Publication rates of research projects of an internal funding program of a university medical center in Germany: A retrospective study (2004-2013)

Objectives

Non-publication and publication bias are topics of considerable importance to the scientific community. These issues may limit progress toward the 3R principle for animal research, promote waste of public resources, and generate biased interpretations of clinical outcomes. To investigate current publishing practices and to gain some understanding of the extent to which research results are reported, we examined publication rates of research projects that were approved within an internal funding program of the Faculty of Medicine at a university medical center in Germany, which is exemplary for comparable research funding programs for the promotion of young researchers in Germany and Europe.

Methods

We analyzed the complete set (n = 363) of research projects that were supported by an internal funding program between 2004 and 2013. We divided the projects into four different proposal types that included those that required an ethics vote, those that included an animal proposal, those that included both requirements, and those that included neither requirement.

Results

We found that 65% of the internally funded research projects resulted in at least one peer-reviewed publication; this increased to 73% if other research contributions were considered, including abstracts, book and congress contributions, scientific posters, and presentations. There were no significant differences with respect to publication rates based on (a) the clinic/institute of the applicant, (b) project duration, (c) scope of funding or (d) proposal type.

Conclusion

To the best of our knowledge, this is the first study to explore publication rates associated with early-career medical research funding. As >70% of the projects ultimately generated some form of publication, the program was overall effective toward this goal; however, non-publication of research results is still prevalent. Further research will explore the reasons underlying non-publication. We hope to use these findings to develop strategies that encourage publication of research results.

Publication rates from biomedical and behavioral and social science R01s funded by the National Institutes of Health

Prior research has shown a serious lack of research transparency resulting from the failure to publish study results in a timely manner. The National Institutes of Health (NIH) has increased its use of publication rate and time to publication as metrics for grant productivity. In this study, we analyze the publications associated with all R01 and U01 grants funded from 2008 through 2014, providing sufficient time for these grants to publish their findings, and identify predictors of time to publication based on a number of variables, including if a grant was coded as a behavioral and social sciences research (BSSR) grant or not. Overall, 2.4% of the 27,016 R01 and U01 grants did not have a publication associated with the grant within 60 months of the project start date, and this rate of zero publications was higher for BSSR grants (4.6%) than for non-BSSR grants (1.9%). Mean time in months to first publication was 15.2 months, longer for BSSR grants (22.4 months) than non-BSSR grants (13.6 months). Survival curves showed a more rapid reduction of risk to publish from non-BSSR vs BSSR grants. Cox regression models showed that human research (vs. animal, neither, or both) and clinical trials research (vs. not) are the strongest predictors of time to publication and failure to publish, but even after accounting for these and other predictors, BSSR grants continued to show longer times to first publication and greater risk of no publications than non-BSSR grants. These findings indicate that even with liberal criteria for publication (any publication associated with a grant), a small percentage of R01 and U01 grantees fail to publish in a timely manner, and that a number of factors, including human research, clinical trial research, child research, not being an early stage investigator, and conducting behavioral and social sciences research increase the risk of time to first publication.

A network analysis of research productivity by country, discipline, and wealth

Introduction

Research productivity has been linked to a country’s intellectual and economic wealth. Further analysis is needed to assess the association between the distribution of research across disciplines and the economic status of countries.

Methods

By using 55 years of data, spanning 1962 to 2017, of Elsevier publications across a large set of research disciplines and countries globally, this manuscript explores the relationship and evolution of relative research productivity across different disciplines through a network analysis. It also explores the associations of those with economic productivity categories, as measured by the World Bank economic classification. Additional analysis of discipline similarities is possible by exploring the cross-country evolution of those disciplines.

Results

Results show similarities in the relative importance of research disciplines among most high-income countries, with larger idiosyncrasies appearing among the remaining countries. This group of high-income countries shows similarities in the dynamics of the relative distribution of research productivity over time, forming a stable research productivity cluster. Lower income countries form smaller, more independent and evolving clusters, and differ significantly from each other and from higher income countries in the relative importance of their research emphases. Country-based similarities in research productivity profiles also appear to be influenced by geographical proximity.

Conclusions

This new form of analyses of research productivity, and its relation to economic status, reveals novel insights to the dynamics of the economic and research structure of countries. This allows for a deeper understanding of the role a country’s research structure may play in shaping its economy, and also identification of benchmark resource allocations across disciplines for developing countries.

