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The Lancet Wiki2Web Clarity Challenge

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Study Guide: The Lancet: History, Impact, and Controversies

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The Lancet: History, Impact, and Controversies Study Guide

Founding and Early History (1823-c. 1850)

The Lancet was established in the United States during the early twentieth century.

Answer: False

Explanation: The foundational records indicate that The Lancet was established in England in 1823, not in the United States in the early 20th century.

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Thomas Wakley founded The Lancet primarily to critique the quality of surgical instruments available at the time.

Answer: False

Explanation: Thomas Wakley's primary motivation for founding The Lancet in 1823 was to address perceived corruption within London's medical services, rather than solely to critique surgical instruments.

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Thomas Wakley's initial motivation for founding The Lancet stemmed from his positive experiences with medical services in London.

Answer: False

Explanation: Thomas Wakley's founding motivation was rooted in his critical observations and perceived corruption within London's medical services, not positive experiences.

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The Lancet faced legal challenges for copyright infringement and defamation in its nascent years due to reprinting lectures without authorization, yet it prevailed in these proceedings.

Answer: True

Explanation: In its early history, The Lancet was involved in numerous lawsuits concerning the reprinting of lectures. The journal successfully defended these actions, which contributed to its growing reputation.

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In its initial phase, The Lancet was distributed without charge.

Answer: False

Explanation: The Lancet was not distributed for free; in its early years, it was priced at one sixpence per publication.

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William Cobbett was a staunch opponent of The Lancet and never contributed to its content.

Answer: False

Explanation: While William Cobbett was a notable figure in early journalism and critical of many institutions, the source indicates he was an early contributor to The Lancet, not solely an opponent.

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The Lancet was initially perceived as a conservative publication upon its founding.

Answer: False

Explanation: Upon its establishment in 1823, The Lancet was considered a radical publication, reflecting its critical stance on established medical practices and institutions.

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Who founded The Lancet, and in what year was it established?

Answer: Thomas Wakley in 1823

Explanation: The Lancet was founded by Thomas Wakley in the year 1823.

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What was Thomas Wakley's primary motivation for establishing The Lancet?

Answer: To address perceived corruption in London's medical services.

Explanation: Thomas Wakley established The Lancet in 1823 with the explicit aim of addressing and critiquing the perceived corruption and inefficiencies within the medical services of London at that time.

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How did The Lancet's successful defense of early lawsuits impact its standing?

Answer: It increased its reputation among readers.

Explanation: The journal's consistent success in defending legal challenges related to copyright infringement and defamation enhanced its credibility and reputation among its readership.

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What was the approximate cost of a single issue of The Lancet in its early years?

Answer: One sixpence

Explanation: In its initial publication phase, The Lancet was priced at one sixpence per issue.

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Which of the following individuals was a notable early contributor to The Lancet?

Answer: William Cobbett

Explanation: William Cobbett, a prominent pamphleteer and journalist of the era, was among the notable early contributors to The Lancet.

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What was the outcome of the lawsuits filed against The Lancet in its early years concerning the reprinting of lectures?

Answer: The journal won all lawsuits, enhancing its reputation.

Explanation: The Lancet successfully defended all legal challenges related to the reprinting of lectures, which ultimately bolstered its reputation and standing.

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19th and 20th Century Development and Ownership

Elsevier has owned The Lancet since its inception in 1823.

Answer: False

Explanation: Elsevier acquired The Lancet in 1991. Prior to that, it was owned by Hodder & Stoughton, and before that, it had various ownership structures since its founding in 1823.

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Richard Horton has served as the editor-in-chief of The Lancet since 1995.

Answer: True

Explanation: Richard Horton assumed the role of editor-in-chief of The Lancet in 1995 and continues to hold this position.

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The Lancet achieved a subscriber base exceeding 4,000 within its inaugural decade.

Answer: True

Explanation: Within two years of its founding in 1823, The Lancet reported having over 4,000 subscribers, indicating rapid growth in its early period.

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The Wakley family concluded their editorial involvement with The Lancet in 1908.

Answer: True

Explanation: Members of the founding Wakley family maintained editorial control of The Lancet until 1908.

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Since which year has Elsevier held ownership of The Lancet?

Answer: 1991

Explanation: Elsevier acquired The Lancet in 1991, marking a significant transition in its corporate ownership history.

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By which year had The Lancet become a dominant force in UK medical news coverage?

Answer: 1840

Explanation: By the year 1840, The Lancet had achieved significant growth and had become a dominant publication in the coverage of medical news within the United Kingdom.

