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Research Article | DOI: https://doi.org/10.31579/2767-7370/144
Candidate of biological science, Assistant professor of pathophysiology department named D. A. Maslakov, Grodno State Medical University; Grodno State Medical University, 80 Gorky St,230009, Grodno, Belarus.
*Corresponding Author: Elizaveta I Bon, Candidate of biological science, Assistant professor of pathophysiology department named D. A. Maslakov, Grodno State Medical University; Grodno State Medical University, 80 Gorky St,230009, Grodno, Belarus.
Citation: Elizaveta I Bon, Novak A., A, (2025), The Main Patterns of Individual Adaptation, J New Medical Innovations and Research, 6(2); DOI:10.31579/2767-7370/144
Copyright: © 2025, Elizaveta I Bon. 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: 07 February 2025 | Accepted: 12 February 2025 | Published: 18 February 2025
Keywords: individual adaptation; interrelation; function; systemic structural trace
With all the variety of individual phenotypic adaptation, its development in higher animals is characterized by certain common features.
There are two stages in the development of most adaptive reactions, namely: the initial stage of urgent but imperfect adaptation and the subsequent stage of perfect, long-term adaptation.
The urgent stage of the adaptive reaction occurs immediately after the onset of the stimulus and, therefore, can be realized only on the basis of ready-made, previously formed physiological mechanisms. The obvious manifestations of urgent adaptation are the animal's flight in response to pain, an increase in heat production in response to cold, an increase in heat transfer in response to heat, an increase in pulmonary ventilation and minute volume of blood circulation in response to lack of oxygen. The most important feature of this stage of adaptation is that the body's activity proceeds at the limit of its physiological capabilities — with almost complete mobilization of the functional reserve — and does not fully provide the necessary adaptive effect. Thus, running of an unadapted animal or human occurs at near-maximum values of the minute volume of the heart and pulmonary ventilation, with maximum mobilization of the glycogen reserve in the liver; due to insufficiently rapid oxidation of pyruvate in muscle mitochondria, the level of lactate in the blood increases. This lacedemia limits the intensity of the load — the motor reaction can be neither fast enough nor long enough.
With all the variety of individual phenotypic adaptation, its development in higher animals is characterized by certain common features.
There are two stages in the development of most adaptive reactions, namely: the initial stage of urgent but imperfect adaptation and the subsequent stage of perfect, long-term adaptation.
The urgent stage of the adaptive reaction occurs immediately after the onset of the stimulus and, therefore, can be realized only on the basis of ready-made, previously formed physiological mechanisms. The obvious manifestations of urgent adaptation are the animal's flight in response to pain, an increase in heat production in response to cold, an increase in heat transfer in response to heat, an increase in pulmonary ventilation and minute volume of blood circulation in response to lack of oxygen. The most important feature of this stage of adaptation is that the body's activity proceeds at the limit of its physiological capabilities — with almost complete mobilization of the functional reserve — and does not fully provide the necessary adaptive effect. Thus, running of an unadapted animal or human occurs at near-maximum values of the minute volume of the heart and pulmonary ventilation, with maximum mobilization of the glycogen reserve in the liver; due to insufficiently rapid oxidation of pyruvate in muscle mitochondria, the level of lactate in the blood increases. This lacedemia limits the intensity of the load — the motor reaction can be neither fast enough nor long enough.
Thus, adaptation is implemented "from the spot", but it turns out to be imperfect.
Quite similarly, when adapting to new complex environmental situations implemented at the brain level, the stage of urgent adaptation is carried out due to ready-made pre-existing mechanisms and is manifested by a well-known period of "generalized motor reactions" or "period of emotional behavior" in the physiology of higher nervous activity. At the same time, the necessary adaptive effect, dictated by the body's needs for food or self-preservation, can to remain unfulfilled or to be provided by an accidental successful movement, i.e. it is unstable.
