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[via Twitter] RT @amcunningham: New UK blog on the empowered patient http://empowered-patient.blogspot.com/ by @keithunderdown #patients20 #med2

ShebaMuturi (Elisheba Muturi) — Fri, 06 Nov 2009 05:28:06 +0000

RT @amcunningham: New UK blog on the empowered patient http://empowered-patient.blogspot.com/ by @keithunderdown #patients20 #med2

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[via Twitter] New UK blog on the empowered patient http://empowered-patient.blogspot.com/ by @keithunderdown #epatcon #whypm #patients20 #med2 @glynelwyn

amcunningham (AnneMarie Cunningham) — Wed, 04 Nov 2009 12:00:32 +0000

New UK blog on the empowered patient http://empowered-patient.blogspot.com/ by @keithunderdown #epatcon #whypm #patients20 #med2 @glynelwyn

[via Twitter] RT @gfry: The 4 musketeers: #health2con, #cch09, #med2, #epatcon. Activated patients, maybe we should organize our own! #patients20 #WhyPM

carlosrizo (carlosrizo) — Wed, 04 Nov 2009 04:12:06 +0000

RT @gfry: The 4 musketeers: #health2con, #cch09, #med2, #epatcon. Activated patients, maybe we should organize our own! #patients20 #WhyPM

[via Twitter] RT @gfry: The 4 musketeers: #health2con, #cch09, #med2, #epatcon. Activated patients, maybe we should organize our own! #patients20 #WhyPM

swisshealth20 (Bart de Witte) — Tue, 03 Nov 2009 19:33:14 +0000

RT @gfry: The 4 musketeers: #health2con, #cch09, #med2, #epatcon. Activated patients, maybe we should organize our own! #patients20 #WhyPM

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Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 03 Nov 2009 19:40:31 +0000

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[via Twitter] A key issue in medical circles RT @medicine20 New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

gtherrien (Guy Therrien) — Tue, 03 Nov 2009 00:28:44 +0000

A key issue in medical circles RT @medicine20 New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

[via Twitter] @MadPsych Wish that I could have been there. #med2

CIHC_ca (CIHC) — Tue, 03 Nov 2009 00:03:13 +0000

@MadPsych Wish that I could have been there. #med2

[via Twitter] It was a great talk at #med2 RT @CIHC_ca: Great set of slides on ethics, health, social media. Thought provoking stuff! http://bit.ly/29ztAR

MadPsych (Madalyn Marcus) — Mon, 02 Nov 2009 23:49:27 +0000

It was a great talk at #med2 RT @CIHC_ca: Great set of slides on ethics, health, social media. Thought provoking stuff! http://bit.ly/29ztAR

[via Twitter] I posted the slides from the Ethics 2.0 panel with @CiscoGiii from Medicine 2.0 #med2 http://bit.ly/34qtrn

kevinclauson (Kevin Clauson) — Mon, 02 Nov 2009 23:40:23 +0000

I posted the slides from the Ethics 2.0 panel with @CiscoGiii from Medicine 2.0 #med2 http://bit.ly/34qtrn

[via Twitter] RT @KentBottles @medicine20 New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

JohnReaves (JohnReaves) — Mon, 02 Nov 2009 23:38:39 +0000

RT @KentBottles @medicine20 New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

[via Twitter] RT @KentBottles: medicine20 RT @medicine20 New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

pjmachado (Paulo Machado) — Mon, 02 Nov 2009 23:33:32 +0000

RT @KentBottles: medicine20 RT @medicine20 New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

[via Twitter] medicine20 RT @medicine20 New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

KentBottles (KentBottles) — Mon, 02 Nov 2009 23:23:10 +0000

medicine20 RT @medicine20 New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

[via Twitter] New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

medicine20 (Gunther Eysenbach) — Mon, 02 Nov 2009 23:22:30 +0000

New #med2 slides: Ethics 2.0: Implications of Connected Health http://bit.ly/vppp3

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Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 29 Oct 2009 06:53:42 +0000

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[Web/Blog]Web Based Simulation Games With Multimedia E-Learning Environment

noreply@blogger.com (James Mullen) — Mon, 05 Oct 2009 03:28:00 +0000

Web2.0-based medical education and learning

Web Based Simulation Games with Multimedia E-learning Environment

Jiri Kofranek, Charles University Prague, Prague, Czech Republic.

Sept 18, 9:00AM - 10:30AM MaRS CR2 (Research)

Jiri Kofranek, of Charles University in Prague, gave an insightful presentation on the use of simulation games in medical training. Today, modern medical education is experiencing reform through the use of such interactive programs.

The strength of such programs is that one can test the behaviour of individual physiological subsystems, under both normal conditions, and conditions of stress (such as when in a diseased state). Creating such tools, however, is not as simple as one might think. The tools require extensive mathematical modeling which involves converting real life things into mathematical equations – a process referred to as formalization. Using this methodology, for example, one can model the body’s systems mathematically. This has, in fact, been done for various body parts.

One of the results of Kofraneks work is the Atlas of Physiology and Pathophysiology, a web accessible teaching tool combining interactive multimedia with simulation models. This has been used in biomedical education at Kofraneks current University.

The presentation was full of technical jargon and computer science lingo. The overall effect was that I felt completely in awe of the technological capabilities available to clinicians and medical researchers in this day and age. However, such advances require highly skilled multidisciplinary teams.

I was wondering, while listening to the presentation, about the notion of quality assurance. How are the developers, those that create the models, convinced that the model they have created is analogous to real life? Furthermore, is it really possible to model real life systems that are as complex as our body parts? Even a simple cell could take millions of researchers decades to understand completely. However, I do not want to lose track of the goals of such research. I can see a definite application to such research and development and hope that one day my own physician will have taken full advantage of such technology and tools!

[Medicine 2.0 Social Network] Web Based Simulation Games With Multimedia E-Learning Environment

Mon, 05 Oct 2009 03:28:00 +0000

Web2.0-based medical education and learning

Web Based Simulation Games with Multimedia E-learning Environment

Jiri Kofranek, Charles University Prague, Prague, Czech Republic.

Sept 18, 9:00AM - 10:30AM MaRS CR2 (Research)

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Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sun, 04 Oct 2009 12:37:01 +0000

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[Web/Blog]Ethical & Legal issues, confedentiality and privacy

noreply@blogger.com (Talat Ashraf) — Fri, 02 Oct 2009 11:15:00 +0000

Presenters: Joan H. Dzenowagis; Kevin A. Clauson and Francisco J. Grajales

Francisco Grajales III, Joan Dzenowagis, and Kevin Clauson took an interactive approach in order to present their ideas about Ethical and legal issues in the realm of eHealth, by conducting a real-time survey, using an audience response system. The audience participated by responding to the survey questions anonymously. The objective of the survey was to elaborate on the presenter’s research hypothesis about the nature of ethical and privacy issues with the use of social media in healthcare. The presenters highlighted the fact that the participation of the audience in the survey will benefit the 2.0 community, and that its results will help identify issues and serve as a basis for further research.

The audience for this presentation was a good candidate for a survey of this sort as it included people from an academic or research background, students, trainees, and physicians. In essence, a majority of the individuals was expected to be socially active in the online community. Out of these people, there were 38% participants who spent 5-8 hours on web on average every day, which is what one would expect for the type of audience that was present. However, the fact that about 4% of the participants spend less than 1 hour on the internet on an average day reminds us of the fact that the entire audience was not biased for or against the use of technology, and their ideas may fall in a well-distributed curve.

98% of the participants responded that they have used Web 2.0 services, while the majority of them have used more than one type of such services. There were 90% participants who used social networking, followed by blogs and wikis.

An interesting idea presented by the presenters was that with the rise of social networking, more and more people would share their personal health data using a 2.0 site. But the presenters raised the question as to whether we even raise the question of ownership of the data that we are submitting online? It was not shocking to find that only 54% of the participants thought that the individuals themselves own their health data submitted on the web. I presume if this question was asked 10 years ago about submission of one’s own health data to someone, a vast majority would have thought that they still owned their own data. The fact that we see 46% of the audience did not think they owned the data anymore...this points us to the direction that either the war against privacy breach is all but won, or that in a digital world where data has no originality (as it can be duplicated a zillion times without losing anything from it), we do not care about who owns our personal data anymore. So does that mean that an electronic health report of mine can be owned by both myself and a web site owner?

When asked what the audience thought about privacy violation when data is viewed or used by someone else, 54% of the audience thought that this ‘someone else’ must be a third party who is not in the “Terms of Use”. But in the technologically advanced world we live in today, a checkmark in “I accept to the Terms and Conditions” before continuing a software installation or the use of a website means just that...it’s the ONLY way we can continue...so lets just accept the terms and conditions without questioning it. Personally, the question of “what is actually in that terms and conditions contract?” never came to my mind...perhaps due to a mixed feeling of “would they even care?” and “the language in terms and conditions are is not human-readable”. However, one would expect that a responsible web service provider would not just give up our private data to a third-party – they would rather write the terms and conditions better and make us approve it!

Overall, the survey-based-presentation unveiled one truth – that we are yet to fully understand and appreciate the ethical and privacy issues that we face with extreme social networking in the virtual world. There are questions such as ownership of data that cannot be easily answered. However, at the same time, there is an unstoppable movement towards networking and weaving all sorts of information about everyone. Are we, as the consumers as well as providers of these personal information on the web, losing sight of some of the constraints that advancements in sharing information should have?

[Medicine 2.0 Social Network] Ethical & Legal issues, confedentiality and privacy

Fri, 02 Oct 2009 11:15:00 +0000

[Medicine 2.0 registration] Thorsten Krueger registered as user.

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 01 Oct 2009 07:19:52 +0000

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[Web/Blog]Ethics 2.0: Implications for Connected Health (Panel with interactive audience response system)

noreply@blogger.com (Plumaletta Berry) — Tue, 29 Sep 2009 04:00:00 +0000

Presentation Topic: Ethical & legal issues, confidentiality and privacy

Abstract

Panel Members:
Joan H. Dzenowagis: World Health Organization, Geneva, Switzerland

Kevin A. Clauson: , Nova Southeastern University, College of Pharmacy, Palm Beach Gardens, United States
Francisco J. Grajales III: (Gaduate Student), eHealth Strategy Office, University of British Columbia Faculty of Medicine, Vancouver, Canada

The premise of this oral presenation by the panel was whether or not Social Web demand a new ethical paradigm? In the review of this question, Medicine, Law, Journalist and Business are all driven by laws and standards. Are these sufficient in this era?

Does the social media in health pose special challenges?
What is "correct and proper" behaviour?
How do we judge/designate quality and reliability?
Whom do we trust to define it?
How do we encourage and enforce it?

To explore these ethical expectations of media in social media a total of 56 members of the attending audience were asked to actively participate through the use of an electronic interactive audience response system. The composition of the audience was 29% representing academic and researchers, 27% representing students and trainees, 16% representing medical doctors, 5% representing patient and patient advocate, and the remaining percentage other business or IT professionals.

The responses were anonymous and the results will be used to help identify issues and serve as a basis for discussion and may be further disseminated (eg. publication). The benefits to the audience were to clarify and share ideas.

Survey Results

Some results from the survey reflected the following:

The survey measured the average hours per day spent on the web which represented a total of 68% for a range of 1-8 hours. High usage 2.0 services include social networking, blogs, wikis, forums/listervs and photo sharing.

