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Innovations in medical publishing
Why do we need research transparency?
Publishers lack
incentive
…but only 32% of the public trust
research carried out by the pharmaceutical
industry ‘completely’ or ‘a great deal’ …
Around 59% of the public trust research by
university scientists ‘completely’ or ‘a great
deal’…
Ipsos MORI. Wellcome Trust Monitor, Wave 3. London: Wellcome Trust, 2016. Available from: doi 10.6084/m9.figshare.3145744 (Accessed 20 March 2019) 2
</>
Pharma now disclose the results of
nearly all their clinical trials
3
0
20
40
60
80
100
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Proportionoftrialsreported(%)
All industry sponsors All sponsors Non-industry sponsors
Baronikova S et al. Commitments by the biopharmaceutical industry to clinical trials transparency: the evolving environment. bioRxiv 2018;349902
doi 10.1101/349902
Is data transparency alone enough?
4
All stakeholders want
transparent science
We need to be able to
access clinical research
In a timely manner
What is open access?
5
on demand online
to read without charge to end users
$
‘Open access’ refers to peer-reviewed, full-text research articles
that have been accepted for publication and are available:
What are the benefits of open access for
pharma-sponsored research?
6
‘Open access’ refers to peer-reviewed, full-text research articles
that have been accepted for publication and are available:
Fast speed of dissemination
Global communication
Ease of reuse
Speed of progress
Transparency
Trust
Patient wellbeing
Is transparency alone enough?
7
A paywall may restrict the number of readers and this might
NOT help the reputation of the pharmaceutical industry (the
mindset of it being a bit secretive).
Alan Thomas, patient advocate and founder of Ataxia and Me
Some publishers prevent companies from
publishing unrestricted open access
In a study of 35 medical journals with a high impact
factor, 21 (60%) offered an immediate open access
option with a Creative Commons licence
Of these 21 journals:
− CC BY was offered by 100% (21/21)
− CC BY-NC was offered by 19% (4/21)
− CC BY-NC-ND was offered by 86% (18/21)
Only one of these 21 journals potentially offered
immediate open access under a CC BY licence to
authors irrespective of their funding source
8
BY, attribution; CC, Creative Commons; NC, non-commercial; ND, no derivatives
Ellison T Koder T, Schmidt L, Williams A, Winchester CC. Open access polices of leading medical journals: a cross-sectional study. BMJ Open
2019;9:e028655.
20/21
(95%)
1/21
(5%)
Journals only offering CC BY open access for research
funded by specific non-commercial organizations
Journals offering CC BY open access to organizations that
require it
Open Pharma aims to connect pharma with innovations in publishing
to achieve …
Our purpose
that are available quickly …
a transparent publishing process …
with accessible outputs …
using an efficient, sustainable process
9
The story so far …
Workstream and roundtable meetings
Industry and public engagement
Original research
Workshops for clients
Educational materials
Blog posts
In driving change in medical publishing, pharmaceutical companies are conspicuous by their
absence, in spite of funding probably over half of all medical research
– Richard Smith, Chair of Open Pharma, ISMPP EU 2018
Stakeholder
engagement
Inaugural roundtable January 2017
Roundtable November
2017
Work stream meetings
Good Publication Practice 3 (GPP3)
launch 2015
Roundtable January 2019
UK and US workshops
November 2018
Open access paper
available on
BMJ Open
10
Release of the Open
Pharma Charter
Launch of the Open Pharma
position statement on open access
ISMPP, International Society for Medical Publication Professionals
Open access research and educational material
Research Educational material and events
11
openpharma.blog and @_OpenPharma
518 followers on Twitter
422 downloads on figshare
278 subscribers to the blog
128 weekly digests
42 guest articles
2 significant new contacts
directly through the blog
12
Open access: Shire case study
1. Shire. Available at: https://www.shire.com/en/newsroom/2018/january/xajhds (accessed 29 Jan 19)
2. Ipsen. Available at: https://www.ipsen.com/ipsen-commits-to-making-all-its-published-scientific-research-freely-accessible-to-everyone/ (accessed 29 Jan 19)