The long-term stage of adaptation occurs gradually, as a result of prolonged or repeated exposure to environmental factors. In essence, it develops on the basis of repeated implementation of urgent adaptation and is characterized by the fact that as a result of the gradual quantitative accumulation of some changes, the body acquires a new quality - it turns from an unadapted into an adapted one. This is an adaptation that ensures that the body performs physical work that was previously unattainable in its intensity, the development of the body's resistance to significant altitude hypoxia, which was previously incompatible with life, the development of resistance to cold, heat, and large doses of poisons, the introduction of which was previously incompatible with life. This is also a qualitatively more complex adaptation to the surrounding reality, which develops in the process of learning based on brain memory and manifests itself in the emergence of new stable temporary connections and their implementation in the form of appropriate behavioral reactions.
Comparing the urgent and long-term stages of adaptation, it is not difficult to conclude that the transition from an urgent, largely imperfect stage to a long-term one marks a pivotal moment in the adaptation process, since it is this transition that makes it possible for an organism to live in new conditions, expands its habitat and freedom of behavior in a changing environment.
It is advisable to consider the mechanism of this transition on the basis of the idea accepted in physiology that the body's reactions to environmental factors are provided not by individual organs, but by systems organized and subordinated to each other in a certain way. This idea allows us to state that the reaction to any new and sufficiently strong environmental impact — to any violation of homeostasis — is provided, firstly, by a system specifically responding to this stimulus, and, secondly, by stress-realizing adrenergic and pituitary-adrenal systems that respond non-specifically to a variety of changes in the habitat.
Using the concept of "system" in the study of phenotypic adaptation, it is advisable to emphasize that in the past, the closest thing to revealing the essence of such systems that provide a solution to the main task of an organism at a certain stage of its individual life was the creator of the doctrine of the dominant, one of the greatest physiologists of our century, Ukhtomsky. He studied in detail the role of internal, hormonal needs of the body, the role of entero- and extroceptive afferent signaling in the formation of dominants, and at the same time considered The dominant as a system is a constellation of nerve centers that subordinate the executive organs and determine the direction of the body's behavioral reactions — its vector.
Ukhtomsky wrote: "The external expression of a dominant is a certain work or working position of the body, supported at the moment by various stimuli and excluding other work and postures for the moment. For such work, or sometimes it is necessary to assume that not a single local focus is aroused, but a whole group of centers, perhaps widely scattered in the nervous system. The sexual dominant hides the excitation of the centers in the cortex, and in the subcortical apparatuses of vision, hearing, smell, touch, in the medulla oblongata, and in the lumbar parts of the spinal cord, and in the secretory, and in the vascular system. Therefore, it must be assumed that behind each natural dominant lies the excitation of a whole constellation (constellation) of centers. And the holistic dominant needs to distinguish primarily between cortical and somatic components" [1].
Developing the idea that the dominant unites nerve centers and executive organs located at various levels, Ukhtomsky sought to emphasize the unity of this newly emerged system and often called the dominant an "organ of behavior."
"Every time," he noted, "there is a dominant symptom complex, there is also a certain vector of behavior. And it is natural to call it an "organ of behavior," although it is mobile, like Descartes' vortex motion. Defining the term "organ" as, I would say, a dynamic, mobile actor, or a working combination of forces: I think it is extremely valuable for a physiologist" [1]. Later, Ukhtomsky took the next step, designating the dominant as a system, he wrote: "From this point of view, the principle of dominance can naturally be stated as an application to an organism of the beginning of possible movements, OR as a general and at the same time very specific expression of those conditions that transform a group of more or less disparate bodies into a fully connected system acting as a mechanism with an unambiguous action" [1].
Considering the transition from urgent adaptation to long-term adaptation in terms of the concept of a functional system, it is not difficult to notice an important, but not always properly taken into account, circumstance, which is that the presence of a ready-made functional system or its formation in itself does not mean sustainable, effective adaptation.
Indeed, the initial effect of any unconditional stimulus that causes a significant and prolonged motor reaction is to excite the corresponding afferent and motor centers, mobilize skeletal muscles, as well as blood circulation and respiration, which together form a single functional system specifically responsible for the implementation of this motor reaction. However, the effectiveness of this system is low (running can be neither long nor intensive- it becomes so only after repeated repetitions of a situation that mobilizes the functional system, i.e. E. after training, which leads to the development of long-term adaptation).
