WorldWideScience

Sample records for care telecommunications network

  1. Telecommunication networks

    CERN Document Server

    Iannone, Eugenio

    2011-01-01

    Many argue that telecommunications network infrastructure is the most impressive and important technology ever developed. Analyzing the telecom market's constantly evolving trends, research directions, infrastructure, and vital needs, Telecommunication Networks responds with revolutionized engineering strategies to optimize network construction. Omnipresent in society, telecom networks integrate a wide range of technologies. These include quantum field theory for the study of optical amplifiers, software architectures for network control, abstract algebra required to design error correction co

  2. Telecommunication Networks

    DEFF Research Database (Denmark)

    Olsen, Rasmus Løvenstein; Balachandran, Kartheepan; Hald, Sara Ligaard

    2014-01-01

    In this chapter, we look into the role of telecommunication networks and their capability of supporting critical infrastructure systems and applications. The focus is on smart grids as the key driving example, bearing in mind that other such systems do exist, e.g., water management, traffic control......, etc. First, the role of basic communication is examined with a focus on critical infrastructures. We look at heterogenic networks and standards for smart grids, to give some insight into what has been done to ensure inter-operability in this direction. We then go to the physical network, and look...... threats to the critical infrastructure. Finally, before our conclusions and outlook, we give a brief overview of some key activities in the field and what research directions are currently investigated....

  3. Understanding telecommunications networks

    CERN Document Server

    Valdar, Andy

    2017-01-01

    A telecommunications network is an electronic system of links, nodes and the controls that govern their operations to allow voice and data transfer among users and devices. This fully revised, updated and expanded second edition covers all aspects of today's networks, including how they are planned, formed and operated.

  4. Telecommunications Network Plan

    International Nuclear Information System (INIS)

    1989-05-01

    The Office of Civilian Radioactive Waste Management (OCRWM) must, among other things, be equipped to readily produce, file, store, access, retrieve, and transfer a wide variety of technical and institutional data and information. The data and information regularly produced by members of the OCRWM Program supports, and will continue to support, a wide range of program activities. Some of the more important of these information communication-related activities include: supporting the preparation, submittal, and review of a license application to the Nuclear Regulatory Commission (NRC) to authorize the construction of a geologic repository; responding to requests for information from parties affected by and/or interested in the program; and providing evidence of compliance with all relevant Federal, State, local, and Indian Tribe regulations, statutes, and/or treaties. The OCRWM Telecommunications Network Plan (TNP) is intended to identify, as well as to present the current strategy for satisfying, the telecommunications requirements of the civilian radioactive waste management program. The TNP will set forth the plan for integrating OCRWM's information resources among major program sites. Specifically, this plan will introduce a telecommunications network designed to establish communication linkages across the program's Washington, DC; Chicago, Illinois; and Las Vegas, Nevada, sites. The linkages across these and associated sites will comprise Phase I of the proposed OCRWM telecommunications network. The second phase will focus on the modification and expansion of the Phase I network to fully accommodate access to the OCRWM Licensing Support System (LSS). The primary components of the proposed OCRWM telecommunications network include local area networks; extended local area networks; and remote extended (wide) area networks. 10 refs., 6 figs

  5. Evaluating managed care's special telecommunications needs.

    Science.gov (United States)

    Harrison, P; Schenk, D

    1993-11-01

    Right now, managed care is a vast cosmic soup. But whether its ultimate form is the result of a bureaucratic big bang or a series of small industry explosions, one thing seems clear: telecommunications is the framework upon which managed care will be built. Managed care's primary players--purchasers, providers and payors--have already discovered the unifying power of telecommunications within their respective worlds. However, as the three worlds collide, an entirely new set of special telecommunications needs arises. And most of these needs can be distilled into three basic requirements: bigger networks, faster networks and smarter networks.

  6. Telecommunication Value Network in Malaysia

    OpenAIRE

    Ong, Li Chien

    2009-01-01

    Business network is believed to offer a superior way of managing the challenges related to the uncertainty and complexity of the contemporary business environment in Malaysia telecommunication industry. This study strives to analyze the value business network in Malaysia telecommunication industry with emphasize on the market leader, Maxis Communication Bhd in its mobile content services. The business network represents the form of organization where the focal company focuses on certain key a...

  7. Telecommunications network modelling, planning and design

    CERN Document Server

    Evans, Sharon

    2003-01-01

    Telecommunication Network Modelling, Planning and Design addresses sophisticated modelling techniques from the perspective of the communications industry and covers some of the major issues facing telecommunications network engineers and managers today. Topics covered include network planning for transmission systems, modelling of SDH transport network structures and telecommunications network design and performance modelling, as well as network costs and ROI modelling and QoS in 3G networks.

  8. Estimating network effects in China's mobile telecommunications

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    A model is proposed along with empirical investigation to prove the existence of network effects in China's mobile telecommunications market. Futhernore, network effects on China's mobile telecommunications are estimated with a dynamic model. The structural parameters are identified from regression coefficients and the results are analyzed and compared with another literature. Data and estimation issues are also discussed. Conclusions are drawn that network effects are significant in China's mobile telecommunications market, and that ignoring network effects leads to bad policy making.

  9. Mobile telecommunication networks choice among Ghanaians

    Directory of Open Access Journals (Sweden)

    Boateng Henry

    2013-07-01

    Full Text Available The paper investigates the factors influencing customers choice of telecommunication network in Ghana. The survey design was employed to enable the researchers perform statistical analysis. Questionnaire consisting of Likert scale question was used to collect the primary data. Multiple regression analysis was performed to ascertain the factors influencing customers’ choice of telecommunication networks. The study found six factors that influence customers to choose a particular network. These factors include; brand awareness, brand image, perceived quality, price, convenience and brand loyalty. The study concludes that all the six factors contribute to the factors that drive consumer choice of telecommunications service in Ghana.

  10. Telecommunication Networks: Economy, Ecology, Rule

    OpenAIRE

    Cubitt, Sean

    2014-01-01

    This essay deals with technologies, techniques, business models and legal structures governing telecommunications infrastructures. Megacities are especially vulnerable to shifting agencies in telecoms provision. This paper addresses the relation of the economics of growth, built-in obsolescence and product life cycles with the complex determinations of telecommunications governance in relation to the physical environment of megacities. It argues that an ‘environmentalism of the poor’ must be ...

  11. Leo satellite-based telecommunication network concepts

    Science.gov (United States)

    Aiken, John G.; Swan, Peter A.; Leopold, Ray J.

    1991-01-01

    Design considerations are discussed for Low Earth Orbit (LEO) satellite based telecommunications networks. The satellites are assumed to be connected to each other via intersatellite links. They are connected to the end user either directly or through gateways to other networks. Frequency reuse, circuit switching, packet switching, call handoff, and routing for these systems are discussed by analogy with terrestrial cellular (mobile radio) telecommunication systems.

  12. Queuing theory and telecommunications networks and applications

    CERN Document Server

    Giambene, Giovanni

    2014-01-01

    This book provides a basic description of current networking technologies and protocols as well as important tools for network performance analysis based on queuing theory. The second edition adds selected contents in the first part of the book for what concerns: (i) the token bucket regulator and traffic shaping issues; (ii) the TCP protocol congestion control that has a significant part in current networking; (iii) basic satellite networking issues; (iv) adding details on QoS support in IP networks. The book is organized so that networking technologies and protocols (Part I) are first and are then followed by theory and exercises with applications to the different technologies and protocols (Part II). This book is intended as a textbook for master level courses in networking and telecommunications sectors.

  13. Aeronautical telecommunications network advances, challenges, and modeling

    CERN Document Server

    Musa, Sarhan M

    2015-01-01

    Addresses the Challenges of Modern-Day Air Traffic Air traffic control (ATC) directs aircraft in the sky and on the ground to safety, while the Aeronautical Telecommunications Network (ATN) comprises all systems and phases that assist in aircraft departure and landing. The Aeronautical Telecommunications Network: Advances, Challenges, and Modeling focuses on the development of ATN and examines the role of the various systems that link aircraft with the ground. The book places special emphasis on ATC-introducing the modern ATC system from the perspective of the user and the developer-and provides a thorough understanding of the operating mechanism of the ATC system. It discusses the evolution of ATC, explaining its structure and how it works; includes design examples; and describes all subsystems of the ATC system. In addition, the book covers relevant tools, techniques, protocols, and architectures in ATN, including MIPv6, air traffic control (ATC), security of air traffic management (ATM), very-high-frequenc...

  14. A telecommunications journey rural health network.

    Science.gov (United States)

    Moore, Joe

    2012-01-01

    Utilizing a multi-gigabit statewide fiber healthcare network, Radiology Consultants of Iowa (RCI) set out to provide instantaneous service to their rural, critical access, hospital partners. RCIs idea was to assemble a collection of technologies and services that would even out workflow, reduce time on the road, and provide superior service. These technologies included PACS, voice recognition enabled dictation, HL7 interface technology, an imaging system for digitizing paper and prior films, and modern communication networks. The Iowa Rural Health Telecommunication Project was undertaken to form a system that all critical access hospitals would participate in, allowing RCI radiologists the efficiency of "any image, anywhere, anytime".

  15. Optical fiber telecommunications systems and networks

    CERN Document Server

    Kaminow, Ivan; Willner, Alan E

    2013-01-01

    Optical Fiber Telecommunications VI (A&B) is the sixth in a series that has chronicled the progress in the R&D of lightwave communications since the early 1970s. Written by active authorities from academia and industry, this edition brings a fresh look to many essential topics, including devices, subsystems, systems and networks. A central theme is the enabling of high-bandwidth communications in a cost-effective manner for the development of customer applications. These volumes are an ideal reference for R&D engineers and managers, optical systems implementers, university researchers and s

  16. Modelling aspects of distributed processing in telecommunication networks

    NARCIS (Netherlands)

    Tomasgard, A; Audestad, JA; Dye, S; Stougie, L; van der Vlerk, MH; Wallace, SW

    1998-01-01

    The purpose of this paper is to formally describe new optimization models for telecommunication networks with distributed processing. Modem distributed networks put more focus on the processing of information and less on the actual transportation of data than we are traditionally used to in

  17. Risk and reliability assessment for telecommunications networks

    Energy Technology Data Exchange (ETDEWEB)

    Wyss, G.D.; Schriner, H.K.; Gaylor, T.R.

    1996-08-01

    Sandia National Laboratories has assembled an interdisciplinary team to explore the applicability of probabilistic logic modeling (PLM) techniques to model network reliability for a wide variety of communications network architectures. The authors have found that the reliability and failure modes of current generation network technologies can be effectively modeled using fault tree PLM techniques. They have developed a ``plug-and-play`` fault tree analysis methodology that can be used to model connectivity and the provision of network services in a wide variety of current generation network architectures. They have also developed an efficient search algorithm that can be used to determine the minimal cut sets of an arbitrarily-interconnected (non-hierarchical) network without the construction of a fault tree model. This paper provides an overview of these modeling techniques and describes how they are applied to networks that exhibit hybrid network structures (i.e., a network in which some areas are hierarchical and some areas are not hierarchical).

  18. Ad hoc networks telecommunications and game theory

    CERN Document Server

    Benslama, Malek; Batatia, Hadj

    2015-01-01

    Random SALOHA and CSMA protocols that are used to access MAC in ad hoc networks are very small compared to the multiple and spontaneous use of the transmission channel. So they have low immunity to the problems of packet collisions. Indeed, the transmission time is the critical factor in the operation of such networks. The simulations demonstrate the positive impact of erasure codes on the throughput of the transmission in ad hoc networks. However, the network still suffers from the intermittency and volatility of its efficiency throughout its operation, and it switches quickly to the satura

  19. Proceedings of a Conference on Telecommunication Technologies, Networkings and Libraries

    Science.gov (United States)

    Knight, N. K.

    1981-12-01

    Current and developing technologies for digital transmission of image data likely to have an impact on the operations of libraries and information centers or provide support for information networking are reviewed. Technologies reviewed include slow scan television, teleconferencing, and videodisc technology and standards development for computer network interconnection through hardware and software, particularly packet switched networks computer network protocols for library and information service applications, the structure of a national bibliographic telecommunications network; and the major policy issues involved in the regulation or deregulation of the common communications carriers industry.

  20. Intermodel freight terminals: marketing channels and telecommunication networks

    NARCIS (Netherlands)

    Wiegmans, B.W.; Nijkamp, P.; Masurel, E.

    2001-01-01

    This paper seeks to highlight the importance of modern telecommunications networks in combined transport marketing channels deployed for intermodal terminals. To develop a customer-based and broadly applicable framework for studying combined freight transport in Europe, the use of the marketing

  1. Network Asymmetries and Access Pricing in Cellular Telecommunications

    NARCIS (Netherlands)

    V. Kocsis

    2005-01-01

    textabstractNetwork shares and retail prices are not symmetric in the telecommunications market with multiple bottlenecks which give rise to new questions of access fee regulation. In this paper we consider a model with two types of asymmetry arising from different entry timing, i.e. a larger

  2. Telecommunications

    OpenAIRE

    Fransman, Martin; Krafft, Jackie

    2002-01-01

    What is the telecommunications industry? How does it relate to other activities in areas such as computing, software, semiconductors, the internet and electronic commerce, and the media? Where are its boundaries? What products and services should be included within it? What are its major markets? Which companies should be included in the industry? In this paper, we tackle these important questions by developing a layer model in order to map the industry. Layer models generally have a long and...

  3. Network externalities in telecommunication industry: An analysis of Serbian market

    Directory of Open Access Journals (Sweden)

    Trifunović Dejan

    2016-01-01

    Full Text Available This paper deals with network competition and provides empirical analysis of market concentration, network and call externalities, access pricing, price discrimination and switching costs in Serbian mobile phone telecommunications market. It is shown that network externalities governed the expansion of this market until 2008. Upon entry of VIP incumbents didn't engage in predatory behaviour towards entrant aiming to benefit from locked- in users. The policy of mobile phone number portability reduced on-net prices and substantially increased consumer's surplus. In contrast to some previous research, this policy was pro-competitive in Serbia. We have also determined that users of the network with the largest market share benefit the most from call externalities. Finally, one network does not price discriminate between outgoing and incoming roaming calls, which implies that users of this network have higher level pecuniary externalities in roaming compared to users of price discriminating networks.

  4. A Flexible System for Simulating Aeronautical Telecommunication Network

    Science.gov (United States)

    Maly, Kurt; Overstreet, C. M.; Andey, R.

    1998-01-01

    At Old Dominion University, we have built Aeronautical Telecommunication Network (ATN) Simulator with NASA being the fund provider. It provides a means to evaluate the impact of modified router scheduling algorithms on the network efficiency, to perform capacity studies on various network topologies and to monitor and study various aspects of ATN through graphical user interface (GUI). In this paper we describe briefly about the proposed ATN model and our abstraction of this model. Later we describe our simulator architecture highlighting some of the design specifications, scheduling algorithms and user interface. At the end, we have provided the results of performance studies on this simulator.

  5. AN APPLICATION FOR EFFICIENT TELECOMMUNICATION NETWORKS PROVISIONING USING LINEAR PROGRAMMING

    Directory of Open Access Journals (Sweden)

    Maria Augusta Soares Machado

    2015-03-01

    Full Text Available This paper presents a practical proposition for the application of the Linear Programming quantitative method in order to assist planning and control of customer circuit delivery activities in telecommunications companies working with the corporative market. Based upon data provided for by a telecom company operating in Brazil, the Linear Programming method was employed for one of the classical problems of determining the optimum mix of production quantities for a set of five products of that company: Private Telephone Network, Internet Network, Intranet Network, Low Speed Data Network, and High Speed Data Network, in face of several limitations of the productive resources, seeking to maximize the company’s monthly revenue. By fitting the production data available into a primary model, observation was made as to what number of monthly activations for each product would be mostly optimized in order to achieve maximum revenues in the company. The final delivery of a complete network was not observed but the delivery of the circuits that make it up, and this was a limiting factor for the study herein, which, however, brings an innovative proposition for the planning of private telecommunications network provisioning.

  6. Photovoltaics for telecommunications networks in Libya, uses and experiences

    International Nuclear Information System (INIS)

    Ibrahim, Ibrahim M. Saleh; Adam, M. S.; Ben-Hamed, Khalifa

    2006-01-01

    The use of photovoltaic systems as a stand-alone power supply in Libyan telecommunication networks has been in use since 1980. It was proved that PV generators are reliable and cost effective in this type of applications in comparison with diesel generators. In Libya about 100 photovoltaic systems were put into work to supply electricity for repeater stations instead of diesel generators, these PV systems proved to be reliable, very low or no communication stops, and and more economical in comparison with stations running by diesel generators, a wide knowledge of experience has been built of using photovoltaic systems in this applications. This paper is focusing on the role of stand-alone PV systems in communication networks of Libya, as a stand alone power source for telecommunication repeater stations. We will evaluate some of these systems after ten years of work, discuss the past experience, their reliability, and running cost, Stand-alone systems can be used in telecommunication networks, and in general the experienced advantages of using PV solar generators can be summarized as low running cost, high reliability, fewer services visits,, low maintenance cost, less number of thefts, no communication stops.(Author)

  7. Co-evolution of electric and telecommunications networks

    Energy Technology Data Exchange (ETDEWEB)

    Rivkin, S.R.

    1998-05-01

    There are potentially significant societal benefits in co-evolution between electricity and telecommunications in the areas of common infrastructure, accelerated deployment of distributed energy, tighter integration of information flow for energy management and distribution, and improved customer care. With due regard for natural processes that are more potent than any regulation and more real than any ideology, the gains from co-evolution would far outweigh the attenuated and speculative savings from restructuring of electricity that is too simplistic.

  8. Satellite communications for the next generation telecommunication services and networks

    Science.gov (United States)

    Chitre, D. M.

    1991-01-01

    Satellite communications can play an important role in provisioning the next-generation telecommunication services and networks, provided the protocols specifying these services and networks are satellite-compatible and the satellite subnetworks, consisting of earth stations interconnected by the processor and the switch on board the satellite, interwork effectively with the terrestrial networks. The specific parameters and procedures of frame relay and broadband integrated services digital network (B-ISDN) protocols which are impacted by a satellite delay. Congestion and resource management functions for frame relay and B-ISDN are discussed in detail, describing the division of these functions between earth stations and on board the satellite. Specific onboard and ground functions are identified as potential candidates for their implementation via neural network technology.

  9. A Model-Driven Approach for Telecommunications Network Services Definition

    Science.gov (United States)

    Chiprianov, Vanea; Kermarrec, Yvon; Alff, Patrick D.

    Present day Telecommunications market imposes a short concept-to-market time for service providers. To reduce it, we propose a computer-aided, model-driven, service-specific tool, with support for collaborative work and for checking properties on models. We started by defining a prototype of the Meta-model (MM) of the service domain. Using this prototype, we defined a simple graphical modeling language specific for service designers. We are currently enlarging the MM of the domain using model transformations from Network Abstractions Layers (NALs). In the future, we will investigate approaches to ensure the support for collaborative work and for checking properties on models.

  10. Regulating managed care plans: is the telecommunications industry a possible model?

    Science.gov (United States)

    Jorgensen, N E; Weil, T P

    1998-01-01

    Merger mania has been a striking trend in the health and managed care fields during the last decade, promising to improve integration of services, decrease excess capacity, enhance price competition, and increase the ability of providers and insurers to handle risk-based payment. In view of these promises, our first argument in this paper is that undoubtedly strong, well-financed managed care plans and health networks will continue to utilize the merger concept to acquire additional insurers and providers, eventually gaining more control over the organization and the financing of a region's health care delivery system. Our second thesis is that the quasicompetitive, quasiregulatory authority inherent in the Telecommunications Act of 1996, somewhat similar in concept to the American Hospital Association's earlier Ameriplan (1970), might serve as an appropriate model for Congress to use in designing future managed care, health field, and federal/state governmental interrelationships.

  11. Method and system for conserving power in a telecommunications network during emergency situations

    Energy Technology Data Exchange (ETDEWEB)

    Conrad, Stephen H [Algodones, NM; O' Reilly, Gerard P [Manalapan, NJ

    2011-10-11

    Disclosed is a method and apparatus for conserving power in a telecommunications network during emergency situations. A permissible number list of emergency and/or priority numbers is stored in the telecommunications network. In the event of an emergency or power failure, input digits of a call to the telecommunications network are compared to the permissible number list. The call is processed in the telecommunications network and routed to its destination if the input digits match an entry in the permissible number list. The call is dropped without any further processing if the input digits do not match an entry in the permissible number list. Thus, power can be conserved in emergency situations by only allowing emergency and/or priority calls.

  12. AN ANALYSIS OF THE APPLICATION END TO END QUALITY OF SERVICE ON 3G TELECOMMUNICATION NETWORK

    Directory of Open Access Journals (Sweden)

    Cahya Lukito

    2012-05-01

    Full Text Available End to End Quality of Service is a way to provide data package service in a telecommunication network that based on Right Price, Right Service Level, and Right Quality. The goal of this research is to analyze the impact of End to End QoS use on 3G telecommunication network for voice service and data. This research uses an analysis method by doing the application on the lab. The result that is achieved in this research shows that End to End QoS is very influental to the Service Level Agreement to the users of the telecommunication service.Keywords: End to End Qos, SLA, Diffserv

  13. Telecommunications energy and greenhouse gas emissions management for future network growth

    International Nuclear Information System (INIS)

    Chan, Chien Aun; Gygax, André F.; Leckie, Christopher; Wong, Elaine; Nirmalathas, Ampalavanapillai; Hinton, Kerry

    2016-01-01

    Highlights: • Model to evaluate key interdependencies of a fast growing telecommunications network. • Network growth analysis using real data and Monte Carlo simulation. • Importance of both operational and embodied energy efficiency improvements. • Embodied energy expected to dominate in the future under current energy efficiency trends. • Carbon footprint and energy management through optimum network replacement cycle. - Abstract: A key aspect of greener network deployment is how to achieve sustainable growth of a telecommunications network, both in terms of operational and embodied energy. Hence, in this paper we investigate how the overall energy consumption and greenhouse gas emissions of a fast growing telecommunications network can be minimized. Due to the complexities in modeling the embodied energy of networks, this aspect of energy consumption has received limited attention by network operators. Here, we present the first model to evaluate the interdependencies of the four main contributing factors in managing the sustainable growth of a telecommunications network: (i) the network’s operational energy consumption; (ii) the embodied energy of network equipment; (iii) network traffic growth; and (iv) the expected energy efficiency improvements in both the operational and embodied phases. Using Monte Carlo techniques with real network data, our results demonstrate that under the current trends in overall energy efficiency improvements the network embodied energy will account for over 40% of the total network energy in 2025 compared to 20% in 2015. Further, we find that the optimum equipment replacement cycle, which will result in the lowest total network life cycle energy, is directly dependent on the technological progress in energy efficiency improvements of both operational and embodied phases. Our model and analysis highlight the need for a comprehensive approach to better understand the interactions between network growth, technological

  14. State criminal justice telecommunications (STACOM). Volume 4: Network design software user's guide

    Science.gov (United States)

    Lee, J. J.

    1977-01-01

    A user's guide to the network design program is presented. The program is written in FORTRAN V and implemented on a UNIVAC 1108 computer under the EXEC-8 operating system which enables the user to construct least-cost network topologies for criminal justice digital telecommunications networks. A complete description of program features, inputs, processing logic, and outputs is presented, and a sample run and a program listing are included.

  15. Tariff-Mediated Network Effects versus Strategic Discounting: Evidence from German Mobile Telecommunications

    OpenAIRE

    Zucchini, Leon; Claussen, Jörg; Trüg, Moritz

    2013-01-01

    Mobile telecommunication operators routinely charge subscribers lower prices for calls on their own network than for calls to other networks (on-net discounts). Studies on tariff-mediated network effects suggest this is due to large operators using on-net discounts to damage smaller rivals. Alternatively, research on strategic discounting suggests small operators use on-net discounts to advertise with low on-net prices. We test the relative strength of these effects using data on tariff setti...

  16. Application of neural networks to software quality modeling of a very large telecommunications system.

    Science.gov (United States)

    Khoshgoftaar, T M; Allen, E B; Hudepohl, J P; Aud, S J

    1997-01-01

    Society relies on telecommunications to such an extent that telecommunications software must have high reliability. Enhanced measurement for early risk assessment of latent defects (EMERALD) is a joint project of Nortel and Bell Canada for improving the reliability of telecommunications software products. This paper reports a case study of neural-network modeling techniques developed for the EMERALD system. The resulting neural network is currently in the prototype testing phase at Nortel. Neural-network models can be used to identify fault-prone modules for extra attention early in development, and thus reduce the risk of operational problems with those modules. We modeled a subset of modules representing over seven million lines of code from a very large telecommunications software system. The set consisted of those modules reused with changes from the previous release. The dependent variable was membership in the class of fault-prone modules. The independent variables were principal components of nine measures of software design attributes. We compared the neural-network model with a nonparametric discriminant model and found the neural-network model had better predictive accuracy.

  17. Security management of next generation telecommunications networks and services

    CERN Document Server

    Jacobs, Stuart

    2014-01-01

    This book will cover network management security issues and currently available security mechanisms by discussing how network architectures have evolved into the contemporary NGNs which support converged services (voice, video, TV, interactive information exchange, and classic data communications). It will also analyze existing security standards and their applicability to securing network management. This book will review 21st century security concepts of authentication, authorization, confidentiality, integrity, nonrepudiation, vulnerabilities, threats, risks, and effective approaches to enc

  18. How an existing telecommunications network can support the deployment of smart meters in a water utility?

    Directory of Open Access Journals (Sweden)

    Samuel de Barros Moraes

    2015-12-01

    Full Text Available This case study, based on interviews and technical analysis of a Brazilian water utility with more than 10 million clients, aims to understand what kind of adjusts on a telecommunications network, developed for operational and corporate use, demands to support a smart metering system, identifying this synergies and challenges.

  19. The impact of capacity growth in national telecommunications networks.

    Science.gov (United States)

    Lord, Andrew; Soppera, Andrea; Jacquet, Arnaud

    2016-03-06

    This paper discusses both UK-based and global Internet data bandwidth growth, beginning with historical data for the BT network. We examine the time variations in consumer behaviour and how this is statistically aggregated into larger traffic loads on national core fibre communications networks. The random nature of consumer Internet behaviour, where very few consumers require maximum bandwidth simultaneously, provides the opportunity for a significant statistical gain. The paper looks at predictions for how this growth might continue over the next 10-20 years, giving estimates for the amount of bandwidth that networks should support in the future. The paper then explains how national networks are designed to accommodate these traffic levels, and the various network roles, including access, metro and core, are described. The physical layer network is put into the context of how the packet and service layers are designed and the applications and location of content are also included in an overall network overview. The specific role of content servers in alleviating core network traffic loads is highlighted. The status of the relevant transmission technologies in the access, metro and core is given, showing that these technologies, with adequate research, should be sufficient to provide bandwidth for consumers in the next 10-20 years. © 2016 The Author(s).

  20. Reference model of future ubiquitous convergent network and context-aware telecommunication service platform

    Institute of Scientific and Technical Information of China (English)

    QIAO Xiu-quan; LI Xiao-feng; LIANG Shou-qing

    2006-01-01

    A reference model for future ubiquitous convergent network is analyzed. To provide user-centric, intelligent,personalized service, this article presents a context-aware telecommunication service platform (CaTSP) to adapt to dynamically changing context. This article focuses on the new design method of context-aware telecommunication service platform and its architecture. Through the use of model-driven architecture (MDA) and semantic web technologies, CaTSP can enable context reasoning and service personalization adaption.This article explores a new approach for service intelligence,personalization, and adaptability in the semantic web service computing era.

  1. Open Source Telecommunication Companies

    Directory of Open Access Journals (Sweden)

    Peter Liu

    2007-08-01

    Full Text Available Little is known about companies whose core business is selling telecommunications products that lever open source projects. Open source telecommunications (OST companies operate in markets that are very different from typical software product markets. The telecommunications market is regulated, vertically integrated, and proprietary designs and special chips are widely used. For a telecommunications product to be useful, it must interact with both access network products and core network products. Due to specifications in Service Agreements Levels, penalties for failures of telecommunications products are very high. This article shares information that is not widely known, including a list of OST companies and the open source projects on which they depend, the size and diversity of venture capital investment in OST companies, the nature of the commercial product-open source software and company-project relationships, ways in which OST companies make money, benefits and risks of OST companies, and competition between OST companies. Analysis of this information provides insights into the ways in which companies can build business models around open source software. These findings will be of interest to entrepreneurs, top management teams of incumbent companies that sell telecommunications products, and those who care about Ontario's ability to compete globally.

  2. The Value Estimation of an HFGW Frequency Time Standard for Telecommunications Network Optimization

    Science.gov (United States)

    Harper, Colby; Stephenson, Gary

    2007-01-01

    The emerging technology of gravitational wave control is used to augment a communication system using a development roadmap suggested in Stephenson (2003) for applications emphasized in Baker (2005). In the present paper consideration is given to the value of a High Frequency Gravitational Wave (HFGW) channel purely as providing a method of frequency and time reference distribution for use within conventional Radio Frequency (RF) telecommunications networks. Specifically, the native value of conventional telecommunications networks may be optimized by using an unperturbed frequency time standard (FTS) to (1) improve terminal navigation and Doppler estimation performance via improved time difference of arrival (TDOA) from a universal time reference, and (2) improve acquisition speed, coding efficiency, and dynamic bandwidth efficiency through the use of a universal frequency reference. A model utilizing a discounted cash flow technique provides an estimation of the additional value using HFGW FTS technology could bring to a mixed technology HFGW/RF network. By applying a simple net present value analysis with supporting reference valuations to such a network, it is demonstrated that an HFGW FTS could create a sizable improvement within an otherwise conventional RF telecommunications network. Our conservative model establishes a low-side value estimate of approximately 50B USD Net Present Value for an HFGW FTS service, with reasonable potential high-side values to significant multiples of this low-side value floor.

  3. Worldwide Intelligent Systems: Approaches to Telecommunications and Network Management. Frontiers in Artificial Intelligence and Applications, Volume 24.

    Science.gov (United States)

    Liebowitz, Jay, Ed.; Prerau, David S., Ed.

    This is an international collection of 12 papers addressing artificial intelligence (AI) and knowledge technology applications in telecommunications and network management. It covers the latest and emerging AI technologies as applied to the telecommunications field. The papers are: "The Potential for Knowledge Technology in…

  4. AN INSTITUTIONAL AND NETWORK PERSPECTIVE OF ORGANISATIONAL LEGITIMACY: EMPIRICAL EVIDENCE FROM CHINA′S TELECOMMUNICATIONS MARKET

    Directory of Open Access Journals (Sweden)

    Brian Low

    2010-07-01

    Full Text Available This perspective paper combines institutional and industrial network theory to develop a framework for analysing organisational legitimacy. The main subject, Nokia China, is found to be sensitive to network-legitimating initiatives, with consequences that accommodate multiple, conflicting stakeholders′ interests in China′s politically sensitive and protective telecommunications market. This paper offers new insights into institutional isomorphism that is manifested empirically as incremental conformity to regulative processes, institutional norms and cognitive knowledge and meanings within the environment, thereby extending commonly held views of institutional theory to include organisational legitimacy in industrial networks.

  5. MODEL OF FUNCTIONING OF TELECOMMUNICATION EQUIPMENT FOR SOFTWARE-CONFIGURATED NETWORKS

    Directory of Open Access Journals (Sweden)

    Konstantin E. Samouylov

    2018-03-01

    Full Text Available A mathematical model of the functioning of the switch of a software defined networks is constructed in the form of a queuing network consisting of two queuing systems: the first simulates an input data buffer and a device for reading information from the header of the packet; the second is a table for addressing the switch of a software defined networks. The receipt of data in software defined networks has a probabilistic character in their deterministic processing in communication channels and switching nodes. Therefore, this mathematical model of the functioning of the switch of a software defined networks was built on the basis of queuing systems and networks. The stream of requests flowing into the network was divided into two Poisson streams of various types of applications, the first of which corresponded to the packets that came to the control port of the switch (from the controller, and the second flow to the remaining packets arriving on the switch. The flow corresponding to the packets arriving at the switch from the controller has a relative priority over the flow from the remaining arriving packets As a result, formulas were obtained for calculating the performance indicators of this telecommunications equipment such as average waiting queues for priority and non-priority applications, the probability of loss of applications for each phase of the switch. Based on the received quality of service indicators for this telecommunications equipment, it is possible to assess the stability of switches in software defined networks for various information impacts.

  6. Mathematical programs with complementarity constraints in traffic and telecommunications networks.

    Science.gov (United States)

    Ralph, Daniel

    2008-06-13

    Given a suitably parametrized family of equilibrium models and a higher level criterion by which to measure an equilibrium state, mathematical programs with equilibrium constraints (MPECs) provide a framework for improving or optimizing the equilibrium state. An example is toll design in traffic networks, which attempts to reduce total travel time by choosing which arcs to toll and what toll levels to impose. Here, a Wardrop equilibrium describes the traffic response to each toll design. Communication networks also have a deep literature on equilibrium flows that suggest some MPECs. We focus on mathematical programs with complementarity constraints (MPCCs), a subclass of MPECs for which the lower level equilibrium system can be formulated as a complementarity problem and therefore, importantly, as a nonlinear program (NLP). Although MPECs and MPCCs are typically non-convex, which is a consequence of the upper level objective clashing with the users' objectives in the lower level equilibrium program, the last decade of research has paved the way for finding local solutions of MPCCs via standard NLP techniques.

  7. Telemedicine: a guide to assessing telecommunications in health care

    National Research Council Canada - National Science Library

    Field, Marilyn J

    .... Field, Editor Division of Health Care Services INSTITUTE OF MEDICINE NATIONAL ACADEMY PRESS Washington, D.C. 1996 Copyrightthe cannot be not from book, paper however, version for formatting, original authoritative the typesetting-specific the as from created publication files XML from other this and of recomposed styles, version heading print...

  8. Using of alternative sources of the electric power on telecommunication network of Uzbekistan

    International Nuclear Information System (INIS)

    Abdullaev, D.A.; Isaev, R.I.; Makhkamdzhanov, V.M.; Mansurov, M.S.

    1997-01-01

    The article presents the talk on the using of alternative sources of the electric power on telecommunication network of Uzbekistan given at the International Workshop on applied solar energy held in Tashkent (Uzbekistan) in June 1997. As an alternative source the combined solar-wind power plant on the basis of solar cells battery and wind-generator is proposed. The efficiency of proposed system is considered. (A.A.D.)

  9. Customer satisfaction of mobile telecommunication networks in Ghana: service delivery perspective

    OpenAIRE

    A.R. ABDUL-AZIZ; Bashiru I.I. SAEED; Ayogyam ALEXANDER

    2014-01-01

    Organizations, both private and public, in today’s dynamic marketplaces are increasingly leaving antiquated marketing philosophies and strategies to the adoption of more customer driven initiatives that seek to understand, attract, retain and build intimate long term relationship with profitable customers. This article analyzed customer satisfaction with the service delivery of mobile telecommunication networks in Ghana using a binary logistic regression model. Primary data was collected thro...

  10. Detection of information security violations with the aid of information and telecommunication networks monitoring

    International Nuclear Information System (INIS)

    Kovalev, D.O.

    2011-01-01

    Author has studied the methods and algorithms used in the monitoring of information security (IS), the distribution law of the number of IS messages, has developed a method and an algorithm for detecting IS violations in the message flow, a technique for generating the consolidated evaluation of results of monitoring the data and telecommunications network information security. Practical recommendations for improving the IS monitoring have been elaborated [ru

  11. Frequency and time transfer for metrology and beyond using telecommunication network fibres

    OpenAIRE

    Lopez, Olivier; Kéfélian, Fabien; Jiang, Haifeng; Haboucha, Adil; Bercy, Anthony; Stefani, Fabio; Chanteau, Bruno; Kanj, Amale; Rovera, Daniele; Achkar, Joseph; Chardonnet, Christian; Pottie, Paul-Eric; Amy-Klein, Anne; Santarelli, Giorgio

    2015-01-01

    The distribution and the comparison of an ultra-stable optical frequency and accurate time using optical fibres have been greatly improved in the last ten years. The frequency stability and accuracy of optical links surpass well-established methods using the global navigation satellite system and geostationary satellites. In this paper, we present a review of the methods and the results obtained. We show that public telecommunication network carrying Internet data can be used to compare and d...

  12. Telecommunications: Avoiding the Black Hole.

    Science.gov (United States)

    Riel, Margaret

    1993-01-01

    Careful planning is required for teachers to take full advantage of the cross-cultural learning opportunities afforded by electronic networks and telecommunications. Networking with more than one classroom and using a well-defined group project integral to other classroom activities are recommended. (EA)

  13. Teaching strategies applied to teaching computer networks in Engineering in Telecommunications and Electronics

    Directory of Open Access Journals (Sweden)

    Elio Manuel Castañeda-González

    2016-07-01

    Full Text Available Because of the large impact that today computer networks, their study in related fields such as Telecommunications Engineering and Electronics is presented to the student with great appeal. However, by digging in content, lacking a strong practical component, you can make this interest decreases considerably. This paper proposes the use of teaching strategies and analogies, media and interactive applications that enhance the teaching of discipline networks and encourage their study. It is part of an analysis of how the teaching of the discipline process is performed and then a description of each of these strategies is done with their respective contribution to student learning.

  14. Protection using telecommunications

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    Deregulation in both the telecommunication and electric power industry, together with new telecommunication network technologies and advances in numerical protection, has resulted in the need to reconsider traditional methods of delivering tele-protection schemes and their associated bearer services. Fibre-optic technology is commonly deployed in new telecommunication networks for inter-station communication and utility-owned and public telecommunication networks from third parties are available for protection purposes. (author)

  15. Optimization of the telecommunication network of a gas utility; Optimisation d'un reseau de telecommunications d'un operateur gazier

    Energy Technology Data Exchange (ETDEWEB)

    Vinas, Ch.; Abadie, J. [GSO, Gaz Sud-Ouest, 64 - Pau (France)

    2001-07-01

    The information system of Gaz du Sud-Ouest (GSO) utility, which includes the real time systems for the exploitation of the gas transport and distribution system and its management, is based on heterogenous and separated telecommunication infrastructures. A project has been started which aims at optimizing the architecture of this communication network taking into consideration the technical aspects but also the security and costs constraints. (J.S.)

  16. [Health care networks].

    Science.gov (United States)

    Mendes, Eugênio Vilaça

    2010-08-01

    The demographic and epidemiologic transition resulting from aging and the increase of life expectation means an increment related to chronic conditions. The healthcare systems contemporary crisis is characterized by the organization of the focus on fragmented systems turned to the acute conditions care, in spite of the chronic conditions prevalence, and by the hierarchical structure without communication flow among the different health care levels. Brazil health care situation profile is now presenting a triple burden of diseases, due to the concomitant presence of infectious diseases, external causes and chronic diseases. The solution is to restore the consistence between the triple burden of diseases on the health situation and the current system of healthcare practice, with the implantation of health care networks. The conclusion is that there are evidences in the international literature on health care networks that these networks may improve the clinical quality, the sanitation results and the user's satisfaction and the reduction of healthcare systems costs.

  17. The Telecommunications Review

    Science.gov (United States)

    1991-01-01

    TELECOMMUNICATION NETWORKS ARE BECOMING INCREASINGLY COMPLEX. THEY MUST MEET THE NEEDS OF SOPHISTICATED USERS WHO DEMAND A HIGH-LEVEL OF FUNCTIONALITY, HIGH PERFORMANCE, AND LOW COST. : TELECOMMUNICATIONS TECHNOLOGY IS CHANGING RAPIDLY TO MEET THA...

  18. Collocational Networks Supporting Strategic Planning of Brand Communication: Analysis of Quarterly Reports of Telecommunication Companies

    Directory of Open Access Journals (Sweden)

    Pentti Järvi

    2004-10-01

    Full Text Available This study addresses analysing quarterly reports from a brandtheoretical viewpoint. The study addresses the issue through a method which introduces both a quantitative tool based on linguistic theory and qualitative decisions of the researchers. The research objects of this study are two quarterly reports each of three telecommunications companies: Ericsson, Motorola and Nokia. The method used is a collocational network. The analyses show that there are differences in communication and message strategies among investigated companies and also changes during a quite short period in each company

  19. Comparison and classification of all-optical CDMA systems for future telecommunication networks

    Science.gov (United States)

    Iversen, Kay; Hampicke, Dirk

    1995-12-01

    This paper shows the state of the art in fiber optical code-division multiple-access (CDMA). Recent work in this area for both, systems and sequences is reviewed and analyzed. For that purpose a classification of systems, corresponding to the manner of signal processing and a classification of known (0,1)-sequences are presented. It is shown that due to the limits by currently available device technology especially two techniques are promising for implementation in broadband telecommunication networks: spectral encoding with integrated optical filters and CDMA in combination with wavelength multiple access schemes. Further an overview about some important experiments in this field is given.

  20. Framework for Development of Advanced Telecommunication Services in Current and Future Converged Networks

    DEFF Research Database (Denmark)

    Soler-Lucas, José

    2006-01-01

    switched based systems towards packet based ones. Service deployment in a specific hybrid PSTN/IN/VoIP architecture is presented as well as a description of the enabling technologies. Discussion on service implementation examples is provided. The convenience of network neutral service invocation......This thesis presents different experiences related to architectures and mechanisms for deployment of telephony services, understood as especial features complementing the basic voice service. The context for these experiences is the transition of telecommunication (telephony) networks from circuit...... is introduced and how this has been achieved, by means of Web Services-based mechanisms. A single-request / single response protocol for invocation of a specific set of services is presented and a decoupling mechanism between signalling network protocols and service logic invocation demonstrated. Services, have...

  1. Cascaded multiplexed optical link on a telecommunication network for frequency dissemination.

    Science.gov (United States)

    Lopez, Olivier; Haboucha, Adil; Kéfélian, Fabien; Jiang, Haifeng; Chanteau, Bruno; Roncin, Vincent; Chardonnet, Christian; Amy-Klein, Anne; Santarelli, Giorgio

    2010-08-02

    We demonstrate a cascaded optical link for ultrastable frequency dissemination comprised of two compensated links of 150 km and a repeater station. Each link includes 114 km of Internet fiber simultaneously carrying data traffic through a dense wavelength division multiplexing technology, and passes through two routing centers of the telecommunication network. The optical reference signal is inserted in and extracted from the communication network using bidirectional optical add-drop multiplexers. The repeater station operates autonomously ensuring noise compensation on the two links and the ultra-stable signal optical regeneration. The compensated link shows a fractional frequency instability of 3 x 10(-15) at one second measurement time and 5 x 10(-20) at 20 hours. This work paves the way to a wide dissemination of ultra-stable optical clock signals between distant laboratories via the Internet network.

  2. Open Source Telecommunication Companies

    OpenAIRE

    Peter Liu

    2007-01-01

    Little is known about companies whose core business is selling telecommunications products that lever open source projects. Open source telecommunications (OST) companies operate in markets that are very different from typical software product markets. The telecommunications market is regulated, vertically integrated, and proprietary designs and special chips are widely used. For a telecommunications product to be useful, it must interact with both access network products and core network pro...

  3. Network Performance and Coordination in the Health, Education, Telecommunications System. Satellite Technology Demonstration, Technical Report No. 0422.

    Science.gov (United States)

    Braunstein, Jean; Janky, James M.

    This paper describes the network coordination for the Health, Education, Telecommunications (HET) system. Specifically, it discusses HET network performance as a function of a specially-developed coordination system which was designed to link terrestrial equipment to satellite operations centers. Because all procedures and equipment developed for…

  4. Telecommunications Network Measurements of Online Gambling Behavior in Switzerland: A Feasibility Study.

    Science.gov (United States)

    Bitar, Raoul; Nordt, Carlos; Grosshans, Martin; Herdener, Marcus; Seifritz, Erich; Mutschler, Jochen

    2017-01-01

    Methodological shortcomings of gambling studies relying on self-report or on data sets derived from gambling operators tend to result in biased conclusions. The aim of this study was to analyze online gambling behavior using a novel network database approach. From October 13 to October 26, 2014, telecommunications network data from a major telecommunications provider in Switzerland were analyzed. Netflows between mobile devices and a poker operator were quantified to measure the gambling duration and session number. Time spent gambling during night and working hours was compared between devices with longest (red group), intermediate (orange group), and shortest gambling time (green group). Online gambling behavior differed depending on overall gambling time, F (2, 3,143). Night and working hours gambling was the highest in the red group (53%), compared to the orange (50.1%) and the green groups (41.5%). Post hoc analyses indicated significant differences between the orange and green groups (p social media use, and online pornography. © 2017 S. Karger AG, Basel.

  5. An integrated service digital network (ISDN)-based international telecommunication between Samsung Medical Center and Hokkaido University using telecommunication helped radiotherapy planning and information system (THERAPIS).

    Science.gov (United States)

    Huh, S J; Shirato, H; Hashimoto, S; Shimizu, S; Kim, D Y; Ahn, Y C; Choi, D; Miyasaka, K; Mizuno, J

    2000-07-01

    This study introduces the integrated service digital network (ISDN)-based international teleradiotherapy system (THERAPIS) in radiation oncology between hospitals in Seoul, South Korea and in Sapporo, Japan. THERAPIS has the following functions: (1) exchange of patient's image data, (2) real-time teleconference, and (3) communication of the treatment planning, dose calculation and distribution, and of portal verification images between the remote hospitals. Our preliminary results of applications on eight patients demonstrated that the international telecommunication using THERAPIS was clinically useful and satisfactory with sufficient bandwidth for the transfer of patient data for clinical use in radiation oncology.

  6. An integrated service digital network (ISDN)-based international telecommunication between Samsung Medical Center and Hokkaido University using telecommunication helped radiotherapy planning and information system (THERAPIS)

    International Nuclear Information System (INIS)

    Huh, S.J.; Kim, D.Y.; Ahn, Y.C.; Choi, D.; Shirato, H.; Hashimoto, S.; Shimizu, S.; Miyasaka, K.; Mizuno, J.

    2000-01-01

    This study introduces the integrated service digital network (ISDN)-based international teleradiotherapy system (THERAPIS) in radiation oncology between hospitals in Seoul, South Korea and in Sapporo, Japan. THERAPIS has the following functions: (1) exchange of patient's image data, (2) real-time teleconference, and (3) communication of the treatment planning, dose calculation and distribution, and of portal verification images between the remote hospitals. Our preliminary results of applications on eight patients demonstrated that the international telecommunication using THERAPIS was clinically useful and satisfactory with sufficient bandwidth for the transfer of patient data for clinical use in radiation oncology. (author)

  7. Paradoxes in networks with zero emission links: implications for telecommunications versus transportation

    Energy Technology Data Exchange (ETDEWEB)

    Nagurney, A. [University of Massachusetts, Amherst, MA (United States). Isenberg School of Management; June Dong [State University of New York, Oswego, NY (United States). School of Business

    2001-07-01

    In this paper, we consider networks in which a link is characterized by zero emissions as is typical of networks in which certain links correspond to telecommunication links. We identify three new and distinct paradoxical phenomena that can occur in such networks, which demonstrate that so-called improvements to the network may result in increases in total emissions generated. In particular, we illustrate, through specific examples, the following: (1) the addition of a link with zero emissions may result in an increase in total emissions with no change in travel demand; (2) the total emissions on a network with a zero emission link may increase with a decrease in travel demand; and (3) the addition of a path connecting an origin/destination (O/D) pair and consisting solely of a zero emission link may result in an increase in total emissions. We then propose an emission pricing policy which guarantees that such paradoxes do not occur. The pricing policy is shown to be equivalent to a particular weighting mechanism associated with the criterion of emission generation provided that the users are now multicriteria decision-makers who seek to minimize both the cost of their route choices as well as the emissions that they generate. (author)

  8. The association between socioeconomic status and exposure to mobile telecommunication networks in children and adolescents.

    Science.gov (United States)

    Thomas, Silke; Heinrich, Sabine; Kühnlein, Anja; Radon, Katja

    2010-01-01

    A potential association between socioeconomic status (SES) and self-reported use of mobile phones has been investigated in a few studies. If measured exposure to mobile phone networks differs by SES in children, it has not yet been studied. Interview data of 1,481 children and 1,505 adolescents on participants' mobile phone use, socio-demographic characteristics and potential confounders were taken from the German MobilEe-study. Sociodemographic data was used to stratify participants into three "status groups" (low, middle, high). Using a personal dosimeter, we obtained an exposure profile over 24 h for each of the participants. Exposure levels during waking hours were expressed as mean percentage of the reference level. Children with a low SES were more likely to own a mobile phone (OR 2.1; 95% CI: 1.1-3.9) and also reported to use their mobile phone longer per day (OR 2.4; 95% CI: 1.1-5.4) than children with a high SES. For adolescents, self-reported duration of mobile phone use per day was also higher with a low SES (OR: 3.4; 95% CI: 1.4-8.4) compared with a high SES. No association between SES and measured exposure to mobile telecommunication networks was seen for children or adolescents. Mobile phone use may differ between status groups with higher use among disadvantaged groups. However, this does not result in higher overall exposure to mobile telecommunication networks. Whether short duration of own mobile phone use or the small numbers of participants with a low SES are causal, have to be investigated in further studies. (c) 2009 Wiley-Liss, Inc.

  9. Application of the ETOM framework for defining processes in the telecommunication systems management network of the Serbian Army

    Directory of Open Access Journals (Sweden)

    Vladimir B. Suša

    2013-10-01

    Full Text Available This paper deals with management system requirements in telecommunications. A TMN (Telecommunication Management Network is necessary to be well designed and constantly upgraded. The  ETOM (Enhanced Telecommunication Operation Map framework, defined by the ITU-T Recommendation M.3050, is used to describe various processes that occur in the network for monitoring and control of military telecommunications systems. Their definition is an essential precondition for introducing management applications that would manage all of the processes in their end-to-end structure. Telecommunication networks are categorized in  accordance withg their functions. A set of relevant network processes important for supervision and management is explained for each described subsystem. This defining represents a prerequisite for the management application configuration which aims to automate management functions and services. eTOM frame and its implementation in telecommunication management networks ETOM is defined as a telecommunication conceptual frame which includes all the processes that exist in a telecommunication network. It does not represent a telecommunication model, but gives a basic frame for all the processes to be included within. It ranges throughout three basic areas: operation processes, planning and development processes and production management. ETOM supports two different process grouping perspectives: horizontal and vertical. The aim of this kind of grouping is to provide the complete overview in all the processes a telecommunication management network should include. Horizontal grouping includes functional processes within the same managed system. Vertical grouping includes all the processes within a TMN. Overlapped horizontal and vertical group constellations enable a connected matrix structure of the eTOM frame. Operational processes within a TMN can be divided into a few categories: user-network interaction, services management and

  10. The universal service in the future of network-type industries: telecommunications, electricity, postal services

    International Nuclear Information System (INIS)

    Bremond, Celine Clelia

    2003-01-01

    The notion of universal service emerged in the European regulation of the telecommunications sector, and can be applied to all network-type industries. Public monopolies have been put into question again. The introduction of deregulation and competitiveness were expected to improve the service provided to the end consumer, but this deregulation has been also put into question again for matters of universality and equity. Then the issue of financing of these services emerges. The aim of this research thesis is therefore to identify which funding modes can be optimal, and to identify a general methodology for all network-type industries. In the first part of this research thesis, the author studies the cost of universal service obligations. She explains the general methodology of calculation of this cost, and reports this calculation while taking indirect benefits of the operator into account. In a second part, she studies the modalities of financing thus calculated cost by describing the different possible modalities, their benefits and drawbacks, and by presenting a comparison between these methodologies according to three criteria: those set by the European Commission, welfare, and applicability. For these different topics, the author takes all experiments and recent developments into account. These experiments and developments are noticed in different countries: USA, Australia, UK, Sweden, Netherlands, Germany, Belgium, Italy, France

  11. An infrastructure for telecommunications power in a new era in public networking

    Energy Technology Data Exchange (ETDEWEB)

    Osifchin, N. [International Power Strategies (United States)

    2000-07-01

    A new era in networking is on the horizon as we enter the 21{sup st} century. It is based on a seamless circuit and packet public network (PN) with the potential to transport and process voice, video, data and Internet traffic at higher speeds and lower costs than today's PSTN. Worldwide divestitures and subsequent deregulation and the dramatic growth of the Internet have given rise to a growing number of competitive carriers and service providers. This has accelerated the deployment of packet networks and inspired government mandates that let competitors co-locate their equipment in incumbents COs and POPs. Customer's perceived the cost of co-location in incumbent's space to be expensive and restricting. This gave rise to a new industry that rents equipment space in buildings refurbished to replicate CO environments termed carrier hotels or telehousing. These events have impacted network power in two ways. It increased the demand for higher capacity CO power plants to support growth in Internet, DSLs and second lines and energized the debate over AC verses DC as the preferred power for telecommunications. Quality of service, which is a looming issue as the PSTN transitions to the PN, can be translated to mean dependable and reliable non-stop power. The trend to outsourcing equipment space needs presents ILECs a timely opportunity to consolidate their huge inventories of COs and POPs into business units that would lease equipment space to incumbents and competitors and convert a cost center into a profit center. (orig.)

