Prevention of Smoking in Scholarship Students of the Faculty of Medical Sciences of Artemisa

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Research Article | DOI: https://doi.org/10.31579/2690-1919/252

Prevention of Smoking in Scholarship Students of the Faculty of Medical Sciences of Artemisa

Jorge Félix Rodríguez Hernández ^1*

Isabel Francisca Márquez García ²

Denia González Córdova ³

vonne Elena Fernández Díaz ⁴

Maritza Brigida López Palomino ⁵

1 Physician. Assistant professor and researcher. 1st degree specialist in Rheumatology and ll degree in Health Organization and Administration and in Traditional and Natural Medicine. Master in Traditional and Natural Medicine. Health Management Department. National School of Public Health, Artemisa, Cuba.
2 Graduate in Psychology. Assistant Professor and Associate Researcher. Specialist of the 1st degree in Health Psychology. Master in Satisfactory Longevity. Department of Social Sciences. National School of Public Health, Artemisa, Cuba.
3 Doctor. Instructor Teacher. I degree specialist in Comprehensive General Medicine. General Vice Dean of the Faculty of Medical Sciences of Artemisa, Cuba.
4 Doctor. Assistant Professor and Associate Researcher. Specialist of I and II degree of Comprehensive General Medicine. Master in Primary Health Care. Health Management Department. National School of Public Health, Artemisa, Cuba.
5 Maritza Brigida López Palomino. Assistant teacher. Bachelor of Nutrition and Dietetics. Master in Health Promotion and Education. Department of Social Sciences. National School of Public Health, Artemisa, Cuba.

*Corresponding Author: Jorge Félix Rodríguez Hernández. Physician. Assistant professor and researcher. 1st degree specialist in Rheumatology and ll degree in Health Organization and Administration and in Traditional and Natural Medicine. Master in Traditional and Natural Medici

Citation: Jorge F R Hernández, Isabel F M García, Denia G Córdova, vonne E Fernández Díaz, Maritza B L Palomino. (2022). Prevention of smoking in scholarship students of the Faculty of Medical Sciences of Artemisa, J. Clinical Research and Reports, 11(3); DOI:10.31579/2690-1919/252

Copyright: © 2022, Jorge Félix Rodríguez Hernández. 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: 29 April 2022 | Accepted: 09 May 2022 | Published: 31 May 2022

Keywords: scholarship students; smoking; educational work; Artemisa; tobacco; medical sciences

Abstract

Introduction: Young people expose dissimilar reasons as justification for tobacco consumption. The presence of smoking in university students studying medicine and nursing becomes a challenge for institutional authorities, in their purpose of solving the health problem.
Objective: to design an action plan for the prevention of smoking in scholarship students of the Faculty of Medical Sciences of Artemisa.
Methods: a descriptive, prospective longitudinal study was developed with 211 smoking scholarship students from the aforementioned entity in the period from January 20 to March 25, 2020. Procedures were used such as: documentary review, observation, survey, focus group, brainstorming, and cause and effect diagram. Results: 22 causes were identified that favored the increase in smoking, six correspond to strategic and organizational gaps; seven are related to teachers; five correspond to the methodological teaching process and four are linked to educational work. Likewise, an action plan focused on seven objectives, 18 activities and four indicators was developed to evaluate the implementation process.
Conclusions: The smoking prevention strategy applied to smoking scholarship students at the Faculty of Medical Sciences of Artemisa does not ensure the reduction of this toxic habit, which is potentially vulnerable with the proposed action plan.

