AUCTORES
Globalize your Research
Research Article
*Corresponding Author: Adrian González Méndez, Graduate in Health Technology, Physical Therapy and Rehabilitation profile. Assistant Professor. Associate Researcher. University of Medical Sciences of Sancti Spíritus, Cuba.
Citation: Águila Nephew JF, Guerra Pérez, Deibis B. Machado, Adrian G. Méndez, (2024), Educational Software for The Development of Knowledge About Electrocardiogram in Cuban Doctors, J.General Medicine and Clinical Practice, 7(8); DOI:10.31579/2639-4162/185
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: 13 May 2024 | Accepted: 05 June 2024 | Published: 14 June 2024
Keywords: educational software; knowledge development; electrocardiogram
Introduction: According to the World Health Organization, Traditional and Complementary Medicine is an important part of prevention and health care; its practice occurs in almost all countries in the world. Objective: Design a software for the development of acupressure for the collaborators of the Cuban Medical Mission in Venezuela.
Methods: An innovative development study was carried out in the sister Republic of Venezuela, in the period from March 10 to May 15, 2023. The study sample was made up of 30 Cuban doctors specializing in Comprehensive General Medicine who worked in different states within Venezuela that gave their consent to participate in the study.
Results: The specialist group was made up of 12 (5 MTN specialist doctors and 7 computer science graduates), who agreed with the software design for its implementation in all the analyzed parameters. In the knowledge related to the generalities of acupressure before the intervention, 6.66% knew that it was the same, a result that changed after the intervention reaching 76.66%.
Conclusions: The educational software fulfilled the use for which it was created as an educational tool, with principles of didactics, becoming more motivating when incorporating knowledge about the topics of acupressure to doctors in service.
According to the World Health Organization (WHO), Traditional and Complementary Medicine (TCM) is an important part of prevention and health care, its practice occurs in almost all countries in the world. These medicines developed with quality, safety and effectiveness, contribute to ensuring people's access to health care. (1) Therefore, the document WHO TCM Strategies (2002-2005 and 2014-2023), recommends that governments support training activities for health personnel in TCM in a comprehensive manner, which includes the training of TCM skills in response to social needs and in coordination with conventional medicine. (1) While traditional Chinese medicine (TCM) is widely practiced in Asian populations such as China, Hong Kong, Taiwan and Singapore; In recent decades, many non-Asian countries have also recognized the enormous therapeutic potential of traditional therapies and intensively take advantage of the benefits of these medical practices. In the last three decades, various Western countries such as Germany, the USA, Australia, among others, began the application of various traditional Eastern medicine therapies in public and private health services. (2) In recent years, new policies have been projected aimed at "making Information and Communications Technologies (ICT) become a strategic development sector for the nation, strengthening an economy based on knowledge, which is expressed in significant contributions to exports and the national economy, facilitating broad access to digital content and services by citizens (3).
Currently, the computer networks in the different medical schools have been expanded and have network nodes that guarantee communication and access to medical information through links dedicated to the Infomed Health Telematics Network. They also provide their users with multipop email services, FTP for downloading teaching and computer materials, and Internet browsing. Each of the faculties has its own institutional website, where they publish the information necessary for the development of their teaching-research and extension activity. (3) As a guarantee for the future, the Medical Teaching Program in Venezuela is strengthened, 19 years after its launch, with the collaboration of Cuban specialists, who have planted in this sister land a pool of health professionals, essential to safeguard attention to the people. At the close of this year 2023, and just when we have just celebrated Educator's Day in Cuba, the Medical Teaching Program in Venezuela shows commendable results, another mark of the island's consecrated teachers who leave their mark in the classrooms of the Bolivarian nation. (4) In order to continue contributing to the development of knowledge in this sister nation, our objective is to design software for the development of acupressure for the collaborators of the Cuban Medical Mission in Venezuela.
An innovative development study was carried out in the sister Republic of Venezuela, in the period from March 10 to May 15, 2023. Structured by three stages, where in the first stage bibliographic searches were carried out in indexed databases (PubMed, CUMED, Google Scholar and SCIELO), to learn about didactic means of teaching and learning capable of providing knowledge to doctors providing services on acupressure. In the second stage, the acupressure teaching methods were determined and a diagnosis was developed to know the real state of knowledge in the study subjects. And in the third stage, educational software was designed through a computer platform that fulfilled didactic elements that make the knowledge to be imparted more accessible, it was validated by an expert group and the results obtained with the application of the proposal were evaluated. The study sample was made up of 30 Cuban doctors specializing in Comprehensive General Medicine who worked in different states within Venezuela who gave their consent to participate in the study. Through computer collaborators in different states where they worked, a knowledge diagnostic pre-test was applied, the software was designed and validated by a group of specialists, then the software was delivered to the study subjects for their educational interaction and explained how to work with it, in case of difficulty computer advice was offered. Finally, a post-test was applied to compile the knowledge acquired after working with the proposed software. The software consists of a presentation, a content menu that reflects different topics related to acupuncture, these topics are related to images and figures for a better understanding of the contents (Figure 1)
Figure 1. Images of the educational software for acupressure
This educational intervention was approved by the Directorate of the Cuban Medical Brigade in Venezuelan territory by the training personnel and the Science and Technology personnel.
