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Improving Women's Health in the 21st Century: Current Challenges, Medical Advancements and Future Prospects

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Review Article

Improving Women's Health in the 21st Century: Current Challenges, Medical Advancements and Future Prospects

  • Seyi Samson Enitan 1*
  • John Osaigbovoh Imaralu 2
  • Kester Awharentomah Digban 3
  • Grace Amarachi John-Ugwuanya 4
  • Saratu Omagbemi Ajike 5
  • Chioma Jane Agunsoye 6
  • Esther Omolara Adetiloro 7
  • Comfort Bosede Alao 8

*Corresponding Author: Seyi Samson Enitan, Department of Medical Laboratory Science, Babcock University, Ilishan-Remo, Nigeria

Citation: Seyi S. Enitan., John O. Imaralu., Kester A. Digban., Grace Amarachi John-Ugwuanya., Saratu O. Ajike, et al (2023), Improving Women's Health in the 21st Century: Current Challenges, Medical Advancements and Future Prospects, J. Women Health Care and Issues. 6(5); DOI:10.31579/2642-9756/162

Copyright: © 2023, Seyi Samson Enitan. 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: 02 September 2023 | Accepted: 15 September 2023 | Published: 20 September 2023

Keywords: women; challenges; future prospects; health; medical advancements

Abstract

The field of women's health covers various physical, emotional, and social aspects. In recent years, there has been a growing recognition of the importance of improving women's health. Women face a plethora of problems including infertility, cancer, diabetes, depression, and cardiovascular disorders amongst others. These health problems are compounded with gender disparities, lack of access to healthcare, denials of reproductive rights, aging and poverty. To surmount these challenges, comprehensive approaches, including improved access to healthcare, awareness programs, mental health support, and addressing gender bias and environmental health concerns are required. Precision medicine has the potential to transform outcomes for women with chronic and genetic diseases. Digital technologies have revolutionized healthcare access and monitoring for women, enabling remote consultations and self-monitoring of health conditions. Advancements in breast and cervical cancer screening, such as digital breast tomosynthesis (DBT) and Human Papillomavirus (HPV) testing, have improved early detection and prevention. While there is still work to be done in addressing the challenges and disparities in women's health, these medical advancements offer hope for improved outcomes and better quality of life for women. Continuous research, awareness and policy adjustments are still needed to promote woman's health on a global scale in the future.

Introduction

The fie­ld of women's health is vast and intricate, e­ncompassing physical, emotional, and social aspects. It delve­s into comprehending and addressing the­ distinct health needs and challe­nges faced by women throughout the­ir lives [1]. In recent ye­ars, there has bee­n a growing recognition of the importance of improving wome­n's health in the 21st century as it cove­rs a broad range of issues unique to wome­n such as reproductive health, hormonal imbalance­s, and female anatomy concerns [2]. Wome­n face diverse he­alth hurdles like breast cance­r, cervical cancer among other illne­sses that have high morbidity rates [3]. Factors like poverty, discrimination, and limited healthcare access only worsen existing health challenges. With preventable causes relating to pregnancy and childbirth, almost 800 women died every day in 2020. Shockingly, a maternal death occurred every two minutes at this time. Lower middle-income countries witnessed almost 95% of these deaths in 2020 [4]. A comprehensive and multifaceted approach is integral to the pursuit of enhancing women's health in 21st century. 

In recent years, there has been a surge in research into women's healthcare, leading to revolutionary advances in the understanding and treatment of conditions and illnesses that specifically affect women. In addition, more focus is being placed on incorporating women into clinical trials, addressing the long-standing deficit in representation [5]. Unfortunately, however, women are still subject to unequal access to healthcare and ill-fitting healthcare policies, from diagnosis and treatment through to women living in countries with limited resources. And because women's symptoms are under-recognized, they face an alarming increase in misdiagnosis and under-medication. From dysmenorrhea to fertility and pregnancy-related complications, women's health has unique challenges that require special attention [6]. Among them, cardiovascular disease is one of the most urgent and dangerous chronic health problems facing women worldwide, yet healthcare systems may not provide patients with the necessary tools to diagnose and treat the disease. Diagnostic approaches and treatment plans remain disproportionate, unfortunately predominantly for male patients, with insufficient or no solutions for female patients [7, 8]. This review examines the current challenges confronting women's health, the medical breakthroughs that tackle these challenges and the prospect of progress in the future.

