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By: Sabin maharjan
                            Roll no.: 11
                            Bsc.CSIT

                   Contact-9779808848635
                            nepal




2/18/2012   sabin@academia internatinal.edu.np   1
Outline
  Introduction
  History
  Types of machines used
  Uses of telemedicine
  Importance of telemedicine




2/18/2012         sabin@academia internatinal.edu.np   2
What does it mean

                               computers

                                in medicine ?




2/18/2012   sabin@academia internatinal.edu.np     3
 The computer is the most important part of
  technology only because it lead to almost ever
  other technology out there.
 Computer is a automatic progammable electroni
  device which takes data and information as input
  , process them and gives output to the end user
  moreover it can store huge amount of data and
  can do several function.


 2/18/2012    sabin@academia internatinal.edu.np   4
Technology
  Technology is the making, usage, and knowledge
     of tools, machines, techniques, crafts, systems or
     methods of organization in order to solve a problem or
     perform a specific function




2/18/2012        sabin@academia internatinal.edu.np           5
Computer technology in medicine
  Basic defination meaning


            Technology of Computer Used in Medicine.




                 Small thing too matters a lot……….


2/18/2012            sabin@academia internatinal.edu.np   6
Introduction
What is telemedicine?

Definition:
“The use of computers, the internet and other
  communication technologies to provide medical care to
  patients at a distance.”

Forms: voice, data, still images and motion video.

Includes: diagnoses, patient monitoring, and treatments.

2/18/2012       sabin@academia internatinal.edu.np         7
Uses of telemedicine

  Telemedicine brings high quality medical care to
   people in remote places regardless of distance.
  Decreases patient wait time.
  Decreases patient travel time.
  Cost effective.




2/18/2012       sabin@academia internatinal.edu.np    8
History
  Computers were invented in 1946 by J.P. Eckert
   and JW Mauchly. The first computers were
   installed in hospitals in the late 1950’s and early
   1960’s. Some of the hospitals had some form of
     assistance from the International Business
     Machines (IBM) Corporation.




2/18/2012        sabin@academia internatinal.edu.np      9
Types of technology used
   X-rays
   Mammography
   Ultrasound
   Digital imaging
 a. MRI(Magnetic Resonance Imaging)
 b. Bloodless surgery
 c. CT scan




2/18/2012    sabin@academia internatinal.edu.np   10
M.R.I
  MRI is one of the most significant advances in medical
     imaging. It allows physicians to see inside the human
     body with remarkable detail. MRI does not use X-rays
     to create images. Instead, it combines magnetic fields
     with radio waves and uses specially designed
     computers to produce images of internal body
     structures.
  While X-rays may be best for showing bones,
   doctors use MRI to examine "soft" tissue such as
   muscle, nerves, cartilage, ligaments, tendons,
   vertebral discs and various internal organs.

2/18/2012         sabin@academia internatinal.edu.np          11
CT SCAN
  CT examinations compliment other imaging exams such as
     x-ray films by offering physicians an additional tool in
     which to view anatomy. In some cases, CT provides
     diagnostic information that cannot be achieved with any
     other method.




2/18/2012         sabin@academia internatinal.edu.np            12
MAMMOGRAPHY
  Mammography is perhaps the single most important
   innovation in breast cancer control. The importance of
   mammography is directly related to its value in the
   early detection and management of breast cancer.
  Mammography detects approximately 2-3 times as
   many early breast cancers as physical exams.




2/18/2012      sabin@academia internatinal.edu.np           13
MRI                                           CT scan




    medical sonography
2/18/2012            sabin@academia internatinal.edu.np             14
Importance of telemedicine
  Teleradiology: Oldest form of telemedicine.
   Sending digital x-rays over telecommunication
   lines.
  Interactive Video Conferencing: Conferencing
   that allows medical specialists and patients to
   consult using telephones and video screens.
  Telepathology: Transmission of microscopic
   images over telecommunication lines allowing the
   pathologist to view images on a monitor. Requires
   camera, monitor and a microscope.

