Awareness of Occupational Hazards and Safety and Health Practices Among Wood Artisans in Imo State

Research Article | DOI: https://doi.org/10.31579/2690-8808/253

Awareness of Occupational Hazards and Safety and Health Practices Among Wood Artisans in Imo State

  • Agwah Eunice Ifeyinwa 1*
  • Amadi Agwu Nkwa 2
  • Okereke Chike CA 2
  • Iwuala CC 2
  • Opara AC 2
  • Anyanwu EO 3
  • Ngwu E. E 4

1 Department of Public Health, School of Health Technology, Federal University of Technology, Owerri, Imo State, Nigeria.

2 Department of Dispensing Opticianry, School of Health Technology, Federal Polytechnic Nekede, Owerri, Imo State, Nigeria.

3 Department of Environmental Health Science, School of Health Technology, Federal University of Technology, Owerri, Imo State, Nigeria

4 Department of Physiology, Faculty of Basic Medicine, Imo State University, Owerri, Nigeria.

*Corresponding Author: Agwah Eunice Ifeyinwa, Department of Public Health, School of Health Technology, Federal University of Technology, Owerri, Imo State, Nigeria.

Citation: Agwah E. Ifeyinwa, Amadi A. Nkwa, Okereke Chike CA, Iwuala CC, Opara AC, et al, (2025), Awareness of Occupational Hazards and Safety and Health Practices Among Wood Artisans in Imo State, J, Clinical Case Reports and Studies, 6(4); DOI:10.31579/2690-8808/253

Copyright: ©, 2025, Agwah Eunice Ifeyinwa. 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 March 2025 | Accepted: 04 April 2025 | Published: 10 April 2025

Keywords: wood artisans; occupational hazards; workplace air quality; safety & heath practices; Imo state

Abstract

Wood occupation is a gainful job, and has contributed immensely to socioeconomic development of many developed and developing countries of the world, including Nigeria. However, activities involved in wood processing often expose artisans to various occupational hazards. This study is aimed at assessing awareness of occupational hazards, safety and health practices among wood artisans in Imo State, Nigeria. A descriptive cross-sectional design was adopted for the study. Two hundred and sixteen (216) wood artisans (saw millers, wood carvers and carpenters), who consented and met inclusion criteria participated in the study. Their selection was via multi-stage random sampling technique comprising 30%  of wood artisans from selected local government areas and communities in the three senatorial zones of Imo State. A semi-structured interviewer administered questionnaire and workplace environment air quality tools were employed to collect data from respondents aged 20 years and above, who have lived for not less than two years in Imo State, and had been actively involved in artisanal activities, with all ethical requirements obtained. The study lasted for a period of six months (October 2022 to April 2023). Data obtained was analyzed with SPPS version 23 and presented in tables using descriptive statistics for preliminary analysis while Chi square test, t - test and logistic regression were other analytical methods utilized. The result obtained showed that wood occupation is male dominated (92.6% ), with majority being married (72.2% ), aged between 30-39 years (29.6%  + 29.2% ), and have secondary education (56.9% ). Greater proportion of them have worked for 8years and above (35.6% ), with work schedule of 8 - 10 hours daily (89.8% ) and income of above #4,000 daily (36.6% ). Occupational hazards detected included physical - (wood particles (96.3% ), noise (71.8% ), heat (61.1% ), vibration (43.5% ), fire (40.7% ) and electric fault (34.3% ); chemical - (wood dust (91.7% ), organic fumes (63.9% ), smoke (24.1% ); biological - (insect bite (58.5% ); ergonomic - (manual lifting of heavy objects (60.2% ), awkward posture (63.3% ), repetitive work (54.2% ), fixed posture (53.7% ) and psycho-social - (stress (60.2% ) & fatigue (58.8% ). Other hazard included environment air pollution which was found to be far above the permissible limits - (Pm2.5 (35.5 mg/m3), Pm1.0 (78.33 mg/m3), PM10 (75.00 mg/m3), NO (6.533 ppm), CO (21.0 mg/m3), CO2 (66.17 mg/m3), and SO (15.50 mg/m3).  Awareness towards hazards was quite high (93.8% ), but safety and health practices were quite poor. Only few respondents attended medical checks (35; 16.2% ), had safety training (56; 25.9% ) and use of appropriate personal protective equipment (54: 25.0% ). Their personal hygiene and sanitation practices were also found to be poor (89: 41.2% ). Wood artisans constitute substantial proportion of labour force in Imo State, Nigeria, but they are particularly vulnerable to hazard exposures due to their non-compliance to safety and health practices/habits. Increased sensitization, safety training and education towards occupational hazards and their protection as well as provision of functional occupational safety and health services are therefore recommended for these economically viable group of workers in Imo State.

