Dr. Nakashima has been a diabetes specialist for 18 years. He was working at University of California, San Diego as a post doctoral fellow from 1996 to 1999. He has conducted disease management for diabetes mellitus in Japan for 5 years. Especially he is interested in standardization of medical information and medical procedure of life style diseases. He is also promoting a project of the broad band telemedicine network in Asia Pacific area.
He is a councillor member of Japanese Society of Diabetes Mellitus and a director of general affairs of Japanese Association of Medical Informatics.
Abstract: Parvati Dev completed her doctoral degree in Electrical Engineering on computer models of the brain at Stanford University. She has worked on the research and teaching staff at M.I.T., Boston University, and Stanford. From 1982 to 1989 she was Vice-President at CEMAX Inc, where she developed products for three-dimensional imaging of patients from computed tomography and magnetic resonance scans. From 1990 to 2007, she led the SUMMIT Research Laboratory for Learning Technologies at Stanford, a pioneer in the development of digital educational materials related to anatomy and surgery. Between 2002 and 2004, she was appointed Associate Dean of Learning Technologies for the medical school. Dr. Dev's research includes simulation and game-based learning, collaborative visualization of human anatomy over Internet2, the simulation of clinical procedures, and the evaluation of learning outcomes. She now leads a new company, Innovation in Learning, Inc., to further develop new online learning environments.
Abstract-
Telemedicine and KSGE activity in Korea
Joonsoo Hahm, M.D.
Departments of Internal Medicine, College of Medicine, Hanyang University
The Korean Society of Gastrointestinal Endoscopy (KSGE) was founded on August 14,1976. Since then, regular congress has been held including scientific issues and rare interesting cases. Since March 1980, regular seminar and live demonstration for training and education have taken place twice a year, and the enrollment was getting more increasing because of various interesting education programs. The official journal of KSGE was also published 6 times a year. On August 2001, Korea-Japan Joint Symposium on Gastrointestinal Endoscopy was established and has made great development by exchanging up-to-date findings and latest technologies each other. Since broadband fiber-optic cable system between Korea and Japan was established on 2001, we are able to send endoscopic and surgical procedures not only to domestic areas(KOREN) but also to international areas(APAN, TEIN2). Real-time teleconferences and live demonstrations between countries could be achieved successfully. Our society(KSGE) is supporting to make an infrastructures of this telemedicine in our country and trying to expand to other countries. We are now successfully performing telemedical meeting with live endoscopic demonstration monthly domestically and internationally with Japan, Taiwan, and U.S.A. This system will prove to be a promising tool in remote medicine for worldwide telemedical communication in the future, and various active utilization of this network will devote the development of diverse medical service and science.
Joonsoo Hahm, M.D.
Departments of Internal Medicine, College of Medicine, Hanyang University
The Korean Society of Gastrointestinal Endoscopy (KSGE) was founded on August 14,1976. Since then, regular congress has been held including scientific issues and rare interesting cases. Since March 1980, regular seminar and live demonstration for training and education have taken place twice a year, and the enrollment was getting more increasing because of various interesting education programs. The official journal of KSGE was also published 6 times a year. On August 2001, Korea-Japan Joint Symposium on Gastrointestinal Endoscopy was established and has made great development by exchanging up-to-date findings and latest technologies each other. Since broadband fiber-optic cable system between Korea and Japan was established on 2001, we are able to send endoscopic and surgical procedures not only to domestic areas(KOREN) but also to international areas(APAN, TEIN2). Real-time teleconferences and live demonstrations between countries could be achieved successfully. Our society(KSGE) is supporting to make an infrastructures of this telemedicine in our country and trying to expand to other countries. We are now successfully performing telemedical meeting with live endoscopic demonstration monthly domestically and internationally with Japan, Taiwan, and U.S.A. This system will prove to be a promising tool in remote medicine for worldwide telemedical communication in the future, and various active utilization of this network will devote the development of diverse medical service and science.
KOREN as a Medical Network in KOREA by Heesang Park / KOREN NOC, KT Future Technology Laboratories
"KOREN (KOrea advanced REsearch Network) is a research and testbed network for information technology research and supports R&D for future network technologies and applications. KOREN has 6 PoPs in main areas of Korea, Seoul/ Daejon/ Gwangju/ Daegu/ Busan/ Suwon with 10Gbps backbone and connected with APII(10Gbps) and TEIN2(622Mbps). KOREN provides 1Gbps link for member institutes and supports several areas of research subject including medical research. Currently, KOREN supports 14 medical institutions as members of KOREN mostly with 1Gbps networks and more institutions are applying for KOREN members. KOREN supports several kind of multimedia services including ConferenceXP venue service, DVTS with MCU, Uncompressed HD transmission. It’ll show the network status of KOREN as a medical network."
"KOREN (KOrea advanced REsearch Network) is a research and testbed network for information technology research and supports R&D for future network technologies and applications. KOREN has 6 PoPs in main areas of Korea, Seoul/ Daejon/ Gwangju/ Daegu/ Busan/ Suwon with 10Gbps backbone and connected with APII(10Gbps) and TEIN2(622Mbps). KOREN provides 1Gbps link for member institutes and supports several areas of research subject including medical research. Currently, KOREN supports 14 medical institutions as members of KOREN mostly with 1Gbps networks and more institutions are applying for KOREN members. KOREN supports several kind of multimedia services including ConferenceXP venue service, DVTS with MCU, Uncompressed HD transmission. It’ll show the network status of KOREN as a medical network."
Cisco’s Healthcare Lead for Australia and New Zealand
Malcolm Miller
Abstract:
Healthcare's conjoint challenges of improving efficiency and outcomes are driving healthcare ICT innovation towards supporting new innovative service configurations. One area with promising indicative evidence is the use of high definition video together with telemetry of diagnostic signs to break the one clinician to one patient constraint, thereby improving quality, access, and efficiency. This session will review some of the early evidence and plans for this area from the US, UK, and Australia and New Zealand.
Bio: Malcolm Miller is Cisco’s Healthcare Lead for Australia and New Zealand. Malcolm is a trained medical doctor and completed his MBChB at the University of Auckland School of Medicine in 2005. Prior to joining Cisco he was the National Head of Health Sector Marketing and Sales at Vodafone New Zealand. He has held positions at Telecom New Zealand and Applied Materials Japan, and ran a successful ICT consulting business.
Malcolm also holds an MBA in Asia Pacific International Business from the Universities of Hawaii and Hitotsubashi (Tokyo) and a Master of Engineering degree with Distinction from the University of Auckland.
Malcolm Miller
Abstract:
Healthcare's conjoint challenges of improving efficiency and outcomes are driving healthcare ICT innovation towards supporting new innovative service configurations. One area with promising indicative evidence is the use of high definition video together with telemetry of diagnostic signs to break the one clinician to one patient constraint, thereby improving quality, access, and efficiency. This session will review some of the early evidence and plans for this area from the US, UK, and Australia and New Zealand.
