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과학재단보도자료_APAN세미나.hwp

14:00-15:30 Healthcare education 1 (Teleconference)
Chairperson: YS Lee (CBNU/KR) & Sakurai (Mie/JP)
Stations: Hawaii -California- Cheongju-Fukuoka

16:00-17:30 Healthcare education 2 (Teleconference)
Chairperson: Parvati (Stanford U/CA), YS Lee (CBNU/KR)
Stations: Hawaii -California-Wisconsin-Mumbai- Cheongju-Fukuoka

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Healthcare 1 Teleconference ver 1.1
Date: Jan 24th (Thr) Hawaii 14:00-15:30, California 16:00-17:30
           Jan 25th (Fri) Korea and Japan 9:00-10:30


Program Organizer: Nakashima N (Kyushu U/JP) and Lee YS (Chungbuk NU/KR)

Connecting stations:
1. University of Hawaii, USA [Chairperson: Lee YS/Sakurai S]
2. Stanford University, California, USA [ Moderator: Cammy Huang/Piya Sorcar]
3. Chungbuk National University, Cheongju, Korea [ Moderator: KyeongSoo Lee]
4. Kyushu University, Fukuoka, Japan [ Moderator: Nakashima N]

Opening remarks: YS Lee
Presentations
1. Hawaii venue
      1) Shinobu Sakurai: The new health checkup system in Japan for Metabolic Syndrome Abstract & Biography (10min)
      2) Young Sung Lee: Tele-medical activities in S. Korea Abstract & Biography (10min)

2. Stanford University
      1) Cammy Huang: Building Healthy Communities, Knowledge Is Infectious Abstract & Biography (10min)
      2) Piya Sorcar:Interactive Teaching AIDS: Culturally Appropriate and Effective HIV/AIDS Education Abstract & Biography (10min)

3. Chungbuk National Uiversity Korea
      1) Kyeongsoo Lee: Strategy for Hypertension and DM in S.Korea Abstract & Biography(10min)
      2) JongKoo Lee; AI Experience In Republic of Korea: Status and Response Abstract & Biography(10min)

4. Kyushu University,
      Naoki Nakashima: A Japanese model of disease management for diabetes mellitus from primary to tertiary preventionAbstract & Biography (15min)

5. Discussion between 4 stations (15min)
Closing Remarks: Shinobu Sakurai

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Healthcare2 Teleconference ver 1.1
Date: Jan 24th (Thr) Hawaii 16:00-17:30, California 18:00-19:30, Wisconsin 20:00-21:30
           Jan 25th (Fri) India 7:30-9:30, Korea and Japan 11:00-12:30

Program organizer: Parvati D (Stanford U, US) & Young Sung Lee (Chungbuk National University, KR)

Connecting stations and presentations:
1. University of Hawaii, USA,
     Chairpersons: Parvati Dev/Lee YS
     LeRoy: Serious Virtual Worlds as Networked Learning Environments (10min) Abstract & Biography
     Parvati Dev: Introduction to global online learning environments (10min) Abstract & Biography

2. Stanford University, California, USA [Moderator: Shyh-Yuan Kung]
      Paul Kim: E-PBL for Medical Education over the intercontinental high speed networks Abstract & Biography(10min)

3. University of Wisconsin, USA
      Moderator: Steven Senger(LaCrosse):Online digital anatomy Abstract & Biography(10 min)]

4. Tata Memorial Medical Center, Mumbai, India (via the ERNET facility office)
      Moderator: Sakti Srivastava: Education over telemedicine networks (10min)]

5. Chungbuk National University, Cheongju, Korea
      Moderator: ChanHoh Hwang (10 min)]

6. Kyushu University, Fukuoka, Japan
      Moderator: Nakashima N: Online support system of disease management for primary prevention of lifestyle diseases Abstract & Biography(10 min)]

