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Dermatology on the Internet Infrastructure for Dermatology Prevention, Diagnostics, and Therapy on the Internet Authors: Gordana Jovanović, [email protected], Srdjan Tanasilović, [email protected] Ljiljana Medenica, [email protected] Veljko Milutinović, Fellow of the IEEE, [email protected] Authors Ljiljana Medenica Veljko Milutinović Srdjan Tanasilović Gordana Jovanović Page Number: 2/36 Introduction This Tutorial will show you how to find and exploit the following resources on the Internet: Prevention Diagnostics Therapy Information for patients Support Statistics Professional information for physicians Page Number: 3/36 Introduction Why dermatology prevention, diagnostics, and treatment on the Internet? Current problems: – – – – Lack of trained professionals Misinformation Diagnostic procedures price Moral issues Page Number: 4/36 Introduction Top ten medical schools in the USA: 1. Harvard University 2. Johns Hopkins University 3. Duke University 4. University of Pennsylvania 5. Washington University - St. Louis 6. Columbia University 7. University of California - San Francisco 8. Yale University 9. Stanford University 10. University of Michigan - Ann Arbor Page Number: 5/36 Introduction Top ten hospitals in the USA: 1. Johns Hopkins Hospital 2. Mayo Clinic 3. Massachusetts General Hospital 4. Cleveland Clinic 5. UCLA Medical Center 6. Duke University Medical Center 7. Barnes - Jewish Hospital 8. University of Michigan Medical Center 9. University of California San Francisco Medical Center 10. Stanford University Hospital Page Number: 6/36 American Academy of Dermatology American Academy of Dermatology www.aad.org All web sites of the top ten medical schools and hospitals reference AAD site for information regarding dermatology The American Academy of Dermatology is the largest, most influential and most representative of all dermatologic associations. With a membership of over 13,700, it represents virtually all practicing dermatologists in the United States. Page Number: 7/36 American Academy of Dermatology Information for professional physicians Information for patients Page Number: 8/36 American Academy of Dermatology For professionals, AAD offers guidelines for prevention, diagnostics and treatment Page Number: 9/36 American Academy of Dermatology AAD offers general information for most common skin diseases and conditions: - Acne - Actinic Keratoses - Aging skin - Eczema - Melanoma - Psoriasis - Rosacea Page Number: 10/36 American Academy of Dermatology The American Academy of Dermatology even provides education for the youngest: Page Number: 11/36 American Academy of Dermatology Overall impression: Pro: – easy to use – detailed results – good for general public Contra: – limited additional information for professionals Page Number: 12/36 Medline Plus Health Information WWW.NLM.NIH.GOV/MEDLINEPLUS/ A Service of the National Library of Medicine and the National Institutes of Health MEDLINEplus pages contain carefully selected links to Web resources with health information Page Number: 13/36 Medline Plus Health Information Some statistics: Over 12 million page requests every month Over 1 million unique IP addresses every month Over 560 health topic pages in English (nearly 500 of these are also available in Spanish) Information from over 500 organizations Over 12,000 links to authoritative health information Over 4,000 articles on diseases, tests, symptoms, injuries, and surgeries Extensive information about more than 9,000 brand name and generic drugs, including side effects, dosing, drug interactions, precautions, and storage for each drug Page Number: 14/36 Medline Plus Health Information Medline plus structure: Page Number: 15/36 Medline Plus Health Information From the starting point - Medline plus home page, we go to dermatology issues by clicking on Health topics: Topics are ordered alphabetically, and we either enter dermatology in search box, or select it from topics under letter “D” Page Number: 16/36 Medline Plus Health Information Links and informations regarding dermatology are found under skin diseases (general): Page Number: 17/36 Medline Plus Health Information MEDLINEplus can automatically run search in the MEDLINE® database It is a database of references to more than 11 million articles published in 4300 biomedical journals. MEDLINE is searched for free using NLM's PubMed® search system Publisher access to articles varies by publisher--some provide access free, others charge for the article or require a subscription. Page Number: 18/36 Medline plus health information User can search for a specific article on any subject Example: lupus miliaris disseminatus faciei Page Number: 19/36 Medline Plus Health Information An important part of the Health Topics section is the Medical Encyclopedia. The encyclopedia contains an extensive library of medical images as well as thousands of full-text articles about diseases, tests, symptoms, injuries, and surgeries. Page Number: 20/36 Medline Plus Health Information Page Number: 21/36 In encyclopedia, you can link to information on the symptoms, treatment, and prevention of selected diseases. You can also enlarge a small image or illustration. Medline Plus Health Information A popular feature of MEDLINEplus is the Drug Information, detailed information on thousands of drugs. You can select drug you are interested in either by the brand name or the generic drug name. Result contains detailed information on the drug including its usage, precautions, and side effects. Page Number: 22/36 Medline Plus Health Information Overall impression: Pro: – by far the most comprehensive database – easy to use – detailed results Contra: – for professionals only – limited additional information Page Number: 23/36 Harvard Center for Cancer Prevention Harvard Center for cancer prevention www.yourcancerrisk.harvard.edu Estimates risk of skin cancer Provides personalized tips for prevention Most accurate for people over 40 years Important: Your Cancer Risk is an educational web site for informational purposes only. It does not take place of regular medical check-ups. Page Number: 24/36 Harvard Center for Cancer Prevention User first chooses one of the various types of cancer: Page Number: 25/36 Harvard Center for Cancer Prevention User is asked some preliminary questions: Page Number: 26/36 Harvard Center for Cancer Prevention Most accurate results are for people over 40: Page Number: 27/36 Harvard Center for Cancer Prevention Then he is asked about cancer history: Page Number: 28/36 Harvard Center for Cancer Prevention User is asked about skin type, medical and family history: Page Number: 29/36 Harvard Center for Cancer Prevention Risk results: Page Number: 30/36 Harvard Center for Cancer Prevention User is given information on what makes up his risk: Page Number: 31/36 Harvard Center for Cancer Prevention Fact sheet about melanoma: Page Number: 32/36 Harvard Center for Cancer Prevention Also, additional information is available: Page Number: 33/36 Harvard Center for Cancer Prevention Overall impression: Pro: – – – – – by far the most comprehensive database many types of cancer included easy to use detailed results tips Contra: – valid only for people 40 year and over – limited additional information – intended for calculating risk factors only Page Number: 34/36 Medical References: http://www.aad.org/ - American Academy of Dermatology http://www.hopkinsmedicine.org/ - Johns Hopkins http://www.nlm.nih.gov/medlineplus/ - Medline through NLM http://www.mayohealth.org/ - Mayo Clinic http://tray.dermatology.uiowa.edu/home.html - University of Iowa Dermatology http://www.yourcancerrisk.harvard.edu/ - Harvard Center for cancer prevention http://www.derma.med.uni-erlangen.de/bilddb/ - Project DOIA - Erlangen, Germany http://www.asds-net.org/ - Dermatologic Surgery http://matrix.ucdavis.edu/DOJ.html - Dermatology Online Journal Page Number: 35/36 Instead of Conclusion... I follow the advice of professor Medenica whenever I go to beach… Gordana Jovanović, [email protected], Srdjan Tanasilović, [email protected] Ljiljana Medenica, [email protected] Veljko Milutinović, Fellow of the IEEE, [email protected] http://galeb.etf.bg.ac.yu/~vm Page Number: 36/36