Introduction

Young people expose dissimilar motives as a justification for tobacco consumption. The presence of smoking among university students studying medicine and nursing becomes a challenge for institutional authorities in their attempt to solve the health problem. Objective: to design an action plan for the prevention of smoking in scholarship students of the Faculty of Medical Sciences of Artemisa. Methods: a descriptive, prospective longitudinal study was developed, with 211 scholarship students’ smokers of the mentioned entity in the period from January 20 to March 25, 2020. Procedures used were: documentary review, observation, survey, focus group, brainstorming, and cause and effect diagram. Results: 22 causes favoring the increase in smoking were identified, six correspond to strategic and organizational gaps; seven are related to teachers; five correspond to the methodological teaching process and four are linked to educational work. Likewise, an action plan focused on seven objectives, 18 activities and four indicators were elaborated to evaluate the process of its implementation. Conclusions: The smoking prevention strategy applied in smoking scholarship students of the Faculty of Medical Sciences of Artemisa, does not ensure the reduction of this toxic habit, which is potentially vulnerable with the proposed action plan.
Smoking is considered a public health problem due to its magnitude, the health consequences it entails and the high economic and social costs. Its effects are harmful to consumers and to those who are passively exposed to its smoke, with or without awareness of its harmfulness. Science has shown that tobacco use is a cause of morbidity, mortality and disability [1].
The World Health Organization (WHO), [2,3] declares that the prevalence of tobacco consumption is decreasing in the world. Experts currently estimate approximately 1.3 billion smokers, compared to 1.32 billion in 2015. Effective and comprehensive policies, driven by the Framework Convention on Tobacco Control in 2003,4,5 are shown. legal instrument governed by international law and mandatory for the countries that sign and ratify it. This trend can also be seen in the Americas region; the average consumption rate went from 21% in 2010 to 16% in 20202,6.
In Cuba, one in five people aged 15 and over smokes. It is equivalent to 21.6% of the population, which represents 2,014,460, according to the results of the National Health Survey in December 2019. It is noted that more than 13,000 deaths occur per year as a result of smoking, 36 Cubans die every day and two Cubans die every hour from active tobacco use. Also, due to passive smoking, four people die in the country every 24 hours [7,8].
These data lead us to reflect on how much remains to be done in terms of health promotion and education, if we aspire to modify consumption patterns. The expert Suárez Lugo, [9] states that "the legal regulations aimed at reducing the consumption of cigarettes in Cuba are insufficient, both in their express content, and in their compliance to achieve such purpose."
In relation to the aforementioned figures, the onset of addiction in Cuba occurs from adolescence, with an average age of 17.4 years, which constitutes a safe replacement for active smokers in adulthood [7,10].
Some young people start using cigarettes when they enter college; those students who had been smoking before are more likely to increase the frequency and amount of tobacco consumption. It becomes a context of social reinforcement where behaviors that induce its consumption are promoted, without forgetting those aspects that favor its use, such as advertising, availability and free accessibility [1,11].
For González and Sánchez, 12 the approach to the knowledge of the personality allows the identification of the individual's motivations, and therefore, an analysis of their behavior. Some researchers have reported characteristics associated with consumption in university students, such as a family history of smoking, smoking friends, high availability of money, stress, advanced semesters of the degree, having a desired social image, or as a facilitator for establishing interpersonal relationships [13].
The effects of smoking in adolescence are diverse: lack of independence and the feeling of control imposed by the drug, is related to the worsening of memory, attention and observation. Similarly, deterioration of body image, halitosis, stains and dental caries, stomatitis, periodontal diseases, and dysphonia; In addition, growth and hormonal effects, reduced physical performance, delayed pubertal development. Also, alterations in the respiratory, cardiovascular, cerebrovascular and reproductive systems. As well as postoperative and healing complications. In turn, it is associated with different types of cancer, due to mutations in DNA [14-17].
The protection of the health of young people becomes a challenge for professional health organizations, in order to achieve the reduction of tobacco consumption. In the actions with a view to modifying behaviors harmful to health due to smoking, and to comply with the Program for the Prevention and Control of Smoking,18 not only the Ministry of Public Health (MINSAP) is involved, but also other ministries that they have responsibility and tasks in it. Regarding Cuban legislation, Resolution No. 360/2005 of the MINSAP, [19] and Agreement 5570/2005 of the Executive Committee of the Council of Ministers, constitute essential legal documents.
The province of Artemisa has a high prevalence of 81,963 smokers for a rate of 16.28, which is a risk factor due to the increase in the number of cases with malignant tumors in the province. The health authorities declared that in 2020, 1,186 people died with cancer disease, for a rate of 230.3 and ranks second among the main causes of death in that territory. In 2019, 214 smokers were declared in the age group between 10-14 years, with an increase of 107 compared to the year 2018 [20,21].
There is a Preventive Strategy at the provincial level against smoking, whose purpose is to contribute to the reduction of smoking in the population, mainly adolescents. Its objectives, work with individuals, families, communities and society to ensure a comprehensive approach to the problem of smoking; integrate the participation of the social sectors; prepare the population to act against smoking and exercise their right to a smoke-free environment; encourage young people to take responsible care of their health and adopt healthy lifestyle habits [20].
For the authors, it is contradictory that university students of medicine and nursing careers have the habit of smoking, which becomes a social reinforcer and distances them from the population sector to whom they transmit health education messages, focused on behavior anti-smoking. This implies an ethical dilemma because society requires an active and consistent role of these health professionals.
In the Faculty of Medical Sciences of Artemisa, it has been verified within the bank of problems, the increase of scholarship students with frequent consumption of cigarettes.
The research was proposed as an objective: Develop an action plan for the prevention and reduction of smoking in scholarship students of the Faculty of Medical Sciences of Artemisa.