Challenges in Women’s Health

There remain many obstacles to overcome in the realm of women's health, despite considerable study and progress made in the last decades. Some of which include:

1) Reproductive Health Problems

Reproductive health problems pose a major obstacle to women's well-being globally. Concerns regarding pregnancy, childbirth, and fertility are all encompassed within this [4]. Every day, over 800 women die due to pregnancy and childbirth related complications, resulting in alarmingly high maternal mortality rates worldwide. Inadequate accessibility to contraception also contributes to the prevalence of unplanned pregnancies and unsafe abortions afflicting numerous women. To ensure better reproductive health outcomes, it's imperative for policymakers and healthcare providers to enhance access to reproductive healthcare services such as contraception, safe and legal abortion services, and family planning. In addition, instructional programs that promote sexual health, foster healthy relationships, and uphold reproductive rights have the potential to lessen unintended pregnancies and maximize health benefits from reproductive services [9].

2) Hormonal Imbalance

Hormonal imbalance is a persistent and profound issue impacting women's health [10]. Unstable menstrual cycles, acne, fat accumulation and infertility are only a few of the countless symptoms. Commonly seen is Polycystic Ovary Syndrome (PCOS). Imbalance in periods, ovarian cysts, and the inability to conceive are all linked. To recognize and ameliorate these issues, healthcare specialists must themselves be adept and familiar with accurate analysis and treatment of conditions such as PCOS or endometriosis.  Additionally, further research is needed to discover the sources of the conditions which can open up new potential treatments and improve health for all [11, 12].

3) Mental Health Challenge

Mental health is another problem confronting women’s health [13]. Women are two times as probably as men to experience stress, despair and depression, and they're additionally much more likely to experience post-traumatic stress disorder (PTSD). Women who experience intimate partner violence are at elevated chance of depression, anxiety, and PTSD. Additionally, many women struggle with body image troubles, eating disorders, and different mental health troubles associated with societal pressures and expectancies. To cope with mental health demanding situations, government and healthcare providers have to intensify efforts to provide easy access to mental fitness services, together with counseling and therapy. Additionally, educational packages that promote mental health focus and decrease stigma can assist raise attention of mental health issues and encourage more people seek for therapy in a timely manner [14].

4) Chronic Diseases

Chronic diseases such as heart disease, diabetes and cancer are the leading causes of mortality globally [7]. Women need emotional, financial and medical support to effectively combat the staggering mortality rates from chronic diseases [15]. These conditions present unique barriers requiring ongoing treatment and intervention that make prevention strategies all the more urgent. Addressing the complexities of this problem requires timely access to medications and aggressive lifestyle changes.

5) Lack of Access to Healthcare

Women around the world have a variety of difficulties when attempting to receive high quality healthcare-- this situation has a significant impact on their health [16]. A lack of access to antenatal care, qualified attendants during childbirth, emergency obstetric care, postnatal care, and other services increase the probability of death and illness in women during and after labor. Additionally, those who lack significant financial support for reproductive health services have a higher rate of maternal and neonatal mortality, as well as having abortions that are unsafe and labor-related problems [17]. Additionally, without family planning advice that is appropriate, women have difficulty utilizing contraceptives, and receiving reproductive education, they are susceptible to unplanned pregnancies, hazardous abortions, and increased prevalence of diseases that are transmitted through sexual contact [18].

6) Gender Bias

Gender bias is an unjust and unequal practice which has far-reaching implications for healthcare and beyond. This prejudice manifests in various ways, including differential access to healthcare, health outcomes, and overall wellbeing for women [19]. Of particular concern is gender bias in reproductive health; women’s specific health needs such as pregnancy, childbirth, menstruation, and menopause suffer from inadequate attention and resources, making them more vulnerable to complications, poor maternal and child health outcomes, and even death. The impact of gender bias isn’t just physical, however; it affects women’s mental health, too. Social roles, expectations, and judgments can lead to an increase in distress and mental health disorders. Gender bias also limits women’s ability to pursue educational and career paths, and economic autonomy—further exacerbating the effects of mental health issues. Unawareness of gender-specific conditions may contribute to delayed diagnosis and treatment, and research that excludes women’s health needs further complicates access to appropriate treatments and therapies [20]. Worst of all, gender bias has resulted in an increase in violence against women in the forms of domestic violence, sexual assault, and female genital mutilation all having serious physical, psychological, and emotional repercussions. These harsh realities point to a prevailing need to address the pervasive gender bias in our society.