  12. Earth-Mars Telecommunications and Information Management System (TIMS): Antenna Visibility Determination, Network Simulation, and Management Models

    Science.gov (United States)

    Odubiyi, Jide; Kocur, David; Pino, Nino; Chu, Don

    1996-01-01

    This report presents the results of our research on Earth-Mars Telecommunications and Information Management System (TIMS) network modeling and unattended network operations. The primary focus of our research is to investigate the feasibility of the TIMS architecture, which links the Earth-based Mars Operations Control Center, Science Data Processing Facility, Mars Network Management Center, and the Deep Space Network of antennae to the relay satellites and other communication network elements based in the Mars region. The investigation was enhanced by developing Build 3 of the TIMS network modeling and simulation model. The results of several 'what-if' scenarios are reported along with reports on upgraded antenna visibility determination software and unattended network management prototype.

  13. Secure real-time wireless video streaming in the aeronautical telecommunications network

    Science.gov (United States)

    Czernik, Pawel; Olszyna, Jakub

    2010-09-01

    As Air Traffic Control Systems move from a voice only environment to one in which clearances are issued via data link, there is a risk that an unauthorized entity may attempt to masquerade as either the pilot or controller. In order to protect against this and related attacks, air-ground communications must be secured. The challenge is to add security in an environment in which bandwidth is limited. The Aeronautical Telecommunications Network (ATN) is an enabling digital network communications technology that addresses capacity and efficiency issues associated with current aeronautical voice communication systems. Equally important, the ATN facilitates migration to free flight, where direct computer-to-computer communication will automate air traffic management, minimize controller and pilot workload, and improve overall aircraft routing efficiency. Protecting ATN communications is critical since safety-of-flight is seriously affected if an unauthorized entity, a hacker for example, is able to penetrate an otherwise reliable communications system and accidentally or maliciously introduce erroneous information that jeopardizes the overall safety and integrity of a given airspace. However, an ATN security implementation must address the challenges associated with aircraft mobility, limited bandwidth communication channels, and uninterrupted operation across organizational and geopolitical boundaries. This paper provides a brief overview of the ATN, the ATN security concept, and begins a basic introduction to the relevant security concepts of security threats, security services and security mechanisms. Security mechanisms are further examined by presenting the fundamental building blocks of symmetric encipherment, asymmetric encipherment, and hash functions. The second part of this paper presents the project of cryptographiclly secure wireless communication between Unmanned Aerial Vehicles (UAV) and the ground station in the ATM system, based on the ARM9 processor

  14. 32 CFR 2001.50 - Telecommunications automated information systems and network security.

    Science.gov (United States)

    2010-07-01

    ... NATIONAL SECURITY INFORMATION Safeguarding § 2001.50 Telecommunications automated information systems and... identified in the Committee on National Security Systems (CNSS) issuances and the Intelligence Community Directive (ICD) 503, Intelligence Community Information Technology Systems Security Risk Management...

  15. Using heuristic algorithms for capacity leasing and task allocation issues in telecommunication networks under fuzzy quality of service constraints

    Science.gov (United States)

    Huseyin Turan, Hasan; Kasap, Nihat; Savran, Huseyin

    2014-03-01

    Nowadays, every firm uses telecommunication networks in different amounts and ways in order to complete their daily operations. In this article, we investigate an optimisation problem that a firm faces when acquiring network capacity from a market in which there exist several network providers offering different pricing and quality of service (QoS) schemes. The QoS level guaranteed by network providers and the minimum quality level of service, which is needed for accomplishing the operations are denoted as fuzzy numbers in order to handle the non-deterministic nature of the telecommunication network environment. Interestingly, the mathematical formulation of the aforementioned problem leads to the special case of a well-known two-dimensional bin packing problem, which is famous for its computational complexity. We propose two different heuristic solution procedures that have the capability of solving the resulting nonlinear mixed integer programming model with fuzzy constraints. In conclusion, the efficiency of each algorithm is tested in several test instances to demonstrate the applicability of the methodology.

  16. Methodologies for assessing the use-phase power consumption and greenhouse gas emissions of telecommunications network services.

    Science.gov (United States)

    Chan, Chien A; Gygax, André F; Wong, Elaine; Leckie, Christopher A; Nirmalathas, Ampalavanapillai; Kilper, Daniel C

    2013-01-02

    Internet traffic has grown rapidly in recent years and is expected to continue to expand significantly over the next decade. Consequently, the resulting greenhouse gas (GHG) emissions of telecommunications service-supporting infrastructures have become an important issue. In this study, we develop a set of models for assessing the use-phase power consumption and carbon dioxide emissions of telecom network services to help telecom providers gain a better understanding of the GHG emissions associated with the energy required for their networks and services. Due to the fact that measuring the power consumption and traffic in a telecom network is a challenging task, these models utilize different granularities of available network information. As the granularity of the network measurement information decreases, the corresponding models have the potential to produce larger estimation errors. Therefore, we examine the accuracy of these models under various network scenarios using two approaches: (i) a sensitivity analysis through simulations and (ii) a case study of a deployed network. Both approaches show that the accuracy of the models depends on the network size, the total amount of network service traffic (i.e., for the service under assessment), and the number of network nodes used to process the service.

  17. Telecommunication Platforms for Transmitting Sensor Data over Communication Networks-State of the Art and Challenges.

    Science.gov (United States)

    Staniec, Kamil; Habrych, Marcin

    2016-07-19

    The importance of constructing wide-area sensor networks for holistic environmental state evaluation has been demonstrated. A general structure of such a network has been presented with distinction of three segments: local (based on ZigBee, Ethernet and ModBus techniques), core (base on cellular technologies) and the storage/application. The implementation of these techniques requires knowledge of their technical limitations and electromagnetic compatibility issues. The former refer to ZigBee performance degradation in multi-hop transmission, whereas the latter are associated with the common electromagnetic spectrum sharing with other existing technologies or with undesired radiated emissions generated by the radio modules of the sensor network. In many cases, it is also necessary to provide a measurement station with autonomous energy source, such as solar. As stems from measurements of the energetic efficiency of these sources, one should apply them with care and perform detailed power budget since their real performance may turn out to be far from expected. This, in turn, may negatively affect-in particular-the operation of chemical sensors implemented in the network as they often require additional heating.

  18. Connecticut's Evolving Interactive Distance Learning Network in the Cable and Telecommunications Industries.

    Science.gov (United States)

    Pietras, Jesse John

    This paper describes the state of interactive distance learning in Connecticut, particularly the current and future provision of these services by the telecommunications and cable television industries. The overview examines questions of where obligation and responsibility lie (with schools, local exchange companies, cable franchises, etc.) in…

  19. The dynamics of technological discontinuities : a patent citation network analysis of telecommunication switches

    NARCIS (Netherlands)

    Martinelli, A.

    2010-01-01

    This work focuses on the long-term structural evolution of the telecommunication switching industry, analyzing both the technology and the firm level. The first contribution of this work is in the empirical representation of technological change. Following the growing field of research about the use

  20. Remote Earth Terminals in the Health, Education, Telecommunications Network. Satellite Technology Demonstration, Technical Report No. 0423.

    Science.gov (United States)

    Braunstein, Jean; And Others

    The major purpose of the Health, Education, Telecommunications experiment was to demonstrate the feasibility of distributing video materials to a large number of low-cost earth terminals located in rural areas. The receivers are of two types: one-way video receivers for the reception of video programs, and two-way voice/data terminals which permit…

  1. Simulation studies of a wide area health care network.

    Science.gov (United States)

    McDaniel, J. G.

    1994-01-01

    There is an increasing number of efforts to install wide area health care networks. Some of these networks are being built to support several applications over a wide user base consisting primarily of medical practices, hospitals, pharmacies, medical laboratories, payors, and suppliers. Although on-line, multi-media telecommunication is desirable for some purposes such as cardiac monitoring, store-and-forward messaging is adequate for many common, high-volume applications. Laboratory test results and payment claims, for example, can be distributed using electronic messaging networks. Several network prototypes have been constructed to determine the technical problems and to assess the effectiveness of electronic messaging in wide area health care networks. Our project, Health Link, developed prototype software that was able to use the public switched telephone network to exchange messages automatically, reliably and securely. The network could be configured to accommodate the many different traffic patterns and cost constraints of its users. Discrete event simulations were performed on several network models. Canonical star and mesh networks, that were composed of nodes operating at steady state under equal loads, were modeled. Both topologies were found to support the throughput of a generic wide area health care network. The mean message delivery time of the mesh network was found to be less than that of the star network. Further simulations were conducted for a realistic large-scale health care network consisting of 1,553 doctors, 26 hospitals, four medical labs, one provincial lab and one insurer. Two network topologies were investigated: one using predominantly peer-to-peer communication, the other using client-server communication.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7949966

  2. Barium Titanate Photonic Crystal Electro-Optic Modulators for Telecommunication and Data Network Applications

    Science.gov (United States)

    Girouard, Peter D.

    The microwave, optical, and electro-optic properties of epitaxial barium titanate thin films grown on (100) MgO substrates and photonic crystal electro-optic modulators fabricated on these films were investigated to demonstrate the applicability of these devices for telecommunication and data networks. The electrical and electro-optical properties were characterized up to modulation frequencies of 50 GHz, and the optical properties of photonic crystal waveguides were determined for wavelengths spanning the optical C band between 1500 and 1580 nm. Microwave scattering parameters were measured on coplanar stripline devices with electrode gap spacings between 5 and 12 mum on barium titanate films with thicknesses between 230 and 680 nm. The microwave index and device characteristic impedance were obtained from the measurements. Larger (lower) microwave indices (impedances) were obtained for devices with narrower electrode gap spacings and on thicker films. Thinner film devices have both lower index mismatch between the co-propagating microwave and optical signals and lower impedance mismatch to a 50O system, resulting in a larger predicted electro-optical 3 dB bandwidth. This was experimentally verified with electro-optical frequency response measurements. These observations were applied to demonstrate a record high 28 GHz electro-optic bandwidth measured for a BaTiO3 conventional ridge waveguide modulator having 1mm long electrodes and 12 mum gap spacing on a 260nm thick film. The half-wave voltage and electro-optic coefficients of barium titanate modulators were measured for films having thicknesses between 260 and 500 nm. The half-wave voltage was directly measured at low frequencies using a polarizer-sample-compensator-analyzer setup by over-driving waveguide integrated modulators beyond their linear response regime. Effective in-device electro-optic coefficients were obtained from the measured half-wave voltages. The effective electro-optic coefficients were

  3. Medicine in long duration space exploration: the role of virtual reality and broad bandwidth telecommunications networks

    Science.gov (United States)

    Ross, M. D.

    2001-01-01

    Safety of astronauts during long-term space exploration is a priority for NASA. This paper describes efforts to produce Earth-based models for providing expert medical advice when unforeseen medical emergencies occur on spacecraft. These models are Virtual Collaborative Clinics that reach into remote sites using telecommunications and emerging stereo-imaging and sensor technologies. c 2001. Elsevier Science Ltd. All rights reserved.

  4. The Society for Worldwide Interbank Financial Telecommunication (SWIFT) : Cooperative governance for network innovation, standards, and community

    OpenAIRE

    Scott, Suzan V; Zachariadis, Markos

    2014-01-01

    This book traces the history and development of a mutual organization in the financial sector called SWIFT, the Society for Worldwide Interbank Financial Telecommunication. Over the last 40 years, SWIFT has served the financial services sector as proprietary communications platform, provider of products and services, standards developer, and conference organizer (Sibos). Founded to create efficiencies by replacing telegram and telex (or “wires”) for international payments, SWIF...

  5. Effect of call-clubs to institute local network effects in mobile telecommunication and its′ implications on brand loyalty

    Directory of Open Access Journals (Sweden)

    Karunarathne E. A .C. P

    2017-03-01

    Full Text Available As a result of rapid technological advancements in the mobile telecommunication industry, many firms have set their strategies to target larger customer bases since it forecasts extensive future profit generation. Due to severe competition, while employing successful customer loyalty strategies, customer locked-in strategies are also commonly used in the telecommunication industry to retain their customers within the firm. Call-clubs benefits are one of the commonly used strategies used to create local network effects in the mobile telecommunication market place. Thus, this paper targets to provide insight on the implication of subscriber’s involvement in call-clubs on their loyalty towards service providers. A survey based quantitative approach was followed for this study and the data was gathered through a structured off-line questionnaire from randomly selected mobile users in Sri Lanka. Based on collected valid responses, analysis was carried out to answer the designed research hypotheses and structural equation modelling techniques were mainly used for statistical analysis. As per the analysis, research model shows a fairly high level of explanatory power with customer loyalty and perceived call-clubs benefits which indicate customers′ preference towards the service provider when most frequently contacting parties are using the same network. Further analysis was carried out to investigate the moderating effect on call-clubs benefits and customer loyalty relationships due to two main technological advancements; namely, Internet based voice calling facility and multiple connection access facility. Based on the analysis results recommendations were made to track the value of call-clubs strategies accordingly.

  6. Fundamental limits of measurement in telecommunications: Experimental and modeling studies in a test optical network on proposal for the reform of telecommunication quantitations

    International Nuclear Information System (INIS)

    Egan, James; McMillan, Normal; Denieffe, David

    2011-01-01

    Proposals for a review of the limits of measurement for telecommunications are made. The measures are based on adapting work from the area of chemical metrology for the field of telecommunications. Currie has introduced recommendations for defining the limits of measurement in chemical metrology and has identified three key fundamental limits of measurement. These are the critical level, the detection limit and the determination limit. Measurements on an optical system are used to illustrate the utility of these measures and discussion is given into the advantages of using these fundamental quantitations over existing methods.

  7. Fundamental limits of measurement in telecommunications: Experimental and modeling studies in a test optical network on proposal for the reform of telecommunication quantitations

    Energy Technology Data Exchange (ETDEWEB)

    Egan, James; McMillan, Normal; Denieffe, David, E-mail: eganj@itcarlow.ie [IT Carlow (Ireland)

    2011-08-17

    Proposals for a review of the limits of measurement for telecommunications are made. The measures are based on adapting work from the area of chemical metrology for the field of telecommunications. Currie has introduced recommendations for defining the limits of measurement in chemical metrology and has identified three key fundamental limits of measurement. These are the critical level, the detection limit and the determination limit. Measurements on an optical system are used to illustrate the utility of these measures and discussion is given into the advantages of using these fundamental quantitations over existing methods.

  8. Systems contestability in electricity distribution networks. An analysis from the telecommunications models within the neoclassical economic paradigm

    International Nuclear Information System (INIS)

    Schweickardt, Gustavo Alejandro; Pistonesi, Hector

    2008-01-01

    The introduction of contestability conditions in the market of electricity distribution, following the dominant economic paradigm (Neoclassical or Marginalist) and solidary to the commercialization segment, it doesn't exhibit satisfactory solutions at the present time. This asseveration, of general character, have special incumbency for those countries of Latin America that, from regulatory schemes, try to define a deregulated market for certain kind of user (denominated eligible). A eligible user is characterized by to have demands equal or higher than a preset threshold value of electric power/ energy. In this work, considering the models implemented in the telecommunications networks, the problem of allocation of distribution costs, as the first step toward a contestable offer in the retail energy service, is discussed to establishing access prices in the distribution networks (non contestable markets). The analysis is focalized to definition of two market segments: one regulated and other competitive. Their methodological and instrumentation difficulties, are presented, concluding in the necessity of an alternative paradigm.

  9. Telecommunications demystified

    CERN Document Server

    Nassar, Carl R

    2001-01-01

    Carl R. Nassar, Ph.D., is professor of telecommunications at Colorado State University and director of the Research in Advanced Wireless Communications (RAWCom) laboratory there. He also consults for telecommunications firms and publishes extensively in the wireless literature.Balances a solid theoretical treatment of subjects with practical applications and examples.Covers both digital and analogue telecommunications systems, including digital modulation techniques.The CD accompanying the book includes MATLAB® tutorials that permit readers to model various telecommunications systems and an el

  10. Engaging Communities in Commodity Stock Monitoring Using Telecommunication Technology in Primary Health Care Facilities in Rural Nigeria

    Directory of Open Access Journals (Sweden)

    Ugo Okoli

    2015-10-01

    Full Text Available Background: With several efforts being made by key stakeholders to bridge the gap between beneficiaries and their having full access to free supplies, frequent stock-out, pilfering, collection of user fees for health commodities, and poor community engagement continue to plague the delivery of health services at the primary health care (PHC level in rural Nigeria. Objective: To assess the potential in the use of telecommunication technology as an effective way to engage members of the community in commodity stock monitoring, increase utilization of services, as well as promote accountability and community ownership. Methods: The pilot done in 8 PHCs from 4 locations within Nigeria utilized telecommunication technologies to exchange information on stock monitoring. A triangulated technique of data validation through cross verification from 3 subsets of respondents was used: 160 ward development committee (WDC members, 8 officers-in-charge (OICs of PHCs, and 383 beneficiaries (health facility users participated. Data collection made through a call center over a period of 3 months from July to September 2014 focused on WDC participation in inventory of commodities and type and cost of maternal, neonatal, and child health services accessed by each beneficiary. Results: Results showed that all WDCs involved in the pilot study became very active, and there was a strong cooperation between the OICs and the WDCs in monitoring commodity stock levels as the OICs participated in the monthly WDC meetings 96% of the time. A sharp decline in the collection of user fees was observed, and there was a 10% rise in overall access to free health care services by beneficiaries. Conclusion: This study reveals the effectiveness of mobile phones and indicates that telecommunication technologies can play an important role in engaging communities to monitor PHC stock levels as well as reduce the incidence of user fees collection and pilfering of commodities (PHC level in

  11. Satellite Telecommunications.

    Science.gov (United States)

    Forum, 1986

    1986-01-01

    This issue of a quarterly publication of the Council of Europe covers aspects of the history, technology, policies, and impact of telecommunications in Europe, with an emphasis on European television. The following articles are included: (1) "Man and the World of Telecommunications" (Piet Stoffelen); (2) "The European Communications…

  12. Telecommunications glossary of telecommunications terms

    CERN Document Server

    1997-01-01

    This glossary contains more than 5,000 technical terms and definitions that were standardized by the federal government for use by international and U.S. government telecommunications specialists. It includes international and national terms drawn from the International Telecommunication Union, the International Organization for Standardization, the TIA, ANSI, and others.

  13. Demand Modelling in Telecommunications

    Directory of Open Access Journals (Sweden)

    M. Chvalina

    2009-01-01

    Full Text Available This article analyses the existing possibilities for using Standard Statistical Methods and Artificial Intelligence Methods for a short-term forecast and simulation of demand in the field of telecommunications. The most widespread methods are based on Time Series Analysis. Nowadays, approaches based on Artificial Intelligence Methods, including Neural Networks, are booming. Separate approaches will be used in the study of Demand Modelling in Telecommunications, and the results of these models will be compared with actual guaranteed values. Then we will examine the quality of Neural Network models. 

  14. Telecommunication system engineering

    CERN Document Server

    Freeman, Roger L

    2004-01-01

    From the review of the Third Edition:""A must for anyone in volved in the practical aspects of the telecommunications industry.""-CHOICE* Outlines the expertise essential to the successful operation and design of every type of telecommunications networks in use today* New edition is fully revised and expanded to present authoritative coverage of the important developments that have taken place since the previous edition was published* Includes new chapters on hot topics such as cellular radio, asynchronous transfer mode, broadband technologies, and network management

  15. A Telecommunications Industry Primer: A Systems Model.

    Science.gov (United States)

    Obermier, Timothy R.; Tuttle, Ronald H.

    2003-01-01

    Describes the Telecommunications Systems Model to help technical educators and students understand the increasingly complex telecommunications infrastructure. Specifically looks at ownership and regulatory status, service providers, transport medium, network protocols, and end-user services. (JOW)

  16. IAS telecommunication infrastructure and value added network services provided by IASNET

    Science.gov (United States)

    Smirnov, Oleg L.; Marchenko, Sergei

    The topology of a packet switching network for the Soviet National Centre for Automated Data Exchange with Foreign Computer Networks and Databanks (NCADE) based on a design by the Institute for Automated Systems (IAS) is discussed. NCADE has partners all over the world: it is linked to East European countries via telephone lines while satellites are used for communication with remote partners, such as Cuba, Mongolia, and Vietnam. Moreover, there is a connection to the Austrian, British, Canadian, Finnish, French, U.S. and other western networks through which users can have access to databases on each network. At the same time, NCADE provides western customers with access to more than 70 Soviet databases. Software and hardware of IASNET use data exchange recommendations agreed with the International Standard Organization (ISO) and International Telegraph and Telephone Consultative Committee (CCITT). Technical parameters of IASNET are compatible with the majority of foreign networks such as DATAPAK, TRANSPAC, TELENET, and others. By means of IASNET, the NCADE provides connection of Soviet and foreign users to information and computer centers around the world on the basis of the CCITT X.25 and X.75 recommendations. Any information resources of IASNET and value added network services, such as computer teleconferences, E-mail, information retrieval system, intelligent support of access to databanks and databases, and others are discussed. The topology of the ACADEMNET connected to IASNET over an X.25 gateway is also discussed.

  17. Telecommunications: international opportunities for power utilities

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, A. [Teleglobe Canada, Ottawa, ON (Canada)

    1996-08-01

    International telecommunications services markets and trends were reviewed in an effort to identify business opportunities for Canadian power utilities. With increasing deregulation in the U.S. and Canada, and other countries around the globe, market opportunities are beginning to open up. In monopoly markets opportunities exist in providing dual infrastructures to upgrade both the power delivery services (frequently poor), and telecommunications. Billing, collection and customer service expertise might be other marketable commodities, perhaps packaged as part of a network provision project as a service to existing power and telecommunications service providers. In countries with directed competition markets local partnerships may be the only vehicle for entering the market. In managed competition markets opportunities were said to exist in cellular radio technology, as well as in switched telephone service, local, long distance, or international. In general, opportunities outside telecommunications-rich North America were considered to have better potential, due to rapid deregulation and higher current growth rates in telecommunications. Careful examination and research of the political and business environment prior to entering any of the potentially fertile areas was advised.

  18. Telecommunications Is Here and Now.

    Science.gov (United States)

    Clark, Chris

    1988-01-01

    Presents an overview of telecommunications and its use in the field of education. Topics discussed include conferencing, electronic messaging, distance learning, networking, database searching, and projects relating to educational telecommunications sponsored by the International Council for Computers in Education (ICCE). (LRW)

  19. 78 FR 59633 - Wireless Telecommunications Bureau Opens Docket To Seek Comment on DISH Network Corporation's...

    Science.gov (United States)

    2013-09-27

    ... 9, 2013, the DISH Network Corporation, on behalf of its wholly-owned subsidiaries, Gamma Acquisition... held by its wholly-owned subsidiaries, Gamma Acquisition LLC (Call Signs T060430001-T060430176) and New... Commission's Secretary must be delivered to FCC Headquarters at 445 12th Street SW., Room TW-A325, Washington...

  20. Deep Space Telecommunications

    Science.gov (United States)

    Kuiper, T. B. H.; Resch, G. M.

    2000-01-01

    The increasing load on NASA's deep Space Network, the new capabilities for deep space missions inherent in a next-generation radio telescope, and the potential of new telescope technology for reducing construction and operation costs suggest a natural marriage between radio astronomy and deep space telecommunications in developing advanced radio telescope concepts.

  1. The incentive regulation in the network management. A cross-sectorial investigation of the network managements energy, telecommunication and railway; Die Anreizregulierung in den Netzwirtschaften. Eine sektoruebergreifende Untersuchung der Netzwirtschaften Energie, Telekommunikation und Eisenbahn

    Energy Technology Data Exchange (ETDEWEB)

    Berndt, Andrea

    2011-07-01

    The author of the book under consideration reports on a cross-sectoral analysis of network management of energy, telecommunications and railways with regard to incentive regulation. The cross-sectoral analysis of incentive regulation requires a systematization of the instrument of payment regulation. Using the example of the incentive regulation, the author provides a rather jurisprudential contribution to a network management dogma.

  2. A measurement-driven approach to assess power line telecommunication (PLT) network quality of service (QoS) performance parameters

    International Nuclear Information System (INIS)

    Betta, G; Capriglione, D; Ferrigno, L; Laracca, M

    2009-01-01

    Power line telecommunication (PLT) technology offers cheap and fast ways for providing in-home broadband services and local area networking. Its main advantage is due to the possibility of using the pre-existing electrical grid as a communication channel. Nevertheless, technical challenges arise from the difficulty of operating on a hostile medium, not designed for communication purposes, characterized by complex channel modeling and by varying time response. These aspects put practical problems for designers and testers in the assessment of network quality of service performance parameters such as the throughput, the latency, the jitter, and the reliability. The measurement of these parameters has not yet been standardized so that there do not exist reference test set-ups and measurement methodologies (i.e. the type of isolation from the ac main, the observation time and the number of experiments, the measurement uncertainty and so on). Consequently, experiments executed by adopting different methods may lead to incompatible measurement results, thus making it also impossible to have reliable comparisons of different PLT modems. Really, the development of standard procedures is a very difficult task because the scenarios in which the PLT modems can work are very wide and then the application of an exhaustive approach (in which all the parameters influencing the PLT performance should be considered) would be very complex and time consuming, thus making the modem characterization very expensive. In this paper, the authors propose a methodological approach to develop an efficient measurement procedure able to reliably assess the performance of PLT modems (in terms of network quality of service parameters) with a minimum number of experiments. It is based on both creating a reconfigurable grid to which real disturbing loads are connected and implementing an original design of the experiment technique based on the effects of the uncertainty of the measurement results

  3. Towards A General Integrated Broadband Optical Fiber Telecommunications Network In The Subscriber Area

    Science.gov (United States)

    Lange, Manfred J. W.

    1984-03-01

    After a short description of previous optical fiber tests within the city area of Berlin (West) the reasoning that led Deutsche Bundespost to the concept of the BIGFON systems test is explained. The requirements for and the basic architecture of a local broadband network are dealt with in some detail. The scope of solutions offered by the six BIGFON contractors is demonstrated by means of block diagrams of two rather different designs. Some information on the present status of the BIGFON project is given; in closing, questions of cost, introduction procedure and need for further research are discussed as well as the problem of broadband long distance connections.

  4. Analiza protokola kvaliteta usluga telekomunikacionih mreža / Analysis of quality of service protocols in telecommunication networks

    Directory of Open Access Journals (Sweden)

    Milojko Jevtović

    2003-05-01

    Full Text Available Protokoli kvaliteta usluga (Quality of Service - QoS sadašnjih i budućih telekomunikacionih mreža razvijeni su, pored ostalog, sa ciljem da podrže različite klase usluga (Class of Service - CoS komunikaciju u realnom vremenu, kao i prenos multimedijalnih poruka preko paketskih IP (Internet Protocol mreža. U raduje dat pregled karakteristika tih protokola i ocena njihovih konkretnih mogućnosti u obezbeđenju kvaliteta usluga unutar sistema ('s vrha do dna', tj. vertikalno u OSI arhitekturi kao i 'horizontalno' odnosno s kraja na kraj veze, tj. između izvora i odredišta. / Today's and future telecommunication networks must enable transmission throughout heterogeneous environment, using different Quality of Service protocols, Quality of Service protocols use a variety of complementary mechanisms to enable deterministic end-to-end different data delivery. The analysis of these protocols and their efficiency in providing QoS and CoS has been given in this paper.

  5. Deploying Affordable and Available Telecommunications ...

    African Journals Online (AJOL)

    telecommunications backbone infrastructure to an ALL-IP network will address the ... bandwidth, foster regional integration and enhance economic and Small. Medium .... Recognising ICTs as a catalyst for socioeconomic development and the ...

  6. Telecommunications and Universal Service: International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    The services delivered over telecommunications networks can provide ... livestock vaccine development and production to benefit farmers across the Global South. ... OECD's Development Co-Operation Report highlights critical role of data to ...

  7. Telecommunications Primer

    OpenAIRE

    Joseph Becker

    2013-01-01

    A description of modern telecommunications devices which can be useful in inter-library communications, including their capacities, types of signals and carriers. Described are telephone lines, radio broadcasting, coaxial cable, microwave and communications satellites. This article, and the one following, were presented as tutorials by the author's to participants at the American Library Association's Atlantic City Convention on June 25, 1969.

  8. TWO-LEVEL HIERARCHICAL COORDINATION QUEUING METHOD FOR TELECOMMUNICATION NETWORK NODES

    Directory of Open Access Journals (Sweden)

    M. V. Semenyaka

    2014-07-01

    Full Text Available The paper presents hierarchical coordination queuing method. Within the proposed method a queuing problem has been reduced to optimization problem solving that was presented as two-level hierarchical structure. The required distribution of flows and bandwidth allocation was calculated at the first level independently for each macro-queue; at the second level solutions obtained on lower level for each queue were coordinated in order to prevent probable network link overload. The method of goal coordination has been determined for multilevel structure managing, which makes it possible to define the order for consideration of queue cooperation restrictions and calculation tasks distribution between levels of hierarchy. Decisions coordination was performed by the method of Lagrange multipliers. The study of method convergence has been carried out by analytical modeling.

  9. A wireless telecommunications network for real-time monitoring of greenhouse microclimate

    Directory of Open Access Journals (Sweden)

    Giuliano Vox

    2014-10-01

    Full Text Available An innovative wireless monitoring system for measuring greenhouse climatic parameters was developed to overcome the problems related to wires cabling such as presence of a dense net of wires hampering the cultivation practices, wires subjected to high temperature and relative humidity, rodents that can damage wires. The system exploits battery-powered environmental sensors, such as air temperature and relative humidity sensors, wind speed and direction, and solar radiation sensors, integrated in the contest of an 802.15.4-based wireless sensors network. Besides, a fruit diameter measurement sensor was integrated into the system. This approach guarantees flexibility, ease of deployment and low power consumption. Data collected from the greenhouse are then sent to a remote server via a general packet radio service link. The proposed solution has been implemented in a real environment. The test of the communication system showed that 0.3% of the sent data packed were lost; the climatic parameters measured with the wireless system were compared with data collected by the wired system showing a mean value of the absolute difference equal to 0.6°C for the value of the greenhouse air temperature. The wireless climate monitoring system showed a good reliability, while the sensor node batteries showed a lifetime of 530 days.

  10. Telecommunications Relay Services

    Science.gov (United States)

    ... Home » Health Info » Hearing, Ear Infections, and Deafness Telecommunications Relay Services On this page: What are telecommunication ... additional information about telecommunication relay services? What are telecommunication relay services? Title IV of the Americans with ...

  11. Telecommunications Companies to Build Computer Network Security Policy Inquiry%电信企业计算机网络安全构建策略探究

    Institute of Scientific and Technical Information of China (English)

    张国平

    2013-01-01

    The rapid development of Internet technology, the exchange of information to businesses, such as business develop-ment to create good conditions, especially in China's telecommunications companies, Internet technology significantly improves the use of telecommunications services and enterprise management level, at the same time more computer network security prob-lems gradually, to China's telecom enterprises put forward higher requirements. This paper analyzes the status quo of China's tele-communications computer network, and the problems both from a technical and management countermeasures were put forward in order to build a secure telecommunications enterprise network system to provide a reference.%互联网技术迅速发展给各行各业的信息交流、业务开展等创造了良好的条件,尤其在我国电信企业中,互联网技术的运用显著提高了电信企业的服务与管理水平,与此同时更多的计算机网络安全问题逐渐显现,给我国的电信企业提出了更高要求。该文分析了我国电信计算机网络的现状,并对存在的问题从技术和管理两个方面提出了应对措施,以期为构建安全的电信企业网络系统提供参考。

  12. Telecommunications Primer

    Directory of Open Access Journals (Sweden)

    Joseph Becker

    2013-05-01

    Full Text Available A description of modern telecommunications devices which can be useful in inter-library communications, including their capacities, types of signals and carriers. Described are telephone lines, radio broadcasting, coaxial cable, microwave and communications satellites. This article, and the one following, were presented as tutorials by the author's to participants at the American Library Association's Atlantic City Convention on June 25, 1969.

  13. Telecommunications Deregulation

    OpenAIRE

    Jerry A. Hausman; William E. Taylor

    2012-01-01

    From Fred Kahn's writings and experiences as a telecommunications regulator and commenter, we draw the following conclusions: prices must be informed by costs; costs are actual incremental costs; costs and prices are an outcome of a Schumpeterian competitive process, not the starting point; excluding incumbents from markets is fundamentally anticompetitive; and a regulatory transition to deregulation entails propensities to micromanage the process to generate preferred outcomes, visible compe...

  14. Studies of an application of a mobile communication system to the private telecommunication network. Part 1. Present condition of mobile communication system and proposal of the customer information network by PHS; Idotai tsushin system no denryoku tsushinmo eno tekiyo. 1. Idotai tsushin system no genjo to PHS ni yoru juyo kakei network no teian

    Energy Technology Data Exchange (ETDEWEB)

    Iwasaki, H. [Central Research Institute of Electric Power Industry, Tokyo (Japan)

    1996-03-01

    An application of various mobile communication systems to the electric power telecommunication network has been investigated. Among these, the customer information network by PHS (personal handy-phone system) has been proposed. Although great numbers of base stations are required for PHS, it can be applied as the customer information network by connecting to the power controller developed by the Central Research Institute of Electric Power Industry. The geostationary satellite telecommunication has been positively utilized by the electric power industry since the Hanshin-Awaji Great Earthquake. It can be used as the customer information network in the future. Since the radio access is a one-way communication, it cannot be applied to the electric power telecommunication network at present. It can be applied to the simple message communication or relatively low-speed data communication through the two-way communication. Public ground mobile telecommunication in the future includes various mobile telecommunication systems. To start the operation in 2000, the ITU (International Telecommunication Union) is making specifications common in the world. It is required to investigate the utilization as multipurpose systems. The network for PHS can be applied to the telecommunication network without optical cable. 20 refs., 5 figs., 3 tabs.

  15. Future vision of advanced telecommunication networks for electric utilities; Denki jigyo ni okeru joho tsushin network no shorai vision

    Energy Technology Data Exchange (ETDEWEB)

    Tonaru, S.; Ono, K.; Sakai, S.; Kawai, Y.; Tsuboi, A. [Central Research Institute of Electric Power Industry, Tokyo (Japan); Manabe, S. [Shikoku Electric Power Co., Inc., Kagawa (Japan); Miki, Y. [Kansai Electric Power Co. Inc., Osaka (Japan)

    1995-06-01

    The vision of an advanced information system is proposed to cope with the future social demand and business environmental change in electric utilities. At the large turning point such as drastic reconsideration of Electricity Utilities Industry Law, further improvement of efficiency and cost reduction are requested as well as business innovation such as proposal of a new business policy. For that purpose utilization of information and its technology is indispensable, and use of multimedia and common information in organization are the future direction for improving information basis. Consequently, free information networks without any limitation due to person and media are necessary, and the following are important: high-speed, high-frequency band, digital, easily connectable and multimedia transmission lines, and cost reduction and high reliability of networks. Based on innovation of information networks and the clear principle on advanced information system, development of new applications by multimedia technologies, diffusion of communication terminals, and promotion of standardization are essential. 60 refs., 30 figs., 5 tabs.

  16. Telecommunication. Special issue

    International Nuclear Information System (INIS)

    Hooijen, O.G.; Quispel, M.N.; Van Dok, H.; Strabbing, W.; Milatz, J.H.P.; Sieswerda, J.E.; Emous, K.; Wehrmeijer, J.P.

    1996-01-01

    In 9 brief articles an overview is given of different aspects of the use of telecommunications in the energy sector in the Netherlands. The subjects are the problems (attenuation and non-Gaussian noise) of using the low-voltage network for digital communication (residential power line carriers or RPLC), fiberglass techniques in the telecommunication and distribution network, the interest of energy companies for the options of the electronic superhighway, the necessity of communication protocols in the energy sector for the information exchange in power systems control, the option of applying wireless wide-band signals instead of fiberglass cables, and the use of synchronous digital hierarchy (SDH) as the standard in digital transmission systems

  17. The turbulent telecommunications

    Czech Academy of Sciences Publication Activity Database

    Kuchar, Anton

    2006-01-01

    Roč. 5, 1/2 (2006), s. 9-14 ISSN 1336-1376. [ELEKTRO 2006 /5./. Žilina, 23.05.2006-24.05.2006] Grant - others:BReATH Consortium EU(XE) EC FP6 1ST Programme Institutional research plan: CEZ:AV0Z20670512 Keywords : optical communication * optical links * telecommunication networks Subject RIV: JA - Electronics ; Optoelectronics, Electrical Engineering

  18. Methodology of the design of an integrated telecommunications and computer network in a control information system for artillery battalion fire support

    Directory of Open Access Journals (Sweden)

    Slobodan M. Miletić

    2012-04-01

    Full Text Available A Command Information System (CIS in a broader sense can be defined as a set of hardware and software solutions by which one achieves real-time integration of organizational structures, doctrine, technical and technological systems and facilities, information flows and processes for efficient and rational decision-making and functioning. Time distribution and quality of information directly affect the implementation of the decision making process and criteria for evaluating the effectiveness of the system in which the achievement of the most important role is an integrated telecommunications and computer network (ITCN, dimensioned to the spatial distribution of tactical combat units connecting all the elements in a communications unit. The aim is to establish the design methodology as a way of the ITCN necessary to conduct analysis and extract all the necessary elements for modeling that are mapped to the elements of network infrastructure, and then analyzed from the perspective of telecommunications communication standards and parameters of the layers of the OSI network model. A relevant way to verify the designed model ITCN is the development of a simulation model with which adequate results can be obtained. Conclusions on the compliance with the requirements of tactical combat and tactical communication requirements are drawn on the basis of these results.

  19. Exposure to mobile telecommunication networks assessed using personal dosimetry and well-being in children and adolescents: the German MobilEe-study.

    Science.gov (United States)

    Thomas, Silke; Kühnlein, Anja; Heinrich, Sabine; Praml, Georg; von Kries, Rüdiger; Radon, Katja

    2008-11-04

    Despite the increase of mobile phone use in the last decade and the growing concern whether mobile telecommunication networks adversely affect health and well-being, only few studies have been published that focussed on children and adolescents. Especially children and adolescents are important in the discussion of adverse health effects because of their possibly higher vulnerability to radio frequency electromagnetic fields. We investigated a possible association between exposure to mobile telecommunication networks and well-being in children and adolescents using personal dosimetry. A population-based sample of 1.498 children and 1.524 adolescents was assembled for the study (response 52%). Participants were randomly selected from the population registries of four Bavarian (South of Germany) cities and towns with different population sizes. During a Computer Assisted Personal Interview data on participants' well-being, socio-demographic characteristics and potential confounder were collected. Acute symptoms were assessed three times during the study day (morning, noon, evening).Using a dosimeter (ESM-140 Maschek Electronics), we obtained an exposure profile over 24 hours for three mobile phone frequency ranges (measurement interval 1 second, limit of determination 0.05 V/m) for each of the participants. Exposure levels over waking hours were summed up and expressed as mean percentage of the ICNIRP (International Commission on Non-Ionizing Radiation Protection) reference level. In comparison to non-participants, parents and adolescents with a higher level of education who possessed a mobile phone and were interested in the topic of possible adverse health effects caused by mobile telecommunication network frequencies were more willing to participate in the study. The median exposure to radio frequency electromagnetic fields of children and adolescents was 0.18% and 0.19% of the ICNIRP reference level respectively. In comparison to previous studies this is one of

  20. Exposure to mobile telecommunication networks assessed using personal dosimetry and well-being in children and adolescents: the German MobilEe-study

    Directory of Open Access Journals (Sweden)

    von Kries Rüdiger

    2008-11-01

    Full Text Available Abstract Background Despite the increase of mobile phone use in the last decade and the growing concern whether mobile telecommunication networks adversely affect health and well-being, only few studies have been published that focussed on children and adolescents. Especially children and adolescents are important in the discussion of adverse health effects because of their possibly higher vulnerability to radio frequency electromagnetic fields. Methods We investigated a possible association between exposure to mobile telecommunication networks and well-being in children and adolescents using personal dosimetry. A population-based sample of 1.498 children and 1.524 adolescents was assembled for the study (response 52%. Participants were randomly selected from the population registries of four Bavarian (South of Germany cities and towns with different population sizes. During a Computer Assisted Personal Interview data on participants' well-being, socio-demographic characteristics and potential confounder were collected. Acute symptoms were assessed three times during the study day (morning, noon, evening. Using a dosimeter (ESM-140 Maschek Electronics, we obtained an exposure profile over 24 hours for three mobile phone frequency ranges (measurement interval 1 second, limit of determination 0.05 V/m for each of the participants. Exposure levels over waking hours were summed up and expressed as mean percentage of the ICNIRP (International Commission on Non-Ionizing Radiation Protection reference level. Results In comparison to non-participants, parents and adolescents with a higher level of education who possessed a mobile phone and were interested in the topic of possible adverse health effects caused by mobile telecommunication network frequencies were more willing to participate in the study. The median exposure to radio frequency electromagnetic fields of children and adolescents was 0.18% and 0.19% of the ICNIRP reference level respectively

  1. Team networking in palliative care

    Directory of Open Access Journals (Sweden)

    Odette Spruyt

    2011-01-01

    Full Text Available "If you want to travel quickly, go alone. But if you want to travel far, you must go together". African proverb. The delivery of palliative care is often complex and always involves a group of people, the team, gathered around the patient and those who are close to them. Effective communication and functional responsive systems of care are essential if palliative care is to be delivered in a timely and competent way. Creating and fostering an effective team is one of the greatest challenges for providers of palliative care. Teams are organic and can be life giving or life sapping for their members.

  2. Team Networking in Palliative Care

    Science.gov (United States)

    Spruyt, Odette

    2011-01-01

    “If you want to travel quickly, go alone. But if you want to travel far, you must go together”. African proverb. The delivery of palliative care is often complex and always involves a group of people, the team, gathered around the patient and those who are close to them. Effective communication and functional responsive systems of care are essential if palliative care is to be delivered in a timely and competent way. Creating and fostering an effective team is one of the greatest challenges for providers of palliative care. Teams are organic and can be life giving or life sapping for their members. PMID:21811361

  3. Mayo Clinic Care Network: A Collaborative Health Care Model.

    Science.gov (United States)

    Wald, John T; Lowery-Schrandt, Sherri; Hayes, David L; Kotsenas, Amy L

    2018-01-01

    By leveraging its experience and expertise as a consultative clinical partner, the Mayo Clinic developed an innovative, scalable care model to accomplish several strategic goals: (1) create and sustain high-value relationships that benefit patients and providers, (2) foster relationships with like-minded partners to act as a strategy against the development of narrow health care networks, and (3) increase national and international brand awareness of Mayo Clinic. The result was the Mayo Clinic Care Network. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  4. Networking to improve end of life care

    Science.gov (United States)

    2009-01-01

    Network organisations are increasingly common in healthcare. This paper describes an example of clinically led networking, which improved end of life care (EOLC) in care homes, differentiating between a ‘network’ as a formal entity and the more informal process of ‘networking’. The paper begins with a brief discussion of networks and their development in healthcare, then an overview of EOLC policy, the case setting and methods. The paper describes four key features of this networking; (1) how it enabled discussions and implemented processes to help people address difficult taboos about dying; (2) how personal communication and ‘distributed leadership’ facilitated learning; (3) how EOLC occasionally lapsed during the handover of patient care, where personal relationship and communication were weaker; and (4) how successful learning and sharing of best practice was fragile and could be potentially undermined by wider financial pressures in the NHS. PMID:25949588

  5. Do governance choices matter in health care networks?: an exploratory configuration study of health care networks

    Science.gov (United States)

    2013-01-01

    Background Health care networks are widely used and accepted as an organizational form that enables integrated care as well as dealing with complex matters in health care. However, research on the governance of health care networks lags behind. The research aim of our study is to explore the type and importance of governance structure and governance mechanisms for network effectiveness. Methods The study has a multiple case study design and covers 22 health care networks. Using a configuration view, combinations of network governance and other network characteristics were studied on the level of the network. Based on interview and questionnaire data, network characteristics were identified and patterns in the data looked for. Results Neither a dominant (or optimal) governance structure or mechanism nor a perfect fit among governance and other characteristics were revealed, but a number of characteristics that need further study might be related to effective networks such as the role of governmental agencies, legitimacy, and relational, hierarchical, and contractual governance mechanisms as complementary factors. Conclusions Although the results emphasize the situational character of network governance and effectiveness, they give practitioners in the health care sector indications of which factors might be more or less crucial for network effectiveness. PMID:23800334

  6. Tracking and Data Relay Satellite System user impact and network compatibility study. [antenna design and telecommunication links

    Science.gov (United States)

    1973-01-01

    The report contains data on antenna configurations for the low data rate users of the Tracking and Data Relay Satellite System (TDRSS). It treats the coverage and mutual visibility considerations between the user satellites and the relay satellites and relates these considerations to requirements of antenna beamwidth and fractional user orbital coverage. A final section includes user/TDRS telecommunication link budgets and forward and return link data rate tradeoffs.

  7. Evolution and convergence in telecommunications

    Energy Technology Data Exchange (ETDEWEB)

    Radicella, S; Grilli, D [Abdus Salam ICTP, Trieste (Italy)

    2002-12-15

    These lectures throw a spotlight on different aspects of the evolution of telecommunications networks, namely on the various facets of service and network convergence. The last years progress in data and telecommunications technologies, such as P-based networks, and the enormous potential of mobile communication systems and users' demands for comprehensive and network-independent have led to a convergence of data and telecommunications infrastructures in many aspects. In order to help the reader to an easier understanding of the phenomenon convergence, in the first two parts of this volume the evolution of the basic technologies is described one by one. This is done briefly and is focused on the principle topics, just to build a basis for the third part devoted to problems of convergence in telecommunications. These notes are addressed to those readers, who in a quick overview want to be informed on the future service and network landscape. The notes are equally suited for professionals with the desire to extend their horizon as well as for students looking for an introduction into telecommunications under more general aspects. The authors clearly understand the difficulties in writing a book devoted to the evolution in telecommunications. Today, telecom landscape varies at very high speed. Every few months new network technologies, new products and new services are developed. Attempts to present them in time can be accessible only for magazine publications or contributions to conferences. Therefore, in a number of areas, such as Voice over IP and new switching technologies not much more than the starting point of new paradigms is described. However, the content is up-to-date to a degree, that the phenomenon convergence can be fully understood. Partially, these notes are based on a number of lecture courses that were delivered during recent ICTP winter schools devoted to multimedia and digital communications.

  8. Evolution and convergence in telecommunications

    International Nuclear Information System (INIS)

    Radicella, S.; Grilli, D.

    2002-01-01

    These lectures throw a spotlight on different aspects of the evolution of telecommunications networks, namely on the various facets of service and network convergence. The last years progress in data and telecommunications technologies, such as P-based networks, and the enormous potential of mobile communication systems and users' demands for comprehensive and network-independent have led to a convergence of data and telecommunications infrastructures in many aspects. In order to help the reader to an easier understanding of the phenomenon convergence, in the first two parts of this volume the evolution of the basic technologies is described one by one. This is done briefly and is focused on the principle topics, just to build a basis for the third part devoted to problems of convergence in telecommunications. These notes are addressed to those readers, who in a quick overview want to be informed on the future service and network landscape. The notes are equally suited for professionals with the desire to extend their horizon as well as for students looking for an introduction into telecommunications under more general aspects. The authors clearly understand the difficulties in writing a book devoted to the evolution in telecommunications. Today, telecom landscape varies at very high speed. Every few months new network technologies, new products and new services are developed. Attempts to present them in time can be accessible only for magazine publications or contributions to conferences. Therefore, in a number of areas, such as Voice over IP and new switching technologies not much more than the starting point of new paradigms is described. However, the content is up-to-date to a degree, that the phenomenon convergence can be fully understood. Partially, these notes are based on a number of lecture courses that were delivered during recent ICTP winter schools devoted to multimedia and digital communications

  9. Telecommunication Reform and WTO

    DEFF Research Database (Denmark)

    Henten, Anders

    1996-01-01

    An analysis of the negotiations on telecommunication liberalisation in the World Trade Organization.......An analysis of the negotiations on telecommunication liberalisation in the World Trade Organization....

  10. [Building epilepsy care network in Japan].

    Science.gov (United States)

    Otsuki, Taisuke

    2012-01-01

    Number of epilepsy patient in Japan officially surveyed by our government in 2008 is 219,000, which is only 0.17% of the total population and less than one third of the prevalence rate reported in Western countries. Number of epilepsy surgery per year in Japan is also low and less than half of other countries such as US, UK and Korea. These numbers may suggest that epilepsy care in Japan is not sufficient to cover all hidden medical needs of people with epilepsy at present. To solve this issue, our research group funded by the government have started to build an epilepsy care network among primary care physicians, secondary care neurology specialists and tertiary care epilepsy centers by utilizing a web site: Epilepsy Care Network-Japan (http://www.ecn-japan.com/) from July 2012. We are also proposing an epilepsy care algorithm suitable for our complex medical community consisted with various neurology specialists such as pediatric and adult neurologists, neurosurgeons and psychiatrists. Building Epilepsy Care Network in Japan may facilitate better medical and social support for people with epilepsy in Japan.

  11. Wireless telecommunication systems

    CERN Document Server

    Terré, Michel; Vivier, Emmanuelle

    2013-01-01

    Wireless telecommunication systems generate a huge amount of interest. In the last two decades, these systems have experienced at least three major technological leaps, and it has become impossible to imagine how society was organized without them. In this book, we propose a macroscopic approach on wireless systems, and aim at answering key questions about power, data rates, multiple access, cellular engineering and access networks architectures.We present a series of solved problems, whose objective is to establish the main elements of a global link budget in several radiocommunicati

  12. Kids Interactive Telecommunications Project by Satellite (KITES): A Telecommunications Partnership To Empower Middle School Students.

    Science.gov (United States)

    LeBaron, John

    Kids Interactive Telecommunications Project by Satellite (KITES) is a cooperative international telecommunications partnership involving the University of Lowell, Digital's corporate video network, Videostar Connections Inc. (a satellite networking broker), PanAmSat (a satellite operator), and several other public education institutions in…

  13. Telecommunications and Universal Service: International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Out of print. 104 pages. e-ISBN : 1552503216. Téléchargez le PDF · Téléchargez le cyberlivre. The services delivered over telecommunications networks can provide enormous ... Amnisties pour la paix dans le delta du Niger - évaluation critique de la contribution à une paix durable du pardon de crimes du passé.