Bio: Malcolm Miller is Cisco’s Healthcare Lead for Australia and New Zealand. Malcolm is a trained medical doctor and completed his MBChB at the University of Auckland School of Medicine in 2005. Prior to joining Cisco he was the National Head of Health Sector Marketing and Sales at Vodafone New Zealand. He has held positions at Telecom New Zealand and Applied Materials Japan, and ran a successful ICT consulting business.
Malcolm also holds an MBA in Asia Pacific International Business from the Universities of Hawaii and Hitotsubashi (Tokyo) and a Master of Engineering degree with Distinction from the University of Auckland.
Bach Mai Hospital representation
abstract Vietnam is an agriculture country, has a population of about 80 million. Population in cities is about 23,8% and rural is about 76,2%. After long period of trying to develop economy, Vietnamese life is improving. Vietnamese government not only cares about development of economy, education but also medicine. There are some medical policies: medical insurance, hospital fees, ordinance to practice private medicine and pharmacy, national ordinance about pharmacy, decision to improve medicine in rural area… which is help to improve primary care. Although some success was obtained in develop medicine infrastructure, human resources development, and medicine equipment but there are some problem make medical system in rural area cannot accomplish primary care tasks. Therefore, medical system needs more interest and investment especially medical in rural area in order to improve health care quality.
abstract Vietnam is an agriculture country, has a population of about 80 million. Population in cities is about 23,8% and rural is about 76,2%. After long period of trying to develop economy, Vietnamese life is improving. Vietnamese government not only cares about development of economy, education but also medicine. There are some medical policies: medical insurance, hospital fees, ordinance to practice private medicine and pharmacy, national ordinance about pharmacy, decision to improve medicine in rural area… which is help to improve primary care. Although some success was obtained in develop medicine infrastructure, human resources development, and medicine equipment but there are some problem make medical system in rural area cannot accomplish primary care tasks. Therefore, medical system needs more interest and investment especially medical in rural area in order to improve health care quality.
Training High School Students to Become Young Lifesavers
Wm. LeRoy Heinrichs, MD, PhD (USA) Professor(Emeritus) of Ob/Gyn
Abstract:
Ischemic heart disease is the world’s most common cause of death – 9.2 mil (12.6% of deaths) die annually. Cardio-pulmonary resuscitation (CPR) is the procedure needed to manage many cases of this lethal condition. In many instances the underlying disease prevents successful restoration of circulation, but more effective and disseminated CPR instruction and practice could save many lives. Both laymen and medical staff who may encounter cardiac emergencies need to become proficient in conducting CPR. Increased frequency of training or repeated training could be one solution, but more effective training would be better. We have explored the value of CPR simulations in a Virtual High School, an example of a Serious Virtual World. High school students conduct CPR on victims role-played by a friend, or a familiar teacher, coach, or even a parent. They must determine if the airway is open, or obstructed, and provide the proper remedy – remove the obstruction, or do CPR. We have recently added the feature of using a physical manikin to link psychomotor skills into the training procedure. The combination allows students to learn CPR in the context of simulated victims; they strongly value this experiential learning method.
Wm. LeRoy Heinrichs, MD, PhD (USA) Professor(Emeritus) of Ob/Gyn
Abstract:
Ischemic heart disease is the world’s most common cause of death – 9.2 mil (12.6% of deaths) die annually. Cardio-pulmonary resuscitation (CPR) is the procedure needed to manage many cases of this lethal condition. In many instances the underlying disease prevents successful restoration of circulation, but more effective and disseminated CPR instruction and practice could save many lives. Both laymen and medical staff who may encounter cardiac emergencies need to become proficient in conducting CPR. Increased frequency of training or repeated training could be one solution, but more effective training would be better. We have explored the value of CPR simulations in a Virtual High School, an example of a Serious Virtual World. High school students conduct CPR on victims role-played by a friend, or a familiar teacher, coach, or even a parent. They must determine if the airway is open, or obstructed, and provide the proper remedy – remove the obstruction, or do CPR. We have recently added the feature of using a physical manikin to link psychomotor skills into the training procedure. The combination allows students to learn CPR in the context of simulated victims; they strongly value this experiential learning method.
Title: Telemedicine in a Disconnected Environment
Sakti Srivastava,MBBS, MS (India), Adjunct professor, IIT Delhi
Abstract: Over 70% of population of India resides in rural areas; the majority have minimal or no access to basic healthcare. Providing telemedicine services is one method of reaching out to them. In the past, satellite-based and broadband telemedicine programs have been established in various parts of India; and have met with some success. However, these services are expensive and require a significant amount of time and expertise to establish, maintain and run effectively. Additionally, those living in isolated communities in the remotest of remote parts of the country, and at the “bottom of the pyramid” may not be able to benefit from these services in a cost-effective manner. Here an innovative solution is described that is inexpensive, can be setup quickly, is truly scalable, and can provide a number of additional value added tele-health services.
The proposed solution provides asynchronous telemedicine sessions (store and forward) using a delay tolerant network via a mechanical backhaul. This application is capable of integrating with various types of digital data including DICOM medical images; and can transport large datasets without any compression or loss. An electronic medical record forms the foundation of this application. Remote side healthcare workers enter patient data using a hand-held device during clinic visits or door-to-door house calls. Cases that require expert consultation are flagged and “sent”. These digital parcels are mechanically transported to the automatic dispatcher that sends it off to the most appropriate physician using a series of programmed algorithms. Physician responses are similarly transported in the reverse direction to the healthcare worker. The application allows for physician-to-physician referrals, patient portability, case file consolidation, and has in-built features to minimize response delays. The presentation describes implementation details. The proposed application is scalable so that it can use a variety of network conditions, including high bandwidth “always on” connections, when available. The same infrastructure can be used for collecting health statistics and disseminating health education content. Results from preliminary trials have shown successful bi-directional transfer of up to 1GB of data without any difficulty.
Sakti Srivastava,MBBS, MS (India), Adjunct professor, IIT Delhi
Abstract: Over 70% of population of India resides in rural areas; the majority have minimal or no access to basic healthcare. Providing telemedicine services is one method of reaching out to them. In the past, satellite-based and broadband telemedicine programs have been established in various parts of India; and have met with some success. However, these services are expensive and require a significant amount of time and expertise to establish, maintain and run effectively. Additionally, those living in isolated communities in the remotest of remote parts of the country, and at the “bottom of the pyramid” may not be able to benefit from these services in a cost-effective manner. Here an innovative solution is described that is inexpensive, can be setup quickly, is truly scalable, and can provide a number of additional value added tele-health services.
The proposed solution provides asynchronous telemedicine sessions (store and forward) using a delay tolerant network via a mechanical backhaul. This application is capable of integrating with various types of digital data including DICOM medical images; and can transport large datasets without any compression or loss. An electronic medical record forms the foundation of this application. Remote side healthcare workers enter patient data using a hand-held device during clinic visits or door-to-door house calls. Cases that require expert consultation are flagged and “sent”. These digital parcels are mechanically transported to the automatic dispatcher that sends it off to the most appropriate physician using a series of programmed algorithms. Physician responses are similarly transported in the reverse direction to the healthcare worker. The application allows for physician-to-physician referrals, patient portability, case file consolidation, and has in-built features to minimize response delays. The presentation describes implementation details. The proposed application is scalable so that it can use a variety of network conditions, including high bandwidth “always on” connections, when available. The same infrastructure can be used for collecting health statistics and disseminating health education content. Results from preliminary trials have shown successful bi-directional transfer of up to 1GB of data without any difficulty.