Scientists' political behaviors are not driven by individual-level government benefits

Is it appropriate for scientists to engage in political advocacy? Some political critics of scientists argue that scientists have become partisan political actors with self-serving financial agendas. However, most scientists strongly reject this view. While social scientists have explored the effects of science politicization on public trust in science, little empirical work directly examines the drivers of scientists’ interest in and willingness to engage in political advocacy. Using a natural experiment involving the U.S. National Science Foundation Graduate Research Fellowship (NSF-GRF), we causally estimate for the first time whether scientists who have received federal science funding are more likely to engage in both science-related and non-science-related political behaviors. Comparing otherwise similar individuals who received or did not receive NSF support, we find that scientists’ preferences for political advocacy are not shaped by receiving government benefits. Government funding did not impact scientists’ support of the 2017 March for Science nor did it shape the likelihood that scientists donated to either Republican or Democratic political groups. Our results offer empirical evidence that scientists’ political behaviors are not motivated by self-serving financial agendas. They also highlight the limited capacity of even generous government support programs to increase civic participation by their beneficiaries.

Identifying publications in questionable journals in the context of performance-based research funding

In this article we discuss the five yearly screenings for publications in questionable journals which have been carried out in the context of the performance-based research funding model in Flanders, Belgium. The Flemish funding model expanded from 2010 onwards, with a comprehensive bibliographic database for research output in the social sciences and humanities. Along with an overview of the procedures followed during the screenings for articles in questionable journals submitted for inclusion in this database, we present a bibliographic analysis of the publications identified. First, we show how the yearly number of publications in questionable journals has evolved over the period 2003–2016. Second, we present a disciplinary classification of the identified journals. In the third part of the results section, three authorship characteristics are discussed: multi-authorship, the seniority–or experience level–of authors in general and of the first author in particular, and the relation of the disciplinary scope of the journal (cognitive classification) with the departmental affiliation of the authors (organizational classification). Our results regarding yearly rates of publications in questionable journals indicate that awareness of the risks of questionable journals does not lead to a turn away from open access in general. The number of publications in open access journals rises every year, while the number of publications in questionable journals decreases from 2012 onwards. We find further that both early career and more senior researchers publish in questionable journals. We show that the average proportion of senior authors contributing to publications in questionable journals is somewhat higher than that for publications in open access journals. In addition, this paper yields insight into the extent to which publications in questionable journals pose a threat to the public and political legitimacy of a performance-based research funding system of a western European region. We include concrete suggestions for those tasked with maintaining bibliographic databases and screening for publications in questionable journals.

Scientific output scales with resources. A comparison of US and European universities

By using a comprehensive dataset of US and European universities, we demonstrate super-linear scaling between university revenues and their volume of publications and (field-normalized) citations. We show that this relationship holds both in the US and in Europe. In terms of resources, our data show that three characteristics differentiate the US system: (1) a significantly higher level of resources for the entire system, (2) a clearer distinction between education-oriented institutions and doctoral universities and (3) a higher concentration of resources among doctoral universities. Accordingly, a group of US universities receive a much larger amount of resources and have a far higher number of publications and citations when compared to their European counterparts. These results demonstrate empirically that international rankings are by and large richness measures and, therefore, can be interpreted only by introducing a measure of resources. Implications for public policies and institutional evaluation are finally discussed.

Scientific sinkhole: The pernicious price of formatting

Objective

To conduct a time-cost analysis of formatting in scientific publishing.

Design

International, cross-sectional study (one-time survey).

Setting

Internet-based self-report survey, live between September 2018 and January 2019.

Participants

Anyone working in research, science, or academia and who submitted at least one peer-reviewed manuscript for consideration for publication in 2017. Completed surveys were available for 372 participants from 41 countries (60% of respondents were from Canada).

Main outcome measure

Time (hours) and cost (wage per hour x time) associated with formatting a research paper for publication in a peer-reviewed academic journal.

Results

The median annual income category was US$61,000–80,999, and the median number of publications formatted per year was four. Manuscripts required a median of two attempts before they were accepted for publication. The median formatting time was 14 hours per manuscript, or 52 hours per person, per year. This resulted in a median calculated cost of US$477 per manuscript or US$1,908 per person, per year.

