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 Medical Working Group
 Chairman :
 Shuji Shimizu ( Kyushu University Hospital, Japan )
 Ho-Seong Han ( Seoul National University Bundang Hospital, Korea )

 Objectives :
 Our goal is to establish a medical network with high-quality moving image on a broadband Internet in all Asia-Pacific regions.
 In order to expand our WG, it is essential for both medical and engineering people to get together on site and discuss our next strategy.
 At the same time, we will demonstrate our new and developing systems to our members.

 Target Audience :
 Medical doctors, Co-medicals, Engineers, Researchers

 Expected Number of Participants :
 30

 Agenda :
 Session Chairs:

Shuji Shimizu (Kyushu University Hospital, Japan)

Ho-Seong Han (Seoul National University Bundang Hospital, Korea)

Colin Carati (Flinder’s University Hospital, Adelaide, Australia)

Young-Sung Lee (Chung-Buk National University, Korea)

 Aria Kekalih (University of Indonesia, Indonesia)

Speakers:

We will invite medical doctors or local network engineers as speakers from various countries of Asia-Pacific regions.

In addition, we will make sessions of live demonstration of advanced medical procedures or video teleconferences, connecting multiple stations.



For more information and presentation slides, please Click Here

Activity Session : Download Agenda

1. Speaker : DR. Jun Fujii   Presentation Slides
Abstract : The LEPCON project includes 1)Epidemiology study, 2)Development of diagnostic kit and 3)Vaccine, 4)Advocacy on leptospirosis. The agenda related to the Advocacy on LEPCON will be to establish the international telemedical network (Asia-Kyushu Advanced Medical Network; AQUA) between Kyushu University and University of the Philippines for good cooperation among basic scientists, medical staff, JST and JICA teams. AQUA is a consortium organized in Kyushu, Japan, to establish an advanced medical network in the Asia-Pacific region using super broadband Internet. Using the AQUA, we hope to enlighten the Filipinos on the prevention and control of Leptospirosis in the Philippines.

2. Speaker : Prof. Joon-soo Hahm
Abstract : The 4th Asia Telemedicine Symposium will be held at HIT(Human Institute of Technology), Hanyang University, Seoul, Korea, on 18th (Sat) December, 2010. The symposium aims to systematically spread the new telemedicine system which utilizes high-level IT technology. This system is of great use to expose young doctors to new medical knowledge and to demonstrate the advanced skills with ease over the geographal distance. But this remote communication is only made possible by the collaboration between medical people and engineering staff. Although we meet frequently over the network, it is essential for all of us to meet regularly face-to-face to introduce our activities and discuss our plans for the next year.

In this symposium, the programs of new fields in telemedicine, Activities in 2010, Topics and Plans in 2011, Activities in Korea are scheduled. Through the symposium, participants enjoy deepening their friendship across their specialties and beyond nationalities in a comfortable and exciting city of Seoul.

3. Speaker : DR. Dong Wan Seo   Presentation Slides

4. Speaker : Dr. Ho Soon Choi   Presentation Slides

Endosc Session : Download Agenda

1. Endoscopic submucosal dissection (ESD) for treatment of Abriskossoff tumor of the esophagus - Presentation from Endoscopy Center, Prince of Wales Hospital, The Chinese University of Hong Kong
Moderator: DR. James Lau
Presentor: Prof Philip Chiu
Abstract : Case presentation
A 48 years old gentleman initially presented with symptoms of foreign body sensation and received upper endoscopy. The upper endoscopy showed an oval shaped submucosal lesion, occupying 1/4 of circumference at 34 to 36cm from incisor. Biopsy was negative and EUS showed a well delineated submucosal tumor which was separated from mucularis propria. Endoscopic submucosal dissection was performed under general anesthesia with triangle tip and hook knives. The operative time was 30 minutes, and the procedure was uneventful.

2. Speaker : DR. Dong Wan Seo

3. DVTS+ System - Congxiao Bao   Presentation Slides

Fetus Program Session : Download Agenda

1. The Unborn Patients: How to manage them Before Birth ? - Toshio Chiba , MD, PHD. National Center for Child Health and Development
Abstract :
Many congenital defects can now be detected before birth. Improvements in prenatal diagnosis, especially widespread use of fetal ultrasonography has enhanced the diagnosis of fetal abnormalities. Although most correctable lesions that can be diagnosed in utero are best managed by appropriate medical and surgical treatment after delivery, the nature of the abnormalities determines perinatal management and some fetal anatomical defects that have predictable devastating consequences may be alleviated by correction before birth.

