Dermatology on the Internet Gordana Jovanović, [email protected], Srdjan Tanasilović, [email protected] Ljiljana Medenica, [email protected]

Dermatology Dermatology on the Interneton the Internet

Gordana JovanoviGordana Jovanovićć, borota1, [email protected]@tesla.rcub.bg.ac.yu, ,

Srdjan TanasiloviSrdjan Tanasilović, [email protected]ć, [email protected]

Ljiljana Medenica, [email protected] Medenica, [email protected]

Veljko Milutinović,Veljko Milutinović, Fellow of the IEEE, Fellow of the IEEE, [email protected]@etf.bg.ac.yu

Authors:Authors:

Infrastructure for Dermatology Prevention, Infrastructure for Dermatology Prevention, Diagnostics, and Therapy on the InternetDiagnostics, and Therapy on the Internet

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AuthorsAuthors

Ljiljana MedenicaLjiljana Medenica

Srdjan TanasiloviSrdjan Tanasilovićć

Veljko MilutinoviVeljko Milutinovićć

Gordana Jovanović Gordana Jovanović

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IntroductionIntroduction

PreventionPrevention DiagnosticsDiagnostics TherapyTherapy Information for patientsInformation for patients SupportSupport StatisticsStatistics ProfesProfesssional ional iinformation nformation

for physiciansfor physicians

This Tutorial will show you how to find and exploit This Tutorial will show you how to find and exploit the following resources on the Internet:the following resources on the Internet:

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Current problems:Current problems:– LLack of trained professionalsack of trained professionals– MMisinformationisinformation– DDiagnostic procedures priceiagnostic procedures price– MMoral issuesoral issues

Why dermatology prevention, diagnosticsWhy dermatology prevention, diagnostics,, and treatment on the Internet? and treatment on the Internet?

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1. Harvard University1. Harvard University

2. Johns Hopkins University2. Johns Hopkins University

3. Duke University3. Duke University

4. University of Pennsylvania4. University of Pennsylvania

5. Washington University - St. Louis5. Washington University - St. Louis

6. Columbia University6. Columbia University

7. University of California - San F7. University of California - San Frranciscoancisco

8. Yale University8. Yale University

9. Stanford University9. Stanford University

10. University of Michigan - Ann Arbor10. University of Michigan - Ann Arbor

Top ten medical schools in the USA:Top ten medical schools in the USA:

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1. Johns Hopkins Hospital1. Johns Hopkins Hospital

2. Mayo Clinic2. Mayo Clinic

3. Massachusetts General Hospital3. Massachusetts General Hospital

4. Cleveland Clinic4. Cleveland Clinic

5. UCLA Medical Center5. UCLA Medical Center

6. Duke University Medical Center6. Duke University Medical Center

7. Barnes - Jewish Hospital7. Barnes - Jewish Hospital

8. University of Michigan Medical Center8. University of Michigan Medical Center

9. University of California San Francisco Medical Center9. University of California San Francisco Medical Center

10. Stanford University Hospital10. Stanford University Hospital

Top ten hospitals in the USA:Top ten hospitals in the USA:

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American Academy of DermatologyAmerican Academy of Dermatology

All web sites of the top ten medical schools and hospitals All web sites of the top ten medical schools and hospitals reference AAD site for information regarding dermatologyreference AAD site for information regarding dermatology

The American Academy of Dermatology is the largest, The American Academy of Dermatology is the largest, most influential and most representative most influential and most representative of all dermatologic associations. of all dermatologic associations.

With a membership of over 13,700, With a membership of over 13,700, it represents virtually all practicing dermatologists it represents virtually all practicing dermatologists in the United States.in the United States.

