<<July 31, 2000>>
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Abdulrahman A. Al Nuaim <nuaim@kfshrc.edu.sa>

Salah H. Mandil <mandils@who.int>

Felix (Lex) Librero <lex@laguna.net>

Professor Rashid Bashshur <bashshur@umich.edu>

Dear Abdulrahman:

(1) Many thanks for your msg (ATTACHMENT I).

It was my great pleasure to have met with you at the Salah Mandil's
International Consultation Conference on TeleHealth and TeleMedicine at
the WHO in Geneva, Switzerland from January 12th to 14th.

(2) I greatly appreciated to receive your cordial invitation of 7/27th.

I would like to accept your invitation with great honor.

(3) However, I have a date conflict with the 14th Annual Conference of The
Asian Association of Open Universities at The University of
Philippines/Open University, Manila, Philippines on 25-27 October 2000,
where I will deliver my paper on the "Global University System."

BTW, you can retrieve the paper at <http://www.friends-partners.org/GLOSAS/Manila%20Workshop/GUS_Paper/Manila_conf_10-00/GUS_Paper_Manila_conf.html>.

My proposition is that you would allow me to attend your conference from
October 22nd to 24th, and let me fly to Manila on October 25th so that I
can attend the Manila conference from October 26th to 27th.

Pls let me know if this arrangement is satisfactory with you at your
earliest convenience. If affirmative, we can discuss the matter of air
tickets later accordingly.

Dear Lex:

I hope you can accept this arrangement, too. If so, pls put me in
your program of 10/26th.

BTW, I still cannot get the URL of your conference web site. Pls let me know.

(4) I heard about the strong telemedicine activities in your Saudi Arabia
several times before, particularly with the leased T1 (1.5 Mbps) line.

I wonder if this line can be used to access broadband Internet in the
US. If so, you may conduct an echocardiogram telemedicine
demonstration, say, with the University of Michigan, as we did it
between the University of Tampere, Finland and Columbia University in
New York in August, 1999, and between the University of Michigan and our
workshop in Manaus, Amazona, Brazil on the last May 31st.

These previous two cases used 384 Kbps ISDN line -- it is cheaper
than satellite, but still expensive and not available in many
parts of developing countries.

On the other hand, if this can be done through broadband Internet,
the cost reduction would be substantial. This is what I would
liket to test next time.

I hope that this demonstration will help to open eyes of decision-makers
for the value of broadband Internet so that they will
install it in remote/rural areas in developing countries at their
earliest convenience.

Should you be interested in this demo, pls let me know -- we may
approach to Rashid at the University of Michigan -- we met him at
Salah's conference, since he presided it.

For this demo, you will need Sonos (formerly Hewlette-Packard)
5500 echocardiogram.

Should you also be interested in having a 3D image of a patient's heart,
pls let me know. You can manipulate its image to cut it into a half, etc.

(5) If you have well established Internet (e.g, broadband backbone without
much congestion, etc.) among major buildings in major cities of your
country, you might have already been using multimedia web learning
platforms and video- and computer-conferencings.

If not so and should you be interested in having the demos of them, pls let me know.

We would be very happy to work with you. Looking forward to hearing your next response,

Best, Tak

Date: Thu, 27 Jul 2000 05:15:32 -0400
From: "Abdulrahman Al-Nuaim"<nuaim@kfshrc.edu.sa>
To: utsumi@friends-partners.org
Subject: Re:Suggestion to GSTF project and benefits of WorldSpace sat

Health Outreach & Business Affairs
Telemedicine Program
TEL: (966-1) 442-4732
FAX: (966-1) 442-4752
Ref: HOBA/T/114/21
Date: 23 Rabi Althani 1421
25 July 2000

Dear Takeshi Utsumi, Ph.D., P.E., Chairman,

We are Health Outreach & Business Affairs at King Faisal Specialist Hospital &
Research Center, having have a leading Telemedicine Program in Saudi Arabia in
particular and Gulf Countries in General. Our Saudi National Telemedicine
Network (SNTN) is planned to cover the whole 16 regional hospitals within
Saudi Arabia, Gulf Countries and Middle East, as well. Our connection with USA
enhanced by T1 line dedicated 24 hours. We have done a lot of patient
management consultations and videoconferences with prominent USA healthcare
centers. Also, national and international meetings, symposia and conferences
were held sponsor by our SNTN.

