<<October 9, 1999>>

Maj. Christian Macedonia, MD <cmacedonia@aol.com>

Dr. Thomas J. Keil <Thomas.Keil@asu.edu>

Dr. David A. Johnson, AICP <daj@utk.edu>

Ms. Anneli Halonen <halonen@aol.com>

Robert J. Rodrigues, M.D. <rrodrigues@paho.org>

Dr. Andrey S. Narvsky <narvsky@astrive.com>

Kimberly K. Obbink <kobbink@montana.edu>

G. Robert (Bob) Converse <bob.converse@mauicc.Hawaii.Edu>

P. Tapio Varis, Ph.D, Professor <tapio.varis@uta.fi>

Shin Takuma, M.D. <st245@columbia.edu>

Yolanda Gayol, D.Ed. <ygayol@worldbank.org>

Alexander P. De Angelis <adeangel@nsf.gov>

Mr. Mark Suskin <msuskin@nsf.gov>

Gary Garriott <garyg@vita.org>

Prof. Jose Brenes Andre <jbrenes@cariari.ucr.ac.cr>

(1) Yesterday, I visited following persons in Washington, D.C.;

(a) Maj. Christian Macedonia,
(b) Dr. Thomas J. Keil and Dr. David A. Johnson,
(c) Ms. Anneli Halonen.

(2) Dear Chris:

It was my great pleasure to have such an exciting and fruitful
conversation with you and Mr. Komatsu.

(a) As discussed, I would be very delighted if you can kindly
introduce our project to the people at the National Institutes of
Health and Cancer Research Institute. I would be very happy to
visit them to discuss their possible participations in the
telemedicine demo during our Tokyo workshop next spring. Pls let
me know.

(b) I would also like to discuss with you how to approach to Dr.
Tanahashi of Tohoku University during my next trip to Japan.

(c) ATTACHMENT I is our next mtg at PAHO on 10/18th.

Should you and Mr. Komatsu be interested, pls feel free to attend.
If affirmative, pls notify of your coming to Robert J. Rodrigues
at PAHO for security reason -- Bob is now in Brazil but he will
attend our mtg.

(3) Dear Bob Rodrigues:

I recently received the following from you and browse it through with
great interest;

Setting Up Healthcare Services Information Systems: A Guide for
Requirement Analysis, Application Specification, and Procurement,"
Essential Drugs and Technology Program, Division of Health Systems
and Services Development, Pan American Health Organization, World
Health Organization, July 1999, ISBN 92 75 12266 0.

This is an excellent work!! I am always amazed with your superb job.
This 200 page book can be a very good guide to our projects.

I wonder if this book will be available to the attendees of our mtg at
your PAHO on 10/18th, along with your other excellent report
Information Systems and Information Technology in Health: Challenges
and Solutions for Latin America and the Caribbean." If not, where is
their web sites?

(4) Dear Tom:

It was my great pleasure to have met with you again.

Your project is very interesting and I was very glad that you have
visited Andrey's web site.

(5) Dear Kim:

I gave Tom your name so that he will call you soon.

Tom was very interested in your project of connecting Native American's
communities between Montana and Arizona -- if possible, even the ones in

Tom is now planning to create a web site of artifacts of Heard Museum in
Phoenix which is the very prominent one for the Native Americans. Tom
wants to apply similar techniques as Andrey developed for Hermitage
Museum in St. Petersburg which he demonstrated during our Tampere event,
with 3D geographic terrains where those artifacts were discovered -- you
have seen the 3D geographic terrains during Bob Converse's demo of his
skybridge micro-wave network in Hawaii at our Tampere event. Tom thinks
that his project may also be applicable to the artifacts of Native
Americans in Montana.

Let's talk more about this with its associated projects during our mtg
at PAHO on 10/18th.

(6) Dear Ms. Halonen:

Tom, David and I greatly appreciated your time and enjoyed our
conversations when David submitted you the publicity materials of our
highly successful Tampere event, thanks to the extraordinary help and
cooperation of many Finnish colleagues.

We were also amazed with the Finnish design of your beautiful embassy

(7) Dear Tapio:

Ms. Halonen kindly offered us the possible use of their conference room
with complete audio/video equipment. The room faces a beautiful outside
which let me recall the country scene of the cottage where you treated
us with dinner, folk song and sauna -- incidentally, Ms. Halonen told us
that her embassy has even sauna in the basement floor so that we can
enact that memorable evening at the cottage!!

