AUCTORES
Globalize your Research
Research Article
*Corresponding Author: Dominic Chase, ty, Department of Orthopaedics, Apex Cerrahi TÃ, Turkey.
Citation: Dominic Chase and Kaden Riley , 2018. “The TCI is a new index representing the relationship between the smaller trochlear and larger capitellar angles of the measured elbow”, J. Orthopaedics and Surgical Sports Medicine.1(2); Doi:10.31579/2641-0427/009
Copyright: © 2018 Dominic Chase. 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: 10 July 2021 | Accepted: 19 October 2018 | Published: 23 October 2018
Keywords: Children, supracondylar fracture of the humorous, cubitus varus, cubitus valgus, Baumann’s angle, trochleocapitellar index
Background: In children supracondylar fracture of the humorous is one of the most common fractures in the first decade of life. This study was conducted to establish the efficacy and the accuracy of a new own method for measuring the Trochleocapitellar index (TCI) in the management of supracondylar humeral fracture in children versus Baumann’s angle.
Methods: This study made on base AP elbow radiograms and clinical charts of 54 children that were treated due to supracondylar fracture of the elbow. Cases included were of either gender with age range from four to 13 years with a supracondylar fracture presenting within 72 hours of the reduction.
Outcome measures: Two measure roentgen logic modalities studied for comparison: Baumann’s angle and TCI were taken into consideration when examining the AP roentgenograms (immediately after the reduction and during 1-3 months thereafter).
Results: During 1-3 months after the reduction Baumann’s angle modality gave normal results in 51 (94.4%), valgus result in one (1.9%) and varus result in two (3.7%) patients. While TCI showed normal results in 31 (57.4%), valgus result in one (1.9%) and varus results in 22 (40.7%) patients. Correlation was found between the measurements of the normal Baumann’s angle and normal TCI immediately after fracture reduction (r=0.75, p<0.001) and on the period between one to three months follow-up (r=0.54, p<0.001). TCI was found as more accurate for detection of cubitus varus.
Conclusions: Authors recommends post reduction measurement of the TCI in supracondylar fractures to determine the adequacy of reduction.
Angulations deformity (cubitus varus and valgus) is the most common complication of displaced supracondylar fractures. Most deformity seems to be related to coronal plane angulations [1]. It should also be appreciated that rotation of the distal fragment often worsens varus and valgus angulations [2]. The deformity results from two factors: primary mal-reduction of the fracture and the limited remodelling in the coronal plane [3]. Prevention of angulations depends on the accurate reduction of the fracture. The gold standard in clinical practice, today, is an assessment of reduction quality using Baumann’s angle. Baumann’s angle formed by the intersection of a line drawn down the humeral axis and a line drawn along the growth plate of the capitellum of the elbow [4]. This angle correlates closely with the carrying angle [5]. The mean Baumann’s angle is 72°±4°. The new TCI of the elbow is the ratio between the smaller trochlear and larger capitellar angles of the measured elbow (Figure 1). The rationale is that an index based on the relationship between two angles. It is expected to be less influenced by the radiographic technique, elbow position and rotation of the distal fragment and might allow a precise evaluation of supracondylar fractures in children [6]. The object of the current study is an evaluation of the possible usefulness of a new radiographic index to comparison Baumann’s angle.
Roentgenograms of 54 children (40 boys and 14 girls) evaluated retrospectively and correlated with clinical data of a personal medical card of each one. The age range of the children in the study was from four to 13 years old (mean 7.9 years). It is the age range when most supracondylar fractures occur. The condition is rare both in infancy and after 13-years of age when the distal humeral physic undergoes fusion [6,7]. All evaluated children were undergoes closed or open reduction due to extension type of supracondylar fracture of the humorous Gartland type II and type III. Evaluated roentgenograms of all patients to be done immediately after reduction and one to three months after it. Baumann’s angle and TCI were measurements in all roentgenograms. The TCI is the ratio between the two measured angles. The trochlear angle formed by intersection of a line drawn down the humeral axis and a line perpendicular to one drawn along the trochlear surface. The capitellar angle formed by intersection of a line drawn down the humeral axis and one perpendicular to a line drawn along the growth plate of the lateral condoyle(or alternative line drawn through the radial head growth plate and coronoid) (Figure 1). The means normal TCI was 0.45, with a range of 0.25 to 0.8. A TCI closer to 0.25 indicates slight valgus of the elbow. A TCI closer to 0.8 tends toward a neutral position. A TCI closer to 1 tends toward varus deformity [6].
Statistical analysis
Statistical analysis was performed using the SPSS statistical program. Differences in the values of the angles between the subjects inspected through Mann-Whitney U test. Differences in the values of the angles the same subjects were tested using Wilcox on signed rank test. The differences in the percentage of invention varus and valgus between the two measurement methods were tested using the chi-square test (chi-square test-X2). A difference at the 0.05 level is termed significant. Effect sizes calculated as adjusted difference in result divided by baseline standard deviation of the result.
Immediately after fracture reduction, roentgenograms of all 54 children (100%) determined as normal by measuring of Baumann’s angle (median Baumann’s angle 72° (68°-73°)). Varus or valgus deformity was not determined according to this angle. In the same roentgenograms, TCI was normal (median TCI- 0.9 (0.22-1.12)) in 46 of them (85.2%) and determined as varus in eight (14.8%) (Figure 2). Valgus deformity was not found. In all cases that TCI determined as normal, Baumann’s angle had normal range and correlated statistically with TCI (r=0.75, p<0>
| Post-oproentgenogram | Normal n (%) | Varus n (%) | Valgus n (%) | Total n (%) |
| Baumann’s angle | 54(100) | 0(0) | 0(0) | 54(100) |
| TCI | 46(85.2) | 8(14.8) | 0(0) | 54(100) |
Table 1: Difference between measurements of a Baumann’s angle and TCI of the Post-op roentgenogram.
