SYNOPSIS

The digital revolution of the last decade has unleashed creativity and talent of people in an unprecedented way, unleashing unlimited creative opportunites. But does democratized culture mean better art, film, music and literature or is true talent instead flooded and drowned in the vast digital ocean of mass culture? Is it cultural democracy or mediocrity? This is the question addressed by PressPausePlay, a documentary film containing interviews with some of the worlds most influential creators of the digital era. The film was shot globally between August 2009 January 2011, covering more than 150 hours of interview footage with international creatives and thinkers - representing the state of digitized culture today.
THE HUMAN SPIRIT, WHEN ITS ALLOWED TO BECOME MADE MANIFEST THROUGH ART, INVARIABLY IS GOING TO CREATE GREATNESS. IT ALMOST DOESNT MATTER WHAT THE MEDIUM IS,.WHEN HUMANS MAKE THINGS, THEY TEND TO MAKE INTERESTING THINGS.THE DANGER IS PEOPLE BECOMING COMFORTABLE WITH MEDIOCRITY MOBY, ARTIST
CAST, IN APLHABETICAL ORDER
OLAFUR ARNALDS, musician, composer, producer SCOTT BELSKY, CEO & founder, Behance BILL DRUMMOND, artist, writer, co-founder of The KLF LENA DUNHAM, director, Tiny Furniture SETH GODIN, author, entrepreneur and public speaker KEITH HARRIS, music producer, manager, Motown HOT CHIP, electro-pop band ANDREW KEEN, author, The Cult of the Amateur LYKKE LI, singer/songwriter MOBY, artist ANNE HILDE NESET, deputy editor, writer, The Wire magazine. SEAN PARKER, co-founder of Napster AMY PHILLIPS, editor, Pitchfork ROBYN, singer/songwriter HILARY ROSEN, former CEO, RIAA TED SCHILOWITZ, founder, Red Digital Cinema Camera Company HANK SHOCKLEE, music producer, The Bomb Squad ANTHONY VOLODKIN, founder, The Hype Machine BRENDA WALKER, music producer, DJ DAVID WEINBERGER, technologist, co-author of Cluetrain Manifesto CHRISTOPHER WEINGARTEN, music journalist, Rolling Stone/ Village Voice
WE ARE ON THE VERGE OF A NEW DARK AGE. THE CREATIVE WORLD IS DESTROYED. ALL WE HAVE IS CACOPHONY AND SELF OPINION. ANDREW KEEN, AUTHOR, THE CULT OF THE AMATEUR

DIRECTORS STATEMENT

After working in the creative industry for a number of years we got a bit tired of the loud complaints regarding the disappearance of business models due to pirating and continuing profit losses. These subjects had been discussed to death at media panels and in newspapers around the world. We felt that an important part of the story had been lost - the unprecedented cultural impact. Sure, there are lots of industry problems caused by technological innovation but there are also enormous new opportunities for creation. In our daily work we encounter numerous people from all over the world that, just like us, have grown up with technology as their friend. We were intrigued by the dichotomy: artists were able to create with the same technology that allowed pirating and was subverting old business models. It might be a bit bold to do a film about something thats in such rapid transformation, where nothing is set and where you really cant distinguish between the villains and heroes. But we didnt want to give a definite answer. We simply wanted to make a snapshot of today - documenting both the positive and negative aspects of democratized culture. You will not walk out of the theatre with more answers, but hopefully with more thoughts. David Dworsky and Victor Khler

WE ARE AT A TIME WHEN ARTISTS HAVE THE POWER BRENDA WALKER, MUSIC PRODUCER, DJ
DIRECTORS: David Dworsky & Victor Khler PRODUCERS: Einar Bodstrm, Philip Marthinsen & Adam Svanell DIRECTOR OF PHOTOGRAPHY: Hannes Isaksson EDITORS: David Dworsky & Victor Khler SOUND: Erik Olsson, Redpipe GRADE: Mike Cosola, Cinepost Studios ANIMATION: Stuart Langfield SCORE MUSIC: lafur Arnalds, Ludvig Franzn, Carl borg, Feliz Martinz and Joel Hilme

FILM SPECIFICATIONS

TITLE: PressPausePlay DURATION: 1h 20m SCREEN RATIO: 2.35:1 DISTRIBUTION PRINT: 35mm Kodak Vision SOUND: Dolby Digital Surround
SEE THE TRAILER, INTERVIEWS AND MORE AT WWW.PRESSPAUSEPLAY.COM
Downloadable press kit available on website, high-resolution stills and video material are available upon request.
EMAIL: info@presspauseplay.com YOUTUBE: www.youtube.com/presspauseplay/ PRODUCTION COMPANY: House of Radon TELEPHONE: +46 (0)WEBSITE: www.presspauseplay.com ADDRESS: House of Radon, Styrmansgatan 7, Stockholm