The rationale for prenatal treatment of some anatomic deficiencies is that continued gestation will have progressive ill effects on the fetus which partly result from being in utero itself, compromising the function of a specific organs progressively.

The new strategy,including antenatal correction has already been successfully applied for several perinatal abnormalities. In the meantime, several congenital malformations have been increasingly corrected prenatally based on gradual refinements of diagnostic and therapeutic techniques. Fetal anomalies amenable, at least partially, to prenatal correction include urinary tract obstruction, lung masses, diaphragmatic hernia, twin-twin transfusion syndrome, sacrococcygeal teratomas, and other medical or nonlethal anomalies (e.g. fetal arrhythmia and myelomeningocele ).

This scientific session highlights Asian current state of the art with a focus on the advanced and emerging technologies hopefully discussing the future clinical practices.

Healthcare Session : Download seesion1 Agenda      Download seesion2 Agenda

1. The operative evaluation of the patients participation type medical data sharing system "IT Karte" - Dr.Fuminori Muranaga , Kagoshima University Hospital   Presentation Slides
Abstract : Kagoshima Prefecture is situated in the southwestern region of the Japanese mainland. The Kagoshima university hospital started the use of medical data sharing system "IT Karte" from April, 2007. IT Karte is one of the personal healthcare record system. In this system, not only the healthcare worker but also the patients and their family can participate, and they can share medical data safely. This system is a WEB-based system on the Internet, but the management method of the access privileges of medical data is characteristic. This system is mainly used in neurology and neurosurgery now. As a result of questionary survey that we conducted for the patients who used IT Karte, many patients gave a favorable opinion for information disclosure, and they used a system positively. Furthermore, we make all the medical student sixth graders receive practical training in a remote island remote place in Kagoshima university, and make a student do telemedicine training using this system from the remote island.

2. Use of broadband internet for international training projects in Vietnam - Professor Garry Warne , Royal Children's Hospital, Melbourne, Australia   Presentation Slides
Abstract :
The Royal Children's Hospital, Melbourne is funded for two major training projects in Vietnam, one based at the National Hospital of Pediatrics in Hanoi, and the other at the Cardiovascular Centre of Hue Central Hospital. To supplement face to face training in-country and in Australia, RCH has explored the use of broadband internet in these projects. Project management has been facilitated by regular video-conferences. Interactive lectures in paediatric cardiology have been delivered and evaluated, and a Grand Rounds session linking audiences in Melbourne and Hue has been held. A number of technical difficulties were encountered and were mostly overcome.

3. Speaker : DR. George A. Komatsoulis   Presentation Slides

4. International collaboration on cancer research in Asia - Min Ji Seo and Professor Jong Hoon Park , Department of Biological Science, Sookmyung Women's University, Hyochangwon-gil 52 Yongsan-gu Seoul, Rep of Korea   Presentation Slides
Abstract : Despite the active research on cancer in worldwide, cancer is still one of the important causes of death. Cancer death is increasing steadily since 1993 and in 2015 cancer death will be increased by 20% compared to 2007. Medical costs for cancer therapy are growing four times more than 2001. When we compared the score of quality of life between cancer patient and non-cancer patient, pain or stress of cancer patients were much higher than non-cancer patients. Therefore it is necessary to study and develop novel methods of cancer therapy for patients who suffer from cancer. To achieve this goal efficiently, an international collaboration and networking on cancer research has to be established in Asia such as A3 foresight program, ANE (Asian Network of Epigenomics), ICGC (International Cancer Genome Consortium) and IACR (International Association of Cancer Registries). These associations take a lead to provide databases from the cancer research and establish efficient communities and support to share the knowledge among the researchers. In future, to enhance our research competitiveness, we need to participate in international collaboration actively. Also these collaboration and networking in Asia will secure diversity and accessibility to information and amplify the synergy effect in the field of cancer study.

