VMW Monthly - February 1998 - ISSN 1388-722X


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Contents February 1998 Issue

 
atlantic
 
Scientists in Singapore develop Virtual Brain Bench for stereotactic frame neurosurgery
Towards telepsychiatry as a value-added business
The new age of Telemedicine, Telesurgery and Virtual Reality
 
hospital
 
Sick children learn and play through hospital intranet
Mayo Clinic still going strong after ten years of intranet pioneering
Telemedicine technology connects North Dakota nursing homes to distant health care resources
 
industrial
 
Comparative health care performance information provider oversatisfied with data warehouse system change
NASA selects ATL's HDI 5000 ultrasound system for telemedicine in space
AFP Imaging and DENT-X International acquire ProDen Systems
 
planet
 
Reconciling ethics with electronics: a telemedical challenge
Five telematical ways of introducing telemedicine in the surgery room
The teleradiology think tank of the Dutch Armed Forces
 
snap
 
CITATION Computer Systems releases new radiology software
Norwegian hospitals communicate through ATM-based network
English patients will get on-line within five years
Medical students get audio-visual training through ATM
ITIS'98 - Conference and Speaker's corner: the sequel
CEGETEL installs French health care computer network
 

Leads February 1998 Issue

 
atlantic
 
Scientists in Singapore develop Virtual Brain Bench for stereotactic frame neurosurgery
Full Article Brain surgery involves the adjustment of a stereotactic frame attached to a fixation device which is rigidly screwed to the skull. Scanning always precedes the actual intervention in order to precisely locate the patient's target lesions. Up till now, no software has assisted in the initial placement of the fixation device which holds fiducial localiser markers during scan as well as the stereotactic frame during surgery afterwards. At the National University of Singapore (NUS), Dr. Luis Serra is currently leading a project to develop a Virtual Brain Bench in which the user can manipulate a computer model of the stereotactic frame to plan against registered brain structures from both the Electronic Brain Atlas and the patient's individual data. Last december, Tomorrow's World, a scientific BBC TV broadcast, reported on the latest results of brain surgery rehearsal at the NUS-based Institute of System Science (ISS).
Towards telepsychiatry as a value-added business
Full Article John Bennett, member of the Administrators in Academic Psychiatry (AAP) and working at the Michigan University, on several occasions has reported on the development of telepsychiatry as an application of telemedicine. In the AAP Magazine Grapevine, he clarifies his viewpoints on what role technology can play with relationship to telepsychiatry as to reduce costs in patient treatment while at the same time adding value to the psychiatric health care. Bennett suggests we should have a look at the commercial business experiences of the eighties where downsizing had to be reconciled with process re-engineering in order to stay alive and competitive.
The new age of Telemedicine, Telesurgery and Virtual Reality
Full Article During the International Symposium on Telemedicine, organised by the Belgian Armed Forces in Brussels on October 8th 1997, retired Colonel Richard M. Satava, Professor of Surgery at Yale University, used the Gulf War as an example to illustrate the impressive power of modern information technology and its implementation on military medicine. New approaches in health and trauma care slowly are breaking through. Medical care takers are forced to adapt to thinking in Information Age terms instead of clinging to traditional Industrial Age definitions.
 
hospital
 
Sick children learn and play through hospital intranet
Full Article The London St Bartholomew's Hospital recently has been provided with an internal network of multimedia PCs at its children's unit. According to The Times, the children's charity, Express Link, has invited a group of IT suppliers including Microsoft, Gremlin, Mind Kind and BT Syntegra to set up this intranet in order to run interactive software for education and entertainment as well as e-mail. The possibility of communication between St Bartholomew's intranet and similar projects in Derby and Sheffield already has been envisaged.
Mayo Clinic still going strong after ten years of intranet pioneering
Full Article The Mayo Clinic has built up a unique experience in the use of intranet for effective health care management. Treatment protocols and information transfer between individual caregivers are no longer organised in physical meetings but through computer communication which saves printing and distribution costs. Since most intranet applications involve the handling of confidential patient records, the security issue has been taking very seriously during the past decade. A separately installed data security department is dealing with the huge technical problems of safe intranet data traffic. The greatest challenge of all lies however in the delicate human factor to make the Mayo health care colleagues, spread over the different departments, aware of the importance of mutual information exchange.
Telemedicine technology connects North Dakota nursing homes to distant health care resources
Full Article The Rural Utilities Service of the U.S. Department of Agriculture has awarded the Evangelical Lutheran Good Samaritan Society and the National Institute for Long Term Care with a grant through its Distance Learning and Telemedicine Grant Program to support a growing telemedicine network in western North Dakota. The Society selected the Californian systems integration company CyberOptions, Inc. to install its Integrated Telemedicine Workstations (ITW) into the first three sites at the long term care centres in Crosby and Noonan and at the Crosby Clinic. Other sites will soon follow. Frail elderly people in remote areas thus will benefit from the critical health care resources in distant hospitals and clinics.
 
