On 16 January 2004, the United Nations Secretary-General and Nobel Peace Prize winner Kofi Annan launched a Global Media Aids Initiative, with the aim of convincing the press, radio, television and Internet to join the fight against what has been called the "forgotten disease of the forgotten continent". Throughout the world, over 40 million people have the Hiv virus. In 2003 there were 5 million new infections and 3 million deaths were caused by Aids.

At the beginning of the new millennium, science is not only a neutral system or an objective methodology of knowledge, but also the implicit basis of the totality of our culture. Though science and its derivates are omnipresent in daily life, its basic ideologies and functional mechanisms are in most cases not fully visible to the subject. In using the most evolved systematical-critical model of psychoanalysis provided by the French thinker Jacques Lacan (1901-1981), an enlightening analysis of western science can be made, which contributes not only to a better understanding of its own psychology, but also of the hidden ties between science and its current socio-cultural background.

On 15 September 2001, thirteen major international journals, coordinated by the International Committee of Medical Journals Editors (ICMJE), published a joint editorial titled "Sponsorship, authorship, and accountability". Unfortunately, only four days from the tragedy of 9-11, there is no room in the media for other news. In the scientific world, however, the content of that editorial sets off an alarm: the conflict of interest undermines the objectivity of biomedical research and the credibility of international journals vouchsafeing the quality of that research. (Translated by Andrea Cavatorti, Scuola Superiore di Lingue Moderne per Interpreti e Traduttori, Trieste, Italy.)

In the midst of a debate on access to information, the World Health Organization and the FAO have decided to develop a strategy to guarantee the right of poor countries to have free access to scientific publications. This right is often denied, mainly because of high subscription costs. For this reason, universities and research centres in southern countries must forego buying magazines, which are a valuable instrument for updating, and exchanging information on research and scientific issues. This choice has been made in an historical period when the industrialized world is marked by a knowledge-based economy.

To appreciate what a huge difference there is between the author of a peerreviewed journal article and just about any other kind of author we need only remind ourselves why universities have their "publish or perish" policy: aside from imparting existing knowledge to students through teaching, the work of a university scholar or scientist is devoted to creating new knowledge for other scholars and scientists to use, apply, and build upon, for the benefit of us all. Creating new knowledge is called "research", and its active use and application are called "research impact". Researchers are encouraged, indeed required, to publish their findings because that is the only way to make their research accessible to and usable by other researchers. It is the only way for research to generate further research. Not publishing it means no access to it by other researchers, and no access means no impact ­ in which case the research may as well not have done in the first place.