7. MedicVision, Melbourne, Australia
      Moderator: Ross Horley; Implementation of simulation centers (10min)]

8. Discussion among 7 stations (20min)
      Closing Remarks: Parvati Dev

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Abstracts and Biographies

CESNET Activities for Czech Medicine Jiri Navratil/CESNET	Abstract: CESNET, was established by all Czech universities and the Czech Academy of Science to operate as Czech NREN. CESNET network connects all academic institutes in the country. Current network is based on DWDM technology that opens wide possibilities for network services. CESNET is part of European academic network GÉANT2 and member of GLIF. CESNET as research organization is active in development and implementation of new network technologies and applications. We support applications that requesting exchange large volume of data, high transmission speed, defined response time or high level of privacy. CESNET creates independent E2E paths, private and virtual network on different level of protocols for different groups of users (grid, data centers, hospitals, digital libraries, etc.). Currently, we focus mainly on applications from the area of medicine and particle physics. In the field of medicine we support several applications that connecting university and research hospitals for DICOM data exchange. In collaboration with the universities and several clinics we are developing tools for interactive 3D collaboration environment. We support multimedia services using standard signaling protocols (H.323, SIP, SS7), MCU for multipoint live surgery, etc. CESNET research group also work on the multipoint wide area transmission of uncompressed HD video. We operate streaming servers used by the whole academic community and we are trying to increase availability of the HD (compressed) streaming for the distance community (DVTS). Several examples of applications from the medical field will be presented.
AI Experience In Republic of Korea: Status and Response  Lee, Jong-Koo, MD., MPH, Deputy Minister of Korea, CDC	Biography: Dr. JK Lee has a Ph.D. in medical management with completion of residency in family medicine from Seoul National University hospital.  After graduation, he studied medical management and local medical problems.  In the Ministry of Health & Welfare, he has been in charge of medical treatment for rural areas and also has been responsible for health cares and medical administrative tasks.  Now, he is the deputy minister of Korea Centers for Disease Control & Prevention.    Abstract: AI has been preval‎ent in 2003 and 2006, Korea.   Korea has made on intensive effort to prevent human infection by investigating the aspect of preval‎ence and the source of infection.  In doing so, Korean government could eradiate preval‎ence of AI without human infection. This presentation will introduce preval‎ence of AI using satellite photographs about Korean experiences of AI and procedure for AI incidence.
A Japanese model of disease management for diabetes mellitus from primary to tertiary prevention Naoki Nakashima MD, PhD Assistant Professor Department of Medical Informatics Kyushu University Hospital, Japan	Bio: Dr. Nakashima has been a diabetes specialist for 18 years and he has studied about disease management for diabetes mellitus in Japan for 5 years. He is a councillor member of Japanese Society of Diabetes Mellitus and a director of general affairs of Japanese Association of Medical Informatics. Especially he is interested in standardization of medical information and medical procedure of life style diseases. He is also promoting a project of broad band telemedicine network in Asia Pacific area. Abstract: Disease Management has been developed in USA to improve medical quality, and has been spreading especially in tertiary prevention of chronic disease throughout the world. The Particular Health Check-Up System (PHCS), which will start from the spring 2008 by Japanese government, also has disease management logic as an institution. PHCS will greatly affect insurers because it will cover 57 million citizens (45% of entire Japanese population) and will involve all insurers. We have studied about a Japanese model of disease management in secondary/ tertiary prevention of diabetes mellitus and conducted a practical experiment since 2004. We also developed a primary prevention program implemented in relation to government’s program and ICT system to apply PHCS. We are now managing about 500 monitors in the primary prevention program. The results of halfway analysis of our system shows that 2.3 cm decrease of waist and 1.5 kg decrease of weight on averages in primary prevention program (n=158). In secondary/ tertiary prevention (n=13) resulted 0.32% decrease of HbA1c (control (n=18); 0.16%), and achievement ratio of annual examination in the clinical guideline was 80.2% (control; 54.8%). In the presentation, we introduce topics about PHCS by