AUCTORES
Globalize your Research
Research Article
*Corresponding Author: Elzeblawy Hassan, Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt.
Citation: Mohamed Saleh ASE., Mona M. Mohamed., Amal A Mohamed., Hanan Elzeblawy Hassan. (2023), Viral Hepatitis B&C In Elderly Hemodialysis Unit: Nurses' Related Knowledge, Psychology and Mental Health Care, 7(6): DOI:10.31579/2637-8892/229
Copyright: © 2023, Hanan Elzeblawy Hassan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 28 August 2023 | Accepted: 11 September 2023 | Published: 18 September 2023
Keywords: viral hepatitis b&c; elderly; hemodialysis nurses' knowledge
Background: Worldwide, 480-520 million people is living with viral hepatitis. Globally, an estimated 78% of primary liver cancer and 57% of liver cirrhosis cases are caused by viral hepatitis, and 1 million deaths from viral hepatitis occur each year. Chronic hepatitis B and C are among the leading causes of infectious-disease death worldwide. Egypt’s MOHP is committed to ensuring that new cases of viral hepatitis are prevented and that persons who are already infected are tested; informed about their infection; and provided with counseling, care, and treatment. Aim: The aim of this study was to assess nurses' knowledge regarding preventive measures for viral hepatitis B & C in hemodialysis dialysis unit.
Design: A descriptive exploratory design was utilized in the current study. Setting: The study was carried out in two hemodialysis units at Beni-Suef University Hospital and Elwasta General Hospital in Beni-Suef Governorate. Subjects: A convenient sample of 76 hemodialysis nurses, of whom 22 were men and 54 women, and who provided direct patient care, consented to take part in the study. Results: The mean of age is 23.45±2.71 years, 52.6% of the dialysis nurses have technical institute, and 48.7% of the dialysis nurses have 2-5 years of experience in nursing field. For dialysis nurses' knowledge about elderly, viral hepatitis B & C, infection control for elderly patients in dialysis unit; 50.0% & 51.3% of them have fair level of knowledge about elderly and viral hepatitis, respectively. Moreover, 52.6% & 55.3% have fair level of knowledge about general knowledge about general and specific preventive measures of infection control in dialysis unit, respectively. Furthermore, 52.6% of the dialysis nurses have fair level of knowledge about infection control standards for dialysis patients. Also 85.5% of the dialysis nurses have good level of knowledge about practices toward viral hepatitis B&C in dialysis unit.
Conclusion: There is statistically significant relation between dialysis nurses' knowledge and their education level, training program for new dialysis nurses, training program for improving nursing skills and participate in educational lectures before, age, years of experience in nursing field, years of experience in dialysis unit, the opportunity to view the courses and medical journals and participate in scientific conferences for dialysis and kidney disease during the last 5 years.
Recommendations: Conducting standards educational program that emphasize on improving knowledge level regarding prevention of viral hepatitis transmission in HDUs in order to raise awareness and correct misconceptions.
Although high-income countries have the highest costs for dialysis and kidney transplantation, fewer than one (29%) in three high-income countries consider chronic kidney disease a priority compared with almost two (59%) in three low-in-come countries [1]. Acute kidney injury (AKI) is a syndrome characterized by a rapid (hours to days) deterioration of kidney function. It is often diagnosed in the context of other acute illnesses and is particularly common in critically ill patients. The clinical cones less obvious effects, including reduced immunity and dysfunction of non-renal organs (organ crosstalk) chronic kidney disease (CKD) is a global health burden with a high economic cost to health systems and is an independent risk factor for cardiovascular disease (CVD). All stages of CKD are associated with increased risks of cardiovascular morbidity, premature mortality, and/or decreased quality of life [2]. Worldwide, about 1 in every 12 persons (480-520 million people) is living with viral hepatitis. Globally, an estimated 78% of primary liver cancer and 57% of liver cirrhosis cases are caused by viral hepatitis, and 1 million deaths from viral hepatitis occur each year. Chronic hepatitis B and C are among the leading causes of infectious-disease death worldwide. The proportion of persons living with viral hepatitis is greatest in Asia, Sub-Saharan Africa, and Egypt; however, prevalence of HCV infection is high among subpopulations (e.g., people who inject drugs [PWIDs] and persons living in correctional settings) in almost all parts of the world [3]. Egypt’s MOHP is committed to ensuring that new cases of viral hepatitis are prevented and that persons who are already infected are tested; informed about their infection; and provided with counseling, care, and treatment. The Plan of Acton will help the MOHP improve its current efforts to prevent viral hepatitis and related disease by 1) identifying steps that can be taken to reach specific goals; 2) leveraging opportunities to improve coordination of viral hepatitis activates across MOHP sectors; 3) setting priorities for MOHP to develop public-health and primary care infrastructure needed for viral hepatitis prevention across all sectors; and 4) providing a framework for MOHP to engage other governmental agencies and nongovernmental organizations (NGOs) in viral hepatitis prevention and care [4].