  14. The Influence Of CSR Awareness On Consumer Purchase Decision Of A Telecommunication Network In Ghana A Case Of La Nkwantanag Madina Municipality

    Directory of Open Access Journals (Sweden)

    Patrick Amfo Anim

    2015-02-01

    Full Text Available Abstract The purpose of this study was to empirically investigate the influence of CSR awareness on consumer purchase intention of a telecommunication network in Ghana. A sample size of one hundred and fifty 150 network subscribers of MTN was selected for the study using the purposive and convenience sampling method. The data obtained were analyzed using Statistical Package for Social Sciences SPSS 20.0 software. From the study the researcher found out that customers are aware of the fact that MTN currently embarks on CSR activity such as hepatitis B Campaign project annual blood donation projects building of schools provision of text books school uniforms development of ICT centers MTN Ghana foundation and Heroes of Change project. However what remained unknown was whether it has an effect on customer purchasing decision of their network or not. The study also revealed that there were other factors that influenced consumer patronage of MTN services such as Brand name quality services reference groups promotions bonuses and products offered by MTN and the country of origin. However CSR activities performed by MTN were rated as a higher factor that influence consumers stay and repurchase of the network. Regulatory bodies should be firm in enforcing laws in corporate organizations and CSR should be viewed as part of the code of ethics of any corporate organization also there should be a national policy from government to set parameters for CSR in Ghana

  15. Communication security in open health care networks.

    Science.gov (United States)

    Blobel, B; Pharow, P; Engel, K; Spiegel, V; Krohn, R

    1999-01-01

    Fulfilling the shared care paradigm, health care networks providing open systems' interoperability in health care are needed. Such communicating and co-operating health information systems, dealing with sensitive personal medical information across organisational, regional, national or even international boundaries, require appropriate security solutions. Based on the generic security model, within the European MEDSEC project an open approach for secure EDI like HL7, EDIFACT, XDT or XML has been developed. The consideration includes both securing the message in an unsecure network and the transport of the unprotected information via secure channels (SSL, TLS etc.). Regarding EDI, an open and widely usable security solution has been specified and practically implemented for the examples of secure mailing and secure file transfer (FTP) via wrapping the sensitive information expressed by the corresponding protocols. The results are currently prepared for standardisation.

  16. Telecommunications trends

    OpenAIRE

    Cadwallader, Neil Kenneth

    1992-01-01

    Elisha Gray may have had as much a claim on the invention of the telephone as did Alexander Graham Bell. Bell's patents allowed time for the Bell System to be developed and led to AT&T becoming the largest and most organized telephone company in the United States. AT&T, supported by government regulators, enveloped smaller telephone companies and controlled 80% of local service and all toll service by the 1920s. Government regulations supported AT&T's control of the nation's telephone network...

  17. System Design for Telecommunication Gateways

    CERN Document Server

    Bachmutsky, Alexander

    2010-01-01

    System Design for Telecommunication Gateways provides a thorough review of designing telecommunication network equipment based on the latest hardware designs and software methods available on the market. Focusing on high-end efficient designs that challenge all aspects of the system architecture, this book helps readers to understand a broader view of the system design, analyze all its most critical components, and select the parts that best fit a particular application. In many cases new technology trends, potential future developments, system flexibility and capability extensions are outline

  18. Reservation centre of Telecom I satellite French Telecommunication network offers a new service of switched digital circuit

    Science.gov (United States)

    Felix, J.

    The management center and new circuit switching services offered by the French Telecom I network are described. Attention is focused on business services. The satellite has a 125 Mbit/sec capability distributed over 5 frequency bands, yielding the equivalent of 1800 channels. Data are transmitted in digitized bursts with TDMA techniques. Besides the management center, Telecom I interfaces with 310 local network antennas with access managed by the center through a reservation service and protocol assignment. The center logs and supervises alarms and network events, monitors traffic, logs taxation charges and manages the man-machine dialog for TDMA and terrestrial operations. Time slots are arranged in terms of minimal 10 min segments. The reservations can be directly accessed by up to 1000 terminals. All traffic is handled on a call-by-call basis.

  19. Method of optimum channel switching in equipment of infocommunication network in conditions of cyber attacks to their telecommunication infrastructure.

    Science.gov (United States)

    Kochedykov, S. S.; Noev, A. N.; Dushkin, A. V.; Gubin, I. A.

    2018-05-01

    On the basis of the mathematical graph theory, the method of optimum switching of infocommunication networks in the conditions of cyber attacks is developed. The idea of representation of a set of possible ways on the graph in the form of the multilevel tree ordered by rules of algebra of a logic theory is the cornerstone of a method. As a criterion of optimization, the maximum of network transmission capacity to which assessment Ford- Falkerson's theorem is applied is used. The method is realized in the form of a numerical algorithm, which can be used not only for design, but also for operational management of infocommunication networks in conditions of violation of the functioning of their switching centers.

  20. Development of Korea telecommunication technology

    International Nuclear Information System (INIS)

    1992-06-01

    It concentrates on development of Korea telecommunication technology, which is made up seven chapters. It gives description of manual central telephone exchange or private automatic telephone exchange, transmission technology on wire line and cable line technology and optical transmission, radio communication technology on mobile and natural satellite communication, network technology with intelligent network, broadband ISDN and packet switched Data Network, terminal technology with telephone and data communication terminal and development of Information Technology in Korea. It has an appendix about development of military communication system.

  1. A cost-effective traffic data collection system based on the iDEN mobile telecommunication network.

    Science.gov (United States)

    2008-10-01

    This report describes a cost-effective data collection system for Caltrans 170 traffic signal : controller. The data collection system is based on TCP/IP communication over existing : low-cost mobile communication networks and Motorola iDEN1 mobile...

  2. Function of local networks in palliative care: a Dutch view.

    Science.gov (United States)

    Nikbakht-Van de Sande, C V M Vahedi; van der Rijt, C C D; Visser, A Ph; ten Voorde, M A; Pruyn, J F A

    2005-08-01

    Although network formation is considered an effective method of stimulating the integrated delivery of palliative care, scientific evidence on the usefulness of network formation is scarce. In 1998 the Ministry of Health of The Netherlands started a 5-year stimulation program on palliative care by founding and funding six regional Centres for the Development of Palliative Care. These centers were structured around pivotal organizations such as university hospitals and comprehensive cancer centers. As part of the stimulation program a locoregional network model was introduced within each center for the Development of Palliative Care to integrate palliative care services in the Dutch health care system. We performed a study on network formation in the southwestern area of The Netherlands with 2.4 million inhabitants. The study aimed to answer the following questions: (1) how do networks in palliative care develop, which care providers participate and how do they function? (2) which are the achievements of the palliative care networks as perceived by their participants? (3) which are the success factors of the palliative care networks according to their participants and which factors predict the achievements? Between September 2000 and January 2004 eight local palliative care networks in the region of the Center for Development of Palliative Care-Rotterdam (southwestern area of The Netherlands) were closely followed to gain information on their characteristics and developmental course. At the start of the study semistructured interviews were held with the coordinators of the eight networks. The information from these interviews and from the network documents were used to constitute a questionnaire to assess the opinions and experiences of the network participants. According to the vast majority of responders, the most important reason to install the networks was the lack of integration between the existing local health care services. The networks were initiated to

  3. [The Telehealth Network of the Americas and its role in primary health care].

    Science.gov (United States)

    Bill, Guillermo; Crisci, Carlos D; Canet, Tomislav

    2014-01-01

    The need to guarantee equitable access to health regardless of geographic, economic, or technological barriers motivated the Member States of the Organization of American States to create the Telehealth Network of the Americas, coordinated by the Inter-American Telecommunication Committee. The Network focuses on the use of new information and communications technology applied to health, based on the values of respect, equity, and solidarity and mandated by the philosophy of primary health. Its members include government agencies, nongovernmental organizations, university forums, hospital federations, and telecommunications companies, and it has already extended its reach to other continents and to different fields in which telemedicine is being used. Among its first achievements, it has implemented an innovative tool to be used in cases of disaster or limited geographic access. This mobile telemedicine station is housed in a portable case that includes a computer, various digital devices (otoscope, ophthalmoscope, microscope, dermatoscope), a high-resolution digital camera, an X-ray film viewer, and a satellite antenna. With this tool, it is possible to provide specialized support for rural physicians and primary health care workers located far from large urban centers.

  4. Energy star compliant voice over internet protocol (VoIP) telecommunications network including energy star compliant VoIP devices

    Science.gov (United States)

    Kouchri, Farrokh Mohammadzadeh

    2012-11-06

    A Voice over Internet Protocol (VoIP) communications system, a method of managing a communications network in such a system and a program product therefore. The system/network includes an ENERGY STAR (E-star) aware softswitch and E-star compliant communications devices at system endpoints. The E-star aware softswitch allows E-star compliant communications devices to enter and remain in power saving mode. The E-star aware softswitch spools messages and forwards only selected messages (e.g., calls) to the devices in power saving mode. When the E-star compliant communications devices exit power saving mode, the E-star aware softswitch forwards spooled messages.

  5. Social networks of professionals in health care organizations: a review.

    Science.gov (United States)

    Tasselli, Stefano

    2014-12-01

    In this article, we provide an overview of social network research in health care, with a focus on social interactions between professionals in organizations. We begin by introducing key concepts defining the social network approach, including network density, centrality, and brokerage. We then review past and current research on the antecedents of health care professionals' social networks-including demographic attributes, professional groups, and organizational arrangements-and their consequences-including satisfaction at work, leadership, behaviors, knowledge transfer, diffusion of innovation, and performance. Finally, we examine future directions for social network research in health care, focusing on micro-macro linkages and network dynamics. © The Author(s) 2014.

  6. Physician Networks and Ambulatory Care-sensitive Admissions.

    Science.gov (United States)

    Casalino, Lawrence P; Pesko, Michael F; Ryan, Andrew M; Nyweide, David J; Iwashyna, Theodore J; Sun, Xuming; Mendelsohn, Jayme; Moody, James

    2015-06-01

    Research on the quality and cost of care traditionally focuses on individual physicians or medical groups. Social network theory suggests that the care a patient receives also depends on the network of physicians with whom a patient's physician is connected. The objectives of the study are: (1) identify physician networks; (2) determine whether the rate of ambulatory care-sensitive hospital admissions (ACSAs) varies across networks--even different networks at the same hospital; and (3) determine the relationship between ACSA rates and network characteristics. We identified networks by applying network detection algorithms to Medicare 2008 claims for 987,000 beneficiaries in 5 states. We estimated a fixed-effects model to determine the relationship between networks and ACSAs and a multivariable model to determine the relationship between network characteristics and ACSAs. We identified 417 networks. Mean size: 129 physicians; range, 26-963. In the fixed-effects model, ACSA rates varied significantly across networks: there was a 46% difference in rates between networks at the 25th and 75th performance percentiles. At 95% of hospitals with admissions from 2 networks, the networks had significantly different ACSA rates; the mean difference was 36% of the mean ACSA rate. Networks with a higher percentage of primary-care physicians and networks in which patients received care from a larger number of physicians had higher ACSA rates. Physician networks have a relationship with ACSAs that is independent of the physicians in the network. Physician networks could be an important focus for understanding variations in medical care and for intervening to improve care.

  7. A CDMA Spotbeam Architecture for the Next Generation Satellite System (NGSS) for the Aeronautical Telecommunications Network (ATN)

    Science.gov (United States)

    Raghavan, Rajesh S.; Shamma, Mohammed A.

    2003-01-01

    This paper will present work being done to model and simulate a CDMA based Mobile Satellite System architecture for providing all or part of the future Air Traffic Management (ATM) services. Such a system, will help in relieving the dependence on ground based networks, if not eliminate it. Additionally such an architecture can be used in parallel or as a supplementary service along with ground based links to help alleviate any capacity bottlenecks, or in areas where such services are difficult to make available such as in oceanic, remote areas outside the jet highways, or in developing countries where ground services are less available.

  8. Energy Efficiency through Virtual Machine Redistribution in Telecommunication Infrastructure Nodes

    OpenAIRE

    Tafsir, Miraj Hasnaine

    2013-01-01

    Energy efficiency is one of the key factors impacting the green behavior and operational expenses of telecommunication core network operations. This thesis study is aimed for finding out possible technique to reduce energy consumption in telecommunication infrastructure nodes. The study concentrates on traffic management operation (e.g. media stream control, ATM adaptation) within network processors [LeJ03], categorized as control plane. The control plane of the telecommunication infrastructu...

  9. Nanotechnology for telecommunications

    CERN Document Server

    Anwar, Sohail; Qazi, Salahuddin; Ilyas, Mohammad

    2010-01-01

    With its unique promise to revolutionize science, engineering, technology, and other fields, nanotechnology continues to profoundly impact associated materials, components, and systems, particularly those used in telecommunications. These developments are leading to easier convergence of related technologies, massive storage data, compact storage devices, and higher-performance computing. Nanotechnology for Telecommunications presents vital technical scientific information to help readers grasp issues and challenges associated with nanoscale telecommunication system development and commerciali

  10. System-level design methodologies for telecommunication

    CERN Document Server

    Sklavos, Nicolas; Goehringer, Diana; Kitsos, Paris

    2013-01-01

    This book provides a comprehensive overview of modern networks design, from specifications and modeling to implementations and test procedures, including the design and implementation of modern networks on chip, in both wireless and mobile applications.  Topical coverage includes algorithms and methodologies, telecommunications, hardware (including networks on chip), security and privacy, wireless and mobile networks and a variety of modern applications, such as VoLTE and the internet of things.

  11. Public Service Telecommunications: PEACESAT.

    Science.gov (United States)

    Okamura, Norman H.; Mukaida, Lori Van Dusen

    1996-01-01

    Describes the Pan-Pacific Education and Communication Experiments by Satellite (PEACESAT), a public service telecommunication program developed to facilitate the use of telecommunications and information technologies. Highlights include the historical development; digital capabilities; cooperation and collaboration with users, government, and…

  12. Dictionary of Telecommunications.

    Science.gov (United States)

    Bones, R. A.

    A wide range of terms used in the telecommunications industry are defined in this dictionary. Many of the terms and definitions are either reproduced from, or based on, the "Glossary of Terms Used in Telecommunications (including Radio) and Electronics" prepared by the British Standards Institute. The principal entry for each term is found under…

  13. Handbook of optimization in telecommunications

    CERN Document Server

    Pardalos, Panos M

    2008-01-01

    Covers the field of optimization in telecommunications, and the optimization developments that are frequently applied to telecommunications. This book aims to provide a reference tool for scientists and engineers in telecommunications who depend upon optimization.

  14. The effect of narrow provider networks on health care use.

    Science.gov (United States)

    Atwood, Alicia; Lo Sasso, Anthony T

    2016-12-01

    Network design is an often overlooked aspect of health insurance contracts. Recent policy factors have resulted in narrower provider networks. We provide plausibly causal evidence on the effect of narrow network plans offered by a large national health insurance carrier in a major metropolitan market. Our econometric design exploits the fact that some firms offer a narrow network plan to their employees and some do not. Our results show that narrow network health plans lead to reductions in health care utilization and spending. We find evidence that narrow networks save money by selecting lower cost providers into the network. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Market structures in international telecommunications

    DEFF Research Database (Denmark)

    Henten, Anders

    1998-01-01

    Paper dealing with the internationalisation of telecommunications and the developing market structures.......Paper dealing with the internationalisation of telecommunications and the developing market structures....

  16. 77 FR 42185 - Rural Health Care Support Mechanism

    Science.gov (United States)

    2012-07-18

    ...-profit HCPs' access to advanced telecommunications and information services. Participants in the Pilot... construction of state or regional broadband health care networks and of the cost of advanced telecommunications... purpose of this funding is to maintain the status quo and to avoid unnecessary churn for the Pilot...

  17. The evolution of investments decision mode in China's telecommunication

    Institute of Scientific and Technical Information of China (English)

    ZHANG Ai-hua; ZHAO Lian-qiang; SHU Hua-ying

    2007-01-01

    This essay analyzes the data of Chinese telecommunication market, telecommunication investments and investment benefits over the past 20 years. On the basis of these data, the essay reviews Chinese changing telecommunication policies and discusses the major events in the course of China's telecommunication development. It is argued that telecommunication policies, regime backgrounds and market demand characteristics have a significant impact on investment decision mode in telecommunication industry. The evolution of network investments decision mode in China's telecommunication has corresponded to the transformation of these key factors. Considering the special events in the development of Chinese telecommunication as divisions, the essay discusses three stages of the evolution of investments decision mode in China's telecommunication. With the firm environment and problems that Chinese telecommunication operators have been facing since 2000 analyzed. it is demonstrated that Chinese telecommunication operators should change their mode of investment decision into the "profit-oriented investment decision mode" in order to achieve a high growth performance in the capital market,. This investment decision mode will result in increase of the investment profit with limited investment capital. The main procedure of profit-oriented investment decision mode is set out, which is abstracted to a mathematical model eventually.

  18. (abstract) Telecommunications for Mars Rovers and Robotic Missions

    Science.gov (United States)

    Cesarone, Robert J.; Hastrup, Rolf C.; Horne, William; McOmber, Robert

    1997-01-01

    Telecommunications plays a key role in all rover and robotic missions to Mars both as a conduit for command information to the mission and for scientific data from the mission. Telecommunications to the Earth may be accomplished using direct-to-Earth links via the Deep Space Network (DSN) or by relay links supported by other missions at Mars. This paper reviews current plans for missions to Mars through the 2005 launch opportunity and their capabilities in support of rover and robotic telecommunications.

  19. Telecommunications system reliability engineering theory and practice

    CERN Document Server

    Ayers, Mark L

    2012-01-01

    "Increasing system complexity require new, more sophisticated tools for system modeling and metric calculation. Bringing the field up to date, this book provides telecommunications engineers with practical tools for analyzing, calculating, and reporting availability, reliability, and maintainability metrics. It gives the background in system reliability theory and covers in-depth applications in fiber optic networks, microwave networks, satellite networks, power systems, and facilities management. Computer programming tools for simulating the approaches presented, using the Matlab software suite, are also provided"

  20. The Lightweight Flow Engine, A Model for Rapid Development and Emulation for Telecommunication Services

    NARCIS (Netherlands)

    Wood, T.L.P.

    2013-01-01

    This thesis explores a method to model network services with particular emphasis on telecommunication control-plane applications. This class of applications is stateful, that is, the application's correct behavior is predicated upon the processing of previous events. Most telecommunication

  1. The lightweight flow engine: a model for rapid development and emulation of telecommunication services

    NARCIS (Netherlands)

    Wood, Thomas Leslie Peter; Wood, T.L.P.

    2013-01-01

    This thesis explores a method to model network services with particular emphasis on telecommunication controlplane applications. This class of applications is stateful, that is, the application's correct behavior is predicated upon the processing of previous events. Most telecommunication

  2. VT Telecommunication Facilities

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) The UtilityTelecom_TELEFAC data layer contains points which are intended to represent the location of telecommunications facilities (towers and/or...

  3. NETWORKS OF HEALTH CARE: A CHALLENGE TO SUS MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Camila Dubow

    2013-09-01

    Full Text Available The article proposes a critical reflection, based on national law, scholarly, scientific, on the current development of Networks of Health Care, as a strategy for strengthening the Single Health System (SUS. Are weighted inefficiency of traditional ways of organizing care and management, the challenge of Network Health Care for comprehensive care and management mechanisms used in this process. The work provides subsidies for the care practices and health management are reflected, pointing strategies that result in disruptions of paradigms through a refocusing of attention in existing models. For networks of health care can be consolidated, is fundamental to political sensitivity of health managers with a commitment to build a new model of care, through the struggle to consolidate the SUS and the realization of the principles of universality, comprehensiveness and equity.

  4. JPRS Report, Telecommunications

    Science.gov (United States)

    1987-07-07

    The management puts great emphasis on its human resources sector — its de- velopment, motivation, and perform- ance. Entrepreneurship also plays...telecommunications services outside Telco’s franchise . And HCV has indicated to the Government it hopes Telco’s monopoly will be stripped when its franchise expires...under a franchised monopoly by Telco, he explained. The other telecommunications services, such as mobile telephone and radio paging, are all

  5. Elasticity of Care Networks and the Gendered Division of Care

    NARCIS (Netherlands)

    Kruijswijk, Wilco; da Roit, Barbara; Hoogenboom, M.J.M.

    2014-01-01

    The gender gap in family care-giving is an established research finding: men dedicate less time to care-giving and provide specific gendered types of help. This article argues that in order to grasp men's contribution to care arrangements one should recognise the multifaceted nature of care and

  6. Elasticity of care networks and the gendered division of care

    NARCIS (Netherlands)

    Kruijswijk, W.; da Roit, B.; Hoogenboom, M.

    2015-01-01

    The gender gap in family care-giving is an established research finding: men dedicate less time to care-giving and provide specific gendered types of help. This article argues that in order to grasp men's contribution to care arrangements one should recognise the multifaceted nature of care and

  7. Engaging Faculty in Telecommunications-Based Instructional Delivery Systems.

    Science.gov (United States)

    Swalec, John J.

    In the design and development of telecommunications-based instructional delivery systems, attention to faculty involvement and training is often overlooked until the system is operational. The Waubonsee Telecommunications Instructional Consortium (TIC), in Illinois, is one network that benefited from early faculty input. Even before the first…

  8. Planning a regional palliative care services network.

    Science.gov (United States)

    Zalot, G N

    1989-03-01

    Table 1 summarizes the role of task force members and staff for each of the main tasks of the process of planning. The number of meetings required for each stage of the process is estimated in the last column. Planning for a regional palliative care services network is a process involving "hard" and "soft" elements. Hard elements involve the organizational structure, task force meetings, information/statistical data bases and the discrete tasks summarized in Table 1. These elements are well known, if nokt always well organized in practice. It is the "softer" elements that usually mean the difference between a dull bureaucratic exercise and a creative exchange of ideas and concepts with a vision for the future. Not to be underestimated is the critical role of group development in this process. The Task Force, supported by professional staff expertise and judgment, hopes to achieve a level of group development termed "synergy," that is, where the group outperforms (in terms of quality and quantity of work) its best individual member. Not a small feat, but critical to a successful planning exercise! Any regional planning implies a commitment to change. After all, new services will be added, some phased out, others revised, and others enhanced, resulting in changes in roles and responsibilities of providers. Change should not be greeted with disdain but viewed as a natural part of the environment in which we plan and provide services. A major advantage to the process of planning is that the level of support for change is already mobilized through the various stages of the process highlighted.(ABSTRACT TRUNCATED AT 250 WORDS)

  9. [The effect of telecommunication(with Skype)to improve a cognitive function for elderly patients with dementia and to reduce a care burden for their care givers].

    Science.gov (United States)

    Hori, Miyako; Furuya, Ayana; Kubota, Masakazu; Koike, Akihiko; Kinoshita, Ayae

    2011-12-01

    We conducted an intervention study to clarify how effectively videophone(Skype)was used in the communication for elderly patients with dementia being cared at home and their caregivers. For a period of 12 weeks, a patient-caregiver pair(n =8)communicated with a nurse via computer for 30 minutes once a week. The patient and caregiver worked as a pair. Before and after 12-week study period started, the intervention and control group(n=8)patients were assessed on cognitive scale(HDS-R), ADL, care burden scale(J-ZBI_8)and hours of sleep for caregivers. The result on the 12th week showed a significant improvement in hours of sleep on the intervention group of caregivers, and signs of improvement on the intervention group of patients in HDS-R. According to a questionnaire survey for caregivers, many of them said that a videophone communication was a pleasant experience for the family, and it is also useful for information gathering. Therefore, we think that the videophone communication is useful for a cognitive rehab work and giving good feelings for the patient. It also gives a good satisfaction for the family. Furthermore, a patient who had an intervention for 3 times in 2 years showed a sign of improvements in the cognitive function and care burden scale during the intervention period. However, the score dropped for several months. Therefore, it is important that a continuous intervention is necessary.

  10. Functional separation in telecommunications

    DEFF Research Database (Denmark)

    Jess Olsen, Ole; Henten, Anders; Falch, Morten

    2008-01-01

    During the past 20 to 30 years, public utilities have been subject to market reforms in most parts of the world. Liberalisation has been introduced to improve efficiency in terms of lower costs and more and better services. The subject of this paper is the Danish reforms of its public utilities....... The focus is on the utilities where the reforms were first introduced, i.e. telecommunications and electricity. The paper examines the following questions: Which are the main reasons for the different regulatory approaches to the liberalisation of telecommunications and electricity supply? In which...

  11. Substituting telecommunications for travel - Feasible or desirable

    Science.gov (United States)

    Van Vleck, E. M.

    1974-01-01

    This paper reviews recent advances in telecommunications and examines the detailed structure of travel to estimate the feasibility of substituting telecommunications for various travel objectives. The impact of travel is analyzed from a social, economic, energy, and pollution standpoint to assess the desirability of substitution. Perhaps 35-50% of the nation's travel could, in theory, be replaced by very advanced telecommunications (such as a much improved large-screen teleconferencing network), but public resistance would be massive. Much economic dislocation would result since, for example, over 25% of retail sales are travel-related. The energy savings would be modest since only 25% of the nation's energy is consumed by transportation. However, all pollution would be reduced substantially since transportation accounts for 75% of the carbon monoxide, 60% of the hydrocarbon, and 55% of the nitrogen oxide pollution in the nation. Problems related to the implementation of large-scale substitution are discussed.

  12. Availability and Use of Telecommunication/Computer Information ...

    African Journals Online (AJOL)

    buz_centr_03

    the study area, identify Information and Communication Technologies (ICTs) in telecommunication/computer .... recommended that extension should forge new links and create network for sharing knowledge and experience .... Food Security.

  13. Control and adaptation in telecommunication systems mathematical foundations

    CERN Document Server

    Popovskij, Vladimir; Titarenko, Larysa

    2011-01-01

    This book is devoted to mathematical foundations providing synthesis and analysis of control and adaptation algorithms targeting modern telecommunication systems (TCS). The most popular technologies and network management methods are discussed.

  14. Fuel Cells for Backup Power in Telecommunications Facilities (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2009-04-01

    Telecommunications providers rely on backup power to maintain a constant power supply, to prevent power outages, and to ensure the operability of cell towers, equipment, and networks. The backup power supply that best meets these objectives is fuel cell technology.

  15. Primary care research conducted in networks: getting down to business.

    Science.gov (United States)

    Mold, James W

    2012-01-01

    This seventh annual practice-based research theme issue of the Journal of the American Board of Family Medicine highlights primary care research conducted in practice-based research networks (PBRNs). The issue includes discussion of (1) theoretical and methodological research, (2) health care research (studies addressing primary care processes), (3) clinical research (studies addressing the impact of primary care on patients), and (4) health systems research (studies of health system issues impacting primary care including the quality improvement process). We had a noticeable increase in submissions from PBRN collaborations, that is, studies that involved multiple networks. As PBRNs cooperate to recruit larger and more diverse patient samples, greater generalizability and applicability of findings lead to improved primary care processes.

  16. Telecommunication with neutrino beams

    International Nuclear Information System (INIS)

    Saenz, A.W.; Ueberall, H.; Kelly, F.J.; Padgett, D.W.; Seeman, N.

    1977-01-01

    Collimated neutrino beams in the energy range 1 to 100 gigaelectron volts, now available from high-energy proton accelerators, are proposed as a potential means for telecommunication over global distances. Quantitative estimates of the feasibility of this proposal based on a particular detector configuration are presented

  17. Telecommunication market research processing

    Science.gov (United States)

    Dupont, J. F.

    1983-06-01

    The data processing in two telecommunication market investigations is described. One of the studies concerns the office applications of communication and the other the experiences with a videotex terminal. Statistical factorial analysis was performed on a large mass of data. A comparison between utilization intentions and effective utilization is made. Extensive rewriting of statistical analysis computer programs was required.

  18. Telecommunication using muon beams

    International Nuclear Information System (INIS)

    Arnold, R.C.

    1976-01-01

    Telecommunication is effected by generating a beam of mu mesons or muons, varying a property of the beam at a modulating rate to generate a modulated beam of muons, and detecting the information in the modulated beam at a remote location

  19. TELECOMMUNICATIONS INFRASTRUCTURE AND GDP /JIPP CURVE/

    Directory of Open Access Journals (Sweden)

    Mariana Kaneva

    2016-07-01

    Full Text Available The relationship between telecommunications infrastructure and economic activity is under discussion in many scientific papers. Most of the authors use for research and analysis the Jipp curve. A lot of doubts about the correctness of the Jipp curve appear in terms of applying econometric models. The aim of this study is a review of the Jipp curve, refining the possibility of its application in modern conditions. The methodology used in the study is based on dynamic econometric models, including tests for nonstationarity and tests for causality. The focus of this study is directed to methodological problems in measuring the local density types of telecommunication networks. This study offers a specific methodology for assessing the Jipp law, through VAR-approach and Granger causality tests. It is proved that mechanical substitution of momentary aggregated variables (such as the number of subscribers of a telecommunication network at the end of the year and periodically aggregated variables (such as GDP per capita in the Jipp�s curve is methodologically wrong. Researchers have to reconsider the relationship set in the Jipp�s curve by including additional variables that characterize the Telecommunications sector and the economic activity in a particular country within a specified time period. GDP per capita should not be regarded as a single factor for the local density of telecommunications infrastructure. New econometric models studying the relationship between the investments in telecommunications infrastructure and economic development may be not only linear regression models, but also other econometric models. New econometric models should be proposed after testing and validating with sound economic theory and econometric methodology.

  20. Social networks of patients with chronic skin lesions: nursing care.

    Science.gov (United States)

    Bandeira, Luciana Alves; Santos, Maxuel Cruz Dos; Duarte, Êrica Rosalba Mallmann; Bandeira, Andrea Gonçalves; Riquinho, Deise Lisboa; Vieira, Letícia Becker

    2018-01-01

    To describe the social networks of patients with chronic skin damages. A qualitative study conducted through semi-structured interviews with nine subjects with chronic skin lesions from June 2016 to March 2017; we used the theoretical-methodological framework of Lia Sanicola's Social Network. The analysis of the relational maps revealed that the primary network was formed mainly by relatives and neighbors; its characteristics, such as: reduced size, low density and few exchanges/relationships, configures fragility in these links. The secondary network was essentially described by health services, and the nurse was cited as a linker in the therapeutic process. Faced with the fragility of the links and social isolation, the primary health care professionals are fundamental foundations for the construction of networks of social support and care for patients with chronic skin lesions.

  1. Social networks of patients with chronic skin lesions: nursing care

    Directory of Open Access Journals (Sweden)

    Luciana Alves Bandeira

    Full Text Available ABSTRACT Objective: To describe the social networks of patients with chronic skin damages. Method: A qualitative study conducted through semi-structured interviews with nine subjects with chronic skin lesions from June 2016 to March 2017; we used the theoretical-methodological framework of Lia Sanicola’s Social Network. Results: The analysis of the relational maps revealed that the primary network was formed mainly by relatives and neighbors; its characteristics, such as: reduced size, low density and few exchanges/relationships, configures fragility in these links. The secondary network was essentially described by health services, and the nurse was cited as a linker in the therapeutic process. Final considerations: Faced with the fragility of the links and social isolation, the primary health care professionals are fundamental foundations for the construction of networks of social support and care for patients with chronic skin lesions.

  2. Equivalent unit in telecommunications services

    Directory of Open Access Journals (Sweden)

    Luiza Santangelo Reis

    2016-03-01

    Full Text Available The aim of this study is to analyze the relationship between the “cost” and “production” variables in a telecommunications company, measuring the latter in the unit of measure termed Network Units (NU.  The study shows a Pearson correlation coefficient of 0.55 -evaluated as moderate - over the course of a 24-month period and resulting from 177 trials.  Subsequently, only the work teams composed of the company´s standard structure were taken into consideration, which yielded 32 observations of interest and a derived correlation coefficient of 0.8.  Finally, the data pertaining to each individual work team over a determined length of time was analyzed, showing strong correlation coefficients in seven of the eleven, and in the remainder, a moderate linear relationship between the variables analyzed.  These results suggest the viability of applying the NU production measurement model in the telecommunications company in question

  3. Disaster management and mitigation: the telecommunications infrastructure.

    Science.gov (United States)

    Patricelli, Frédéric; Beakley, James E; Carnevale, Angelo; Tarabochia, Marcello; von Lubitz, Dag K J E

    2009-03-01

    Among the most typical consequences of disasters is the near or complete collapse of terrestrial telecommunications infrastructures (especially the distribution network--the 'last mile') and their concomitant unavailability to the rescuers and the higher echelons of mitigation teams. Even when such damage does not take place, the communications overload/congestion resulting from significantly elevated traffic generated by affected residents can be highly disturbing. The paper proposes innovative remedies to the telecommunications difficulties in disaster struck regions. The offered solutions are network-centric operations-cap able, and can be employed in management of disasters of any magnitude (local to national or international). Their implementation provide ground rescue teams (such as law enforcement, firemen, healthcare personnel, civilian authorities) with tactical connectivity among themselves, and, through the Next Generation Network backbone, ensure the essential bidirectional free flow of information and distribution of Actionable Knowledge among ground units, command/control centres, and civilian and military agencies participating in the rescue effort.

  4. Data Exchange Inventory System for Telecommunications and Systems Operations (DEXI-OTSO)

    Data.gov (United States)

    Social Security Administration — This Data Exchange Inventory (DEXI) for the Office of Telecommunications and System Operations, (OTSO) Network Troubleshooting is a browser-based inventory database...

  5. Vertical integration and organizational networks in health care.

    Science.gov (United States)

    Robinson, J C; Casalino, L P

    1996-01-01

    This paper documents the growing linkages between primary care-centered medical groups and specialists and between physicians and hospitals under managed care. We evaluate the two alternative forms of organizational coordination: "vertical integration," based on unified ownership, and "virtual integration," based on contractual networks. Excess capacity and the need for investment capital are major short-term determinants of these vertical versus virtual integration decisions in health care. In the longer term, the principal determinants are economies of scale, risk-bearing ability, transaction costs, and the capacity for innovation in methods of managing care.

  6. Polarization Optics in Telecommunications

    CERN Document Server

    Damask, Jay N

    2005-01-01

    The strong investments into optical telecommunications in the late 1990s resulted in a wealth of new research, techniques, component designs, and understanding of polarization effects in fiber. Polarization Optics in Telecommunications brings together recent advances in the field to create a standard, practical reference for component designers and optical fiber communication engineers. Beginning with a sound foundation in electromagnetism, the author offers a dissertation of the spin-vector formalism of polarization and the interaction of light with media. Applications discussed include optical isolators, optical circulators, fiber collimators, and a variety of applied waveplate and prism combinations. Also included in an extended discussion of polarization-mode dispersion (PMD) and polarization-dependent loss (PDL), their representation, behavior, statistical properties, and measurement. This book draws extensively from the technical and patent literature and is an up-to-date reference for researchers and c...

  7. NATO Telecommunications Symposium

    CERN Document Server

    Lucas, William; Conrath, David

    1978-01-01

    This book contains the proceedings of the first international symposium devoted to research on the evaluation and planning of new person-to-person telecommunication systems. It was sponsored by NATO's Special Programme Panel on Systems Science and took place, in September 1977, at the University of Bergamo in the north of Italy. Telecommunication systems which provide for communication be­ tween people, rather than computers or other instruments, are of two kinds. There are mass communication systems (broadcast radio and television) and interpersonal systems (for example, the telephone and Telex) which join together individuals or small groups. Here we have included in the interpersonal category certain systems for re­ trieving information from computers, essentially those systems in which the role of the computer 1s primarily to act as a store and to identify that information which best fits a user's request. (This excludes management information systems in which the computer performs important transformat...

  8. Establishment and preliminary outcomes of a palliative care research network.

    Science.gov (United States)

    Hudson, Peter; Street, Annette; Graham, Suzanne; Aranda, Sanchia; O'Connor, Margaret; Thomas, Kristina; Jackson, Kate; Spruyt, Odette; Ugalde, Anna; Philip, Jennifer

    2016-02-01

    The difficulties in conducting palliative care research have been widely acknowledged. In order to generate the evidence needed to underpin palliative care provision, collaborative research is considered essential. Prior to formalizing the development of a research network for the state of Victoria, Australia, a preliminary study was undertaken to ascertain interest and recommendations for the design of such a collaboration. Three data-collection strategies were used: a cross-sectional questionnaire, interviews, and workshops. The questionnaire was completed by multidisciplinary palliative care specialists from across the state (n = 61); interviews were conducted with senior clinicians and academics (n = 21) followed by two stakeholder workshops (n = 29). The questionnaire was constructed specifically for this study, measuring involvement of and perceptions of palliative care research. Both the interview and the questionnaire data demonstrated strong support for a palliative care research network and aided in establishing a research agenda. The stakeholder workshops assisted with strategies for the formation of the Palliative Care Research Network Victoria (PCRNV) and guided the development of the mission and strategic plan. The research and efforts to date to establish the PCRNV are encouraging and provide optimism for the evolution of palliative care research in Australia. The international implications are highlighted.

  9. Quality of service provision assessment in the healthcare information and telecommunications infrastructures.

    Science.gov (United States)

    Babulak, Eduard

    2006-01-01

    The continuous increase in the complexity and the heterogeneity of corporate and healthcare telecommunications infrastructures will require new assessment methods of quality of service (QoS) provision that are capable of addressing all engineering and social issues with much faster speeds. Speed and accessibility to any information at any time from anywhere will create global communications infrastructures with great performance bottlenecks that may put in danger human lives, power supplies, national economy and security. Regardless of the technology supporting the information flows, the final verdict on the QoS is made by the end user. The users' perception of telecommunications' network infrastructure QoS provision is critical to the successful business management operation of any organization. As a result, it is essential to assess the QoS Provision in the light of user's perception. This article presents a cost effective methodology to assess the user's perception of quality of service provision utilizing the existing Staffordshire University Network (SUN) by adding a component of measurement to the existing model presented by Walker. This paper presents the real examples of CISCO Networking Solutions for Health Care givers and offers a cost effective approach to assess the QoS provision within the campus network, which could be easily adapted to any health care organization or campus network in the world.

  10. Audit Trail Management System in Community Health Care Information Network.

    Science.gov (United States)

    Nakamura, Naoki; Nakayama, Masaharu; Nakaya, Jun; Tominaga, Teiji; Suganuma, Takuo; Shiratori, Norio

    2015-01-01

    After the Great East Japan Earthquake we constructed a community health care information network system. Focusing on the authentication server and portal server capable of SAML&ID-WSF, we proposed an audit trail management system to look over audit events in a comprehensive manner. Through implementation and experimentation, we verified the effectiveness of our proposed audit trail management system.

  11. Pulmonary Hypertension Care Center Network: Improving Care and Outcomes in Pulmonary Hypertension.

    Science.gov (United States)

    Sahay, Sandeep; Melendres-Groves, Lana; Pawar, Leena; Cajigas, Hector R

    2017-04-01

    Pulmonary hypertension (PH) is a chronic, progressive, life-threatening disease that requires expert multidisciplinary care. To facilitate this level of care, the Pulmonary Hypertension Association established across the United States a network of pulmonary hypertension care centers (PHCCs) with special expertise in PH, particularly pulmonary arterial hypertension, to raise the overall quality of care and outcomes for patients with this life-threatening disease. Since the inception of PHCCs in September 2014, to date 35 centers have been accredited in the United States. This model of care brings together physicians and specialists from other disciplines to provide care, facilitate basic and clinical research, and educate the next generation of providers. PHCCs also offer additional opportunities for improvements in PH care. The patient registry offered through the PHCCs is an organized system by which data are collected to evaluate the outcomes of patients with PH. This registry helps in detecting variations in outcomes across centers, thus identifying opportunities for improvement. Multiple tactics were undertaken to implement the strategic plan, training, and tools throughout the PHCC network. In addition, strategies to foster collaboration between care center staff and individuals with PH and their families are the cornerstone of the PHCCs. The Pulmonary Vascular Network of the American College of Chest Physicians believes this to be a positive step that will improve the quality of care delivered in the United States to patients with PH. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  12. Rural Health Networks: How Network Analysis Can Inform Patient Care and Organizational Collaboration in a Rural Breast Cancer Screening Network.

    Science.gov (United States)

    Prusaczyk, Beth; Maki, Julia; Luke, Douglas A; Lobb, Rebecca

    2018-04-15

    Rural health networks have the potential to improve health care quality and access. Despite this, the use of network analysis to study rural health networks is limited. The purpose of this study was to use network analysis to understand how a network of rural breast cancer care providers deliver services and to demonstrate the value of this methodology in this research area. Leaders at 47 Federally Qualified Health Centers and Rural Health Clinics across 10 adjacent rural counties were asked where they refer patients for mammograms or breast biopsies. These clinics and the 22 referral providers that respondents named comprised the network. The network was analyzed graphically and statistically with exponential random graph modeling. Most (96%, n = 45) of the clinics and referral sites (95%, n = 21) are connected to each other. Two clinics of the same type were 62% less likely to refer patients to the same providers as 2 clinics of different types (OR = 0.38, 95% CI = 0.29-0.50). Clinics in the same county have approximately 8 times higher odds of referring patients to the same providers compared to clinics in different counties (OR = 7.80, CI = 4.57-13.31). This study found that geographic location of resources is an important factor in rural health care providers' referral decisions and demonstrated the usefulness of network analysis for understanding rural health networks. These results can be used to guide delivery of patient care and strengthen the network by building resources that take location into account. © 2018 National Rural Health Association.

  13. Medical image telecommunication

    International Nuclear Information System (INIS)

    Handmaker, H.; Bennington, J.L.; Lloyd, R.W.; Caspe, R.A.

    1986-01-01

    After years of waiting for Picture Archiving and Communication Systems (PACS) to become technologically mature and readily available at competitive costs, it appears that the ingredients are now available for producing at least the telecommunication component of the PACS. They are as follows: 1. A variety of pathways now exist for long-distance high-speed digital data transmission at acceptable costs. 2. Developments in computer technology and keen competition in the microcomputer and video display markets have markedly reduced to costs for components of digital data terminals. 3. The volume of native digitally acquired images is expanding yearly, whereas at the same time the pressure for converting images acquired in analog format to digital format is increasing. 4. The advantages of and potential for processing and storing imaging data in digital format are becoming more widely recognized. These factors, individually and collectively, favor the successful applications of image telecommunication to the field of diagnostic imaging. The authors have attempted to provide an overview of the subject and the basics of this emerging technology

  14. EAS Telecommunications Certification Bodies (TCB)

    Data.gov (United States)

    Federal Communications Commission — EAS (Equipment Authorization System). A Telecommunication Certification Body (TCB) is an accredited product certification body with the authority to issue Grants of...

  15. CRC handbook of modern telecommunications

    CERN Document Server

    Morreale, Patricia A

    2001-01-01

    This authoritative handbook, contributed to by a team of international experts, covers the most dynamic areas in the changing telecommunications landscape. Written for telecommunications specialists who implement the new technologies, The CRC Handbook of Modern Telecommunications is an excellent companion volume to the authors' The Telecommunications Handbook, but stands well on its own, as it extends the range of topics to include voice over Internet, traffic management, quality of service, and other dominant future trends. It is an indispensable reference for all professionals working in the

  16. Course Content for a Telecommunication Course in an End-User Computing Support Program.

    Science.gov (United States)

    Crews, Tena B.; Ray, Charles M.

    1998-01-01

    A modified Delphi panel of telecommunications educators developed a list of specific content topics for a business telecommunications course. Major content areas were recommended: local and wide area networks, media, hardware, e-mail, emerging technologies, network topologies, data signals, conceptual foundations, and social and ethical issues.…

  17. International Children's Palliative Care Network: A Global Action Network for Children With Life-Limiting Conditions.

    Science.gov (United States)

    Marston, Joan; Boucher, Sue; Downing, Julia

    2018-02-01

    The International Children's Palliative Care Network (ICPCN) is a global network of individuals and organizations working together to reach the estimated 21 million children with life-limiting conditions and life-threatening illnesses. The drive to establish the ICPCN was born from the recognition of the gaps in service provision for children's palliative care and the need to collaborate, network, and share resources. Established in 2005 during a meeting in Seoul, South Korea, the ICPCN has developed over the years into an established network with a global membership. The history of the organization is described, including some of the key events since its inception. Working in collaboration with others, ICPCN has five key focus areas: Communication; Advocacy; Research; Education; and Strategic development, and is the only international charity working globally for the rights of children with palliative care needs. Activities in these areas are discussed, along with the inter-connection between the five areas. Without the ICPCN, palliative care for children would not have developed as far as it has over the years and the organization is committed to ongoing work in this area until all children requiring palliative care have access to quality services, wherever they live around the world. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  18. Net one, net two: the primary care network income statement.

    Science.gov (United States)

    Halley, M D; Little, A W

    1999-10-01

    Although hospital-owned primary care practices have been unprofitable for most hospitals, some hospitals are achieving competitive advantage and sustainable practice operations. A key to the success of some has been a net income reporting tool that separates practice operating expenses from the costs of creating and operating a network of practices to help healthcare organization managers, physicians, and staff to identify opportunities to improve the network's financial performance. This "Net One, Net Two" reporting allows operations leadership to be held accountable for Net One expenses and strategic leadership to be held accountable for Net Two expenses.

  19. Croatian Telecommunication Market: Concentration Trends in the Period from 2003 to 2008

    Directory of Open Access Journals (Sweden)

    Mirjana Pejić Bach

    2013-01-01

    Full Text Available Telecommunication markets are a valuable factor that contributes to the economic growth and development. The development of the telecommunication markets and services was slower in the countries in transition than in developed European countries, altough after the fall of communism countries in transition implemented a big progress in spreading and modernizing of their telecommunication network.The paper analysis the level of concentration of telecommunication industry in Croatia from 2003 to 2008. The data used in the analysis consider 50 Croatian largest IT firms that are operating on telecommunication market and specific telecommunication sectors: producers of telecommunication equipment, distributers of telecommunication services and implementers of telecommunication solutions. The main two conclusions of this article are: (1 degree of concentration on the telecommunication market in Croatia changed differently in different market shares, (2 degree of concentration on the telecommunication market in Croatia is influenced by different barriers to enter the market.The analysis finds that Croatian telecommunication industry is in a good position even a few steps ahead of some other transition countries.

  20. Telecommunication for the Physically Handicapped.

    Science.gov (United States)

    Cunningham, Pat; Gose, Joan

    The paper examines the uses of telecommunication for physically handicapped students. Basic equipment, including a modem and keyboard interface, are described. The types and uses of computer bulletin boards are also described. Among benefits of telecommunications for physically handicapped students noted in the paper are social prestige,…

  1. The Nordic Mobile Telecommunication Cluster

    DEFF Research Database (Denmark)

    Jørgensen, Ulrik

    2000-01-01

    A study of the historic role of the Nordic mobile telephone and telecommunications cluster and its background in both coordinated innovation policies and societal developments in Scandinavia.......A study of the historic role of the Nordic mobile telephone and telecommunications cluster and its background in both coordinated innovation policies and societal developments in Scandinavia....

  2. Forecast for the Future: Telecommunications.

    Science.gov (United States)

    Sekaquaptewa, Sam; Yawakie, Madonna; Scheer, Roger; Yawakie, Mel

    1999-01-01

    Four telecommunications experts comment on changes in the industry and how these changes may result in career opportunities for American Indians. American Indian reservations have limited access to telecommunications and information technology and would benefit from the advocacy of Native professionals. (CDS)

  3. Telecommunications, politics, economics, and national sovereignty: A new game

    Energy Technology Data Exchange (ETDEWEB)

    Bugliarello, G.

    1996-12-31

    The impact of telecommunications on politics, economics and national sovereignty is creating a new game. Political and economic power may operate over the same territory, as in the now-rare case of isolated economies, but, more often, their domains do not coincide. Increasingly, telecommunications create major challenges for countries preoccupied with issues of national sovereignty because the national state has only a limited ability to control these intrinsic and at times potentially destabilizing powers of telecommunications and the {open_quotes}telecommunities{close_quotes} they make possible. As many traditional aspects of sovereignty are becoming weakened by telecommunications, and as the intense dynamics of networks and the expansion of telecommunities revolutionize business and politics, there is a need to prevent the situation from becoming chaotic and uncontrollable, even while recognizing the possibilities of enhanced opportunities. This requires focusing on a more flexible conception of sovereignty which can enhance the state`s attractiveness for telecommunications infrastructure, while addressing issues of ethics and morality in the new telecommications environment. A new, broad socio-technological research agenda needs to be developed - with the ultimate purpose of providing society with the tools to play the new game and thrive. 10 refs., 3 tabs.

  4. Designing a Pregnancy Care Network for Pregnant Women

    Directory of Open Access Journals (Sweden)

    Sabiha Khanum

    2017-12-01

    Full Text Available All pregnant women need easy access to pregnancy-related personalized information, on-time quality healthcare services and effective communication links with healthcare providers. Smartphone-based devices, communication systems and eHealth applications can play an important role in facilitating some of these services to pregnant women in a fast and efficient way and can thus prevent most of the pregnancy-related complications. The objective of this work is to propose and design a pregnancy care network for pregnant women and healthcare providers. The network model, an eHealth application based on smartphone-based devices and communication systems, is designed to strengthen communication links between health professionals and pregnant women and increase education, awareness and quality of care during pregnancy and childbirth.

  5. VIP-PERSONNEL FOR TELECOMMUNICATIONS

    Directory of Open Access Journals (Sweden)

    Konstantin Yakovishin

    2013-12-01

    Full Text Available In the article the new nonconventional technology of preparation of the experts of high qualification for telecommunications is considered. The experience of teaching of discipline “Informatics” on Faculty of Telecommunication systems in National Aviation University is generalized. The following idea develops: the modern VІР-expert in telecommunications should know and be able to simulate telecommunication systems and protocols in systems of fast designing by methods of the Object- guided programming. In the article the new elements of new technology are considered – they are: the formation of knowledge and skills on modeling the telecommunication protocols, training is exclusively on the examples (projects, teaching of lectures by analogy to a method of descending designing. It is marked, that it is necessary to supplement the usual comments of the texts, photo and video from electronic lectures on a multimedia projector by start and performance of the simulating programs on the computer.

  6. International Telecommunications Satellite Organization (INTELSAT) Agreement Between the United States of American and Other Governments and Operating Agreement.

    Science.gov (United States)

    Department of State, Washington, DC.

    The INTELSAT (International Telecommunications Satellite) agreement was reached because of the desirability of continuing the development of a telecommunications satellite system. INTELSAT's aim was to achieve a single global commercial system as part of an improved global telecommunications network which will provide expanded services to all…

  7. Telecom Policy Innovation: the Role of Free Spectrum and Telecommunication Development in Rural Ghana

    Directory of Open Access Journals (Sweden)

    Idongesit Williams

    2011-08-01

    Full Text Available Every nation wants to achieve Universal Access of telecommunication services due to its importance to the economy and national life. Unfortunately in sub-Saharan Africa, telecommunication services are either scarce or non-existent in rural areas. However, previous telecommunication policies have enabled the provision of various network technologies in Africa. What type of policy is needed to push these telecommunication services into rural areas? This paper discusses the importance of issuing a using Free Spectrum policy to as an incentive to small telecom network operators in Africa. Ghana is used as a test case.

  8. Local network interconnection through a satellite point-to-multipoint link. Ph.D. Thesis - Ecole Nationale Superieure des Telecommunications, 6 Jul. 1985

    Science.gov (United States)

    Duarte, O. Muniz Bandeira

    1986-01-01

    Four architectures to implement a point to multipoint satellite link protocol for communication services offered by the Telecom 1 satellite network are presented. A safe communication service with error correction and flow control facilities is described. It is shown that a time transparent communication system combines simplicity and cost advantages.