Conclusions

To our knowledge, this is the first study to analyze the cost of manuscript formatting in scientific publishing. Our results suggest that scientific formatting represents a loss of 52 hours, costing the equivalent of US$1,908 per researcher per year. These results identify the hidden and pernicious price associated with scientific publishing and provide evidence to advocate for the elimination of strict formatting guidelines, at least prior to acceptance.

Financial Conflicts of Interest Among Authors of Clinical Practice Guidelines for Routine Screening Mammography

PURPOSE

Financial conflicts of interest (FCOIs) may influence or undermine the credibility of clinical practice guidelines or society recommendations. Given the wide regard of such publications, understanding the prevalence and extent of FCOIs among their authors is essential.

METHODS

The most current guidelines containing recommendations for breast cancer screening from the US Preventive Services Task Force, American Cancer Society, American College of Obstetricians and Gynecologists, International Agency for Research on Cancer, ACR, and American College of Physicians were retrieved from their respective organizational websites. Industry payments received by authors were then extracted using CMS Open Payments database (OPD), and the values and types of these payments were evaluated. Finally, financial disclosures were compared with open payments.

RESULTS

Among a total of 43 authors and 7 guideline documents, 14 authors (33%) received at least one industry payment according to OPD payment records, whereas a majority of 29 authors (67%) had none. The median total payment from all sources across all breast imaging guidelines was $0 (interquartile range, $0-$84). Four authors (9%) declared at least one significant FCOI, five (12%) received more than $5,000 from a single company in a single year, and one author had a significant FCOI (2%) identified from OPD records but not disclosed within the guideline document.

CONCLUSIONS

These findings suggest that FCOIs likely have little to no influence on the adoption of consensus recommendations regarding routine screening mammography for all cohorts of women.

Most UK scientists who publish extremely highly-cited papers do not secure funding from major public and charity funders: A descriptive analysis

The UK is one of the largest funders of health research in the world, but little is known about how health funding is spent. Our study explores whether major UK public and charitable health research funders support the research of UK-based scientists producing the most highly-cited research. To address this question, we searched for UK-based authors of peer-reviewed papers that were published between January 2006 and February 2018 and received over 1000 citations in Scopus. We explored whether these authors have held a grant from the National Institute for Health Research (NIHR), the Medical Research Council (MRC) and the Wellcome Trust and compared the results with UK-based researchers who serve currently on the boards of these bodies. From the 1,370 papers relevant to medical, biomedical, life and health sciences with more than 1000 citations in the period examined, we identified 223 individuals from a UK institution at the time of publication who were either first/last or single authors. Of those, 164 are still in UK academic institutions, while 59 are not currently in UK academia (have left the country, are retired, or work in other sectors). Of the 164 individuals, only 59 (36%; 95% CI: 29-43%) currently hold an active grant from one of the three funders. Only 79 (48%; 95% CI: 41-56%) have held an active grant from any of the three funders between 2006-2017. Conversely, 457 of the 664 board members of MRC, Wellcome Trust, and NIHR (69%; 95% CI: 65-72%) have held an active grant in the same period by any of these funders. Only 7 out of 655 board members (1.1%) were first, last or single authors of an extremely highly-cited paper. There are many reasons why the majority of the most influential UK authors do not hold a grant from the country's major public and charitable funding bodies. Nevertheless, the results are worrisome and subscribe to similar patterns shown in the US. We discuss possible implications and suggest ways forward.

Science Without Publication Paywalls: cOAlition S for the Realisation of Full and Immediate Open Access

In this Perspective, a group of national funders, joined by the European Commission and the European Research Council, announce plans to make Open Access publishing mandatory for recipients of their agencies' research funding.

Characteristics and publication fate of unregistered and retrospectively registered clinical trials submitted to The BMJ over 4 years

OBJECTIVES

We sought to evaluate the characteristics and publication fate of improperly registered clinical trials submitted to a medical journal (The BMJ) over a 4-year period to identify common types of registration issues and their relation to publication outcomes.

DESIGN

Research articles submitted to The BMJ and identified as unregistered or retrospectively registered by editors were included if they reported outcomes of a clinical trial. Relevant data regarding the trials were then extracted from each paper. Trials were categorised as prospectively registered, registered in an unapproved registry, unregistered or other, and explanations for registration deficiencies were grouped into six categories. We searched PubMed and Google to determine whether, where and when improperly registered studies were subsequently published and whether registration issues were disclosed.

