Sufferings of Elderly Rural Women Due to Covid-19 in Communities of a Remote Region: An Observational Study

Research Article | DOI: https://doi.org/10.31579/2690-8808/262

Sufferings of Elderly Rural Women Due to Covid-19 in Communities of a Remote Region: An Observational Study

  • Shakuntala Chhabra 1*
  • Kumar N 2

1Senior Consultant, Obstetrics Gynecology, TapanBhai Mukesh Bhai Patel Memorial Hospital, Medical College and Research Centre Shirpur, Dhule, Maharashtra, India.

2Additional Professor, Obstetrics Gynaecology, All India Institute of Medical Sciences, Bibinagar-508126 Hyderabad Metropolitan Region, Telangana, India.

*Corresponding Author: Shakuntala Chhabra, Senior Consultant, Obstetrics Gynecology, TapanBhai Mukesh Bhai Patel Memorial Hospital, Medical College and Research Centre Shirpur, Dhule, Maharashtra, India.

Citation: Shakuntala Chhabra and Kumar N, (2025), Sufferings of Elderly Rural women due to COVID-19 in Communities of a Remote Region: An Observational Study, J, Clinical Case Reports and Studies, 6(5); DOI:10.31579/2690-8808/262

Copyright: ©, 2025, Shakuntala Chhabra. 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: 12 June 2025 | Accepted: 19 June 2025 | Published: 30 June 2025

Keywords: Pandemic, COVID-19; elderly women; suffering; physical violence; sexual violence

Abstract

Background: COVID-19 pandemic caused an unprecedented impact on society globally. 

Objective: Study was conducted to know about sufferings experienced by rural elderly women in a remote hilly region. 

Methodology:  Community-based, cross-sectional, observational study included 4500 randomly selected tribal women of ≥50, who resided in 140 villages and consented to participate. Face-to-face interviews of participants were conducted, for 15-30 minutes, using a semi-structured questionnaire regarding sufferings of elderly women during COVID-19 pandemic. 

Results: Of 4500 women interviewed, majority (47.2%) were 50-59 years old, low educated (40.4%), agriculture labourers (44.1%) and of lower economic class (53.8%). Of all participants, 73.5% reported change in everyday life, 25.9% change in meals, 30.7% in work and working environment and 39.5% in health care. Of all the women interviewed, 45.9% reported physical violence (PV), majority (74.1%) by husbands, 0.4% suffered sexual violence (SV). Modes of PV were mostly slapping, hitting, or kicking. Of all the women, who suffered PV, SV, and majority informed their family members, but only 7.0% informed police, however 98.6% who suffered sought healthcare. Socio-demographic factors like age, education, economic class, and occupation had a significant relationship with sufferings of women during pandemic. 

Conclusion: Covid -19 Pandemic had significant impact on rural elderly women’s lives, 45.9% and 0.4% of women respectively reported having suffered PV and SV at home during pandemic. It is therefore necessary to generate awareness, formulate laws, policies for protection of elderly women during such pandemic.

Background

Aging naturally brings changes to body and its functions, influencing health, wellness, and overall quality of life. The COVID-19 pandemic disrupted the lives of older adults by further restricting their movements and limiting social interactions, with particularly severe effects on rural elderly women who often live in isolation. [1]

Elderly women faced unique hardships, as the pandemic compounded everyday challenges and heightened their vulnerability. However, studies showed that providing accurate and reliable information helped reduce pandemic-related fears, especially among elderly women with chronic conditions. [2]

The COVID-19 pandemic disrupted lives across all age groups worldwide, but older adults and women have been particularly hard hit. Their heightened vulnerability stemmed from several factors. Compared to younger individuals, older adults are more likely to live with chronic health conditions, and their aging immune systems struggle to fend off illnesses, infections, and viruses effectively. When they fall ill, recovery tends to be slower and more complex, often leading to prolonged health challenges. [3] The COVID-19 pandemic disrupted        access to essential healthcare and long-term care services. Beyond physical health, the pandemic exacerbated social isolation. Many older women, especially those living alone, saw their daily routines shrink, with fewer walks, limited outings, and minimal face-to-face interactions. This isolation contributed to rising feelings of loneliness and a surge in mental health challenges. Although stress related to work and finances may have been less acute for this age group compared to younger adults, the emotional strain of isolation and health-related anxieties were deeply felt. [4] The COVID-19 pandemic exposed older adults to a range of challenges, including abuse, neglect, insecurity, and health issues within their families and communities. [5] Widespread fear, anxiety, loneliness, and increased dependence have intensified these struggles, highlighting a serious societal concern. Factors such as social isolation, cognitive decline, physical frailty, and reliance on caregivers heightened the risk of elder abuse. [6, 7] 

Objective

A community-based study was conducted to explore the sufferings of elderly women during the COVID-19 pandemic in a rural remote region.