  9. A Telecommunications Industry Perspective.

    Science.gov (United States)

    Smith, Raymond W.

    1989-01-01

    Describes Pennsylvania Research and Economics Partnership Network (PREPnet), which links research universities, Bell of Pennsylvania, and the State of Pennsylvania. Highlights include the U.S. communications and information infrastructure compared to other countries; and the need for national networks that will link higher education; business,…

  10. The Danish Regulatory Reform of Telecommunications

    DEFF Research Database (Denmark)

    Skouby, Knud Erik

    1998-01-01

    An overview of the liberalisation process and regulatory reform of telecommunications in Denmark......An overview of the liberalisation process and regulatory reform of telecommunications in Denmark...

  11. Optical fiber telecommunications components and subsystems

    CERN Document Server

    Kaminow, Ivan; Willner, Alan E

    2013-01-01

    Optical Fiber Telecommunications VI (A&B) is the sixth in a series that has chronicled the progress in the R&D of lightwave communications since the early 1970s. Written by active authorities from academia and industry, this edition brings a fresh look to many essential topics, including devices, subsystems, systems and networks. A central theme is the enabling of high-bandwidth communications in a cost-effective manner for the development of customer applications. These volumes are an ideal reference for R&D engineers and managers, optical systems implementers, university researchers and s

  12. OAM system based on TMN for utility telecommunication network. Proposal of modeling method about managed objects; TMN ni motozuku denryoku tsushinmo no un`yo kanri system. Kanri object no sekkei shuho ni kansuru kento

    Energy Technology Data Exchange (ETDEWEB)

    Hirozawa, T.; Yusa, H.; Otani, T. [Central Research Institute of Electric Power Industry, Tokyo (Japan); Okamura, K. [Tokyo Electric Power Co. Inc., Tokyo (Japan)

    1996-03-01

    To construct an advanced operation and management system for utility telecommunications management network (TMN), this paper proposes a modeling method of managed objects (MOs) required for managing and managed systems, such as an asynchronous transmission mode (ATM) exchanger. Flexible line setting and path switching control are required for the advanced TMN, which must cope with the extension and modification of functions, flexibly. Assignment of roles of managing sides and managed sides was determined. Then, structures of objects such as facilities and logic data, and their interaction were modeled. Common management functions and objects of each function were classified. Based on the TMN standard and MOs of the existing design peculiar to utility, new MOs peculiar to utility were defined in response to the models. The existing MOs can be effectively utilized, and the optimum MOs to be incorporated can be expected. The MOs peculiar to utility are added to the common specification of electric power industry. Since they can be reused for the extension and modification of functions, the cost can be reduced. The MOs applicable to path switching control of utility were designed as a trial. 9 refs., 16 figs., 10 tabs.

  13. Continuity of care in the Health Care Network: negotiation between users and professionals

    Directory of Open Access Journals (Sweden)

    Maria Denise Schimith

    2014-12-01

    Full Text Available This study aimed to identify the negotiation and shared decision-making between professionals and users in a Family Health Unit and its influence on the continuity of care in the Health Care Network. Qualitative research created from a case study. One conducted 19 interviews, observation and document research. It was developed in a city in the countryside of Rio Grande do Sul, Brazil, in 2012. The results show that decisions used to happen unilaterally and that users and professionals looked for alternative ways to the continuity of care. It was not possible to identify the negotiation between professional and users and it was noticed that the user was alone looking for access. It is understood that primary care in the city researched needs to take responsibility for users and their access.

  14. Study on Co-petition Strategies between Virtual Network Operators and Basic Telecommunication Business Operators%虚拟运营商与基础电信业务经营者的竞合策略研究

    Institute of Scientific and Technical Information of China (English)

    戴刚

    2016-01-01

    随着移动互联网时代的到来,虚拟运营商作为电信行业发展不断开放和成熟、细分市场需求逐渐清晰之下的产物,原来的三家运营商垄断的局面逐渐演变为多方博弈的竞争格局。通过对国内虚拟运营商与基础电信业务经营者合作的环境进行分析,以及对国外虚拟运营商与基础电信业务经营者合作的案例进行深入的剖析,逐步探索出虚拟运营商与基础电信业务经营者双赢的合作策略,旨在为我国移动通信市场可持续发展提供有效的参考和支持。%With the advent of the era of mobile internet, the virtual network operator was the product of the telecom industry’s development, continuous openness and maturity, as the subdivided market demand became clear, the original three-operator monopoly situation evolved into the game of multi-party competition. This paper analyzed the domestic cooperate environment of the virtual network operator and basic telecommunication business operators with in-depth analysis of the foreign cooperation cases, and then gradually explored the win-win cooperation strategy, aiming at providing effective reference and support to the sustainable development of mobile communication market of our country.

  15. 36 CFR 1194.23 - Telecommunications products.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Telecommunications products... Telecommunications products. (a) Telecommunications products or systems which provide a function allowing voice... intermix speech with TTY use. (b) Telecommunications products which include voice communication...

  16. Authentication and Data Security in ITS Telecommunications Solutions

    Directory of Open Access Journals (Sweden)

    Tomas Zelinka

    2014-04-01

    Full Text Available Paper presents telecommunications security issues with dynamically changing networking. Paper also presents performance indicators of authentication as an integral part of the approach to non-public information. Expected level of security depend on relevant ITS services requirements, different solutions require different levels of quality. Data volumes transferred both in private data vehicle on board networks as well as between vehicles and infrastructure or other vehicles significantly and progressively grow. This trend leads to increase of the fatal problems if security of the wide area networks is not relevantly treated. Relevant communications security treatment becomes crucial part of the ITS telecommunications solution because probability of hazards appearances grow if vehicles networks are integrated in the dynamically organized wide area networks. Besides of available "off shelf" security tools solution based on non-public universal identifier with dynamical extension and data selection according to actor role or category is presented including performances indicators for the authentication process.

  17. Connecting Classrooms through Telecommunications.

    Science.gov (United States)

    Copen, Peter

    1995-01-01

    Although the Cold War has ended, the need for students to improve their intercultural awareness and understanding of international problems (hunger, environmental degradation, and increasing population) has grown stronger. I*Earn, a global network, allows K-12 students to work on joint social and environmental projects that can greatly improve…

  18. Articulation of Industrial R&D with Higher Education in the Telecommunications Sector in South Africa

    Science.gov (United States)

    Paterson, Andrew

    2005-01-01

    This article shows how and why particular higher education?industry research and development networks articulate with the South African telecommunications sector. The range of competing and complementary data telecommunications technologies available in the South African market provide varying opportunities for enterprises to engage in R&D. Two…

  19. Using Social Network Analysis to Examine the Effect of Care Management Structure on Chronic Disease Management Communication Within Primary Care.

    Science.gov (United States)

    Holtrop, Jodi Summers; Ruland, Sandra; Diaz, Stephanie; Morrato, Elaine H; Jones, Eric

    2018-05-01

    Care management and care managers are becoming increasingly prevalent in primary care medical practice as a means of improving population health and reducing unnecessary care. Care managers are often involved in chronic disease management and associated transitional care. In this study, we examined the communication regarding chronic disease care within 24 primary care practices in Michigan and Colorado. We sought to answer the following questions: Do care managers play a key role in chronic disease management in the practice? Does the prominence of the care manager's connectivity within the practice's communication network vary by the type of care management structure implemented? Individual written surveys were given to all practice members in the participating practices. Survey questions assessed demographics as well as practice culture, quality improvement, care management activities, and communication regarding chronic disease care. Using social network analysis and other statistical methods, we analyzed the communication dynamics related to chronic disease care for each practice. The structure of chronic disease communication varies greatly from practice to practice. Care managers who were embedded in the practice or co-located were more likely to be in the core of the communication network than were off-site care managers. These care managers also had higher in-degree centrality, indicating that they acted as a hub for communication with team members in many other roles. Social network analysis provided a useful means of examining chronic disease communication in practice, and highlighted the central role of care managers in this communication when their role structure supported such communication. Structuring care managers as embedded team members within the practice has important implications for their role in chronic disease communication within primary care.

  20. Building managed primary care practice networks to deliver better clinical care: a qualitative semi-structured interview study.

    Science.gov (United States)

    Pawa, Jasmine; Robson, John; Hull, Sally

    2017-11-01

    Primary care practices are increasingly working in larger groups. In 2009, all 36 primary care practices in the London borough of Tower Hamlets were grouped geographically into eight managed practice networks to improve the quality of care they delivered. Quantitative evaluation has shown improved clinical outcomes. To provide insight into the process of network implementation, including the aims, facilitating factors, and barriers, from both the clinical and managerial perspectives. A qualitative study of network implementation in the London borough of Tower Hamlets, which serves a socially disadvantaged and ethnically diverse population. Nineteen semi-structured interviews were carried out with doctors, nurses, and managers, and were informed by existing literature on integrated care and GP networks. Interviews were recorded and transcribed, and thematic analysis used to analyse emerging themes. Interviewees agreed that networks improved clinical care and reduced variation in practice performance. Network implementation was facilitated by the balance struck between 'a given structure' and network autonomy to adopt local solutions. Improved use of data, including patient recall and peer performance indicators, were viewed as critical key factors. Targeted investment provided the necessary resources to achieve this. Barriers to implementing networks included differences in practice culture, a reluctance to share data, and increased workload. Commissioners and providers were positive about the implementation of GP networks as a way to improve the quality of clinical care in Tower Hamlets. The issues that arose may be of relevance to other areas implementing similar quality improvement programmes at scale. © British Journal of General Practice 2017.

  1. The Construction of Infrastructure for Library's Digital Document Telecommunications.

    Science.gov (United States)

    Changxing, Ying; Zuzao, Lin

    This paper discusses the construction of the infrastructure for libraries' digital document telecommunications. The first section describes the topologies of the library LAN (Local Area Network) cabling system, including the main characteristics of the LAN and three classical topologies typically used with LANs, i.e., the bus, star, and ring…

  2. ICTEI-2015: International Conference on Telecommunications, Electronics and Informatics. Proceedings

    International Nuclear Information System (INIS)

    Kantser, V.; Andronic, S.

    2015-01-01

    This book includes articles which cover a vast range of subjects, such as: telecommunications networks and technologies; electronic, optoelectronic, photonic and information systems and devices; materials, components and equipment in electronics and communications; informatics and computer science; software development and testing etc.

  3. Social network approaches to recruitment, HIV prevention, medical care, and medication adherence.

    Science.gov (United States)

    Latkin, Carl A; Davey-Rothwell, Melissa A; Knowlton, Amy R; Alexander, Kamila A; Williams, Chyvette T; Boodram, Basmattee

    2013-06-01

    This article reviews the current issues and advancements in social network approaches to HIV prevention and care. Social network analysis can provide a method to understand health disparities in HIV rates, treatment access, and outcomes. Social network analysis is a valuable tool to link social structural factors to individual behaviors. Social networks provide an avenue for low-cost and sustainable HIV prevention interventions that can be adapted and translated into diverse populations. Social networks can be utilized as a viable approach to recruitment for HIV testing and counseling, HIV prevention interventions, optimizing HIV medical care, and medication adherence. Social network interventions may be face-to-face or through social media. Key issues in designing social network interventions are contamination due to social diffusion, network stability, density, and the choice and training of network members. There are also ethical issues involved in the development and implementation of social network interventions. Social network analyses can also be used to understand HIV transmission dynamics.

  4. A PDA-based flexible telecommunication system for telemedicine applications.

    Science.gov (United States)

    Nazeran, Homer; Setty, Sunil; Haltiwanger, Emily; Gonzalez, Virgilio

    2004-01-01

    Technology has been used to deliver health care at a distance for many years. Telemedicine is a rapidly growing area and recently there are studies devoted to prehospital care of patients in emergency cases. In this work we have developed a compact, reliable, and low cost PDA-based telecommunication device for telemedicine applications to transmit audio, still images, and vital signs from a remote site to a fixed station such as a clinic or a hospital in real time. This was achieved based on a client-server architecture. A Pocket PC, a miniature camera, and a hands-free microphone were used at the client site and a desktop computer running the Windows XP operating system was used as a server. The server was located at a fixed station. The system was implemented on TCP/IP and HTTP protocol. Field tests have shown that the system can reliably transmit still images, audio, and sample vital signs from a simulated remote site to a fixed station either via a wired or wireless network in real time. The Pocket PC was used at the client site because of its compact size, low cost and processing capabilities.

  5. Collaborative Chronic Care Networks (C3Ns) to transform chronic illness care.

    Science.gov (United States)

    Margolis, Peter A; Peterson, Laura E; Seid, Michael

    2013-06-01

    Despite significant gains by pediatric collaborative improvement networks, the overall US system of chronic illness care does not work well. A new paradigm is needed: a Collaborative Chronic Care Network (C3N). A C3N is a network-based production system that harnesses the collective intelligence of patients, clinicians, and researchers and distributes the production of knowledge, information, and know-how over large groups of people, dramatically accelerating the discovery process. A C3N is a platform of "operating systems" on which interconnected processes and interventions are designed, tested, and implemented. The social operating system is facilitated by community building, engaging all stakeholders and their expertise, and providing multiple ways to participate. Standard progress measures and a robust information technology infrastructure enable the technical operating system to reduce unwanted variation and adopt advances more rapidly. A structured approach to innovation design provides a scientific operating system or "laboratory" for what works and how to make it work. Data support testing and research on multiple levels: comparative effectiveness research for populations, evaluating care delivery processes at the care center level, and N-of-1 trials and other methods to select the best treatment of individual patient circumstances. Methods to reduce transactional costs to participate include a Federated IRB Model in which centers rely on a protocol approved at 1 central institutional review board and a "commons framework" for organizational copyright and intellectual property concerns. A fully realized C3N represents a discontinuous leap to a self-developing learning health system capable of producing a qualitatively different approach to improving health.

  6. Windfarms and telecommunications towers (Scotland)

    International Nuclear Information System (INIS)

    Munro, Hector; Kellett-Bowman, Elaine; Harris, David

    1996-01-01

    A debate in the United Kingdom House of Commons on the environmental impact of windfarms and telecommunications towers in Scotland is reported. Concern was expressed over the adverse visual impact of such structures in rural areas which are often of considerable natural beauty. Counter arguments were based on the positive effects of new technology. The need to reconcile environmental protection with technological innovation was expressed. A Government spokesman described the comprehensive planning policy framework which has been put in place to secure sound planning decisions on renewable energy developments and the conditions on amenity protection in the regulations governing the erection of telecommunications towers. (UK)

  7. Windfarms and telecommunications towers (Scotland)

    Energy Technology Data Exchange (ETDEWEB)

    Munro, Hector; Kellett-Bowman, Elaine; Harris, David [and others

    1996-10-30

    A debate in the United Kingdom House of Commons on the environmental impact of windfarms and telecommunications towers in Scotland is reported. Concern was expressed over the adverse visual impact of such structures in rural areas which are often of considerable natural beauty. Counter arguments were based on the positive effects of new technology. The need to reconcile environmental protection with technological innovation was expressed. A Government spokesman described the comprehensive planning policy framework which has been put in place to secure sound planning decisions on renewable energy developments and the conditions on amenity protection in the regulations governing the erection of telecommunications towers. (UK)

  8. The Telecommunications and Data Acquisition Report

    Science.gov (United States)

    Yuen, Joseph H. (Editor)

    1996-01-01

    This quarterly publication provides archival reports on developments in programs managed by JPL's Telecommunications and Mission Operations Directorate (TMOD), which now includes the former Telecommunications and Data Acquisition (TDA) Office. In space communications, radio navigation, radio science, and ground-based radio and radar astronomy, it reports on activities of the Deep Space Network (DSN) in planning, supporting research and technology, implementation, and operations. Also included are standards activity at JPL for space data and information systems and reimbursable DSN work performed for other space agencies through NASA. The preceding work is all performed for NASA's Office of Space Communications (OSC). TMOD also performs work funded by other NASA program offices through and with the cooperation of OSC. The first of these is the Orbital Debris Radar Program funded by the Office of Space Systems Development. It exists at Goldstone only and makes use of the planetary radar capability when the antennas are configured as science instruments making direct observations of the planets, their satellites, and asteroids of our solar system. The Office of Space Sciences funds the data reduction and science analyses of data obtained by the Goldstone Solar System Radar. The antennas at all three complexes are also configured for radio astronomy research and, as such, conduct experiments funded by the National Science Foundation in the U.S. and other agencies at the overseas complexes. These experiments are either in microwave spectroscopy or very long baseline interferometry. Finally, tasks funded under the JPL Director's Discretionary Fund and the Caltech President's Fund that involve TMOD are included. This and each succeeding issue of 'The Telecommunications and Data Acquisition Progress Report' will present material in some, but not necessarily all, of the aforementioned programs.

  9. Bayesian networks for clinical decision support in lung cancer care.

    Directory of Open Access Journals (Sweden)

    M Berkan Sesen

    Full Text Available Survival prediction and treatment selection in lung cancer care are characterised by high levels of uncertainty. Bayesian Networks (BNs, which naturally reason with uncertain domain knowledge, can be applied to aid lung cancer experts by providing personalised survival estimates and treatment selection recommendations. Based on the English Lung Cancer Database (LUCADA, we evaluate the feasibility of BNs for these two tasks, while comparing the performances of various causal discovery approaches to uncover the most feasible network structure from expert knowledge and data. We show first that the BN structure elicited from clinicians achieves a disappointing area under the ROC curve of 0.75 (± 0.03, whereas a structure learned by the CAMML hybrid causal discovery algorithm, which adheres with the temporal restrictions, achieves 0.81 (± 0.03. Second, our causal intervention results reveal that BN treatment recommendations, based on prescribing the treatment plan that maximises survival, can only predict the recorded treatment plan 29% of the time. However, this percentage rises to 76% when partial matches are included.

  10. Acquisition Information Management system telecommunication site survey results

    Energy Technology Data Exchange (ETDEWEB)

    Hake, K.A. [Oak Ridge National Lab., TN (United States); Key, B.G. [COR, Inc., Oak Ridge, TN (United States)

    1993-09-01

    The Army acquisition community currently uses a dedicated, point-to-point secure computer network for the Army Material Plan Modernization (AMPMOD). It must transition to the DOD supplied Defense Secure Network 1 (DSNET1). This is one of the first networks of this size to begin the transition. The type and amount of computing resources available at individual sites may or may not meet the new network requirements. This task surveys these existing telecommunications resources available in the Army acquisition community. It documents existing communication equipment, computer hardware, associated software, and recommends appropriate changes.

  11. Standby battery requirements for telecommunications power

    Energy Technology Data Exchange (ETDEWEB)

    May, G.J. [The Focus Partnership, 126 Main Street, Swithland, Loughborough, Leics LE12 8TJ (United Kingdom)

    2006-08-25

    The requirements for standby power for telecommunications are changing as the network moves from conventional systems to Internet Protocol (IP) telephony. These new systems require higher power levels closer to the user but the level of availability and reliability cannot be compromised if the network is to provide service in the event of a failure of the public utility. Many parts of these new networks are ac rather than dc powered with UPS systems for back-up power. These generally have lower levels of reliability than dc systems and the network needs to be designed such that overall reliability is not reduced through appropriate levels of redundancy. Mobile networks have different power requirements. Where there is a high density of nodes, continuity of service can be reasonably assured with short autonomy times. Furthermore, there is generally no requirement that these networks are the provider of last resort and therefore, specifications for continuity of power are directed towards revenue protection and overall reliability targets. As a result of these changes, battery requirements for reserve power are evolving. Shorter autonomy times are specified for parts of the network although a large part will continue to need support for hours rather minutes. Operational temperatures are increasing and battery solutions that provide longer life in extreme conditions are becoming important. Different battery technologies will be discussed in the context of these requirements. Conventional large flooded lead/acid cells both with pasted and tubular plates are used in larger central office applications but the majority of requirements are met with valve-regulated lead/acid (VRLA) batteries. The different types of VRLA battery will be described and their suitability for various applications outlined. New developments in battery construction and battery materials have improved both performance and reliability in recent years. Alternative technologies are also being proposed

  12. Accelerating a Network Model of Care: Taking a Social Innovation to Scale

    Directory of Open Access Journals (Sweden)

    Kerry Byrne

    2012-07-01

    Full Text Available Government-funded systems of health and social care are facing enormous fiscal and human-resource challenges. The space for innovation in care is wide open and new disruptive patterns are emerging. These include self-management and personal budgets, participatory and integrated care, supported decision making and a renewed focus on prevention. Taking these disruptive patterns to scale can be accelerated by a technologically enabled shift to a network model of care to co-create the best outcomes for individuals, family caregivers, and health and social care organizations. The connections, relationships, and activities within an individual’s personal network lay the foundation for care that health and social care systems/policy must simultaneously support and draw on for positive outcomes. Practical tools, adequate information, and tangible resources are required to coordinate and sustain care. Tyze Personal Networks is a social venture that uses technology to engage and inform the individual, their personal networks, and their care providers to co-create the best outcomes. In this article, we demonstrate how Tyze contributes to a shift to a network model of care by strengthening our networks and enhancing partnerships between care providers, individuals, and family and friends.

  13. European Telecommunications Satellite II (EUTELSAT II)

    Science.gov (United States)

    Laemmel, G.; Brittinger, P.

    1991-01-01

    EUTELSAT II is a regional public telecommunications system for Europe. The services which will be provided are telephone and television. The satellites will be placed at a geostationary orbit within the arcs of 6 degrees east to 19 degrees east or 26 degrees to 36 degrees east. The designed lifetime is 7 years. After separation of the satellites from the launch vehicles, telemetry, telecommand, and ranging will be performed within the S-band frequencies. After positioning of the satellite at its final geostationary orbit, the Ku-band telecommunication equipment will be activated. From this time on, all satellite control operations will be performed in Ku-band. The Deep Space Network (DSN) will support the transfer and drift orbit mission phases. The coverage will consist of the 26-m antennas at Goldstone and Canberra as prime support for the transfer and drift orbits. Maximum support will consist of a 7-day period, plus 14 days of contingency support. Information is given in tabular form for DSN support, frequency assignments, telemetry, command, and tracking support responsibility.

  14. Quantum optical signals in telecommunication networks

    OpenAIRE

    Ciurana Aguilar, Alex; Martinez Mateo, Jesus; Martín Ayuso, Vicente; Soto, M.

    2012-01-01

    Introducción a una red óptica metropolitana cuántica donde señales cuánticas y convencionales son multiplexadas en longitud de onda utilizando bandas separadas del espectro óptico. El enrutado se realiza con componentes pasivos para no perturbar los qubits. Se estudian dos redes: red de acceso WDM-PON y red metropolitana completa con backbone DWDM y redes de acceso WDM-PON.

  15. Dynamic intelligent paging in mobile telecommunication network

    Indian Academy of Sciences (India)

    S R PARIJA

    2018-03-10

    Mar 10, 2018 ... maintain a good grade of service as well as for reliable communication it is .... that consists of many fixed base stations (BS) to offer high. QoS. The terrain ..... used for training the system and other 2 months data are used for ...

  16. The political economy of competition in telecommunication

    DEFF Research Database (Denmark)

    Henten, Anders; Skouby, Knud Erik

    1998-01-01

    Article dealing with the regulation of telecommunications and the establishment of a competitive regime.......Article dealing with the regulation of telecommunications and the establishment of a competitive regime....

  17. Government Procurement Agreements and Telecommunications Business

    Directory of Open Access Journals (Sweden)

    Shin-Won Kang

    2001-12-01

    Full Text Available The opening of the telecommunications market is acceleration due to the world trends of deregulation and privatization under the WTO basic telecommunications agreements. Diversification of services and fast and efficient equipment procurement are becoming necessary conditions for the survival of telecommunications operators. However, the issue here is that telecommunications operators are still bound by the GPA (Government Procurement Agreement based on conditions of monopoly even though the procurement market in Korean is open substantially since 1997. Under such conditions, the continued application of the GPA on telecommunications operator who is highly competitive may result in a negative impact on the telecommunications business and quality of telecommunications service by undermining the autonomy of operator and decreasing operator’s procurement competitiveness. Therefore, this study examines the GPA and the issues raised by the agreement, and also attempts to suggest revisions or means of abrogating the unfair GPA with regards to the development and deregulation of the telecommunications business.

  18. A study of current world telecommunications and a projection of the future

    Science.gov (United States)

    Karageorgis, Costas

    1992-09-01

    Telecommunications today are important factors in economic and social progress. The last decades of the 20th century and the early years of the 21st have been characterized as the Information Age. Telecommunications, the movement of information through distances, is absolutely critical to the economic and military survival of nations. This thesis is an attempt to predict the future of telecommunications, by studying and analyzing the past and present. First it examines the meaning of telecommunications today and some basics of information transmission. The current status of telecommunications is then presented, by examining the regional profiles as they are divided by the International Telecommunications Union. A number of statistical studies are given, which present a thorough picture of current world telecommunications. In an effort to predict future industry trends, the competition among the three largest telecommunications markets, U.S.A., Japan and the European Community, is also considered by looking at their present telecommunications industry, the efforts they make to improve their technology, and their plans for future investment. Finally, some major technological trends including BISDN, the use of fiber technology in the communications loop, and the use of solitons are examined. The new Metropolitan Area Network Protocol, FDDI-2 is also reviewed.

  19. Online social network use by health care providers in a high traffic patient care environment.

    Science.gov (United States)

    Black, Erik; Light, Jennifer; Paradise Black, Nicole; Thompson, Lindsay

    2013-05-17

    The majority of workers, regardless of age or occupational status, report engaging in personal Internet use in the workplace. There is little understanding of the impact that personal Internet use may have on patient care in acute clinical settings. The objective of this study was to investigate the volume of one form of personal Internet use-online social networking (Facebook)-generated by workstations in the emergency department (ED) in contrast to measures of clinical volume and severity. The research team analyzed anonymous network utilization records for 68 workstations located in the emergency medicine department within one academic medical center for 15 consecutive days (12/29/2009 to 1/12/2010). This data was compared to ED work index (EDWIN) data derived by the hospital information systems. Health care workers spent an accumulated 4349 minutes (72.5 hours) browsing Facebook, staff cumulatively visited Facebook 9369 times and spent, on average, 12.0 minutes per hour browsing Facebook. There was a statistically significant difference in the time spent on Facebook according to time of day (19.8 minutes per hour versus 4.3 minutes per hour, P<.001). There was a significant, positive correlation between EDWIN scores and time spent on Facebook (r=.266, P<.001). Facebook use constituted a substantive percentage of staff time during the 15-day observation period. Facebook use increased with increased patient volume and severity within the ED.

  20. Telecommunications Reform in Nigeria: The Marketing Challenges ...

    African Journals Online (AJOL)

    Telecommunications Reform in Nigeria: The Marketing Challenges. ... Journal of Research in National Development ... This paper discusses the telecommunications reforms process, the role of the regulatory body (Nigeria Commission, the current state of the telecommunication sector and the marketing challenges in ...

  1. 7 CFR 1700.55 - Telecommunications Program.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Telecommunications Program. 1700.55 Section 1700.55... AGRICULTURE GENERAL INFORMATION Loan and Grant Approval Authorities § 1700.55 Telecommunications Program. (a..., Telecommunications Program, has the authority to approve the following loans, loan guarantees, and lien...

  2. 48 CFR 870.112 - Telecommunications equipment.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Telecommunications... DEPARTMENT SUPPLEMENTARY REGULATIONS SPECIAL PROCUREMENT CONTROLS Controls 870.112 Telecommunications... specifications for telecommunications equipment, as defined in VA manual MP-6, Part VIII (available at any VA...

  3. 7 CFR 1700.29 - Telecommunications Program.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Telecommunications Program. 1700.29 Section 1700.29... AGRICULTURE GENERAL INFORMATION Agency Organization and Functions § 1700.29 Telecommunications Program. RUS and RTB, through the Telecommunications Program, make loans and loan guarantees to furnish and improve...

  4. Towards an Equitable Development of Telecommunications ...

    African Journals Online (AJOL)

    Present and future equitable development of telecommunications services calls for an immediate development of an indigenous telecommunications technology capability in order to effectively and efficiently utilizes the services provided by the country's presently imported telecommunications systems while at the same time ...

  5. Factors Affecting Customer Satisfaction in Mobile Telecommunication Industry in Bangladesh

    Directory of Open Access Journals (Sweden)

    Md. Rahman

    2014-06-01

    Full Text Available Identification of factors responsible for customer satisfaction is a key concern of marketing scholars and marketers in now a days and it will remain in the future. There is considerable evidence that quality factors affecting customer satisfaction in numerous ways. However, this empirical study is initiated to find out what particular factors responsible for customer satisfaction in the mobile tel- ecommunication industry in Bangladesh. 282 samples have been collected through structured questionnaire; study reveals that service innovativeness, service reli- ability, service competitiveness and service consistency have significant influence on making customer satisfied and the operator’s network/signal coverage, pricing, offering, fulfillment of customer demand, value added service, brand value and op - erators contribution for society have insignificant influences on making customer satisfied at five percent level of significant at multiple regression analysis. On the basis of these findings; study concludes that in promoting customer satisfaction mobile service providers should be concerned for factors responsible for insignifi- cant influence on customer satisfaction and care of those factors have significant influence on promoting customer satisfaction in telecommunication industry in Bangladesh.

  6. Access to emergency care services: a transversal ecological study about Brazilian emergency health care network.

    Science.gov (United States)

    Rocha, T A H; da Silva, N C; Amaral, P V; Barbosa, A C Q; Rocha, J V M; Alvares, V; de Almeida, D G; Thumé, E; Thomaz, E B A F; de Sousa Queiroz, R C; de Souza, M R; Lein, A; Toomey, N; Staton, C A; Vissoci, J R N; Facchini, L A

    2017-12-01

    Studies of health geography are important in the planning and allocation of emergency health services. The geographical distribution of health facilities is an important factor in timely and quality access to emergency services; therefore, the present study analyzed the emergency health care network in Brazil, focusing the analysis at the roles of small hospitals (SHs). Cross-sectional ecological study. Data were collected from 9429 hospitals of which 3524 were SHs and 5905 were high-complexity centers (HCCs). For analytical purposes, we considered four specialties when examining the proxies of emergency care capability: adult, pediatrics, neonatal, and obstetric. We analyzed the spatial distribution of hospitals, identifying municipalities that rely exclusively on SHs and the distance of these cities from HCCs. More than 14 and 30 million people were at least 120 km away from HCCs with an adult intensive care unit (ICU) and pediatric ICU, respectively. For neonatal care distribution, 12% of the population was more than 120 km away from a health facility with a neonatal ICU. The maternities situation is different from other specialties, where 81% of the total Brazilian population was within 1 h or less from such health facilities. Our results highlighted a polarization in distribution of Brazilian health care facilities. There is a concentration of hospitals in urban areas more developed and access gaps in rural areas and the Amazon region. Our results demonstrate that the distribution of emergency services in Brazil is not facilitating access to the population due to geographical barriers associated with great distances. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  7. Care Network For The Elderly With Alzheimer’s Disease In The View Of Primary Care Nurses

    Directory of Open Access Journals (Sweden)

    Matheus Figuereido Nogueira

    2017-05-01

    Full Text Available Objective: to build a care network for the elderly with Alzheimer’s disease from the view of nurses of the Family Health Strategy (FHS. Method: exploratory qualitative study, developed with seven nurses from the FHS in the city of Santa Cruz, state of Rio Grande do Norte, Brazil. After obtaining a favorable opinion of the Ethics Committee of the Alcides Carneiro University Hospital (CAAE nº 31307314.9.0000.5182, data were collected through semi-structured interviews and analyzed according to the Collective Subject Discourse. Results: for an effective care network to the elderly with Alzheimer, some elements are necessary, such as: care in the three levels of complexity, family support, complementary diagnostic center, pharmaceutical services, continuing education, intersectionality and group of caregivers. Conclusions: when the care to the elderly with Alzheimer’s disease is performed in an articulated manner between the multiples axes that compose the network, it clarifies the caring process, facilitates the decision making, directs care, guarantee a comprehensive care and greatly reduce the deficits associated with this disease. Key-Words: Alzheimer’s disease; Family Health Strategy; Health Care Network.

  8. Space Telecommunications Radio System STRS Cognitive Radio

    Science.gov (United States)

    Briones, Janette C.; Handler, Louis M.

    2013-01-01

    Radios today are evolving from awareness toward cognition. A software defined radio (SDR) provides the most capability for integrating autonomic decision making ability and allows the incremental evolution toward a cognitive radio. This cognitive radio technology will impact NASA space communications in areas such as spectrum utilization, interoperability, network operations, and radio resource management over a wide range of operating conditions. NASAs cognitive radio will build upon the infrastructure being developed by Space Telecommunication Radio System (STRS) SDR technology. This paper explores the feasibility of inserting cognitive capabilities in the NASA STRS architecture and the interfaces between the cognitive engine and the STRS radio. The STRS architecture defines methods that can inform the cognitive engine about the radio environment so that the cognitive engine can learn autonomously from experience, and take appropriate actions to adapt the radio operating characteristics and optimize performance.

  9. The performance of integrated health care networks in continuity of care: a qualitative multiple case study of COPD patients

    Directory of Open Access Journals (Sweden)

    Sina Waibel

    2015-07-01

    Full Text Available Background: Integrated health care networks (IHN are promoted in numerous countries as a response to fragmented care delivery by providing a coordinated continuum of services to a defined population. However, evidence on their effectiveness and outcome is scarce, particularly considering continuity across levels of care; that is the patient's experience of connected and coherent care received from professionals of the different care levels over time. The objective was to analyse the chronic obstructive pulmonary disease (COPD patients’ perceptions of continuity of clinical management and information across care levels and continuity of relation in IHN of the public health care system of Catalonia.Methods: A qualitative multiple case study was conducted, where the cases are COPD patients. A theoretical sample was selected in two stages: (1 study contexts: IHN and (2 study cases consisting of COPD patients. Data were collected by means of individual, semi-structured interviews to the patients, their general practitioners and pulmonologists and review of records. A thematic content analysis segmented by IHN and cases with a triangulation of sources and analysists was carried out.Results: COPD patients of all networks perceived that continuity of clinical management was existent due to clear distribution of roles for COPD care across levels, rapid access to care during exacerbations and referrals to secondary care when needed; nevertheless, patients of some networks highlighted too long waiting times to non-urgent secondary care. Physicians generally agreed with patients, however, also indicated unclear distribution of roles, some inadequate referrals and long waiting times to primary care in some networks. Concerning continuity of information, patients across networks considered that their clinical information was transferred across levels via computer and that physicians also used informal communication mechanisms (e-mail, telephone; whereas

  10. 31 CFR 538.512 - Transactions related to telecommunications authorized.

    Science.gov (United States)

    2010-07-01

    ... telecommunications authorized. 538.512 Section 538.512 Money and Finance: Treasury Regulations Relating to Money and... telecommunications authorized. All transactions with respect to the receipt and transmission of telecommunications... a person in Sudan of telecommunications equipment or technology. ...

  11. Effects of primary care team social networks on quality of care and costs for patients with cardiovascular disease.

    Science.gov (United States)

    Mundt, Marlon P; Gilchrist, Valerie J; Fleming, Michael F; Zakletskaia, Larissa I; Tuan, Wen-Jan; Beasley, John W

    2015-03-01

    Cardiovascular disease is the leading cause of mortality and morbidity in the United States. Primary care teams can be best suited to improve quality of care and lower costs for patients with cardiovascular disease. This study evaluates the associations between primary care team communication, interaction, and coordination (ie, social networks); quality of care; and costs for patients with cardiovascular disease. Using a sociometric survey, 155 health professionals from 31 teams at 6 primary care clinics identified with whom they interact daily about patient care. Social network analysis calculated variables of density and centralization representing team interaction structures. Three-level hierarchical modeling evaluated the link between team network density, centralization, and number of patients with a diagnosis of cardiovascular disease for controlled blood pressure and cholesterol, counts of urgent care visits, emergency department visits, hospital days, and medical care costs in the previous 12 months. Teams with dense interactions among all team members were associated with fewer hospital days (rate ratio [RR] = 0.62; 95% CI, 0.50-0.77) and lower medical care costs (-$556; 95% CI, -$781 to -$331) for patients with cardiovascular disease. Conversely, teams with interactions revolving around a few central individuals were associated with increased hospital days (RR = 1.45; 95% CI, 1.09-1.94) and greater costs ($506; 95% CI, $202-$810). Team-shared vision about goals and expectations mediated the relationship between social network structures and patient quality of care outcomes. Primary care teams that are more interconnected and less centralized and that have a shared team vision are better positioned to deliver high-quality cardiovascular disease care at a lower cost. © 2015 Annals of Family Medicine, Inc.

  12. Study protocol: The Intensive Care Outcome Network ('ICON' study

    Directory of Open Access Journals (Sweden)

    Barber Vicki S

    2008-06-01

    Full Text Available Abstract Background Extended follow-up of survivors of ICU treatment has shown many patients suffer long-term physical and psychological consequences that affect their health-related quality of life. The current lack of rigorous longitudinal studies means that the true prevalence of these physical and psychological problems remains undetermined. Methods/Design The ICON (Intensive Care Outcome Network study is a multi-centre, longitudinal study of survivors of critical illness. Patients will be recruited prior to hospital discharge from 20–30 ICUs in the UK and will be assessed at 3, 6, and 12 months following ICU discharge for health-related quality of life as measured by the Short Form-36 (SF-36 and the EuroQoL (EQ-5D; anxiety and depression as measured by the Hospital Anxiety and Depression Scale (HADS; and post traumatic stress disorder (PTSD symptoms as measured by the PTSD Civilian Checklist (PCL-C. Postal questionnaires will be used. Discussion The ICON study will create a valuable UK database detailing the prevalence of physical and psychological morbidity experienced by patients as they recover from critical illness. Knowledge of the prevalence of physical and psychological morbidity in ICU survivors is important because research to generate models of causality, prognosis and treatment effects is dependent on accurate determination of prevalence. The results will also inform economic modelling of the long-term burden of critical illness. Trial Registration ISRCTN69112866

  13. Sensor network infrastructure for a home care monitoring system.

    Science.gov (United States)

    Palumbo, Filippo; Ullberg, Jonas; Stimec, Ales; Furfari, Francesco; Karlsson, Lars; Coradeschi, Silvia

    2014-02-25

    This paper presents the sensor network infrastructure for a home care system that allows long-term monitoring of physiological data and everyday activities. The aim of the proposed system is to allow the elderly to live longer in their home without compromising safety and ensuring the detection of health problems. The system offers the possibility of a virtual visit via a teleoperated robot. During the visit, physiological data and activities occurring during a period of time can be discussed. These data are collected from physiological sensors (e.g., temperature, blood pressure, glucose) and environmental sensors (e.g., motion, bed/chair occupancy, electrical usage). The system can also give alarms if sudden problems occur, like a fall, and warnings based on more long-term trends, such as the deterioration of health being detected. It has been implemented and tested in a test environment and has been deployed in six real homes for a year-long evaluation. The key contribution of the paper is the presentation of an implemented system for ambient assisted living (AAL) tested in a real environment, combining the acquisition of sensor data, a flexible and adaptable middleware compliant with the OSGistandard and a context recognition application. The system has been developed in a European project called GiraffPlus.

  14. Social network approaches to recruitment, HIV prevention, medical care, and medication adherence

    OpenAIRE

    Latkin, Carl A.; Davey-Rothwell, Melissa A.; Knowlton, Amy R.; Alexander, Kamila A.; Williams, Chyvette T.; Boodram, Basmattee

    2013-01-01

    This article reviews current issues and advancements in social network approaches to HIV prevention and care. Social network analysis can provide a method to understand health disparities in HIV rates and treatment access and outcomes. Social network analysis is a value tool to link social structural factors to individual behaviors. Social networks provide an avenue for low cost and sustainable HIV prevention interventions that can be adapted and translated into diverse populations. Social ne...

  15. Silicon photonic integration in telecommunications

    Directory of Open Access Journals (Sweden)

    Christopher Richard Doerr

    2015-08-01

    Full Text Available Silicon photonics is the guiding of light in a planar arrangement of silicon-based materials to perform various functions. We focus here on the use of silicon photonics to create transmitters and receivers for fiber-optic telecommunications. As the need to squeeze more transmission into a given bandwidth, a given footprint, and a given cost increases, silicon photonics makes more and more economic sense.

  16. Internet infrastructures and health care systems: a qualitative comparative analysis on networks and markets in the British National Health Service and Kaiser Permanente.

    Science.gov (United States)

    Séror, Ann C

    2002-12-01

    The Internet and emergent telecommunications infrastructures are transforming the future of health care management. The costs of health care delivery systems, products, and services continue to rise everywhere, but performance of health care delivery is associated with institutional and ideological considerations as well as availability of financial and technological resources. to identify the effects of ideological differences on health care market infrastructures including the Internet and telecommunications technologies by a comparative case analysis of two large health care organizations: the British National Health Service and the California-based Kaiser Permanente health maintenance organization. A qualitative comparative analysis focusing on the British National Health Service and the Kaiser Permanente health maintenance organization to show how system infrastructures vary according to market dynamics dominated by health care institutions ("push") or by consumer demand ("pull"). System control mechanisms may be technologically embedded, institutional, or behavioral. The analysis suggests that telecommunications technologies and the Internet may contribute significantly to health care system performance in a context of ideological diversity. The study offers evidence to validate alternative models of health care governance: the national constitution model, and the enterprise business contract model. This evidence also suggests important questions for health care policy makers as well as researchers in telecommunications, organizational theory, and health care management.

  17. The British Columbia Emergency Medicine Network: A Paradigm Shift in a Provincial System of Emergency Care.

    Science.gov (United States)

    Abu-Laban, Riyad B; Drebit, Sharla; Lindstrom, Ronald R; Archibald, Chantel; Eggers, Kim; Ho, Kendall; Khazei, Afshin; Lund, Adam; MacKinnon, Carolyn; Markham, Ray; Marsden, Julian; Martin, Ed; Christenson, Jim

    2018-01-04

    As generalists, emergency practitioners face challenges in providing state-of-the-art care owing to the broad spectrum of practice and the rapid rate of new knowledge generation. Networks have become increasingly prevalent in health care, and it was in this backdrop, and the resulting opportunity to advance evidence-informed emergency care in the Canadian province of British Columbia (BC), that a new "Emergency Medicine Network" (EM Network) was launched in 2017. The EM Network consists of four programs, each led by a physician with expertise and a track record in the domain: (1) Clinical Resources; (2) Innovation; (3) Continuing Professional Development; and (4) Real-time Support. This paper provides an overview of the EM Network, including its background, purpose, programs, anticipated evolution, and impact on the BC health care system.

  18. Robustness and Optimization of Complex Networks : Reconstructability, Algorithms and Modeling

    NARCIS (Netherlands)

    Liu, D.

    2013-01-01

    The infrastructure networks, including the Internet, telecommunication networks, electrical power grids, transportation networks (road, railway, waterway, and airway networks), gas networks and water networks, are becoming more and more complex. The complex infrastructure networks are crucial to our

  19. Do social networks affect the use of residential aged care among older Australians?

    Directory of Open Access Journals (Sweden)

    Glonek Gary FV

    2007-10-01

    Full Text Available Abstract Background Older people's social networks with family and friends can affect residential aged care use. It remains unclear if there are differences in the effects of specific (with children, other relatives, friends and confidants and total social networks upon use of low-level residential care and nursing homes. Methods Data were drawn from the Australian Longitudinal Study of Ageing. Six waves of data from 1477 people aged ≥ 70 collected over nine years of follow-up were used. Multinomial logistic regressions of the effects of specific and total social networks on residential care use were carried out. Propensity scores were used in the analyses to adjust for differences in participant's health, demographic and lifestyle characteristics with respect to social networks. Results Higher scores for confidant networks were protective against nursing home use (odds ratio [OR] upper versus lower tertile of confidant networks = 0.50; 95%CI 0.33–0.75. Similarly, a significant effect of upper versus lower total network tertile on nursing home use was observed (OR = 0.62; 95%CI 0.43–0.90. Evidence of an effect of children networks on nursing home use was equivocal. Nursing home use was not predicted by other relatives or friends social networks. Use of lower-level residential care was unrelated to social networks of any type. Social networks of any type did not have a significant effect upon low-level residential care use. Discussion Better confidant and total social networks predict nursing home use in a large cohort of older Australians. Policy needs to reflect the importance of these particular relationships in considering where older people want to live in the later years of life.

  20. Service Quality Management in the ITS Telecommunications Systems

    Directory of Open Access Journals (Sweden)

    Tomas Zelinka

    2013-12-01

    Full Text Available Guaranteed selected quality of telecommunication service and wide area coverage are typical requirements of the ITS (Intelligent Transport Systems applications. Extensive range of wireless data services with reasonable coverage is provided by public wireless services operators, however, mostly no guaranteed relevant range of quality and security is available. ITS services require cost-effectively solution which can be resolved by combination of the "core" public solution with the other public as well as private services where and when it is needed. Such approach requires implementation of the relevant flexible system architecture supported by the efficient decision processes. ITS specific service security requirements would not underestimated, as well. Special situation is identified in case of the C2I (Car to Infrastructure and C2C (Car to Car communication namely if the vehicle on board unit is interconnected with the vehicle CAN (Controlled Area Network based network. Such configurations significantly increase potential of dangerous intruders´ attacks. Probability of the critical hazards appearances grows if the ITS data are accessible in the wide area networks. That is also the main reason why relevant telecommunications security support is understood as one of the crucial part of the ITS telecommunications solution.

  1. EurOOHnet-the European research network for out-of-hours primary health care.

    Science.gov (United States)

    Huibers, Linda; Philips, Hilde; Giesen, Paul; Remmen, Roy; Christensen, Morten Bondo; Bondevik, Gunnar Tschudi

    2014-09-01

    European countries face similar challenges in the provision of health care. Demographic factors like ageing, population growth, changing patient behaviour, and lack of work force lead to increasing demands, costs, and overcrowding of out-of-hours (OOH) care (i.e. primary care services, emergency departments (EDs), and ambulance services). These developments strain services and imply safety risks. In the last few decades, countries have been re-organizing their OOH primary health care services. AIM AND SCOPE OF THE NETWORK: We established a European research network for out-of-hours primary health care (EurOOHnet), which aims to transfer knowledge, share experiences, and conduct research. Combining research competencies and integrating results can generate a profound information flow to European researchers and decision makers in health policy, contributing towards feasible and high-quality OOH care. It also contributes to a more comparable performance level within European regions. CONDUCTED RESEARCH PROJECTS: The European research network aims to conduct mutual research projects. At present, three projects have been accomplished, among others concerning the diagnostic scope in OOH primary care services and guideline adherence for diagnosis and treatment of cystitis in OOH primary care. Future areas of research will be organizational models for OOH care; appropriate use of the OOH services; quality of telephone triage; quality of medical care; patient safety issues; use of auxiliary personnel; collaboration with EDs and ambulance care; and the role of GPs in OOH care.

  2. Present state of the telecommunications market in Poland

    Science.gov (United States)

    Zielinski, Andrzej

    2003-10-01

    This statement shortly describes the changes in the telecommunication market that have taken place in the last 12 years, during the socio-economical transformation in Poland. It concerns economical, legal and technical problems related to the development of the telecommunications in Poland based on the principles of the market economy. Especially it is related to the commercialization of this sector, what has been a result of the changes of the principal law ruling the national economy including changes ot the telecommunication law. Changes of the law enabled the creation of the commercial company Polish Telecom and opened the way to the privatization of this company. Due to the changed law the way to the step-by-step liberalization and de-monopolization process has been also opened in Poland. It has caused fully digital modernization of telecommunication network, introduction new services such as cellular communications and Internet services, as well as rapid development of the market, what has expressed in multiplication of number of subscribers of stationary telephony, creation of the big cellular market and new increasing Internet market. The statemnet also refers to present difficulties in development of this market and as well as to the prospects for the future developments.

  3. High temperature superconductors applications in telecommunications

    International Nuclear Information System (INIS)

    Kumar, A.A.; Li, J.; Zhang, M.F.

    1994-01-01

    The purpose of this paper is twofold: to discuss high temperature superconductors with specific reference to their employment in telecommunications applications; and to discuss a few of the limitations of the normally employed two-fluid model. While the debate on the actual usage of high temperature superconductors in the design of electronic and telecommunications devices-obvious advantages versus practical difficulties-needs to be settled in the near future, it is of great interest to investigate the parameters and the assumptions that will be employed in such designs. This paper deals with the issue of providing the microwave design engineer with performance data for such superconducting waveguides. The values of conductivity and surface resistance, which are the primary determining factors of a waveguide performance, are computed based on the two-fluid model. A comparison between two models-a theoretical one in terms of microscopic parameters (termed Model A) and an experimental fit in terms of macroscopic parameters (termed Model B)-shows the limitations and the resulting ambiguities of the two-fluid model at high frequencies and at temperatures close to the transition temperature. The validity of the two-fluid model is then discussed. Our preliminary results show that the electrical transport description in the normal and superconducting phases as they are formulated in the two-fluid model needs to be modified to incorporate the new and special features of high temperature superconductors. Parameters describing the waveguide performance-conductivity, surface resistance and attenuation constant-will be computed. Potential applications in communications networks and large scale integrated circuits will be discussed. Some of the ongoing work will be reported. In particular, a brief proposal is made to investigate of the effects of electromagnetic interference and the concomitant notion of electromagnetic compatibility (EMI/EMC) of high T c superconductors

  4. High temperature superconductors applications in telecommunications

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, A.A.; Li, J.; Zhang, M.F. [Prairie View A& M Univ., Texas (United States)

    1994-12-31

    The purpose of this paper is twofold: to discuss high temperature superconductors with specific reference to their employment in telecommunications applications; and to discuss a few of the limitations of the normally employed two-fluid model. While the debate on the actual usage of high temperature superconductors in the design of electronic and telecommunications devices-obvious advantages versus practical difficulties-needs to be settled in the near future, it is of great interest to investigate the parameters and the assumptions that will be employed in such designs. This paper deals with the issue of providing the microwave design engineer with performance data for such superconducting waveguides. The values of conductivity and surface resistance, which are the primary determining factors of a waveguide performance, are computed based on the two-fluid model. A comparison between two models-a theoretical one in terms of microscopic parameters (termed Model A) and an experimental fit in terms of macroscopic parameters (termed Model B)-shows the limitations and the resulting ambiguities of the two-fluid model at high frequencies and at temperatures close to the transition temperature. The validity of the two-fluid model is then discussed. Our preliminary results show that the electrical transport description in the normal and superconducting phases as they are formulated in the two-fluid model needs to be modified to incorporate the new and special features of high temperature superconductors. Parameters describing the waveguide performance-conductivity, surface resistance and attenuation constant-will be computed. Potential applications in communications networks and large scale integrated circuits will be discussed. Some of the ongoing work will be reported. In particular, a brief proposal is made to investigate of the effects of electromagnetic interference and the concomitant notion of electromagnetic compatibility (EMI/EMC) of high T{sub c} superconductors.

  5. Technological advances in telecommunications for mines

    Energy Technology Data Exchange (ETDEWEB)

    Waye, P.M.Y.; Yewen, R. [Mine Radio Systemic Inc., Stouffville, ON (Canada)

    2002-01-01

    As mines utilize more automation in mining operations to improve efficiency and safety, a corresponding increasing demand is placed on the transport of information. Some of the recent technological advances in underground telecommunications are described for various data, voice and video applications. In particular, two new innovative underground communication systems are described, one with highspeed data at 30 Mbps and the other for mine-wide evacuation and safety applications. The high-speed data system incorporates state-of-the-art data networking technologies and the existing leaky-cable, narrow-band radio channels. The new system provides over the same basic infrastructure - the highspeed data network at 30 Mbps TCP/IP Ethernet with 100 Base-T interconnection, plus 32 narrow-band radio channels. The second system is a system for mine-wide evacuation with 'through-the-earth' communication infrastructure. Emergency situations can be communicated to and from all the miners within seconds through a central control location. The technology involved does not require leaky cable or any other similar transmission media installation. Many applications are possible, including warning miners of emergency situations, mine rescue operation to communicate with trapped miners, and regular reporting from miners working alone.

