Surgery Without Indications: Review from Russia

Review Article | DOI: https://doi.org/10.31579/2690-8794/313

Surgery Without Indications: Review from Russia

  • Jargin SV

Peoples’ Friendship University of Russia, 117198 Moscow, Russia.

*Corresponding Author: Jargin SV, Faculty of Medicine, Peoples’ Friendship University of Russia, 117198 Moscow, Russia.

Citation: Jargin SV, (2026), Surgery Without Indications: Review from Russia, Clinical Medical Reviews and Reports, 8(4); DOI:10.31579/2690-8794/313

Copyright: © 2026, Jargin SV. 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: 12 March 2026 | Accepted: 27 March 2026 | Published: 09 April 2026

Keywords: surgery; bronchial asthma; tuberculosis; peptic ulcers; russia

Abstract

The main topic of this review is surgery used in Russia without sufficient indications. Among others, the following is analyzed: the overuse of gastrectomy (resection) for peptic ulcers, of thoracic surgery for tuberculosis, bronchial asthma and other respiratory diseases, spleno-renal anastomosis in diabetes, excessive treatments of alcoholics. Considering the breast cancer incidence, millions of women in the former Soviet Union underwent Halsted and lately of Patey mastectomy with removal of pectoral muscles without indications, often sans informed consent. Glioblastoma patients were routinely operated on, while it was believed by some staff that the treatment was often useless, just forcing many patients to spend the rest of their lives in bed. The training of medical personnel has been a motive, these days under the imperative of readiness for war. This topic is interconnected with certain features of Russian healthcare, namely paternalism, authoritative management style, occasional disregard for the principles of informed consent, professional autonomy and scientific polemics. In conditions of paternalism, misinformation of patients, persuasion and compulsory treatments are deemed permissible. Most importantly, the human factor has remained largely unchanged since the Soviet time. Thanks to the PubMed and other free resources, recent textbooks are partly adjusted to the international literature. However, some recommendations have been different from those used internationally. Considering shortcomings of medical practice, research and education, a simple increase in funding is unlikely to be a solution. Measures for improvement of the healthcare in Russia must include participation of authorized foreign advisers.

Introduction

According to the author’s estimates after a practice abroad (repeatedly during 1990-2008), an average size of malignant tumors in surgical specimens was larger in Moscow university clinics than in hospitals of Western Europe, which reflects the timeliness of cancer diagnostics. Another difference: almost all mastectomy specimens abroad were without muscle. The worldwide tendency towards a more sparing breast cancer (BC) management was not followed in the former Soviet Union (SU) for decades. In the 1980s and decreasingly in the 1990s, the Halsted procedure with the removal of both pectoral muscles was a predominant method of BC management [1-4]; it was presented as the main treatment modality of BC in some textbooks and monographs published after the year 2000 [5-7]. The principle of informed consent was often disregarded. Patients with early cancers were subjected to mastectomies with resection of pectoral muscles without discussing potential adverse effects. A surgery could be extended to a radical procedure if an intraoperative frozen section found an early BC [8]. The latter operation is known to be associated with complications; millions of women underwent it in the former SU. Even more radical methods were recommended and applied [9]. Newly developed mastectomy modalities with the muscle resection have been patented [10,11]. Old age was not regarded as contraindication to a radical surgery [12]. In view of complications, some experts recommended the modified radical mastectomy of Patey with resection of only the smaller pectoral muscle for T1-2 laterally located BCs [13,14]. Others advocated the Halsted procedure. The Patey operation is also associated with adverse effects; nonetheless, it has been broadly used in the Russian Federation (RF) in last decades. During the author’s practice at the pathology department of the Ostroumov hospital in Moscow, incorporating the Centre for Senology (named Mammology in Russia), almost all mastectomy specimens independently of the tumor size included the smaller pectoral muscle; but the Halsted procedure was applied as well. The article dated 2007 discussed the “gradual abandonment of the Halsted operation” [15]. A study of neurologic symptoms after mastectomy [16] included 247 women who had undergone 121 (48%) operations of Patey and 73 (29%) of Halsted. In papers dated 2015-2022, the Patey operation was mentioned as a routine procedure [17-19]; but the preservation of both pectoral muscles was finally becoming a standard. Thanks to free Internet resources, the recommendations are currently adjusted to international patterns. Another extreme is observed: mastectomy without removal of pectoral muscles is called “mutilation” allegedly causing “severe moral injury” [20]. Such statements are accompanied by images of patients after reconstructive surgery, where breasts look (almost) as if not operated. Apparently, the motive is economic as the costs of plastic surgery are borne by patients. Of note, esthetic demands can be met in many cases by external prostheses.

