"There seems to be no study too fragmented, no hypothesis too trivial, no literature citation too biased or too egotistical, no design too warped, no mythology too bungled, no presentation of results too inaccurate, too obscure and too contradictory, no analysis too self-serving, no argument too circular, no conclusion too trifling or too unjustified, and no grammar and syntax too offensive for a paper to end up in print." That's the judgment of Drummond Rennie, senior editor of the Journal of the American Medical Association.