7) Aging

Women generally experience a longer lifespan than men; however, sadly, this blessing may also bring with it a range of age-related health issues such as osteoporosis, menopause, memory loss, and financial insecurity, which can profoundly affect the quality of their lives [21]. This difference in male and female life expectancy further emphasizes the importance of providing women with the necessary medical attention and care. In many cases, elderly women also suffer from social isolation due to the death of their husbands. Governments and healthcare providers must work together to develop advanced prevention strategies, conduct meaningful research, and effectively manage aging-related issues [22]. The collaborative effort between the two respective entities may be critical in providing elderly women with much-needed ease and relief from their struggling conditions.

8) Denial of sexual and Reproductive rights

Sexual and reproductive rights constitute a considerable challenge for women's health and wellbeing [23]. All around the world, women face several obstacles to attain access to family planning, safe abortion services, and contraception - restrictions that can cause an extreme detriment to them. It is not uncommon for women to encounter discrimination or violence due to their legitimate sexual and reproductive decisions. Therefore, to tackle this persistent issue, policymakers and healthcare agencies ought to shield and further extend access to reproductive healthcare policies, such as contraception, family planning, and safe and legal abortion services [24]. To reduce stigma and allow more women to make use of such services, it is necessary for governmental organizations to put in place educational programs that foster knowledge of sexual and reproductive rights.

9) Health Disparities

Another challenge faced by women is health disparities [25]. For communities who are discriminated against, including those of different ethnicities, sexual orientations, and disabilities, gaining access to healthcare is too often a challenge [26]. This problem is of paramount importance to policymakers and health professionals who should strive to provide adequate medical care, specifically for minority groups, the economically disadvantage, and rural populations. Ensuring better health outcomes requires ongoing efforts to promote awareness of health disparities while simultaneously fighting against prejudice. Education initiatives, in particular, provide an essential means of generating improved access to necessary medical amenities [26].

10) Environmental Factors

Women's health is significantly encountering environmental health difficulties [28]. From air pollution to chemical exposure and pervasive climate change factors, women are more susceptible to degradation of their wellbeing than men. Consequently, it is essential that stakeholders, including policymakers and healthcare professionals, promote regulations that take into account air and water quality, food safety, climate change, and other impacting variables as essential components of safeguarding women's health. In addition, education concerning environmental health measures can help lower exposure to toxins, ultimately producing a healthier living environment [29].

Medical advancements that have improved Women’s Health

The magnitude of challenges obstructing women’s health can no longer outweigh the remarkable advances made in the medical sphere, delivering remarkable transformations and surplus of positive, life-transforming results to the state of women's health. From sophisticated treatment methods, sophisticated diagnostic techniques to preventive actions, these advances promise to increase the quality of life, with comparatively awesome outcomes for patients [30]. The current innovative capabilities in diseases diagnosis, therapy and prevention have revolutionized women's health care. These include:

i) HPV Vaccine

The human papillomavirus (HPV) vaccine is now available. For women, it offers an unparalleled level of protection against the high-risk strains of the virus. Groundbreaking studies demonstrate its safety and effectiveness against a gamut of potentially life-altering HPV-related health conditions. From cervical cancer to many other perilous maladies, the vaccine is an epoch-making beacon of hope and renewal for the female populace embroiled in this battle [31, 32].

ii) Precision Medicine

Precision medicine is a revolutionary approach in the field of healthcare, an individualistic approach that posits that every patient's unique genetics, environment, and lifestyle should be taken into account when creating a treatment plan. The potential to transform outcomes for women affected by chronic illnesses, rare and genetic diseases make this concept of precision medicine utterly groundbreaking. Its complexity and versatility in sentence structure promises to revolutionize the personalized healthcare sphere, unlocking far-reaching and life-saving advancements [33, 34].

