The Internet and other technologies are increasing opportunities for people to access health information. The Internet is significant in mediating the relationship between information and involvement in one’s own health care. Exchanges about health on the Internet are not just about disseminating information, or packaged health messages, but often involve linking to a shared community. Participation in health-related online social networks provides valuable support. A digital divide still exists, however the widespread acceptance of wireless communication and technologies by consumers who currently don’t have access to the Internet suggests that we should not underestimate the potential audience for technology innovation.
Name:: Danielle De Jager-Loftus
Institution:: The University of South Dakota. I.D. Weeks and Lommen Health Science Libraries
Columbia University Medical Center Social Media for Health Care Professionals...Doug Levy
Slides used during presentations at the first CUMC/ColumbiaDoctors Social Media Conference, held on Aug. 8, 2013. Speakers included Sree Sreenivasan, Ivan Oransky, Doug Levy, Gina Czark, Azra Raza, Skeptical Scalpel, Tamar Schiller, Michele Hoos.
Online Physician Reputation Management: Navigating and Succeeding in the New...Aaron Watkins
I presented recently at the Johns Hopkins Medicine Community Division Medical Staff Leadership Retreat along with Senior Vice President of Marketing and Communications to raise awareness of trends related to Physician Reputation Management. The presentation includes tips to physicians on how they could individually approach using limited resources and introduced a few additional resources and approaches which they might pursue. Afterwards, we followed with discussion of how the health system could approach with broad strategy.
Using “Web 2.0” to Deliver Diabetes Education and Address Local Needs
American Association of Diabetes Educators 36th Annual Meeting, August 2009
Ginny Burns* CDE RN MEd, Grant Sunada MPH, Brenda Ralls PhD
*Presenter
A slideshow providing a brief overview to different online health information sources, considering the advantages and disadvantages of each. Part of a LibGuide tutorial.
Incorporating Social Media into the Clinical Trial ProcessKatja Reuter, PhD
This presentation highlights approaches that help research teams to leverage digital approaches, in particular social media, to support their clinical studies -- from education and recruitment to retention and reporting back results. The talk highlights online tools such as an institutional Clinical Studies Directory and Trial Promoter (http://trialpromoter.org). The talk also highlights some of the regular challenges and how to best address them.
Columbia University Medical Center Social Media for Health Care Professionals...Doug Levy
Slides used during presentations at the first CUMC/ColumbiaDoctors Social Media Conference, held on Aug. 8, 2013. Speakers included Sree Sreenivasan, Ivan Oransky, Doug Levy, Gina Czark, Azra Raza, Skeptical Scalpel, Tamar Schiller, Michele Hoos.
Online Physician Reputation Management: Navigating and Succeeding in the New...Aaron Watkins
I presented recently at the Johns Hopkins Medicine Community Division Medical Staff Leadership Retreat along with Senior Vice President of Marketing and Communications to raise awareness of trends related to Physician Reputation Management. The presentation includes tips to physicians on how they could individually approach using limited resources and introduced a few additional resources and approaches which they might pursue. Afterwards, we followed with discussion of how the health system could approach with broad strategy.
Using “Web 2.0” to Deliver Diabetes Education and Address Local Needs
American Association of Diabetes Educators 36th Annual Meeting, August 2009
Ginny Burns* CDE RN MEd, Grant Sunada MPH, Brenda Ralls PhD
*Presenter
A slideshow providing a brief overview to different online health information sources, considering the advantages and disadvantages of each. Part of a LibGuide tutorial.
Incorporating Social Media into the Clinical Trial ProcessKatja Reuter, PhD
This presentation highlights approaches that help research teams to leverage digital approaches, in particular social media, to support their clinical studies -- from education and recruitment to retention and reporting back results. The talk highlights online tools such as an institutional Clinical Studies Directory and Trial Promoter (http://trialpromoter.org). The talk also highlights some of the regular challenges and how to best address them.
Companies can leverage social media to drive business and compete effectively in the new era of health care. But what do you need to know before jumping in or expanding your efforts? What considerations do medical technology marketing professionals need to take into account when implementing a strategic social-media plan?
Part one of our five-part series outlines how medical technology professionals can use social media in a regulated environment. Even more importantly, it gives readers the supporting evidence needed to recommend specific social-media strategies to management and internal legal and regulatory teams.
After introduction of online health resources, there have emerged many group websites offering reliable health information. But do you think these sites can be trusted? Learn more!
Learn more about the social media ecosystem surrounding healthcare, with perspectives on companies, physicians, employees and patients. This presentation was given to a graduate class in the University of St. Thomas Health Care Communications Masters Program, June 2016.
A study which chillingly lays bare the “public health crisis” that arose over a decade in the United States because of excessive alcohol consumption has received severe criticism for relying on comprised data to arrive at that conclusion. It has been criticized by some experts and the Distilled Spirits Council (DSC) for being less consistent, and for not including young adults aged below 18 years, who are increasingly taking to alcohol in America.
Lee Rainie, Director of the Pew Internet Project, will describe the Project’s research on how patients and caregivers seek health information in the digital age and he will describe how people fit librarians into their general information needs as well as their specific health needs.