Title: Tele-health Knowledge Network in India
Saroj K. Mishra,MS., FACS (India)
Head, Dept. of Endocrine Surgery, I/C School of Telemedicine & Biomedical Informatics Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.INDIA
Abstract: The vast geographical area of India is comprising 29 states and 6 union territories spread over 3 million sq. km. having over one billion population. Medical education and health care delivery are largely governmental functions. There are about 271 medical colleges in government and private sector located in 29 states and 6 union territories. Most of the public sector teaching hospitals are well equipped to impart training to the residents according to the guidelines of the apex governing body, Medical Council of India (MCI). However, with the rapid advancement in medical knowledge, the government is finding it increasingly difficult to keep these teaching hospitals up-to-date. It requires availability of excellent infrastructure such as qualified teachers, knowledge resources, learning materials and teaching technology. Advancement in Telecommunication and Information technology provides an opportunity to bridge the knowledge gap by networking of different levels of hospitals to practice distance learning in the form of interactive virtual class room environment. Several telemedicine initiatives in India have knowledge exchange activities in place. A review of such initiatives will be the main component of the presentation on the background of current e-health scenario in India and planned future national level projects relevant to health knowledge exchange.
Saroj K. Mishra,MS., FACS (India)
Head, Dept. of Endocrine Surgery, I/C School of Telemedicine & Biomedical Informatics Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.INDIA
Abstract: The vast geographical area of India is comprising 29 states and 6 union territories spread over 3 million sq. km. having over one billion population. Medical education and health care delivery are largely governmental functions. There are about 271 medical colleges in government and private sector located in 29 states and 6 union territories. Most of the public sector teaching hospitals are well equipped to impart training to the residents according to the guidelines of the apex governing body, Medical Council of India (MCI). However, with the rapid advancement in medical knowledge, the government is finding it increasingly difficult to keep these teaching hospitals up-to-date. It requires availability of excellent infrastructure such as qualified teachers, knowledge resources, learning materials and teaching technology. Advancement in Telecommunication and Information technology provides an opportunity to bridge the knowledge gap by networking of different levels of hospitals to practice distance learning in the form of interactive virtual class room environment. Several telemedicine initiatives in India have knowledge exchange activities in place. A review of such initiatives will be the main component of the presentation on the background of current e-health scenario in India and planned future national level projects relevant to health knowledge exchange.
Nepal NREN updates on an overview of existing services of Medical Group Members.
HealthNet Nepal:- HealthNet Nepal is the name of SATELLIFE's global communication network, which links healthcare workers around the world via IT (Information Technology). HealthNet Nepal has been a pioneer in providing viable solutions to information poverty among health professionals in Nepal. Through this new connection, doctors, nurses, researchers, medical students and other health care providers who had been working in isolation were finally able to communicate, share experiences and access information critical to their work. HealthNet is ultimately not just about technology or content, but about a network of people working together to build healthier communities.
In 1994, SatelLife worked with Ministry of Health, medical schools, medical libraries, and other health facilities to build locally owned and managed HealthNet networks. Being a pioneer institute in the sector of health, SatelLife choosed to Institute of Medicine, Tribhuvan university as a hosting institute of HealthNet Nepal. HealthNet Nepal has evolved according to local needs. In Nepal, it extended throughout the country to serve a much larger community. HealthNet Nepal is designated by the country and local hosting institute i.e Institue of Medicine, in which they are located. The local hosting institute (Institue of Medicine) designs its policy in collaboration with other health institutes to develop a health network of people.
The following best practices build on lessons learned from the field of communication for development, and are focused on ICTs for health information development:
a. Building on existing technical and organizational systems.
b. Multi-stakeholder governance.
c. Participation of the user community in the design and management of the ICT solutions.
d. Exploiting the full range of existing media.
e. Involving the full community of ICT users, not just the make half of the community users.
Services provided by HealthNet Nepal.
1. Web page.
2. Digital library and Library Automation.
4. Personal Digital Assistance (PDA).
5. Infrastructure and Training services.
7. Open Source Software - GSDL, OJS, OCS, KOHA (information management software) and care2x (hospital management software)
8. Telemedicine.
HealthNet Nepal:- HealthNet Nepal is the name of SATELLIFE's global communication network, which links healthcare workers around the world via IT (Information Technology). HealthNet Nepal has been a pioneer in providing viable solutions to information poverty among health professionals in Nepal. Through this new connection, doctors, nurses, researchers, medical students and other health care providers who had been working in isolation were finally able to communicate, share experiences and access information critical to their work. HealthNet is ultimately not just about technology or content, but about a network of people working together to build healthier communities.
In 1994, SatelLife worked with Ministry of Health, medical schools, medical libraries, and other health facilities to build locally owned and managed HealthNet networks. Being a pioneer institute in the sector of health, SatelLife choosed to Institute of Medicine, Tribhuvan university as a hosting institute of HealthNet Nepal. HealthNet Nepal has evolved according to local needs. In Nepal, it extended throughout the country to serve a much larger community. HealthNet Nepal is designated by the country and local hosting institute i.e Institue of Medicine, in which they are located. The local hosting institute (Institue of Medicine) designs its policy in collaboration with other health institutes to develop a health network of people.
The following best practices build on lessons learned from the field of communication for development, and are focused on ICTs for health information development:
a. Building on existing technical and organizational systems.
b. Multi-stakeholder governance.
c. Participation of the user community in the design and management of the ICT solutions.
d. Exploiting the full range of existing media.
e. Involving the full community of ICT users, not just the make half of the community users.
Services provided by HealthNet Nepal.
1. Web page.
2. Digital library and Library Automation.
4. Personal Digital Assistance (PDA).
5. Infrastructure and Training services.
7. Open Source Software - GSDL, OJS, OCS, KOHA (information management software) and care2x (hospital management software)
8. Telemedicine.
Initial Experience with Telemedicine in Eastern Hills of Nepal
Author: Saroj P Dhital, M.D., D.Med (Surg)
Chief, Department of Surgery
Director of Academic Affairs, Kathmandu Model Hospital, Public Health Concern Trust (Nepal)
Health care providers in countries like Nepal have to face challenges from two extremes of reality: in one hand, they are still carrying the burden of unfinished agendas relating to basic health care and on the other hand they have to cope with the speedy progress in health sciences and medical technology.
In the era of globalization, the gap between the rich and poor countries is expressed sharply in the health sector and is ever increasing. The harm caused by this inequality is multifaceted and has far reaching impacts on world peace. Prosperity for all nations and their people may be the final solution, but that is more of an ideal than achievable goal. Poor countries have to make best use of available and affordable resources and technology to catch up with rest of the world and thus narrowing the gap between the rich and poor nations.
While almost everything in the world is getting more and more costly, information technology (IT) is getting more and more affordable and efficient. It is, therefore, essential for the poor countries to make best use of IT for coping with challenges in all sectors including the health sector.
