Advanced Medical Technology and Network Systems Research (Medical Vanguard Program)

1. Diplomatic Telemedicine Network The ISIS Center and TATRC have been working with the US Dept of State, Office of Medical Services, to establish a telemedicine network involving 5 US Embassies Kenya, Tanzania, Cameroon, Haiti and Dominican Republic and 2 clinics in Washington DC and Fort Lauderdale. 2. Telemedicine for Chronically 111 Patients It has been shown that close monitoring of patients with diabetes can improve their blood sugar levels and thereby reduce complications due to Diabetes Mellitus. We have developed a web based tool that facilitates close monitoring of patients with diabetes by their care team as well as by themselves. This tool teaches patients to become more self sufficient in caring for their illness. 3. Telemedicine for Rehabilitation Cognitive Behavioral Therapy CBT has been found to be efficacious in the treatment of people who need to manage multiple physical symptoms associated with the spectrum of illnesses known as Chronic Multi-symptom Illnesses e.g., Fibromyalgia, Chronic Fatigue, and Gulf War Veterans Illnesses. CBT normally conducted face-to-face and in a small group format is known to reduce pain, increase function, and improve quality of life among these sufferers. Our goal is to test out possible ways to deliver CBT treatment in small groups at a distance using videoconferencing technology, with an adjunctive Web site for conveying the CBT material.