Introduction

Wood occupation is a gainful job, and has contributed immensely to socioeconomic development of many developed and developing countries of the world, including Nigeria. Great number of craftsmen, workmen and tradesmen are directly employed in wood industries where timbers are processed and converted to wood products, partly or completely with hands. However, activities involved in this occupation often expose artisans to numerous hazards, which affect their health, even years after retirement. 

Occupational hazards often emanate from work materials, substances, processes or conditions of work [1]. They contribute to global disease burden and economic loss of about 4 – 6 % Gross Domestic Product for most countries of the world [2]. But these factors of work can either be minimized or prevented when workers are aware of them and if appropriate safety and health measures are adhered to by workers [3]

Hazards of physical, chemical, psycho-social, ergonomic and organizational factors are common with artisans especially in low and middle-income countries of the world including Nigeria and have greatly affected the well-being of workers. In Nigeria, wood artisans form the substantial proportion of the labour force, but there is little or no occupational services involving regulatory enforcement for occupational health and safety standard for them. Interaction between work hazards and negligence of safety and health practices often increase their vulnerability to occupational morbidity and mortality [4]. Occupational health and safety (OHS) issues have not been accorded the necessary and adequate attention by workers, safety professionals and the government. Although Nigeria signed the 1981 ILO’s Geneva Convention on occupational safety and health (OSH), but it is still struggling with the implementation and enforcement of OSH policies and regulations [6]. Most wood activities have failed to meet decent work criteria as evident in the way artisans in these enterprises earn their livelihood under hazardous environment and outright neglect of safety and health standard. Like other low and middle-income countries of the world, there is lack of occupational safety and health regulation and enforcement in Nigeria [7]. Findings of several studies among wood artisans in Nigeria and other Sub-Saharan African countries, have implicated poor awareness towards hazards and knowledge of interactions between work and health among the causes of negligence towards safety and health practices [8]. Reports showed that majority of artisans never had training on occupational safety, and were either unaware, or become aware of their work–related hazards after experiencing some health issues associated with them [9]. Study among sawmill workers in Nakuru County, Kenya, has it that most (80 %) of the wood respondents had no occupational health and safety training [10] in Nigeria, all pointed towards low compliance towards safety and health standards among artisans. Some of these studies, revealed poor usage of personal protective equipment (PPE) as being instrumental to self - reported health problems among artisans. This has led to increased lost-work days and low productivity among these workers [11]

There is therefore need for functional occupational health and safety services that will involve proper safety training and health education on occupational hazards, appropriate use of personal protective devices in order to promote sustainable development goals 8 and 3 of decent work and economic growth, well-being promotion and good health to all. 