The aim of this study was to assess nurses' knowledge regarding preventive measures for viral hepatitis B & C in hemodialysis dialysis unit
2.1. Research Questions
What about hemodialysis nursing staffs' knowledge regarding preventive measures for viral hepatitis B & C in hemodialysis dialysis unit?
3.1 Subjects & Setting:
In the Beni-Suef governorate, the study was carried out in two hemodialysis units at Elwasta General Hospital and Beni-Suef University Hospital. Ground level of Beni-Suef University Hospital housed the first unit. The nurse-to-patient ratio is between 1:3 and 1:4. The second unit was in the general hospital in Elwasta with a nurse-to-patient ratio of 1:3 or 1:4. The goal of the investigation was achieved through a descriptive exploratory study. All 76 hemodialysis nurses, of whom 22 were men and 54 women, and who provided direct patient care, consented to take part in the study. An easy sample was chosen.
3.2. Tools of Data Collection:
After reading national and international related literature reviews that related to the study issue, the researcher prepared an interview questionnaire that was created to gather information for the study.
Part I: Questionnaire about background traits: This section was created by the researcher to gather information about the background information of nurses, including their experience in dialysis units, participation in training programmes to advance their nursing skills, access to courses and medical journals, and participation in conferences for dialysis and kidney disease over the previous five years.
Part II: Nurses' knowledge: regarding elderly patients, viral hepatitis B and C in dialysis units that introduced to Nurses' understanding about viral hepatitis transmission.
The survey had 54 questions and a total of 108 grades; a complete accurate response received a two-point score, an incomplete correct response received a one-point rating, and a wrong answer or don't know received a zero-point rating. These results were added up to create a % score. It was divided into three groups: Good knowledge if score ≥ 75%, Fair knowledge if score 50-< 75%, and Poor knowledge if score from <50>
3.2.1. Validity and reliability of tool
This phase began with the preliminary phase, which focused on a review of recent and older, national and worldwide related material regarding the study's subjects using textbooks, articles, journals, and websites. With the use of this review, the investigator was able to evaluate and create data collection tools. The investigator then used his or her experience to evaluate the tools' accuracy, relevance, and correctness. The Self-administered Questionnaire was given to the nurses who volunteered to take part in the study in order to gather information about their understanding of the prevention of viral hepatitis transmission in HD units. Each nurse had to wait for a few minutes while the researcher clarified any complicated questions throughout all working shifts. A pilot study was conducted on 10% of the entire study sample (8 nurses) in order to check the tools' applicability, effectiveness, and clarity as well as the fieldwork's viability and to look for any potential challenges that the researcher might encounter. To include the pilot sample among the study subjects, modifications were made. The primary study sample was made up of the pilot sample.
The study's data collection process takes five months. The study's data collection process began at the beginning of January 2022 and was finished by the end of May 2022. The researcher visited the HD unit at Elwasta General Hospital and Beni-Suef University Hospital. Nurses work three days a week from 9 am to 12 pm; one day per hospital.
The researcher initially clarified the study's objectives with the nurses and assured them that any information gathered would be treated in confidence and would only be utilised for research purposes. The researcher interviewed nurses working in the HD unit at Elwasta General Hospital, part of Beni-Suef University Hospital.
