| || || |
- Romania, the 25th of June 2004
| Mobile Telemedicine
in the Danube Delta - demo action
Telemedicine in Romania
Mobile Telemedicine Demo
In Romania it is already operational a telemedicine network
between major medical centers from Bucharest, Constantza, Cluj-Napoca,
Timisoara, Craiova and other important cities. The communication
channels are generally multi-modal, including broadband optical
cable, radio data streamers and satellite connections. The current
telemedicine applications are tele-consulting, tele-conferencing,
clinical and imagistic data exchange, continuous medical education,
There is a strong commitment to extend the national telemedicine
system till to the basic health assistance system including
family health-care, health insurance system and integrated medical
Taking into account that Romania has remote, infrastructureless
areas, exposed often to natural disasters (flood, earthquakes,
etc.), the tele-medical act supported by satellite communications
means could be, and often is, the sole data transfer solution.
The Danube Delta is such a remote infrastructureless region
where the population dispersion and density, as well as, often,
the land instability require a tele-medicine assistance solution
characterized by mobility and fast deployment.
Delta Landscape Gallery
As an avant-premiere to a future Mobile Telemedicine Pilot project
in the Danube Delta Danube area, during the Conference "Integrated
Space Applications in the Danube Basin" held in Mamaia
- Romania was organized, for the first time in Romania a
real mobile telemedicine demonstration during a trip in
a remote area of the Danube Delta.
click on the images to enlarge
During the demonstration session Prof. Ronald Merrell, MD, (affiliated
to Virginia Commonwealth University and NASA) acted as the on-site
physician consulting a member of the ship crew supposed to be
in a critical health state. Real time echographic images where
transmitted and there was a videoconference tele-consulting
with Tony Hangan, MD, situated at the Constantza District Emergency
Hospital, via satellite data connection.
click on the photos to enlarge
Telemedicine Demo Gallery
The equipment used was: one Sonosite portable echograph, one
Regional BGAN satellite data modem, one multimedia notebook
with accessories. The communication was made over Internet between
the RBGAN public IP and the Constantza District Emergency Hospital
public IP. The specific software included with the echograph
and with the RBGAN modem integrated the data stream transfer
through the Internet channel established from IP to IP (mobile
site in Danube Delta and the gateway of the Constantza District
Emergency Hospital gateway).
click on the photos to enlarge
The on-site consulting physician assisted by the nursing assistant
operated at the notebook/echograph console on the ship and the
tele-consultant physician operated at the console of a multimedia
station belonging to the Constatza Hospital IntraLAN. Microsoft
NetMeeting carried on the tele-consulting. The overall, average,
data transfer rate was 56 kbps by means of an INMARSAT satellite
The on-site (on the ship deck) equipment setup and the connection
initiation were realized in about 10 minutes. The tele-medical
intervention, comprising the echographic investigation and the
tele-consulting between the two remote physicians, lasted for
about half an hour.
The medical team (in alphabetical order):
- Mr. Catalin DRAGHICI, RN, on-site nursing assistant, The VAVIAN
Trading Company - Bucharest;
- Mr. Tony HANGAN, MD, remote tele-consulting physician, The
OVIDIUS University - Constantza;
- Prof. Ronald MERRELL, MD, on-site physician, Virginia Commonwealth
University and NASA.
The technical team (in alphabetical order):
- Mr. Cosmin BOANCA, EE, The Fundeni Clinical Institute - Bucharest;
- Mr. Iulian MAGUREANU, EE, Global Communications Services Romania
Company - Bucharest.
- Mr. Vlad VALEANU, EE, The Excellence Center for Space Applications
in Medicine and Human Biological Welfare
We are delighted to express thanks to Prof. Ronald MERREL for
his outstanding participation and support of the mobile telemedicine
demonstration in the Danube Delta, for his contribution and
effort in the preparation phase as well as for his involvement
in the on-site telemedicine act.
Special thanks to professional personalities and the represented
Organizations for supporting the whole action:
- Mrs. Simona DIMA, MD, from The Constantza District Emergency
- Prof. Vasile SARBU, MD, from The Constantza District Emergency
- Mr. Catalin Nicolae GRASA, MD, General Manager of The Constantza
District Emergency Hospital;
- Prof. Irinel POPESCU, MD, from The Fundeni Clinical Institute,
- Prof. Pierre de HILLERIN, PhD, from The National Institute
for Sports Research, Bucharest;
- Mr. Marius-Ioan PISO, PhD; President of The Romanian Space
We would like to thank Mr. Cosmin NISTOR from the Romanian Space
Agency for his help in the organization and his contribution
to the demonstration success.
We would like to mention the participation of Mr. Bryan DOUGLAS,
CTO at MITAC-USA, and Mr. Daniel ONISOR, MD, from The Fundeni
Clinical Institute - Bucharest.
Mr. Lucian PANAIT, MD, currently at Virginia Commonwealth University,
significantly contributed to the event preparation.
The organizers of the mobile telemedicine demonstration in the
Danube Delta thank to the sponsors of the event:
- VAVIAN Trading srl - Bucharest;
- Global Communications Services Romania S.A. - Bucharest,
- The Romanian Space Agency,
- PROTGUARD National Ovidius - Constantza,
- Donna Maria srl - Bucharest,
- OnlineSolutions Media srl - Bucharest.
Finally we express our thanks to the staff of Atlantic Tour
Company - Bucharest, and to the whole crew of the leisure ship
"CAMENA" - Tulcea for their understanding of the special
circumstances implied by the mobile telemedicine demonstration.
|photos - courtesy of ROSA, Mr. Alexandru Badea,
Mr. Cosmin Nistor
| || || || |