Social media and people with HIV. Results from an Italian surveyGiuseppe Fattori
As it is evident from the literature, the use of Internet, particularly Web 2.0 in
healthcare, is now under debate. Mainly, in Italy there is a shortage of specific studies concerning
the use of social media and new technologies in the infectious disease field, particularly in HIV/AIDS.
In order to explore this issue, we carried out a survey to understand how, today, the use of new
media could influence the behaviour of people living with HIV (PLWH) and their physician-patient
relationship.
Telehealth allows patients to have visits with health care providers remotely using video technology. Such visits are increasingly available and have the potential to make health care more accessible and convenient for patients. In May 2019, the University of Michigan National Poll on Healthy Aging asked a national sample of adults age 50–80 about their experiences with and opinions of telehealth.
This presentation tells the story of the pilot project at MD Anderson Cancer Center where we empowered two physician liaisons to use Twitter as part of their daily routine - significantly expanding their reach.
A Special Course delivered at the AADE 2013 annual conference, Tuesday, August 6, 2013.
PRESENTERS:
* David Edelman, Diabetes Daily (@DavidTalk, @DiabetesDaily)
* Manny Hernandez, Diabetes Hands Foundation (@AskManny, @DiabetesHF)
* Amy Tenderich, MA, DiabetesMine.com (@AmyDBMine, @DiabetesMine)
* Hope Warshaw, MMSc, RD, CDE, BC-ADM, Hope Warshaw Associates, LLC (@HopeWarshaw)
Co-Facilitators during the Genius Bar segment:
* Bennet Dunlap (@badshoe)
* Mila Ferrer, Jimmy Ferrer (@Dulce_Guerrero)
* Brian Cohen
* Catherine Price (@Catherine_Price)
* Deborah Greenwood (@DebGreenwood)
* Dominika Murphy (@DominikaMPH)
* Jill Weisenberger (@nutritionjill)
With the rise of social media, persons with diabetes are increasingly engaging online. It's time for more diabetes educators to step up their social media skills and engagement — for job security. Don't be left behind! Join our panel of social media experts to learn the latest about social media platforms and best practices for engagement. Determine social media goals through a self-assessment process and hands-on help.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.There are a total of thirteen hospitals included in this review. These facilities have implemented vitals capture and the MEWS scoring system.
Companies can leverage social media to drive business and compete effectively in the new era of health care. But what do you need to know before jumping in or expanding your efforts? What considerations do medical technology marketing professionals need to take into account when implementing a strategic social-media plan?
Part one of our five-part series outlines how medical technology professionals can use social media in a regulated environment. Even more importantly, it gives readers the supporting evidence needed to recommend specific social-media strategies to management and internal legal and regulatory teams.
After introduction of online health resources, there have emerged many group websites offering reliable health information. But do you think these sites can be trusted? Learn more!
Learn more about the social media ecosystem surrounding healthcare, with perspectives on companies, physicians, employees and patients. This presentation was given to a graduate class in the University of St. Thomas Health Care Communications Masters Program, June 2016.
A study which chillingly lays bare the “public health crisis” that arose over a decade in the United States because of excessive alcohol consumption has received severe criticism for relying on comprised data to arrive at that conclusion. It has been criticized by some experts and the Distilled Spirits Council (DSC) for being less consistent, and for not including young adults aged below 18 years, who are increasingly taking to alcohol in America.
Lee Rainie, Director of the Pew Internet Project, will describe the Project’s research on how patients and caregivers seek health information in the digital age and he will describe how people fit librarians into their general information needs as well as their specific health needs.
Social media and people with HIV. Results from an Italian surveyGiuseppe Fattori
As it is evident from the literature, the use of Internet, particularly Web 2.0 in
healthcare, is now under debate. Mainly, in Italy there is a shortage of specific studies concerning
the use of social media and new technologies in the infectious disease field, particularly in HIV/AIDS.
In order to explore this issue, we carried out a survey to understand how, today, the use of new
media could influence the behaviour of people living with HIV (PLWH) and their physician-patient
relationship.
Telehealth allows patients to have visits with health care providers remotely using video technology. Such visits are increasingly available and have the potential to make health care more accessible and convenient for patients. In May 2019, the University of Michigan National Poll on Healthy Aging asked a national sample of adults age 50–80 about their experiences with and opinions of telehealth.
This presentation tells the story of the pilot project at MD Anderson Cancer Center where we empowered two physician liaisons to use Twitter as part of their daily routine - significantly expanding their reach.
A Special Course delivered at the AADE 2013 annual conference, Tuesday, August 6, 2013.
PRESENTERS:
* David Edelman, Diabetes Daily (@DavidTalk, @DiabetesDaily)
* Manny Hernandez, Diabetes Hands Foundation (@AskManny, @DiabetesHF)
* Amy Tenderich, MA, DiabetesMine.com (@AmyDBMine, @DiabetesMine)
* Hope Warshaw, MMSc, RD, CDE, BC-ADM, Hope Warshaw Associates, LLC (@HopeWarshaw)
Co-Facilitators during the Genius Bar segment:
* Bennet Dunlap (@badshoe)
* Mila Ferrer, Jimmy Ferrer (@Dulce_Guerrero)
* Brian Cohen
* Catherine Price (@Catherine_Price)
* Deborah Greenwood (@DebGreenwood)
* Dominika Murphy (@DominikaMPH)
* Jill Weisenberger (@nutritionjill)
With the rise of social media, persons with diabetes are increasingly engaging online. It's time for more diabetes educators to step up their social media skills and engagement — for job security. Don't be left behind! Join our panel of social media experts to learn the latest about social media platforms and best practices for engagement. Determine social media goals through a self-assessment process and hands-on help.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.There are a total of thirteen hospitals included in this review. These facilities have implemented vitals capture and the MEWS scoring system.