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Which company acquired The Lancet prior to Elsevier's ownership?

Answer: Hodder & Stoughton

Explanation: Before being acquired by Elsevier in 1991, The Lancet was owned by Hodder & Stoughton, which had purchased it in 1921.

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Editorial Scope and Publication Practices

The Lancet exclusively publishes original research articles.

Answer: False

Explanation: While The Lancet publishes original research, its scope also encompasses review articles, editorials, correspondence, news features, and case reports, among other content types.

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The Lancet actively promotes health equity by focusing its publications predominantly on high-income countries.

Answer: False

Explanation: The Lancet is recognized for its commitment to health equity, which includes dedicating significant attention to issues concerning low and middle-income countries, contrary to focusing predominantly on high-income nations.

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The Lancet exhibits a highly permissive acceptance rate for submitted articles, approving approximately 50% of submissions.

Answer: False

Explanation: The Lancet is known for its highly selective review process, reportedly accepting only around 5% of submitted manuscripts, not 50%.

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The Lancet's publishing guideline is to consider any article that advances or illuminates medical science or practice.

Answer: True

Explanation: The journal's stated guideline is to consider submissions that contribute to the advancement or illumination of medical science and practice, or that educate and entertain its readership.

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The Lancet charges authors a fee of $5,000 to sponsor their accepted articles.

Answer: True

Explanation: The Lancet offers authors the option to sponsor their accepted articles for publication, with a stated fee of $5,000.

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Which of the following is not a category of content typically published by The Lancet?

Answer: Advertisements for pharmaceutical companies

Explanation: The Lancet publishes a range of scholarly content including original research, editorials, and correspondence. It does not typically feature advertisements for pharmaceutical companies.

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The Lancet is recognized for its commitment to which core social principle in healthcare?

Answer: Social justice and health equity

Explanation: The Lancet actively champions social justice and health equity, dedicating considerable resources and publication space to issues affecting global health disparities.

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What is the approximate acceptance rate for articles submitted to The Lancet?

Answer: Around 5%

Explanation: The Lancet maintains a highly selective submission process, with an acceptance rate reported to be approximately 5%.

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The Lancet's publishing guideline indicates it will consider articles that:

Answer: Advance or illuminate medical science or practice.

Explanation: The Lancet's editorial policy prioritizes submissions that contribute to the advancement or illumination of medical science and practice, or that serve to educate and engage its readership.

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Impact, Rankings, and Contributions

Early articles published in The Lancet exposed deficiencies in hospital hygiene, thereby catalyzing reforms within the healthcare system.

Answer: True

Explanation: The Lancet's early publications critically examined and exposed unsanitary conditions prevalent in hospitals, which subsequently prompted governmental interventions and systemic improvements.

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The Lancet published Joseph Lister's seminal work on antiseptic surgery in 1867.

Answer: True

Explanation: Indeed, The Lancet published Joseph Lister's influential papers detailing the application of antiseptic principles in surgical practice in 1867.

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As of 2024, The Lancet's impact factor stands at 88.5, positioning it as the premier journal within the Medicine, General & Internal category.

Answer: True

Explanation: Data from 2024 indicates that The Lancet possesses an impact factor of 88.5, securing its position as the leading journal in the Medicine, General & Internal category.

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The Lancet ranked first among 636 journals in Scopus's General Medicine category.

Answer: True

Explanation: According to Scopus data, The Lancet holds the top position among 636 journals within the General Medicine category, indicating its high standing.

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Which significant medical advancement was first reported in The Lancet in 1867?

Answer: The use of antiseptics for treating abscesses

Explanation: In 1867, The Lancet published Joseph Lister's foundational work detailing the application of antiseptic principles in the treatment of surgical abscesses.

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According to 2024 data, how does The Lancet rank among journals in the Medicine, General & Internal category?

Answer: First

Explanation: As of 2024, The Lancet holds the premier position among journals in the Medicine, General & Internal category, reflecting its significant impact and influence.

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Significant Controversies and Retractions

A 1998 publication in The Lancet posited a correlation between the MMR vaccine and autism, a paper subsequently retracted due to ethical transgressions.

Answer: True

Explanation: In 1998, The Lancet published a study suggesting a link between the MMR vaccine and autism. This paper was later retracted due to significant ethical concerns and conflicts of interest.

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The controversial MMR vaccine study conducted by Andrew Wakefield underwent full retraction in 2004.

