AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2688-7517/033
Nursing Department, Parepare school of Nursing, Health Polytechnic of Makassar, Indonesia.
*Corresponding Author: Agussalim, Nursing Department, Parepare school of Nursing, Health Polytechnic of Makassar, Indonesia.
Citation: Agussalim, M Asikin, I Takko Podding, M. Nasir, Abidin, Edi Hasan, Abd. Rahman (2022). The Effectiveness of Cultural Deep Breathing against Blood Pressure Reduction. J. Addiction Research and Adolescent Behaviour. 5(1); DOI: 10.31579/2688-7517/033
Copyright: © 2022 Agussalim, 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: 11 November 2021 | Accepted: 18 December 2021 | Published: 03 January 2022
Keywords: cultural deep breathing; blood pressure; hypertension; elderly
Elderly is a process of disappearing in the ability of tissues to repair themselves or replace themselves and maintain their normal structure and function. This study aims to find out the effectiveness of deep breathing against decreased blood pressure in the elderly who have hypertension. The study used the one group pre-post test. The sample used as many as 13 participants. The study used Purposive Sampling techniques and the tool used to obtain the data. The study used a paired sample t-test with a significance value of α=0.05. The results of this study showed that there was an effect of deep breathing on the decrease in blood pressure in the elderly who had hypertension on the first day and the third day with a value of p= 0.000<α = 0.05. There is an effect of giving deep breathing to decrease blood pressure in elderly people who have hypertension on the 4th day and the sixth day with a value of p= 0.000<α = 0.05. There is an effect of giving deep breathing to the decrease in blood pressure in the elderly who have hypertension.
Elderly or aging (getting old) is a process of disappearing in the ability of tissues to repair themselves or replace themselves and maintain their normal structure and function so that it cannot be gradually against the cells damage (including infections) and repair damage that causes degenerative diseases e.g., hypertension, arteriosclerosis, diabetes mellitus and cancer (Nurrahmani, 2012, in Sulastri, 2015).
According to Jubaidi (2008) (In Sulastri, 2015) there are several physical changes in the elderly that can be a condition of the elderly stricken with disease, such as cardiovascular changes that decrease the elasticity of blood vessels, changes in respiration, namely decreased strength of respiratory muscles, as well as changes in hearing and changes in vision. There are several types of diseases that commonly afflict the elderly, including hypertension, diabetes mellitus, coronary diseases, stroke, cataracts, and so on. These kinds of health problems that often afflict the elderly are hypertension which can be causes of various other cardiovascular problems that are more serious.
Today the increase in welfare, especially in the field of health, is an important highlight. The onset of various diseases in the community has a great impact on their lives. One type of disease that continues to grow and increase is hypertension or known by ordinary people as High Blood Pressure. Changes in lifestyle and community needs are considered to have a great influence on the occurrence of hypertension. Hypertension itself can be monitored through blood pressure measurements. Hypertension is a persistent high blood pressure where the systolic pressure is above 140 mmHg and the diastolic pressure is above 90 mmHg (Smeltzer & Bare, 2002 quoted from Kurniawan, 2014). Nearly 1 billion or quarters of the adult and elderly population have high blood pressure, and this number is likely to increase. In the elderly population, the number of people with high blood pressure is even more, experienced by more than half of the population of people over the age of 60 years. By 2025 it is estimated that people with high blood pressure reach almost 1.6 billion people in the world (Palmer, 2007 quoted in Hairitama, Rini, et al, 2011).
Blood pressure is one of the things that affect the human body system. An increase or decrease in blood pressure will affect homeostasis in the body. Many factors that can increase the risk or tendency of a person suffering from hypertension, including these individual characteristics such as age, weight, gender and ethnicity, genetic factors and environmental factors that include obesity, stress, salt consumption, smoking, consuming alcohol, and so on Ryadi, 2002 quoted from kurniawan, 2013).