Diabetes mellitus

The surgical spleno-renal anastomosis with the shunting of pancreatic blood into the systemic circulation was introduced by Eduard Galperin [21-23] and applied for the treatment of insulin-dependent diabetes mellitus. At the same time, Galperin wrote: “Diabetic patients generally tolerate surgery very poorly” [24]. The method was applied also in type 2 diabetes [25,26]. The supposed mechanism was “creating a more optimal interaction of subcutaneously injected insulin and glucagon produced in pancreas” [22]. Of note, in patients with liver cirrhosis the surgical portocaval shunting resulted in deterioration of oral glucose tolerance [27]. Diabetes mellitus was even regarded to be a contraindication for portocaval anastomosis operations [28].

In a series of 415 patients, early post-operative complications were observed in 28 patients including 2 cases of sepsis, 5 pyelonephritis, 5 pneumonias; 2 patients died in the first post-surgery week. Ketonuria was observed in 18 patients [29], which agrees with the known fact that surgical stress may trigger ketosis in diabetics. Comparable percentages of complications were reported in the article [22]. The patients were subdivided into groups with a strong, moderate and absent effect [23]. There was no group with deterioration, so that the assessment must have been biased. According to another report, thrombosis of the shunt was found by angiography in 27% of the patients during eight months post-surgery [30]. Severe acidosis was designated as a typical side effect [30,31]. The anti-diabetic efficiency of the shunting was moderate both in humans and in the experiment on dogs, whereas a majority of the animals did not survive the diabetes induction by streptozotocin or pancreatic resection with a subsequent shunting surgery [21]. During his one-year-long employment in the United States in 1990, Galperin used his method on dogs and rats, deploring that there was no opportunity to apply it in humans [24]. 

By 2011, the surgical treatment of diabetes described above was still in use while a high risk of shunt thrombosis was pointed out [31,32]. During the operations, biopsies from the pancreas and kidneys were taken. Procedures applied within the framework of the surgical treatment of diabetes included celiac arteriography, renal and splenic venography [22,29]. 

Peptic ulcers

Certain surgical treatments of gastro-duodenal ulcers in the former SU have been different from the international practice [33]. According to the author’s observations, gastric resections were rarely performed abroad for peptic ulcers; their volume was smaller, being often equivalent to antrectomy. For perforated ulcers, a local excision was usually performed, while a ring-shaped specimen of the stomach wall was sent to the pathologist. Laparoscopic repair is used increasingly these days. In Russia, primary gastric resection (2/3-4/5 of the stomach), antrectomy with vagotomy, or a simple suture, depending on the patient’s condition, has been applied [34-39]. Some experts called attention to the adverse effects of resections [33,40]. The limited availability of modern medical therapy was designated as social indication for the stomach resection [33,36]. 

The hyper-radicalism in the gastric surgery originates from Sergei Iudin (in earlier papers spelled Sergey Yudin), who was a “passionate supporter of gastric resections in ulcer perforations” [41]. According to his doctrine, the pylorus and lesser curvature must be resected at an ulcer surgery [42]. During the World War II, Iudin was one of leading surgeons of the Soviet army. He was notorious for radical operations: “Total and wide resection of devitalized tissue… resection rather than drainage and removal of bone fragments in joint wounds (including knee and hip joints)” [41]; “Unhesitatingly excise muscular tissue to access fractured bone” [43]. Former health minister Boris Petrovsky [44] wrote that Iudin’s radicalism in military surgery, followed by other surgeons, led to hemorrhages, extensive defects of osseous and soft tissues. Iudin’s articles recommending stomach resection in ulcer patients were published later with approving editorial commentaries [42]; his writings are cited now as before. Resection of the stomach in case of ulcer perforation has been advocated by many experts from the former SU [33,36,45-49]. The continuous adherence to this method was explained by limited accessibility of modern drugs [33,36]. In some articles recommending resections, it was stated that the drug therapy doesn’t provide an adequate solution [46] and … doesn’t achieve a complete recovery”, so that resection should be performed early to avoid complications [45]. The notion of “complete recovery” seems to be hardly applicable to the condition after gastrectomy. Anyway, this strategy was in disagreement with that applied in other countries. 

