Upon receipt of each new manuscript, the Editor determines the paper’s appropriateness for the Journal based upon topic and relevance. Appropriate manuscripts are assigned to a peer reviewer(s). Peer reviewers are chosen based upon area of specialty and interest, and their identity is kept confidential. Reviewers are required to declare any potential competing interests related to each manuscript they are asked to review and will be excluded from the peer review process if a competing interest exists. Reviewers fill out a detailed evaluation of the manuscript and indicate whether the paper should be accepted, rejected, or revised for further consideration. The Journal considers the Reviewer comments and makes a further determination on the manuscript’s potential for acceptance. The Journal then communicates that decision to the author(s) with the evaluation and blinded reviewer comments and suggestions/requirements for revision. If authors are invited to submit a revised manuscript, they must include a detailed list of revisions or explanations. Reviewers may then give a final determination on the revised manuscript’s acceptability or further need for revision. The Journal will communicate the final decision to the author(s).