<<January 24, 2000>>

Yosuke Komatsu <yosuke_komatsu@hotmail.com>

Maj. Christian Macedonia <cmacedonia@aol.com>

Frank S. Govern <fg36q@nih.gov>

Kenneth M. Kempner <kempner@helix.nih.gov>

Salah H. Mandil <mandils@who.ch>

Kenichiro Kajiwara <kenchan@kurume.ktarn.or.jp>

Victor Kotelnikov <vkotelnikov@unov.un.or.at>

Dear Mr. Komatsu:

(1) Many thanks for your msg (in Japanese) of 1/11th with your very
interesting background -- sorry for my replying to you in English.

(2) I came back last week from my trips to the International Consultation
Conference on TeleHealth and TeleMedicine at the WHO in Geneva

(1/12th-14th) and to the UN Industrial Development Organization (UNIDO)

and the UN Office of Outer Space Affairs in Vienna.

(3) At the former mtg, as requested by Ken Kempner, I distributed the
materials about his TeleSynergy System on the medical consultation
workstation (ATTACHMENT I) to many attendees from around the world who
showed their strong interest in it.

(4) Ken's first idea is to demonstrate it during our Tokyo conference (which
will be discussed during our mini-workshop in Manila on March 29 to 31),
with cooperation of the National Cancer Institute of Japan -- as he did
with Ireland people last October (see below at his web).

Ken Kajiwara (whom I met at the WHO mtg) told me that he would introduce
me to an appropriate person at the institute in Tokyo when I will be in Tokyo
on my way back from Manila in early April.

(5) Ken's second idea is that, since about 80% of the total cost (about
$200,000) is for Japanese made equipment, we may ask Japanese
government's subsidizing them for distributing the work stations around
the world to form the worldwide network of the medical consultation
system -- through our proposed broadband Internet.

I would like to bring this idea to Mr. Taro Nakayama (former Minister of
Foreign Affairs whom Salah Mandil of WHO once kindly introduced me in
the spring of 1998) and Mr. Sohei Miyashita (current Minister of Health
and Welfare who is my long-standing acquaintance).

(6) I would greatly appreciate it if you can kindly visit Ken Kempner and
make up a list of equipment of his workstation -- particularly of those
Japanese made -- with their rough estimate costs. I would like to show
it to Mr. Nakayama and Mr. Miyashita.

I would also appreciate it if I can have photos of his workstation.

(7) During my mtg at the UN Office of Outer Space Affairs in Vienna, Victor
Kotelnikov told me his Ukrainian colleague's very interesting wireless
medical units. He will send me the materials about it -- which is a
wearable warning system for heart failure, diabetics, etc.

Because of your expertise on wireless field, I will forward the info to
you as soon as I receive it from him.

Keep in touch.

Best, Tak

Date: Fri, 7 Jan 2000 13:04:45 -0500
To: utsumi@columbia.edu
From: "Kenneth M. Kempner" <kempner@helix.nih.gov>
Subject: Your Visit to the NIH
Cc: fg36q@nih.gov, cmacedonia@aol.com

Dear Dr. Utsumi,

My colleagues and I were very pleased to meet with you yesterday afternoon,
and we enjoyed the active discussion about our common interests. Hopefully
we will be able to work together on an international telemedicine
collaboration in the near future.

Please have a pleasant journey to your meeting in Geneva next week, and we
would like to be in contact with you when you return to the United States.
We would also like you to describe our TELESYNERGY System to your
colleagues, if it is appropriate for the topic being discussed.

The TELESYNERGY System is described on the following web site:

The National Cancer Institute's new "Partnership in Science Program",
provides institutional outreach to distant hospitals that wish to
participate in NIH Clinical Trials. The TELESYNERGY System is the official
medical consultation platform which links institutions that participate in
this program. The "Partnership in Science Program" is described on the
following web site:

The NCI All Ireland Cancer Conference was held October 3-6, 1999. The
TELESYNERGY System was transported to this conference and demonstrated via
a dial-up ISDN PRI circuit to the NIH Clinical Center in Bethesda. See the
following Web site for detailed information about this conference:

For further technical information about the initial version of our
TELESYNERGY Medical Consultation WorkStation (MCWS), see the following web
site: http://imcs.cit.nih.gov/publications/spie97/

Thank you for your interest in our medical consultation activities here in
Bethesda, and we are looking forward to meeting with you again soon.

