This document discusses how web 2.0 tools can be used in healthcare for purposes like staying informed, medical education, collaboration, managing diseases, and sharing data for research. It provides examples of how RSS feeds, podcasts, search tools, and online communities allow medical professionals and the public to access medical information and resources. The document also describes how patients can become "e-patients" by using the internet to gather health information and manage their conditions, and how tools like personal health records and electronic health records fit into the model of "Health 2.0".

1. Health 2.0:
RSS, alerts, medical SEs & Google features
Anwarul Islam, PhD
anwarpulak@gmail.com
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2. http://electronicportfolios.com/web2/class/web-2.0-concept.jpg
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3. Web 2.0 in Health Care
Purpose
Case example in
academic literature
Users
All (medical professionals
and public)
Staying informed
RSS, Podcasts and search
tools
Medical education
How podcasts can be used on
the move to increase total
All (medical professionals
available educational time or
the many applications of these and public)
tools to public health
Collaboration and practice
Google searches revealed the
correct diagnosis in 15 out of
26
cases
(58%,
95% Doctors, Nurses
confidence interval 38% to
77%) in a 2005 study[19]
3

4. Web 2.0 in Health Care
Purpose
Case example in
academic literature
Users
Managing a particular
disease
Shown that patients have different
patterns of usage depending on if
they are newly diagnosed or
managing a severe long-term
illness. Long-term patients are more
likely to connect to a community in
Health 2.0
Sharing data for research
Disease specific communities
for patients with rare conditions
aggregate data on treatments,
symptoms, and outcomes to All (medical professionals
improve their decision making and public)
ability and carry out scientific
research such as observational
trials
Public
4

5. e-Patient
• An e-patient (also known as Internet
patient, or Internet-savvy patient) is a
health consumer who uses the Internet to
gather information about a medical
condition of particular interest to them, and
who use electronic communication tools
(including Web 2.0 tools) in coping with
medical conditions.
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6. e-Patients
e-Patients are increasingly active in their care•
Equipped with the skills to manage their own condition.
•
Enabled to make choices about self-care and those choices are
respected.
•
Empowered
•
Engaged patients are engaged in their own care
•
Equals in their partnerships with the various physicians involved in
their care
•
Emancipated
•
Expert patients can improve their self-rated health status, cope
better with fatigue and other generic features of chronic disease
such as role limitation, and reduce disability and their dependence
on hospital care.
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7. Health 2.0 Model
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8. Health 2.0
Health 2.0= web
2.0 + healthcare
(focusing on
shaping
healthcare with
web 2.0 tools and
concepts)
PHR: Personal Health
Record
CHR: Clinical Health
Record
HER: Electronic Health
Record
NHR: National Health
Record
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9. Health 2.0
Health 2.0 (as well as the closely related concept
of Medicine 2.0 are terms representing the
possibilities between health care, e-Health and
Web 2.0, and has come into use after a recent
spate of articles in newspapers, and by
Physicians and Medical Librarians.
Health 2.0 defines the combination of health data
and health information with (patient) experience
through the use of ICT, enabling the citizen to
become an active and responsible partner in
his/her own health and care pathway.
http://en.wikipedia.org/wiki/Medicine_2.0
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10. Medicine 2.0
Medicine 2.0 is the use of a specific set of
Web tools (blogs, Podcasts, tagging,
search, wikis, etc) by actors in health care
including doctors, patients, and scientists,
using principles of open source and
generation of content by users, and the
power of networks in order to personalize
health care, collaborate, and promote
health education.
http://healthinformaticist.wordpress.com/200
8/08/08/medicine-20-definition/
10

11. Medicine 2.0
Medicine 2.0=
web 2.0 +
medicine
(focusing on
doctor-patient
communicatio
n and
technologies)
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12. 12

