AUCTORES
Globalize your Research
Research Article
*Corresponding Author: Adrian González Méndez, Department of Postgraduate and Research, University of Medical Sciences of Sancti Spiritus, Cuba.
Citation: Adrian G. Méndez, Perez Flowers CM, Yesneris B. Lizano, Niuvis F. Martin, Laida G. Matos , (2024), Preparation Of Families of Children Diagnosed with Spastic Childhood Cerebral Palsy for the Development of Occupational Therapy, J. General Medicine and Clinical Practice, 7(5); DOI:10.31579/2639-4162/158
Copyright: © 2024, Adrian González Méndez. 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: 07 March 2024 | Accepted: 15 March 2024 | Published: 19 March 2024
Keywords: cerebral palsy; preparation of families; occupational therapy
Introduction: Infantile cerebral palsy is one of the 3 most common developmental disabilities that prevail throughout life. It cannot be defined as a single disease, but is a syndrome that encompasses a group of heterogeneous disorders.
Objective: To assess the preparation of families of children diagnosed with spastic infantile cerebral palsy.
Methods: An intervention study was carried out in nine families with children diagnosed with Spastic Infantile Cerebral Palsy, from zero days old to five years and eleven months with prior consent belonging to the Dr. Juan Miguel Martínez Puentes Polyclinic in the northern area of the Province of Sancti Spiritus, Cuba.
Results: In this study, it was possible to obtain an increase in the knowledge necessary for the nine families with children diagnosed with Childhood Spastic Cerebral Palsy to manage it since one (77.8%) knew the role of the family in the development of occupational therapy, one (88.9%) learned about the stimulation of communication in the family context and one (77.8%) became aware of the importance of preventing deformities in this group of children.
Conclusions: Related to assertive parental communication, it was stated that the category that had the most relevance was the use of respect, attention and trust, in passive parental communication it was noted that there is no organization to carry out family activities
Infantile cerebral palsy (ICP) is one of the three most common developmental disabilities that prevail throughout life. It cannot be defined as a single disease, but rather as a syndrome that is characterized by a group of persistent disorders of the development of movement and posture, which cause limitation in activity and are attributed to non-progressive, non-immutable lesions that occur in the immature brain due to pre-, peri- or postnatal injury. [1]
The global prevalence of cerebral palsy (CP) is around 1.5-3/1,000 live births. A study carried out in 2007 estimated a global prevalence of 2.4/1,000 live births. Thanks to current studies, it can be stated that this prevalence, currently estimated at 2.1/1,000 live births, has remained stable over the last 10 years. 1 In Cuba, the prevalence of CP is between 1.5 and 3 per 1,000 live births, and is usually classified as congenital or acquired, according to the time of occurrence of the brain damage. [2]
Spasticity and limitation in the execution of voluntary movement are the most frequent sequelae and affect the child's gross motor skills. According to the Gross Motor Function Classification Extended and Revised (GMFCS-ER), cerebral palsy is classified into five levels from highest to lowest functionality: from level 1 to level 5. [3]
The occupational impact of those diagnosed with this neuromotor disorder is of great magnitude, not only for those who experience it, but also for their family and environment, because there are considerable difficulties in the independence of the person in the various areas of life. occupation. Focusing on pediatric patients from 0 to 18 years of age, the most affected areas correspond to: basic and instrumental activities of daily living, education, play and social participation. This is why children and adolescents require continuous treatment to promote and/or facilitate their occupational performance and, above all, their social participation and inclusion. [4]
When an infant is diagnosed with PCI, the family begins to search for support based on the diverse needs stated by the specialist doctor. An unbalanced and uncertain period begins, due to the absence of state protocols and routes to follow. for the treatment of children with PCI. The guidance that parents obtain is usually partial; initial referral only to physical therapy tends to be the most frequent. [5] Children with cerebral palsy have complex medical care needs, and often require care by a multidisciplinary team, since in addition to neurological problems, other disorders are associated that will be more frequent as the degree of cerebral palsy increases. of affectation, which will be key in estimating life expectancy. [6] The diagnosis of a child with CP alters, to a greater or lesser extent, family life.
In many cases, parents have a series of feelings that paralyze them and that arise as a defense mechanism, such as denial. Parents usually have a very limited vision of the situation, they feel stunned and will require a period of adaptation, since many changes are generated both individually and in the entire family; New responsibilities, obligations and commitments are assumed, which will change daily routines, relationships among themselves and with others. [7]
In another order of ideas, occupational therapy (OT) draws on the performance components (sensory-motor, cognitive and psychosocial) to help people achieve greater independence and autonomy, maintain functions and correct deficits through of AVDS (Activities of Daily Living). Psychomotricity is a very useful tool since it starts from the body and movement as a global expression of the individual. It adjusts to the evolutionary moment, offering security, pleasure and affection. [8]
OT is a socio-health modality that, from its theoretical and practical bases, focuses its intervention on enhancing the autonomy and independence of people in their daily lives, based on meaningful occupations. This profession uses the term occupation to refer to ADLs, and is based on retraining those necessary capacities so that daily activities can be carried out with the greatest possible autonomy. The treatment of Spastic infantile cerebral palsy from OT can be proposed from different approaches and intervention frameworks that will determine what the guidelines will be followed during the recovery process and will also serve to encompass the professional's practice. within the theoretical framework that bases it. [9]
The objective of this work is to assess the preparation of families of children diagnosed with spastic infantile cerebral palsy.
