On-demand synchronous audio video telemedicine visits are cost effective

2019 ◽  
Vol 37 (5) ◽  
pp. 890-894 ◽  
Author(s):  
Garrison Nord ◽  
Kristin L. Rising ◽  
Roger A. Band ◽  
Brendan G. Carr ◽  
Judd E. Hollander
Keyword(s):  
Cost Effective ◽  
On Demand ◽  
Audio Video

scholarly journals A Physician’s Perspective on What Works (and Doesn’t) for Telemedicine

2018 ◽  
Vol 1 (4) ◽  
Author(s):  
Timothy Porter
Keyword(s):  
Patient Satisfaction ◽  
Cost Effective ◽  
Standard Of Care ◽  
Increase Patient Satisfaction ◽  
On Demand ◽  
What Works ◽  
Physician’S Perspective

No abstract available. Editor’s note: As patients start to demand access to telemedicine,1 it is imperative for physicians to understand how to make these types of appointments available in their practice. Without telemedicine adoption as a standard of care, physicians run the risk of losing patients to on-demand telemedicine organizations. Through telemedicine, not only do patients get a more convenient and cost-effective experience, providers have the opportunity to grow their practice and increase patient satisfaction. In this article, Dr. Timothy Porter, a community pediatrician in Chicago, shares his perspective.

DESIGN AND DEVELOPMENT OF REGENERATIVE DAMPERS

2022 ◽  
Vol 2 (1) ◽  
pp. 406-410
Author(s):  
Aditya Singh ◽  
Manish Thakur ◽  
Akshat shah ◽  
Neerake Bajaj ◽  
Hardik Taneja ◽  
...  
Keyword(s):  
Magnetic Flux ◽  
Electric Vehicle ◽  
Feedback Loop ◽  
Mechanical Energy ◽  
Cost Effective ◽  
The Other ◽  
Minimal Cost ◽  
Cost Increase ◽  
Suspension Systems ◽  
On Demand

Each and every automobile in service or being developed in the industry is benchmarked on the basis of its efficiency in running real conditions. So in our project here we have tried to develop a complete new damper and spring setup which can be used in all sorts of suspension systems and in turn provides a feedback loop of voltage which can then be used charge the batteries and upscale the efficiency of bikes by (5-6)% & and for HUV or Sedans by (2-4)% (can even go higher) depending on the terrain. In this setup we harness the mechanical energy into electrical where earlier it was left as heat and vibrational losses. This setup is as cost effective as the earlier dampers where as providing an efficient output in minimal cost increase due to its novelty. The other Features include Electronic height adjustment & on demand suspension softness or stiffness. Keywords: Dampers, Automobile, Electromagnet, EV (Electric vehicle), Voltage, Magnetic flux, Suspension

Towards an Effective QoS On Demand Multicast Routing Protocol for Multi-Channel Multi Interface WMNs

2014 ◽  
Vol 10 (4) ◽  
pp. 1-20
Author(s):  
H. Santhi ◽  
N. Jaisankar
Keyword(s):  
Routing Protocol ◽  
Single Channel ◽  
Multicast Routing ◽  
Mesh Networks ◽  
Cost Effective ◽  
Path Selection ◽  
Wireless Internet ◽  
On Demand ◽  
Wireless Mesh ◽  
Multicast Routing Protocol

Wireless Mesh Networks (WMNs) is becoming an emerging paradigm, due to its simple and cost effective deployment, and increased growth in popularity for the next generation wireless Internet. Unlike the single channel, it is challenging to provision a robust multicasting by means of multi-channel and multi-interface WMNs. Therefore, in order to tackle the multicast issues, a high-quality path selection and channel assignment are essential. The proposed Quality of Service – On Demand Multichannel Multicast Routing Protocol (QoS- ODMMRP) includes merged path selection and top-down channel tuning mechanism to support multi-channel and multi-interface WMNs. Thus, the proposed work reduces the number of transmissions and increases the communication throughput efficiently.

scholarly journals Cost-effective Analysis of Proton Pump Inhibitors in Long-term Management of Gastroesophageal Reflux Disease: A Narrative Review

2019 ◽  
Vol 55 (5) ◽  
pp. 292-305
Author(s):  
Shazia Jamshed ◽  
Akshaya Srikanth Bhagavathula ◽  
Sheikh Muhammad Zeeshan Qadar ◽  
Umaira Alauddin ◽  
Sana Shamim ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Gastroesophageal Reflux Disease ◽  
Cost Effective ◽  
The Other ◽  
Cost Effectiveness Ratio ◽  
On Demand ◽  
Step Down ◽  
The Cost ◽  
Term Management