13. 13

14. Telemedicine
• African villagers used smoke signals to
warn people to stay away from the village
in case of serious disease.
• In the early 1900s, people living in remote
areas of Australia used two-way radios,
powered by a dynamo driven by a set of
bicycle pedals, to communicate with
the Royal Flying Doctor Service of
Australia.
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15. Telemedicine ……
•
Since1960s, when astronauts first went into space. In fact, NASA
built telemedicine technology into early spacecraft and spacesuits to
monitor astronauts' physiological parameters.
•
1964: Under a grant from the U.S. National Institute for Mental
Health (NMH), the Nebraska Psychiatric Institute began using a twoway closed-circuit TV link between the Institute itself and Norfolk
State Hospital about 112 miles away.
•
1967: A medical station was established at Boston's Logan
International Airport and linked to Massachusetts General Hospital
(MGH), miles away within the city of Boston. 24 hrs, using a two-way
microwave audio/video link.
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16. Telemedicine …
•
1971: The U.S. National Library of Medicine's Lister Hill National
Center for Biomedical Communication chose 26 sites in Alaska to
verify the reliability of telemedicine via satellite communications.
NASA's ATS-1 satellite was used for this experiment.
•
1972: NASA began trial runs of its Space Technology Applied to
Rural Papago Advanced Health Care (STARPAHC) program for
telemedical help for people living in remote locations with little or no
medical services.The program lasted until 1975.
•
1972: The Health Care Technology Division of the U.S. Department
of Health, Education and Welfare (HEW) funded seven telemedicine
research and demonstration projects.
•
The next year, the U.S. National Science Foundation (NSF) funded
two more telemedicine projects: the Boston Nursing Home project
for geriatric patients, and the Miami-Dade project between Florida's
Dade County and Miami's Jackson Memorial Hospital.
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17. Telemedicine ….
•
1977: Canada's Memorial University of Newfoundland participated
in a Canadian Space Program for distance education and medical
care, using the joint Canadian/U.S. Hermes satellite.
•
1984: The North-West Telemedicine project was set up in Australia
to pilot test the Australia government's Q-Network satellite
communications network. The project's goal was to provide health
care to people in five remote towns south of the Gulf of Carpentaria.
•
1989: After a massive earthquake hit the Soviet Republic of
Armenia, the U.S. offered the Soviet Union, under the auspices of
the U.S./U.S.S.R. Joint Working Group on Space Biology, use of a
one-way international telemedicine network for consultations
between Yerevan, Armenia, and four medical centers in the U.S.
The Space Bridge program was later extended to Ufa, Russia.
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18. Specialist care delivery by TM
•
Telecardiology
•
Telepsychiatry
•
Teleradiology
•
Telepathology
•
Teledermatology
•
Teledentistry
•
Tele-audiology
•
Telesurgery
•
Enabling technologies
•
Videotelephony
•
Health information technology
Source : http://en.wikipedia.org/wiki/Telemedicine
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19. Medical Search Engines
OmniMedicalSearch.com. Gathering information from many of the top
medical professional sites such as PubMed, NIH, and Merck, this
search engine provides information from peer level sources.
Partnered with Healthline.com and Google Custom Search, the
results offered are from a full search engine. They also offer a
"reference desk of hard-to-find medical resources.“
URL: http://www.omnimedicalsearch.com/
Welch Medical Library. While this site is specifically for those
associated with Johns Hopkins Medical Institutions, it offers a
search feature for articles published in medical journals and
online. Many of the full articles are available for a fee, while others
are free of charge. In addition to the powerful search engine, they
also have Subject Guides under the "eResources" section that
offers links to topics ranging from Alternative Medicine to Grants
and Funding to Writing and Publishing.
URL: http://www.welch.jhu.edu/index.cfm
ClinicalTrials.gov. Search this world wide registry of "federally and
privately supported clinical trials." Search almost 57,000 trials by
condition, drug intervention, sponsor, or location. There is also a
link for professionals who want to register their trials with this site.
URL: http://www.clinicaltrials.gov/
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20. Medical Search Engines
Intute. Out of the U.K., this site offers searches on a wide variety
of topics under medicine, nursing/midwifery, medical history,
and other fields in the health sciences. They also provide links
to a handful of resource brochures and training site tutorials.
URL: http://www.intute.ac.uk/medicine/
Healthline. Search for diagnoses and treatments while staying on
top of health and wellness with this medical site. Healthline
searches the best of the health sites available on the Internet,
reducing your search time. Browse by topic or use their
