Reviewer's recommendation

The author discusses the reviewer's task of making the overall judgment abo ut the suitability of the manuscript based on their evaluations using the r eview criteria. No one formula for developing an overall judgment exists an d, in the absence of a fatal flaw, arriving at a judgment means each review er must weigh the study's performance based on the wide range of review cri teria. In the end, the reviewer is expected to provide a clear, consistent, and useful recommendation to the editor, and a constructive reply to the a uthor.