American Academy of DermatologyAmerican Academy of Dermatologywww.aad.orgwww.aad.org

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Information for Information for professional physicians professional physicians

Information for patientsInformation for patients


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For professionals, AAD offers guidelines for prevention, diagnostics For professionals, AAD offers guidelines for prevention, diagnostics and treatmentand treatment

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AAD offers general information for most common AAD offers general information for most common skin diseases and conditions:skin diseases and conditions:

- Acne- Acne- Actinic Keratoses- Actinic Keratoses- Aging skin- Aging skin- Eczema- Eczema- Melanoma- Melanoma- Psoriasis- Psoriasis- Rosacea- Rosacea

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The American Academy of Dermatology even provides education The American Academy of Dermatology even provides education for the youngest:for the youngest:

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Overall impression:Overall impression: Pro:Pro:

– easy to useeasy to use– detailed resultsdetailed results– good for general publicgood for general public

Contra:Contra:– limited additional information limited additional information

for professionalsfor professionals

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Medline Medline PPlus lus HHealth ealth IInformationnformation

WWW.NLM.NIH.GOV/MEDLINEPLUS/WWW.NLM.NIH.GOV/MEDLINEPLUS/

A Service of the National Library of Medicine andA Service of the National Library of Medicine andthe National Institutes of Healththe National Institutes of Health

MEDLINEplus pages contain carefully selected links MEDLINEplus pages contain carefully selected links to Web resources with health informationto Web resources with health information

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Some statisticsSome statistics::

Over 12 million page requests every monthOver 12 million page requests every month

Over 1 million unique IP addresses every monthOver 1 million unique IP addresses every month

Over 560 health topic pages in English Over 560 health topic pages in English (nearly 500 of these are also available in Spanish)(nearly 500 of these are also available in Spanish)

Information from over 500 organizationsInformation from over 500 organizations

Over 12,000 links to authoritative health informationOver 12,000 links to authoritative health information

Over 4,000 articles on diseases, tests, symptoms, injuries, Over 4,000 articles on diseases, tests, symptoms, injuries, and surgeriesand surgeries

Extensive information about more than 9,000 brand name Extensive information about more than 9,000 brand name and generic drugs, including side effects, dosing, drug and generic drugs, including side effects, dosing, drug interactions, precautions, and storage for each druginteractions, precautions, and storage for each drug

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Medline plusMedline plusstructure:structure:

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From the starting point - Medline plus home page, From the starting point - Medline plus home page, we go to dermatology issues by clicking on Health we go to dermatology issues by clicking on Health topics:topics:

Topics are ordered alphabetically, Topics are ordered alphabetically, and we either enter and we either enter

dermatology in search box, dermatology in search box, or select it from topics or select it from topics

under letter “D”under letter “D”

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Links and informations regarding dermatology are Links and informations regarding dermatology are found under skin diseases (general):found under skin diseases (general):

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MEDLINEplus can automatically run search in the MEDLINEplus can automatically run search in the MEDLINE® databaseMEDLINE® database

It is a database of references to more than 11 million It is a database of references to more than 11 million articles published in 4300 biomedical journals. articles published in 4300 biomedical journals. MEDLINE is searched for free using MEDLINE is searched for free using NLM's PubMed® search systemNLM's PubMed® search system

Publisher access to articles Publisher access to articles varies by publisher--some varies by publisher--some provide access free, others provide access free, others charge for the article or charge for the article or require a subscription.require a subscription.

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Medline plus health informationMedline plus health information User can search for a specific article on any subjectUser can search for a specific article on any subject

Example: lupus miliaris disseminatus facieiExample: lupus miliaris disseminatus faciei

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An important part of the Health Topics section is the An important part of the Health Topics section is the Medical Encyclopedia. The encyclopedia contains an Medical Encyclopedia. The encyclopedia contains an extensive library of medical images as well as extensive library of medical images as well as thousands of full-text articles about diseases, tests, thousands of full-text articles about diseases, tests, symptoms, injuries, and surgeries.symptoms, injuries, and surgeries.

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In encyclopedia, you In encyclopedia, you can link to information can link to information on the symptoms, on the symptoms, treatment, and treatment, and prevention prevention of selected diseases. of selected diseases.

You can also enlarge a You can also enlarge a small image or small image or illustration.illustration.

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A popular feature of MEDLINEplus is the Drug Information, A popular feature of MEDLINEplus is the Drug Information, detailed information on thousands of drugs.detailed information on thousands of drugs.

You can select drug you are interested in either by the brand You can select drug you are interested in either by the brand name or the generic drug name.name or the generic drug name.

