I want to tell you how much I appreciate the comments by the reviewers for the manuscript I submitted. They provided excellent feedback on the strengths and weaknesses, and their insight and comments on how to improve the manuscript were positive and thought provoking.

I am not sure if reviewers have an opportunity to learn how authors feel about their comments, but I wanted to share my thoughts, as in the end it strengthened my article.

Cynthia M. Thomas, EdD, RNC

Muncie, Indiana