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Website discussion forums: results of an Australian project to promote telecommunication in dermatology.

Discussion forums on the Internet allow doctors to discuss issues of interest in a rapid, convenient and educational manner. In March 2002, the department of dermatology at the St George Hospital in Sydney launched a national Website with an online discussion forum for dermatologists. Features of the Website forum include the ability to moderate the discussion boards, a choice of public or private discussions and receipt of automatic email notifications. Over three months, three dermatologists posted a total of 13 messages on three different topics. The low rate of participation by dermatologists may have been due to lack of time or familiarity with the technology. Increased promotion to and education of dermatologists who are most likely to use the discussion forum may improve utilization of this means of communication.

Australia↗

[To break the isolation. Telecommunication to help the schooling of sick children].

A 2-way teleconferencing system has been described which links the sterile and pediatric units of the Center for Cancer Treatment in Lyon to a secondary school and the pediatric unit of the University Hospital Edouard Herriot where primary teaching is given. The Léon Bérard Center and Edouard Herriot Hospital are 300 m apart. Elie Vignal secondary school is 6 km from the first site; all three establishments are connected via hyperfrequency aerials. With the help of this system, communication (voice and image) between children in hospital and pupils or teachers in school is instantaneous. Children in bed can listen to the lesson, break in on the conversation in school, ask questions or answer those of teachers and play with children in the classroom. The aims of the system are: 1) to improve the education delivered to children and teenagers who have to spend long periods in hospital; 2) to establish a relationship between the worlds of healthy and sick children through teaching and playing in common; 3) to facilitate the social insertion of sick children after leaving the hospital.

Adolescent↗

Ergonomic analysis to characterize task constraint and repetitiveness as risk factors for musculoskeletal disorders in telecommunication office work.

A modified activity analysis procedure was devised to quantify the presence of two task attributes identified in previous research as contributing to an increase in work demands and ergonomic hazards. The purpose of this study was to develop an exposure index based on the presence of two task attributes. The utility of this job activity analysis will, of course, be determined by the extent to which workers with varying degrees of muscular pain and discomfort correspond to the risk exposure group we have described. The results of both the medical and psychological assessments of the workers--contained in the final HETA report--will be used to assess the utility of our method and determine whether the task attributes of constraint and repetitiveness contribute to the onset of cumulative trauma disorders among clerical workers.

Cumulative Trauma Disorders↗

Telecommunications model for continuing education of health professionals: the Royal Brompton case.

Telemedicine is said to be helpful to both patients and providers, but we need real-world examples to demonstrate its effectiveness. This paper presents such an example. Royal Brompton, under the Tele-remedy Program of EC Telecom, conducted a project with the Children's Hospital of Athens, Greece, to provide remote diagnosis management and continuing education for heart disease, using European ISDN technology. Preliminary results showed that, when carried out in a large scale multi-site environment, Teleremedy program significantly reduced geographic and socio-economic isolation for the patient and the professional isolation for the physician. Comparison of original vs. transmitted data revealed no significant differences, with diagnosis accuracy of 100%.

Education, Continuing↗

Non-ionising radiation human exposure assessment near telecommunication devices in Croatia.

This paper gives an overview of the regulatory acts in non-ionising radiation in the world, with a special emphasis on basic guidelines issued by the International Commission on Non-Ionizing Radiation Protection (ICNIRP). ICNIRP Guidelines are implemented in many countries worldwide. Croatia has also implemented them indirectly through the European Recommendation 1999/519/EC. The Croatian regulatory acts include the Non-lonising Radiation Protection Act, Ordinance on Electromagnetic Fields (EMF) Protection, and the Ordinance on Basic Requirements for Devices which produce Optical Radiation and Measures for Optical Radiation Protection. Dosimetry and densitometry are compliant with relevant international and European standards. The paper presents an example of densitometric human exposure assessment in complex indoor exposure conditions. In spite of a high number of indoor and outdoor sources and the "worst-case exposure assessment", the results are within the limits defined by the Croatian EMF Ordinance.

Electromagnetic Fields↗