Like in many topics discussed in this review, recommendations are currently adjusted to international patterns thanks to the PubMed and other free databases. At least a fivefold decrease in gastric resection frequency among ulcer patients during last decades has been reported from some institutions [50-52], which indicates an overuse in the recent past. However, the attitude delineated above is reappearing today, notably, from military-medical institutions [53]. The military needs trained surgeons. In recent publications, gastrectomy has been designated as the most frequent, main or singular surgical treatment of gastric ulcers [35,54,55], applicable for any ulcer location [53]. As before, appeals to “radicalism” can be heard, advantages of early surgery for uncomplicated ulcers being emphasized [35,53]. 

Respiratory conditions 

Another method to be commented is thoracic surgery with the denervation of lungs as a treatment of bronchial asthma [56,57]. Among others, the “skeletonization” of pulmonary roots with transection of nerves, auto-transplantation of lungs (complete removal with immediate re-implantation) [58] or cross-section of trachea with subsequent suturing [59] were applied. The theoretical ground was the assumption that the denervation “precludes abnormal nervous impulsation” [56]. Exaggerated histological descriptions of “dystrophy” in the autonomic nervous system were presented as a theoretic basis of the denervation [56]. The surgical treatment of asthma was recommended by the Health Ministry, while thoracotomy with lung denervation was designated as “the most accepted surgical treatment” [60]. The skeletonization was advocated both for steroid-dependent and infectious-allergic asthma varieties [60]. Repeated bronchoscopies were applied post-surgery because of the bronchial drainage impairment [58]. The pulmonary denervation and lung resection were recommended also for asthma cases when drug and inhalation therapy had been efficient. It was suggested that non-invasive treatment prior to the operation must be limited in time [60]. 

Denervation was sometimes performed simultaneously with lung resection, lobectomy or bilobectomy. In this connection, a quote from the recommendations of the Health Ministry deserves attention: “The widespread idea that indication for surgery in asthma is the ineffectiveness of conservative therapy is incorrect. The presence of foci of chronic inflammation in the lungs and bronchi, even with a good effect from conservative treatment, is an indication for surgery. Delaying the operation serves to involve other parts of the bronchial tree in the inflammatory process, enhances the degree of allergy, degenerative changes in the innervation apparatus and endocrine organs” [60]. Such instructions can lead to resection of largely unchanged pulmonary tissues, which was noticed by pathologists. 

As mentioned above, the denervation surgery was sometimes combined with removal of pulmonary segments or lobes regarded to be pathologically altered [60]. Lung resections in asthma were used also without denervation, including cases when inhalation or drug therapy was efficient. Among indications for the surgical treatment were focal lesions: chronic pneumonia, bronchiectasis and bronchitis deformans [61]. Sokolov et al. stated that ≤10% of their asthma patients underwent resections [62]. The surgeries were performed also in patients with bilateral inflammatory or fibrotic lesions, both in exacerbations and in remissions, supposed to be indicated for a radical treatment of asthma. This concept was advocated by Fedor Uglov [61,63], who claimed “resection of infected foci” to be the aim of asthma management. The therapy was based on the belief that “in 98% of cases, the cause of asthma is focal chronic pneumonia” [61]. The purpose of the operation was the “removal of focal infection.” Localized chronic pneumonia with bronchial lesions was by itself regarded to be indication for lung resection. Asthma patients were transferred from internistic departments for the surgical treatment. After a course of therapeutic bronchoscopies, Uglov and co-workers performed resections of pulmonary lobes or segments regarded by them to be pathologically changed [61,63]. 