Launch of Open Pharma
Research on open
access options
offered by journals
and used by Shire
Panel discussion
on open access
at ISMPP EU 2018
Launch of Shire
open access policy
“Shire plc…has implemented
a new publication policy
requiring the submission of all
Shire-supported research
manuscripts to journals that
offer public availability via
open access, allowing the
public to obtain free,
unrestricted online access to
Shire’s research promptly
following publication”1
Workstream and
round-table meetings
IPSEN
announced OA
policy at ISMPP
EU 2019
13
Now part of Takeda
ASCO case study
14ASCO, American Society of Clinical Oncology
David Sampson, Vice President at
ASCO, discovers Open Pharma via
the blog website
Open access panel
member at ISMPP
Annual Meeting 2018
ASCO policy change to permit
open access CC BY-NC-ND for
commercial research
International Open Access Week, 2019
15
#OAWeek19
Open Pharma position statement on open access
16
Increase
transparency
Advance medical
science
Improve
patient care
Globalize
communication
of research
Speed up
dissemination
Open access ensures that the highest quality
peer-reviewed evidence is available to anyone
who needs it, anywhere in the world
Our objectives
BY, Attribution; CC, Creative Commons 17
Secure authors publishing
company-funded research the same
right to publish open access as
authors publishing research funded
by other sources
All research to be made free to read
from the date of publication
Any variant of Creative Commons
or equivalent licence
Our immediate priority
=
CC
Our objectives
BY, Attribution; CC, Creative Commons 18
Secure authors publishing
company-funded research the same
right to publish open access as
authors publishing research funded
by other sources
All research to be made free to read
from the date of publication
Any variant of Creative Commons
or equivalent licence
Our immediate priority
=
CC
Secure authors publishing
company-funded research the
same terms as authors publishing
research funded by other sources
Free to read – and reuse – from
the date of publication
Sustainable use of CC BY
Our long-term goal
=
CC
BY
Contributors
19
We thank all supporters and followers of Open Pharma for their valuable input
Lise Baltzer
Director of Global
Publications, Novo Nordisk
Catherine Skobe
Senior Director,
Publications Innovative
Solutions Lead, Pfizer
Julie Newman
Associate Director,
HIV, Gilead
Chris Rains
Head of GMA
Medical Functions,
Takeda
Chris Winchester
CEO, Oxford
PharmaGenesis
Valerie Philippon
Head, Global Publications,
Takeda
Sarah Sabir
Medical Writer, Oxford
PharmaGenesis
Endorsed by academics, patients and communicators
Correct as of 5 November 2019 20
Individuals
Alan Thomas, Ataxia & Me
Scott Armit, Ataxia & Me
E. Andrew Balas, Biomedical Research Innovation Laboratory, Augusta University
John Wallace, Autoinflammatory UK
Gavin Giovannoni, Barts and the London School of Medicine and Dentistry
Val Tate, communications consultant
Katie Foxall, ecancer
Martin Delahunty, Inspiring STEM
Alben Sigamani, Narayana Health
Michael De Rosa, National Ataxia Foundation
Peter Llewellyn, NetworkPharma Ltd.
Pali Hungin, Newcastle University
Kajsa Wilhelmsson, Oxford Health System Reform Group
Adele Buss, Oxford PharmaGenesis
Cassy Fiford, Oxford PharmaGenesis
Emma Bolton, Oxford PharmaGenesis
Francesca Ounsworth, Oxford PharmaGenesis
Jessica Hardy, Oxford PharmaGenesis
Mark Rolfe, Oxford PharmaGenesis
Nicolas Bertheleme, Oxford PharmaGenesis
Paul Farrow, Oxford PharmaGenesis
Richard White, Oxford PharmaGenesis
Sally Bardell, Oxford PharmaGenesis
Tim Ellison, Oxford PharmaGenesis
Tim Koder, Oxford PharmaGenesis
Zoe Watts, Oxford PharmaGenesis
Charles Boyce, patient
Emily Medina, patient
Jeannie Smithball, patient
Danielle Grover, patient advocate
Elizabeth Kinder, patient advocate
Richard Stephens, patient advocate
Tracy Zervakis, patient advocate
Trishna Bharadia, patient advocate
Rosario Strano, Pedalling4Cure
Angela Sykes, Pfizer
Courtney Leo, Pfizer
J.R. Meloro, Pfizer
Ellie Challis, PTEN UK & Ireland
Dermot Ryan, Respiratory Effectiveness Group
Victoria Woods, Patient and Public Engagement, Thames Valley Cancer Alliance at
NHS England
Sophie Berry, Smith & Nephew
John Gonzalez, Solanum Medical Communications Ltd.
