AUCTORES
Globalize your Research
Research Article
*Corresponding Author: El Bakkay Sellam, Team Food and Nutrition Transition (ETAN), Biological Testing Laboratory, Department of Biology, Faculty of Sciences, University Ibn Tofail, Kenitra, Morocco.
Citation: El Bakkay Sellam, Metabolic syndrome and its relationship with obesity in procreative women in Morocco. 1(1); DOI: 10.31579/2637-8914/005
Copyright: © 2018 El Bakkay Sellam. 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: 27 April 2018 | Accepted: 11 May 2018 | Published: 23 May 2018
Keywords: obesity; metabolic syndrome; women of child procreated; Morocco
Introduction: The objective of this study was to define the prevalence of metabolic syndrome (MS)is procreative women and its relationship with obesity in the eastern region of Morocco. The purpose of our work and to determine the prevalence of MS and its relation to obesity in the eastern region of Morocco
Materials and methods: Our study was conducted in the oriental region of Morocco (Oujda-Angad). The study included 624 women aged 20-49 years healthy and non-pregnant. Anthropometric measurements were determined according to World Hearth Organization (WHO) standards.The medical tests were conducted in a private testing laboratory in Oujda. Data of demographic and socioeconomic level were collected using a questionnaire.The data were processed on SPSS.
Results: The average age of the women surveyed was 33.42 ± 8.02 years. The BMI values indicated that the prevalence of obesity among women surveyed was 30,61% and the prevalence of overweight was 38,78%. The abdominal obesity affects 79,10% of women. The MS affects 21% (according to the definition of NCEP-ATP III) of women surveyed, while according to the definition of the International Diabetes Federation (IDF) prevalence increases to 35%. The MS increases with age, was affects 25% of women aged between 20 and 29 years, and 37,5% of women aged between 40 and 49 years. All women with MS were overweight (obesity included) (p = 0.004). With the exception of level of education all socio-demographic factors were not associated with the MS.
Conclusion: The prevalence of metabolic syndrome in our study was higher. The MS was more pronounced among obese and illiterate women. The results of this study will help in the planning of control of these problems in the future.
In recent years, it has been clearly demonstrated that the metabolic syndrome is common and has an increasing prevalence worldwide, which is largely correlated with increasing obesity and sedentary lifestyles.
Visceral obesity and insulin resistance are an integral part of the mechanism implicated in the genesis and progression of the metabolic syndrome towards cardiovascular complications and type 2 diabetes. So far, the most universally accepted hypothesis for which is the pathogenesis of the metabolic syndrome is the development of insulin resistance [1] due to the overabundance of visceral adipose tissue, (obesity android), several authors suggest from their studies that obesity android precede the appearance of other MS components [2]. The Coronary Artery Risk Development in Young Adults (CARDIA) study, conducted from 1985 to 2001 on a population of men and women aged 18 to 30 years, demonstrated that weight gain and a body mass index high risk factors for the development of a metabolic syndrome [3]. Weight gain of 4.5 kg increases risk of developing metabolic syndrome by 23%.
Studies conducted in recent years in North African countries show that MS is developing rapidly, as a result of globalization, urbanization and the socio-economic development of these countries.
Our study was conducted in the prefecture of Oujda-Angad, the capital of the region of Eastern Morocco, it is located at the northern limit-East of Morocco, This city is located 12 km from the Algerian border and 60 km from the Mediterranean coast. The area covers 1,714 km2or 2.06% of the surface area of the East. The province consists of 11 municipalities.
Urban area of the prefecture of Oujda is considered a commercial and industrial administrative center. The data from this study are from a cross-sectional survey, which took place in the prefecture of Oujda-Angad. The study included 624 women aged 20 to 49 years and healthy non-pregnant, randomly selected. Data on socioeconomic and demographic level were collected using a questionnaire. Several variables were collected to characterize the women surveyed, including age, household size, number of children, occupation, and education level, occupation of head of household and dwelling type.
