A new free open-access independent peer-reviewed online medical
journal "Open Medicine" has been created.
From
Open Medicine
A peer-reviewed, independent, open-access journal
<http://www.openmedicine.ca/>:
"Open Medicine
The mission of Open Medicine is to facilitate the equitable
dissemination of high-quality health research; to promote
international dialogue and collaboration on health issues; to
improve clinical practice; and to expand and deepen the
understanding of health and health care.
The Journal will examine issues relevant to health and clinical
medicine both in Canada and internationally.
[...]
Open Medicine is a new general medical journal. It will be
paperless and available without charge or any other barrier
to access online. We will publish peer-reviewed science and
analysis as well as clinical articles. We will provide a
forum for informed and inclusive debates on medicine and its
application. Open Medicine will be independent of any
commercial publisher or association ownership it will be
"owned" by all who read and contribute to it and will take
no advertisements from companies selling pharmaceuticals or
medical devices. We will rely on voluntarism, donations and
ethical advertising. Any revenue will be used to improve our
ability to meet the needs of our readers and contributors.
This first edition of Open Medicine offers carefully reviewed
and edited articles for discovery and discussion. In the
future, it is our intention to make the journal not only
open, but also collaborative. As an example, the editors
considered the merits of publishing peer reviews along with
accepted papers, and began reviewing the published evidence
on the effectiveness of open peer review. Before reaching
consensus, we realized that this is a discussion our readers
and contributors should actively participate in. As we
developed Open Medicine, we made extensive use of a wiki site
and quickly realized how well it captured our combined
efforts. We will continue to experiment with its use as an
editing tool, and are discussing ways to add a wiki to our
public site.
Information technology is evolving at a blistering pace. To
try to keep step with its potential to influence medical
science and practice, Open Medicine is hosting a blog on the
topic. To manage it, we are using an open-source program
(Drupal). So, too, for our manuscript management system
(OJS). The Open Source Initiative was developed at the close
of the millennium with the idea that if one simply put a
software program in a million hands, along with the tools to
modify it, evolutionary changes would result in improvements
that could not have been anticipated. That has borne true.
Similar manifestations of collective wisdom have made
Wikipedia the site of record for many and has allowed
"Google" to change from noun to verb. Our intent is to
harness as much power as possible from the collaborative
potential of a connected world.8 With it, Open Medicine can
publish articles as soon as they are peer reviewed and
edited, host the discussion on their interpretation and
perhaps even watch them change. Once they are published, they
will be available to the widest possible audience and to the
worldwide media who can cast them even further.
The idea of free access to information, of putting knowledge
into as many hands as possible to maximize the number of
beneficial outcomes, has captured the hearts and minds of
people for centuries, but has become a reality only in the
past decade. It too has captured the people who rally around
Open Medicine: A committed group of experienced medical
editors to ensure high-quality content; a dynamic,
accomplished, and international editorial board to contribute
and offer advice; and a diverse and prominent board of
directors to mind how well our mandate is fulfilled. These
are the founding minds and hearts of Open Medicine.
Ultimately, the success of Open Medicine will depend on how
important our readers believe it is to have open access to
high-quality medical information that is as free from
commercial and political influence as possible. We believe
there are few things more important.
Time will be the test. In addition to an audience, Open
Medicine will need international contributors and willing
peer reviewers. Please write to us. Please write for us. Tell
two colleagues. Those who can, please contribute financially.
Open Medicine, although launched in Canada, is an
international endeavour. Its strength will be a connected
global community of interested, committed health workers.
Like the country that birthed it, it will remain open,
inclusive, and independent but its eyes, like those of its
readers, will be on the world. We hope that you share our
excitement about the future and being part of it."
From
Now You Can Read What Doctors See.
'Open Medicine' lets public view medical research. Med 2.0?
<http://thetyee.ca/Mediacheck/2007/04/18/OpenMed/>:
"TheTyee.ca
Dr. Anita Palepu and a number of her colleagues have been
taking the pulse of the way health information is disseminated
in Canada. They say the prognosis isn't good.
Between editorial gag orders, encroaching corporate influence
and a glut of misinformation on the web, Palepu says medical
publishing is grappling with big changes. As one of a number of
editors caught up in last spring's bout of firings and mass
resignations at the Canadian Medical Association Journal
(CMAJ), the nation's most important medical journal, Palepu
insists the need for free access to quality medical knowledge
has never been greater.