Our Continuos Medical Education Program (CME) is expanding every right and
then, a lot of grand rounds, lectures transmitted to and from SNTN. The CME
Program is full of medical, healthcare and administrative activities, being
successfully carried by our own staff or associated with our partners whether
local, national or international.

The WHO chose our SNTN for helding the First Inter-Country Meeting On
Telemedicine during the period 6-9 February 1999. The Director General of WHO
addressed the meeting via satellite, the Saudi Ministry of Health and the
Director of the Regional Office for Eastern Mediterranean physically addressed
the participants, as well. Further, scholars and experiments of Telemedicine
joint the meeting, plus all the regional countries. In fact, the meeting
successfully accomplished its goals and objectives.

On other hand, we had transmitted administrative and management activities
from USA, some of them are, The International Leadership, the Project
Management's Course for six months, Sessions in Negotiation and Project
Management, Disease Management Strategies (Laboratory) from Mayo Medical
Laboratories and many other interactive programs in Cardiovascular, medicine,
surgery, etc.. In the mean time and a head, we have scheduled excited
activities up to the year 2002 with global well known centers.

However, during the period 22- 23 October 2000 we will be having the 2nd
National Telemedicine Symposium, respectively, following by the 1st
Telemedicine Training Course during 24-25 October 2000. The sponsors of this
big gathering are jointly: Our Telemedicine Program at KFSH&RC and WHO. The
University of Vermont will conduct the training course by physical attend of
two of their experiments and the rest of the course will be presented via
satellite to our site.

In fact, we will be happy if you participate in the Symposium and the Training
Course by delivering two lectures.

The following are the main topics to be covered: -

1. Clinical and technical standards in Telemedicine. Cost & benefit of Telemedicine.
2. Emergency Telemedicine.
3. Evaluation of Telemedicine.
4. Integration of Healthcare systems using Telemedicine. Regional and International
5. Networks of Telemedicine.
6. Internet in Telemedicine.
7. National networks of Telemedicine.
8. New technologies in Telemedicine.
9. Rural Telemedicine.
10. Tele-home Care.
11. Telemedicine in developing countries.
12. Telemedicine in medical specialties.

If you have any other related issues or ideas you wish to be covered in this
symposium, please let us know.

We would be able to cover the travel expenses for a business class from and to
the point of your departure, as well as accommodation.

We are looking for forward to having your valuable participation in this
important event.

Abdulrahman Al Nuaim, MB,FRCPC, FACP
Chairman, Organizing Committee
Consultant, Diabetologist, Endocrinologist
Associate Executive Director
Health Outreach & Business Affairs
Director, Telemedicine Program
Tel: (966)-1- 4424732 Fax: 4424752
Email: nuaim@kfshrc.edu.sa
List of Distribution

Abdulrahman A. Al Nuaim, MD, FRCPC, FACP
Chairman, Organizing Committee
Consultant, Diabetologist, Endocrinologist
Associate Executive Director
Health Outreach Program & Business Affairs
Director, Telemedicine Program
Professor of Medicine
Consultant, Endocrinologist / Diabetologist
King Faisal Specialist Hospital & Research Centre
MBC - 80
P.O. Box 3354
Riyadh 11211
Kingdom of Saudi Arabia
Tel: 966-1-442 4732
Tel: 966 1 464 7272/442-4762 (direct)
Fax: 966 1 442 4752
Fax: 966 1 442 4767
Pager : 442-6666/8122

Salah H. Mandil, Ph.D.
Health Informatics & Telematics
World Health Organization
20, Avenue Appia
CH-1211 Geneva 27
+41-22-791-2426 (direct)
Fax: +41-22-791-4702
ISDN +41.22 791 1132 and 1133

Felix (Lex) Librero, Ph.D.
Vice Chancellor, Research & Development
University of the Philippines Open University (UPOU)
College, Los Banos, Laguna, Philippines 4031
Tel/Fax: +63-49+536-6014
Trunklines: +63-49+536-6001 to 6 local 500/501

Professor Rashid Bashshur, Ph.D.
President-elect of the American Telemedicine Association
Editor-in-Chief of the Telemedicine Journal
Director of Telemedicine
Professor of Health management & Policy
The University of Michigan Health System
Am Arbor
Michigan 48109-2029
Tel: +1 734 647 3089
Fax: +1 734 936 9406
* 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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