Anthropometric data:
Anthropometric measurements were measured according to WHO standards [5]. Weight in kg was determined by weighing a person Seca type and size by a graduated height board 1 mm Seca kind. Measuring the weight and size has allowed calculating BMI (weight in kg compared to height squared). Obesity was defined on the basis of body mass index (BMI) > 30 kg/m2 and overweight
for a BMI between 25 and 29.9 kg/m2. Waist and hip circumference were measured using a tape graduated in millimeters, respectively horizontal level of the umbilicus and the horizontal level of the maximum protrusion of the gluteal muscles, and then a waist report hip measurement was calculated. Abdominal obesity was defined a threshold TT > 88 cm or TT/TH > 0.85 [5].
Biological Data:
The blood pressure (BP) was measured using a digital sphygmomanometer in women sitting position, after a rest 20 minutes. Average two spaced steps 20 minutes retained. Hypertension is defined using the World Health Organization thresholds/International Society of Hypertension (WHO/ISH): systolic BP ≥ 140
MmHg and/or diastolic BP ≥ 90 mmHg.
Diabetes and fasting hyperglycemia were determined from glycaemia Fasting using the Organization’s thresholds World Health (WHO) (WHO, 2003): ≥ 1.26 g/L for diabetes, and > 1.1 to 1.25 g/L.
For hyperglycemia fasting (glucose dosage per method oxidase).
Total cholesterol was defined as any value of cholesterol Total (TB), determined by the method the enzyme cholesterol oxidase, exceeding 2 g/L (5.16 mmol/L). There HDL-C fraction was determined by precipitation with phosphotungstic acid and MgCl2. The concentration of LDL-C was calculated using the formula Friedewald. Hypertriglyceridemia was defined any value as triglycerides (assay byan enzymatic method) > 1.5 g/L. Dyslipidemia refers to a total cholesterol
> 2.0 g/L and/or triglyceride levels > 1.5 g/L. The hypoHDLemie is retained as defined IDF: HDL-C < 0>
The metabolic syndrome is determined following the definition of the IDF (rate high triglycerides, low HDL-C, hypertension, fasting hyperglycemia, abdominal obesity).
The study data were entered and analyzed using SPSS Version20 for Windows. The results are expressed as mean standard deviation or percentage. The correlations between BMI, and various sociodemographic variables were assessed by the Spearman test. The chi-square test is used to compare the two percentages. The significance level was set at 0.05.
The study was approved and conducted under the responsibility of the ethics committee of the University of Ibn Tofail (Kenitra) and had permission from the regional legal representing of the Moroccan health ministry (Oujda). Finally, an information text, prepared in Arabic and French, was distributed to eligible women and free and informed consent has been obtained on a form also prepared in Arabic and French.
The study data were entered and analyzed on SPSS software version 20 for Windows. The results are expressed as mean standard deviation, or as a percentage. Correlations are determined by the Spearman test. The Chi-square test is used to compare two percentages, while the comparison averages was made by the test Student t. The level of significance was set at 0.05.
Anthropometric data:
The average age of women was 31.74 ± 7.15 years (Table1). According to table 2 the age of 20 years to 29 years the most represented (38.7%), more than 30% of women are illiterate, most are housewives (96.8%) and majority of women are married (96%).
|
| N | % |
Housing size | 1 à 4 | 268 | 42,95 |
| 5 et plus | 356 | 57,05 |
The household head has a profession | Oui | 557 | 89,26 |
| Non | 67 | 10,74 |
Socio-professional status | Active | 66 | 10,58 |
| inactive | 558 | 89,42 |
Marital status of women | single | 23 | 3,69 |
| married | 591 | 94,71 |
| widower |
| 0,16 |
| divorce | 9 | 1,44 |
Level of education | analphabet | 173 | 27,72 |
| primary | 234 | 37,50 |
| secondarily | 207 | 33,17 |
| sup | 10 | 1,60 |
Number of children | 0 | 25 | 4,01 |
| 1-2 | 378 | 60,58 |
| > 3 | 221 | 35,42 |
Housing type | Traditional | 276 | 43,59 |
| Villa | 14 | 2,24 |
| Apartment | 14 | 2,24 |
| home modern | 320 | 51,28 |
Table 1: Parameters anthropometric indicators of nutritional status of women aged 20 to 49 in the prefecture of Oujda-Angad.