The incidence of hypertension worldwide is about 972 million people or 26.4% of the earth's inhabitants have hypertension with a ratio of 26.6% men and 26.1% of women. This figure is likely to increase to 29.2% in 2025 from 972 million people with hypertension, 333 million are in developed countries and the remaining 639 million are in developing countries, including Indonesia (WHO, 2012 in Purwanto, 2012 quoted in Kurniawan 2014).
Hypertension is found with several risk factors that can cause high blood pressure, namely old age and the presence and presence of a history of high blood in the family. In addition, there are also so many causes of hypertension that causing hypertension is a disease with many sufferers even referred to as the silent diseasae (Cold-blooded Killer) (Palmer, 2007 quoted in Hairitama, Rini, et al, 2011). Sugiharto et al (2003), the incidence of hypertension is directly proportional to the increase in age. Arterial blood vessels lose elasticity or flexibility with age, most people's blood pressure increases when the age of 50-60 years and above.
In the concept of nursing, the reduction of blood pressure in hypertension can use management with the application of non-pharmacologists, one of which is deep breath relaxation techniques. Deep breath relaxation technique is one form of stress management in an effort to make lifestyle modifications. Appropriate (non-pharmacological) relaxation techniques are progressive muscle relaxation, autogenic exercise, breathing and visualization. Deep breath relaxation technique is one of the relaxation therapies that can make the body become calmer and harmonious, and able to empower the body to overcome the disorder that attacks it (Schwickert, 2006 in Putra, 2013).
Based on previous research by Elrita Tawang, 2013 on the influence of deep breath relaxation techniques on changes in blood pressure in people with moderate-severe hypertension showed that deep breath relaxation techniques can lower blood pressure in people with moderate-severe hypertension (Tawang E, 2013). This research is supported by Heryanto (2004), which diaphragmatic breathing until now became an easy method of relaxation in its implementation. Relaxation therapy diaphragmatic breathing technique is very good to be done every day by people with high blood pressure, in order to help the relaxation of the body's muscles, especially blood vessel muscles so as to maintain the elasticity of arterial blood vessels so that it can help lower blood pressure (Evelyn, 2011 quoted in Hastuti, Insiyah, 2015).
According to Audah (2011) breathing in a good way and control can provide relaxation and reduce stress. Deep breathing exercises are a form of non-pharmacological therapy, in which case nurses teach clients how to do deep breathing, slow breathing (holding inspiration to the maximum) and how to exhale slowly, in addition to lowering the intensity of pain can also increase pulmonary ventilation and increase blood oxygenation (Niken, 2010 in Putra 2013). Non-pharmacological management of deep breath relaxation therapy to lower blood pressure in people with hypertension was chosen because deep breath relaxation therapy can be done independently, relatively easy to do than other non-pharmacological therapies, does not take long for therapy and is able to reduce the adverse effects of pharmacological therapy for people with hypertension (Suwardianto, 2011 in Putra, 2013).
Based on data obtained from the Social Home Tresna Werdha Gau Mabaji Gowa Regency in 2016, there are 97 elderly people, namely the number of men 34 people or (35%) and women 63 people or (65%), who suffer from hypertension is 24 people or (25%). According to nurses at the home, there has never been a deep breathing technique in the elderly that is specific to hypertension
This study uses one-group pretest-posttest design research. This design is a Pre experimental study in which researchers give treatment to a measured study group or in the next pretest after the treatment of the study group is measured or in the retest (Posttest).
This research will be conducted at Panti Trisna Werdha Gau Mabaji Gowa Regency.. Using purposive sampling is a sample taken from elderly respondents who meet the criteria that have been determined by researchers with inclusion criteria and exclusion criteria.
Primary data is taken and collected using questionnaires that have been available to obtain the general identity of the patient, and make observations based on Deep Breathing or deep breath relaxation techniques carried out in this case observation of deep breathing in the intervention group.
In this discussion, researchers will discuss the effectiveness of Deep Breathing against blood pressure reduction in elderly people who experience hypertension in tresna werdha gau mabaji in Gowa district.
1. Effect of decreased blood pressure day 1 psystolic with day 9 post systolic and pre day 1 diastolic with day 9 diastolic.
