AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2767-7370/103
1Assistant Professor in Speech Language Pathology, JSS Institute of Speech and Hearing, Dharwad.
2Assistant Professor in Speech Language Pathology, All India Institute of Speech and Hearing, Mysore.
*Corresponding Author: Abhishek Budiguppe Panachakshari (Abhishek BP) Assistant Professor in Speech Language Pathology, All India Institute of Speech and Hearing, Mysore.
Citation: Girish K.S and Abhishek B.P, (2024), Text Comprehension in Persons with Aphasia, J New Medical Innovations and Research, 5(5); DOI:10.31579/2767-7370/103
Copyright: © 2024, Abhishek B. Panachakshari. 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: 22 April 2024 | Accepted: 01 May 2024 | Published: 08 May 2024
Keywords: inferencing; decoding; dissociation
Comprehension problems are common in persons with aphasia. A person with aphasia may experience pronounced problems at the acute phase following which recovery would take place. However, it is noticed that persons with aphasia may experience subtle deficits in text comprehension owing to the fact that the reading comprehension would require or impose additional load on the memory systems and meta cognitive systems. Inferencing abilities is also important for text comprehension. The present study was carried out with the aim of studying text comprehension in persons with aphasia. 7 participants with aphasia (3 Broca’s, 2 anomic, 1 conduction and 1 Wernicke’s aphasia) and 10 neuro typical participants were considered. Text comprehension was assessed through polar and multiple choice questions. The performance of the participants varied for polar and multiple choice questions. The performance was better for polar questions compared to multiple choice questions. Multiple choice questions led to more confusions especially in persons with anomic aphasia.
“Aphasia is an impairment, due to acquired and recent damage of the central nervous system, of the ability to comprehend and formulate language. It is a multimodality disorder represented by a variety of impairments in auditory comprehension, reading, oral-expressive language, and writing. The disrupted language may be influenced by physiological inefficiency or impaired cognition, but it cannot be explained by dementia, sensory loss or motor dysfunction.” (Rosenbek, LaPointe & Wertz, 1989). The common classification of aphasia syndromes are based on the location of brain damage and the patterns of impaired language abilities, where the severity of impaired language abilities may vary with the location and extent of brain lesion. Individuals who had relatively normal language functions but have incurred auditory comprehension deficits may also exhibit deficits in reading comprehension. For example a person with lesion in the posterior part of the dominant hemisphere of the brain involving auditory association area has severe difficulty in comprehending spoken language, he exhibits difficulty in reading similar to his difficulty in auditory comprehension. Whereas person with anterior cerebral lesion has more difficulty with output modalities of speech and writing compared to comprehension aspects. However, they also exhibit some difficulty in the comprehension of speech as well as text.
Reading Comprehension Impairments is also known as Alexia. Common reading comprehension impairments include: difficulty in comprehending written material, difficulty in recognizing words by sight, difficulty reading non-content words, etc. Difficulties of reading and comprehending text are more frequent than difficulties of decoding single words [1, 10] which can lead to work problems and social exclusion. Over years there was very less attention on reading skills of persons with aphasia than oral language functioning. There are very few studies in both reading comprehension of single words as well as comprehension of passages or paragraphs but the majority of research on adult acquired reading disorders focuses on assessment and rehabilitation at the single word level [5], which is less applicable and cannot be generalized to the text level difficulties [5]. There is an intense need for the research in text/paragraph/passage level reading difficulties.
According to Fiderer (2002), there are three different types of paragraphs and each type serves a specific purpose. Those are: (a) Narrative paragraph, it gives the details of an experience or an event in the order in which they happened, (b) Expository paragraph, it gives directions or uses facts and details to explain information, and (c) Descriptive paragraph, it gives a clear picture of a person, place, object, event, or idea. There are no such studies that have been conducted using all three different types paragraphs or passages. Few studies have been done in last three decades using narrative passages.
Germani and Pierce (1992) investigated the influence of linguistic context on the reading comprehension of people with aphasia. Participants silently read three types of narratives: (a) predictive narratives, (b) non-predictive narratives, and (c) predictive narratives without target sentences. After reading the narrative, the participants turned to the next page to find the related question. Participants pointed to the correct noun choice, from a field of two, without referring back to the narrative. Analyses of the data revealed that 75% of the participants benefited from the predictive narratives and 83% of the participants benefited from the non-predictive narratives. These findings coincide with research relating to the positive impact of linguistic context on the auditory comprehension of people with aphasia (Germani & Pierce, 1992; Pierce & Beekman, 1985; Pierce, 1983; 1988; 1991; Stachowiak et al., 1977; Waller & Darley, 1978).
