Internet

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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