorporated bread

The values are the means of triplicate samples and the values in the parenthesis are standard deviation. Physical parameters of bread such as loaf volume, weight, and specific loaf volume were affected by the substitution increment of the level of buckwheat flour which is presented in Table 4. The results indicated that the weight of bread increased with increasing substitution percentage of buckwheat flour. 40 parts buckwheat flour incorporated bread revealed the maximum weight (109.40g). An increase in loaf weight may be due to increased absorption of water as revealed by [15]. 

    Moreover, the results of loaf volume and specific loaf volume of bread revealed a reduction in loaf volume from 265 to 204 cm3 and specific loaf volume from 3.09 to 1.86 cm3/g. It is obvious that as the amount of buckwheat flour in the loaf grew, the volume of the loaf and the specific volume of the loaf for each treated bread dropped. The drop in loaf volume and specific volume might be attributed to a decrease in the gluten network in the dough, as well as the dough's capacity to rise due to a weaker cell structure [18].

4. Sensory properties of bread 

Statistical analysis of the sensory scores was obtained from 11 semi-trained panelists using a 9-point hedonic rating scale (9=like extremely, 1= dislike) for composite bread formulations. Sensory analysis was performed with the aid of different panelists evaluating crumb appearance, color, texture, taste, flavor, and overall acceptability of buckwheat flour incorporated bread against the blank.

4.1 Color   

The mean sensory score for the color of bread samples of the different formulation is shown in (Figure 2).

Figure 2. Mean sensory scores for the color of the bread of different formulations. Bars with similar alphabets at the top are not significantly different.

The mean sensory score for color was found to be 8, 6.6, 6.3, 6.4, 8.4, 6.8, 6.7, and 6.1 for the bread formulation A, B, C, D, E, F, G, and H respectively. Statistical analysis showed that the partial substitution of wheat flour with buckwheat flour had a significant effect (p< 0>

4.2 Taste

The mean sensory score for Taste of bread samples of the different formulation is shown in (Figure 3).

Figure 3. Mean sensory scores for the taste of bread of different formulations. Bars with similar alphabets at the top are not significantly different.

The mean sensory score for taste was found to be 7.4, 6.7, 6.5, 6.7, 8.4, 6.9, 6.7, and 6.2 for the bread formulation A, B, C, D, E, F, G, and H respectively. Statistical analysis showed that the partial substitution of wheat flour with buckwheat flour had a significant effect (p< 0>

4.3 Flavor

The mean sensory score for the flavor of bread samples of the different formulation is shown in (Figure 4).

Figure 4. Mean sensory scores for the flavor of the bread of different formulations. Bars with similar alphabets at the top are not significantly different.

The mean sensory score for flavor was found to be 7.4, 6.3, 6.5, 6.4, 8.1, 6.9, 6.8, and 6.4 for the bread formulation A, B, C, D, E, F, G, and H respectively. Statistical analysis showed that the partial substitution of wheat flour with buckwheat flour had a significant effect (p< 0>

4.4 Texture

The mean sensory score for the texture of bread samples of the different formulation is shown in (Figure 5).

Figure 5. Mean sensory scores for the texture of bread of different formulations. Bars with similar alphabets at the top are not significantly different.

The mean sensory score for texture was found to be 8.1, 8, 7.9, 7.7, 7.5, 6.8, 6.6, and 6.5 for the bread formulation A, B, C, D, E, F, G, and H respectively. Statistical analysis showed that the partial substitution of wheat flour with buckwheat flour had a significant effect (p< 0>

4.5 Crumb Appearance

The mean sensory score for the crumb appearance of bread samples of the different formulation is shown in (Figure 6).

Figure 6. Mean sensory scores for crumb appearance of the bread of different formulations. Bars with similar alphabets at the top are not significantly different.

The mean sensory score for crumb appearance was found to be 8.2, 6.4, 6.7, 6.6, 8.5, 7, 6.4, and 6.3 for the bread formulation A, B, C, D, E, F, G, and H respectively. Statistical analysis showed that the partial substitution of wheat flour with buckwheat flour had a significant effect (p< 0>

4.6 Overall Acceptability

The mean sensory score for the overall acceptability of bread samples of the different formulation is shown in (Figure 7).

