Current and Future Prospects for Preventing Malaria Transmission via the Use of Insecticides

Research

Current and Future Prospects for Preventing Malaria Transmission via the Use of Insecticides

  • Rehan Haider 1
  • Geetha Kumari Das 2
  • Zameer Ahmed 3
  • Sambreen Zameer 4

*Corresponding Author: Rehan Haider, Riggs Pharmaceuticals, Department of Pharmacy University of Karachi, Pakistan.

Citation: Rehan Haider, Geetha Kumari Das, Zameer Ahmed, Sambreen Zameer.
, (2024), Current and Future Prospects for Preventing Malaria Transmission via the Use of Insecticides, Clinical Medical Reviews and Reports; 6(9): DOI: 10.31579/2690-8794/237

Copyright: © 2024 Rehan Haider, 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 October 2024 | Accepted: 28 October 2024 | Published: 06 November 2024

Keywords: Malaria; broadcast prevention; pesticides; heading control; cutting-edge techniques; destiny prospects.

Abstract

Malaria persists to be a widespread all-encompassing fitness undertaking, specifically in domain names accompanying restricted coins for inclusive healthcare mediations. Insecticide-based headings control debris, a cornerstone of infection, save you labor, and generally cope with the Anopheles pest headings answerable for speaking the Plasmodium groupies. Contemporary plans predominantly rely on using poison-treated mattress nets (ITNs) and household leftover spraying (IRS) to lower mosquito populations and intervene in the broadcast. At the same time that those interventions have provided full-size discounts in malaria prevalence in lots of local fields, challenges that include poison combating, sustainability, and tangible concerns persist. The future of infection saves you through insecticides show or take public modern-day processes that deal with one's challenges. This entails the growth of novel insecticide formulations that accompany numerous varieties of action to overcome opposition and the effects of contemporary paperwork. Furthermore, the unification of poison-primarily based mediations accompanying complementary blueprints, to some extent basic manipulation, network date, and more proper following systems, holds promise for embellishing the impact of heading management efforts. Moreover, progress in plant shape and genetics provides an occasion for intended invasions, alongside innately decreased mosquitoes or the use of deoxyribonucleic acid-pressure technology to restrain pest populations. However, facts show that the complete potential of poison-based infection saves you a sustained contribution to studies, incidents, and the implementation of joint manipulation plans. Collaborative works amongst governments, study businesses, non-political preparations, and the private sector are owned by conquering the excess demands of situations and attaining sustainable discounts in sickness broadcast. Through perseverance and calculated alliances, insecticide-placed mediations can play a vital role in the global effort to take away sickness and reduce the burden of this devastating illness.

Introduction

Malaria headings have increased competition to all lessons of pesticides which might be used to achieve the adult pest for worry that bootlicker broadcast. The range of resistant pest populations has risen efficaciously in current years, seemingly because of the size-up of

Heading manipulate endeavors, and the pressure of this fighting is developing fast and is hopeful for the performance of heading manipulate finishes. Bed nets and family leftover spray for simulations containing alternative alive factors have proved promising in discipline issues; however, still diverse years out exercising. Existing pesticides are much less powerful at homicide mosquitoes inside the international locations accompanying the maximal burden of malaria, a professional is a growing issue that the advances created in lowering illness transmission may deteriorate through insecticide prevention. The chance concerning this state of affairs and plans that could assist lightening towards this are reviewed below

USE OF INSECTICIDES IN MALARIA CONTROL

Huge-scale implementation of gear to prevent malaria transmission via mosquito vectors has achieved dramatic consequences across Africa. It’s far estimated that almost 1/2 of the

Population susceptible to malaria in Africa are protected by insecticide-dealt-with nets (ITNs) and about 7% stay in houses that have received indoor residual spraying (IRS). The scale-up in coverage with those preventative measures has contributed to an approximate halving of

Malaria mortality in Africa between 2000 and 2013 (WHO 2014a) [1]. Out of doors of Africa, the feeding styles of malaria vectors imply that ITNs are typically less powerful, and, as a result, our age patterns have decreased. IRS is reportedly utilized in over half of the international locations within the Americas and Asia that has ongoing malaria transmission (WHO 2014a). Only Pyrethroids pesticides are authorized for bed net remedy and with masses of millions of ITNs in use nowadays, this imposes a first-rate choice of stress on mosquitoes. Until lately, the general public has also relied on IRS packages. This insecticide class, despite the fact that a growing number of countries are switching to organophosphate (mainly primiparous-methyl) or, in a few cases, carbamates (bendiocarb) in response to rising Pyrethroids resistance. The organochlorine, DDT, is likewise still used in some IRS packages in Africa and in India.

