Does the Current Anti-science Crisis Emanate from our Imperious Scientific Journals?

In many domains of modern public discourse and opinion, there appears to have arisen willful ignorance of science, and perhaps even worse in many situations, outright hostility to scientific knowledge. This is most visible in government inaction towards a number of looming crises, most notably manmade global warming, but it’s also widely felt in the public health arena with vaccinations, drug addiction and over-utilization of antibiotics. Scientists and physicians remain frustrated and puzzled that obvious scientific arguments can be so baldly dismissed in the public arena, and in the face of such great collective peril. At the core of this modern tragic dilemma seems to lie a fundamental mistrust of science.

Continue reading “Does the Current Anti-science Crisis Emanate from our Imperious Scientific Journals?”

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Conflicts of Interest and Financial Disclosures: It’s Time to Take a Stand Against Dishonest Authors

The recent announcement that the Chief Medical Officer of Memorial Sloan Kettering Cancer Center failed multiple times to report significant financial conflicts of interest in journal articles and letters authored or co-authored by him has justifiably stirred up quite a hornets nest of controversy.

Truth be told, I too am personally quite angry about his glaring oversight, which at its worst, involved opinions communicated broadly to the medical community via the New England Journal of Medicine. As a physician innovator, entrepreneur and scholar I have sought to play by these disclosure rules, which simply mandate transparency, because I think they are the best tools for fairly communicating possible bias to readers.

Continue reading “Conflicts of Interest and Financial Disclosures: It’s Time to Take a Stand Against Dishonest Authors”

Our Founder & Editor-in-Chief won the AANS Cushing Award!

We are delighted to announce that Cureus Founder and Editor-in-Chief Dr. John Adler was presented with the American Association of Neurological Surgeons’ Cushing Award for Technical Excellence and Innovation in Neurosurgery!

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Presented at the 2018 AANS annual meeting in New Orleans on Monday April 30th, the Cushing Award could well be considered the Nobel Prize for Neurosurgery. The award was established in 2013 to honor innovation, skill and technical prowess in the development of new procedures which have become part of the arsenal neurosurgeons use to treat disease or trauma. John’s formative role in founding Cureus, “a disruptive platform for creating and sharing medical knowledge” was cited during the award presentation. Here at Cureus we are proud to call John our leader as his lifetime of professional accomplishments, including the creation of Cureus, led him to this point.

Founded by Harvey Cushing, after which the award is named, the 2018 AANS Annual Scientific Meeting is attended by neurosurgeons, neurosurgical residents, medical students, neuroscience nurses, clinical specialists, physician assistants, allied health professionals and other medical professionals, the AANS Annual Scientific Meeting is the largest gathering of neurosurgeons in the nation, with an emphasis on the field’s latest research and technological advances.

Congratulations, John!

Announcing the Winners of the Negative Pressure Wound Therapy Publishing Competition!

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The SIQ scoring period has ended and the scores have been tabulated. We are pleased to announce the following articles as winners of the Negative Pressure Wound Therapy with Instillation publishing competition:

1st place – 8.3 SIQ ($5,000): “Negative Pressure Wound Therapy with Instillation in a Chronic Non-Healing Right Hip Trochanteric Pressure Ulcer” by Broder, Nguyen and Broder

2nd place – 8.0 SIQ ($2,000): “A Case Review Series of Christiana Care Health System’s Experience with Negative Pressure Wound Therapy Instillation” by Felte, Gallagher, Tinkoff and Cipolle

3rd place – 7.0 SIQ ($1,000): “Utilizing the VeraFlo™ Instillation Negative Pressure Wound Therapy System with Advanced Care for a Case Study” by Rita K. Driver

We’ll be reaching out to the corresponding author of each article to arrange for award delivery.

As is the case with all of our publishing competitions, please keep in mind that only scores submitted during the competition scoring period are included when determining the winners.

We’d like to extend a big thank you to the Cureus community for their efforts in reading and scoring competition articles over the past few months. Without you, this competition would not be possible.

And remember – even though the competition is over, you can still access and score all of the articles. Thanks for your support!