Result contains detailed information on the drug Result contains detailed information on the drug including its usage, precautions, and side effects.including its usage, precautions, and side effects.

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– by far the most comprehensive databaseby far the most comprehensive database– easy to useeasy to use– detailed resultsdetailed results

Contra:Contra:– for professionals onlyfor professionals only– limited additional informationlimited additional information

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Harvard Center for Cancer PreventionHarvard Center for Cancer Prevention

Estimates risk of skin cancerEstimates risk of skin cancer Provides personalized tips for preventionProvides personalized tips for prevention Most accurate for people over 40 yearsMost accurate for people over 40 years

Harvard Center for cancer prevention Harvard Center for cancer prevention www.yourcancerrisk.harvard.eduwww.yourcancerrisk.harvard.edu

Important:Important:

Your Cancer Risk is an educational web site Your Cancer Risk is an educational web site for informational purposes only.for informational purposes only.It does not take place of regular medical check-ups.It does not take place of regular medical check-ups.

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User first chooses oneUser first chooses oneof the various types of cancer:of the various types of cancer:


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User is asked some preliminary questions:User is asked some preliminary questions:


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Most accurate results are for people over 40:Most accurate results are for people over 40:


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Then he is asked about cancer history:Then he is asked about cancer history:


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User is asked about skin type, medical and family history:User is asked about skin type, medical and family history:


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Risk results:Risk results:


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User is given information on User is given information on what makes up his risk:what makes up his risk:


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Fact sheet about melanoma:Fact sheet about melanoma:


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Also, additional information is available:Also, additional information is available:


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– by far the most comprehensive databaseby far the most comprehensive database– many types of cancer includedmany types of cancer included– easy to useeasy to use– detailed resultsdetailed results– tipstips

Contra:Contra:– valid only for people 40 year and overvalid only for people 40 year and over– limited alimited addditional informationditional information– intended for calculating risk factors onlyintended for calculating risk factors only


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Medical References:Medical References:

http://www.aad.org/ - American Academy of Dermatologyhttp://www.aad.org/ - American Academy of Dermatology http://www.hopkinsmedicine.org/ - Johns Hopkinshttp://www.hopkinsmedicine.org/ - Johns Hopkins http://www.nlm.nih.gov/medlineplus/ - Medline through NLMhttp://www.nlm.nih.gov/medlineplus/ - Medline through NLM http://www.mayohealth.org/ - Mayo Clinichttp://www.mayohealth.org/ - Mayo Clinic http://tray.dermatology.uiowa.edu/home.html - University of Iowa Dermatologyhttp://tray.dermatology.uiowa.edu/home.html - University of Iowa Dermatology http://www.yourcancerrisk.harvard.edu/ - Harvard Center for cancer preventionhttp://www.yourcancerrisk.harvard.edu/ - Harvard Center for cancer prevention http://www.derma.med.uni-erlangen.de/bilddb/ - Project DOIA - Erlangen, Germany http://www.derma.med.uni-erlangen.de/bilddb/ - Project DOIA - Erlangen, Germany http://www.asds-net.org/ - Dermatologic Surgeryhttp://www.asds-net.org/ - Dermatologic Surgery http://matrix.ucdavis.edu/DOJ.html - Dermatology Online Journalhttp://matrix.ucdavis.edu/DOJ.html - Dermatology Online Journal

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Instead of Conclusion...Instead of Conclusion...

Gordana JovanoviGordana Jovanovićć, borota1, [email protected]@tesla.rcub.bg.ac.yu, ,

Srdjan TanasiloviSrdjan Tanasilović, [email protected]ć, [email protected]

Ljiljana Medenica, [email protected] Medenica, [email protected]

Veljko Milutinović,Veljko Milutinović, Fellow of the IEEE, Fellow of the IEEE, [email protected]@etf.bg.ac.yu

http://galeb.etf.bg.ac.yu/~vmhttp://galeb.etf.bg.ac.yu/~vm

I follow the advice I follow the advice of professor of professor Medenica Medenica

whenever I go to whenever I go to beach…beach…

Documents

Dermatology on the Internet Gordana Jovanović, [email protected], Srdjan Tanasilović, [email protected] Ljiljana Medenica, [email protected]