Improving pharmaceutical care in oncology by pharmacoinformatics: the evolving role of informatics and the internet for drug therapy.Fri, 11/12/2009 - 3:41pm | by daniel
Lancet Oncol. 2009 Oct; 10(10): 1011-9
Yap KY, Chan A, Chui WK
Health-care has rapidly evolved with the informatics revolution. The rapid growth of the world-wide web as a tool for global connectivity has affected the way in which health-related information is distributed and accessed over the internet. Many informatics and internet applications are now available for use by both oncology health-care professionals and patients with cancer, with many people using the internet to search for drug-related and other health-related information. The practice of pharmaceutical care aims to ensure optimum medication-related therapeutic outcomes in patients, and involves identifying, solving, and preventing potential or actual drug-related problems (DRPs) with regards to a patient's drug therapy. Pharmacoinformatics involves the use of informatics, the internet, and interactive technologies to solve DRPs, with a focus on providing optimum pharmaceutical care and improved patient safety. This paper highlights the different pharmacoinformatics channels that have been used in the provision of pharmaceutical care, which are relevant to both oncology health-care professionals and patients with cancer. We will discuss several issues that have arisen as a result of cybermedicine, which can potentially affect the quality of pharmaceutical care in patients with cancer, and also provide insights into how pharmacoinformatics can potentially affect the future of healthcare. The opportunity of integrating pharmacoinformatics in the practice of clinical oncology as an aid to solve DRPs is indeed appealing. Oncology practitioners should not only focus on the acquistion of new treatment strategies, but also continue to embrace and harness new information and communication technologies, so as to increase their efficiency and improve on the pharmaceutical care of patients with cancer.
Has it really been that long?
It was a dismally overcast Saturday five years ago when, on a whim after having read a TIME Magazine article about how 2004 was supposedly the Year of the Blogger, I sat down in front of my computer, found Blogspot, and the first incarnation of Respectful Insolence was born. If anyone is curious, this was my first test post, and this was my first substantive post (well, sort of). Every year (at least the ones where I remember my blogiversary, I find it particularly interesting to go back to the beginning and see how true to my original vision for this blog I've been. Looking back over the last five years and comparing how this blog has evolved to my original vision, I'm surprised to conclude that I have been pretty darned true to it. Yes, I rarely write about science fiction any more. Ditto movies and music. I prefer to think that it's just because I figured out that I'm a lousy movie and music critic. Well, maybe not lousy, but being an arts critic is clearly not my strength.
Of course, it's not as though shooting my mouth off, metaphorically speaking, on the Internet was anything new for me. I had been doing it on and off since the mid-1990s on that great untamed, tangled mass of discussion forums known as Usenet; you know, the ones that hardly anyone uses anymore and that a lot of ISPs don't even give much in the way of access to now that Google has put a web interface on Usenet. The Orac 'nym was forged in the heat of Internet battle with all the varieties of Flame Warriors on Usenet in the Holocaust denial forum alt.revisionism and the alt-med forum misc.health.alternative. Indeed, in the latter newsgroup, certain highly obsessed denizens, such as Jan Drew and Tim Bolen, are still talking about me, years after I regularly posted there and many months since I last took a look. Such is the power of Orac.
Also check out the featured ScienceBlog of the week: Neurotopia
See original: Five years [Respectful Insolence]
J Clin Oncol. 2008 Sep 20; 26(27): 4504-6
Med Ref Serv Q. 2008; 27(2): 211-20
Wilson DT, Yowell SS
In an effort to help raise awareness about the need for disaster planning in health sciences libraries, emergency response planners at the Claude Moore Health Sciences Library at the University of Virginia considered how best to promote the idea and provide a forum for gathering and exchanging information, while maintaining control over content in order to keep the focus and the quality of the entries consistent. The blog they created has been successful in providing much-needed assistance to hospital libraries and other libraries, both large and small, as well as for individuals and other organizations worldwide.