Optimization Strategies for Organ Donation and Utilization Competition Winners!

novartis-donate-life-email-winners-announcedThe SIQ scoring period has ended and the scores have been tabulated. We are pleased to announce the following articles as winners of the Optimization Strategies for Organ Donation and Utilization publishing competition:

Winner, Organ Utilization – 9.3 SIQ: Trends in Usage and Outcomes for Expanded Criteria Donor Kidney Transplantation in the United States Characterized by Kidney Donor Profile Index” by Rege, Irish, Castleberry et al.

Winner, Organ Donation – 5.5 SIQ: “Envisioning and Leading Organizational Transformation: One Organ Procurement Organization’s Journey” by Orlowski

As a reward for their efforts, each author group will be awarded $5,000. (We’ll be reaching out to the corresponding author of each article to arrange for award delivery.)

As is the case with all of our publishing competitions, please keep in mind that the above scores represent only those scores submitted during the competition scoring period.

We’d like to extend a big thank you to the Cureus community for their efforts in reading and scoring competition articles over the past few months. Without you, this competition would not be possible.

And remember – even though the competition is over, you can still access and score all of the articles. Thanks for your support!

Autologous Epidermal Grafting: Announcing the Competition Winner!

kci-competition-email-winners-announcedThe SIQ scoring period has ended and the scores have been tabulated. We are pleased to announce the following articles as winners of the Clinical and Economic Benefits of Autologous Epidermal Grafting publishing competition:

1st place, 9.3 SIQ: “Clinical and Economic Benefits of Autologous Epidermal Grafting” by Maderal & Kirsner

2nd place, 9.0 SIQ: “A Case Series of Complex Recalcitrant Wounds Treated with Epidermal Grafts Harvested from an Automated Device” by Cai, Gowda, Chopra et al.

3rd place, 6.0 SIQ: “Autologous Epidermal Grafting Using a Novel Negative Pressure Epidermal Harvesting System in a Case of Stable Vitiligoby” by Krishna, Thirunavukkarasu, Krishnan et al.

As you can see, the battle for first place came down to the wire with only a handful of scores separating first and second place. (Keep in mind that the above scores represent only those scores submitted during the competition scoring period.)

We’d like to extend a big thank you to the Cureus community for their efforts in reading and scoring competition articles over the past few months. Without you, this competition would not be possible.

And remember – even though the competition is over, you can still access and score all of the articles. Thanks for your support!

Scholarly Roulette: Impact Factor & Scientific Quality

A friend and colleague referred me to a recent publication that represents a major indictment of the peer-reviewed journal cartel.

This article summarizes a blog published by what is arguably a Cureus competitor, the open access-publishing house, Frontiers, which in this study could find no correlation between rates of rejection and journal impact factor.

Just for argument’s sake, let’s assume that impact factor does correlate with scientific quality. So if this study is correct, it means by extension that the rate of rejection also doesn’t correlate with quality. In turn this means that the standard peer review process (which totally dominates the journal industry) has no bearing on article quality. In other words, getting published, or not, appears to be a random event.

Accepting this fact (parenthetically one which I already subscribe to) means that despite all the process and rituals of scientific journal publishing, and the huge importance of this matter to society and academic tenure decisions, there is currently no objective index for assessing research article quality. Of course if one believes that impact factor is not a measure of quality, then the above random publication process is even more random than I implied in my argument! Based on this observation, I would like to sarcastically suggest we should rename this current process “scholarly roulette.”

Clearly there are huge shortcomings to the Frontiers study, such as selection bias and the non-medical nature of many scholarly journals. However, to a huge research community that has invested so much of their lives into the existing peer review process these type of findings must be dispiriting. Nevertheless, this current set of observations does resonate with our philosophy at Cureus, where we subscribe to the belief that as long as the medical science within is credible, there is no reason not to publish an article. In other words, we believe that we are, on average, no better equipped to discern quality than any other journal.

A big part of our confidence stems from Cureus’ unique post-publication SIQ scoring system. Although we are no smarter in finding scientific quality up front, we do believe that it is quite possible for the medical community-at-large to find quality over time, post publication. Nevertheless, to make this a reality, every reader has a role to play, which of course includes you!