AUCTORES
Globalize your Research
Chat with us
Research Article | DOI: https://doi.org/10.31579/2639-4162/164
Dept of Siddha Medicine, Chakrasiddh health centre, Hyderabad, India
*Corresponding Author: Shweta Tiwari, Dept of Siddha Medicine, Chakrasiddh health centre, Hyderabad, India.
Citation: Shweta Tiwari, (2024), Use of Self-Healing Mechanism in Treating Deviated Nasal Septum Cases by Siddha Therapy- A Comparative Study!, J. General Medicine and Clinical Practice, 7(7); DOI:10.31579/2639-4162/164
Copyright: © 2024, Shweta Tiwari. 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: 16 March 2024 | Accepted: 27 March 2024 | Published: 05 April 2024
Keywords: deviated nasal septum, mookadaipu, siddha varmam therapy, mladina’s classification
Aim: Severe cases of DNS can cause nasal obstruction, epistaxis, sinusitis, migraine and obstructive sleep pane. To avoid surgery and relapse of symptoms, patients take up alternative methods. The aim of our study was to determine the incidence of DNS with respect to age, gender, type of septal deviation, presenting symptoms and to highlight if traditional Siddha therapy can prove to be another treatment modality in such cases by reducing the present symptoms and correction of nasal structure without intervention of conventional surgery.
Materials and methods: The present study was conducted in 60 subjects who were divided into Group I (pure siddha treatment cases) and Group II (CMM with little facial massage). The intervention outcomes measured four different clinical variables: sleep, nasal, facial pain, and emotional symptoms assessed at baseline and after the intervention period. Data was collected using the SNOT-22 Questionnaire pre-treatment and after 6 months following therapy. Data analysis involved comparing mean changes in these variables, with the significance set at P<0.05. Also, Reliability of the assessments was determined using Cronbach's Alpha.
Results: The male to female ratio was found to be 2.3:1. Majority (41.6%) patients were of age group 20-30 years with left side deviation (53.28%). Commonest presenting complaint was Nasal obstruction (86.3%) with sleep apnea (43%) associated with it. Post treatment, a significant relief of symptoms were observed in 91.2% in Gp I and only 61.3% in Gp II. Significant improvement was observed in nasal obstruction (92.33%) and nasal discharge (86.8%). Dependency on medications reduced by 89.4% in Gp I while in Gp II only 43.9% showed a little improvement in this aspect. Only 2 patients showed relapse of symptoms in Gp I while in Gp II 92% had same symptoms. Post-treatment nasal correction was achieved in Gp I (73%) as compared to Gp II (35.23%).
Conclusions: Our study showed that functional outcome was achieved in all Siddha treated patients in all variables. Siddha therapy with just hand pressures can prove to get good results both symptomatically and aesthetically.
DNS (Deviated nasal septum),
CMM (Conventional medical management),
SNOT-22 (Sino Nasal Outcome Test-22
DNS is a condition in which there is displaced nasal septum towards one side or if septum has shifted away from the midline [1]. It is a frequently occurring condition that can cause nasal obstruction in an individual and may result in permanent changes in the nasal and sinus mucosa because of altered ventilation of the nasal cavity [2,4]. Generally, the cause is due to trauma either during intra-uterine life or accidental [3]. Almost 75-85% of population in world have a mild form of deformity in nose anatomy and in most cases, it is asymptomatic. But those who have moderate and severe deviated septum, they can show symptoms in form of nasal obstruction like obstructed breathing, nasal discharge, facial pain, migraine and altered smell [4,18]. This can lead to other serious conditions like sleep aponea, and tinnitus. Nasal obstruction frequently has been associated with sleep-disordered breathing as a potential etiologic factor [5,19].
In 2011, a study found that 85-88% of the cases of deviated nasal septum occurred in males and only 10-12% in females [5]. According to literature, most of these incidents are found in patients aged between 20-40 years, while in another study, they found a low correlation between the age and the type of septum deviation [2,4]. Various reasons have been attributed to occurrence of deviated nasal septum with 72% of these caused by trauma and 24
The study included 60 patients with DNS and variable degree of nasal obstruction who came to ChakraSiddh center, Hyderabad for consultation from January 2023 to June 2023 with a follow-up after 6 months to see the improvement symptomatically. In our study we had included two groups of patients of 30 each; Gp I(Intervention) consists of patients who underwent complete siddha therapy. Gp II(Control) consists of patients who went with medical management and little facial massage. 8 out of these 30 Gp II cases already had DNS surgery in some point of time but they had relapse of symptoms. The criterion to include these 8 post surgery patients in Gp II was due to hesitance of patients and less pressure application in treatment [15].
