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The electric and magnetic fields research and public information dissemination (EMF-RAPID) program.

In the United States, public concern that exposure to power-line fields was linked to cancer led to the establishment of a Congressionally mandated program, the Electric and Magnetic Fields Research and Public Information Dissemination (EMF-RAPID) Program. A major goal of the program was to "determine whether or not exposures to electric and magnetic fields produced by the generation, transmission, and use of electrical energy affect human health". Between 1994 and 1998, the EMF-RAPID program spent approximately $41 million on biological research. Much of the work funded by the EMF-RAPID program has not yet been published in the peer-reviewed literature. The U.S. National Institute of Environmental Health Sciences (NIEHS) asked that Radiation Research publish this special issue in an attempt to remedy this publication gap. The issue includes reviews of studies that were done to assess the biological plausibility of claims that power-frequency fields caused leukemia and breast cancer. The issue continues with two teratology studies and one immunology study. The section of the issue covering in vitro studies begins with an overview of the efforts NIEHS made to replicate a wide range of reported effects of power-frequency fields and continues with four papers reporting the absence of effects of power-frequency fields on the expression of stress-response genes and oncogenes. Other reports of in vitro studies and studies of mechanisms cover cytotoxicity, gap junction intracellular communication, calcium ion transport across the plasma membrane, and intracellular electric fields.

Animals↗

[The Spanish Epidemological Surveillance Services webpages as an information dissemination tool in 2006].

BACKGROUND: Taking into account that one of the Spanish National Epidemological Surveillance Network's missions is that of providing information for taking action, it is then absolutely essential that its information be disseminated in a timely manner. This study is aimed at ascertaining what information is being published on the National Epidemology Center webpages and on those of the Municipal and Autonomous Community Epidemiological Surveillance Services and assessing the timeliness of the information published. METHODS: A review was conducted of the contents of the Surveillance Services webpages of April 3 - May 5, 2006. The information was considered to be "timely" if the information read on the webpage during Week 17 provided the epidemological week 15 bulletin. RESULTS: A total of ninety percent (90%) of the Services have a webpage, fifty percent (50%) of which provide the listing of the compulsorily reportable disease and the case definition, a total of 44% having protocols for taking action and 11% having dynamic tables. The epidemological bulletins can be accessed via eight-three percent (83%) of the pages, six percent of which are updated in a timely manner. A total of seventy-seven (77%) of the pages provide weekly influenza information, seventy-eight percent (78%) in week 15. A total seventy-two percent (72%) have a search system as well as links to other Surveillance Services. CONCLUSIONS: The information provided by the Epidemological Surveillance Services has been found to vary to a certain degree. Influenza information is being disseminated in a timely manner, this however not being the case for the Epidemiological Bulletin.

Epidemiologic Methods↗

The role of information dissemination in sustainability of international partnerships.

The Fogarty-supported International Training Program of the Southwest Center for Occupational and Environmental Health (SWCOEH) at the University of Texas School of Public Health was initiated in 1995, with its activities focused primarily on Latin America. As this program has matured, its participants have been concerned about including elements that increase the likelihood that its trainees and projects will have a sustainable impact on occupational and environmental health in collaborating countries. The Center recently reviewed the experiences of various international organizations and national development agencies with established track records involving donor-supported projects. The authors summarize factors associated with project sustainability and describe how some of them are being incorporated into the SWCOEH program. Particular mention is made of the importance of supporting an infrastructure for broad information dissemination in the language of the intended audience. An example of a project to support a peer-reviewed Spanish-language journal devoted to occupational and environmental health, Salud de los Trabajadores, is presented.

Developing Countries↗

A Severe Acute Respiratory Syndrome Extranet: supporting local communication and information dissemination.

BACKGROUND: The objective of this study was to explore the use and perceptions of a local Severe Acute Respiratory Syndrome (SARS) Extranet and its potential to support future information and communication applications. The SARS Extranet was a single, managed electronic and limited access system to manage local, provincial and other SARS control information. METHODS: During July, 2003, a web-based and paper-based survey was conducted with 53 SARS Steering Committee members in Hamilton. It assessed the use and perceptions of the Extranet that had been built to support the committee during the SARS outbreak. Before distribution, the survey was user-tested based on a think-aloud protocol, and revisions were made. Quantitative and qualitative questions were asked related to frequency of use of the Extranet, perceived overall usefulness of the resource, rationale for use, potential barriers, strengths and limitations, and potential future uses of the Extranet. RESULTS: The response rate was 69.4% (n = 34). Of all respondents, 30 (88.2%) reported that they had visited the site, and rated it highly overall (mean = 4.0; 1 = low to 5 = high). However, the site was rated 3.4 compared with other communications strategies used during the outbreak. Almost half of all respondents (44.1%) visited the site at least once every few days. The two most common reasons the 30 respondents visited the Extranet were to access SARS Steering Committee minutes (63.3%) and to access Hamilton medical advisories (53.3%). The most commonly cited potential future uses for the Extranet were the sending of private emails to public health experts (63.3%), and surveillance (63.3%). No one encountered personal barriers in his or her use of the site, but several mentioned that time and duplication of email information were challenges. CONCLUSION: Despite higher rankings of various communication strategies during the SARS outbreak, such as email, meetings, teleconferences, and other web sites, users generally perceived a local Extranet as a useful support for the dissemination of local information during public health emergencies.