RESULTS

123 research papers reporting apparently unregistered or retrospectively registered clinical trials were identified. 110 studies (89.4%) were retrospectively registered, nine (7.3%) were unregistered, three (2.4%) had been registered in an unapproved registry and one study originally lacking registration details was later discovered to have been prospectively registered. 82 studies (66.6%) were funded entirely or in part by government sources, and only seven studies (5.7%) received funding from industry. Of those papers submitted to The BMJ through the end of 2015, 67 of the 70 papers rejected for registration problems (95.7%) were subsequently published in another journal. The registration problem was disclosed in only 2 (2.9%).

CONCLUSIONS

Improper registration remains a problem, particularly for clinical trials that are government or foundation-funded. Nonetheless, improperly registered trials are almost always published, suggesting that medical journal editors may not actively enforce registration requirements.

The cost of developing a computerized tailored interactive multimedia intervention vs. a print based Photonovella intervention for HPV vaccine education

Mobile technology is opening new avenues for healthcare providers to create and implement tailored and personalized health education programs. We estimate and compare the cost of developing an i-Pad based tailored interactive multimedia intervention (TIMI) and a print based (Photonovella) intervention to increase human papillomavirus (HPV) immunization. The development costs of the interventions were calculated using a societal perspective. Direct cost included the cost of planning the study, conducting focus groups, and developing the intervention materials by the research staff. Costs also included the amount paid to the vendors who produced the TIMI and Photonovella. Micro cost data on the staff time and materials were recorded in logs for tracking personnel time, meeting time, supplies and software purchases. The costs were adjusted for inflation and reported in 2015 USD. The total cost of developing the Photonovella was $66,468 and the cost of developing the TIMI was $135,978. The amortized annual cost for the interventions calculated at a 3% discount rate and over a 7-year period was $10,669 per year for the Photonovella and $21,825 per year for the TIMI intervention. The results would inform decision makers when planning and investing in the development of interactive multimedia health interventions.

[Systematic economic assessment and quality evaluation for traditional Chinese medicines]

To learn about the economic studies on traditional Chinese medicines in domestic literatures, in order to analyze the current economic assessment of traditional Chinese medicines and explore the existing problems. Efforts were made to search CNKI, VIP, Wanfang database and CBM by computer and include all literatures about economic assessment of traditional Chinese medicines published on professional domestic journals in the systematic assessment and quality evaluation. Finally, 50 articles were included in the study, and the systematic assessment and quality evaluation were made for them in terms of titles, year, authors' identity, expense source, disease type, study perspective, study design type, study target, study target source, time limit, cost calculation, effect indicator, analytical technique and sensitivity analysis. The finally quality score was 0.74, which is very low. The results of the study showed insufficient studies on economics of traditional Chinese medicines, short study duration and simple evaluation methods, which will be solved through unremitting efforts in the future.

The role of open access in reducing waste in medical research

In a guest editorial, Paul Glasziou discusses waste in medical research and how this can be ameliorated through improving post-publication access.

Please see later in the article for the Editors' Summary

Big Science vs. Little Science: How Scientific Impact Scales with Funding

Agencies that fund scientific research must choose: is it more effective to give large grants to a few elite researchers, or small grants to many researchers? Large grants would be more effective only if scientific impact increases as an accelerating function of grant size. Here, we examine the scientific impact of individual university-based researchers in three disciplines funded by the Natural Sciences and Engineering Research Council of Canada (NSERC). We considered four indices of scientific impact: numbers of articles published, numbers of citations to those articles, the most cited article, and the number of highly cited articles, each measured over a four-year period. We related these to the amount of NSERC funding received. Impact is positively, but only weakly, related to funding. Researchers who received additional funds from a second federal granting council, the Canadian Institutes for Health Research, were not more productive than those who received only NSERC funding. Impact was generally a decelerating function of funding. Impact per dollar was therefore lower for large grant-holders. This is inconsistent with the hypothesis that larger grants lead to larger discoveries. Further, the impact of researchers who received increases in funding did not predictably increase. We conclude that scientific impact (as reflected by publications) is only weakly limited by funding. We suggest that funding strategies that target diversity, rather than “excellence”, are likely to prove to be more productive.

