Royalties from a published book forces many to produce a better result. Any person with a computer and inexpensive software can venture in this field. There is not much to lose, financially at least. Therefore, the dictum of survival of the fittest no longer exists, causing littering of the electronic highways with many web sites long on claims and titles and short on contents. The lack of a supervisory editorial process.
Publishing firms choose their editors and authors carefully.
Financial gain is a must, therefore, acceptability of the product by the medical community of that specialty is mandatory for success to be achieved. Furthermore, publishers can provide a wide variety of valuable support to the authors. Images in Paediatric Cardiology is the first journal in our field to venture in producing a purely electronic journal. The nature of the internet would certainly provide it with the ability to publish articles with animations and movie clips. Such a feature would certainly add a great dimension to the medical literature.