Answer: False

Explanation: The full retraction of Andrew Wakefield's MMR vaccine study by The Lancet occurred on February 2, 2010, not in 2004.

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A 2006 study published in The Lancet estimated approximately 100,000 excess deaths resulting from the Iraq War.

Answer: False

Explanation: While a 2004 study estimated around 100,000 deaths, a subsequent 2006 study published in The Lancet estimated a significantly higher figure of 654,965 excess deaths related to the Iraq War.

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The PACE study, published in The Lancet in 2011, definitively established that graded exercise therapy is ineffective for ME/CFS.

Answer: False

Explanation: The 2011 PACE study reported positive outcomes for graded exercise therapy and cognitive behavioral therapy for ME/CFS. However, it faced significant criticism regarding its methodology, and subsequent re-analyses suggested the therapies were not effective. The study itself did not definitively prove ineffectiveness.

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The Surgisphere study concerning COVID-19 treatments, published in The Lancet in 2020, was retracted shortly after its release due to concerns regarding data integrity.

Answer: True

Explanation: The Surgisphere study, which examined hydroxychloroquine and chloroquine for COVID-19, was retracted mere weeks after publication in May 2020 due to an inability to verify the data, raising substantial concerns about its validity.

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The Lancet's 2022 COVID-19 Commission report, led by Jeffrey Sachs, garnered praise from virologists for its scientific rigor.

Answer: False

Explanation: The Lancet's COVID-19 Commission report, headed by Jeffrey Sachs, faced considerable criticism from virologists who characterized it as a source of misinformation and a 'shameful moment' for the journal.

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Papers authored by surgeon Paolo Macchiarini concerning tissue-engineered trachea transplants were retracted in 2023 due to the discovery of fabricated information.

Answer: True

Explanation: In October 2023, The Lancet retracted two papers by Paolo Macchiarini related to tissue-engineered trachea transplants following an investigation that confirmed the presence of fabricated data.

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The Lancet's 2014 Open letter concerning the people of Gaza was criticized for referencing Hamas atrocities while omitting Israeli actions.

Answer: False

Explanation: The criticism directed at the 2014 open letter regarding the Gaza conflict was that it condemned Israeli actions but failed to mention Hamas atrocities, not the other way around.

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A February 2020 letter published in The Lancet dismissed the COVID-19 lab-leak theory, suggesting such discourse could stifle scientific inquiry.

Answer: True

Explanation: The February 2020 letter in The Lancet was indeed criticized for potentially inhibiting open scientific debate on the COVID-19 lab-leak hypothesis by dismissing it prematurely.

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The Lancet maintained a consistent position regarding the COVID-19 lab-leak theory between 2020 and 2021.

Answer: False

Explanation: The Lancet's stance evolved; initially publishing a letter dismissing the lab-leak theory in early 2020, it later published a letter in September 2021 arguing for open discussion of research-related hypotheses, indicating a shift.

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In 2021, The Lancet faced significant criticism for a cover quote that referred to individuals assigned female at birth as 'bodies with vaginas'.

Answer: True

Explanation: The Lancet issued an apology in 2021 following criticism over a cover quote that used the phrase 'bodies with vaginas' to refer to people assigned female at birth, which was perceived by many as dehumanizing.

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The Lancet's 2003 editorial advocating for a tobacco ban in the UK was universally supported by all major health organizations.

Answer: False

Explanation: While the editorial called for a tobacco ban, not all major health organizations universally supported its specific proposals, with some expressing concerns about practicality or unintended consequences.

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A June 2024 op-ed published in The Lancet asserted that SARS-CoV-2 is likely of artificial origin.

Answer: False

Explanation: The June 2024 op-ed in The Lancet stated that SARS-CoV-2 is a natural virus originating from wildlife, contrary to the assertion of artificial origin.

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The Lancet's editor-in-chief published an editorial in September 2015 defending Paolo Macchiarini against allegations of misconduct.

Answer: True

Explanation: In September 2015, The Lancet published an editorial titled 'Paolo Macchiarini is not guilty of scientific misconduct,' which defended the surgeon prior to the full retraction of his papers.

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The 1998 paper linking the MMR vaccine to autism, published in The Lancet, was authored by whom?

Answer: Andrew Wakefield

Explanation: The widely discussed 1998 paper suggesting a link between the MMR vaccine and autism was authored by Andrew Wakefield.

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Why was the 2010 retraction of the MMR vaccine study particularly significant?

Answer: It occurred due to undeclared conflicts of interest and unethical conduct.