Guest lecture, delivered to masters students at Università Ca' Foscari Venezia, Italy, covering digital marketing, social media, mobile and e-learning technologies. Prepared and delivered April 2011.
Study of Today's Technology and Technology from the movie - SurrogatesArare Davidson
The Study of Technology from the movie - Surrogates
consist of 3 interesting points.
1. Realistic Humanoid
2. Thought controlled robotic
3. Surrogates in daily life
Hidden careers in the business field: There is such a demand in the technological field that most employers are willing to hire and train employees with certain soft skills such as critical thinking, customer service, good attitude, and willingness to learn new things. Folks who have worked in marketing, customer service, and sales of any kind don't think of a career in Information Technology, but it's easier than they think it is to get very good paying jobs in this field because of the severe lack in applicants that the industry faces.
Getting college credit for certifications you already hold, and for life experience (experiential learning).
Trying classes before you commit to college debt.
Paying for school.
Education in the Field of Technology - A presentation for (ISC)2 Maine ChapterColleen Ruggelo
Hidden careers in the Business Field. Most people who have worked in customer service, marketing, or sales don't think about a career in the Technology field. However most employers in IT or Cybersecurity are eager to hire folks who have soft skills such as good customer service, critical thinking, and a willingness to learn.
Earn college credit through your life/work experience and industry certificates that you already have. Earn industry certificates through college courses.
Try classes out before you take on college debt.
Reduce your college debt while going through school.
Explore careers you haven't considered before in your field.
Business to business training and development partnerships.
Transportation is the key object in every business. The technology and their possible outcomes in near by future are explained over here. What could be the future technology and the possibilities in India ?
Innovative Technology is the problem solving agent for major tourism actors, including diverse facilitators,motivators and end users, who are driven by the need of 6S, namely Self, Search, Selection, Sense, Score and Share. Technology is re shaping the process of tourism development, management, planning and marketing.
U.S. adults living with chronic disease are significantly less likely than healthy adults to have access to the internet (62% vs. 81%). The internet access gap creates an online health information gap. However, lack of internet access, not lack of interest in the topic, is the primary reason for the difference. Once online, having a chronic disease increases the probability that someone will take advantage of social media to share what they know and learn from their peers.
This is a short presentation focused on open ethical questions/dilemmas of the usage of the Web 2.0 by the e-Patients.
This is a presentation delivered in the Seminar "The ePatient: Ethical challenges" organized by Bioethics research group of the NTNU (Trondheim, Norway) http://www.bioethics.ntnu.no
Online patients: characteristics and behaviour on health social networks - fe...Ricardo Sousa
Health social networks are created to allow patients to interact online.
In this presentation i cover some of the topics related to online health social networks: patient characteristics, criteria for user segmentation, and actual behaviour. I present a series of results related to actual search behaviour, user characteristics, self-tracking and patient quantified-self status, emotional content vs data, behavioural modification status, and comparability of online patient populations and offline populations.
Presented in the context of Vitanect.com activity.
Google is not a doctor and so we don't complete (just a clarification regarding the title given to me by the conference organizers). Presentation at the annual convention of the Philippine Society of Nephrology, 27 April 2019, EDSA Shangrila Hotel.
Susannah Fox's presentation to the Health 2.0 Conference on 4/23/09. Participatory medicine is taking hold with both citizens and health professionals. But there are still pockets of people who lack access to the basic technology, lack the skills required to participate, or who may lack the sense that they are welcome.
Nothing in our world is changing as quickly as healthcare. Patients are using search, social media and apps to diagnose symptoms, research physicians, schedule appointments, access medical records, connect with other patients and take a more active role in their health. At the same time the tremendous amount of data created by this activity means patients have a much larger digital footprint than ever before. Savvy healthcare marketers can use this data to attract new patients, improve care and collaborate with other healthcare professional. Learn how the patients of today and tomorrow are using technology as a key part of their healthcare and how you can be a bigger part of the Digital Patient Journey.
These are the slides from a talk I gave last year to incoming house officers about professionalism in the world of social media, smart phones, and continual connectedness. We are preparing an accompanying manuscript to this talk which we hope to post soon.
Similar to Mpla 2009 The Impact Of Technology On Searching For Health Danielle De Jager Loftus (20)
Key Trends Shaping the Future of Infrastructure.pdfCheryl Hung
Keynote at DIGIT West Expo, Glasgow on 29 May 2024.
Cheryl Hung, ochery.com
Sr Director, Infrastructure Ecosystem, Arm.
The key trends across hardware, cloud and open-source; exploring how these areas are likely to mature and develop over the short and long-term, and then considering how organisations can position themselves to adapt and thrive.
Essentials of Automations: Optimizing FME Workflows with ParametersSafe Software
Are you looking to streamline your workflows and boost your projects’ efficiency? Do you find yourself searching for ways to add flexibility and control over your FME workflows? If so, you’re in the right place.