Public Health Concern Trust, Nepal (phect-NEPAL), a Nepali NGO working in health sector, has started telemedicine program with strong component of continued medical education in cooperation with its partners. Still in its initial phase, the program has connected hills in the eastern Nepal to a general hospital in Katmandu. In spite of the limitations in resources, the initial results of the program are encouraging. Besides improving the health care standards in the remote areas, it has also been facilitating the growth process of personnel working in those remote areas and thus stabilizing their stay. Daily regular consultation and emergency consultations have become regular features along with continued medical education for the personnel at the remote end. Thanks to the effective connection with experts in central hospital, confidence level has increased visibly both among health providers and health service seekers in the remote hills.
It is expected that with better equipment, more effective real-time guidance for difficult procedures may also be made possible in near future. The technology being used now is based on WiFi and the network has rooms for improvement.
Author: Saroj P Dhital, M.D., D.Med (Surg)
Chief, Department of Surgery
Director of Academic Affairs, Kathmandu Model Hospital, Public Health Concern Trust (Nepal)
Health care providers in countries like Nepal have to face challenges from two extremes of reality: in one hand, they are still carrying the burden of unfinished agendas relating to basic health care and on the other hand they have to cope with the speedy progress in health sciences and medical technology.
In the era of globalization, the gap between the rich and poor countries is expressed sharply in the health sector and is ever increasing. The harm caused by this inequality is multifaceted and has far reaching impacts on world peace. Prosperity for all nations and their people may be the final solution, but that is more of an ideal than achievable goal. Poor countries have to make best use of available and affordable resources and technology to catch up with rest of the world and thus narrowing the gap between the rich and poor nations.
While almost everything in the world is getting more and more costly, information technology (IT) is getting more and more affordable and efficient. It is, therefore, essential for the poor countries to make best use of IT for coping with challenges in all sectors including the health sector.
Public Health Concern Trust, Nepal (phect-NEPAL), a Nepali NGO working in health sector, has started telemedicine program with strong component of continued medical education in cooperation with its partners. Still in its initial phase, the program has connected hills in the eastern Nepal to a general hospital in Katmandu. In spite of the limitations in resources, the initial results of the program are encouraging. Besides improving the health care standards in the remote areas, it has also been facilitating the growth process of personnel working in those remote areas and thus stabilizing their stay. Daily regular consultation and emergency consultations have become regular features along with continued medical education for the personnel at the remote end. Thanks to the effective connection with experts in central hospital, confidence level has increased visibly both among health providers and health service seekers in the remote hills.
It is expected that with better equipment, more effective real-time guidance for difficult procedures may also be made possible in near future. The technology being used now is based on WiFi and the network has rooms for improvement.
'MPCNL' Minimally invasive Percutaneous Nephrolithotomy services in Nepal
Author: Sanjay Khadgi, MS (Urology)
Mini PCNL Expert Norvic-Escorts International Hospital
MPCNL is a modification of conventional PCNL a key role surgery to remove upper urinary stone. Method consists of make a small incision about 5mm in a flank side where kidney stone is located. Make tract up to the kidney & instrument (telescope) inserted along with the lithoclast (stone fragmenting probe) stone is then fragmented & all small particles are removed through the same port patient is discharged after 48 hrs.
Our plan in Nepal is to make awareness program of kidney stone disease & MPCNL service to the remote areas of Nepal.
Author: Sanjay Khadgi, MS (Urology)
Mini PCNL Expert Norvic-Escorts International Hospital
MPCNL is a modification of conventional PCNL a key role surgery to remove upper urinary stone. Method consists of make a small incision about 5mm in a flank side where kidney stone is located. Make tract up to the kidney & instrument (telescope) inserted along with the lithoclast (stone fragmenting probe) stone is then fragmented & all small particles are removed through the same port patient is discharged after 48 hrs.
Our plan in Nepal is to make awareness program of kidney stone disease & MPCNL service to the remote areas of Nepal.
Thai Association of Gastrointestinal Endoscopy (TAGE)
TAGE is a new association for GI endoscopy that recently found by a group of Gastroenterologists and surgical endoscopists since 2005. Before then TAGE had been know as GI endoscopy club that worked under the umbrella of the Gastroenterological Association. Our founder president was Maj.Gen. Dr. Surapol Choen -ratakul, MD. Currently, the new team has been covered by Dr. Sukij Panpimanmas, MD. The numbers of full TAGE members are around 300.
The objectives of TAGE are to provide knowledge, conducting research in GI endoscopy, and being a representative of Thailand regarding GI endosocpy. This is to connect the Thai GI endoscopy team to the outside Associations and also organize our work with those. TAGE has performed Live GI Endoscopy courses including Hand on workshop for 7 consecutive years. In addition, we also run a small course of Hand on workshop in EGD, colonoscopy and ERCP to serve our local doctors for 4-5 times annually. We also had 2 ERCP Hand on workshops that supported by the ASPDE, one was at Siriraj Hospital and the other was at Rajaviti Hospital.
TAGE has published 3 standard Textbooks in Thai for local GI endoscopists and recently TAGE has published “The series of interest GI endoscopy atlas” in 2008. All of this materials are also available in pdf files and can be download from www.thaitage.com.
In year 2009, TAGE will have the 8th annual GI Live Endoscopy course in March, 2009. This course will be in conjunction with the Asian Pacific Hepatobiliary meeting for Surgeons that will be held in Bangkok at the same time. This Endoscopy course will also be televised to many countries including, Japan, The Phillipines, Singapore, Malaysia, Korea and etc. In addition, with special supports form Kyushu University, Dr Shimizu and AIT, Dr. Kanchana, TAGE will provide a lecture “ Hot topic in GI Endoscopy” on September 19, 2008. This lecture will be broadcasting to Japan, The Phillipines, Singapore, Korea and many local stations in Medical School situated outside Bangkok.
TAGE is a new association for GI endoscopy that recently found by a group of Gastroenterologists and surgical endoscopists since 2005. Before then TAGE had been know as GI endoscopy club that worked under the umbrella of the Gastroenterological Association. Our founder president was Maj.Gen. Dr. Surapol Choen -ratakul, MD. Currently, the new team has been covered by Dr. Sukij Panpimanmas, MD. The numbers of full TAGE members are around 300.
The objectives of TAGE are to provide knowledge, conducting research in GI endoscopy, and being a representative of Thailand regarding GI endosocpy. This is to connect the Thai GI endoscopy team to the outside Associations and also organize our work with those. TAGE has performed Live GI Endoscopy courses including Hand on workshop for 7 consecutive years. In addition, we also run a small course of Hand on workshop in EGD, colonoscopy and ERCP to serve our local doctors for 4-5 times annually. We also had 2 ERCP Hand on workshops that supported by the ASPDE, one was at Siriraj Hospital and the other was at Rajaviti Hospital.
TAGE has published 3 standard Textbooks in Thai for local GI endoscopists and recently TAGE has published “The series of interest GI endoscopy atlas” in 2008. All of this materials are also available in pdf files and can be download from www.thaitage.com.
