AUCTORES
Globalize your Research
Research Article
*Corresponding Author: Prashansa Jaiswal, Department of Dermatology,Venereology and Leprology, ESIPGIMSR, Basaidarapur, New Delhi, India.
Citation: Sundeep Chowdhry MD, , Prashansa Jaiswal MD,Paschal D’ Souza MD, Tapan Kumar Dhali MD, Clinical Photography in Modern Era-Assets and Liabilities J.Dermatology and Dermatitis, DOI:10.31579/2578-8949/021
Copyright: © 2018 Sundeep Chowdhry et al. 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: 25 January 2018 | Accepted: 02 March 2018 | Published: 09 March 2018
Keywords: Clinical photography ,dermatological pathology ,digital photography
Background: Clinical photography has long been an important aspect in the management of dermatological pathology and has many applications in contemporary dermatology practice .With the continuous evolution of digital and smartphone technology, clinicians must maintain ethical and medico-legal standards.
Objective: This article reviews how dermatologists are utilising this technology in their clinical practice and what procedures they follow when taking clinical photographs of patients. It also discusses the ethical and legal considerations of clinical photography in dermatology.
Methods: A questionnaire based method was used to obtain information from a sample size of 100 dermatology doctors. Both personal and telephonic interviews were taken in regard to use of personal smartphones and digital equipment for photographing patients in their clinical practice. They responded pertaining to questions on consent for photography, applications of clinical photography, sharing and storage of images, security of devices and display of images taken by the patients themselves prior to consultation.
Results: All the dermatologists (100%) responded to the survey. Only thirty three (33%) dermatologists obtained verbal consent for photography from their patients prior to taking their photographs. The main reasons for taking photographs was to seek advice from their peers/consultant (68%). All dermatologists used their smartphone. Twenty three respondents (23%) had security enabled features in the equipment used for patient photography. Thirty (30%) dermatologists reported patients sharing images with them that they themselves had taken prior to the consultation.
Conclusion: In view of confidentiality one must practice orthopraxy in view of better patient care and concern.
Photography has been accepted for decades as a standard tool for documenting dermatologic conditions and as an adjunct to their treatment, in both medical practice and research. Clinical photography is the cornerstone of appropriate dermatological documentation in case reports, for monitoring patient’s therapeutic response in day to day practice, clinical trials and for research development. The emergence of low-cost easy-to-use digital imaging systems has made good-quality photography more accessible to practitioners.
Photography plays an important role in professional communications, practice development, and medico legal issues. With the realms of digital photography and its medical applications continuously expanding and becoming more and more sophisticated and readily accessible, it is necessary to strive so as to maintain, if not improve the medico-legal and ethical standards of the practitioners who employ it. Patient consent, confidentiality and privacy are of paramount importance and care should be taken to ensure they are not sacrificed for the sake of ease and convenience. This study aimed to elicit information on common aspects of clinical photography among dermatologists and discusses the ethical and legal issues related to this commonly used modern era technology.
This article reviews how dermatologists are utilising this technology in their clinical practice and what procedures they follow when taking clinical photographs of patients. It also discusses the ethical and legal considerations of clinical photography in dermatology.
A questionnaire based method was used to obtain information from a sample size of 100 dermatology doctors including consultants in government institutions and private practice and dermatology trainees/residents. Both personal and telephonic interviews were taken as per their availability in regard to use of personal smartphones and digital equipment for photographing patients in their clinical practice. They responded pertaining to questions on consent for photography, applications of clinical photography, sharing and storage of images, security of devices and display of images taken by the patients themselves prior to consultation.
All the dermatologists (100%) responded to the survey. Of these 45 (45%) were males while 55(55%) were females. Out of 100 surveyed, 73(73%) were dermatology trainee/residents while 27(27%) were consultants. Among consultants, six had experience of 1 to 5 years, 12 (12%) had experience of 6 to 10 years while 9 consultants had experience of more than 10 years. Seventy four (74%) were working in government institutions while 26(26%) dermatologists were in private practice. Out of 100 dermatologists, 65(65%) were interviewed personally while 35(35%) responded telephonically. Only thirty three (33%) dermatologists obtained verbal consent for photography from their patients prior to taking their photographs. Of the 100 dermatologists surveyed, majority 73 (73%) of them maintained privacy of patients photographs by hiding their identity mark(s) although no specific guidelines were followed in obscuring the identification marks.