Dietz, Hux, McKelvey, Beukelman & Weissling (2009) evaluated the impact of three levels of visuographic context (a) photos of high-context scenes, (b) photos of low context scenes, and (c) no-context, on the reading comprehension of narrative text on persons with chronic aphasia where the participants have to read three different narrative texts, each presented with high, low, or no-context. The high context scenes includes photographs in which people interact with each other and natural environment with central action whereas low context scenes includes photographs with no central action and limited interaction between the people and the natural environment. Ten adults with chronic aphasia with concomitant reading comprehension deficits were included. Results revealed that narrative reading tasks were easier in the high- and low-context conditions than in the no-context condition for the persons with chronic aphasia. The author suggests that contextually rich visuographic information is supportive to individuals with chronic aphasia when they perform reading comprehension tasks.
Meteyarda, L. et,al (2015) had conducted the study to assess the component processes of text reading in a small group of individuals with aphasia who report difficulties in reading at the text level. The following four areas were assessed: reading speed, language skills (single word and sentence), inferencing, working memory and metacognitive skills (monitoring and strategy use) to provide a profile of their linguistic and cognitive skills, focusing on processes known to be important for text comprehension. The results of persons with aphasia were compared against age-matched control group. One participant presented with a trend for impaired abilities in Inferencing, with all other assessed skills being within normal limits. The other three had identified linguistic and working memory difficulties. They concluded that, assessment of verbal working memory and Inferencing appears to be critical for understanding text comprehension impairments in aphasia.
Need for the study: There are very few studies with respect to text/pargraphs/passage comprehension in persons with aphasia. So there is a crucial need for research in text/paragraph/passage comprehension. The present study checks the underlying strengths and deficits related to comprehension of written language that affect the communicative performance which helps us to know and work on the particular deficits of the individual and help him to actively participate in ideal settings, everyday contexts, and employment settings. When the reading deficits in different types of passages has been found, the decisions about offering treatment can be made. The aim of the study was to investigate text comprehension in persons with aphasia
Participants: Ten Neurologically Healthy Individuals (NHI) were considered for the study where all the participants had Kannada as their first language. before the selection, Mini Mental Status Examination [4] was administered on those ten participants to rule out communicative, cognitive and sensory deficits. Seven persons with aphasia with at least (minimum) quantum of reading comprehension were considered for the study. The participants were diagnosed as having aphasia based on Western Aphasia Battery in Kannada [9]. All the participants had Kannada as their first language and their pre morbid proficiency in Kannada was native like.
Materials: Three 100 word Kannada passages were considered for the present study, where one passage from each type of paragraph (i.e, narrative, expository and descriptive) was taken. The narrative passage contained a simple short story, the expository passage contained the procedure to make coffee, and the descriptive passage contained the description of Tajmahal. Polar and multiple choice questions were prepared for all the three paragraphs.
Procedure: The ability of text comprehension in Kannada was tested in PWA (Persons with Aphasia) as well as the Neurologically Healthy Individuals (NHI). The passages and the questions were printed on a separate sheet of paper. It was made sure that the letters were clearly visible for the participants by using a proper font style and adequate font size for the letters. The participants were provided with the passages one at a time and the questions were provided soon after they finish each passage. There were no cues or pictures provided regarding the passage.
Scoring: In the polar questions, the participants need to tick true or false and in the multiple choice questions three options were given and the participants have to choose the correct answer. The detailed number of correct and incorrect responses of all the participants were calculated. The maximum score being 15.