keyword search. Also visit the top 10 diagnostic tests or
browse their dictionaries.
URL: http://www.healthline.com/
HighWire Press. This database provides access to most of the
major news and research publications in the life sciences.
Almost half of the full-text articles available are free of charge.
URL: http://highwire.stanford.edu/
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21. Medical Search Engines
PubMed. Sponsored by the U.S. National Library of Medicine and the
National Institutes of Health, this database provides access to citations
going back for the past 40 years. You must register (free) with NCBI
before having access to this powerful search engine.
URL: http://www.ncbi.nlm.nih.gov/pubmed/
Entrez. Hosted by NCBI, this life sciences search engine allows for
searches in PubMed, Human Genome, GenBank, Mapviewer, and
BLAST. Additionally, you can search across all the available databases
which gather information from journal articles, books, online books, and
more.
URL: http://www.ncbi.nlm.nih.gov/sites/gquery
eMedicine. A part of WebMD, this site is geared to the medical
professional. Describing itself as an "open access comprehensive
medical textbook," eMedicine offers over 6,500 clinical articles written by
contributing physicians. eMedicine also offers free accredited CME
courses for physicians.
URL: http://emedicine.medscape.com/
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22. Medical Search Engines
MedBioWorld. Geared toward medical professionals and those in the
biotechnology field, this search engine finds information from journals,
organizations, and databases. Use their tools, directories, dictionaries,
and read the blog for even more information. They also offer a search
within Reuter’s Health and Medical News.
URL: http://www.medbioworld.com/
HONMedhunt. Not only can you search for specific topics on any
imaginable health topic, but once your results pop up in the window,
you can click on different tabs to find conference information, news, and
images that relate to your query without re-typing the keyword. Since
this site is sponsored by the UN, you may receive results in French,
Spanish, or Chinese as well as English.
URL: http://www.hon.ch/HONsearch/Patients/medhunt.html
Antibiotic Guide. Browse this guide by specific antibiotics, diagnosis,
pathogens, management, and vaccines. Look for free, updated CME
programs that are also available.
URL: http://www.hopkinsguides.com/hopkins/ub
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23. Medical Search Engines
Electronic Orange Book. Updated daily, this online resource
monitors generic prescription drugs and posts updates with new
generic drug approvals, application approvals, discontinuations,
patents, and exclusivity information. Use one of five different
search types to find the medicine you want to learn about.
URL: http://www.accessdata.fda.gov/scripts/cder/ob/default.cfm
American Hospital Directory. Working in any field in the health
profession, having access to information for hospitals is always
handy. Keep this search nearby for the next time you need to
contact a hospital anywhere in America. Search for hospitals by
area code, zip code, or by city and state.
URL: http://www.ahd.com/freesearch.php
PubGene. Specifically geared to searches for genes and proteins,
this search engine relies on text mining PubMed articles to find
any source with a specific gene or protein mentioned in it. For
any researcher or physician working in genetics, this search
engine will keep up with all that is happening in the field for you.
Search by organism, gene/protein, or biological term.
URL: http://www.pubgene.org/
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24. Medical Search Engines
MedicalStudent.com. Ignore the name, this site isn’t just for medical
students. This free and incredibly comprehensive site provides links to
online medical textbooks, medical journals, continuing education/board
exam information, and more. Check out their page of awards, reviews,
and comments.
URL: http://www.medicalstudent.com/
Journal Watch. Monitoring 350 medical journals, this site offers both journal
searches as well as short, daily email updates. Choose between Primary
Care Physician, Cardiology, Gastroenterology, and other specialties to
specialize the content according to the type of medicine you practice. For
other healthcare professionals, they also offer subscriptions for nonphysicians as well. URL: http://www.jwatch.org/
MDLinx.com. This site reviews over 1200 journals and provides a search by
specialties and subspecialties. In addition, they offer conference and job
listings. You must register, but it is free of charge. Medical professionals
and laypersons alike may sign up for newsletters within their specialty.
URL: http://www.mdlinx.com/
Medscape. For both professionals and non-professionals, Medscape offers
searches in a number of databases. They also offer specialized sections
for non-physician professionals such as pharmacists, med students, and
nurses, as well as a specialty section with information that is specialtyspecific. Registration is required, but is free of charge.
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URL: http://www.medscape.com/