  6. Solidarity Networks: What Are They? And Why Should We Care?

    Science.gov (United States)

    Smith, Janel

    2009-01-01

    Purpose: The purpose of this paper is to investigate the theoretical foundations of the solidarity network concept and its perceived utility as an enabling force for social organizations to influence change. The theoretical framework presented is intended to stimulate dialogue, interest and investigation on the subject of solidarity networks.…

  7. Health care for women in situations of violence: discoordination of network professionals

    Directory of Open Access Journals (Sweden)

    Jaqueline Arboit

    Full Text Available Abstract OBJECTIVE To learn the conceptions and actions of health professionals on the care network for women in situations of violence. METHOD A qualitative, descriptive, exploratory study was conducted between April and July 2015 with the participation of 21 health professionals from four primary health care teams in a city of the central region of the state of Rio Grande do Sul. Data were collected by means of individual semi-structured interviews. Content analysis was used for data systematization. RESULTS Health professionals recognized the importance of the health care network for coping with the problem of violence against women. However, their conceptions and actions were limited by the discoordination or absence of integration among professionals and services of the care network. CONCLUSION The conceptions and actions of health professionals contribute to the discoordination among the services. It is necessary to reflect on the daily practices of care for women in situations of violence.

  8. Care networking: a study of technical mediations in a home telecare service.

    Science.gov (United States)

    Correa, Gonzalo; Domènech, Miquel

    2013-07-22

    This article examines the processes of technical mediation within familial care networks based on a study of home telecare targeted at older people. Supported by contributions from the actor-network theory as part of the social psychology of science and technology, these processes of technical mediation are analyzed using a qualitative approach. The data were gathered through six focus groups and four in-depth interviews; the participants in the study included users, relatives and formal carers. Thematic analysis techniques encompassing the information were used, revealing the effects on the patterns of caring relationships. The results show the interplay between presence-absence made possible by the devices; the two-way direction of care between the older people and the artifacts; and the process of sustaining care using the technology. We conclude that care should be seen as a socio-technical network where technology plays an active role in sustaining family relationships.

  9. Care Networking: A Study of Technical Mediations in a Home Telecare Service

    Science.gov (United States)

    Correa, Gonzalo; Domènech, Miquel

    2013-01-01

    This article examines the processes of technical mediation within familial care networks based on a study of home telecare targeted at older people. Supported by contributions from the actor—network theory as part of the social psychology of science and technology, these processes of technical mediation are analyzed using a qualitative approach. The data were gathered through six focus groups and four in-depth interviews; the participants in the study included users, relatives and formal carers. Thematic analysis techniques encompassing the information were used, revealing the effects on the patterns of caring relationships. The results show the interplay between presence-absence made possible by the devices; the two-way direction of care between the older people and the artifacts; and the process of sustaining care using the technology. We conclude that care should be seen as a socio-technical network where technology plays an active role in sustaining family relationships. PMID:23880730

  10. Industrial Organization and Human Resource Management in Thailand : A Case Study of Telecommunications Industry

    OpenAIRE

    Osatis, Chadatan

    2017-01-01

    Over the past two decades, information, computer and communications have played an increasingly greater role in the Thai economy. The development of the telecommunications industry, particular the internet, broadband networks, mobile applications, IT services, software and hardware, has laid the solid foundations of an integrated platform to facilitate economic and social interactions in modern societies. In this regard, the Thai telecommunications industry has been undergoing significant eco...

  11. Danish Telecommunications: Keeping the Policy Options Open

    DEFF Research Database (Denmark)

    Henten, Anders; Wulff, Thomas

    1996-01-01

    In recent years Danish telecommunications policy has gone through a marked change in emphasis, Tele Danmark, formed only 6 years ago as the national operator in order to strengthen the Danish telecom industry, has come under pressure in the present liberalization. This article discusses Tele...... Danmark's situation and future possibilities and presents background information on the new Danish telecommunications legislation, the present Danish telecommunications market, and Tele Danmark's strategies. Copyright (C) 1996 Elsevier Science Ltd...

  12. Implementation and integration of regional health care data networks in the Hellenic National Health Service.

    Science.gov (United States)

    Lampsas, Petros; Vidalis, Ioannis; Papanikolaou, Christos; Vagelatos, Aristides

    2002-12-01

    Modern health care is provided with close cooperation among many different institutions and professionals, using their specialized expertise in a common effort to deliver best-quality and, at the same time, cost-effective services. Within this context of the growing need for information exchange, the demand for realization of data networks interconnecting various health care institutions at a regional level, as well as a national level, has become a practical necessity. To present the technical solution that is under consideration for implementing and interconnecting regional health care data networks in the Hellenic National Health System. The most critical requirements for deploying such a regional health care data network were identified as: fast implementation, security, quality of service, availability, performance, and technical support. The solution proposed is the use of proper virtual private network technologies for implementing functionally-interconnected regional health care data networks. The regional health care data network is considered to be a critical infrastructure for further development and penetration of information and communication technologies in the Hellenic National Health System. Therefore, a technical approach was planned, in order to have a fast cost-effective implementation, conforming to certain specifications.

  13. Social networks of nursing staff and organizational performance. A study in long-term care facilities

    NARCIS (Netherlands)

    Beek, A.P.A van

    2013-01-01

    Over the years, there has been increasing attention for the role of social networks in explaining performance differences between organizations. Yet, research on social networks within healthcare organizations in general and long-term care facilities specifically has been rare, despite growing

  14. Evaluation of Community Care Network (CCN) system in a rural health care setting.

    Science.gov (United States)

    Galfalvy, H C; Reddy, S M; Niewiadomska-Bugaj, M; Friedman, S; Merkin, B

    1995-01-01

    Concurrent Engineering Research Center (CERC), under the sponsorship of NLM (National Library of Medicine) is in the process of developing a computerized patient record system for a clinical environment distributed in rural West Virginia. This realization of the CCN (Community Care Network), besides providing computer-based patient records accessible from a chain of clinics and one hospital, supports collaborative health care processes like referral and consulting. To evaluate the effectiveness of the system, a study was designed and is in the process of being executed. Three surveys were designed to provide subjective measures, and four experiments for collecting objective data. Data collection is taking place in several phases: baseline data are collected before the system is deployed; the process is repeated with minimal changes three, then six months later or as often as new versions of the system are installed. Results are then to be compared, using whenever possible matching techniques (i.e. the preliminary data collected on a provider will be matched with the data collected later on the same provider). Surveys are conducted through questionnaires distributed to providers and nurses and person-to-person interviews of the patients. The time spent on patient-chart related activities is measured by work-sampling, aided by a computer application running on a laptop PC. Information about missing patient record parts is collected by the providers, the frequency by which new features of the computerized system are used will be logged by the system itself and clinical outcome measures will be studied from the results of the clinics' own patient chart audits. Preliminary results of the surveys and plans for the immediate and distant future are discussed at the end of the paper.

  15. High school science teachers' perceptions of telecommunications utilizing a Concerns-Based Adoption Model (CBAM)

    Science.gov (United States)

    Slough, Scott Wayne

    The purpose of this study was to describe high school science teachers' perceptions of telecommunications. The data were collected through open-ended ethnographic interviews with 24 high school science teachers from five different high schools in a single suburban school district who had been in an emerging telecommunications-rich environment for two and one-half years. The interview protocol was adapted from Honey and Henriquez (1993), with the Concerns-Based Adoption Model (CBAM) (Bailey & Palsha, 1992) providing a conceptual framework for data analysis. For this study, the emerging telecommunications-rich environment included a district-wide infrastructure that had been in place for two and one-half years that included a secure district-wide Intranet, 24 network connections in each classroom, full Internet access from the network, four computers per classroom, and a variety of formal and informal professional development opportunities for teachers. Categories of results discussed include: (a) teacher's profession use of telecommuunications; (b) teachers' perceptions of student's use of telecommunications; (c) teachers' perceptions of barriers to the implementation of telecommunications; (d) teachers' perceptions of supporting conditions for the implementation of telecommunications; (e) teachers' perceptions of the effect of telecommunications on high school science instruction; (f) teachers' perceptions of the effect of telecommunications on student's learning in high school science; and (g) the demographic variables of the sex of the teacher, years of teaching experience, school assignment within the district, course assignment(s), and academic preparation. Implications discussed include: (a) telecommunications can be implemented successfully in a variety of high school science classrooms with adequate infrastructure support and sufficient professional development opportunities, including in classes taught by females and teachers who were not previously

  16. Disseminating Innovations in Teaching Value-Based Care Through an Online Learning Network.

    Science.gov (United States)

    Gupta, Reshma; Shah, Neel T; Moriates, Christopher; Wallingford, September; Arora, Vineet M

    2017-08-01

    A national imperative to provide value-based care requires new strategies to teach clinicians about high-value care. We developed a virtual online learning network aimed at disseminating emerging strategies in teaching value-based care. The online Teaching Value in Health Care Learning Network includes monthly webinars that feature selected innovators, online discussion forums, and a repository for sharing tools. The learning network comprises clinician-educators and health system leaders across North America. We conducted a cross-sectional online survey of all webinar presenters and the active members of the network, and we assessed program feasibility. Six months after the program launched, there were 277 learning community members in 22 US states. Of the 74 active members, 50 (68%) completed the evaluation. Active members represented independently practicing physicians and trainees in 7 specialties, nurses, educators, and health system leaders. Nearly all speakers reported that the learning network provided them with a unique opportunity to connect with a different audience and achieve greater recognition for their work. Of the members who were active in the learning network, most reported that strategies gleaned from the network were helpful, and some adopted or adapted these innovations at their home institutions. One year after the program launched, the learning network had grown to 364 total members. The learning network helped participants share and implement innovations to promote high-value care. The model can help disseminate innovations in emerging areas of health care transformation, and is sustainable without ongoing support after a period of start-up funding.

  17. [Network Analyses in Regional Health Care Research: Example of Dermatological Care in the Metropolitan Region of Hamburg].

    Science.gov (United States)

    Augustin, J; Austermann, J; Erasmi, S

    2016-10-18

    Background: One of the overall objectives of the legislator is to ensure an overall "homogeneous", and easily accessible medical care for the population. The physician-patient ratio can be used to describe the regional health care situation. But this method does not provide information concerning the availability of, for instance, the nearest doctor. Therefore, further parameters such as accessibility must be taken into consideration. For this purpose, network analyses are an appropriate method. The objective of this study is to present methodological tools to evaluate the healthcare situation in the metropolitan region of Hamburg, primarily focusing on accessibility using dermatologists as an example. Methods: Analyzing data of 20 counties, the geographical distribution of N=357 dermatologists and the physician-patient ratio were calculated. In a second step, a network analysis regarding accessibility was performed. In order to calculate accessibility, address data (physicians) were transformed into coordinates, consisting of defined places (N=303) and restrictions (e. g. speed, turn restrictions) of the network. The calculation of population-based accessibility is based on grid cells for the population density. Results: Despite adequacy of the overall medical situation, differences in the availability of the nearest dermatologists in the metropolitan region are remarkable, particularly when use of public transport is taken into consideration. In some counties, over 60% of the population require at least one hour to get to the nearest dermatologist using public transportation. In rural regions within the metropolitan area are particularly affected. Conclusion: The network analysis has shown that the choice and availability of transportation in combination with the location (rural/urban) is essential for health care access. Especially elderly people in rural areas with restricted mobility are at a disadvantage. Therefore, modern health care approaches (e

  18. The Pacific Islands. Policy options for telecommunications investment.

    Science.gov (United States)

    Jussawalla, M; Ogden, M R

    1989-03-01

    The Independent Commission for World-Wide Telecommunications Development (Maitland Commission) reported that telecommunication networks, including public telephone systems, are an infrastructure which aids economic development throughout the world. The Commissions objective is to bring the majority of the world's population within easy access of a telephone and, in time, other communications services. Development in the Pacific Islands region is slowed by a lack of efficient communications. The islands are spread over 29 million square kilometers of ocean and extremely vulnerable to natural disasters. Pacific Island Nations (PINs) have problems of foreign exchange, skill shortages, and poor credit terms. Telecommunications infrastructure audits showed the overall regional teledensity of 3 telephones per 100 population. The individual countries vary form 8.3 in Fiji to 1.5 in Papua New Guinea and 25.2 in New Zealand. The population of the developing island countries is in mostly rural areas where there is a chronic shortage of telephones. The constraints on radio systems can be overcome with satellite technology. The new technologies are coming on the market faster than these countries can afford to handle them. By using satellite technology and sharing facilities PINs can greatly reduce the cost of telecommunications systems. Fiber optic cables will be used to carry large volumes of traffic over major routes while satellites can be used for a array of services for the smallest PIN nation to the largest route rim country. Work is being done to standardize the equipment specifications and to develop policies for the coordination of regional telecommunications training. To further facilitate communications development in this area, changes need to be made in international funding priorities for development, and recommendations by the Maitland Commission must be taken seriously.

  19. Spina Bifida Care In Kenya Through A Network Of Mobile Clinics ...

    African Journals Online (AJOL)

    Background: Children with spina bifida require ongoing multidisciplinary care in order to prevent complications and improve quality of life. Bethany Crippled Children's Centre of Kenya and BethanyKids at Kijabe Hospital have been providing such care for spina bifida patients through a network of mobile clinics throughout ...

  20. Relações interfirmas e emprego na rede de empresas: a experiência de externalização de uma empresa no setor de telecomunicações Intercompany relations and employment in the businesses network: the experience of internalization of one company from the telecommunications industry

    Directory of Open Access Journals (Sweden)

    Sandro Ruduit

    2002-12-01

    Full Text Available A reestruturação do setor de telecomunicações vem implicando a formação de estruturas empresariais na forma de rede. Neste artigo, examinam-se os padrões de relacionamento interfirmas e de emprego na rede de empresas liderada pela Companhia Riograndense de Telecomunicações (CRT. A análise abrange onze empresas, prestadoras de diferentes tipos de serviços (digitalização de centrais de comutação, cabeamento e instalação de terminais telefônicos e localizadas em diversos níveis da rede ("empresas terceiras", "quartas", "quintas" e "sextas". Conclui-se que existe grande diversidade no relacionamento interempresas (relacionadas à interação entre a estratégia competitiva da empresa central e os tipos de serviços prestados e nas práticas de emprego (associadas às relações interfirmas e à posição das empresas nos níveis da rede.Restructuring in the telecommunications industry has implied the construction of network business structures. In this article, patterns of relationship between companies and employment within the network led by CRT (Companhia Riograndense de Telecomunicações, the Telecommunications Company in the southern Brazilian State of Rio Grande do Sul are examined. The analysis encompasses eleven companies providing different kinds of services (switch units digitalization, cables and phone lines installation and located at several levels of the network ("third", "fourth", "fifth" and "sixth" companies. We come to the conclusion that there is a great variety within the relationship between companies (regarding the interaction between competitive strategy of the leading company and the kind of services provided and in employment practices (associated to intercompany relationships and the position of each company at the network levels.

  1. Telecommunications and navigation systems design for manned Mars exploration missions

    Science.gov (United States)

    Hall, Justin R.; Hastrup, Rolf C.

    1989-06-01

    This paper discusses typical manned Mars exploration needs for telecommunications, including preliminary navigation support functions. It is a brief progress report on an ongoing study program within the current NASA JPL Deep Space Network (DSN) activities. A typical Mars exploration case is defined, and support approaches comparing microwave and optical frequency performance for both local in situ and Mars-earth links are described. Optical telecommunication and navigation technology development opportunities in a Mars exploration program are also identified. A local Mars system telecommunication relay and navigation capability for service support of all Mars missions has been proposed as part of an overall solar system communications network. The effects of light-time delay and occultations on real-time mission decision-making are discussed; the availability of increased local mass data storage may be more important than increasing peak data rates to earth. The long-term frequency use plan will most likely include a mix of microwave, millimeter-wave and optical link capabilities to meet a variety of deep space mission needs.

  2. Network Analysis Approach to Stroke Care and Assistance Provision: An Empirical Study

    Directory of Open Access Journals (Sweden)

    Szczygiel Nina

    2017-06-01

    Full Text Available To model and analyse stroke care and assistance provision in the Portuguese context from the network perspective. We used the network theory as a theoretical foundation for the study. The model proposed by Frey et al. (2006 was used to elicit and comprehend possible interactions and relations between organisations expected to be involved in the provision of care and assistance to stroke patients in their pathway to rehabilitation. Providers were identified and contacted to evaluate the nature and intensity of relationships. Network analysis was performed with the NodeXL software package. Analysis of 509 entities based on about 260 000 entries indicates that stroke care provision in the evaluated context is best captured in the coalition-collaboration setting, which appears to best demonstrate the character of the network. Information from analysis of the collaboration stage was not sufficient to determine the network dynamics. Application of the network theory to understand interorganisational dynamics of the complex health care context. Empirical validation of the model proposed by Frey et al. (2006 in terms of its operationalisation and the way it actually reflects the practical context. Examination and analysis of interorganisational relationships and its contribution to management of compound health care context involving actors from various sectors.

  3. 47 CFR 54.502 - Supported telecommunications services.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Supported telecommunications services. 54.502 Section 54.502 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... telecommunications services. For purposes of this subpart, supported telecommunications services provided by...

  4. Space Telecommunications Radio System (STRS) Architecture. Part 1; Tutorial - Overview

    Science.gov (United States)

    Handler, Louis M.; Briones, Janette C.; Mortensen, Dale J.; Reinhart, Richard C.

    2012-01-01

    Space Telecommunications Radio System (STRS) Architecture Standard provides a NASA standard for software-defined radio. STRS is being demonstrated in the Space Communications and Navigation (SCaN) Testbed formerly known as Communications, Navigation and Networking Configurable Testbed (CoNNeCT). Ground station radios communicating the SCaN testbed are also being written to comply with the STRS architecture. The STRS Architecture Tutorial Overview presents a general introduction to the STRS architecture standard developed at the NASA Glenn Research Center (GRC), addresses frequently asked questions, and clarifies methods of implementing the standard. The STRS architecture should be used as a base for many of NASA s future telecommunications technologies. The presentation will provide a basic understanding of STRS.

  5. The protection of the Cyrillic alphabet in telecommunications: Taxation aspects

    Directory of Open Access Journals (Sweden)

    Marilović Đorđe

    2016-01-01

    Full Text Available The use of Cyrillic and other specific alphabets is discouraged in some telecommunication services. In this paper; the author focuses on unequal treatment of the Cyrillic alphabet in telecommunications (in SMS messages, which is incompatible with the interests of a multilingual society to cherish its linguistic heritage and diversity. Referring to the Convention on the Protection and Promotion of the Diversity of Cultural Expression (2005, the author suggests introducing measures which would lead to removing the discriminatory pricing of Cyrillic SMS messages; and introducing tax measures which would support mobile network operators and prevent possible market inequalities stemming from introducing these measures. The suggested solution is applicable to any multicultural society facing the same problem; regardless of languages in question.

  6. Evaluating program integration and the rise in collaboration: case study of a palliative care network.

    Science.gov (United States)

    Bainbridge, Daryl; Brazil, Kevin; Krueger, Paul; Ploeg, Jenny; Taniguchi, Alan; Darnay, Julie

    2011-01-01

    There is increasing global interest in using regional palliative care networks (PCNs) to integrate care and create systems that are more cost-effective and responsive. We examined a PCN that used a community development approach to build capacity for palliative care in each distinct community in a region of southern Ontario, Canada, with the goal of achieving a competent integrated system. Using a case study methodology, we examined a PCN at the structural level through a document review, a survey of 20 organizational administrators, and an interview with the network director. The PCN identified 14 distinct communities at different stages of development within the region. Despite the lack of some key features that would facilitate efficient palliative care delivery across these communities, administrators largely viewed the network partnership as beneficial and collaborative. The PCN has attempted to recognize specific needs in each local area. Change is gradual but participatory. There remain structural issues that may negatively affect the functioning of the PCN.

  7. A managed clinical network for cardiac services: set-up, operation and impact on patient care

    Directory of Open Access Journals (Sweden)

    Karen E. Hamilton

    2005-09-01

    Full Text Available Purpose: To investigate the set up and operation of a Managed Clinical Network for cardiac services and assess its impact on patient care. Methods: This single case study used process evaluation with observational before and after comparison of indicators of quality of care and costs. The study was conducted in Dumfries and Galloway, Scotland and used a three-level framework. Process evaluation of the network set-up and operation through a documentary review of minutes; guidelines and protocols; transcripts of fourteen semi-structured interviews with health service personnel including senior managers, general practitioners, nurses, cardiologists and members of the public. Outcome evaluation of the impact of the network through interrupted time series analysis of clinical data of 202 patients aged less than 76 years admitted to hospital with a confirmed myocardial infarction one-year pre and one-year post, the establishment of the network. The main outcome measures were differences between indicators of quality of care targeted by network protocols. Economic evaluation of the transaction costs of the set-up and operation of the network and the resource costs of the clinical care of the 202 myocardial infarction patients from the time of hospital admission to 6 months post discharge through interrupted time series analysis. The outcome measure was different in National Health Service resource use. Results: Despite early difficulties, the network was successful in bringing together clinicians, patients and managers to redesign services, exhibiting most features of good network management. The role of the energetic lead clinician was crucial, but the network took time to develop and ‘bed down’. Its primary “modus operand” was the development of a myocardial infarction pathway and associated protocols. Of sixteen clinical care indicators, two improved significantly following the launch of the network and nine showed improvements, which were

  8. A managed clinical network for cardiac services: set-up, operation and impact on patient care.

    Science.gov (United States)

    Stc Hamilton, Karen E; Sullivan, Frank M; Donnan, Peter T; Taylor, Rex; Ikenwilo, Divine; Scott, Anthony; Baker, Chris; Wyke, Sally

    2005-01-01

    To investigate the set up and operation of a Managed Clinical Network for cardiac services and assess its impact on patient care. This single case study used process evaluation with observational before and after comparison of indicators of quality of care and costs. The study was conducted in Dumfries and Galloway, Scotland and used a three-level framework. Process evaluation of the network set-up and operation through a documentary review of minutes; guidelines and protocols; transcripts of fourteen semi-structured interviews with health service personnel including senior managers, general practitioners, nurses, cardiologists and members of the public. Outcome evaluation of the impact of the network through interrupted time series analysis of clinical data of 202 patients aged less than 76 years admitted to hospital with a confirmed myocardial infarction one-year pre and one-year post, the establishment of the network. The main outcome measures were differences between indicators of quality of care targeted by network protocols. Economic evaluation of the transaction costs of the set-up and operation of the network and the resource costs of the clinical care of the 202 myocardial infarction patients from the time of hospital admission to 6 months post discharge through interrupted time series analysis. The outcome measure was different in National Health Service resource use. Despite early difficulties, the network was successful in bringing together clinicians, patients and managers to redesign services, exhibiting most features of good network management. The role of the energetic lead clinician was crucial, but the network took time to develop and 'bed down'. Its primary "modus operand" was the development of a myocardial infarction pathway and associated protocols. Of sixteen clinical care indicators, two improved significantly following the launch of the network and nine showed improvements, which were not statistically significant. There was no difference

  9. The Pediatric Emergency Care Applied Research Network: a history of multicenter collaboration in the United States.

    Science.gov (United States)

    Tzimenatos, Leah; Kim, Emily; Kuppermann, Nathan

    2015-01-01

    In this article, we review the history and progress of a large multicenter research network pertaining to emergency medical services for children. We describe the history, organization, infrastructure, and research agenda of the Pediatric Emergency Care Applied Research Network and highlight some of the important accomplishments since its inception. We also describe the network's strategy to grow its research portfolio, train new investigators, and study how to translate new evidence into practice. This strategy ensures not only the sustainability of the network in the future but the growth of research in emergency medical services for children in general.

  10. Worldwide Report. Telecommunications Policy, Research, and Development.

    Science.gov (United States)

    1985-11-06

    important conclusions of the second meeting of the Andean Satellite Telecommunications Commission in Caracas , Venezuela , at which Colombia was represented...including many of the larger exchanges in the government telephone system, died by the wayside. In Metro Manila, there were two giant telephone...telephone services. The telecom- munications de - cade The telecommunications decade for the Philippines has preceded the ESCAP sponsored

  11. Opportunities for electric utilities in telecommunications

    International Nuclear Information System (INIS)

    Meehan, C.M.

    1994-01-01

    This article examines the opportunities for utility participation in the telecommunications market on private microwave systems and hybrid microwave and fiber systems. The topics of the article include entering the market, national information infrastructure, business opportunities and considerations, levels of participation in telecommunications market, and regulatory objectives

  12. International Conference on Microelectronics, Electromagnetics and Telecommunications

    CERN Document Server

    Rao, N; Kumar, S; Raj, C; Rao, V; Sarma, G

    2016-01-01

    This volume contains 73 papers presented at ICMEET 2015: International Conference on Microelectronics, Electromagnetics and Telecommunications. The conference was held during 18 – 19 December, 2015 at Department of Electronics and Communication Engineering, GITAM Institute of Technology, GITAM University, Visakhapatnam, INDIA. This volume contains papers mainly focused on Antennas, Electromagnetics, Telecommunication Engineering and Low Power VLSI Design.

  13. The Telecommunications Industry; Integration Vs. Competition.

    Science.gov (United States)

    Irwin, Manley R.

    Vertical integration stands as the salient structural configuration of the telecommunications equipment market. Computer hardware manufacturers are obviously potential competitors with the captive telecommunications equipment suppliers. Direct government policies, such as patents and a permissive attitude toward mergers, and indirect policies,…

  14. Regionalizing Telecommunications Reform in West Africa

    OpenAIRE

    World Bank

    2007-01-01

    This report assesses the potential gains from regionalized telecommunications policy in West Africa. The report seeks to assist officials in the Economic Community of West African States (ECOWAS), the West African Telecommunications Regulators Assembly (WATRA) and member states in designing an effective regional regulatory process. To this end, the report: (i) discusses how regional coop...

  15. Telecommunication Policy Structure in Japan. Summary.

    Science.gov (United States)

    Komatsuzaki, Seisuke

    This paper outlines the structure of Japanese telecommunication industries and how the various parts of the mechanism work together. Explanations of the Japanese: 1) structure of telecommunication industries; 2) control of regulatory lags; 3) text information service and regulation; and 4) text information service and the telecommunication…

  16. Surety of the nation`s critical infrastructures: The challenge restructuring poses to the telecommunications sector

    Energy Technology Data Exchange (ETDEWEB)

    Cox, R.; Drennen, T.E.; Gilliom, L.; Harris, D.L.; Kunsman, D.M.; Skroch, M.J.

    1998-04-01

    The telecommunications sector plays a pivotal role in the system of increasingly connected and interdependent networks that make up national infrastructure. An assessment of the probable structure and function of the bit-moving industry in the twenty-first century must include issues associated with the surety of telecommunications. The term surety, as used here, means confidence in the acceptable behavior of a system in both intended and unintended circumstances. This paper outlines various engineering approaches to surety in systems, generally, and in the telecommunications infrastructure, specifically. It uses the experience and expectations of the telecommunications system of the US as an example of the global challenges. The paper examines the principal factors underlying the change to more distributed systems in this sector, assesses surety issues associated with these changes, and suggests several possible strategies for mitigation. It also studies the ramifications of what could happen if this sector became a target for those seeking to compromise a nation`s security and economic well being. Experts in this area generally agree that the U. S. telecommunications sector will eventually respond in a way that meets market demands for surety. Questions remain open, however, about confidence in the telecommunications sector and the nation`s infrastructure during unintended circumstances--such as those posed by information warfare or by cascading software failures. Resolution of these questions is complicated by the lack of clear accountability of the private and the public sectors for the surety of telecommunications.

  17. 47 CFR 36.171 - Property held for future telecommunications use-Account 2002; Telecommunications plant under...

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Property held for future telecommunications use-Account 2002; Telecommunications plant under construction-Account 2003; and Telecommunications plant adjustment-Account 2005. 36.171 Section 36.171 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED...

  18. Physician directed networks: the new generation of managed care.

    Science.gov (United States)

    Bennett, T; O'Sullivan, D

    1996-07-01

    The external pressure to reduce cost while maintaining quality and services is moving the whole industry into a rapid mode of integration. Hospitals, vendors, MCOs, and now, physicians, are faced with the difficult decisions concerning how their operations will be integrated into the larger health care delivery system. These pressures have forced physicians to consolidate, build leverage, and create efficiencies to become more productive; thereby better positioning themselves to respond to the challenges and the opportunities that lie before them. This initial phase of consolidation has given many physicians the momentum to begin to wrestle back the control of health care and the courage to design the next generation of managed care: Physician Directed Managed Care. What will be the next phase? Perhaps, the next step will be fully-integrated specialty and multi-specialty groups leading to alternate delivery sites. "Everyone thinks of changing the world, but no one thinks of changing himself." - Leo Tolstoy

  19. Association between quality domains and health care spending across physician networks

    Science.gov (United States)

    Rahman, Farah; Guan, Jun; Glazier, Richard H.; Brown, Adalsteinn; Bierman, Arlene S.; Croxford, Ruth; Stukel, Therese A.

    2018-01-01

    One of the more fundamental health policy questions is the relationship between health care quality and spending. A better understanding of these relationships is needed to inform health systems interventions aimed at increasing quality and efficiency of care. We measured 65 validated quality indicators (QI) across Ontario physician networks. QIs were aggregated into domains representing six dimensions of care: screening and prevention, evidence-based medications, hospital-community transitions (7-day post-discharge visit with a primary care physician; 30-day post-discharge visit with a primary care physician and specialist), potentially avoidable hospitalizations and emergency department (ED) visits, potentially avoidable readmissions and unplanned returns to the ED, and poor cancer end of life care. Each domain rate was computed as a weighted average of QI rates, weighting by network population at risk. We also measured overall and sector-specific per capita healthcare network spending. We evaluated the associations between domain rates, and between domain rates and spending using weighted correlations, weighting by network population at risk, using an ecological design. All indicators were measured using Ontario health administrative databases. Large variations were seen in timely hospital-community transitions and potentially avoidable hospitalizations. Networks with timely hospital-community transitions had lower rates of avoidable admissions and readmissions (r = -0.89, -0.58, respectively). Higher physician spending, especially outpatient primary care spending, was associated with lower rates of avoidable hospitalizations (r = -0.83) and higher rates of timely hospital-community transitions (r = 0.81) and moderately associated with lower readmission rates (r = -0.46). Investment in effective primary care services may help reduce burden on the acute care sector and associated expenditures. PMID:29614131

  20. Benefiting from networks by occupying central positions: an empirical study of the Taiwan health care industry.

    Science.gov (United States)

    Peng, Tzu-Ju Ann; Lo, Fang-Yi; Lin, Chin-Shien; Yu, Chwo-Ming Joseph

    2006-01-01

    At issue is whether network resources imply some resources available to all members in networks or available only to those occupying structurally central positions in networks. In this article, two conceptual models, the additive and interaction models of the firm, are empirically tested regarding the impact of hospital resources, network resources, and centrality on hospital performance in the Taiwan health care industry. The results demonstrate that: (1) in the additive model, hospital resources and centrality independently affect performance, whereas network resources do not; and (2) no evidence supports the interaction effect of centrality and resources on performance. Based on our findings in Taiwanese practices, the extent to which the resources are acquired externally from networks, we suggest that while adopting interorganizational strategies, hospitals should clearly identify those important resources that reside in-house and those transferred from network partners. How hospitals access resources from central positions is more important than what network resources can hospitals acquire from networks. Hospitals should improve performance by exploiting its in-house resources rather than obtaining network resources externally. In addition, hospitals should not only invest in hospital resources for better performance but should also move to central positions in networks to benefit from collaborations.

  1. [Primary Health Care in Austria - Tu Felix Austria nube - Concept for networking in the primary care of Upper Austria].

    Science.gov (United States)

    Kriegel, Johannes; Rebhandl, Erwin; Hockl, Wolfgang; Stöbich, Anna-Maria

    2017-10-01

    The primary health care in rural areas in Austria is currently determined by challenges such as ageing of the population, the shift towards chronic and age-related illnesses, the specialist medical and hospital-related education and training of physicians' as well growing widespread difficulty of staffing doctor's office. The objective is to realize a general practitioner centered and team-oriented primary health care (PHC) approach by establishing networked primary health care in rural areas of Austria. Using literature research, online survey, expert interviews and expert workshops, we identified different challenges in terms of primary health care in rural areas. Further, current resources and capacities of primary health care in rural areas were identified using the example of the district of Rohrbach. Twelve design dimensions and 51 relevant measurement indicators of a PHC network were delineated and described. Based on this, 12 design approaches of PHC concept for the GP-centered and team-oriented primary health care in rural areas have been developed.

  2. Primary health care teams and the patient perspective: a social network analysis.

    Science.gov (United States)

    Cheong, Lynn H M; Armour, Carol L; Bosnic-Anticevich, Sinthia Z

    2013-01-01

    Multidisciplinary care (MDC) has been proposed as a potential strategy to address the rising challenges of modern health issues. However, it remains unclear as to how patients' health connections may impact on multidisciplinary processes and outcomes. This research aims to gain a deeper understanding of patients' potential role in MDC: i) describe patients' health networks, ii) compare different care groups, iii) gain an understanding of the nature and extent of their interactions, and iv) identify the role of pharmacists within patient networks. In-depth, semi-structured interviews were conducted with asthma patients from Sydney, Australia. Participants were recruited from a range of standard asthma health care access points (community group) and a specialized multidisciplinary asthma clinic (clinic group). Quantitative social network analysis provided structural insight into asthma networks while qualitative social network analysis assisted in interpretation of network data. A total of 47 interviews were conducted (26 community group participants and 21 clinic group participants). Although participants' asthma networks consisted of a range of health care professionals (HCPs), these did not reflect or encourage MDC. Not only did participants favor minimal interaction with any HCP, they preferred sole-charge care and were found to strongly rely on lay individuals such as family and friends. While general practitioners and respiratory specialists were participants' principal choice of HCP, community pharmacists were less regarded. Limited opportunities were presented for HCPs to collaborate, particularly pharmacists. As patients' choices of HCPs may strongly influence collaborative processes and outcomes, this research highlights the need to consider patient perspectives in the development of MDC models in primary care. Copyright © 2013 Elsevier Inc. All rights reserved.

  3. Efficient health care service delivery using network analysis: a case ...

    African Journals Online (AJOL)

    critical path) and less important together with their time duration. The average total time spent in the hospital was 43 minutes but with effective capacity planning using network analysis the total time was reduced to 18 minutes and the critical path ...

  4. 77 FR 75182 - President's National Security Telecommunications Advisory Committee

    Science.gov (United States)

    2012-12-19

    ... Telecommunications Advisory Committee AGENCY: National Protection and Programs Directorate, DHS. ACTION: Committee... Security Telecommunications Advisory Committee (NSTAC) will meet on Friday, January 11, 2013, via... related to national security and emergency preparedness telecommunications policy. Agenda: The NSTAC...

  5. 78 FR 45255 - President's National Security Telecommunications Advisory Committee

    Science.gov (United States)

    2013-07-26

    ... Telecommunications Advisory Committee AGENCY: National Protection and Programs Directorate, DHS. [[Page 45256... President's National Security Telecommunications Advisory Committee (NSTAC) will meet on Tuesday, August 20... related to national security and emergency preparedness (NS/EP) telecommunications policy. Agenda: The...

  6. 75 FR 29781 - President's National Security Telecommunications Advisory Committee

    Science.gov (United States)

    2010-05-27

    ...] President's National Security Telecommunications Advisory Committee AGENCY: National Protection and Programs... Security Telecommunications Advisory Committee (NSTAC) will be meeting by teleconference; the meeting will... telecommunications policy. Notice of this meeting is given under the Federal Advisory Committee Act (FACA), Public...

  7. 75 FR 3913 - President's National Security Telecommunications Advisory Committee

    Science.gov (United States)

    2010-01-25

    ...] President's National Security Telecommunications Advisory Committee AGENCY: National Communications System... Telecommunications Advisory Committee (NSTAC) will be meeting by teleconference; the meeting will be open to the... implementing national security and emergency preparedness telecommunications policy. Notice of this meeting is...

  8. Clinic Network Collaboration and Patient Tracing to Maximize Retention in HIV Care.

    Directory of Open Access Journals (Sweden)

    James H McMahon

    Full Text Available Understanding retention and loss to follow up in HIV care, in particular the number of people with unknown outcomes, is critical to maximise the benefits of antiretroviral therapy. Individual-level data are not available for these outcomes in Australia, which has an HIV epidemic predominantly focused amongst men who have sex with men.A network of the 6 main HIV clinical care sites was established in the state of Victoria, Australia. Individuals who had accessed care at these sites between February 2011 and June 2013 as assessed by HIV viral load testing but not accessed care between June 2013 and February 2014 were considered individuals with potentially unknown outcomes. For this group an intervention combining cross-referencing of clinical data between sites and phone tracing individuals with unknown outcomes was performed. 4966 people were in care in the network and before the intervention estimates of retention ranged from 85.9%-95.8% and the proportion with unknown outcomes ranged from 1.3-5.5%. After the intervention retention increased to 91.4-98.8% and unknown outcomes decreased to 0.1-2.4% (p<.01 for all sites for both outcomes. Most common reasons for disengagement from care were being too busy to attend or feeling well. For those with unknown outcomes prior to the intervention documented active psychiatric illness at last visit was associated with not re-entering care (p = 0.04.The network demonstrated low numbers of people with unknown outcomes and high levels of retention in care. Increased levels of retention in care and reductions in unknown outcomes identified after the intervention largely reflected confirmation of clinic transfers while a smaller number were successfully re-engaged in care. Factors associated with disengagement from care were identified. Systems to monitor patient retention, care transfer and minimize disengagement will maximise individual and population-level outcomes for populations with HIV.

  9. Integrated palliative care is about professional networking rather than standardisation of care: A qualitative study with healthcare professionals in 19 integrated palliative care initiatives in five European countries.

    Science.gov (United States)

    den Herder-van der Eerden, Marlieke; van Wijngaarden, Jeroen; Payne, Sheila; Preston, Nancy; Linge-Dahl, Lisa; Radbruch, Lukas; Van Beek, Karen; Menten, Johan; Busa, Csilla; Csikos, Agnes; Vissers, Kris; van Gurp, Jelle; Hasselaar, Jeroen

    2018-06-01

    Integrated palliative care aims at improving coordination of palliative care services around patients' anticipated needs. However, international comparisons of how integrated palliative care is implemented across four key domains of integrated care (content of care, patient flow, information logistics and availability of (human) resources and material) are lacking. To examine how integrated palliative care takes shape in practice across abovementioned key domains within several integrated palliative care initiatives in Europe. Qualitative group interview design. A total of 19 group interviews were conducted (2 in Belgium, 4 in the Netherlands, 4 in the United Kingdom, 4 in Germany and 5 in Hungary) with 142 healthcare professionals from several integrated palliative care initiatives in five European countries. The majority were nurses ( n = 66; 46%) and physicians ( n = 50; 35%). The dominant strategy for fostering integrated palliative care is building core teams of palliative care specialists and extended professional networks based on personal relationships, shared norms, values and mutual trust, rather than developing standardised information exchange and referral pathways. Providing integrated palliative care with healthcare professionals in the wider professional community appears difficult, as a shared proactive multidisciplinary palliative care approach is lacking, and healthcare professionals often do not know palliative care professionals or services. Achieving better palliative care integration into regular healthcare and convincing the wider professional community is a difficult task that will take time and effort. Enhancing standardisation of palliative care into education, referral pathways and guidelines and standardised information exchange may be necessary. External authority (policy makers, insurance companies and professional bodies) may be needed to support integrated palliative care practices across settings.

  10. Scotland's Knowledge Network: translating knowledge into action to improve quality of care.

    Science.gov (United States)

    Wales, A; Graham, S; Rooney, K; Crawford, A

    2012-11-01

    The Knowledge Network (www.knowledge.scot.nhs.uk) is Scotland's online knowledge service for health and social care. It is designed to support practitioners to apply knowledge in frontline delivery of care, helping to translate knowledge into better health-care outcomes through safe, effective, person-centred care. The Knowledge Network helps to combine the worlds of evidence-based practice and quality improvement by providing access to knowledge about the effectiveness of clinical interventions ('know-what') and knowledge about how to implement this knowledge to support individual patients in working health-care environments ('know-how'). An 'evidence and guidance' search enables clinicians to quickly access quality-assured evidence and best practice, while point of care and mobile solutions provide knowledge in actionable formats to embed in clinical workflow. This research-based knowledge is complemented by social networking services and improvement tools which support the capture and exchange of knowledge from experience, facilitating practice change and systems improvement. In these cases, the Knowledge Network supports key components of the knowledge-to-action cycle--acquiring, creating, sharing and disseminating knowledge to improve performance and innovate. It provides a vehicle for implementing the recommendations of the national Knowledge into Action review, which outlines a new national approach to embedding knowledge in frontline practice and systems improvement.

  11. An Approach to measuring Integrated Care within a Maternity Care System: Experiences from the Maternity Care Network Study and the Dutch Birth Centre Study

    Science.gov (United States)

    Valentijn, Pim P.; Hitzert, Marit; Hermus, Marieke A.A.; Franx, Arie; de Vries, Raymond G.; Wiegers, Therese A.; Bruijnzeels, Marc A.

    2017-01-01

    Introduction: Integrated care is considered to be a means to reduce costs, improve the quality of care and generate better patient outcomes. At present, little is known about integrated care in maternity care systems. We developed questionnaires to examine integrated care in two different settings, using the taxonomy of the Rainbow Model of Integrated Care. The aim of this study was to explore the validity of these questionnaires. Methods: We used data collected between 2013 and 2015 from two studies: the Maternity Care Network Study (634 respondents) and the Dutch Birth Centre Study (56 respondents). We assessed the feasibility, discriminative validity, and reliability of the questionnaires. Results: Both questionnaires showed good feasibility (overall missing rate 0.70). Between-subgroups post-hoc comparisons showed statistically significant differences on integration profiles between regional networks (on all items, dimensions of integration and total integration score) and birth centres (on 50% of the items and dimensions of integration). Discussion: Both questionnaires are feasible and can discriminate between sites with different integration profiles in The Netherlands. They offer an opportunity to better understand integrated care as one step in understanding the complexity of the concept. PMID:28970747

  12. THE CONTEMPORARY PARENTING PRACTICE AND EARLY CHILDHOOD CARE NETWORK

    Directory of Open Access Journals (Sweden)

    Nathalia Teixeira Caldas Campana

    2017-09-01

    Full Text Available The possibility for women to engage in professional career and the fact that men are more involved in caring for their children raise awareness to the need for research on contemporary parental practice. The aim of this study was to check for changes in the form parents take care of their children, the key challenges they face and how pediatricians and school workers participate in this process. The methodology used is qualitative and based on semi-structured interviews with five middle-class heterosexual couples who have children up to three years old and their respective pediatricians and school supervisors. Results show that parenthood is transitioning from the traditional model to a more egalitarian practice. Pediatricians act as advisors and parents share with school workers the direct care for children. It is suggested that naturalistic perspectives and time for paternity leave must be questioned in order to promote an egalitarian parenthood.

  13. Regulatory governance of telecommunications liberalisation in Taiwan

    International Nuclear Information System (INIS)

    Cheng, Kuo-Tai; Hebenton, Bill

    2008-01-01

    This paper examines the changing role of government and market in regulating the telecommunications sector from since 1996 in Taiwan. It contextualises the theoretical aspects of regulatory governance for institutional design and practices, and reviews the concepts and mechanisms for appraising privatisation and regulatory systems. Using a conceptual framework for researching privatisation and regulation, it describes the process and issues pertinent to telecommunications liberalisation and privatisation in Taiwan, supported by a brief presentation of theoretical points of view as well as practitioners' views. The paper presents results concerning criteria for appraising privatisation and regulatory governance and considers policy lessons that can be learned from the experiences of the Taiwanese telecommunications sector's liberalisation. (author)

  14. Bio-inspired computation in telecommunications

    CERN Document Server

    Yang, Xin-She; Ting, TO

    2015-01-01

    Bio-inspired computation, especially those based on swarm intelligence, has become increasingly popular in the last decade. Bio-Inspired Computation in Telecommunications reviews the latest developments in bio-inspired computation from both theory and application as they relate to telecommunications and image processing, providing a complete resource that analyzes and discusses the latest and future trends in research directions. Written by recognized experts, this is a must-have guide for researchers, telecommunication engineers, computer scientists and PhD students.

  15. ARTES: the future of satellite telecommunication

    Science.gov (United States)

    González-Blázquez, Angel; Detain, Dominique

    2005-08-01

    Throughout its 30-year existence, ESA has played a key role by providing telecommunications infrastructures that have allowed the in-orbit validation, qualification and demonstration of equipment, technology and services. In the past, this has been achieved through the provision of dedicated satellites like OTS, Marecs, Olympus and Artemis, as well as by the implementation of piggy-back payloads on other ESA or commercial satellites. Today, due to the importance of satellite telecommunications, ESA continues to support this sector mainly through its ARTES - Advanced Research in Telecommunications - Programme.

  16. Analysis of the social network development of a virtual community for Australian intensive care professionals.

    Science.gov (United States)

    Rolls, Kaye Denise; Hansen, Margaret; Jackson, Debra; Elliott, Doug

    2014-11-01

    Social media platforms can create virtual communities, enabling healthcare professionals to network with a broad range of colleagues and facilitate knowledge exchange. In 2003, an Australian state health department established an intensive care mailing list to address the professional isolation experienced by senior intensive care nurses. This article describes the social network created within this virtual community by examining how the membership profile evolved from 2003 to 2009. A retrospective descriptive design was used. The data source was a deidentified member database. Since 2003, 1340 healthcare professionals subscribed to the virtual community with 78% of these (n = 1042) still members at the end of 2009. The membership profile has evolved from a single-state nurse-specific network to an Australia-wide multidisciplinary and multiorganizational intensive care network. The uptake and retention of membership by intensive care clinicians indicated that they appeared to value involvement in this virtual community. For healthcare organizations, a virtual community may be a communications option for minimizing professional and organizational barriers and promoting knowledge flow. Further research is, however, required to demonstrate a link between these broader social networks, enabling the exchange of knowledge and improved patient outcomes.

  17. Improving collaboration between primary care research networks using Access Grid technology

    Directory of Open Access Journals (Sweden)

    Zsolt Nagykaldi

    2008-05-01

    Full Text Available Access Grid (AG is an Internet2-driven, high performance audio_visual conferencing technology used worldwide by academic and government organisations to enhance communication, human interaction and group collaboration. AG technology is particularly promising for improving academic multi-centre research collaborations. This manuscript describes how the AG technology was utilised by the electronic Primary Care Research Network (ePCRN that is part of the National Institutes of Health (NIH Roadmap initiative to improve primary care research and collaboration among practice- based research networks (PBRNs in the USA. It discusses the design, installation and use of AG implementations, potential future applications, barriers to adoption, and suggested solutions.

  18. Support network and social support for children with special health care need

    Directory of Open Access Journals (Sweden)

    Thaís Araújo Barbosa

    2016-02-01

    Full Text Available Objective: to understand and identify the support network and social support from the perspective of families of children with chronic conditions. Methods: a qualitative study, with content analysis of 134 records, followed by ten semi-structured interviews. Results: the analysis has revealed that the primary caregiver, the mother, participates in a network of limited support, only with the help of her husband, children, grandparents and the child´s godparents. They also have a social network through a multidisciplinary team, which in some cases is not effective. Conclusion: families have a deficient and limited support network and the demand for care rely only on the support of the husband, grandparents, children, and godparents. Social networking refers to the philanthropic institutions, while the aid of public service, basic health unit is basic.

  19. Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network

    Directory of Open Access Journals (Sweden)

    Márcia Cristina Rodrigues Fausto

    Full Text Available Abstract Objectives: to analyze the itineraries of patients with cerebrovascular accident (CVA in the Interstate health region in San Francisco Valley. Methods: this study uses the qualitative approach through the construction of Therapeutic Itineraries (IT. In the IT mapping the observation was prioritized on the different points and forms to access health service in search of care. Results: sixteen semi-structured interviews with healthcare users were conducted. There were diverse forms to access and provide services at the Rede Interestadual de Atenção à Saúde do Vale do Médio São Francisco-PEBA (Interstate Healthcare Network Region in the San Francisco Valley, which could be characterized by disorganized and uncoordinated care in the analyzed cases, despite the guarantee of hospital care. The Primary Health Care (APS teams are present at a care point with most of the patients' itineraries, however, little integration to the regionalized network and they were unable to perform their functions and coordinate the care. It is observed pilgrimage assistance, fragmented care and difficulties in receiving care after post hospitalization which is essential for the patients’ rehabilitation. Conclusions: traces of fragments of the regional health system are important warning signs that points out fragility in PEBA and demonstrate persistent gaps in the public health system to fulfil the responsibility and guarantee individuals’ right for health.

  20. New Options for AV in Telecommunications

    Science.gov (United States)

    Gelman, Morrie

    1974-01-01

    A discussion of MDS, a multi-point distribution service which is a recently evolved supplementary telecommunications service that suggests new possibilities for improving the reach, impact and effectiveness of audio-visual communications. (Author)

  1. Telecommunications Circuit Allocation Programs - Kansas City Area

    National Research Council Canada - National Science Library

    Thomas, William

    1994-01-01

    The overall objective of the audit was to determine whether DoD circuit allocation programs identified and used the most effective configurations for leased long-haul, special-purpose telecommunications circuits...

  2. Connecting primary care clinics and community pharmacies through a nationwide electronic prescribing network: A qualitative study

    Directory of Open Access Journals (Sweden)

    Marie-Pierre Gagnon

    2015-10-01

    Full Text Available Background The use of medication is at the heart of primary care, but is also the cause for major health concerns. It is therefore important to examine the prescription of medication process.Objective This study identifies the barriers and facilitators perceived by community pharmacists and primary care physicians concerning the adoption of a nationwide electronic prescribing (e-prescribing network in the province of Quebec, Canada.Methods We used purposive sampling to identify the most intensive users of the e-prescribing network. We conducted phone and in-person interviews. Interviews were transcribed, and we analysed their content with NVivo, using the clinical adoption framework (CAF for the codification of the data.Results We interviewed 33 pharmacists, 2 pharmacy technicians, 11 physicians and 3 clinic managers. Adoption of the e-prescribing network was fairly low. The respondents underlined adaptation of their work environment, openness to change and perception of benefits as facilitators to the adoption of the network. However, important barriers were perceived, including system quality issues and paper prescriptions being the only legal document in the prescribing process. Even if respondents recognised that the e-prescribing network can offer substantial benefits to the prescribing process, issues still persisted and raised barriers to the full use of such a network, especially in a context where different local information systems are connected within a nationwide e-prescribing network.Conclusion This study, based on the CAF, provides a better understanding of the factors related to the adoption of a nationwide e-prescribing network connecting primary care clinics and community pharmacies. 

  3. Partnership effectiveness in primary community care networks: A national empirical analysis of partners' coordination infrastructure designs.

