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Dr ShiawHooi HoDivision of Gastroenterology & Hepatology
Department of MedicineUniversity of Malaya
Kuala Lumpur, Malaysia
~Leading and Caring~~Leading and Caring~
UNIVERSITI MALAYAUNIVERSITI MALAYAMEDICAL CENTREMEDICAL CENTRE
4th Asia Telemedicine Symposium18th Dec. 2010 at Seoul, Korea
ACKNOWLEDGEMENT
Assoc. Prof. Dr. Salem Omar
Mr. Yoo Sang Nge Information Technology Manager
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HISTORYHISTORY
University of Malaya, Malaysia oldest
university, is situated on a 750 acre (309
hectare) campus in the southwest of Kuala
Lumpur, the capital of Malaysia.
Source: Google Maps
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HISTORY (CONT)
The first Faculty of Medicine in Malaysia
was established in University of Malaya in
1963.
On August 1968, the spanking new
University Malaya Medical Centre (UMMC)
was officially opened.
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DEPARTMENTS IN UMMCDEPARTMENTS IN UMMC• Medicine
• Obstetrics and Gynaecology
• Paediatrics
• Psychological Medicine
• Surgery
• Orthopaedic Surgery
• Primary Care Medicine
• Anaesthesiology
• Otorhinolaryngology
• Ophthalmology
• Sports Medicine
• Medical Physics
• Trauma and Emergency
• Forensic Pathology
• Medical Rehabilitation
• Bio-Medical Imaging
• Clinical Oncology
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DEPARTMENT OF DEPARTMENT OF MEDICINEMEDICINE
• Dermatology Unit• Endocrinology Unit• Geriatric Unit• Gastroenterology &
Hepatology Unit• Haematology Unit• Cardiology Unit
• Neurology Unit• Nephrology Unit• Infections Disease Unit• Respiratory Unit• Rheumatology Unit
Collection of data on patients receiving treatment at
UMMC’s in-patient and the out-patient services.
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OUTOUT--PATIENT SERVICESPATIENT SERVICES
Out-patient services: Specialist clinics Day-care centres Accident and emergency Primary Care Medicine Medical Rehabilitation.
In 2008, 880, 210 patients as compared with 2007, 750, 858 patients – an increase by 17.2%
Outpatient Chart Year 1997 To 2008Outpatient Chart Year 1997 To 2008
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NUMBER OF OUTNUMBER OF OUT--PATIENT ACCORDING TO PATIENT ACCORDING TO CLINICAL DISCIPLINE CHART YEAR 2008 AND CLINICAL DISCIPLINE CHART YEAR 2008 AND
20072007
ININ--PATIENT SERVICESPATIENT SERVICES
The number of beds in 2008 are 846 at an occupancy rate of 80.04%
In 2008, 47,040 patients received in-patients treatment in 2008 compared to 51,814 patients in 2007 (declined by 9.12%)
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ENDOSCOPY UNIT
Endoscopy Unit
4th. Floor
East Tower
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ENTRANCE
WAITING AREA
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GASTROSCOPY ROOM
COLONOSCOPY ROOM
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ERCP ROOM
EUS ROOM
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RECOVERY AREA
RESEARCH ROOM
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CAPSULE ENDOSCOPY
NUMBER OF PATIENT UNDERWENT NUMBER OF PATIENT UNDERWENT
GASTROINTESTINAL ENDOSCOPY IN 2009GASTROINTESTINAL ENDOSCOPY IN 2009
Gastrointestinal Endoscopy No. of Patients
OGDS 3042
Colonoscopy 1229
ERCP 231
EUS 162
Others 408
Total 5072
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PAST ANNUAL WORKSHOPS
ANNUAL LIVE ENDOSCOPY WORKSHOP , ANNUAL LIVE ENDOSCOPY WORKSHOP , GASTROENTEROLOGY UNIT, UMMCGASTROENTEROLOGY UNIT, UMMC
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Amit Maydeo
Mumbai
Kulwinder S Dua
Milwaukee
Hirofumi Kawamoto
Okayama
Yasushi Sano
Kobe
Ichiro Yasuda
Gifu
Lee Yong-Chan
Seoul
Jerome D Waye
New York
International Faculties of Endoscopy 2009 2009
ENDOSCOPY 2009
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SPECIAL LIVE TRANSMISSION ON NOTES(NATURAL ORIFICE TRANSENDOSCOPIC SURGERY)FROM ASIAN INSTITUTE OF GASTROENTEROLOGY, HYDERABAD, INDIA USING 6 ISDN LINES
Dr. DN Reddy Dr. GV Rao
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2 live endoscopic workshop sites: UMMC & Selayang Hosp.
Linked with main conference hall via satellite network
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APDW 2010
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APAN 10TH AUGUST 2010
Event: 30th. APAN Endoscopic Teleconference Theme: “Endoscopic diagnosis: Up-to-date” Inaugural transmission from University Malaya
Medical Centre using MYREN 2 with 6 other participating countries:- Vietnam, Thailand, Hong Kong, Taiwan, Indonesia and Japan
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X-RAY
ENDOSCOPE
LCDPROJECTOR
AUDIO PORT
VIDEO PORT
OPERATING THEATERCONFERENCE ROOM
UM
CAMPUS
NETWORK(100Mb/s –
10,000Mb/s)LCD
PROJECTOR
MYREN GATEWAY
AV mixer
MYREN & INTERNET
30Mb/s
FIRE WIRE
40
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MYRENMALAYSIA RESEARCH & EDUCATION NETWORK
41UM-Myren running at 30Mb/sConnected to TEIN3Commissioned on August 2010
3030THTH APAN MALAYSIA RESPONDENTSAPAN MALAYSIA RESPONDENTS’REVIEWSREVIEWS
Respondent
Quality of Slides
Quality of Videos
Sound Quality
Contents Preparation of DVTS+
Handling of DVTS+
Problems in teleconference
Suggestion of Programs suitable for next conference
1 Good Very good Very poor Very good Slides-yellowish background, sound-
variable, unstable volume, shaky and choppy
DVTS + Quattro for 8 participating station, Yahoo
Messenger/MS Messenger/Skype for other
stations or Midfield system, for DVTS+ use a director )best an endoscopist) to control which video feed to place on main
screen
2 Very good Very good Poor Very good
3 Very good Very good Very poor Very good
4 Very good Very good Very poor Good The sound kept interrupting throughout-poor quality
5 Good Very good Good Very good Need to upgrade audio and visual quality for the best
performance in future
6 Good Very good Good
7 Good Poor Poor Very good
8 Very good Very poor Very good
9 Good Good Very poor Good Audios form Indonesia and Hanoi-poor
10 Good Poor Cwet good Poor sound quality
11 Good Very good Very poor Good Easy Easy
12 Very good Very poor Easy Easy Malaysia uses PAL system. I think maybe the DVTS+
can support the PAL system
13 Good Very poor Very good To enlarge the video need to do from the side
14 Very good Good Very poor Very good When all cameras were linked, the sound quality deteriorates significantly
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CHALLENGES
Need for improvement in terms of technical issues based on the last APAN and other previous reviews
Setting up of a permanent telemedicine conferencing equipments (funding?) and site
Combined training of key technical personnels Need to increase awareness among local doctors
regarding the availability of such facilities and to encourage usage
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THANK YOU