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Proceedings of Asia Pacific Association of Medical Editors Congress held at Seoul Korea-II.

Inaugural Session/Welcome Reception

APAME and GIN combined meeting: The formal inauguration and welcome reception of the congress was a combined session with Global International Networking (GIN). It was pointed out that this was the First GIN conference in Asia which will help improve Evidence Based Medicine in Asia Pacific. GIN, it was further stated, has tried to expand its role globally. Three hundred delegates are attending this meeting from thirty countries and it can be done every where. President APAME Prof. John Arokiasamy in his address said that our mission was dissemination of high quality knowledge to improve health in Asia Pacific Region by publishing information in medical journals. We work in close collaboration with WHO Regional Office and other organizations and its development has been very smooth and progressive. We are having this joint meeting with the Regional Index Medicus. We have been helped in many ways by Korean Association of Medical Journal Editors (KAMJE).

Other national associations of medical editors are also playing their role. This combined meeting with GIN provides us an opportunity of international networking since GIN is present and recognized in ninety countries for development of Clinical Practice Guidelines. He hoped that GIN and APAME will find ways for networking in future as well.

The GIN conference it was stated has attracted 294 delegates from thirty one countries. The organizers received 214 abstracts. Scientific programme included five plenary session, seven workshops, and 102 scientific papers in twenty six sessions. There were ninety seven posters on display in two poster presentation sessions.

First Joint Plenary Session of APAME and GIN

It was devoted to linking evidence to practice: guidelines and alternatives. Dr. Tsuguya Fukui from Japan pointed out that with Evidence Based Medicine, quality of care gets better. One must recognize actual practices and outcome and then have feedback to improve the practices. There is gap between established evidence and actual clinical practice. It has been established that use of Aspirin reduces mortality in MI. Similarly complications rate of central vein catheter also reduced from eight to just four percent.

Gillian Leng from UK discussed how effective are national strategies for getting evidence in practice. The issues involved like lack of time and money, gaining consensus from colleague's treatment in new skills are required. There is also need for new equipment and services. Since 1999 NICE UK has published 693 guidelines of which 35 were on public health. We need to raise awareness, monitor and encourage change. Provide practical support, evaluate impact. We are working for a change. We are also working to improve dissemination of NICE pathways. There is need to motivate and encourage people to use these guidelines. Trusts can avoid litigations. CPD and revalidation of licenses are the other important issues. It was also stated that NHS Litigation Authority contributes to incentives for reducing the number of preventable incidents. Financial incentives are offered to GPs how well they adhere to agreed indications based on NICE guidelines. NICE has ongoing programme of monitoring data on uptake.

Audit of 282 Trusts in UK involved 90,000 NHS staff which showed that 32% had a policy to support the physicians, 15% helped reduce obesity. Biartic surgery for obesity has seen major increase in selected cases of obesity. Surgeons need to be trained to do that sort of surgery. With the increase in number of trained surgeons, number of patients having surgery is going up. NICE has also produced guidelines on antibiotics prophylaxis suggesting not giving it in routine dental practice. However, reduced funding for healthcare in UK are the future challenges. Change, it was stated, is not made without incentives even from worse to better.

Dave Davis from USA talked about the hidden intervention; using an effective educational strategy to ensure the uptake of best evidence in practice. She pointed out that guidelines do not implement themselves. In fact hidden within them are clear implications for education, the delivery an uptake of best evidence messages to patients, policy makers and especially for healthcare professionals. This presentation discussed patient motivated strategies, reminders, web based tools which are much more than class room teaching. Conferences, seminars, symposia, meetings, round lectures are all formal parts of CME. Small group workshops are better. He was of the view that we need to develop an active, interventionist educational programme for guideline implementation.

On Day two of the conference, Kathy Kwan from PubMed Central was the first speaker and her presentation was on Public Access Policy and PubMed Central. This was a Video presentation from NLM USA. PubMed Central it was stated is a digital full text archives of the life science journals at US NLM. It started in Year 2000 and has 2.2 million articles in its archives. Here deposit of articles is permanent. Journals can stop depositing new material but cannot withdraw the material already deposited. At present 880 journals deposit complete journal issues. It includes 145 journals from Asia Pacific and most of them are from Korea and China. NIH Public Access Policy, she stated, applies to all peer reviewed manuscripts. Four different submission methods are available. Almost 60% of the articles are deposited by authors or publishers. She pointed out that new exciting developments are taking place in information technology, new software's are being developed which would be helpful to the publishers and authors.