    Science.gov (United States)

    Lin, Blossom Yen-Ju; Lin, Yung-Kai; Lin, Cheng-Chieh

    2010-01-01

    Previous empirical and managerial studies have ignored the effectiveness of integrated health networks. It has been argued that the varying definitions and strategic imperatives of integrated organizations may have complicated the assessment of the outcomes/performance of varying models, particularly when their market structures and contexts differed. This study aimed to empirically verify a theoretical perspective on the coordination infrastructure designs and the effectiveness of the primary community care networks (PCCNs) formed and funded by the Bureau of National Health Insurance since March 2003. The PCCNs present a model to replace the traditional fragmented providers in Taiwan's health care. The study used a cross-sectional mailed survey designed to ascertain partnership coordination infrastructure and integration of governance, clinical care, bonding, finances, and information. The outcome indicators were PCCNs' perceived performance and willingness to remain within the network. Structural equation modeling examined the causal relationships, controlling for organizational and environmental factors. Primary data collection occurred from February through December 2005, via structured questionnaires sent to 172 PCCNs. Using the individual PCCN as the unit of analysis, the results found that a network's efforts regarding coordination infrastructures were positively related to the PCCN's perceived performance and willingness to remain within the network. In addition, PCCNs practicing in rural areas and in areas with higher density of medical resources had better perceived effectiveness and willingness to cooperate in the network.Practical Implication: The lack of both an operational definition and an information about system-wide integration may have obstructed understanding of integrated health networks' organizational dynamics. This study empirically examined individual PCCNs and offers new insights on how to improve networks' organizational design and

  4. Bio-inspired Autonomic Structures: a middleware for Telecommunications Ecosystems

    Science.gov (United States)

    Manzalini, Antonio; Minerva, Roberto; Moiso, Corrado

    Today, people are making use of several devices for communications, for accessing multi-media content services, for data/information retrieving, for processing, computing, etc.: examples are laptops, PDAs, mobile phones, digital cameras, mp3 players, smart cards and smart appliances. One of the most attracting service scenarios for future Telecommunications and Internet is the one where people will be able to browse any object in the environment they live: communications, sensing and processing of data and services will be highly pervasive. In this vision, people, machines, artifacts and the surrounding space will create a kind of computational environment and, at the same time, the interfaces to the network resources. A challenging technological issue will be interconnection and management of heterogeneous systems and a huge amount of small devices tied together in networks of networks. Moreover, future network and service infrastructures should be able to provide Users and Application Developers (at different levels, e.g., residential Users but also SMEs, LEs, ASPs/Web2.0 Service roviders, ISPs, Content Providers, etc.) with the most appropriate "environment" according to their context and specific needs. Operators must be ready to manage such level of complication enabling their latforms with technological advanced allowing network and services self-supervision and self-adaptation capabilities. Autonomic software solutions, enhanced with innovative bio-inspired mechanisms and algorithms, are promising areas of long term research to face such challenges. This chapter proposes a bio-inspired autonomic middleware capable of leveraging the assets of the underlying network infrastructure whilst, at the same time, supporting the development of future Telecommunications and Internet Ecosystems.

  5. Telecommunication Sector of the Russian Economy: Transformation Into a Global Information and Telecommunication Infrastructure

    Directory of Open Access Journals (Sweden)

    Fokina Elena Anatolyevna

    2014-12-01

    Full Text Available The author concerns the current state and possible ways of telecommunication sector of the Russian economy development in the conditions of world economy globalization and suggests that the process of globalization reflects the current stage of telecommunication companies’ capital internationalization. The analysis of telecommunication sector shows that it is not only a perspective, highmargin and dynamically developing sector but is still one of the most integrated into the system of world economic relations. The stages of Russian telecommunication companies’ capital internationalization are determined, the internal connections between internationalization process and globalization are revealed. It is revealed that the new information and communication technologies development and expansion results in substantial increase in cooperation between economical entities and provides a sustainable long-term economical growth of telecommunication enterprises. The financial and operational data determining the effectiveness of telecommunication companies’ activity are presented. The analysis of tendencies promoting the extension of the market activity of Russian telecommunication companies at global information and telecommunication infrastructure shows that the main tendencies are the following ones: foreign capital inflow increase, capital integration and expansion of new services based on technologies convergence. The author reasonably concludes in recent times, the telecommunication sector of the Russian economy formation and development is determined by the existing global trends.

  6. Paediatric obesity research in early childhood and the primary care setting: the TARGet Kids! research network.

    Science.gov (United States)

    Morinis, Julia; Maguire, Jonathon; Khovratovich, Marina; McCrindle, Brian W; Parkin, Patricia C; Birken, Catherine S

    2012-04-01

    Primary paediatric health care is the foundation for preventative child health. In light of the recent obesity epidemic, paediatricians find themselves at the frontline of identification and management of childhood obesity. However, it is well recognized that evidence based approaches to obesity prevention and subsequent translation of this evidence into practice are critically needed. This paper explores the role of primary care in obesity prevention and introduces a novel application and development of a primary care research network in Canada--TARGet Kids!--to develop and translate an evidence-base on effective screening and prevention of childhood obesity.

  7. Paediatric Obesity Research in Early Childhood and the Primary Care Setting: The TARGet Kids! Research Network

    Directory of Open Access Journals (Sweden)

    Catherine S. Birken

    2012-04-01

    Full Text Available Primary paediatric health care is the foundation for preventative child health. In light of the recent obesity epidemic, paediatricians find themselves at the frontline of identification and management of childhood obesity. However, it is well recognized that evidence based approaches to obesity prevention and subsequent translation of this evidence into practice are critically needed. This paper explores the role of primary care in obesity prevention and introduces a novel application and development of a primary care research network in Canada—TARGet Kids!—to develop and translate an evidence-base on effective screening and prevention of childhood obesity.

  8. Patient referral patterns and the spread of hospital-acquired infections through national health care networks.

    Directory of Open Access Journals (Sweden)

    Tjibbe Donker

    2010-03-01

    Full Text Available Rates of hospital-acquired infections, such as methicillin-resistant Staphylococcus aureus (MRSA, are increasingly used as quality indicators for hospital hygiene. Alternatively, these rates may vary between hospitals, because hospitals differ in admission and referral of potentially colonized patients. We assessed if different referral patterns between hospitals in health care networks can influence rates of hospital-acquired infections like MRSA. We used the Dutch medical registration of 2004 to measure the connectedness between hospitals. This allowed us to reconstruct the network of hospitals in the Netherlands. We used mathematical models to assess the effect of different patient referral patterns on the potential spread of hospital-acquired infections between hospitals, and between categories of hospitals (University medical centers, top clinical hospitals and general hospitals. University hospitals have a higher number of shared patients than teaching or general hospitals, and are therefore more likely to be among the first to receive colonized patients. Moreover, as the network is directional towards university hospitals, they have a higher prevalence, even when infection control measures are equally effective in all hospitals. Patient referral patterns have a profound effect on the spread of health care-associated infections like hospital-acquired MRSA. The MRSA prevalence therefore differs between hospitals with the position of each hospital within the health care network. Any comparison of MRSA rates between hospitals, as a benchmark for hospital hygiene, should therefore take the position of a hospital within the network into account.

  9. Current state of information technology use in a US primary care practice-based research network

    Directory of Open Access Journals (Sweden)

    James Andrews

    2004-02-01

    Conclusion While interest in enabling information technologies was high in KAN, adoption was variable, with use of several key technologies reported as low.The results suggest that research in this network that would be dependent on or enhanced by IT might be impeded and, generally, greater attention should be given to enhancing the IT infrastructure in primary care.

  10. 48 CFR 239.7405 - Delegated authority for telecommunications resources.

    Science.gov (United States)

    2010-10-01

    ... telecommunications resources. 239.7405 Section 239.7405 Federal Acquisition Regulations System DEFENSE ACQUISITION... TECHNOLOGY Telecommunications Services 239.7405 Delegated authority for telecommunications resources. The contracting officer may enter into a telecommunications service contract on a month-to-month basis or for any...

  11. 47 CFR 43.61 - Reports of international telecommunications traffic.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Reports of international telecommunications traffic. 43.61 Section 43.61 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON... Reports of international telecommunications traffic. (a) Each common carrier engaged in providing...

  12. 47 CFR 32.2001 - Telecommunications plant in service.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Telecommunications plant in service. 32.2001 Section 32.2001 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES UNIFORM SYSTEM OF ACCOUNTS FOR TELECOMMUNICATIONS COMPANIES Instructions for Balance Sheet Accounts § 32...

  13. 47 CFR 32.2003 - Telecommunications plant under construction.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Telecommunications plant under construction. 32.2003 Section 32.2003 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES UNIFORM SYSTEM OF ACCOUNTS FOR TELECOMMUNICATIONS COMPANIES Instructions for Balance Sheet...

  14. Liberalisation in network based industries. An economic analysis by case studies of railway, telecommunication and energy utilities; Liberalisierung von Netzindustrien. Eine oekonomische Analyse am Beispiel der Eisenbahn, der Telekommunikation und der Leitungsgebundenen Energieversorgung

    Energy Technology Data Exchange (ETDEWEB)

    Schulze, A.

    2006-07-01

    The liberalisation of network based industries represents an economic problem, which raises on the one hand a multiplicity of theoretically unresolved questions and for which exist now on the other hand experiences in economic policy in Germany. The causes of the economic problems are not only to be found thereby in certain industry characteristics of the network based industries, but also in a missed special treatment of the network based economic sectors in the past by the economic policy. However, competition pushes in network based industries at borders, because the infrastructure necessary for the production of network based services typically represents an non-open to attack, natural monopoly in the hand of an established, vertically integrated supplier. From it extensive possibilities for the discrimination of competitors result, the competition political action need draw. It applies to analyze these in the available work and to discuss alternative solutions of the discrimination problem. (orig.)

  15. Interest in Collaborative, Practice-Based Research Networks in Pediatric Refugee Health Care.

    Science.gov (United States)

    Shah, Sural; Yun, Katherine

    2018-02-01

    Over the last decade, approximately 200,000 refugee children have resettled across the United States. This population is dispersed, resulting in limited data. Collaborative research networks, where clinicians across distinct practice sites work together to answer research questions, can improve the evidence base regarding clinical care. We distributed a web-based survey to pediatric refugee providers around North America to assess priorities, perceived barriers and benefits to collaborative research. We recruited 57 participants. Of respondents, 89 % were interested in collaborative research, prioritizing: (1) access to health care (33 %), (2) mental health (24 %) and (3) nutrition/growth (24 %). Perceived benefits were "improving clinical practice" (98 %) and "raising awareness about the needs of pediatric refugees" (94 %). Perceived barriers were "too many other priorities" (89 %) and "lack of funding for data entry" (78 %). There is widespread interest in collaborative networks around pediatric refugee healthcare. A successful network will address barriers and emphasize priorities.

  16. 76 FR 48939 - Announcement of Meeting of the International Telecommunication Advisory Committee

    Science.gov (United States)

    2011-08-09

    ... Street, NW., Washington, DC 20520, to seek advice from the telecommunications industry on: (a) The consultation of International Telecommunication Union, Telecommunication Standardization Sector Study Group 15... Telecommunication Advisory Committee SUMMARY: This notice announces a meeting of the International Telecommunication...

  17. Palliative care patients' perceptions of the work involved in understanding and managing the network of care provision surrounding them.

    Science.gov (United States)

    Jarrett, N; Porter, K; Davis, C; Lathlean, J; Duke, S; Corner, J; Addington-Hall, J

    2017-06-01

    To explore the work carried out for cancer palliative care patients in understanding and dealing with the often large network of care provision surrounding them. Qualitative thematic analysis of interviews with 24 patients (aged 48-85 years) with 15 different types/sites of cancer and palliative care needs. The main theme of 'patient work-their strategies and project management' is presented. Subthemes included: being organised and keeping records; planning ahead and coordinating care; information gathering; understanding the hierarchy and knowing who the key people are; strategies to remember names and roles; understanding and 'working the system'. Insights are given into the work carried out on patients' behalf by family, although it was unclear who would do this work if no family was available. Some of the challenges faced by patients and families are identified. These included limited information; uncertainty when care is transferred between different teams or locations; deciding who to contact and how; and negotiating through gatekeepers. The number and variety of people contributing to the care of a cancer palliative care patient can be difficult for patients and family to comprehend. Work is required by patients or family on their behalf to achieve the level of understanding required to become accomplished at navigating the system and project managing their care organisation, and is probably influenced by role expectations and previous experience. Much of this additional, often hidden, workload for patients and family could probably be reduced with clear, timely information provision by health professionals. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  18. Evaluation of intersectoral resources in the composition of care networks for crack users

    Directory of Open Access Journals (Sweden)

    Leandro Barbosa de Pinho

    2017-10-01

    Full Text Available Abstract Objective: To evaluate the intersectoral resources in the composition of care networks for crack users. Method: Evaluative, qualitative study based on the Fourth Generation Evaluation. The participants were 10 users, 11 family members, eight workers, and seven managers from a municipality in the metropolitan region of Porto Alegre/Rio Grande do Sul, Brazil. Data were collected in 2014 through observation and semi-structured interviews. The analysis occurred by the constant comparative method. Results: Stakeholders have discussed how the Public Prosecutor's Office and the Military Brigade are inserted in the network, since they carry out actions that often are not compatible with the psychosocial care proposal. The need for expansion and maintenance of liaisons with community resources was identified. Conclusion: It is noted the need for sector integration and participation of all social agents from different spheres in order to promote and evaluate the practices and policies of care for crack users.

  19. Challenges on network care considering the perceptions of preceptors of a Pet-Network regarding people with disabilities and at-risk infants: access, comprehensiveness and communication

    Directory of Open Access Journals (Sweden)

    Marta Aoki

    2017-09-01

    Full Text Available Introduction: Health Care Networks (HCN are seen as a possibility for articulating and coordinating actions, health services and is a priority in the health system. One strategy to assure their improvement is the Tutorial Education Program (PET-Redes in the health area. Within this context, it is important to understand the challenges and strengths for the effectiveness of HCN to the network care. Objective: To identify and analyze the perceptions of professionals who are preceptors of PET-Networks (Stork/at-risk infants Network and Disabled People Network about the configuration of the network care and the challenges of professional actions related to it. Method: Qualitative study conducted through two focus groups with professionals that are preceptors of the PET-Networks. Thematic analysis was used for data analysis. Results: Both networks presented the following categories related to the network care configuration: access, comprehensive health care and communication. For this care network configuration, some challenges mentioned include geographical and architectural barriers, lack of social support, lack of transportation, failure on care flow and discontinuities in the communicative process. To deal with these challenges, the following strategies were mentioned: implementation of electronic medical records and formulation of specific forums for debate and articulation of actions, among others. It is important to notice that these categories are intertwined and that more challenges than strategies to overcome them were pointed out by the participants. Conclusion: There are several challenges for effective HCN from different levels and the construction of strategies needs to be convened among all persons involved in the HCN

  20. Networked remote area dental services: a viable, sustainable approach to oral health care in challenging environments.

    Science.gov (United States)

    Dyson, Kate; Kruger, Estie; Tennant, Marc

    2012-12-01

    This study examines the cost effectiveness of a model of remote area oral health service. Retrospective financial analysis. Rural and remote primary health services. Clinical activity data and associated cost data relating to the provision of a networked visiting oral health service by the Centre for Rural and Remote Oral Health formed the basis of the study data frameset. The cost-effectiveness of the Centre's model of service provision at five rural and remote sites in Western Australia during the calendar years 2006, 2008 and 2010 was examined in the study. Calculations of the service provision costs and value of care provided were made using data records and the Fee Schedule of Dental Services for Dentists. The ratio of service provision costs to the value of care provided was determined for each site and was benchmarked against the equivalent ratios applicable to large scale government sector models of service provision. The use of networked models have been effective in other disciplines but this study is the first to show a networked hub and spoke approach of five spokes to one hub is cost efficient in remote oral health care. By excluding special cost-saving initiatives introduced by the Centre, the study examines easily translatable direct service provision costs against direct clinical care outcomes in some of Australia's most challenging locations. This study finds that networked hub and spoke models of care can be financially efficient arrangements in remote oral health care. © 2012 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.

  1. Exploring the Knowledge Structure of Nursing Care for Older Patients With Delirium: Keyword Network Analysis.

    Science.gov (United States)

    Choi, Jung Eun; Kim, Mi So

    2018-05-01

    Prevention of delirium is considered a critical part of the agenda for patient safety and an indicator of healthcare quality for older patients. As the incidence rate of delirium for older patients has increased in recent years, there has been a significant expansion in knowledge relevant to nursing care. The purposes of this study were to analyze the knowledge structure and trends in nursing care for older adults with delirium based on a keyword network analysis, and to provide a foundation for future research. Data analysis showed that knowledge structure in this area consists of three themes of research: postoperative acute care for older patients with delirium, prevention of delirium for older patients in intensive care units, and safety management for the improvement of outcomes for patients with delirium. Through research trend analysis, we found that research on care for patients with delirium has achieved both quantitative and qualitative improvements over the last decades. Concerning future research, we propose the expansion of patient- and family-centered care, community care, specific nursing interventions, and the integration of new technology into care for patients with delirium. These results provide a reference framework for understanding and developing nursing care for older adults with delirium.

  2. A Thematic Analysis of Advertisement in the Telecommunication Industry

    Directory of Open Access Journals (Sweden)

    Esther Amah

    2017-11-01

    Full Text Available The main objective of this research was to determine the types of appeals used in telecommunication advertisement, explain how the themes and appeals used in the advertisement were presented, and see how it could attract subscribers despite the challenges in the industry. Qualitative content analysis method was used to provide a thematic analysis of the messages contained in numbers of selected advertisements shown on YouTube, social media, and television stations in Nigeria. The findings show that the advertisements adopt emotional (love, celebrity appearance, music, comedy, humor, drama and rational appeal to persuade the subscribers. Moreover, the themes of the advertisements focus on accomplishment and improve service regarding call charges, network coverage, network quality, and customer service. It further shows that these strategies employed by the telecommunication industry are capable of influencing the choice of the subscribers in the Nigerian market. The research recommends and concludes that companies should consistently engage the appeals used with more emphasis on the emotional appeal to retain their size of the market.

  3. Pacific Telecommunications Council Annual Conference Proceedings (18th, Honolulu, Hawaii, January 14-18, 1996).

    Science.gov (United States)

    Wedemeyer, Dan J. Ed.; Nickelson, Richard, Ed.

    The Pacific Telecommunications Council's 18th annual conference is presented in two volumes. The PTC'96 gathering focused on seven streams: socio-economic issues; regulatory, legal and political issues; business and finance solutions; country studies; education, training, and human resources; convergence and networks; and technologies and…

  4. Marketing for health-care organizations: an introduction to network management.

    Science.gov (United States)

    Boonekamp, L C

    1994-01-01

    The introduction of regulated competition in health care in several Western countries confronts health care providing organizations with changing relationships, with their environment and a need for knowledge and skills to analyse and improve their market position. Marketing receives more and more attention, as recent developments in this field of study provide a specific perspective on the relationships between an organization and external and internal parties. In doing so, a basis is offered for network management. A problem is that the existing marketing literature is not entirely appropriate for the specific characteristics of health care. After a description of the developments in marketing and its most recent key concepts, the applicability of these concepts in health-care organizations is discussed. States that for the health-care sector, dominated by complex networks of interorganizational relationships, the strategic marketing vision on relationships can be very useful. At the same time however, the operationalization of these concepts requires special attention and a distinct role of the management of health-care organizations, because of the characteristics of such organizations and the specific type of their service delivery.

  5. A Highly Infectious Disease Care Network in the US Healthcare System.

    Science.gov (United States)

    Le, Aurora B; Biddinger, Paul D; Smith, Philip W; Herstein, Jocelyn J; Levy, Deborah A; Gibbs, Shawn G; Lowe, John J

    During the 2014-15 Ebola outbreak in West Africa, the United States responded by stratifying hospitals into 1 of 3 Centers for Disease Control and Prevention (CDC)-designated categories-based on the hospital's ability to identify, isolate, assess, and provide care to patients with suspected or confirmed Ebola virus disease (EVD)-in an attempt to position the US healthcare system to safely isolate and care for potential patients. Now, with the Ebola epidemic quelled, it is crucial that we act on the lessons learned from the EVD response to broaden our national perspective on infectious disease mitigation and management, build on our newly enhanced healthcare capabilities to respond to infectious disease threats, develop a more cost-effective and sustainable model of infectious disease prevention, and continue to foster training so that the nation is not in a vulnerable position once more. We propose the formal creation of a US Highly Infectious Disease Care Network (HIDCN) modeled after 2 previous highly infectious disease consensus efforts in the United States and the European Union. A US Highly Infectious Disease Care Network can provide a common platform for the exchange of training, protocols, research, knowledge, and capability sharing among high-level isolation units. Furthermore, we envision the network will cultivate relationships among facilities and serve as a means of establishing national standards for infectious disease response, which will strengthen domestic preparedness and the nation's ability to respond to the next highly infectious disease threat.

  6. Network and social support in family care of children with diabetes.

    Science.gov (United States)

    Pennafort, Viviane Peixoto Dos Santos; Queiroz, Maria Veraci Oliveira; Nascimento, Lucila Castanheira; Guedes, Maria Vilani Cavalcante

    2016-01-01

    to understand the influence of network and social support in the care of a child with type 1 diabetes. qualitative study, with assumptions of ethnonursing, conducted in a reference service specialized in the treatment of diabetes, in 2014, in the city of Fortaleza, state of Ceará, Brazil. Twenty-six members of the family and their respective school children participated in the study. The process of collection and analysis followed the observation-participation-reflection model. the analytical categories showed that the social network in the care of children with diabetes helped sharing of information and experiences, moments of relaxation and aid in the acquisition of supplies for treatment, with positive repercussions in the family context, generating well-being and confidence in the care of children with diabetes. the cultural care provided by nurses strengthens the network and social support because it encourages autonomy in the promotion of the quality of life of children with type 1 diabetes and their families.

  7. Simulating economic effects of disruptions in the telecommunications infrastructure.

    Energy Technology Data Exchange (ETDEWEB)

    Cox, Roger Gary; Barton, Dianne Catherine; Reinert, Rhonda K.; Eidson, Eric D.; Schoenwald, David Alan

    2004-01-01

    CommAspen is a new agent-based model for simulating the interdependent effects of market decisions and disruptions in the telecommunications infrastructure on other critical infrastructures in the U.S. economy such as banking and finance, and electric power. CommAspen extends and modifies the capabilities of Aspen-EE, an agent-based model previously developed by Sandia National Laboratories to analyze the interdependencies between the electric power system and other critical infrastructures. CommAspen has been tested on a series of scenarios in which the communications network has been disrupted, due to congestion and outages. Analysis of the scenario results indicates that communications networks simulated by the model behave as their counterparts do in the real world. Results also show that the model could be used to analyze the economic impact of communications congestion and outages.

  8. [Semantic Network Analysis of Online News and Social Media Text Related to Comprehensive Nursing Care Service].

    Science.gov (United States)

    Kim, Minji; Choi, Mona; Youm, Yoosik

    2017-12-01

    As comprehensive nursing care service has gradually expanded, it has become necessary to explore the various opinions about it. The purpose of this study is to explore the large amount of text data regarding comprehensive nursing care service extracted from online news and social media by applying a semantic network analysis. The web pages of the Korean Nurses Association (KNA) News, major daily newspapers, and Twitter were crawled by searching the keyword 'comprehensive nursing care service' using Python. A morphological analysis was performed using KoNLPy. Nodes on a 'comprehensive nursing care service' cluster were selected, and frequency, edge weight, and degree centrality were calculated and visualized with Gephi for the semantic network. A total of 536 news pages and 464 tweets were analyzed. In the KNA News and major daily newspapers, 'nursing workforce' and 'nursing service' were highly rated in frequency, edge weight, and degree centrality. On Twitter, the most frequent nodes were 'National Health Insurance Service' and 'comprehensive nursing care service hospital.' The nodes with the highest edge weight were 'national health insurance,' 'wards without caregiver presence,' and 'caregiving costs.' 'National Health Insurance Service' was highest in degree centrality. This study provides an example of how to use atypical big data for a nursing issue through semantic network analysis to explore diverse perspectives surrounding the nursing community through various media sources. Applying semantic network analysis to online big data to gather information regarding various nursing issues would help to explore opinions for formulating and implementing nursing policies. © 2017 Korean Society of Nursing Science

  9. Local health care system utilizing the LPG (liquid propane gas) network.

    Science.gov (United States)

    Umemoto, T; Hoshi, H; Tsuda, M; Horio, S; Itou, N; Neriki, T

    1998-07-01

    JAC's LPG monitoring network system is mainly provided in mountain villages. However, by using this system, it will be possible to start a Digital Network Program for the Elderly while maintaining superior economic feasibility and public benefit using existing information infrastructures. This project also has the capabilities for the creation of a fire/disaster monitoring system, as well as a health care system by using conventional LPG monitoring systems. Telemedicine is an option for the future, as well, by connecting medical equipment and a tele-conferencing system.

  10. [Prevention and Treatment of Eating Disorders: The Health Care Network Anorexia and Bulimia nervosa].

    Science.gov (United States)

    Weigel, Angelika; Gumz, Antje; Kästner, Denise; Romer, Georg; Wegscheider, Karl; Löwe, Bernd

    2015-07-01

    The "Health care network anorexia and bulimia nervosa", a subproject of psychenet - the Hamburg network for mental health - aims to decrease the incidence of eating disorders as well as the risk for chronic illness courses. One focal project, therefore, evaluates a school-based prevention manual in a randomized controlled trial. The other one examines the impact of a systemic public health intervention on early treatment initiation in anorexia nervosa. The present article provides an overview about study design and interventions in both focal projects as well as preliminary results. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Regulatory governance of telecommunications liberalisation in Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, Kuo-Tai [Department of Regional Studies in Humanity and Social Sciences, National Hsin-Chu University of Education, No. 521 Nan-Da Road, Hsin-Chu 300 (China); Hebenton, Bill [School of Law, University of Manchester, M13 9PP (United Kingdom)

    2008-12-15

    This paper examines the changing role of government and market in regulating the telecommunications sector from since 1996 in Taiwan. It contextualises the theoretical aspects of regulatory governance for institutional design and practices, and reviews the concepts and mechanisms for appraising privatisation and regulatory systems. Using a conceptual framework for researching privatisation and regulation, it describes the process and issues pertinent to telecommunications liberalisation and privatisation in Taiwan, supported by a brief presentation of theoretical points of view as well as practitioners' views. The paper presents results concerning criteria for appraising privatisation and regulatory governance and considers policy lessons that can be learned from the experiences of the Taiwanese telecommunications sector's liberalisation. (author)

  12. Basic functions of telecommunication channel elements for successful information transmission

    Directory of Open Access Journals (Sweden)

    Milorad S. Markagić

    2011-04-01

    Full Text Available The challenge in the field of multimedia telecommunications is an attempt to integrate texts, sound, images and videos coherently and consistently and to ensure simplicity and interactivity of operation. In order to make the proposed multimedia applications acceptable to end-users, the quality of transmission through the network and message presentation should have special attention. The main aims of this paper are the introduction to the communication channel with its basic elements, a detailed description of the information source and the presentation of possible approaches to the analysis of the telecommunication channel. Introduction In the age of mass application of various communication means, end-users of telecommunication channel elements rarely pay attention to the processes taking place in everyday communication and the elements presented in the channel. In order to discuss all the factors that influence the establishment and maintenance of the links, this paper will explain the basic elements of telecommunication channels. Source Every object that generates messages to be transferred to a recipient is called the source of the message. Directors, writers, speakers, books, newspapers, various instruments (thermometer, barometer, ammeter, etc., computers, a man himself - these are all sources of various messages. In relation to facilities that generate messages, there are different sources of messages. All the messages that they generate belong to discrete or continuous modes of messages. Discrete messages can be presented with element sets, where elements can be considered through different values of observed messages. Each text message of arbitrary length, for example, is made of a finite number of elements - symbols (letters, numbers, punctuation marks, from the set of symbols called the alphabet message source. Continuous messages can be presented with an infinite number of sets of elements where elements can have different values of

  13. Primary health care service delivery networks for the prevention and management of type 2 diabetes: using social network methods to describe interorganisational collaboration in a rural setting.

    Science.gov (United States)

    McDonald, Julie; Jayasuriya, Rohan; Harris, Mark Fort

    2011-01-01

    Adults with type 2 diabetes or with behavioural risk factors require comprehensive and well coordinated responses from a range of health care providers who often work in different organisational settings. This study examines three types of collaborative links between organisations involved in a rural setting. Social network methods were employed using survey data on three types of links, and data was collected from a purposive sample of 17 organisations representing the major provider types. The analysis included a mix of unconfirmed and confirmed links, and network measures. General practices were the most influential provider group in initiating referrals, and they referred to the broadest range of organisations in the network. Team care arrangements formed a small part of the general practice referral network. They were used more for access to private sector allied health care providers and less for sharing care with public sector health services. Involvement in joint programs/activities was limited to public and non-government sector services, with no participation from the private sector. The patterns of interactions suggest that informal referral networks provide access to services and coordination of care for individual patients with diabetes. Two population subgroups would benefit from more proactive approaches to ensure equitable access to services and coordination of care across organisational boundaries: people with more complex health care needs and people at risk of developing diabetes.

  14. Infrastructure Development: Public Private Partnership Path for Developing Rural Telecommunications in Africa

    Directory of Open Access Journals (Sweden)

    Idongesit William Williams

    2012-06-01

    Full Text Available It is the quest of every government to achieve universal Access and service of telecommunication services and ICTs. Unfortunately due to the high cost of deploying infrastructure in rural areas of developing countries due to non-significant or no economic activity, this dream of achieving Universal access and service of telecommunications/ICTs have been stalled. This paper throws light on a possible Public Private Partnership framework as a development path that will enable affordable network technologies to be deployed in rural areas at a cost that will translate to what the rural dweller in a developing country in Africa can afford. The paper is a conceptual paper

  15. A statistical model for telecommunication link design

    Science.gov (United States)

    Yuen, J. H.

    1975-01-01

    An evaluation is conducted of the current telecommunication link design technique and a description is presented of an alternative method, called the probability distribution method (PDM), which is free of the disadvantages of the current technique while retaining its advantages. The PDM preserves the simplicity of the design control table (DCT) format. The use of the DCT as a management design control tool is continued. The telecommunication link margin probability density function used presents the probability of achieving any particular value of link performance. It is, therefore, possible to assess the performance risk and other tradeoffs.

  16. Towards telecommunication payloads with photonic technologies

    Science.gov (United States)

    Vono, S.; Di Paolo, G.; Piccinni, M.; Pisano, A.; Sotom, M.; Aveline, M.; Ginestet, P.

    2017-11-01

    In the last decade, Thales Alenia Space has put a lot of its research effort on Photonic Technologies for Space Application with the aim to offer the market satellite telecommunication systems better performance and lower costs. This research effort has been concentrated on several activities, some of them sponsored by ESA. Most promising applications refer to Payload Systems. In particular, photonic payload applications have been investigated through the following two ESA studies: Artes-1 "Next Generation Telecommunication Payloads based on Photonic Technologies" and Artes-5 "OWR - Optical Wideband Receiver" activities.

  17. Effects of Deceptive Advertising on Consumer Loyalty in Telecommunication Industry of Pakistan

    OpenAIRE

    Hasan, Syed Akif; Subhani, Muhammad Imtiaz

    2011-01-01

    This study is an attempt to interrogate the effects of deceptive advertising on consumer loyalty in telecommunication industry of Pakistan. Four variables, Call Charges (CC), Network Coverage (NC), Network Quality (NQ) and Customer Service (CS) were used to measure deception in Telecom Ads and then its effect on consumer loyalty while the consumer preference is used as the proxy of consumer loyalty. 10,000 random individuals from telecom industry were selected to conclude the results. Testing...

  18. A Health Collaborative Network Focus on Self-care Processes in Personal Assistant Practice

    Science.gov (United States)

    de La Fuente, Ma Victoria; Ros, Lorenzo

    Public health is oriented to the management of an adequate health atmosphere which acts directly on health, as well as health education work and the supervision of environmental health threats. The work presented in this paper aims to reduce inequality, and give disabled people the tools to be integrated more effectively, reducing social exclusion, removing obstacles and barriers, and facilitating mobility and the use of technology. The work is planned to design a special healthcare collaborative network as the best solution for addressing the needs of the disabled self-care and health care community through the creation and implementation of an interconnected, electronic information infrastructure and adoption of open data standards.

  19. A Network Analysis Perspective to Implementation: The Example of Health Links to Promote Coordinated Care.

    Science.gov (United States)

    Yousefi Nooraie, Reza; Khan, Sobia; Gutberg, Jennifer; Baker, G Ross

    2018-01-01

    Although implementation models broadly recognize the importance of social relationships, our knowledge about applying social network analysis (SNA) to formative, process, and outcome evaluations of health system interventions is limited. We explored applications of adopting an SNA lens to inform implementation planning, engagement and execution, and evaluation. We used Health Links, a province-wide program in Canada aiming to improve care coordination among multiple providers of high-needs patients, as an example of a health system intervention. At the planning phase, an SNA can depict the structure, network influencers, and composition of clusters at various levels. It can inform the engagement and execution by identifying potential targets (e.g., opinion leaders) and by revealing structural gaps and clusters. It can also be used to assess the outcomes of the intervention, such as its success in increasing network connectivity; changing the position of certain actors; and bridging across specialties, organizations, and sectors. We provided an overview of how an SNA lens can shed light on the complexity of implementation along the entire implementation pathway, by revealing the relational barriers and facilitators, the application of network-informed and network-altering interventions, and testing hypotheses on network consequences of the implementation.

  20. OA20 The positioning of family, friends, community, and service providers in support networks for caring at end-of-life: a social network analysis.

    Science.gov (United States)

    Leonard, Rosemary; Horsfall, Debbie; Rosenberg, John; Noonan, Kerrie

    2015-04-01

    Although there is ample evidence of the risk to carers from the burden of caring, there is also evidence that a caring network can relieve the burden on the principal carer, strengthen community relationships, and increase 'Death Literacy' in the community. There is often an assumption that, in caring networks, family and service providers are central and friends and community are marginal. We examined whether this is the case in practice using SNA. To identify the relative positioning of family, friends, community, and service providers in caring networks. In interviews with carers (N = 23) and focus groups with caring networks (N = 13) participants were asked to list the people in the caring network and rate the strength of their relationships to them (0 no relationship to 3 strong relationship). SNA in UCInet was used to map the networks, examine density (number and strength of relationships) across time (when caring began to the present) and across relationship types (family, friends, community, and service providers) supplemented by qualitative data. The analysis revealed significant increases in the density of the networks over time. The density of relationships with friends was similar to that other family. Community and service providers had significantly lower density. Qualitative analysis revealed that often service providers were not seen as part of the networks. To avoid carer burnout, it is important not to make assumptions about where carers obtain support but work with each carer to mobilise any support that is available. © 2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  1. Networked learning in children's transition from day-care to school: Connections between contexts

    DEFF Research Database (Denmark)

    Odgaard, Ane Bjerre

    This paper reports on a socioculturally informed design-based study concerning young children's use of tablets within the educational contexts constituting their transition from day-care to school. The study explores tablet-mediated and dialogical activities as potential means for negotiating...... connections between the different contexts which the children traverse during this transition. At several occasions, the participating 5- to 7-year-old children are invited to use tablets for producing photos, photo-collages and e-books about their everyday institutional environments, thus aiming at mediating...... these contexts are pivots of dialogue. Networked learning is thus conceptualized as a matter of networked situations and contexts for young children during their transition from day-care to primary school, and technological artefacts are viewed as potential means for mediating children's meaning making about...

  2. European network for promoting the physical health of residents in psychiatric and social care facilities (HELPS)

    DEFF Research Database (Denmark)

    Weiser, Prisca; Becker, Thomas; Losert, Carolin

    2009-01-01

    of defined health promoting interventions. The key methods are (a) stakeholder analysis, (b) international literature reviews, (c) Delphi rounds with experts from participating centres, and (d) focus groups with staff and residents of mental health care facilities.Meanwhile a multi-disciplinary network...... by promoting behaviour-based and/or environment-based interventions. METHODS AND DESIGN: HELPS is an interdisciplinary European network that aims at (i) gathering relevant knowledge on physical illness in people with mental illness, (ii) identifying health promotion initiatives in European countries that meet...... consisting of 15 European countries has been established and took up the work. As one main result of the project they expect that a widespread use of the HELPS toolkit could have a significant positive effect on the physical health status of residents of mental health and social care facilities, as well...

  3. Twenty-Five Years of Applications of the Modified Allan Variance in Telecommunications.

    Science.gov (United States)

    Bregni, Stefano

    2016-04-01

    The Modified Allan Variance (MAVAR) was originally defined in 1981 for measuring frequency stability in precision oscillators. Due to its outstanding accuracy in discriminating power-law noise, it attracted significant interest among telecommunications engineers since the early 1990s, when it was approved as a standard measure in international standards, redressed as Time Variance (TVAR), for specifying the time stability of network synchronization signals and of equipment clocks. A dozen years later, the usage of MAVAR was also introduced for Internet traffic analysis to estimate self-similarity and long-range dependence. Further, in this field, it demonstrated superior accuracy and sensitivity, better than most popular tools already in use. This paper surveys the last 25 years of progress in extending the field of application of the MAVAR in telecommunications. First, the rationale and principles of the MAVAR are briefly summarized. Its adaptation as TVAR for specification of timing stability is presented. The usage of MAVAR/TVAR in telecommunications standards is reviewed. Examples of measurements on real telecommunications equipment clocks are presented, providing an overview on their actual performance in terms of MAVAR. Moreover, applications of MAVAR to network traffic analysis are surveyed. The superior accuracy of MAVAR in estimating long-range dependence is emphasized by highlighting some remarkable practical examples of real network traffic analysis.

  4. Network survivability performance (computer diskette)

    Science.gov (United States)

    1993-11-01

    File characteristics: Data file; 1 file. Physical description: 1 computer diskette; 3 1/2 in.; high density; 2.0MB. System requirements: Mac; Word. This technical report has been developed to address the survivability of telecommunications networks including services. It responds to the need for a common understanding of, and assessment techniques for network survivability, availability, integrity, and reliability. It provides a basis for designing and operating telecommunication networks to user expectations for network survivability.

  5. Predictive models for pressure ulcers from intensive care unit electronic health records using Bayesian networks.

    Science.gov (United States)

    Kaewprag, Pacharmon; Newton, Cheryl; Vermillion, Brenda; Hyun, Sookyung; Huang, Kun; Machiraju, Raghu

    2017-07-05

    We develop predictive models enabling clinicians to better understand and explore patient clinical data along with risk factors for pressure ulcers in intensive care unit patients from electronic health record data. Identifying accurate risk factors of pressure ulcers is essential to determining appropriate prevention strategies; in this work we examine medication, diagnosis, and traditional Braden pressure ulcer assessment scale measurements as patient features. In order to predict pressure ulcer incidence and better understand the structure of related risk factors, we construct Bayesian networks from patient features. Bayesian network nodes (features) and edges (conditional dependencies) are simplified with statistical network techniques. Upon reviewing a network visualization of our model, our clinician collaborators were able to identify strong relationships between risk factors widely recognized as associated with pressure ulcers. We present a three-stage framework for predictive analysis of patient clinical data: 1) Developing electronic health record feature extraction functions with assistance of clinicians, 2) simplifying features, and 3) building Bayesian network predictive models. We evaluate all combinations of Bayesian network models from different search algorithms, scoring functions, prior structure initializations, and sets of features. From the EHRs of 7,717 ICU patients, we construct Bayesian network predictive models from 86 medication, diagnosis, and Braden scale features. Our model not only identifies known and suspected high PU risk factors, but also substantially increases sensitivity of the prediction - nearly three times higher comparing to logistical regression models - without sacrificing the overall accuracy. We visualize a representative model with which our clinician collaborators identify strong relationships between risk factors widely recognized as associated with pressure ulcers. Given the strong adverse effect of pressure ulcers

  6. Questionable assumptions hampered interpretation of a network meta-analysis of primary care depression treatments.

    Science.gov (United States)

    Linde, Klaus; Rücker, Gerta; Schneider, Antonius; Kriston, Levente

    2016-03-01

    We aimed to evaluate the underlying assumptions of a network meta-analysis investigating which depression treatment works best in primary care and to highlight challenges and pitfalls of interpretation under consideration of these assumptions. We reviewed 100 randomized trials investigating pharmacologic and psychological treatments for primary care patients with depression. Network meta-analysis was carried out within a frequentist framework using response to treatment as outcome measure. Transitivity was assessed by epidemiologic judgment based on theoretical and empirical investigation of the distribution of trial characteristics across comparisons. Homogeneity and consistency were investigated by decomposing the Q statistic. There were important clinical and statistically significant differences between "pure" drug trials comparing pharmacologic substances with each other or placebo (63 trials) and trials including a psychological treatment arm (37 trials). Overall network meta-analysis produced results well comparable with separate meta-analyses of drug trials and psychological trials. Although the homogeneity and consistency assumptions were mostly met, we considered the transitivity assumption unjustifiable. An exchange of experience between reviewers and, if possible, some guidance on how reviewers addressing important clinical questions can proceed in situations where important assumptions for valid network meta-analysis are not met would be desirable. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Social-Professional Networks in Long-Term Care Settings With People With Dementia: An Approach to Better Care? A Systematic Review.

    Science.gov (United States)

    Mitchell, Janet I; Long, Janet C; Braithwaite, Jeffrey; Brodaty, Henry

    2016-02-01

    Dementia is a syndrome associated with stigma and social isolation. Forty-two percent of people with dementia in the United States and almost 40% in the United Kingdom live in assisted living and residential care facilities. Up to 90% of residents with dementia experience behavioral and psychological symptoms of dementia (BPSD). Currently psychotropic drugs are often used to manage BPSD, despite the drugs' limited efficacy and adverse effects. Even though psychosocial approaches are as effective as medical ones without side effects, their uptake has been slow. Social networks that investigate the structure of relationships among residents and staff may represent an important resource to increase the uptake of psychosocial approaches and facilitate improvements in care. To conduct a systematic review of social network studies set in long-term care (LTC), including residents with dementia, and identify network factors influencing the care available to residents. Peer-reviewed articles across CINAHL, EMBASE, IBSS, Medline, PsychInfo, Scopus, and Web of Science were searched from January 1994 to December 2014 inclusive, using PRISMA guidelines. Studies included those examining social networks of residents or staff in LTC. Nine articles from studies in the United States, Europe, Asia, and Australia met search criteria. Resident networks had few social connections. One study proposed that residents with high centrality be encouraged to welcome new residents and disseminate information. The high density in 2 staff network studies was associated with the cooperation needed to provide care to residents with dementia. Staff's boundary-spanning led to higher-status nurses becoming more involved in decision-making and problem-solving in one study. In another, the outcome was staff treating residents with more respect and actively caring for them. These studies suggest interventions using a network approach may improve care services in LTC. Copyright © 2016 AMDA – The

  8. Investigating the quality of video consultations performed using fourth generation (4G) mobile telecommunications.

    Science.gov (United States)

    Caffery, Liam J; Smith, Anthony C

    2015-09-01

    The use of fourth-generation (4G) mobile telecommunications to provide real-time video consultations were investigated in this study with the aims of determining if 4G is a suitable telecommunications technology; and secondly, to identify if variation in perceived audio and video quality were due to underlying network performance. Three patient end-points that used 4G Internet connections were evaluated. Consulting clinicians recorded their perception of audio and video quality using the International Telecommunications Union scales during clinics with these patient end-points. These scores were used to calculate a mean opinion score (MOS). The network performance metrics were obtained for each session and the relationships between these metrics and the session's quality scores were tested. Clinicians scored the quality of 50 hours of video consultations, involving 36 clinic sessions. The MOS for audio was 4.1 ± 0.62 and the MOS for video was 4.4 ± 0.22. Image impairment and effort to listen were also rated favourably. There was no correlation between audio or video quality and the network metrics of packet loss or jitter. These findings suggest that 4G networks are an appropriate telecommunication technology to deliver real-time video consultations. Variations in quality scores observed during this study were not explained by the packet loss and jitter in the underlying network. Before establishing a telemedicine service, the performance of the 4G network should be assessed at the location of the proposed service. This is due to known variability in performance of 4G networks. © The Author(s) 2015.

  9. Telecommunications and Technology Infrastructure Program, 2013

    Science.gov (United States)

    California Community Colleges, Chancellor's Office, 2014

    2014-01-01

    This 16th annual report highlights up-to-date information on the programs supported through the Chancellor's Office Telecommunications and Technology Infrastructure Program (TTIP). To summarize 2012-13, one would describe it as a year of planning and preparation. The system-wide budget cuts of the past few years, reports of impacted classes, staff…

  10. How streamlining telecommunications can cut IT expense.

    Science.gov (United States)

    McIntyre, Greg

    2016-02-01

    Hospitals and health systems can save IT expenses by implementing more efficient processes in accordance with the principles of effective telecommunications expense management. This approach involves three primary steps: Inventory of existing infrastructure. Charge verification. Optimization of rates and design for continual improvement.

  11. Churn classification model for local telecommunication company ...

    African Journals Online (AJOL)

    ... model based on the Rough Set Theory to classify customer churn. The results of the study show that the proposed Rough Set classification model outperforms the existing models and contributes to significant accuracy improvement. Keywords: customer churn; classification model; telecommunication industry; data mining;

  12. Fiber optic sensing for telecommunication satellites

    Science.gov (United States)

    Reutlinger, Arnd; Glier, Markus; Zuknik, Karl-Heinz; Hoffmann, Lars; Müller, Mathias; Rapp, Stephan; Kurvin, Charles; Ernst, Thomas; McKenzie, Iain; Karafolas, Nikos

    2017-11-01

    Modern telecommunication satellites can benefit from the features of fiber optic sensing wrt to mass savings, improved performance and lower costs. Within the course of a technology study, launched by the European Space Agency, a fiber optic sensing system has been designed and is to be tested on representative mockups of satellite sectors and environment.

  13. Public Telecommunications Policies and Education's Options.

    Science.gov (United States)

    Norwood, Frank W.

    The use of satellite telecommunications for educational and other public service purposes has been restricted by educators' lack of awareness of the potential that exists. While industry actively promotes its own interests, educators rarely even realize that international policies being made today will affect critically the options available for…

  14. Potential health risks due to telecommunications radiofrequency ...

    African Journals Online (AJOL)

    Background: The global system mobile telecommunications system (GSM) which was recently introduced in Nigeria is now being used by over 40 million people in Nigeria. The use of GSM is accompanied with exposure of the users to radiofrequency radiation (RFR), which if significant, may produce health hazards. This is ...

  15. Equipment Grafting in Telecommunication Industry (Case Study ...

    African Journals Online (AJOL)

    The growth and pace of any industry is a veritable estimation of its viability. The telecommunications industry all over the world is ever burgeoning. Its growth is buoyed by development and technologies. These innovations do not necessarily have to instantaneously supplant the old rather they are procedurally applied to the ...

  16. Government Research and Development Policy for Telecommunications.

    Science.gov (United States)

    Cohen, Linda

    This paper investigates how recent changes in the telecommunications industry are likely to affect government research and development policies by analyzing how changes in the market structure--in particular, increased competition in the industry due to domestic deregulation and international competition--change the political economy of government…

  17. The Pediatric Emergency Care Applied Research Network Registry: A Multicenter Electronic Health Record Registry of Pediatric Emergency Care.

    Science.gov (United States)

    Deakyne Davies, Sara J; Grundmeier, Robert W; Campos, Diego A; Hayes, Katie L; Bell, Jamie; Alessandrini, Evaline A; Bajaj, Lalit; Chamberlain, James M; Gorelick, Marc H; Enriquez, Rene; Casper, T Charles; Scheid, Beth; Kittick, Marlena; Dean, J Michael; Alpern, Elizabeth R

    2018-04-01

     Electronic health record (EHR)-based registries allow for robust data to be derived directly from the patient clinical record and can provide important information about processes of care delivery and patient health outcomes.  A data dictionary, and subsequent data model, were developed describing EHR data sources to include all processes of care within the emergency department (ED). ED visit data were deidentified and XML files were created and submitted to a central data coordinating center for inclusion in the registry. Automated data quality control occurred prior to submission through an application created for this project. Data quality reports were created for manual data quality review.  The Pediatric Emergency Care Applied Research Network (PECARN) Registry, representing four hospital systems and seven EDs, demonstrates that ED data from disparate health systems and EHR vendors can be harmonized for use in a single registry with a common data model. The current PECARN Registry represents data from 2,019,461 pediatric ED visits, 894,503 distinct patients, more than 12.5 million narrative reports, and 12,469,754 laboratory tests and continues to accrue data monthly.  The Registry is a robust harmonized clinical registry that includes data from diverse patients, sites, and EHR vendors derived via data extraction, deidentification, and secure submission to a central data coordinating center. The data provided may be used for benchmarking, clinical quality improvement, and comparative effectiveness research. Schattauer.

  18. Proceedings of the Third International Conference on Trends in Information, Telecommunication and Computing

    CERN Document Server

    2013-01-01

    The Proceedings of the Third International Conference on Trends in Information, Telecommunication and Computing provides in-depth understanding of the fundamental challenges in the fields of Computational Engineering, Computer, Power Electronics, Instrumentation, Control System, and Telecommunication Technology. This book provides a broad vision for the future of research in these fields with ideas on how to support these new technologies currently practice. Every submitted paper received a careful review from the committee and the final accept/reject decisions were made by the co-chairs on the bases of recommendations from the committee members.

  19. German telecommunications satellite (Deutscher fernmelde satellit) (DFS-1 and -2)

    Science.gov (United States)

    Hiendlmeier, G.; Schmeller, H.

    1991-01-01

    The German Telecommunications Satellite (DFS) Program is to provide telecommunications service for high data rate transmission of text and video data to the Federal Republic of Germany within the 11-14 GHz and 20-30 GHz bands. The space segment of this program is composed of three satellites, DFS-1, DFS-2, and DFS-3, which will be located at 23.5 degrees E longitude of the geostationary orbit. The DFS will be launched from the Center Spatial Guyanis in French Giana on an Ariane launch vehicle. The mission follows the typical injection sequence: parking orbit, transfer orbit, and earth orbit. Attitude maneuvers will be performed to orient the spacecraft prior to Apogee Kick Motor (AKM) firing. After AKM firing, drift phase orbital and attitude maneuvers will be performed to place the spacecraft in its final geostationary position. The Deep Space Network (DSN) will support the transfer and drift orbit mission phases. Information is presented in tabular form for the following areas: DSN support, compatibility testing, frequency assignments, telemetry, command, and tracking support responsibilities.

  20. The Communication Enhancement through Telecommunication (ComET) project.

    Science.gov (United States)

    Blake, A

    2000-09-01

    The Secretariat of the Pacific Community (SPC) has made strenuous efforts to address communication imperatives for its programme delivery to its member countries. Initially, it used the Internet to assist in programme delivery. However, the low availability and high costs of telecommunications in Noumea and Suva hampered these efforts. The use of PACNET (the communications service of the Pacific Public Health Surveillance Network) was very successful but restricted by communication capabilities and lack of connectivity. In 1998 the capacity was limited to 28.8 kilobytes per second (kbps) in Noumea and 1.9 kbps in Suva with no possibility of obtaining additional capacity at affordable costs through the commercial telecommunications carriers. The ComET project has now installed 7.2 metre antenna and associated equipment at each of the Secretariat's offices in Noumea and Suva. This allows 24 hour per day access to the PAS2 satellite for high speed transmission of voice, data and video traffic. Connection to the Offratel premises in Nouville via the Celeris high speed backbone operated by OPT has linked this to the internet and thereby to member countries and territories, and the rest of the world. The ComET project began transmission in March 2000 and has addressed communication problems, and thereby improved the SPC's programme delivery (examples given in this paper) to it's members at affordable costs within the Secretariats existing budget.