industrial
 
Comparative health care performance information provider oversatisfied with data warehouse system change
Full Article The HBS International Company, based in Bellevue, Washington, provides comparative performance systems and data repositories enabling health care organisations to measure, benchmark and improve their results. HBSI has an urgent need for a high qualified data warehouse system in order to meet the severe demands it has imposed upon itself. Since the existing data warehouse no longer kept pace with the company's growth potential, HBSI recently entered into partnership with Red Brick Systems, a provider of relational databases, based in Los Gatos, California. Together, they transform data into information allowing hospitals to make strategic decisions in effective treatment as well as in cost management.
NASA selects ATL's HDI 5000 ultrasound system for telemedicine in space
Full Article In the year 2000, NASA will launch its International Space Station for ten years in orbit. In order to investigate human adaptation to spaceflight environment and to space exploration, the HDI ultrasound technology will be used to perform sophisticated medical diagnostic procedures aboard the space station. The transmission of these data in digital format from the orbiting spacecraft to earth will have immediate relevance for telemedicine initiatives on earth. Moreover, beyond the protection of the astronauts' health, the knowledge gained on cardiac functions will be applied to patients on earth suffering from heart failure.
AFP Imaging and DENT-X International acquire ProDen Systems
Full Article ProDen Systems Inc., based in Vancouver, Washington manufactures the advanced ProScope and ProScope VCT intraoral dental camera systems. In this regard, the company constitutes a path to the dental office software market for AFP Imaging and its DENT-X International subsidiary. ProDen fits perfectly into AFP's strategy to expand into related dental hardware and software product line opportunities. The acquisition of ProDen means no less than a following step in the concentration on high tech dental industry.
 
planet
 
Reconciling ethics with electronics: a telemedical challenge
Full Article A sensible use of the various telemedical resources to enhance the common welfare implies a sound philosophical consideration with regard to the ethical consequences of the new technological developments in health care. Dr. Koen Raes, professor at the University of Ghent, highlighted the most critical and moral aspects in telesurgery and telediagnostics at the International Symposium on Telemedicine, last October in Brussels. His final conclusions can be summarised in the general creed: patients before technology. A not so commonplace statement as one perhaps might be inclined to think...
Five telematical ways of introducing telemedicine in the surgery room
Full Article There must be fifty ways to leave your lover but only five suffice to get a taste of computer assisted surgical intervention in the operating room. MichaÎl Nord, a surgeon and telemedical expert from Strasbourg, guided the audience at the International Symposium on Telemedicine, organised last October at the Brussels Military Hospital, through the five high-tech gateways leading up to laparoscopic surgery. This new approach invites the surgeon to collect information through databases and guidelines in order to simulate procedures on a graphic station by using adequate patient data and by requesting interactive support from a distant expert.
The teleradiology think tank of the Dutch Armed Forces
Full Article Surgeon captain H.J. Prins was invited at the International Symposium on Telemedicine in the Brussels Military Hospital to give a short account of the telemedicine project within the Dutch Armed Forces. This expert, based at the Central Military Hospital in Utrecht, first offered a brief, yet interesting history of the general subject before entering into the specific details of the telemedical efforts in the Dutch Army, which are being focused on teleradiology. A story full of challenges to accept and difficulties to overcome with the aim of delivering optimised medical care and education for the soldiers and their families in times of war and peace .
 
snap
 
CITATION Computer Systems releases new radiology software
Full Article CITATION Computer Systems, Inc., a company based in Saint Louis, has developed a Microsoft Windows NT radiology software, called C-RIS. The installation at several sites is being undertaken at present. C-RIS is bound to pay great services in multi-site and integrated environments, according to John Selestak, Vice President, Marketing of the Missouri company.
Norwegian hospitals communicate through ATM-based network
Full Article Dagens Telecom has announced the installation of an ATM-based network at UllevÂl hospital in Oslo by Telenor. Transmission of high-speed voice and image data will soon be established between UllevÂl and other hospitals in Oslo, Akershus, Hedmark and Oppland by using Asynchronous Transfer Mode (ATM) technology. According to Telenor, Norway outperforms the USA when it comes to telemedicine.
English patients will get on-line within five years
Full Article The English government has invested £150 million in telemedicine. Recently, The Financial Times reported on the initiatives which Alan Milburn, minister of health, has taken to offer patients an on-line health care service in the next five years.
Medical students get audio-visual training through ATM
Full Article The Times announced the installation of an Asynchronous Transfer Mode (ATM) network at the United Leeds Teaching Hospital in the UK. This technology offers students audio-visual teaching directly from the operating room.
ITIS'98 - Conference and Speaker's corner: the sequel
Full Article From April 21st till 23rd 1998, ITIS'98 or the First International Conference on the Telemedical Information Society is welcoming speakers from around the globe at the RAI Conference Centre in Amsterdam. They will talk about their experiences and offer their expert opinions on the role of telemedicine in the future world of health care. The Virtual Medical Worlds Magazine will cover the event and is hosting both the official ITIS'98 Conference site and the discussion platform.
CEGETEL installs French health care computer network
Full Article Recently, The Times has announced that CEGETEL has won a one billion FFr. contract to develop a national Internet based health care computer network in France.
 

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