3.4. Ethical Considerations:
The Beni-Suef University Faculty of Nursing's scientific research ethical committee gave its clearance before the study was carried out. To explain the purpose of the study and obtain their agreement, the researcher visited with the director of Elwasta General Hospital, which is affiliated with Beni-Suef University. The researcher also visited with nurses to discuss the goals of the study and get their consent to take part. They received assurances on the confidentiality and anonymity of the data obtained, which was exclusively utilised for scientific study. The nurses' freedom to leave the study at any moment was guaranteed.
A main permit was approved for ethical concerns by the hospital management as well as the research ethics committee at the faculty of nursing. Each eligible individual was told of the purpose and significance of the study at the initial interview as well. The researcher made particular to explain that participation in the study was completely voluntary and that the data were coded to ensure anonymity and confidentiality. Each participant in the study who gave their written consent was gathered.
3.5. Administrative design:
The dean of the nursing faculty at Beni-Suef University wrote an official letter to the hospital serving the university, Elwasta General Hospital, requesting their permission to perform the study. To obtain their consent and assistance with data collection, this letter included the purpose of the study as well as copies of the data collection instruments.
3.6. Statistical design:
The Statistical Package for Social Science (SPSS) version 25 computer programme and Microsoft Excel were used to conduct the statistical analysis of the data. For categorical data, frequencies and percentages were used, while for quantitative data, the arithmetic mean (X) and standard deviation (SD) were used. Data were presented using descriptive statistics. In order to compare qualitative variables, the chi square test (X2) 2, P-value, Pearson correlation test (R-test), and correlation between the study variables were all used. The following levels of findings significance were taken into consideration. Degrees of significance of results were considered as follows: P-value > 0.05 Not significant (NS), P-value ≤ 0.05 Significant (S), and - P-value ≤ 0.01 Highly Significant (HS).
Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are important causes of morbidity and mortality of hemodialysis (HD) patients. HBV and HCV prevalence in our HD patients is still high. These data emphasize the need for stricter adherence to infection control, barrier precaution and preventive behaviors with all patients. In patients on maintenance HD, the risk of hepatitis is still a serious problem despite the availability of serological tests and vaccines for hepatitis B virus infection and universal precaution standards and infection control measures. Available data suggest that HCV has become the most common cause of acute hepatitis in dialysis patients and dialysis staff members, following the implementation of infection control measures for HBV [5]. Regarding total level of knowledge related to viral hepatitis B&C for elderly patient in dialysis unit, the current study finding revealed that a large percent of the dialysis nurses have good level of total knowledge about practices and attitude to limit the spread of viral hepatitis B&C in dialysis unit. Also, about half of them have fair level of total knowledge about elderly and viral hepatitis, respectively. Moreover, more than half of them have fair level of total knowledge about general knowledge about preventive measures of infection control in dialysis unit and infection control inside dialysis unit, respectively. Furthermore, half of the dialysis nurses have fair level of total knowledge about viral hepatitis B & C for elderly patients in the dialysis units.