Results
The results are discussed in regard to the performance of individuals with a specific type of aphasia on the three types of paragraphs (i.e. narrative, expository and descriptive) for polar and multiple choice questions. The raw scores for polar questions is depicted in Table 1 and the raw scores for multiple choice questions is shown in table 2. The total for each of the aphasia variant is shown in Table 3.
| Polar Questions | |||||
| PWA | Type of aphasia | Narrative | Expository | Descriptive | Total |
| Broca | 2 | 2 | 4 | 8 | |
| Broca | 4 | 4 | 5 | 13 | |
| Broca | 5 | 4 | 4 | 13 | |
| Anomic | 3 | 5 | 3 | 11 | |
| Anomic | 5 | 4 | 4 | 13 | |
| Conduction | 4 | 2 | 3 | 9 | |
| Wernicke | 0 | 4 | 1 | 5 | |
| NHI | 5 | 5 | 5 | 15 | |
Table 1: Performance of participants for polar questions
| Multiple Choice Questions | |||||
| PWA | Type of aphasia | Narrative | Expository | Descriptive | Total |
| Broca | 4 | 5 | 3 | 12 | |
| Broca | 3 | 4 | 5 | 12 | |
| Broca | 5 | 3 | 5 | 13 | |
| Anomic | 3 | 4 | 4 | 10 | |
| Anomic | 3 | 3 | 3 | 8 | |
| Conduction | 4 | 1 | 2 | 7 | |
| Wernicke | 0 | 3 | 2 | 5 | |
| NHI | 5 | 5 | 5 | 15 | |
Table 2: Performance of participants for multiple choice questions
| Total (Polar Questions and Multiple Choice Questions) | |||||
| PWA | Type of aphasia | Narrative | Expository | Descriptive | Total |
| Broca | 6 | 7 | 7 | 20 | |
| Broca | 7 | 8 | 10 | 25 | |
| Broca | 10 | 7 | 9 | 26 | |
| Anomic | 6 | 9 | 7 | 21 | |
| Anomic | 8 | 7 | 7 | 22 | |
| Conduction | 8 | 3 | 5 | 16 | |
| Wernicke | 0 | 7 | 3 | 10 | |
| NHI | 15 | 15 | 15 | 45 | |
Table 3: Cumulative performance of participants on polar and multiple choice questions
Three persons with Broca’s aphasia were considered for the study. As documented in literature, persons with Broca’s aphasia are assumed to have fairly good comprehension. Out of three persons with Broca’s aphasia, one participant found it difficult to answer the polar questions, the other two participants performed well. Out of three different types of paragraphs considered for testing reading comprehension, better score was obtained for descriptive followed by expository and narrative type of paragraphs. The three persons with Broca’s aphasia performed well on multiple choice questions also. The performance was uniform across the three persons with Broca’s aphasia. The performance on three different paragraphs however varied. Two persons with Broca’s aphasia performed well on descriptive paragraphs while other person performed better on expository.
It is believed that the persons with Anomic aphasia encounter very mild deficits on comprehension. The comprehension scores are near normal. In the present study, two persons with anomic aphasia were considered. One person with anomic aphasia performed better on polar questions while the other person performed better on multiple choice questions. Thus the performance was not uniform. The scores (either individually or cumulative for two persons with anomic aphasia) was lesser compared to persons with Broca’s aphasia. The scores were lesser for multiple choice questions when compared to polar questions as multiple choice questions would lead to more confusions compared to polar questions. As only two participants were considered, the results cannot be generalized however it was noticed that the text comprehension was not up to the mark in the participants considered.
The study also included one participant diagnosed with Wernicke’s aphasia and one participant diagnosed with conduction aphasia. The person diagnosed with Wernicke’s aphasia performed poorly compared to all the other participants. Persons with Wernicke’s aphasia manifest comprehension problems. The comprehension problems would also extend to reading comprehension owing to which the participant would have performed poorly. Persons with conduction aphasia are assumed to show very mild or no comprehension deficits usually. The participant considered here in the present study performed fairly well but the performance was poorer when compared to persons with Broca’s aphasia.
Neurologically healthy individuals on the other hand performed well on both multiple choice questions as well as polar questions on all three different types of paragraphs. The results were 100% it reached the celing effect as the stimulus constructed was simple and was designed mainly for persons with aphasia
Performance on reading comprehension would require or impose additional load on the memory systems and meta cognitive systems. Inferencing abilities are assumed to play a role. Hence it should be considered for assessment. It is usually an ignored domain and the spoken word comprehension is considered in most of the assessment batteries. The present study was one such attempt to tap reading comprehension.
The performance of the participants varied for polar and multiple choice questions. The performance was better for polar questions compared to multiple choice questions. Multiple choice questions led to more confusions especially in persons with anomic aphasia. The performance varied across the three paragraphs and was not uniform. The study has to be carried out on a larger group of individuals to generalize the results better.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
