MEDNET99 Abstract Submission Form

ABSTRACT SUBMISSION FORM

Abstracts can only be submitted online - do not fax or send this form to us!
Note: All fields marked with an * must be completed to process your abstract submission.

First name:	*
Last name:	*
Title:
Organization:
Street address:	*
Address (cont.):
City:	*
State/Province:	*
Zip/Postal code:	*
Country:	*
Work or Daytime Phone:
FAX:
E-mail:	*
Special area(s) of interest:
I am interested to participate as a	*	active participant (poster / oral presentation) passive participant (no own presentation) journalist sponsor / exhibitor
Do you want to get further information from the MEDNET99 mailing list?
E-mail alerting:	*	Yes No
Do you want your name and e-mail address made public to other participants?
Publish my name:	*	Yes No
Homepage URL:
Profession:
Define your new congress password:	*
Repeat the password:	*

Select preferred session

* applications of the Internet in medical information exchange and medical education

role of Internet and information exchange in evidence-based healthcare

use of the Internet for Health Promotion, Consumer Education and impact of the Internet on Public Health

Global and Regional Health Information Networks

commercial information systems and portal sites for physicians

eJournals and scientific publishing on the Internet

Telemedicine

search engines, search agents and other search tools

electronic mail

using the Internet for medical research and clinical trials

quality of Internet information

Internet usage statistics and demographics (presentation as poster is recommended)

clinical information systems and Intranets

system design issues

security and Y2K issues

legal and ethical issues

free topics

Preferred mode of presentation

* oral presentation

poster presentation

controversy corner (PRO & CONTRA)
(usually consists of two authors, one presents the PRO, one the CONTRA side)

panel discussion
(must consist of more than two authors)

Title

*

e.g. Use of Electronic Mail for Health Promotion in Dermatology

Authors

Important: Please use the MEDLINE format and separate authors by komma:
Lastname Initial, Lastname-Of-Second-Author Initial2, e.g. Green M, Ferguson T

*

e.g. Green M, Ferguson T

Affiliation of first (presenting) author

* Name of Institution:

* Full Postal Address of Institution:

* Repeat city name
(without ZIP-code):
* Repeat country:

* Email address of the first author
e.g. myname@hotmail.com

Abstract (max. 3000 characters)

* (for abstracts of oral and poster presentations) INTRODUCTION: METHODS: RESULTS: DISCUSSION: -- or -- (for controversy corner and panel discussions) BACKGROUND: PRO: CONTRA:

Keywords (around 5)

Please use MeSH keywords [e.g. from the medical informatics tree], as far as possible,
plus your own, more specific keywords if you need them. Separate keywords by semicolon [;]

*

e.g. Electronic Mail; Skin Diseases; Dermatitis, Atopic; Health Promotion; Education, Medical, Graduate

Full Paper Publication in JMIR

I am interested in submitting a full paper of this presentation for consideration to get it published in a special issue of the Journal of Medical Internet Research (Deadline: 30. June 1999).

Copyright statement

I declare that the work above is my own original work and is not copyright protected by third parties. The work is not published and has not been submitted to any journal. In case of acceptance I agree that the abstract may be published in the proceedings volume and on the World-Wide-Web.

Select preferred session
*		applications of the Internet in medical information exchange and medical education
		role of Internet and information exchange in evidence-based healthcare
		use of the Internet for Health Promotion, Consumer Education and impact of the Internet on Public Health
		Global and Regional Health Information Networks
		commercial information systems and portal sites for physicians
		eJournals and scientific publishing on the Internet
		Telemedicine
		search engines, search agents and other search tools
		electronic mail
		using the Internet for medical research and clinical trials
		quality of Internet information
		Internet usage statistics and demographics (presentation as poster is recommended)
		clinical information systems and Intranets
		system design issues
		security and Y2K issues
		legal and ethical issues
		free topics

Preferred mode of presentation
*		oral presentation
		poster presentation
		controversy corner (PRO & CONTRA) (usually consists of two authors, one presents the PRO, one the CONTRA side)
		panel discussion (must consist of more than two authors)

Title
*
	e.g. Use of Electronic Mail for Health Promotion in Dermatology

Authors
	Important: Please use the MEDLINE format and separate authors by komma: Lastname Initial, Lastname-Of-Second-Author Initial2, e.g. Green M, Ferguson T
*
	e.g. Green M, Ferguson T

Affiliation of first (presenting) author
*	Name of Institution:
*	Full Postal Address of Institution:
*	Repeat city name (without ZIP-code):
*	Repeat country:
*	Email address of the first author	e.g. myname@hotmail.com

Abstract (max. 3000 characters)
*	(for abstracts of oral and poster presentations) INTRODUCTION: METHODS: RESULTS: DISCUSSION: -- or -- (for controversy corner and panel discussions) BACKGROUND: PRO: CONTRA:

Keywords (around 5)
	Please use MeSH keywords [e.g. from the medical informatics tree], as far as possible, plus your own, more specific keywords if you need them. Separate keywords by semicolon [;]
*
	e.g. Electronic Mail; Skin Diseases; Dermatitis, Atopic; Health Promotion; Education, Medical, Graduate

Full Paper Publication in JMIR
I am interested in submitting a full paper of this presentation for consideration to get it published in a special issue of the Journal of Medical Internet Research (Deadline: 30. June 1999).

Copyright statement
	I declare that the work above is my own original work and is not copyright protected by third parties. The work is not published and has not been submitted to any journal. In case of acceptance I agree that the abstract may be published in the proceedings volume and on the World-Wide-Web.