 manuscripts treated the same way do you look at if it's submitted by an international author or an author from the US so does that make any difference? When a manuscript comes in we try to treat them all the same way and to be careful not to apply any sort of prejudice to one region of the world versus another and by prejudice I just mean you know preconceived notions about what we might be receiving and so we we try to treat every manuscript fairly and equitably in the same because I think that's the really the only way you can be fair is you know we have these policies we have our our instructions and they have to be applied across the board same to every every manuscript that's coming in no matter where it's coming from so for instance that means all of our manuscripts that are potentially acceptable go through for instance our cross check to check for potential plagiarism so every every article gets that same treatment every article you know we make sure they have the ethics board approval every article if for instance if a case report do they have the patient consent in their files so all of those things we make sure every single article no matter where it's from United States or international country we we are checking that everybody and treating everybody we try to treat everybody the same that's really helpful okay I think a lot of people believe that if a submission is from a foreign author then people will be treated treated differently our editor-in-chief has a real interest in global health herself I mean she's she's a really interesting background she was she worked in Botswana for for an extended period of time in a hospital there and so she's got a real understanding of of international regions and and just a really interesting she's just very interested and curious about things that just really she really cares about global health and authors so she definitely I think is sort of a champion for making sure that we're treating people equitably from all regions of the world so it's nice to work with someone like that