Impact of Processing on Nutrients and anti-Nutrients in Tubers and Leaves of Cassava (Manihot Esculenta Crantz)

Research Article

Impact of Processing on Nutrients and anti-Nutrients in Tubers and Leaves of Cassava (Manihot Esculenta Crantz)

  • Ogombe C. Ojiambo
  • Nawiri P. Mildred
  • Hudson Nyambaka *

*Corresponding Author: Hudson Nyambaka, Department of Chemistry, Kenyatta University, P.O. BOX 43844-00100, Nairobi, Kenya.

Citation: Ogombe C. Ojiambo, Nawiri P. Mildred and Hudson Nyambaka (2024), Impact of Processing on Nutrients and Anti-Nutrients in Tubers and Leaves of Cassava (Manihot Esculenta Crantz), J. Nutrition and Food Processing, 7(2); DOI:10.31579/2637-8914/185

Copyright: © 2024, Hudson Nyambaka. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 15 December 2023 | Accepted: 29 December 2023 | Published: 02 January 2024

Keywords: cassava tubers; cassava leaves; boiling; deep frying; nutrients; anti-nutrients

Abstract

Purpose

The study investigated the effect of boiling and deep-frying on the levels of selected nutrients and anti-nutrients in tubers and leaves of new Migyera and MM96/2480 varieties planted in Busia County. Although cassava contains high levels of nutrients (elements and vitamins) that meet nutrient requirements when consumed as the main diet, it requires thorough cooking to reduce high levels of phytochemicals, anti-nutrients affecting nutrient bio-accessibility, and carcinogenic compounds; procedures which also affect the nutrient levels. 

Methods 

Tubers and leaves from the tips of the plant were harvested after 8 months. A portion of the tubers was boiled in water (100 ºC, 20 minutes), while another deep-fried in vegetable cooking oil until it turned brown (5 minutes). Leaves were pounded until uniformly macerated and boiled in water (100 ºC, 45 minutes). Levels of nutrients and antinutrients were determined by standard methods. 

Results

The levels of nutrients and anti-nutrients were significantly higher in leaves than in tubers, and also differed significantly in different cassava varieties. Boiling of tubers significantly reduced the nutrients and anti-nutrients levels more compared to frying (P<0.001), ranging from 13.7 to 97.7%. Deep frying of Migyera variety had higher nutrient reduction than in MM96/2480 variety. Essential elements and antinutrients molar ratios indicated that the elements were not bio-accessible.

Conclusion

Boiling and deep-frying of cassava tubers and leaves results in significant reduction of nutrient and anti-nutrient levels, implying that cassava cannot be used as the main diet; explaining the high level of child malnutrition in such communities

Introduction

Cassava is a semi-arid food crop that would address malnutrition, and is commonly grown and consumed in tropical and sub-tropical countries such as Kenya. Malnutrition remains prevalent in children under the age of 5 years and has been reported in Busia (stunting 26 %, 13 % underweight, and 10.1 % wasting) and Kilifi (22 % moderately stunted and 7 % severely stunted) counties of Kenya [1-3]. Among the common cassava varieties grown in Kenya are the newly improved Migyera and MM96/2480 varieties, which were developed by the Kenya Agricultural and Livestock Research Organization (KALRO). Cassava tubers and leaves are good sources of nutrients such as protein, vitamins (C, B1, B2, B3) and minerals (Ca, Zn, Fe, K), but also contain high levels of anti-nutrients (oxalate and phytate) [4,5]. However, the variation in the levels of nutrients and antinutrients depends on the age of the plant, cultivar, climatic conditions, and fertility of the soil [6]. In cassava roots, the levels reported are in the range of 0.3 – 3.5 mg/100 g (protein), 14.9 – 50 mg/100 g (vitamin C), 0.03 – 0.28 mg/100 g (vitamin B1), 0.03 – 0.06 mg/100 g (vitamin B2) and 1.3 – 2.8 mg/100 g, B3) [4]. These levels are sufficient to meet a good percentage of recommended dietary allowance (RDA) [7-10]. Wobeto et al. [11] and Waluchio [5] reported oxalate levels of between 1.35 g/100 g and 2.88 g/100 g and between 30.59 g/100 g and 154.7 g/100 g in cassava tubers and leaves respectively. Phytate level in tubers was reported in the range of 661.33 – 3040 mg/kg [12,13].