THE EMERGENCE AND SPOT OF RESISTANCE

Pyrethroids resistance was first detected in African malaria vectors in Sudan in the 1970s and later in West Africa in the early 1990s [2-3]. These early times of resistance were probably selected for by using an exposure of mosquitoes to Pyrethroids used to guard Agricultural plants against insect damage and Pyrethroids resistance remained highly rare until the end of the 20th century [4]. However, in recent years, reviews of Pyrethroids resistance within the principal African malaria vectors have accelerated markedly and its miles now turning into an increasingly more hard-to-discover population of Anopheles gambiaes. This is fully vulnerable to this insecticide class (Fig. 1). Pyrethroids resistance is also tremendous in Anopheles funestus in southern Africa and resistance has been detected in West and East African populations of this vector species [5-6]

DDT fighting is likewise prevailing across Africa. In An. gambiae S.S. and An. Polizzi, the cross-distance between DDT and Pyrethroids made by alterations in the universal aim location of two together poison classes, and the strong people present at the event sodium channel (popularly known as kdr mutations or alleles), is prevailing [7]. Kdr is less common in An. arabiensis and missing in An. Funestus but metabolic opposition can confer DDT  resistance in two classes together 

 

Figure 1. Parathyroid resistance in malaria vectors. Flags indicatemortality in WHO bioassays (red, 90% mortality, orange 90%–97% mortality, green .97% mortality). Data shown are from 2011 to 2016 (Source: IR Mapper [www.irmapper.com], September 2016).

Resistance to carbamates and organophosphate is on the increase (Ranson and Lis Senden 2016). Cross-opposition middle from two points these poison classes may be provoked by mutations in their joint goal section. Of growing concern is the rise of a pest population that

are opposed to all four classes of poison. This can stand when diversified opposition mechanisms are picked for in the same society For instance, An. gambiae and An. Polizzi in West Africa holding diversified mark station fighting alleles have happened and been reported [8-10] or when a single resistance device can cause fighting to diversified poison classes (such as the inflated activity of enzymes that detoxify pyrethroids,DDT, organophosphate, and/or carbamates[Mitchell and others, 2012; Edi and others, 2014].

RESISTANCE MECHANISMS

Understanding the historical footing of poison opposition can help decode patterns of cross-fighting, as characterized above, and bring about field-located conditions to the path and survive resistance [11].

Target Site Resistance

The best-distinguished fighting means are mutations in the poison target sites that decrease the binding of the poisonous. In An. Gambia: two alternative substitutions in the alike codon of the voltage-people present at the event sodium channel, the 1014F, and 1014S kdr alleles, are immediately widespread across the country [12-13]. An additional metamorphosis (N1575Y) in the unchanging goal spot deoxyribonucleic acid is present in West Africa but is only about mosquitoes that hold the 1014F kdr metamorphosis [14] In vitro binding studies have proved that the 1575Y allele uniquely does not award pyrethroid fighting but it acts synergistically accompanying 1014F to award a more forceful level of opposition in mosquitoes at this moment due to metamorphosis [15]. This model climaxes a prevailing pattern in the rise of opposition—the overlaying of diversified resistance mutations, each of which serves to further increase the level of fighting between the individual and the poisonous.

Carbamates and organophosphates are two together aim the acetylcholine esterase (AchE) catalyst, which arranges to debase the neurotransmitter acetylcholine in the nerve synapses.By restricting something that incites activity, the insecticides cause a poisonous level of acetylcholine to increase. A glycine to serine replacement in codon 119 of AchE powerfully guides opposition to carbamates and/or organophosphates in a few West African nations [16-17].The repetitiveness concerning this mutation is growing, which is of excellent concern, particularly in the extent to which these poison classes are replacement pyrethroids for IRS.

Metabolic Resistance

Metabolic fighting refers to the capability of the pest to detoxify the poison before it

reaches the target ground. Several things that incite activity classifications have existed involved in poison detoxification [18] but the two classifications most Powerfully guide opposition in sickness headings are the glutathione transferases (GSTs) and the cytochrome P450s. Overexpression of, or amino acids substitutions in the GSTE2    enzyme can award DDT resistance in An. Gambiae and An. funestus and microscopic analysis have been used to manifest the friendship middle genotype and phenotype at this position [19-21].

