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Research Article | DOI: https://doi.org/10.31579/2578-8949/152
1Associate professor of Dermatology, department of internal medicine, College of Medicine, Umm Al-Qura University, Al- Abdia Main Campus, Makkah, Saudi Arabia
1Medical intern, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia, Email: Daniah.allbdi@gmail.com
2 Medical Intern, Collage of Medicine, University of Tabuk, Tabuk, Saudi Arabia, tahani.fahad45@gmail.com
3 Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, Saudi Arabia, Email: alhumaidanlama@gmail.com, Orcid id:0009-0004-3628-7944
4 Medical intern,collage of medicine, University of Hail,Hail, Saudi Arabia, Email: sarah7899@outlook.com, ORCID ID:0000-0001-6271-0161
5 Department of Dermatology, Armed Forces Hospital, Al-Dhahran, Saudi Arabia, Email: hamadjbaar@gmail.com
*Corresponding Author: Ahmed Zahr Allayali, Associate Professor of Dermatology, College of internal medicine, College of Medicine, Umm Al-Qura University, Al-Abdia Main Campus, Makkah, Saudi Arab, Email amzahrallayali@uqu.edu.sa, ORCID 0000-0001-6863-2774.
Citation: Ahmed M. ZahrAllayali, Daniah S. Allbdi, Tahani F. Alanazi, Lama S. Alhumaidan, Sarah K. Albarrak, Hamad J. Aldhafiri, (2024), The Prevalence, Knowledge and Attitude Regarding Atopic Dermatitis among Adult Population in Saudi Arabia, Dermatology and Dermatitis, 9(6); DOI:10.31579/2578-8949/152
Copyright: © 2024, Ahmed Zahr Allayali. 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: 21 March 2024 | Accepted: 27 August 2024 | Published: 29 October 2024
Keywords: atopic dermatitis; eczema; asthma; allergic rhinitis; steroids
Background: Atopic dermatitis (AD), or allergic dermatitis or atopic eczema, is a common, chronic, relapsing, and inflammatory skin disease characterized by dry and itchy skin and increased and recurring lesions affecting the general population of all ages.
Aim: The aim of the study is to investigate the prevalence, knowledge, and attitude associated with the factors affecting AD in the adult population of Saudi Arabia.
Materials and Methods: A Cross-sectional study was conducted in Saudi Arabia from January to March 2023, and 922 participants were recruited. An online questionnaire was designed by Google Forms and distributed digitally via social media applications. Logistic regression analysis was conducted to investigate the associated factors affecting AD in the population.
Results: The findings revealed a 30% prevalence of AD among the adult population in Saudi Arabia. This indicates a significant burden of the disease in the country. The knowledge level on AD was fair in 43% of participants, good in 25.9%, and poor in 31.1%. Similarly, the attitude towards AD was fair in 53% of participants, good in 2.6%, and poor in 44.4%. These results suggest a need for improving the understanding and perception of AD among the population. Conclusion: The study findings an immediate requirement for better public education about AD in Saudi Arabia. This education should increase awareness of AD’s symptoms, causes, and treatments.
Atopic dermatitis (AD), or allergic dermatitis or atopic eczema, is a common, recurring, inflammatory, and chronic skin condition particularly frequent in developed countries [1]. AD incidences are common in the adult population of all countries, ranging from 2.1% to 4.9% [2]. These incidences are generally higher in females than males and lower in older age groups, with a peak prevalence mostly observed in the age groups of 25-44 years [3]. Although the pathophysiology of AD is not yet fully known, numerous study findings observe immunological dysregulation and skin barrier disruption as a cause [4].
Severe dryness of the skin, episodes of intense pruritus, lichenification, and susceptibility to skin infections form the disease characteristics. Full remission may occur during adolescence, followed by a recurrence during adulthood [5]. Most patients’ conditions improve, which can occur for people of all ages. AD follows a chronic cycle and flares up periodically. AD affects the body’s different parts in adults compared to manifestations in children. Managing AD involves relieving symptoms and increasing the time period between periodical flare-ups [6].
Most patients with AD do not present a common allergen immunoglobulin E (IgE) reaction. “Atopic eczema” or “atopic dermatitis” is still often used to describe a poorly defined inflammatory skin condition with surface changes, flexures, and a history of asthma or allergic rhinitis [7]. A family history of eczema or asthma is correlated with a higher risk of having eczema. In addition, no significant association could be observed between smoking or breastfeeding and the risk of having eczema [8].
