AUCTORES
Globalize your Research
Research | DOI: https://doi.org/10.31579/2578-8949/079
1 Department of Dermatology, Venereology, and Andrology, Faculty of Medicine, Assiut University, Assiut, Egypt
2 Department of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt
*Corresponding Author: Abou-Taleb DAE, Department of Dermatology, Venereology, and Andrology, Assiut University Hospital, 71515 Assiut, Arab Republic of Egypt.
Citation: Abou-Taleb DAE, Moubasher AEA, Ibrahim AK, Youssef EMK. (2021) The Arabic Version of MELASQoL Scale: Translation, Cultural Adaptation, with Assessment of Reliability and Validity. Dermatology and Dermatitis. 6(2); Doi:10.31579/2578-8949/079
Copyright: ©2021 Abou-Taleb DAE, This is an open-access article distributed under the terms of The Creative Commons. Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 29 June 2021 | Accepted: 09 July 2021 | Published: 13 July 2021
Keywords: melasma; quality of life; questionnaire; reliability; validity
Background: Melasma has significant emotional and psychological effects and significant negative impact on patients’ quality of life (QoL). Melasma QoL Scale (MELASQoL) is a specific questionnaire that has been developed to assess the effect of melasma on patient’s QoL.
Objective: Translation, cultural adaptation, reliability and validation of melasma specific QoL sale (MELASQoL) into Arabic.
Patients and Methods: A total of 65 adult Egyptian female patients with melasma aged ≥18 years old with skin phototypes type III-V were enrolled in this study. Wood’s light was used for determination of the type of melasma either epidermal, dermal or mixed. Melasma severity was assessed by using the melasma area and severity index (MASI) score and the new modified score (mMASI). The impact of melasma on QoL was evaluated using the Arabic version of MELASQoL scale after translation and cultural adaptation according to the WHO guidelines. The questionnaire’s reliability and validity was assessed.
Results: The internal consistency for the 10-item of the MELASQoL-A scale was excellent; Intra-class Correlation Coefficient (ICC) = 0.914 and Cronbach’s alpha coefficient (Cronbach α = 0.944) indicating high reliability of the developed Arabic version. There was significant positive correlation between the MELASQoL-A scale and the MASI score (r= 0.41; p= 0.0027), and the mMASI score (r = 0.36; p= 0.0032).
Conclusion: The Arabic version of the MELASQoL scale was found to be a reliable and valid measure for evaluating the QoL among Egyptian melasma patients, supporting its use in Arab communities.
Quality of life (QoL) is a term which involves many items, including social well-being, psychosocial and family relationships [1, 2].
Many dermatological diseases are characterized by compromising patients’ physical and relational well-being. For this reason, the assessment of QoL is of great importance [3, 4].
Most questionnaires used to assess the QoL were developed for English speaking populations. So, they are not adequate in terms of correct translation to the reality of other countries. These questionnaires have to be translated and culturally adapted in order to be applied for each specific community [5, 6].
Melasma is a common cosmetic problem. It is an acquired, chronic, recurrent hyperpigmentary disorder, which is characterized by brown patches of variable darkness on sun exposed areas of the body, typically occurs on the face. It is more common in women, and appears in all racial types. It is found mostly in women with Fitzpatrick skin photo-types IV and V living in areas of marked ultraviolet ray’s exposure [7, 8].
It has a significant emotional and psychological effects and highly compromises patients’ QoL. It is usually psychologically distressing and affects patients’ social interactions [9].
A new health-related quality of life (HRQoL) questionnaire for melasma, a melasma specific scale which is Melasma Quality of Life Scale (MELASQoL) has been developed (English version) [10].
The Dermatology Life Quality Index (DLQI) and SKINDEX-16 are general questionnaires of the impact of skin disease on the HRQoL of patients with different skin diseases; they put equal weight on the psychological and physical effects of a dermatological condition. The developed MELASQoL scale uses items from the SKINDEX-16 and the skin discoloration questionnaire, which focus on items that would be more relevant to melisma [10].
MELASQoL is a 10 question scale, which asks patients to rate how they feel about each issue on a scale from 1 (not bothered at all) to 7 (bothered all the time). The score obtained in the answers ranges from 10 to 70 with the higher scores indicating the worst QoL [10, 11]. This questionnaire has been translated into Spanish [11], Brazilian Portuguese [12, 13], French [14] and Turkish [15] languages. However, there is no available Arabic version of that questionnaire to assess the melasma patients’ QoL in Arab communities where melasma is a common distressing disease.
The objectives of this study were to translate and to adapt the MELASQoL scale to Arabic language, and to assess the reliability and validity of the Arabic version of the (MELASQoL-A) scale.
This cross-sectional study was conducted at the department of Dermatology, Venereology and Andrology, Assiut University Hospital (AUH), Assiut, Egypt. The study design was approved by the Institutional Ethics and Research Committee of the Faculty of Medicine, Assiut University and was carried out in accordance with the guidelines of the Helsinki Declaration.