J Med Internet Res. 2008; 10(3): e28
Kovic I, Lulic I, Brumini G
BACKGROUND: Blogs are the major contributors to the large increase of new websites created each year. Most blogs allow readers to leave comments and, in this way, generate both conversation and encourage collaboration. Despite their popularity, however, little is known about blogs or their creators. OBJECTIVES: To contribute to a better understanding of the medical blogosphere by investigating the characteristics of medical bloggers and their blogs, including bloggers' Internet and blogging habits, their motivations for blogging, and whether or not they follow practices associated with journalism. METHODS: We approached 197 medical bloggers of English-language medical blogs which provided direct contact information, with posts published within the past month. The survey included 37 items designed to evaluate data about Internet and blogging habits, blog characteristics, blogging motivations, and, finally, the demographic data of bloggers. Pearson's Chi-Square test was used to assess the significance of an association between 2 categorical variables. Spearman's rank correlation coefficient was utilized to reveal the relationship between participants' ages, as well as the number of maintained blogs, and their motivation for blogging. The Mann-Whitney U test was employed to reveal relationships between practices associated with journalism and participants' characteristics like gender and pseudonym use. RESULTS: A total of 80 (42%) of 197 eligible participants responded. The majority of responding bloggers were white (75%), highly educated (71% with a Masters degree or doctorate), male (59%), residents of the United States (72%), between the ages of 30 and 49 (58%), and working in the healthcare industry (67%). Most of them were experienced bloggers, with 23% (18/80) blogging for 4 or more years, 38% (30/80) for 2 or 3 years, 32% (26/80) for about a year, and only 7% (6/80) for 6 months or less. Those who received attention from the news media numbered 66% (53/80). When it comes to best practices associated with journalism, the participants most frequently reported including links to original source of material and spending extra time verifying facts, while rarely seeking permission to post copyrighted material. Bloggers who have published a scientific paper were more likely to quote other people or media than those who have never published such a paper (U= 506.5, n(1)= 41, n(2)= 35, P= .016). Those blogging under their real name more often included links to original sources than those writing under a pseudonym (U= 446.5, n(1)= 58, n(2)= 19, P= .01). Major motivations for blogging were sharing practical knowledge or skills with others, influencing the way others think, and expressing oneself creatively. CONCLUSIONS: Medical bloggers are highly educated and devoted blog writers, faithful to their sources and readers. Sharing practical knowledge and skills, as well as influencing the way other people think, were major motivations for blogging among our medical bloggers. Medical blogs are frequently picked up by mainstream media; thus, blogs are an important vehicle to influence medical and health policy.
J Telemed Telecare. 2008; 14(7): 329-32
Arsand E, Tufano JT, Ralston JD, Hjortdahl P
We performed two cycles of laboratory-based usability testing of three food registration prototypes for people with diabetes. The design concepts were a commercial web application, various smartphones and a mobile phone photo blogging approach. Six adults with Type 1 diabetes and three adults with Type 2 diabetes participated in the usability tests. The results provided five distinct implications for devices for the future dietary management support of people with diabetes. Study participants valued many of the features offered by the three systems that were tested, although the usability tests also revealed several opportunities to enhance their design. Our findings suggest that further development is justified of mobile dietary and nutritional support for individuals living with diabetes. Applications that support healthy eating habits should be integrated with applications for managing blood glucose data and physical activity data, and potentially medication data as well.
Perspect Biol Med. 2008; 51(4): 517-24
Farnan JM, Paro JA, Higa J, Edelson J, Arora VM
While medical education has remained relatively constant over the past century, the rising popularity of internet-based technologies, such as applications for social networking, media sharing, or blogging, has drastically changed the way in which physicians-in-training interact with educators, peers, and the outside world. The implementation of these new technologies creates new challenges and opportunities for medical educators. Representation, the absence of established policies and legal precedents, and the perception of the lay public exemplify some of the issues that arise when considering the digital images used by trainees. While some of these issues affect higher education generally, medical schools are faced with additional challenges to ensure that graduates exemplify the ideals of medical professionalism. We present a case vignette with subsequent discussion to highlight the complexities of ensuring medical professionalism in the digital age.