Join us for an insightful dive into the world of FME parameters, a critical element in optimizing workflow efficiency. This webinar marks the beginning of our three-part “Essentials of Automation” series. This first webinar is designed to equip you with the knowledge and skills to utilize parameters effectively: enhancing the flexibility, maintainability, and user control of your FME projects.
Here’s what you’ll gain:
- Essentials of FME Parameters: Understand the pivotal role of parameters, including Reader/Writer, Transformer, User, and FME Flow categories. Discover how they are the key to unlocking automation and optimization within your workflows.
- Practical Applications in FME Form: Delve into key user parameter types including choice, connections, and file URLs. Allow users to control how a workflow runs, making your workflows more reusable. Learn to import values and deliver the best user experience for your workflows while enhancing accuracy.
- Optimization Strategies in FME Flow: Explore the creation and strategic deployment of parameters in FME Flow, including the use of deployment and geometry parameters, to maximize workflow efficiency.
- Pro Tips for Success: Gain insights on parameterizing connections and leveraging new features like Conditional Visibility for clarity and simplicity.
We’ll wrap up with a glimpse into future webinars, followed by a Q&A session to address your specific questions surrounding this topic.
Don’t miss this opportunity to elevate your FME expertise and drive your projects to new heights of efficiency.
UiPath Test Automation using UiPath Test Suite series, part 4DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 4. In this session, we will cover Test Manager overview along with SAP heatmap.
The UiPath Test Manager overview with SAP heatmap webinar offers a concise yet comprehensive exploration of the role of a Test Manager within SAP environments, coupled with the utilization of heatmaps for effective testing strategies.
Participants will gain insights into the responsibilities, challenges, and best practices associated with test management in SAP projects. Additionally, the webinar delves into the significance of heatmaps as a visual aid for identifying testing priorities, areas of risk, and resource allocation within SAP landscapes. Through this session, attendees can expect to enhance their understanding of test management principles while learning practical approaches to optimize testing processes in SAP environments using heatmap visualization techniques
What will you get from this session?
1. Insights into SAP testing best practices
2. Heatmap utilization for testing
3. Optimization of testing processes
4. Demo
Topics covered:
Execution from the test manager
Orchestrator execution result
Defect reporting
SAP heatmap example with demo
Speaker:
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
JMeter webinar - integration with InfluxDB and GrafanaRTTS
Watch this recorded webinar about real-time monitoring of application performance. See how to integrate Apache JMeter, the open-source leader in performance testing, with InfluxDB, the open-source time-series database, and Grafana, the open-source analytics and visualization application.
In this webinar, we will review the benefits of leveraging InfluxDB and Grafana when executing load tests and demonstrate how these tools are used to visualize performance metrics.
Length: 30 minutes
Session Overview
-------------------------------------------
During this webinar, we will cover the following topics while demonstrating the integrations of JMeter, InfluxDB and Grafana:
- What out-of-the-box solutions are available for real-time monitoring JMeter tests?
- What are the benefits of integrating InfluxDB and Grafana into the load testing stack?
- Which features are provided by Grafana?
- Demonstration of InfluxDB and Grafana using a practice web application
To view the webinar recording, go to:
https://www.rttsweb.com/jmeter-integration-webinar
GraphRAG is All You need? LLM & Knowledge GraphGuy Korland
Guy Korland, CEO and Co-founder of FalkorDB, will review two articles on the integration of language models with knowledge graphs.
1. Unifying Large Language Models and Knowledge Graphs: A Roadmap.
https://arxiv.org/abs/2306.08302
2. Microsoft Research's GraphRAG paper and a review paper on various uses of knowledge graphs:
https://www.microsoft.com/en-us/research/blog/graphrag-unlocking-llm-discovery-on-narrative-private-data/
Slack (or Teams) Automation for Bonterra Impact Management (fka Social Soluti...Jeffrey Haguewood
Sidekick Solutions uses Bonterra Impact Management (fka Social Solutions Apricot) and automation solutions to integrate data for business workflows.
We believe integration and automation are essential to user experience and the promise of efficient work through technology. Automation is the critical ingredient to realizing that full vision. We develop integration products and services for Bonterra Case Management software to support the deployment of automations for a variety of use cases.
This video focuses on the notifications, alerts, and approval requests using Slack for Bonterra Impact Management. The solutions covered in this webinar can also be deployed for Microsoft Teams.
Interested in deploying notification automations for Bonterra Impact Management? Contact us at sales@sidekicksolutionsllc.com to discuss next steps.
Epistemic Interaction - tuning interfaces to provide information for AI supportAlan Dix
Paper presented at SYNERGY workshop at AVI 2024, Genoa, Italy. 3rd June 2024
https://alandix.com/academic/papers/synergy2024-epistemic/
As machine learning integrates deeper into human-computer interactions, the concept of epistemic interaction emerges, aiming to refine these interactions to enhance system adaptability. This approach encourages minor, intentional adjustments in user behaviour to enrich the data available for system learning. This paper introduces epistemic interaction within the context of human-system communication, illustrating how deliberate interaction design can improve system understanding and adaptation. Through concrete examples, we demonstrate the potential of epistemic interaction to significantly advance human-computer interaction by leveraging intuitive human communication strategies to inform system design and functionality, offering a novel pathway for enriching user-system engagements.