Zbys Fedorowicz, The Care Combine and North West Anglia NHS Foundation Trust
Stuart Taylor, The Royal Society
Erik Michels, UCB
Rachel Giles, Regenerative Medicine Center, UMC Utrecht
Meredith Hays, Department of Medicine, Uniformed Services University
Martin Rossor, University College London
Stephen Bradley, University of Leeds
Robert Sim, Department of Respiratory Science, University of Leicester
Iain Chalmers, Centre for Evidence-Based Medicine, University of Oxford
Edith Sim, Department of Pharmacology, University of Oxford
Chas Bountra, Nuffield Department of Clinical Medicine, University of Oxford
Stevan Harnad, University of Southampton
Álvaro Díaz, Departamento de Biociencias, Universidad de la República, Uruguay
Ronald Munatsi, Zimbabwe Evidence Informed Policy Network
Endorsed by patient groups, charities, pharmaceutical
companies and publishers
Correct as of 5 November 2019 21
Organizations
Ataxia & Me
Autoinflammatory UK
Cambridge Rare Disease Network
Galapagos NV
International Kidney Cancer Coalition
Kidney Research UK
Observational and Pragmatic Research Institute Pte
Oxford Health Policy Forum
Oxford PharmaGenesis
Pedalling4ACure
Solanum Medical Communications Ltd.
SUDEP Action
The Aarskog Foundation
ThinkSCIENCE, Inc.
Zimbabwe Evidence Informed Policy Network
Publishers
Betasciencepress Publishing
ecancer
F1000 Research Ltd.
Frontiers
Future Science Group
Wiley
A reminder about why open access matters
HIV, human immunodeficiency virus
The PLoS Medicine Editors. The impact of open access upon public health. PLoS Medicine 2006;3:e252 22
I recently met a physician from Southern Africa
engaged in perinatal HIV prevention, whose
primary access to information was abstracts
posted on the Internet. Based on a single
abstract, they had altered their perinatal
HIV prevention programme from an effective
therapy to one with lesser efficacy.
Had they read the full-text article they would
have undoubtedly realized that the study results
were based on short-term follow-up, a small
pivotal group [and] incomplete data, and [were]
unlikely to be applicable to their country’s
situation. Their decision to alter treatment
based solely on the abstract's conclusions
may have resulted in increased perinatal
HIV transmission.
Professor Arthur Ammann
Co-founder of Global Strategies for HIV Prevention
Who’s behind this?
Open Pharma is… a collaborative, multi-sponsor,
non-profit project at Oxford PharmaGenesis
Oxford PharmaGenesis is… an award-winning
HealthScience communications consultancy
providing services to the healthcare industry,
professional societies and patient groups
Financial contributors and previous hosts
Wellcome
The BMJ
23
Supporters:
AstraZeneca
Roche
Pfizer
UCB
Wiley
Members:
Takeda
Novo Nordisk
GSK
Gilead Sciences
Galápagos
Engagement and collaboration
24
Bill & Melinda
Gates Foundation
Wellcome Trust
Innovate UK
Creative Commons
NCBI
Altmetric
University of Liverpool
Imperial College London
F1000 Research
University of Exeter
efpia
abpi
The Lancet
PATIENTS KNOW BEST
SANOFI
ENVISION PHARMA GROUP
MHRA
BMJ
ORCID
ASAPbio
OXFORD UNIVERSITY PRESS
WILEY
ISMPP
GSK VACCINES
Roche Takeda
AstraZeneca
ELSEVIER
CEBM University of Oxford
American Society of Clinical Oncology
Pfizer
novo nordisk
ucb
Crossref
National Institute for Health Research
Cambridge Medical Communication
Cold Spring Harbor
Genetic Alliance
NATIONAL LIBRARY OF MEDICINE
THE ROYAL SOCIETY
The YODA project
EUROPEAN MEDICINE AGENCY
DIGITAL SCIENCE
AllTrials Aries systems
CHAN ZUCKERBERG
INITIATIVE
Taylor & Francis Group
COPE
H1
Gilead Sciences
What do you think?