Material and methods

Study designObservational cross-sectional study

Study setting and duration: The study was conducted over one year in a total of 140 tribal villages in remote, forestry, and hilly region. These villages were around the village with the health facility, the study centre. 

Inclusion criteria: - Randomly 30-35 women of ≥50 years of age from each village, willing for interview, were enrolled as study participants, as some villages were small and others large.

Exclusion criteria: - Women abive50 years of age, those with mental health conditions, and individuals unwilling to participate were excluded from the study.

Sample size: The calculated sample size was 4500 with 95% confidence and 2

Results

Of all the women interviewed, the majority (47.2%) were of50-59 years of age, educated up to primary level (40.4%), agriculture labourer (44.1%), belonged to low economic class (53.8%) and had one or two births (52.0%). Of the 4500 women interviewed, 3306(73.5%) reported changes in their everyday lives during the COVID-19 pandemic, 856 (25.9%) reported changes in their meals due to lockdown, loss of family members employment, problems in agriculture, and poverty. Of 3306 women, 1015(30.7%) reported change in their work and working environment due to lockdown and loss of jobs and 1306(39.5%) reported change in health care due to lock down as many were not able to reach hospitals for their ailments There was lack of available health services with financial constraints also. The remaining 129(3.9%) women reported other changes like mental health, fear of infection, insecurity, change of homes due to shifting to other places when jobs were lost, school drop-outs of children, etc.

Of 4500 women, a total of 2066 (45.9%) reported increased PV at their homes during the pandemic compared to the pre-pandemic period. Of these 2066 women, 1530 (74.1%) reported PV by their husbands, 150(7.3%) by sons, or sons-in-law, 361 (17.5%) by daughters, and daughters-in-law and in the remaining 25(1.2%) other relatives, grandsons, and grand-daughters were responsible. Table II depicts the relationship between the various socio-demographic features of women and PV at home by family members (Table II). When interviewed about the frequency and mode of PV at home, of 2066 women, 1690 (81.8%) reported once or occasional episodes of PV, 376 (18.2%) reported regular PV at home. The majority (80.2%) reported slapping, hitting by hands, or kicking as the most common modes of PV followed by hitting with bar rods or burning (18.8%) and the remaining 1.0% reported other modes like hitting with brooms, foot wares, utensils, etc. The majority of these sufferers were of 50-59 years of age, had low education, were agricultural laborers by occupation, and belonged to a low economic class. Table II depicts the relationship of socio-demographic features of women with the frequency and mode of PV suffered at home (Table II). Furthermore, of the total of 4500 women interviewed, 17(0.4%) reported SV at their homes during the pandemic, all reporting the start of SV during the pandemic, none in the pre-pandemic period. Of these 17 women, all (100%) reported SV during sleep hours and by persons other than their husbands including neighbours, distant relatives, or unknown. Table III depicts the relationship between the socio-demographic features of women and SV at home (Table III). All these women who suffered SV belonged to 50-59 years of age, the majority were illiterate (59.0%), homemakers (59.0%), belonged to a lower economic class (82.3%) and had previous one of two childbirths (88.2%). 

Of all the women who suffered PV and SV, (2083) informed someone, including family members (92.1%), police (7.0%), and others like neighbours, friends, and distant relatives (0.9%) (Table IV). Of these 2083 women, 2053(98.6%) sought healthcare, 64.4% from Sub centres (SC) or Primary Health Centres (PHC), 29.5% from Sub-district hospital (SDH)/District hospital (DH), and the remaining 6.1% from private hospitals or dispensaries. The relationship between the action taken and health care sought for PV and SV suffered at home and demographic factors is shown in Table IV (Table IV). 

Table I: Changes in Everyday Life of Elderly Women during the COVID-19 Pandemic

VariablesTotalTypes
Age (Years)Every Day Life%Meals%Work%Health Care Others%
≥50-≤592123150370.831020.629319.582254.7785.2
≥60-≤691565130283.246936.044834.434226.3433.3
≥7081250161.77715.427454.714228.3081.6
Total4500330673.585625.9101530.7130639.51293.9
Education
Illiterate  1495118479.233828.540133.940734.4383.2
Primary  1818122067.122818.732426.560549.6635.2
Secondary / Higher Secondary99780981.127333.725731.825131.0283.5
Graduate1909348.91718.33335.54346.200.0
Total4500330673.585625.9101530.7130639.51293.9
Profession
Home Maker134098273.317017.336336.939239.9575.8
Agriculture Laborer1986152076.531220.548732.064942.7724.7
Casual Laborer*101471970.930442.315521.626036.200.0
Shop Keeper1608553.17082.31011.855.900.0
Total4500330673.585625.9101530.7130639.51293.9
Economic Status
Upper Class926873.922.91217.65276.522.9
Upper Middle Class14210876.198.32523.17266.721.8
Middle Class62543369.311025.48419.421148.7286.5
Lower Middle Class121987071.424628.322125.434639.8576.5
Lower Class2422182775.448926.867336.862534.2402.2
Total4500330673.585625.9101530.7130639.51293.9
Parity
P 069057783.619734.124742.810217.7315.4
P 1 - P 22341165870.842325.541625.176245.9573.4
>P 31469107172.923622.035232.944241.3413.8
Total4500330673.585625.9101530.7130639.51293.9

