Project Overview

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NKF cyberNephrology three years later Where
have we been and where are we going? Kim
Solez, M.D.
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Technological Progress

• General (affecting all of you in this audience,
  your lives, your jobs)
• Progress in NKF cyberNephrology
• How the two relate!
• What the future holds!

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Internet use became mainstream in 1999

• Most health care workers using the Internet.
• Access becoming faster, cheaper.
• Computers themselves inexpensive.

AND...

• No longer necessary to type. Voice recognition
  reaches 98 accuracy!

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Chase chairman and CEO Bill Harrison We are in
the midst of a technological revolution that
will exceed the agricultural and industrial
revolutions in impact.
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The number of Email addresses rose 83 percent in
1999, topping 569 million 333 million Email
addresses in the US, 236 million elsewhere in
the world. In the US, two-thirds of the
workforce uses e-mail, and one-in-four
households has at least one mailbox. Families
that use e-mail at home average four mailboxes
per household. - Messaging Online
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http//cyberatlas.internet.com/ big_picture/ Wit
hin the next two to three years, there will be
more e-mail accounts in use than either
telephone lines or televisions.
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The Internet has become like a living organism!
Human diurnal rhythms. Impact of the Superbowl
can be seen in Internet traffic slump beginning
at kickoff. http//navigators.com/statmae.gif
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- 1999 Survey by Times of London 71 of women
stated they thought men who could touch type
were more attractive than those who could not.
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2000 - The year of the Patient on the Internet!

• Patient sites
• February 28, 2000 - Baxter launches
• http//www.kidneydirections.com
• March 15,2000 - RD Laboratories launches
  http//www.ikidney.com
• April 6, 2000 - Nexell Therapeutics launches
  http//www.stemcellselection.com

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Corporate compassion!

• Corporate philosophies and mission statements
  which focus on the patient
• Amgen
• Fujisawa
• Novartis

A BREAK FROM THE PAST...

• The patient is central to many current corporate
  philosophies and mission statements on WWW sites.

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Amgen Corporate Philosophy Bringing healthier
lives to people worldwide through biotechnology.
To provide patients with unique, high quality,
cost effective therapeutics that meet important
health care needs. Our primary purpose is to
bring meaningful improvement to the lives of
patients through our products.
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Fujisawa Corporate Philosophy A Dedication
to the Well-Being of Patients. Challenging the
unknown frontier known as humans and
contributing to healthier, more prosperous lives
for people around the world. Research-oriented,
patient-focused.
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Novartis Corporate philosophy New skills
... innovative medicines and services that
improve health and well-being in the communities
we serve worldwide.
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NKF cyberNephrology has also developed a major
focus on patients NEPHKIDS KIDNEYDISEASE AJKD
DISCUSSION FORUM Plan disease specific WWW sites
for patients with corporate support.
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Disease-specific WWW sites PreESRD
Hemodialysis Peritoneal Dialysis Transplantation G
lomerulonephritis Kidney Stones Hypertension Diabe
tes Cystic Kidney Disease Urological
Disorders/Mens Health
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Possible Partnership with Healtheon/WebMD The
Internet in Medicine, Recent Dramatic Increase
in Number of Physicians on Line A survey
released by Healtheon Corporation May 7, 1999
showed 1. 85 of US physicians are Internet
users, an increase of 875 increase over
1997! 2. 63 of doctors surveyed used Email
daily and 33 used Email to communicate with
patients, a 20 increase in three months.
Doctor/patient Email use was unmeasurable in
1997.
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The World is Truly Changing - Now!
November 21, 1999 Clinton Calls for Widespread
Internet Access The New York Times
FLORENCE, Italy -- President Clinton called
Sunday for developed nations to ensure their
citizens have access to the Internet "as
complete as telephone access," saying that would
dramatically reduce the income gap between rich
and poor.
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The Digital Divide!
At a gathering of world leaders who adhere to
"third way" politics, Clinton said one of the
greatest domestic problems facing developed
countries is the "digital divide" that gives
those who have computers an enormous advantage
over those who do not.
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Trying to conquer the Nephrologic Digital
Divide!
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How NKF cyberNephrology and ISN Informatics
Commission can help with transition to greater
use of high technology communications for
nephrology professionals and patients
worldwide. We are poised to help and can do so
in many ways - Technical support. WWW sites.
Email discussion groups. - Providing WWW
content on CD-ROMs. Schrier Atlas. - Computer
hardware and software donation as part of
Renal-Tech project. Kosovo trip Dec. 12-14,
1999 and May 2000.
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Schrier Atlas of Diseases of the

• 5 volumes, 66 chapters
• 2500 Images
• Entire product on line in
• searchable form at
• www.kidneyatlas.org

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Email discussion groups NEPHROL, NEPHMIN,
NEPHNPPT, NPPHCNPT, NEPHHIST, NEPHDEVEL, kfint-l,
NEPHKIDS, KIDNEYDISEASE, NEPHRONOL, NEPHINDIG,
RENALPRO, RENALRD, MDdialysis, NEPHADMIN. More
than 2,500 nephrology professionals in contact
with highly productive discussions. Digests
exist for all. To subscribe write to
majordomo_at_UAlberta.CA With the message subscribe
(name of group).
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Renal-Tech Project http//www.renal-tech.org Co
operative program with ISN donates computer
hardware, software, and computer/Internet
training to renal units in developing countries
and to families of children with renal disease
in the US. Visits to Nigeria, Zimbabwe, Nepal,
Cuba, Peru, and Kosovo. Please approach Zina
Munoz for further
information.
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Web Forum - Internet Videoconferencing AJKD
Forum - http//www.ajkd.org The most successful
of any Saunders Forum sites! Internet
Videoconferencing using NetMeeting. Click on
one icon and it is as if you were in the same
room with the person you are connecting with
anywhere in the world! Can interact regarding
biopsies, clinical cases, etc. http//cnserver0.nk
f.med.ualberta.ca/misc/Netmeeting/
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The possibilities are endless and can greatly
enhance productivity. Everyone in this audience
can be part of this!