Also, information was polled on health care providers (HCP) responsibility in disseminating information on the web. With regards to how HCP co-consults via 2.0 tools were considered 25% agreed that this would be acceptable if patient names are not disclosed, 21 % agreed that platform providers could keep data private, 23% indicated if permitted by hospital/HCP assoc guidelines. Surprisingly a total of 25% of respondents said "I don't know".

32% of respondents agreed that Pharmacist posts on a social networking site and 30% agreed that discussion of drug therapy on a pharmacist’s blog are most likely to establish legal pharmacist-patient relationship and duty to warn. 43% of respondents agreed that "Virtual Samaritans" are ethically responsible for the medical advice they provided online if they were either a patient or a registered clinician. Where web 2.0 tools are used to conduct study such as the Second Life obesity study, 39% agreed that virtual informed consent (IC) was no different from offline IC in regards to rights and responsibilities for both subject and researcher.

Discussion and Comments

The panel discussion was centered on concerns about health data ownership, responsibility, liability and rights, affect of privacy concerns and trust in using the web for health information. Liability issues relevant in the virtual world where looked at with a survey and interactive discussion. The comments below will be a mixture of my own opinion, abstract information and discussions held.

Web 2.0 -----> Medicine 2.0 ------> Ethics 2.0

Both patient and HCPs now have more to be concerned given the power of the tools at our disposal to aggregate or access data, utilize the virtual space to provide information and service faster and the extensive growth of social media. The potential of the web has been growing but the legal, regulatory and ethical issues around use has not been managed to keep pace with this forum and still existing in its infancy state.

From the abstract, internet tools and features now include creating new types of relationships where health data are generated and shared, such as with bi-directional advising on health matters and problem-solving health related dilemmas. This has now been evolving from provider-patient to provider-e-patient relationship as pointed out by the panel.

So clearly the respondents supported the notion of some degree of ethical concerns, given that 80% of respondents agreed that the statement "health information quality is not a societal concern; it is "user beware"" is considered false. In terms of data protection in web 2.0, 35% of respondents believed that benefits are worth the risk, 25% believed that protection is impossible and 24% that privacy depends on the business model. Regarding internet and health, majority respondents indicated that national governments and users have the primary responsibility to protect the consumers.

So we are now faced with the challenge of ensuring that such issues as "do no harm" meaning will not change in the context of the virtual world. Based on the Tarasoff rule, where a patient told his psychotherapist that he intended to kill an unnamed but readily identifiable woman. Subsequently, the patient killed the woman. In the online world, the challenge now has now presented concerns such as where two prescriptions are received from the same physician for different problems or a virtual related case such as the MySpace suicidal case.

The responsibility will continue to rest with the HCP as 43% of respondents agreed that "Virtual Samaritans" are ethically responsible for the medical advice they provide online if they are either a patient or a registered clinician.

The concern regarding the ethical duty for someone in an online forum on such matters as suicidal issues was discussed. It was stated that a 24hr moderated board may introduce liability to warn and each website has to establish its own rules to handle this. Further enquiry arose as to how this would be handled if this were an international forum. How do you identify this person?

Discussion continued around the legal issues on this where it was stated that the terms of conditions get negated and the legal system becomes the preceding factor based on practice.

54% of respondents indicated that “individuals are the owners of personal health data that is posted on 2.0 sites” and the same percentage also agreed that “privacy is violated when data are viewed” or used by "Any third party not in terms of use."
A member of the audience commented that he merely said Yes to terms and conditions for the services online and has been dependent on privacy whistle blowers to point out issues. This could be further supported in the example of the privacy breach concerns on FaceBook highlighted by the privacy commission office. However, as web 2.0 and 3.0 has continued to gallop, ethical concerns still have not been addressed as taken from abstract such as:

Health-related data are made available, or potentially available, through the actions of individuals, communities or websites.
Vast repositories of individual health "data" are being generated by users who voluntarily post and share personal information in various forms of virtual communities.
Privately-owned websites may collect, store, share or sell health data as part of their terms of use.
Individual search data and patient-generated content are also aggregated and characterized by search engines.
Third parties may have access to the data, without the users’ knowledge or consent, to study, advertise, profit from, and target consumers.
In addition, publicly available application programming interfaces or embedded search capabilities enable any person with basic computing skills to obtain access to data and use or misuse it. Eg DNA data blocked after genetic information was discovered not be be as anonymous as previously believed.

Final Comments

There has become a paradigm shift to the patient-provider relationship and the sense of a cavalier attitude to how much information is exposed without fully examining the effect on society. What happens to life "offline"?

Have we been using old world methods to control current and futuristic legal issues around the use of the internet? Has the legal system become too slow to respond to the issues on the internet? As patients and consumers become more avid users of the growth of web 2.0 and 3.0, it has become more imperative for the examination of ethical concerns to be accelerated in addressing these issues in the health environment to preserve the provider-epatient relationship of the empowered patient/consumer.

[Medicine 2.0 Social Network] Ethics 2.0: Implications for Connected Health (Panel with interactive audience response system)

Tue, 29 Sep 2009 04:00:00 +0000

Presentation Topic: Ethical & legal issues, confidentiality and privacy

Abstract

Panel Members:
Joan H. Dzenowagis: World Health Organization, Geneva, Switzerland

Survey Results

Some results from the survey reflected the following:

Health-related data are made available, or potentially available, through the actions of individuals, communities or websites.
Vast repositories of individual health "data" are being generated by users who voluntarily post and share personal information in various forms of virtual communities.
Privately-owned websites may collect, store, share or sell health data as part of their terms of use.
Individual search data and patient-generated content are also aggregated and characterized by search engines.
Third parties may have access to the data, without the users’ knowledge or consent, to study, advertise, profit from, and target consumers.
In addition, publicly available application programming interfaces or embedded search capabilities enable any person with basic computing skills to obtain access to data and use or misuse it. Eg DNA data blocked after genetic information was discovered not be be as anonymous as previously believed.

Final Comments

There has become a paradigm shift to the patient-provider relationship and the sense of a cavalier attitude to how much information is exposed without fully examining the effect on society. What happens to life "offline"?

Have we been using old world methods to control current and futuristic legal issues around the use of the internet? Has the legal system become too slow to respond to the issues on the internet? As patients and consumers become more avid users of the growth of web 2.0 and 3.0, it has become more imperative for the examination of ethical concerns to be accelerated in addressing these issues in the health environment to preserve the provider-epatient relationship of the empowered patient/consumer.

[Web/Blog]Ethical & legal issues, confidentiality and privacy

noreply@blogger.com (ShamsaJiwani) — Tue, 29 Sep 2009 02:36:00 +0000

Ethics 2.0: Implications for Connected Health (Panel with interactive audience response system)
Joan H. Dzenowagis*, World Health Organization, Geneva, Switzerland Kevin A. Clauson*, Nova Southeastern University, College of Pharmacy, Palm Beach Gardens, United States Francisco J. Grajales Iii*, eHealth Strategy Office, University of British Columbia Faculty of Medicine, Vancouver, Canada.

This session being a panel discussion was certainly not like a typical presentation where speakers would provide vast amount of information on the subject matter to the audience with only few minutes at the end for discussion. Rather through this session, the presenters (as a panel) engaged with the audience through the interactive audience response system in analyzing and contemplating on the ethical issues pertaining eHealth.

Basically, a brief introduction on the ethical issues of confidentiality and privacy was followed by a series of questions and concerns that drive the changing patterns of interconnection in the health domain in the Web 2.0 generation. Are the so called “virtual Samaritans” ethically responsible for the advice they give to patients?

Moreover, as internet users, we voluntarily post information about ourselves in the attempt to gain more information, as well as for social networking reasons in virtual communities. Do we actually read the ‘terms of agreement’ (in case of watching certain YouTube clips there is actually a set of NINE user agreements) before clicking on ‘I accept’? It appeared from the audience responses that usually we proceed with our actions on the web in the hope that someone out there will ensure that our information is safe and protected.

The series of questions in the audience poll triggered us to reflect upon the users’ knowledge or consent and the risk of third parties having access to our data which may be misused! Therefore how do we address the concerns about health data ownership? Especially in case of HEALTH in Web 2.0 how should providers, or authorities concerned protect consumers (patients, caregivers, other users). I would also be interested in identifying what additional measures need to be undertaken in order to ensure privacy of patients health records and the challenges faced in eHealth.

Some of the highlights from audience response poll-

On an average day, almost 38% of the participants present said they spent almost 5-8 hours on the web while only 4% seemed to spend less than an hour a day on the web. Interestingly, more than 80% of the audience present had contributed content to social-networking which I believe is food for thought for ‘consumer health informatics’ in light of privacy and confidentiality.

When asked who is the owner of personal health data that an individual posts on a 2.0 site, 42% answered ‘site owner’, 19% thought it was the ‘company who pays for the data’, 54% thought it was ‘the individual’, while 25% perceived that ‘the individual gives up any rights when they share their data’ and a good 30% responded as ‘I don’t know’!

Majority (54%) of the audience believed that privacy is violated in social media when any third party not in ‘Terms of Use’ views or uses the data that internet users share via online tools. My question once again would be “How many of us read the ‘Terms of Use’ that we so rely upon?”Also, a similar percentage (53%) of the audience felt that depending on their ability to manage, the healthcare providers (HCP) should keep their personal and professional web identities separate. 34% preferred institutional policy or boards to manager personal and professional web identity standards.

For obtaining informed consent (IC) in a virtual world, 45% of the audience perceived reviewing IC with subject via voice chat as the most ethically sound method of obtaining IC on the web.

Finally, regarding internet and health, when asked who has the primary responsibility to protest consumers, a large majority said the national governments should be responsible, and a slightly less number of audience felt that users themselves should take primary responsibility while only a few viewed this as the service providers’ liability. Last but not least, 80% viewed health information quality as a social concern.

While the above statistics is collated from a limited number of professionals, academicians/researchers and grad students present in the conference auditorium, I believe these data will trigger future research in specific areas of internet-based health information sharing and retrieval calling for more intellectual dialogue and debate enabling users to become more knowledgeable and make informed decisions in a virtual world.

[Medicine 2.0 Social Network] Ethical & legal issues, confidentiality and privacy

Tue, 29 Sep 2009 02:36:00 +0000

[Web/Blog]Untitled

noreply@blogger.com (Marjan Moeinedin) — Mon, 28 Sep 2009 01:59:00 +0000

Speaker Peter Murray

Peter Murray the Director of the Medical informatics Association did a brief talk about the International Medical Informatics Association.
website: http://www.imia.org/
the Association plays a major role in the application of information science and technology in the fields of healthcare and research in medical, health and bio-informatics.

The basic goals and objectives of the association are to:
promote informatics in health care and research in health, bio and medical informatics. advance and nurture international cooperation.
to stimulate research, development and routine application.
move informatics from theory into practice in a full range of health delivery settings, from physician's office to acute and long term care.
further the dissemination and exchange of knowledge, information and technology.
promote education and responsible behaviour.
represent the medical and health informatics field with the World Health Organization and other international professional and governmental organizations.