J Ayub Med Coll Abbottabad 2008;20(4)
INTERNET ACCESS AND UTILIZATION FOR HEALTH INFORMATION AMONG UNIVERSITY STUDENTS IN ISLAMABAD
Irshad Ali Shaikh, Masood Ali Shaikh, Anila Kamal*, Sobia Masood*
Chester Health Department, City Hall, 1 Fourth Street, Chester, PA 19013, USA, *National Institute of Psychology, Quaid-i-Azam University, Islamabad, Pakistan
Background: Internet has changed the way we live and work. Advent of this technology has fundamentally transformed our lives the way invention of automobile changed how our lives and cities looked and worked before. Practically no information is available on the use of internet for health by the people of Pakistan. The Objectives of the study were to assess the access and utilization pattern of internet by university students in Islamabad, with emphasis on the healthcare information seeking. Methods: An anonymous, self-administered, and pre-tested questionnaire with questions on the access, and usage pattern of internet, seeking health care information online, and belief about reliability of such information; was distributed to only those students who were enrolled in masters or higher degree programs. Results: A total of 600 students were approached and 598 (99.7%) completed the questionnaires. The mean age of students was 23.5 years (range 1940). The majority of students (423) were enrolled in masters program. Four hundred and sixtyeight students (78.26%) students had access to the computer either at home or at their university hostel. While 304 (50.84%) students had internet access at home or in their university hostel. Out of 304 students who reported having access to internet in the past three months, one hundred and thirty-nine (43.4 %) students replied affirmatively to the question of having used internet for seeking health care information. And 109 (78.4 %) thought that such information was reliable. Out of 139 students who had used internet for seeking health information, 35 (25.2 %) students replied affirmatively to the question of having discussed health information obtained from internet with their doctor/physician whom they visited for any illness/treatment. Conclusion: Majority of Islamabad university students in this study had access to computer and internet. Young and healthy state of this educated age group perhaps accounts for limited use of internet for seeking healthcare related information. However, high reliability of internet obtained health information needs to be further studied in terms of websites utilized for seeking such information. Keywords: Internet access; Internet health information, University students

INTRODUCTION

Internet has changed the way we live, love and work. Advent of this technology has fundamentally transformed our lives the way invention of automobile changed how our lives and cities looked and worked before. The maxim that half the world does not know how the other half lives is no longer true. Internet is increasingly becoming inextricably linked with our health; mental and physical. As well as how we approach and seek modern medicine either as practitioners or consumers.15 For lay and professional people living in developing countries internet has opened new vistas, and broadened health horizons for everyone who has the willingness, access, and the ability to use computers and internet.67 Internet literally provides access to up-to-the-minute information on latest developments in health care at the users own pace; and beauty of internet based health resources and databases like Medline lies in the fact that it neither allows geography as any hindrance nor discriminates between people in terms of providing access to understanding and learning of disease and care issues.810 Pakistan is the second most populous muslim and sixth most populous country in the world with a 2005 estimated population of over 160 million
people. The number of internet users in the year 2000 was about 0.134 million, however internet use growth has been 1,393.7% from 2000 to 2005. Currently there are over 800 cities and towns connected with two million internet users in the country, and a 1.2% population penetration.1112 There are no studies on the internet usage pattern or its correlates by Pakistanis other than the summary numbers mentioned, to our knowledge. Increasing health consciences and knowledge through internet has the potential for improving health; the ultimate objective of every health policymaker. We carried out this study with the aim of assessing usage pattern of internet with specific emphasis on health related information among the university students of Pakistans capital city Islamabad, as a preliminary study.

SUBJECT AND METHODS

The survey was conducted at the three universities in Islamabad, the capital city of Pakistan. Three graduate students trained in data collection approached prospective respondents from both natural sciences and humanities departments; through random selection, from the Quaid-i-Azam, Islamic,
http://www.ayubmed.edu.pk/JAMC/PAST/20-4/Irshad.pdf
and Fatima Jinnah Universities. The students were approached individually in the libraries, hostels and various departments of these universities. An anonymous, self-administered, and pretested questionnaire with questions on the access, and usage pattern of internet, seeking health care information online, and belief about reliability of such information; was distributed to only those students who were enrolled in masters or higher degree programs. These students were explained the objectives of the study and after obtaining verbal consent were invited to complete the questionnaire. The convenience-based selected students were enrolled in masters or higher degree programs. We distributed 600 questionnaires to randomly selected students, only two students refused to participate in the study owing to time constraints. The questionnaire comprised of demographic information, and eight questions to be answered as either yes or no; students who have had used internet but did not use it for seeking health care related information were required to complete only five questions. Internet usage in the past two weeks was coded as 0=none, 110 hours=low, 1130 hours=moderate, and 31 plus hours as high usage. While internet usage in the past three months was coded as 0=none, 130 hours=low, 31100 hours=moderate, and 101 plus hours as high usage. Data analysis was done using STATA 9. Internet access, and utilization pattern among males and females was compared using Pearson Chi-square test to look for associations between various categorical variables.