Advisory Committees↗

[Development of a base system for information dissemination of the Internet].

The development of information and computing infrastructure at NIHS (NICI), enabled us to provide a good environment for storing information that can be accessed by the Internet. Information can be stored either on WWW servers or on databases. All databases were developed on PC using database management systems such as 4th Dimension or Access, and were transferred to a UNIX machine with the database management system Sybase. A tool for accessing databases via the WWW (Web) was developed. This interface program used a freeware called Genera. Tools were also implemented for handling the so called VRML worlds.

Computer Communication Networks↗

An evaluation of information dissemination during the severe acute respiratory syndrome (SARS) outbreak among selected rural communities in Kuala Kangsar.

To assess the level of knowledge, attitude and practice (KAP) on SARS and its preventive measures among the rural population of Kuala Kangsar district. This KAP study was also done to identify the expectation and preference of rural population upon obtaining health information. This is a cross-sectional study of 201 households from four villages in Kuala Kangsar. Face-to-face interview was done regarding knowledge, attitude and practice on SARS and its preventive measures. Statistical analyses were performed with SPSS (Version 10.0). A scoring system was used to assess the level of knowledge, attitude and practice towards SARS. Ninety one percent of the study population was aware of SARS. Majority of them have good attitude towards SARS based on the formulated scoring system. Television was found to be the first hand information about SARS and most preferred source of information by the rural population. Knowledge and attitude of respondents concerning SARS were good. Television was found to be the preference among the rural population in obtaining health information.

Adult↗

[Rational ways for disseminating information to physicians about medical aid to patients with sexually transmitted diseases].

The article is devoted to problems of rational information insurance of the practical health care system. The most rational ways are defined for dissemination among physicians of information about different aspects of the profile medical care delivery to patients with infections caught by sexual intercourse or genital contact. Rating of different sources of information has been formed, with optimum patterns of information supplies delinated. Based on the analysis of the medical care delivery system, the most characteristic shortcomings of those information sources having received the worst rating are presented together with merits of those sources of obtaining information to have received a good rating.

Humans↗

Cluster randomized trial of an active, multifaceted information dissemination intervention based on The WHO Reproductive health library to change obstetric practices: methods and design issues [ISRCTN14055385].

BACKGROUND: Effective strategies for implementing best practices in low and middle income countries are needed. RHL is an annually updated electronic publication containing Cochrane systematic reviews, commentaries and practical recommendations on how to implement evidence-based practices. We are conducting a trial to evaluate the improvement in obstetric practices using an active dissemination strategy to promote uptake of recommendations in The WHO Reproductive Health Library (RHL). METHODS: A cluster randomized trial to improve obstetric practices in 40 hospitals in Mexico and Thailand is conducted. The trial uses a stratified random allocation based on country, size and type of hospitals. The core intervention consists of three interactive workshops delivered over a period of six months. The main outcome measures are changes in clinical practices that are recommended in RHL measured approximately a year after the first workshop. RESULTS: The design and implementation of a complex intervention using a cluster randomized trial design are presented. CONCLUSION: Designing the intervention, choosing outcome variables and implementing the protocol in two diverse settings has been a time-consuming and challenging process. We hope that sharing this experience will help others planning similar projects and improve our ability to implement change.

Female↗

The role of annotated bibliographies in information dissemination.

In July 1982, a comprehensive questionnaire was sent to a random sample of names on the National Diabetes Information Clearinghouse (NDIC) mailing list to measure user satisfaction with and use of annotated bibliographies about diabetes topics. The bibliographies are used to learn more about a topic and to locate cited materials. The total number of publications ordered by this sample is 8,857; therefore, an extrapolation from these data suggests that more than 45,000 publications were ordered as a direct result of the citations as the source of information.

Bibliography of Medicine↗