Japanese government and our project (Carna project). Online support system of disease management for primary prevention of lifestyle diseases (Talk in 2nd session) Abstract: The Particular Health Check-Up System (PHCS) will start from the spring 2008 by Japanese government. PHCS includes not only annual health check-up but also health instruction for high risk people. The program of health instruction is finely ruled in PHCS. We have developed ICT system as an application service provider system to accept outsourcing health instruction provider from insurers. It consists of a data base application of results of health check up and health instruction, online appointment system for health instructors, and online navigation system for primary instruction (both for private instruction and group instruction) and for follow up instruction for 3 months at least. The DB application has an automatic stratification function and an analytical function. For example, implementation of this system has cut-down the primary instruction time by about two-third (from 60 min to 20 min). We have had many offers to use the system in PHCS from insurers. In the presentation, we introduce about the configuration and user interface of the system.
Interactive Teaching AIDS: The Development Process of Culturally Appropriate and Effective HIV/AIDS Education Piya Sorcar, Ph.D Student	Bio: Piya Sorcar is a Ph.D. student at Stanford University in Learning Sciences & Technology Design and the executive director of Interactive Teaching AIDS, where she leads a team of interdisciplinary experts to develop animation-based curricula to teach HIV/AIDS awareness and prevention strategies. Based on original IRB-approved research, the applications target young adults to promote awareness despite cultural and social barriers present in many developing countries. The production versions were created with the Medical Research Information Center and funded by the South Korean Ministry of Science and Technology, Time Warner, among others, and are used in several countries including South Korea, India, Canada and England. Abstract: One of the greatest public health challenges facing our world today is how to provide effective health education in Asia. With more than 60% of the world’s people residing in Asia, prevention and awareness of communicable diseases in this region has direct benefits of the rest of the world. Diseases such as HIV/AIDS that are transmitted sexually present significant challenges because social stigma often precludes such open discussion, especially in Asian countries. In fact, although India has one of the largest populations of HIV/AIDS sufferers, several states have recently banned sex education in schools, and with it HIV/AIDS education. Interactive Teaching AIDS is a pedagogically-grounded and evidence-based animated tutorial aimed at teaching prevention strategies despite social and cultural barriers. Developed by an interdisciplinary team of experts, including education, communication and medical professionals, it is targeted towards young adults. The results of our recent study in India reveal significant increases in learning and students rapidly spreading prevention education through their peer networks.
Serious Virtual Worlds as Networked Learning Environments Wm. LeRoy Heinrichs, MD, PhD Professor Emeritus, Stanford School of Medicine	Dr. Heinrichs earned his M.D. degree at the University of Oklahoma, and completed Obstetrics and Gynecology training at Harper Hospital, Detroit, Michigan. He studied Biochemistry (Steroids) at the University of Oregon Health Sciences, earning his Ph.D. His academic appointment in Ob/Gyn at the University of Washington, led to an early career in Reproductive Endocrinology and Infertility. As the new Chair of Gyn/Ob in 1976 at Stanford University, he ushered in the new practice of advanced videoendoscopic surgery, and conducted clinical trials with therapies for endometriosis, and for hormone replacement therapy. He has one patent, and is co-patentee on two in reproductive endocrinology, and another on wound sensors. Abstract; Practicing life and death scenarios in a videogame-like world is now possible for our youth, from high schoolers through resident physicians and graduate nurses, and beyond. The clinical management of critically-injured virtual patients is becoming an accepted mode of experiential learning for basic medical emergencies and massive trauma events. Avatars in the world, both learners and patients are role-played by geographically-dispersed persons who communicate with headsets, and in-world radios. Rapidly-evolving, patho-physiological models for victim avatars allow for practicing standard clinical emergency management. Teams of ED personnel (four MD’s and seven RN’s) report high levels of engagement, and endorsed the worlds as being realistic.