"It's sick," she says, speaking of the influence of big
pharmaceuticals in traditional medical journals. "I hadn't
realized until I left the CMAJ how bad things are in scholarly
publishing, and particularly in scholarly medical publishing."
The alternative publishing forum Palepu and other clinicians
are launching this week, called Open Medicine pledges to put
uncensored scholarly material in the hands of doctors and
anyone interested in health, with no financial or political
strings attached.
But while both the average person and clinicians alike stand to
benefit from immediate and free access to research, some
question if the new generation of online medical journals --
staffed mostly by volunteers and staunchly refusing to take ad
money from pharmaceuticals -- will be a viable alternative to
the old order.
Unhealthy privilege
Two recent U.S. studies suggest Open Medicine's launch comes at
a favorable moment in time.
An Ipsos study released last week found that the pharmaceutical
sector "is suffering from a poor reputation among Americans," a
third of whom have an "unfavorable" opinion of big pharmas.
"Among other sectors measured, only the oil and gas, chemicals,
and tobacco industries fare worse than the pharmaceutical
sector," reads the study, noting that many of those polled
suspected companies of profiteering at consumers' expense.
But Barbara Cohen points to a more significant statistic.
An editor at the U.S.-based Public Library of Science -
Medicine, a pioneering open access journal, Cohen said studies
in her country have shown that the Internet is radically
changing where people go to learn about their health.
She points to a PEW foundation report that found that medical
information was the third most searched for topic on the
Internet "after porn and dating and before sports and weather."
"Clearly people are interested in finding out about medical
topics," she said by phone from her office in San Francisco,
"and most of what we consider the gold standard of recent
research is not available to people unless they pay."
Electronic snake oil
John Willinsky, Open Medicine's volunteer publisher and an open
access expert at the University of British Columbia, argues
access to knowledge shouldn't cost the public a dime.
As it stands, he says, the public pays twice for health
sciences research. First through taxes, which are doled out as
government grants to researchers, then by paying publishers to
access that research, which he says is "locked up in expensive
journals."
In an interview with The Tyee, Willinsky said the current model
puts the best information out of reach, since most individuals
and even many libraries can't afford to see it.
According to Palepu, individuals typically pay $150 per general
medical journal, and institutions pay up to four times as much.
Access to online subscriptions depend on anticipated numbers of
students and faculty, and may be as high as $8000 for a single
journal.
Specialty journals, such as Brain Research, charge $20,000 for
an annual subscription.
Under the open access system, authors of research tend to pay
to be published, said Palepu, who says the fees can be $1500 to
2000 per article.
Many funding agencies, however, recognize these fees as a
legitimate research cost and now encourage grant recipients to
publish their work in open-access venues "to increase
visibility and accountability to the public."
While the changes already won by open-access lobbyists have had
some effect -- journals like the New England Journal of
Medicine now offer select material for free -- advocates aren't
satisfied. Willinsky, for one, says all research should be
freely available. Failing to do so, he underscored, weakens the
potential of the Internet, where prohibitive costs of
information combined with the web's rising importance means
more people are turning to free and unreliable health
information on the web. ..."

Signature
Matti Narkia
MarilynMann - 21 Apr 2007 14:35 GMT
I checked out the website of this journal. They have an interesting
article in the first issue on whether screening for peripheral artery
disease using ankle-brachial index should be done in primary care
setting to identify people at risk for CAD (i.e., to identify people
who wouldn't otherwise be considered high risk).
Marilyn
Thomas Carter - 21 Apr 2007 19:29 GMT
> I checked out the website of this journal. They have an interesting
> article in the first issue on whether screening for peripheral artery
[quoted text clipped - 3 lines]
>
> Marilyn
Hi Matti and Marilyn,
The ABI article includes a figure that details the method for
measuring the ankle brachial index. I would guess that many of us have
a home BP monitor, and should be able to take their reading at home.
There is now strong accumulating evidence that many of the supplements
and life style measures we employ are beneficial for vascular disease.
The evidence for cancer is much weaker and more specific to a few
interventions. I would guess then, that as a group we have excellent
ABI's. Mine is 1.14. 1.2 to .9 seems to be normal with higher risk
at both ends of the scale. Anybody else care to report?
Thomas