VoIP Based Tele-medicine Call Center–Issues, Challenges and Proposed Solution

2015 ◽  
Vol 74 (1) ◽  
Author(s):  
Ishtiak Al Mamoon ◽  
A. K. M Muzahidul Islam ◽  
Sabariah Baharun

In recent years, medical call centers have started using IP telephony services to minimize the overhead telecom expenses. However, the advent of Voice-Over-IP (VoIP) technology has also created a major discontinuity in telecommunication sector due to illegal VoIP or gray calls, causing a great impact on the voice market. This brought few challenges to the countries’ regulatory bodies. In this paper, we spell out one of the key challenges: in order to mitigate illegal VoIP calls, whether the regulatory body should allow IP telephony to be practiced for both domestic and international voice driven tele-medical consultation  center operation combined or separately. We propose architecture and schemes for a medical call center. We also propose some guidelines and/or policies for both call center operator and the telecom regulatory authority. The proposed architecture and schemes are implemented in a pilot project basis in two phases and the test bed result is presented in this article.

Law and World ◽  
2021 ◽  
Vol 7 (5) ◽  
pp. 47-59

This paper examines various laws governing telecommunication installations in Nigeria with a view to addressing the perceived shortcomings in the laws. While the National Environmental Standards Regulatory and Enforcement Agency Act (NESREA Act) and the National Communications Commission (NCC Act) have been enacted to solve the problems associated with the effects of telecommunication mast installation in public places, the outcome of these laws seem inadequate for failure to provide effective means of enforcing same. The study considered the provisions of NESREA Act which is the principal Law enacted for ensuring that environ- mental standards are maintained and protected in Nigeria and the provisions of NCC Act which is the law that establishes the principal body which regulates telecommunication installations in Nigeria as well as other legislations. While NESREA in its Regulation provided for a setback of 10 metres, the NCC Act provided for a setback of 5 metres, which often conflicts and put victims at disadvantage and also conflict between the two regulatory bodies. It was observed that serious environmental hazards are linked to installation of tele- communication masts within/close to residential premises. Among these are leukemia, cancer, cracks on the buildings, pollution, such as water, land and air. The problems also include telecommunication masts falling on buildings and sometimes death due to sub- standard materials used in the installation as against the stated standard by the controlling regulatory bodies.


Author(s):  
Stephen E. Armah

This chapter investigates the possibility of anti-competitive behavior in the Ghana telecommunication sector and determines exploratorily if there is a need for the enactment of anti-trust laws to protect social welfare. The chapter first evaluates the available relevant literature on the subject, assesses the current situation, evaluates the current market structure, and identifies how market power is affecting consumer welfare. Reviews of available literature and secondary data were conducted to establish the relevant conditions for the applicability of such a law. Next, primary data was collected from stakeholders to solicit views on the impact of market structure on pricing and the need for anti-trust laws. Results suggest the Ghana telecommunication sector is open to “cartelization,” which can result in different forms of price collusion despite the existence of a state regulatory body (The National Communications Authority, NCA). The study highlights the Ghanaian consumers' susceptibility to unfair marketing practices due to the possible absence of pertinent anti-trust legislation.


Author(s):  
Ali Kassim ◽  
Alex Culley ◽  
Shawn McGuire

The City of Ottawa has been investigating design solutions to facilitate the addition of cycling facilities, while maintaining parking, to roadways with limited right-of-ways. A pilot project to install advisory bike lanes was initiated. The purpose of this study is to determine how new pavement markings (advisory bike lanes) influence cyclist and motorist interactions and positioning, especially with respect to the distance between motorists and cyclists when passing. The study presents a before–after evaluation of two contrasting pavement indications. Video data were collected in two phases (pre- and post- treatment); each phase consisted of two different days. A number of safety performance parameters were used to assess whether safer conditions existed after the new treatment was installed: (i) the lateral distance between the motor vehicle and cyclist, (ii) the lateral distance between the cyclist and curbside edge/cyclist and buffer edge line, and (iii) the speed of the cyclist and motor vehicle. The findings indicate that the advisory bike lanes created more favorable conditions for cyclist safety and for motor vehicle compliance. These findings are (i) motorists passed cyclists with a greater lateral separation distance, (ii) cyclists positioned themselves further from parking edge line and rode in the middle of the bike lane, (iii) motor vehicle traveling speed decreased (the 85th percentile speed decreased by 5.2% after the installation of the advisory bike lane), and (iv) average cyclist speed increased (the average cyclist speed increased by 7.7% after the installation of the advisory bike lane).