A total of 65 adult female Egyptian patients with melasma aged ≥18 years old, with Fitzpatrick skin photo-types III-V were randomly recruited from dermatology outpatient clinic of AUH. They were included in the study after signing the informed consent form. A detailed history regarding age, occupation, marital status, residence, duration of complaints, precipitating, exacerbating factors and family history were taken. A dermatologic examination was performed to clinically classify the type of melasma into centrofacial, malar, or mandibular patterns. The severity of melasma was determined for each patient using Melasma Area and Severity Index (MASI) score16 and the modified (mMASI) score [8, 17].
The impact of melasma on QoL was assessed using the Arabic version of the questionnaire (MELASQoL-A) after translation and cultural adaptation.
Development of the Arabic version of the MELASQoL followed the World Health Organization (WHO) guidelines for scale development as follows [5,6,11]: Forward translation, expert panel back-translation, pre-testing and cognitive interviewing, development of the final version.
1) Forward translation
Two translators produced independent Arabic-language translations of the English version of MELASQoL questionnaire, the translated version has been reviewed by a committee of experts who developed a unique Arabic language translation and modified some items to make them more culturally appropriate. Some changes were made, for example, “melasma” was substituted for “skin condition” because the latter term might be interpreted as meaning another skin disease. Finally, the face validity of the questionnaire was confirmed by its application on a sample of patients using an interview technique. The patients who were interviewed, expressed their well-understanding for the each item of the MELASQoL questionnaire.
2) Expert panel back-translation
A back-translation (from Arabic to English) was performed by other two translators, to verify that the original questionnaire could be reinstated without any major modification and without alteration of the original items and few changes were made, for example, “Frustration and affection” were back translated to “Disappointment and emotion” respectively. This back-translation was submitted to the developer of the original questionnaire (Balkrishnan, R) [10] for review and comments and he agreed and approved the back translation.
3) Pre-testing and cognitive interviewing
Qualitative pre-testing of the revised Arabic version of the MELASQoL was carried out with 20 Egyptians female patients with melasma to determine whether each question was correctly understood, patients were asked to justify their answers and explain what the questions meant in their own words.
4) Final Arabic version
Reliability and validity of the final Arabic version (MELASQoL-A) scale have been conducted.
Finally, the Arabic version of the MELASQoL questionnaire (as shown in the appendix) was distributed to a total of 65 female patients with melasma. On a 7-point Likert scale; 1 (not bothered at all) to 7 (bothered all the time). Each patient rates how she feels about each item. The total MELASQoL-A score ranges from 10 to 70 with higher score indicating worse QoL related to melasma.
All analyses were carried out using using SPSS version 21. Internal consistency of the scale was assessed using Cronbach’s alpha coefficient. Item analysis was performed, and Cronbach α [18, 19] was calculated for the total MELASQoL-A scale and for separate domains. Confirmatory Factor Analysis (CFA) was conducted to confirm the separate factors within the scale. Each item within a factor was judged to be worthy of retention in a scale according to its power to explain variation between subjects. To study the construct validity of the scale, Spearman’s Rank Correlation coefficient was used to test for any association between MELASQoL-A score, MASI score and mMASI score with age, marital status, occupation, residence and clinical type of melasma. As regards p-value; p<0>
A 65 adult Egyptian female patients with melasma participated in the study. The age of these patients ranged from 20 to 52 years old with a mean + SD of (35 ± 7.3). The proportion of women ≤ 40 years old was 53 patients (81.5%), and those > 40 years old 12 patients (18.5%). The duration of melasma ranged from 1-10 years with a mean ± SD of (4 ± 2.5). The demographic data of the study is shown in (Table 1).
The distribution of the MELASQoL-A scale among all patients
The distribution of the MELASQoL-A for the 65 patients is shown in (Table 2 and Fig. 1). The mean was 61.58 (SD= 10.45), 95% Confidence Interval for Mean (59.0 - 64.17) and ranged from 30 to 70. The spread of scores was not normally distributed (skewness = - 1.75 and kurtosis = 2.6).
Scale reliability
The internal consistency for the 10-item of the Arabic version of the questionnaire MELASQoL-A was excellent; Intra-class Correlation Coefficient (ICC) = 0.914 and Cronbach’s alpha coefficient (Cronbach α = 0.944) indicating high reliability of the developed Arabic version. The 10 items of the MELASQoL-A scale showed high item-total correlations (>0.3) and high Cronbach α (> 0.6). Reliability statistics for the main domains of the 10 items of MELASQoL-A scale were satisfactory, ranging from acceptable (> 0.5) to very good (between 0.8 and 0.9) as expressed by (Table 3). However, Cronbach α for the total scale = 0.944 was not improved by removal of any of the items [20].