iii) Digital and Telehealth Technologies

Digital and health technologies like mobile applications and wearable devices are revolutionizing healthcare outcomes for women. With cutting-edge monitoring features, women are able to accurately monitor their health status and keep tabs on any chronic conditions they may have. Owing to its convenience, it is an ideal solution for those living in remote or rural areas, or for individuals with time-consuming childcare duties and active work schedules [35]. Not to mention, telehealth offers the possibility to establish a secure connection between patients and healthcare providers, wherever they may be, allowing them to access medical services directly from the comfort of their homes. Additionally, access to remote healthcare services allow them to be more productive and proactive in managing their health from a distance. Consequently, digital and Telehealth technologies are providing women with a unique opportunity to take ownership of their healthcare, thus improving overall outcomes [36-38]. 

iv) Breast Cancer Screening

The issue of breast cancer has severe global implications for women, ranking as the second highest cause of cancer-related deaths around the world [39]. Fortunately, advancements in technology enable us to fight against its devastating effects. Advanced care techniques including modern mammography and digital breast tomosynthesis (DBT) have emerged to greatly enhance precision in detecting tumors, particularly among those with dense breasts. Consequently, experts from the American College of Radiology recommend employing DBT as the optimal screening procedure for high-risk groups. The successful adoption and integration of this three-dimensional imaging technique stand among many successes in combating the scourge of breast cancer among women; lending further motivation and hope towards swift recovery for affected individuals [40].

v) Cervical Cancer Screening

Cervical cancer is a major health concern in many low-income nations, but it is one of the most preventable types of cancer. The introduction of the Human Papillomavirus (HPV) vaccine and HPV testing in recent years has turned the tide in protecting women from this deadly disease. Studies have found that the vaccine is up to 90

Conclusion

Women's health is an intricate and expansive issue, with a myriad of complex complications ranging from reproductive health issues to hormonal imbalances, from chronic illnesses to mental health-related dilemmas. Moreover, women often face gender disparities and lack access to healthcare. Fortunately, recent developments such as the HPV vaccine, precision medicine, telehealth treatments, and research into maternal health, digital healthcare, and overall advancements in women's health have given reason for optimism. It is essential for providers, policymakers, and the public to join forces in order to make progress in the 21st century. Thanks to the current successful strides taken in women's health, more equitable healthcare is now possible, reflecting individual diagnosis and treatments as well as an accommodating healthcare system. Breast cancer screening, genetic testing, cervical cancer screening, minimally invasive surgery, menopause management, fertility treatments, mental health, sexual health, and pregnancy and childbirth treatments have seen thrilling progress. As technology continues to advance, such success could continue to be repeated - with the overall health of women worldwide being progressively improved. Through a combination of effective and personalized therapy, the health of women around the world is set to flourish in the 21st century.

Abbreviations:

DBT, Digital breast tomosynthesis; HPV, Human Papillomavirus; PCOS, Polycystic Ovary Syndrome, PTSD, Post-traumatic stress disorder; BRCA1, Breast cancer gene 1; BRCA2, Breast cancer gene; PTNS, Percutaneous tibial nerve stimulation; IVF, In vitro fertilization; HRT; Hormone replacement therapy; SERMs; Selective estrogen receptor modulators; CBT; Cognitive-behavioral therapy; SSRIs; Selective serotonin reuptake inhibitors; STIs; Sexually transmitted infections.

Ethical Approval: Not required. 

Informed Consent: Not required. 

Acknowledgement 

The Authors acknowledged their respective Universities. 

Conflict of Interest 

The authors declare that there are no conflicts of interest. 

Financial Closure or Funding 

This review received no external funding

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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.

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Virginia E. Koenig

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.

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Delcio G Silva Junior

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.

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Ziemlé Clément Méda

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.

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Mina Sherif Soliman Georgy

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.

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Layla Shojaie

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.

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Sing-yung Wu

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Orlando Villarreal

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.

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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.

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Anthony Kodzo-Grey Venyo

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.

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Pedro Marques Gomes

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.

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Bernard Terkimbi Utoo

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.

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Prof Sherif W Mansour

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.

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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