AD is common in Saudi Arabia as primary health care providers’ (PHCPs) knowledge about the skin condition disease is inadequate [9]. A study conducted among the adult population in Saudi Arabia on knowledge and attitude reported a lack of knowledge and skills among physicians for managing AD. AD is mostly treated with topical corticosteroids once daily, and a continuous dose can help reduce the recurrent relapse in patients with moderate to serious forms. A lack of knowledge for managing dermatological issues was noted [10], also observed in England, Wales and Northern Ireland [11].
Information on the prevalence and awareness of AD in Saudi Arabia is scarce in our area, yet significant studies were found when other Kingdom regions were investigated. Hence, our study aimed to evaluate the prevalence, knowledge, attitude, and factors associated with AD among the adult population in Saudi Arabia.
Study design, setting, and time period:
A cross-sectional study was conducted in Saudi Arabia from January to March 2023.
Study population:
The inclusion criteria for the study were Saudi Arabian adults aged 18 - 30 years. The exclusion criteria were non-Saudi Arabian citizens and age, excluding the specified range [12].
Sample size:
A sample size was calculated [13], and a total of 922 participants were selected.
Data collection:
An online questionnaire was designed by Google Forms and distributed digitally via social media applications. Participants’ demographics, knowledge, and attitudes regarding eczema and previous diagnosis with eczema by a physician and related conditions were included in the questionnaire to collect data [14,15]. A participant was considered to have a poor knowledge level if they scored less than 50% of the correct answers on knowledge items, a fair knowledge level if they scored 50-75%, and a good knowledge level if they scored more than 75%. The same scoring was followed for the attitude scoring (negative, fair, and positive attitudes) [14,16].
Ethical approval:
Ethical approval was obtained for conducting the study from the Umm Al-Qura University, KSA, research ethics committee, approval no. HAPO-02-K-012-2022-11-1350
Statistical analysis:
Data were analyzed by applying the SPSS software version 26. Qualitative data were expressed as numbers and percentages to test the relationship between variables, and the Chi-squared test (χ2) was applied. The mean and standard deviation (Mean + SD) were applied to express quantitative data. Spearman’s test was used to analyze the correlations, and a p-value of less than 0.05 was considered statistically significant. A logistic regression analysis was conducted to find the associated factors of AD in the study population.
An overview of the socioeconomic and demographic traits of the population under study is given by the data that has been made available. A lesser percentage of respondents are male (19.8%), while the majority of respondents are female (80.2%). The majority of respondents (89.9%) are single, and the ratio of married people (10.1%) is less. Most have completed high school or more, with bachelor's degree holders accounting up the largest group (58.6%). Students make up the majority (74.2%), followed by employers (11.5%), and the unemployed and retirees account for minor percentages. A significant fraction of respondents fell into the 10000–20000 SR range, with respondents being spread evenly across various income levels. The respondents are dispersed over several regions, with a marginally higher presence in the Western and Central regions than in the other regions.
| Variable | No. (%) |
Gender Female Male |
739 (80.2) 183 (19.8) |
Marital status Single Married |
829 (89.9) 93 (10.1) |
Education Illiterate Elementary or middle school High school Bachelor's degree Diploma PhD Master's |
7 (0.8) 15 (1.6) 291 (31.6) 540 (58.6) 53 (5.7) 4 (0.4) 12 (1.3) |
Employment Student Unemployed Retired Employee |
684 (74.2) 130 (14.1) 2 (0.2) 106 (11.5) |
Monthly family income (SR) less than 5000 5000-10000 10000-20000 More than 20000 |
239 (25.9) 254 (27.5) 259 (28.1) 170 (18.4) |
KSA region Southern Eastern North western Central |
136 (14.8) 206 (22.3) 94 (10.2) 244 (26.5) 242 (26.5) |
Table 1: Distribution of studied participants based on their demographic features (No. 922).
