orthopedic ,fracture and arthritis knowledge online informations dr.sandeep agrawal agrasen hospital...
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Orthopedic ,fracture and arthritis knowledge Online informations dr.sandeep agrawal agrasen hospital gondia maharashtra Internet orthopedic information should be from reliable sources.TRANSCRIPT
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The Internet is a rapidly expanding source
of information
Change the information landscape for
both orthopaedic surgeons and patients
Get Information About...
Literature updates
Continue medical education
Patient education materials
Presentations
Learn About...
Access and organize orthopaedic
information
Identify and utilize specific, high-quality,
frequently updated internal sources of
information
MEDLINE Searching
From National Library of Medicine of United
States
Oldest generally used internal source
PubMed is the search system of MEDLINE
More than 4000 publications
More than 15 million records
Back to the mid-1960s
Update weekly
PubMed
Search MEDLINE database
Including citations before 1966
Including nonmedical scientific literatures
( general science, chemistry, and physics
)
Contains links to many sites providing
fulltext articles and related resources
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MEDLINE Searching
The MEDLINE database can be assessed
through other systems
The same database, different search
interface
Examples:
Medscape ( www.medscape.com )
myMedline ( www.mymedline.com )
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Internet Searching
A massive amount of orthopaedic
information is post
A high proportion of this mass has a
commercial message
Search engines may be our best tool
Using them effectively requires learning
and practice
The two most common means to find
information on the internet
Directories
Lists of resources
Links directing the user to the internet address
of useful sites
Searching Engines and Directories
Searching Engines and Directories
Search engines
Most commonly used methods
However there is considerable variability in how
search engine works
Quality and validity of the information
Search engine, unlike directories, are robotic
devices that search a database to find pages the
contain the ‘search string’
searches the largest number sites on
the internet
Searching Engines and Directories
Use specific medical terms
“Hip arthroplasty” better than “hip replacement”
Cartilage tear: 390000 pages
Meniscus tear: 270000 pages
Meniscus tear portal: 11000 pages
Defining exactly what you want to find
Most important
Most difficult skill
Advanced Search
Quality of Information
Even with a successful search, one
needs to be careful about accepting
internet-derived information
Quality of Information
Authorship
Currency
Old information is often more dangerous than
no information
Presence of advertising of the site
The completeness of an article
Accuracy of the information
Quality of Information
Suggestion:
Physicians maintain a list of credible sites to give to patients
Examples:AAOS ( www.aaos.org )
Arthritis Foundation ( www.arthritis.org )
Orthopaedic Web Links ( www.orthopaedicweblinks.com )
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Textbooks Sites
Ideal for users seeking fairy orthopaedic
information about a broad range of topics
Some are “book dumps”
Some are well though out and planned
for the internet
Textbook SitesWheeless‘ textbook of orthopaedics
The most comprehensive and the best illustrated,
cross-referenced and organized
It is the most outstanding examples
eMedicine
Collection of orthopaedic subjects is no as complete
and is less cross-referenced
Its individual articles are clear, up-to-date reviews
written by expert
Medscape
Full treatment of orthopaedic subjects with full-text
articles adapted from recent published work
Orthopaedic Directory Sites
Lists of links to the topics that have been
selected
The most valuable aspect a human
not a robot select the resources
Orthopaedic Web Links (OWL) is the
largest directory ( > 5000 links )
The sites are selected and validated by
orthopaedic surgeons
Patient-Information Sites
The advent of the internet has accelerated the
progression of physician-centered culture to
patient-centered culture
Enabling the process of shared decision-
making
Patients use the internet to obtain information
about their diagnosis and treatment
Excellent Source of Patient
Information
Your orthopaedic Connection (
www.orthoinfo.org )
Orthopaedic Web Links
MedlinePlus
Imaging and the Web
The internet is a rich source of
orthopaedic-related images
Google and Yahoo are two of the most
popular search engines
Most images on the internet are low
resolution, designed for fast web-page-
loading.
How to Save Images
Right-clicking over the image and then
clicking on the “save as” feature
Press “Print Screen”, “Prt Scr” key to
save the entire screen image
Stand-alone screen capture program
Image Archiving and
Retrieving
How to organize images on your home or
office computer is a personal choice
In many orthopaedic practices, images
are saved according to:
The pathologic condition ( Hip, knee )
Specific patients
Image Archiving and
Retrieving
Medical image must contain:
Name
Medical record number
The date of injury, surgery or F/U
Diagnosis
All images of specific patient can be saved
within a single folder
Dates are usually written by yyyy/mm/dd
Image Archiving and Retrieving
You may want another physician to view your image:For second opinion
Sent image to the referring physician for follow-up
Loan them to a friend for a presentation
Keep in mind the privacy rulesYou may not include patient identification information on or with images
Image Archiving and
Retrieving
MyViewBox ( www.myviewbox.com )
Service for physicians
Allow you to store medical images on a
secure server
The images can be viewed by others by
invitation and password only
Image Archiving and Retrieving
Commercial e-mail programs are unsuitable
for transmission of p’t images
Lack of security
Restriction on the size of images
AOL, Yahoo, MSN
Secured e-mail
Transmit “encrypted messages”
Require password veritification
HIPAA complaint
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Be grateful for what you have, not regretful for what you
haven’t.
Happiness comes when your work and words are of benefit to yourself and others.
The more passions and desiresone has, the more ways one
has of being happy.-Charlotte-Catherine
To have a fulfilling life, you should find your life
purpose and follow it faithfully. Find what
matters to you and build the courage to follow it.
Having a one-liner will help you
internalize and communicate with your mission.
It is not the place, nor the condition,but the mind alone that can make
anyone happy or miserable.-Roger L'Estrange
HAPPINESS DEPENDS UPON OURSELVES
-ARISTOTILE
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Disclaimer
This presentation is for orthopaedic doctors and students in
general.
. Some graphics and jpeg files are taken from Google and
yahoo Image to heighten the specific points in this
presentation.
• If there is any objection/or copyright violation, please inform
[email protected] for prompt deletion.
• It is intended for use only by the doctors of orthopaedic
surgery.
. Views expressed in this presentation are personal. • .For any
confusion please contact the sole author for clarification.
• Every body is allowed to copy or download and use the
material best suited to him.
There is no financial involvement.
• For any correction or suggestion please contact