2019 ◽  
Vol 1 (3) ◽  
pp. 30-40
Author(s):  
Mariana del Rocío Corona Delgado ◽  
Rogelio Álvarez Menese

La investigación se realizó siguiendo un enfoque cuantitativo-cualitativo, teniendo como objetivo, la valoración de las características y hábitos vocales en profesores de la Universidad de Colima, determinar el interés por aprender más acerca del uso y cuidado de la herramienta vocal y mejorar las habilidades vocales de los docentes, con el fin de colaborar en la toma de conciencia en cuanto a la importancia de la buena utilización de la voz en el aula. La metodología incluye dos fases; en la primera se realizó una encuesta de valoración y un análisis estadístico de resultados, en la segunda, se implementó un taller vocal en respuesta a los resultados del análisis, dicho taller arrojó datos importantes acerca de la necesidad de ampliar el tema del buen uso y cuidado de la principal herramienta de trabajo del docente. Abstract The research was carried out following a quantitative-qualitative approach, aiming at the evaluation of the characteristics and vocal habits in professors of the University of Colima, to determine the interest to learn more about the use and care of the Vocal tool and improve the vocal skills of teachers, in order to collaborate in the awareness of the importance of the good use of the voice in the classroom. The methodology includes two phases; In the first one, a survey of valuation and a statistical analysis of results was carried out, in the second, a vocal workshop was implemented in response to the results of the analysis, this workshop threw important data about the need to broaden the topic of the good use and Care of the teacher's main work tool.


Author(s):  
Sara Takahashi ◽  
Kiyotaka Iwasaki ◽  
Haruki Shirato ◽  
Mami Ho ◽  
Mitsuo Umezu

Abstract Further development of medical devices for children is required in Japan, but the development of such devices is delayed compared to that of medical devices for adults. Herein, we investigated policies for advancing the development of pediatric medical devices in Japan and the United States. Considering the achievements of each policy, we proposed a strategy to promote further development of pediatric medical devices in Japan. We investigated policies for supporting the development of pediatric medical devices and approved cases in Japan and the United States by searching contents of websites of regulatory bodies and other related administrations, and scientific papers. We found the main six policies in Japan and nine main policies in the United States for the development of pediatric medical devices. In the United States, various measures have initiated mainly in the 2000s, while in Japan, the main measures have been in place since 2013. Similarities were found in both countries, such as subsidies for application fees and research and development expenses, exemption of requirements for regulatory approval, and priority review and consultation by the regulatory body. Our study revealed that there are similarities in initiatives by both countries. To promote further development of pediatric medical devices in the future, improvements to expediting the review process to approval by the regulatory body, global development, and implementation of alternative measures to ensure the efficacy and safety of the device instead of large-scale clinical trials should be anticipated through cooperation among industry, government, and academia.


Author(s):  
Ana Goulart ◽  
Anna Zacchi ◽  
Bharath Chintapatla ◽  
Walt Magnussen

The technology used in citizen-to-authority emergency calls is based on traditional telephony, that is, circuit-switched systems. However, new standards and protocols are being developed by the Internet Engineering Task Force (IETF) to allow emergency communications over packet switched networks, such as the Internet. This architecture is known as Next Generation-9-1-1 (NG-911). In this paper, the authors present lessons learned from experiments on the IETF standard called Location to Service Translation protocol (LoST). LoST maps the user’s location to the address of the emergency call center that serves that location. After implementing the standards in a test-bed with real-world systems, spatial databases, and communication networks, the authors observed performance issues that users may experience. Based on their observations, the authors propose practical ideas to improve the performance of the NG-911 system and LoST protocol operation for mobile users.


Author(s):  
H. Sayuti ◽  
R. A. Rashid ◽  
N. M. Abdul Latiff ◽  
M. R. Abdul Rahim ◽  
A. H. F. Abdul Hamid ◽  
...  

