Ramazzini; Blog on work and health by Annet Lenderink


How to find a good answer to your OSH question?

Ask your questionWorkers have questions on occupational safety and health, but they might have problems finding a good answer online. Ask an expert online may be a good solution. You might try yourself if you speak Dutch at www.arboantwoord.com

Comparing the Use of an Online Expert Health Network against Common Information Sources to Answer Health Questions

Martijn DF Rhebergen1, MSc; Annet F Lenderink2, MD; Frank JH van Dijk1, MD, PhD; Carel TJ Hulshof1,3, MD, PhD Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 02.02.2012. Read the rest of this entry »

Filed under: Internet resources, Knowledge, Knowledge transfer, , ,

How to survive working in the cold?

In the Netherlands it is winter, like in the rest of Europe too. For this weekend there is a forecast of snow, low temperatures and a strong wind, which will make it feel much colder. If you need to work outside or go there to skate, you should prepare yourself  to prevent health problems.

NIOSH has a comprehensive overview of coldstress with symptoms of hypothermia, frostbite, trench foot and chilblains, their first aid and recommendations for workers and employers. including a lot of interesting additional sources of information.

Stay warm, stay healthy!

Filed under: Health, Internet resources, Physical agents, ,

The tale of two ePatients in a very creative way

Other bloggers gave earlier attention to this very creative presentation on the important problem of how to gather and evaluate information as a patient.

A Tale of Two ePatients – Based Upon True Stories – By Val Jones, MD. Presented on October 27, 2009 at the e-Patient Connections 2009 Conference in Philadelphia. http://www.epatient2009.com

Filed under: Internet resources, Knowledge transfer, , ,

Internet and health care

Interesting view on Health 2.0 made by Lucien Engelen from the Reshape 2009 conference in Nijmegen (Netherlands). Hope you can understand, because it is partly in Dutch. It’s called Internet and Health Care.

Filed under: Internet resources, Medical 2.0, Web 3.0, , ,

Treat your depression online: it works

Interesting free fulltext article on a web-based intervention aimed at depression, tested in Germany.

Effectiveness of a Novel Integrative Online Treatment for Depression (Deprexis): Randomized Controlled Trial

by Björn Meyer; Thomas Berger; Franz Caspar; Christopher G Beevers; Gerhard Andersson; Mario Weissz, recently published in Journal of Medical Internet Research.

To evaluate the effectiveness of the Web-based intervention in a randomized controlled trial there were 396 adults recruited via Internet depression forums in Germany. Study showed that an integrative online treatment program—Deprexis—was effective in improving symptoms of depression among many of these.

On average, program users experienced lasting symptom reductions and improvements in functioning, whereas those who did not use the program remained at their original level of distress and dysfunction.

Future studies could examine how the program can best be deployed to reach those who might benefit from its use, how large-scale adoption of the program could help address unmet treatment needs, and how the therapeutic effects achieved by the program unfold on changes at the behavioral, cognitive, interpersonal, and other levels of analysis.

Read the rest of this entry »

Filed under: Internet resources, Psychosocial disorders, ,

Mailing with your professional colleagues

The activity on a Norwegian Occupational Health mailing list 1997-2006
Morken, T., Bull, N., Moen, B. E.
Occupational Medicine 2009 59(1):56-58

The activity on a Norwegian Occupational Health mailing list shows the need for electronic mailing communication within occupational health services. A broad range of topics was covered. Main topics were chemical hazards (19%), organization of occupational health services (17%), working methods in health and safety in general (10%) and ergonomics (8%). Most messages were questions and answers and they seldom led to discussion. Most professional disciplines in occupational health services were represented: doctors, physiotherapists, occupational hygienists and nurses.  The quality of the content and usefulness of the discussions need further investigation. Read the rest of this entry »

Filed under: Internet resources, No category

Finding toxicological information on the internet

Finding toxicological information isn’t always easy for professionals working in occupational health. A study by Laamanen et al. assessed available free databases and concluded that the databases GESTIS, ESIS, Hazardous Substances Data Bank, TOXNET and NIOSH Pocket Guide to Chemical Hazards all scored good for researching toxicological topics. They also suggest the following approach for occupational health professionals searching for the toxicological properties of chemicals:

  • start with the identity of the chemical;
  • then search for health hazards, exposure route and measurement;
  • next the limit values;
  • finally look for the preventive measures.

Finding toxicological information: An approach for occupational health professionals
Irja Laamanen, Jos Verbeek, Giuliano Franco, Marika Lehtola and Marita Luotamo
Journal of Occupational Medicine and Toxicology

Read the rest of this entry »

Filed under: Chemical agents, Internet resources,

E-learning on occupational cancer

Today I finished (successfully) an interesting E-course on occupational cancer. Made in Canada and free of charge. It takes a little more than an hour, but then you know a lot more on occupational and environmental cancer risks, cluster analysis and all. With many useful links and checklists you can print to use in daily practice. It’s meant for docters, but can also be interesting for others. With an examination you can take at the end.