Writing the male abuser in cultural responses to domestic violence in Spain

The article analyzes the portrayal of the male perpetrator of heterosexual domestic violence in a selection of contemporary Spanish texts (novel, drama, and autobiography) that form part of a clearly discernible cultural response to the issue of intimate partner violence in Spain today. It reads the figure of the abuser in conjunction with a range of primarily Spanish studies on domestic aggression, with the aim of showing how and why the chosen authors engage with bodies of theory that address battery. The study concludes that some cultural producers devise a strategy of eliding the male aggressor in an attempt to subvert the power he wields over the female victim.

Darwin's historical sketch - an American predecessor: C.S. Rafinesque

When early reviewers of Darwin's "On the origin of species" chided him for neglecting to mention predecessors to his theory of evolution, he added an "historical sketch" in later editions. Among the predecessors he cited was a French émigré to American named Constantine Samuel Rafinesque, who in the mid-1830s had written about the emergence of new species at a time when most naturalists (including Darwin initially) accepted the biblical story of creation and assumed the immutability of species. Rafinesque discovered and named thousands of new plants and animals in his American travels and flooded the taxonomic literature with reports, which seemed incomplete, confusing, and excessive to other naturalists. He alienated many who later dismissed his findings and excluded them from the biological literature. Soon after Rafinesque's death in 1840, Asa Gray, the young American botanist, wrote a damning critique of his work and suggested it be ignored. How Darwin learned of Rafinesque and his views on species is the focus of this essay, which also mentions briefly the two other American naturalists cited by Darwin in his sketch. Gray seems the likely informant through his correspondence with Darwin or his close associates.

Prophecy, patriarchy, and violence in the early modern household: the revelations of Anne Wentworth

In 1676 the apostate Baptist prophet Anne Wentworth (1629/30-1693?) published "A True Account of Anne Wentworths Being Cruelly, Unjustly, and Unchristianly Dealt with by Some of Those People called Anabaptists," the first in a series of pamphlets that would continue to the end of the decade. Orignially a member of a London Baptist church, Wentworth left the congregation and eventually her own home after her husband used physical force to stop her writing and prophesying. Yet Wentworth persisted in her "revelations." These prophecies increasingly focused on her response to those who were trying to stop her efforts, especially within her own household. This article examines Wentworth's writings as an effort by an early modern woman, using arguments of spiritual agency, to assert ideas about proper gender roles and household responsibilities to denounce her husband and rebut those who criticized and attempted to suppress her.

R.D. Laing and theology: the influence of Christian existentialism on "The Divided Self"

The radical psychiatrist R.D. Laing's first book, "The Divided Self" (1960), is informed by the work of Christian thinkers on scriptural interpretation -- an intellectual genealogy apparent in Laing's comparison of Karl Jaspers's symptomatology with the theological tradition of "form criticism." Rudolf Bultmann's theology, which was being enthusiastically promoted in 1950s Scotland, is particularly influential upon Laing. It furnishes him with the notion that schizophrenic speech expresses existential truths as if they were statements about the physical and organic world. It also provides him with a model of the schizoid position as a form of modern-day Stoicism. Such theological recontextualization of "The Divided Self" illuminates continuities in Laing's own work, and also indicates his relationship to a wider British context, such as the work of the "clinical theologian" Frank Lake.

Polynesia and polygenism: the scientific use of travel literature in the early 19th century

Christoph Meiners (1747-1810) was one of 18th-century Europe's most important readers of global travel literature, and he has been credited as a founder of the disciplines of ethnology and anthropology. This article examines a part of his final work, "Untersuchungen über die Verschiedenheiten der Menschennaturen" [Inquiries on the differences of human natures], published posthumously in the 1810s. Here Meiners developed an elaborate argument, based on empirical evidence, that the different races of men emerged indigenously at different times and in different places in natural history. Specifically this article shows how a sedentary scholar who never left Europe constructed a narrative of human origins and migrations on the basis of (1) French theory from the 1750s (Charles de Brosses and Simon Pelloutier) and (2) data gathered by explorers as reported in travel literature (J.R. Forster, Pérouse, Cook, Marsden).

"So long as I can read": farm women's reading experiences in Depression-era South Dakota

During the Great Depression, with conditions grim, entertainment scarce, and educational opportunities limited, many South Dakota farm women relied on reading to fill emotional, social, and informational needs. To read to any degree, these rural women had to overcome multiple obstacles. Extensive reading (whether books, farm journals, or newspapers) was limited to those who had access to publications and could make time to read. The South Dakota Free Library Commission was valuable in circulating reading materials to the state's rural population. In the 1930s the commission collaborated with the USDA's Extension Service in a popular reading project geared toward South Dakota farm women. This "Reading in the Home" program greatly increased reading opportunities and motivations. Of particular interest to rural women were tales of pioneer life featuring strong protagonists. Through these stories, farm women found validation and encouragement to persevere. Reading also broadened horizons and challenged assumptions. For the depression-era farm woman, reading books and other materials provided recreation, instruction, and inspiration in a discouraging time.