A pre-experimental study was carried out at the University of Medical Sciences of Sancti Spiritus on nine families with children diagnosed with spastic infantile cerebral palsy from zero days of birth to five years and eleven months belonging to the Dr. Juan Miguel Martínez Puentes Polyclinic in the northern area. from the province of Sancti Spiritus, Cuba.
The study sample was made up of nine families belonging to the health area of the center under study, belonging to several Family Medical Clinics. The independent variable was the activities related to occupational therapy for the preparation of families with children diagnosed with spastic infantile cerebral palsy.
The dependent variables were structured as follows:
Taking into account the accomplished bibliographic research, the meticulous examination of documents from the specialized literature and the regulations established from the initial diagnosis made, those who presented a proposal for activities related to the related topic, which were characterized by being designed from a conceptual reflective and socializing, which allowed promoting the conscious, responsible and systematic intervention of the family and their continuity in the home, with a level of satisfaction from a psychological point of view. Different methods were used, among which the following stand out: workshops, educational talks, family education schools and participatory techniques (psychodrama). A diagnosis was carried out where the state of knowledge of indicators was verified through a pre-test. The researchers kept in mind the reflections that come from the daily life of each family; family members assume an active position by expressing their opinions at home, asking questions, arguing their points of view, so that new knowledge and They remodel the existing ones around the related theme. Specific actions were guided to be carried out in pairs, subsequently they were analyzed in different exchanges. Each family presented their experience regarding what was oriented. To the extent possible, optimal conditions were created for them to sit in a horseshoe shape or in a circle, so as to facilitate close communication between everyone. The starting point was strict attention to the individual needs and potential of each of the families to achieve their maximum development within the scope of the proposed objectives.
The precision of the control, self-control and self-assessment actions of each of the families was taken into account. This allowed us to know the errors that may be being made during the sessions, as well as the aspects with the best results. The families that had the greatest difficulties in providing treatment required a climate of trust, respect and security, in which the forms of Communication generated relationships of collaboration and cooperation between everyone. The authors declared their commitment to confidentiality and protection of the information collected during the research through informed consent. Authorization and approval were also requested from the Research Ethics Committee and the Scientific Council of the University of Medical Sciences for the execution of the research.
We see the comprehensive evaluation of each sampled family in the indicators of the operational variable as a result of the application of the pre-test. In indicator one: Knowledge about the role of the family in the development of occupational therapy, it was found that, of nine families sampled, only one expressed mastery in this sense at the beginning and is evaluated at the high level (11.1%) and Seven families did not have any domain to essentially distinguish the characteristics that conceptualize occupational therapy as a treatment and were found at the low level (77.8%). In indicator two: Knowledge about the activities basically included in occupational therapy, it was found that in the sample only one family is always updated on the problem addressed and is evaluated at the high level (11.1%), it is also seen that Some of these are updated on the problem addressed, but with inaccuracies in distinguishing their main characteristics, being at the medium level (11.1%) (Table 1).
Table 1. Comprehensive evaluation of each sampled family in the indicators of the operational variable as a result of the application of the pre-test
Source: Data obtained from the diagnosis of the study sample In indicator three: Motivation to participate in the activities included in occupational therapy, it was possible to verify before the intervention that only one family is motivated to participate adequately in the activities, being evaluated at the high level (11.1%), a family is motivated to participate in activities, but with inaccuracies in delimiting active participation, being at the medium level (11.1%). In indicator four: Stimulation of communication in the family context, it was found that only two families always achieve the stimulation of communication by delimiting the corresponding actions, being at the high level (22.2%). In indicator five: Correct postural management in the family context, it was found that two families always manage to adequately carry out postural management by defining the actions to be carried out, which is why they are at the high level, (22.2%), one family Sometimes they achieve postural management, but with inaccuracies in defining the actions to be carried out in the process, which is why they are at the medium level (11.1%). In indicator six: Prevention of deformities in the family context, it was found that one family always prevents deformities, which is why it is at the high level (11.1%), the remaining seven families do not prevent deformities, being at the low level (77.8%).