Table 2 demonstrates the participants’ responses to knowledge and attitude items concerning eczema. Of the participants, 90.8% knew atopic dermatitis or atopic eczema, and 67.4% understood that eczema is not contagious. Also, 62% (62.3%) knew about therapy’s role in controlling the disease, and 82.8% knew the importance of constant daily moisturization for treating and managing eczema. About 56% (56.4%) knew that a patient with eczema could pass the disease from them to their children, 34.2% were aware that a person with eczema could develop asthma, and 82.1% knew that perfumes and scented soaps could worsen eczema. Only 29.9% understood that not every child with eczema suffers all of life. Only 20.2% did not agree that topical steroids are not a safe treatment for eczema, even if prescribed and followed up by a dermatologist. About 35% (35.5%) agreed that every case doesn’t worsen eczema in patients if they ate certain foods (Table 2).
| Variable | No. (%) |
Do you know the skin disease called atopic Dermatitis? No Yes* |
85 (9.2) 837 (90.8) |
Is eczema contagious? No* I don’t know Yes |
621 (67.4) 210 (22.8) 91 (9.9) |
What is the role of therapy in eczema? Control the disease * Cure the disease I don’t know exactly |
574 (62.3) 229 (24.8) 119 (12.9) |
What is the importance of constant daily moisturization in the treatment of eczema? Not important Somewhat important Very important * I don’t know exactly |
1 (0.1) 91 (9.9) 763 (82.8) 67 (7.3) |
Can the offspring of a patient with eczema inherit the disease from their parent? No I don’t know Yes* |
132 (14.3) 270 (29.3) 520 (56.4) |
Can a person with eczema develop asthma? No I don’t know Yes* |
123 (13.3) 484 (52.5) 315 (34.2) |
Can a person with eczema develop allergic rhinitis? No I don’t know Yes* |
76 (8.2) 511 (55.4) 335 (36.3) |
Can perfumes and scented soaps worsen eczema No I don’t know Yes* |
23 (2.5) 142 (15.4) 757 (82.1) |
Will every child with eczema suffer all their life from eczema? No I don’t know Yes Not every case* |
251 (27.2) 258 (28) 137 (14.9) 276 (29.9) |
Do you agree or disagree Topical steroids are not a safe treatment for eczema, even if prescribed and followed up by a dermatologist? I don’t know No, I don’t agree * Yes, its not safe |
549 (59.5) 186 (20.2) 187 (20.3) |
Do you agree or disagree that certain foods always make eczema worse in every patient? I don’t know Not in every case * Yes, I agree food always causes flare ups |
279 (22.2) 445 (35.5) 530 (42.3) |
Table 2: Distribution of studied participants based on their knowledge and attitude concerning eczema (No.922).
Figure 1: Illustrates that 277 (30%) of all studied participants were diagnosed with eczema by a physician.
Table 3 demonstrates that out of all 277 patients diagnosed with eczema, 23.4% were diagnosed with a dermatologist, 36.9% had a parental history of atopic dermatitis, and 31.5% had eczema in the elbow. More than half (50.7%) had reported recurring symptoms more than one night/week a week. Of them, 56% also affected their daily activities or work performance. Also, 30% revealed that atopic dermatitis affects their close relationships, and 73.7% reported severity of itching has direct effects on night sleep.
| Variable | No. (%) |
What is the specialty of that doctor? (No.: 277) Pharmacist Family doctor pediatrician Dermatologist Allergist and immunologist General Doctor What I remember |
4 (0.4) 15 (1.6) 12 (1.3) 216 (23.4) 2 (0.2) 25 (2.7) 3 (0.3) |
Parental history of atopic dermatitis (No.:277) No Yes |
175 (63.1) 102 (36.9) |
Where is the most common site of lesions? (No.:277) Knee Chest or back Neck Ankle Elbow Face |
23 (8.3) 30 (10.8) 23 (8.3) 58 (20.9) 87 (31.5) 56 (20.2) |
How many times do symptoms occur in a week? (No.:277) More than one night/ week Once per month One night/ week Rarely |
140 (50.7) 40 (14.4) 42 (15.1) 55 (19.8) |
Do you think that atopic dermatitis affects your daily activities or work performance? No Yes |
122 (44) 155 (56) |
Do you think that atopic dermatitis affects your close relationships? No Yes |
194 (70) 83 (30) |
Does the severity of itching affect your sleeping at night? No Yes |
73 (26.3)
|
| 204 (73.7) |
Table 3: Distribution of participants with eczema based on disease circumstances (No. 277).
The mean knowledge and attitude scores were considered 4.3 ± 1.71 and 1.66 ± 0.93, respectively. Figure 2 illustrates the participants’ knowledge levels, with 31.1%, 43% and 25.9% having a poor, fair and good knowledge level, respectively. However, 44.4%, 53% and 2.6% of the participants had negative, fair and positive attitudes, respectively (Figure 3).