Increased verbalization of a diversified cytoplasm with metallic material P450s has been associated with suttee thyroid fighting. Several Anopheles P450 enzymes have articulated artificial and their capability to metabolize pyrethroids manifested, with few further metabolizing additional poison classes [22]. Nevertheless, the genetic the machine is the reason for the inflated P450 deoxyribonucleic acid verbalization in mosquitoes has been confirmed to be mysterious so far. In An. funestus, there is powerful historical evidence to implicate a metamorphosis in a supervisory component, nearly the CYP9P9 genes [23] and, so, it is auspicious that a microscopic demonstrative of this opposition

The system will be convenient soon. The position is less clear in the Angolan lending institution although historical plan, transcriptomic studies, and whole genome sequencing have labeled various forceful candidates for P450-interceded opposition, they have, up until now, abandoned to blend on a distinct the main locus ruling the overexpression of

P450s. This can signify that P450-located resistance has arisen alone in diversified

An. gambiae populations accompanying various enzymes are the reason for fighting among separate populations. Although the following DNA gravestones for resistance resume (Donnelly and others, 2015), healthy qPCR demonstrative forms to discover the major pyrethroid-opposition-associated P450s are immediately vacant.

Reduced Penetration

Until currently, discounted infiltration consistently referred to as cuticular resistance, was considered a minor, subordinate fighting machine in mosquitoes. However, various unintended lines of Evidence suggests this means may be an insult in African sickness headings. Measurements of the cuticle in An. funestus and An. gambiae have raised a meaningful setting in pyrethroid-resistant mosquitoes [24-25]and a shortened rude answer of suttee thyroids has been displayed in an opposing An. gambiae strain (Balabanidou and others, 2016). Multiple genes implicated in cuticular hydrocarbon combination have caused an increase in fuel thyroid-opposing strains of Anopheles arabiensis in Zanzibar [26]. Both of these societies have very extreme pyrethroid-resistance phenotypes, that cannot be ascribed to additional popular fighting mechanisms unique.

Two cytochrome P450 genes (CYP4G16 and CYP4G17) are exalted in these states but these P450s do not metabolize insecticides. Instead, CYP4G16 and allure ortholog in Drosophila melanogaster CYP4G1, catalyze fault-finding and become involved

in the result of CHCs [27]. Finally, various appendages of the ABC bearer offspring owned by a sub kin that, in different bugs, has existed involved in the transport of lipids to the cuticle is raised in poison-resistant peoples of An. conversation biae [28-29].

Ongoing work, weighing poison, rude answer rates, and cuticle composition will optimistically explain the significance of shortened seepage in poison fighting in malaria headings.

Behavioral Resistance

Increased use of insecticides in the household the atmosphere can be selected for hereditary changes in the presence of sickness vectors that increase the rates of rustic augmenting and/or resting, making the ruling class less responsible for control by ITNs or IRS. Outdoor broadcast is a major impediment to active vector control in Southeast Asia and South America [30-31].In Africa, rustic transmission has been thought to account for for only a very limited portion of disease cases and it is clear that even nations that have maintained inclusion accompanying ITNs over many years, the adulthood of sickness broadcast still happens inside [32]. However, if African malaria headings do change their behavior on account of exhaustive household use of poison the suggestions for sickness control could be destructive [33-34]. This is an entity that needs cautious listening.

LIMITATIONS IN INSECTICIDE-RESISTANCE MONITORING

Understanding the range and magnitude of opposition in the local heading populace is an

The necessity for the design and implementation of direct opposition administration

strategies. Yet, an outnumbered group of the 96 nations newsgathering the use of ITNs and IRS for disease the control was smart enough to produce some dossier on resistance to the previous age (WHO 2014a), suggesting listening is irregular, not completely.However, before reviewing programs for the lack of a dossier on fighting, it is worth indicating on the serviceability of the dossier, usually composed for evidence-located conclusion-making in malaria control. The boundless adulthood of poison opposition listening, containing the dossier in the map in Figure 1 relies completely on the use of discriminating dosage bioassays utilizing World Health Organization hose assays or, in scarcely any cases, CDC container bioassays. Data are stated as percentage of deaths and the beginning of less. More than 90% of deaths are used to outline opposition [35].This patterned methodology is beneficial for following the spread of opposition but does not specify news on the substance of this fight or its impact. It is not exceptional to find nearly nothing humanness later uncovering  the main African sickness vector, An. Gambiae or An. funestus, to the critical measure of pyrethroids but absolutely analogizing dossier on the  predominance of opposition grants permission to mask important changes in the substance concerning this fighting. For instance, 3 years of listening to poison resistance in An. gambiae from Valle´ de Kou in Southwest Burkina Faso utilizing critical lot assays displayed no important dissimilarity in allotment death middle from two points the years, but when a more determinable measure was used to evaluate the substance concerning this opposition. Was established to have raised 10 in a distinct period (Toe and others, 2014).