The main reasons for actively taking clinical photographs of patients given by the dermatologists was to seek advice from their peers/consultant (68%) and for monitoring the treatment/ disease (60%). This included comparison of the pre and post treatment scenario of the disease process. Rest 40(40%) gave reasons to share their experience / knowledge with their colleagues, 24(24% undertook photography) for primarily teaching purposes and 16(16%) solely used the same with the intent of research publications (Figure. 1)
Twenty eight (28%) gave other reasons for clinical photography in which recall was the most common followed by intent to maintain records. Dermatology trainees/residents took photographs mainly to gain advice from peers while consultants took them for teaching purposes. Of those surveyed, 38% (38) reported texting or sending images through email to their colleagues for advice or opinion. A mere twenty two (22%) respondents reported routine disclosure to the patient about the identity of the third party with whom their image would be potentially shared in future. On sharing clinical photographs with third party, forty eight (48%) respondents reported being inconsistent with patient disclosure regarding the identity of the third party with whom the images were eventually shared.
All those surveyed (100%) reported using only their smartphone for taking clinical photographs of patients. Of these, 88 dermatologists (88%) reported storing over 100 images of patients on their personal smartphones, sixty five (65%) of which had more than 200 patients’ images stored in the memory of their smartphones. In addition, 70% of respondents also reported the use of personal digital camera in consultation process. Only twenty three respondents (23%) reported having security enabled features in the equipment that they used for patient photography. Thirty (30%) dermatologists reported that they had experienced patients sharing images with them that they themselves had taken prior to the consultation.
Photography provides a unique opportunity to document the patient's initial presentation which represents a baseline and to ascertain progresses in the condition subsequent to treatment. Photographs taken over a period of time, or at specific end points, provide an undisputable medical record that enables clear communication with patients regarding their clinical improvement or deterioration and provides the practitioners with permanent documentation of the efficacy of treatment modality.
An archive of clinical images documenting their work including various rare entities can be a valuable asset for dermatologist. It needs no justification that for professional publications or presentations, photography is indispensable. If practice includes aesthetic procedures, clinical photography demonstrating the results can be used in marketing and promotional materials or even simply arranged in a sequential order in a binder to show prospective patients [1] who are inquisitive and concerned about the progress of the disease and merits of the treatment protocol.
In contemporary medical practice patient autonomy is widely regarded as a primary ethical principle. All patients are entitled to the fundamental right so as to know what will eventually happen to their clinical photographs subsequent to disease management [2,3].In the modern world wherein patient are becoming increasingly educated and motivated not only to be actively involved in their treatment but also continually and periodically monitor the progress ,it becomes necessary to relook at issues of documentation of clinical photography[2]. The doctrine of informed consent is the cornerstone of the patient–clinician therapeutic partnership and encompasses both ethical concepts and legal requirements [4]. Consent may be obtained in several ways. It may be express or implied consent [5]. Express consent refers to consent that is clearly and unmistakably stated, and can be obtained either in writing, verbally or any other form where the consent is clearly communicated [6]. It is globally accepted that express written consent is required for complex or complicated treatments and major interventions. It has been argued that taking clinical photograph of patients although not a treatment can have an indirect constructive effect on treatment by aiding in diagnosis. Hence, the need for photographic consent could be considered analogous to the widely accepted requirement of written patient consent for treatment such as that employed commonly for surgical procedures [5].
Though conversely, it could be argued that there is an element of implied consent in the case of clinical photography. The patient who is presenting himself or herself willingly for an appointment and provides/elaborates all physical information, including photographs which when later assorted by clinician in due course of time for their consultation can be considered as part of the patient’s composite medical record [7]. Maintenance of medical records is a routine practice in interest of the patient and does not require explicit consent from the patient. Consent to keep medical records is implied by the patient simply by seeking an attending their appointment and attending the clinicians clinic[4,7] .Further, if patients willingly position themselves for a photograph, it can be argued that the patient has given implied consent for the photograph. Implied consent is usually reserved for routine treatment and procedures that facilitate pathological investigations such as phlebotomy[2].It can be argued that in current dermatology practice photography has become a routine aspect of management where the actions of the patient clearly imply consent for his/her clinical photograph, if the need so arises.
Clinicians should have a sound understanding of the requirements of valid informed consent. Although there has not been any case of legal action related to consent regarding clinical photography in India but in 2010 a Malaysian court heard the legal case of a colorectal surgeon who had taken clinical photos preoperatively and postoperatively. The surgeon had intended to use the patient’s photographs as an aid to haemorrhoid patient education; but, due to the lack of informed consent the surgeon’s actions were viewed by the court as an invasion of the patient’s privacy and it subsequently awarded damages in favour of the patient [8].