Methods

Type of study: a descriptive, longitudinal prospective study was carried out in scholarship students of medicine and nursing careers, belonging to the Faculty of Medical Sciences of the province of Artemisa in the period from January 20 to March 25, 2020.
Universe and sample: a universe of 211 smoker scholarship students was studied. It worked with the entire universe.
Variables and Data collection: methods and techniques were used for data collection and measurement of variables: documentary review, observation, survey, focus group, brainstorming, and cause and effect diagram.
For the systematization of the background and topicality of the subject, the documentary review of the laws, guidelines, resolutions, regulations, programs and other documents of the Ministry of Public Health, related to the prevention of smoking in this sector, in particular, with higher medical teaching centers.
An observation guide was used that made it possible not only to verify tobacco consumption; In addition, evidence related to institutional preventive and educational actions was obtained, without ignoring the perceived deficiencies.
A survey was applied to all the scholarship students of the center, which allowed the characterization of consumers, their perception of risk, and knowledge of regulations in the preventive order.
A brainstorm was developed with the focus group created for the purpose of the research with leaders of the University Student Federation (FEU), guide teachers and informal leaders, in order to identify the barriers in the reduction of consumption and addicts to alcohol. smoking. The information was represented by categories in a cause-effect diagram, for analysis.
As a subsequent step to the diagnosis, an action plan was designed for its presentation and approval by the Board of Directors of the Faculty of Medical Sciences of Artemisa.
Statistical processing:
Once the research was completed, a database was created in Microsoft Excel, which was exported to the Epi Info v6 program where the summary measures of the variables studied were calculated, in absolute frequencies and percentages. Qualitative information was processed through content analysis, and triangulation allowed checking the concordance of the data and arriving at the identified categories. Subsequently, tables and graphs were built considering the type and number of variables to be represented.
Ethical standards:
the research complied with the Declaration of Helsinki approved at the 18th World Medical Assembly in 1964 and ratified at the 64th General Assembly in October 2013. Confidentiality was maintained at all times regarding the identity of the scholarship students and the results obtained were not used for other purposes outside the framework of the research. The study was approved by the Ethics Committee and the Scientific Council of the institution.

Results

The observation allowed the appreciation of a consumption of cigarettes in closed areas (shelters), open and perimeter. There was no provision of public ashtrays in the institution; Active consumption can be inferred from the presence of cigarette butts and cigarette packs on the ground in and around the shelter. Smoking areas were not marked out. The teachers required the students when they smoked in the institution, which was verified during the investigation process (on 15 occasions).
In the survey carried out, 100% of the participants (145 from medicine and 66 from nursing) stated that they had knowledge about the risks associated with health as a result of smoking. Likewise, they referred to the existence of institutions where they could resort to receive smoking cessation treatment. However, among smokers, only 2% showed interest in quitting. (Figure 1)
Figure 1: Smoker scholarship students interested in giving up the habit belonging to the Faculty of Medical Sciences of the province of Artemisa in the period from January 20 to March 25, 2020. Source: Table 1
The subjects surveyed are unaware of the regulatory regulations regarding tobacco consumption. However, the majority (65.0%) state that you can only smoke in open spaces. (Figure 2)
Figure 2: Scholarship students who smoke according to knowledge of the regulatory norm.
On the other hand, 15.0% assume that one of the actions carried out in the center on the occasion of the world day against smoking is graphic advertising. Similarly, they do not perceive demands on smokers during their consumption, and the minimum standards of respect for non-smokers' spaces are violated.
From the data in the brainstorming, developed with the focus group, the cause-effect diagram (Ishikawa) is made, in order to identify the factors to control to obtain results (Figure 3).
Twenty-two main causes were identified that favored the increase in smoking in scholarship students from the Faculty of Medical Sciences of Artemisa, six correspond to strategic and organizational gaps; seven are related to teachers; five correspond to the methodological teaching process and four are linked to educational work (Figure 3)
Figure 3: main causes that affect the increase in smoking in scholarship students.