Dear Colleagues who could not attend our Tampere event:

1. Pls visit <http://www.uta.fi//EGEDL/>,
2. Click Roger Boston's web site,
3. Click August 12 in left column,
4. Click Finnish Evening" at the top of right column to view
video clippings of the evening.

(8) Dear Shin:

Many thanks for your lively description of your telemedicine demo during
our Tampere event (ATTACHMENT II).

Dear Colleagues who could not attend our Tampere event:

You can view some of video clippings of his demo as clicking
Telemedicine1 and Telemedicine2 at the top of the right column of
August 9 at the above mentioned Roger Boston's web site.

(9) Dear Yolanda:

I haven't heard from Larry of his confirmation of our visit yet -- I
will let you know as soon as I hear from him.

However, if you have time, you may join in our Strategic Meeting on Fund
Raising at PAHO on 10/18th. If you are coming, pls notify of your
coming to Robert J. Rodrigues at PAHO for security reason -- Bob is now
in Brazil but he will attend our mtg.

(10) Dear Mr. De Angelis:

Many thanks for your msg (ATTACHMENT IV).

Our mtg at the World Bank may last till 2:30 pm of 10/19th so that we
may be able to be at your office around 3:00 to 3:30 pm.

I would like to visit you with following persons;

1. Kimberly K. Obbink
2. Myron Nordquist
3. David A. Johnson

Our visit is to express our sincere thanks for Mr. Mark Suskin's
generous support to our highly successful Tampere event, and to hear of
your suggestions for our follow-up workshop in Tokyo next spring. We
would be very happy if Mark can also attend our mtg. Among others, pls
visit particularly Tokyo Workshop (Spring 2000)/Proposed Conference
Activities" at
<http://www.kagawa-jc.ac.jp/~steve_mc/asia-pacific/index.html> for your

(11) Dear Gary:

Many thanks for your msg (ATTACHMENT V) with an excellent resume -- in
response to Jose Brenes' draft proposal on the establishment of Global
University for Central American.

Can you attend our mtg at PAHO on 10/18th? If so, pls notify of your
coming to Robert J. Rodrigues at PAHO for security reason -- Bob is now
in Brazil but he will attend our mtg.

Your "poor man's cell phone" system may be applicable to the Native
Americans' communities in remote areas in Montana and Arizona --
according to Kim, they don't have many ordinary telephone either even

Best, Tak

Tentative Agenda
Strategic Meeting on Fund Raising
Global University System
(Asia/Pacific, Latin America, and Africa Regions)

I. Date:

October 18 (Monday), 1999

II. Place and Host:

Robert J. Rodrigues, M.D.
Program Coordinator
Health Services Information System Program
Division of Health Systems and Services Development
Pan American Health Organization
Regional Office of the World Health Organization
525 Twenty-Third Street, N.W.
Washington, D.C. 20037
Fax: 202-974-3614
NetMeeting Server: ils.paho.org

III. Schedules:

9:00 am
Tak Utsumi

Report of the international workshop/conference on Emerging Global Electronic
Distance Learning" held at the University of Tampere, Finland, on August 9 to
13, 1999.

Emerging Global Electronic Distance Learning (EGEDL'99)

Global University Background Documents

Proposed Outline of the Global University System Structure

9:15 am
David Johnson

Summary of what we achieved at the Tampere event.

World Regional Pilot Project Summaries

9:30 am
Ken Roko

Diagrammatical explanation of Global University System structure.

What we designed!

9:45 am
Kim Obbink

Brief description on the Native American community project.

Montana/Pacific Distance Learning Project
(Sen. Conrad) Burns Telecommunications Center at Montana State
University - Bozeman

10:00 am
Ben Haraguchi

Brief description on the Asia/Pacific region operation.

Global University System: Pacific/Asia Pilot Project Parties

Pacific/Asia Brainstorming in Finland

Collaboration with Asian Open Universities

Tokyo 2000 Conference Activities

10:15 am
Lane Smith

Brief description on the Africa region operation.

USAID Leland Initiative: Africa Global Information Infrastructure

10:30 am

Coffee break.

10:45 am
Bob Rodrigues and Tak Utsumi (on behalf of Alex Rivas and Jose Brenes)

Brief description on the Latin America region operation.

