1. Local set-up for supporting advanced telemedicine
Nopphol Pausawasdi
Faculty of Medicine Siriraj Hospital
Mahidol University, Thailand
January 24, 2008
The University of Hawaii

2. Outline Organization overview Supports for telemedicine projects
Instrument set-up
APAN-Xian 2007
Common problems

3. Organization overview

4. Faculty of Medicine Siriraj Hospital
Mahidol University
Oldest (120 yrs) and Biggest (2,368 beds) hospital in Thailand
OPD 2,000,000 visit, IPD 90,000 admission
10,500 personnel (700 staff doctors, 700 residents and 4,000 nurses)
140 curricula 3,200 students (1,250 medical students)

5. Supports for telemedicine projects
Thai government’s supports
UNINET and NECTEC (ICT Ministry)
Kyushu University Hospital’s supports
University’s supports
Mahidol Computer Center
Faculty’s supports
Medical Education Technology Center (MECT)
Siriraj Information Technology Center (SIIT)

6. Mahidol University’s Supports
Mahidol Computer Center facilitates networking supports for every faculties
Faculty
Medical Educational Technology Center supports educational media production (AV supports)
Siriraj Information Technology Center supports hardware and network

7. Mahidol University Campus Network : Internet
Kanjanaburee
(300 km)
ISP 1
2 Mbps
MUA
ISP 2
2 Mbps
15 Mbps
20 Mbps
ISP 3
155 Mbps
2 Mbps (PRI – ISDN)
20 Mbps
NSTDA
Salaya
(25 km)
8 Mbps)
155 Mbps
19 Mbps
Phayathai
(Central Bangkok)
2 Mbps
2 Mbps
2 Mbps (PRI – ISDN)
1 Gbps
Siriraj
Rajchaburi Hospital (200 km)
General Bangkok Hospital (10 km)
Bangkok Samitivej Hospital
Convention Centers
PRI – ISDN (128k x 3)
ISDN – Video Conference (4-site max)

8. MU Siriraj ICT ministry Networking supports International Telemedicine
Computer
Center
Siriraj
155 Mbps
ICT ministry
1 Gbps
Siriraj
Computer
Center
UNINET
10 Gbps
NECTEC
International
Telemedicine
Sites
TEIN2
JGN2

9. Staff for each telemedicine activity
METC (100 persons)
Manager 1
Camera man 1-3
Sound staff 1-2
DVTS staff 1
SIIT (110 persons)
Hardware and Network team 2
**Not include MU computer center, UniNet, and NECTEC staff.
More staff could be provided to support
larger scale telemedicine activity.

10. Instruments

11. Set-top Video Conference System (H.263)
APAN-Xian
Tandberg 880 MXP
Sony PCS-1
Sony PCS-G50

12. Video Cameras APAN-Xian SONY DSR-PD170P (PAL) SONY DCR-HC46 (NTSC)
JVC GY-DV500E (PAL)
JVC GY-DV301E (PAL)

13. Image outputs APAN-Xian Canon Xeed 600 3500 lumens brightness
Samsung LA40s81B

14. Audio Mixer
APAN-Xian
YAMAHA MX 12/4

15. Analog to Digital VDO Converter Box (ADVC)

16. set-up configuration (Siriraj)
(RGB cable)
IP line
Digital line
Analog audio line
Analog video line
Presentation PC
VDO
composite
A/D Converter
Video camera
External monitor
DVTS PC (Send)
VPN
Microphone
Audio mixer
Speakers
(RGB cable)
DVTS PC (Receive)
Projector
Speakers
PC (MSN)

17. APAN Xian 2007

18. APAN Xian 2007

19. APAN Xian 2007
Network

20. APAN Xian 2007
VDO
(AV manager)
DVTS
SOUND

21. Common problems The most common problem is sound Packet loss Echo
Looping
Interference
Packet loss

22. Problem solving solutions for discussion
Echo
Use echo canceller
Sound looping
Use sound mixer that has AUX channel
Use 2 sets of speakers and mixers
Sound Interference
Check network connection
Use separate system for sound transmission
Packet loss
Try to minimize network equipments

23. THANK YOU