25
Do you
agree?
Sign our position
statement today!
https://openpharma.blog/
@_OpenPharma
Tell us why!
We must know.
Get involved, learn, debate
Yes No
?
Innovations in medical publishing
26

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Open Pharma - innovations in medical publishing, Tim Koder, OpenCon Oxford 2019

  • 2. Why do we need research transparency? Publishers lack incentive …but only 32% of the public trust research carried out by the pharmaceutical industry ‘completely’ or ‘a great deal’ … Around 59% of the public trust research by university scientists ‘completely’ or ‘a great deal’… Ipsos MORI. Wellcome Trust Monitor, Wave 3. London: Wellcome Trust, 2016. Available from: doi 10.6084/m9.figshare.3145744 (Accessed 20 March 2019) 2 </>
  • 3. Pharma now disclose the results of nearly all their clinical trials 3 0 20 40 60 80 100 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Proportionoftrialsreported(%) All industry sponsors All sponsors Non-industry sponsors Baronikova S et al. Commitments by the biopharmaceutical industry to clinical trials transparency: the evolving environment. bioRxiv 2018;349902 doi 10.1101/349902
  • 4. Is data transparency alone enough? 4 All stakeholders want transparent science We need to be able to access clinical research In a timely manner
  • 5. What is open access? 5 on demand online to read without charge to end users $ ‘Open access’ refers to peer-reviewed, full-text research articles that have been accepted for publication and are available:
  • 6. What are the benefits of open access for pharma-sponsored research? 6 ‘Open access’ refers to peer-reviewed, full-text research articles that have been accepted for publication and are available: Fast speed of dissemination Global communication Ease of reuse Speed of progress Transparency Trust Patient wellbeing
  • 7. Is transparency alone enough? 7 A paywall may restrict the number of readers and this might NOT help the reputation of the pharmaceutical industry (the mindset of it being a bit secretive). Alan Thomas, patient advocate and founder of Ataxia and Me
  • 8. Some publishers prevent companies from publishing unrestricted open access In a study of 35 medical journals with a high impact factor, 21 (60%) offered an immediate open access option with a Creative Commons licence Of these 21 journals: − CC BY was offered by 100% (21/21) − CC BY-NC was offered by 19% (4/21) − CC BY-NC-ND was offered by 86% (18/21) Only one of these 21 journals potentially offered immediate open access under a CC BY licence to authors irrespective of their funding source 8 BY, attribution; CC, Creative Commons; NC, non-commercial; ND, no derivatives Ellison T Koder T, Schmidt L, Williams A, Winchester CC. Open access polices of leading medical journals: a cross-sectional study. BMJ Open 2019;9:e028655. 20/21 (95%) 1/21 (5%) Journals only offering CC BY open access for research funded by specific non-commercial organizations Journals offering CC BY open access to organizations that require it
  • 9. Open Pharma aims to connect pharma with innovations in publishing to achieve … Our purpose that are available quickly … a transparent publishing process … with accessible outputs … using an efficient, sustainable process 9
  • 10. The story so far … Workstream and roundtable meetings Industry and public engagement Original research Workshops for clients Educational materials Blog posts In driving change in medical publishing, pharmaceutical companies are conspicuous by their absence, in spite of funding probably over half of all medical research – Richard Smith, Chair of Open Pharma, ISMPP EU 2018 Stakeholder engagement Inaugural roundtable January 2017 Roundtable November 2017 Work stream meetings Good Publication Practice 3 (GPP3) launch 2015 Roundtable January 2019 UK and US workshops November 2018 Open access paper available on BMJ Open 10 Release of the Open Pharma Charter Launch of the Open Pharma position statement on open access ISMPP, International Society for Medical Publication Professionals
  • 11. Open access research and educational material Research Educational material and events 11
  • 12. openpharma.blog and @_OpenPharma 518 followers on Twitter 422 downloads on figshare 278 subscribers to the blog 128 weekly digests 42 guest articles 2 significant new contacts directly through the blog 12