The bio accessibility of these nutrients is however affected by the presence of high levels of anti-nutrients such as oxalate, phytate and trypsin inhibitor in leaves. The presence of anti-nutrients in food affect bio accessibility of some nutrients; for example, by increasing elements phytate molar ratio in food. The recommended molar ratios of phytate: zinc is < 15> 0.24 [16]. 

Cassava tubers and leaves also contain other phytochemicals, mainly cyanogenic glycoside, which makes them poisonous and less popular [17]. On consumption, cyanogenic glycosides are broken down by the enzyme, linamarase into cyanohydrin and glucose. Cyanohydrin, being unstable, decomposes rapidly, producing hydrogen cyanide, which is poisonous [18]. Cassava tubers and leaves need therefore, to be processed by methods such as drying, fermentation, frying, pounding, and a long period of boiling to eliminate hydrogen cyanide (17,19,20]. 

The different processing methods have varied effects on nutrient and anti-nutrient levels. According to Ismaila et al. [21], the addition of palm oil during fermentation significantly increased the crude protein content of the bitter cassava product, yellow gari from 1.03±0.00 % to 1.22±0.01 % (P<0>

It is expected that processing methods for should retains high levels of nutrients but minimizes levels of anti-nutrients and cyanogenic glycosides in different varieties of cassava to make consumable and provide required nutrients. The aim of the study was to investigated the impact of boiling and deep frying on the levels of nutrients [protein, minerals (K, Ca, Fe, Zn), and vitamins (C, B1, B2, B3)], and anti-nutrients (oxalate and phytate) in two new cassava varieties (Migyera and MM96/2480) grown in Busia County, Kenya. 

2. Materials and methods

2.1 Equipment and chemicals

High Performance Liquid Chromatography, (HPLC) (Shimadzu 20A series), with a Hypsil C18 column was used for the measurement of vitamins and anti-nutrients. The Kjeldahl apparatus was used for measurement of protein, and an Atomic Absorption Spectrophotometer, (AAS) (Shimadzu AA-7000) was used for determination of minerals. Standards for minerals, vitamins, oxalate and phytate, and all other chemicals were obtained from Sigma-Aldrich, Germany.

2.2 Sampling and sample preparation

Migyera and MM96/2480 cassava varieties were planted in Busia County in June 2020 (rainy season). The county is located within the coordinates, 0˚ 28’ 0’’N/ 34˚ 6’ 0’’E. It covers an area of 1695 km2 and has a population of 893,681 [26]. It is covered mostly with sandy loam soils although the northern and central parts are covered with dark clay soils. The county receives an annual rainfall of between 750 mm and 2000 mm [27]. The mean temperature in the county is between 21 and 27 ºC [28]. Busia County is the largest producer of cassava in Kenya, with a production of 16.4 tons per hectare [29]. 

A 19 by 19 m plot was tilled using a hoe, and planting of cuttings obtained from the Kenya Agricultural and Livestock Research Organization (KALRO) done the following day at intervals of 1 by 1 m. Neither fertilizer application nor irrigation were done. Weeding was done monthly, and the tubers and the first three leaves from the tips of the plant were harvested after 8 months. The preparation and processing of both cassava tubers and leaves were done according to home-based protocols. The tubers were washed to remove soil particles, peeled, split longitudinally into two halves, and cut into pieces of about 4 cm long. The pieces were washed using tap water and then divided into three portions. The first portion was packed raw in plastic containers.  The second portion, consisting of 500 g was placed in 500 mL of water in a pan, then boiled at 100 ºC until it became tender (approximately 20 minutes), cooled, and then packed in plastic containers. The third portion (500 g) was deep fried in 1 L of vegetable cooking oil until it turned brown (5 minutes), then cooled and packed in plastic containers. 