The next presentation was by Kown Oh Hoon who talked about Cross-Publisher Plagiarism screening initiative. It was sated that over twenty thousand manuscripts are checked with CrossCheck each month. It is a deterrence factor since the authors know that their manuscripts are being checked for plagiarism. It uses discussion list, provides cross reference support. Guidelines for best practice are being formed. CrossCheck not only protects the reputation of the journals but also deters the plagiarists.

His next presentation was on how to join CrossCheck wherein KAMJE experience was shard with the participants. Cross Check is powered by iThenticate which was an initiative started by Cross Ref to help its members actively engage in efforts to prevent scholarly and professional plagiarism. It is non-profit network founded on publisher collaboration. Its objective was to make reference linking throughout online scholarly literature efficient and reliable. This is the only full scale implementation of the Digital Object Identifier (DOI) system to date. CrossRef is not a product for sale, neither an article database nor a direct to end user service. It consists of some big commercial publishers. It offers the benefits of no broken links as DOI link is a persistent link. A single agreement with CrossRef serves as linking agreement with all participating publishers. It adds value to electronic publications with outbound and inbound links.

To participate in CrossCheck publishers must first allow their content to be indexed and included in the CrossCheck database. All CrossRef members are encouraged to contribute to the database regardless of whether they decide to check submissions. In order to join CrossCheck one must be a CrossRef member. One has to fill out an application form and sign a license agreement. Korean Journals wishing to join CrossCheck must be KAMJE members. KAMJE is a sponsoring member of CrossRef. It has 197 member journals of which 177 are covered in KoreaMed. It is sponsoring publisher of 96 Synapse, CrossCheck member journals. Thirty five journals have CrossCheck accounts and sixty have ID's as on August 22nd 2011.

Choi In-Hong discussed dual submission or self plagiarism. eTBLAST, Turnitin and CrossCheck were mentioned as some of the software available for detecting plagiarism. Turnitin covers over ninety thousand journals and books and its use reduces the burden of reviewers and editors. CrossCheck has facilities to exclude references, methodology. It was suggested that even if similarity index is 2%, one must check the text. Similarity in methodology is acceptable to some extent as it either confirms or results are contrary to earlier findings.

In the next session Tsutani, Kiichiro spoke on publication ethics focusing on duplicate publication. COPE practices were mentioned as to how to promote integrity in research publications. Practice of duplicate publication was termed as inappropriate and unethical. Authors need to be educated since they are under pressure to publish more due to various reasons.

Hahm, Chang Kok former President of KAMJE discussed surveillance programme for publication ethics. His presentation was based on KAMJE experience. KAMJE, it was stated was formed in 1996 and a committee on publication ethics was formed in 2006. Good Research Practice Guidelines for medical Editors was published in 2008. A few sample cases of duplicate publication were also depicted. Out of 9030 published articles 5% were selected randomly and it showed 5.93% were duplicate publications. The main work of the Ethics Committee is to provide consultation.

Trish Groves Deputy Editor from BMJ made a video presentation on Research and Publication Ethics. Can readers trust your journal? She pointed out that authors, publishers and editors have ethical obligations as regards publication of research results. Authors make available results of their research done on human subjects. It is important that every clinical trial must be registered and takes approval from Ethics Committee or Institutional Review Boards. Protect patient's identity, report all above points in their papers. Trial registration matters as it assures accountability. She also referred to the ICMJE requirements on the subject. Speaking about publication ethics, she mentioned about plagiarism, conflict of interest, avoiding guest, ghost authorship. Referring to Editor's role in tackling misconduct she suggested optimizing peer review, enlisting statisticians as peer reviewers. Clear advice to authors will help prevent misconduct.

Symposia on Research Ethics

Prof. Lapena JF from University of Philippines Manila who is also President of Philippines Association of Medical Journal Editors (PAMJE) discussed the role of editors in plagiarism. He presented a case study wherein the study was done by a Resident but the authors included the Head of the Dept. as well. He was of the view that though it was the resident who plagiarized but since all the authors had signed it, they all must equally share the blame. Instead of taking action against the plagiarists, the institutional ethics committee called a meeting and blamed the Editor who had pointed it out for indulging in defaming the professional colleagues. Eventually, the Editor won the case and the resident was punished but all others were acquitted. Why the HOD had become the main author of this study was also unethical, he remarked.