Figure 2: Distribution (%) of studied participants based on their knowledge of eczema.
Figure 3: Distribution (%) of studied participants based on their attitude level towards eczema (No.922).
Table 4 shows the prevalence of females with previous diagnoses of eczema by a physician to be significantly higher compared to male participants (84.1% vs. 15.9%), and prevalence is higher in students as well (p=<0 p=0.048).>0.05), although there were varying prevalence rates across categories within each variable. Employment status showed a statistically significant association with previous eczema diagnosis (p=0.036), with employed individuals having a higher prevalence of eczema diagnosis compared to students, unemployed, and retired individuals.
| Variable | No previous physician diagnosis with eczema No. (%) | Previous physician diagnosis with eczema No. (%) | χ2 | p-value |
Gender Female Male |
506 (78.4) 139 (21.6) |
233 (84.1) 44 (15.9) |
3.91 |
0.048 |
Marital status Single Married |
585 (90.7) 60 (9.3) |
244 (88.1) 33 (11.9) |
1.45 |
0.227 |
Education Illiterate Elementary or middle school High school Bachelor's degree Diploma PhD Master's |
4 (0.6) 9 (1.4) 211 (32.7) 374 (58) 37 (5.7) 4 (0.6) 6 (0.9) |
3 (1.1) 6 (2.2) 80 (28.9) 166 (59.9) 16 (5.8) 0 (0.0) 6 (2.2) |
6.27 |
0.393 |
Employment Student Unemployed Retired Employee |
494 (76.6) 79 (12.2) 2 (0.3) 70 (10.9) |
190 (68.6) 51 (18.4) 0 (0.0) 36 (13) |
8.52 |
0.036 |
Monthly family income (SR) less than 5000 5000-10000 10000-20000 More than 20000 |
172 (26.7) 168 (26) 182 (28.2) 123 (19.1) |
67 (24.2) 86 (31) 77 (27.8) 47 (17) |
2.69 |
0.441 |
KSA region Southern Eastern North western Central |
97 (15) 145 (22.2) 67 (10.4) 156 (25.6) 171 (26.5) |
39 (14.1) 61 (22) 27 (9.7) 79 (28.5) 71 (25.6) |
0.9 |
0.924 |
Table 4: Relationship between previous diagnosis of eczema by a physician and participants’ demographics (No.:922).
Table 5 demonstrates a good knowledge level about eczema and reveals it to be significantly higher among females, single, had a bachelor’s degree of education, a monthly income of 10000-20000 SR, and among participants previously diagnosed with eczema by a physician (59.4%) (p=<0 xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed>
Variable | Knowledge level | χ2 | p-value | ||
Poor No. (%) | Fair No. (%) | Good No. (%) | |||
Gender Female Male |
204 (71.1) 83 (28.9) |
341 (86.1) 55 (13.9) |
194 (81.2) 45 (18.8) |
23.84 |
<0> |
Marital status Single Married |
249 (86.8) 38 (13.2) |
354 (89.4) 42 (10.6) |
226 (94.6) 13 (5.4) |
8.59 |
0.011 |
Education Illiterate Elementary or middle school High school Bachelor's degree Diploma PhD Master's |
4 (1.4) 8 (2.8) 102 (35.5) 143 (49.8) 25 (8.7) 2 (0.7) 4 (1.4) |
3 (0.8) 3 (0.8) 116 (29.3) 247 (62.4) 22 (5.6) 1 (0.3) 3 (0.8) |
0 (0.0) 4 (1.7) 73 (30.5) 150 (62.8) 6 (2.5) 1 (0.4) 0 (0.0) |
26.23 |
0.01 |
Employment Student Unemployed Retired Employee |
206 (71.8) 44 (15.1) 1 (0.3) 36 (12.5) |
292 (73.7) 63 (15.9) 1 (0.3) 40 (10.1) |
186 (77.8) 23 (9.6) 0 (0.0) 30 (12.6) |
7.23 |
0.3 |
Monthly family income (SR) less than 5000 5000-10000 10000-20000 More than 20000 |
80 (27.9) 87 (30.3) 71 (24.7) 49 (17.1) |
106 (26.8) 110 (27.8) 124 (31.3) 56 (14.1) |
53 (22.2) 57 (23.8) 64 (26.8) 65 (27.2) |
20.77 |
0.002 |
KSA region Southern Eastern North western Central |
46 (16) 72 (25.1) 28 (9.8) 79 (27.5) 62 (21.6) |
62 (15.7) 93 (23.5) 44 (11.1) 98 (24.7) 99 (25) |
28 (11.7) 41 (17.2) 22 (9.2) 67 (28) 81 (33.9) |
15.41 |
0.052 |
Have you ever been diagnosed with eczema by a physician? No Yes |
234 (81.5) 53 (18.5) |
269 (67.9) 127 (32.1) |
142 (59.4) 97 (40.6) |
31.71 |
<0> |
Table 5: Relationship between participants’ knowledge level about eczema and their demographic features (No. 922).