Figure 7. Mean sensory scores for overall acceptability of bread of different formulations. Bars with similar alphabets at the top are not significantly different.

The mean sensory score for crumb appearance was found to be 7.9, 6.5, 6.7, 6.8, 8.5, 6.8, 6.6, and 6.1 for the bread formulation A, B, C, D, E, F, G, and H respectively. Statistical analysis showed that the partial substitution of wheat flour with buckwheat flour had a significant effect (p< 0>

4.7 Chemical composition of optimized product 

The composition of the best product and the control bread from the chemical analysis was carried out. The result of the analysis is given in (Table 5).

*Values are the mean of triplicate samples and the parenthesis are the standard deviation.                                                        Table 5. Chemical Composition of control bread  and buckwheat flour incorporated bread

The protein, fat, crude fiber, and ash of product A were found to be 14.54, 4.29, 0.98, and 2.14% respectively, and that of product E was found to be 12.55, 4.89, 1.56, and 2.43% respectively. 

The moisture content of the whole wheat bread and composite bread decreased with the increase in the proportion of the buckwheat flour substitution. This trend is similar to the findings of [19,9], but differs from the studies of [21, 22] who found that the moisture content of the composite bread increased with the increase in the non-wheat flour substitution. And this was attributed to the greater water holding capacity of the non-wheat flour substitution [29]. Because buckwheat flour has a lower moisture content than wheat flour, the drop in moisture content of the product with buckwheat integrated bread might be attributable to the buckwheat itself. The high moisture content renders it vulnerable to microbial assault, which can shorten the product's shelf life, but it also gives the bread its distinctive hardness.

     The protein content of the buckwheat incorporated bread has decreased concerning the wheat bread with no buckwheat. This could be because of the lower protein present in the buckwheat, but the protein content did not differ significantly between the bread. The crude protein content of the whole wheat bread and composite bread decreased with the increase in the proportion of the buckwheat flour substitution. This trend is similar to the findings of [4]. Buckwheat protein is a good source of dietary protein for gluten-sensitive people since it contains less gluten than wheat. Wheat flour has a little greater crude fat content than buckwheat flour into bread. This might be related to buckwheat flour's limited fat retention capacity. Buckwheat flour also has a high crude fiber content. As a result, the fiber content of bread made using buckwheat flour increased. Greater levels of iron (3.27 mg/100g) show the higher level of minerals in buckwheat flour integrated bread. The increased number of these components in buckwheat flour compared to wheat flour increased mineral content [32]. To combat iron deficiency, buckwheat flour with a higher iron content can be used to make bread.

Conclusion

Preparation of buckwheat incorporated bread can be carried out successfully. The statistical analysis showed that formulation with 25% buckwheat flour was significantly superior in terms of taste, crumb, flavor, texture, and overall acceptability among formulations. The proximate composition of optimized bread is significantly different from the control bread at a 5% level of significance. The 25% buckwheat flour incorporated in bread is superior in, crude fat, crude fiber, crude ash as compared to the control bread. The iron content of the buckwheat flour incorporated formulations was increased due to the supplementation of buckwheat flour and was higher than control bread and the retention of iron content was found to be high in bread. Hence, it can be concluded that buckwheat flour incorporated bread can be more nutritious than bread without buckwheat.

Acknowledgement

The authors appreciate all the faculties and staff of the Dharan Multiple Campus, Nepal for their support and technical assistance.

Declaration of Conflicting Interest

The author(s) declared no potential conflicts of interest for the research, authorship, and/or publication of this article.

Funding

The author(s) received no financial support for the research, authorship, and/or publication of this article.

References

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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.

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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.

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Khurram Arshad

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.

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Gomez Barriga Maria Dolores

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.

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Lin Shaw Chin

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.

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Maria Dolores Gomez Barriga

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.

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Dr Maria Dolores Gomez Barriga

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¨.

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Dr Maria Regina Penchyna Nieto

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.

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Dr Marcelo Flavio Gomes Jardim Filho

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!”

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Zsuzsanna Bene

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

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Dr 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.

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Lin-Show Chin