  1. Telecommunications Technology and Service Changes Since the Telecommunications Act of 1996

    National Research Council Canada - National Science Library

    Simmons, Matthew

    2002-01-01

    The Telecom Act of 1996 was intended to address the lack of competition and reduce regulation in local telephone services and in other areas of the telecommunications sector, The competitive situation...

  2. Development of the Moffitt Cancer Network as a Telemedicine and Teleconferencing Educational Tool for Health Care Providers

    National Research Council Canada - National Science Library

    Krischer, Jeffrey

    2002-01-01

    The Moffitt Cancer Network's (MCN) goal is to provide up-to-date oncology related information, resources, and education to oncology health care providers and researchers for the prevention and cure of cancer...

  3. 78 FR 29145 - President's National Security Telecommunications Advisory Committee

    Science.gov (United States)

    2013-05-17

    ... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2013-0022] President's National Security Telecommunications Advisory Committee AGENCY: National Protection and Programs Directorate, DHS. ACTION: Committee... notice of a May 22, 2013, meeting of the President's National Security Telecommunications Advisory...

  4. Case Study: Modelling Telecommunication Systems using Concurrent ML

    DEFF Research Database (Denmark)

    Hoffmann, Torben

    1998-01-01

    How can telecommunication hardware be modelled in CML. How are generalities and parallelism captured in CML.......How can telecommunication hardware be modelled in CML. How are generalities and parallelism captured in CML....

  5. 77 FR 26023 - President's National Security Telecommunications Advisory Committee; Correction

    Science.gov (United States)

    2012-05-02

    ... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2012-0016] President's National Security Telecommunications Advisory Committee; Correction AGENCY: National Protection and Programs Directorate, DHS. [[Page... April 25, 2012, concerning the President's National Security Telecommunications Advisory Committee...

  6. 78 FR 8160 - President's National Security Telecommunications Advisory Committee

    Science.gov (United States)

    2013-02-05

    ... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2013-0002] President's National Security... National Security Telecommunications Advisory Committee (NSTAC) will meet on Thursday, February 21, 2013... matters related to national security and emergency preparedness telecommunications policy. Agenda: The...

  7. Intra-building telecommunications cabling standards for Sandia National Laboratories, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Adams, R.L.

    1993-08-01

    This document establishes a working standard for all telecommunications cable installations at Sandia National Laboratories, New Mexico. It is based on recent national commercial cabling standards. The topics addressed are Secure and Open/Restricted Access telecommunications environments and both twisted-pair and optical-fiber components of communications media. Some of the state-of-the-art technologies that will be supported by the intrabuilding cable infrastructure are Circuit and Packet Switched Networks (PBX/5ESS Voice and Low-Speed Data), Local Area Networks (Ethernet, Token Ring, Fiber and Copper Distributed Data Interface), and Wide Area Networks (Asynchronous Transfer Mode). These technologies can be delivered to every desk and can transport data at rates sufficient to support all existing applications (such as Voice, Text and graphics, Still Images, Full-motion Video), as well as applications to be defined in the future.

  8. Social capital in a lower socioeconomic palliative care population: a qualitative investigation of individual, community and civic networks and relations.

    Science.gov (United States)

    Lewis, Joanne M; DiGiacomo, Michelle; Currow, David C; Davidson, Patricia M

    2014-01-01

    Lower socioeconomic populations live and die in contexts that render them vulnerable to poorer health and wellbeing. Contexts of care at the end of life are overwhelmingly determined by the capacity and nature of formal and informal networks and relations to support care. To date, studies exploring the nature of networks and relations of support in lower socioeconomic populations at the end of life are absent. This qualitative study sought to identify the nature of individual, community and civic networks and relations that defined the contexts of care for this group. Semi-structured qualitative interviews were conducted with 16 patients and 6 informal carers who identified that they had social and economic needs and were from a lower socioeconomic area. A social capital questionnaire identifying individual, community and civic networks and relations formed the interview guide. Interviews were audio-taped, transcribed and analysed using framework analysis. Participants identified that individual and community networks and relations of support were mainly inadequate to meet care needs. Specifically, data revealed: (1) individual (informal caregivers) networks and relations were small and fragile due to the nature of conflict and crisis; (2) community trust and engagement was limited and shifted by illness and caregiving; (3) and formal care services were inconsistent and provided limited practical support. Some transitions in community relations for support were noted. Levels of civic and government engagement and support were overall positive and enabled access to welfare resources. Networks and relations of support are essential for ensuring quality end of life care is achieved. Lower socioeconomic groups are at a distinct disadvantage where these networks and relations are limited, as they lack the resources necessary to augment these gaps. Understanding of the nature of assets and limitations, in networks and relations of support, is necessary to inform

  9. [Dynamics of interdisciplinary around a health care network: simultaneous programme design and evaluation planning].

    Science.gov (United States)

    Bocquet, H; Mantovani, J; Raffy, C; Cayla, F; Clément, S

    2005-12-01

    This article reports on the evaluation experience of a multiple sclerosis care network in the Midi-Pyrénées region (MIPSEP). It shows how an evaluation team composed of public health doctors and sociologists progressively and naturally evolved from having a purely external observation role towards having a collaborative role actively working with the network's members and partners. A qualitative method was chosen for the data collection through interviews with the network's actors, and the frameworks for reference were constituted from official texts which defined the networks and their missions. Coming from a curative and healing culture, the network's actors were concerned primarily about how to organise themselves in order to better respond to the needs expressed by the patients. The various professional backgrounds and cultures, faced with different perspectives from innovation and confronted with the related difficulties, participated in a collective expertise exercise and collaborated in the construction process. This example supports an open, qualitative, evolutionary evaluation approach which is done in close proximity to the field and work on the ground. The study is timely given the current explosion of debate on evaluation methods. With a great deal of exchange and reflection on suitable tools and indicators as well as the respective roles of researchers, care givers and decision-makers, the results of this study advocate to favour multidisciplinary approaches, including opening up this process to funders and planning authorities rather than over-theorising about it, which only serves to enclose and paralyse a process that, on the contrary, should aim to be more inclusive. This could be a useful way to decompartmentalise and break down existing barriers within the health system.

  10. Current state of information technology use in a US primary care practice-based research network.

    Science.gov (United States)

    Andrews, James E; Pearce, Kevin A; Sydney, Carey; Ireson, Carol; Love, Margaret

    2004-01-01

    To examine the current levels of information technology (IT) use in a primary care practice-based research network (PBRN) in order to inform future development of its infrastructure. Every primary care practitioner who is a member of the Kentucky Ambulatory Network (KAN),as well as the office managers of each practice. Practitioners included family practitioners, general practitioners, nurse practitioners and physician assistants. A cross-sectional study using two survey instruments: one for office managers and one for practitioners. The office manager survey included questions related to the current state of IT within the practice, plans for enhancement and general IT issues from the perspective of managing a practice. The practitioner survey was designed to measure current IT use and attitudes of primary care practitioners. Response rates for the surveys were 46% (n = 68) for the office managers and 51% (n = 116) for practitioners. All but one practice had internet access; however, 43% had only dial-up service. Only 21% of practitioners use an electronic medical record (EMR), with dollar cost being the barrier reported most frequently (58%). More than half of the office managers were either 'somewhat interested' (45%) or 'very interested' (17%) in a low-cost, standardised EMR that was, at the time, to be sponsored by the American Academy of Family Physicians. For practitioners, 71% were either 'somewhat' or 'very' interested in such a system. Responses to other IT issues are reported. While interest in enabling information technologies was high in KAN, adoption was variable, with use of several key technologies reported as low.The results suggest that research in this network that would be dependent on or enhanced by IT might be impeded and, generally, greater attention should be given to enhancing the IT infrastructure in primary care.

  11. Practice Innovation, Health Care Utilization and Costs in a Network of Federally Qualified Health Centers and Hospitals for Medicaid Enrollees.

    Science.gov (United States)

    Johnson, Tricia J; Jones, Art; Lulias, Cheryl; Perry, Anthony

    2018-06-01

    State Medicaid programs need cost-effective strategies to provide high-quality care that is accessible to individuals with low incomes and limited resources. Integrated delivery systems have been formed to provide care across the continuum, but creating a shared vision for improving community health can be challenging. Medical Home Network was created as a network of primary care providers and hospital systems providing care to Medicaid enrollees, guided by the principles of egalitarian governance, practice-level care coordination, real-time electronic alerts, and pay-for-performance incentives. This analysis of health care utilization and costs included 1,189,195 Medicaid enrollees. After implementation of Medical Home Network, a risk-adjusted increase of $9.07 or 4.3% per member per month was found over the 2 years of implementation compared with an increase of $17.25 or 9.3% per member per month, before accounting for the cost of care management fees and other financial incentives, for Medicaid enrollees within the same geographic area with a primary care provider outside of Medical Home Network. After accounting for care coordination fees paid to providers, the net risk-adjusted cost reduction was $11.0 million.

  12. Hospice or community network? Choices in end-of-life care in Jamaica.

    Science.gov (United States)

    Mendoza, Roger Lee

    2017-09-01

    Now considered a subspecialty of medicine and nursing, palliative care is a critical aspect of healthcare at the end of life. National and international healthcare agencies typically attribute its slow or haphazard growth in developing countries to various resource constraints. However, this study provides evidence of the substantial and widening gap between policy advocacy and patient choices in end-of-life care. It does so by establishing the incentives and risks that underlie decision-making by patients and providers against the relative scarcity of palliative care and hospices in these countries. Jamaica offers an illustrative case. It shares the socioeconomic conditions and isolated provision of hospice and palliative care that remain prevalent in many developing countries. Empirical information was collected from all Jamaican hospices, along with agency and media reports, for comparative institutional analysis. Financial and infrastructural challenges hamper hospice expansion and integration into formal healthcare systems in developing countries. Yet, other equally vital considerations are too often neglected. These include the high transaction costs of decision-making, which account for limited hospice accessibility, affordability, and efficiency, particularly to underserved populations. Risk and payoff calculations by patients and their families as well as hospices and their providers lead to two strategic options in maximizing hospice value and/or minimizing transaction costs in end-of-life care. Policy formulation and advocacy for hospice and palliative care should match aggregate demand. The socio-cultural milieu of care is critical and should be equally considered. Otherwise, providing and expanding free or subsidized palliative care at the end-of-life stage can become cost-inefficient relative to robust family and grassroots community networks.

  13. Decentralized production management: telecommunication and coordination schemes validation

    International Nuclear Information System (INIS)

    Caire, R.; Retiere, N.; Hadjsaid, N.

    2005-01-01

    Decentralized production development is a reality in the majority of the power networks all over the world. The deregulation of the market of energy, ecological constraints as well as the technological developments of small power production encourage this development. Distribution networks represent the portion of the power system where the development of this production is the most awaited. Some studies carried out on the interconnection of decentralized production on a large scale ratio have shown significant effects and impacts on operation of the entire electric system. Indeed, the entire distribution network is going to be deeply modified by the introduction of new functions of remote control, of specific architectures, of intelligent protection systems and of telecommunication and information technologies. With these new paradigms the ability of testing and simulating the Distribution Management Systems is more and more necessary. Also, this is a crucial requirement for new communication means in order to better define the new management strategies of the production units within the distribution networks. The aim of this paper is to present a new real time experimental bench able to validate control strategies and communication devices included in Distribution Management Systems (DMS). (authors)

  14. Use of social network analysis in maternity care to identify the profession most suited for case manager role

    NARCIS (Netherlands)

    Groenen, C.J.M.; Duijnhoven, N.T.L. van; Faber, M.J.; Koetsenruijter, J.; Kremer, J.A.M.; Vandenbussche, F.P.H.A.

    2017-01-01

    OBJECTIVE: To improve Dutch maternity care, professionals start working in interdisciplinary patient-centred networks, which includes the patients as a member. The introduction of the case manager is expected to work positively on both the individual and the network level. However, case management

  15. 47 CFR 32.2000 - Instructions for telecommunications plant accounts.

    Science.gov (United States)

    2010-10-01

    ... known, of telecommunications plant, governmental franchises and other similar rights acquired shall be..., and Property Held For Future Telecommunications Use, as appropriate, and credited to Account 1439... depreciation, or Account 3200, Accumulated depreciation—held for future telecommunications use, or Account 3410...

  16. Telecommunications and Higher Education. Occasional Paper No. 3.

    Science.gov (United States)

    Froke, Marlowe, Ed.; And Others

    The first of the three papers which set the theme for this monograph on telecommunications is an examination of the implications of telecommunications developments for the learning society by Michael B. Spring. Marlowe Froke then looks at telecommunications development in institutions of higher education and discusses institutional change that…

  17. Specification and validation of telecommunication services in ACPt

    NARCIS (Netherlands)

    Zhaorui, Y.

    1999-01-01

    This paper is concerned with the formal specification and validation of telecommunication services. Firstly, we provide a method to model the telecommunication system. Based on this result, we give the formal specification of telecommunication services and the detection of feature interactions,

  18. 76 FR 72124 - Internet-Based Telecommunications Relay Service Numbering

    Science.gov (United States)

    2011-11-22

    ... Docket No. 10-191; FCC 11-123] Internet-Based Telecommunications Relay Service Numbering AGENCY: Federal..., the information collection associated with the Commission's Internet- Based Telecommunications Relay... Telecommunications Relay Service Numbering, CG Docket No. 03-123; WC Docket No. 05-196; WC Docket No. 10-191; FCC 11...

  19. 31 CFR 594.508 - Transactions related to telecommunications authorized.

    Science.gov (United States)

    2010-07-01

    ... telecommunications authorized. 594.508 Section 594.508 Money and Finance: Treasury Regulations Relating to Money and... related to telecommunications authorized. All transactions ordinarily incident to the receipt or transmission of telecommunications involving persons whose property or interests in property are blocked...

  20. 75 FR 16159 - President's National Security Telecommunications Advisory Committee

    Science.gov (United States)

    2010-03-31

    ...] President's National Security Telecommunications Advisory Committee AGENCY: National Communications System... Telecommunications Advisory Committee (NSTAC) will hold its annual meeting on May 6, 2010. The meeting will be open... preparedness telecommunications policy. Notice of this meeting is given under the Federal Advisory Committee...

  1. 76 FR 65965 - Contributions to the Telecommunications Relay Services Fund

    Science.gov (United States)

    2011-10-25

    ...] Contributions to the Telecommunications Relay Services Fund AGENCY: Federal Communications Commission. ACTION... Telecommunications Relay Services (TRS) Fund in a manner prescribed by regulation that is consistent with and... . SUPPLEMENTARY INFORMATION: This is a summary of the Commission's Contributions to the Telecommunications Relay...

  2. 31 CFR 585.513 - Transactions related to telecommunications authorized.

    Science.gov (United States)

    2010-07-01

    ... telecommunications authorized. 585.513 Section 585.513 Money and Finance: Treasury Regulations Relating to Money and... Transactions related to telecommunications authorized. (a) All transactions of U.S. common carriers with respect to the receipt and transmission of telecommunications involving the FRY (S&M) are authorized...

  3. 31 CFR 545.508 - Transactions related to telecommunications authorized.

    Science.gov (United States)

    2010-07-01

    ... telecommunications authorized. 545.508 Section 545.508 Money and Finance: Treasury Regulations Relating to Money and... related to telecommunications authorized. All transactions ordinarily incident to the receipt or transmission of telecommunications involving the territory of Afghanistan controlled by the Taliban are...

  4. 31 CFR 500.571 - Transactions related to telecommunications authorized.

    Science.gov (United States)

    2010-07-01

    ... telecommunications authorized. 500.571 Section 500.571 Money and Finance: Treasury Regulations Relating to Money and... telecommunications authorized. All transactions of U.S. common carriers incident to the receipt or transmission of telecommunications involving North Korea are authorized. Note: Exports or reexports to North Korea of goods and...

  5. 7 CFR 1703.112 - Expedited telecommunications loans

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Expedited telecommunications loans 1703.112 Section... § 1703.112 Expedited telecommunications loans RUS will expedite consideration and determination of an application submitted by an RUS telecommunications borrower for a loan under the Act or an advance of such...

  6. 31 CFR 560.508 - Telecommunications and mail transactions authorized.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Telecommunications and mail... REGULATIONS Licenses, Authorizations and Statements of Licensing Policy § 560.508 Telecommunications and mail... telecommunications and mail between the United States and Iran are authorized. For purposes of this section, the term...

  7. 31 CFR 586.510 - Transactions related to telecommunications authorized.

    Science.gov (United States)

    2010-07-01

    ... telecommunications authorized. 586.510 Section 586.510 Money and Finance: Treasury Regulations Relating to Money and... Licensing Policy § 586.510 Transactions related to telecommunications authorized. All transactions with respect to the receipt and transmission of telecommunications involving the FRY (S&M) are authorized. This...

  8. Telecommunications Policy Research Conference. International Comparisons I (Europe) Section. Papers.

    Science.gov (United States)

    Telecommunications Policy Research Conference, Inc., Washington, DC.

    Three papers consider telecommunications policy in Great Britain and Germany specifically, and the nations of the European Economic Community generally. The first paper, "German Telecommunications Law and Policies" (Ernst-Joachim Mestamacker) outlines the present structure of telecommunications in West Germany, and discusses deregulation…

  9. Characteristics of diabetes care in an institutional network of health services Medellin. 2005-2008

    Directory of Open Access Journals (Sweden)

    Sandra M. Agudelo

    2011-05-01

    Full Text Available Because of its severity, frequency and increasing social and economic impact, Diabetes Mellitus (DM is considered the third priority health problem in the world. Although to date there is no curative treatment, it does have effective measures to reduce its occurrence and limit its complications. Objective: to describe the control program of diabetes in a statewide network of health services in regard to clinical variables, the epidemiology of population served and the control actions, in order to identify strategies for improvement. Methodology: operational research based on secondary data. We reviewed the general conditions of operation of the program based on records of patient care. We studied a random sample of medical records of patients served by the control program of diabetes care units in the network.The results were validated in a meeting with officials of the institution. Results: we detected flaws and points of improvement in the performance of the control program that resulted in specific recommendations for the institutional network. Other failures are due to rules that hinder health system monitoring and control of the DM at the first level. Conclusion:the review of medical records reveals important problems about registration, monitoring and control of diabetics. Other regulatory and contractual provisions of the colombian health system were identified as restrictions that prevent the program to control hyperglycemia and early detection of renal damage. These restrictions could be affecting the programs of control of diabetes in other institutions of the country that are subject to the same rules

  10. A telemedicine network to support paediatric care in small hospitals in rural Tanzania.

    Science.gov (United States)

    Krüger, Carsten; Niemi, Mauri

    2012-01-01

    We reviewed our experience with the Tanzanian Telemedicine Network in supporting paediatric care at 40 small, rural hospitals in the country. The network began operating in 2008. Store and forward telemedicine was provided via the open source software iPath. The 33 volunteer consultants were based in several countries, although most of them had practical experience in Tanzania. During the first three years of network operation there were 533 referrals. There were 159 paediatric cases (median age five years). Three paediatric specialists provided most consultations (64%), but other specialists provided recommendations when required. The response time was usually less than two days (median 6 h; inter-quartile range 2-24 h). A precise recommendation was not always provided, but since all consultants had an intimate knowledge of the state of health services in Tanzania, their advice was usually well adapted to the local circumstances of the hospitals. Referral to a higher level of care was recommended in 26 cases (16%). A simple web-based telemedicine system combined with email alerts is feasible in remote locations in Tanzania, even where fast Internet connections are not available. Copyright © 2012 by the Royal Society of Medicine Press Ltd

  11. Determinants of Customers` Churn Decision in the Nigeria Telecommunication Industry: An Analytic Hierarchy Process Approach

    Directory of Open Access Journals (Sweden)

    Sulaimon Olanrewaju Adebiyi

    2015-10-01

    Full Text Available This paper describes the application of Analytic Hierarchy Process (AHP for unraveling customers’ motivation for churn of telecommunication network in Nigeria. By identifying, modeling and measuring of customers` churn motivations across four mobile telecommunication service providers in Nigeria. AHP was used to design a hierarchical model of seven criteria for customers` churning of network and investigates the relative priorities of the criteria through a pairwise comparison. The questionnaire were administered through convenient sampling to 480 mobile telecommunication customers and was completed and returned by 438 mobile phone subscribers in Lagos state, Nigeria, but only 408 copies were useful for the analysis of this study. The result shows that six out of the seven criteria have weight above 10% in their individual contribution to motivating customer churn behavior in the Nigeria telecommunication industry. The inefficient data/ internet plan criterion has the highest weight of 18.81% relative to the churn decision. Thus, AHP effectively supported modeling and analyzing subscribers` motivation toward good marketing decision for both the individual and the organization. It helps in developing an analytic and intelligible framework of decision-making on complex problem of customer churn in an emerging market like Nigeria

  12. Telecommunications networks, home integrated systems and remote control applications; Reseaux de telecommunications, domotique et teleaction

    Energy Technology Data Exchange (ETDEWEB)

    Cregut, F.; Treheux, M.

    1996-12-31

    Energy savings in residential sector can be performed by home integrated control systems. Remote controlled interfaces allow electric appliances consumption matching effective needs. Nevertheless, the uses of those techniques are stagnating since several years. The first reason is an awkward human factors engineering, that is now improving. The second reason is an lack of definition of the needs, that lead to commercialization problems. (D.L.)

  13. Telecommunications Relay Support of the Mars Phoenix Lander Mission

    Science.gov (United States)

    Edwards, Charles D., Jr.; Erickson, James K.; Gladden, Roy E.; Guinn, Joseph R.; Ilott, Peter A.; Jai, Benhan; Johnston, Martin D.; Kornfeld, Richard P.; Martin-Mur, Tomas J.; McSmith, Gaylon W.; hide

    2010-01-01

    The Phoenix Lander, first of NASA's Mars Scout missions, arrived at the Red Planet on May 25, 2008. From the moment the lander separated from its interplanetary cruise stage shortly before entry, the spacecraft could no longer communicate directly with Earth, and was instead entirely dependent on UHF relay communications via an international network of orbiting Mars spacecraft, including NASA's 2001 Mars Odyssey (ODY) and Mars Reconnaissance Orbiter (MRO) spacecraft, as well as ESA's Mars Express (MEX) spacecraft. All three orbiters captured critical event telemetry and/or tracking data during Phoenix Entry, Descent and Landing. During the Phoenix surface mission, ODY and MRO provided command and telemetry services, far surpassing the original data return requirements. The availability of MEX as a backup relay asset enhanced the robustness of the surface relay plan. In addition to telecommunications services, Doppler tracking observables acquired on the UHF link yielded an accurate position for the Phoenix landing site.

  14. TELESCON 2000 - The 3. international telecommunications energy special conference. Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    Claus, J. (comp.) [Deutsche Telekom AG, Bonn (Germany)

    2000-07-01

    Dresden has been chosen, because all discussions with present experts on the Berlin and Budapest conferences have shown that this beautiful town can be an international meeting point for all people from east and west to come together to discuss important topics such as the future of power supply and energy conservation within the field of telecommunications. The plenary session includes well known names from Europe, North America, Japan and the Central European region. The programme is an excellent blend of presentation, application and discussions on energy technologies that will offer new insights into powering today's rapidly changing communications and data networks. The exhibition will be an excellent meeting place for suppliers and customers of energy systems. (orig.)

  15. Improved Clinical Efficacy with Wound Support Network Between Hospital and Home Care Service.

    Science.gov (United States)

    Bergersen, Tone Kristin; Storheim, Elisabeth; Gundersen, Stina; Kleven, Linn; Johnson, Maria; Sandvik, Leiv; Kvaerner, Kari Jorunn; Ørjasæter, Nils-Otto

    2016-11-01

    The aim of this study was to test the efficacy of a wound support network model between the primary home care service and the hospital. The impact on wound healing rate, cost benefit, and transfer of knowledge was investigated. The intervention group was exposed to a wound support network (n = 32), and the control group continued standard organization of treatment (n = 21). Nonrandomized controlled study; observations were made before (baseline) and after the implementation of the intervention (12 weeks). Patients with chronic wounds (lasting >6 weeks and with wound area >1 cm) in Oslo, Norway. Closure of the observation wound; wound size; total number of wounds; presence of eczema, edema, and pain; number of dressings per week; time spent per dressing; and number of control appointments at the hospital. The economic impact is calculated for the hospital and for the community of Oslo, Norway. The number of control appointments (t = 3.80, P home care service and the hospital is cost-effective, improves clinical efficacy of the home care services' work, and reduces the need for consultations at the hospital.

  16. A queueing network model to analyze the impact of parallelization of care on patient cycle time.

    Science.gov (United States)

    Jiang, Lixiang; Giachetti, Ronald E

    2008-09-01

    The total time a patient spends in an outpatient facility, called the patient cycle time, is a major contributor to overall patient satisfaction. A frequently recommended strategy to reduce the total time is to perform some activities in parallel thereby shortening patient cycle time. To analyze patient cycle time this paper extends and improves upon existing multi-class open queueing network model (MOQN) so that the patient flow in an urgent care center can be modeled. Results of the model are analyzed using data from an urgent care center contemplating greater parallelization of patient care activities. The results indicate that parallelization can reduce the cycle time for those patient classes which require more than one diagnostic and/ or treatment intervention. However, for many patient classes there would be little if any improvement, indicating the importance of tools to analyze business process reengineering rules. The paper makes contributions by implementing an approximation for fork/join queues in the network and by improving the approximation for multiple server queues in both low traffic and high traffic conditions. We demonstrate the accuracy of the MOQN results through comparisons to simulation results.

  17. The KIzSS network, a sentinel surveillance system for infectious diseases in day care centers: study protocol

    Directory of Open Access Journals (Sweden)

    Enserink Remko

    2012-10-01

    Full Text Available Abstract Background Day care-associated infectious diseases are widely recognized as a public health problem but rarely studied. Insights into their dynamics and their association with the day care setting are important for effective decision making in management of infectious disease control. This paper describes the purpose, design and potential of our national multi-center, day care-based sentinel surveillance network for infectious diseases (the KIzSS network. The aim of the KIzSS network is to acquire a long-term insight into the syndromic and microbiological aspects of day care-related infectious diseases and associated disease burden and to model these aspects with day care setting characteristics. Methods/design The KIzSS network applies a prospective cohort design, following day care centers rather than individual children or staff members over time. Data on infectious disease symptoms and related morbidity (children and staff, medical consumption, absenteeism and circulating enteric pathogens (children are collected on a daily, weekly or monthly basis. Every two years, a survey is performed to assess the characteristics of participating day care centers. Discussion The KIzSS network offers a unique potential to study infectious disease dynamics in the day care setting over a sustained period of time. The created (biodatabases will help us to assess day care-related disease burden of infectious diseases among attending children and staff and their relation with the day care setting. This will support the much needed development of evidence-based and pragmatic guidelines for infectious disease control in day care centers.

  18. GLOBECOM '85 - Global Telecommunications Conference, New Orleans, LA, December 2-5, 1985, Conference Record. Volumes 1, 2, & 3

    Science.gov (United States)

    Various papers on global telecommunications are presented. The general topics addressed include: multiservice integration with optical fibers, multicompany owned telecommunication networks, softworks quality and reliability, advanced on-board processing, impact of new services and systems on operations and maintenance, analytical studies of protocols for data communication networks, topics in packet radio networking, CCITT No. 7 to support new services, document processing and communication, antenna technology and system aspects in satellite communications. Also considered are: communication systems modelling methodology, experimental integrated local area voice/data nets, spread spectrum communications, motion video at the DS-0 rate, optical and data communications, intelligent work stations, switch performance analysis, novel radio communication systems, wireless local networks, ISDN services, LAN communication protocols, user-system interface, radio propagation and performance, mobile satellite system, software for computer networks, VLSI for ISDN terminals, quality management, man-machine interfaces in switching, and local area network performance.

  19. Can a collaborative healthcare network improve the care of people with epilepsy?

    Science.gov (United States)

    Shamim, Ejaz A; Mane, Ketan; Loddenkemper, Tobias; Leviton, Alan

    2018-05-01

    New opportunities are now available to improve care in ways not possible previously. Information contained in electronic medical records can now be shared without identifying patients. With network collaboration, large numbers of medical records can be searched to identify patients most like the one whose complex medical situation challenges the physician. The clinical effectiveness of different treatment strategies can be assessed rapidly to help the clinician decide on the best treatment for this patient. Other capabilities from different components of the network can prompt the recognition of what is the best available option and encourage the sharing of information about programs and electronic tools. Difficulties related to privacy, harmonization, integration, and costs are expected, but these are currently being addressed successfully by groups of organizations led by those who recognize the benefits. Copyright © 2018 Elsevier Inc. All rights reserved.

  20. The current situation and future scope of radiation emergency medical care network in Nagasaki

    International Nuclear Information System (INIS)

    Morishita, Mariko; Namba, Hiroyuki; Yamashita, Shunichi; Ohtsuru, Akira

    2005-01-01

    Under the framework of the International Consortium for Medical Care of Hibakusha and Radiation Life Science (Nagasaki University 21st Century COE Program) and bearing in mind the unique history and responsibility of Nagasaki University, several projects on radiation emergency preparedness are in progress. The critical accident in Tokaimura, Japan in 1999 made us realize that nuclear emergencies happen anywhere radionuclides exist. In fact, nuclear accidents possibly take place in factories, research facilities, hospital and wherever radioactive materials are in transit. Therefore, it is necessary to establish an effective preparedness network system for potential radiation emergency that may occur in Nagasaki and nearby prefectures and to cooperate with other Japanese and worldwide networks. (author)

  1. The current situation and future scope of radiation emergency medical care network in Nagasaki

    Energy Technology Data Exchange (ETDEWEB)

    Morishita, Mariko; Namba, Hiroyuki; Yamashita, Shunichi [Nagasaki Univ., Graduate School of Biomedical Sciences, Atomic Bomb Disease Inst., Nagasaki, Nagasaki (Japan); Ohtsuru, Akira [Nagasaki Univ., Hospital, Takashi Nagai Memorial International Hibakusha Medical Center, Nagasaki, Nagasaki (Japan)

    2005-12-15

    Under the framework of the International Consortium for Medical Care of Hibakusha and Radiation Life Science (Nagasaki University 21st Century COE Program) and bearing in mind the unique history and responsibility of Nagasaki University, several projects on radiation emergency preparedness are in progress. The critical accident in Tokaimura, Japan in 1999 made us realize that nuclear emergencies happen anywhere radionuclides exist. In fact, nuclear accidents possibly take place in factories, research facilities, hospital and wherever radioactive materials are in transit. Therefore, it is necessary to establish an effective preparedness network system for potential radiation emergency that may occur in Nagasaki and nearby prefectures and to cooperate with other Japanese and worldwide networks. (author)

  2. Nationwide online social networking for cardiovascular care in Korea using Facebook.

    Science.gov (United States)

    Kim, Changsun; Kang, Bo Seung; Choi, Hyuk Joong; Lee, Young Joo; Kang, Gu Hyun; Choi, Wook Jin; Kwon, In Ho

    2014-01-01

    To examine the use of online social networking for cardiovascular care using Facebook. All posts and comments in a Facebook group between June 2011 and May 2012 were reviewed, and a survey was conducted. A total of 298 members participated. Of the 277 wall posts, 26.7% were question posts requesting rapid replies, and 50.5% were interesting cases shared with other members. The median response time for the question posts was 16 min (IQR 8-47), which tended to decrease as more members joined the group. Many members (37.4%) accessed the group more than once a day, and more than half (64%) monitored the group posts in real time with automatic notifications of new posts. Most members expressed confidence in the content posted. Facebook enables online social networking between physicians in near-real time and appears to be a useful tool for physicians to share clinical experience and request assistance in decision-making.

  3. Japan nurtures telecommunications on classic formula

    Science.gov (United States)

    Davis, Neil

    1987-03-01

    As in other industrial sectors, Japanese telecommunications organizations export significantly more products than they import, even when substantial cost-savings can be realized. One example is optical fibers, which some Japanese service companies do not buy from outside suppliers who have taken advantage of economies of scale. Nippon Telephone and Telegraph, until recently a common carrier, is meeting increasing competition from newly-formed indigenous telecommunications subsidiaries who are taking advantage of fiber optics and microwave communications capabilities. Various cooperative projects with U.S. companies are described, noting the tendency of Japanese manufacturers to cease relationships with U.S. companies when Japanese products become competitive and also the necessity of U.S. firms to gain political cooperation from the Japanese government in order to make sales in Japan.

  4. Advances in VRLA battery technology for telecommunications

    Energy Technology Data Exchange (ETDEWEB)

    Misra, Sudhan S. [SPM Consultants LLC, 112 Gwynmont Circle, North Wales, PA 19454 (United States)

    2007-05-25

    Wide scale use of the newly emergent VRLA (valve-regulated lead-acid) battery in telecommunication applications and the subsequent problems encountered early in their deployment history spurred intense efforts to improve the design as a continuous endeavor. After implementing improvements to battery placement and containment design to prevent the sudden onset of thermal runaway, the focus of the development work has been on cell internals. These include improved grid and strap alloys, superior AGM (absorbent glass mat) separator that retains compression in the cell, use of beneficial additives to the active materials and the need to avoid contaminants that promote detrimental side reactions. These improvements are now resulting in a vastly superior VRLA experience in the telecommunication applications. To further improve the reliability demanded by today's communication and internet environment VRLA battery installations should include continuous cell/module and system monitoring similar to that incorporated in competing advanced battery systems under development. (author)

  5. Social networks, work and network-based resources for the management of long-term conditions: a framework and study protocol for developing self-care support

    Directory of Open Access Journals (Sweden)

    Kapadia Dharmi

    2011-05-01

    Full Text Available Abstract Background Increasing the effective targeting and promotion of self-care support for long-term conditions requires more of a focus on patient contexts and networks. The aim of this paper is to describe how within a programme of research and implementation, social networks are viewed as being centrally involved in the mobilisation and deployment of resources in the management of a chronic condition. This forms the basis of a novel approach to understanding, designing, and implementing new forms of self-management support. Methods Drawing on evidence syntheses about social networks and capital and the role of information in self-management, we build on four conceptual approaches to inform the design of our research on the implementation of self-care support for people with long-term conditions. Our approach takes into consideration the form and content of social networks, notions of chronic illness work, normalisation process theory (NPT, and the whole systems informing self-management engagement (WISE approach to self-care support. Discussion The translation and implementation of a self-care agenda in contemporary health and social context needs to acknowledge and incorporate the resources and networks operating in patients' domestic and social environments and everyday lives. The latter compliments the focus on healthcare settings for developing and delivering self-care support by viewing communities and networks, as well as people suffering from long-term conditions, as a key means of support for managing long-term conditions. By focusing on patient work and social-network provision, our aim is to open up a second frontier in implementation research, to translate knowledge into better chronic illness management, and to shift the emphasis towards support that takes place outside formal health services.

  6. Supplier selection in the Malaysian telecommunications industry

    OpenAIRE

    Abdul Rahim, Suzari

    2013-01-01

    This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University. Supplier selection plays an important role in any organisation. This study investigates and examines supplier selection criteria and the impacts on buying firm performance; specifically focusing on the telecommunications industry in Malaysia. Previous studies in this area have focussed on the criteria such as quality, price, delivery, supplier relationship management and decision making tools...

  7. The effect of provider affiliation with a primary care network on emergency department visits and hospital admissions

    Science.gov (United States)

    Bakal, Jeffrey A.; Green, Lee; Bahler, Brad; Lewanczuk, Richard

    2018-01-01

    BACKGROUND: Primary care networks are designed to facilitate access to inter-professional, team-based care. We compared health outcomes associated with primary care networks versus conventional primary care. METHODS: We obtained data on all adult residents of Alberta who visited a primary care physician during fiscal years 2008 and 2009 and classified them as affiliated with a primary care network or not, based on the physician most involved in their care. The primary outcome was an emergency department visit or nonelective hospital admission for a Patient Medical Home indicator condition (asthma, chronic obstructive pulmonary disease, heart failure, coronary disease, hypertension and diabetes) within 12 months. RESULTS: Adults receiving care within a primary care network (n = 1 502 916) were older and had higher comorbidity burdens than those receiving conventional primary care (n = 1 109 941). Patients in a primary care network were less likely to visit the emergency department for an indicator condition (1.4% v. 1.7%, mean 0.031 v. 0.035 per patient, adjusted risk ratio [RR] 0.98, 95% confidence interval [CI] 0.96–0.99) or for any cause (25.5% v. 30.5%, mean 0.55 v. 0.72 per patient, adjusted RR 0.93, 95% CI 0.93–0.94), but were more likely to be admitted to hospital for an indicator condition (0.6% v. 0.6%, mean 0.018 v. 0.017 per patient, adjusted RR 1.07, 95% CI 1.03–1.11) or all-cause (9.3% v. 9.1%, mean 0.25 v. 0.23 per patient, adjusted RR 1.08, 95% CI 1.07–1.09). Patients in a primary care network had 169 fewer all-cause emergency department visits and 86 fewer days in hospital (owing to shorter lengths of stay) per 1000 patient-years. INTERPRETATION: Care within a primary care network was associated with fewer emergency department visits and fewer hospital days. PMID:29530868

  8. Medical device integration using mobile telecommunications infrastructure.

    Science.gov (United States)

    Moorman, Bridget A; Cockle, Richard A

    2013-01-01

    Financial pressures, an aging population, and a rising number of patients with chronic diseases, have encouraged the use of remote monitoring technologies. This usually entails at least one physiological parameter measurement for a clinician. Mobile telecommunication technologies lend themselves to this functionality, and in some cases, avoid some of the issues encountered with device integration. Moreover, the inherent characteristics of the mobile telecommunications infrastructure allow a coupling of business and clinical functions that were not possible before. Table I compares and contrasts some key aspect of device integration in and out of a healthcare facility. An HTM professional may be part of the team that acquires and/or manages a system using a mobile telecommunications technology. It is important for HTM professionals to ensure the data is in a standard format so that the interfaces across this system don't become brittle and break easily if one part changes. Moreover, the security and safety considerations of the system and the data should be a primary consideration in and y purchase, with attention given to the proper environmental and encryption mechanisms. Clinical engineers and other HTM professionals are unique in that they understand the patient/clinician/device interface and the need to ensure its safety and effectiveness regardless of geographical environment.

  9. Use of satellite telecommunications for telemedicine

    Science.gov (United States)

    Tamkovich, Gennady

    1991-01-01

    The use of space telecommunications facilities in the interests of medicine should establish a reliable and timely connection between the specialists involved and access for each of them to information sources the need. Since a certain global-scale program should be implemented for this goal to be achieved, one of the top-priority tasks is to determine appropriate orbital facilities for telecommunications as well as appropriate areas and countries for them, outlining the territories where portable data receive/transport records can be placed and stations that are cheap and simple enough to operate can be stored. Eventually the satellite telecommunications system should encourage health workers to unite in a world community on the basis of a regular and efficient information exchange with the goal of protecting the health of man and the peace of Earth. This goal could only be achieved by gradually removing differences in the domain of medical education and information in different regions over the globe, by providing a possibility of rapid and coordinated access to the information on medical problems of interest on the global scale, as well as by coordinating the discussion and solution of all problems associated with the development and progress of the satellite communications system.

  10. Weaving the West Psychosocial Care Network of the municipality of São Paulo.

    Science.gov (United States)

    Nóbrega, Maria do Perpétuo Socorro de Sousa; Domingos, Alessandra Matheus; Silveira, Ana Stella de Azevedo; Santos, Jussara Carvalho Dos

    2017-01-01

    to understand how health service professionals involved in the care of users in psychic distress perceive the organization of the Psychosocial Care Network (RAPS - Rede de Atenção Psicossocial) in the western region of the city of São Paulo. qualitative approach study conducted with 123 professionals with higher education who work in the care points of the network. A semi-structured interview was performed and data were submitted to the Alceste program for lexical analysis. the network is in process of alignment with the mental health policy and the psychosocial rehabilitation strategy. However, the weaknesses in the work process of teams are related to deficits in human resources, structure, and communication, and to the limited appropriation of their guidelines. there are intense efforts of workers to weave the network, and barriers need to be overcome to support successful actions in mental health care in the territory. compreender como profissionais de serviços de saúde envolvidos no cuidado dos usuários em sofrimento psíquico percebem a organização da Rede de Atenção Psicossocial (RAPS) da região Oeste do Município de São Paulo. abordagem qualitativa realizada com 123 profissionais de nível superior que atuam nos pontos de atenção da rede. Realizou-se entrevista semiestruturada e os dados foram submetidos ao programa Alceste com aplicação de análise lexical. A rede está em processo de alinhamento com a política de saúde mental e estratégia de reabilitação psicossocial. No entanto, há fragilidades no processo de trabalho das equipes relacionadas ao déficit de recursos humanos, estruturais, de comunicação, e à apropriação limitada sobre suas diretrizes. Compreendeu-se que há intensidade de esforços dos trabalhadores para tecer a rede e que é necessário superar barreiras para fomentar ações exitosas no cuidado em saúde mental no território.

  11. Needs assessment for home-based care and the strengthening of social support networks: the role of community care workers in rural South Africa

    Directory of Open Access Journals (Sweden)

    Mosa Moshabela

    2015-12-01

    Full Text Available Background: Community care workers (CCWs in rural South Africa provide medical, personal, household, educational, and social care services to their clients. However, little understanding exists on how provision of services is approached within a household, taking into account available social support networks. Objective: The aim of this study was to generate an understanding of the processes that underpin the provision of care by CCWs in rural households and their engagement with clients, primary caregivers (PCGs, and other members of the social support network. Design: We analysed in-depth interviews conducted in a triad of participants involved in a home-based care (HBC encounter – 32 clients, 32 PCGs, and 17 CCWs. For each triad, a purposefully selected CCW was linked with a purposefully selected client and the corresponding PCG using maximum variation sampling. Three coders used an inductive content analysis method to describe participants’ references to the nuances of processes followed by CCWs in servicing HBC clients. Written informed consent was obtained from all participants. Findings: The results suggest that, by intuition and prior knowledge, CCWs treated each household uniquely, depending on the clients’ care needs, cooperation, availability of a social network, and the reliability and resilience of the social support system for the client. Four distinct processes took place in rural households: needs assessment for care, rationing of care, appraisal of care, and reinforcement of a social support system. However, there was no particular order or sequence established for these processes, and caregivers followed no prescribed or shared standards. Conclusions: CCWs bring a basket of services to a household, but engage in a constant, dynamic, and cyclical process of weighing needs against services provided. The service package is uniquely crafted and tailored for each household, depending on the absorptive capacity of the social

  12. Advertising and Consumer Choice of Telecommunication Services in Nigeria

    Directory of Open Access Journals (Sweden)

    David Oladipo Olalekan

    2015-09-01

    Full Text Available This study examines the critical influence of advertising on consumer choice of telecommunication services in Nigeria. The advertisement played a key role in providing the consumers with product information. The study investigates the effect of marketing medium of telecommunication as a proxy for advertisement on preference of telecommunication services as a proxy for consumer choice in Nigeria. The Binary Logit Model (BLM and descriptive analytical frameworks are used to evaluate the statistical importance of advertisement, quality of services, income of the consumer, product’s self and related service charges for a consumer choice of telecommunication services through Wald test. The findings show that product’s self service charge and service quality are statistically significant for a consumer choice of telecommunication services in Nigeria at 1 percent significance level. And, related product’s service is statistically significant for a consumer choice of telecommunication services in Nigeria at 5 percent significance level. While advertisement and income of the consumer are statistically significant for a consumer choice of telecommunication services in Nigeria at 10 percent. The study concludes that advertisement is important for the choice of telecommunication services in Nigeria but having less impact. And, product’s self service charge and service quality are hugely significant for the choice of telecommunication services in Nigeria. Therefore, the sector of telecommunications needs more investment in advertisement so as to have telecommunications’ products information spread in order to stimulate the increase in demand for telecommunication services in Nigeria.

  13. Health care for women in situations of violence: discoordination of network professionals.

    Science.gov (United States)

    Arboit, Jaqueline; Padoin, Stela Maris de Mello; Vieira, Letícia Becker; Paula, Cristiane Cardoso de; Costa, Marta Cocco da; Cortes, Laura Ferreira

    2017-04-03

    To learn the conceptions and actions of health professionals on the care network for women in situations of violence. A qualitative, descriptive, exploratory study was conducted between April and July 2015 with the participation of 21 health professionals from four primary health care teams in a city of the central region of the state of Rio Grande do Sul. Data were collected by means of individual semi-structured interviews. Content analysis was used for data systematization. Health professionals recognized the importance of the health care network for coping with the problem of violence against women. However, their conceptions and actions were limited by the discoordination or absence of integration among professionals and services of the care network. The conceptions and actions of health professionals contribute to the discoordination among the services. It is necessary to reflect on the daily practices of care for women in situations of violence. Conhecer as concepções e ações de profissionais de saúde sobre a rede de atenção às mulheres em situação de violência. Estudo qualitativo, descritivo e exploratório, realizado no período de abril a julho de 2015. Participaram 21 profissionais de saúde de quatro equipes da Atenção Primária à Saúde em um município da região central do estado do Rio Grande do Sul. A coleta de dados ocorreu mediante entrevistas semiestruturadas e individuais. Para sistematização dos dados, empregou-se a análise de conteúdo. Os profissionais de saúde reconheciam a importância da rede de atenção à saúde no enfrentamento da problemática da violência contra as mulheres. Contudo, suas concepções e ações eram limitadas pela desarticulação ou ausência de integração entre os profissionais e serviços da rede de atenção. As concepções e ações dos profissionais de saúde contribuem para a desarticulação entre os serviços. Faz-se necessário refletir acerca das práticas cotidianas de cuidados

  14. [Factors regarding awareness of preventive care exercises: Distance to exercise facilities and their social networks].

    Science.gov (United States)

    Soma, Yuki; Tsunoda, Kenji; Kitano, Naruki; Jindo, Takashi; Okura, Tomohiro

    2015-01-01

    The present study examines factors affecting individuals' awareness of certain types of preventive care exercises, particularly the distance from their home to an exercise facility and their social networks. Participants were 3206 men (age, 73.0±6.2 years) and 3395 women (age, 73.2±6.4 years) aged ≥65 years who had not been certified as persons with care needs and who had responded to an inventory survey conducted in Kasama City, Japan, in 2013. We performed multiple logistic regression analysis to assess the characteristics associated with participants' awareness of two types of exercises for preventive care: "silver rehabili taisou" (SRT) and "square-stepping exercise" (SSE). Independent variables were distance from home to the exercise facility, social networks, transportation availability, physical function, cognitive function, and neighborhood population density. Older adults who were aware of the exercises lived significantly closer to an exercise facility (SRT, aware: 1,148.5±961.3 m vs. unaware: 1,284.2±1,027.4 m; SSE, aware: 1,415.9±1104.1 m vs. unaware: 1,615.7±1,172.2 m). Multiple logistic regression analysis showed that participation in community activities (men, SRT-odds ratio [OR]=2.54 and SSE-OR=2.19; women, SRT-OR=4.14 and SSE-OR=3.34] and visiting friends (men, SRT-OR=1.45 and SSE-OR=1.49; women SRT-OR=1.44 and SSE-OR=1.73) were promoting factors for awareness of both types of exercises. In men and women, low physical function (SRT-OR=0.73 and SSE-OR=0.56) and dependence on another person to drive them to the destination (SRT-OR=0.79 and SSE-OR=0.78) were inhibiting factors, respectively. A distance of >500 m between their home and the facility tended to be an inhibiting factor. A shorter distance from home to an exercise facility and better social networks increased awareness of preventive care exercises in both sexes and for both types of exercise. Establishing exercise centers and devising effective methods of imparting information to

  15. A telecommunications intervention for frontier patients with diabetes.

    Science.gov (United States)

    Wagnild, Gail; MacCart, John G; Mitchell, Scot; Tyabah, Kiran; Leenknecht, Cindy; Meszaros, Jane Fitch

    2008-10-01

    The purpose of this study was to determine whether a telecommunications diabetes self-management (DSM) intervention would improve health-related outcomes among frontier participants with diabetes. A one-group pre-test/post-test quasi-experimental design with two groups of participants was used. Differences between pre and post-test periods on measures of physical and emotional health, knowledge of diabetes, and self-care behaviors were measured. Overall, participants did better along measures of blood pressure, HbA(1c), self-efficacy, knowledge of diabetes, understanding of DSM, monitoring behaviors, and reported less personal and social disruption from diabetes. Six-month follow-up results showed continued positive outcomes.

  16. Italian public health care organizations: specialization, institutional deintegration, and public networks relationships.

    Science.gov (United States)

    Del Vecchio, Mario; De Pietro, Carlo

    2011-01-01

    The Italian National Health Service (INHS) has undergone profound changes over the past three decades. With establishment of the INHS in 1978--a tax-based public health care system with universal coverage--one of the underlying principles was integration. The recognition of health and health care as requiring integrated answers led to the creation of a single public organization, the Local Health Unit, responsible for the health status of the population of its catchment area. At the beginning of the 1990s, the scenario radically changed. The creation of hospital trusts, the development of quasi-market mechanisms and management control tools, the adoption of a prospective payment system for reimbursing health care providers--all were signs of deintegration and institutional unbundling. Two structural changes have deeply sustained this deintegration: patients' empowerment and the increased possibilities for outsourcing practices. In more recent years, a new reintegration effort has occurred, often led by regional governments and based on institutional cooperation and network relationships. However, the earlier structural changes require innovative approaches and solutions if public health care organizations want to retain their leading role.

  17. The educational impact of the Specialty Care Access Network-Extension of Community Healthcare Outcomes program.

    Science.gov (United States)

    Salgia, Reena J; Mullan, Patricia B; McCurdy, Heather; Sales, Anne; Moseley, Richard H; Su, Grace L

    2014-11-01

    With the aging hepatitis C cohort and increasing prevalence of fatty liver disease, the burden on primary care providers (PCPs) to care for patients with liver disease is growing. In response, the Veterans Administration implemented initiatives for primary care-specialty referral to increase PCP competency in complex disease management. The Specialty Care Access Network-Extension of Community Healthcare Outcomes (SCAN-ECHO) program initiative was designed to transfer subspecialty knowledge to PCPs through case-based distance learning combined with real-time consultation. There is limited information regarding the initiative's ability to engage PCPs to learn and influence their practice. We surveyed PCPs to determine the factors that led to their participation in this program and the educational impact of participation. Of 51 potential participants, 24 responded to an anonymous survey. More than 75% of respondents participated more than one time in a SCAN-ECHO clinic. Providers were motivated to participate by a desire to learn more about liver disease, to apply the knowledge gained to future patients, and to save their patients time traveling to another center for specialty consultation. Seventy-one percent responded that the didactic component and case-based discussion were equally important. It is important that participation changed clinical practice: 75% of providers indicated they had personally discussed the information they learned from the case presentations with their colleague(s), and 42% indicated they helped a colleague care for their patient with the knowledge learned during discussions of other participants' cases. This study shows that the SCAN-ECHO videoconferencing program between PCPs and specialists can educate providers in the delivery of specialty care from a distance and potentially improve healthcare delivery.

  18. Key enablers for user-centric advertising across next-generation networks

    CERN Document Server

    Simoes, J

    2012-01-01

    This new book provides a fascinating overview of this topic for telecommunications engineers, computer scientists, network design engineers, marketing professionals and other researchers working in the web and telecommunication industries.