The leaves from each variety were pounded in a mortar and pestle until uniformly macerated, then divided into two portions. The first portion was analyzed raw, while the second portion (500 g) was boiled in 1 L of water at 100 ºC for 45 minutes and packed in plastic containers. Both tubers and leaf samples in plastic containers were placed in a cooler box kept at around 0 ºC. All the samples were then transported to Department of Food Science and Technology laboratories, Jomo Kenyatta University of Agriculture and Technology (JKUAT) within 8 hours where they were frozen at around -10 ºC while awaiting the analysis. 

2.3 Determination of crude protein

Protein was determined by the Kjeldahl method, according to Maehre et al. [30]. All the procedures were carried out in triplicate. One gram of the sample was digested using 15 mL concentrated H2SO4 and 0.5 g of CuSO4 catalyst. The mixture was heated until the digest color turned blue. It was cooled, transferred into a 100 mL volumetric flask, and topped up with distilled water. A blank digestion was also done. Ten (10) mL of digest was transferred into a distilling flask, which was connected to another flask that contained boric acid, and distillation was done to a volume of about 60 mL distillate. The distillate was titrated using 0.02 N-HCl to and an orange color of the mixed indicator. Total nitrogen was calculated using equation 1.

N (%) = ((mL 0.02 N sample-mL 0.02 N blank)×0.0014 ×N HCl ×100)/(Weight of sample)        Equation 1.

Protein content was determined from total nitrogen by multiplying the concentration of nitrogen in food by a conversion factor of 6.25.

2.4 Determination of vitamins

Vitamins; C, B1, B2, and B3 were determined using a reversed phase (RP) HPLC procedure adopted from procedures described by Martin et al. [31], Tanmay et al. [32] and Sudipta et al. [33]. All procedures were done in triplicate.  Exactly 20 cm3 of deionized water were added to a 5 g food sample. The mixture was homogenized for 1 min then centrifuged for 10 min at 14000 g.  Then 10 mL of homogenized and centrifuged food sample was loaded on an activated stationary phase and eluted with 10 mL methanol and 10 mL water whose pH had been adjusted to 4.2 at a flow rate of 1 mL min-1. The eluent was collected in a bottle and evaporated to dryness. The residue was dissolved in the mobile phase, filtered with a 0.45 μm Millipore filter and 20 μL of the filtrate was infused into the HPLC system. The separation was achieved by a C18 column (internal diameter 4.6 mm; pore size 3.5 µm) using a mobile phase of 0.1 M KH2PO4 (pH 7): methanol (9:1) at a flow-rate of 0.7 mL min-1 and 25 ºC. The column elute was monitored with a photodiode-array detector at 265 nm, 234 nm, 266 nm and 261 nm for vitamin C, thiamine, riboflavin, and niacin, respectively. Identification and quantification of compounds were achieved by comparing their peak areas with those of standards of known concentrations using the calibration curves.

2.5 Determination of minerals

In the determination of the levels of minerals, standard calibration curves were developed from the calcium, zinc, iron, and potassium standards series (0-2 µg/mL). All the procedures were done in triplicate. A clean dry crucible was weighed, and about 5 grams of sample were weighed into it. The crucibles were placed on a hot plate under a fume hood, and the temperature was slowly increased until smoking ceased and the samples were thoroughly charred. They were then placed in a muffle furnace and heated for 1 hour as temperature increased gradually to 250 ºC. The temperature was increased to 600 ºC and incinerated for about 5 hours. The temperature was then decreased to 300 ºC, the crucibles were removed and they were cooled to room temperature. The ash was transferred quantitatively to 100 mL beaker using 20 mL of 0.5 N HNO3, then stirred and allowed to settle. This was then transferred to a 100 mL volumetric flask and filled to the mark using 0.5 N HNO3. Insoluble matter was filtered, and absorbance of the solutions was read by an Atomic Absorption Spectrophotometer (AAS) at 422.7 nm, 213.9 nm and 248.3 nm for calcium, zinc, and iron respectively. Emission was read by an Atomic Emission Spectrophotometer (AES) for potassium at 766 nm and concentrations of all the minerals were obtained from their respective calibration curves developed from their standards. 

