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CyberNephrology 2002 Welcome to the Digital Era!

Explore the impact of the digital era on healthcare in Pakistan, with a focus on CyberNephrology as a resource for kidney professionals. Learn about internet growth, government support, and the rise of e-Health in the country.

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CyberNephrology 2002 Welcome to the Digital Era!

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  1. CyberNephrology 2002Welcome to the Digital Era! Presented at the Sindh Institute for Urology and Transplantation (SIUT) Karachi, Pakistan - October 2002 by Judy Tarselli, RN with special thanks to Professor Adibul Hasan Rizvi

  2. Contents • Welcome to the “Digital Era!” • How are things in Pakistan? (A real success story!) • Change: Response and Impact • The “Digital Divide” • CyberNephrology: “Bridging the gap” • CyberNephrology PLUS! • Discussion and Recommendations

  3. Welcome to the “Digital Era!” Information Technology • Computer files • Storage disks, CD-ROM • Internet (Info Superhighway) • Worldwide Web (www) • Websites • Surfing the web - links, search engines • Online publications • Online Discussion Lists plus • Cyber-communications • E-mail • Instant Message (IM) • Chat • Net-to-phone • Videoconferencing

  4. The www. (Sending E-Mail)

  5. What is cyberNephrology? • A worldwide SOURCE of INFORMATION • A worldwide DISCUSSION • An active global COMMUNITY All available at your fingertips! “A Digital Resource” Nephrology is the common thread. “for Kidney Professionals”

  6. An Internet Group on the www.

  7. Don’t worry if you’re “just a beginner!” Even if you… • have never used a computer • have never “surfed” the Internet • or still think that every “mouse” has two eyes and whiskers …you can still learn to use Digital Technology and cyberNephrology!

  8. Part 3 CyberNephrology 2002“Clinical training” (Hands-on computer skills) Part 2 CyberNephrology 2002 A Digital Resource for Kidney Professionals Part 1 CyberNephrology 2002Welcome to the Digital Era!

  9. Welcome to the “Digital Era!” (Ready or not, it’s here!)

  10. The GOOD NEWS… The Digital Era has had a positive impact on the work, education, communication, economy and lives of people around the world. “How are things in Pakistan?”

  11. The GREAT NEWS! Pakistan has leaped into the Digital Era!

  12. 2000: “A Quantum Leap!” • Hina Saeed in “The News” November 2001 “Pakistan made a quantum leap on August 17, 2000 and extended Internet access to 300 towns and villages in one go. Before August 17, 2000, Internet was only available in 29 cities.. It is an unprecedented growth of Internet in any part of the world.”

  13. A year later: PAKISTAN 2001 • -Remember that number! • INTERNET USERS • >150,000 Internet subscribers • 140 licenses issued for data networks or Internet Service Providers (ISP) • CyberCafes rapidly appearing across Pakistan - “mushroom growth” • Internet reaches 80% of the population in areas where it is available

  14. PAKISTAN 2001 BUSINESS IT Commerce Network (ITCN) Asia 3-day Conference and Exhibition Karachi, Pakistan www.itcnasia.com.pakistan.html 300,000 Attendance: “An unprecedented response!”

  15. PAKISTAN 2001 GOVERNMENT SUPPORTS GROWTH • Internet kiosks installed at petrol pumps and post offices • Bandwidth prices drastically reduced, becomes cheapest in region • Free internet connections provided to universities and educational institutions

  16. PAKISTAN 2001 GOVERNMENT WEBSITE: Islamic Republic of Pakistan www.pak.gov.pk FEATURES: NEWS & INFORMATION • Country profile • Economy • Government • Cultural Heritage • Tourism • Sports • Kashmir • History • Political leaders • Government addresses • Press Briefings • Information Desk • Fact Sheets • and MORE!

  17. PAKISTAN 2002 Internet growth continues at rapid rate! • PERSONAL USE • 3 million Pakistani’s use the Internet regularly • - Official number of subscribers: < 1.5 million • - Plus estimated Internet café users: > 1.5 million • All ages go online! Very popular with teenagers! • Most popular features: Email and Chat • Surge in use: Net-to-Phone / Voice-over-Internet

  18. PAKISTAN 2002 NEWS AND CULTURE • Popular website for local news and info in Karachi: • www.apnakarachi.com News and Weather Local Events Recipes And more! • Similar websites planned for other major cities • Eventual plans for www.apnapakistan.com

  19. PAKISTAN 2002 BUSINESS • Business use increases • Internet-related businesses grow • Internet advertisements rise • Successful repeat event in Karachi! ITCN-Asia 2002 conference & exhibition • Three days: August 2002

  20. PAKISTAN 2002 ITCN-Asia 2002 Conference & Exhibition Karachi, Pakistan NEW! • e-Health • was added to the 2002 event! • Co-organizer: National Telemedicine Forum • Inaugural address given by Minister for Science and Technology (Next event: 9-11 August 2003 at Karachi Expo Center)

  21. PAKISTAN 2002 e-HEALTH AND MEDICINE e-Health is defined by ITCN as: “The use of communications and information technology to deliver health services and exchange health information when distance separates the participants.” (Elford 1998)

  22. PAKISTAN 2002 • Examples of eHealth given: • Web-based health information • Health care delivered through telecommunications, software, videoconferencing, medical devices and computers • Electronic / Computerized patient medical records

  23. PAKISTAN 2002 • Teleconsultation between a doctor and patient (or another doctor) across a distance • Hospital Management Information Systems • Telesurgery • Medical advice through a website

  24. A quick comparison check… • cyberNephrologyprovides many of those e-Health services! • cyberNephrologyprovides many additional e-Medicine services, too!

