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OBJECTIVE To assess the effectiveness of the newly developed individualised birthweight ratio in identifying growth retarded infants. DESIGN Prospective observational study. SETTING Obstetric unit, City Hospital Nottingham. SUBJECTS Two thousand eight hundred and thirty-five women delivered between December 1991 and July 1992 and the infants of 616 of(More)
An understanding of the implementation process of CSCW in organizations can contribute to the design, testing, evaluation, and effective use of this technology. A dynamic, interconnected model is presented which is sensitive to the user, organizational, and technological context of the implementation process. The model is then used to structure observations(More)
Few health-care providers have experience of delivering telecare and access to formal training is limited. We therefore developed an online training programme in telecare. A participatory design approach was used and telecare providers were invited to participate in each stage of the course design cycle. The course content, learning activities and learning(More)
A provincial electronic health record is being developed in the Province of Quebec (and in all other provinces in Canada), and authorities hope that it will enable a safer and more efficient healthcare system for citizens. However, the expected benefits can occur only if healthcare professionals, including nurses, adopt this technology. Although attention(More)
Abst ract Various authors report that managers of teleworkers perceive the management of teleworkers to be problematic. To counter this, a multi-media mail type of application was developed that could allow teleworkers to create detailed multi-media reports on their work. In this paper, I report on the rationale used to justify the design of the(More)
1. How does a community develop an identity? What are the implications here for systems design? 2. How might one seed and then nourish an on-line community so that it can grow? 3. How can we support learning in an on-line community? 4. How does a community's practice evolve over time? Put another way, what mechanisms does a community use to select certain(More)