Background: Gastroesophageal reflux disease (GERD) is a common gastrointestinal disorder that results from regurgitation of acid from the stomach into the esophagus. Treatment available for GERD includes lifestyle changes, antacids, histamine-2 receptor antagonists (H2RAs), proton pump inhibitors (PPIs), and anti-reflux surgery. Aim: The aim of this review is to assess the cost-effectiveness of the use of PPIs in the long-term management of patients with GERD. Method: We searched in PubMed to identify related original articles with close consideration based on inclusion and exclusion criteria to choose the best studies for this narrative review. The first section compares the cost-effectiveness of PPIs with H2RAs in long-term heartburn management. The other sections shall only discuss the cost-effectiveness of PPIs in 5 different strategies, namely, continuous (step-up, step-down, and maintenance), on-demand, and intermittent therapies. Results: Of 55 articles published, 10 studies published from 2000 to 2015 were included. Overall, PPIs are more effective in relieving heartburn in comparison with ranitidine. The use of PPIs in managing heartburn in long-term consumption of nonsteroidal anti-inflammatory drug (NSAID) has higher cost compared with H2RA. However, if the decision-maker is willing to pay more than US$174 788.60 per extra quality-adjusted life year (QALY), then the optimal strategy is traditional NSAID (tNSAID) and PPIs. The probability of being cost-effective was also highest for NSAID and PPI co-therapy users. On-demand PPI treatment strategy showed dominant with an incremental cost-effectiveness ratio of US$2197 per QALY gained and was most effective and cost saving compared with all the other treatments. The average cost-effectiveness ratio was lower for rabeprazole therapy than for ranitidine therapy. Conclusion: Our review revealed that long-term treatment with PPIs is effective but costly. To achieve long-term cost-effective approach, we recommend on-demand approach to treat heartburn symptoms, but if the symptoms persist, treatment with continuous step-down therapy should be applied.

scholarly journals Cost-Effective Edge Server Placement in Wireless Metropolitan Area Networks

Sensors ◽  
2018 ◽  
Vol 19 (1) ◽  
pp. 32 ◽  
Author(s):  
Feng Zeng ◽  
Yongzheng Ren ◽  
Xiaoheng Deng ◽  
Wenjia Li
Keyword(s):  
Metropolitan Area ◽  
Dominating Set ◽  
Cost Effective ◽  
Mobile Users ◽  
Metropolitan Area Networks ◽  
New Paradigm ◽  
Long Distance ◽  
On Demand ◽  
Wireless Metropolitan Area Networks ◽  
Definition Of

Remote clouds are gradually unable to achieve ultra-low latency to meet the requirements of mobile users because of the intolerable long distance between remote clouds and mobile users and the network congestion caused by the tremendous number of users. Mobile edge computing, a new paradigm, has been proposed to mitigate aforementioned effects. Existing studies mostly assume the edge servers have been deployed properly and they just pay attention to how to minimize the delay between edge servers and mobile users. In this paper, considering the practical environment, we investigate how to deploy edge servers effectively and economically in wireless metropolitan area networks. Thus, we address the problem of minimizing the number of edge servers while ensuring some QoS requirements. Aiming at more consistence with a generalized condition, we extend the definition of the dominating set, and transform the addressed problem into the minimum dominating set problem in graph theory. In addition, two conditions are considered for the capacities of edge servers: one is that the capacities of edge servers can be configured on demand, and the other is that all the edge servers have the same capacities. For the on-demand condition, a greedy based algorithm is proposed to find the solution, and the key idea is to iteratively choose nodes that can connect as many other nodes as possible under the delay, degree and cluster size constraints. Furthermore, a simulated annealing based approach is given for global optimization. For the second condition, a greedy based algorithm is also proposed to satisfy the capacity constraint of edge servers and minimize the number of edge servers simultaneously. The simulation results show that the proposed algorithms are feasible.

scholarly journals VIRTUAL CIRCUITS THAT MAY BE �PERMANENT� TO MAKE M-BANKING APPLICATION AS A SUCCESS BANDWIDTH MANAGEMENT IS AN IMPORTANT ISSUE FOR ANALYSING VARIABLE SIZED PACKETS AND FRAMES

2015 ◽  
Vol 1 (10) ◽  
pp. 376
Author(s):  
Bhubneshwar Sharma
Keyword(s):  
Data Exchange ◽  
Demand Function ◽  
Cost Effective ◽  
Wireless Atm ◽  
Handover Management ◽  
Bandwidth Management ◽  
Network Location ◽  
On Demand ◽  
Virtual Circuits ◽  
Bandwidth On Demand

ATM provides functionality that is similar to bothcircuit switchingandpacket switchingnetworks: ATM usesasynchronoustime-division multiplexing, and encodes data into small, fixed-sizedpackets(ISO-OSIframes) calledcells.This differs from approaches such as theInternet ProtocolorEthernetthat use variable sized packets and frames. ATM uses aconnection-orientedmodel in which avirtual circuitmust be established between two endpoints before the actual data exchange begins. These virtual circuits may be permanent To make m-banking application a success bandwidth management is an important issue. The increased flexibility and mobility feature of wireless ATM and its bandwidth on demand function is motivating a large number of carriers towards deployment of the WATM networks. But there are certain issues which are required to be addressed in WATM. The issues are cost effective planning of network, location management and handover management

scholarly journals Bandwidth skimming: a technique for cost-effective video on demand

1999 ◽  
Author(s):  
Derek L. Eager ◽  
Mary K. Vernon ◽  
John Zahorjan
Keyword(s):  
Cost Effective ◽  
Video On Demand ◽  
On Demand
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