Partnership working to benefit patients and the public: Benefits, challenges and recommendations from four projects

© 2022 The Author(s). This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives CC BY-NC-ND licence, https://creativecommons.org/licenses/by-nc-nd/4.0/Partnership working involves two or more organisations working collaboratively to achieve a common goal. In England, partnership working between healthcare organisations and public library services is recommended to enable patients and the public to easily access high quality health information. This paper discusses the working partnership between Royal Papworth Hospital Library and Knowledge Service (LKS) and Cambridgeshire Libraries (CL). Over a three-year period between 2018-2021, we jointly undertook four projects which focused on the themes of health information, health literacy and patient experience. This paper will present the background to the projects and discuss how the partnership was first established around a national campaign to highlight Health Information Week. It will summarise each project, the associated aims, and the subsequent outcomes. The presentation will outline the mutual benefits of the collaboration which included opportunities for innovation and service improvement, professional development, and reaching new communities. The challenges related to communication, organisational factors and evaluation are addressed. Finally, we offer our recommendations to health library colleagues wishing to undertake joint projects or a collaborative partnership to inform their future planning and practice

AIM, Philosophy and Ethics

This chapter explores AI through a philosophical and ethical lens. This includes an examination of how AI impacts on medicine in terms of uses and promises, limitations, and risks, as well as key questions to consider. While AI offers scope for complex and large-scale data processing, with the promise of an increase in efficiency and precision, some central limitations need to be highlighted. The use of AI also brings some pertinent and predictable, as well as unpredictable risks, such as those due to biases. Also considered is what may be lost where AI replaces established processes, not least those relational and interpersonal aspects that are central to healthcare. By covering these and related issues, this chapter offers ways to evaluate, and also balance, key benefits and risks arising from the application of AI to the medical sector

Bird mortality related to collisions with ski–lift cables: do we estimate just the tip of the iceberg?

Collisions with ski–lift cables are an important cause of death for grouse species living close to alpine ski resorts. As several biases may reduce the detection probability of bird carcasses, the mortality rates related to these collisions are generally underestimated. The possibility that injured birds may continue flying for some distance after striking cables represents a major source of error, known as crippling bias. Estimating the crippling losses resulting from birds dying far from the ski–lift corridors is difficult and it is usually assessed by systematic searches of carcasses on both sides of the ski–lifts. Using molecular tracking, we were able to demonstrate that a rock ptarmigan hen flew up to 600 m after striking a ski–lift cable, a distance preventing its detection by traditional carcasses surveys. Given the difficulty in conducting systematic searches over large areas surrounding the ski–lifts, only an experiment using radio–tagged birds would allow us to estimate the real mortality rate associated with cable collision

Unraveling the simultaneous shock magnetization and demagnetization of rocks

International audienceIn the natural case of an hypervelocity impact on a planetary or asteroidal surface, two competing phenomena occur: partial or complete shock demagnetization of pre-existing remanence and acquisition of shock remanent magnetization (SRM). In this paper, to better understand the effects of shock on the magnetic history of rocks, we simulate this natural case through laser shock experiments in controlled magnetic field. As previously shown, SRM is strictly proportional to the ambient field at the time of impact and parallel to the ambient field. Moreover, there is no directional or intensity heterogeneity of the SRM down to the scale of ∼0.2mm. We also show that the intensity of SRM is independent of the initial remanence state of the rock. Shock demagnetization and magnetization appear to be distinct phenomena that do not necessarily affect identical populations of grains. As such, shock demagnetization is not a limiting case of shock magnetization in zero field

From speculation to reality: Enhancing anticipatory ethics for emerging technologies (ATE) in practice

Various approaches have emerged over the last several decades to meet the challenges and complexities of anticipating and responding to the potential impacts of emerging technologies. Although many of the existing approaches share similarities, they each have shortfalls. This paper takes as the object of its study Anticipatory Ethics for Emerging Technologies (ATE) to technology assessment, given that it was formatted to address many of the privations characterising parallel approaches. The ATE approach, also in practice, presents certain areas for retooling, such as how it characterises levels and objects of analysis. This paper results from the work done with the TechEthos Horizon 2020 project in evaluating the ethical, legal, and social impacts of climate engineering, digital extended reality, and neurotechnologies. To meet the challenges these technology families present, this paper aims to enhance the ATE framework to encompass the variety of human processes and material forms, functions, and applications that comprise the socio-technical systems in which these technologies are embedded