Explanation: The retraction of the MMR vaccine study was significant because subsequent investigations revealed that its lead author, Andrew Wakefield, had engaged in unethical practices and possessed undisclosed conflicts of interest.

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What was the estimated number of excess deaths attributed to the Iraq War according to a 2006 study published in The Lancet?

Answer: An estimated 654,965

Explanation: A 2006 study published in The Lancet estimated that the Iraq War resulted in approximately 654,965 excess deaths, a figure significantly higher than earlier estimates.

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The 2011 PACE study concerning ME/CFS faced criticism primarily due to:

Answer: Concerns about data analysis methods differing from the protocol.

Explanation: The PACE study was criticized due to concerns that its data analysis methods deviated from the initially established protocol, leading to questions about the validity of its conclusions regarding ME/CFS treatments.

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The Surgisphere study, published in May 2020, was retracted shortly thereafter because:

Answer: Surgisphere refused to provide the necessary data and documentation for verification.

Explanation: The Surgisphere study was retracted because the company behind it, Surgisphere, declined to provide the raw data and documentation required for independent verification, raising serious doubts about the study's findings.

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Who headed The Lancet's 2022 COVID-19 Commission report that subsequently faced criticism?

Answer: Jeffrey Sachs

Explanation: The Lancet's 2022 COVID-19 Commission report was led by economist Jeffrey Sachs.

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What was the subject of The Lancet's December 2003 editorial that generated controversy?

Answer: A call for a complete ban on tobacco use in the UK

Explanation: The December 2003 editorial in The Lancet, titled 'How do you sleep at night, Mr Blair?', advocated for a comprehensive ban on tobacco use throughout the United Kingdom.

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What criticism was directed at The Lancet's February 2020 letter concerning the COVID-19 lab-leak theory?

Answer: It was criticized for chilling scientific debate by dismissing the hypothesis prematurely.

Explanation: The February 2020 letter was criticized for potentially inhibiting scientific discourse by prematurely dismissing the COVID-19 lab-leak hypothesis, with some signatories later revealing undisclosed conflicts of interest.

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The controversy in 2021 surrounding The Lancet's cover quote related to 'bodies with vaginas' ultimately led to:

Answer: An apology from the editor-in-chief.

Explanation: Following widespread criticism regarding the use of the phrase 'bodies with vaginas' on its cover, The Lancet's editor-in-chief issued an apology for the perceived offense.

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What did The Lancet's June 2024 op-ed suggest regarding the origin of SARS-CoV-2?

Answer: It stated the virus is natural and originated from wildlife.

Explanation: The June 2024 op-ed in The Lancet posited that SARS-CoV-2 is a natural virus originating from wildlife, suggesting that continued focus on alternative theories might be misguided.

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In 2023, The Lancet retracted papers by Paolo Macchiarini related to what subject?

Answer: Tissue-engineered trachea transplants

Explanation: The retracted papers by Paolo Macchiarini concerned his work on tissue-engineered trachea transplants.

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Journal Identification and Access Policies

The Lancet maintains editorial offices exclusively in London.

Answer: False

Explanation: The Lancet operates editorial offices in multiple global locations, including London, New York City, and Beijing, not solely in London.

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The journal's ISO 4 abbreviation is 'LANCET'.

Answer: True

Explanation: The ISO 4 standard abbreviation for The Lancet is indeed 'Lancet'.

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The Lancet provides immediate open access for all published articles.

Answer: False

Explanation: The Lancet employs a delayed open access model, meaning articles are not immediately available without subscription.

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The journal's CODEN identifier is LANCAO.

Answer: True

Explanation: The CODEN identifier assigned to The Lancet is indeed LANCAO.

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The Lancet's print ISSN is 1474-547X.

Answer: False

Explanation: The print ISSN for The Lancet is 0140-6736. The number 1474-547X is its web ISSN.

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The Lancet is published on a daily basis.

Answer: False

Explanation: The Lancet is published weekly, not daily.

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In which cities are The Lancet's editorial offices situated?

Answer: London, New York City, and Beijing

Explanation: The Lancet maintains editorial offices in London, New York City, and Beijing to facilitate its global operations and reach.

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What is the print ISSN for The Lancet?

Answer: 0140-6736

Explanation: The print International Standard Serial Number (ISSN) for The Lancet is 0140-6736.

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Which statement best characterizes The Lancet's open access policy?

Answer: Delayed open access.

Explanation: The Lancet employs a delayed open access model, meaning that content becomes freely accessible after an initial embargo period.

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