In the digital age, a ratio on social media is more than just a fleeting moment of internet drama, it can be a measurable signal of institutional trust. As global health crises like COVID-19 unfold, the battle for public confidence moves from official press releases to the real-time arena of social platforms. But can we scientifically measure something as complex as popular legitimacy simply by looking at how the world interacts with an organization on X?

I had a great time in Austin at the ER&L Fest. The longer I’m in the position of Institutional Partnerships Lead at JMIR, the more I enjoy working with librarians. As a group, they are friendly, thoughtful, and ask great questions. This shouldn’t come as a surprise to me - my mother was a public librarian and I spent many, many hours among the book stacks of her workplaces.

When a patient walks into a doctor’s office today, they might notice something is missing: the frantic clicking of a keyboard. In exam rooms across Ontario, the traditional image of a physician hunched over a laptop is being replaced by eye contact, active listening, and a small, unobtrusive digital assistant known as an ambient artificial intelligence (AI) scribe.

Virtual Reality (VR) can be a powerful tool in mental health care, particularly for assisting with relaxation. By immersing users in calming natural environments, VR can effectively lower stress and anxiety. However, despite its potential, high-quality VR relaxation remains largely locked away in specialized clinics. The barriers are clear: stand-alone headsets are expensive, the software can be difficult to operate, and many apps aren't available in local languages.

Whenever the JMIR Publications team travels to conferences—like APHA or the American Medical Informatics Association (AMIA)—we are inevitably asked one question more than any other: "How can I become a peer reviewer for JMIR, and what qualifications do I need?"

As I am preparing for my trip to Austin for the ER and L conference, I am thinking a lot about the conversations I have had with librarians over the past year, especially at Charleston in November. The consistent theme of each conversation was uncertainty—often budgetary, but also regulatory and administrative. Everywhere, libraries are under pressure to do more with less, leaving many to ask: how to manage library budget cuts while transitioning to open access? It’s clear that librarians are no longer just managing collections;  they’re navigating a total systemic shift.

Since its inception in 1999, JMIR Publications has been more than just a publisher—it has been a laboratory for the future of scholarly communication. As one of the world's first open-access publishers, JMIR has consistently pushed the boundaries of how scientific knowledge is captured, shared, and preserved.

If you were in Charleston this past November, you know what I mean when I say the air was thick with purpose, and a little bit of worry. The Charleston Conference is always a place where librarians and publishers come together to discuss the tough questions facing our industry, and this year highlighted that scholarly communication is evolving against a backdrop of economic, technological, and policy-driven uncertainty.

The landscape of scholarly publishing has grown increasingly complex, and academic librarians managing collections face mounting pressure to navigate this complexity wisely. With library budgets stretched thin, multiple business models competing for resources, and the ever-present threat of predatory publishers exploiting the open access movement, the responsibility of vetting journals has never been more critical, or more challenging.

As we close out another banner year at JMIR Publications, we’re taking a moment to celebrate the incredible growth of our YouTube community. In 2025, our mission to make high-impact research accessible reached new heights through our video series:Decoding Digital Health: Author Stories.