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Telemedicine in Uzbekistan Fatima T. Adilova National Coordinator on Telemedicine http://www.ic.uz e-mail: [email protected] Telemedicine System for Emergency Medicine (BHN,Japan;ITU) PSTN - Public Switched Telephone Network ISDN - Integrated Services Digital Network ADSL - Assymmetric Digital Subscriber Line EmergencyTelemedicine System Sheme DICOM stands for Digital Imaging and Communication in Medicine Emergency Telemedicine System Site Map of Republican Scientific Surgery Centre, Tashkent, Uzbekistan Emergency Telemedicine System Site Map of Republican Scientific Centre of Emergency Medicine Tashkent, Uzbekistan Surgical Dpt Dpt of Toxicology & Combustiology Therapy Dpt Reception room, Diagnostics Laboratories Cordination Centre Sanitary aviation station Pediatrical Dpt Administrator of RSCEM * All the buildings are 5 floor buildings TABLE 1 Health Protection Budget of the Republic of Uzbekistan (% of the total budget) TABLE 2 Deaths by causes in 1998 (total , %) Diseases groups according to ICD-IX I. Infectious and parasitic diseases II. Neoplasm’s III. Endocrine, nutritional and metabolic diseases IV. Disease of blood and blood forming organ V. Mental disorders VI. Diseases of the nervous system and sense VII. Disease of the circulatory system IX. Diseases of the digestive system X. Diseases of the urogenital system XI. Complications of pregnancy and childbirth XII-XIII. Diseases of the skin and subcutaneous tissue XIV. Congenital anomalies XV. Certain conditions, originating in perinatal period XVI. Symptoms and ill-defined conditions TABLE 3 Widely Distributed infectious diseases ( 1998 year, per 1 00000 pop.) 1.Viral hepatitis (including Hepatitis B) 2. All acute intestinal infections 3. Influenza 4.Chickenpox 5. Epidemic parotis TABLE 4 Physicians of different specialties in 1998 (per 1 0000) 1. Therapeutists 4. Obstetrician-gynecologist 2. Paediatrists (including neonatologist) 5. Stomalogist 3. Surgeons 6. Sanitary and epidemiology specialists TABLE 5 Medium-level medical personnel (doctors' assistants and nurses) 1998 year, per 1 0000 pop. 1. Nurses of all medical institutions 2. Midwives 3. Doctor's assistants (feldsher) 4. Laboratory workers 5. Junior nurses to care patients 6. Sanitation doctors' assistants & epidemiologists’ Assistants 7. Rentgen-radiologic technicians