GDG Cloud Southlake #33: Boule & Rebala: Effective AppSec in SDLC using Deplo...James Anderson
Effective Application Security in Software Delivery lifecycle using Deployment Firewall and DBOM
The modern software delivery process (or the CI/CD process) includes many tools, distributed teams, open-source code, and cloud platforms. Constant focus on speed to release software to market, along with the traditional slow and manual security checks has caused gaps in continuous security as an important piece in the software supply chain. Today organizations feel more susceptible to external and internal cyber threats due to the vast attack surface in their applications supply chain and the lack of end-to-end governance and risk management.
The software team must secure its software delivery process to avoid vulnerability and security breaches. This needs to be achieved with existing tool chains and without extensive rework of the delivery processes. This talk will present strategies and techniques for providing visibility into the true risk of the existing vulnerabilities, preventing the introduction of security issues in the software, resolving vulnerabilities in production environments quickly, and capturing the deployment bill of materials (DBOM).
Speakers:
Bob Boule
Robert Boule is a technology enthusiast with PASSION for technology and making things work along with a knack for helping others understand how things work. He comes with around 20 years of solution engineering experience in application security, software continuous delivery, and SaaS platforms. He is known for his dynamic presentations in CI/CD and application security integrated in software delivery lifecycle.
Gopinath Rebala
Gopinath Rebala is the CTO of OpsMx, where he has overall responsibility for the machine learning and data processing architectures for Secure Software Delivery. Gopi also has a strong connection with our customers, leading design and architecture for strategic implementations. Gopi is a frequent speaker and well-known leader in continuous delivery and integrating security into software delivery.
Builder.ai Founder Sachin Dev Duggal's Strategic Approach to Create an Innova...Ramesh Iyer
In today's fast-changing business world, Companies that adapt and embrace new ideas often need help to keep up with the competition. However, fostering a culture of innovation takes much work. It takes vision, leadership and willingness to take risks in the right proportion. Sachin Dev Duggal, co-founder of Builder.ai, has perfected the art of this balance, creating a company culture where creativity and growth are nurtured at each stage.
Encryption in Microsoft 365 - ExpertsLive Netherlands 2024Albert Hoitingh
In this session I delve into the encryption technology used in Microsoft 365 and Microsoft Purview. Including the concepts of Customer Key and Double Key Encryption.
State of ICS and IoT Cyber Threat Landscape Report 2024 previewPrayukth K V
The IoT and OT threat landscape report has been prepared by the Threat Research Team at Sectrio using data from Sectrio, cyber threat intelligence farming facilities spread across over 85 cities around the world. In addition, Sectrio also runs AI-based advanced threat and payload engagement facilities that serve as sinks to attract and engage sophisticated threat actors, and newer malware including new variants and latent threats that are at an earlier stage of development.
The latest edition of the OT/ICS and IoT security Threat Landscape Report 2024 also covers:
State of global ICS asset and network exposure
Sectoral targets and attacks as well as the cost of ransom
Global APT activity, AI usage, actor and tactic profiles, and implications
Rise in volumes of AI-powered cyberattacks
Major cyber events in 2024
Malware and malicious payload trends
Cyberattack types and targets
Vulnerability exploit attempts on CVEs
Attacks on counties – USA
Expansion of bot farms – how, where, and why
In-depth analysis of the cyber threat landscape across North America, South America, Europe, APAC, and the Middle East
Why are attacks on smart factories rising?
Cyber risk predictions
Axis of attacks – Europe
Systemic attacks in the Middle East
Download the full report from here:
https://sectrio.com/resources/ot-threat-landscape-reports/sectrio-releases-ot-ics-and-iot-security-threat-landscape-report-2024/
2. Session Goals
Session Goals
• Health seeking behaviors
Health seeking behaviors
–Online communities of support
–Technology
• Providing consumer health
information / reference tips
information / reference tips
• Questions
3. Current Electronic Health Influences
Current Electronic Health Influences
• 40% of MD’s use at least one of
40% of MD s use at least one of
the these tools:
electronic prescribing
electronic medical records
electronic medical records
remote disease monitoring
• 80% f ll
80% of all patients search for
i hf
health information online
www.pewinternet.org/reports/index.asp
4. Consumer Health Then & Now…
Consumer Health Then & Now…
1972 – Patient Bill of Rights
g
•
2002 – Pew Internet and American Life
•
2006 – “
“Googling for a diagnosis” [BMJ]
f ”
•
2006 – Pew Internet and American Life
•
5. Looking for Information
Looking for Information
• Pew Internet & American Life survey said the top
Pew Internet & American Life survey said the top
four health topics searched online were:
• specific diseases;
• specific medical treatment;
specific medical treatment;
• diet, nutrition and nutritional supplements;
• and exercise or fitness.
d i fit
6. Health Seeker Profile
Health Seeker Profile
• 72 % of Females as compared to 51%
72 % of Females as compared to 51%
of Males
• 71% of those between 50 and 64 years
of age as compared to 53% of those
between 18 and 29 years of age *There
are no significant differences in these
are no significant differences in these
percentages when compared by
ethnicity.
ethnicity
www.pewinternet.org/reports/index.asp
8. How do we use the Internet ?
How do we use the Internet ?