N | Age | Height | Weight | BMI | Waist size | Waist/hip circumference | |
20-29 | 249 | 24,33(3,24) | 1,63(0,07) | 69,55(16,13) | 26,09(6,06) | 95,22(11,15) | 0,89(0,07) |
30-39 | 269 | 33,86(2,99) | 1,60(0,05) | 74,18(13,60) | 28,75(5,73) | 102,08(10,15) | 0,91(0,05) |
40-49 | 106 | 44,19(5,65) | 1,61(0,06) | 78,24(15,97) | 29,24(5,01) | 106,75(11,02) | 0,92(0,04) |
624 | 31,47(7,87) | 1,62(0,06) | 72,87(15,32) | 27,72(5,91) | 100,04(11,47) | 0,9(0,06) |
Table 2: Socio-demographic characteristics of women.
For married women about 51.6% are mothers of children under 2.71% of women living in households with more than 5 persons (Table 2).
The body mass index (BMI) was 27.75 kg/m2 ± 5.90 kg/m2, with a minimum of 16.71 kg/m2 and a maximum of 45.82 kg/m2. The average size is 1.61± 0.06 m with an average weight of 72.87 ± 15.32 kg (Table 1). The BMI values indicate that the prevalence of obesity and overweight among women surveyed are respectively 30.61 and 38%. The results also show that the BMI increases with the number of pregnancy (p < 0>
The level of education is not involved in obesity but we note that the prevalence of obesity decreases with the level of education, 37% of women illiterate obese. We also note that 88% of working women are obese.
Biological data:
Mean values for systolic BP and diastolic are 120.67 ± 17.1 mmHg and 74.2 ± 10.56 mmHg, respectively (Table 1). Prevalence Total of hypertension is 35%. Hypertension was not associated at studies (Table 3),
doyenne | écart type | minimum | maximum | |
Pression systolique (mm Hg) | 120,67 | 17,1 | 76 | 181 |
Pression diastolique (mm Hg) | 74,2 | 10,56 | 48 | 98 |
fréquence cardiaque | 82,71 | 11,7 | 55 | 125 |
Cholestérol totale (g/l) | 1,66 | 0,33 | 1,22 | 2,41 |
Cholestérol HDL (g/l) | 0,48 | 0,11 | 0,3 | 0,85 |
Rapport cholestérol total / HDL | 3,52 | 0,98 | 1,91 | 6,3 |
Cholestérol LDL (g/l) | 0,98 | 0,26 | 0,47 | 1,46 |
Triglycérides (g/l) | 0,93 | 0,56 | 0,32 | 2,5 |
Glycémie à jeun (g/l) | 0,96 | 0,29 | 0,71 | 2,57 |
Table 3: Biological characteristics of women aged 20 to 49 in the prefecture of Oujda-Angad
Because the majority of women surveyed are illiterate or with an educational level primary. Furthermore, we observed that the prevalence of hypertension increases with age (Table 4), and 47% obese women with hypertension (p = 0.01) (Table 3). The risk of arterial hypertension in obese is multiplied by 2 (OR = 2.7 [0.95-7.61]). Hypertension is associated to the abdominal obesity (p =0.02) (Table 4).