In the same line, a study done by bboud, & Wanner (2021) entitled “Health care workers and prevention of hepatitis B& C virus transmission” explored knowledge, attitudes and evidence-based practices in hemodialysis units in Italy [6]. All 37 HDUs of Calabria were included in the study and all nurses were invited to participate in the study. Results showed that the degree of knowledge was totally satisfactory. Another study consistent with the study findings was done by Gesualdo, et al., (2021), which assessed knowledge of viral infection among nursing staff of the Medical College of Bitola, Macedonia, southeastern Europe. Results showed that they have a sufficient knowledge about HBV& HCV to face future challenges. The investigator noticed that the last studies showed better results than that of the current study findings, and this may be due to regular attendance to theoretical and practical classes. It is worth mentioning that findings of the current study revealed that (74.5 %) received inservice training programs, while (68.29 %) received that program within the last 6 months [7]. Comply with hand hygiene requirements. Scrub the access port or hub with friction immediately prior to each use with an appropriate antiseptic Use only sterile devices to access catheters. Immediately replace dressings that are wet, soiled, or dislodged. Perform routine dressing changes using aseptic technique with clean or sterile gloves. Change gauze dressings at least every two days or semipermeable dressings at least every seven days. For patients 18 years of age or older use a chlorhexidine impregnated dressing with cleared label that specifies a clinical indication for reducing for short-term non-tunneled catheters infection unless the facility is demonstrating success at preventing infection with baseline prevention practices. Change administrations sets for continuous infusions no more frequently than every 4 days, but at least every 7 days. Promptly remove unnecessary central lines. Perform daily audits to assess whether each central line is still needed [8-9]. The finding of the present study showed that there was highly significant statistical relation between nurses' knowledge and educational level, training program for new dialysis nurses, training program for improving nursing skills and participate in educational lectures before at (P= < 0 xss=removed xss=removed> 0.05). This finding is supported by a study done by (Cekin,Y. &Ozdemir,2021) that revealed no significant difference between the hospital units in terms of the attitudes of health care workers (HCWs) toward HBV/HCV infections and their level of education. On the contrary, Joukar et al., (2020) concluded that there was a significant relation between knowledge score and age, gender, occupational history, and educational history [10].
There is statistically significant relation between dialysis nurses' knowledge and their education level, training program for new dialysis nurses, training program for improving nursing skills and participate in educational lectures before, age, years of experience in nursing field, years of experience in dialysis unit, the opportunity to view the courses and medical journals and participate in scientific conferences for dialysis and kidney disease during the last 5 years.
Conducting standards educational program that emphasize on improving knowledge level regarding prevention of viral hepatitis transmission in HDUs in order to raise awareness and correct misconceptions.
Figure (1): Presents frequency distribution of the dialysis nurses according to their socio-demographic characteristics. It shows that, (51.3%) of the dialysis nurses their age ranged between 20-<25>
Table (1) & Figure (2): present dialysis nurses' knowledge about elderly, viral hepatitis B & C, infection control for elderly patients in dialysis unit. They illustrate that 50.0% & 51.3% of them have fair level of knowledge about elderly and viral hepatitis, respectively. Moreover, 52.6% & 55.3% of them have fair level of knowledge about general knowledge about general and specific preventive measures of infection control in dialysis unit and infection control inside dialysis unit, respectively. Furthermore, 52.6% of the dialysis nurses have fair level of knowledge about infection control standards for dialysis patients. Also 85.5% of the dialysis nurses have good level of knowledge about practices toward viral hepatitis B&C in dialysis unit.
Table (2): presents relationship between socio-demographic characteristics of the dialysis nurses and their knowledge about viral hepatitis B & C for elderly patients in the dialysis units. It shows that, there is highly statistically significant relation between dialysis nurses' knowledge and their education level, training program for new dialysis nurses, training program for improving nursing skills and participate in educational lectures before at (P= < 0 xss=removed xss=removed> 0.05).
Figure (1): Frequency distribution of the dialysis nurses according to their socio-demographic characteristics (n=76)
Table (1): Frequency distribution of the dialysis nurses according to their knowledge about viral hepatitis B & C for elderly patients in the dialysis units (n=76).
| Items | Good | Fair | Poor | |||
| No. | % | No. | % | No. | % | |
| Knowledge about elderly | 24 | 31.6 | 38 | 50.0 | 14 | 18.4 |
| Knowledge about viral hepatitis | 24 | 31.6 | 39 | 51.3 | 13 | 17.1 |
| Knowledge about general precautions for infection control in dialysis unit | 28 | 36.9 | 40 | 52.6 | 8 | 10.5 |
| Knowledge about specific precautions for infection control in dialysis unit | 21 | 27.6 | 42 | 55.3 | 13 | 17.1 |
| Knowledge about practices toward viral hepatitis B&C in dialysis unit | 65 | 85.5 | 8 | 10.5 | 3 | 4.0 |
| Knowledge about infection control standards for dialysis patients | 11 | 14.5 | 40 | 52.6 | 25 | 32.9 |
Figure (2): Frequency distribution of the dialysis nurses according to their knowledge about viral hepatitis B & C for elderly patients in the dialysis units (n=76).