This paper presents a Smart Home and Ambient Assisted Living (SHAAL) system that has been developed and tested in a real experimental home environment. SHAAL system is designed on wireless sensor network (WSN) linked to the cloud network on the Internet. The development of SHAAL is divided into two phases: the design of SHAAL network and the development of SHAAL applications. SHAAL network is made up of the home network which is the WSN, and the cloud network. The network is designed using TelG mote that operates under Zigbee technology and includes various sensor modules for SHAAL system. The cloud network consists of the gateway, the server and user devices running on third generation (3G) network. Using priority scheduling algorithm for data transmission, it is shown that the performance delay of this system on the test-bed experiment is 34.2 percent less compared to the theoretical study. The implementation of the experimental testbed has proven that SHAAL has been successfully designed and deployed in the real world.


2016 ◽  
Vol 117 (5/6) ◽  
pp. 343-359 ◽  
Author(s):  
Chinwe V. Anunobi ◽  
Scholastica Ukwoma

Purpose The purpose of this study was to determine the information literacy trends, challenges and opportunities in Nigerian universities, With focus on its characteristics; content and adequacy for students’ information literacy development and lifelong learning. The effort to ensure that university students are empowered to acquire the competences needed for all round education and lifelong learning has been the primary focus of the university curriculum. University regulatory body in Nigeria emphasised the need to provide students with a study plan which provides them with capacity to locate information resources, access, evaluate and use them in legally acceptable manner. The programme is differently captioned with varying contents. With evolving approach to literacy, this study was designed to determine whether the programme has evolved from use of library education to information literacy or still at its traditional mode. Design/methodology/approach Descriptive survey research method was adopted for the study. The population consists of federal and state university libraries in Nigeria. The characteristics, content and adequacy of the programme as offered in Nigerian universities was the measure to determine the type of literacy. Questionnaire derived from literature and personal experience was designed to elicit information. A copy of the questionnaire was sent to each university that constituted the sample of the study by mail and telephone interviews were given to the heads of the sampled libraries. Findings It was discovered that majority of the universities studied were yet to consolidate the library literacy programme offered in their universities. Hence, the provision of information literacy content is yet to be realised in Nigerian universities. Practical implications There should be constant evaluation and monitoring of the programme by the regulatory bodies to ensure that the programme is reviewed at the appropriate time and that they also abide to the minimum standard. Originality/value For the effective implementation of programme to reflect the current development in research and information sourcing, retrieval and use; collaboration in content development as well as teaching between faculty and library; increasing or splitting the programme content to accommodate first year and higher level undergraduates, the regulatory bodies like Librarians’ Registration Council of Nigeria should ensure constant evaluation of the programme.


2017 ◽  
Vol 56 (03) ◽  
pp. 200-208 ◽  
Author(s):  
Ling Zheng ◽  
Yehoshua Perl ◽  
Michael Halper ◽  
Sherri de Coronado ◽  
Christopher Ochs ◽  
...  

SummaryObjectives: Ontologies are knowledge structures that lend support to many health-information systems. A study is carried out to assess the quality of ontological concepts based on a measure of their complexity. The results show a relation between complexity of concepts and error rates of concepts.Methods: A measure of lateral complexity defined as the number of exhibited role types is used to distinguish between more complex and simpler concepts. Using a framework called an area taxonomy, a kind of abstraction network that summarizes the structural organization of an ontology, concepts are divided into two groups along these lines. Various concepts from each group are then subjected to a two-phase QA analysis to uncover and verify errors and inconsistencies in their modeling. A hierarchy of the National Cancer Institute thesaurus (NCIt) is used as our test- bed. A hypothesis pertaining to the expected error rates of the complex and simple concepts is tested.Results: Our study was done on the NCIt’s Biological Process hierarchy. Various errors, including missing roles, incorrect role targets, and incorrectly assigned roles, were discovered and verified in the two phases of our QA analysis. The overall findings confirmed our hypothesis by showing a statistically significant difference between the amounts of errors exhibited by more laterally complex concepts vis-à-vis simpler concepts.Conclusions: QA is an essential part of any ontology’s maintenance regimen. In this paper, we reported on the results of a QA study targeting two groups of ontology concepts distinguished by their level of complexity, defined in terms of the number of exhibited role types. The study was carried out on a major component of an important ontology, the NCIt. The findings suggest that more complex concepts tend to have a higher error rate than simpler concepts. These findings can be utilized to guide ongoing efforts in ontology QA.


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