Internet

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[1][2][3][4][5][6][7][8][9][10]

Introduction

The world-wide distributed network of computers connected using TCP/IP, or similar protocols.

Indications

  • internet use may prevent or delay dementia in older adults[9]

Complications

Management

  • children < 18 months of age: no screen time except video-chatting.[7]
  • 18-24 months: high-quality content & apps only (PBS Kids)
    • watch with children[7]
  • children under age 2 years should be discouraged from having any screen time
  • 2-5 years: limit high-quality screen time to < 1 hour/day[7]
  • parents limit children's screen time to <= 2 hours a day
  • children should not have TVs or internet-connected devices in their bedrooms[5]

Notes

  • many sites contain inaccurate medical information[2][3]
  • 16% of elderly use the internet to obtain health information[6]
  • recommendations for physicians[4]
    • reserve email & texting for patients who will follow- through with in person appointments
    • maintain separate personal & professional communications online
    • carefully consider professional consequences of online posts
    • consider routinely searching your name & correcting inaccurate information

Additional terms

References

  1. ↑ http://www.elsevier.com/locate/trendsguide
  2. ↑ 2.0 2.1 Journal Watch 25(4):32, 2005 Cooper JD, Feder HM Jr. Inaccurate information about lyme disease on the internet. Pediatr Infect Dis J. 2004 Dec;23(12):1105-8. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15626946
  3. ↑ 3.0 3.1 Scullard P et al. Googling children's health: Reliability of medical advice on the internet. Arch Dis Child 2010 Apr 6; http://dx.doi.org/10.1136/adc.2009.168856
  4. ↑ 4.0 4.1 Farnan JM et al Online Medical Professionalism: Patient and Public Relationships: Policy Statement From the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 11 April 2013 PMID: https://www.ncbi.nlm.nih.gov/pubmed/23579867 https://mail.google.com/mail/u/0/?shva=1#inbox/13dfdf236adf8493
  5. ↑ 5.0 5.1 American Academy of Pediatrics.Policy Statement. Oct 2013. Children, Adolescents and the Media. http://pediatrics.aappublications.org/content/early/2013/10/24/peds.2013-2656.full.pdf+html
  6. ↑ 6.0 6.1 Levine DM et al. Trends in seniors' use of digital health technology in the United States, 2011-2014. JAMA 2016 Aug 2; 316:538 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/27483069 <Internet> http://jama.jamanetwork.com/article.aspx?articleid=2540389
  7. ↑ 7.0 7.1 7.2 7.3 Young K, Sofair A, Chavey WE Pediatrics Group Offers New Media Use Guidance for Kids. Physician's First Watch, Oct 21, 2016 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org
    COUNCIL ON COMMUNICATIONS AND MEDIA Media Use in School-Aged Children and Adolescents Pediatrics Oct 2016, e20162592; PMID: https://www.ncbi.nlm.nih.gov/pubmed/27940794
    Chassiakos Y, Radesky J, Christakis D et al, COUNCIL ON COMMUNICATIONS AND MEDIA Children and Adolescents and Digital Media Pediatrics Oct 2016, e20162593 PMID: https://www.ncbi.nlm.nih.gov/pubmed/27940795
  8. ↑ 8.0 8.1 Przybylski AK et al. Internet gaming disorder: Investigating the clinical relevance of a new phenomenon. Am J Psychiatry 2016 Nov 4; PMID: https://www.ncbi.nlm.nih.gov/pubmed/27809571
  9. ↑ 9.0 9.1 Swift Yasgur B Internet Use a Modifiable Dementia Risk Factor in Older Adults? Medscape. May 17, 2023 https://www.medscape.com/viewarticle/992111
    Cho G, Betensky RA, Chang VW. Internet usage and the prospective risk of dementia: A population-based cohort study. J Am Geriatr Soc. 2023 PMID: https://www.ncbi.nlm.nih.gov/pubmed/37132331 https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.18394
  10. ↑ Family Media Plan https://www.healthychildren.org/English/media/Pages/default.aspx#home
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