25. Google Search
Tips
Phrase search ("")
By putting double quotes around a set of words, you are telling Google
to consider the exact words in that exact order without any change.
For example, a search for [ "Alexander Bell" ] (with quotes) will miss the
pages that refer to Alexander G. Bell.
Search within a specific website (site:)
Google allows you to specify that your search results must come from a
given website. For example, the query [ iraq site:nytimes.com ] will
return pages about Iraq but only from nytimes.com.
The simpler queries [ iraq nytimes.com ] or [ iraq New York Times ] will
usually be just as good, though they might return results from other
sites that mention the New York Times. You can also specify a whole
class of sites, for example [ iraq site:.gov ] will return results only from
a .gov domain and [ iraq site:.iq ] will return results only from Iraqi sites.
http://www.google.com/support/websearch/bin/static.py?
hl=en&page=guide.cs&guide=1221265&answer=136861&rd=1
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26. Google Search
Tips
•
•
Fill in the blanks (*)
•
•
Search exactly as is (+)
The *, or wildcard, is a little-known feature that can be very powerful. If you include
* within a query, it tells Google to try to treat the star as a placeholder for any
unknown term(s) and then find the best matches.
For example, the search [ Google * ] will give you results about many of Google's
products (go to next page and next page -- we have many products). The query
[ Obama voted * on the * bill ] will give you stories about different votes on
different bills. Note that the * operator works only on whole words, not parts of
words.
Google employs synonyms automatically, so that it finds pages that mention, for
example, childcare for the query [ child care ] (with a space), or California history
for the query [ ca history ]. But sometimes Google helps out a little too much and
gives you a synonym when you don't really want it. By attaching a + immediately
before a word (remember, don't add a space after the +), you are telling Google to
match that word precisely as you typed it. Putting double quotes around a single
word will do the same thing.
http://www.google.com/support/websearch/bin/static.py?hl=en&page=guide.cs&guide=1221265&answer=136861&rd=1
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27. Google Search
Tips
•
Terms you want to exclude (-)
•
Attaching a minus sign immediately before a word indicates that you do not want pages
that contain this word to appear in your results. The minus sign should appear immediately
before the word and should be preceded with a space.
For example, in the query [ anti-virus software ], the minus sign is used as a hyphen and will
not be interpreted as an exclusion symbol; whereas the query [ anti-virus -software ] will
search for the words 'anti-virus' but exclude references to software. You can exclude as
many words as you want by using the - sign in front of all of them, for example [ jaguar
-cars -football -os ]. The - sign can be used to exclude more than just words. For example,
place a hyphen before the 'site:' operator (without a space) to exclude a specific site from
your search results.
•
•
The OR operator
Google's default behavior is to consider all the words in a search. If you want to specifically
allow either one of several words, you can use the OR operator (note that you have to type
'OR' in ALL CAPS).
For example, [ San Francisco Giants 2004 OR 2005 ] will give you results about either one of
these years, whereas [ San Francisco Giants 2004 2005 ] (without the OR) will show
pages that include both years on the same page. The symbol | can be substituted for OR.
(The AND operator, by the way, is the default, so it is not needed.)
http://www.google.com/support/websearch/bin/static.py?hl=en&page=guide.cs&guide=1221265&answer=136861&rd=1
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28. Google Search
Tips
Exceptions
• Search is rarely absolute. Search engines use a variety of techniques to imitate
how people think and to approximate their behavior. As a result, most rules
have exceptions. For example, the query [ for better or for worse ] will not be
interpreted by Google as an OR query, but as a phrase that matches a (very
popular) comic strip. Google will show calculator results for the query [ 34 * 87 ]
rather than use the 'Fill in the blanks' operator. Both cases follow the obvious
intent of the query. Here is a list of exceptions to some of the rules and
guidelines that were mentioned in this and the Basic Search Help article:
Exceptions to 'Every word matters'
• Words that are commonly used, like 'the,' 'a,' and 'for,' are usually ignored
(these are called stop words). But there are even exceptions to this exception.
The search [ the who ] likely refers to the band; the query [ who ] probably refers
to the World Health Organization -- Google will not ignore the word 'the' in the
first query.
• Synonyms might replace some words in your original query. (Adding + before a
word disables synonyms.)
• A particular word might not appear on a page in your results if there is sufficient
other evidence that the page is relevant. The evidence might come from
language analysis that Google has done or many other sources. For example,
the query [ overhead view of the bellagio pool ] will give you nice overhead
pictures from pages that do not include the word 'overhead.'
http://www.google.com/support/websearch/bin/static.py?hl=en&page=guide.cs&guide=1221265&answer=136861&rd=1
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29. Google search features
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30. 30