Prof. Lai Meng Looi from Malaysia talked about copy right issues. She stated that creative work done by the authors once submitted and published is transferred to the journals. Some journals ask the authors to sign on copy right Form. Acknowledgement is not enough and while using tables or figures, one has to seek permission from the author and publisher to reproduce it in their own articles.

Prof. Kheng Hock Lee from Singapore discussed ethics in medical journal review. Ethical peer review it was stated is although widely used is largely untested and its effects are uncertain. Speaking about Evidence Based Medicine, he said, that it is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care or individual patients. The practice of EBM means integrating individual clinical expertise with the best available clinical evidence from systematic research." According to Richard Smith, peer review is "slow, expensive, ineffective, something of a lottery, prone to bias and abuse, and hopeless at spotting errors and fraud". Sometimes the reviewers sit on the manuscripts and later it appears that there is lot of plagiarism or the reviewer may use it to push his/her own study on similar topic and get it printed. Peer Review must be based on competency, consistency, confidentiality, conflict of interest and collegiality.

Reviewer must be expert in that particular field; experienced author in peer reviewed journals, and trained in scientific method having good analytical and critical mind and effective in review writing. They should have no negative result bias, criticism should be meant to improve not to disprove, must have respect for the work of peers. There should be a process of appeal or the journal must have an ombudsperson to look into the complaints and grievances of authors. The reviewer must not breach confidentiality through delegation, seeking help from others, Peer review is subjective and has many deficiencies but there is no other better way. It is still effective and continued study of this process will improve its quality.

PubMed and PubMed Central

Charles Raby from WHO Office Manila moderated the next session wherein Kathy Kwan was the first speaker who discussed PubMed and PubMed Central processes in detail. PubMed, it was stated is a free database of over twenty one million citations and abstracts of the sciences literature. Linked as full text to PubMed Central and publisher's website, it is an essential biomedical resource used throughout the world. It has 3.3 million searches per day and 3.5 million abstracts are viewed daily. Currently it covers 5,500 journals in thirty nine languages. About 6% of its source is from countries represented by APAME. Selection committee meets three times in a year and 20-25% of the journals who apply are selected based on their quality of contents and production quality.

Fang An from Chinese Academy of Medical Sciences presented highlights regarding Western Pacific Region Index Medicus. It was pointed out that at present it covers 445 journals from ten countries of the region which includes eighty one journals from China and one hundred thirty one journals from Korea. The goal of WPRIM is to create an online index of medical and health journals published in member states of the WHO Western Pacific region which can be accessed on the internet thus ensuring global accessibility of medical and health research done in the region. It aims to create a bibliographic database containing records linked to their full text, to raise the level of journal publishing in member states besides building capacity of participating health institutions. Prof. Seo from Korea had played a vital role in initiating this project. WPRIM has been meeting regularly. It has reviewed and adopted a series of documents.

Institute of Medical Information at Chinese Academy of Medial Sciences was assigned to develop the WPRIM platform. It was WPRIM which had proposed the establishment of Asia Pacific Association of Medical Editors. New WPRIM database was formally launched in China on May 7th 2010. WPRIM is located in Beijing and hosted in the IMICAMS which maintains it and also provides technical support.

Choon Shil Lee discussed the KoreaMed, Synapse and KoMCI: the citation Tracking of Korean Medical Journal Articles. It is a full text database which tracks citations of Korean Medial papers in KoreaMed, Synapse and KoMCI. It covers Korean Medial Journals offering free information through open access. It is included in WorldWideScience.org. KoreaMed is not a citation index, not a full text database but it has linking built into the database. Currently forty three Korean journals are included in PubMed Central and five more are under evaluation. SYNAPSE covers ninety seven journals with full text while KoreaMed covers one hundred seventy seven journals. Citation tracking is available. Web of Sciences covers eight thousand science journals including medical journals while SCOUPS covers nineteen thousand science journals. CrossRef has 24,870 journals including ninety seven Korean journals.
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Publication:Pulse International
Article Type:Conference notes
Date:Jan 31, 2012
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