Resections were applied to children with recurrent bronchitis and/or pneumonia; while efficiency of pneumonectomy was stressed, also in cases with bilateral involvement [64]. The recommendation for progressive chronic pneumonia was “lobectomy for segmentary lesions and pneumonectomy in all other patients” [65]. Reportedly, “dysontogenetic” lung diseases in children were a more frequent indication for radical surgery than acquired conditions; whereas lobe- and pneumonectomies were predominantly applied [66]. A leading expert in pulmonary pathology Irina Esipova with co-workers found malformations in 66% and bronchial diverticulosis in 64% of resected specimens from children operated for relapsing pneumonia or bronchitis deformans [67]. The same authors reported that, contrary to preceding publications, the lesions were predominantly not diffuse but local, thus justifying resections. Contemporary international literature was referenced scarcely in suchlike papers. Furthermore, Esipova claimed that misdiagnosis of malformations as chronic bronchitis led to undue delay of surgery [67]. In accordance with this concept, pathologists described in surgical specimens’ inflammation, fibrosis, dystrophy and malformations without specifying extent and severity [67,68], whereas descriptions were at variance with the international literature [69], histological images being poor quality [70]. In some cases, the surgery could have been indicated; but the overtreatment was known to occur and noticed by other experts. It was pointed out that some histological phenomena described as malformations are common in postnatal lungs normally or after resolved pneumonia [71]. It was also noticed that diagnostics of lung malformations is difficult; the percentage of wrong diagnoses amounting to 65-75%. The patients were operated nonetheless based on the assumption that inflammatory complications are inevitable [72].

Tuberculosis (Tb)

After the successful development of medical treatment of Tb in the 1950s, the use of surgery has decreased in many countries. The priority of the former SU in this field was claimed [73-75]. The surgery of Tb has been performed not only in specialized centers but also in peripheral hospitals [73,76]. This development was associated with the name of Mikhail Perelman, who criticized the Directly Observed Treatment, Short Course (DOTS) Program by the World Health Organization and endorsed the surgical treatment [77].

In the period 1973-1987, 285,000 patients with pulmonary Tb were operated in the former SU, in 1987 - 26,000, while 85% of the surgeries were lung resections [78]. In 1986-1988, ~17,500 operations for lung Tb were performed annually in RF only in specialized institutions [75]. The incidence of Tb in 1986 and 1988 was, respectively, 43.8 and 40.8 per 100,000 [79]. More than 29% of new Tb cases were operated at that time. In 2003, 10,479 surgeries (~9% of newly diagnosed cases) were carried out, deemed insufficient [80]. In the foreign literature, corresponding figures are usually below 5% [81-83]. In the same period, the incidence of Tb in Russia increased from 34.0 in 1991 to 90.4 per 100,000 in the year 2000 [79]. Similarly, to other diseases [84,85], this drastic increase could have been partly caused by an underestimation during the Soviet period. In the year 2006, 12,286 operations were performed in RF for pulmonary Tb, including 9300 (75.7%) resections and 399 (3.2%) pneumonectomies [74]. According to another report, the forms of Tb most frequently treated by resections were cavitary Tb (52.2%) and tuberculoma (43.9%) [86]. For example, Perelman reported a series of 578 operations in 502 patients including those with fibro-cavernous Tb (196 cases) and tuberculomas (161 cases). The most frequent procedures were resection (280 cases) and pneumonectomy. The authors concluded that “indications for surgical management of pulmonary Tb should be generally expanded” [87]. Tuberculoma was the form of Tb most often operated by Giller and co-workers: 81 from 179 cases in one series [88].

