HIGH IMPACT FACTOR, HIGH CITE SCORE, LISTING IN MEDLINE, BUT WHAT ABOUT EFFICIENCY? PART-1

The journals boast their position to prospective authors through mainly the use of three arguments, including that they have an Impact Factor or CiteScore, are listed and indexed in popular databases, and can accomplish fast decision making. Everyone seems to be interested in speaking about the first two arguments, while no one seems to be interested about the third one, i.e. the demonstrated efficiency of a journal in their duty of publishing reviewed research findings on behalf of the authors.


METHODS
This paper is a part of an ongoing, long, and unique series that is aimed to study the operational efficiency of all general medical and speciality journals in neurology, public health, and mental health. The journals chosen are those that publish original research articles in online form, and are listed in any of the recognised databases but, not limited to Medline. In each series, a single journal is selected based on the judgment sampling strategy. After that, the latest issue of the selected journal is taken for collection of efficiency parameters. These parameters include the timelag between article submission to its acceptance and its online publication (in any form and length). For this part of series, we selected Annals of Indian Academy of Neurology (AIAN). The impact factor of this journal is 0.9 and it is listed in PubMed. The latest issue (May-June 2020) of this journal was accessed for all original articles, and the timelag between the date of article submission to its acceptance (step-1) and its online publication (step-2) was calculated by using simple mathematical formulae. The timelag was calculated for each article, which was then averaged. We also estimated the 95.0% confidence interval of the mean timelag as well. The data discussed here are open and present in the public domain. The ethics approval was obtained from the institutional review board of the Pôle Universitaire Euclide Intergovernmental UN Treaty.

RESULTS
The latest issue of this journal was May-June 2020. For this issue, a total of 11 original research articles were found to be published online till the day of data collection, i.e. end of June 2020. Based on these original research articles, the average timelag from submisson to acceptance (step-1) was 40.1 (95%CI 14.6-65.5, range 2-126) days, while the timelag between article submission and its publication (step-2) was 283.3 (95%CI 173.4-393.2, range 37-522) days. The percent difference from acceptance to publication was 150.4% higher than the timelag for article acceptance alone. In terms of level of convenience by the journal, the journals asks for excessive documentation at the time of article submission, including the copyright forms, declarations, and author signatures.

DISCUSSION
AIAN was selected because it is one of the major journals in neurology. AIAN's scope states that " it intends to improve the practice of neurology and believes in following an expeditious double-blind peer review process and endeavors to complete the review process within scheduled time frame". So, first of all, there is no evident mention to the prospective authors about how the journal would accomplish their goal of expeditious peer-review within stipulated but undefined time frame.
No doubt, it was seen that the journal is publishing articles with a mean lag of about 283 days, and lasting up to 393 days but ranged upto 522 days. Such unethical delays in mere task of publishing an article brings us to question the rationality of the entire operation of such journals. Such delays are there even if the only task of a journal is to publish articles, "The journal has a clinical foundation and has been utilized most by clinical neurologists for improving the practice of neurology. While the focus is on neurology in India, the journal publishes manuscripts of high value from all parts of the world".
Moreover, while the average timelag for the acceptance from submission of an article was reasonable, yet, the average timelag for publication was on average 150.4% more, even after having the article accepted. The authors submit their research findings to a journal to publish their findings, and not solely for an acceptance alone. Could we consider such journal operations as efficient, especially in the light of the fact that the journals tend to put conditions of their favour alone on the authors? "We accept for publication unpublished manuscripts on the understanding that the same manuscript is not under simultaneous consideration of other journals".
The reasons for excessive delays in publication can be many, including the possibility that the journals operate without any sort of evident assurance to the authors for their efficient and sustainable day-to-day operations. As an example, a manuscript submitted to a journal in West EU was referred to an estimated 64 different reviewers, and none of the 64 completed their task over six months of time delay and loss to the authors (personal data, D Bhalla).
The only task of the journal is to publish research findings submitted by an author after a peer-review. However, the

CONCLUSION
We may affirm that the journal we addressed in this paper had an average reasonable timelag between article submission and its acceptance. However, the timelag was 150.4% more for final publication and dissemination of author's research findings lagged on average 283.3 (95%CI 173.4-393.2) days and ranged upto 522 days; suggesting that the journal fails grossly in journal efficiency parameters. Such unethical timelags disadvantage the authors alone, and, therefore, brings up many questions regarding the possible repurcussions on the author's profession, mental health, and academic returns, etc. due to journal inefficiency. The journal inefficiency can also be viewed in terms of delays in access and benefits that the patients, health agencies, and the public may have from the author's scientific information. We consider that it is a high time that the journals start to realize their duties and obligations towards their authors.