Under the influence of lack of oxygen, the effect of hypoxemia on chemoreceptors, directly on nerve centers and executive organs entails a reaction in which the role of a functional system specifically responsible for eliminating lack of oxygen in the body is played by the circulatory and respiratory organs that are regulatively connected and perform an increased function. The initial result of the mobilization of this functional system after the rise of an unadapted person to an altitude of 5,000 m is that cardiac hyperfunction and pulmonary hyperventilation are very pronounced, but nevertheless they are insufficient to eliminate hypoxemia and are combined with more or less pronounced adynamia, apathy or euphoria, and eventually with a decrease in physical and intellectual performance.. In order for this urgent but imperfect adaptation to be replaced by a perfect, long-term one, it is necessary to stay at altitude for a long time or repeatedly, i.e. prolonged or repeated mobilization of the functional system responsible for adaptation.
Quite similarly, when a poison, such as nembutal, is introduced into the body, the role of a factor specifically responsible for its destruction is played by the mobilization of the microsomal oxidation system localized in liver cells. Activation of the microsomal oxidation system undoubtedly limits the damaging effect of the poison, but does not eliminate it completely. As a result, the intoxication pattern is quite pronounced and, accordingly, the adaptation is imperfect. Subsequently, after repeated administration of nembutal, the initial dose ceases to cause intoxication. Thus, the availability of a ready-made functional system responsible for adaptation to this factor, and instant activation this system by itself does not mean instant adaptation.
When more complex environmental situations affect the body (for example, previously unknown stimuli — danger signals — or situations that arise in the process of learning new skills), there are no ready-made functional systems in the body that can provide a response that meets the requirements of the environment.
The body's response is provided by the already mentioned generalized orientation response against a background of sufficiently severe stress. In such a situation, some of the numerous motor reactions of the body turn out to be adequate and receive reinforcement. This becomes the beginning of the formation of a new functional system in the brain, namely, a system of temporary connections, which becomes the basis for new skills and behavioral reactions. However, immediately after its occurrence, this system is usually fragile, it can be erased by inhibition caused by the emergence of other behavioral dominants that are periodically realized in the body's activity, or extinguished by repeated non-reinforcement, etc.
In order to develop a stable, guaranteed adaptation in the future, it takes time and a certain number of repetitions, i.e., the consolidation of a new stereotype. In general, the meaning of the above is that the presence of a ready-made functional system with relatively simple adaptive reactions and the emergence of such a system with more complex reactions implemented at the level of the cerebral cortex do not in themselves lead to the instant emergence of stable adaptation, but are the basis for the initial, so-called urgent, imperfect stage of adaptation. For the transition of urgent adaptation to a guaranteed, long-term one, some important process must be implemented within the emerging functional system, ensuring that the existing adaptation systems are fixed and their capacity is increased to a level dictated by the environment. [2]
In recent decades, it has been found that an increase in the function of organs and systems naturally entails activation of the synthesis of nucleic acids and proteins in the cells that form these organs and systems. Because in response to the demands of the environment, the function of the systems responsible for adaptation increases, that is where the activation of the synthesis of nucleic acids and proteins develops first of all.
Activation leads to the formation of structural changes that fundamentally increase the capacity of the systems responsible for adaptation. This is the basis for the transition from urgent adaptation to long—term adaptation - a crucial factor in the formation of the structural basis for long-term adaptation.
The sequence of phenomena during the formation of long-term adaptation is that an increase in the physiological function of cells in the systems responsible for adaptation causes, as the first shift, an increase in the rate of RNA transcription on the structural DNA genes in the nuclei of these cells.
An increase in the amount of messenger RNA leads to an increase in the number of ribosomes and polysomes programmed with this RNA, in which the process of cellular protein synthesis proceeds intensively. As a result, the mass of structures increases and the cell's functional capabilities increase, a shift that forms the basis for long—term adaptation.