In year 2009, TAGE will have the 8th annual GI Live Endoscopy course in March, 2009. This course will be in conjunction with the Asian Pacific Hepatobiliary meeting for Surgeons that will be held in Bangkok at the same time. This Endoscopy course will also be televised to many countries including, Japan, The Phillipines, Singapore, Malaysia, Korea and etc. In addition, with special supports form Kyushu University, Dr Shimizu and AIT, Dr. Kanchana, TAGE will provide a lecture “ Hot topic in GI Endoscopy” on September 19, 2008. This lecture will be broadcasting to Japan, The Phillipines, Singapore, Korea and many local stations in Medical School situated outside Bangkok.
Siriraj Endoscopy Center and APAN
Somchai Leelakusolvong, M.D.
Siriraj Endoscopy Center is based in Siriraj Hospital; one of the largest hospital with 3000 beds and a medical school. It is a combined endoscopy unit composed of gastrointestinal division, department of Medicine, department of Surgery and department of Anesthesiology. The main objective for this center is to be the one of leader endoscopy centers in Asia. To achieving a high performance in service, teaching and research in endoscopy, our center is also one of World Organization of Digestive Endoscopy (WGO-OMED) training centers. This center offers several training opportunities every year and encourages applications from for Southeast Asian physicians as well as other countries. The first teleconference of live demonstration in endoscopy was done in the opening ceremony of this center which supported by Kyushu university hospital. In addition, for the educational and research purpose, the center also has a joint international program in endoscopy conference such as; the early detection of gastric cancer (ECC conference) every three-month and yearly international live demonstration in advance endoscopy with Kyushu university hospital, Japan. Finally, the teleconference program should be able to expand not only for the research but also in the service and educational programs in the near future with the cooperation from many countries.
Teleporting to Remote Venues and Future Communication Technologies
Dr Stuart Gowland, Mobile Surgical Services, Christchurch, New Zealand
Mark Billinghurst, Human Interface Technology Laboratory New Zealand, Christchurch, New Zealand
The Mobile Surgical Project is funded by the New Zealand Government to develop technologies to exploit two ideas: 1.The Mobile sharing of expensive equipment and facilities in New Zealand health service. 2.The sharing of knowledge utilising interactive video communication at broadcast quality with associated remote control that we have termed teleporting.
Examples will be shown of the use of teleporting technology over several years to different medical and associated venues in New Zealand, Australia and the United States.
A live surgical link will be undertaken to an operating room in Christchurch demonstrating a cataract extraction for a patient with a replacement lens insertion. The audience will be able to interact with the Surgeon during the procedure. Future applications of this technology will be discussed.
The Human Interface Technology Laboratory will discuss further developments of knowledge sharing and acquisition involving the worlds of Virtual and Augmented Reality.
Virtual Reality (VR) and Augmented Reality (AR) technology can be used to develop interfaces that provide a far more natural remote conferencing experience. Examples will be shown of tools that have been developed to support remote 3D medical data visualization alongside traditional video conferencing, a desktop 3D conferencing space that creates the illusion of being in a real conference room, and an AR conferencing tool that creates the illusion that remote people are beside the user in the real world. In addition, future research trends in these fields will be discussed and their application to collaborative technologies
Bio: Dr Stuart Gowland is a Urologist and also Director of the New Zealand Mobile Surgical and Rural Health Development Project.
With an advisory board of 12 Clinicians representing a selection of New Zealand’s Nurses, General Practitioners, Surgeons and Anaesthetists the Mobile Surgical Bus project was promoted and after its development commenced surgery in rural New Zealand in March 2002.
Some 9,000 day surgical cases have been completed by the ‘bus’ at small country hospitals reinvigorating them with a new high profile ‘raison d’être’ and taking the load off base hospitals. Communities in all sorts of ways regularly show their huge appreciation of this service which gives them access they never dreamed of.
Shortly after the start of surgery, followed the implementation of the Rural Health Development component involving an advanced form of electronic distance collaboration termed ‘Teleporting’. This technique uses a combination of multiple camera selection and control to give the feeling to a user of being at the remote site, able to move around, look where they want to and to select devices such as X-rays, ultrasound or computers for viewing.
Starting with a ‘virtual private network’ in New Zealand this has now expanding to sites at major health institutions. At this point in the USA, Memorial Sloane Kettering and the Cleveland Clinic are involved but soon to join are sites in the UK and Australia
Dr Stuart Gowland, Mobile Surgical Services, Christchurch, New Zealand
Mark Billinghurst, Human Interface Technology Laboratory New Zealand, Christchurch, New Zealand
The Mobile Surgical Project is funded by the New Zealand Government to develop technologies to exploit two ideas: 1.The Mobile sharing of expensive equipment and facilities in New Zealand health service. 2.The sharing of knowledge utilising interactive video communication at broadcast quality with associated remote control that we have termed teleporting.
Examples will be shown of the use of teleporting technology over several years to different medical and associated venues in New Zealand, Australia and the United States.
A live surgical link will be undertaken to an operating room in Christchurch demonstrating a cataract extraction for a patient with a replacement lens insertion. The audience will be able to interact with the Surgeon during the procedure. Future applications of this technology will be discussed.
The Human Interface Technology Laboratory will discuss further developments of knowledge sharing and acquisition involving the worlds of Virtual and Augmented Reality.
Virtual Reality (VR) and Augmented Reality (AR) technology can be used to develop interfaces that provide a far more natural remote conferencing experience. Examples will be shown of tools that have been developed to support remote 3D medical data visualization alongside traditional video conferencing, a desktop 3D conferencing space that creates the illusion of being in a real conference room, and an AR conferencing tool that creates the illusion that remote people are beside the user in the real world. In addition, future research trends in these fields will be discussed and their application to collaborative technologies
Bio: Dr Stuart Gowland is a Urologist and also Director of the New Zealand Mobile Surgical and Rural Health Development Project.
With an advisory board of 12 Clinicians representing a selection of New Zealand’s Nurses, General Practitioners, Surgeons and Anaesthetists the Mobile Surgical Bus project was promoted and after its development commenced surgery in rural New Zealand in March 2002.
Some 9,000 day surgical cases have been completed by the ‘bus’ at small country hospitals reinvigorating them with a new high profile ‘raison d’être’ and taking the load off base hospitals. Communities in all sorts of ways regularly show their huge appreciation of this service which gives them access they never dreamed of.
Shortly after the start of surgery, followed the implementation of the Rural Health Development component involving an advanced form of electronic distance collaboration termed ‘Teleporting’. This technique uses a combination of multiple camera selection and control to give the feeling to a user of being at the remote site, able to move around, look where they want to and to select devices such as X-rays, ultrasound or computers for viewing.
Starting with a ‘virtual private network’ in New Zealand this has now expanding to sites at major health institutions. At this point in the USA, Memorial Sloane Kettering and the Cleveland Clinic are involved but soon to join are sites in the UK and Australia
Sound quality always annoys engineers in DVTS transmission.
There are some reasons for it as listed below.
Actions againt sound trouble
Bio: Nobuhiro Torata, B.A.
Mr. torata is staff of Department of Surgery 1 at Kyushu University Hospital and works as Medical Enginner at Operation Theater or his surgical ward.
