Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
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Table of Contents
Year : 2017  |  Volume : 20  |  Issue : 3  |  Page : 285-286
View Point

Professor of Anaesthesiology, Specialty Cardiothoracic and Vascular Anaesthesia, Department of Anaesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India

Click here for correspondence address and email

Date of Web Publication12-Jul-2017

How to cite this article:
Tewari P. View Point. Ann Card Anaesth 2017;20:285-6

How to cite this URL:
Tewari P. View Point. Ann Card Anaesth [serial online] 2017 [cited 2021 Oct 23];20:285-6. Available from:

I have taken over as Editor-in-Chief of Annals of Cardiac Anaesthesia (ACA) since April 17, 2017. It was different this time as the Indian Association of Cardiovascular Thoracic Anaesthesiologists (IACTA) has changed its policy, making Chief Editors office as a selection post, in place of being an elected post, and a panel comprising five eminent people and office bearers of IACTA ponders over the curriculum vitae of eligible candidates evaluating them in an objective structured way, giving points and ultimately most suitable person is chosen. I am not saying I have won the race, but it has only begun. My trial will only be over when I keep the ACA right on the track, making it a prominent instrument of learning and a mirror of scientific perspective in its named fields, beheld by all the users in the next 5 years. It is a big challenge, a call that can only be answered collectively when authors, reviewers, review writers, and the editorial board work overboard to make this happen. It is even more difficult in these changing times when many new journals are being launched every year. Production houses have smelled the all-time big money in this trade, though, of course, with enormous effort they put in the business, and they are pushing new journals such as instant noodles in the market. If we compare the number of new drugs and devices launched in the last 5 years, as compared to number of pages being published containing scientific articles of all kinds, then the later will outscore hands down. Now, if that is the scene anybody can imagine the quality of research that comes up because the necessity of the words getting printed is more than hanging on to the proper study design, getting ethical approvals, patient recruitment, its implementation and completing, that may take more time, and that may not be very lucrative. Second, the sources of money in putting up good research are slowly diminishing around the world and the same is the situation in our country. New laws and regulations about the practice of medicine for the professional and pharmaceutical companies have further let down the availability of equipment and drugs for research.

In India, we are not able to develop separate research streams in clinical departments in government institutions and the impact is that clinical faculty despite their overburdened schedules of patient care have to find time, space, patient sets, and money to write projects and do the research in the same milieu. The story in the corporate sector is not at all different. They look more toward faster throughput of the patients; therefore, their selection of patients and procedures becomes bereft with straight jacket approach which can never give that much leverage to any different thinking consultant. Few irresistible ones take lots of pains to stand apart and do some work, but their number is very less. Hence, all in all, the availability of an increased number of original and good papers, so far now, remains like needles in the haystack. However, things that matter can change for good with a bit of effort. At Annals, with wide indexing and with an impact factor of its own, we have to be different and we will run with our reputation. In this context, it has become very important to restrict the number of pages per issue of ACA and to go as per signed Memorandum of Understanding between IACTA and our publisher. Moreover, that will help in somewhat balancing the input and output of articles in our journal. I have enormous faith in our young contributors. They are putting themselves up into many specialty courses such as DM, PDCC, IACTA Fellowships, transesophageal echocardiography (TEE) Fellowship, and National Board Fellowships in the field of cardiothoracic anesthesiology, and therefore, pursuing research and dissertation writing can be one of the teaching tools and can add knowledge in the form of scientific communications.

When I go through the various articles, I find there is a marked improvement in designing study and presenting results, but the end analysis in discussion part lacks coherence. Ultimately, it becomes an uphill task for the reviewers to assess them. This remains the weakest link; therefore, more thought process has to go in correcting them. The other major flaw is about figures and videos. These, many a times, lack printable quality and the region of interest is very awkwardly placed or selected to see and comment. Therefore, it is time we put up some articles on paper writing and also will start a series on biostatistical methodology in ACA that can be kept and referred to in the future by prospective authors. I am working this out with our statistical editor. Winston S. Churchill once commented about writing [1] and that may stand proved for scientific articles as well:

“Writing a book is an adventure. To begin with, it is a toy and an amusement. Then it becomes a mistress, then it becomes a master, then it becomes a tyrant. The last phase is that just as you are about to be reconciled to your servitude, you kill the monster and fling him to the public.”

At my position as Chief Editor, I have to believe in nurturing also. Therefore, I suggest that before killing the monster and flinging it to the editors and reviewers, the authors can have the kind of “last service” in their department as a group and critically review the manuscript, make changes, and then upload it for editor. I think that increases the chances of salvation.

This issue was already in final stages of production as per the last Chief Editor's instructions and honoring that effort I am just bringing it out as such without much change. Wolters and Kluwer as publishers of Annals have done a tremendous job and they are open to changes and I am interacting with them more to keep the journal on the readers' favored shelf. One of the major cynosures is the plastic and prismatic heart depicted on the cover page of our journal. Well, I showed it to a group of people to comment and overwhelming response was that its presence is not adding to the beauty or substance, and in fact, it may be keeping authors speculating, to send or not to send manuscripts in other areas such as thoracic, vascular, and intensive care. It has such an overpowering presence. When I looked back and compared all of them, I found the front cover page during Praveen K Neema's Chief Editorship stood apart in, present ability, beauty, and meaningfulness. Therefore, I have adapted it for now, well, with a major change. Instead of the black box enclosing a representation of central venous catheter, pulmonary artery catheter, and TEE image, an interesting photograph, it may be an anesthetic, surgical, related to monitoring, TEE, or even a painting depicting our specialty in any subtle mood, etc., will be placed at the center of the cover. This photograph may come from an independent source or can be a part of a manuscript published in that issue of ACA. A tagline of the source will be included at the last of the table of content. Hence, I request all the readers to let their imagination run amuck and you can have one of your best photographs in there, but there is a big no to a “selfie” or “yourselfie” in case!

A lot remains to be said, but I close for now but with a reminder that ACA remains an indexed journal of IACTA and an important source of current information and if we all keep on sending all the manuscripts, and I repeat all the manuscripts, without making choices, to the Annals it will enrich our cause.

   References Top

Churchill W. Available from: [Last accessed on 2017 Jun 15].  Back to cited text no. 1

Correspondence Address:
Prabhat Tewari
SGPGIMS, Raibarely Road, Lucknow - 226 014, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-9784.210428

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