He mentioned about the IMIA News. The new online news and information service from the International Medical Informatics Association (IMIA – http://www.imia.org/). The purpose is to provide items about IMIA, its members, and its activities, as well as material from the wider health and medical informatics communities globally.
He also mentioned about the IMIA Medicine 2.0, Medinfo 12-15 September, 2010 in Cape Town, South Africa that will host the 13th International Congress on Medical Informatics from the 12 - 15 of September 2010.

http://www.peter-murray.net/

peterjmurray@gmailc.om

[Medicine 2.0 Social Network] Untitled

Mon, 28 Sep 2009 01:59:00 +0000

[Web/Blog]Untitled

noreply@blogger.com (Marjan Moeinedin) — Mon, 28 Sep 2009 01:27:00 +0000

E-patient Dave Debronkart, Society for Participatory Medicine, Nashua, NH, United States

Keynote: "Gimme My Damn Data!"

He covered real-world examples of how inability of patients has cause harm and how ability of patients educate themselves has improved outcomes.Dave Medical condition: Stage IV kidney cancer. In 24 weeks. He learned everything about his illness using the Internet; he used all the possible recourse on the web. He became a blogger about the health care. He is now one of the most active patients advocating about health care.Foundation Principles Patient is not a third-person word.The right of a desperate person to try to save themselves The privacy and security would take a whole different meaning when the live is at stake.The healthcare is in many ways far behind other industries.Dave explained about his illness, he illustrated a picture of his shoulder. He mentioned that where they found out about his kidney cancer.He searched all the websites to educated himself about his cancer condition.He was very emotional when he was talking about his challenges and what he emotionally went through during his hard days of battling with cancer.He talked about online patient communities and how other patients communicated and spoke about their common conditions.He talked about the Information-age medicine.He mentioned that Internet has changed everything in terms of patients’ access to their health information.He mentioned about his work in the high tech industry. Centralization followed by decentralization: he talked bout the data being mobile today through technological innovations.He illustrated a slide of the patient of the future:Dave talked about data quality risk: the MIB (privet insurance company).Lessen learned was to check for errors he said.He talked about the owner of heath data, whose data is it anyways, patient’s, provider’s or hospitals.Dave’s website: ePatientDave.comSummary of the e-patient, Dave talks:· One of the most fundamental rights is to be fully engaged in one's well-being, especially in moments of disaster when a life is at stake·Experience with moving patient data from hospital to Google health creates concerns about the managing data quality· Patient want to be able to audit, view, make comments, and export things for the purpose of sharing with other health care providers·Advocating for setting policies around this issue.Discussions & Questions:

Comment# 1 How do you get the data to patient? We need policy not technology.Health data rights comment# 2 mentioning about upcoming conference in Philadelphia

Comment#3 a person from Italy. How can physicians work with their patients to empower patients?

Comment# 4: the peer review process lag time preventing from using the evidence for treatment.

Comment# 5: there should be a guide for patient

Comment#6: poor literacy of patients. Many people are not literate enough to educate themselves about their conditions.Comment#7: kids are better than adults in using Internet resources. Therefore, kids can be a way of teaching adults.Comment#8: privacy, security and confidentiality issues. How to change this paradigm?

[Medicine 2.0 Social Network] Untitled

Mon, 28 Sep 2009 01:27:00 +0000

E-patient Dave Debronkart, Society for Participatory Medicine, Nashua, NH, United States

Keynote: "Gimme My Damn Data!"

Comment# 1 How do you get the data to patient? We need policy not technology.Health data rights comment# 2 mentioning about upcoming conference in Philadelphia

Comment#3 a person from Italy. How can physicians work with their patients to empower patients?

Comment# 4: the peer review process lag time preventing from using the evidence for treatment.

Comment# 5: there should be a guide for patient

[Medicine 2.0 registration] Carol Bond signed up as a reader.

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 24 Sep 2009 04:57:24 +0000

[Medicine 2.0 registration] Alicia Livinski signed up as a reader.

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 23 Sep 2009 09:49:45 +0000

[Medicine 2.0 Social Network] The New Zealand Health I.T. Knowledge Base...

Mon, 21 Sep 2009 19:32:00 +0000

Topic: Building virtual communities and social networking applications for health professionals
Presenters: Chris Paton*, University of Auckland, Auckland, New Zealand; Malcolm Pollock, University of Auckland, Auckland, New Zealand; Debra Warren, University of Auckland, Auckland, New Zealand:

Project: Health InnoVation Exchange "hive"

The use of the tools on the web in the workplace is still not fully adopted by the decision makers in organizations. Social media such as facebook, twitter are generally blocked. The presentation by Chris on the topic of Health IT knowledge base is a very interesting one which aimed at "the push to build knowledge communities in a collaborative manner that suit the industry". Although social websites such as facebook etc, exist and can be further leveraged to adapt to the business environment in some respect, it is my opinion that we should build websites that are customisable to the health industry; can be managed and streamlined from a professional stance that will give more creditability. Trust and confidentiality are of vital importance coupled with a sense of the need to contain activities to business environment (which can be better controlled).

In addition to this, we would want to look at how to aggregate data from other social medias such as facebook and twitters to create topics of interest etc. to integrate with these "enterprise like" social media.

Chris has explained that one of the impetus for the this project is the Ministry of Health in New Zealand requiring a system that would allow end-users to innovators and policy makers - provide ideas, share information about projects + dissemination of innovation. (How to see other projects and share info.. different or similar fields.. form collaboration.)

Interesting websites that Chris is affiliated as follows:-
www.newmediamedicine.com - social network for Medics
www.healthinformaticsforum.com - discussion on health informatics

Some interesting platforms for developing social medias are:
vBulletin(New Media Medicine)
Ning
Drupal
Websphere
Sharepoint

Drupal open source content management platform was chosen by for this project and uses Web 2.0 tools to facility communication, networking and knowledge sharing in the New Zealand health sector.
Chris states that the advantages of this are larger user-base, opensource, customisable through contributed modules and good reputation. This is chosen over an enterprise solution as it allows for discussion with wider world and user interface is familiar to user.

The website focuses on detailed user profiles of key decision makers and project leaders linked to Wiki documents about the projects the users are involved in. Users can update their profiles, collaborate on Wiki project documents and create blog posts to inform the network about news and updates to their projects.

In addition, the site has a discussion forum and social networking capability to allow users to find colleagues with similar interests and generate new ideas and innovations within the sector.

The key point from this presentation is the concept of "Building a community." also referred to as community of practice (CoP)from a knowledge management theoretical view. But has with most of these projects, there must be plans for support and continuous use. Pitfalls to avoid are empty forums and blogs which will discourage new users. Recruiting all stakeholders and encouraging them use the system (blog, join groups). It is my opinion that this can be encouraged such as circulating notes from meetings through this forum or encouraging comments prior to meetings etc.)

Interesting thoughts on how to launch this but the most important points were the post launch such as welcoming new users, reply to all new post, enforce the terms of use strictly... (build standard of behaviour.. keep it friendly.. moderator if necessary)

Emphasis is made of the importance of the moderators of a CoP website, of which characteristics such as someone who is level headed and keep the rules.. understand the vision.. fostering and resolving issues towards getting information to focus on the objective of the CoP..

This was a rather interesting talk but as always... "if you build it will they come".. Planning for sustainability in the long term must always be forefront.

For more information see abstract on Medicine 2.0.

[Web/Blog]Use of the Internet for health-related information in Japan by Takahashi yoshimitsu

noreply@blogger.com (Sayaka) — Sat, 19 Sep 2009 21:06:00 +0000

An increasing number of people use the Internet for health information. But how their online information seeking practices affect the ways they utilize health care? In Japan, cell phones are also widely used to access the Internet. But how Japanese people use cell phones for health information seeking practice on the Internet is unknown. This study examined how Japanese people use personal computers and cell phones to gain health-related information by conducting a cross-sectional survey with randomly-selected 1200 respondents who aged 15-79. Logistic regression analysis was employed to analyze the relationship between health information practices and user characteristics such as age, sex, income, education level, self-reported health status and place of living.

The major findings:

-- Mean age 46.3
-- 49.6% male, 50.4% female
-- 18.7% obtained at least a college education
-- 41.0% at least six million yen (1CDN= approx. 85yen) as household income
-- 23.8% used PC for health information

-- Access via PC was significantly related to;
-- 50-60 and 65-74 and over 75 year’s old
-- Over 10 million yen income
-- 13-15 years of education, and over 16 years of education

-- Access via cell phone was significantly related to;
-- 50-64 year’s old
-- 6.4 % use cell phone for health information on the Internet, while 23.8 % use PC. Japanese people use cell phone for the purpose of communicate with their family and friends rather than for collecting health information.
-- Prevalence of internet use via PC is lower in Japan in comparison with the US and Europe

One of the audience mentioned the studies by Ito and Okabe, which also focus on the use of cell phone in Japan. The comparison of the data may generate interesting findings.

[Medicine 2.0 Social Network] Use of the Internet for health-related information in Japan by Takahashi yoshimitsu

Sat, 19 Sep 2009 21:06:00 +0000

The major findings:

-- Access via PC was significantly related to;
-- 50-60 and 65-74 and over 75 year’s old
-- Over 10 million yen income
-- 13-15 years of education, and over 16 years of education

One of the audience mentioned the studies by Ito and Okabe, which also focus on the use of cell phone in Japan. The comparison of the data may generate interesting findings.

[Web/Blog]IMIA Medicine 2.0 Award

noreply@blogger.com (Peter) — Sat, 19 Sep 2009 20:50:00 +0000

As part of the closing ceremonies of Medicine 2.0'09, the "IMIA Medicine 2.0 Award" for the best paper in the research track was presented. The US$ 500 award for the winner is given by IMIA (the International Medical Informatics Association - www.imia.org), a co-sponsor of the event, to be used to facilitate development of a paper to be submitted to a peer reviewed journal for publication.

All eligible abstracts were considered, and after a careful process of judging, by members of the IMIA Web 2.0 Taskforce, of the content and quality of the submitted abstracts, a shortlist was developed. Each of these were then judged with respect to the content and delivery of the presentations and the interactions of the presenters with the audience in respect of answering questions. All the shortlisted presentations were very good, and the choice was difficult to make.

The winner of the IMIA Medicine 2.0 Award is "Pandemics in the Age of Twitter: Content Analysis of “Tweets” During the H1N1 Outbreak" by Cynthia Mei Chew and Gunther Eysenbach. Cynthia presented an interesting study, demonstrating practical use of Web 2.0 technologies to address health related research. The scientific quality of the research itself was good, the methods and results clearly presented, and Cynthia was both confident in her manner and showed that she had a detailed understanding of the study, its implications, and further work that might be needed. The work would clearly benefit from wider publication. Well done, Cynthia. Gunther accepted the award on her behalf, as Cynthia was not able to be at the closing.

Other highly commendable presentations included "What Are Young Adults Saying About Mental Health? a Qualitative Analysis of Internet Blogs" by Madalyn Marcus and colleagues, and "Readability of the Top 50 Prescribed Drugs in Wikipedia" by Devin Pelcher and colleagues.

[Medicine 2.0 Social Network] IMIA Medicine 2.0 Award

Sat, 19 Sep 2009 20:50:00 +0000

[Web/Blog]Readability of the Top 50 Prescribed Drugs in Wikipedia by Devin Pelcher

noreply@blogger.com (Sayaka) — Sat, 19 Sep 2009 20:19:00 +0000

Without a doubt Wikipedia is one of the most frequently viewed online resources by information seekers. It is quick, accessible, and relatively easy to understand. In fact, because of its popularity, Wiki article always appears as one of the top results of major search engines. But how about the medical information on Wikipedia? Is the information about common drug on Wikipedia consumer-friendly and easy to understand?