Table 6 shows the attitude levels of all participants. A positive attitude towards understanding and knowing eczema was significantly higher among females, those having a bachelor’s degree in education, and residents of the Central KSA region (p=<0>
Variable | Attitude level | χ2 | p-value | ||
Negative No. (%) | Fair No. (%) | Positive No. (%) | |||
Gender Female Male |
315 (77) 94 (23) |
408 (83.4) 81 (16.6) |
16 (66.7) 8 (33.3) |
8.58 |
0.014 |
Marital status Single Married |
370 (90.5) 39 (9.5) |
437 (89.4) 52 (10.6) |
22 (91.7) 2 (8.3) |
0.38 |
0.827 |
Education Illiterate Elementary or middle school High school Bachelor's degree Diploma PhD Master's |
3 (0.7) 13 (3.2) 141 (34.5) 216 (52.8) 28 (6.8) 2 (0.5) 3 (0.7) |
4 (0.8) 2 (0.4) 142 (29) 313 (64) 23 (4.7) 1 (0.2) 2 (0.8) |
0 (0.0) 0 (0.0) 8 (33.3) 11 (45.8) 2 (8.3) 1 (4.2) 2 (8.3) |
39.14 |
<0> |
Employment Student Unemployed Retired Employee |
299 (73.1) 58 (14.2) 1 (0.2) 51 (12.5) |
369 (75.5) 69 (14.1) 1 (0.2) 50 (10.2) |
16 (66.7) 3 (12.5) 0 (0.0) 5 (20.8) |
3.31 |
0.769 |
Monthly family income (SR) less than 5000 5000-10000 10000-20000 More than 20000 |
103 (25.2) 102 (24.9) 129 (31.5) 75 (18.3) |
128 (26.2) 144 (29.4) 124 (25.4) 93 (19) |
8 (33.3) 8 (33.3) 6 (25) 2 (8.3) |
7.08 |
0.313 |
KSA region Southern Eastern North western Central |
79 (19.3) 85 (20.8) 38 (9.3) 112 (27.4) 95 (23.2) |
56 (11.5) 118 (24.1) 52 (10.6) 126 (25.8) 137 (28) |
1 (4.2) 3 (12.5) 4 (16.7) 6 (25) 10 (41.7) |
19.21 |
0.014 |
Have you ever been diagnosed with eczema by a physician? No Yes |
278 (68) 131 (32) |
350 (71.6) 139 (28.4) |
17 (70.8) 7 (29.2) |
1.38
|
0.5 |
Table 6: Relationship between participants’ attitude level for eczema and their demographic features (No. 922).
The figure demonstrating a significant positive correlation between knowledge and attitude scores indicates that as knowledge levels increase, attitude scores also tend to increase, and vice versa. the correlation coefficient is 0.31, indicating a moderate positive correlation. Essentially, this p-value suggests that the observed correlation between knowledge and attitude scores is highly unlikely to be due to chance alone. With a positive correlation coefficient (r = 0.31) and a significant p-value (<0>
Figure 4 demonstrates a significant positive correlation between the knowledge and attitude scores (r = 0.31, p-value = <0>Logistic regression analysis:
Our study focused on identifying AD’s prevalence and exploring its knowledge and attitude among the adult population in Saudi Arabia. Our research centered on determining the prevalence of AD and delving into the knowledge and attitudes toward it among adults in Saudi Arabia. These findings hold particular importance when compared to prevalence rates in other regions. For instance, recent studies in the United States have shown a prevalence of 7.5% among adults [17], while Canada, the EU, and Japan report rates of 3.5%, 4.4%, and 2.1%, respectively [2].
A survey in Danish reported prevalence among adults aged 30 to 89 during the first year was 14% [18]. In Sweden, the prevalence was 11
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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.