E-PBL for Medical Education over the intercontinental high speed networks Paul Kim, Stanford University School of Education	Abstract: In the last few decades of research, the assessment strategies employed to measure the student performance in PBL (Problem-Based Learning) for medical education appear to focus only on the quantitative aspect (i.e., acquisition of knowledge and skills measured through essays, free recalls, standard patient simulations, etc.), but less on “deep learning aspects” such as self-reflecting, critical reasoning, or problem solving skills through identifying patterns of best practices (i.e., ability to clearly define the problems, generate and test hypotheses, explain anomalies, develop alternative perspectives, integrate scientific evidences, etc.) With the recent proliferation of ICT (Information and Communication Technologies) fueled by affordable high-performing computers and low-cost high-bandwidth networks, new opportunities are emerging to address some of the inherent shortfalls of PBL and expand the interaction model to include tutors or experts from remote locations. In the presentation, a newly developed E-PBL case integrated in a web-based group cognition space will be demonstrated. A special focus will be given to the ability to express and assess cognitive strategies of participants in a PBL case. Some of the cognition patterns for identifying anomalies, relating to clinical evidences, generating and testing hypotheses will be demonstrated with visual expressions using pointers, highlighters, and relation indicators. The presentation will involve multiple participants connected through high-speed intercontinental networks and medical images such as MRIs and X-Rays and videos such as endoscopy sessions and PET/CT animations. Paul Kim Bio: As the Assistant Dean and CTO for Stanford University School of Education, he is responsible to provide leadership in all aspects of academic and innovative technology. He received his Ph.D. in Educational Technology from University of Southern California and has been collaborating with educational research and development institutes such as U.S. Satellite Laboratories, Medical Research & Information Center, and Korea Educational Research and Information Service. He has served as Vice President for Vatterott College, MO and Chairman of the Board for Intercultural Institute of California. He has taught EDUC392 - Enterprising Higher Education in the Digital Age, EDUC391- Web-Based Technologies for Learning, EDUC480 & 490 Directed Studies with topics such as Private Post-Secondary Education, Digital Portfolios, and Concept-Map-based Assessment. His recent publications include: Kim, P., Um, S., Sorcar, P., Chung, H., Lee, Y. (2007). Effects of episodic variations in web-based health education: Influence of fear and humor appeal on comprehension, retention, and behavior change. (To appear in Health Education Research), Kim, P. (2007). E-Learning: Moving beyond the "e," and into training strategies that promise long-term impact. Training Magazine, November issue. Also, his recent presentations include “Parallelism Paradox in Learning Technology Research & Development”, Invited Lecture, Hanyang University, Seoul, Korea, November, 2007, “Group Cognition in E-PBL for Medical Education”, Invited Lecture, Chungbuk National University, Cheongju, Korea, November, 2007, “E-Learning to M-Learning and educational access for the underserved”, Invited Lecture, CETYS University, Mexicali, Mexico, November, 2007, “E-Learning: Entrepreneurship, Investment, & Technology”, Panel Discussion with Mike Sandler (Eduventures) and Howard Block (Knowledge Investment Partners), Stanford University, Stanford, CA, November, 2007.
Tele-medical activities in S. Korea  Professor, Chungbuk National University, College of Medicine	Bio: Dr. Young Sung Lee, M.D. Ph.D. has been leading MedRIC (Medical Research Information Center), a Ministry of Science and Technology funded organization in S. Korea, focusing on research and development in medical informatics, medical data visualization, telematics, Virtual Reality-based medical training, and health communication and promotion policies and programs. Dr. Lee is Professor of College of Medicine at Chungbuk National University and a visiting scholar at Stanford University Medical Media and Information Technology. He has lead many global health literacy initiatives covering diseases such as AIDS, Avian Influenza, cancer series (e.g., lung, colon, and breast cancer), and other diseases such as pneumonia, malaria, tsutsugamushi fever, haemorrhagic fever, and leptospirosis). He is currently serving as a board member of the Korean Society of Medical Informatics.   Abstract: Korea has the most innovating information infrastructure in the world.  For the last 10 years, broad-bandwidth network has been set up nationwide in the name of  'e-government and e-science'. These infrastructure can enable study, education and policy discussion in public health and health promotion field in correlation with 250 national health centers.  These presentation will suggest review of these possibility and cases using experiences in public health and health promotion field of Korea for the time being.  Through these cases, in cooperation with Korea, Asia-Pacific area and the world furthermore,  e-research environment for public health will be encouraged and know-how to disseminate this and factors for barriers and organizational problems will be discussed.