World Regional Pilot Project Summaries

11:00 am
David Johnson

Brainstorming on fund raising project;

A. Identification of funding sources;
1. International governmental organizations,
2. US domestic governmental organizations,
3. Philanthropic foundations,
4. Industrial and commercial organizations.

B. Procedures;
1. Inquiry letters,
2. Phone calls,
3. Proposal writings,
4. Visits.

C. Identifications of lead personnels.

12:00 noon


1:30 pm
David Johnson

Brainstorming continued.

3:30 pm

Coffee break

4:00 pm
David Johnson

Brainstorming continued.

5:00 pm


Tele-Medicine demonstration in Finland

In the world of today, the revolutionary changes brought about by
technological developments and the emergence of new information infrastructure
cannot be ignored. Recent spread of the Internet enables us to practice Tele-Medicine and it can be of equal potential to developing countries. Regarding
this new clinical modality, I attended the Tele-Medicine conference in August
at Finland invited by Dr. Takeshi Ustumi, Chairman of GLOSAS/USA. Also this
project was supported by Dr. Mitsugu Simmyo, chairman of the Japanese Medical
Society of America. Actually, Finland is not a developing country but a well-established networking country. Does everyone know NOKIA, a famous mobile
phone company, comes from Finland?

There were 50 attendants came from worldwide. 5 days session including Finnish
sauna meeting, Finnish dinner lecture was held in Tampere, the third largest
city of Finland. Unlike New York, there was quiet, clean, and friendly
atmosphere around the city.

I demonstrated the Tele-Medicine by sending the live pictures of
echocardiographic stress test from Finland to New York using ISDN line at 384
Kbps. It is about 8 times faster than current home-use modem. Successively,
Dr. Shunichi Homma, director of echocardiography in the Columbia University,
gave a lecture for prevention of heart attack from NY through this
videoconferencing network. There was no time lag and the image qualities were
adequate for making a distant clinical consultation.

Tele-Medicine has many potential social and economic benefits. Next workshop
will be held at Tokyo, April 2000. At that time, fast Internet system such as
DSL (Digital Subscriber Line) will be available at $50 per month in the U.S.
It will run 100 times faster speed than 56 Kbps modem. By considering all of
the interrelated technologies through the conference, I have realized that
technologies are not ends in themselves and dynamic change will take place in
the medical communication field.

Shin Takuma, MD
Columbia University

Date: Fri, 8 Oct 1999 08:49:14 -0400 (EDT)
From: ygayol@worldbank.org
To: utsumi@www.friends-partners.org
Subject: Re: Visit to InfoDev of World Bank

Dear Tak;

I would love to join the meeting with Larry. Please, tell me where is
you meeting.
<<October 9, 1999>> Removed the rest by T. Utsumi,

From: "DeAngelis, Alexander" <adeangel@nsf.gov>
To: "'utsumi@columbia.edu'" <utsumi@columbia.edu>
Cc: "Loretz, Christopher A" <cloretz@nsf.gov>,
"McAuliffe, Myra J"
Subject: NSF International Programs
Date: Fri, 8 Oct 1999 15:14:39 -0400

Dear Prof. Utsumi,

I received your calls. I understand that you would like to meet with me on
October 19th in the afternoon. That would be fine. Please come to my
office (room 921) at 2:00 pm. if that is convenient. If not, please let me
know what time you might arrive.


Alex De Angelis

From: Gary Garriott <garyg@vita.org>
To: "'utsumi@www.friends-partners.org'" <utsumi@www.friends-partners.org>
Subject: FW: Draft of pilot project proposal for Central America Region
Date: Fri, 8 Oct 1999 10:34:35 -0400


I found this interesting and thought I would mention that we are wrapping up a
national-scope "poor man's cell phone" system in Honduras that provides voice
connectivity (make or receive telephone calls) for remote health clinics.
There was a data component originally planned, but it was deferred. In the
aftermath of Mitch, I don't know whether it will get re-started in the short
term (the project is World Bank-financed).

In any case, if you see a role for VITA or perhaps for myself as a VITA
consultant in this, please let me know. Our long-term consultant is a Costa
Rican electrical engineer, a very savvy guy, and living in Honduras. He would
be available too for consulting throughout the region or what have you.

I attach a resume just in case.