It is essential that the activating effect of increased function, mediated through the mechanism of intracellular regulation, is attributed specifically to the genetic apparatus of the cell. The introduction of actinomycin to animals, an antibiotic that attaches to guanylic DNA nucleotides and makes transcription impossible, deprives the genetic apparatus of cells of the ability to respond to an increase in function. As a result, the transition from urgent adaptation to long-term adaptation becomes impracticable: adaptation to physical stress, hypoxia, the formation of new temporary bonds and other adaptive reactions turn out to be impossible under the action of non-toxic doses of actinomycin, which do not disrupt the implementation of ready-made, previously established adaptive reactions. [3]
Based on these and other facts, the mechanism by which the function regulates the quantitative parameter of the activity of the genetic apparatus, the rate of transcription, was designated by us as "the relationship between the function and the genetic apparatus of the cell" [3]. This relationship is two-way. The direct connection is that the genetic apparatus — the genes located in the chromosomes of the cell nucleus, indirectly through the RNA system, provide protein synthesis — "make structures", and structures "make" a function. The feedback is that the "intensity of the functioning of structures" — the amount of function per unit mass of an organ - somehow controls the activity of the genetic apparatus.
It turned out that an important feature of the process of hyperfunction — hypertrophy of the heart with narrowing of the aorta, a single kidney or lung after removal of a paired organ, a lobe of the liver after removal of its other lobe - is that activation of the synthesis of nucleic acids and protein, which occurs in the coming hours and days after the onset of hyperfunction gradually stops after the development of hypertrophy and an increase in the mass of the organ.
This dynamic is determined by the fact that at the beginning of the process, hyperfunction is carried out by a non-hypertrophied organ and an increase in the amount of function per unit mass of cellular structures causes activation of the genetic apparatus of differentiated cells. After the complete development of organ hypertrophy, its function is distributed in an increased mass of cellular structures, and as a result, the amount of function performed by a unit of mass of structures returns or approaches the normal level. After that, the activation of the genetic apparatus stops, and the synthesis of nucleic acids and proteins also returns to normal levels [4].
If you eliminate the hyperfunction of an organ that has already undergone hypertrophy, the amount of function performed by 1 g of tissue will become abnormally low. As a result, protein synthesis in differentiated cells will decrease and the mass of the organ will begin to decrease. Due to the decrease in the organ, the amount of function per unit mass gradually increases, and after it becomes normal, the inhibition of protein synthesis in the cells of the organ stops — its mass no longer decreases.
These data provided the basis for the idea that in differentiated cells and mammalian organs formed by them, the amount of function performed by a unit of organ mass (intensity of functioning of structures - IFS) plays an important role in regulating the activity of the cell's genetic apparatus. An increase in the IFS corresponds to a situation where "functions are closely structured." This causes activation of protein synthesis and an increase in the mass of cellular structures. A decrease in this parameter corresponds to a situation where "the functions are too spacious in the structure," resulting in a decrease in synthesis intensity followed by the elimination of excess structure. In both cases, the intensity of the functioning of the structures returns to a certain optimal value, characteristic of a healthy organism.
Thus, the intracellular mechanism, which implements a two-way relationship between the physiological function and the genetic apparatus of a differentiated cell, ensures that IFS is both a determinant of the activity of the genetic apparatus and a physiological constant, maintained at a constant level due to timely changes in the activity of this apparatus [4].
It is clear that with the same duration of the average daily activity, i.e., with the same time during which the organ operates, the average daily IFS will be higher for an organ that functions at a higher level.
Thus, in a healthy body, the stress developed by the myocardium of the right ventricle is somewhat less than the stress developed by the myocardium of the left ventricle, and the duration of ventricular function during the day is equal; accordingly, the content of nucleic acids and the intensity of protein synthesis in the myocardium of the right ventricle is also less than in the myocardium of the left [5]. There is also evidence that the different intensity of functioning of structures that develop in different tissues during ontogenesis affects not only the intensity of RNA synthesis in DNA structural genes and, through RNA, the intensity of protein synthesis. It turned out that IFS acts more deeply, namely, it determines the number of DNA matrices per unit of tissue mass, i.e. the total the power of the genetic apparatus of the cells forming the tissue, or the number of genes per unit mass of tissue. This effect was manifested in the fact that the DNA concentration for the left ventricular muscle is 0.99 mg/g, for the right ventricular muscle — 0.93, for the diaphragm — 0.75, for skeletal muscle — 0.42 mg/g, i.e. the number of genes per unit mass varies in different types of muscle tissue in proportion to IFS. The number of genes is one of the factors determining the intensity of RNA synthesis. Accordingly, in further experiments, the researchers found that the intensity of RNA synthesis, determined by the inclusion of labeled carbon glucose 14C, is 3.175 beats/min for the left ventricle, 3.087 for the right ventricle, 2.287 for the diaphragm, and 1.154 beats/min for the skeletal muscle of the limb per amount of RNA contained in 1 g of muscle fabrics[5].
