“…Clearly, this would have resulted in more citations for Cytojournal and thus increase IF; a quick scan of articles in previous issues showed that most of the cited articles were by Cytopathology Foundation members, the editors and editorial members of Cytojournal ! Although most of the original articles have citations that are not biased, the letters to the editor and the editor's replies were ‘loaded' with Cytojournal citations [1,4]. This is just one way that editors can maneuver a surge of the IF of their journal.…”