NKF cyberNephrology ISN Informatics and cyberMedicine in 2003 and Beyond

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NKF cyberNephrology/ ISN Informatics and
cyberMedicine in 2003 and Beyond!

• Kim Solez, M.D.

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NKF cyberNephrology -Human Centered Computing

• Fostering nephrologys embrace of the Internet
  and new technology since 1994 with Email and web
  resources. ISN homepage, websites which allow
  virtual attendance at meetings.
• www.cybernephrology.org
• www.cyber-medicine.org

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Special Emphasis on Evidence-Based Medicine

• Sir Austin Bradford Hill, British Researcher
  "All scientific work is incomplete- whether it be
  observational or experimental. All scientific
  work is liable to be upset or modified by
  advancing knowledge. This does not confer upon a
  freedom to ignore the knowledge we already have,
  or to postpone the action that it appears to
  demand at a given time. Whoknows, asked Robert
  Browning, but that the world may end to-night?
  True, but on available evidence most of us make
  ready to commute on the 830 next day."

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Email Discussion Groups
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Email - Best Communication for Low Bandwidth
Situations
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Internet Video Conferencing - Remote
Collaboration/Education/Telemedicine
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Plan for the future!

• On a future occasion we could demonstrate
  Internet video-conferencing. There are two
  practical ways to establish this
• Dedicated videoconferencing equipment from Sony
  or Polycom using Internet2/Abilene research
  Internet with guaranteed bandwidth.
• Desktop videoconferencing using iSight and
  iChatAV on Macintosh G4 or G5 computers.

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Internet2 International Memorandum of
Understanding Partners
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No Arab Middle East Countries with Internet2
networks!
AAIREP (Australia) APAN (Asia-Pacific) APAN-KR
(Korea) APRU (Asia-Pacific) CERNET, CSTNET,
NSFCNET (China) JAIRC (Japan) JUCC (Hong
Kong) NECTEC / UNINET (Thailand) SingAREN
(Singapore) TAnet2 (Taiwan) CANARIE
(Canada) CEDIA (Ecuador)CNTI (Venezuela) CRNET
(Costa Rica) CUDI (Mexico) REUNA (Chile) RETINA
(Argentina) RNP2 (Brazil) SENACYT (Panama

• BELNET (Belgium)
• CARNET (Croatia)
• CESnet (Czech Republic)
• DANTE (Europe)
• DFN-Verein (Germany)
• GIP RENATER (France)
• GRNET (Greece)
• HEAnet (Ireland)
• HUNGARNET (Hungary)
• INFN-GARR (Italy)
• Israel-IUCC (Israel)
• NORDUnet (Nordic Countries)
• POL-34 (Poland)
• RCST (Portugal)
• RedIRIS (Spain)
• RESTENA (Luxembourg)
• SANET (Slovakia)
• Stichting SURF (Netherlands)

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NKF cyber Nephrology - Visioning the future!
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Medicine of the FutureNew Medicine -
Individualized Medicine
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The Microscope and the Megamacroscope (The
Internet and The Digital Age)Impact on
Medicines future!

• Kim Solez, M.D.

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Visioning Broadly Defined! The Microscope.

• When Anton Van Leeuwenhoek built the first
  practical microscope in Holland in 1674 it
  changed the horizons of human beings forever,
  allowing them to see with their own eyes the
  structure of life itself. Today's high science
  marvels - gene chip technology,laser capture
  microdissection, genomics, and proteomics - are a
  direct extension of Van Leeuwenhoek's original
  discovery.

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Visioning Broadly Defined! The Microscope.
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Visioning Broadly Defined! The Microscope.

• Anton Van Leeuwenhoeks original microscope had
  magnifications of 270 diameters and a simple
  screw thread focus adjustment

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Visioning Broadly Defined! The Microscope. Long
Life.

• Van Leeuwenhoek lived 91 years (1632-1723) and
  during his long life he used his lenses to make
  pioneering studies on an extraordinary variety of
  things, both living and non-living, reporting his
  findings in over a hundred letters to the Royal
  Society of England and the French Academy.

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Visioning Broadly Defined! The Microscope. Long
Life. Knowledge.

• In 1716 at the age of 84 he wrote
• "My work, which I've done for a long time, was
  not pursued in order to gain the praise I now
  enjoy, but chiefly from a craving after
  knowledge, which I notice resides in me more than
  in most other men. And therewithal, whenever I
  found out anything remarkable, I have thought it
  my duty to put down my discovery on paper, so
  that all ingenious people might be informed
  thereof."

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The Internet /Digital Age Examining the basic
structure of information itself..

• Knowledge and information were of foremost
  importance to Van Leeuwenhoek. Today computers,
  the Internet, the Digital Age, allow us to
  examine the basic structure of information
  itself.

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The Internet /Digital Age Seeing Big Things The
Megamacroscope.

• Microscope means "seeing small things". Today's
  connected computers of the Internet allow us to
  see and conceptualize very big things, constructs
  that otherwise would be completely out of our
  reach. So connected computers become
  "Megamacroscopes" and again the horizon has been
  changed very greatly. Connections between people
  and ideas are being made at an increasing rate
  that benefit every area of human endeavor.

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What are The Characteristics of the Digital Era?

• Elements as basic as time itself and human
  intelligence are profoundly altered in the
  digital era.

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Moving NKF cyberNephrology to the next phase

• Plan to elevate cyberNephrology/cyberMedicine to
  higher level with diversified corporate support.
• Social marketing, high impact education, use the
  techniques from advertising, entertainment, and
  for-profit product marketing to promote health by
  changing human behavior in areas related to
  hypertension, cardiovascular disease, diabetes,
  and kidney disease.
• Not just lifestyle change but substantive
  changes in patient and physician behavior with
  regard to diagnosis, referrals, treatment etc.

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Capturing the imagination of the public and
health care providers.

• Providing a future vision of the benefits of
  technology without losing the higher elements of
  the human spirit.
• Data compression.
• Point of service information.
• High impact education.
• Measuring impact of interventions on health.

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Advertising - 153 years of history and
refinement!

• 1850 - Phineas T. Barnum brings Jenny Lind, the
  "Swedish Nightingale" to America, employing
  newspaper ads, handbills, and broadsides to drum
  up extraordinary interest in this, until now,
  unknown-to-Americans international singing star.
  From being relatively anonymous six months prior
  to her arrival, she is met at the docks by 30,000
  New Yorkers - a result of Barnum's advertising
  campaign.
• Jenny Lind made her American debut at the Castle
  Garden Theatre in New York City on September 11,
  1850.

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Advertising - 153 years of history and
refinement! (Cont.)

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  Jenny Lind Photo
• 
  Photography itself
• 
  began in 1839.

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Internet Now Mainstream - Steady Rise in Online
Sales and Broadband Growth Despite Nasdaq Fall
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Visioning the Future of Technology in General
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Capturing Imagination of Nephrologists and the
Public. Expanding Horizons.
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Cannot be Complacent - Must Remain At Cutting Edge