A Checklist Confirming Whether a Manuscript for Submission Adheres to the Fundamentals of Academic Writing: A Proposal.

A manuscript written not adhering to the fundamentals of academic writing (so-called paper-writing rules) may be rejected before the significance of the study is recognized. Submitting authors, especially those with little experience, may neglect such fundamentals. A simple checklist, which would enable the authors to check whether a manuscript for submission adheres to such fundamentals, should appear at the beginning of the Author Guidelines of medical journal. This checklist may contribute to writing a manuscript following the fundamentals of academic writing, thereby preventing rejection based solely on the writing style.

Remaining as a Clinical Doctor in a Smaller Institute after Retirement: A Personal View.

Clinical doctors with overwhelming workloads at university or center hospitals may not have sufficient time to allocate for each patient or to consider each patient's personal condition. Retirement may be a good chance to make a new start by becoming a clinical doctor in a smaller institute. Becoming a clinical doctor in a smaller institute may give you satisfaction and happiness different from being a university clinical doctor. I believe that after retirement from a university or big hospital, older clinical doctors should continue to participate in clinical practice for as long as they wish. This may be one of the solutions for providing clinical doctors in the current and coming super-aged Japan.

Letters generated by ChatGPT: Author who?

AIM: ChatGPT's role in medical writing is a topic of discussion. I experimented whether ChatGPT almost automatically generates Correspondence or Letter addressed to a "translated" article, and thereby wish to arouse discussion regarding ChatGPT use in medical writing. METHODS: I input an English article of mine into ChatGPT, tasking it with generating an English Disagreement Letter (Letter 1). Next, I tasked ChatGPT with translating the manuscript addressed to from English-French-Spanish-German. Then, I once again tasked ChatGPT with generating an English Disagreement Letter addressed to a German manuscript (triplicate translated manuscript) (Letter 2). RESULTS: Letters 1 and 2 are readable and reasonable, shooting the point that the author (myself) felt as the weakness of the article. Letters addressed to French (single translation) and to Spanish (double translation) and longer Letters (corresponding to Letters 1 and 2) are also readable, and thus stand. CONCLUSIONS: Solely based on this experiment, one may be able to write a letter even without understanding the meaning of the paper being addressed, let alone the language of the paper. Although this humble experiment does not conclude anything, I plea for a comprehensive discussion on the implications of these findings.

A clinic doctor transferring a patient as a coauthor of a case report: A preliminary study.

AIM: Contribution to the authorship, including that for case reports, should be appropriately evaluated. I have noticed a scarcity of case reports with clinic doctors listed as coauthors, prompting this investigation. I sought to offer suggestions on the possible reasons for this trend. METHODS: I checked case reports published in the Journal of Obstetrics and Gynaecology Research, the Journal of Medical Case Reports, and the BMJ Case Reports. I identified case reports listing a clinic doctor as a coauthor. I consulted eight professors at Jichi Medical University to ascertain whether case reports from their departments included clinic doctors as coauthors and, if not, the reasons. RESULTS: Among 65 case reports from Japanese institutes published in the Journal of Obstetrics and Gynaecology Research, only one paper lists a clinic doctor as a coauthor. Of 100 and 50 papers published in the Journal of Medical Case Reports and BMJ Case Reports, respectively, none listed a clinic doctor as a coauthor. Six out of eight professors admitted to never considering the idea of including clinic doctors as coauthors. CONCLUSIONS: The scarcity of case reports with clinic doctors as coauthors extends beyond Japanese obstetrics and gynecology, encompassing various specialties worldwide. Center doctors do not think of the idea that a clinic doctor should be a coauthor. A clinic doctor who transferred the patient should be considered as a candidate coauthor depending on his/her scientific contribution. Such an approach could foster an environment encouraging doctors to contribute to academic writing, regardless of their workplace.

Raising Our Voices against Nuclear War: Japanese Doctors and Journals' Roles.

The editorial "Reducing the risks of nuclear war - The role of health professionals" was published at the same time in 137 journals worldwide. No Japanese journals have published this editorial. Japan suffered the Hiroshima-Nagasaki atomic-bomb disaster and thus may have a special and leading position regarding this issue in the world. I believe that now is the time for us, Japanese health professionals, to raise our voices against nuclear war.

Investigation of optimal weight gain during pregnancy: A retrospective analysis of the Japanese perinatal registry database.

AIM: This study aimed to determine the weight gain during pregnancy that minimizes the predicted probability of various perinatal adverse events according to the pre-pregnancy body mass index (BMI) and make recommendations for optimal weight gain in Japan. METHODS: The Japan Society of Obstetrics and Gynecology perinatal database for 2015-2017 was used. From the 719 723 deliveries included in this database, parturients with underlying diseases or missing data were excluded, and 419 114 deliveries were analyzed. A questionnaire survey was also conducted to weigh each perinatal adverse event. For each of the nine outcomes, a restricted cubic spline model was made to estimate the association between the "expected gestational weight gain at 40 weeks" and the outcome risk. RESULTS: Since the classes of medical facilities were generally the same, weights were assigned according to the mean of the questionnaires rather than by the class of the facility. For each pre-pregnancy BMI, the weight gains during pregnancy that minimized the predicted probability of various adverse perinatal events were 12-15, 10-13, 7-10, and upper limit of 5 kg for the underweight, normal-weight, obese 1, and obese ≥2 groups, respectively. CONCLUSIONS: The weight gain during pregnancy that minimizes the predicted probability of various perinatal adverse events according to the pre-pregnancy BMI was established.