The editorial office of Zanco J Med Sci and the subject editors check each submitted manuscript for general quality, suitability and whether it conforms to the journal guidelines. Submissions that do not comply with the journal guidelines will be returned to the author for correction before being considered for publication. All manuscripts are checked by the editorial office for plagiarism. If the manuscript is found suitable and acceptable in principle, it will be sent out for double-blind review. All reviewers treat the manuscript with the strictest confidentiality and must declare any conflicts of interest. Comments and suggestions from the reviewers are conveyed to the authors. Revised manuscripts are subject to further review by the original reviewers and the responsible subject editors. The final decision as to acceptance Nor rejection lies with the Editor, with advice from the journal editorial board. The corresponding author will be advised of the final decision; acceptance or rejection of the manuscript, in a formal letter.