  25. cyberNephrology continues to explore new technology and launch new initiatives • cyberNephrologyhelps you to access and use these Digital tools

  26. cyberNephrology welcomes YOUR ideas and input!

  27. cyberNephrology wants you to “Think Digitally!”

  28. QUICK SURVEY Which of the following best describes your level of “Digital Experience”? Remember… It’s OK if you are “Just a Beginner!”

  29. QUICK SURVEY I am a member of a cyberNephrology discussion list. I am not a member of cyberNephrology, but I use a computer and the Internet regularly. I know how use a computer, but I am less familiar with the Internet. I have had some experience, but I am probably a “Beginner” - or - “I’m willing to learn!” I hope I never have to use a computer! I’m not familiar with it at all!

  30. Change… Reactions and Impact Change is not always easy. But we can learn and adapt to it. Change is not always for the better. But we can respond and influence its direction. Change is inevitable! We must face it!

  31. Facing the “problems” of the Digital Era The rapid rise of the Digital Era has brought new troubles to some people… And it has left others way behind.

  32. PROBLEMS ENCOUNTERED in Pakistan and Neighboring Areas TELECOMMUNICATIONS ISSUES TERRORISM ISSUES CULTURAL IMPACT OTHER “The Digital Divide”

  33. PROBLEMS ENCOUNTERED TELECOMMUNICATION ISSUES (General) Electronic mail vs “Snail Mail” Internet-to-Phone* vs Long Distance Effects on: • Users • Non-users • Mail and Telecommunications Industries? *aka: Voice-over-Internet

  34. PROBLEMS ENCOUNTERED TELECOMMUNICATION ISSUES PAKISTAN Internet-to-Phone vs Long Distance Service 1. Dramatic increase in Internet-to-Phone communications 2. Pakistan Telecommunication Authority (PTA) suffers severe loss of revenue 1998: 16 million minutes in calls to USA 2001: 11 million minutes in calls to USA

  35. PROBLEMS ENCOUNTERED TELECOMMUNICATION ISSUES (Pakistan) 3.PTA* losses trigger government ban on net-to-phone websites and services (February 2002) 4. ISP’s** now complaining the ban will trigger loss of revenue for them! They report many customers obtained Internet merely for Voice-over-Internet feature *Pakistan Telecommunication Authority **Internet Service Providers

  36. PROBLEMS ENCOUNTERED TERRORISM ISSUES 1. Concern: Terrorism may be promoted by easy access to Internet in Pakistan • Location of Pakistan • Widespread and unregulated growth of cyberCafes • Anonymity of use in cyberCafes

  37. PROBLEMS ENCOUNTERED TERRORISM ISSUES 2. Response Pakistan Government responds with new anti-terrorism regulations (Aug.2002) CyberCafes are now required to: • register with government • ask users for proof of ID • keep records of users

  38. PROBLEMS ENCOUNTERED TERRORISM ISSUES 3. New concern: These regulations trigger questions about individual rights to privacy of Internet use!

  39. PROBLEMS ENCOUNTERED CULTURAL IMPACT AND ISSUES • Impact of new technology on existing culture • Effect of greater interactions with other cultures

  40. PROBLEMS ENCOUNTERED OTHER

  41. Opposite viewpoints on Digital Technology What would we ever do without it?!!! Why do we need it?

  42. Looking at the Big Picture…

  43. Digital Technology has provided tremendous benefitsto those who have embraced it.

  44. It has become a global force, crucial to the social and economic growth of allnations...

  45. * * Especially developing or recovering nations! * * * * * * * * * *

  46. BENEFITS OF DIGITAL TECHNOLOGY FOR DEVELOPING & RECOVERING NATIONS EDUCATION: Students and professionals COMMUNICATIONS: Improve and expand INFRASTRUCTURE: • Promote new development • Support national growth ECONOMY: Strengthen and Diversify

  47. BENEFITS OF DIGITAL TECHNOLOGY FOR DEVELOPING & RECOVERING NATIONS JOBS and MARKETS • Enhance existing ones • Create new ones PEOPLE: LURE BACK FORMER CITIZENS • Professionals • Successful business people ATTRACT FOREIGN INVESTMENT • Foreign assistance and capital funding

  48. BENEFITS OF DIGITAL TECHNOLOGY FOR DEVELOPING NATIONS • HEALTH & HUMAN SERVICES • Improve or expand • CULTURAL PROMOTION • History, Religion, Art, Music, Food, etc. • TOURISM • Attract visitors • Enhance travel

  49. Unfortunately, many people and places are stillseparatedfrom the Digital Era by factors beyond their control.

  50. This new technological gap aggravates the social and economic gaps that already exist…

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