5. Speaker : Dr. Parvati Dev   Presentation Slides

6. Speaker : Dr. Kuo Shih Hao
Abstract: A 63 year-old man presented to our hospital in 2009 with epigastralgia and body weight loss for several months. Initial lab data showed hyper- bilirubinemia (T-bil 2.08mg/dl) and elevated CA19-9 (41.8U/ml). Image study showed suspected pancreatic lesion. After complete work-up he was discharged and he received follow-up at our out- patient clinics. However, progressive yellowish skin occurred in May, 2010. Highly elevated Bilirubin and CA199 level were revealed by lab test. In the meeting we will show the clinical course and the image studies of the patient and try to find out the etiology these events.

7. "Regional Respiratory Disease Center in Chungbuk National University Hospital" - Dr. Mi-Kyeong Kim   M.D., PhD   Presentation Slides
Abstract: Before introducing Regional Respiratory Disease Center(RRDC), let me introduce Chungbuk National University Hospital first.
Chungbuk National university hospital is located at north part of Chungchung District, the center of Korea.
Chungbuk National University Hospital, one of 10 national university hospitals in Korea, consists of 24 clinical departments of medicine, which cover various kinds of disease. It has 3 regional specific disease centers, emergency medical center, regional heart and brain center, and regional respiratory center.
In Korea, there are 4 Regional Respiratory Disease Center funded by the Ministry of Health and Welfare. Chungbuk National University Hospital RRDC roles on three main respiratory medical fields: clinical practice, respiratory research and public health.
Here in this symposium, I'll focus only on RRDC public health service connecting web based personal pulmonary function test device and our respiratory disease consulting system briefly.
First, let me introduce our public health service connecting web based personal pulmonary function test device. With hand-sized programmed personal pulmonary function test device which is nearly as efficient as those in our and other university hospitals illustrated below, central data-analysing computer system in our RRDC, and web-based telemedicine system, faculty members analyse patient's data including pulmonary function by our personal pulmonary function device, tele-chest roentgenogram, and other patient clinical history to medical persons in our district who consulted to our RRDC. And in near future, patient with this device will send his or her pulmonary function data day to day which is especially important in asthma or COPD and we will also consult respiratory disease state directly to patient.
Second, public web-based respiratory disease consulting system will facilitate communication with our faculty members and other medical persons in private clinic or public health service center outside our reach. Sometimes they need to get more precise decision from pulmonary or allergy specialist when handling urgent respiratory state or serious state. Besides consultation of patient, with this system we will also provide new updated therapeutic modality or diagnostic system or education.

8. "Cancer Registry in Korea" - Sohee Park   Head, Division of Cancer Registration and Surveillance, National Cancer Center, Korea   Presentation Slides
Abstract: The national cancer registry was initiated as a hospital-based cancer by the Ministry of Health and Welfare in 1980. The Korea Central Cancer Registry (KCCR) was located at the National Medical Center during 1983-2000 and later moved to the National Cancer Center, Korea. There are over 170 participating hospitals that annually report newly diagnosed cancer patients in their hospitals and they cover approximately 90% of entire cancer incidence cases. There are also eleven population-based regional cancer registries located in various regions of Korea. The data collection methods at the KCCR and regional cancer registries are both passive and active. To improve the completeness of the nationwide cancer registry data, several sources of data are combined: national death certification data from the Korea National Statistical Office (KNSO), medical claims data from the National Health Insurance Corporation (NHIC), and additional medical record reviews at the hospitals. The list of KCCR-registered cases and a list of cancer cases from medical claims data are generated and the potential cancer incident cases are examined through medical record reviews. All malignant neoplasms and in situ cases are classified according to the International Classification of Diseases for Oncology, 3rd edition and converted according to the International Classification of Diseases, 10th edition. The KNCIDB (Korean National Cancer Incidence DataBase) is maintained at the KCCR, and the cancer statistics such as incidence, survival and prevalence are provided at the national level and regional levels.

9. "Burden of Cancer in Asia" - Hai-Rim Shin   Presentation Slides

Remote Med Session : Download Agenda

Chairperson : Assoc Prof Colin Carati, Flinders University, Australia

1. A CLINICAL DISCUSSION ABOUT A CHILD HAVING DIFFICULTY WALKING - Professor Garry Warne , Royal Children's Hospital, Melbourne, Australia
Abstract : The assessment of a child who is having difficulty walking is a common problem in paediatrics. There can be many causes, relating to muscle strength and function, neurological disorders of the spinal cord or central nervous system, orthopaedic problems such as joint abnormalities or a crooked spine. In this demonstration, a doctor at the National Hospital of Pediatrics in Hanoi will present a patient whose mode of walking will be shown via broadband internet to a paediatric neurologist located at the Royal Children's Hospital in Melbourne. They will briefly discuss the case, and then we will show how analysis of an abnormal gait can be done in a Gait Laboratory. This analysis generates digital imagery that can be interpreted by an expert to show where the problem is and how it is responding to treatment.