The results of the data analysis obtained the average value of systolic blood pressure pre-day 1 is 148.46 with a standard deviation of 6,887. The average post-day blood pressure of 9 is 136.15 with a standard deviation of 6,504. After the statistical test obtained the value of p value = 0.000 < α = 0.05 which means there is an effect of giving Deep Breathing to reduce blood pressure.
The average pre-day diastolic blood pressure was 89.23 with a standard deviation of 11.875. The average post-day diastolic blood pressure was 82.31 with a standard deviation of 9,268. After the statistical test obtained a value of p value = 0.108 > α = 0.05 which means there is no effect of giving Deep Breathing to the decrease in blood pressure.
Ardiansyah (2012) stated that in general hypertension is high blood pressure that is abnormal and a person is considered to have hypertension if his blood pressure exceeds 140/90 mmHg.
Brunner & Suddarth (2002) states that the pathophysiology of hypertension occurs at the same time where the sympathizer nervous system stimulates blood vessels as an emotional excitatory response, the adrenal glands are also aroused, resulting in additional vaso compression activity. The medulla adrenal secretes epinephrine, which causes vasoconstriction. The adrenal context secretes cortisol and other steroids, which can strengthen the response of blood vessel vasoconstrictors. Vasoconstrictors stimulate the formation of angiotensin I which is then converted into angiotensin II, a powerful vasoconstrictor, which in turn stimulates the secretion of aldosterone by the adrenal cortex. This hormone causes retention of sodium and water by the renal tubules, causing an increase in intravascular volume. All of these factors tend to trigger hypertension.
In line with Joseph's research, et al. (2005) conducted on 20 respondents with hypertension (ages 56.4 ± 1.9 years and above) intervened by normal breathing and slow breathing (6x / minute) and fast (15x / minute). Slow deep breathing can lower systolic and diastolic blood pressure in hypertensive patients (from 147.7 ± 3.7 mmHg to 141 ± 4 mmHg, p< 0>
Joseph, et al. (2005) stated that Deep breathing has an effect on modulation of the cardiovascular system. Deep breathing has the effect of increasing the fluctuations of RR (rate of respiration) intervals. Fluctuations in increased RR intervals (relative to changes in blood pressure) have an impact on the increased effectiveness of bare reflex and may contribute to a decrease in blood pressure. Deep breathing also decreases sympathetic activity by increasing central inhibitory rhythms which eventually impacts the reduction in blood pressure when bare reflexes are activated. Deep breathing also affects the increase in tidal volume so that it activates the Vuling-Breuer reflex which has an impact on decreasing the activity of the flex and ultimately increasing the sensitivity of bare reflex. This mechanism can decrease sympathetic activity and blood pressure.
Based on the theory and research above I as a researcher agree that the provision of deep breathing relaxation techniques in people with hypertension, especially those in accordance with research in the elderly is very effective for lowering blood pressure.
According to Sunanto (2009) Hypertension is a condition in which a person experiences an increase in blood pressure above normal for a long period of time. If measured with a blood pressure test the results of blood pressure measurements show 140/80 mmHg. According to WHO (2012) in Porwanto (2012) hypertension is a public health problem in the world and is closely related to people's lifestyle patterns. Until now hypertension still remains a problem because of several things, including the increasing prevalence of hypertension, there are still many hypertensive patients who have not received treatment or who have been treated but their blood pressure has not reached the target, as well as the presence of accompanying diseases and complications in the form of target organ damage, especially in the heart and blood vessels that worsen the prognosis of hypertensive patients.
Ramdhani (2014) stated that relaxation of the deep breath is one of the self-management techniques based on the workings of the sympathetic and parasympathetic nervous system. Relaxation techniques are increasingly being done because they are proven to be effective in reducing tension and anxiety, and can lower blood pressure in people with hypertension. Diaphragmatic breathing until now has been an easy method of relaxation in its implementation. Deep breath relaxation technique therapy is very good to be done every day by people with hypertension, in order to help the body, especially the blood vessels, so as to maintain the elasticity of elastic blood vessels.