The roles of funding source, clinical trial outcome, and quality of reporting in orthopedic surgery literature

Compared with nonfunded or peer-reviewed funded projects, industry-sponsored clinical trials have traditionally been associated with more positive results. This relationship has been extensively studied in the nonsurgical literature. Although a few authors have addressed specialties, little has been reported on orthopedic clinical trials and their association with funding, study outcome, and efforts to reduce bias after randomization across journals of multiple subspecialties. For the study reported here, we selected 5 major orthopedic subspecialty journals: Journal of Bone and Joint Surgery (American Volume), Spine, Journal of Arthroplasty, Journal of Orthopaedic Trauma, and American Journal of Sports Medicine. We chose a 2-year limit for investigation (2002-2004); included all original randomized clinical trials reported in these 5 journals; and examined these trials for their study design, funding source, outcome, bias potential, and conclusion reached. Support for the 100 eligible orthopedic clinical trials was stated as coming from industry (26 trials, 26%), nonprofit sources (19 trials, 19%), and mixed sources (5 trials, 5%); no support was stated in 46 trials (46%), and support was not reported in 4 trials (4%). Of the 26 trials reporting industry support, 22 (85%) were graded as indicating an outcome favorable to the new treatment. The association between industry funding and favorable outcome was strong and significant (P<.001). In almost half of the studies reported in Journal of Bone and Joint Surgery and Spine, measures taken to reduce bias were not documented.

[About machines and instruments (I): the body of the automaton in the work of E.T.A. Hoffmann]

Immediately after becoming interested in animal magnetism, and undoubtedly as a result of this interest, E.T.A. Hoffmann used automata as the central characters in some of his most notable works. This paper aims to show how this interest reveals the author's critical attitude towards a conception of the human being which, developing in parallel to anatomy-based medicine, had led in the eighteenth century to a doctrine whose most complete expression is to be found in "L'homme machine," by J.O. De La Mettrie. Nowadays we can see these tales, like those dedicated to animal magnetism, as a cry of alarm against one of the consequences of such a mechanical conception of a human being: the growth of "biopower," or of "biopolitics," terms coined by Foucault in his last works; but also against the risks entailed by the Promethean drive of modernity.

She can be put to work: Joan Riviere as translator between Freud and Jones

The psychoanalyst Joan Riviere (1883-1962), who came from an established family, was one of the first to translate Freud in Britain. After a failed analysis with Ernest Jones, she became Freud's patient in 1922. Freud recognized her talent and entrusted her with translations of his works. Over her head, he negotiated her position as Translation Editor of the International Journal with Jones and secured her nomination against his resistance. Some examples are given to demonstrate the special quality of Riviere's translations of Freud's writings.

"The most obscure problem of all": autonomy and its vicissitudes in The interpretation of dreams

The unconscious is implicated in Romantic and liberal discourses of autonomous individuality, and these insinuate themselves in complex ways into Freud's descriptions of the psyche. Focusing on "The Interpretation of Dreams," the paper examines the fortunes of notions such as autonomy and selfhood, beginning with a consideration of Freud's languages of determinism, and moving on to the theory of the wish. In particular it examines ambiguities in the accounts of sexual and egotistical wishes, and in the portrayal of egotism itself. It is suggested that behind such ambiguities lies a deeper ambivalence in Freud's understanding of the I and its autonomy, which is in turn related to indeterminacies in the liberal concept of self. These ambiguities are further explored via the unstable political metaphors Freud attaches to the father-son relationship. The paper argues that such instabilities in the idea of selfhood radically unsettle the terms of the psychoanalytic account.