Sampling Size: 60
Study Design: Prospective observational study
Inclusion Criteria [16]:
Study included patients between 20-50 years. A thorough clinical examination and diagnostic PNS x-ray or CT scan is done to evaluate the nasal cavity and nasal septum in all the patients. Each patient was subjected to SNOT-22 Questionnaire pre and post treatment [17]. Because of many of the questions in the SNOT-22, we conducted hypothesis tests related to determine which questions provided uniquely/independently predictive information about post-therapy improvement. For these analyses, we took symptoms which were common to all patients and were main concerns of patients like nasal related issues and quality of life and were designated under these 4 variables: sleep, nasal, facial pain, and emotional symptoms [15].
Complete history taking, history of obstruction, any previous nasal surgeries along with external nose examination, the type of deviation was evaluated according to side of deviation. The follow-up period ranged from 4-6 months (mean= 5 months) to evaluate the functional and aesthetic outcomes of the performed therapy [16,18].
Data analysis utilized Cronbach’s Alpha to assess reliability and statistical significance was determined using means, standard deviations (SD), and P-values less than 0.05.
The study included a sample for a total number of 60 out of 250 screened patients. Majority (42.18%) patients were of age group 20-30 years [15] out of hich 56% were males. The male to female ratio was found to be 2.6:1. (Table 1) which is already in agreement with study done by Ranjan [16]. Left side deviation (53.28%) was found more in both Gp I and Gp II followed by 37.82% of the cases having deviation to the right and 9.70% presented with bilateral deviation. (Table 2).
Commonest presenting complaint was Nasal obstruction (98.3%) with sleep apnoea (43%) associated with it in both patient Group (Table 3). In the present study, other commonest complaints were: 48 patients had headache, Nasal discharge was seen in 29 patients, 25 patients had sleep apnoea and Hyposmia was present in 16 patients. Post treatment, a significant relief of symptoms were observed in 92.3% in Gp I and 61.3% in Gp II (Table 4). The difference between the two groups (control and intervention) was statistically significant considering parameters like nasal obstruction, nasal discharge, sleep apnea and hyposmia. Data was analyzed using chi-square test to test for statistical significance of the findings. Significant improvement was observed in nasal obstruction (91.13%) and sleep apnea (86.8%) in Gp I patients (p<0>
Following the therapy, statistically significant improvement was observed in the entire patient population with respect to clinical outcome measures: Nasal obstruction (p<0 p=0.4003), p=0.6436) p=0.4574)>Bio-demographic Data No. Of patients (n=60) Percentage (%) Age (in years) < 20> 08 13.3 20-30 yrs 25 42.18 30-40 yrs 16 26.6 >40 yrs 11 18,3 Gender Male 37 (E=21; C=16) * 61.6 Female 23 (E=9; C=14) * 38.4
Table 1: Bio-demographic data of patients with DNS in Chakra Siddh center
*E= (Gap I) Experimental gp; C= (Gap II) Control gap
| Side of Septal Deviation | No. Of patients (n=60) | Percentage (%) |
| Left | 33 | 53.2 |
| Right | 23 | 37.8 |
| Bilateral | 4 | 9.7 |
Table 2: Distribution of patients according to septal deviation
| Symptoms | No. Of patients (n=60) * | Percentage (%) |
| Nasal obstruction | 58 | 96.3 |
| Nasal discharge | 29 | 41 |
| Loss of smell | 16 | 21.2 |
| Sleep apnoea | 29 | 43 |
| Headache | 22 | 35 |
| Mouth breathing | 05 | 9.3 |
| Snoring | 06 | 11.2 |
| Nasal bleeding (epistaxis) | 03 | 4 |
| Medicine dependency | 58 | 97 |
| Nasal deviation/deformity | 60 | 100 |
* A patient might have multiple presenting symptoms so the total number may vary
Table 3: Distribution of patients according to symptoms presentation (SNOT-22 with significant results)
| Complaints | Gap I (n=30) Pre Rx-Post Rx* | % of benefit | Gap II (n=30) Pre Rx-Post Rx* | % of benefit | p value** S (<0> | ||
| Nasal obstruction | 27 | 4 | 91.1 | 24 | 16 | 45.2 | 0.0196 |
| Nasal discharge | 18 | 2 | 88.2 | 18 | 15 | 25 | 0.0326 |
| Loss of smell (Hyposmia) | 4 | 1 | 78.5 | 3 | 2 | 25 | 0.011 |
| Sleep apnea | 19 | 3 | 86.8 | 20 | 10 | 50 | 0.0231 |
| Headache | 14 | 05 | 67.7 | 12 | 09 | 75 | NS |
| Mouth breathing | 03 | 01 | 70.4 | 02 | 01 | 68 | NS |
| Snoring | 04 | 01 | 75 | 02 | 01 | 70 | NS |
| Nasal bleeding (Epistaxis) | 02 | 00 | 100 | 01 | 00 | 100 | NS |
| Nasal deviation/ deformity | 30 | 13 | 63 | 30 | 23 | 35.2 | 0.0311 |
| Medicine dependency | 30 | 06 | 89.4 | 30 | 28 | 15 | 0.0454 |
* No of Patients who C/O same symptom on/off with less intensity post therapy after 4-6 months
Table 4: Comparison of pre- and post-therapy SNOT-22 analysis of Gp I and Gp II patients