2/18/2012     sabin@academia internatinal.edu.np       15
Importance of telemedicine
  Telepsychiatry: Uses teleconferencing to deliver
   psychotherapy. Used in special circumstances but does
   not replace face to face counseling. Not suitable for
   some types of mental illness such as schizophrenia.
  Remote Monitoring Devices: Devices used to
   monitor patients at home.




2/18/2012      sabin@academia internatinal.edu.np      16
Importance of telemedicine
  Arrhythmia monitoring: EKG telemetry that
     monitors a patient’s cardiac status and sends it to a
     remote location. May be used in ambulance by EMT
     and sent to emergency room.




2/18/2012         sabin@academia internatinal.edu.np         17
Effectiveness of Telemedicine

           Distance and transmission rates create questions.
           Advantage to use in prisons
           Research studies generally favorable-cost-saving and
            effective
           Examples of federal government use of
            telemedicine.




2/18/2012             sabin@academia internatinal.edu.np       18
Effectiveness of telemedicine

  Health care to the elderly ( homebound)
  Connect rural physicians with urban specialists.
  Allow families of high-risk newborns to watch
   babies’ hospital care from home.
  Data transmitted from the ambulance to ER.
  Patients with chronic illnesses will receive
   medication reminders at home.



2/18/2012      sabin@academia internatinal.edu.np     19
Issues in Telemedicine
  Appropriate telecommunications infrastructure must
   be in place.
  Not available in some rural and urban areas.
  Minimal insurance coverage for telemedicine
  Privacy issues- electronic records are more accessible
   and subject to abuse




2/18/2012       sabin@academia internatinal.edu.np          20
Main points waiting us………




            it’s time to just visualise the picture!!!!



2/18/2012           sabin@academia internatinal.edu.np    21
Networking the organization                                              Clinical databases
                Enterprise network                    Personnel                Electronic medical
                                                      systems                  records
Patient                                                                               Pharmacy
workstation                                 Billing and
                                            financial systems
  Clerical                                                                Cost
  workstation                                                             accounting
                    Clinical
                    workstations
                                                                                      Microbiology

                                  Library
   Research                       resources
   databeses

                             Material                Radiology
                             management
                                    Data                    Clinical
                                    warehouse               laboratory
                                                                                 Educational
Administrative systems
                                                                                 programs
(e.g. admissions, discharges and transfers) sabin@academia intnatinal.edu.np                         22
MovingThe Internet the organization
          beyond
                                                                 Government
                                                                 health insurance
                                     3rd party
                                                                 programs
                                     payers
                                                                                 Other hospitals
    Patients                                                                     and physicians
                                               Pharmaceuticals
                                               regulators
            Healthy
            individuals
                                                                            Communicable
                                                                            disease agencies
                                       Government
               Providers               medical research
               in offices              agencies
               or clinics
                                     Vendors
               Information           of various types
               resources             (e.g. pharmaceuticals             Health Science
                                     companies
               (Medline..) sabin@academia internatinal.edu.np          Schools
2/18/2012                                                                                          23
summary
  In medicine,computers are used for everything from
     diagnosing illnesses and monitoring patients to
     controlling movements of robotic surgical assistants.
    Used for recording of the patient’s history and
     treatment details to monitoring patients
    Computers are also used in automating the hospital
     management systems(patient history, the treatment
     details etc).
    Use of electronic patient records.
    Computerized automate the billing, and other
     administrative processes.
2/18/2012         sabin@academia internatinal.edu.np         24
Cont….
  Collect vital-sign measurements directly from patient
   monitors and automate the charting process.
  Ai(voice recognizing system),robot used.




2/18/2012      sabin@academia internatinal.edu.np          25
References

 Fundamentals of Informatin Technology
 (Alexis leon & mathews leon)
 www.google.com??????????




2/18/2012     sabin@academia internatinal.edu.np   26
 Guys this is my first presentation of my life.so if u have
     seen any weakness faced by me please comment me.