Results

Socio-DemographicsWood Artisans
Freq %
Age  
20 – 293315.3
30 – 396429.6
40 – 494822.2
50 – 596329.2
60 +83.7
Total216100.0
Gender  
Male20092.6
Female167.4
Total216100.0
Marital Status  
Married15672.2
Single4822.2
Others125.6
Total216100.0
Educational Level  
Primary5123.6
Secondary12356.9
Tertiary146.5
Non-formal2813.0
Total216100.0
Daily Income (#)  
< 2>136.0
2,000 - 3,0004420.4
4,000 - 5,0007936.6
Above 5,0008037.0
Total216100.0
Work Duration  
2 - 4 years2712.5
5 - 7 years5123.6
8 - 10 years7735.6
Above 10 years6128.2
Total216100.0
Work Schedule  
2 - 4 hours83.7
5 - 6 hours146.5
8 - 10 hours19489.8
Total216100.0

Table 1: Socio-Demographic Characteristics of Wood Respondents

Physical Hazard ExposuresFrequency (N)Percentage ( %)
Do you encounter the following physical hazards in your workplace?  
Noise  
Yes15571.8
No6128.2
Total216100.0
Heat  
Yes13261.1
No8438.9
Total216100.0
Wood particles  
Yes20896.3
No83.7
Total216100.0
Vibration  
Yes9443.5
No12256.5
Total216100.0
Fire  
Yes8840.7
No12859.3
Total216100.0

Table 2: Physical Hazard Exposures Among Respondents

Chemical Hazard ExposureFrequency (N)Percentage ( %)
Do you encounter the following chemical hazards in your workplace?  
Wood dust  
Yes19891.7
No188.3
Total216100.0
Organic fumes  
Yes13863.9
No7836.1
Total216100.0
Smoke  
Yes5224.1
No16475.9
Total216100.0

Table 3: Chemical Hazard Exposures Among Respondents

Ergonomic Hazard ExposuresFrequency (N)Percentage ( %)
Do you encounter the following ergonomic hazards in your workplace?  
Repetitive work  
Yes11754.2
No9945.8
Total216100.0
Fixed posture  
Yes11653.7
No10046.3
Total216100.0
Awkward posture  
Yes12859.3
No8840.7
Total216100.0
Manual lifting of Objects  
Yes13060.2
No8639.8
Total216100.0

Table 4: Ergonomic Hazards Exposures Among Respondent

Biological Hazard ExposuresFrequency (N)Percentage ( %)
Do you encounter the following biological hazards in your workplace?  
Insect Bite  
Yes13261.1
No8438.9
Total216100.0
Snake Bite  
Yes94.2
No20795.8
Total216100.0

Table 5: Biological Hazard Exposures Among Respondents

Psycho-social Hazard ExposuresFrequency (N)Percentage ( %)
Do you encounter the following psycho-social hazards in your workplace?  
Stress  
Yes13060.2
No8639.8
Total216100.0
Fatigue  
Yes12758.8
No8941.2
Total216100.0
Exhaustion  
Yes3817.6
No17882.4
Total216100.0

Table 6: Psycho-social Hazard Exposures Among Respondents

ParameterNOISE (db)PM2.5PM1.0PM10NOCOCO2SO
Permissible Limit8525 mg/m350 mg/m350 mg/m35ppm10 mg/m350mg/m35ppm
Mean104.0035.578.3375.0015.4021.066.1715.50
St.dev12.5213.008.52520.214.964.608.913.987
t- test10.75917.0478.1423.0295.1405.8524.4456.450
P-value0.00010.00010.00010.0290.0040.0020.0070.001

Table 7: Workplace Environment Air Quality Among Wood Respondents

Awareness of Hazards & SourcesFrequency (N)Percentage ( %)
Are you aware that you are exposed to various hazard(s) in your work place?  
Yes19992.1
No177.9
Total216100.0
What is your source of awareness? 100.0
Work safety books  
Yes 3015.1
No18684.9
Total216100.0
Radio/ TV media  
Yes 3216.1
No18483.9
Total216100.0
Colleagues/friends  
Yes 3517.6
No18182.4
Total216100.0
Social media  
Yes 2814.1
No18885.9
Total216100.0
Personal experience  
Yes 14262.8
No7437.2
Total216100.0

Table 8: Awareness Towards Hazards and Their Sources Among Respondents

Adherence Towards Safety Practices

Artisans

(n=216)

