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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: KEY WORDS:; Telemedicine; CAPD; application service provider; ASP; cellular telephone.
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