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Nephrol/ArabNephrol:

Nephrol/ArabNephrol:. Nephrologists in a Professional Dialogue. Michele L. Hales University of Alberta Edmonton, AB CANADA. Dubai, U.A.E. October 2 nd & 3 rd , 2003. Host Count Graph 1991 – 2003 (From July 2003). Source: Internet Software Consortium (http://www.isc.org/).

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Nephrol/ArabNephrol:

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  1. Nephrol/ArabNephrol: Nephrologists in a Professional Dialogue Michele L. Hales University of Alberta Edmonton, AB CANADA Dubai, U.A.E. October 2nd & 3rd, 2003

  2. Host Count Graph 1991 – 2003(From July 2003) Source: Internet Software Consortium (http://www.isc.org/)

  3. Internet Users Worldwide September 2002 Nua Internet Surveys 20022000 World Total 605.60 million 377.65 million Africa 6.31 million 3.11 million Asia/Pacific 187.24 million 89.68 million Europe 190.91 million 105.89 million Middle East 5.12 million 2.40 million Canada & USA 182.67 million 161.31 million Latin America 33.35 million 15.26 million Source: http://www.nua.ie

  4. Daily E-mail Output Globally- • 31 billion e-mails sent daily in 2002 • >60 billion e-mails estimated to be sent every day by 2006 Source: Sept. 26, 2002 IDC Research

  5. Information Technology in the Arab World(April 24, 2003) Source: http://www.itu.int

  6. Language Populations Source: Global Reach  http://www.glreach.com/globstats/index.php3

  7. A Brief History of NEPHROL • Created in October 1994 • 1st year membership was 355 • Began as a moderated group • Legal problems/risk minimal • Birth to various offshoot groups

  8. NEPH…E-mail Discussion Groups

  9. NEPH…E-mail Discussion Groups NEPHROL- general nephrology, all subjects including renal pathology and transplantation NEPHADMIN- for nephrology administrators NEPHBSCI- nephrology basic science discussion NEPHCNPT- discussions of individual clinical nephrology cases NEPHDEVEL- discussion of humanitarian projects and ISN Sister Centres Program NEPHINDIG- discussion of renal disease in indigenous peoples NEPHJNL - nephrology/transplantation journal club

  10. NEPH…E-mail Discussion Groups NEPHMIN - a stripped down version of NEPHROL-DIGEST with all repetition and North American specific content removed, designed for subscribers in developing countries NEPHNPPT - discussions of individual renal biopsy cases NEPHRONOL- Spanish - English discussion of nephrology subjects NEPHHIST - history of renal medicine, ISN video legacy project interview transcripts KFINT-L - discussion relating to the International Federation of Kidney Foundations

  11. NEPH…E-mail Discussion Groups MDDIALYSIS – for US dialysis unit directors PDIAL - peritoneal dialysis PedNeph - paediatric nephrology (for renal healthcare professionals) RENALPRO – email list for nephrology professionals, nurses technicians, dieticians, social workers, administrators, physicians, engineers, etc. RENALRD – a listserv primarily for those in renal nutrition CNSW – member listserv social workers ARABNEPHROL - Arab - English discussion of nephrology subjects

  12. Patient E-mail Discussion Groups NEPHKIDS – for parents with children with renal disease KIDNEYDISEASE – for adult children with renal disease IGAN – IgA nephropathy

  13. CN: Clinical nephrology HD: Hemodialysis PD: Peritoneal dialysis HY: Hypertension TX: Transplantation NP: Nephropathology PH: Physiology IM: Immunology BI: Biochemistry CB: Cell Biology AN: Anatomy ET: Ethics UC: Underdeveloped countries DS: Disasters IP: Intellectual property, Internet publishing TM: Telemedicine MT: Meeting announcements WWW: World Wide Web resources CSN: Canadian Society of Neph. LATF: Latin American Task Force JN: Jobs in Nephrology JP: Jobs in Renal Pathology JT: Jobs in Transplantation GEN: Messages of a general nature likely to be of interest to all NEPHROL Message Topics

  14. NEPHROL Statistics(from September 19, 2003) • Membership Total: 1405 • Average Total Posts per Week: 37 (Approx. 5.3 posts per day) • Top 5 Recent Topics: • Does EPO accelerate renal failure • SLED by intensive care nurses • Kidney donor • Transplant myocarditis • Outpatient HD in ARF

  15. ARABNEPHROL History • Created in April 2001 • Current Membership is 146 • The Group is Moderated by Drs. Abdulla Al Khader and Yousef Boobes • Selecteddiscussion are translated into English and then transmitted to the NEPHROL discussion group with replies translatedback to Arabic and disseminated to ARABNEPHROL.

  16. NEPHROL in General An Internet discussion group like Nephrol or ArabNephrol is at its best when discussing important questions in the field of nephrology, the answers to which cannot be found in existing journals or books, and discussing uniquely challenging patients, with the ability to instantly consult 1500 nephrology professionals.

  17. Subscription To Our Groups To subscribe to Nephrol, ArabNephrolor any of the other groups send e-mail to: majordomo@ualberta.ca with the message: subscribe nephrol subscribe arabnephrol etc.

  18. Measurable Outcomes Value of International On-line Discussion Groups - • Haiti mass poisoning - Nephrol discussion posted on HDCN - 60 minutes interview

  19. Measurable Outcomes – Cont’d Turkey Earthquake (ISN DRTF) • Aug. 16, 1999 - Massive earthquake in Turkey, DRTF deployed early; prevented many cases of ARF. Mortality among the 400+ dialyzed patients only 17% compared with the usual 50%.

  20. AMA Internet Survey • 78% of physicians regularly use the Internet • ⅔ of on-line physicians web daily; ↑ of 24% since 1997 • Primary use of the Internet by physicians: - claims processing (83%) - medical research information (74%) - CME for physicians (64%) - legal & regulatory updates/compliance information (53%) - patient scheduling (60%) - coding (58%) • 2001 65% of physicians >60 years using Internet, compared with 43% in 2000; ↑ of 50% Source: 2002 AMA Study on Physicians’ Use of the WWW

  21. European Physicians & the Internet(March 2003) Physician Internet Penetration 60% of their online time: • Addressing professional issues • Emailing colleagues • Searching & reading online journals • Completing CME coursework Source: http://www.bcg.com

  22. Conclusion • E-mail at the moment is an ideal communication medium • The computer can save time • The Internet has become a major avenue for health communication • The discussions stimulated on Nephrol/ArabNephrol should increase your knowledge and help you improve patient outcomes

  23. “If physiology literally means 'the logic of life', and pathology is 'the logic of disease', then medical informatics is the logic of healthcare. It is the rational study of the way we think about patients, and the way that treatments are defined, selected and evolved. It is the study of how medical knowledge is created, shaped, shared and applied. Ultimately, it is the study of how we organize ourselves to create and run healthcare organizations. With such a pivotal role, it is likely that in the next century, the study of informatics will become as fundamental to the practice of medicine as anatomy has been to the last.” -- Enrico Coiera, 1997

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