While clinical photography facilitates improved patient care, the escalation and rampant emergence of smartphone and digital photography and its subsequent use by clinicians has led to a relaxation in informed consent practices. In order for consent to be fully informed, clinicians must discuss their proposed use of clinical photographs with patients. Prior to providing their consent, patients should have an understanding of how their image may potentially be used in the future not only for their treatment but also for soliciting advice from a third party and even for education and/or for publication[4] .It may be argued that in order to provide full disclosure on the use of the patient’s image, clinicians must also ensure that the patient is informed about (i) exactly who will be allowed to view the photograph; (ii) if and how the images will be identified and how the patient’s personal identity will be protected; (iii) how the images will be stored, and (iv) how long the clinician plans to retain them and lastly (v) if there are plans for developing further copies which will be made and distributed.11When photographs are taken in the absence of fully informed consent, it can be reasonably argued that the patient’s right to privacy has been violated by the treating practitioner[5].
Of all forms of medical documentation, clinical photographs have the greatest potential to cause mental distress to the patient. Some patients who consult dermatologists have put in substantial efforts to hide or masquerade the very disease for which they have presented themselves for the treatment [5,8].It is observed in clinical practice that patients exhibit inhibition to expose and reveal lesions on genitalia. Though the disease is a cause of grave concern and anxiety for the patient on one hand but on the other hand he/she is reluctant not only to reveal but also to show photograph of the same. Similar condition may be encountered in patients of vitiligo on exposed parts which are concealed with use of camouflaging agents and these patients do not want to expose their vitiliginous skin even to treating dermatologist, Medical images of patients can usually be taken in such a way so as to avoid their identification by other viewers but at times in dermatology this is often becomes difficult. Skin lesions on the face can make it impossible to avoid the inclusion of the patient’s eyes in the clinical photograph of the face. Also inclusion of the surrounding facial anatomy and structures is important as it has relevance to plan the medical and surgical management of the existing disease/pathology. Unique tattoos, scars and body piercings also present challenges to the protection of patient anonymity [9].
Communication networks allow the increasingly swift and easy distribution of information between users. In recent times there has been growing concern from the community regarding the safety of data transfer and sharing[4] .With regard to clinical images of patients, clinicians should ensure the images are protected and avoid distributing them to parties who are not involved with the decision making process on the patients’ treatment and care. It is widely accepted that doctors have both an ethical and a legal duty not to disclose personal information about their patients to third parties without the patients’ consent or any legal authority to do so.
It has become common practice for dermatology registrars to e-mail or text (via multimedia message services) images to peers for their opinion and review. Patients who consent to the sharing of their image between clinicians so as to aid or confirm their diagnosis should be given assurance that their confidentiality will be preserved in the process of telecommunication exchange. The clinicians receiving images for a second opinion are bound by the same ethical and legal regulations as those taking the images initially [7].
Storage of images on digital cameras and smartphones compromise their protection if extra security measures are not put into place. Most digital cameras do not have the option of a security pin number. To ensure the protection of the images, they should be stored on digital cameras for short periods only. Downloading images onto a computer or data storage device with password or pin protection soon after they have been captured is one solution. Although this may become laborious for clinicians who take numerous images, a routine practice of regular downloading should be initiated.
With the increasingly widespread availability and affordability of digital technology, patients are more and more commonly presenting to for consultation with images of their skin lesions that they themselves have taken prior to their visit. Photographs taken by patients can be helpful for the diagnosis of dermatoses that may be transient, recurrent or in anatomical areas which the patients do not want to exhibit openly the clinician [10] .If patients share their images with a clinician there is an element of implied consent; however, should the clinician want copies of the image, informed consent on how the image will be used and further processed/analysed should still be obtained, as described above.
A significant disadvantage of seeking medical option and diagnosis merely on basis of clinical photography through whatsapp and digital forums is that it can often generate wrong opinions and misdiagnosis in absence of real patient. This spreads virally to the detriment of the patient and novice dermatologists. Hence improper photography has the potential to do more harm than good.
There is a shift towards photographic consent being obtained verbally from the patient rather than in written format. Indeed, current technology allows the clinician to take multiple images of a patient during a consultation in less time than it would take to administer a formal written consent document. Failing to take the time to obtain and document informed patient consent for photography may leave the practitioner open to legal liability and paucity of time will not be a valid excuse in court of law. In view of confidentiality one must practice orthopraxy in view of better patient care and concern. Taking a consistent and careful approach so as to obtain valid informed consent from patients, maintaining adequate medical records and providing secure systems for data storage assists the clinicians to ensure patient confidentiality and maintain a sound patient–clinician therapeutic partnership along with protecting practitioners from possible disciplinary and legal action
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
