4,167 research outputs found
A perspective on the Healthgrid initiative
This paper presents a perspective on the Healthgrid initiative which involves
European projects deploying pioneering applications of grid technology in the
health sector. In the last couple of years, several grid projects have been
funded on health related issues at national and European levels. A crucial
issue is to maximize their cross fertilization in the context of an environment
where data of medical interest can be stored and made easily available to the
different actors in healthcare, physicians, healthcare centres and
administrations, and of course the citizens. The Healthgrid initiative,
represented by the Healthgrid association (http://www.healthgrid.org), was
initiated to bring the necessary long term continuity, to reinforce and promote
awareness of the possibilities and advantages linked to the deployment of GRID
technologies in health. Technologies to address the specific requirements for
medical applications are under development. Results from the DataGrid and other
projects are given as examples of early applications.Comment: 6 pages, 1 figure. Accepted by the Second International Workshop on
Biomedical Computations on the Grid, at the 4th IEEE/ACM International
Symposium on Cluster Computing and the Grid (CCGrid 2004). Chicago USA, April
200
Transnational comparison : A retrospective study on e-health in sparsely populated areas of the northern periphery
Peer reviewedPublisher PD
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
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