• Growing numbers of internet users look for
Growing numbers of internet users look for
health information
– helps them have better conversations with their
helps them have better conversations with their
doctors
• Big impact on the knowledge of patients
Big impact on the knowledge of patients
• The questions they ask their doctors
• Is therefore changing the doctor‐patient
relationship and the practice of medicine.
www.harrisinteractive.com
9. Google?
• The sight of clinic patients clutching
internet print‐outs fills some doctors
it t i t t fill dt
with dread
Murray E, Lo B, Pollack L, Donelan K, Catania J, White M, et al. The impact of health
information on the internet on the physician‐patient relationship: patient
perceptions. Arch Intern Med. 2003;163:1727‐34
10. Googling for a Diagnosis
Googling for a Diagnosis
• Article was widely reported in the lay
press
• Doctors/ patients could magically
become diagnosticians simply by using
web search engines?
Tang H, Ng JHK. Googling for a diagnosis—use of Google as a diagnostic aid: internet
based study. BMJ. (published 10 November 2006).
11. Googling for a Diagnosis
Googling for a Diagnosis
• Study of ‘mystery illnesses’ in New England
Journal of Medicine case records
• Web search used by experts to ‘fish’ for
information on a rare clinical problem
p
before confirming by more rigorous search
methods
Tang H, Ng JHK. Googling for a diagnosis—use of Google as a diagnostic aid: internet
based study. BMJ. (published 10 November 2006)
12. Google?
• U d i bl th t b th d t
Undeniable that both doctors and d
p
patients use the internet as an
important source of health
information
if i
Cullen RJ. In search of evidence: family practitioners’ use of the Internet for clinical
yp
information. J Med Libr Assoc 2002;90:370‐379
Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW. Patients‘ use of the
Internet for medical information. J Gen Intern Med. 2002;17:180‐5
13. Googling for Health
Googling for Health
• A recent study showed that almost 19%
A recent study showed that almost 19%
percent of youth surveyed had used a general
word search on Google, Wikipedia or Yahoo to
word search on Google Wikipedia or Yahoo to
find information about their health concerns.
• A total of about 3 percent used Health.com,
Plannedparenthood.com or Mayoclinic.com.
Moreno, MA; parks, MR; Zimmerman, FJ; Brito, TE; Christakis, DA. (2009) Display of
Health Risk Behaviors on MySpace by Adolescents: Prevalence and Associations.
Arch Pediatric Adolesc Med., 163, 37‐34
14. Googling for Health
Googling for Health
• Teens don’t really know where to
Teens don t really know where to
look or whom to ask online
• Neither do adults – the 2006 Pew
Internet and American Life report
announced the same results
announced the same results
Moreno, MA; parks, MR; Zimmerman, FJ; Brito, TE; Christakis, DA. (2009) Display of
Health Risk Behaviors on MySpace by Adolescents: Prevalence and Associations.
Arch Pediatric Adolesc Med., 163, 37‐34
15. • The authors of the 2006 Pew
Internet and American Life report
point to the need for online
point to the need for online
health resources with offline
referrals or communities that
incorporate peer advice
incorporate peer advice
Moreno, MA; parks, MR; Zimmerman, FJ; Brito, TE; Christakis, DA. (2009) Display of
Health Risk Behaviors on MySpace by Adolescents: Prevalence and Associations.
Arch Pediatric Adolesc Med., 163, 37‐34
16. Information Age Insight:
Information Age Insight:
quot;Medical knowledge is a social
process: The conversations that
h i h
occur around artifactual data are
f
always more important than the
data themselves.
data themselves quot;
Lester, J. Director of Information Technology, Department of Neurology, Massachusetts
General Hospital.
17. Social Networking
Social Networking
• What is social networking?
at s soc a et o g?
• A social networking Web site provides a
virtual community for people interested in
virtual community for people interested in
a particular subject or just to quot;hang outquot;
together. (PC Magazine)
g ( g )
• MySpace and Facebook are online
community websites that allow friends and
community websites that allow friends and
family to communicate.
18. Internet Support Communities
Internet Support Communities
• These online groups each devoted to a single
These online groups, each devoted to a single
medical topic (e.g., breast cancer or
depression), usually communicate via postings
depression) usually communicate via postings
on Web‐based forums or electronic mailing
lists.
lists
• Participants share their thoughts, feelings, and
experiences, and ask and reply to questions.
experiences and ask and reply to questions
Ferguson T. Found on the net: What e‐Patients do line: A tentative taxonomy. The
Ferguson Report, No. 9, September 2002 .
www.fergusonreport.com/articles/fr00804.htm
19. Internet Support Communities
Internet Support Communities
• They exchange information on medical studies
and clinical trials, discuss current treatment
d li i l i l di
options
• They recommend treatment centers and
professionals with special expertise in the
shared condition.
Ferguson T. Found on the net: What e‐Patients do line: A tentative taxonomy. The
Ferguson Report, No. 9, September 2002 .
www.fergusonreport.com/articles/fr00804.htm
20. Internet Support Communities
Internet Support Communities
• As with “Googling for Diagnoses”, some
As with Googling for Diagnoses some
researchers express concern about
potential for inaccurate info or faddish
t ti l f i t if f ddi h
treatment
• Researchers found there were self‐
correcting mechanisms inherent in many
correcting mechanisms inherent in many
online support groups
Feenberg, A. L., Licht, J. M., Kane, K. P., Moran, K. and Smith, R. A. The online patient
meeting. J Neurol Sci. 1996;139:129–131.