To assess the readability of Wikipedia’s drug information content, Devin analyzed the 50 most commonly prescribed drugs in the US by employing Flesch-Kincaid Grade Level and health information readability analyzer which Devin developed. As a result, Dyazide and Zestoretic appeared as the easiest to read, while Lansoprazole and Hydrocodone emerged as the most difficult primarily because of the documents’ vocabulary, style, cohesion, syntactic, lexical and style. Devin concludes that, primarily because of the semantic reasons, 50 Wikipedia entries appear difficult to read for intended audience. He recommends the improvement of the lexical and syntactic constructs while maintaining cohesion to enhance consumer comprehension.

Several people asked interesting questions after the presentation. To the question about the significance of studying Wikipedia, Devin responded by reminding the audience of the convenience and accessibility of Wikipedia. In many cases when people encounter some health problem and health information needs, they are away from health care provider. Or the hospital may be already closed. Wikipedia is free from time or geographical constraints. Consequently many patients search for medical information on Wikipedia. Because of its frequent visitors, it is important for healthcare providers to know what is written on Wikipedia. Second question relates to the information accuracy of the articles of Wikipedia. Davin stated that, although it is an important issue to explore, accuracy was not the focus of his study. His study focuses on how consumer-friendly the information on Wikipedia is.

[Medicine 2.0 Social Network] Readability of the Top 50 Prescribed Drugs in Wikipedia by Devin Pelcher

Sat, 19 Sep 2009 20:19:00 +0000

[Web/Blog]What Are Young Adults Saying about Mental Health? A Qualitative Analysis of Internet Blogs by Madalyn Marcus

noreply@blogger.com (Sayaka) — Sat, 19 Sep 2009 04:59:00 +0000

Despite high prevalence rate of mental illness among young adult (1 of every 4 young adults will experience a mental disorder in any 12 month period.), early intervention is under-utilized, and unmet care needs exist among this particular population. Moreover, little research has been done with regard to the actual experience of young adults experiencing suffering from mental illnesses. Madalyn Marcus (York University, Toronto) employed a qualitative method to examine the blogs of 8 young adults (6 female & 2 male) aged 18-25 living with mood and anxiety disorders in order to identify their needs and want regarding care and barriers to accessing care.

The major themes discovered through the analysis of 8 blogs are sense of powerlessness over mental health problem and a strong sense of disconnection from others. For example, many bloggers express the feelings of being oppressed. Talking about the mental issues completely dominate their life. “The biggest victims are lovers, friends, family, my working life, education and memories”. Some blame themselves by stating “I should be able to control it – you brought it on yourself “. The sense of disconnection or alienation is recognized in their assumption or perception that others don’t connect with the depressed. Therapists or care-providers are unapproachable, or they are not really interested in the issues of the depressed. Some bloggers even feel that the professionals are pushing medication on them. However, there are some moments of hope, too, especially when the bloggers experience the moment of connection. “I feel good when I connect myself with others”. “Speaking with professional worked.” “Internet is the only way of socialization.”

Marcas offers a specific and useful set of recommendations: designing of community systems that aim to decrease young adult sense of disconnection, development of alternative or supplementary forms of support in a non-medical environments, capitalization on peer support, provision of vehicles for communication, friendship, support and connection, and education/awareness training to those around the sufferer with regard to how to best offer support and to reduce stigma. As an attendee, I had the same question as some of the audience. I wondered how those 8 bloggers considers the role, meaning, and value of blogging in their life. Blogging is a public medium. I wondered who those bloggers are expressing their thoughts to and how the potential audience in the bloggers mind can affect their writings.

[Medicine 2.0 Social Network] What Are Young Adults Saying about Mental Health? A Qualitative Analysis of Internet Blogs by Madalyn Marcus

Sat, 19 Sep 2009 04:59:00 +0000

[Web/Blog]Computer-Based Interventions for Sexual Health: A Systematic Review by Julia V Bailey

noreply@blogger.com (Sayaka) — Sat, 19 Sep 2009 03:15:00 +0000

Julia V Bailey (University College London) sees huge potential for health promotion via computer-based technology for its advantages of convenience, interactivity, and multi-media features. She presented the results of a systematic review of interactive computer-based interventions for the promotion of sexual health. The examination of electronic databases, grey literature, trial registers, and reference lists of published studies yielded 11.000 citations from 1987 to 2007 which include 15 randomized controlled trials. The focus of interventions includes the prevention of sexually transmitted diseases, such as HIV, unwanted pregnancy, responsible sexual behaviour, and preventing sexual assault. The examples of the interactive functions of the interventions are feedback on personality traits, motivation, and behavioural skills and feedback on virtual decisions. Some interventions have multimedia features, such as games, stories, virtual characters, animations, music and cartoons.

The study examined two research questions: whether or not interactive computer-based interventions are effective and whether or not interactive computer-based interventions are as effective as face-to-face interventions, such as lecture in classroom. With regard to the first question, meta-analyses indicate a moderate effect on sexual health knowledge, a small effect on self-efficacy and safer-sex intentions, no significant effect on sexual behaviours and insufficient data for analysis of biological or economic outcomes. With respect to the second question, meta-analysis shows a small effect on sexual health knowledge. There is insufficient data for analyses of self efficacy, intention, behaviour, biological or economic outcomes.

Bailey concludes that interactive computer-based interventions are feasible. They are, in particular, effective in gaining knowledge about sexual health. Future studies should take a holistic view on sexual health which takes into consideration various aspects of sexuality, such as emotional, mental, social well-being. One of the attendees of this presentation asked for the actual examples of such approach, and Bailey responded by mentioning the examples of discussing relationship satisfaction in general or what it means by “good sex.”

[Medicine 2.0 Social Network] Computer-Based Interventions for Sexual Health: A Systematic Review by Julia V Bailey

Sat, 19 Sep 2009 03:15:00 +0000

[Web/Blog]Mobile Devices for Nursing: a Comparative Human Factors Evaluation

noreply@blogger.com (Talat Ashraf) — Fri, 18 Sep 2009 23:08:00 +0000

Presented By: Tara McCurdie

Introduction of ICT in healthcare enables the availability of more and more communication technologies for use by healthcare professionals at the point of care. It is thus very important to choose the right device that will enable accessing this data in the most efficient and secure manner. Despite mobile phones seem to be promising in delivery of information at the point of care, the adoption rate still seems to be low. The main reason for this lack of adoption rate is the ‘usability’ of these devices. Tara McCurdie in her presentation discusses about the nursing PDA pilot project introduced by MOHLTC. The purpose of this project is to improve evidence and innovation at the bed-side and also to access Web-based nursing applications that enable nurses to read Medline articles, share these articles with other fellows and also to be able to communicate with other nurses using emails. This will help them provide evidence based medicine at the POC.

In order to determine the right choice of device, a step-by-step usability and heuristic evaluation was conducted by the team at the Centre for Global eHealth Innovation to compare 3 smartphones (Blackberry, iPhone and Palm treo) and 2 PDA devices (Nokia N810 and HP iPAQ) based on the context of use of these devices by the nurses.

In this study, the heuristics evaluations were conducted by heuristics experts. The usability testing was done through observation while the nurses used these devices for emailing, calculating BMI, and doing two online database queries. The usability testing showed that the nurses performed best with Nokia.

The nurses also completed a survey and post-use debriefing about their experiences. This usability testing method reminds me about a study in using multi-perspective methodologies such as structured interviews, observation, document reading, and technology acceptance to evaluate the use of a device. I feel that the study for evaluating the mobile devices for nursing use could also use a similar multi-perspective methodology for more detailed findings.

The heuristics evaluations determined that BlackBerry had the least number of issues identified, Nokia had the most overall issues with mostly low severity issues, iPhone and the iPaq had the most number of medium severity issues, and Palm had the least number of mostly high severity issues.

It is interesting that in the study, even though the nurses performed the best with the Nokia device, which surpassed the performance that they had produced with the Blackberry, the nurses still preferred using the Blackberry phone. Although some nurses complained about the weight of the Nokia phone as one of the reasons why they had complained, there is still a bias among the nurses that can be sensed. Since Blackberry is the market leader in mobile computing and there is much hype in the market about Blackberry devices, there might be some bias involved in the nurses’ choice of the device.

Further to the findings of the study, I would have liked to see some use of accessibility components in the usability study for the mobile devices. Since mobile computing uses smaller screens with smaller amount of data available, and since each device has its own propriety interface design, the study would have been more complete with accessibility evaluations about the text sizes, color-blind friendly designs, and so on. In addition to this, an ergonomic evaluation of the devices would have made the study more complete, since each mobile device has its own physical design with fancy keyboard layouts.

One more thing I would like to mention is that in future, nurses may be using custom applications such as perform clinical documentation using these devices. How can this study be applied in that area? Furthermore, design of these applications must follow the system requirements for each of these devices, which may vary from device to device. As a result, the usability of the applications made for the devices may also vary based on what the applications have to offer to the nurses.

[Medicine 2.0 Social Network] Mobile Devices for Nursing: a Comparative Human Factors Evaluation

Fri, 18 Sep 2009 23:08:00 +0000

[Web/Blog]NextHealth Model

HPMEstudent@gmail.com (Claudia) — Fri, 18 Sep 2009 23:02:00 +0000

Jen McCabe

Jen McCabe presented ideas on NextHealth, her conceptual model of consumer-centric care. Jen is a very forward thinker. Her commitment to patient advocacy was very inspirational. Her model showed consumer centric care at the intersection of the (patient) versus (provider) axis and (mortar and brick) versus (virtual services) axis.

She spoke the internet changing the role of the patient (consumer) and health care provider. She described Health 1.0 as content only (internet websites such as WebMed).

As people started to establish on-line relationships, Health 2.0 incorporated content with community, collaborating and engaging in care (such as, DiabetesMine.com).

Jen argued that Health 3.0 will incorporate commerce with value based interactions, building business models based on consensus, accessing content and forming groups (e.g Carol.com, Organized Wisdom).

And lastly, the future Health 4.0 connects all the earlier phases, where patients can move smoothly from on-line to off-line care, where patients and health care providers work collaboratively in a continuum.

Her conceptual ideas resembles the "pharmaceutical care model" proposed more than a decade ago in Pharmacy for patient-centred care. We have not reached this yet.

While Health 1.0 and Health 2.0 has been moving us towards "participatory care, bridging patient choices with provider services", whether incorporating "business" or "commerce" will drive us towards Health 3.0 and Health 4.0 remains to be seen.

During Jen's talk, she used "patient" and "consumer" interchangeably, that is, "patient is the consumer". But if the patient becomes the consumer, does the consumer make all the choices on their medical care? How does the professional judgment of the health care professional play a role when they differ from the consumer's choice? The term "patient" assumes some authority by the health care professional to provide care. Whereas, the "consumer" retains control of choices in their own care.

Another limitation to Jen's use of business principles with her health care model relates to the providers. Health care professionals take a Hippocratic oath which differs from other service providers. If health care was merely a "value based commercial entity" as Jen put it, would "health care providers" still be considered "health care professionals?" Can we appropriately apply business principles to health care?

While I now have more questions than answers, her ideas has triggered me to rethink my concepts. Great talk!!

My disclaimer: I am many steps behind Jen.. my brain does not operate at the same speed. This blog is my best attempt at providing a critique of her concepts. You might want to take a look at her article for yourself to gain further insight.