The results of research from Hastuti and Insiyah (2015) showed that. Blood pressure in hypertensive patients in Bendosari Health Center sukoharjo regency before deep breathing therapy is an average systolic blood pressure of 177.33 mm hg and diastole average 95.87 mm hg. Blood pressure in hypertensive patients in Bendosari Health Center sukoharjo regency after deep breathing therapy is an average systolic blood pressure of 173.20 mm hg and diastole average 90.57 mm hg. There is an effect of deep breathing techniques on the reduction of blood pressure in hypertensive patients in Bendosari Health Center sukoharjo regency. The advice in this study is for health workers, especially nurses, to intervene in nursing, namely deep breathing therapy to decrease blood pressure in hypertensive patients.
Based on research and theory above as a researcher I agree that deep breathing relaxation techniques given to the elderly who have hypertension will be very effective to lower blood pressure. And also deep breath relaxation techniques include one of the best non-pharmacological treatments for the elderly and not difficult to do even elderly people who are already unable to walk or get out of bed.
2. Proof of Hypothesis
Based on the results of the data analysis, the average value of systolic blood pressure pre-day 1 is 148.46 with a standard deviation of 6,887. The average post-day blood pressure of 9 is 136.15 with a standard deviation of 6,504. After the statistical test obtained the value of p value = 0.000 < α = 0.05 which means there is an effect of giving Deep Breathing to reduce blood pressure.
The average pre-day diastolic blood pressure was 89.23 with a standard deviation of 11.875. The average post-day diastolic blood pressure was 82.31 with a standard deviation of 9,268. After the statistical test obtained a value of p value = 0.108 > α = 0.05 which means there is no effect of giving Deep Breathing to the decrease in blood pressure.
The results of this study are in line with research conducted by Werdyastri et al (2014) that the decrease in blood pressure before and after the administration of deep breathing therapy in hypertensive patients at Tugurejo Hospital Semarang in March-April 2014 obtained blood pressure results before the administration of deep breathing (Deep Breathing)170 mmHg, after the administration of deep breathing (Deep Breathing) obtained blood pressure 161 mmHg, while in diastolic blood pressure also obtained before the administration of deep breathing relaxation (Deep breathing) 96 mmHg, after the administration of deep breathing relaxation (Deep Breathing) obtained blood pressure 89 mmHg.
Researchers assume that after the act of giving deep breathing relaxation techniques on day 1 to day 9, it can be known the effectiveness of deep breathing against the decreased blood pressure in elderly people who experience hypertension in tresna werdha gau mabaji gowa regency. This can be seen in the administration of deep breathing techniques on the first day to day 9.
Thus it is known that deep breath relaxation techniques are effective for lowering blood pressure in the elderly. According to the assumption of researchers with relaxation techniques that are easy to do and without any side effects for the elderly, it is very important to apply in everyday life and can be done alone by respondents to lower blood pressure because with this relaxation technique helps the body to stay relaxed, can supply exigent with the levels needed by the body and help relieve the work of the heart, and keep the blood vessels in order.
After the study conducted with the title "Effectiveness of Cultural Deep Breathing Against Blood Pressure Reduction In Elderly Who Have Hypertension In Panti Tersna Werdha Gau Mabaji Gowa Regency" it can be concluded that the known average systolic blood pressure pre-day 1 is 148.46 with a standard deviation of 6,887. The average post-day blood pressure of 9 is 136.15 with a standard deviation of 6,504. After the statistical test obtained the value of p value = 0.000 < α = 0.05 which means there is an effect of giving Deep Breathing to reduce blood pressure.
The average pre-day diastolic blood pressure is 89.23 with a standard deviation of 11,875. The average post-day diastolic blood pressure was 82.31 with a standard deviation of 9,268. After the statistical test obtained a value of p value = 0.108 > α = 0.05 which means there is no effect of giving Deep Breathing to decrease blood pressure.
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.
