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NKF cyberNephrology/
ISN Informatics and
cyberMedicine in 2003 and
Beyond!
Kim Solez, M.D.
NKF cyberNephrology Human Centered Computing
Fostering
nephrology’s 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
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 8:30
next day."
Email Discussion Groups
Slide 4
Email - Best Communication for
Low Bandwidth Situations
Internet Video Conferencing Remote Collaboration/
Education/Telemedicine
Plan for the future!
On a future occasion we could demonstrate
Internet video-conferencing. There are two
practical ways to establish this:
1. Dedicated videoconferencing equipment from
Sony or Polycom using Internet2/Abilene
“research” Internet with guaranteed
bandwidth.
2. Desktop videoconferencing using iSight and
iChatAV on Macintosh G4 or G5 computers.
Slide 9
Internet2 International Memorandum of
Understanding Partners
Europe-Middle East
ARNES (Slovenia)
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)
SWITCH (Switzerland)
TERENA (Europe)
JISC, UKERNA (United Kingdom)
Asia-Pacific
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)
Americas
CANARIE (Canada)
CEDIA (Ecuador)
CNTI (Venezuela)
CRNET (Costa Rica)
CUDI (Mexico)
REUNA (Chile)
RETINA (Argentina)
RNP2 (Brazil)
SENACYT (Panama)
No Arab Middle East Countries
with Internet2 networks!
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)
SWITCH (Switzerland)
TERENA (Europe)
JISC, UKERNA (United Kingdom)
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
NKF cyber
Nephrology Visioning the
future!
Slide 12
Medicine of the Future
New Medicine Individualized Medicine
The Microscope and the
Megamacroscope
(The Internet and The Digital Age):
Impact on Medicine’s future!
Kim Solez, M.D.
Visioning Broadly Defined!
The Microscope.
Slide 15
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.
Visioning Broadly Defined!
The Microscope.
Slide 16
Visioning Broadly Defined!
The Microscope.
Slide 17
Anton Van Leeuwenhoek’s original
microscope had magnifications of 270
diameters and a simple screw thread focus
adjustment
Visioning Broadly Defined!
The Microscope. Long Life.
Slide 18
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.
Slide 19
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."
Slide 20
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.
The Internet /Digital Age: Seeing Big
Things: The Megamacroscope.
Slide 21
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.
Slide 22
What are The Characteristics of the
Digital Era?
Elements as basic as time itself and human
intelligence are profoundly altered in the
digital era.
Moving NKF cyberNephrology
to the next phase
Slide 23
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.
Slide 24
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.
1.
2.
3.
4.
Data compression.
Point of service information.
High impact education.
Measuring impact of interventions on
health.
Advertising - 153 years of history
and refinement!
Slide 25
 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
Advertising - 153 years of history
and refinement! (Cont.)
Slide 26
Jenny Lind Photo
Photography itself
began in 1839.
Internet Now Mainstream Steady Rise in Online Sales and
Broadband Growth Despite
Nasdaq Fall
Visioning the Future of Technology in
General
Slide 28
Slide 29
Capturing Imagination of Nephrologists and
the Public. Expanding Horizons.
Cannot be Complacent - Must
Remain At Cutting Edge
Slide 30