This document discusses telemedicine, including its history starting in 1959, and types such as store-and-forward and interactive. It then summarizes an Indian telemedicine project called Sanjeeva that connects rural clinics to expert centers. The technological infrastructure used includes medical imaging software, network connectivity devices, and video conferencing. It proposes a store-and-forward telemedicine model for Nepal to address health issues, describing the problems and a potential procedure. Finally, it outlines the works of Mahabir Pun who started telemedicine projects connecting remote areas in Nepal to hospitals in Kathmandu.

1. Telemedicine
Group:
•Ravi Bikram Thapa •Rojit Manandhar
•Ruben Awale •Sunil Sah
•Ravi shah

2. Introduction
Telemedicine
delivery of health care services using ICT for DTPRE
Started in 1959 at University of Nebraska College
of Medicine
Types
Store and Forward
Remote Monitoring
Interactive
Minimum disadvantages

3. Introduction
Objectives and Research
Objective Research methodology
Research one of the Secondary Source
Indian projects
Most of data from web
Prepare a proposal
about Telemedicine in
Nepal
Find Mahabir Pun’s
activity

4. Indian Project
Sanjeeva
Indian telemedicine project run by Care hospital
with collaboration of:
Andhra Pradesh Vaidhya Vidhana Parishad
Karishma Software Ltd
Siemens and Philips
Service provided to Mahaboobnagar of Andhra
Pradesh

5. Indian Project
Process
Network
PHC Expert Center
Patients Receiving
PHC Doctors Equipments
Equipments Experts

6. Indian Project
Technological Infrastructures
Software Hardware
Medical Imaging  Network
Data Transfer to the Connectivity
Expert Center Devices
Video Conferencing  Computer Systems
User Registration  Medical Equipment
and Maintenance
 Voice and Video
Billing Output Devices

7. Proposal For Nepal
Problem
Nepal with GNP $300, GNI $1180, literacy rate of
50%
Prevalence of different diseases in Nepal
Telemedicine, one of the attractive way
Store-and-forward ,the best alternative amongst
the telemedicine

8. Proposal For Nepal
Problem
18 70
16 60
14 50
12
10 40
8 30
6 20
4 10
2 0
0
Distribution of cause of Death in Causes of death (2008, WHO)
children under 5 (2008, WHO)

9. Proposal For Nepal
Procedure
Communication Server Communicatio
Devices (Registration n Devices
, Storage)
Video and
Audio
Conference
Video and
Audio
Conference
Medical Expert
Equipment Patients Doctors

10. Telemedicine in Nepal
Works of Mahabir Pun
Nepali teacher, and president of ENRD
started Wireless Networking project in remote
areas of himalayas
Started telemedicine in Nangi, Ramche and Tikot
Connection of Kathmandu Model hospital and
Gaurishankar Hospital, Dolakha under his
leadership

11. &

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