Communication XP SL Lee	ConferenceXP is an open research project from Microsoft on video conferencing and remote cooperation. The ConferenceXP video conferencing application runs on Microsoft Windows to provide the features such as video and audio communication, document sharing, white board and chatting. The software is quite stable and flexible, when used with the webcam or the camcorder with inter-frame compression, which is the common usage in the public. In the special case of using high quality uncompressed DV image for the conferencing, however, there are some problems, mainly because the ConferenceXP is originally designed as a distributed system based on the multicast network. DV/CXP is being developed to address this situation. DV/CXP takes a centralized approach while still using the existing ConferenceXP client application, to provide efficient video mixing and control for DV image transfer over the unicast network.
The new health checkup system in Japan for Metabolic Syndrome Shinobu Sakurai, M.N., R.N, P.H.N. Professor in Community Nursing Faculty of Medicine, School of Nursing, Mie University	Shinobu Sakurai is Professor who graduated from St Luke's Nursing University at Tokyo and study in University of California San Francisco. She worked as a Public health nurse at school based setting and occupational health setting for years in Japan, and continued her research and educate in Community nursing in Mie. Currently, she conducts many projects in making community health service, health organization, health promotion and disaster risk management in rural area, and eval‎uate health & welfare service in city government. Also, she is the main lecture in public health nursing on the job training course in Mie prefecture. The health checkup system of Japan changes greatly in April, 2008. To decrease incidence rate with the lifestyle disease, and to reduce the medical treatment expense, It makes it to the content to which power improves giving priority to the Metabolic Syndrome prevention. The health guidance with the main transmission of the medical examination result will change dramatically. The doctor and the public health nurse and the dietitian support "The lifestyle is changed" spending time in the person for whom the support is necessary. The object person of the medical examination provisionally calculates the Ministry of Health, Labor and Welfare and about 50 million people the object person of the health guidance is calculating to reach 14 million people provisionally. It introduces this epoch-making system and the mechanism in this session.
Strategy for Hypertension and DM in S. Korea Kyeong-Soo Lee	Bio: Dr. Kyeong-soo Lee, M.D. Ph.D. is associate professor at Yeungnam University College of Medicine in South Korea, focusing on R&D project in chronic disease mgmt.(esp, HBP and DM) and health promotion. He is also in charge of 'Demonstrative Project for Development of Chronic Disease Management Model' and 'Health Promotion Supporting Group' as secretary. He is currently serving as a board member of the Korean Society of Preventive Medicine, a editorial board member of Korean Association of Agricultural Medicine and Community Medicine. Abstract: About 60% of all deaths in Korea are caused by five major CDs. To manage chronic degenerative diseases, comprehensive approach of managing different areas such as healthy life style, management of disease prevention, health protection, disease prevention, and treatment and rehabilitation, and active intervention at a national level are needed. So Korean government has developed a policy and formation for chronic disease mgmt. and started a demonstrative project from Aug. 2007 in Daegu city(pop.: 2.5 million). In this presentation, he will introduce the strategies and programs for managing hypertension and DM of the demonstrative project in Daegu city, and also discuss about know-how and barriers related to implement and eval‎uation of this project.