Resections were recommended also for patients with inactive post-Tb fibrosis including oligosymptomatic cases [89]. On the other hand, surgeries were performed in florid disseminated Tb [90]. In some provinces of the Urals, Siberia and Volga regions, 25-40% of patients with destructive Tb were operated on [91]. At the time of initial Tb diagnosis, surgery is as before considered to be indicated in 15-20% of patients [75,92,93]. According to another paper, indications for surgery were ascertained in 20-30% of patients at the time of diagnosis and/or in those with active Tb [94]. In Ekaterinburg and surrounding province (years 2006-2008), indications for surgery were found in 1784 from 4402 (40.5%) patients with pulmonary Tb, while ‘only’ 1079 (24.5%) were operated as some patients were unavailable [95]. According to the recent handbook, ~6.4% of Tb patients are operated in RF; but “in some provinces, which cooperated with the Perelman’s Institute… the percentage has been much higher” [96]. Despite the lack of clinical trial data on efficacy of adjunctive surgical therapy of Tb, some countries of the former SU have continued performing many lung surgeries, predominantly resections [88,97,98].

Tuberculoma (>2 cm, also in children) has been generally regarded in Russia as an indication for surgery. Fibrocavitary Tb was designated as an absolute indication. Tuberculoma has been a frequent indication in children and adolescents with Tb [96,99]. Tuberculomas >1 cm was routinely operated on [100-102], which is contradicting to the international practice. There is an opinion that potential instability of tuberculoma does not justify thoracic surgery and that asymptomatic patients with stable solid lesions do not require therapy. Nonetheless, tuberculoma was the most frequent indication for lung surgery in Tb patients (44.2%; in children - 40.7%) at the leading institution – Sechenov Medical University in Moscow [74,103]; while at some hospitals this percentage reached 50-80% [104]. Now as before, tuberculoma occupies first places among Tb forms that are operated on [92]. The surgical treatment of tuberculoma was recommended also for cases with extensive lesions in remaining pulmonary tissues [105]. Bilateral resections were performed for various forms of Tb including tuberculomas on both sides [106-108]. A study from the Sechenov University reported 771 lung operations, including 168 pneumonectomies, 181 lobectomies, 180 other resections, performed in 700 Tb patients, up to 4 operations/patient. Postoperative complications were recorded in 100 (12.9%) patients and lethal outcomes - in 12 (1.5%) [109]. Another example from the same Institution: among 60 operated Tb patients the complication rate was 37%, mortality - 5%; 18.3% of the patients were released from hospital with persisting complications [110]. The tendency to underestimate complications due to limited follow-up and other reasons is known.

Resections for Tb were performed by some experts without preceding attempt of medical treatment or within one month after the diagnosis, when medical therapy could have been efficient [100,111]. One of the arguments in favor of the early surgery was non-compliance increasing with time [100] as the patients gathered knowledge and advice. Lung operations were performed and recommended also for aged patients with comorbidities [112-115]. Sokolov found indications for surgery in 210 from 289 (72.6%) Tb patients 50-73 years old and operated 180 (62.2%) of them, 144 operations being lung resections [114]. Among the latter 144 patients, 93 (66.4%) had cavitating disease and 43 (30.8%) - tuberculoma. Indications for lobectomy are questionable especially for aged patients with tuberculoma. A post-surgery reactivation of Tb was recorded in 8.6% of the cases, fistula - in 27.2%, atelectasis - 20%, pneumonia - 5.7%, pleural empyema - 3.6%, other complications - 12.9%; 8 (5.7%) patients died after the operations. In the monograph based on 233 lung resections in Tb patients older than 50 years (mortality - 5.4%), Gorovenko et al. reasonably concluded: “It is important that a surgery doesn’t provoke an unfavorable outcome” [112]. According to another report, tuberculoma was the most common indication, and lobectomy - the most frequent operation in elderly Tb patients, whereas potential contagiosity was among arguments in favor of the surgical treatment [115]. Statements of this kind can be found also in recent papers e.g.: “Surgery in patients with tuberculomas is recommended to reduce their infectiousness” [116]. According to Giller, a reduction of Tb incidence and mortality can be achieved only by means of a “radical sanitation” of contagious patients also without destructive pulmonary lesions [88]. Note that tuberculoma is usually not contagious. Obviously, potential contagiosity does not justify a thoracic surgery. Tendentious citation is sometimes used to corroborate radical surgical tactics; references are in [117]. One more citation: “Active surgical sanitation of infectiously dangerous patients with pulmonary Tb contributes to the rapid improvement of epidemiological indicators” [118]. No mentions of informed consent have been found in this connection. It is not surprising that some patients are hiding their symptoms. 