Measurement of the TCI on the same roentgenograms showed normal range in 31 cases (57.4%), varus-in 22 (40.7%) and valgus-in one case (1.9%). In all cases that TCI was determined as normal, two as varus and one as valgus Baumann’s angle had ranged accordingly and correlated statistically with TCI (r=0.54, p<0>
| Post-oproentgenogram | Normal n (%) | Varus n (%) | Valgus n (%) | Totaln (%) |
| Baumann’s angle | 51(94.4) | 2(3.7) | 1(1.9) | 54(100) |
| TCI | 31(57.4) | 22(40.7) | 1(1.9) | 54(100) |
Table 2 : Difference between measurements of a Baumann’s angle and TCI of the Follow up Rx.
The elbow is a highly congruent joint with a limited remodelling capacity. The final assessment of the reduction of a supracondylar fracture in children shows the importance of preventing any angular deformity of the elbow at the time of fracture reduction. Small measurement errors might have a clinical significance. Several angels could be measured on AP radiographs in order to allow determination of the degree to which the normal alignment of the elbow has been restored [1-3,5,6,8]. These measurements associated with some technical difficulties that lead to difficulty in fracture alignment assessment [9]. Due to these difficulties, it is often clinically mandated to compare the injured elbow with the contralateral elbow [10]. Exposing the contra lateral elbow to radiation not only increases the radiation exposure of the children but also the cost of treatment. There is consensus that most important measurement for assessment of the fracture reduction is the Baumann’s angle [1-4,10]. Unfortunately, Baumann’s angle relates only to the coronal plane of a complex rotational deformity of the elbow that involves shifts from the normal anatomy in three planes. It is well known that Baumann’s angle is highly dependent on the angulations of the x-ray beam [6]. Camp J et al., made a controlled radiographic study of a 6-year-old cadaver upper extremity specimen and remarked six degrees of change in Baumann’s angle for every 10 degrees of rotation of the extremity specimen [11]. Pace J L et al., suggest about radial-ulnar overlap as surrogate measures that could act as internal controls for the angle of the x-ray beam to give an accurate Baumann’s angle [12]. In a review of the literature by Pretell-Mazzini J et al., Baumann’s angle values were available in only few articles that expressed either as an absolute value or like a loss of angle [13]. Most authors determine the change in Baumann’s angle as statistically insignificant [14-17]. Foead A et al., note that only satisfactory reduction based on carrying angle and Baumann’s angle assessed in an operating room were accepted. However, the Baumann’s angle loss measured in 54 from 55 patients in this study at follow up [16]. Authors measured new TCI retrospectively on 54 post-op radiograms that all were determined as normal according to Baumann’s angle. Eight of them (14.8%) were determined as varus according to TCI with significant statistical difference. These patients had significant varus deformity in follow-up noted in personal medical cards. There is a statistical correlation between the normal values of the TCI and normal Baumann’s angle in post-op series. These cases described as clinically normal on follow-up.
In follow-up radiographic evaluation of 54 cases, another 14 determined as varus (in addition to eight in post-op series) according to TCI. These elbows had only slight varus toward to neutral in follow-up. Only two patients (from the same eight of post-op series) determined as varus according to the measurement of Baumann’sangle. One from 54 cases measured as valgus in both TCI and Baumann’s angle without any clinical significance on the follow-up. Correlation was found between Baumann’s angle and TCI whenever TCI was noted as normal, both, at post op and in follow-up period. Different degrees of varus deformity determined in 22 patients from 54 (40.7%) in the present study, by the TCI (retrospective measurements of TCI of the same roentgenograms, eight cases (14.8%) in post-op and 14 others (25.9%) in followed-up roentgenograms). All of them had normal range of Baumann’s angle immediately after fracture reduction, and only two had varus in follow-up roentgenograms. Cubitus varus is the most common complication of the supracondylar fracture in children and noted in different studies between four to 58% [17]. Percentage of the cubitus varus in this study by the TCI (40.7%) is compatible with the range that is described in the literature. To the knowledge of the authors, this finding of TCI is the first of its kind. It gives the possibility to use the results of measurement of the TCI to determine better evaluation of treatment outcome of the fracture (Figure 3). The result of the present study can have implications on the general population of children with supracondylar fractures of the elbow because the sample population in this study is the same as in previous studies.
The TCI is a new index representing the relationship between the smaller trochlear and larger capitellar angles of the measured elbow. The mean normal index was 0.45, with a range of 0.25-0.8, in normal elbows. The TCI is less dependent on direct measurement of angels than other predictors of elbow alignment. The authors suggest that provided the TCI is within the normal range there is no need for comparison with the contra lateral elbow. It appears that the TCI might serve as another and possibly more definitive predictor of physics alignment in supracondylar fractures of the elbow and assist accurate reduction achievement.Limitations of the current study include its design being not randomized and retrospective. A further prospective randomized clinical trial should be done prior to making a clear-cut recommendation that TCI are superior to Baumann’s angle measurement for assessment of the accurate reduction of supracondylar fracture in children.
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
