CONFLICTS OF INTERESTĪuthors must state clearly all possible conflicts of interest in the manuscript, including financial, consultant, institutional and other relationships that might lead to bias or a conflict of interest. Authors must draw attention to any published work that concerns the same patients or subjects as the present paper in a covering letter with their article. If you are in doubt (particularly in the case of material that you have posted on a web site), we ask you to proceed with your submission but to include a copy of the relevant previously published work or work under consideration by other journals. The ICMJE has provided details of what is and what is not duplicate or redundant publication. We ask you to confirm that your paper is original, has not been published in its current form or a substantially similar form (in print or electronically, including on a web site), that it has not been accepted for publication elsewhere, and that it is not under consideration by another publication. The complete document appears at REDUNDANT OR DUPLICATE PUBLICATION “Uniform Requirements for Manuscripts Submitted to Biomedical Journals” New Engl J Med 1997, 336:309–315. For further details, authors should consult the following article: International Committee of Medical Journal Editors. JournalGurus expects their authors, reviewers and editors to comply with the highest ethical standards when conducting research, submitting papers and throughout the peer-review process,as required by the International Committee of Medical Journal Editors (ICMJE).