RESULTS

A total of 600 students were approached and 598 (99.7%) completed the questionnaires. The mean age of students was 23.5 years (range 1940). The majority of students (423) were enrolled in masters program, while the rest were either enrolled in masters of philosophy (M.Phil) or doctorate programs, and there were 319 (53.3%) males and 279 (46.7%) female students. Table-1 lists the demographic characteristics of all respondents. Four hundred and sixty-eight students (78.26%) students had access to the computer either at home or at their university hostel. While 304 (50.84%) students had internet access at home or in their university hostel. The computer and internet access by gender and enrollment status is presented in Table-2. There was significant differences between males and females in

terms of computer access (p<0.0005) as well as internet access (p<0.0005) Students were asked about use of internet for seeking health care information in the past three months, specifically whether they have looked for advice or information about heath or health care. Out of 304 students who reported having access to internet in the past three months, one hundred and thirty-nine (43.4%) students replied affirmatively to this question. Table-3 lists health care usage by gender and enrollment status. There was no statistically significant difference between males and females in seeking health care information on the internet in the past three months. Only those students who replied affirmatively to the question of having used internet for seeking health information were asked whether they thought such information on internet was reliable. Out of one hundred and thirtynine students who had used internet for health related information, 109 (78.4%) thought that such information was reliable. Table-4 lists perceived reliability of internet health information by gender and enrollment status. There was no statistically significant difference between males and females in terms of perceived reliability of health care information on the internet. Students who had used internet for seeking health information in the past three months were asked if in the past three months they have seen their doctor/physician for any illness/treatment and discussed health information obtained from internet with her. Out of 139 students who had used internet for seeking health information, 35 (25.2%) students replied affirmatively to this question. There was no statistically significant difference between males and females in terms of having discussed health care information obtained from internet with a doctor. Students who had used internet for seeking health information in the past three months were further asked if they discussed this information with any family member of a friend. Out of 139 students who had used internet for seeking health information in the past three months, 78 (56.1%) students replied affirmatively to this question. There was no statistically significant difference between males and females in terms of having discussed health care information obtained from internet with a family member or friends.

Table-1: Demographic characteristics of students
Male Female n (%) Age range in years (Mean SD) n (%) Age range in years (Mean SD) Masters Program 226 (70.85%) 1929 (22.21.5) 197 (70.61%) 1939 (21.41.8) M Phil Program 71 (22.26%) 2240 (273.4) 69 (24.73%) 2337 (25.62.4) Doctoral Program 22 (6.90%) 2440 (335.1) 13 (4.66%) 2538 (30.73.9)
Table-2: Computer and internet access by gender
Computer access at home or hostel Male Female Internet access at home or hostel Male Female Yes No Yes No Yes No Yes No Masters Program 154 (68.31 %) 72 (31.86 %) 179 (90.86 %) 18 (9.14 %) 90 (39.82 %) 136 (60.18 %) 129 (65.48 %) 68 (34.52 %) M Phil Program 50 (70.42 %) 21 (29.58 %) 62 (89.86 %) 7 (10.14 %) 28 (39.44 %) 43 (60.56 %) 45 (65.22 %) 24 (34.78 %) Doctoral Program 15 (68.18 %) 7 (31.82 %) 8 (61.54 %) 5 (38.46 %) 5 (22.73 %) 17 (77.27 %) 7 (53.85 %) 6 (46.15 %)
Table-3: Internet utilization pattern of students
Male n (%) Internet Use in the past two weeks Female n (%) None Low Moderate High None Low Moderate High None Low Moderate High None Low Moderate High Masters Program 32 (14.16 %) 81 (35.84 %) 55 (24.34) 58 (25.66%) 18 (9.14 %) 99 (50.25 %) 47 (23.86 %) 33 (16.75 %) 24 (10.62 %) 59 (26.11 %) 56 (24.78 %) 87 (38.50 %) 4 (2.03 %) 87 (44.16 %) 57 (28.93 %) 49 (24.87 %) M Phil Program 8 (11.27 %) 31 (43.66 %) 15 (21.13 %) 17 (23.94 %) 3 (4.35 %) 25 (36.23 %) 19 (27.54 %) 22 (31.88 %) 3 (4.23 %) 25 (35.21 %) 17 (23.94 %) 26 (36.62 %) 2 (2.90 %) 15 (21.74 %) 21 (30.43 %) 31 (44.93 %) Doctoral Program 0 (0 %) 7 (31.82 %) 14 (63.64 %) 1 (4.55 %) 0 (0 %) 6 (46.15 %) 5 (38.46 %) 2 (15.38 %) 0 (0 %) 4 (18.18 %) 9 (40.91 %) 9 (40.91 %) 0 (0 %) 2 (15.38 %) 5 (38.46 %) 6 (46.15%)
Male n (%) Internet Use in the past three months Female n (%)
Table-4: Pattern of Internet utilization for health information by students
Internet Use for Seeking Health Information/Advice Male n (%) Female n (%) Yes No Yes No Masters Program 56 (24.8 %) 170 (75.2 %) 46 (23.4 %) 151 (76.6 %) M Phil Program 17 (23.9 %) 54 (76.01 %) 16 (23.2 %) 53 (76.8 %) Doctoral Program 1 (4.6 %) 21 (95.4 %) 3 (23.1 %) 10 (76.9 %)
Table-5: Perceived Reliability of Internet health information by students.
Think Health Information on Internet is Reliable Male n (%) Female n (%) Yes No Yes No Masters Program 45 (80.4 %) 11 (19.6 %) 36 (78.3 %) 10 (21.7 %) M Phil Program 15 (88.2 %) 2 (11.8 %) 10 (62.5 %) 6 (37.5 %) Doctoral Program %) 2 (66.7 %) 1 (33.3 %)

