Abstract: Matched the rest of the article - aim clear -title informative and relevant -however, The research problem was not clear Background: -what was already known is clear - research question clearly outlined -however, it was not clear Was these expenses paid out-of-pocket or supported by some sort of insurance Methods: -study design not quite suitable for the research question -Clear process of subject selection, however, measurement of the variables was not given in details to grantee validity Results: -data properly presented - labeling satisfactory -results clear and meaningful Discussion and conclusion: - the results answered the research question -the limitations were many however they are opportunity to inform future research References: -references relevant with a spectrum that included recent ones Overall: -The article is consistent with itself,although the design not quite relevant, the conclusion answered the research question satisfactorily