Her abstract is available on the Medicine 2.0 website.

[Medicine 2.0 Social Network] NextHealth Model

Fri, 18 Sep 2009 23:02:00 +0000

[Web/Blog]PatientsLikeMe

HPMEstudent@gmail.com (Claudia) — Fri, 18 Sep 2009 23:01:00 +0000

Patients Informing Practice: Post-marketing Drug Data in PatientsLikeMe, a Patient-Centred Online Community
Speaker: Jeana Frost

Jeana Frost, winner of the JMIR Medicine 2.0 award 2009, presented research data collected from PatientLikeMe website.

Noting that drugs are often used off-label with limited clinical data, Jeana Frost presented an alternative approach to understanding drug use and effects using a patient-centred on-line platform called PatientsLikeMe. Using information shared on the social media, Jeana took experiences created in the community to generate quantifiable data.

PatientsLikeMe was started by two brothers who identified the need for a patient resource when one brother got ALS. The tool allows patients to share information on drugs, symptoms, answer patient questions, report efficacy on treatment. Jeana argued that "community knowledge can affect the treatment of the patient".

Using data from PatientsLikeMe, 602 treatment histories and 220 evaluations of amitriptyline were analyzed in five patient communities (MS, Parkinson's, Mood Conditions, Fibromyalgia and ALS). She found that 80% were using the drug for indications other than depression (depression is the drug's only approved indication). Users reported taking amitriptyline for pain, insomnia, excess saliva, depression (rank 4).

Jeanna noted that off label uses of drugs can sometimes be the drug’s side effects. Christine Thoer also made this comment when she presented her research yesterday at Medicine 2.0.

While credibility of user profiles takes effort and time to develop on PatientsLikeMe, according to Jeanna, I am not sure how data gathered from web identities can be used to generate statistically relevant results.

I also question the relevance of reports from five user communities (e.g., MS patients will amitriptyline for pain and not bed wetting). Even if the data was reliable, experiences from five communities creates a selection bias and can not be extrapolated to the larger population.

PatientsLikeMe can be a very useful patient resource and support tool. I agree that this forum could generate very useful information. Reports on patient experiences can be very important in areas where documented research is lacking. It can also uncovered side effects that that patients are less likely to report in clinical trials (sexual dysfunction). It may even inform and stimulate research, particularly if Pharma companies find creative ways to capitalize on the off-label use (e.g., buproprion, an antidepressant remarketed for smoking cessation).

For additional information, please see her abstract.

[Medicine 2.0 Social Network] PatientsLikeMe

Fri, 18 Sep 2009 23:01:00 +0000

[Web/Blog]Designing a User Centric Remote Patient Monitoring System to Facilitate Heart Failure Self-care

noreply@blogger.com (Talat Ashraf) — Fri, 18 Sep 2009 22:48:00 +0000

Presented By: Emily Seto

With the rise in chronic diseases it is becoming much more difficult for patients to manage their own care. Heart failure is one of those areas where the patients generally have a tendency to poorly perform self-care. Some reasons for this would be the patient’s non adherence to perform certain self-care tasks such as measuring their weight and diet, non adherence to changing their lifestyle and have less confidence in performing self-care etc.

Remote Patient Monitoring has the possibility to be able to play a key role in order to help patient in performing well guided self care. Emily mentions that RPM is a tool that have a potential to avert further deterioration of a heart failure patient’s condition and to avoid cost of re-hospitalization. Emily demonstrated in her presentation a Remote Patient Monitoring System to help cardiac patients facilitate ‘Heart Failure Self-Care’ developed by her team at the Centre for Global eHealth using user-centered design approach.

The architecture of this system included the Bluetooth enabled monitoring devices for monitoring of patient’s weight, blood pressure, heart rate, rhythm etc. The data from the device is sent from the device to a mobile phone and is then transmitted to the server accessible by their care-providers. The system provides patients with instructions and alerts on their mobile devices by incorporating decision support capabilities within the system. It also sends alerts to the care-providers incase of abnormal trend in patient’s results. The benefits for patients to use such system would be reduce travel time to heart function clinic, provides them a central repository of their data, enables real-time sending the data to their physicians and also helps the patients be on top of their own condition.

Emily mentioned about the patients’ concerns about false alerts to be sent to provider. In addition to that, I would like to raise the concern about rating the alerts. The more we bring healthcare related devices to the disposal of the patient, the more we have to be careful about creating any panic among the patients. Furthermore, similar to the concept of an alert fatigue in the case of a CDSS, my concern would also be about sending excessive alerts to the patient.
Finally, I would raise the concern about contacting the healthcare provider as well as the patient for different types of alerts. For example, minor alerts may be sent to the patient for reminder, while more serious alerts could be sent to the patient as well as the provider. This is similar to the concept of classifying alerts and sending them based on the alerts classification system.

Emily also mentioned the concerns of clinicians, who expressed their concerns about the work overload and their inability to check or overlook “urgent alerts”. This also echoes the concern about too many alerts being generated, and acts as an additional reason why an alert rating system should be used for the alerts feature. In addition, my experience in the Ontario healthcare system tells me that there may be issues with the reimbursement of consultation of the patient with their healthcare providers. I believe that health insurance requires patients and healthcare providers to be physically present at a given location for it to be considered as applicable for insurance reimbursement. As a result, the system’s capabilities to extend remote consultation services to the patients may face this certain challenge.

My personal vibe about RPM systems is that, the benefits outweighs the limitations and that it should be brought into mainstream use. However, there may be healthcare policies and laws that may impede such use. I believe that extensive evaluations must be performed to ensure that such devices can make it to the hands of the patients, and make the Canadian healthcare system much safer.

Some final thoughts:

What about the security measures taken to ensure that the data transmitted by the phone is secure? What if the mobile device that is being registered with the monitoring system is lost by the patient? What if the patient loans out his/her mobile to a family or friend?

How adaptable and user friendly are devices like these for non tech-savvies? This is not to question the usability testing of the system, but to raise the concern that users who are not well trained in using the system may inadvertedly cause errors in their health data.

[Medicine 2.0 Social Network] Designing a User Centric Remote Patient Monitoring System to Facilitate Heart Failure Self-care

Fri, 18 Sep 2009 22:48:00 +0000

What about the security measures taken to ensure that the data transmitted by the phone is secure? What if the mobile device that is being registered with the monitoring system is lost by the patient? What if the patient loans out his/her mobile to a family or friend?

How adaptable and user friendly are devices like these for non tech-savvies? This is not to question the usability testing of the system, but to raise the concern that users who are not well trained in using the system may inadvertedly cause errors in their health data.

[Web/Blog]Bikmas 2.0

HPMEstudent@gmail.com (Claudia) — Fri, 18 Sep 2009 22:26:00 +0000

A Biomedical Knowledge Management Antenna System
September 18, 2009 (auditorium)
1:30 to 3:00

Speakers:
Laura Slamanca
lsalamanca@isciii.es

Laura Slamanca provided a presentation today on Bikmas, a knowledge management antenna system used by her organization to share individual knowledge. Due to the need to organize research activity to share data, Bikmas was developed to allow storage of data with themes using various filters. The portal includes discussion forums, wikis, as well as a personal area for calendars and websites.

Bikmas was developed using open source tools (Liferay as portal manager, Glassfish as application server, MySQL as DBMS). Since its implementation in January 2009, the system now maps 92 news sources received from blogs, lifeshares, nanoletters. It also allows users to save documents with key words. Users can share documents with the research unit once their managers have approved it.

Bikmas is an example of how open source tools can be used to develop a knowledge management solution in an organization. Given the potential value to connect with other knowledge management systems, I wonder whether future Bikmas like systems can readily integrate with other Bikmas. With an open source platform, the possibility may be more approachable.

Her abstract is available at the Medicine 2.0 website.

[Medicine 2.0 Social Network] Bikmas 2.0

Fri, 18 Sep 2009 22:26:00 +0000

[Web/Blog]Orphandata.org

HPMEstudent@gmail.com (Claudia) — Fri, 18 Sep 2009 22:11:00 +0000

Enabling Transdisciplinary Scientific Collaboration using Web 2.0
Speaker Kei Cheung

Kei Cheung presented today his pilot application called Orphadata.org. Orphan data is defined as data that is no longer connected to other data, delinquent data. While the data is no longer being used, it’s “information that just can not be deleted”.

Some of the data may have been orphaned due to lack of funding or conflicting data.

Kei provided examples of profile based connections based on different user profiles (BioCrowd, PH lab, BioMedExperts, ResearchGATE), patient-oriented connections (such as PatientsLikeMe) and general knowledge sharing with wiki like environments (Knol).

By identifying the potential value of this information source, Orphandata provides the ability for others to connect to data where the others would not otherwise know about its existence.

I feel that Orphandata demonstrates the enormous potential of web 2.0 to utilize unused data, connect researchers to build knowledge at a faster pace.

[Medicine 2.0 Social Network] Orphandata.org

Fri, 18 Sep 2009 22:11:00 +0000

[Web/Blog]ScanGrants

HPMEstudent@gmail.com (Claudia) — Fri, 18 Sep 2009 21:27:00 +0000

Reaching Out to Researchers in the Health Sciences
MaRS – Auditorium
September 18, 2009 (1:30 to 3:00)

Speakers: Hope Leman

Hope Leman’s presented today her web based tool called ScanGrants. ScanGrants provides users a listing of grant, scholarship and other funding types in the health sciences. While it was initially developed for her own organization, it is now available on the web to any researcher, free of charge, to find sources of research funding.

Hope distinguishes ScanGrants from grants.gov in that her tools can better help users sort through research grants that may be specifically relevant to their research area.

ScanGrants (www.scangrants.com) enhance users experience by allow the ability to browse latest listings on the homepage, subscribe by RSS (note: need to make changes when Goggle changed code after acquiring RSS), search by categories (classification, occupation, amount of funding), ability to subscribe by email, general feed.

Marketing of her service was done via promoting use to other librarians and hospital administrators, writing scholarly articles to promote site, connecting with prominent bloggers (david rothman), other search engines (AltSearchEngines).

Hope assessed evidence for ScanGrants' using Goggle analytics (12,000 hits per month, explore who is using service).

ScanGrant levels the playing field for marginalized users (smaller institutions, less well funded organizations, hospitals without limited library services) who may not have access to expensive grant search tools, to help them sort through relevant research funding opportunities.

My thoughts on ScanGrant: It is a wonderful example of how the development of an open source tool has the potential level to help any researcher with internet access to better locate funding opportunities. Possible next steps.. not sure if there are opportunities for ScanGrant to moves to open access collaboration (wiki like platform) to engage users to enrich the data source by adding possible sources of alternative funding.

Thank you Hope.

[Medicine 2.0 Social Network] ScanGrants

Fri, 18 Sep 2009 21:27:00 +0000

[Web/Blog]"Readability of the Top 50 Prescribed Drugs in Wikipedia"

noreply@blogger.com (Marjan Moeinedin) — Fri, 18 Sep 2009 20:02:00 +0000

"Readability of the Top 50 Prescribed Drugs in Wikipedia"

(View Abstract)

The presenter was Devin Pelcher form Nova Southeastern University, Ormond Beach, United States. David's presentation was regarding a research project on Wikipedia health-related information.