DISCUSSION

We found in this study that computer access was very high in the university students of Islamabad, as only 21.7% reported not having access to a computer at either home or at the university. Internet access was reported by little over half of all the students, at either home or university. Most of the students were enrolled in the masters program and gender distribution was roughly equal in our study. Cumulatively about one fourth of students (139) have had used internet for seeking health care information in the past three months. Perception of health information obtained form internet was considered reliable by over three-quarter of students in our study. Thirty-five students who happened to visit their doctor in the preceding three months, discussed health information obtained form internet. Seventyeight students also discussed this information with

either friends or relatives in the past three months. This testifies to the perceived reliability of internet obtained health information by our respondents. Literacy rate in Pakistan is reported as 54% for the ten years and older population, according to the official figures.13 However, these are wide variations between various provinces and between gender groups. Literacy rate is 66.25% for males while for female sit is 41.75%. According to estimates based on 20002001 fiscal year data, 32% of the population lives below poverty line.14 Against this backdrop graduate and postgraduate university students computer access and internet usage is very encouraging; especially in the light of fact that English is a second language for people in Pakistan. Internet holds the promise of raising health consciousness and better health consumerism in addition to gaining latest information
on virtually any subject area for the peoples of developing countries. Promotion of internet and widening access of populations to this medium of knowledge would further enhance the need for indigenously developed health websites promoting health in the national and regional languages of Pakistan15. However, high reliability of internet obtained health information needs to be further studied in terms of websites utilized for seeking such information.

9. 10.

11. 12.

REFERENCES

1. Wagner TH, Baker LC, Bundorf MK, Singer S. Use of the internet for health information by the chronically ill. Prev Chronic Dis. 2004;1(4):A13. Epub 2004 Sep 15. Halvorson GC, Isham GJ. Epidemic of care. San Francisco: Jossey-Bass, 2003. Feliciani F. Medical care from space: Telemedicine. ESA Bull 2003;114:5459. Myers MR. Telemedicine: an emerging health care technology. Health Care Manag (Frederick) 2003;22(3):21923. Potts HW, Wyatt JC. Survey of doctors' experience of patients using the Internet. J Med Internet Res 2002;4(1):e5. Edworthy SM. Telemedicine in developing countries. BMJ 2001;323(7312):5245.

2. 3. 4. 5. 6.

Mansor I. Computer skills among medical students: a survey at the King Abdul Aziz University, Jeddah. J Ayub Med Coll 2002;14(3):135. Turner JW, Robinson JD, Alaoui A, Winchester J, Neustadtl A, Levine BA, et al. Media attitudes vs. use: the contribution of context to the communication environment in telemedicine. Health Care Manage Rev, 2003;28(2):95106. Cooke FJ, Holmes A. E-mail consultations in international health. Lancet 2000;356(9224):138. Dutta-Bergman MJ. Health attitudes, health cognitions, and health behaviours among Internet health information seekers: population-based survey. J Med Internet Res. 2004;6(2):e15. Pakistan Online. Retrieved October 12, 2005, from http://www.spider.tm/pakonline.html Internet World StatsUsage and population statistics. URL: http://www.internetworldstats.com/stats3.htm [Retrieved October 12, 2005] Pakistan Times. Pakistans literacy rate nearly 54%. Retrieved October 13, 2005, from http://pakistantimes.net/ 2004/07/15/national4.htm The world factbookPakistan. Retrieved October 13, 2008, from https://www.cia.gov/library/publications/the-worldfactbook/geos/PK.html Microsoft local language program quote sheet. Retrieved October 12, 2005 from http://www.microsoft.com/ presspass/press/2004/mar04/0317LLPQS.mspx