Thus, IFS, which develops during ontogenesis in young animals whose cells have retained the ability to synthesize DNA and divide, can determine the number of genes per unit mass of tissue and indirectly the intensity of RNA and protein synthesis, i.e., the perfection of structural support for cell function.
The above clearly indicates that the relationship between the function and the genetic apparatus of the cell, which we will refer to as the relationship G ⇄ F, is a permanent mechanism of intracellular regulation that is implemented in cells of various organs.
At the stage of urgent adaptation, in case of hyperfunction of the system specifically responsible for adaptation, the implementation of G ⇄ F lawfully ensures activation of the synthesis of nucleic acids and proteins in all cells and organs of this functional system. As a result, certain structures accumulate there — a systemic structural trace is realized [5].
Thus, when adapting to physical exertion, pronounced activation of nucleic acid and protein synthesis naturally occurs in neurons of motor centers, adrenal glands, skeletal muscle cells, and heart cells, and pronounced structural changes develop [6]. The essence of these changes is that they provide a selective increase in the mass and power of structures responsible for management, ion transport and energy supply.
It has been established that moderate cardiac hypertrophy is combined with increased activity of the adenyl cyclase system during adaptation to physical exertion [5] and an increase in the number of adrenergic fibers per unit mass of the myocardium [6]. As a result, the adrenoreactivity of the heart and the possibility of its urgent mobilization increase. At the same time, an increase in the number of H-chains, which are carriers of ATPase activity, is observed in the myosin heads. ATPase activity increases, resulting in an increase in the rate and amplitude of contraction of the heart muscle [6]. Further, the power increases the calcium pump of the sarcoplasmic reticulum and, as a result, the rate and depth of diastolic relaxation of the heart [5]. In parallel with these shifts in the myocardium, there is an increase in the number of coronary capillaries [7], an increase in the concentration of myoglobin and the activity of enzymes responsible for the transport of substrates to the mitochondria [7], and the mass of the mitochondria themselves increases. This increase in the power of the energy supply system naturally leads to an increase in the resistance of the heart to fatigue and hypoxemia [6].
Such a selective increase in the power of structures responsible for control, ion transport and energy supply is not an original property of the heart, it is naturally realized in all organs responsible for adaptation. In the process of adaptive response, these organs form a single functional system, and the structural changes developing in them represent a systemic structural trace that forms the basis of adaptation.
In relation to the process of adaptation to physical exertion, this systemic structural trace at the level of nervous regulation is manifested in hypertrophy of neurons of motor centers, an increase in the activity of respiratory enzymes in them [7]; endocrine regulation — in hypertrophy of the adrenal cortex and medulla [8]; executive organs — in hypertrophy of skeletal muscles and an increase in the number of mitochondria in them 1.5—2 times [6]. The latter shift is of exceptional importance, since in combination with an increase in the power of the circulatory and respiratory systems, it provides an increase in the aerobic capacity of the body (an increase in its ability to utilize oxygen and carry out aerobic ATP resynthesis), necessary for the intensive functioning of the movement apparatus. As a result of an increase in the number of mitochondria, an increase in the aerobic capacity of the body is combined with an increase in the ability of muscles to utilize pyruvate, which is formed in increased quantities during exercise due to the activation of glycolysis. This prevents an increase in lactate concentration in the blood of adapted people [8]. An increase in lactate concentration is known to be a factor limiting physical activity, however, lactate is a lipase inhibitor, and, accordingly, lactemia inhibits the use of fats. With advanced adaptation, an increase in the use of pyruvate in the mitochondria prevents an increase in the concentration of lactate in the blood, ensures the mobilization and use of fatty acids in the mitochondria, and ultimately increases the maximum intensity and duration of work.
