An investigation into the use of 3G mobile communications to provide telehealth services in rural KwaZulu-Natal

This article has been made available through the Brunel Open Access Publishing Fund.Abstract Background: We investigated the use of third-generation (3G) mobile communications to provide telehealth services in remote health clinics in rural KwaZulu-Natal, South Africa. Materials and Methods: We specified a minimal set of services as our use case that would be representative of typical activity and to provide a baseline for analysis of network performance. Services included database access to manage chronic disease, local support and management of patients (to reduce unnecessary travel to the hospital), emergency care (up to 8 h for an ambulance to arrive), e-mail, access to up-to-date information (Web), and teleclinics. We made site measurements at a representative set of health clinics to determine the type of coverage (general packet radio service [GPRS]/3G), its capabilities to support videoconferencing (H323 and Skype™ [Microsoft, Redmond, WA]) and audio (Skype), and throughput for transmission control protocol (TCP) to gain a measure of application performance. Results: We found that none of the remote health clinics had 3G service. The GPRS service provided typical upload speed of 44 kilobits per second (Kbps) and download speed of 64 Kbps. This was not sufficient to support any form of videoconferencing. We also observed that GPRS had significant round trip time (RTT), in some cases in excess of 750 ms, and this led to slow start-up for TCP applications. Conclusions: We found audio was always so broken as to be unusable and further observed that many applications such as Web access would fail under conditions of very high RTT. We found some health clinics were so remote that they had no mobile service. 3G, where available, had measured upload speed of 331 Kbps and download speed of 446 Kbps and supported videoconferencing and audio at all sites, but we frequently experienced 3G changing to GPRS. We conclude that mobile communications currently provide insufficient coverage and capability to provide reliable clinical services and would advocate dedicated wireless services where reliable communication is essential and use of store and forward for mobile applications.The Royal Society, United Kingdom

MIRAI Architecture for Heterogeneous Network

One of the keywords that describe next-generation wireless communications is "seamless." As part of the e-Japan Plan promoted by the Japanese Government, the Multimedia Integrated Network by Radio Access Innovation project has as its goal the development of new technologies to enable seamless integration of various wireless access systems for practical use by 2005. This article describes a heterogeneous network architecture including a common tool, a common platform, and a common access. In particular, software-defined radio technologies are used to develop a multiservice user terminal to access different wireless networks. The common platform for various wireless networks is based on a wireless-supporting IPv6 network. A basic access network, separated from other wireless access networks, is used as a means for wireless system discovery, signaling, and paging. A proof-of-concept experimental demonstration system is available

Transport poverty meets the digital divide : accessibility and connectivity in rural communities

Peer reviewedPublisher PD

Using Technology Enabled Qualitative Research to Develop Products for the Social Good, An Overview

This paper discusses the potential benefits of the convergence of three recent trends for the design of socially beneficial products and services: the increasing application of qualitative research techniques in a wide range of disciplines, the rapid mainstreaming of social media and mobile technologies, and the emergence of software as a service. Presented is a scenario facilitating the complex data collection, analysis, storage, and reporting required for the qualitative research recommended for the task of designing relevant solutions to address needs of the underserved. A pilot study is used as a basis for describing the infrastructure and services required to realize this scenario. Implications for innovation of enhanced forms of qualitative research are presented

Technoligical Life Cycles Regional Clusters Facing Disruption

The phenomenon of technological life cycles is argued to be of great importance in the development of regional clusters. New 'disruptive' technologies may initiate the emergence of new regional industrial clusters and/or create new opportunities for further development of existing ones. However, they may also result in stagnation and decline of the latter. The term disruptive refers to such significant changes in the basic technologies that may change the industrial landscape, even in the shorter run. The paper examines the key features of a regional cluster, where the economic development patterns are quite closely related to the emergence of new key technologies.Technological life cycles, regional clusters, communication technology