Health and mobility: Current status and future paradigms

The movement of telemedicine to the wireless and mobile Internetable applications is imminent in the next few years. This migration from the desktop platforms to the wireless and mobile configurations will have significant impact on the future health care delivery system and their globalisation. The recent telecommunications and biomedical computing advances will significantly enhance the current methodologies of telemedicine and telecare systems. This editorial will present some of the evolutionary issues and important aspects that have to be considered in the developing technologies for the next generation of Internet and Third Generation of Mobile Systems (3G), geared for future telemedical applications. These will provide new dimensions to existing medical services and areas of outreach, that are not possible in the current generation and will have tremendous impact on how the health care delivery will be shaped for the 21 Century

Applications of medical wireless LAN systems (MedLAN)

This is a post-peer-review, pre-copyedit version of an article published in Journal of Medical Marketing. The definitive publisher-authenticated version "Konstantinos A. Banitsas, R.S.H. Istepanian, Sapal Tachakra. Applications of medical Wireless LAN systems (MedLAN). Journal of Medical Marketing, Volume 2, Number 2, 1 January 2002 , pp. 136-142(7)" is available online at: http://www.ingentaconnect.com/content/pal/jomm/2002/00000002/00000002/art00008.In this paper the Wireless LAN (WLAN) networking principals are presented along with some of the implementation scenarios dedicated for Accidents and Emergencies wards. Preliminary simulation results of the MedLAN concept are also presented together with ongoing and future work in this area

Adjusting DICOM specifications when using wireless LANs: The MedLAN example

Wireless networks will become increasingly useful in point-of-care areas such as hospitals, because of their ease of use and their flexibility. A system called MedLAN has been developed by the Central Middlesex Hospital and Brunei University to take advantage of the above desirable properties of WLANs for use in accident & emergency departments to broadcast live, high quality video images and sound over a LAN or the Internet. However, in many cases, the limited available throughput of such a WLAN system makes the use of high demanding specifications, such as DICOM, problematic especially when using no compression during transmission. In this paper we will present some practical results when combining low compression with wireless LANs. We will conclude with the assessment of images and sounds by several doctors showing that the system we have devised is very useful in this setting

Performance of a wireless telemedicine system in a hospital accident and emergency department

The article version is the pre-edited accepted version of the paper which is entitled: Performance of a wireless telemedicine system: MedLANThis paper validates a medical videoconferencing system previously developed, called MedLAN. Besides the positive comments that medical consultants might have regarding a wireless videoconferencing system designed for use inside the A&E wards, a methodically and exhaustive clinical testing of such a system must take place before adopting such technology in a wider scale. Clinical testing using a wide number of patients, modalities and a number of medical consultants proved that the suggested system could operate effectively under most conditions and it would be beneficiary to the patients. After this clinical evaluation, a number of hospitals showed interest on installing such a system in their A&E wards

Use of 3G mobile phone links for teleconsultation between a moving ambulance and a hospital base station

The importance of this paper lays in its suggestion: minimise the time for the initial treatment of a patient. As soon as an ambulance receives a patient, a videoconferencing session can be initiated between the moving vehicle and a base station in a hospital where a medical consultant resides. The communication link is implemented using 3G networks. Effectively, the use of such a system can decrease fatality on patients being transferred to A&E, as expert opinion can be obtained straight away. This paper was repeatedly cited in IEEE papers and formed the basis for an EPSRC proposal that was recently submitted