The potential of telemedicine in South Sudan

No Abstrac

How 5G wireless (and concomitant technologies) will revolutionize healthcare?

The need to have equitable access to quality healthcare is enshrined in the United Nations (UN) Sustainable Development Goals (SDGs), which defines the developmental agenda of the UN for the next 15 years. In particular, the third SDG focuses on the need to “ensure healthy lives and promote well-being for all at all ages”. In this paper, we build the case that 5G wireless technology, along with concomitant emerging technologies (such as IoT, big data, artificial intelligence and machine learning), will transform global healthcare systems in the near future. Our optimism around 5G-enabled healthcare stems from a confluence of significant technical pushes that are already at play: apart from the availability of high-throughput low-latency wireless connectivity, other significant factors include the democratization of computing through cloud computing; the democratization of Artificial Intelligence (AI) and cognitive computing (e.g., IBM Watson); and the commoditization of data through crowdsourcing and digital exhaust. These technologies together can finally crack a dysfunctional healthcare system that has largely been impervious to technological innovations. We highlight the persistent deficiencies of the current healthcare system and then demonstrate how the 5G-enabled healthcare revolution can fix these deficiencies. We also highlight open technical research challenges, and potential pitfalls, that may hinder the development of such a 5G-enabled health revolution

Assessment and analysis of territorial experiences in digital tele-echocardiography

Nowadays digital ultrasound-cardiovascular devices are able to send out directly digital images and films. Thanks to the large adoption of such devices, the echocardiographic world is facing new ways of exchanging images and collaborating. What we present in this paper is a review of the experimental projects carried in Lombardy, meant to support the work of specialists by means of second opinion and telemedicine services. On the medical point of view echocardiography is a widely used activity where operators are perfectly accustomed to do repetitive operations and steps. Tele-echocardiography (T-E) introduces new methods and technologies into stable and everyday medical practice, causing disruptions either on the side of the specialists' way of working or on the new opportunities and service. Introducing such a service means to properly model it in order to reduce the changes in the operators' way of working while maximizing the benefits. A proper method of modelling the operators' needs is then a key factor which must be correctly addressed. This paper will present some successful projects and the assessment procedure but it will also discuss a possible service modelling method, which has been adopted for the described experiences

Collaborative and Adaptive Framework for Telediagnosis and Prescriptions in Herbal Medicine

Herbal medicine has been an age long tradition for the treatment and cure of diseases globally. Previous researches on telediagnosis and prescriptions in orthodox medicine studied applications of modern technological devices which could improve health care services. However, there is yet to be an exhaustive study on the audio-visual technological framework for telediagnosis and prescription in herbal medicine.  Hence, the research developed a collaborative and adaptive framework for telediagnosis and prescriptions in herbal medicine. The framework and its system were developed consisting of multimedia features for videoconferencing; ability to record, capture and replay consultations; and capacity for editing, data compression and short message service amongst herbal tele-consultants. The system was experimented on Ladoke Akintola University of Technology hotspot network for a period of twenty one days in order to determine the system’s average packet loss rate and packet transmitted with five herbal tele-consultant nodes (node-1, node2, node3, node4 and node5). All nodes were allotted Internet Protocol addresses through which the intending herbal tele-consultant(s) could be connected to the telediagnosis videoconference session. Three performance metrics, System Reliability Index (SRI), System Degree of Relevance (SDR), and System Ease of Usage (SEU) were used to carry out subject to the evaluation of the system by administering one hundred questionnaires herbal consultants to harvest users’ perception of the system based on a Likert rating scale. The results obtained from telediagnosis session showed that the system recorded packet loss rates of 3.46, 3.13, 3.42, 3.61 and 3.36% at node1, node2, node3, node4 and node5, respectively. Also, the average packets of 3123.2, 5017.6, 5683.2, 4454.4 and 4249.6 bits were obtained at node1, node2, node3, node4 and node5, respectively. The summary of the subjected evaluation of the system indicate that the respondent’s response means of 3.20, 2.88. and 3.42 were obtained for the SRI, SDR and SEU, respectively on a rating scale of 1 to 5

Community preferences for digital futures: regional perspectives

The purpose of the study was to understand community preferences for digital futures in the Southern Downs Region in Queensland, Australia. This study examined the strengths, weaknesses, opportunities and threats of the digital future in the regional context. The methodology applied in this study included three focus group discussions (FGDs) along with a structured questionnaire survey for the participants. Some key suggestions which evolved from the FGDs are that digital services need to be cost-effective and people from low socio-economic backgrounds may require specific supportive measures. A consensus emerged that the provision of this vital digital education needs to be at low or subsidised cost at remote areas. It is therefore important to have a comprehensive understanding of community needs, demands and barriers to adoption to come up with a digital economy strategy for the future. While the FGDs provide an avenue for basic understanding of the broad range of issues at the community level, further micro-level analyses that shed light on the adoption and effects of digital technology on households and businesses are clearly warranted

Mobile Application Systems for Home Care: Requirements Analysis & Usage Potentials

Home care services increasingly gain importance due to demographic implications: insights on recent developments inGermany hereby relevant to industrialized countries like the USA are given. Portable application systems have only beenestablished sporadically in German care environments unlike the comparable domain of technical field service. This paper willidentify possible mobile usage scenarios by matching healthcare requirements to state-of-the-art concepts, such as productservicesystems. Open potentials concerning the support of actual care processes can be concluded thereby. An integratedmobile application system can minimize knowledge deficits and enhance the quality of home care. The results are of potentialrelevance not only to patients and caregivers but also to different providers of healthcare or IT solutions

e-SCP-ECG+ Protocol: An Expansion on SCP-ECG Protocol for Health Telemonitoring—Pilot Implementation

Standard Communication Protocol for Computer-assisted Electrocardiography (SCP-ECG) provides standardized communication among different ECG devices and medical information systems. This paper extends the use of this protocol in order to be included in health monitoring systems. It introduces new sections into SCP-ECG structure for transferring data for positioning, allergies, and five additional biosignals: noninvasive blood pressure (NiBP), body temperature (Temp), Carbon dioxide (CO2), blood oxygen saturation (SPO2), and pulse rate. It also introduces new tags in existing sections for transferring comprehensive demographic data. The proposed enhanced version is referred to as e-SCP-ECG+ protocol. This paper also considers the pilot implementation of the new protocol as a software component in a Health Telemonitoring System