This is the news item from the CCOHS electronic newsletter:

E-Course Helps Healthcare Providers Recognize and Prevent Occupational Cancer

How can a doctor tell if her patient’s cancer is caused by work-related hazards? And if it is, how should the doctor respond to this finding? A new  e-course available from the Canadian Centre for Occupational Health and Safety (CCOHS) answers these questions and more.


Filed under: Internet resources, Knowledge transfer, Occupational cancer,

Internet resources commented on in blogs

Not necessarily useful and good, but interesting new opportunities on the web:

Useful glossary on Evidence-based medicine

For those who want to find out quickly what terms are used in EBM, try this glossary online on EBM online

Call your doctor online: the future of medicine?

The medical blogosphere is full of articles dedicated to the pros and cons of online consultation and e-health. ScienceRoll gives you an overview.

Talking Up A New Role For Cell Phones In Telemedicine

After launching a communications revolution, cell phones are talking up a potentially life-saving new role in telemedicine — the use of telecommunications technology to provide medical diagnosis and patient care when doctors and patients are hundreds or thousands of miles apart.

Ask experts on-line

justanswer.com/Health gives you the opportunity to ask doctors and medical professionals online. 

Filed under: Internet resources,

Internet Delivered Behavior Change: what works

Internet intervention

Working in the field of knowledge dissemination or knowledge transfer you almost always try to achieve behavior change. The Internet gives a lot of extra possibilities, bur little research is done yet to assess the effect of Internet interventions. This is an interesting example. You can find the complete article on the Internet.

This is the official citation: Brouwer W, Oenema A, Crutzen R, de Nooijer J, de Vries NK, Brug J
An Exploration of Factors Related to Dissemination of and Exposure to Internet-Delivered Behavior Change Interventions Aimed at Adults: A Delphi Study Approach. J Med Internet Res 2008;10(2):e10

And this is the abstract and link to the article:

An Exploration of Factors Related to Dissemination of and Exposure to Internet-Delivered Behavior Change Interventions Aimed at Adults: A Delphi Study Approach
Journal of Medical Internet Research  

The Internet is an attractive medium for delivering individualized, computer-tailored behavior change interventions to large numbers of people. However, the actual numbers of people reached seem to fall behind the high expectations. Insight into factors that determine use of and exposure to these Internet interventions is important to be able to increase the reach and improve exposure.

The aim was to identify potentially important factors that determine whether adults visit an Internet-delivered behavior change intervention, extend their visit, and revisit the intervention.

A systematic, three-round Delphi study was conducted among national and international experts from Internet intervention research and practice, e-marketing/e-commerce, Web design, and technical website development. In the first round, 30 experts completed a structured, open-ended online questionnaire assessing factors that were, in their opinion, important for a first visit, an extended visit, a revisit and for effective promotion strategies. Based on the responses in this first questionnaire, a closed-ended online questionnaire was developed for use in the second round. A total of 233 experts were invited to complete this questionnaire. Median and interquartile deviation (IQD) scores were computed to calculate agreement and consensus on the importance of the factors. The factors for which no consensus was obtained (IQD > 1) were included in the third-round questionnaire. Factors with a median score of six or higher and with an IQD ≤ 1 were considered to be important.

Of the 62 experts invited for the first round, 30 completed the questionnaire (48% response rate); 93/233 experts completed the second-round questionnaire (40% response rate), and 59/88 completed the third round (67% response rate). Being motivated to visit an Internet intervention and perceiving the intervention as personally relevant appeared to be important factors related to a first visit. The provision of tailored feedback, relevant and reliable information, and an easy navigation structure were related to an extended visit. Provision of regular new content and the possibility to monitor personal progress toward behavior change were identified as important factors to encourage a revisit. Primarily traditional promotion strategies, like word-of-mouth by family and friends, a publicity campaign with simultaneous use of various mass media, and recommendation by health professionals, were indicated as effective ways to encourage adults to visit an Internet intervention.

This systematic study identified important factors related to the dissemination of and exposure to Internet interventions aimed at adults. In order to improve optimal use of and exposure to Internet interventions, potential users may need to be motivated to visit such an intervention and the information provided needs to be personally relevant. Furthermore, several (technical) aspects of the intervention itself need to be taken into account when developing Internet interventions.

Filed under: Internet resources, Knowledge transfer,


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Annet Lenderink

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Diepenveen, Netherlands

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