He provided a background on the use of Internet in America for finding health related information. The average reading level Americans that seek information on the web is a collage education. While the average reading level of most Americans is between 6th to 9th grade. Wikipedia tends to be one of the most popular sources of finding health information based on search ranking. Since the Wikipedia is most referenced by Google search engine, therefore, it comes up and used frequently by Internet users.

He explained the objective of the study as the systemactic evaluation of the readability of Wikipedia’s drug information content for commonly used drugs using a novel measurement tol and the Flesch-Kincaid Grad Level.

Devin explained that a sample of 50 most prescribed drug in United State were selected and the content related to those prescribed drugs in Wikipedia were indentified and saved as HTML files for evaluation.
Each Wikipedia entry was analyzed independently by two investigators using Flesch-Kincaid Grade Level. A Health information readability analyzer was also used to integrate dimensions that other readability tools lacked such as : lexical, the most easy to read; semantic, the most difficult to read; cohesion and syntactic. Eventually, descriptive statistics was used to analyze the scores generated by these tools. Some of the limitations of the study were only English version was tested and the sample of 50 may not have been a good representation of all drugs within Wikipedia

Devin concluded by stating that the reading level of the 50 prescribed drug entries in Wikipedia are higher that the reading level of consumers. Therefore, there is a potential barrier of health and drug information for some Wikipedia users. To improve the Wikipedia, the vocabulary can be simplified; and in order to improve the consumers’ comprehension, the lexical and syntactic constructs need to be enhanced without compromising cohesion and structure.

[Medicine 2.0 Social Network] "Readability of the Top 50 Prescribed Drugs in Wikipedia"

Fri, 18 Sep 2009 20:02:00 +0000

"Readability of the Top 50 Prescribed Drugs in Wikipedia"

(View Abstract)

[Web/Blog]From Experience to Evidence

noreply@blogger.com (dbeemsigne) — Fri, 18 Sep 2009 19:49:00 +0000

Patients Informing Practice: Post-Marketing Drug Data in PatientsLikeMe, an Patient-Centered Online Community

Speaker: Jeana Frost

This paper won the JMIR award for Medicine 2.0. It exemplifies openness, collaboration, participation, social networking and change; the key attributes of the Medicine 2.0 conference.

Social media can inform the use of pharmaceuticals in the marketplace. There are multiple utilizations for many drugs prescribed. 21% of drugs are prescribed off-label, but 73% of those cases are not informed by evidence. This is mainly due to physicians performing their own "experiments" with their patients. Patients may be doing the same thing with their own drug regimens. However, there remains a gap for sound, research data as many of these experiences are anecdotal. The patientslikeme website uses validated surveys to collect information. Patients enter structured information in a variety of ways. The company then creates a very synthesized record for each patient. They also allow for sharing with the correct people, i.e., researchers, who can evaluate that patient's specific experience. Providers can use the information to inform their treatment as well. Patients can search other profiles to determine other users who are using the same drugs as themselves. There are visible interpretations, i.e., pie charts, of the efficacy and side effects, as well as a forum for more anecdotal evidence.

Amitriptyline is a commonly off-label prescribed drugs. There is only one FDA approved usage for this drug, which is depression. An analysis was performed on the data for this drug on the website looking for reason prescribed, side effects, burden, etc. It was found that depression was the fourth most common problem it was prescribed for. Preceding it are pain, insomnia and excess saliva. The excess saliva finding was discovered in the ALS community on the patientslikeme website.

An example of how patientslike me can help is in the case of clinical trials. In clinical trials, there were very little sexual side effects of antidepressant drugs. However, in these communities, people are volunteering information about the side effects of these drugs. There are also data on rare diseases. Personalized medicine (2.0?) is becoming a fast-growing trend. Patientslikeme can gather the experiences of individuals to create unprecendented trials! Diseases such as primary lateral sclerosis (PLS) are now beginning to show trending data.

The reaction from the pharmaceutical industry and randomized control trials (RCT) groups to this research is mixed. In meetings with pharma companies, some executives embrace and some reject this research. This work will continue to occur whether or not pharma is going to take advantage of it. There is a shift towards more acceptance from these companies. For the RCT groups, they may not recognize this type of study as a trial. RCTs cost a lot of money, and a lot of time. This is a viable alternative!

The Motor Neuron Association have a scientific, established method to study off-label research from Twitter community. There are other aspects associated with this website, because it is a folksonomy. There is still much work to be done with diet and exercise. They are present but they are not adequately described. However, people will build tools to supplement this website and it can only grow and get better.

In conclusion, investigations can occur for existing agents for new pursposes in real time and across populations. It can inform practice and help patients. There is a group working to create a method to perform these studies in a more rigourous way. The conclusions of the study was that the website platform allows a quick and unique data source for understanding utilization and treatment experience across populations. This can be done without a clinical study or trial.

[Medicine 2.0 Social Network] From Experience to Evidence

Fri, 18 Sep 2009 19:49:00 +0000

Patients Informing Practice: Post-Marketing Drug Data in PatientsLikeMe, an Patient-Centered Online Community

Speaker: Jeana Frost

This paper won the JMIR award for Medicine 2.0. It exemplifies openness, collaboration, participation, social networking and change; the key attributes of the Medicine 2.0 conference.

[Medicine 2.0 Social Network] Larry Chu on Post: Second Med 2.0 (Unofficial) Dinner, September 18th at the CN Tower

Fri, 18 Sep 2009 19:38:47 +0000

I think Cindy wants to come too, if it's not too late...

[Web/Blog]Use of the Internet for Health-related Information in Japan

noreply@blogger.com (Marjan Moeinedin) — Fri, 18 Sep 2009 19:19:00 +0000

Use of the Internet for Health-related Information in Japan: a Crosssectional Population-based Survey
(Veiw Abstract)

The Persenter was Yoshimitsu Takahashi, from Kyoto University, Kyoto, Japan. the presentation was about the use of the Interen for locating health-related information in Japan. Yoshimitsu stated that the number of the Internet users has increased considerably, and Internet is being used for health purposes. 88 million people have used the Internet for one year in 2007. Some statistics from other scientific studies have confirmed that 40% of American general public (2002)and 52% of Europeans (2007) use the Internet for health related information. Cellular phones are also used extensively to access the Internet, but not much known about the use of the cell phones for obtaining health information within Japanese.
Objective:
To measure the prevalence of the Internet or email use for health related information using personal computers and cell phones; and to assess the relationship between their use and user characteristics
Method: Cross sectional Survey
Setting:
September 2007, in Japan
Participants were general Japanese aged 15-79 and the characteristics under study were:
Age, gender, household income, education attainment, residency and health status.
Perceived effects of the Internet use on health care
Results:
Analysis was performed on 1200 survey respondents. Looking at the Mean (±SD)of all characteristics.
Discussion:
The prevalence in Japan was 24% which was lower than Europe and US. The effect on ability to manage their health care needs or effects on actual health care utilization were relatively small .

Limitation:
Response rate was unknown
Powerless to examine the relationship between the Internet users though cellular phones and ch
Conclusion:
The general public use cellular phones (6.4%) less than personal computers (23.8%) to obtain health related information through the Internet. Regarding user characteristics, older age, low educating and income could be some of the barrier in using the Internet for health related information.

[Medicine 2.0 Social Network] Use of the Internet for Health-related Information in Japan

Fri, 18 Sep 2009 19:19:00 +0000

Use of the Internet for Health-related Information in Japan: a Crosssectional Population-based Survey
(Veiw Abstract)

[Medicine 2.0 Social Network] Francisco J Grajales III on Post: Second Med 2.0 (Unofficial) Dinner, September 18th at the CN Tower

Fri, 18 Sep 2009 18:26:21 +0000

Add Chiah to it too :) =16

[Web/Blog]Twitt-ER: Using Twitter in the ER

noreply@blogger.com (Andrew) — Fri, 18 Sep 2009 18:22:00 +0000

Abstract

Speaker: Christophe Laurent

The team at Onze Lieve Vrouw Hospital in Belgium has made strides in improving the clinical flow and processes in their ER by incorporating the use of twitter as a novel channel. It was interesting to see that new social media technologies can be embraced seamlessly into critical system environments. They use twitter in the same way as other users but shrink the community down to just the ER. The idea is to create awareness of flow and process in emergency services. Managing and running an ER involves lots of processes inside the ER and outside, twitter makes it possible to streamline communication. It communicates assignments for dispatch, triage, doctors, and nurses. It allows one to become aware of other people and what they are doing. It can inform you of alerts, new patients in waiting room, patient overview and status, and new lab results. The instant delivery of information to the appropriate users has enabled patients and staff to be better informed and aware of what is going on in the ER.

The department uses closed group twitter accounts. No patient names are included in the tweet, just ids to maintain privacy. Accounts have access to filters to sort tweets applicable to them to reduce unnecessary chatter or information. There is no need for expensive hardware - simply create the twitter group and filters.

This case study has presented a novel way to communicate with twitter in a critical care setting and one that is as chaotic as the ER. Despite the diverse processes and at times hectic nature of the ER, twitter was shown that it can smoothen clinical workflows and improve efficiency by enabling access to augmented reality in the palm of your hand.

[Medicine 2.0 Social Network] Twitt-ER: Using Twitter in the ER

Fri, 18 Sep 2009 18:22:00 +0000

[Web/Blog]What Are Young Adults Saying About Mental Health?

noreply@blogger.com (Marjan Moeinedin) — Fri, 18 Sep 2009 18:14:00 +0000

"What Are Young Adults Saying About Mental Health? a Qualitative Analysis of Internet Blogs"

(Veiw Abstract)

The speaker was Madalyn Marcus, PHD student form York University, Toronto, Canada.
Madalyn provided a summary of their qualitative research on analysing Internet blogs. The study looked at online blogs by young adults. Madalyn explained that mental problems are highly prevalent among young adults and often have their onset in early adulthood. She stated the objective of the study as to understand the experiences of 8 young adults aged between 18-25 who suffered from mental conditions such as anxiety disorder and mood by analysing their blogs using qualitative study.
To facilitate help seeking, she stated that the important goal is to speak with the young adults and finding ways support and help-seeking. The online seeking help allow the Young adults to seek help if they are not comfortable talking to anyone.

Madalyn explained about the method used in their study. The sample used in this study was 8 young adults aged 18-25. The majorigy were female. The methodology was ground theory to develop a theory about the experience of the young adult people with mental illness. An enhanced search was conducted on the Internet to extract all available blogs of 8 young adults who were suffering from mood problems and anxiety disorders. Meaning units were developed Two main categories were found: Powerlessness about the illness Cannot do anything about this problem Feeling isolated and alone. The young adults reported sense powerlessness and lack of control over their mental health problems, which resulted in feeling guilty and having sense of self-blame. The second theme that emerged was sense of isolations and alienation from their communities, families, and health professionals. They felt under treated and ignored by the system and demonstrated strong mixed feelings regarding medical treatments. But, they showed that blogging gave them a sense of support and connection with others. some of the charactristics of the sample were majority were female,
What are young adults saying ? What was found was sense of disconnection,lack of support and failer to seek help.

One of the limitation of the study mentioned was generlizabilty to other populations.

Madalyn concluded by stating that three is a need for community of practice approach to decrease sense of disconnection; provide a type of support other than medical environment; and to capitalize on peer support.

[Medicine 2.0 Social Network] What Are Young Adults Saying About Mental Health?