  • 13. Open access: Shire case study 1. Shire. Available at: https://www.shire.com/en/newsroom/2018/january/xajhds (accessed 29 Jan 19) 2. Ipsen. Available at: https://www.ipsen.com/ipsen-commits-to-making-all-its-published-scientific-research-freely-accessible-to-everyone/ (accessed 29 Jan 19) Launch of Open Pharma Research on open access options offered by journals and used by Shire Panel discussion on open access at ISMPP EU 2018 Launch of Shire open access policy “Shire plc…has implemented a new publication policy requiring the submission of all Shire-supported research manuscripts to journals that offer public availability via open access, allowing the public to obtain free, unrestricted online access to Shire’s research promptly following publication”1 Workstream and round-table meetings IPSEN announced OA policy at ISMPP EU 2019 13 Now part of Takeda
  • 14. ASCO case study 14ASCO, American Society of Clinical Oncology David Sampson, Vice President at ASCO, discovers Open Pharma via the blog website Open access panel member at ISMPP Annual Meeting 2018 ASCO policy change to permit open access CC BY-NC-ND for commercial research
  • 15. International Open Access Week, 2019 15 #OAWeek19
  • 16. Open Pharma position statement on open access 16 Increase transparency Advance medical science Improve patient care Globalize communication of research Speed up dissemination Open access ensures that the highest quality peer-reviewed evidence is available to anyone who needs it, anywhere in the world
  • 17. Our objectives BY, Attribution; CC, Creative Commons 17 Secure authors publishing company-funded research the same right to publish open access as authors publishing research funded by other sources All research to be made free to read from the date of publication Any variant of Creative Commons or equivalent licence Our immediate priority = CC
  • 18. Our objectives BY, Attribution; CC, Creative Commons 18 Secure authors publishing company-funded research the same right to publish open access as authors publishing research funded by other sources All research to be made free to read from the date of publication Any variant of Creative Commons or equivalent licence Our immediate priority = CC Secure authors publishing company-funded research the same terms as authors publishing research funded by other sources Free to read – and reuse – from the date of publication Sustainable use of CC BY Our long-term goal = CC BY
  • 19. Contributors 19 We thank all supporters and followers of Open Pharma for their valuable input Lise Baltzer Director of Global Publications, Novo Nordisk Catherine Skobe Senior Director, Publications Innovative Solutions Lead, Pfizer Julie Newman Associate Director, HIV, Gilead Chris Rains Head of GMA Medical Functions, Takeda Chris Winchester CEO, Oxford PharmaGenesis Valerie Philippon Head, Global Publications, Takeda Sarah Sabir Medical Writer, Oxford PharmaGenesis
  • 20. Endorsed by academics, patients and communicators Correct as of 5 November 2019 20 Individuals Alan Thomas, Ataxia & Me Scott Armit, Ataxia & Me E. Andrew Balas, Biomedical Research Innovation Laboratory, Augusta University John Wallace, Autoinflammatory UK Gavin Giovannoni, Barts and the London School of Medicine and Dentistry Val Tate, communications consultant Katie Foxall, ecancer Martin Delahunty, Inspiring STEM Alben Sigamani, Narayana Health Michael De Rosa, National Ataxia Foundation Peter Llewellyn, NetworkPharma Ltd. Pali Hungin, Newcastle University Kajsa Wilhelmsson, Oxford Health System Reform Group Adele Buss, Oxford PharmaGenesis Cassy Fiford, Oxford PharmaGenesis Emma Bolton, Oxford PharmaGenesis Francesca Ounsworth, Oxford PharmaGenesis Jessica Hardy, Oxford PharmaGenesis Mark Rolfe, Oxford PharmaGenesis Nicolas Bertheleme, Oxford PharmaGenesis Paul Farrow, Oxford PharmaGenesis Richard White, Oxford PharmaGenesis Sally Bardell, Oxford PharmaGenesis Tim Ellison, Oxford PharmaGenesis Tim Koder, Oxford PharmaGenesis Zoe Watts, Oxford PharmaGenesis Charles Boyce, patient Emily Medina, patient Jeannie Smithball, patient Danielle Grover, patient advocate Elizabeth Kinder, patient advocate