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<p><b style='mso-bidi-font-weight:normal'><span style='font-size:11.0pt;
font-family:Arial'>MEDLINE BIAS,<span style='mso-spacerun:yes'> </span>PART
2<o:p></o:p></span></b></p>
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<p><span style='color:red'>Medline Bias: Update </span><br>
<a href="index.html">Home</a></p>
</td>
<td width="9%" colspan=2 style='width:9.54%;padding:.75pt .75pt .75pt .75pt'>
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<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:9.0pt;font-family:Arial'>"As a general practitioner in <st1:place
w:st="on"><st1:country-region w:st="on">Finland</st1:country-region></st1:place>
for 30 years, I think the </span></i><span style='font-size:9.0pt;font-family:
Arial'>Journal of <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;font-family:Arial'>Orthomolecular
Medicine <i style='mso-bidi-font-style:normal'>ought to be indexed by
Medline. Using orthomolecular <o:p></o:p></i></span></p>
<p class=MsoNormal><i style='mso-bidi-font-style:normal'><span
style='font-size:9.0pt;font-family:Arial'>methods gives better clinical
results and is safer than pharmaceutical <o:p></o:p></span></i></p>
<p class=MsoNormal><span class=GramE><i style='mso-bidi-font-style:normal'><span
style='font-size:9.0pt;font-family:Arial'>drugs</span></i></span><i
style='mso-bidi-font-style:normal'><span style='font-size:9.0pt;font-family:
Arial'>. Full access to this knowledge is important to me, to my colleagues, <o:p></o:p></span></i></p>
<p class=MsoNormal><span class=GramE><i style='mso-bidi-font-style:normal'><span
style='font-size:9.0pt;font-family:Arial'>and</span></i></span><i
style='mso-bidi-font-style:normal'><span style='font-size:9.0pt;font-family:
Arial'> to their patients around the world." </span></i><span
style='font-size:9.0pt;font-family:Arial'>(Karin <span class=SpellE>Munsterhjelm</span>
<span class=SpellE>Ahumada</span>, M.D.)<o:p></o:p></span></p>
<p class=MsoNormal><b style='mso-bidi-font-weight:normal'><span
style='font-size:10.0pt;font-family:Arial'><o:p> </o:p></span></b></p>
<p class=MsoNormal><b style='mso-bidi-font-weight:normal'><span
style='font-family:Arial'>Medline Bias: Update<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='font-family:Arial'>by Andrew W. Saul<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;font-family:Arial'>(Reprinted
with permission from <i>J Orthomolecular Med</i>, 2006. <span class=SpellE>Vol</span>
21, No 2, p 67.)<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>There
were 754 million Medline searches in the year 2005. Not one of those searches
found a single article from the <i style='mso-bidi-font-style:normal'>Journal
of Orthomolecular Medicine</i>. There is a growing appreciation in the
scientific community that the <i style='mso-bidi-font-style:normal'>Journal </i>is
being deliberately censored by the U.S. National Library of Medicine. Since
1989, <i style='mso-bidi-font-style:normal'>JOM</i> has been rejected for
Medline indexing five times. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>This is
the decision of a journal review committee <span class=SpellE>preselected</span>
by NLM. When we have tried to clarify just what it is that Medline feels is
lacking, we have not received a specific answer. The score sheet that we do
get is vague, and offers no itemization of objectives for improvement. We are
told that, even though our score was not high enough for indexing, we can
resubmit and be scored again. Although this has an appearance of
open-mindedness, it is a convenient cover for institutional bias. By not
telling <i style='mso-bidi-font-style:normal'>JOM</i> what specific
objections it has, Medline assures that <i style='mso-bidi-font-style:normal'>JOM
</i>will never quite get it. It is reminiscent of an old-time small-town beauty
contest: if the contest judges don’t like the mayor, his daughter is not
going to get a very high score no matter what outfit she wears or what song
she sings. As Dr. Steve Hickey says, if the prosecution picks the jury, the
verdict is a foregone conclusion.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>We have
carried on what has become a fairly extensive correspondence with NLM as
represented by Chief of the Bibliographic Services Division and Medline
Executive Editor Sheldon Kotzin. In the interest of identifying and
correcting deficiencies, we have requested a laundry list of exactly what
changes <i style='mso-bidi-font-style:normal'>JOM</i> needs to make to gain a
score high enough for indexing. Mr. Kotzin has not provided the answer.