21. Internet Support Communities
Internet Support Communities
• Over 85% of members on a cancer
forum stated contact with others
f ttd t t ith th
who have undergone similar
experiences was the most beneficial
aspect of the forum
aspect of the forum
Fernsler J. I., Manchester L. J. Evaluation of a computer‐based cancer support
network. Cancer practice 1997;5(1):46‐51.
22. • Wh t b t
What about consumers of f
health info that don t have
health info that don’t have
a wireline
a wireline device?
• Studies mentioned are
Studies mentioned are
desktop access…
23. Digital Divide
Digital Divide
• Term has been used to describe
decreased access to information and
communication technologies (ICT),
communication technologies (ICT)
particularly the Internet
–ffor racial and ethnic minorities
i l d th i i iti
– persons with disabilities
– rural populations
l l
– those with low socioeconomic status
Chang Betty L, Bakken Suzanne, Brown S Scott, Houston Thomas K, Kreps Gary L,
Kukafka Rita, Safran Charles, Stavri P Zoe. Bridging the digital divide: reaching
vulnerable populations. J Am Med Inform Assoc. 2004;11(6):448–57
24. Digital Divide
Digital Divide
• Falling Through the Net: Toward Digital
Inclusion reported that Hispanics and
reported that Hispanics and
blacks are significantly less likely than the
national average to own a computer, to
ti l t tt
have Internet access, and to access the
Internet at home
Falling Through the Net: Toward Digital Inclusion—A Report on Americans' Access to
Technology Tools. Washington, DC: National Telecommunications and Information
Administration, 2000.
25. Digital Divide
Digital Divide
• Internet access is increasing at all income
levels, but continues to be significantly higher
levels, but continues to be significantly higher
for those with higher incomes.
• For example 89% of households earning more
For example, 89% of households earning more
than $75,000 have Internet access at home
compared with 55% with household incomes
compared with 55% with household incomes
less than $30,000.
Horrigan J. Pew Internet Project Data Memo. Washington, DC: Pew Internet and
American Life, 2004.
26. Digital Divide
Digital Divide
• Urban use of the Internet
continues to be higher than that
i b hi h h h
in rural areas (65% vs. 48%).
in rural areas (65% vs. 48%).
Horrigan J. Pew Internet Project Data Memo. Washington, DC: Pew Internet and
American Life, 2004.
27. Digital Divide
Digital Divide
•The number of “wired” seniors is
increasing, with 22% using the
i i ih % i h
Internet, and 66% of wired
Internet, and 66% of “wired”
seniors have used the Internet to
search for health information
Fox S. Older Americans and the Internet. Washington, DC: Pew Internet and
American Life, 2004
28. Disparities
•Elimination of health disparities
a major goal for next decade
identified in Healthy People 2010
identified in Healthy People 2010
Office of Disease Prevention and Health Promotion. Healthy People 2010:
Understanding and Improving Health. Washington, DC: Office of Disease Prevention
and Health Promotion (ODPHP), United States Department of Health and Human
Services, 2000.
29. Disparities
• Advisory Commission on Consumer Protection
and Quality in the Health Care Industry
suggested that “telemedicine and similar
innovations … should be assessed as
approaches for improving the access to care
of those facing … barriers to appropriate
care.”
Advisory Commission on Consumer Protection and Quality in the Health Care
Industry. Quality First: Better Health Care for All Americans. Available at:
http://www.hcqualitycommission.gov/final.
30. Mobile Technologies
Mobile Technologies
• At least 62% of all adults owned a mobile phone in 2001
p
and by 2003, 66% of all U.S. households owned mobile
phones.
• A ith ll
As with all costly technologies, there looms the concern of
tl t h l i th l th f
a digital divide.
• Low‐income families are more likely to have no or
y
suboptimal cell phones.
• However, even among families of
underrepresented minorities, the penetration
rate of this technology is high.
Sax U, Kohane I, Mandl KD. Wireless technology infrastructures for authentication of
patients: PKI that rings. J Am Med Inform Assoc 2005;12:(3):263‐268May‐Jun.
31. Mobile Technologies
Mobile Technologies
• Mobile/cordless/DECT phone (Digital
Mobile/cordless/DECT phone (Digital
Enhanced Cordless Technology)
• WI FI/WLAN ( i l l l
WI‐FI/WLAN (wireless local area network)
t k)
• WiMAX (Worldwide Inter‐operability for
Microwave Access)
• Handheld PCs, PDAs, messaging
Handheld PCs, PDAs, messaging
devices, electronic organizers and
smart phones
smart phones
32. Smart Phone
Emulator
http://www.yospace.com/spedemo.html
htt // /d ht l
•Developer edition
•Test your Webpages
33.
34. Mobile Revolution
Mobile Revolution
• Over 850 million/about 14 percent of the
Over 850 million/about 14 percent of the
world population owns one or more
mobile phones
bil h
• Mobile Internet and wireless
technologies have expanded current
Internet sales into more immediate and
Internet sales into more immediate and
personalized mobile environments
Siau, K., & Shen, Z. (2006, June). Mobile healthcare informatics. Medical Informatics &
the Internet in Medicine, 31(2), 89‐99.