The comprehensive evaluation of each family sampled in the indicators of the operational variable as a result of the application of the post-test, where in indicator one: Knowledge about the role of the family in the development of occupational therapy, after the intervention obtained favorable results related to this indicator, being (77.8%) at the high level. In indicator two: Knowledge about the activities basically included in occupational therapy, with the activities carried out it was possible to see the positive change in the families related to this indicator (77.8%) at the high level. In indicator three: Motivation to participate in the activities included in occupational therapy, seven families felt motivated to participate in the activities (77.8%), being at the high level (Table 2).
Table 2. Comprehensive evaluation of each sampled family in the indicators of the operational variable as a result of the application of the post-test
Source: Data obtained from the diagnosis of the study sample
In indicator four: Stimulation of communication in the family context, after the intervention, one (88.9%) of the families managed to learn a better way to stimulate communication. In indicator five: Correct postural management in the family context, after the intervention this indicator improved to (88.9%) at the high level. In indicator six: Prevention of deformities in the family context, a score (77.8 %) was obtained, so this indicator improved positively.
We see the distribution of frequencies of the evaluation of the indicators in the initial or pre-test stage and final verification or post-test of the pedagogical pre-experiment where in all the indicators their state of knowledge improved (Table 3).
Table 3. Frequency distribution of the evaluation of the indicators in the pre-test and post-test stage
Source: Data obtained from the diagnosis of the study sample this research
Over the years, occupational therapists have had to modify and devise techniques to meet the needs of clients and their families and thus be facilitators during the therapeutic process to promote active participation in the community and carry out their occupations. significant. In saying this, it is considered that the context in which one works influences what professionals do, generating knowledge and new practices for the profession. The occupational therapist is responsible for carrying out specific treatments, always using activity as a means, for the user's functional recovery. 10,11
With this study it was observed that, of all the indicators evaluated in the nine families with children with spastic infantile cerebral palsy in their diagnostic stage, only one family had knowledge about the role of the family in the development of occupational therapy. This result was transformed after the intervention that was carried out. In the indicator stimulation of communication in the family context, it was previously possible to verify that a low percentage achieved the stimulation of communication by delimiting corresponding actions, where after the intervention the majority of families managed to learn a better way to stimulate communication. In the indicator prevention of deformities in the family context, it was possible to verify before the intervention that he always prevented deformities, the remaining families did not, something that changed with the intervention since a favorable result was obtained for this indicator.
It is worth noting that these motor disorders are usually linked to comorbidities such as epilepsy, alterations in sensitivity, perception, cognition, deterioration in communication and behavior, and secondary musculoskeletal problems that largely contribute to a greater burden. on the health of children and families. For this reason, it is considered the most common cause of motor disability in pediatric age and the second cause of severe mental retardation. 1
In a study by Pintado,[12] at the University of Zaragoza The transformation of the family is highlighted when learning about the diagnosis of their child with PCI and the psychological impact it has on their actions, which is why many families overprotect their child and thus distance themselves from the role they must assume in caring for them. something that coincided with this study since only one family initially expressed dominance in this sense.
In a research carried out by Vidal, [13] at the University of La Coruña, it was evident that parents of children with PCI felt tired and demotivated with the lifestyle they led from the birth of the child until the date the research was carried out. , where in our research at the beginning we were able to obtain that only two families used stimulation techniques to communicate with their child with PCI and two families only knew postural management defining actions to be carried out.
Otero, [14]at the Del Norte Technical University, the results of an investigation showed that it is very difficult for parents to get rid of the image they had of their child since no family member is prepared for something that they must assume without having any knowledge and they must abandon and put aside their activities at the same time. which they were used to.
Regarding nursing care in parents and guardians of children with cerebral palsy by Lira, [15]at the Andean University of Cusco, it was found that parents with children diagnosed with PCI indicate that they do not fully know theoretical aspects about the knowledge and skills that should be applied by Nurses and it is mostly pointed out that Nursing professionals do not use techniques to increase the quality of life of their family member. In our study, it was possible to contact in the diagnostic stage that only one family knew the work of Occupational Therapy in the PCI.
Acapnia, [16]in a psychoeducation program for the management of parental and marital communication in families of children diagnosed with cerebral palsy, carried out at the Salesiana Polytechnic University, It could be seen that the parents were female with 94.12% and that only 5.88% were male, which proved that women are the most representative of their children with Cerebral Palsy.
Related to assertive parental communication, it was stated that the category that had the most relevance was the use of respect, attention and trust, in passive parental communication it was observed that there is no organization to carry out family activities and where it was observed that factors such as scolding were present in that type of communication. Many of those who participated pointed out that minors like to participate, but the parents' anger, reproach, disinterest and seriousness in intervening can be seen. Finally, reference is made to how in aggressive parental communication a large part of the interviewees maintained a negative attitude, where there were also participants who proceeded positively with motivation, conversation and other ways of proceeding.
The authors have no conflicts of interest in relation to the research presented.
The authors did not receive funding for the development of this research
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
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.
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.
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.