Opiate addiction and the entanglements of imperialism and patriarchy in Manchukuo, 1932-45

In the Japanese colonial state of Manchukuo, opiate addiction was condemned by officials and critics alike. But the state-sponsored creation of a monopoly, opium laws, and rehabilitation programs failed to reduce rates of addiction. Further, official media condemnation of opiate addiction melded with local Chinese-language literature to stigmatise addiction, casing a negative light over the state's failure to realise its own anti-opiate agenda. Chinese writers were thus transfixed in a complex colonial environment in which they applauded measures to reduce harm to the local population while levelling critiques of Japanese colonial rule. This paper demonstrates how the Chinese-language literature of Manchukuo did not simply parrot official politics. It also delegitimised Japanese rule through opiate narratives that are gendered, consistently negative, and more critical of the state than might be expected in a colonial literature.

The productivity and impact of the Leukemia & Lymphoma Society Scholar Program: the apparent positive effect of peer review

A study was conducted to compare the "productivity" of a cohort of research grant applicants selected by peer review to be scholars of The Leukemia Society of America (now The Leukemia & Lymphoma Society) with a matched cohort of applicants not so selected during the period 1981 to 1990. One hundred and twenty-four scholars and 124 nonfunded applicants were studied. Two bibliometric variables and their derivatives were examined from the Institute of Scientific Information database: the number of papers published and the number of citations to those papers. Published papers were measured through December 31, 1999, and citation counts to these papers through December 31, 2000. Scholars published 10,301 papers through the period of observation and nonfunded applicants published 6442 papers. Scholars' papers were cited 536,283 [corrected] times, whereas nonfunded applicants' papers were cited 245,586 times. The mean citations per paper were 52 for scholars and 38 for nonfunded applicants. The papers published per scholar, citations per scholar, and citations per paper per scholar were significantly greater than the corresponding measures for nonfunded applicants (P < 0.0001 in each case). Scholar's papers were cited 30% more often, whereas nonfunded applicants were cited 10% more frequently, than a comparison group of scientists publishing in the same journal in the same year. High-impact papers, e.g., papers that were cited more than 200 times, were nearly three times as frequent among scholars (494 papers) as among nonfunded applicants (173 papers). This difference was highly significant. The good (better than baseline) performance of nonfunded applicants may be a reflection of self-selection among the applicant pool for this competitive award; the more productive performance of the scholars is probably the result of the selection decisions made during the peer-review process.

[An almost rhetorical appearance: photographs in medical journals of Sao Paulo, 1898-1920]

Neste artigo, procura-se refletir sobre a natureza e o significado das fotografias impressas nas páginas das primeiras revistas médicas paulistas. Sua história está intimamente ligada ao crescimento e à urbanização experimentados por São Paulo a partir das últimas décadas do século XIX, à imigração, às seguidas epidemias que assombraram a capital e o interior do Estado, e às instituições científicas de saúde montadas na cidade.

English "feminist" writings and Judith Drake's An essay in defence of the female sex

English ‘feminist’ writings of the late seventeenth century frequently united pro-woman arguments with party-political polemics. But although such texts have been discussed in terms of rationalist and contractarian philosophy, or as forerunners of modern feminist concerns, the contemporary issues which underscore them have been ignored. However, an understanding of these debates is vital to comprehending fully the motives of pro-woman writers, many of whom were more concerned with the survival of the Church of England than ameliorating the lot of seventeenth-century women. The underlying importance of party politics is exemplified in one of the greatest works of early modern ‘feminism’, Judith Drake's An essay in defence of the female sex (1696). Although Drake shared political similarities with other tory ‘feminists’, including the more celebrated Mary Astell, Drake's work differed radically from theirs over how an Anglican tory society could be maintained. Instead of stressing the necessity of teaching the tenets of Anglicanism to young women, as had her predecessors, Drake combined tory ideas with Lockean philosophy and concepts of ‘politeness’ to formulate an early Enlightenment vision of sociable, secularized, learning and the role female conversation could play in settling a society fractured by party politics.

"Rough winds do shake the darling buds of May": a note on William Acton and the sexuality of the (male) child

William Acton is now more widely known as a doctor specializing in sexual medicine than he ever was during his lifetime and any other time prior to the 1960s. Acton’s work is considered mostly in terms of what the British medical profession said about female sexual response. There is a lot more to Acton, even if we ignore the fact that he said virtually nothing about female sexuality. He published numerous articles in the British medical press, which have been all but ignored. He also was one of the first English doctors to give advice on how to educate one’s children in sexual matters. This article considers Acton’s writing in this area and compares it with other British medical practitioners in order to establish that Acton was not insane but, rather, that he was merely a member of the English medical profession.