Out of 1,311 Tb cases operated at the Phthisiopulmonology Institute in St. Petersburg, 241 had Tb recurrences and 203 underwent repeated surgeries [119]. Postoperative recurrences were regarded as indications for repeated operations up to concluding pneumonectomy [108] and resections of the remaining sole lung [120]. For example, repeated resections on both sides with a concluding pneumonectomy along with 52 bronchoscopies were performed in one case [121]. Bilateral lobectomies or pneumonectomy plus contralateral “sparing” resection were deemed indicated for patients with a Tb lesion on one side and non-specific inflammatory or fibrotic lesions in the contralateral lung [122]. Bilateral resections and bilobectomies were performed in various forms of Tb including tuberculoma [106-108,120,122,123]. Resections were deemed applicable also in cases with severe respiratory insufficiency [76,120,124,125].

It is recommended to explain to patients with tuberculoma “in popular form” that surgery is necessary [126] instead of objective depiction of pros and cons. The role of surgery in Tb remains controversial. Patients should not undergo operations to merely comply with doctrines. Evidence-based clinical indications must be determined individually. The informed consent started to be mentioned relatively recently in papers from Russia reporting research using invasive methods, for example in a bronchoscopic study of pediatric asthma, where a consent of caregivers was regarded to be sufficient [127]. Some caregivers could have been misinformed about indications. Of note, the principle of informed consent or assent is applicable also to adolescents and children. 

The outpatient treatment of Tb, usual in other countries, is supposed to be hardly applicable in RF [128]. According to the governmental Regulation No. 378 of June 16, 2006, patients with contagious Tb are not permitted to reside in one apartment with other people. As per the Federal Law No. 77 “Prevention of the Tb spread” of June 18, 2001 (amended 2013), “patients with contagious Tb, repeatedly violating the anti-epidemic regime, and those evading examinations for Tb or [emphasis added] the therapy, are hospitalized for obligatory examination and treatment.” It is specified by the same law that the principle of informed consent is not applicable under these circumstances, and that Tb patients must undergo prescribed examination and therapy. The non-observance of this law may lead to a criminal persecution. A survey found more than 6000 legal proceedings whereas 3163 Tb patients were compulsorily hospitalized [129]. In one series, 463 judicial cases resulted in 421 court decisions to hospitalize Tb patients [130]. Compulsory treatments are generally at variance with the international practice and regulations. According to The World Medical Association, neither the statutory exceptions to the principle of informed consent nor the conditions of required care allow legally binding measures against patients refusing a treatment or hospitalization [131]. The consent for invasive procedures and chemotherapy is of particular importance in conditions where overtreatment may occur. 

Conclusion

As far as we know, the Soviet and present rulers, the party and military nomenklatura [132], did not allow the use of invasive procedures without indications on themselves and their relatives. Functionaries’ sons did not treat gonorrhea by tamponade and bougienage of the urethra [133]; alcoholics from their milieu have not been compulsorily treated by drip infusions days on end, being infected with viral hepatitis, neither did they drink technical ethanol sold in vodka bottles through legally operating shops [134]. As for the medical personnel, it is unlikely that they applied dry cutting and poor-quality fillings to discolored pits and fissures in their children [70], cauterized cervical ectopies without preceding Pap-smears [135], or performed Halstead mastectomies on their family members. This implies that there has been an extensive deliberate infliction of bodily harm. Military functionaries and their relatives will become more dominant thanks to the armed conflict. Those participating in it, factually or on paper, are obtaining the veteran status and hence privileges over fellow-citizens. Some of them will occupy leading positions in universities without adequate preparation and selection. War veterans enjoy advantages in healthcare and everyday life; there are, however, misgivings that the status has been awarded gratuitously to some individuals from the privileged milieu. At the same time, relatives of superior officers evaded conscription under various pretexts. In particular, many institutions of higher education grant exemption from military service. Being not accustomed to hard and meticulous work, some of the functionaries’ protégées have been involved in professional misconduct of a different kind [136].

