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Strategies of international cooperation in an international project: advantages and pitfalls.

The MEPS (musculoskeletal--eyestrain--psychosocial--stress) study involved an extensive degree of multidisciplinary and multicultural cooperation. The objective was to examine the effects of multiple ergonomic interventions on visual, musculoskeletal, postural, and psychosocial outcomes amongst operators of visual display terminals (VDTs). The inherent complexity of a comprehensive ergonomic investigation requires participation of researchers from a variety of disciplines, as well as comparisons among populations with different geographical and cultural backgrounds. The design and execution of the resulting research protocol presents a number of challenges. This paper discusses the advantages and pitfalls associated with multidisciplinary multinational cooperation. Advantages include the necessity for development of a common language and perspective providing a basis for future collaboration. Pitfalls include logistic and coordination difficulties associated with conducting standardized procedures in different locations, as well as the inherent potential for professional conflict. It is argued that such pitfalls ought to be understood and integrated into the project planning process.

Clinical Protocols↗

ISHAGE bone marrow processing survey: report on an international information gathering process. International Society for Hematotherapy Graft Engineering.

Significant amounts of information are currently available within the database generated by the responses to the Bone Marrow Processing Survey. As additional Surveys are returned, the data will continue to be entered into a Lotus spreadsheet, until a more sophisticated database with a programmed interface becomes available. The readership is encouraged to enter or edit the databank by returning a completed or amended Survey to the Society. Copies of the form are available from the Society or can be found in the first issue of the Journal of Hematotherapy.

Blood Transfusion, Autologous↗

Research in general practice: international problems--international solutions.

Although research in primary care has a higher profile than ever before, its impact on professional practice and on government planning often seems less than it should be. In the first part of the paper, the different research agendas of governments, health departments, professional associations and colleges, and of universities are explored. In the second part of the paper a research project which attempts to define and measure quality of care given to patients with a 'marker' health problem (arthritic pain) is developed from the stage of asking questions to interpreting findings. In the third part of the paper, a number of conflicts between research agendas, styles of research, and needs and expectations of different 'purchasers' and 'providers' are explored using the themes and the details of the earlier parts of the paper as illustration, and a model is constructed to help explain why research, practice and policy making often live less easily together than is good for each. The importance of creating a supportive climate for research, of providing adequate infrastructure, and of making appropriate training available is emphasized.

Administrative Personnel↗