eBusiness Tutorial

							                         Dermatology
                        on the Internet

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


Authors:   Gordana Jovanović, borota1@tesla.rcub.bg.ac.yu,
           Srdjan Tanasilović, srdjantanas@yahoo.com
           Ljiljana Medenica, limed@eunet.yu
           Veljko Milutinović, Fellow of the IEEE, vm@etf.bg.ac.yu
                 Authors




Ljiljana Medenica                    Veljko Milutinović




Srdjan Tanasilović                  Gordana Jovanović




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          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




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               Introduction

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

              Current problems:
                –   Lack of trained professionals
                –   Misinformation
                –   Diagnostic procedures price
                –   Moral issues




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   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




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   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




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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.




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American Academy of Dermatology


 Information for
  professional physicians
 Information for patients




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American Academy of Dermatology


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




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American Academy of Dermatology

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

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




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American Academy of Dermatology

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




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American Academy of Dermatology


        Overall impression:
         Pro:
            – easy to use
            – detailed results
            – good for general public
           Contra:
            – limited additional information
              for professionals




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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




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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




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Medline Plus Health Information


   Medline plus
    structure:




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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”


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Medline Plus Health Information
                 Links and informations regarding dermatology are
                  found under skin diseases (general):




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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.




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

                Example: lupus miliaris disseminatus faciei




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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.




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Medline Plus Health Information

                                            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.




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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.




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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




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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.


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Harvard Center for Cancer Prevention


   User first chooses one
    of the various types of cancer:




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Harvard Center for Cancer Prevention



          User is asked some preliminary questions:




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Harvard Center for Cancer Prevention



          Most accurate results are for people over 40:




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Harvard Center for Cancer Prevention



          Then he is asked about cancer history:




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Harvard Center for Cancer Prevention

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




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Harvard Center for Cancer Prevention

         Risk results:




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Harvard Center for Cancer Prevention

 User is given information on
   what makes up his risk:




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Harvard Center for Cancer Prevention

Fact sheet about melanoma:




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 Harvard Center for Cancer Prevention

Also, additional information is available:




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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




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                  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, borota1@tesla.rcub.bg.ac.yu,
                  Srdjan Tanasilović, srdjantanas@yahoo.com
                       Ljiljana Medenica, limed@eunet.yu
             Veljko Milutinović, Fellow of the IEEE, vm@etf.bg.ac.yu
                           http://galeb.etf.bg.ac.yu/~vm

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