Freq %
Attending Medical check up 
Monthly00
Bimonthly62.8
Quarterly104.6
Yearly198.8
Not at all18183.8
Total216100.0
Safety & Health Training  
Yes5625.9
No16074.1
Total216100.0
Usage of PPE  
Yes8338.4
No13361.6
Total216100.0
Frequency of Usage of PPE  
Every time1416.9
sometimes3036.1
Once in a while1922.9
Rarely2024.1
Total83100.0

Table 9: Adherence Towards Safety Practices Among Respondents

Personal Hygiene Practices/HabitsWood Artisans (n=216)
Freq %
Do you have separate accommodation apart from the workshop? 
Yes19088.0
No2612.0
Total216100.0
Do you brush your teeth daily?  
Yes10046.3
No11653.7
Total216100.0
How often do you bath after work?  
Every time8740.3
Sometimes11151.4
Once in a while115.1
Rarely73.2
Never00.0
Total216100.0
How often do you wash hands before eating at work?  
Every time6931.9
Sometimes11955.1
Once in a while2310.6
Rarely52.3
Never00.0
Total216100.0
Do you wash hands with chemical substances at work?  
Yes16275.0
No5425.0
Total216100.0
Do you treat wound with chemical substances at work?  
Yes15069.4
No6630.6
Total216100.0

Table 10: Personal Hygiene Practices/Habits Among Respondents

Refuse Collection & Disposal PracticesWood Artisans (n=216)
Freq %
How do you collect refuse in your workplace?  
Any Container11050.9
Without container6429.6
Wheel barrows83.7
Bin bags3415.7
Total216100.0
Are trash bins available in your workplace?  
Yes209.3
No19690.7
Total216100.0
How do you dispose refuse in your workplace?  
Open dumping4420.4
Incineration (burning)15471.3
Dumping in the river83.7
Dumping anywhere104.6
Total216100.0
How often do you remove refuse generated in your workplace?  
Daily6630.6
Weekly6027.8
Forth nightly6027.8
Every three weeks00.0
Monthly3013.9
Total216100.0

Table 11: Refuse Collection & Disposal Practices Among Respondents

Sanitation PracticesWood Artisans (n=216)
Freq %
Do you have hand washing facility in your workplace?  
Yes00.0
No216100.0
Do you have urinal facility in your workplace?  
Yes209.3
No19690.7
Tota216100.0
Do you have water supply in your workplace?  
Yes216100.0
No00.0
Total216100.0
What is the source of your water supply in your workplace?    
Tap water00.0
Tanks5224.1
Borehole16475.9
Total216100.0
Do you have access to toilet facility in your work place?  
Yes8941.2
No12758.8
Total216100.0
What type of toilet is available in your work place?  
Water closet2123.6
Flush pour19576.4
Bucket toilet00.0
Total216100.0
Is the toilet in your work place functional?  
Yes10448.1
No11251.9
Total216100.0
Is the toilet cleaned from time to time?  
Yes15873.1
No5826.9
Total216100.0
How frequent is the toilet cleaned?  
Once daily5937.3
Weekly127.6
Don’t know7950.0
None85.1
Total158100.0

Discussion

Craftsmen, workmen and tradesmen in wood industries constitute the substantial proportion of the nation’s labour force, but they are particularly vulnerable to occupational hazard exposures due to their non-compliance to safety and health practices [12]. 

Socio-demographically, most wood artisans were found to be between the ages of 30 – 39 years ((29.6 %). This agreed with similar studies by [13] in Port Harcourt Metropolis Nigeria. Sex distribution showed that wood occupation is male dominated (99.5 %), supporting similar studies by [14] in Ojo local government, Lagos State, Nigeria. Greater number of wood workers had attained secondary school (56.9 %), which corroborated the study of [15]. Majority of them earned between #4,000 & above #5,000 daily (37.0 %), showing that their activities were in high demand in Imo State. 

