1. Surgical Protocols and Case Studies for Knee and Hip Replacement in Developing Countries Internet2 Spring Member Meeting Crystal Gateway Marriott April 26, 2006, 1:15 PM - 2:30 PM FROM ARLINGTON, VIRGINIA Darrell L. Bailey, Indiana University Ana Preston, Internet2 Jack Buchanan, University of Tennessee FROM HAVANA, CUBA Merrill A. Ritter, M.D., Operation Walk Prof. Dr. Sc. Rodrigo Alvarez Cambras, Frank Pias Hospital Curtis White, Allied Communications Spring 2006 Internet2 Member Meeting – April 26, 2006

2. Session Overview Introductions (Darrell Bailey) Operation Walk in Cuba, Guatemala, and Nicaragua, 2003-2006 (Darrell Bailey) Description of the networking – Trials and tribulations (Ana Preston) Health Science Collaboration (Dr. Cambras) Patient Follow Up from ETECSA Conference Center in Havana (Dr. Ritter) Issues in modern joint replacement in developing countries Questions and Answers Spring 2006 Internet2 Member Meeting – April 26, 2006

3. Operation Walk 2003 -2005 DVD Spring 2006 Internet2 Member Meeting – April 26, 2006

4. Networking – Trials and tribulations 2002 – Internet2 invited to participate in conference in Havana Early 2003: Allied Communications Specializing in broadband carriage and private licensing in the telecommunications sector Holder of US – Cuba license Humanitarian Exchanges Qwest Communications (working with Allied) Spring 2006 Internet2 Member Meeting – April 26, 2006

5. Spring 2003 Internet2 Member Meeting: first meeting with Dr. Darrell Bailey Operation Walk into Cuba – Spring 2003 (few weeks after our meeting) Fall 2003 Internet2 Member Meeting – Indianapolis, IN – http://events.internet2.edu/2003/fall- mm/sessionDetails.cfm?session=1104 http://events.internet2.edu/2003/fall- mm/sessionDetails.cfm?session=1104 – Could not support VC due to cost, resources and timing Spring 2006 Internet2 Member Meeting – April 26, 2006

7. Started planning late last year Within Cuba at La Havana: ETECSA requested that Cuba hold down the satellite hops (to 1) in order to avoid signal degradation Explored getting traffic into Canada – worked with CANARIE Explored doing over IP – Cuba to North America – H.323 – Not feasible at this time Spring 2006 Internet2 Member Meeting – April 26, 2006

8. Internet2 welcomes Dr. Merrill A. Ritter and Prof. Dr. Sc. Rodrigo Alvarez Campras from ETECSA Conference Center and Frank Pias Hospital Havana, Cuba Spring 2006 Internet2 Member Meeting – April 26, 2006

10. Looking to the Future Advancing Health Care in Developing Nations Spring 2006 Internet2 Member Meeting – April 26, 2006

11. Acknowledgments Allied Communications –Curtis White Qwest –Andy Pitman Indiana University –Dr. Bailey Operation Walk –Dr. Ritter OSU/UNITS Internet2 staff –Mike McGill, Ana Preston, Christina Siroskey, Jonathan Tyman, Elaine Lauerman, Ben Fineman Spring 2006 Internet2 Member Meeting – April 26, 2006

12. References www.informatics.iupui.edu www.operationwalk.org www.internet2.edu Spring 2006 Internet2 Member Meeting – April 26, 2006