Introduction to Global Online Learning Environments Parvati Dev	Abstract: New media, Web 2.0, games, and simulation, all provide new opportunities and tools for creating innovative, engaging and effective learning environments. These environments are being applied to teach cognitive knowledge, technical skills, clinical reasoning and ethical attitudes in all areas of healthcare. An overview of these new learning environments will be presented. Bio: Parvati Dev, PhD Parvati Dev completed her doctoral degree in Electrical Engineering on computer models of the brain at Stanford University. She has worked on the research and teaching staff at M.I.T., Boston University, and Stanford. From 1982 to 1989 she was Vice-President at CEMAX Inc, where she developed products for three-dimensional imaging of patients from computed tomography and magnetic resonance scans. From 1990 to 2007, she led the SUMMIT Research Laboratory for Learning Technologies at Stanford, a pioneer in the development of digital educational materials related to anatomy and surgery. Between 2002 and 2004, she was appointed Associate Dean of Learning Technologies for the medical school. Dr. Dev's research includes simulation and game-based learning, collaborative visualization of human anatomy over Internet2, the simulation of clinical procedures, and the eval‎uation of learning outcomes. She now leads a new company, Innovation in Learning, Inc., to further develop new online learning environments.
Collaborative Digital Anatomy Learning Environments Steven Senger Professor of Mathematics and Director of the Advanced Computation Laboratory at the University of Wisconsin – La Crosse	Bio: Steven Senger is Professsor and Chair of Computer Science, Professor of Mathematics and Director of the Advanced Computation Laboratory at the University of Wisconsin – La Crosse. His research interests focus on advanced networks for collaboration, virtual environments, visualization and haptics. He is the creator of several software systems that support interactive digital anatomy including the Digital Cadaver and the Immersive Segmentation Environment. Abstract: High performance networks create unique opportunities to combine remote data and computational resources to create interactive and collaborative learning environments. This presentation will discuss some of the Digital Anatomy applications and middleware developed as part of the HAVnet project funded through the Scalable Information Infrastructure initiative of the National Library of Medicine. These applications support anatomical education and display a range of network requirements and behaviors. The presentation will focus on how the application design creates opportunities for combining various remote anatomical resources and collaboration between users while hiding network details from the user.
Building Healthy Communities, Knowledge Is Infectious Cammy Huang, Director of Scientific Outreach, Wallenberg Global Learning Network, Lecturer, Computer Science	bio: Camillan Huang, Ph.D. has over 8 years of experience in producing interactive media, developing online curriculum (K-16 and medical education), project management of globally distributed teams, and outreach. She has a Ph.D. in Neuroscience from the University of California, Berkeley and is currently at Stanford University as a lecturer in Computer Science and Director of Scientific Outreach for the Wallenberg Global Learning Network (WGLN). As the outreach director, she manages all aspects of a multi-institutional, interdisciplinary faculty grants program, promotes and cultivates new collaborations, and designs innovative solutions for using technology in educational settings. Her expertise is in educational technologies, instructional design, project management, global collaborations, digital media production, human-computer interaction, and outreach. Current research interests include technology in science education and user experience design. Contact: cammy.huang@stanford.edu, www.stanford.edu/~camillan.
Activity update of APAN medical WG Shuji Shimizu, M.D. (Kyushu University, Fukuoka, Japan)	Eleven telemedical conferences were performed after last APAN in Xian, and the first Asia Telemedicine Symposium was held in Fukuoka, Japan, on December 7-8, 2007. More than 150 participants from 8 countries discussed activity plans and possible technical improvement with remote presentation from Korea, Singapore, and Australia. We reached an agreement of a standard configuration of local audio-visual set-up in each station. Our telemedicine events in early 2008 will include Early Gastric Cancer Conference between Bangkok and Fukuoka in February, Endoscopic Workshop in Hong Kong and Thoracic Meeting in Singapore in March, Gastric Surgery Workshop in Tokyo and Liver Surgical Course in Mumbai in April, Immersive Medical Telepresence Workshop in Michigan and TERENA Meeting in Belgium in May, Shanghai Live in June, and more. We would like to have your continuous support.