Best Wishes,


Sent by Kenneth M. Kempner
Chief, Image Management and
Communication Section
Computational Bioscience and
Engineering Laboratory
Center for Information Technology
National Institutes of Health
Building 12A, Room 2019
12 South Drive MSC 5624
Bethesda, MD 20892-5624 USA
E-mail: kempner@helix.nih.gov
Tel: (301) 496-9344
Fax: (301) 402-2867
List of Distribution

Yosuke Komatsu, MD, PhD
Visiting Scientist
Clinical Sciences Division
Department of Military and Emergency Medicine
National Naval Medical Center
and the Uniformed Services University of the Health Sciences (USUHS)
8901 Wisconsin Avenue
Bethesda, MD 20889-5600
Fax: 301-295-6773
Pager: 1-800-759-8888 PIN number 1358774

Maj. Christian Macedonia, MD
Guest Researcher, NIH-CIT
Major, US Army Medical Corps
Staff Maternal-Fetal Medicine Specialist
Prenatal Assessment Center
National Naval Medical Center
and the Uniformed Services University of the Health Sciences (USUHS)
8901 Wisconsin Avenue
Bethesda, MD 20889-5600
pager 888-470-4287
Fax: 301-319-5047

Frank S. Govern, M.B.A., Ph.D.
Special Advisor for Institutional Outreach to the Director
Deputy Director, Radiation Oncology Science Program
Division of Clinical Sciences (DCS)
National Cancer Institute
National Institutes of Health
Building 10, Room B3-B69
9000 Rockville Pike
Bethesda, MD 20892-1002
Fax: 301-480-5439
Beeper - 301-496-4567 then 5460 then return number
Portable Phone: 301-257-6964

Kenneth M. Kempner
Chief, Image Management and Communication Section
Computational Bioscience and Engineering Laboratory
Division of Computer Research and Technology
Center for Information Technology
National Cancer Institute
National Institutes of Health
Building 12A, Room 2019
12 South Drive MSC 5624
Bethesda, MD 20892-5624 USA
Fax: (301) 402-2867
http://www-dcs.nci.nih.gov/branches/rosp/index.html -- about TELESYNERGY
http://www-dcs.nci.nih.gov/branches/rosp/partnersci.html -- about "Partnership
in Science Program"
http://imcs.cit.nih.gov/publications/spie97/ -- about TELESYNERGY Medical
Consultation WorkStation (MCWS)
http://www.allirelandcancer.com/ -- about NCI All Ireland Cancer Conference on
October 3-6, 1999.

Salah H. Mandil, Ph.D.
Director-Advisor on Informatics
World Health Organization
20, Avenue Appia
CH-1211 Geneva 27
+41-22-791-2426 (direct)
Fax: +41-22-791-4702

Kenichiro Kajiwara, M.D.
Kajiwara Hospital
285 Nakadono
Nakatsu City 871-0031
Fax: +81-979-227-807
Dr Kenichiro Kajiwara
Kurume University Hospital
Department of Medical Informatics
First Department of Surgery
67 Asahi machi
Kurume 830
Tel: 81.942 35 3311 (ext 5083)
Fax: 81.942 31 7710

Victor Kotelnikov
Political Affairs Officer
Office for Outer Space Affairs
United Nations
Vienna International Centre
P. 0. BOX 500
A - 1400 Vienna, Austria
Tel.: (43-1) 211-31/4955
Fax: (43-1) 213-45/5830
E-mail: vkotelnikov@unov.un.or.at
* Takeshi Utsumi, Ph.D., P.E., Chairman, GLOSAS/USA *
* (GLObal Systems Analysis and Simulation Association in the U.S.A.) *
* Laureate of Lord Perry Award for Excellence in Distance Education *
* Founder of CAADE *
* (Consortium for Affordable and Accessible Distance Education) *
* President Emeritus and V.P. for Technology and Coordination of *
* Global University System (GUS) *
* 43-23 Colden Street, Flushing, NY 11355-3998, U.S.A. *
* Tel: 718-939-0928; Fax: 718-939-0656 (day time only--prefer email) *
* Email: utsumi@columbia.edu; Tax Exempt ID: 11-2999676 *
* http://www.friends-partners.org/GLOSAS/ *

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