Instead, he has repeatedly directed us to Medline’s general requisites for
indexing a journal (<a href="http://www.nlm.nih.gov/pubs/factsheets/jsel.html">http://www.nlm.nih.gov/pubs/factsheets/jsel.html</a>
). Of the eight published “Critical Elements” for journal selection, it would
appear that the tip-off phrases may be these: Medline says it indexes
journals having "articles predominantly on core biomedical
subjects"; that "scientific merit of a journal's content is the
primary consideration"; and that they are looking for external peer
review. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>It is
possible, but unconfirmed, that NLM thinks that the <i style='mso-bidi-font-style:
normal'>Journal of Orthomolecular Medicine</i> lacks external peer review. It
would be a simple matter for them to simply say so, but they never have.
There may be a reason: if they flag that issue, then they would have to admit
us. In addition to its Editorial Review Board, <i style='mso-bidi-font-style:
normal'>JOM</i> does indeed use external reviewers. I therefore think the
real deal-breakers are these: First, <i style='mso-bidi-font-style:normal'>JOM</i>
is a journal that discusses orthomolecular medicine, a field NLM probably
considers to be far removed from "core biomedical subjects." And,
as "scientific merit of a journal's content is the primary
consideration," we must conclude that, in the eyes of the US National
Library of Medicine, <i style='mso-bidi-font-style:normal'>JOM </i>lacks
scientific merit. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Incidentally,
item number 4, Production Quality, does not seem to be an obstacle for <i
style='mso-bidi-font-style:normal'>JOM</i>. We received a 4 out of a possible
5 in this category. This is quite significant, compared with zeroes, ones and
twos in all other categories.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>The idea
that the world’s most comprehensive medical library refuses to index a journal,
now entering its fortieth year of publication, is, well, you can fill in your
own blank. It increasingly looks as if the point of contention is not the
singer, but the song itself. <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Incidentally, Medline now
indexes <i style='mso-bidi-font-style:normal'>Consumer Reports</i> magazine.<o:p></o:p></span></p>
<p><b style='mso-bidi-font-weight:normal'><span style='font-size:11.0pt;
font-family:Arial'>(If you think it is wrong that the taxpayer-supported <st1:country-region
w:st="on"><st1:place w:st="on">US</st1:place></st1:country-region> National
Library of Medicine refuses to index the <i style='mso-bidi-font-style:normal'>Journal
of Orthomolecular Medicine</i> on Medline, please drop me a line at <a
href="mailto:drsaul@doctoryourself.com">drsaul@doctoryourself.com</a> .)<o:p></o:p></span></b></p>
<p><span style='font-size:11.0pt;font-family:Arial'>For additional reading on
Medline bias: <a href="http://www.doctoryourself.com/medline.html">http://www.doctoryourself.com/medline.html</a><o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Andrew Saul is the <span
class=GramE>author of the books <i style='mso-bidi-font-style:normal'>FIRE</i></span><i
style='mso-bidi-font-style:normal'> YOUR DOCTOR! How to be Independently
Healthy </i>(reader reviews at <a
href="http://www.doctoryourself.com/review.html">http://www.doctoryourself.com/review.html</a>
) and <i style='mso-bidi-font-style:normal'>DOCTOR YOURSELF: Natural Healing
that Works.</i> (reviewed at <a
href="http://www.doctoryourself.com/saulbooks.html">http://www.doctoryourself.com/saulbooks.html</a>
)<o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>For ordering information,
<a href="http://www.doctoryourself.com/order.html">Click here</a> .<o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'> <o:p></o:p></span></p>
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<p><span style='font-size:7.5pt'>AN IMPORTANT NOTE: This page is not in
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