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Part 1: PD Development and Enhancement of PD Programs |
Department of Nephrology, Saitama Medical University, Saitama, Japan
Correspondence to: H. Nakamoto, Department of Nephrology, Saitama Medical University, 38 Morohongo, Moroyamamachi, Iruma-gun, Saitama 350-0451 Japan. E-mail: nakamo_h{at}saitama-med.ac.jp
Over recent decades, rapid progress in information and
telecommunications technology has led to the application of these technologies
in the medical field. In 1999, we reported on a telemedicine system (version
1.0) that used an automated peritoneal dialysis machine to collect data on
patients with end-stage renal disease. After 2002, we focused on using
cellular telephones in a new telemedicine system (version 2.0) to monitor
patient data at home, including blood pressure (BP), heart rate, body weight,
urine volume, and blood glucose. By 2003, we had developed a fully automatic
system called I-converter (version 3.0) to collect data from a fully automatic
device and send it via cellular telephone. After the fully automatic device
measures a patient's BP, I-converter sends the data directly to the main
server in our central data center. That server is directly connected to Web
site by application service provider (ASP) technology. Recently, to make the
system simpler, we developed a new version called D-converter (version 4.0).
The telephone used in this new system is a Personal Handy-phone System (PHS).
The PHS has several advantages: high-speed data transmission, low power
output, little electromagnetic interference with medical devices, and easy
locating of patients. The D-converter system uses a small computer and a PHS
card called a Dopa card.
Our telemedicine systems monitor continuous ambulatory peritoneal
dialysis (CAPD) patients at home. For elderly and handicapped patients, these
systems are very advantageous because they reduce visits to the outpatient
clinic. In addition, data can be monitored at the patient's home in real time.
The present paper reports our recent advances in telemedicine systems for CAPD
patients.
KEY WORDS: Telemedicine; CAPD; application service provider; ASP; cellular telephone.
This article has been cited by other articles:
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D. Chiu, P. Ande, R. A. Coward, and A. Woywodt The times they are a changin'--the Internet and how it affects daily practice in nephrology NDT Plus, August 1, 2009; 2(4): 273 - 277. [Full Text] [PDF] |
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