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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:

Nephrologists in a Professional Dialogue

Michele L. Hales

University of Alberta

Edmonton, AB CANADA

Dubai, U.A.E.

October 2nd & 3rd, 2003


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Host Count Graph 1991 – 2003(From July 2003)

Source: Internet Software Consortium (http://www.isc.org/)


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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


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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


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Information Technology in the Arab World(April 24, 2003)

Source: http://www.itu.int


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Language Populations

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


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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


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NEPH…E-mail Discussion Groups


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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


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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


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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


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Patient E-mail Discussion Groups

NEPHKIDS – for parents with children with renal disease

KIDNEYDISEASE – for adult children with renal disease

IGAN – IgA nephropathy


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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


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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


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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.


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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.


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Subscription To Our Groups

To subscribe to Nephrol, ArabNephrolor any of the other groups send e-mail to:

[email protected]

with the message:

subscribe nephrol subscribe arabnephrol etc.


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Measurable Outcomes

Value of International On-line Discussion Groups -

  • Haiti mass poisoning

    - Nephrol discussion posted on HDCN

    - 60 minutes interview


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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%.


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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


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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


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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


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“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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