Richard Stephens, patient advocate Tracy Zervakis, patient advocate Trishna Bharadia, patient advocate Rosario Strano, Pedalling4Cure Angela Sykes, Pfizer Courtney Leo, Pfizer J.R. Meloro, Pfizer Ellie Challis, PTEN UK & Ireland Dermot Ryan, Respiratory Effectiveness Group Victoria Woods, Patient and Public Engagement, Thames Valley Cancer Alliance at NHS England Sophie Berry, Smith & Nephew John Gonzalez, Solanum Medical Communications Ltd. Zbys Fedorowicz, The Care Combine and North West Anglia NHS Foundation Trust Stuart Taylor, The Royal Society Erik Michels, UCB Rachel Giles, Regenerative Medicine Center, UMC Utrecht Meredith Hays, Department of Medicine, Uniformed Services University Martin Rossor, University College London Stephen Bradley, University of Leeds Robert Sim, Department of Respiratory Science, University of Leicester Iain Chalmers, Centre for Evidence-Based Medicine, University of Oxford Edith Sim, Department of Pharmacology, University of Oxford Chas Bountra, Nuffield Department of Clinical Medicine, University of Oxford Stevan Harnad, University of Southampton Álvaro Díaz, Departamento de Biociencias, Universidad de la República, Uruguay Ronald Munatsi, Zimbabwe Evidence Informed Policy Network
  • 21. Endorsed by patient groups, charities, pharmaceutical companies and publishers Correct as of 5 November 2019 21 Organizations Ataxia & Me Autoinflammatory UK Cambridge Rare Disease Network Galapagos NV International Kidney Cancer Coalition Kidney Research UK Observational and Pragmatic Research Institute Pte Oxford Health Policy Forum Oxford PharmaGenesis Pedalling4ACure Solanum Medical Communications Ltd. SUDEP Action The Aarskog Foundation ThinkSCIENCE, Inc. Zimbabwe Evidence Informed Policy Network Publishers Betasciencepress Publishing ecancer F1000 Research Ltd. Frontiers Future Science Group Wiley
  • 22. A reminder about why open access matters HIV, human immunodeficiency virus The PLoS Medicine Editors. The impact of open access upon public health. PLoS Medicine 2006;3:e252 22 I recently met a physician from Southern Africa engaged in perinatal HIV prevention, whose primary access to information was abstracts posted on the Internet. Based on a single abstract, they had altered their perinatal HIV prevention programme from an effective therapy to one with lesser efficacy. Had they read the full-text article they would have undoubtedly realized that the study results were based on short-term follow-up, a small pivotal group [and] incomplete data, and [were] unlikely to be applicable to their country’s situation. Their decision to alter treatment based solely on the abstract's conclusions may have resulted in increased perinatal HIV transmission. Professor Arthur Ammann Co-founder of Global Strategies for HIV Prevention
  • 23. Who’s behind this? Open Pharma is… a collaborative, multi-sponsor, non-profit project at Oxford PharmaGenesis Oxford PharmaGenesis is… an award-winning HealthScience communications consultancy providing services to the healthcare industry, professional societies and patient groups Financial contributors and previous hosts Wellcome The BMJ 23 Supporters: AstraZeneca Roche Pfizer UCB Wiley Members: Takeda Novo Nordisk GSK Gilead Sciences Galápagos
  • 24. Engagement and collaboration 24 Bill & Melinda Gates Foundation Wellcome Trust Innovate UK Creative Commons NCBI Altmetric University of Liverpool Imperial College London F1000 Research University of Exeter efpia abpi The Lancet PATIENTS KNOW BEST SANOFI ENVISION PHARMA GROUP MHRA BMJ ORCID ASAPbio OXFORD UNIVERSITY PRESS WILEY ISMPP GSK VACCINES Roche Takeda AstraZeneca ELSEVIER CEBM University of Oxford American Society of Clinical Oncology Pfizer novo nordisk ucb Crossref National Institute for Health Research Cambridge Medical Communication Cold Spring Harbor Genetic Alliance NATIONAL LIBRARY OF MEDICINE THE ROYAL SOCIETY The YODA project EUROPEAN MEDICINE AGENCY DIGITAL SCIENCE AllTrials Aries systems CHAN ZUCKERBERG INITIATIVE Taylor & Francis Group COPE H1 Gilead Sciences
  • 25. What do you think? 25 Do you agree? Sign our position statement today! https://openpharma.blog/ @_OpenPharma Tell us why! We must know. Get involved, learn, debate Yes No ?
  • 26. Innovations in medical publishing 26