He was involved this telemedicine activity from the middle of year 2006, APAN Singapore.
He coodinates Local setup part (Audio and Visual) with other station's engineers.
There are some reasons for it as listed below.
- Equipments
- Check and Adjust level constantly
- Invisible
- Many adjustment knobs on complicated sound equipments
Actions againt sound trouble
- Prepare enough equipments (Standerd configuration)
- Staff allocation and training
- Innovation for sound visualization (Sound device, DVTS software?)
- "Minus one sound", "Intermediate Input", "Clearly specified output level, for example -10db"
- Local test (Self check) is quite useful to adjust sound level and it will develop skilful engineers effectively.
Bio: Nobuhiro Torata, B.A.
Mr. torata is staff of Department of Surgery 1 at Kyushu University Hospital and works as Medical Enginner at Operation Theater or his surgical ward.
He was involved this telemedicine activity from the middle of year 2006, APAN Singapore.
He coodinates Local setup part (Audio and Visual) with other station's engineers.
Health care system in Bangladesh and the role of ICT to improve the quality of health
Ahmed Ashir/Bangladesh
Abstract: The presentation will report the country health profile of Bangladesh, the current initiatives by different ICT centers and mobile phone operators to improve the health situation, and the internect connectivity status of both domestic and international offered by the major ISPs in Bangladesh. A survey conducted in early
2008 to assess the requirements of rural people on health services will also be presented.
Keywords: Health situation in Bangladesh, Internet Connectivity Status, Role of ICT
Telemedicine practice in Sri Lanka
Dr. MHJ Ariyaratne, Dr. CAH Liyanage
Department of Surgery, Faculty of Medicine, University of Kelaniya, Sri Lanka
Telemedicine is a rapidly developing application of clinical medicine where medical information is transferred via telephone, the Internet or other networks for the purpose of consulting, and sometimes remote medical procedures or examinations.
In Sri Lanka telemedicine is at an infant stage. Development of facilities in telemedicine is hampered by the socio-economic state in the country.
In department of surgery, Faculty of Medicine, University of Kelaniya, Sri Lanka, we strive to improve the standards of the surgical care.
There are reputed and senior surgeons in our fold who will immensely influence rational practice of surgery in Sri Lanka.
Where specialist healthcare is not freely available telemedicine can be used to provide expert opinion from our department to other satellite units in the country.
Our expertise includes colorectal disease, breast and thyroid disease and specialized gastrointestinal surgeries.
In addition to linking with other establishments in Sri Lanka we propose linking with centers of excellence in the rest of the world to improve the continued medical education as our department is a hub of postgraduate activity.
Dr. MHJ Ariyaratne, Dr. CAH Liyanage
Department of Surgery, Faculty of Medicine, University of Kelaniya, Sri Lanka
Telemedicine is a rapidly developing application of clinical medicine where medical information is transferred via telephone, the Internet or other networks for the purpose of consulting, and sometimes remote medical procedures or examinations.
In Sri Lanka telemedicine is at an infant stage. Development of facilities in telemedicine is hampered by the socio-economic state in the country.
In department of surgery, Faculty of Medicine, University of Kelaniya, Sri Lanka, we strive to improve the standards of the surgical care.
There are reputed and senior surgeons in our fold who will immensely influence rational practice of surgery in Sri Lanka.
Where specialist healthcare is not freely available telemedicine can be used to provide expert opinion from our department to other satellite units in the country.
Our expertise includes colorectal disease, breast and thyroid disease and specialized gastrointestinal surgeries.
In addition to linking with other establishments in Sri Lanka we propose linking with centers of excellence in the rest of the world to improve the continued medical education as our department is a hub of postgraduate activity.
VinaREN Updates and Applications
Dr. Nguyen Ngoc Binh, Chairman of Board of Policy & Engineering Consultation for VinaREN Vice-Rector of College of Technology, Vietnam National Univ., Hanoi Email: nnbinh@vnu.edu.vn
In this talk, we will give some progresses/updates from VinaREN for developing the institution members and applications in the whole Vietnam. The most effective activities of VinaREN via TEIN2/APAN networks are telemedicine, weather data processing, video-conferencing, and e-learning at and among institutions in Vietnam and with other countries’ ones. Some new sites at hospitals in the VinaREN network topology are good chances for our collaboration/exchange with the TEIN2&3/APAN partners in medical activities and issues. A number of applications in video-conferencing and e-learning between Vietnam National University’s institutions and some institutions in Tokyo, Seoul, Bejing, and Paris are also addressed.
Dr. Nguyen Ngoc Binh got a Bachelor degree in Applied Math from Kishinev Univ. (Moldova, Former USSR) in 1981, a Master degree in Information & Computer Sciences from Toyohashi University of Technology (Japan) in 1995, and a PhD degree in Information & Computer Sciences from Osaka University (Japan) in 1998.He was with Hanoi University of Technology since 1982, as the Head of Department of Software Engineering (2000-2003), Director for Library and Computer Network Center (2003-2006). He is now a Vice-Rector of College of Technology, Vietnam National University, Hanoi, Vietnam. Dr. Binh is one of founders of Vietnam Research & Education Network (VinaREN), and now the chairman of Board of Policy and Engineering Consultation for VinaREN.
Dr.Binh's research interests include software engineering, networking, e-learning, e-library, techinical issues for telemedicine and applications, computer architectures, embedded systems, VLSI design, etc.
Dr. Nguyen Ngoc Binh, Chairman of Board of Policy & Engineering Consultation for VinaREN Vice-Rector of College of Technology, Vietnam National Univ., Hanoi Email: nnbinh@vnu.edu.vn
In this talk, we will give some progresses/updates from VinaREN for developing the institution members and applications in the whole Vietnam. The most effective activities of VinaREN via TEIN2/APAN networks are telemedicine, weather data processing, video-conferencing, and e-learning at and among institutions in Vietnam and with other countries’ ones. Some new sites at hospitals in the VinaREN network topology are good chances for our collaboration/exchange with the TEIN2&3/APAN partners in medical activities and issues. A number of applications in video-conferencing and e-learning between Vietnam National University’s institutions and some institutions in Tokyo, Seoul, Bejing, and Paris are also addressed.
Dr. Nguyen Ngoc Binh got a Bachelor degree in Applied Math from Kishinev Univ. (Moldova, Former USSR) in 1981, a Master degree in Information & Computer Sciences from Toyohashi University of Technology (Japan) in 1995, and a PhD degree in Information & Computer Sciences from Osaka University (Japan) in 1998.He was with Hanoi University of Technology since 1982, as the Head of Department of Software Engineering (2000-2003), Director for Library and Computer Network Center (2003-2006). He is now a Vice-Rector of College of Technology, Vietnam National University, Hanoi, Vietnam. Dr. Binh is one of founders of Vietnam Research & Education Network (VinaREN), and now the chairman of Board of Policy and Engineering Consultation for VinaREN.
Dr.Binh's research interests include software engineering, networking, e-learning, e-library, techinical issues for telemedicine and applications, computer architectures, embedded systems, VLSI design, etc.