Gary Garriott
Director Informatics
(Volunteers in Technical Assistance)
List of Distribution

Maj. Christian Macedonia, MD
Prenatal Assessment Center
National Naval Medical Center
8901 Wisconsin Avenue
Bethesda, MD 20889-5600
Fax: 301-319-5047
cmacedonia@mxa.vsvhs.mil (?)

Dr. Thomas J. Keil
Dean, College of Arts and Sciences
Arizona State University West
4701 W. Thunderbird Rd.
Glendale, AZ 85306-4908
602-543-6150 (assistant)
Fax: 602-543-6032

Dr. David A. Johnson, AICP
Former President of Fulbright Association
Professor of School of Planning
College of Arts and Sciences
University of Tenneseee
108-I Hoskins Library
Knoxville, TN 37996-4051
Tel: +1-423-974 5227
Fax: +1-423-974 5229

Ms. Anneli Halonen
Cultural Counselor
Embassy of Finland
3301 Massachusetts Avenue, NW
Washington DC, 20008
tel. 202-298-5823
Mob: 202-262-7468
fax: 202-298-0450

Robert J. Rodrigues, M.D.
Program Coordinator
Health Services Information System Program
Division of Health Systems and Services Development
Pan American Health Organization
Regional Office of the World Health Organization
525 Twenty-Third Street, N.W.
Washington, D.C. 20037
Fax: 202-974-3614
NetMeeting Server: ils.paho.org

Dr. Andrey S. Narvsky
Head of the Department of Multimedia and Distance Education
of St.Petersburg State Marine Technical University
General Director of Lanck Software Ltd.
3 Lotsmanskaya street
St.Petersburg, 190008
ph +7-812-325-8146
fax +7-812-157-2455
(The above two sites are bilingual about St.Petersburg museums, developed by
Andrey's group.)

Kimberly K. Obbink
Burns Telecommunications Center
128 EPS Building,
Montana State University
Bozeman, MT 59717-3860
Tel: +1-406-994 6550
Fax: +1-406-994 7856

G. Robert (Bob) Converse
Project Director/Principal Investigator
National Science Foundation
Advanced Technology Education Project
Maui Community College
310 Ka'a Humanu Ave.
Kahului, Hawaii 96732
Tel: +1-808-984 3447
Fax: +1-808-244 0862

P. Tapio Varis, Ph.D, Professor
Acting President, Global University System
Chairman, GLOSAS/Finland
Professor and Chair
Media Culture and Communication Education
Hypermedia laboratory
University of Tampere
P.O.Box 607
FIN-33101 Tampere
Tel: +358-3-215 6110
GSM: +358-50-567-9833
Fax: +358-3-215 7503

Shin Takuma, M.D.
Cardiology Division
Columbia Presbyterian Medical Center
Department of Medicine
College of Physicians & Surgeons
Columbia University
630 West 168th street
New York, NY 10032-10391
Tel: +1-212-305-9875
Fax: +1-212-305-9049

Yolanda Gayol, D.Ed.
Distance Learning Consultant
The World Bank
World Bank Institute for Distance Learning
701 18th Street NW, Room 2-171C
Washington, D.C., 20433
(202)458 7506
Fax: (202) 522 2005

Alexander P. De Angelis
Program Coordinator, East Asia and Pacific Program
Division of International Programs
U.S. National Science Foundation, Room 921
4201 Wilson Boulevard
Arlington, Virginia 22230
TEL: 703 306-1704
FAX: 703 306-0477
EMAIL: adeangel@nsf.gov
WEBSITE: http://www.nsf.gov/sbe/int/start.htm

Mr. Mark Suskin
Program Manager
Western European Program
Division of International Programs
National Science Foundation
4201 Wilson Blvd.
Arlington, VA 22230

Gary Garriott
Director, Informatics
Volunteers in Technical Assistance (VITA)
1600 Wilson Blvd., Suite 500
P.O. Box 12438
Arlington, VA 22209-8438
Fax: 703-243-1865
Telex: 440192 VITAUI
www.vita.org/satvitpo.htm -- Press release on Consorcio SAT/SatelLife/VITA
www.vita.org/consort.htm -- Press release on satellite-users coalition
www.vita.org/slife.htm -- Press release on SatelLife-VITA

Prof. Jose Brenes Andre
President of Consta Rica Fulbright Association
Escuela de Fisica
Universidad de Costa Rica
San Pedro
Tel: +506-207-5019
Fax: +506-225-5511
* 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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