*< 0>
** ICC (95% CI) **=Intra-class Correlation Coefficient (95% Confidence Interval)
For the first scale domain (emotional well-being), that contained 4 items, Cronbach α =0.930 and ICC = 0.915. While the second domain (social life), that had 3 items, had Cronbach α = 0.971 and ICC = 0.971. The last domain (Recreation & leisure), that contained 3 items had Cronbach α = 0.800 and ICC = 0.834, as shown in (Table 4).
The original MELASQoL scale (English version) proposed that melasma
affects mainly three domains of QoL; emotional well-beings, social life and recreation and leisure [10].
The Arabic version (MELASQoL-A) was similarly found that melasma mostly affected patients’ emotional well-beings (Cronbach α = 0.930) and social life (Cronbach α = 0.971) and to lower extent recreation and leisure (Cronbach α = 0.800) as shown in (Table 4).
*<0>
Factor analysis
Factor analysis was therefore conducted with all 10 items. The first factor (factor I) (4 items, corresponding to emotional well-being) explained 66.4% of the variance, the second factor (factor II) (3 items, corresponding to social life) explained 14.9% of the variance, the third factor (factor III) (3 items, corresponding to recreation & leisure) accounted for 7.9% of the variance, as shown in (Table 5). The results of Confirmatory Factor Analysis Scree Plot using Principle Component Analysis, confirmed that the main scale domain has a “leveling off” of eigenvalues after the first factor (factor I) (Fig. 2).
*Factor loadings < 0>
Construct validity of the MELASQoL-A scale
The construct validity of the Arabic version of the questionnaire (MELASQoL-A) showed that higher MELASQoL-A scale scores was significantly correlated to rural residence (correlation coefficient; r= 0.31), non-working patients (r= 0.32) and those with centrofacial melasma (r= 0.43). There was significant positive correlation between the MELASQoL-A scale and the MASI score (r =0.41; p= 0.0027), and the mMASI score (r = 0.36; p= 0.0032), as shown in (Table 6).
*Spearman Correlation is significant at the 0.05 level (2-tailed).
Melasma is a common disorder of hyper-pigmentation affecting millions of people worldwide [7, 8] It may cause significant psychological distress and has a significant impact on the QoL [13].
This study discussed the Arabic version of the MELASQoL scale and evaluated its reliability and validity among Egyptian melasma patients. It was found that it is a reliable and valid measure for evaluating the QoL among Egyptian melasma patients, supporting its use in Arab communities. The Arabic version of the questionnaire was developed using a sample of patients mostly with skin type IV, so it provides information related mostly to this skin photo-type and to lower extent on the other skin phototypes.
The Arabic version of the MELASQoL questionnaire was easily understood and answered by the patients. The mean of MELASQoL-A score in this current study was 61.58 (Standard deviation = 10.45), higher than that measured in an English speaking patients in a previous USA study was 36 [10], Brazilian patients was 37.5 [13], French patients was 20.9 [14] and Turkish patients was 29.9 [15] suggesting that Egyptian patients are at higher risk to suffer from negative emotional well-being and impaired social functions because of melasma.
The internal consistency for the 10 items of the developed Arabic version (MELASQoL–A) was excellent (ICC= 0.914 and Cronbach α = 0.944). This reflects its usefulness and its high internal consistency to discriminate different domains of the patient’s QoL. Our findings regarding the internal consistency and the scale reliability were approximate to those reported by Cestari et al. (2006) (Cronbach α = 0.919) of the Brazilian Portuguese version [12], by Misery et al. (2010) (Cronbach α = 0.95) and (ICC= 0.88) of the French Version of MELASQOL [14], and that reported by Dogramaci et al. (2009) (Cronbach α = 0.88) of the Turkish version [15].
Our results of the excellent internal consistency for the 10-item of the Arabic version of the questionnaire (MELASQoL-A); (ICC = 0.914 and Cronbach α = 0.944) and the results of Confirmatory Factor Analysis Scree Plot using Principle Component Analysis, confirmed that the main scale domain has a “leveling off” of eigenvalues after the first factor (factor I), suggesting that the questionnaire should be of a single domain instead of the three domains more likely to be affected by melasma suggested by Balkrishnan et al. (2003), regarding emotional well-beings, social life and recreation and leisure [10].
There was significant positive correlation between the MELASQoL-A scale and the MASI score (r =0.41; p= 0.0027) and the (mMASI) score (r = 0.36; p= 0.0032). This suggests that patients with severe degree of melasma were more likely to have poorer QoL. This was in contrast to the results of other studies reported that the effect of melasma on QoL was not correlated with the severity of melasma. The authors explained that even a small amount of pigmentation can cause a significant emotional effect [12, 13].
The Arabic version of the MELASQoL scale was found to be a reliable and valid measure for evaluating the QoL for Egyptian melasma patients. The evaluation of the QoL in melasma patients, by means of a dermatosis specific instrument, could bring a new comprehension of the results of different treatment modalities aimed to improve the severity of melasma and thus improve the patients’ QoL.
Conflicts of interest:
The authors report no conflicts of interest.
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.