2.6 Determination of Oxalate

The sample procedure followed for the determination of oxalate was done according to Karanja et al. [34]. Standard calibration curves were developed from the oxalate standard series (0-200 µg/mL). All the procedures were done in triplicate. Exactly 0.5 g fresh weight of the sample from the freezer was homogenized with 4 mL of 0.5 N HCl, heated at 80 ºC for 10 minutes with intermittent shaking, and then distilled water was added to a volume of 25 mL. An aliquot of 3 mL of the solution was withdrawn and centrifuged at 24149 g for 10 minutes to get 1 mL of supernatant that was filtered through a 0.45µm microfilter for injection into the HPLC column. HPLC detection was done using a Shimadzu UV-VIS detector, and a Hypsil C18 column (5µ M, 4.6 mm *250 mm) equipped with waters 550 was used as the static phase. Mobile phase was 0.25

3 Results and discussion

3.1. Method validation

The method validation results are shown in Table 1. The percentage recoveries ranged from 98.000 % to 100.002 % which confirms that the methods of analysis used were accurate and suitable for the analysis of each parameter [38]. The coefficient of variations (CV) ranged from 0.6897 to 2.9851, which was within the sufficiently precise range [39]. The degree of linear relation between the signal and concentration shown by the correlation coefficient R2 ranged from 0.9921 to 1.0000, which indicates a 99.21-100 % instrumental response, and that established that the calibration curves used were linear over the respective range of the concentration of the standards [40].

AnalyteEquationR2% Recovery% CV
Vitamin Cy= 42299x0.999999.9962.686
Vitamin B1y= 33361x0.993699.9402.838
Vitamin B2y= 128202x0.9999100.0020.690
Vitamin B3y= 211142x1.000099.9401.859
Calcium y= 0.06x+0.01040.992198.0002.728
Zinc y= 1.065x-0.01090.996699.8002.985
Iron y=0.1136x+0.00240.997599.2002.687
Potassium y= 8572x+0.03990.993999.4001.361
Phytate y= 12745x0.999199.9981.019
Oxalate y= 43493x0.999299.9942.871

Table 1: Methods validation parameters

Where x is concentration, and y is absorbance

3.2 Levels of proteins and vitamins

The mean levels of proteins and vitamins in raw and processed cassava tubers and leaves are shown in Table 2. The levels in raw tubers and leaves, which ranged from 0.056±0.001 to 0.219±0.001 mg/100 g for protein, 2.137±0.037 to 23.863±0.491 mg/100 g for vitamin C, 1.163±0.033 to 13.353±0.146 mg/100 g for vitamin B1, 0.145±0.001 to 0.485±0.008 mg/100 g for vitamin B2, and 0.767±0.011 to 8.875±0.079 mg/100 g for vitamin B3 agree with those reported by USDA (2008). Leaves had levels within the ranges reported in kale and spinach [41], which are common green leafy vegetables consumed in Kenya. Cassava leaves had significantly higher (P< 0>

                                     

Table 2: Mean levels (DM) of protein and vitamins in raw and processed tubers and leaves of cassava varieties

Mean values followed by a different small letter within the same row differ significantly from one another. Mean values followed by a different capital letter within the same column differ significantly from one another (One - Way ANOVA, P < 0 xss=removed>

Although the cassava varieties were grown under similar conditions, the levels of protein and vitamins varied significantly (P<0>

The levels of proteins and vitamins were reduced significantly (P<0>

in tubers by 51.8 % - 88.6 % (protein), 39.6 % - 43.1 % (vitamin C), 16.6 % - 40.8 % (vitamin B1), 53.8 % - 78.9 % (vitamin B2), 20.5 % - 58.9 % (vitamin B3). Boiling significantly reduced the levels of proteins more than deep frying, mainly due to leaching [23,46]. Frying is a better processing method for tubers than boiling, as it retains relatively higher levels of water-soluble nutrients. Both processing methods significantly reduced nutrient levels (P<0>