             Don’t forget to comment!!!!



 U all are free to comment me,it would not cost prices.


2/18/2012       sabin@academia internatinal.edu.np          27
THANK YOU
   I am very much proud to present this
      presentation.heartfully I want to thank all the member
      of the academia college.




2/18/2012         sabin@academia internatinal.edu.np       28

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Sabin,From Nepal

  • 1. By: Sabin maharjan Roll no.: 11 Bsc.CSIT Contact-9779808848635 nepal 2/18/2012 sabin@academia internatinal.edu.np 1
  • 2. Outline  Introduction  History  Types of machines used  Uses of telemedicine  Importance of telemedicine 2/18/2012 sabin@academia internatinal.edu.np 2
  • 3. What does it mean computers in medicine ? 2/18/2012 sabin@academia internatinal.edu.np 3
  • 4.  The computer is the most important part of technology only because it lead to almost ever other technology out there.  Computer is a automatic progammable electroni device which takes data and information as input , process them and gives output to the end user moreover it can store huge amount of data and can do several function. 2/18/2012 sabin@academia internatinal.edu.np 4
  • 5. Technology  Technology is the making, usage, and knowledge of tools, machines, techniques, crafts, systems or methods of organization in order to solve a problem or perform a specific function 2/18/2012 sabin@academia internatinal.edu.np 5
  • 6. Computer technology in medicine  Basic defination meaning Technology of Computer Used in Medicine. Small thing too matters a lot………. 2/18/2012 sabin@academia internatinal.edu.np 6
  • 7. Introduction What is telemedicine? Definition: “The use of computers, the internet and other communication technologies to provide medical care to patients at a distance.” Forms: voice, data, still images and motion video. Includes: diagnoses, patient monitoring, and treatments. 2/18/2012 sabin@academia internatinal.edu.np 7
  • 8. Uses of telemedicine  Telemedicine brings high quality medical care to people in remote places regardless of distance.  Decreases patient wait time.  Decreases patient travel time.  Cost effective. 2/18/2012 sabin@academia internatinal.edu.np 8
  • 9. History  Computers were invented in 1946 by J.P. Eckert and JW Mauchly. The first computers were installed in hospitals in the late 1950’s and early 1960’s. Some of the hospitals had some form of assistance from the International Business Machines (IBM) Corporation. 2/18/2012 sabin@academia internatinal.edu.np 9
  • 10. Types of technology used  X-rays  Mammography  Ultrasound  Digital imaging a. MRI(Magnetic Resonance Imaging) b. Bloodless surgery c. CT scan 2/18/2012 sabin@academia internatinal.edu.np 10
  • 11. M.R.I  MRI is one of the most significant advances in medical imaging. It allows physicians to see inside the human body with remarkable detail. MRI does not use X-rays to create images. Instead, it combines magnetic fields with radio waves and uses specially designed computers to produce images of internal body structures.  While X-rays may be best for showing bones, doctors use MRI to examine "soft" tissue such as muscle, nerves, cartilage, ligaments, tendons, vertebral discs and various internal organs. 2/18/2012 sabin@academia internatinal.edu.np 11
  • 12. CT SCAN  CT examinations compliment other imaging exams such as x-ray films by offering physicians an additional tool in which to view anatomy. In some cases, CT provides diagnostic information that cannot be achieved with any other method. 2/18/2012 sabin@academia internatinal.edu.np 12
  • 13. MAMMOGRAPHY  Mammography is perhaps the single most important innovation in breast cancer control. The importance of mammography is directly related to its value in the early detection and management of breast cancer.  Mammography detects approximately 2-3 times as many early breast cancers as physical exams. 2/18/2012 sabin@academia internatinal.edu.np 13
  • 14. MRI CT scan medical sonography 2/18/2012 sabin@academia internatinal.edu.np 14