2. MOBILE TELEMEDICINE SYSTEMS FOR THE DELIVERY OF SPECIALIST HEALTH CARE TO REGIONAL PATIENTS IN QUEENSLAND - Dr Anthony Smith , Queensland Centre for Online Health, Royal Children's Hospital, Queensland, Australia   Presentation Slides
Abstract : The Centre for Online Health at the Royal Children's hospital (http://www.uq.edu.au/coh/) has a significant track record in providing a range of specialist health care services to remote and regional areas of the northern part of Australia. This presentation will review some of these services, and highlight telehealth can make a difference in remote locations.

3. NEONATAL CRITICAL CARE TELEMEDICINE - Nigel Armfield , Queensland Centre for Online Health, Royal Children's Hospital, Queensland, Australia
Abstract : Telemedicine may be a useful mechanism to support neonatal patient assessment and management in rural and remote areas, including parts of Queensland. This presentation will examine the possibilities and usefulness of using telemedicine to link specialists in a tertiary neonatal intensive care unit (NICU) with birth locations lacking neonatal specialists. The study is investigating appropriate technological approaches and how they may be closely integrated with the clinical consultation process. The work will measure whether the telemedicine-facilitated consultation process offers the possibility of improved patient care when compared with the existing telephone-only based consultation method.

4. ON-LINE GERIATRIC ASSESSMENT - Professor Len Gray , Queensland Centre for Online Health, Royal Children's Hospital, Queensland, Australia   Presentation Slides
Abstract : There is growing awareness of the needs of frail elderly people in hospital. In collaboration with Professor Len Gray at the Academic Unit in Geriatric Medicine, we are investigating a single assessment system which can be used at admission, and repeated at critical points during admission and at discharge.
The assessment system contains all screeners in one instrument and is designed to support risk screening, problem identification, referral and discharge planning. The enabling technologies include Web based software with messaging functions and mobile videoconferencing to the bedside.

Surgery Session : Download Agenda

1. Speaker : DR. Tran Binh Giang

Technology Session : Download Agenda

1. Using narrow band-width Synchronous e-Learning system for continuous medical education. - Mr. Ti-Chuang Chiang , Medical Informatics Division, College of Medicine, National Taiwan University.
Abstract : There is always a great need for new development within the Taiwanese medical field. Participating in medical conferencing plays an important role for continuous medical education. This type of digital conferencing makes it possible for a simple system of sharing experiences and knowledge. This web-based synchronous video conference system, using narrow band width, has replaced the outdated ISDN video conference system. It is now possible to have a large video conference of medical cases, including different medical professionals, and at a very low cost.

We will demonstrate this application with two users, one from Taiwan and one from China, both of which use the same system. We will share their experience by using this Synchronous e-Learning system on-line.

2. Scopia web conference system - Dr. Pornarong Chotiwan

Abstract : Scopia Web conference is a professional system. User can be anything from mobile SIP phone, notebook, desktop PC or high definition video conference system connecting from LAN or wireless. Quality of the conference varies from full HD 1080p down to audio only depend on the bandwidth.
Demonstration will show how easy to connect these things together.

3. Speaker : Mr. Yasuaki Antoku
Abstract : When the TV conferencing system is used, the compatibility problem cannot be disregarded. Even if the same standard is used, the TV conferencing system might not be able to be connected.

We Kyushu University is using "Tanbarg Codian MCU". This MCU can connect the TV conferencing system of 20 points at the same time.

Moreover, the video can be delivered to 40 points by the video streaming. And, the TV conferencing system of the main manufacturer can be connected with this MCU. We connect with MCU of Kyushu University by this demonstration, and introduce it to everybody.

 Remarks :
  We will have three live sessions among multiple stations. We would like to have enough time for preparation or rehearsals at the same room. Necessary equipments may include multi-point videoconference system, microphones, mixers, and several high-quality monitors.

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