Sharing brain imaging data in the Open Science era: how and why?

The sharing of human neuroimaging data has great potential to accelerate the development of imaging biomarkers in neurological and psychiatric disorders; however, major obstacles remain in terms of how and why to share data in the Open Science context. In this Health Policy by the European Cluster for Imaging Biomarkers, we outline the current main opportunities and challenges based on the results of an online survey disseminated among senior scientists in the field. Although the scientific community fully recognises the importance of data sharing, technical, legal, and motivational aspects often prevent active adoption. Therefore, we provide practical advice on how to overcome the technical barriers. We also call for a harmonised application of the General Data Protection Regulation across EU countries. Finally, we suggest the development of a system that makes data count by recognising the generation and sharing of data as a highly valuable contribution to the community.

Flexible fluorinated graphite foils with high contents of the (C2F)n phase for slow neutron reflectors.

In order to prepare self-standing and flexible slow neutron reflectors made of graphite fluoride (GF) with high contents of (C2F)n structural phase, graphite foils of different thicknesses were used as starting materials for gas (F2)/solid fluorination. The maximal interlayer distance of GF was obtained with this phase thanks to the stacking sequence FCCF/FCCF; this is mandatory for the efficient reflection of slow neutrons. 71 and 77% of the (C2F)n phase were achieved for graphite foils with thicknesses of 1.0 and 0.1 mm, respectively. The interlayer distances were 8.6 Å as expected. The fluorination conditions (static mode, a long duration of 24 h, annealing in pure F2 gas for 24 h, and temperatures in the 390-460 °C range) were adapted to large pieces of graphite foils (7 × 7 cm2) in order to both avoid exfoliation and achieve a homogeneous dispersion of fluorine atoms. This process was also efficient for thinner (0.01 mm thick) graphitized graphene oxide foil. 56% of the (C2F)n phase and an interlayer of 8.6 Å were achieved for this foil when fluorination was performed at 430 °C. Whatever the nature and the thickness of the foil, their flexibilities are maintained.

High Energy Density of Ball-Milled Fluorinated Carbon Nanofibers as Cathode in Primary Lithium Batteries.

Sub-fluorinated carbon nanofibers (F-CNFs) can be described as a non-fluorinated core surrounded by a fluorocarbon lattice. The core ensures the electron flux in the cathode during the electrochemical discharge in the primary lithium battery, which allows a high-power density to be reached. The ball-milling in an inert gas (Ar) of these F-CNFs adds a second level of conductive sp2 carbons, i.e., a dual sub-fluorination. The opening of the structure changes, from one initially similar multi-walled carbon nanotube to small lamellar nanoparticles after milling. The power densities are improved by the dual sub-fluorination, with values of 9693 W/kg (3192 W/kg for the starting material). Moreover, the over-potential of low depth of discharge, which is typical of covalent CFx, is suppressed thanks to the ball-milling. The energy density is still high during the ball-milling, i.e., 2011 and 2006 Wh/kg for raw and milled F-CNF, respectively.

Human Brain Project Partnering Projects Meeting: Status Quo and Outlook.

As the European Flagship Human Brain Project (HBP) ends in September 2023, a meeting dedicated to the Partnering Projects (PPs), a collective of independent research groups that partnered with the HBP, was held on September 4-7, 2022. The purpose of this meeting was to allow these groups to present their results, reflect on their collaboration with the HBP and discuss future interactions with the European Research Infrastructure (RI) EBRAINS that has emerged from the HBP. In this report, we share the tour-de-force that the Partnering Projects that were present in the meeting have made in furthering knowledge concerning various aspects of Brain Research with the HBP. We describe briefly major achievements of the HBP Partnering Projects in terms of a systems-level understanding of the functional architecture of the brain and its possible emulation in artificial systems. We then recapitulate open discussions with EBRAINS representatives about the evolution of EBRAINS as a sustainable Research Infrastructure for the Partnering Projects after the HBP, and also for the wider scientific community.

[End-of-life and advance healthcare directives]. / Fin de vie et directives anticipées.

In the context of the care of people at the end of life, the implementation of measures relating to advance healthcare directives still appears to be problematic. A nursing team in Saône-et-Loire carried out a research project on this issue and highlighted several obstacles: poor knowledge of the law, a lack of information among the general public, the sensitivity of the subject, etc. The project revealed avenues for further reflection now being explored.

Protecting Patient Data Is the New Scope of Practice: A Recommended Cybersecurity Curricula for Healthcare Students to Prepare for this Challenge.

Protection of patient data has become a critical part of the scope of practice of all healthcare professionals. Routine data breaches underscore the importance of training clinical employees in protecting these data. However, beyond exposure to HIPAA regulations, little is done to educate the healthcare student about the risks and vulnerabilities of the online environment as it pertains to health data. Most individuals receive training upon employment, and compliance with regulations and policies is problematic. This article supports the belief that educating the student prior to entering into the profession may result in improved compliance with state and federal regulations and local policies, thus providing better protections to their patients. We propose a curriculum for both undergraduate and graduate healthcare students to prepare them for understanding and complying with institutional policies once they begin their clinical rotations or are hired as employees. This curriculum addresses the roles of information technology and health information management personnel in securing patient data, local and federal legislation, and the limitation of technical security measures. This curriculum should prepare future clinicians to use their own judgment and to better understand the role of intuitional policies in protecting patient data.

[Health centers: history and future prospects.]. / Les centres de santé : une histoire, un avenir.

Health houses and health centers are often hailed as specifically modern forms of medical practice in mobile healthcare provision. Yet the concept of health center emerged in the seventeenth century. The founding principles of these institutions were to promote access to good-quality universal healthcare and to practice a form of healthcare that treated patients in their globality (i.e. within their social and environmental context) based on public healthcare measures. Though they constitute a response to a specific healthcare project, healthcare centers face a number of specific difficulties that pose a challenge to their durability and development. Payment per consultation is ill-adapted to the remuneration of their services, and methods of remuneration that may be applicable to independent medical practitioners do not apply in the context of health centers, which may struggle to survive without the support of territorial collectivities (i.e. regional and local authorities) or associations. Health houses face similar difficulties in terms of their structural expenses. Expectations are high for trying out new methods of remuneration. The perspective and experience of healthcare centers will likely prove to be essential in this context. Their future needs to be envisaged alongside health houses and medical hubs. The growth of precarity and the increasing difficulties affecting access to healthcare provision need to be taken into account. The choice of the specific type of structure will depend on local realities, on the political will of regional authorities and on the specific projects of healthcare professionals. Yet whatever solution is envisaged, it will not be possible without public funding.