HTA | Triglyceride | Cholesterol | Glycemia | MS | |
socio-professional | 0,3 | 0,39 | 0,39 | 0,64 | 0.4 |
Marital status | 0,3 | 0,39 | 0 | 0,64 | 0.4 |
Level of study | 0,1 | 0,15 | 0,064 | 0,15 | 0.01 |
Occupation of the head of the household | 0,9 | 0,03 | 0,64 | 0,27 | 0.42 |
Household size | 0,9 | 0,65 | 0,65 | 0,1 | 0.5 |
Number of children | 0,4 | 0,49 | 0.01 | 0,3 | 0.67 |
age | 0,01 | 0,005 | 0,006 | 0,55 | 0.25 |
BMI | 0,01 | 0,03 | 0,003 | 0,001 | 0.004 |
Waist size | 0,03 | 0,07 | 0,07 | 0,23 | 0.03 |
Table 4: Except for study level, all sociodemographic factors are not associated with MS .
On the other hand there is the strong association between hypertension and cholesterol total triglycerides, HDL-C and LDL-C.
The values of fasting glucose range from 0.96 ± 0.29 g/L, with a prevalence of hyperglycemia 7.2%. Hyperglycemia is associated with age (p = 0.03). Hyperglycemia increases with BMI (OR = 1.5 [1.05-1.57]; p = 0.001) it affects 25% of the obese. However, no association was found between hyperglycemia and sociodemographic factors (p> 0.05). (Table 3).
Hypercholesterolemia increases significantly with age (p =0.01), it affects 37% of women aged 40-49, 18.8% of 30-39 and 8.33% of 20-29 ans. Distribution by BMI shows that high cholesterol increases significantly with obesity, 32% of obese women with hypercholesterolemia (OR = 3.1 [1.092-9.18] (p = 0.02)). Correlations associated with the marital status of women (p = 0.04) (Table 3). The increase in triglycerides is associated with age (p = 0.005) (Table 3), the age group of 40-49 years is the most affected by hypertriglyceridemia (38%), against 19% of 30-39 years (p = 0.003), hypertriglyceridemia is associated with BMI (OR = 2; p = 0.001). No association was found between hypertriglyceridemia and sociodemographic factors (Table 3). The average values of HDL and LDL were respectively 0.48 g/L, 0.11 g/L and 0.98 g/L , 0.26 g/L, the rate of LDL in the sample is normal in all women. However, low HDL levels are associated with obesity, as 15% have lowered levels of HDL (p < 0>
The metabolic syndrome (MS) affects 35% of women surveyed as defined in the IDF (Figure 1). The MS increases with age, it affects 25% of women between 20 and 29, and 37.5% of women aged between 40 and 49.
The high prevalence of MS is due to the incidence of obesity abdominal and hypertriglyceridemia. Obesity/metabolic syndrome risk is multiplied by 3.6 (OR= 3.6 [1.34-9.6]
In recent years, Morocco has undergone a nutritional transition following economic development and urbanization, which is characterized by energy densification and the decline in physical activity. These changes have led to an increase obesity in Morocco and the associated metabolic disorder such as the metabolic syndrome. The purpose of our work and to determine the prevalence of MS and its relation to obesity in the eastern region of Morocco
This study showed that the prevalence of obesity and metabolic syndrome are alarmingly high among women in our sample. The data from this study confirms that the nutritional transition underway in Morocco has exacerbated the heavy burden of metabolic diseases before the decline of undernutrition; We are therefore talking about the double burden of malnutrition, which is observed in Morocco and in our region (6, 7).
We have shown in a previous study that among the factors related to the development of obesity an age, marital status and urbanization (8). According to the literature, the urban environment is characterized on the one hand by an energetic densification of the diet, and on the other hand by the sedentary lifestyle and the decrease in physical activity. This energy imbalance between the calories consumed and spent is a key element for the development of obesity and its attendant diseases.