Homepage for data-sharing for medical WG Nopphol Pausawasdi Faculty of Medicine Siriraj Hospital, Mahidol University	Telemedicine activities among medical workgroups have been conducted for years. One major activity in Asia is a collaboration of doctors, networking engineers, and audio-visual specialists in APAN meeting supported by the Kyushu University Hospital. This workgroup aims to develop a high quality telemedicine utilizing uncompressed video and audio signal transmitted over broadband network across the world. In order to accomplish the objective, it must have a communication tool to allow members from different countries to participate, share knowledge, and know each other well enough to produce effective collaborations. The homepage for data-sharing for medical workgroup is designed to support such collaborations. Members can do following activities on this homepage; member registration, updating members’ profiles, sharing knowledge in areas of audiovisual and computer networking, discussion on web board, and posting news and events. The homepage for data-sharing for medical workgroup will be linked to APAN website under medical workgroup section. This homepage should enhance collaborations among doctors, networking engineers, and audio-visual specialists across the world. It should also lead to a standardized configuration of local set-up for telemedicine activity. Page 1 | Page2
International Telemedicine Experiment between Japan and Thailand Yuichi Fujino Nippon Telegraph and Telephone Corporation Research and Development Planning Department	In Japan, there are nine million or less optical access network subscribers in March 2007, and they can easily use bidirectional broadband communications. Moreover, the charges for broadband communication are lower than those in any other country. By 2010, Nippon Telegraph and Telephone Corporation called NTT plans to upgrade the service of nearly 30 million of the current 60 million NTT fixed line telephone customers to Next Generation Network (NGN) services. NTT has a plan to start commercial NGN services in this March. NGN is based on the Internet Protocols and more secure and reliable broadband network than legacy telephone or the Internet network. On the other hand, Japan is becoming a super-aging society. So, an efficient medical, healthcare or welfare services are expected. One of the methods to realize these services effectively is a network-based medical and healthcare service using ICT. Telemedicine is one of the desired applications of the broadband network. From that aspect, we are studying tele-mentoring and telesurgery system over broadband network. We had adopted a robotic tele-surgery system for an international tele-laparoscopic surgery experiment and have been carrying out the trial for three years between Chulalongkorn University in Thailand and Kyushu University in Japan using the Asia broadband network and JGN2. In the telemedicine, tele-mentoring or tele-education field, we have to use an audio and video communication system. So, we need an electronic pointer or writing function on the moving video images. In this experiment, we have made a tele-annotation function and tested it. We will show a configuration of tele-annotation system and scene of tele-mentoring using our tele-annotation system.
Luiz Ary Messina Organization: Rede Nacional de Ensino e Pesquisa - RNP The Brazilian Telemedicine University Network - RUTE	Abstract: The Brazilian Telehealth initiatives achieved its federal ministerial integration, Education, Health, Science & Technology, as two main national projects started in 2006 and 2007 respectively: The Telemedicine University Network, RUTE – Rede Universitaria de Telemedicina, bringing telecommunication and Telehealth infra-structure into the University Hospitals, run by RNP; and the National Telehealth Program in the Primary Care, applying in 9 University Hospitals from RUTE and 900 municipalities the National Family Health Program. RUTE in its first phase integrated 19 University Hospitals and will connect in 2008 all federal states, altogether 57 University Hospitals and Health High Education Faculties. The Brazilian Telehealth initiative enables a number of applications, such as video conferencing, diagnosis and second opinion, continuous education and web conferencing, by linking university hospitals, professors, researchers, students and remote health professionals via RNP, Brazil’s national education and research network. Brief profile Dr.Ing.Dipl.Inf. Luiz Ary Messina, Electrical Engineer, University of Brasília, Master in Automation, University of Campinas, Dr. in Computer Graphics and Assistant Professor 1984-1989, Technology University of Darmstadt. Worked for Siemens Automation in Germany and São Paulo. Founded Messina Informatica: Database Applications for government and health institutions. Coordinated graduate courses: Production Engineering, Computer Sciences, University of Vila Velha. Coordinated T@lemed-@lis with Fraunhofer-IGD. Acquired and coordinated three URB-AL-EU-Projects for the City of Vitória. Coordinated the ICT department of Espirito Santo State Science and Technology Secretary, creating the Health Technology Center at the Federal University of Espirito Santo. Coordinates the Brazilian Telemedicine University Network-RUTE.

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