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Text telecommunication for people who are deaf: assessing the use of a text-relay service.

This study investigated the pattern and frequency of telephone use by people with a profound or severe hearing impairment. The main purpose was to assess the benefits of text telecommunication for making calls by typing rather than speaking and listening. Data on 169 adults were obtained by personal interview. The sample was stratified between subscribers to an experimental text-relay service and non-subscribers: a minority of respondents in both groups used a text telephone for direct telecommunication. Access to the relay service increased independent use of the telephone significantly above that of other respondents, whether for social contact, conducting personal business, or in paid work. The text-relay service was less than satisfactory for urgent calls and apparently did not encourage reciprocal contact. Nearly all respondents, subscribers and non-subscribers alike, relied on other people making or receiving calls on their behalf via an ordinary telephone. Direct text telecommunication was as important as the text-relay service for social contact, especially with friends. The costs of telephone text equipment were substantially more than those normally incurred by hearing people. The implications for improving deaf people's access to the telephone are discussed.

Deafness

Improved diabetic prognosis following telecommunication and graphical processing of diabetic data.

The thesis that an integrated telecommunications/reporting system would affect diabetic prognosis was tested. Over fifteen months a double crossover study compared traditional diaries versus graphical display of telecommunicated blood glucose data. Significant drops in glycohemoglobin were observed in both groups during the telecommunications period, while no significant drops were observed in the groups while diaries were employed.

Blood Glucose Self-Monitoring

Malignant melanoma of the skin among workers in a telecommunications industry: mortality study 1976-83.

An incidence study of malignant melanoma of the skin (MMS), conducted previously among the workers of four plants of a large telecommunications industry located in Montreal, Canada, showed a standardised incidence ratio of 2.7 (95% confidence interval (95% CI) 1.3-5.02) for the years 1976 to 1983. To describe more precisely the magnitude of the problem a mortality study was started among the same population (n = 9590) for the same period (1976-83). At the end of 1983, 9180 workers were alive, 261 were dead, and 149 (1.5%) were not traced. Standardised mortality ratios (SMRs) for all causes of death were surprisingly low for men (SMR = 0.57; 95% CI 0.50-0.64) and women (SMR = 0.56; 95% CI 0.37-0.82). The SMRs for major causes of death were also less than expected. These results may be explained by a pronounced selection bias (healthy worker effect) and by the short duration of follow up (eight years). For MMS, two deaths occurred among men (SMR = 2.00; 95% CI 0.24-7.22) and one among women (SMR = 4.81; 95% CI 0.12-26.78). A third man who died of MMS was miscoded as having a primary pulmonary melanoma. Including this case increased the SMR for MMS to 3.00 (95% CI 0.62-8.77; p = 0.08). Polyvinyl chloride and polychlorinated biphenyls were used in the plants and some of the workers did soldering. A planned case-control study will investigate other possible exposures at work.

Canada

Telecommunications in psychiatry.

Because technological innovations will enable geographic proximity to be replaced eventually by electronic proximity, telecommunication systems could play a substantial role in psychiatry's future. As a result, the uses, advantages, and limitations of interactive television and videotelephones for psychiatric service and training are discussed.

Hospitals, Psychiatric

A collaborative effort in using telecommunications to enhance learning.

A consortium of three educational institutions was developed to respond to a possible need for educational programs in the workplace through teleconferencing technology. Based on survey findings, a pilot project of three educational programs was presented. Evaluation of the adequacy of such programming indicated its success in the use of such technology. The effort was unique because there was unprecedented collaboration among nurse executives, nurse educators, the Pennsylvania Nurses Association, the Hospital Association of Pennsylvania, and WITF, the publicly owned telecommunications center.

Education, Nursing, Continuing

Telecommunications for the disabled.

Scientific and technological advances should be used to give the disabled every possible opportunity for personal development. There is great scope for improving the lot of disabled people by providing access to modern telecommunications systems. In the Third World, such progress could be encouraged if donor agencies stipulated that a certain proportion of funding should serve this purpose.

Communication Devices for People with Disabilities

National Electronic Telecommunications System for Surveillance--United States, 1990-1991.

The National Electronic Telecommunications System for Surveillance (NETSS) was developed by CDC and the Council of State and Territorial Epidemiologists (CSTE) for collecting, transmitting, analyzing, and publishing weekly reports of notifiable diseases and injuries from the 50 states, New York City, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and Commonwealth of the Northern Mariana Islands. Operation of NETSS is facilitated by CDC/CSTE agreements on reportable conditions, protocols for formatting and transmitting data, standard case definitions, and designated staff members in each participating agency who provide and prepare the data for weekly publication in MMWR. This report describes the development and operation of NETSS and presents tabulations of national surveillance data for 1990 (tables on pages 505-510).

Centers for Disease Control and Prevention, U.S.