A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

Background: Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods: The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results: The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry. Conclusions: The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services

A new navigation paradigm for virtual reality: the guided visit through a virtual world

The three main navigation paradigms for virtual worlds, i.e., free navigation, automatic tours, and multiuser navigation show important limitations when dealing with guided visits that involve interactive cooperation among several users in 3D virtual worlds over the Internet. In this paper, we present our research into this issue and some important results. We propose a new navigation paradigm denominated guided visit through a virtual world, where the capacity of a user guiding several remote users through the virtual world is enriched with the capacity to dynamically interchange the role of guiding between the connected users. The user that acts as a guide moves freely through the virtual world, and his/her movements are reproduced by the browsers of the other guided users. We also present the architecture and the system we developed that implements this paradigm, as well as its integration in a working realworld application that demonstrates its use

A CLIPS/X-window interface

The design and implementation of an interface between the C Language Integrated Production System (CLIPS) expert system development environment and the graphic user interface development tools of the X-Window system are described. The underlying basis of the CLIPS/X-Window is a client-server model in which multiple clients can attach to a single server that interprets, executes, and returns operation results, in response to client action requests. Implemented in an AIX (UNIX) operating system environment, the interface has been successfully applied in the development of graphics interfaces for production rule cooperating agents in a knowledge-based computer aided design (CAD) system. Initial findings suggest that the client-server model is particularly well suited to a distributed parallel processing operational mode in a networked workstation environment

Development of a distributed knowledge-based system

This paper describes the development of a distributed knowledge-based system. A software system, namely Distributed Algorithmic and Rule-based Blackboard System (DARBS), was developed from its predecessor ARBS, which lacked the distributed computing feature. ARBS has been used in solving a number of engineering problems [1-3]. DARBS now utilises client/server technology. It consists of a centralised database server, called the 'Blackboard' and a number of Knowledge Source Clients (experts). It distributes the workload to a number of clients which are rule-based or other AI systems with specific knowledge in various areas. DARBS is being applied to automatic interpretation of non-destructive evaluation (NDE) data and control of plasma deposition processes

Two Case Studies of Subsystem Design for General-Purpose CSCW Software Architectures

This paper discusses subsystem design guidelines for the software architecture of general-purpose computer supported cooperative work systems, i.e., systems that are designed to be applicable in various application areas requiring explicit collaboration support. In our opinion, guidelines for subsystem level design are rarely given most guidelines currently given apply to the programming language level. We extract guidelines from a case study of the redesign and extension of an advanced commercial workflow management system and place them into the context of existing software engineering research. The guidelines are then validated against the design decisions made in the construction of a widely used web-based groupware system. Our approach is based on the well-known distinction between essential (logical) and physical architectures. We show how essential architecture design can be based on a direct mapping of abstract functional concepts as found in general-purpose systems to modules in the essential architecture. The essential architecture is next mapped to a physical architecture by applying software clustering and replication to achieve the required distribution and performance characteristics

Autonomous Agents for Business Process Management

Traditional approaches to managing business processes are often inadequate for large-scale organisation-wide, dynamic settings. However, since Internet and Intranet technologies have become widespread, an increasing number of business processes exhibit these properties. Therefore, a new approach is needed. To this end, we describe the motivation, conceptualization, design, and implementation of a novel agent-based business process management system. The key advance of our system is that responsibility for enacting various components of the business process is delegated to a number of autonomous problem solving agents. To enact their role, these agents typically interact and negotiate with other agents in order to coordinate their actions and to buy in the services they require. This approach leads to a system that is significantly more agile and robust than its traditional counterparts. To help demonstrate these benefits, a companion paper describes the application of our system to a real-world problem faced by British Telecom

EXODUS: Integrating intelligent systems for launch operations support

Kennedy Space Center (KSC) is developing knowledge-based systems to automate critical operations functions for the space shuttle fleet. Intelligent systems will monitor vehicle and ground support subsystems for anomalies, assist in isolating and managing faults, and plan and schedule shuttle operations activities. These applications are being developed independently of one another, using different representation schemes, reasoning and control models, and hardware platforms. KSC has recently initiated the EXODUS project to integrate these stand alone applications into a unified, coordinated intelligent operations support system. EXODUS will be constructed using SOCIAL, a tool for developing distributed intelligent systems. EXODUS, SOCIAL, and initial prototyping efforts using SOCIAL to integrate and coordinate selected EXODUS applications are described

Proxy dynamic delegation in grid gateway

Nowadays one of the main obstacles the research comes up against is the difficulty in accessing the required computational resources. Grid is able to offer the user a wide set of resources, even if they are often too hard to exploit for non expert end user. Use simplification has today become a common practice in the access and utilization of Cloud, Grid, and data center resources. With the launch of L-GRID gateway, we introduced a new way to deal with Grid portals. L-GRID is an extremely light portal developed in order to access the EGI Grid infrastructure via Web, allowing users to submit their jobs from whatever Web browser in a few minutes, without any knowledge about the underlying Grid infrastructure.Comment: 6 page