SIENNA D6.1: Generalised methodology for ethical assessment of emerging technologies

This report provides a unique, comprehensive and carefully tested methodology for the ethical analysis of emerging technologies, a methodology that is motivated by our earlier studies in the SIENNA project. Our methodology contains seven key steps, the first four of which are directed at defining subject of analysis, aim and scope, and engaging in conceptual analysis and description, and the final three of which specify the actual ethical analysis, with both descriptive and normative components. We provide a detailed account of each of these seven steps and illustrate the application of our methodology to different emerging technologies. Our methodology makes use of methods of foresight analysis and social and environmental impact assessment (SIA), and of stakeholder engagement, and methods for these processes are described in additional sections of the report. We conclude the report by situating our approach within the broader landscape of approaches for technology assessment and impact assessment

Real-time imaging of polymersome nanoparticles in zebrafish embryos engrafted with melanoma cancer cells: Localization, toxicity and treatment analysis

BACKGROUND: The developing zebrafish is an emerging tool in nanomedicine, allowing non-invasive live imaging of the whole animal at higher resolution than is possible in the more commonly used mouse models. In addition, several transgenic fish lines are available endowed with selected cell types expressing fluorescent proteins; this allows nanoparticles to be visualized together with host cells. METHODS: Here, we introduce the zebrafish neural tube as a robust injection site for cancer cells, excellently suited for high resolution imaging. We use light and electron microscopy to evaluate cancer growth and to follow the fate of intravenously injected nanoparticles. FINDINGS: Fluorescently labelled mouse melanoma B16 cells, when injected into this structure proliferated rapidly and stimulated angiogenesis of new vessels. In addition, macrophages, but not neutrophils, selectively accumulated in the tumour region. When injected intravenously, nanoparticles made of Cy5-labelled poly(ethylene glycol)-block-poly(2-(diisopropyl amino) ethyl methacrylate) (PEG-PDPA) selectively accumulated in the neural tube cancer region and were seen in individual cancer cells and tumour associated macrophages. Moreover, when doxorubicin was released from PEG-PDPA, in a pH dependant manner, these nanoparticles could strongly reduce toxicity and improve the treatment outcome compared to the free drug in zebrafish xenotransplanted with mouse melanoma B16 or human derived melanoma cells. INTERPRETATION: The zebrafish has the potential of becoming an important intermediate step, before the mouse model, for testing nanomedicines against patient-derived cancer cells. FUNDING: We received funding from the Norwegian research council and the Norwegian cancer society

The impact of chorionicity on pregnancy outcome and neurodevelopment at 2 years old among twins born preterm: the EPIPAGE-2 cohort study

OBJECTIVE To compare the short‐ and mid‐term outcomes of preterm twins by chorionicity of pregnancy. DESIGN Prospective nationwide population‐based EPIPAGE‐2 cohort study. SETTING 546 maternity units in France, between March and December 2011. POPULATION A total of 1700 twin neonates born between 24 and 34 weeks of gestation. METHODS The association of chorionicity with outcomes was analysed using multivariate regression models. MAIN OUTCOME MEASURES First, survival at 2‐year corrected age with or without neurosensory impairment, and second, perinatal, short‐, and mid‐term outcomes (survival at discharge, survival at discharge without severe morbidity) were described and compared by chorionicity. RESULTS In the EPIPAGE 2 cohort, 1700 preterm births were included (850 twin pregnancies). In all, 1220 (71.8%) were from dichorionic (DC) pregnancies and 480 from monochorionic (MC) pregnancies. MC pregnancies had three times more medical terminations than DC pregnancies (1.67 versus 0.51%, P < 0.001), whereas there were three times more stillbirths in MC than in DC pregnancies (10.09 versus 3.78%, P < 0.001). Both twins were alive at birth in 86.6% of DC pregnancies compared with 80.0% among MC pregnancies (P = 0.008). No significant difference according to chorionicity was found regarding neonatal deaths and morbidities. Likewise, for children born earlier than 32 weeks, the 2‐year follow‐up neurodevelopmental results were not significantly different between DC and MC twins. CONCLUSIONS This study confirms that MC pregnancies have a higher risk of adverse outcomes. However, the outcomes among preterm twins admitted to neonatal intensive care units are similar irrespective of chorionicity