1. Dermatology on the Internet 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: Infrastructure for Dermatology Prevention, Diagnostics, and Therapy on the Internet

2. Page Number: 2/36 Authors Ljiljana Medenica Srdjan Tanasilović Veljko Milutinović Gordana Jovanović

3. Page Number: 3/36 Introduction Prevention Prevention Diagnostics Diagnostics Therapy Therapy Information for patients Information for patients Support Support Statistics Statistics Professional information for physicians Professional information for physicians This Tutorial will show you how to find and exploit the following resources on the Internet:

4. Page Number: 4/36 Introduction Current problems: Current problems: –Lack of trained professionals –Misinformation –Diagnostic procedures price –Moral issues Why dermatology prevention, diagnostics, and treatment on the Internet?

5. Page Number: 5/36 Introduction 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 Top ten medical schools in the USA:

6. Page Number: 6/36 Introduction 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 Top ten hospitals in the USA:

7. Page Number: 7/36 American Academy of Dermatology All web sites of the top ten medical schools and hospitals reference AAD site for information regarding dermatology 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. 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. With a membership of over 13,700, it represents virtually all practicing dermatologists in the United States. American Academy of Dermatology www.aad.org

8. Page Number: 8/36 Information for professional physicians Information for professional physicians Information for patients Information for patients American Academy of Dermatology

9. Page Number: 9/36 American Academy of Dermatology For professionals, AAD offers guidelines for prevention, diagnostics and treatment For professionals, AAD offers guidelines for prevention, diagnostics and treatment

10. Page Number: 10/36 American Academy of Dermatology AAD offers general information for most common skin diseases and conditions: - Acne - Actinic Keratoses - Aging skin - Eczema - Melanoma - Psoriasis - Rosacea

11. Page Number: 11/36 American Academy of Dermatology The American Academy of Dermatology even provides education for the youngest: The American Academy of Dermatology even provides education for the youngest:

12. Page Number: 12/36 American Academy of Dermatology Overall impression: Pro: Pro: –easy to use –detailed results –good for general public Contra: Contra: –limited additional information for professionals

13. Page Number: 13/36 Medline Plus Health Information WWW.NLM.NIH.GOV/MEDLINEPLUS/ WWW.NLM.NIH.GOV/MEDLINEPLUS/ A Service of the National Library of Medicine and the National Institutes of Health 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 MEDLINEplus pages contain carefully selected links to Web resources with health information

14. Page Number: 14/36 Medline Plus Health Information Some statistics : Some statistics : Over 12 million page requests every month Over 12 million page requests every month Over 1 million unique IP addresses 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) Over 560 health topic pages in English (nearly 500 of these are also available in Spanish) Information from over 500 organizations Information from over 500 organizations Over 12,000 links to authoritative health information Over 12,000 links to authoritative health information Over 4,000 articles on diseases, tests, symptoms, injuries, and surgeries 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 Extensive information about more than 9,000 brand name and generic drugs, including side effects, dosing, drug interactions, precautions, and storage for each drug

15. Page Number: 15/36 Medline Plus Health Information Medline plus structure: Medline plus structure:

16. Page Number: 16/36 Medline Plus Health Information From the starting point - Medline plus home page, we go to dermatology issues by clicking on Health topics: 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”

17. Page Number: 17/36 Medline Plus Health Information Links and informations regarding dermatology are found under skin diseases (general): Links and informations regarding dermatology are found under skin diseases (general):

18. Page Number: 18/36 Medline Plus Health Information MEDLINEplus can automatically run search in the MEDLINE® database 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 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.

19. Page Number: 19/36 Medline plus health information User can search for a specific article on any subject User can search for a specific article on any subject Example: lupus miliaris disseminatus faciei

20. Page Number: 20/36 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. 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.

21. Page Number: 21/36 Medline Plus Health Information In encyclopedia, you can link to information on the symptoms, treatment, and prevention of selected diseases. 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. You can also enlarge a small image or illustration.

22. Page Number: 22/36 Medline Plus Health Information A popular feature of MEDLINEplus is the Drug Information, detailed information on thousands of drugs. 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. 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. Result contains detailed information on the drug including its usage, precautions, and side effects.

23. Page Number: 23/36 Medline Plus Health Information Overall impression: Pro: Pro: –by far the most comprehensive database –easy to use –detailed results Contra: Contra: –for professionals only –limited additional information

24. Page Number: 24/36 Harvard Center for Cancer Prevention Estimates risk of skin cancer Estimates risk of skin cancer Provides personalized tips for prevention Provides personalized tips for prevention Most accurate for people over 40 years Most accurate for people over 40 years Harvard Center for cancer prevention www.yourcancerrisk.harvard.edu Important: Your Cancer Risk is an educational web site for informational purposes only. It does not take place of regular medical check-ups.

25. Page Number: 25/36 User first chooses one of the various types of cancer: User first chooses one of the various types of cancer: Harvard Center for Cancer Prevention

26. Page Number: 26/36 User is asked some preliminary questions: Harvard Center for Cancer Prevention

27. Page Number: 27/36 Most accurate results are for people over 40: Harvard Center for Cancer Prevention

28. Page Number: 28/36 Then he is asked about cancer history: Harvard Center for Cancer Prevention

29. Page Number: 29/36 User is asked about skin type, medical and family history: Harvard Center for Cancer Prevention

30. Page Number: 30/36 Risk results: Harvard Center for Cancer Prevention

31. Page Number: 31/36 User is given information on what makes up his risk: Harvard Center for Cancer Prevention

32. Page Number: 32/36 Fact sheet about melanoma: Harvard Center for Cancer Prevention

33. Page Number: 33/36 Also, additional information is available: Harvard Center for Cancer Prevention

34. Page Number: 34/36 Overall impression: Pro: Pro: –by far the most comprehensive database –many types of cancer included –easy to use –detailed results –tips Contra: Contra: –valid only for people 40 year and over –limited additional information –intended for calculating risk factors only Harvard Center for Cancer Prevention

35. Page Number: 35/36 Medical References: http://www.aad.org/ - American Academy of Dermatology http://www.aad.org/ - American Academy of Dermatology http://www.hopkinsmedicine.org/ - Johns Hopkins http://www.hopkinsmedicine.org/ - Johns Hopkins http://www.nlm.nih.gov/medlineplus/ - Medline through NLM http://www.nlm.nih.gov/medlineplus/ - Medline through NLM http://www.mayohealth.org/ - Mayo Clinic http://www.mayohealth.org/ - Mayo Clinic http://tray.dermatology.uiowa.edu/home.html - University of Iowa Dermatology http://tray.dermatology.uiowa.edu/home.html - University of Iowa Dermatology http://www.yourcancerrisk.harvard.edu/ - Harvard Center for cancer prevention http://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 Surgery http://www.asds-net.org/ - Dermatologic Surgery http://matrix.ucdavis.edu/DOJ.html - Dermatology Online Journal http://matrix.ucdavis.edu/DOJ.html - Dermatology Online Journal

36. Page Number: 36/36 Instead of Conclusion... 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 I follow the advice of professor Medenica whenever I go to beach…