Consequently, the branched structural trace expands the link that limits the body's performance, and this is exactly how in this way, we form the basis for the transition of an urgent but unreliable adaptation into a long-term one.
Quite similarly, the formation of a systemic structural trace and the transition of urgent adaptation to long-term adaptation occur with prolonged exposure to high-altitude hypoxia compatible with life. Adaptation to this factor is characterized by the fact that the initial hyperfunction and subsequent activation of the synthesis of nucleic acids and proteins simultaneously cover many body systems and, accordingly, the resulting systemic structural trace turns out to be more extensive than during adaptation to other factors. Indeed, hyperventilation is followed by activation of the synthesis of nucleic acids and proteins and subsequent hypertrophy of the neurons of the respiratory center, respiratory muscles and the lungs themselves, in which the number of alveoli increases. As a result, the power of the external respiration apparatus increases, the respiratory surface of the lungs and the oxygen utilization coefficient increase, and the efficiency of the respiratory function increases. In the hematopoiesis system, activation of the synthesis of nucleic acids and proteins in the bone marrow causes increased formation of red blood cells and polycythemia, which increases the oxygen capacity of the blood. Finally, activation of the synthesis of nucleic acids and proteins in the right and, to a lesser extent, the left parts of the heart ensures the development of a complex of changes, in many ways similar to those that occur during adaptation to physical exertion. As a result, the functional capabilities of the heart, and especially its resistance to hypoxemia, increase.
Synthesis is also activated in systems whose function is not enhanced, but, on the contrary, impaired by oxygen deficiency, primarily in the cortex and the underlying parts of the brain. This activation, as well as the activation due to increased function, is apparently caused by an ATP deficiency, since the G ⇄ F relationship is realized. It should be noted here that the activation of nucleic acid and protein synthesis under consideration, which develops under the influence of hypoxia in the brain, becomes the basis for vascular growth, a steady increase in glycolysis activity, and thus contributes to the formation of a systemic structural trace that forms the basis for adaptation to hypoxia.
The result of the formation of this systemic structural trace and adaptation to hypoxia is that adapted people acquire the opportunity to carry out such physical and intellectual activity in conditions of oxygen deficiency, which is excluded for the unadapted[9].
When adapting to certain factors, the systemic structural footprint turns out to be spatially very limited — it is localized in certain organs. Thus, when adapting to increasing doses of poisons, activation of the synthesis of nucleic acids and proteins in the liver naturally develops. The result of this activation is an increase in the power of the microsomal oxidation system, in which cytochrome 450P plays a major role. Externally, this systemic structural trace can be manifested by an increase in liver mass, it forms the basis of adaptation, which is expressed in the fact that the body's resistance to poisons such as barbiturates, morphine, alcohol, nicotine increases significantly [10].
The effect of the power of the microsomal oxidation system on the body's resistance to chemical factors is apparently very high. Thus, it has been shown that after smoking one standard cigarette, the concentration of nicotine in the blood of non—smokers is 10-12 times higher than that of smokers, whose microsomal oxidation system capacity is increased and on this basis, adaptation to nicotine has formed.
With the help of chemical factors that inhibit the microsomal oxidation system, it is possible to reduce the body's resistance to any chemical substances, in particular to drugs, and with the help of factors that induce an increase in the power of microsomal oxidation, it is possible, on the contrary, to increase the body's resistance to a variety of chemicals.
Limited localization often has a structural trace when the body adapts to damage, namely, when compensating for the removal or disease of one of the paired organs: kidneys, lungs, adrenal glands, etc. In such situations, the hyperfunction of the only remaining organ through the GLF mechanism leads, as indicated, to the activation of the synthesis of nucleic acids and proteins in its cells. Further, as a result of hypertrophy and hyperplasia of these cells, pronounced hypertrophy of the organ develops, which, due to an increase in its mass, acquires the ability to realize the same load that two organs previously realized [11].
Consequently, the systemic structural trace forms the general basis of various long-term reactions of the body, but at the same time, adaptation to various environmental factors is based on systemic structural traces of various localization and architecture.
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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.
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.
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."
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.
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.
"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".
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.
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.
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.
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.
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