| Socio-demographic characteristics | Levels of total knowledge | X2
| P- Value | ||||||
| Good (n=25) | Fair (n=42) | Poor (n=9) | |||||||
| No. | % | No. | % | No. | % | ||||
Age (years) | 20- | 6 | 24.0 | 29 | 69.0 | 4 | 44.5 | 11.25 | 0.046* |
| 25- | 10 | 40.0 | 6 | 14.3 | 2 | 22.2 | |||
| 30- | 4 | 16.0 | 5 | 11.9 | 3 | 33.3 | |||
| 35 | 5 | 20.0 | 2 | 4.8 | 0 | 0.0 | |||
| Gender | Male | 7 | 28.0 | 10 | 23.8 | 5 | 55.6 | 5.341 | 0.091 |
| Female | 18 | 72.0 | 32 | 76.2 | 4 | 44.4 | |||
| Education level | Diploma | 2 | 8.0 | 11 | 26.2 | 7 | 77.8 | 18.76 | 0.000** |
| Technical | 9 | 36.0 | 29 | 69.0 | 2 | 22.2 | |||
| Bachelor | 14 | 56.0 | 2 | 4.8 | 0 | 0.0 | |||
| Years of experience in nursing field | 2- | 6 | 24.0 | 26 | 61.9 | 5 | 55.6 | 13.50 | 0.032* |
| 5- | 8 | 32.0 | 5 | 11.9 | 2 | 22.2 | |||
| 8- | 6 | 24.0 | 7 | 16.7 | 2 | 22.2 | |||
| 10- | 5 | 20.0 | 4 | 9.5 | 0 | 0.0 | |||
| Years of experience in dialysis unit | 2- | 6 | 24.0 | 33 | 78.6 | 5 | 55.6 | 14.01 | 0.025* |
| 5- | 10 | 40.0 | 4 | 9.5 | 2 | 22.2 | |||
| 8- | 5 | 20.0 | 3 | 7.1 | 2 | 22.2 | |||
| 10- | 4 | 16.0 | 2 | 4.8 | 0 | 0.0 | |||
| Training program for new dialysis nurses | Yes | 25 | 100.0 | 24 | 57.1 | 1 | 11.1 | 18.11 | 0.000** |
| No | 0 | 0.0 | 18 | 42.9 | 8 | 88.9 | |||
| Training program for improving nursing skills | Yes | 25 | 100.0 | 28 | 66.7 | 0 | 0.0 | 18.93 | 0.000** |
| No | 0 | 0.0 | 14 | 33.3 | 9 | 100 | |||
| Opportunity to view the courses and medical journals | Yes | 18 | 72.0 | 0 | 0.0 | 0 | 0.0 | 13.04 | 0.013* |
| No | 7 | 28.0 | 42 | 100 | 9 | 100 | |||
| Participate in educational lectures before | Yes | 18 | 72.0 | 0 | 0.0 | 0 | 0.0 | 16.37 | 0.000** |
| No | 7 | 28.0 | 42 | 100.0 | 9 | 100.0 | |||
| Participate in scientific conferences for dialysis and kidney disease during the last 5 years | Yes | 12 | 48.0 | 0 | 0.0 | 0 | 0.0 | 13.40 | 0.011* |
| No | 13 | 52.0 | 42 | 100 | 9 | 100 | |||
| Know the infection control standards for dialysis patients | Yes | 25 | 100.0 | 42 | 100.0 | 3 | 33.3 | 15.63 | 0.000** |
| No | 0 | 0.0 | 0 | 0.0 | 6 | 66.7 | |||
No significant at p > 0.05. *Significant at p ‹ 0.05. **highly significant at p ‹ 0.01.
Table (2): Relationship between socio-demographic characteristics of the dialysis nurses and their knowledge about viral hepatitis B & C for elderly patients in the dialysis units (n=76).
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