Fri, 18 Sep 2009 18:14:00 +0000

"What Are Young Adults Saying About Mental Health? a Qualitative Analysis of Internet Blogs"

(Veiw Abstract)

[Web/Blog]“Computer based Interventions for Sexual Health: a Systematic Review”

noreply@blogger.com (Marjan Moeinedin) — Fri, 18 Sep 2009 18:12:00 +0000

“Computer based Interventions for Sexual Health: a Systematic Review”
(view Abstract)

The presenter was Julia V Bailey from University College London, London, United Kingdom

Julia provided an interesting talk about the effectiveness of interactive computer-based interventions for sexual health promotion. She stated that sexual health is a major public health problem, and face to face intervention does not always lead to success. Internet offers a different approach to this problem by delivering of sexual health intervention that bring convenience and can be individualized and tailored to the consumer. Julia mentioned the objective of the study as to determine the effectiveness of interactive computer-based interventions for sexual health promotion by conducting a systematic review.
The method used was systematic search of electronic bibliographic database, gray literature, list of references from published studies. The search resulted in identifying 15 studies of Computer based intervention in various settings and different population groups. The interventions were mostly on the prevention of sexually transmitted infections such as HIV; and unwanted pregnancies.
Meta-analyses were used to combine the results of the selected studies. Meta-analyses showed a moderate effect on sexual health knowledge; a small effect on self-efficacy; a small effect on safer-sex intentions; and no significant effect on sexual behavior measured as a dichotomous outcome. Julia concluded by articulating that Interactive computer-based interventions for sexual health promotion are promising; they are effective tools to be used in various settings and with a variety of population for learning about sexual health. Studies could also include a wider definition of sexual health a holistic model that would include emotional, mental and social well-being with respect to sexuality.

[Medicine 2.0 Social Network] “Computer based Interventions for Sexual Health: a Systematic Review”

Fri, 18 Sep 2009 18:12:00 +0000

“Computer based Interventions for Sexual Health: a Systematic Review”
(view Abstract)

[Web/Blog]Analysis of Websites Offering Direct-to-Consumer Genetic Tests: The Possible Implication on Public eHealth

noreply@blogger.com (Lambchops) — Fri, 18 Sep 2009 17:52:00 +0000

Speaker: Loredana Covolo
Abstract here

Back in 2002, about 36% of a sample of 2500 considered using home genetic tests to find out about their genetic makeup. We can only assume that the number has grown since then, especially with the attention that companies like 23andme, founded by Anne Wojcicki, the wife of Google co-founder Sergey Brin, have received. An increasing number of us want to find out more about our genetic makeup hoping to get a glimpse of what our future health will be like. As a result, there has been an increase in the number of websites that offer home genetic tests directly to consumers.

Of the genetic tests offered online, the most popular ones are tests for cardiovascular disease, cancer, and overall personal genomic profiles. But are consumers aware that these tests are meant to analyze one's susceptibility to a disease and not designed for diagnosing it? According to the study by Loredana Covolo--the speaker at this talk--of the 31 websites offering direct-to-consumer genetic tests, only 18 of them declared the purposes for testing on their site (i.e. susceptibility testing and not diagnostic). Consumers may also be unaware of the risks associated with genetic testing such as emotional effects, false reassurances, marginalization in society based on susceptibility to a disease, as well as legal and financial implications associated with all this. Loredana's study shows that only 26% of the websites studied make these risks public.

Another interesting result of the study is that 16% of the websites encourage consumers to buy a second test. Currently there seem to be no regulations in place limiting how these tests are marketed online and whether or not these regulations extend to other services that may be marketed on the website. The study also claims that the need to know your genetic makeup could lead to the overconsumption of health care services in general. It can cost unnecessary worry on the part of the consumer and change the patient-physician relationship. It is interesting to note that only one out of the 31 websites in the study contained the HONcode logo on it.

[Medicine 2.0 Social Network] Second Med 2.0 (Unofficial) Dinner, September 18th at the CN Tower

Tue, 15 Sep 2009 08:54:10 +0000

Hello everyone, Last year a few of us reconnected for a second Med 2.0 dinner at the CN Tower after the closing ceremony on friday evening. A few of us (IMIA Web 2.0 taskforce and friends) would like to repeat this event and extend our invitation to all participants. Please use this thread to sing up. I will make a reservation on Friday at noon and will post the details back on this page. Gunther, it would be great if this year you could join us! I know that @mdbraber @peterjmurray @luisluque @jensmccabe and the rest of the gang missed you last year! I look forward to seeing you at the dinner cruise and hopefully at this unofficial dinner also! Cisco (AKA @ciscogiii)

[Medicine 2.0 submission] Louis Cornacchia submitted 'The Role of MultiTenancy Architectures in Healthcare It'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 09 Sep 2009 10:08:43 +0000

[Medicine 2.0 submission] Pat Rich (@cmaer) submitted 'Asklepios and Mydoctor.ca: Innovations for Canadian Doctors and Patients'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 14 Aug 2009 12:11:44 +0000

[Medicine 2.0 submission] Gary Schwitzer (@garyschwitzer) submitted 'Panel: Online Grading of Health News Reporting: >2,500 Stories in 3 Countries'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sat, 01 Aug 2009 12:38:57 +0000

[Medicine 2.0 submission] Gunther Eysenbach (@eysenbach) submitted 'Test-edited'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 18 Jun 2009 16:36:13 +0000

[Medicine 2.0 submission] Jen Mccabe (@jensmccabe (formerly @jenmccabegorman) and @polarwisdom) submitted 'One Year Later: The NextHealth Model in Theory and Practice - Implementing Participatory Medicine Strategies and Exploring the Evolution of Choice/Control Aware Care'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 27 May 2009 12:07:01 +0000

[Medicine 2.0 submission] Anjum Chagpar submitted 'Mobile Devices for Nursing: a Comparative Human Factors Evaluation'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 21 May 2009 15:22:15 +0000

[Medicine 2.0 submission] Taha Kass-hout submitted 'InSTEDD Evolve: a Collaborative Approach to Disease Detection, Monitoring and Response'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 21 May 2009 10:23:26 +0000

[Medicine 2.0 submission] Niraj Mistry submitted 'Web 2.0 at Work: Building Healthy Hospital Policy'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 20 May 2009 19:01:27 +0000

[Medicine 2.0 submission] Patricia Anderson (@pfanderson) submitted 'Skin, Flesh and Bones: An Anatomy of Health Education 2.0'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 20 May 2009 11:55:33 +0000

[Medicine 2.0 submission] Robin Smith submitted 'Paying It Forward in the Digital Age: Patient Empowerment 2.0 Using Web 2.0'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 20 May 2009 10:44:16 +0000

[Medicine 2.0 submission] Carlos Rizo (@carlosrizo) submitted '”Perfection,” “Micro-Thanks” and “Micro-Ideas”: New Crowd-sourcing Concepts to Improve the Patient Experience and Foster Constructive Deliberation on the Web'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 20 May 2009 01:48:46 +0000

[Medicine 2.0 submission] David Hale (@lostonroute66) submitted 'Pillbox: Enhancing Patient Safety through a Mashup of Government Data, High-Resolution Imaging and Analysis, and Community-Developed Tools'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 22:20:53 +0000

[Medicine 2.0 submission] Francisco Grajales Iii submitted 'Enabling Semantic Health Apps: The MEDgle Clinical Decision Support Service Api'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 21:00:41 +0000

[Medicine 2.0 submission] Cynthia Chew submitted 'Pandemics in the Age of Twitter: Content Analysis of “Tweets” During the H1N1 Outbreak'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 19:38:49 +0000

[Medicine 2.0 submission] Kei Cheung submitted 'OrphanData.org: Enabling Transdisciplinary Scientific Collaboration Using Web 2.0'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 19:24:29 +0000

[Medicine 2.0 submission] Lisa Gualtieri (@lisagualtieri) submitted 'Improving Patient-Physician Communication about Internet Use: Why “Don’t Ask, Don’t Tell” Doesn’t Work'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 17:05:28 +0000

[Medicine 2.0 submission] Judith Feder (@1wisep) submitted 'E-Patients and Chronic Illness:Commonalities and Differences among Breast Cancer, Multiple Sclerosis and Marfan Syndrome Health E-Community Members'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 16:28:20 +0000

[Medicine 2.0 submission] Giovanni Rinaldi submitted 'An Experience To Assist Eldelry Using a Federative Platform by the Light of Medicine 2.0'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 14:34:28 +0000

[Medicine 2.0 submission] Mark Fam submitted 'Personal Health Records: Helping Consumers Take the Driver’s Seat'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 12:50:55 +0000

[Medicine 2.0 submission] Derek Meyer submitted 'HealthSpace - a Public Privately-controlled Health Record'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 11:11:45 +0000

[Medicine 2.0 submission] Mark Fam submitted 'Health Care Consumerism – Understanding the Behaviours That Will Impact Health System Design'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 03:09:55 +0000

[Medicine 2.0 submission] Laura Kuo submitted 'Web 2.0 and Information Literacy: The Importance of Critical Thinking in Public Health'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 19 May 2009 02:07:56 +0000

[Medicine 2.0 submission] Jen Mccabe (@jensmccabe (formerly @jenmccabegorman) and @polarwisdom) submitted 'Eviscerating Pride and Profit? Young, Interconnected, Innovators Examine Strategies for Multi-Generational Success in the Era of Social Media'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Mon, 18 May 2009 23:41:05 +0000

[Medicine 2.0 submission] Jackie Bender submitted 'Facebook: Awareness-raising, Fundraising and Support for People Affected by Breast Cancer'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Mon, 18 May 2009 15:50:16 +0000

[Medicine 2.0 submission] Kirsten Broadfoot submitted 'Clinical Care in the ‘Spaces in Between’: Web 2.0 and the Communicative Reformation of Clinical Practice.'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Mon, 18 May 2009 02:39:58 +0000

[Medicine 2.0 submission] Donald Juzwishin (@drdonj) submitted 'Building Virtual Communities and Social Networking Applications for Health Care Policy Makers'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Mon, 18 May 2009 00:21:39 +0000

[Medicine 2.0 submission] Devin Pelcher submitted 'Readability of the Top 50 Prescribed Drugs in Wikipedia'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sat, 16 May 2009 03:04:36 +0000

[Medicine 2.0 submission] Jiri Kofranek submitted 'Web Based Simulation Games With Multimedia E-learning Environment.'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sat, 16 May 2009 01:47:57 +0000

[Medicine 2.0 submission] Sarah Kling submitted 'The Business Case for Healthcare Usability'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sat, 16 May 2009 01:24:20 +0000

[Medicine 2.0 submission] Theresa Bernardo submitted 'Coordinating the International Emergency Response to Influenza A(h1n1) by Combining Social Networking and Traditional Media'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 23:39:15 +0000

[Medicine 2.0 submission] Christine Thoer submitted 'Internet: a Resource for Young Adults who Use Prescription Drugs for Recreation'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 23:19:46 +0000

[Medicine 2.0 submission] Chris Gates submitted 'How Do We Draw Health 2.0?'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 22:19:51 +0000

[Medicine 2.0 submission] Mark Scrimshire (@ekivemark) submitted 'We Will All Be Patients Someday - Instigating Health Care Transformation One Community at a Time through HealthCamps'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 21:26:27 +0000

[Medicine 2.0 submission] Holly Witteman (@hollywitteman) submitted 'Apomediation and Women's Choices of Birth Place and Attendants'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 21:16:13 +0000