  19. Communicating embedded systems networks applications

    CERN Document Server

    Krief, Francine

    2013-01-01

    Embedded systems become more and more complex and require having some knowledge in various disciplines such as electronics, data processing, telecommunications and networks. Without detailing all the aspects related to the design of embedded systems, this book, which was written by specialists in electronics, data processing and telecommunications and networks, gives an interesting point of view of communication techniques and problems in embedded systems. This choice is easily justified by the fact that embedded systems are today massively communicating and that telecommunications and network

  20. Analysis And Mathematical Modeling Of Consumer Behavior In Mobile Telecommunications Industry

    Directory of Open Access Journals (Sweden)

    Saranga Gunasekara

    2015-06-01

    Full Text Available Abstract The mobile telecommunications industry is capital intensive by nature. With the rapid advancement of technology and changing consumer behaviors mobile network operators has had to adapt their product and service portfolio in quick succession. The main implication of the need for high capital investments is the risk associated with the investment. Therefore it is essential that mobile telcos follow up technological investments with the correct service provisioning to the customers. This requires a thorough understanding of the behavior of the consumers. Through this paper the author attempts to identify evaluate and quantify the effects of a number of traits of consumers that determine the consumer preference to a particular mobile network brand. The author also provides recommendations on strategy formulation. The evaluation has been carried out in the context of the Sri Lankan Mobile Telecommunications Industry.

  1. The feasibility of measuring social networks among older adults in assisted living and dementia special care units.

    Science.gov (United States)

    Abbott, Katherine M; Bettger, Janet Prvu; Hampton, Keith N; Kohler, Hans-Peter

    2015-03-01

    Studies indicate that social integration has a significant influence on physical and mental health. Older adults experience an increased risk of social isolation as their social networks decline with fewer traditional opportunities to add new social relationships. Deaths of similar aged friends, cognitive and functional impairments, and relocating to a nursing home (NH) or assisted-living (AL) facility contribute to difficulties in maintaining one's social network. Due to the paucity of research examining the social networks of people residing in AL and NH, this study was designed to develop and test the feasibility of using a combination of methodological approaches to capture social network data among older adults living in AL and a dementia special care unit NH. Social network analysis of both egocentric and sociocentric networks was conducted to visualize the social networks of 15 residents of an AL neighborhood and 12 residents of a dementia special care unit NH and to calculate measures network size, centrality, and reciprocity. The combined egocentric and sociocentric method was feasible and provided a robust indicator of resident social networks highlighting individuals who were socially integrated as well as isolated. © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  2. Communication, advice exchange and job satisfaction of nursing staff: a social network analyses of 35 long-term care units.

    Science.gov (United States)

    van Beek, Adriana P A; Wagner, Cordula; Spreeuwenberg, Peter P M; Frijters, Dinnus H M; Ribbe, Miel W; Groenewegen, Peter P

    2011-06-01

    The behaviour of individuals is affected by the social networks in which they are embedded. Networks are also important for the diffusion of information and the influence of employees in organisations. Yet, at the moment little is known about the social networks of nursing staff in healthcare settings. This is the first study that investigates informal communication and advice networks of nursing staff in long-term care. We examine the structure of the networks, how they are related to the size of units and characteristics of nursing staff, and their relationship with job satisfaction. We collected social network data of 380 nursing staff of 35 units in group projects and psychogeriatric units in nursing homes and residential homes in the Netherlands. Communication and advice networks were analyzed in a social network application (UCINET), focusing on the number of contacts (density) between nursing staff on the units. We then studied the correlation between the density of networks, size of the units and characteristics of nursing staff. We used multilevel analyses to investigate the relationship between social networks and job satisfaction of nursing staff, taking characteristics of units and nursing staff into account. Both communication and advice networks were negatively related to the number of residents and the number of nursing staff of the units. Communication and advice networks were more dense when more staff worked part-time. Furthermore, density of communication networks was positively related to the age of nursing staff of the units. Multilevel analyses showed that job satisfaction differed significantly between individual staff members and units and was influenced by the number of nursing staff of the units. However, this relationship disappeared when density of communication networks was added to the model. Overall, communication and advice networks of nursing staff in long-term care are relatively dense. This fits with the high level of cooperation

  3. Small Aerostationary Telecommunications Orbiter Concept for Mars in the 2020s

    Science.gov (United States)

    Lock, Robert E.; Edwards, Charles D., Jr.; Nicholas, Austin; Woolley, Ryan; Bell, David J.

    2016-01-01

    Current Mars science orbiters carry UHF proximity payloads to provide limited access and data services to landers and rovers on Mars surface. In the era of human spaceflight to Mars, very high rate and reliable relay services will be needed to serve a large number of supporting vehicles, habitats, and orbiters, as well as astronaut EVAs. These will likely be provided by a robust network of orbiting assets in very high orbits, such as areostationary orbits. In the decade leading to that era, telecommunications orbits can be operated at areostationary orbit that can support a significant population of robotic precursor missions and build the network capabilities needed for the human spaceflight era. Telecommunications orbiters of modest size and cost, delivered by Solar Electric Propulsion to areostationary orbit, can provide continuous access at very high data rates to users on the surface and in Mars orbit.In the era of human spaceflight to Mars very high rate andreliable relay services will be needed to serve a largenumber of supporting vehicles, habitats, and orbiters, aswell as astronaut EVAs. These could be provided by arobust network of orbiting assets in very high orbits. In thedecade leading to that era, telecommunications orbiterscould be operated at areostationary orbit that could support asignificant population of robotic precursor missions andbuild the network capabilities needed for the humanspaceflight era. These orbiters could demonstrate thecapabilities and services needed for the future but withoutthe high bandwidth and high reliability requirements neededfor human spaceflight.Telecommunications orbiters of modest size and cost,delivered by Solar Electric Propulsion to areostationaryorbit, could provide continuous access at very high datarates to users on the surface and in Mars orbit. Twoexamples highlighting the wide variety of orbiter deliveryand configuration options were shown that could providehigh-performance service to users.

  4. Social care networks and older LGBT adults: challenges for the future.

    Science.gov (United States)

    Brennan-Ing, Mark; Seidel, Liz; Larson, Britta; Karpiak, Stephen E

    2014-01-01

    Research on service needs among older adults rarely addresses the special circumstances of lesbian, gay, bisexual, and transgender (LGBT) individuals, such as their reliance on friend-centered social networks or the experience of discrimination from service providers. Limited data suggests that older LGBT adults underutilize health and social services that are important in maintaining independence and quality of life. This study explored the social care networks of this population using a mixed-methods approach. Data were obtained from 210 LGBT older adults. The average age was 60 years, and 71% were men, 24% were women, and 5% were transgender or intersex. One-third was Black, and 62% were Caucasian. Quantitative assessments found high levels of morbidity and friend-centered support networks. Need for and use of services was frequently reported. Content analysis revealed unmet needs for basic supports, including housing, economic supports, and help with entitlements. Limited opportunities for socialization were strongly expressed, particularly among older lesbians. Implications for senior programs and policies are discussed.

  5. The effect of introducing increased-reliability-risk electronic components into 3rd generation telecommunications systems

    International Nuclear Information System (INIS)

    Salmela, Olli

    2005-01-01

    In this paper, the dependability of 3rd generation telecommunications network systems is studied. Special attention is paid to a case where increased-reliability-risk electronic components are introduced to the system. The paper consists of three parts: First, the reliability data of four electronic components is considered. This includes statistical analysis of the reliability test data, thermo-mechanical finite element analysis of the printed wiring board structures, and based on those, a field reliability estimate of the components is constructed. Second, the component level reliability data is introduced into the network element reliability analysis. This is accomplished by using a reliability block diagram technique and Monte Carlo simulation of the network element. The end result of the second part is a reliability estimate of the network element with and without the high-risk component. Third, the whole 3rd generation network having multiple network elements is analyzed. In this part, the criticality of introducing high-risk electronic components into a 3rd generation telecommunications network is considered

  6. The effect of introducing increased-reliability-risk electronic components into 3rd generation telecommunications systems

    Energy Technology Data Exchange (ETDEWEB)

    Salmela, Olli [Nokia Networks, P.O. Box 301, 00045 Nokia Group (Finland)]. E-mail: olli.salmela@nokia.com

    2005-08-01

    In this paper, the dependability of 3rd generation telecommunications network systems is studied. Special attention is paid to a case where increased-reliability-risk electronic components are introduced to the system. The paper consists of three parts: First, the reliability data of four electronic components is considered. This includes statistical analysis of the reliability test data, thermo-mechanical finite element analysis of the printed wiring board structures, and based on those, a field reliability estimate of the components is constructed. Second, the component level reliability data is introduced into the network element reliability analysis. This is accomplished by using a reliability block diagram technique and Monte Carlo simulation of the network element. The end result of the second part is a reliability estimate of the network element with and without the high-risk component. Third, the whole 3rd generation network having multiple network elements is analyzed. In this part, the criticality of introducing high-risk electronic components into a 3rd generation telecommunications network is considered.

  7. The impact of social networks on knowledge transfer in long-term care facilities: Protocol for a study

    Directory of Open Access Journals (Sweden)

    Valente Thomas W

    2010-06-01

    Full Text Available Abstract Background Social networks are theorized as significant influences in the innovation adoption and behavior change processes. Our understanding of how social networks operate within healthcare settings is limited. As a result, our ability to design optimal interventions that employ social networks as a method of fostering planned behavior change is also limited. Through this proposed project, we expect to contribute new knowledge about factors influencing uptake of knowledge translation interventions. Objectives Our specific aims include: To collect social network data among staff in two long-term care (LTC facilities; to characterize social networks in these units; and to describe how social networks influence uptake and use of feedback reports. Methods and design In this prospective study, we will collect data on social networks in nursing units in two LTC facilities, and use social network analysis techniques to characterize and describe the networks. These data will be combined with data from a funded project to explore the impact of social networks on uptake and use of feedback reports. In this parent study, feedback reports using standardized resident assessment data are distributed on a monthly basis. Surveys are administered to assess report uptake. In the proposed project, we will collect data on social networks, analyzing the data using graphical and quantitative techniques. We will combine the social network data with survey data to assess the influence of social networks on uptake of feedback reports. Discussion This study will contribute to understanding mechanisms for knowledge sharing among staff on units to permit more efficient and effective intervention design. A growing number of studies in the social network literature suggest that social networks can be studied not only as influences on knowledge translation, but also as possible mechanisms for fostering knowledge translation. This study will contribute to building

  8. A survey of system architecture requirements for health care-based wireless sensor networks.

    Science.gov (United States)

    Egbogah, Emeka E; Fapojuwo, Abraham O

    2011-01-01

    Wireless Sensor Networks (WSNs) have emerged as a viable technology for a vast number of applications, including health care applications. To best support these health care applications, WSN technology can be adopted for the design of practical Health Care WSNs (HCWSNs) that support the key system architecture requirements of reliable communication, node mobility support, multicast technology, energy efficiency, and the timely delivery of data. Work in the literature mostly focuses on the physical design of the HCWSNs (e.g., wearable sensors, in vivo embedded sensors, et cetera). However, work towards enhancing the communication layers (i.e., routing, medium access control, et cetera) to improve HCWSN performance is largely lacking. In this paper, the information gleaned from an extensive literature survey is shared in an effort to fortify the knowledge base for the communication aspect of HCWSNs. We highlight the major currently existing prototype HCWSNs and also provide the details of their routing protocol characteristics. We also explore the current state of the art in medium access control (MAC) protocols for WSNs, for the purpose of seeking an energy efficient solution that is robust to mobility and delivers data in a timely fashion. Furthermore, we review a number of reliable transport layer protocols, including a network coding based protocol from the literature, that are potentially suitable for delivering end-to-end reliability of data transmitted in HCWSNs. We identify the advantages and disadvantages of the reviewed MAC, routing, and transport layer protocols as they pertain to the design and implementation of a HCWSN. The findings from this literature survey will serve as a useful foundation for designing a reliable HCWSN and also contribute to the development and evaluation of protocols for improving the performance of future HCWSNs. Open issues that required further investigations are highlighted.

  9. A Survey of System Architecture Requirements for Health Care-Based Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Abraham O. Fapojuwo

    2011-05-01

    Full Text Available Wireless Sensor Networks (WSNs have emerged as a viable technology for a vast number of applications, including health care applications. To best support these health care applications, WSN technology can be adopted for the design of practical Health Care WSNs (HCWSNs that support the key system architecture requirements of reliable communication, node mobility support, multicast technology, energy efficiency, and the timely delivery of data. Work in the literature mostly focuses on the physical design of the HCWSNs (e.g., wearable sensors, in vivo embedded sensors, et cetera. However, work towards enhancing the communication layers (i.e., routing, medium access control, et cetera to improve HCWSN performance is largely lacking. In this paper, the information gleaned from an extensive literature survey is shared in an effort to fortify the knowledge base for the communication aspect of HCWSNs. We highlight the major currently existing prototype HCWSNs and also provide the details of their routing protocol characteristics. We also explore the current state of the art in medium access control (MAC protocols for WSNs, for the purpose of seeking an energy efficient solution that is robust to mobility and delivers data in a timely fashion. Furthermore, we review a number of reliable transport layer protocols, including a network coding based protocol from the literature, that are potentially suitable for delivering end-to-end reliability of data transmitted in HCWSNs. We identify the advantages and disadvantages of the reviewed MAC, routing, and transport layer protocols as they pertain to the design and implementation of a HCWSN. The findings from this literature survey will serve as a useful foundation for designing a reliable HCWSN and also contribute to the development and evaluation of protocols for improving the performance of future HCWSNs. Open issues that required further investigations are highlighted.

  10. COMMUNICA TION NETWORK FOR TELEMEDICINE Debretsion G ...

    African Journals Online (AJOL)

    (3) continuing medical education and (4) Training the medical ... Telemedicine system consists of at least five major subsystems. [l,4]. ... and wire-line (optical network) telecommunication facilities .... An ATM network needs certain traffic control.

  11. Customer churn analysis in telecommunication sector

    OpenAIRE

    Şimşek Gürsoy, Umman Tuğba

    2010-01-01

    Data mining is used to analyze mass databases for having meaningful output. One of the most common applications of the data mining, which is called as Churn Analysis is used to predict behavior of customers who are most likely to change provided service, and to create special marketing tools for them. The aim of this paper is to determine customers who want to churn, and to create specific campaigns to them by using a customer data of a major telecommunication firm in Turkey. To determine the...

  12. Strategic organization of it and telecommunication services

    Directory of Open Access Journals (Sweden)

    Braduţan, S.

    2012-01-01

    Full Text Available The accelerated development of the world services trade fostered the concerns of marketing theorists and practitioners regarding the development of new strategies for adapting existing strategies in order to enhance the beneficial effects at the economic and social level of international transactions. Successful companies in the services sector have a precise, clear, competitive strategy. With a clearly outlined strategy, managers can more easily accept or reject certain initiatives and providers know how to serve customers better. Our study highlights the theories about the strategies in services. Some modalities for organizing IT and telecommunication service delivery are also exemplified.

  13. Silicon photonics for telecommunications and biomedicine

    CERN Document Server

    Fathpour, Sasan

    2011-01-01

    Given silicon's versatile material properties, use of low-cost silicon photonics continues to move beyond light-speed data transmission through fiber-optic cables and computer chips. Its application has also evolved from the device to the integrated-system level. A timely overview of this impressive growth, Silicon Photonics for Telecommunications and Biomedicine summarizes state-of-the-art developments in a wide range of areas, including optical communications, wireless technologies, and biomedical applications of silicon photonics. With contributions from world experts, this reference guides

  14. Problems of state adjustment the telecommunications industry

    Directory of Open Access Journals (Sweden)

    Tregub Ilona Vladimirovna

    2015-08-01

    Full Text Available The paper presents the mechanism of state adjustment of the telecommunications industry companies, providing the additional mobile services (VAS-services, by determining the optimal rates of tax and non-tax payments to the budget. Method is based on the approach of A. Laffer, who showed the possibility of existence an optimal tax rate, which provides, on the one hand, the maximum flow of funds in the budget, on the other hand, preserves the incentives of entrepreneurship. In the present paper, we study the dependence of revenues to the Reserve Fund on the size of the contribution rate and the coefficient of profitability of enterprises providing VAS-services.

  15. Telecommunications at the crossroads in India

    Directory of Open Access Journals (Sweden)

    Subhashish Gupta

    2015-09-01

    Full Text Available The telecommunications sector is going through an interesting phase in its evolution. Cellular mobile service providers have been at the root of the massive expansion in the number of subscribers and usage. Since last year the pace of growth has slowed down and it is increasingly clear that revenues from voice services alone will not be sufficient. The action has now moved to data. In fact, mobile service providers have seen a rapid increase in their revenues from data. Data, however, is more complex than voice. The key challenges are explored here.

  16. ATCA for Machines-- Advanced Telecommunications Computing Architecture

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, R.S.; /SLAC

    2008-04-22

    The Advanced Telecommunications Computing Architecture is a new industry open standard for electronics instrument modules and shelves being evaluated for the International Linear Collider (ILC). It is the first industrial standard designed for High Availability (HA). ILC availability simulations have shown clearly that the capabilities of ATCA are needed in order to achieve acceptable integrated luminosity. The ATCA architecture looks attractive for beam instruments and detector applications as well. This paper provides an overview of ongoing R&D including application of HA principles to power electronics systems.

  17. Quantum electronics for atomic physics and telecommunication

    CERN Document Server

    Nagourney, Warren G

    2014-01-01

    Nagourney provides a course in quantum electronics for researchers in atomic physics and other related areas (including telecommunications). The book covers the usual topics, such as Gaussian beams, optical cavities, lasers, non-linear optics, modulation techniques and fibre optics, but also includes a number of areas not usually found in a textbook on quantum electronics, such as the enhancement of non-linear processes in a build-up cavity or periodically poled waveguide, impedance matching into a cavity and astigmatism in ring cavities.

  18. ATCA for Machines-- Advanced Telecommunications Computing Architecture

    International Nuclear Information System (INIS)

    Larsen, R

    2008-01-01

    The Advanced Telecommunications Computing Architecture is a new industry open standard for electronics instrument modules and shelves being evaluated for the International Linear Collider (ILC). It is the first industrial standard designed for High Availability (HA). ILC availability simulations have shown clearly that the capabilities of ATCA are needed in order to achieve acceptable integrated luminosity. The ATCA architecture looks attractive for beam instruments and detector applications as well. This paper provides an overview of ongoing R and D including application of HA principles to power electronics systems

  19. Benchmarking in Identifying Priority Directions of Development of Telecommunication Operators

    Directory of Open Access Journals (Sweden)

    Zaharchenko Lolita A.

    2013-12-01

    Full Text Available The article analyses evolution of development and possibilities of application of benchmarking in the telecommunication sphere. It studies essence of benchmarking on the basis of generalisation of approaches of different scientists to definition of this notion. In order to improve activity of telecommunication operators, the article identifies the benchmarking technology and main factors, that determine success of the operator in the modern market economy, and the mechanism of benchmarking and component stages of carrying out benchmarking by a telecommunication operator. It analyses the telecommunication market and identifies dynamics of its development and tendencies of change of the composition of telecommunication operators and providers. Having generalised the existing experience of benchmarking application, the article identifies main types of benchmarking of telecommunication operators by the following features: by the level of conduct of (branch, inter-branch and international benchmarking; by relation to participation in the conduct (competitive and joint; and with respect to the enterprise environment (internal and external.

  20. [Optimising care structures for severe hand trauma and replantation and chances of launching a national network].

    Science.gov (United States)

    Haas, E M; Volkmer, E; Holzbach, T; Wallmichrath, J; Engelhardt, T O; Giunta, R E

    2013-12-01

    Severe hand traumata have a significant impact on our health system and on insurance companies, respectively. It is estimated that 33% of all occupational injuries and 9% of all invalidity pensions are due to severe hand trauma. Unfortunately, these high numbers are not only due to the severity of the trauma but to organisational deficiencies. Usually, the patient is treated at the general surgical emergency in the first place and only then forwarded to a microsurgeon. This redirection increases the time that is required for the patient to finally arrive at an expert for hand surgery. On the one hand, this problem can be explained by the population's lack of awareness for distinguished experts for hand and microsurgery, on the other hand, the emergency network, or emergency doctors in particular are not well informed about where to take a patient with a severe hand trauma - clearly a problem of communication between the hospitals and the ambulance. It is possible to tackle this problem, but put participating hand trauma centres have to work hand in hand as a network and thus exploit synergy effects. The French system "FESUM" is a good example for such a network and even comprises centres in Belgium and Switzerland. To improve the treatment of severe hand trauma, a similar alliance was initiated in Germany just recently. The pilot project "Hand Trauma Alliance" (www.handverletzung.com) was started in April 2013 and currently comprises two hospitals within the region of upper Bavaria. The network provides hand trauma replantation service on a 24/7 basis and aims at shortening the way from the accident site to the fully qualified hand surgeon, to improve the therapy of severe hand injuries and to optimise acute patient care in general. In order to further increase the alliance's impact it is intended to extend the project's scope from regional to national coverage - nevertheless, such an endeavour can only be done in collaboration with the German Society for Hand

  1. Evolving the Convergence of Telecommunication and TV Services over NGN

    Directory of Open Access Journals (Sweden)

    Adel Al-Hezmi

    2008-01-01

    Full Text Available The convergence of telecommunication, cable TV, and broadcast networks towards the Internet technology will enable the provision of emerging multimedia services as well as the integration of rich communication capabilities with TV services. However, enabling efficient delivery of interactive personalized multimedia services with mobility support requires an advanced overlay control framework. The IP Multimedia Subsystem (IMS offers the basic functions to manage multimedia sessions over different access networks. This paper outlines current standardization activities that address the provisioning of TV services over IP networks—known as IPTV—and proposes a novel end-to-end overall architecture based on IMS that enables the delivery of converged multimedia services. Furthermore, the paper presents the FOKUS Media Interoperability Lab as a reference implementation of this framework which covers a widespread spectrum of converged interactive scenarios. The final section gives an impression of the system performance by providing the end-to-end signaling delay of a session setup for live TV service delivered over unicast transmission mode.

  2. Telecommunications (Interception and Access) and Its Regulation in Arab Countries

    OpenAIRE

    Kiswani, Nazzal

    2010-01-01

    Telecommunication has been a necessity in all countries this century. Communication has always been an essential part of our lives, education, family relations, business, government and other organizational activities. As telecommunication technology has advanced, so has the need for the interception of telecommunications and access by law enforcement authorities. In addition, lawful interception and the way it is performed have played an important role in the effectiveness of the monitoring ...

  3. Implementation of the Quality Management System in the telecommunications companies

    OpenAIRE

    Menshikova Ekaterina; Khazanov Oleg; Styazhkin Mark

    2016-01-01

    This article describes the advantages of the implementing of the quality management system based on ISO 9001 in the telecommunications companies. The stages of the implementation of the quality management system in the telecommunications companies are discussed. The map of the main process and criteria of processes is developed. The expediency of implementing the quality management system based on the requirements of ISO 9001 in Telecommunications is showed.

  4. Telecommunication industry in Thailand as potential market for Abloy Oy

    OpenAIRE

    Hoffrén, Jenna

    2015-01-01

    The commission company made a decision to proceed with a market research about telecommunication industry in Thailand as a potential market. The telecommunication industry is fast growing and demanding market around the world. In several Asian countries, such as in Malaysia and Singapore, government has regulated that data protection on private and public data must be secured by telecommunication providers. There are many reasons which can cost major issues and damage for connections and for ...

  5. Telecommunications as a means to access health information: an exploratory study of migrants in Australia

    Directory of Open Access Journals (Sweden)

    Louise Greenstock

    2012-10-01

    Full Text Available Background. Health policies increasingly promote e-health developments (e.g., consumers’ access to online health information to engage patients in the health care. In order to make these developments available for culturally and socially diverse communities, not only do Internet accessibility, literacy and e-health literacy need to be taken into account, but consumers’ preferences and information seeking behaviours for accessing health information have also to be understood. These considerations are crucial when designing major new health policy directions, especially for migration destination countries with culturally diverse populations, such as Australia. The aim of this study was to examine how people from a culturally and linguistically diverse (CALD community use telecommunications (phone, mobile, Internet to access health information. Design and Methods. A case study was conducted using a questionnaire exploring the use of telecommunications to access health information among CALD people. The study was carried out at a community health centre in a socially and economically disadvantaged area of Melbourne, a city of 4 million people with a large CALD and migrant population. Questionnaires were translated into three languages and interpreters were provided. Fifty-nine questionnaires were completed by users of the community health centre. Results. Most of the CALD participants did not have access to the Internet at home and very few reported using telecommunications to access health information. Conclusions. The findings of the study suggest that telecommunications are not necessarily perceived to be an important channel for accessing health information by members of the CALD community.

  6. Telecommunications as a means to access health information: an exploratory study of migrants in australia.

    Science.gov (United States)

    Greenstock, Louise; Woodward-Kron, Robyn; Fraser, Catriona; Bingham, Amie; Naccarella, Lucio; Elliott, Kristine; Morris, Michal

    2012-12-28

    Health policies increasingly promote e-health developments (e.g., consumers' access to online health information) to engage patients in their health care. In order to make these developments available for culturally and socially diverse communities, not only do Internet accessibility, literacy and e-health literacy need to be taken into account, but consumers' preferences and information seeking behaviours for accessing health information have also to be understood. These considerations are crucial when designing major new health policy directions, especially for migration destination countries with culturally diverse populations, such as Australia. The aim of this study was to examine how people from a culturally and linguistically diverse (CALD) community use telecommunications (phone, mobile, Internet) to access health information. A case study was conducted using a questionnaire exploring the use of telecommunications to access health information among CALD people. The study was carried out at a community health centre in a socially and economically disadvantaged area of Melbourne, a city of 4 million people with a large CALD and migrant population. Questionnaires were translated into three languages and interpreters were provided. Fifty-nine questionnaires were completed by users of the community health centre. Most of the CALD participants did not have access to the Internet at home and very few reported using telecommunications to access health information. The findings of the study suggest that telecommunications are not necessarily perceived to be an important channel for accessing health information by members of the CALD community.

  7. Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study.

    Science.gov (United States)

    Schepman, Sanneke; Valentijn, Pim; Bruijnzeels, Marc; Maaijen, Marlies; de Bakker, Dinny; Batenburg, Ronald; de Bont, Antoinette

    2018-06-07

    The need for organisational development in primary care has increased as it is accepted as a means of curbing rising costs and responding to demographic transitions. It is only within such inter-organisational networks that small-scale practices can offer treatment to complex patients and continuity of care. The aim of this paper is to explore, through the experience of professionals and patients, whether, and how, project management and network governance can improve the outcomes of projects which promote inter-organisational collaboration in primary care. This paper describes a study of projects aimed at improving inter-organisational collaboration in Dutch primary care. The projects' success in project management and network governance was monitored by interviewing project leaders and board members on the one hand, and improvement in the collaboration by surveying professionals and patients on the other. Both qualitative and quantitative methods were applied to assess the projects. These were analysed, finally, using multi-level models in order to account for the variation in the projects, professionals and patients. Successful network governance was associated positively with the professionals' satisfaction with the collaboration; but not with improvements in the quality of care as experienced by patients. Neither patients nor professionals perceived successful project management as associated with the outcomes of the collaboration projects. This study shows that network governance in particular makes a difference to the outcomes of inter-organisational collaboration in primary care. However, project management is not a predictor for successful inter-organisational collaboration in primary care.

  8. Fire protection for telecommunications central offices

    International Nuclear Information System (INIS)

    McKenna, L.A. Jr.

    1990-01-01

    The provision of continuous, uninterrupted telecommunications service is vital to modern life. In order to provide uninterrupted service to customers, a service continuity program has been in place with AT and T for many years. This program integrates many different protection strategies and plans, each designed to mitigate one of the many threats to service continuity. The fire protection program implemented within AT and T is a part of this service continuity program. In the design of this program, a number of unusual problems had to be addressed due to the service continuity requirements. Typical solutions to fire protection problems (ignition prevention, detection, and suppression) which are embodied in building and fire prevention codes are inadequate to provide service continuity. This presentation outlines the basic arrangement of a telecommunications central office, the specific fire protection problems encountered, the fire protection philosophy developed through the use of a systems approach, and the implementation of the fire protection program. Special emphasis is placed on the strategies employed in lieu of more traditional fire protection schemes and the stimuli for selecting them

  9. Protected interoperability of telecommunications and digital products

    Science.gov (United States)

    Hampel, Viktor E.; Cartier, Gene N.; Craft, James P.

    1994-11-01

    New federal standards for the protection of sensitive data now make it possible to ensure the authenticity, integrity and confidentiality of digital products, and non-repudiation of digital telecommunications. Under review and comment since 1991, the new Federal standards were confirmed this year and provide standard means for the protection of voice and data communications from accidental and wilful abuse. The standards are initially tailored to protect only `sensitive-but-unclassified' (SBU) data in compliance with the Computer Security Act of 1987. These data represent the majority of transactions in electronic commerce, including sensitive procurement information, trade secrets, financial data, product definitions, and company-proprietary information classified as `intellectual property.' Harmonization of the new standards with international requirements is in progress. In the United States, the confirmation of the basic standards marks the beginning of a long-range program to assure discretionary and mandatory access controls to digital resources. Upwards compatibility into the classified domain with multi-level security is a core requirement of the National Information Infrastructure. In this report we review the powerful capabilities of standard Public-Key-Cryptology, the availability of commercial and Federal products for data protection, and make recommendations for their cost-effective use to assure reliable telecommunications and process controls.

  10. IMPLEMENTATION DRIVERS FOR BPR AT SIEMENS TELECOMMUNICATIONS

    Directory of Open Access Journals (Sweden)

    C.C. Koorts

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: With the embracing of neV'( management philosophies or redesigned processes, it is becoming a popular opinion that often the practical problem lies with the implementation of the new concept, rather than with the concept itself. By focussing on certain generic critical actions, chances of successful implementation increases for any new philosophy or re-engineered process. This article discusses such critical success actions, or implementation drivers as experience in a BPR project at Siemens Telecommunications.

    AFRIKAANSE OPSOMMING: 'n Gewilde siening ten opsigte van die bekendstelling van nuwe bestuursfilosofiee, of implementering van herontwerpde prosesse, is dat die probleem gewoonlik Ie by die implementering daarvan, eerder as by die beginsels van die bestuursfilosofie wat geimplementeer word . Deur op generies kritieke faktore te konsentreer, kan die kanse op suksesvolle implementering van bykans enige bestuursfilosofie of herontwerpde proses verbeter word. Hierdie artikel bespreek sulke kritieke sukses aksies, of implementeringsdrywers, aan die hand van 'n gevallestudie soos ervaar in 'n BPR projek by Siemens Telecommunications.

  11. Remote diagnosis via a telecommunication satellite--ultrasonic tomographic image transmission experiments.

    Science.gov (United States)

    Nakajima, I; Inokuchi, S; Tajima, T; Takahashi, T

    1985-04-01

    An experiment to transmit ultrasonic tomographic section images required for remote medical diagnosis and care was conducted using the mobile telecommunication satellite OSCAR-10. The images received showed the intestinal condition of a patient incapable of verbal communication, however the image screen had a fairly coarse particle structure. On the basis of these experiments, were considered as the transmission of ultrasonic tomographic images extremely effective in remote diagnosis.

  12. Translations on Telecommunications Policy, Research and Development, Number 49

    National Research Council Canada - National Science Library

    1978-01-01

    This serial report contains translations from the world press and radio relating to worldwide political, economic and technical developments in telecommunications, computers, and satellite communications...

  13. Translations on Telecommunications Policy, Research and Development No. 48

    National Research Council Canada - National Science Library

    1978-01-01

    This serial report contains translations from the world press and radio relating to worldwide political, economic and technical developments in telecommunications, computers, and satellite communications...

  14. Translations on Telecommunications Policy, Research and Development, Number 53

    National Research Council Canada - National Science Library

    1978-01-01

    This serial report contains translations from the world press and radio relating to worldwide political, economic and technical developments in telecommunications, computers, and satellite communications...

  15. Worldwide Report, Telecommunications Policy, Research and Development, No. 236

    National Research Council Canada - National Science Library

    1982-01-01

    This report contains information concerning the telecommunications policy, research and development of the following countries: (1) Australia, (2) Argentina, (3) Madagascar, (4) South Africa, (5) Zaire, (6...

  16. CULTURAL INFLUENCES ON PRE-PAY MOBILE TELECOMMUNICATIONS SERVICES USERS

    Directory of Open Access Journals (Sweden)

    Georgeta-Madalina MEGHISAN

    2015-06-01

    Full Text Available Purpose: The purpose of this research paper is to identify the preferences of the pre-pay mobile telecommunications services young users from Romania. Approach/ methodology: The analysis of the pre-pay mobile telecommunications services was made using statistical functions: descriptive statistics, t test, correlation and factor analysis. Results: According to the analysis made, we could underline the habits of usage from the part of pre-pay mobile telecommunications services consumers. Originality: The paper drew an objective analysis on the pre-pay mobile telecommunications services from the perspective of young consumers.

  17. Telecommunications technology and rural education in the United States

    Science.gov (United States)

    Perrine, J. R.

    1975-01-01

    The rural sector of the US is examined from the point of view of whether telecommunications technology can augment the development of rural education. Migratory farm workers and American Indians were the target groups which were examined as examples of groups with special needs in rural areas. The general rural population and the target groups were examined to identify problems and to ascertain specific educational needs. Educational projects utilizing telecommunications technology in target group settings were discussed. Large scale regional ATS-6 satellite-based experimental educational telecommunications projects were described. Costs and organizational factors were also examined for large scale rural telecommunications projects.

  18. Protocol for a thematic synthesis to identify key themes and messages from a palliative care research network.

    LENUS (Irish Health Repository)

    Nicholson, Emma

    2016-10-21

    Research networks that facilitate collaborative research are increasing both regionally and globally and such collaborations contribute greatly to knowledge transfer particularly in health research. The Palliative Care Research Network is an Irish-based network that seeks to create opportunities and engender a collaborative environment to encourage innovative research that is relevant for policy and practice. The current review outlines a methodology to identify cross-cutting messages to identify how dissemination outputs can be optimized to ensure that key messages from this research reaches all knowledge users.

  19. RAICS AS ADVANCED CLOUD BACKUP TECHNOLOGY IN TELECOMMUNICATION NETWORKS

    OpenAIRE

    Luntovskyy, Andriy; Vasyutynskyy, Volodymyr; Spillner, Josef

    2014-01-01

    Data crashes can cause unpredictable and even hard-out effects for an enterprise or authority. Backup strategies as antidote uni-fy a complex of organizational and technical measures that are necessary for data restoring, processing and transfer as well as for data security and defense against its loss, crash and tampering. High-performance modern Internet allows delivery of back-up functions and is complemented by attractive (mobile) services with a Quality of Service comparable to that in L...

  20. Cuban Telecommunications, Computer Networking, and U.S. Policy Implications,

    Science.gov (United States)

    1996-07-01

    Informacion para la Prensa Federacion de Mujeres Cubanas Grupo para la Educacion sobre el SIDA Instituto Superior Latinoamericano de Ajedrez...DIR) Informacion sobre Medio Ambiente (DIR) Medicina Alternativa (DIR) Servicio Especial de la Mujer (DIR) Eventos Internacionales (DIR

  1. 47 CFR 54.519 - State telecommunications networks.

    Science.gov (United States)

    2010-10-01

    ... § 54.502) on behalf of eligible schools and libraries (as described in § 54.501) or consortia that... providing such services to eligible schools, libraries, and consortia including those entities. [63 FR 2131... (CONTINUED) UNIVERSAL SERVICE Universal Service Support for Schools and Libraries § 54.519 State...

  2. As redes de atenção à saúde Health care networks

    Directory of Open Access Journals (Sweden)

    Eugênio Vilaça Mendes

    2010-08-01

    system of healthcare practice, with the implantation of health care networks. The conclusion is that there are evidences in the international literature on health care networks that these networks may improve the clinical quality, the sanitation results and the user's satisfaction and the reduction of healthcare systems costs.

  3. Co-Designing a Collaborative Chronic Care Network (C3N) for Inflammatory Bowel Disease: Development of Methods

    Science.gov (United States)

    Dellal, George; Peterson, Laura E; Provost, Lloyd; Gloor, Peter A; Fore, David Livingstone; Margolis, Peter A

    2018-01-01

    Background Our health care system fails to deliver necessary results, and incremental system improvements will not deliver needed change. Learning health systems (LHSs) are seen as a means to accelerate outcomes, improve care delivery, and further clinical research; yet, few such systems exist. We describe the process of codesigning, with all relevant stakeholders, an approach for creating a collaborative chronic care network (C3N), a peer-produced networked LHS. Objective The objective of this study was to report the methods used, with a diverse group of stakeholders, to translate the idea of a C3N to a set of actionable next steps. Methods The setting was ImproveCareNow, an improvement network for pediatric inflammatory bowel disease. In collaboration with patients and families, clinicians, researchers, social scientists, technologists, and designers, C3N leaders used a modified idealized design process to develop a design for a C3N. Results Over 100 people participated in the design process that resulted in (1) an overall concept design for the ImproveCareNow C3N, (2) a logic model for bringing about this system, and (3) 13 potential innovations likely to increase awareness and agency, make it easier to collect and share information, and to enhance collaboration that could be tested collectively to bring about the C3N. Conclusions We demonstrate methods that resulted in a design that has the potential to transform the chronic care system into an LHS. PMID:29472173

  4. "Wan Kanyakla" (We are together): Community transformations in Kenya following a social network intervention for HIV care.

    Science.gov (United States)

    Salmen, Charles R; Hickey, Matthew D; Fiorella, Kathryn J; Omollo, Dan; Ouma, Gor; Zoughbie, Daniel; Salmen, Marcus R; Magerenge, Richard; Tessler, Robert; Campbell, Harold; Geng, Elvin; Gandhi, Monica; Bukusi, Elizabeth A; Cohen, Craig R

    2015-12-01

    In sub-Saharan Africa, failure to initiate and sustain HIV treatment contributes to significant health, psychosocial, and economic impacts that burden not only infected individuals but diverse members of their social networks. Yet, due to intense stigma, the responsibility for managing lifelong HIV treatment rests solely, and often secretly, with infected individuals. We introduce the concept of "HIV risk induction" to suggest that social networks of infected individuals share a vested interest in improving long-term engagement with HIV care, and may represent an underutilized resource for improving HIV/AIDS outcomes within high prevalence populations. In 2012, we implemented a 'microclinic' intervention to promote social network engagement in HIV/AIDS care and treatment. A microclinic is a therapy management collective comprised of a small group of neighbors, relatives, and friends who are trained as a team to provide psychosocial and adherence support for HIV-infected members. Our study population included 369 patients on ART and members of their social networks on Mfangano Island, Kenya, where HIV prevalence approaches 30%. Here we report qualitative data from 18 focus group discussions conducted with microclinic participants (n = 82), community health workers (n = 40), and local program staff (n = 39). Participants reported widespread acceptability and enthusiasm for the microclinic intervention. Responses highlight four overlapping community transformations regarding HIV care and treatment, namely (1) enhanced HIV treatment literacy (2) reduction in HIV stigma, (3) improved atmosphere for HIV status disclosure and (4) improved material and psychosocial support for HIV-infected patients. Despite challenges, participants describe an emerging sense of "collective responsibility" for treatment among HIV-infected and HIV-uninfected members of social networks. The lived experiences and community transformations highlighted by participants enrolled in this social

  5. Drivers Act behind Forming Strategic Alliances between Large and Small Players- The Case of Small Players in the Telecommunication Industry

    OpenAIRE

    Sultana, Kazi Afroza

    2016-01-01

    Background: Strategic alliances enable businesses to gain competitive advantage by providing access to the each other s resources which can be utilized to ensure the business profitability of the firms in the alliance. Telecommunication industry is dominated by large players, such as Mobile Network Operators. In contrary, comparatively small players, such as Mobile Virtual Network Operators, are struggling to sustain themselves in the business. Although a lot of literature is present on strat...

  6. [Regional geriatric care concept in the District of Lippe : Structural effects and network formation in the case management-based model project].

    Science.gov (United States)

    Şahin, Charlotte; Iseringhausen, Olaf; Hower, Kira; Liebe, Constanze; Rethmeier-Hanke, Anja; Wedmann, Bernd

    2018-04-01

    Regional planning of healthcare requires special consideration for the complex needs of elderly, multimorbid people living in a domestic environment. In the District of Lippe, a hospital (Klinikum Lippe) and network of ambulatory care physicians (Ärztenetz Lippe) developed and tested a geriatric care network based on case management for geriatric patients living in a domestic environment. The establishment of the geriatric care network (e.g. promoting networking acceptance and implementation) was formatively evaluated, e. g. with qualitative methods. Data were acquired by guideline-based interviews with experts and analyzed by qualitative content analysis according to Mayring. Structural effects included forming a cross-sectoral and interdisciplinary network for a functioning care network and a geriatric care pathway. The practical work of case managers (CM) is essential for communication with patients, family members and care providers as well as integrating providers into the network. A critical factor was working together with general practitioners and the close cooperation with the hospital's department of geriatric. The quality of care is improved because of exchange of information between sectors and continuity in the course of care. In the District of Lippe the quality of care was improved and structures of care were integrated by the network according to the needs of the target group. The integrative perspective was achieved in particular by the geriatric care pathway and integration of providers into the communication and care process; however, the scope of this care model could not be extended into routine care due to the rigid and subdivided health care system.

  7. Enabling Remote Health-Caring Utilizing IoT Concept over LTE-Femtocell Networks.

    Science.gov (United States)

    Hindia, M N; Rahman, T A; Ojukwu, H; Hanafi, E B; Fattouh, A

    2016-01-01

    As the enterprise of the "Internet of Things" is rapidly gaining widespread acceptance, sensors are being deployed in an unrestrained manner around the world to make efficient use of this new technological evolution. A recent survey has shown that sensor deployments over the past decade have increased significantly and has predicted an upsurge in the future growth rate. In health-care services, for instance, sensors are used as a key technology to enable Internet of Things oriented health-care monitoring systems. In this paper, we have proposed a two-stage fundamental approach to facilitate the implementation of such a system. In the first stage, sensors promptly gather together the particle measurements of an android application. Then, in the second stage, the collected data are sent over a Femto-LTE network following a new scheduling technique. The proposed scheduling strategy is used to send the data according to the application's priority. The efficiency of the proposed technique is demonstrated by comparing it with that of well-known algorithms, namely, proportional fairness and exponential proportional fairness.

  8. Enabling Remote Health-Caring Utilizing IoT Concept over LTE-Femtocell Networks

    Science.gov (United States)

    Hindia, M. N.; Rahman, T. A.; Ojukwu, H.; Hanafi, E. B.; Fattouh, A.

    2016-01-01

    As the enterprise of the “Internet of Things” is rapidly gaining widespread acceptance, sensors are being deployed in an unrestrained manner around the world to make efficient use of this new technological evolution. A recent survey has shown that sensor deployments over the past decade have increased significantly and has predicted an upsurge in the future growth rate. In health-care services, for instance, sensors are used as a key technology to enable Internet of Things oriented health-care monitoring systems. In this paper, we have proposed a two-stage fundamental approach to facilitate the implementation of such a system. In the first stage, sensors promptly gather together the particle measurements of an android application. Then, in the second stage, the collected data are sent over a Femto-LTE network following a new scheduling technique. The proposed scheduling strategy is used to send the data according to the application’s priority. The efficiency of the proposed technique is demonstrated by comparing it with that of well-known algorithms, namely, proportional fairness and exponential proportional fairness. PMID:27152423

  9. Medication incidents in primary care medicine: a prospective study in the Swiss Sentinel Surveillance Network (Sentinella).

    Science.gov (United States)

    Gnädinger, Markus; Conen, Dieter; Herzig, Lilli; Puhan, Milo A; Staehelin, Alfred; Zoller, Marco; Ceschi, Alessandro

    2017-07-26

    To describe the type, frequency, seasonal and regional distribution of medication incidents in primary care in Switzerland and to elucidate possible risk factors for medication incidents. Prospective surveillance study. Swiss primary healthcare, Swiss Sentinel Surveillance Network. Patients with drug treatment who experienced any erroneous event related to the medication process and interfering with normal treatment course, as judged by their physician. The 180 physicians in the study were general practitioners or paediatricians participating in the Swiss Federal Sentinel reporting system in 2015. Primary: medication incidents; secondary: potential risk factors like age, gender, polymedication, morbidity, care-dependency, previous hospitalisation. The mean rates of detected medication incidents were 2.07 per general practitioner per year (46.5 per 1 00 000 contacts) and 0.15 per paediatrician per year (2.8 per 1 00 000 contacts), respectively. The following factors were associated with medication incidents (OR, 95% CI): higher age 1.004 per year (1.001; 1.006), care by community nurse 1.458 (1.025; 2.073) and care by an institution 1.802 (1.399; 2.323), chronic conditions 1.052 (1.029; 1.075) per condition, medications 1.052 (1.030; 1.074) per medication, as well as Thurgau Morbidity Index for stage 4: 1.292 (1.004; 1.662), stage 5: 1.420 (1.078; 1.868) and stage 6: 1.680 (1.178; 2.396), respectively. Most cases were linked to an incorrect dosage for a given patient, while prescription of an erroneous medication was the second most common error. Medication incidents are common in adult primary care, whereas they rarely occur in paediatrics. Older and multimorbid patients are at a particularly high risk for medication incidents. Reasons for medication incidents are diverse but often seem to be linked to communication problems. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No

  10. Network survivability performance

    Science.gov (United States)

    1993-11-01

    This technical report has been developed to address the survivability of telecommunications networks including services. It responds to the need for a common understanding of, and assessment techniques for network survivability, availability, integrity, and reliability. It provides a basis for designing and operating telecommunications networks to user expectations for network survivability and a foundation for continuing industry activities in the subject area. This report focuses on the survivability of both public and private networks and covers a wide range of users. Two frameworks are established for quantifying and categorizing service outages, and for classifying network survivability techniques and measures. The performance of the network survivability techniques is considered; however, recommended objectives are not established for network survivability performance.

  11. Laying the Groundwork: Lessons Learned from the Telecommunications Industry for Distributed Generation; Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Wise, A. L.

    2008-05-01

    The telecommunications industry went through growing pains in the past that hold some interesting lessons for the growing distributed generation (DG) industry. The technology shifts and stakeholders involved with the historic market transformation of the telecommunications sector mirror similar factors involved in distributed generation today. An examination of these factors may inform best practices when approaching the conduits necessary to accelerate the shifting of our nation's energy system to cleaner forms of generation and use. From a technical perspective, the telecom industry in the 1990s saw a shift from highly centralized systems that had no capacity for adaptation to highly adaptive, distributed network systems. From a management perspective, the industry shifted from small, private-company structures to big, capital-intensive corporations. This presentation will explore potential correlation and outline the lessons that we can take away from this comparison.

  12. Robustness Analysis of Real Network Topologies Under Multiple Failure Scenarios

    DEFF Research Database (Denmark)

    Manzano, M.; Marzo, J. L.; Calle, E.

    2012-01-01

    on topological characteristics. Recently approaches also consider the services supported by such networks. In this paper we carry out a robustness analysis of five real backbone telecommunication networks under defined multiple failure scenarios, taking into account the consequences of the loss of established......Nowadays the ubiquity of telecommunication networks, which underpin and fulfill key aspects of modern day living, is taken for granted. Significant large-scale failures have occurred in the last years affecting telecommunication networks. Traditionally, network robustness analysis has been focused...... connections. Results show which networks are more robust in response to a specific type of failure....

  13. Telecommunication economics - summary on the dagstuhl perspectives seminar no. 08043

    NARCIS (Netherlands)

    Hammainen, Heikki; Chen, Hong; Pras, Aiko; Huitema, George; Waldburger, Martin; Hausheer, David; Antoniadis, Panayotis; Reichl, Peter; Kubasik, Jerzy; Stiller, Burkhard

    2008-01-01

    The telecommunications sector and the Internet section of Internet Service Providers (ISP) have become a dynamic key area for the economic development of industrialized nations in the world. It is in constant evolution. Because of intense competition, telecommunications companies and ISPs are forced

  14. Telecommunications in Foreign Language Education: A Resource List. ERIC Digest.

    Science.gov (United States)

    Krause, Julie

    Foreign language and bilingual educators are in the unique position of being able to bring the world to their classrooms via the telecommunications technologies. Telecommunication is electronic communication over long distances by means of an online computer service, a telephone, a television, a satellite, or other long distance technologies. This…

  15. Telecommunication and Access to Information in Rural Areas of ...

    African Journals Online (AJOL)

    One major reason for this has been the differential access to telecommunication infrastructure between the rural and urban areas. The realization of this has prompted many governments in developing countries to extend telecommunication infrastructure to their rural areas. However, relatively little is known about the impact ...

  16. Liberalisation of the Nigerian telecommunication sector: a critical ...

    African Journals Online (AJOL)

    After over a century, the Nigeria telecommunication sector was partially and fully liberalized in 1992 and 1999 respectively. How these liberalizations have impacted on the telecommunication sector, consumers and the economy at large is the focus of this paper. The research is largely library and archive based. Secondary ...

  17. 77 FR 1039 - Internet-Based Telecommunications Relay Service Numbering

    Science.gov (United States)

    2012-01-09

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 64 [WC Docket No. 10-191; Report No. 2939] Internet... toll-free numbers by users of Internet- based Telecommunications Relay Services (iTRS). DATES... any rules of particular applicability. Subject: Internet-Based Telecommunications Relay Service...

  18. Telecommunications: key impulse for the electric company of the future

    International Nuclear Information System (INIS)

    Jimenez Sanchez, Raul

    1999-01-01

    The paper is about the future of the telecommunications, which go together to the context of the global economy, in that the frontiers didn't represent obstacle for the development of the economic activity; the telecommunications, are profiled like a new form of producing goods and services of making business

  19. Telecommunications Law Reform. 1980, 96th Congress, 2nd Session.

    Science.gov (United States)

    American Enterprise Inst. for Public Policy Research, Washington, DC.

    Arguments for and against the major legislative proposals pertaining to the reform of the nonbroadcast part of the nation's telecommunications law which are pending before the 96th Congress are analyzed. Background information is given regarding (1) the structure of the domestic telecommunications industry, (2) the regulatory authority which…

  20. Primary care team communication networks, team climate, quality of care, and medical costs for patients with diabetes: A cross-sectional study.

    Science.gov (United States)

    Mundt, Marlon P; Agneessens, Filip; Tuan, Wen-Jan; Zakletskaia, Larissa I; Kamnetz, Sandra A; Gilchrist, Valerie J

    2016-06-01

    Primary care teams play an important role in providing the best quality of care to patients with diabetes. Little evidence is available on how team communication networks and team climate contribute to high quality diabetes care. To determine whether primary care team communication and team climate are associated with health outcomes, health care utilization, and associated costs for patients with diabetes. A cross-sectional survey of primary care team members collected information on frequency of communication with other care team members about patient care and on team climate. Patient outcomes (glycemic, cholesterol, and blood pressure control, urgent care visits, emergency department visits, hospital visit days, medical costs) in the past 12 months for team diabetes patient panels were extracted from the electronic health record. The data were analyzed using nested (clinic/team/patient) generalized linear mixed modeling. 155 health professionals at 6 U.S. primary care clinics participated from May through December 2013. Primary care teams with a greater number of daily face-to-face communication ties among team members were associated with 52% (rate ratio=0.48, 95% CI: 0.22, 0.94) fewer hospital days and US$1220 (95% CI: -US$2416, -US$24) lower health-care costs per team diabetes patient in the past 12 months. In contrast, for each additional registered nurse (RN) who reported frequent daily face-to-face communication about patient care with the primary care practitioner (PCP), team diabetes patients had less-controlled HbA1c (Odds ratio=0.83, 95% CI: 0.66, 0.99), increased hospital days (RR=1.57, 95% CI: 1.10, 2.03), and higher healthcare costs (β=US$877, 95% CI: US$42, US$1713). Shared team vision, a measure of team climate, significantly mediated the relationship between team communication and patient outcomes. Primary care teams which relied on frequent daily face-to-face communication among more team members, and had a single RN communicating patient care