3.3 Levels of minerals and anti-nutrients

The mean levels of minerals and anti-nutrients in raw and processed tubers and leaves are shown in Table 3. The ranges were in 32.075±0.875 - 50.134±0.204 mg/100 g for calcium, 0.544±0.003 - 1.160±0.009 mg/100 g for zinc, 0.707±0.019 - 3.141±0.028 mg/100 g for iron, 298.397±3.107 - 485.778±6.609 mg/100 g for potassium, 284.274±6.296 - 613.456±17.611 mg/100 g for oxalate, and 452.774±13.922 - 561.281±5.720 mg/100 g phytate. The levels are in the same range as reported by Tagesse & Tesfaye [47] and the USDA [48]. Similar levels were reported in kale for calcium ]49], iron [41] and zinc [50], while the USDA [48] reported results in the same range in spinach for calcium (99 mg/100 g), zinc (0.53 mg/100 g), iron (2.71 mg/100 g) and potassium (558 mg/100 g). In other studies, oxalate levels ranged between 1.35 and 2.88 g/100 g and between 30.59 and 154.7 g/100 g in cassava tubers and leaves, respectively [5,11], while phytate levels in tubers were reported in the range of 661.33 – 3040 mg/kg [12,13,51. The levels of the nutrients are high and meet a percentage of the RDA. The leaves of MM96/2480 variety had significantly (P<0>

The elements and anti-nutrients were significantly reduced (P<0>

Nutrients and Anti-nutrients (mg/ 100 g)Cassava variety/part

Raw

Mean ± SD

ProcessP-Value

Boiled

Mean ± SD 

(% reduction)

Fried

Mean ± SD 

(% reduction)

Calcium  Migyera tuber32.075±0.875cA6.644±0.146aA (79.3%)21.646±0.534bA (32.5%)

 

P<0>

Migyera leaves50.134±0.204bD20.288±0.221aC (59.5%) 
MM96/2480 tubers47.461±0.634cC10.571±0.124aB (77.7%)29.986±0.214bB (36.8%)
MM96/2480 leaves39.149±0.381bB33.021±0.240aD (15.7%) 
                                                                                                P<0>

Zinc 

 

Migyera tuber0.737±0.022bB0.608±0.0151aD (17.5%)0.618±0.016aB (16.4%)

 

P<0>

Migyera leaves1.160±0.009bD0.350±0.005aA (69.8%) 
MM96/2480 tubers0.544±0.003bA0.420±0.011aB (22.8%)0.530±0.006bA (2.6%)
MM96/2480 leaves1.014±0.021bC0.466±0.012aC (54.0%) 
                                                                                                     P<0>

Iron

 

Migyera tuber0.707±0.019bA0.610±0.018aB (13.7%)0.613±0.015aA (13.3%)

 

P<0>

Migyera leaves2.381±0.034bC1.476±0.017aC (38.0%) 
MM96/2480 tubers0.715±0.020bB0.401±0.009aA (43.9%)0.668±0.013bB (6.6%)
MM96/2480 leaves3.141±0.028bD1.779±0.011aD (43.4%) 
                                                                                                    P<0>
Potassium  Migyera tuber485.778±6.609cD328.570±3.754aD (32.4%)375.798±3.777bB (22.64%)

 

P<0>

Migyera leaves375.798±3.777bC185.454±2.092aB (50.7%) 
MM96/2480 tubers326.43±5.037cB254.473±3.280aC (22.0%)298.212±1.281bA (8.6%)
MM96/2480 leaves298.397±3.107bA163.301±2.542aA (45.3%) 
                                                                                                          P<0>
Oxalate  Migyera tuber613.456±17.611cD157.406±2.307aB (74.3%)252.267±5.497bA (58.9%)

 

P<0>

Migyera leaves284.274±6.296bA115.562±3.478aA (59.3%) 
MM96/2480 tubers413.863±8.087cB282.252±2.855aC (31.8%)361.529±7.187bB (12.6%)
MM96/2480 leaves526.982±0.177bC294.280±4.121aD (44.2%) 
                                                                                                            P<0>
Phytate  Migyera tuber561.281±5.720cD146.343±0.942aC (73.9%)271.163±2.486bB (51.7%)

 

P<0>

Migyera leaves555.994±5.718bC61.520±0.787aB (88.9%) 
MM96/2480 tubers463.774±5.750cB192.229±3.641aD (58.6%)244.508±2.787bA  (47.3%)
MM96/2480 leaves452.774±13.922bA32.089±0.338aA (92.9%) 
                                                                                                               P<0>
           

