Too many journals – too little good research

Erlend Hem’s  Editorial in the Norwegian Medical Journal “Too many journals – too little good research” is thought-provoking, especially the question of whether we publish too much. Fewer and better publications is a good conclusion of his Editorial. But, if we should publish good articles in traditional journals or in electronic “Open Access” (OA) journals is difficult to answer.

OA has improved access to medical journals. Researchers in developing countries can access them free.

Hem suggests that traditional journals have better peer-review  than OA journals such as BioMedCentral. I know of examples of articles that have inadequate peer review. However, this applies to both OA and traditional publications. In the research training programme at the University of Bergen, students criticize scientific papers, often from well-known journals such as BMJ and Lancet. And, they often find serious mistakes in the papers.

My question is: Is the editor best suited to choose what is good and important science, and what is essential to publish? And, we know that editors favour scientists they learn to know at conferences and meetings.

Many electronic journals (such as PLoS ONE and BioMedCentral) accepts all submitted articles as long as they meet minimum scientific criteria. Such a policy means that they publish many scientific articles. And such journals have a surprisingly high impact factor, and the best research institutions use them.

Is not it time the Norwegian medical Journal (and other journals) are more “Open Access”? I suggest that all articles that meet the minimum scientific requirements should be published electronically. The Editor can then choose articles they wish to publish in the printed paper version.

(This is a translation of the Norwegian text on the Journal’s blog)

 

Food security and climate change

As most of people in Ethiopia depend on subsistence economy, they are vulnerable to climatic variations. During Ethiopia’s long history, droughts and famines have occurred often. For example, during the period 1958 to 2011 some parts of the country were repeatedly affected by serious food shortages resulting in localized or widespread famines. The worst famines occurred in 1974 and 1983-85, when an estimated 250 000 and 1 million people respectively, died because of food shortage.

Climate change will disrupt weather patterns, change rainfall distribution, and increase temperatures beyond what crops can tolerate. Climate change represents a threat to food security, especially in countries on the Horn of Africa.  Although severe droughts obviously may cause famines, the climate only partially explains the seeming increased vulnerability to drought among the population living in these areas.

Recently Seifu Hagos from Addis Ababa University started his PhD studies on food security and climate change. His study aims to develop statistical and mathematical models to analyse trends and forecast the impact of climate change on food security, malnutrition vulnerability, and population health in Ethiopia.

Modelling the effects of climate changes on health and nutrition of households will provide important and relevant information for policy actions.

Reducing maternal mortality in south Ethiopia

In line with the Millennium Development Goal for maternal health (MDG-4 and 5), I take part in a project to support regional and local government in their work to cut maternal and neonatal deaths. The Reducing Maternal Mortality programme, which started in 2008, is today viewed as a pilot programme for Ethiopia, and efforts are under way to scale up these efforts for the whole country. It is funded by NORAD and Norwegian Lutheran Mission.

The overall development goal of this collaboration with three Regional Health Bureaus is to improve maternal health and make large decline in neonatal and maternal mortality among the target population.

The target population for this project are pregnant women in remote areas in south-west Ethiopia (Gamu Gofa Zone, Basketo Special Woreda, Saggan Zone (previous Dirashe and Konso Special Woreda), and in south-east Ethiopia (Bale Zone and the southern part of Somali Region). See Map.

The project’s aims to strengthen the antenatal services so the health extension workers can help normal deliveries, and identify and refer women in need of help during delivery to health institutions. The project shall enable health centres and hospitals to practise safe delivery. Particular attention is on intrapartum care.

 

Reaching MDG 5 by 2040?

ResearchBlogging.org

Many African countries will not reach the Millennium Development Goals on health.

A recent article in The Lancet says only nine of 137 developing countries will achieve targets to improve the health of women and children. Although progress is speeding up in most countries, and especially to reduce child deaths, efforts to cut deaths among pregnant women and new mothers by three-quarters will not be achieved before 2040 in most sub-Saharan African Countries (see map copied from The Lancet article).

The reasons Africa fails on health MDGs are multifaceted, but most countries do not have the necessary health infrastructure where the people live. In simple language, this means that people do not have enough and good hospitals where they live. Thus, many pregnant women in need of help during deliveries do not get the help they need.

Unfortunately, many donors (rich countries and NGOs) focus on simple and cheap solutions, but not on the meticulous work in building small rural hospitals, and in training and supporting necessary staff.

Lozano, R., Wang, H., Foreman, K., Rajaratnam, J., Naghavi, M., Marcus, J., Dwyer-Lindgren, L., Lofgren, K., Phillips, D., Atkinson, C., Lopez, A., & Murray, C. (2011). Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis The Lancet DOI: 10.1016/S0140-6736(11)61337-8

Impact Factor and Tropical Medicine

The 2010 edition of Thomson Reuter’s Journal Citation Reports has been released. Two open access journals rank as number 1 and number 2 in the Tropical Medicine category.

Rank Abbreviated Journal Title Total Cites 2010 impact factor 5-Year
Impact
Factor 

 

1 PLOS NEGLECT TROP D 2020 4,752 4,849
2 MALARIA J 4012 3,489 3,551
3 TROP MED INT HEALTH 5503 2,841 2,967
4 T ROY SOC TROP MED H 8015 2,832 2,615
5 AM J TROP MED HYG 16905 2,446 2,884
6 ACTA TROP 4527 2,262 2,5
7 MEM I OSWALDO CRUZ 5385 2,058 2,081
8 ANN TROP MED PARASIT 2782 1,288 1,579
9 J TROP PEDIATRICS 1416 1,248 1,286
10 LEPROSY REV 516 1,162 1,038

“Every fallen is a brother and a friend”

Norway is a peaceful and harmonious society, and is very open. On July 22, this was shattered by a massacre at a youth camp at Utøya, and a bombing in the capital, Oslo. At least 76 people were killed in the attacks, many were injured and some are still missing.

On May 17th, 1940, after the start of war in Norway, the famous Norwegian poet Nordahl Grieg wrote: “Vi er så få her i landet, Hver fallen er bror og venn” My English translation is: “We are so few in this country, Every fallen is a brother and a friend”.

The worst atrocity in Norway since World War II was done by a 32 year old Norwegian.

Norway after July 22 will be different from what is was before this national tragedy. In the days after this national tragedy, many hundred thousand people in Norway have in public expressed their deep sorrow. All are defiant, and are determined that this national tragedy won’t undermine the values our country stands for: peace, democracy, solidarity, openness and tolerance.