Looking to the future of new media in health marketing: deriving propositions based on traditional theories.Fri, 11/12/2009 - 2:40pm | by daniel
Health Mark Q. 2008; 25(1-2): 147-74
Della LJ, Eroglu D, Bernhardt JM, Edgerton E, Nall J
Market trend data show that the media marketplace continues to rapidly evolve. Recent research shows that substantial portions of the U.S. media population are "new media" users. Today, more than ever before, media consumers are exposed to multiple media at the same point in time, encouraged to participate in media content generation, and challenged to learn, access, and use the new media that are continually entering the market. These media trends have strong implications for how consumers of health information access, process, and retain health-related knowledge. In this article we review traditional information processing models and theories of interpersonal and mass media access and consumption. We make several theory-based propositions for how traditional information processing and media consumption concepts will function as new media usage continues to increase. These propositions are supported by new media usage data from the Centers for Disease Control and Prevention's entry into the new media market (e.g., podcasting, virtual events, blogging, and webinars). Based on these propositions, we conclude by presenting both opportunities and challenges that public health communicators and marketers will face in the future.
Cyberpsychol Behav. 2008 Dec; 11(6): 747-9
Baker JR, Moore SM
New MySpace users (N = 58) were surveyed on joining the site and again in 2 months to examine psychosocial differences between bloggers and nonbloggers over time. Bloggers' social integration, reliable alliance, and friendship satisfaction all significantly increased compared to nonbloggers, suggesting that blogging has beneficial effects on well-being, specifically in terms of perceived social support.
The evolution of public relations and the use of the internet: the implications for health care organizations.Fri, 11/12/2009 - 2:40pm | by daniel
Health Mark Q. 2007; 24(3-4): 117-30
Over the past several years the discipline and practice of public relations has evolved. Historically, this field within health care organizations was a one-way management of communications and often was reactive in nature dealing with a crisis situation with an organization. Recent theoretical development within the discipline suggests that public relations involves more relationship building with key constituencies and on-going-dialogue. Concomitant with this evolution is the technological development of the internet. Most particularly is the use of podcasting and blogging as key tools which have been underutilized by health car providers but have significant potential in both communication and relationship opportunities as discussed in this article.
J Intellect Disabil. 2009 Mar; 13(1): 19-30
McClimens A, Gordon F
The concept of social capital, the socially constructed category of intellectual disability and the social practice of blogging may appear initially to be unconnected. In this study we report on an attempt to link the three as we examine the consequences of giving a group of people with intellectual disability supported access to the Internet and specifically to that section of cyberspace known as the ;blogosphere'. Using the Social Capital Question Bank as a framework, we interrogate the data in an attempt to discover whether the qualities associated with successful inclusion within society might be available via the blogging community. Along the way we touch on issues related to policy, daily life and who or what counts as a friend.
Cyberpsychol Behav. 2009 Feb; 12(1): 75-9
Ko HC, Kuo FY
Based on the self-disclosure theory and the social capital theory, this study investigates if bloggers' self-disclosure enhances their social capital and if these capitals in turn enhance perception of subjective well-being (SWB). The results reveal that the self-disclosure of bloggers significantly and directly affects a blogger's perception of social integration, bonding social capital, and bridge social capital, which in turn promote bloggers' SWB. It appears that as bloggers share their inner thoughts of their moods/feelings with others through writing, they may gain greater social support and improve their social integration. Therefore, self-disclosure through blogging may serve as the core of building intimate relationships. Furthermore, social capital, built through blogging, may improve a blogger's satisfaction with his or her social contact, interpersonal communication, and overall quality of life.
Stud Health Technol Inform. 2009; 146: 613-7
Brixey JJ, Warren JJ
Learning is no longer an internal individual activity but occurs through networks and connections. The aim of this project was to teach online health informatics students to use Web 2.0 tools and technologies to form networks and connections through experiential learning assignments. Web 2.0 tools and technologies were evaluated using a criteria checklist prior to implementation for students enrolled in health informatics classes at the University of Kansas School of Nursing. Health informatics students have developed competencies using an instant message service, blogging, concept mapping, social bookmarking, and interacting a virtual environment. In the future, health care professionals will have to work in rapidly changing environments and keep abreast of new innovations and tools, learn to use those tools, and to teach others about the tools.