TBA
David W Newell MD / Seattle, Washington [david.newell@swedish.org]
David W Newell was born in Boston, Massachusetts on June 22, 1954. He was raised in Acton, Massachusetts and attended Acton-Boxboro regional high school. He received his undergraduate degree at Boston University in Biology in 1976. He then worked as a medical research assistant at Harvard Medical School in the laboratory of Dr George HA Clowes jr where he worked on characterizing circulatory factors which influenced proteolysis in septic patients. He obtained his medical degree from Case Western Reserve University in Cleveland, Ohio in 1982. He completed his residency in neurosurgery at the University of Washington in 1989 with Dr H Richard Winn, which included one year at Atkinson Morley’s Hospital and St George’s medical school in London, England. He was the Van Wagenen fellow in 1989 and spent 1 year at the University of Bern, in Bern Switzerland with professor Rune Aaslid developing a method to measure cerebral autoregulation non-invasively in humans using transcranial Doppler ultrasound.
Dr Newell’s research interests have included mechanisms of regulation of cerebral blood flow and the use of ultrasound in the diagnosis and treatment of brain disorders. He was the first neurosurgeon in the United States to perform research and publish results on the use of transcranial Doppler ultrasound in neurosurgical patients and helped introduce this technology in the United States as part of the care and treatment of patients with cerebral aneurysms. With colleagues Dr Joseph Eskridge and others, he published the first report of the use of cerebral angioplasty in the US for the treatment of symptomatic cerebral vasospasm after cerebral aneurysm rupture.
While at the University of Washington, Dr Newell directed a basic science laboratory and trained residents and fellows in research methods to study the mechanism of brain damage from stroke. He developed the hippocampal slice culture model for the study of ischemic brain damage. This model utilized slices of brain tissue grown in long term culture and then deprived of oxygen and glucose to study the protective effects of compounds in preventing the death of neurons.
He was the recipient of multiple National Institutes of Health grants and awards including a clinician scientist investigator award, mid career investigator award, components of a program project in head injury and also a National Stroke Association award. He also served as the clinical principal investigator in the NIH funded, recently completed study of Magnesium sulfate for neuroprotection after traumatic brain injury: a randomized controlled trial conducted at Harborview Medical Center in Seattle and published in the Lancet Neurology. He was recently awarded a grant from the Life Sciences Discovery Fund in Washington State to investigate thrombolysis of intracerebral hemorrhage using ultrasound catheters. He has published nearly 200 articles and chapters in medical journals and has edited 4 books. He is one of the original authors of the Guidelines for the Management of Severe Traumatic Brain Injury published by the Brain Trauma Foundation in the Journal of Neurotrauma, and surgical guidelines published in Neurosurgery.
He served on the faculty at the University of Washington school of Medicine for 15 years from 1989-2004. He was formerly chief of neurosurgery at Harborview Medical Center and a professor of neurological surgery at the University of Washington School of Medicine. Dr Newell founded the first Stroke center in the Pacific Northwest at Harborview Medical Center.
Dr. Newell is currently co-executive director of the Swedish Neuroscience Institute in Seattle Washington which has an active fellowship program and clinical and basic research programs. He specializes in the microsurgical treatment of the spine and cerebrovascular systems. He also has specialized expertise in the treatment of cerebral aneurysms, arteriovenous malformations, stroke and carotid surgery, extracranial to intracranial bypass, minimally invasive spine surgery, spine instrumentation, skull base surgery and complex brain tumors, and cyberknife and gamma knife radiosurgery.
Dr Newell resides in Seattle, Washington with his wife Shirley who is an internist. They have 2 daughters, Laura and Julia. They enjoy family activities including skiing, tennis, and boating.
David W Newell MD / Seattle, Washington [david.newell@swedish.org]
David W Newell was born in Boston, Massachusetts on June 22, 1954. He was raised in Acton, Massachusetts and attended Acton-Boxboro regional high school. He received his undergraduate degree at Boston University in Biology in 1976. He then worked as a medical research assistant at Harvard Medical School in the laboratory of Dr George HA Clowes jr where he worked on characterizing circulatory factors which influenced proteolysis in septic patients. He obtained his medical degree from Case Western Reserve University in Cleveland, Ohio in 1982. He completed his residency in neurosurgery at the University of Washington in 1989 with Dr H Richard Winn, which included one year at Atkinson Morley’s Hospital and St George’s medical school in London, England. He was the Van Wagenen fellow in 1989 and spent 1 year at the University of Bern, in Bern Switzerland with professor Rune Aaslid developing a method to measure cerebral autoregulation non-invasively in humans using transcranial Doppler ultrasound.
Dr Newell’s research interests have included mechanisms of regulation of cerebral blood flow and the use of ultrasound in the diagnosis and treatment of brain disorders. He was the first neurosurgeon in the United States to perform research and publish results on the use of transcranial Doppler ultrasound in neurosurgical patients and helped introduce this technology in the United States as part of the care and treatment of patients with cerebral aneurysms. With colleagues Dr Joseph Eskridge and others, he published the first report of the use of cerebral angioplasty in the US for the treatment of symptomatic cerebral vasospasm after cerebral aneurysm rupture.
While at the University of Washington, Dr Newell directed a basic science laboratory and trained residents and fellows in research methods to study the mechanism of brain damage from stroke. He developed the hippocampal slice culture model for the study of ischemic brain damage. This model utilized slices of brain tissue grown in long term culture and then deprived of oxygen and glucose to study the protective effects of compounds in preventing the death of neurons.
He was the recipient of multiple National Institutes of Health grants and awards including a clinician scientist investigator award, mid career investigator award, components of a program project in head injury and also a National Stroke Association award. He also served as the clinical principal investigator in the NIH funded, recently completed study of Magnesium sulfate for neuroprotection after traumatic brain injury: a randomized controlled trial conducted at Harborview Medical Center in Seattle and published in the Lancet Neurology. He was recently awarded a grant from the Life Sciences Discovery Fund in Washington State to investigate thrombolysis of intracerebral hemorrhage using ultrasound catheters. He has published nearly 200 articles and chapters in medical journals and has edited 4 books. He is one of the original authors of the Guidelines for the Management of Severe Traumatic Brain Injury published by the Brain Trauma Foundation in the Journal of Neurotrauma, and surgical guidelines published in Neurosurgery.
He served on the faculty at the University of Washington school of Medicine for 15 years from 1989-2004. He was formerly chief of neurosurgery at Harborview Medical Center and a professor of neurological surgery at the University of Washington School of Medicine. Dr Newell founded the first Stroke center in the Pacific Northwest at Harborview Medical Center.
Dr. Newell is currently co-executive director of the Swedish Neuroscience Institute in Seattle Washington which has an active fellowship program and clinical and basic research programs. He specializes in the microsurgical treatment of the spine and cerebrovascular systems. He also has specialized expertise in the treatment of cerebral aneurysms, arteriovenous malformations, stroke and carotid surgery, extracranial to intracranial bypass, minimally invasive spine surgery, spine instrumentation, skull base surgery and complex brain tumors, and cyberknife and gamma knife radiosurgery.