Table 3: Mean levels (DM) of minerals and anti-nutrients in raw and processed tubers and leaves of cassava varieties

Mean values followed by a different small letter within the same row differ significantly from one another. Mean values followed by a different capital letter within the same column differ significantly from one another (One - Way ANOVA, P < 0 xss=removed>

Even though boiling and frying lead to significant reductions in oxalate and phytate, the levels that remain are higher than the recommended molar ratios (Table 4). The ratios for phytate to elements were: zinc < 15>

iron < 1>

minerals, a higher percentage of nutrients is lost during boiling and deep frying. Boiling and deep frying are the main methods used to prepare cassava for consumption. The processed cassava tubers and leaves therefore contribute very little towards meeting the RDAs, which are, 0.83 g/kg (protein), 40 mg – 120 mg/day (vitamin C), 0.2 mg – 1.4 mg/day (vitamin B1), 0.3 mg – 1.6 mg/day (vitamin B2), 2 mg – 18 mg/day (vitamin B3), 200 mg – 1300 mg/day (Ca), 8 mg – 11 mg/day (Zn), 1.8 mg/day (Fe) and 4700 – 5100 mg/day (K) [7-10]. Both boiled and fried cassava tubers and leaves cannot therefore be relied on to alleviate malnutrition.

MineralCassava variety/partPhytate:Mineral Molar ratioRecommended molar ratios (Hurrell and Egli, 2010; Magallanes-Lopez et al., 2017; Morris & Ellis, 1985)
  RawBoiled Deep fried 
CalciumMigyera tubers1.0611.3350.759<0>
Migyera leaves0.6720.184 
MM96/2480 tubers0.5921.1020.494
MM96/2480 leaves0.7010.059 
ZincMigyera tubers75.00323.70543.213<15>
Migyera leaves47.20417.311 
MM96/2480 tubers83.96145.07545.435
MM96/2480 leaves43.9766.782 
IronMigyera tubers67.36020.35637.533<1>
Migyera leaves19.8133.537 
MM96/2480 tubers55.03640.67431.057
MM96/2480 leaves12.2311.530 

Table 4: Phytate to minerals molar ratios in raw and processed cassava products

4 Conclusions

The levels of nutrients and anti-nutrients are not only significantly higher in leaves than in tubers but also significantly different among cassava varieties. The leaves of the MM96/2480 variety are more nutritious than those of the Migyera variety, while the tubers of the Migyera variety are more nutritious than those of MM96/2480 variety. The levels of nutrients in both tubers and leaves are significantly affected by boiling and deep frying, reducing the levels by up to 97 %. Hence, boiled and deep-fried cassava products cannot be relied on to reduce malnutrition in communities. However, deep-frying is a better processing method for tubers than boiling, as it retains relatively higher levels of water-soluble nutrients. Both boiling and frying significantly reduce the anti-nutrients (oxalate and phytate) in both tubers and leaves, although levels that remain still affect the bio-accessibility of the nutrients due to high molar ratios. This may explain why there is a high level of child malnutrition in communities that rely on cassava food.

Statements and Declarations

Ethical approval

The study followed national guidelines and legislation, as appropriate permission for the study was received from the National Council of Science Technology and Innovation, Kenya (NACOSTI).

Consent for publication

The manuscript does not have details, images, or videos relating to an individual person and thus requires no consent to publish.

Availability of data and materials

The data obtained and analyzed during the current study is available from the corresponding author on reasonable request.

Competing interest

The authors declare that they have no competing interests. 

Funding

The authors declare that there was no funding given to support the current study.

Authors contribution

All authors contributed to the study conception and design. Data collection and analysis, and the drafting of the manuscript was by Ogombe, Charles Ojiambo. The other authors read, commented on previous versions and approved the final manuscript. The authors have agreed both to be personally accountable for the author's own contributions and to ensure that questions related to the accuracy or integrity of any part of the work.

Acknowledgements

The authors acknowledge the chairman of the Department of Chemistry, Kenyatta University and the chief Technician in the Department of Food Science at Jomo Kenyatta University of Agriculture and Technology for the support in carrying the study.

References

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Hao Jiang

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.

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Dr Shiming Tang

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