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As a hospital librarian, Jessica Waite is typically successful at tracking down elusive articles for clinicians at Royal Hallamshire Hospital in England. So when a colleague couldn’t locate two references in a paper and asked for help, the librarian grew suspicious. “These were recent references, which usually we have no problem finding,” Waite told us. “I looked at the issues of the journals where the article should have been, and there were completely different articles, so I immediately thought that the articles we had been asked to find were not real.”