Some invasive methods with questionable indications were introduced or advocated by first generation military surgeons. The Soviet period brought about an expansion of admission numbers to universities and medical educational institutions, sometimes with little regard for the quality of the academic preparation of students [137]. One of the motives to overuse invasive procedures was personnel training, among others, with the objective of readiness for war. Note that military and medical ethics are not the same. The comparatively short life expectancy in Russia is a strategic advantage as it necessitates less healthcare investments and pensions. Malignancies are diagnosed in Russia relatively late. Furthermore, among factors contributing to the use of invasive procedures with questionable indications have been the partial isolation from international scientific community, insufficient consideration of the principles of professional autonomy, informed consent and scientific polemics, as well as a paternalistic attitude to patients. Most importantly, the human factor has not sufficiently changed since the Soviet time. The ethical and legal basis of medical practice and research has not been sufficiently known and observed in Russia. The term “deontology” is often used for medical ethics in this country. Textbooks and monographs on deontology explained the matter somewhat vaguely, with truisms and generalities, but not much practical guidance. Today, the growing economy enables the acquisition of modern equipment; and medical research is on the increase. Under these circumstances, the purpose of this review was to remind us that, performing surgical or other invasive procedures, the risk-to-benefit ratio must be kept as low as possible. Insufficient coordination of medical studies and partial isolation from the international community can result in parallelism in research, unnecessary experimentation, and application of invasive procedures without sufficient indications. Considering shortcomings of medical practice, research and education, governmental directives and the increase in funding are unlikely to be a solution. Measures for improvement of the healthcare in Russia must include the participation of authorized foreign advisors.

References

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Dr Ted Christopher

International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.

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Joel Yat Seng Wong

Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.

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Dr Mamoun Magzoub

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.

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Baciulescu Laura

Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal

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Christoph Maurer

Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.

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Dr Elena Salvatore

Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed

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Mahmoud Kamal Moustafa Ahmed

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.

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Dr Meng-JouLe

Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell

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Dr Andriy Sinelnyk

I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.

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Edouard Kujawski

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.

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Dr Matteo Bonori

Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti

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Dr Claudio Ligresti

Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.

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Dr Chiara Giuseppina Beccaluva

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.

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Dr Aline Tollet

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.

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Dr Ravi Shrivastava

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora

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Dariusz Ziora

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.

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Dr Jelle Lettinga

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.

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Dr Walter F Riesen

Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.

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Dr Rakhi Mishra

Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.

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Hala Al Shaikh

Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD

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Dr Eric S Nussbaum

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.

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Dr Victor Olagundoye

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.

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Dr Farahnaz Fallahian

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.

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Dr Susan Anne Smith

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.

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Dr Oleg Golyanovski

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

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Dr Elvira Farina

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.

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Gertraud Teuchert-Noodt

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.

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Dr David Vinyes

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.

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Dr Anyuta Ivanova

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.

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Dr Farooq Wandroo

"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".

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Dr Shweta Tiwari

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.

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Dr Tewodros Kassahun Tarekegn

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.

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Cristina Berriozabal

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."

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Thomas Urban

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.

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Zhao Jia

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.

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Luiz Sellmann

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.

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Sonila Qirko

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

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

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

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, 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

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

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, 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

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

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

“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”.

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George Varvatsoulias

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.

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Tania Munoz

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.

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S Munshi

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.

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Husain Taha Radhi

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.

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Dr Tong Ming Liu

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.

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Dr Griffith

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.

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Douglas Miyazaki

"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".

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Jesus Simal-Gandara

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!

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Baheci Selen

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.

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Bruno Chauffert

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.

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Dr Suramya Dhamija

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.

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Andreas Filippaios

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.

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Raed Mualem

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.

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Dr Shiming Tang

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.

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Hao Jiang

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.

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Prof Sherif W Mansour

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.

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Bernard Terkimbi Utoo

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.

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Pedro Marques Gomes

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.

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Anthony Kodzo-Grey Venyo

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.

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Katarzyna Byczkowska

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.

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Orlando Villarreal

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.

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Sing-yung Wu

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.

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Layla Shojaie

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.

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Mina Sherif Soliman Georgy

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.

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Ziemlé Clément Méda

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.

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Delcio G Silva Junior

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.

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Virginia E. Koenig