[Medicine 2.0 submission] David Kavanagh submitted 'Websites on Addictive Disorders'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 20:57:58 +0000

[Medicine 2.0 submission] Francisco Grajales Iii submitted 'Perceptions and Attitudes Toward Virtual-Reality Medical Training: The Ann Myers Medical Centre'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 20:30:48 +0000

[Medicine 2.0 submission] Myrna Morales (@seergenius) submitted 'Biomedical Information Evaluation for a Regional E-Science Portal to Support Learning and Collaboration among Health Information Professionals.'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 19:35:41 +0000

[Medicine 2.0 submission] E-patient Dave Debronkart (@ePatientDave) submitted 'Keynote: "Gimme My Damn Data!"'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 19:02:20 +0000

[Medicine 2.0 submission] Yunan Chen submitted 'The Impact of Accessing Medical Records on Care Coordination and Disease Management'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 18:51:16 +0000

[Medicine 2.0 submission] Louise Walker submitted 'Tobacco Control 2.0 Panel'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 18:43:51 +0000

[Medicine 2.0 submission] Matic Meglic (@matic_meglic) submitted 'Web and Mobile Process Support for Management of Patients with Depression: Preliminary Results of the Improvehealth.eu Randomized Controlled Trial'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 18:32:25 +0000

[Medicine 2.0 submission] Trevor Van Mierlo submitted 'Good Intentions and Bad Investments: EHealth and the Reality of Market Forces'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 18:22:01 +0000

[Medicine 2.0 submission] John Sharp submitted 'Hospital Adoption of Medicine 2.0 - a Culture Shift'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 17:40:07 +0000

[Medicine 2.0 submission] Panagiotis Bamidis submitted 'Research Issues of User-generated Medical Education Content'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 17:34:49 +0000

[Medicine 2.0 submission] Francisco Grajales Iii submitted 'Ethics 2.0: Implications for Connected Health (Panel with interactive audience response system)'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 16:40:03 +0000

[Medicine 2.0 submission] Henry Potts (@bondegezou) submitted 'Computerised Cognitive-behavioural Therapy for Prevention and Early Intervention in Anxiety and Depression: a Case Study of Xanthis'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 14:49:35 +0000

[Medicine 2.0 submission] Emily Seto submitted 'Designing a User-Centric Remote Patient Monitoring System to Facilitate Heart Failure Self-Care'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 14:44:15 +0000

[Medicine 2.0 submission] John Wiecha submitted 'Learning In a Virtual World: Experience With Using Second Life for Medical Education'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 14:37:05 +0000

[Medicine 2.0 submission] Paula Hicks submitted 'Solas - a Virtual Community for Children with Cancer'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 12:51:26 +0000

[Medicine 2.0 submission] Sam Nordfeldt submitted 'Patient and Parents’ Views on the Web 2.0 Diabetes Portal - the Management Tool, the Generator and the Gatekeeper: Qualitative Study'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 12:30:16 +0000

[Medicine 2.0 submission] Francisco Grajales Iii submitted 'Success in Virtual Clinics for Hispanics: Lessons Learned from Forumclinic Users'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 11:24:37 +0000

[Medicine 2.0 submission] Loredana Covolo submitted 'Analysis of Websites Offering Direct-to-consumer Genetic Tests: the Possible Implications on Public Health'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 10:31:05 +0000

[Medicine 2.0 submission] Grazia Orizio submitted 'What do Portals for Doctors Offer? A Qualitative Analysis of their Features for the Enrichment of Expert Knowledge'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 09:41:55 +0000

[Medicine 2.0 submission] Grazia Orizio submitted 'Persuasion Strategies of Online Pharmacies: How the Web Transforms Patients into Consumers'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 09:06:32 +0000

[Medicine 2.0 submission] Mahmood Tara submitted 'Evaluating the Contribution of Metadata in Directing Online Consumers to Their Actually-Preferred Health Resources'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 09:02:43 +0000

[Medicine 2.0 submission] Yoshimitsu Takahashi submitted 'Use of the Internet for Health-related Information in Japan: a Cross-sectional Population-based Survey'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 08:45:38 +0000

[Medicine 2.0 submission] Nasriah Zakaria submitted 'Malaysian Cancer Web Portal :a Multimethod Perspectives on Privacy Issues'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 15 May 2009 04:08:49 +0000

[Medicine 2.0 submission] Christophe Laurent (@spoedman) submitted 'Twitt-ER: Using Twitter in The E.R. for Dispatch, Order Com, Patient Alerts and Progress Reports towards the Waiting Room.'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 23:43:10 +0000

[Medicine 2.0 submission] Chris Paton submitted 'The New Zealand Health I.T. Knowledge Base'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 23:09:10 +0000

[Medicine 2.0 submission] Brian Cugelman (@cugelman) submitted 'The Psychology of Mass-Interpersonal Behavioural Change Websites'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 22:09:50 +0000

[Medicine 2.0 submission] Larry Chu (@larrychu) submitted 'What Do Residents Really Want? Building an Anesthesia E-learning Portal from the Ground Up: The Stanford Ether Project'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 21:45:58 +0000

[Medicine 2.0 submission] Kate Cavanagh submitted 'The Therapeutic Relationship in Computerised Cognitive-Behavioral Psychotherapy: Evidence and Avenues...'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 20:58:37 +0000

[Medicine 2.0 submission] Kevin Clauson (@kevinclauson) submitted 'Web 2.0-mediated Blended Learning: Separating Fact from Fiction'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 19:32:53 +0000

[Medicine 2.0 submission] Gary Schwitzer (@garyschwitzer) submitted 'Online Grading of Health News Reporting: >2,500 Stories in 3 Nations'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 18:34:37 +0000

[Medicine 2.0 submission] Chris Tysiaczny submitted 'Professional Portal to Client Portal – The Evolution of ProblemGambling.ca'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 17:39:29 +0000

[Medicine 2.0 submission] Paula Hucko submitted 'Social Healthcare Networks - Leveraging Social Networking Technologies and Approaches to Connect Patients and Clinicians'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 17:03:00 +0000

[Medicine 2.0 submission] Robert Murray submitted 'Betting on the Net: The Development of Www.ProblemGambling.ca'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 15:49:10 +0000

[Medicine 2.0 submission] Haidy Nasief submitted 'Development of an Xbee®- Based Wireless Electrocardiogram'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 15:43:49 +0000

[Medicine 2.0 submission] Jean Dumas submitted 'Internet-based Health Promotion Programs for Sexual Minorities in Canada: a Study of the Components, Objectives and Future Developments'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 13:27:59 +0000

[Medicine 2.0 submission] Chen Luo submitted 'Facebook: An Innovative Influenza Pandemic Early Warning System'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 14 May 2009 12:01:31 +0000

[Medicine 2.0 submission] Louise Walker submitted 'CAN-ADAPTT - Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-Informed Tobacco Treatment'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 13 May 2009 17:33:08 +0000

[Medicine 2.0 submission] Madalyn Marcus submitted 'What Are Young Adults Saying About Mental Health? a Qualitative Analysis of Internet Blogs'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 13 May 2009 15:54:27 +0000

[Medicine 2.0 submission] Ryoma Seto (@setoryoma) submitted 'Information Requirements of Citizens Using Hospital Information Services Provided by Prefectural Governments'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 13 May 2009 02:44:44 +0000

[Medicine 2.0 submission] Nienke Nijhof submitted 'Ambient Assisted Living (AAL) For Dementia Patients And Their Caregivers: Effects On Care Coordination and Monitoring Sleep/Wake Rhythm'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 12 May 2009 20:10:30 +0000

[Medicine 2.0 submission] Alex Savic submitted 'Transformational Internet Technologies for Pharmacies'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Mon, 11 May 2009 12:47:54 +0000

[Medicine 2.0 submission] Hope Leman (@hleman) submitted 'ScanGrants: Reaching Out to Researchers in the Health Sciences'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Mon, 11 May 2009 12:41:03 +0000

[Medicine 2.0 submission] Keith Kaplan (@tissuepathology) submitted 'What It Means to Be a Physician Blogger'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Mon, 11 May 2009 02:27:50 +0000

[Medicine 2.0 submission] Gayatri Singh submitted 'Effective Use of Popular Internet Video Broadcast Site Youtube for Dissemination of Information about the Potential Pandemic of H1N1 Influenza'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Mon, 11 May 2009 01:52:26 +0000

[Medicine 2.0 submission] Gayatri Singh submitted 'Effective Use of Popular Internet Video Broadcast Site Youtube for Dissemination of Information about the Potential Pandemic of H1N1 Influenza'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sun, 10 May 2009 00:24:27 +0000

[Medicine 2.0 submission] Eustache Muteba Ayumba submitted 'Information System Specification and Description Language Based on Temporal and Semantic Analysis'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sat, 09 May 2009 08:35:55 +0000

[Medicine 2.0 submission] Lawrence Sherman (@meducate) submitted 'CME/CPD 2.0 Are We Close?'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 08 May 2009 16:13:18 +0000

[Medicine 2.0 submission] Jeana Frost submitted 'Patients Informing Practice: Post-Marketing Drug Data in PatientsLikeMe, an Patient-Centered Online Community (closing keynote - winner of the JMIR Medicine 2.0 Award 2009)'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 08 May 2009 15:17:07 +0000

[Medicine 2.0 submission] Enrique De Andrés Galiana submitted 'Bikmas 2.0: a BIomedical Knowledge Management Antenna System'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Fri, 08 May 2009 12:34:30 +0000

[Medicine 2.0 submission] Julia Bailey submitted 'Computer-Based Interventions for Sexual Health: a Systematic Review'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 06 May 2009 16:13:59 +0000

[Medicine 2.0 submission] Shabbir Syed Abdul submitted 'Access to Your EMR/PHR on Your Mobile Phone'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Wed, 06 May 2009 06:58:30 +0000

[Medicine 2.0 submission] Robyn Whittaker submitted 'STUB IT: an RCT of a multimedia mobile phone smoking cessation intervention'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 05 May 2009 04:43:04 +0000

[Medicine 2.0 submission] Carol Bond submitted 'How can web 2.0 help patients to educate their doctors?'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sat, 02 May 2009 22:50:22 +0000

[Medicine 2.0 submission] Nilesh Chandra submitted 'ROI - a methodology for identifying, prioritizing and agreeing the right technologies to invest'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 30 Apr 2009 22:42:39 +0000

[Medicine 2.0 submission] Gunilla Lööf submitted 'www.narkoswebben.se/Age-specific web-based information to prepare children and parents for anaesthesia and surgery'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 30 Apr 2009 19:32:29 +0000

[Medicine 2.0 submission] Pierre Pluye submitted 'The Information Assessment Method can help Information Providers to Integrate Health Professionals’ Constructive Feedback into the Management of Electronic Knowledge Resources'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Thu, 23 Apr 2009 00:43:12 +0000

[Medicine 2.0 submission] Michele Giacobazzi submitted 'Design and Implementation of a Web-based Tailored Gymnasium to Enhance Self-management of Fibromyalgia'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Tue, 21 Apr 2009 11:54:05 +0000

[Medicine 2.0 submission] Fenne Verhoeven submitted 'From expert-driven to user-oriented communication of infection control guidelines'

Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health — Sun, 19 Apr 2009 15:17:43 +0000

[Web/Blog]Medicine 2.0 Congress: A Commitment to a Community of ...

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