Plagiarism screening will be conducted by PAMERI: Pattimura Medical Review Editorial Board using Plagiarism Checker X version 5.1.4. Before the paper will be review by reviewer, the editorial will be check the level of percentage of plagiarism, if the plagiarism checker detect the similarity more than 30%, than the author must be revised the article. And also, after the paper was final checked by reviewer, then the final process is checking the similarity content of the papers before published the papers.