Discussion

From the results of the applied survey, the observation guide, the focus group and the analysis of the cause-effect diagram, difficulties are evident in the strategy implemented for the prevention and reduction of smoking:
Presence of consumers in scholarship students: it is described in graph 1 and is inferred by corroborating the presence of cigarette butts and cigarette packs on the ground, in and around the shelter, appreciated in the observation developed during the investigation, which acquires relevance if we consider that it had been incorporated as a theme to the bank of problems of the institution, due to the concern of the province of Artemisa due to the high prevalence of smokers.
Lack of knowledge of the institutional regulations for the prevention of smoking: it became clear during the investigation when it was identified that only 15.0% of scholarship students who smoke were aware of the preventive guidelines, so the necessary information channels do not exist and they do not perceive smokers demands during their consumption in the institution, which translates lack of empowerment of teachers and promoters with the activity, as was collected in the group dynamics carried out.
The non-execution of preventive actions: scarce information and advertising material used and insufficient use of the spaces available for promotion (non-use of the established audiovisual media and flat and virtual broadcasting) can be seen.
The low perception of the risk of tobacco consumption for their health, for passive consumers and for the global social cost that it represents in the attention to diseases associated with smoking: which was evidenced by the fact that only 2.0 % of smokers showed interest in quitting smoking despite the fact that all reported having knowledge about the risks associated with health. On the other hand, the violation of the minimum standards of respect for non-smoking spaces is evident.
The absence and/or ineffectiveness of the corrective measures taken in the event of non-compliance with the regulations established to prevent or reduce institutional smoking: it was evidenced that the disciplinary measures are mostly fulfilled in the teaching block, where it was verified on 15 occasions during the investigation process, the brief warning of the prohibitive sign or just the indication to put out the cigarette, without the particular analysis of the risks with an educational approach.
No other measure was found with repeat offenders, and tolerance with the consumption of cigarettes by student leaders was appreciated during the study.
Actions to prevent and reduce the increase in smoking in scholarship students of the faculty of medical sciences of artemisa:
The plan of actions for the prevention and reduction of smoking, as well as to increase the levels of potential health in the scholarship students, was conceived with an integrality, centered on seven objectives, 18 activities with their execution schedule and four indicators to evaluate the process of its implementation.
The objectives are:
Strengthen the working group responsible for the methodological application of the smoking prevention and reduction strategy in the institution.
Increase educational work through health promotion activities, aimed at the prevention and control of smoking, which are attractive and of interest to the target population.
Raise the level of knowledge of teachers and promoters in the aspects that support and guide the fight against smoking.
Develop in teachers and promoters, skills in educational techniques and procedures for the prevention and reduction of smoking in medical science students.
Incorporate the anti-smoking theme in classes of related subjects and in the development of extracurricular and research activities.
Integrate the student orientation unit to the institutional strategy of prevention and reduction of smoking in students.
The following indicators are included to evaluate the process:
Number of scholarship students who give up or reduce smoking: calculated by years of study (semester analysis).
Total health promotion and/or extracurricular activities carried out (activities carried out / activities programmed per 100). More than 90% of the activities carried out are considered acceptable. (Quarterly analysis).
Attendance of scholarship students to the activities carried out: expresses the number of scholarship students who attended, in relation to the total number of scholarship students (participants/total scholarship students per 100). More than 90% attendance of the scholarship students to the activities was taken as acceptable (quarterly analysis).
Professors and promoters who participated in the coordination of activities: expresses the ratio of the number of coordinating professors (active) in relation to the total number of professors (active professors / total professors per 100). The active participation of 50% of the professors of both careers was considered acceptable (biannual analysis).
Other investigations carried out in Cuba emphasize the understanding of the characteristics of risk perception regarding tobacco consumption, from a dynamic, multidimensional and contextualized perspective. Educational work should not only focus on informative aspects, although its importance is recognized, but it should go beyond this dimension, it is essential to activate motivational mechanisms to promote a change in behavior [8,10].
The results in international contexts also point to the implementation of modifications in the performance of students who will become future health promoters and to carry out actions before starting university [3,11,13].

Conclusion

The smoking prevention strategy that is applied to scholarship students from the Faculty of Medical Sciences of Artemisa does not ensure the reduction of this toxic habit. The main aspects that determine the increase in smoking in medical science scholarship students at Artemisa are related to six strategic and organizational causes, five belong to the methodological teaching process, seven are linked to teachers and four are linked to educational work. An action plan was designed to improve the prevention and reduction of smoking in scholarship students of the Faculty of Medical Sciences of Artemisa, focused on seven objectives, 18 fundamental activities and four indicators to evaluate the implementation process.

Conflicts of Interest

The authors declare that there are no conflicts of interest.

Authorship

JFRH: conceptualization of ideas, methodology, formal analysis, writing-original draft, visualization-preparation, writing-revision and edition.
IFMG: conceptualization of ideas, methodology, formal analysis, writing-original draft, visualization-preparation, writing-revision and editing.
DGC: conceptualization of ideas, methodology, data curation, formal analysis, research, visualization-preparation and writing-original draft.
IEFD: methodology, formal analysis, writing-review and editing.
MBLP: resources, writing-revision, visualization-preparation and edition, validation-verification.

Financing

The authors received no funding for the development of this article.

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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.

Dr Tong Ming Liu

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

Husain Taha Radhi

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

S Munshi

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

Tania Munoz

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

George Varvatsoulias

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

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.

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.

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.

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.

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.

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¨.

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.

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!”

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

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.

Lin-Show Chin

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.

Sonila Qirko

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.

Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

Dr Elvira Farina

Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.

Dr Oleg Golyanovski

Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.

Dr Susan Anne Smith

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.

Virginia E. Koenig

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