For students with print impairments, e-books offer great potential to remove barriers to information. However, for various reasons, not all e-books are fully accessible. Significant variability exists between different platforms and titles. To benchmark e-book accessibility, a group of library and disability professionals across the UK higher education sector organized a crowdsourced e-book accessibility audit, using simple criteria to capture end-user experiences. The audit can act as a framework for librarians and e-book providers to discuss accessibility and effect improvements. This audit was of 275 e-books from 65 publishers across 44 platforms, resulting in an interactive spreadsheet on the project website and individual feedback reports for each platform. Most of the volunteer auditors had little accessibility expertise so a byproduct of the process was training to introduce key accessibility concepts and support for those using the audit tool. This paper explores the process, including key findings from a follow-up questionnaire for testers. The results indicate increased awareness of e-book accessibility and empathy for disabled learners and an appetite for further training, in particular using e-books with screen reading and text-to-speech software. The study suggests crowdsourced research can be highly effective on multiple levels.

E-books are a potential assistive technology, offering significant advantages over print books, and accessible materials are now a financial and legal necessity within UK academia. It is often difficult to find supplier information on accessibility, for example, whether files have been tagged for reading order or whether the interface has been tested with assistive technologies. Equally, library staff may lack confidence in identifying accessibility features, making it hard to promote them to students or demand them from suppliers. This article reports on a crowdsourced ebook audit of 44 e-book platforms that was undertaken by 33 UK universities during 2016. The research scored different platforms for a range of accessibility issues, and the resulting open data set is presented in a manner that can be interrogated by libraries looking for specific features. A key finding was that the platform can dramatically affect the accessibility of a publisher's content, making it important for publishers to work with suitable vendors to disseminate their publications.

The growing repertoire of approved immune-checkpoint inhibitors and targeted therapy has revolutionized the adjuvant treatment of melanoma. While the treatment of primary cutaneous melanoma remains wide local excision (WLE), the management of regional lymph nodes continues to evolve in light of practice-changing clinical trials and dramatically improved adjuvant therapy. With large multicenter studies reporting no benefit in overall survival for completion lymph node dissection (CLND) after a positive sentinel node biopsy (SLNB), controversy remains regarding patient selection and clinical decision-making. This review explores the evolution of the SLNB in cutaneous melanoma in the context of a rapidly changing adjuvant treatment landscape, summarizing the key clinical trials which shaped current practice guidelines.