  • 15. Importance of telemedicine  Teleradiology: Oldest form of telemedicine. Sending digital x-rays over telecommunication lines.  Interactive Video Conferencing: Conferencing that allows medical specialists and patients to consult using telephones and video screens.  Telepathology: Transmission of microscopic images over telecommunication lines allowing the pathologist to view images on a monitor. Requires camera, monitor and a microscope. 2/18/2012 sabin@academia internatinal.edu.np 15
  • 16. Importance of telemedicine  Telepsychiatry: Uses teleconferencing to deliver psychotherapy. Used in special circumstances but does not replace face to face counseling. Not suitable for some types of mental illness such as schizophrenia.  Remote Monitoring Devices: Devices used to monitor patients at home. 2/18/2012 sabin@academia internatinal.edu.np 16
  • 17. Importance of telemedicine  Arrhythmia monitoring: EKG telemetry that monitors a patient’s cardiac status and sends it to a remote location. May be used in ambulance by EMT and sent to emergency room. 2/18/2012 sabin@academia internatinal.edu.np 17
  • 18. Effectiveness of Telemedicine  Distance and transmission rates create questions.  Advantage to use in prisons  Research studies generally favorable-cost-saving and effective  Examples of federal government use of telemedicine. 2/18/2012 sabin@academia internatinal.edu.np 18
  • 19. Effectiveness of telemedicine  Health care to the elderly ( homebound)  Connect rural physicians with urban specialists.  Allow families of high-risk newborns to watch babies’ hospital care from home.  Data transmitted from the ambulance to ER.  Patients with chronic illnesses will receive medication reminders at home. 2/18/2012 sabin@academia internatinal.edu.np 19
  • 20. Issues in Telemedicine  Appropriate telecommunications infrastructure must be in place.  Not available in some rural and urban areas.  Minimal insurance coverage for telemedicine  Privacy issues- electronic records are more accessible and subject to abuse 2/18/2012 sabin@academia internatinal.edu.np 20
  • 21. Main points waiting us……… it’s time to just visualise the picture!!!! 2/18/2012 sabin@academia internatinal.edu.np 21
  • 22. Networking the organization Clinical databases Enterprise network Personnel Electronic medical systems records Patient Pharmacy workstation Billing and financial systems Clerical Cost workstation accounting Clinical workstations Microbiology Library Research resources databeses Material Radiology management Data Clinical warehouse laboratory Educational Administrative systems programs (e.g. admissions, discharges and transfers) sabin@academia intnatinal.edu.np 22
  • 23. MovingThe Internet the organization beyond Government health insurance 3rd party programs payers Other hospitals Patients and physicians Pharmaceuticals regulators Healthy individuals Communicable disease agencies Government Providers medical research in offices agencies or clinics Vendors Information of various types resources (e.g. pharmaceuticals Health Science companies (Medline..) sabin@academia internatinal.edu.np Schools 2/18/2012 23
  • 24. summary  In medicine,computers are used for everything from diagnosing illnesses and monitoring patients to controlling movements of robotic surgical assistants.  Used for recording of the patient’s history and treatment details to monitoring patients  Computers are also used in automating the hospital management systems(patient history, the treatment details etc).  Use of electronic patient records.  Computerized automate the billing, and other administrative processes. 2/18/2012 sabin@academia internatinal.edu.np 24
  • 25. Cont….  Collect vital-sign measurements directly from patient monitors and automate the charting process.  Ai(voice recognizing system),robot used. 2/18/2012 sabin@academia internatinal.edu.np 25
  • 26. References Fundamentals of Informatin Technology (Alexis leon & mathews leon) www.google.com?????????? 2/18/2012 sabin@academia internatinal.edu.np 26
  • 27.  Guys this is my first presentation of my life.so if u have seen any weakness faced by me please comment me. Don’t forget to comment!!!! U all are free to comment me,it would not cost prices. 2/18/2012 sabin@academia internatinal.edu.np 27
  • 28. THANK YOU  I am very much proud to present this presentation.heartfully I want to thank all the member of the academia college. 2/18/2012 sabin@academia internatinal.edu.np 28