Several bioassays that measure the substance of fighting have existed in detail and are compared in a current brochure (Bagi and others. 2015). A harmony on ultimate appropriate methods would simplify terrestrial corresponding and Likewise, it aids in evaluations of the productiveness of resource-administration designs. However, measuring the force of fighting is only the first step. As discussed beneath, understanding is more wanted on which level of opposition has an operational impact. In the land subdivision, definitions of operationally meaningful fighting frequently have a connection with the field application of poison by separating the insecticide aggregation required to gain 50

RESISTANCE-MANAGEMENT STRATEGIES

Although there are many demanding situations to definitively link insecticide resistance with increased malaria transmission, maximum stakeholders continue to be in no doubt that if the selection stress on malaria mosquitoes is authorized to be maintained unchecked, resistance will sooner or later bring about the failure of current equipment. In 2012, the WHO published the Global Plan for Insecticide Resistance Control (GPIRM) (WHO 2012). This document mentioned a number of techniques developed to save this situation from turning into a reality and supplied suggestions to vector management applications on how high-quality to respond to the presence of resistance    Resistance-control techniques for programs reliant on ITNs are definitely very confined given that WHO recommends typical cowl-age with bed nets (WHO 2014c), and yet there are presently no alternative insecticides to pyrethroids for net impregnation. A few net manufacturers have delivered new nets to the market that comprise pyrethroids, plus the synergist piperonyl but oxide (PBO): Perma-net 3. 0 is a mosaic, lengthy-lasting insecticide-handled net with PBO at the roof of the net and deltamethrin on the perimeters, even as Olyset Plus has PBO and, in keeping with it, permethrin combined all through the net. Both of those ITNs have interim approval from the WHO pesticide assessment scheme (WHOPES) as conventional LLINs, and the Vector Control Advisory Group (VCAG) has supported the Permanent 3.0 producers’ claim that this net has accelerated bio efficacy against mosquitoes that have developed metabolic resistance to pesticides (WHO 2014d). In spite of this, those LLINs are not in huge use among distant populations, and alternatively, WHO recommends the simplest pilot implementations (WHO 2015a).Bednets containing alternative pesticides with new modes of motion that range from the currently to-be-had adulticides are under assessment inside the area. Interceptor G2, from BASF, includes the gradual appearance of insecticide chlorfenapyr and the pyrethroid alphacypermethrin and is currently being reviewed by WHOPES (WHO 2015b).

Figure 2. Improvement in malaria indicators in Bunkpurugu-Yunyoo, Ghana between 2010 and 2013 after a

Switch in insecticide class from pyrethroids to carbamates for indoor residual spraying. (Source: President’s 

Malaria Initiative 2015.) RTD, Rapid diagnostic test; IRS, indoor residual spraying

 Olyset Duo, from Sumitomo Chemicals, incorporates permethrin and an insect boom regulator, pyriproxyfen. That additionally presents process WHOPES evaluation, and because the idea of sterilizing the resistant mosquitoes that live to tell the tale contact with the bi-dealt with the net is a unique paradigm, this internet is being evaluated in a clinical trial in Burkina Faso (Tone et al. 2015). It's expected that one or both of those new nets with novel modes of movement will be on the market by the end of 2017 or 2018.

