This pressure exists almost but is particularly intense in China everywhere. It is as a result no surprise that the many inventive ways to video game the peer-review program to get manuscripts released have come from China. The companies mentioned above that provide fake peer reviews all result from countries and China in Southeast Asia, & most of the authors involved with these full cases come from the same areas. But it would be a mistake to check out this as a Chinese or Asian problem. The nagging problem may be the perverse incentive systems in scientific publishing. So long as authors are rewarded for publishing many content articles and editors are rewarded for publishing them rapidly, new ways of gaming the traditional publication versions will be invented quicker than new control steps could be put in place..Nevertheless, the researchers found remarkable EHR-induced distress. It is eminently quantifiable and yet stubbornly not. The purpose of widespread EHR adoption, as envisioned by the Obama administration in 2008, was allowing a transition from volume-centered to value-based payments: an electronic infrastructure was essential for measuring quality. At the right time, however, significantly less than 17 percent of physician methods were using EHRs, and their systems lacked necessary data-capture capabilities often. Provided the high up-front side uncertainty and costs regarding potential returns, financial and cultural hurdles to adoption had been formidable.