The prevalence of MS generally increases in both poor and developed countries. Studies have shown a wide variability in the prevalence of metabolic syndrome ranging from about 4% in a rural area of Japan (9) to 63.7% in urban areas in Pakistan (10). This variability is observed in studies carried out in Morocco ranging from 16.3% to 40% (11, 12). Among the reasons for this difference is the heterogeneity of the definition used, the inclusion criteria of the sample and the difference in the prevalence of each component of the MS. For example, the prevalence of hypo HDLemia is 15% in our study but it is 75.8% in Marrakech (12). Genetic factors play an important role in the incidence of HDL deficiency. Existence of specific genes, in addition to nutrition and physical activity, and Smoking may have an effect on the prevalence of low HDL (13-14).
The results of our study showed that the prevalence of metabolic syndrome is very high in our sample and significantly increases with BMI, waist circumference, and level of study. The prevalence of MS is not associated with age. Most studies conducted before have shown that age is an important factor in increasing the prevalence of MS (15.16.17). With age, physical activity and metabolism diminish. The level of education is a risk indicator of MS in our sample. The prevalence of MS is higher among women who are illiterate or at secondary level who are in line with other studies (11).
The major reason for the increased prevalence of MS may be the rise in the prevalence of abdominal obesity observed in our study population. The prevalence of MS increases significantly with BMI, 50% of obese women in our study have MS, and this is consistent with other studies (18)
According to the literature, diet and physical activity are major factors in the genesis of obesity in Morocco and other countries of the world. In a salted flap study almost half of women (47%) have a sedentary or extremely inactive lifestyle (19). According to the HCP, the food mode of Moroccans is moving towards a Western mode (20). Average dietary energy supplies have increased from 2202 Kcal / person / day in 1970 to 3052 in 2007 (21), carbohydrate calories account for 64% of energy inputs while desirable limits are in the range of 45 to 55%, this consumption comes down to the use of sugar in tea, a national drink consumed during the whole day, moreover, the increase in the consumption of lipids, especially lipids of vegetable origin (15% in 1970 to 30% in 2007) (20). The role of dietary factors in the genesis of obesity is important and is supported by the literature (21, 22, 23). Lipids and carbohydrates, as well as foods that contain a lot of them, are particularly indexed. It is admitted that a diet high in fat and simple carbohydrates or free sugars, is associated with a high energy density, which would be associated with the development of obesity and its comorbidity process, (24; 25),
The most universally accepted hypothesis for the pathogenesis of the metabolic syndrome is the development of insulin resistance (24). Due to the overabundance of visceral adipose tissue, there is an excess of circulating free fatty acids that create insulin resistance in sensitive tissues such as liver and muscle. This relationship between visceral adiposity and insulin sensitivity has been demonstrated in humans
Abdominal obesity is considered an essential element in Metabolic Syndrome, and is defined as the only essential component of metabolic syndrome based on the International Diabetes Federation (IDF) diagnostic criteria, (26, 27), obesity, especially abdominal obesity, is probably the leading cause of metabolic syndrome (MS), which includes insulin resistance, type 2 diabetes, hypertension, obstructive sleep apnea syndrome, non-alcoholic fatty liver disease (NAFLD) and dyslipidemia, all risk factors for cardiovascular disease (28).
Many studies (2, 30, and 32) have shown that subjects with Metabolic Syndrome have an increased risk of developing CV atherosclerosis disease. The degree of risk varies, depending on the population studied and the definition used. Using the NCEP ATP III criteria, the increased risk of CV morbidity and mortality ranges from 1.5 to 4.6. For example, in the NHANES III analysis, it was found that metabolic syndrome is associated with a two-fold increased risk of myocardial infarction (MI) and stroke.
Other factors may be nutritional status, including eating behavior and total energy consumption. However, we did not evaluate this factor.
The prevalence of metabolic syndrome and obesity in our population are higher. MS is more pronounced in obese and illiterate women. The results of this study will help planning to control these problems in the future to reduce obesity either through lifestyle modification (physical activity, diet) that may have an impact on MS reduction.
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