The specialist group was made up of 12 members (5 doctors specializing in MTN and 7 graduates in computer science), in the indicator’s scientific validity of the topics, relevance, usefulness for learning, applicability and functionality everyone agreed (100%) (Table 1).
| Software Features | OK | Not agree | ||
| No. | % | No. | % | |
| Form of content presentation | 10 | 83.33 | 2 | 16.66 |
| Scientific validity of the topics addressed | 12 | 100 | 0 | 0 |
| Language | eleven | 91.66 | 1 | 8.33 |
| Environmental design | 9 | 75 | 3 | 25 |
| Relevance | 12 | 100 | 0 | 0 |
| Representation of a teaching model | 10 | 83.33 | 2 | 16.66 |
| Utility for learning | 12 | 100 | 0 | 0 |
| Applicability | 12 | 100 | 0 | 0 |
| Content | eleven | 91.66 | 1 | 8.33 |
| Ease | 10 | 83.33 | 2 | 16.66 |
| Functionality | 12 | 100 | 0 | 0 |
| Originality | eleven | 91.66 | 1 | 8.33 |
| User interface | 10 | 83.33 | 2 | 16.66 |
Source: survey of specialists
Table 1. Assessment by specialist criteria
Within the characteristics of the doctors, the age group between 25 and 30 years (56.66%) and the male sex (73.33%) prevailed. 30% worked in the state of Carabobo and 23.33% in the state of Aragua (Table 2).
Source: survey of doctors
Table 2. Distribution of doctors in the study according to age, sex and state where they work in Venezuela
In the knowledge related to the generalities of acupressure before the intervention, 6.66% knew that it was the same, a result that changed after the intervention reaching 76.66% (Table 3).
| Level of knowledge about general acupressure | Before the software | After software | ||
| No. | % | No. | % | |
| Appropriate | 2 | 6.66 | 23 | 76.66 |
| Inappropriate | 28 | 93.33 | 7 | 23.33 |
| Total | 30 | 100 | 30 | 100 |
Source: survey of doctors
Table 3. Doctors according to their knowledge of general acupressure (before and after the intervention with the software)
When analyzing the knowledge that the doctors had about the 18 healing points before the intervention with the software, only 3.33% responded adequately, this indicator after the intervention was improved since 100% identified these healing points (Table 4).
| Level of knowledge about the 18 healing points | Before software | After software | ||
| No. | % | No. | % | |
| Appropriate | 1 | 3.33 | 30 | 100 |
| Inappropriate | 29 | 96.66 | 0 | 0 |
| Total | 30 | 100 | 30 | 100 |
Source: survey of doctors
Table 4. Doctors according to their knowledge of the investigative ability to explain (before and after the intervention with the software)
It is shown in the knowledge about the use of acupressure points before the intervention with the software, where 10% responded to the appropriate indicator, and after the intervention 86.66% of the doctors responded favorably. In relation to the emergency points in the appropriate indicator,
the doctors were completely unknown and once the intervention was finished in this same indicator, the doctors responded adequate in 83.33%. In the indicator on knowledge of the location of points before the intervention with the software, 13.33% responded adequately, after the intervention in this same indicator the level of knowledge improved to 76.66% (Table 5).
| Level of knowledge about the use of acupressure points | Before software | After software | ||
| No. | % | No. | % | |
| Appropriate | 3 | 10 | 26 | 86.66 |
| Inappropriate | 27 | 90 | 4 | 13.33 |
| Total | 30 | 100 | 30 | 100 |
| Level of knowledge about emergency points | Before software | After software | ||
| No. | % | No. | % | |
| Appropriate | 0 | 0 | 25 | 83.33 |
| Inappropriate | 30 | 100 | 5 | 16.66 |
| Total | 30 | 100 | 30 | 100 |
| Level of knowledge about point location | Before software | After software | ||
| No. | % | No. | % | |
| Appropriate | 4 | 13.33 | 23 | 76.66 |
| Inappropriate | 26 | 86.66 | 7 | 23.33 |
| Total | 30 | 100 | 30 | 100 |
Source: survey of doctors
Table 5. Doctors according to knowledge about the use of acupressure points, emergency points and point location (before and after the intervention with the software)
Today the teaching aids have ceased to be the classic "auxiliaries" of the teacher and have become components of the teaching-learning system; It is not simply a semantic change, but a complex renewal of functions and concepts.[5].
In our work, the specialist group was made up of 12 (5 doctors specializing in MTN and 7 graduates in computer science), which agreed with the design of the software for its implementation in all the analyzed parameters. The age group between 25 and 30 years old and the male sex prevailed. Most of the doctors in the study worked in the state of Carabobo, Venezuela. The knowledge that was had before the intervention with the educational software was below the level of knowledge that must be had to use acupressure as an alternative therapy, after the intervention the levels of knowledge were developed allowing a practical approach in the place of work as a healing alternative.
Other studies make positive reference to the use of educational software for development in Traditional Natural Medicine, such as those by Suárez et al., (6) evaluated the usefulness of the Fitosoft multimedia for knowledge about Natural and Traditional Medicine to 60 third-year medical students at the Faculty of Medical Sciences of Bayamo. Before applying multimedia, 70% of the students reflected a low level of knowledge. After using the computer product, 90
The educational software fulfilled the use for which it was created as an educational tool, with principles of didactics, becoming more motivating when incorporating knowledge about the topics of acupressure to doctors in service.
The autors declare that does not exist an interest conflict.
Financing
The authors have not received any financial support for the completion of this work.
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
