Improving Patient Satisfaction with the Virtual Handoff Process through the Utilization of Educational Pamphlets in the Emergency Department

Boarding patients in the emergency room while waiting to transfer the patient to the proper unit can be harmful to clinical care and have significant financial opportunity costs. At one local hospital it was found that on average patients were being boarded in the emergency room (ED) for approximately 85 minutes waiting to be transferred. Several barriers that caused this delay were found including, delay in room cleaning, nurse staff shortage, and inability to give report to the nurse receiving the patient. In an attempt to combat this delay which may be caused by a difficulty in giving patient report, this organization is rolling out a virtual bedside handoff process. While virtual technology is not a new concept, there are many patients that may not be comfortable with the technology. The purpose of the evidence-based project was to provide a written educational pamphlet that details the how’s and why’s of the virtual handoff process to the patient to be given upon admission. The goal of the educational pamphlet was to increase the patients’ satisfaction with the process. A pre-survey was given to a group of patients after they experienced the virtual handoff process to assess their comfort level. These results were compared to the post-survey results of patients that received the educational pamphlet prior to experiencing the virtual handoff process. Ten pre-surveys and seven post-surveys were analyzed utilizing SPSS and descriptive statistics. The analysis concluded that the participants who received the educational pamphlet felt more prepared for the virtual handoff process

Multicast broadcast services support in OFDMA-based WiMAX systems [Advances in mobile multimedia]

Multimedia stream service provided by broadband wireless networks has emerged as an important technology and has attracted much attention. An all-IP network architecture with reliable high-throughput air interface makes orthogonal frequency division multiplexing access (OFDMA)-based mobile worldwide interoperability for microwave access (mobile WiMAX) a viable technology for wireless multimedia services, such as voice over IP (VoIP), mobile TV, and so on. One of the main features in a WiMAX MAC layer is that it can provide'differentiated services among different traffic categories with individual QoS requirements. In this article, we first give an overview of the key aspects of WiMAX and describe multimedia broadcast multicast service (MBMS) architecture of the 3GPP. Then, we propose a multicast and broadcast service (MBS) architecture for WiMAX that is based on MBMS. Moreover, we enhance the MBS architecture for mobile WiMAX to overcome the shortcoming of limited video broadcast performance over the baseline MBS model. We also give examples to demonstrate that the proposed architecture can support better mobility and offer higher power efficiency

Smart handoff technique for internet of vehicles communication using dynamic edge-backup node

© 2020 The Authors. Published by MDPI. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.3390/electronics9030524A vehicular adhoc network (VANET) recently emerged in the the Internet of Vehicles (IoV); it involves the computational processing of moving vehicles. Nowadays, IoV has turned into an interesting field of research as vehicles can be equipped with processors, sensors, and communication devices. IoV gives rise to handoff, which involves changing the connection points during the online communication session. This presents a major challenge for which many standardized solutions are recommended. Although there are various proposed techniques and methods to support seamless handover procedure in IoV, there are still some open research issues, such as unavoidable packet loss rate and latency. On the other hand, the emerged concept of edge mobile computing has gained crucial attention by researchers that could help in reducing computational complexities and decreasing communication delay. Hence, this paper specifically studies the handoff challenges in cluster based handoff using new concept of dynamic edge-backup node. The outcomes are evaluated and contrasted with the network mobility method, our proposed technique, and other cluster-based technologies. The results show that coherence in communication during the handoff method can be upgraded, enhanced, and improved utilizing the proposed technique.Published onlin

FastM: Design and Evaluation of a Fast Mobility Mechanism for Wireless Mesh Networks

Although there is a large volume of work in the literature in terms of mobility approaches for Wireless Mesh Networks, usually these approaches introduce high latency in the handover process and do not support realtime services and applications. Moreover, mobility is decoupled from routing, which leads to inefficiency to both mobility and routing approaches with respect to mobility. In this paper we present a new extension to proactive routing protocols using a fast mobility extension, FastM, with the purpose of increasing handover performance in Wireless Mesh Networks. With this new extension, a new concept is created to integrate information between neighbor wireless mesh routers, managing locations of clients associated to wireless mesh routers in a certain neighborhood, and avoiding packet loss during handover. The proposed mobility approach is able to optimize the handover process without imposing any modifications to the current IEE 802.11 MAC protocol and use unmodified clients. Results show the improved efficiency of the proposed scheme: metrics such as disconnection time, throughput, packet loss and control overhead are largely improved when compared to previous approaches. Moreover, these conclusions apply to mobility scenarios, although mobility decreases the performance of the handover approach, as expected

Mobility as a first class function

Seamless host mobility has been a desirable feature for a long time, but was not part of the original design of the Internet architecture or protocols. Current approaches to network-layer mobility typically require additional network-layer entities for mobility management, which add complexity to the current engineering landscape of the Internet. We present a host-based, end-to-end architecture for host mobility using the Identifier-Locator Network Protocol (ILNP). ILNP provides mobility support as a first class function, since mobility management is controlled and managed by the end-systems, and does not require additional network-layer entities. We demonstrate an instance of ILNP that is a superset of IPv6 – called ILNPv6 – that is implemented by extending the current IPv6 code in the Linux kernel. We make a direct comparison of performance of ILNPv6 and Mobile IPv6, showing the improved performance of ILNPv6.Postprin

A generic communication architecture for end to end mobility management in the Internet

The proliferation of laptops, cellular phones, and other mobile computing platforms connected to the Internet has triggered numerous research works into mobile networking. The increasingly dense set of wireless access networks that can be potentially accessed by mobile users open the door to an era of pervasive computing. However, the puzzle of wireless access networks that tends to become the natural access networks to the Internet pushes legacy“wireoriented” communication architectures to their limit. Indeed, there is a critical gap between the increasingly used stream centric multimedia applications and the incapacity of legacy communication stacks to insure the continuity of these multimedia sessions for mobile users. This paper proposes a generic communication architecture (i.e. not dedicated to a specific protocol or technology) that aims to fill the gap between the application layer continuity needs and the discontinuity of the communication service inherent to the physical layer of wireless mobile networks. This paper introduces an end to end communication architecture that preserves efficiently session continuity in the context of mobile and wireless networks. This architecture is mainly based on end to end mechanisms that could be integrated into a new generation reconfigurable transport protocol. The proposed contribution efficiently satisfies mobility requirements such as efficient location management, fast handover, and continuous connection support

A Survey on Handover Management in Mobility Architectures

This work presents a comprehensive and structured taxonomy of available techniques for managing the handover process in mobility architectures. Representative works from the existing literature have been divided into appropriate categories, based on their ability to support horizontal handovers, vertical handovers and multihoming. We describe approaches designed to work on the current Internet (i.e. IPv4-based networks), as well as those that have been devised for the "future" Internet (e.g. IPv6-based networks and extensions). Quantitative measures and qualitative indicators are also presented and used to evaluate and compare the examined approaches. This critical review provides some valuable guidelines and suggestions for designing and developing mobility architectures, including some practical expedients (e.g. those required in the current Internet environment), aimed to cope with the presence of NAT/firewalls and to provide support to legacy systems and several communication protocols working at the application layer