31. http://scholar.google.com/
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32. https://docs.google.com
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33. http://translate.google.com/?tab=#
33

34. RSS
•
RSS = Really Simple Syndication is a family of web feed formats used to publish
frequently updated works—such as entries, news headlines, audio, and video—in a
standardized format.
•
RSS document (which is called a "feed", "web feed", or "channel") includes full or
summarized text, plus metadata such as publishing dates and authorship.
•
Web feeds benefit publishers by letting them syndicate content automatically.
•
They benefit readers who want to subscribe to timely updates from favored websites
or to aggregate feeds from many sites into one place.
•
RSS feeds can be read using software called an “RSS reader”, "feed reader", or
“aggregator”, which can be web-based, desktop-based, or mobile-device-based.
•
The user subscribes to a feed by entering into the reader the feed's URI or by clicking
a feed icon in a web browser that initiates the subscription process.
•
The RSS reader checks the user's subscribed feeds regularly for new work,
downloads any updates that it finds, and provides a user interface to monitor and read
the feeds.
•
RSS allows users to avoid manually inspecting all of the websites they are interested
in, and instead subscribe to websites such that all new content is pushed onto their
browsers when it becomes available.
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35. RSS History & Variants
The RSS formats were preceded by several attempts at web
syndication that did not achieve widespread popularity. The
basic idea of restructuring information about websites goes
back to as early as 1995, when Ramanathan V. Guha and
other in Apple Computer’s Advanced Technology Group
developed the Meta Content Framework.
There are several different versions of RSS–
–
–
–
–
–
RSS 0.90
RSS 0.91
RSS 0.92
RSS 1.0
RSS 1.1
RSS2.01
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36. What Kind of Information Can be Delivered in
RSS Feeds?
Ego / News Monitoring
Companies or individuals interested in receiving headline news based on a
specific brand or keyword can use RSS feeds to monitor news sources.
Industry-Specific RSS Feed Uses Include
•
Technical professionals in specific industries have also developed RSS feeds
as way to market, promote or communicate within their specific industries. In
many cases, this has expanded their reach and increased communication with
current and prospective customers and clients.
•
RSS feeds can be used by realtors to communicate the time and location for
open houses, announce new property listings or promote decreased mortgage
rates.
•
Content feeds can also be used by universities to communicate sports scores
or event schedules. Computer service professionals can create feeds to notify
clients of potential security breaches, virus risks or outbreaks. Ultimately, RSS
is molded to meet the communication needs of many sectors. Consider how
RSS can benefit your business and supplement your communication needs.
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37. What Kind of Information Can be Delivered in
RSS Feeds?
Blogs Feed
Many blogs are catalogued in an RSS feed, with each blog entry summarized as
a feed item. This makes it easy for visitors to scan blog posts for items of interest.
Article Feed
Articles are often placed into feeds to alert readers when new articles and content
are available. The feed entry is typically an article summary or introduction.
Readers can then ascertain if the article is of interest and read further.
Forum Feed
Many forums now have add-ons that allow participants to receive forum posts via
RSS. The RSS feeds often will show the latest discussion topics; if users are
interested they simply click to enter the forum to participate in the discussion. As
the topic is updated they will see new entries in the RSS feed.
Schedule Feed
Schools, clubs and organizations will often use feeds to communicate meeting
times, places and events that might be occurring. The RSS feeds are often used
to publicize events, notify the community of schedule changes or meeting
agendas.
Discounts / Specials Feed
Retail and online stores have begun using RSS feeds to deliver their latest
specials and discounted offers. Some online retailers have taken this a step
further, allowing users to create their own feeds based on keywords or phrases.
37

38. What are the benefits to having an RSS feed?
RSS is beneficial to both publishers and website visitors. To
keep things simple I have listed just a few of the benefits
for both publishers and website visitors.
RSS benefits for publishers:
1. Reaching new audiences through syndication
2. Improved search engine optimization
3. Easier and less expensive vehicle for communication
than email.
4. Additional way to communicate with customers or
potential customers.
RSS benefits for website visitors:
1. Website visitors do not have to release personal
information in order to subscribe to an RSS feed.
2. 100% opt-in, users control the content they wish to
receive.
3. Faster method for scanning content (saves time)
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39. How 2 subscribe RSS
Find the RSS icon or button and subscribe.
• Websites and blogs that have feeds want you to
subscribe. They provide buttons like those seen
below.
The process is:
• Right click on the RSS icon or button.
• Select Copy Link Location to copy the URL of
the feed.
• Go to your RSS Feed Reader.
• Paste the URL into your Feed reader.
39

40. RSS symbols
40
http://rss-tutorial.com/rss-how-to-subscribe-to-feeds.htm

41. How 2 subscribe RSS
http://www.youtube.com/watch?v=6q3pzmIausQ
41

42. 42

43. Medicine Net.com
http://www.medicinenet.com/rss/article.htm
43

44. Medicine Net.com
http://www.medicinenet.com/rss/article.htm
44

45. Medical news today feeds
45
http://www.medicalnewstoday.com/index.php?page=newsfeed

46. rss4medics.com
http://www.rss4medics.com/directory.html46

47. rss4medics.com
Cancer & Oncology RSS Feeds
http://www.rss4medics.com/rss_directory/cancer_feeds.html
47

48. http://www.mayoclinic.com/health/rss/rss
48

49. 49

50. 50

51. http://www.google.com/alerts
51

52. 52

53. 53

54. THANKS
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