Dr Newell resides in Seattle, Washington with his wife Shirley who is an internist. They have 2 daughters, Laura and Julia. They enjoy family activities including skiing, tennis, and boating.
Chen HengShuen Taiwan
Taiwan is heavily populated with its 23 million people in 36 thousand square kilometers. However three-fourth of the territory are rural areas covered mostly mountains and some isolated islands. Because medical resources are unequally distributed, it is difficult to get access to high quality medical care in these rural areas. Medical personnel are unwilling to practice in rural areas in fear of isolation from peers and lack of continuing medical education. Telemedicine provides a timeless and spaceless measure for remote diagnosis and treatment. The development of telemedicine in Taiwan began under the National Information Infrastructure (NII) Project in 1995. Distance education and teleconsultation were the first experimental projects during the initiation research stage followed by the promotion research stage focusing on different clinical specialties and web-based systems. The implementation research stage started in 2000, and rural telemedicine integrated in a community oriented health information system run by a community medical group which comprised a community hospital and 5-10 family doctors. Teleconsultations and referrals could be done electronically under the integrated delivery system (IDS) under National Health Insurance. Currently Taiwan has become a highly aging society. In the future, the huge need of elderly healthcare including chronic illnesses with complications, handicapped and terminal care will inevitably be the major social burden. The technology and experience of rural medicine is expected to be transformed into a ubiquitous healthcare environment and, finally, extend to every household.
Yung-Ho Jo, M.D., Ph.D., Chief, Department of Biomedical Engineering, Institution: National Cancer Center
e-mail: joyh@ncc.re.kr
Abstract: Today, Intuitive surgical’s da Vinci system is a laparoscopic surgical robot that is solely commercially available. It has greatly improved the restrictions of traditional laparoscopic surgery by combining 3D visualization along with enhanced dexterity, precision and control. However, this system has yet to provide remote surgery capabilities and force feedback mechanism. High price and installation issues associated with its bulky size are also commonly mentioned as its limitations. Such drawbacks are expected to be improved by further technical development.
In accordance with medical trends in surgical robots, National Cancer Center in Korea (NCC) has developed a compact laparoscopic surgical robot. As compared to preexisting surgical robots with bulky arms, NCC’s system employs compact arms that minimize collision conflict between robotic arms and allows the use of multiple surgical instruments simultaneously. The system also allows internet-based remote surgery over both short and long distances. Recently, the system development has entered a preclinical stage by successfully completing a remote cholecystectomy on a pig in an animal experiment, we would like to briefly introduce our system here.
Outcomes of Japanese Disease Management for Metabolic Sydrome
Naoki Nakashima, MD, PhD (Japan)/Assistant professor, Department of Medical Informatics, Kyushu University Hospital
Abstract: Japanese government started a new nationwide health-check up and health instruction system from April. 2008. This national sytem targets metabolic syndrome and diabetes mellitus. We, a disease management Carna project, developed IT system which effectively supports the health instruction for high risked citizens. We verified the validity of the national system in 2007. Fukuoka city, the biggest city of south Japan, employed our IT system for their insured people and now data of 4,000 case are input for about 2 months. In the presentation, I will introduce the system feature and effect, and out comes of verification experiment of the national system. We regard this national system as a primary prevention system of diabetes mellitus. In the future, we will extend our service to secondary / tertiary prevention of diabetes mellitus which we are now conducting verification study.
Susan Hansen (Australia) Researcher, CSIRO (Commonwealth Scientific and Industrial Research Organisation)
ABSTRACT: ECHONET (EchoCardiographic Healthcare Online Networking Expertise in Tasmania) is a broadband telemedicine system developed by CSIRO (Commonwealth Scientific Industrial Research Organisation) Australia to facilitate the sharing of expertise and services between the Intensive Care Units of a major tertiary hospital and a remote hospital in Tasmania, Australia. A nine month trial of the ECHONET system took place in three departments in two Tasmanian hospitals between August 2007 and May 2008. This presentation will address some of the findings from the trial, with a focus on the systems high utilisation for clinician development and education purposes. The provision of new opportunities for rural clinicians as well as ECHONET’s role in facilitating collegial support and relationships between the Intensive Care Units of the two hospitals will also be discussed.
Susan Hansen graduated from a Bachelor of Science in Psychology and Bachelor of Social Science (Honours 1) at the University of New South Wales. She has been involved in the development of multidisciplinary collaborative technologies at CSIRO over the past four years. Her focus has been on telemedicine systems, where she played a leading role in the design, implementation and evaluation of ECHONET – a telemedicine system for critical care.
Jaehee Han, MD, PhD /Professor of Physiology / Director of Medical Simulation Center
Institution: Gyeongsang National University School of Medicine Email: jheehan@gnu.kr
Abstract: Today great interests are given to SBME (simulation-based medical education) which uses simulated patients or simulators instead of real patients for medical education.Despite some criticism that SBME is a virtual situation, thus lacking reality, it is evaluated as a wonderful substitute, considering increasing difficulties in the use of real patients for medical eduation. For the last 2 years, I'v tried to use simulators which reproduce physiological responses pretty well for the education of basic medicine including physiology and pharmacology and clinical education such as internal medicine and pediatrics. Upon the basis of my experiences, though over a relativly brief span, I;ve realized SBME is quite suitable for giving medical students synthetic education including basic medicine and clinic.
Sozo Inoue / Library, Kyushu University
Abstract: In this talk, process for generating knowledge network where knowledge is distributed to people and/or real fields. We propose the process of gathering people knowledge through social networking service (SNS), and field knowledge through wireless sensor devices.
Susan Hansen, Researcher, CSIRO (Commonwealth Scientific and Industrial Research Organisation)
ABSTRACT In Australia there are many small isolated hospitals with limited or no access to specialist services. Advances in broadband and its increasing prevalence have provided unprecedented opportunities to share complex services over a distance, thereby opening up a new range of possibilities for telemedicine.
This presentation outlines three recent examples of novel high-bandwidth telemedicine systems developed in Australia, each designed for a different setting and at different stages of maturity, but all designed to facilitate sharing clinical expertise remotely. These examples include:
ViCCU (the Virtual Critical Care Unit) – a telemedicine system designed to provide access to specialist emergency services from a major tertiary hospital to its smaller rural nodes. This system has been in clinical use for five years. ECHONET (EchoCardiographic Healthcare Online Networking Expertise in Tasmania) – a scaled down, more mobile version of ViCCU designed to share clinical services at the bedside between Intensive Care Units. This system has been in use for just under one year.
RIDES (Remote Immersive Diagnostic Examination System) – a next-generation telemedicine system developed to allow a paediatric specialist to conduct clinics to remote centres. A pilot of this system was conducted at the Royal Children’s Hospital in Melbourne, Australia in September 2007.
Susan Hansen graduated from a Bachelor of Science in Psychology and Bachelor of Social Science (Honours 1) at the University of New South Wales. She has been involved in the development of multidisciplinary collaborative technologies at CSIRO over the past four years. Her focus has been on telemedicine systems, where she played a leading role in the design, implementation and evaluation of ECHONET – a telemedicine system for critical care.