All new submissions are screened for completeness and adherence to the journal aims and scope, publication ethics, and instructions for authors. Manuscripts with insufficiently original content, plagiarism concerns, methodological flaws, poor English language, irrelevant scope, or incomplete requested accompanying documents can be rejected without being sent out for peer review. Those manuscripts that pass the initial check undergo a double-blinded peer review process by several reviewers (usually 3 in most cases) who express no conflict of interest. The editorial decisions for each manuscript (ie, accept, minor revision, major revision, and reject) relies on the reviews' recommendations and the discretion of the editor-in-chief or an assigned editor. Manuscripts with revisions are sent back to the authors for modifications and subjected to another round of review by the editor or reviewers before the final editorial decision is made. The authors are informed about the review's progress and the final decision. All accepted manuscripts go through production, including formatting according to the journal style and artwork, proofreading by the authors and journal staff, and publishing in the latest available journal issue.