For malaria management packages using IRS, it needs to theoretically be viable to control insecticide resistance by means of cautious, pre-planned rotation of insecticide instructions with one-of-a-kind modes of action (i.e., alternating between DDT or pyrethroids and carbamates or organophosphate this may be effective if carried out in a proactive way to save you the emergence of resistance. however, in truth, rotation of insecticide magnificence is typically brought about through reviews of resistance or perceived screw ups of the present day product (e.g., increases in malaria instances, in- creased reports of mosquitoes interior houses). If resistance to one or extra instructions of insecticide for use in rotation has already evolved, powerful resistance control will simplest be executed if resistance has a health price. Within the worst-case situation, the cease end result may be a more fast choice of resistance to each chemicals. Little is thought approximately the fitness costs of different resistance mechanisms in mosquitoes and this increases questions over the long-time period efficacy of contemporary IRM strategies. Moreover, truely converting insecticide magnificence might not be sufficient to relieve the selection strain at the mosquito. Three of the four insecticide lessons utilized in public fitness are broadly used in agriculture and therefore mosquitoes may be continually uncovered to low doses of these chemicals despite the fact that their use in vector control is suspended. For programs together with pyrethroids of their IRS rotations, the reality of endured choice pressure from ITNs and using coils and pyrethroid-based totally repellents and aerosols should be factored in. in the end, the possibility that during- creased expression of a unmarried enzyme ought to render three or greater insecticide training out of date is glaringly a primary impediment to even the exceptional- planned IRM strategies (Edi et al. 2014).

As with ITNs, new merchandise for IRS are underneath development. but, for those to be implemented in the time-frame important to pre- vent resistance from derailing malaria manipulate, a extra coordinated approach to their assessment, regulation, and to the manufacturing of tips on whilst and in which they have to be deployed is vital.

Future perspectives

It’s far important that the lessons discovered from the cur- lease resistance disaster are used to tell future insecticide development and deployment. This can be depending on the coordinated motion of a huge variety of stakeholders (Hemingway et al.2016) and also will require courageous decisions to be made to make sure the stewardship of these new merchandise. The advent of an unmarried new insecticide into the marketplace place could provide a very brief-time period solution and unavoidably cause the identical issues now being faced with pyrethroid resistance. choice pressure is probably reduced if this product become not extensively used in agriway of life however, if this new insecticide met the de- sired standards (reviewed in Vontas et al. 2014), it'd in all likelihood be used at scale very rapidly, exerting excessive selection strain on mosquito populations. Resistance-control strategies, along with plans for tracking, recording, and sharing records on resistance evolution, ought to be deliberate from the outset and ought to be evidence-primarily based.

Research Method:

Objective:

The basic objective of this study is to determine the current and future prospects for averting sickness transmission through the use of insecticides. Specifically, we aim to judge the influence of miscellaneous insecticide-located mediations in lowering malaria occurrence and confer potential challenges and changes in the field.

Study Design:

This study employs an assorted-patterns approach, combining two practical and exploratory components. The practical facet includes the analysis of existent dossiers from former studies and surveillance reports to evaluate currents in sickness transmission rates and poison opposition patterns. The exploratory component contains field trials to judge the efficiency of various insecticides in reducing pest cultures and sickness transmission.

Data Collection:

The data group includes various methods, including composition review, pest sampling, sickness occurrence following, and community surveys. Mosquito sipping is attended to by utilizing standardized tricking plans, and examples are analyzed for poison-fighting indicators. Malaria incidence dossiers are obtained from local well-being authorities and cross-assigned to accompanying poison usage records. Community surveys are executed to evaluate information, attitudes, and practices that have a connection with poison use and sickness prevention.

Intervention Protocols:

In the exploratory development, selected insecticides are applied following standard codes urged by the World Health Organization (WHO) and local health experts. The mediations involve indoor leftover spraying (IRS), poison-discussed bed nets (ITNs), and larviciding in targeted development sites. Dosage, commonness, and use methods are patterned across study sites to guarantee constancy and comparability of results.

 

Results

Effectiveness of Insecticides:

Preliminary judgments signify variable degrees of influence between the various insecticides proven. While some formulations manifest important reductions in pest populations and sickness occurrence, the remainder shows limited efficiency, perhaps on account of emerging fighting methods. Overall, poison-based invasions are the linchpin of malaria control, but the choice of poison and arrangement strategy detract from maximizing impact.

Insecticide Resistance Patterns:

Analysis of pest peoples reveals extensive opposition to certain classes of insecticides, particularly pyrethroids that are usually secondhand in ITNs. Resistance mechanisms involve aim-section mutations and metabolic detoxification pathways. These verdicts underline the necessary need for alternative insecticides and innovative heading control designs to combat the spread of opposition.

Environmental Impact:

Environmental assessments display the slightest antagonistic effects guiding the insecticides secondhand in this study. However, continued listening is owned by discovering any general environmental results, especially insensitive residences. Integrated heading management (IVM) approaches that underrate tangible impact while maximizing efficiency are recommended for tenable sickness control.