*Small Scale, (Food, Shoes making, Bamboo items) Industry, Welding Workshop, Brick furnace

Table II: Physical Violence against Elderly Women at Home during COVID-19

VariablesTotal

Physical Violence

 

FrequencyMode Of Violence
Age (Years) Yes%If YesOnce%More times / Regular%Slap / Hitting / Kicking%Bar / Rod / Burns%Others%
Husband%Son / Son in law %Daughter / Daughter in law%Others%   
≥50-≤59212394044.372777.3808.512112.9121.381486.612613.480085.113013.8101.1
≥60-≤69156560838.840466.4457.415024.791.545374.515525.544172.515926.281.3
≥7081251863.839977.0254.89017.440.842381.79518.341580.110019.330.6
Total4500206645.9153074.11507.336117.5251.2169081.837618.2165680.238918.8211.0
Education
Illiterate 149576150.957775.8567.411014.5182.464684.911515.162682.312015.8152.0
Primary 1818103657.072169.6696.724123.350.579176.424523.678275.525024.140.4
Secondary / Higher Secondary99725926.022285.7259.7103.920.824393.8166.223891.9197.320.8
Graduate190105.310100.000.000.000.010100.000.010100.000.000.0
Total4500206645.9153074.11507.336117.5251.2169081.837618.2165680.238918.8211.0
Profession
Home Maker134095571.365568.6606.322123.1192.073176.522423.570974.222924.0171.8
Agriculture Labourer198676138.357775.8557.212316.260.863483.312716.762882.512917.040.5
Casual Labourer*101431531.126383.53511.1175.400.029092.1257.928590.5309.500.0
Shop Keeper1603521.935100.000.000.000.035100.000.03497.112.900.0
Total4500206645.9153074.11507.336117.5251.2169081.837618.2165680.238918.8211.0
Economic Status
Upper Class9200.000.000.000.000.000.000.000.000.000.0
Upper Middle Class14200.000.000.000.000.000.000.000.000.000.0
Middle Class62532051.230093.8154.741.310.331498.161.930996.6103.110.3
Lower Middle Class12191415116.199070.01107.830121.3141.0110678.230921.8108876.931522.3120.8
Lower Class242233113.724072.5257.65616.9103.027081.66118.425978.26419.382.4
Total4500206645.9153074.11507.336117.5251.2169081.837618.2165680.238918.8211.0
Parity
P 069021831.613461.53516.14721.620.916877.15022.916274.35424.820.9
P 1- P22341112648.184475.0756.718916.8181.693082.619617.491080.820117.9151.3
>P3146972249.155276.5405.512517.350.759282.013018.058480.913418.640.6
Total4500206645.9153074.11507.336117.5251.2169081.837618.2165680.238918.8211.0

*Small Scale, (Food, Shoes making, Bamboo items) Industry, Welding Workshop, Brick furnace

Table III: Sexual Violence against Elderly Women at Home during COVID-19 Pandemic

VariablesTTotalSexual ViolenceMarital sexual violence**Person ***
Age (Years)Yes%TimingIf, Yes ***
Sleeping only time%Others%
≥50-≤592123170.817100.017100.0
≥60-≤69156500.000.000.0
≥7081200.000.000.0
Total4500170.417100.017100.0
Education
Illiterate1495100.710100.010100.0
Primary181870.47100.07100.0
Secondary/Higher Secondary99700.000.000.0
Graduate19000.000.000.0
Total4500170.417100.017100.0
Profession
Home Maker1340100.710100.010100.0
Agriculture Laborer198650.35100.05100.0
Casual Laborer*101420.22100.02100.0
Shop Keeper16000.000.000.0
Total4500170.417100.017100.0
Economic Status
Upper Class9200.000.000.0
Upper Middle Class14200.000.000.0
Middle Class62500.000.000.0
Lower Middle Class121930.23100.03100.0
Lower Class2422140.614100.014100.0
Total4500170.417100.017100.0
Parity
P 069020.32100.02100.0
P 1- P 22341150.615100.015100.0
>P3146900.000.000.0
Total4500170.417100.017100.0
         

*Small Scale, (Food, Shoes making, Bamboo items) Industry, Welding Workshop, Brick furnace