35. The Mobile Difference
The Mobile Difference
• “Mobile connectivity is now a powerful
Mobile connectivity is now a powerful
differentiator among technology users. Those
who plug into the information and
who plug into the information and
communications world while on‐the‐go are
notably more active in many facets of digital
notably more active in many facets of digital
life than those who use wires to jack into the
internet and the 14% of Americans who are
and the 14% of Americans who are
off the grid entirely.”
Horrigan J. Technology User Types, Mobile, Digital Divide. Washington, DC: Pew
Internet and American Life, Mar 25, 2009
36. Realities of Health Care Today
Realities of Health Care Today
• Patients are now asked to make
Patients are now asked to make
decisions about their own disease
process.
• Most info consumers do not have the
Most info consumers do not have the
tools to make these kinds of
decisions
• Libraries can help!
Libraries can help!
37. Scenario
• A familiar woman approaches you while you
A familiar woman approaches you while you
are working on the reference desk at a public
library. She tells you that her mercury fillings
have been poisoning her and then hands you
a article she found on the web. She says that
she is trying to decide whether to remove her
hi i d id h h h
fillings and wants some more information to
help her make up her mind. She finishes by
help her make up her mind She finishes by
mentioning that the “other librarian” was no
help at all.
help at all
39. What are some good sources?
What are some good sources?
• Journal of the American Dental Association
Journal of the American Dental Association,
“Dental Amalgam FAQs”
• U.S. Food and Drug Administration, CDRH
Consumer Information, Questions and
Consumer Information “Questions and
Answers on Dental Amalgam”:
http://www.fda.gov/cdrh/consumer/amalgams.html
htt // fd / d h/ / l ht l
40. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
• General Tips for Reference
Interviews
41. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
http://www.nlm.nih.gov/services/guide.html
• Librarians can't answer questions about
individual medical cases or offer medical
advice, because we are not doctors, nurses, or
pharmacists. We can help you find health
information resources.
42. Challenges of the reference interview
in the context of health information
h fh l h f
Not being familiar with the resources
•
Medical terminology
Medical terminology
•
Knowing how much to ask
•
Using open ended questions
•
Being aware of body language
g y gg
•
Others?
•
43. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
• Put together web‐based and
g
print directories of a FEW
consumer health resources
44. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
• Practice compassionate
Practice compassionate
reference: Listen, observe,
empathize
45. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
• Keep information
Keep information
confidential
46. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
•K
Keep personal opinions to
l ii t
yourself
47. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
• Anticipate common
Anticipate common
concerns or worries (i.e.,
(
financial repercussions,
physician reprimand)
48. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
• Teach basics of sound
internet searching
49. As Info Professionals
As Info Professionals
How Can/Should We
Provide Help?
• Promote
50. The “Best” Sources of
Consumer Health Information
• Are written for a consumer audience
Are written for a consumer audience
(grade 6 to 8 reading level)
• Are written by medical authorities
• Include references to evidence‐based
Include references to evidence‐based
sources
52. Q
Questions to ask when picking a
p g
resource
• Is the information age‐appropriate?
• Is the information culturally appropriate?
Is the information culturally appropriate?
• Is the information understandable to the
patron?
t?
• Does the information answer the patron’s
questions?
• Is the information accessible? i.e., Can you
increase the font size?
53. Consumer Health Resources
Consumer Health Resources
•AboutKidsHealth: http://www.aboutkidshealth.ca/
•NIHSeniorHealth: http://nihseniorhealth gov/
•NIHSeniorHealth: http://nihseniorhealth.gov/
•Asian American Health (Includes materials in Chinese,
Filipino and Japanese):
http://asianamericanhealth.nlm.nih.gov/
•General Consumer Health ‐ MedlinePlus:
http://medlineplus.gov/
56. Collections
Considerations
• “Consumer health” not used as LC subject
heading. (hint: try your medical term followed
by “popular works”) i.e., Dentistry–Popular
works.
• Order books for a “general audience”
57. Collections
Considerations
• Base collections decisions on patron requests
and local demographic information –Ask for
patron feedback
• Hand‐pick –check currency, authority,
references, publisher, etc...
p
• Consider audio/visual materials as well as
print
59. Controlled
Reference Interview
Vocabulary
V bl
MARC
MeSH Thesauri
Concept Codes
Info Literacy
Info Literacy
Classification
UDC
Verification
Acquisitions
Boolean
Doc Types
Negotiation
60. Web 2.0 Screencasts
Blogs
Bl AJAX
XML FRBR
CMS
XHTML
Perl
CSS
HTML RSS
MODS
Wikis
JavaScript PodCasts
Library 2.0
Second Life Twitter
61. As Info Professionals
As Info Professionals
• Challenge
• Keeping Up with Technology
Keeping Up with Technology
• Integrating All for Our Users
Integrating All for Our Users
62. Questions…
Questions
• and Thanks!
and Thanks!
• dl f
dloftus@usd.edu
dd
• Blog: http://blogs.usd.edu/2library/
• Slideshare: http://www slideshare net/dloftus
Slideshare: http://www.slideshare.net/dloftus