Majority of these artisans had worked at least 8 years and above (35.6  %), lending credence to the saying that perfection comes with years of practice. Since most of them learn by experience as the study revealed, hence high duration at work among these artisans. Greater proportion of them work between 8 - 10 hours daily (98.8 %), which corroborated similar studies by [16]. Activities of wood artisans fall outside the purview of government regulation, no wonder they work as they like especially for long hours.

Wood particles (96.3 %), Noise (71.8 %) and heat (61.1 %) were the most encountered physical hazards, while wood dust (91.7 %) and organic fumes (63.1 %) were the most detected chemical hazards. Manual lifting of heavy work materials (60.2 %) and awkward postures (59.3 %) were the frequent ergonomic hazards. However, greater proportion of these workers also encountered repetitive work (54.2 %) and fixed posture hazards (53.7 %). Insect bites (61.1 %) was the biological hazard, while psycho-socially, majority of wood workers (60.2 %) encountered hazard of stress. The findings agreed with similar studies by [17] Workplace environment air quality was highly polluted with mean parameters of noise, particulate matters (PM1, 2.5 & 10), CO, CO2, SO & NO, occurring far above the permissible limits, thereby making the wood artisans at risk of occupational respiratory health issues and noise-induced hearing loss (NIHL). The findings were in tandem with similar studies by [18,19] at Ogbosisi Naze and Mbieri Timber and Allied Market in Owerri, Imo State, Nigeria, which also revealed that wood workers were at risk of hearing loss due to noise pollution level found to be higher than the accepted limits.

Safety and health practices/habits as concerns medical check-ups (16.2 %), safety and health trainings (25.9 %) and use of personal protective equipments (25.0 %) were all found poor among wood respondents. The findings were in agreement with similar studies by [20] in Lideta Sub-city Ethiopia, 

Personal hygiene, refuse collection/disposal and sanitation practices were also found to be poor among the wood respondents. The findings lend credence to studies of in Ile–Ife, Nigeria [20, 21] In South Eastern State in Nigeria, which revealed poor hygiene and sanitation practices observed among the respondents which was below the standard set for adequate safety and health protection.

Conclusion

Wood occupation is a gainful job, and has contributed immensely to socioeconomic development of many developed and developing countries of the world, including Nigeria. However, activities involved in this occupation expose workers to numerous hazards. Physical hazards of heat, noise, vibration, wood particles, metal and fire; chemical hazards of wood dust and smoke; biological hazards of insect bites; ergonomic hazards of repetitive work, fixed and awkward postures, and manual lifting of heavy objects; and psycho-social hazards of stress and fatigue are encountered by wood artisans in Imo State. Their workplace environment air pollution level is far above the permissible limit, while their safety and health practices including medical check-up, safety training and use of personal protective equipment are all poor. Awareness towards occupational hazards though quite high among wood artisans, yet their attitude towards safety and health protection especially in the use of appropriate personal protective equipment is abysmally low, thereby making them vulnerable to occupational hazard exposures. 

Increased sensitization, safety training and education of wood artisans towards occupational hazards and their protections, workplace environment air quality monitoring as well as provision of functional occupational safety and health services are therefore needed these artisans in Imo State.

References

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Tania Munoz

“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”.

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George Varvatsoulias

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.

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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.

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Khurram Arshad

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.

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Gomez Barriga Maria Dolores

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.

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Lin Shaw Chin

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.

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Maria Dolores Gomez Barriga

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.

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Dr Maria Dolores Gomez Barriga

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¨.

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Dr Maria Regina Penchyna Nieto

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.

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Dr Marcelo Flavio Gomes Jardim Filho

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!”

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Zsuzsanna Bene

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

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Dr 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.

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Lin-Show Chin

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.

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Sonila Qirko

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.

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Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

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Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

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Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

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Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

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Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

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Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

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Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

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Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

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Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

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Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

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Dr Elvira Farina

Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.

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Dr Oleg Golyanovski