Community Adherence and Acceptance:

Community surveys disclose high levels of knowledge and agreement about poison-located interventions with study colleagues. However, misconceptions and obstructions to devotion are recognized, such as concerns about toxicity and discomfort in ITNs. Tailored ideas, plans, and community data drives are urged to address these challenges and enhance program influence.

Discussion

Challenges and Limitations:

Despite hopeful results, various challenges and limitations are met throughout the course of this study. These include procedural restraints in achieving interventions, unfinished dossier chances for certain study sites, and the complicatedness of determinants doing community acts. These challenges focus point the need for integrative collaboration and circumstances-particular approaches in sickness control efforts.

Comparisons Accompanying Previous Studies:

Our verdicts agree with premature research professed the influence of insecticide-located mediations in lowering malaria broadcast. However, the rise of poison resistance presents an increasing concern that demands critical attention. By combining evidence from diversified studies, we have a deeper understanding of the dynamics of poison opposition and allure implications for sickness control plans.

Implications for Current Malaria Control Programs:

The verdicts of this study have main areas of association with current sickness control programs, specifically in resource-restricted scenes where the burden of malaria is greatest. Strategies to lighten poison resistance, such as the use of insecticides and the arrangement of combination invasions, must be prioritized. Furthermore, loans in research and development are wanted to recognize novel insecticides and alternative heading control methods.

Future Prospects and Innovations:

Looking ahead, future research should devote effort to exploring creative approaches to sickness that go beyond normal poison-located interventions. This involves the incident of novel poison formulations with various modes of operation, the integration of historical electronics for pest population abolition, and the judgment of society-based mediations that address friendly practices or policies that do not negatively affect the environmental determinants of sickness broadcast.

Conclusion

With resistance to one or more insecticides in African malaria vectors now becoming the norm rather than the exception, it is time to switch the emphasis from simply describing the problem to providing effective, practical solutions. This includes revisiting the way we monitor for resistance to provide information that is of more direct value to implementers and funders, providing a more robust set of evidence on the current and projected impact of resistance to aid in planning and budgeting malaria control activities, evaluating current options to tackle resistance, and, finally, synthesizing lessons learned to develop guidelines for the effective stewardship of new insecticide products as they are introduced into the market. It may be too late to preserve the pyrethroids for future generations, but now is the time to start planning evidence-based insecticide resistance management strategies for new public health insecticides.

Acknowledgment                                                                                                                 

The completion of this research assignment could now not have been possible

 Without the contributions and assistance of many individuals and groups. We’re.

deeply thankful to all those who played a role in the success of this project I would

Like to thank My Mentor [Dr. Naweed Imam Syed Prof branch of mobile Biology at

the University of Calgary for their useful input and guidance for the duration of the

Research system. Their insights and understanding had been instrumental in shaping

The path of this undertaking.                                                                                           

Authors ‘Contribution                                                                                                             

I would like to increase our sincere way to all the members of our take a look at, who

Generously shared their time, studies, and insights with us. Their willingness to

Interact with our studies became essential to the success of this assignment, and

We’re deeply thankful for their participation.                                                                 

Funding                                                                                                                                   

The authors received no financial support for the research, authorship, and/or

Publication of this article.                                                                                                                                         

Conflict of Interest                                                                                                               

The authors declare no conflict of interest

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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.

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Raed Mualem

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.

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Andreas Filippaios

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.

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Dr Suramya Dhamija

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.

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Bruno Chauffert

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!

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Baheci Selen

"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".

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Jesus Simal-Gandara

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.

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Douglas Miyazaki

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.

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Dr Griffith

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.

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Dr Tong Ming Liu

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.

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Husain Taha Radhi

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.

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S Munshi

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.

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Tania Munoz

“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”.

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George Varvatsoulias

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.

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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.

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Khurram Arshad

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.

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Gomez Barriga Maria Dolores

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.

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Lin Shaw Chin

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.

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Maria Dolores Gomez Barriga

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.

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Dr Maria Dolores Gomez Barriga

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¨.

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Dr Maria Regina Penchyna Nieto

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.

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Dr Marcelo Flavio Gomes Jardim Filho

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!”

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Zsuzsanna Bene

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

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Dr 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.

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Lin-Show Chin

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.

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Sonila Qirko

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.

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Luiz Sellmann