** Only sleeping time

*** No relative was responsible

Table IV: Action taken by Elderly Women against Physical and Sexual Violence

VariablesTotalInformed SomeoneHealth Care Sought
   
Age (Years)Yes%Family Member%Police%Other%Yes%*SC /**PHC%***SDH / ****DH%Others%
≥50-≤59212395745.186890.7798.3101.094799.061064.426027.5778.1
≥60-≤69156560838.855691.4457.471.259898.445876.69816.4427.0
≥7081251863.849595.6214.120.450898.125450.024848.861.2
Total4500208346.3191992.11457.0190.9205398.6132264.460629.51256.1
Education
Illiterate  149577151.670291.1547.0151.976198.757675.715019.7354.6
Primary  1818104357.497093.0706.730.3103399.062560.534633.5626.0
Secondary / Higher Secondary99725926.023791.5218.110.424996.111646.610542.22811.2
Graduate190105.310100.000.000.010100.0550.0550.000.0
Total4500208346.3191992.11457.0190.9205398.6132264.460629.51256.1
Profession
Home Maker134096572.089292.4586.0151.695599.065268.324826.0555.8
Agriculture Laborer198676638.670892.4547.040.575698.739151.729539.0709.3
Casual Laborer*101431731.328489.63310.400.031298.425481.45818.600.0
Shop Keeper1603521.935100.000.000.03085.72583.3516.700.0
Total4500208346.3191992.11457.0190.9205398.6132264.460629.51256.1
Economic Status
Upper Class9200.000.000.000.000.000.000.000.0
Upper Middle Class14200.000.000.000.000.000.000.000.0
Middle Class62532051.230695.6144.400.031096.922672.95618.1289.0
Lower Middle Class12191418116.3129691.41087.6141.0140899.3119985.215210.8574.0
Lower Class242234514.231791.9236.751.433597.1-103-30.7398118.84011.9
Total4500208346.3191992.11457.0190.9205398.6132264.460629.51256.1
Parity
P 069022031.918885.53114.110.521095.513564.34521.43014.3
P 1- P 22341114148.7105392.3746.5141.2113199.177568.530026.5565.0
>P3146972249.167893.9405.540.671298.645063.222331.3395.5
Total4500208346.3191992.11457.0190.9205398.6136066.256827.71256.1

*Small Scale, (Food, Shoes making, Bamboo items) Industry, Welding Workshop, Brick furnace

*SC – Subcentre **PHC – Primary Health Care

****DH – District Hospital       ***SDH – Sub District Hospital

Overall, in the present study of 4500 women interviewed, almost everyone reported change in their lives during the COVID-19 pandemic, either in meals, work, or health care. Of all, 45.9% of women suffered PV at home with the majority (74.1%) by their husbands and 0.4% of women suffered SV all by persons other than their husbands. A significant relation was reported with age, low education, occupation, and low economic class of women who suffered PV and SV at home during the pandemic (p<0>

Discussion

Elder abuse is a critical public health issue with far-reaching social, economic, and health consequences. Before the COVID-19 pandemic, one in ten older Americans experienced elder abuse annually. According to the World Health Organization, elder abuse involves a single or repeated act or a failure to act within a trusted relationship that results in harm or distress to an older adult. [9, 10] The pandemic exacerbated these challenges, with studies highlighting significant declines in both physical and mental health among older women. A survey of 40,821 elderly women in England, with an average age of 76, found that 28% reported a decline in physical health, while 26% experienced worsening mental health during the pandemic. [11] Another longitudinal study involving 5,146 women in England revealed a sharp increase in mental health issues, with clinically significant depressive symptoms rising from 12.5

Conclusion

This community-based study highlights the profound impact of the COVID-19 pandemic on rural elderly women in India. The pandemic disrupted everyday life, with 45.9% of elderly women experiencing increased primarily at the hands of their husbands and 0.4% SV. While the majority of the victims confided in family members, only a small fraction (7.0%) reported incidents to the police.

Key demographic factors such as age, education, occupation, and socioeconomic status significantly influenced the prevalence of abuse. These findings emphasize the need for increased awareness and the development of robust support systems and protective measures for elderly women during public health crises. Establishing clear reporting channels, promoting community-based support, and enforcing legal protections are critical to safeguarding vulnerable populations in future emergencies.

Funding

There was only a little honorarium for research assistant. 

Conflicts of interest:

Authors have no conflicts of interest to disclose.

References

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Dr Tong Ming Liu

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.

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Husain Taha Radhi

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.

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S Munshi

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.

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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

Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.

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Dr Farahnaz Fallahian

Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.

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Dr Victor Olagundoye

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD

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Dr Eric S Nussbaum

Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.

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Hala Al Shaikh

Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.

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Dr Rakhi Mishra