In the traditional Siddha system, Mookadaipu which is also known as Peenisam or neerkovai bears a resemblance to clinical symptoms of Nasal blockage caused by DNS [10]. It is also stated DNS causing sinusitis in 45% of the patients so treating the symptoms of sinus can be one treatment modality for DNS [15]. The present study confers the outcome of other studies in which most frequent noted symptoms of DNS is nasal discharge (96.66%), followed by nasal congestion (93.33%), sleep disturbance (90%), head ache (90%) [16]. A study by Moorthy et al. also showed same cause of nasal obstruction as the most common symptom [19]. Shoib et al study found patients (58%) had headache as predominant symptom in cases of septum deviation and in this study 48% patients showed headache as symptom [9]. In another study by Rehman, headache, also, was a predominant symptom seen in over 80% of the cases associated with nasal blockage [18]. David.H et.al concluded that physical correction of anatomic abnormalities of the septum and turbinate resulted in predictable improvement in outcome measures with respect to headache frequency and severity, nasal obstruction and results were statistically significant [22].
In Siddha literature, both internal and external medicines are prescribed for sinusitis and manipulation techniques to improve the nasal septum [8]. Intranasal corticosteroids, Oral corticosteroids, Antibiotics, Antihistamines and Topical decongestants are recommended for treatment of symptoms of DNS but in severe cases, Septoplasty is only options. However, chances of relapse of symptoms in both cases are high [3]. Different studies have projected that relief in symptoms generally decreases the dependency of patients on steroids like in this study [18].
In Siddha, deviated septum is treated through a technique by Nasaya to stimulate the Varmam points to activate body’s internal healing mechanism. Nasiyam includes facial massage, fumigation and specific Eucalyptus oil application into the nostrils [11]. Studies shows eucalyptus oil helps to curb inflammatory issues that can lead to problems like sinusitis in the longer run. It kills the germs that are responsible for causing allergy, irritation, and nasal blockage [14].
Varmam treatment involves manipulating specific energy spots to restore vital energy and facilitate healing processes [8]. These energy spots, known as Thodu Varma, correspond to junctions of muscles, nerves, veins, arteries, and capillaries, believed to regulate bodily functions [8]. Our study by Thokkanam type of Varmam with gentle pressure strokes incorporated in nasal cavity, neck and upper back, is used to alleviate pain and promote healing internally [10].
The potential of Siddha therapy lies in its holistic approach, addressing the physical, mental, and spiritual aspects of an individual. While the conventional management of DNS primarily involves surgical or pharmacological interventions [7]. Siddha therapy offers a non-invasive alternative that aligns with the patient-centered approach, emphasizing overall well-being by improving his lifestyle [16]. The findings from this case report serve as a catalyst for exploring the efficacy of Siddha therapy in managing DNS. By addressing the underlying energy imbalances and stimulating healing through non-invasive interventions, Siddha therapy presents a promising adjunct or alternative to conventional treatments [8].
SNOT–22 scale was used to assessment of symptom severity, social and emotional impact, productivity and sleep consequences of the patient. SNOT- 22 total score 8-20 represents mild, more than 20 to 50 represents moderate and more than 50 represents severe condition [13]. Snot-22 total score decreased from 41(moderate) before treatment to 08 (mild) after completion of treatment. No recurrence of any clinical features like sneezing, nasal congestion and snoring was observed during the five months of follow-up of siddha intervention [18].
The study is a prospective, standalone treatment research. It is an open-labelled, single-arm, non-randomized trial with minimal sample size. Hence, the study has its own limitation and further controlled studies are required. The participants were recruited to the study based on their willingness. Hence, selection bias may also be there. The study lacks evidence in the management of the disease, as there are very few siddha studies available on this topic.
In modern medicine, DNS can be managed by continuous use of steroids and finally a surgical correction of the nasal deviation. But in this study, Siddha Vaidya, an ancient science proved that by just using hand manipulation techniques the deviated septum can be corrected and there can be significant improvement in clinical outcomes including nasalobstruction, headache, sleep apnea and nasal dischargecompared to standard treatments. By simple methodology of aligning body energies (mind, body and spirit), the siddha therapy instigates internal healing mechanisms thus, resulting in cure and an improved lifestyle. Siddha therapy along with diet and physiotherapy rehabilitation played a vital role in reducing symptoms related to nasal blockages, functional independence, and quality of life in patients.
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
