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Telemedicine: Uzbekistan experience
Fatima T.Adilova
Institute of Cybernetics
Academy of Sciences
http://www.ednes.org/telesol/uz
Kiev, April,24-25 , 2003
1
INTERNET IN UZBEKISTAN
п‚· Number of providers : 83
п‚· Costs:daily $1, at night 0,5$
п‚· Capacity of international access : 3,5 MBS
п‚· Largest Providers:
Uz PAK Ltd.Co (Uzbekistan)
Naytov – JV (USA)
Buzton – JV (Great Britain)
 Number of web-sites –200-300
п‚· Number of users-?
Redesighning of INTERNET in Uzbekistan:
п‚· BellAm : Equipment :; total sum of contract
$5.800.000
п‚· Today are 18 nodes of Internet ,at end of 2003 - 235
nodes
п‚· Today speed is 3,5 РњBS, after reconstruction - 42 РњBS
2
UZBEKISTAN INTERNET PROVIDERS
1 http://www.uzpak.uz
2. http://www.intal.uz
3. http://www.eanetways.com/
Eurasia netways - internet service provider
4. http://www.khamar.uz/
State network of data transferring “ uzpak “
6. http://www.naytov.com/
WELCOME:Internet provider
7. http://www.nihol.com/
Nihol Communications ISP
8. http://www.osiyo.uz/
Osiyo Ekspress
9. http://www.osiyolink.net/
ISP/ OSIYO-LINK
10. http://www.sarkor.com/
11. http://www.uznet.net/
3
COMPUTERR&COMMUNICATION MARKET
PC:
п‚· Intel Corp.
90%
п‚· Apple, Sun Microsystems < 10%
п‚· OS Windows
MONITORS:
 15”
 17”
 19” and higher
85%
14%
1%
PERIPHERALS:
 Printers –НР90%
п‚· LAN(speed< 10MBS)
• Modems (for Dial-up,up to $80 )
4
UZBEKISTAN MEDICAL WEB-SITES
1.http:// www.fondred.uz
Forum of Health R& D
2.http://www.tashkent-heart
Tashkent Heart
Foundation
3.http://www.uzmed.com
Uzbekistan medical server
4. http://avicenna.ca.uz/
5. http://ibnsina.ca.uz/
6 http://www.bodyperfect.narod.ru/
7. http://www.doctormurad.narod.ru/
Doctor Murad
8. http://www.fpharm.uz/
First Pharmaceutical Limited
Co.
9. http://www.khamid.uz/
Homepage of Doctor Neuro
10. http://www.mds.uz/
MDS-service company: Medical Diagnostic & Statistics
11 http://www.psycho.uz/
PsychoServer
5
HEALTH INFORMATION ACTIVITIES OF VARIOUS
AGENCIES AND PROJECTS IN UZBEKISTAN
1.USAID/ZDRAV PLUS: . Developed and utilising the computerised
population database for 800000 population inFerghana;Developed
and tested the clinicai information system in controlled
rayons;Developed financial management system for the budgeting
and accounting at SVP level
2.WORLD BANK/HEALTH PROJECT: Implemented population
database in NAVOI region and Sardoria regions based on USAID
project technical assistance.
3.WHO: Implemented population database in NAVOI and Sardoria
region with the help of USAID project technical assistance on
national level
4.UNICEF: Immunisation information, children infectious diseases
information on national level
5.EUROPE/AID : Improvement the regional emergency and
6
laboratory services (Northern and Southern regions)
Mosaic of a doctor contemplating an ill patient from the
Medical School ,Emory University ,Atlanta ,Georgia
USA.This is purported to depict the American physician
7
Two specialists discussing a patient, from a wall
mosaic in Emory University, purporting to show
Semmelweiss and Holmes, of puerperal fever
fame
8
DEFENCE MEDICAL SYSTEM (DMS)
KOSOVO,1999
9
Chest Xray photographed with Olympus C2500
digital camera,
Bosnia Dec 1999
10
ECG showing inferior myocardial infarction, photographed in
Bosnia, December 1999
11
• Attempted
resuscitation
• on a fourteen year
old boy
• who sustained
massive trauma
• from a bomb
explosion
12
Using a satellite telephone,
Bosnia, January 1998
13
Standard format for sending
email referrals:
GIB007
tmed xray GIB007
xray, orth, derm, plas, surg, eyes,
med, pаеd, maxf, urol, path
14
EXAMPLE OF REFFERAL LETTER
: tmed med GIB053
15
tmed orth
SGE001 –
Nothern
Georgia
1998
16
Lesions on inner thigh, tmed
derm BEL010, November 1999,
prior to treatment
17
Healing lesions on thigh, tmed
derm BEL010, during reatment
18
DMS
http://www.bcs.org.uk/awards/medal-98/win98. htm
http://www. rowe.dircon.co.uk/medical/bcspics.thm
19
Patient from Andijan 07.03.2003
20
Patient From Surgery Department
21
PIMS TMED PROJECT
22
PROJECTS PROPOSED FOR
FUTURE
COLLABORATIVE WORK IN AREA
OF TELEMEDICINE
23
Disaster Relief and Emergency Advanced teleMedicine Service
in Central Asia (DREAMS-ASIA)
In the cooperation with the largest Emergency Medicine Center in Central
Asia the project aims at:
п‚·Analysis and identification of priority health care needs in
cardiology and surgery
п‚·Identifying, testing and of organizational, technical and economical
approaches to establishing of a reliable integrated system of
telemedicine support to emergency and rescue operations in situations
of natural disasters typical for Central Asia.
п‚·Deployment of the core working system serving identified toppriority practical needs.
п‚·Conduct high-level research of telemedical problems
п‚·Scientific evaluation of the core telemedicine system
п‚·Make the conditions favorable for commercial development both
regionally and internationally
Uzbekistan
24
Building an Early Warning System for Public Health
Surveillance in Uzbekistan
The project will create bioterrorism (BT) threat awareness and will help to
develop in Uzbekistan a computer – based public health surveillance system
(PHSS) to provide early detection and warning of bioterrorists attacks.
The main goal of the project is develop theoretical and practical underpining
of new science enquiry in order to answer on a set of research questions that
need to be addressed to facilitate the applied work in building early warning
systems. The fundamental questions are: which data are useful for early
detection? What detection method are optimal in means of sensitivity,
specificity and timeliness?
The project will be resulted by new algorithm for early detection and Policy
Memoranda to Authority of Uzbekistan through Ministry of Health(MoH)
dedicated to problems of PHSS elaboration and implementation.
In the long-run, the project aimes to bring awareness in needing to create
computer-based PHSS designed to enhance early detection of bioterrorism
events.
Uzbekistan
25
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