A Comparative Study of 4G and VoLTE

This research paper provides an insight into the comparison between VoLTE and 4G. 4G Wireless Systems or Fourth generation wireless system is a packet switched wireless system with wide area coverage and high throughput. It is designed to be cost effective and to provide high spectral efficiency. VoLTE (voice over LTE) supports voice calls over 4G LTE network. With advanced VoLTE technology, the 4G network now provides high-speed data services, high-quality voice and video calls at affordable price. This paper first presents the challenges and benefits of both 4G and VoLTE and then compares them with consideration of different points. Keywords: GSM, LTE, VoLTE, 3G, HSPA, RAN

An Interdisciplinary Dashboard to Streamline Medication Processing at Patient Discharge: A Quality Improvement Initiative

ABSTRACT Introduction The purpose of this quality improvement project was to develop and evaluate the use of an electronic medication request dashboard to reduce the amount of time required for medication processing and decrease time lost to workflow interruptions during patient discharge. Delayed discharges are associated with increased health care costs and adverse patient outcomes. Processing of medication requests at discharge contributes to these delays and to workflow interruptions for nursing and pharmacy staff at the project site. Electronic dashboards have been successfully implemented in multiple medical settings to streamline patient processing and enhance communication. Materials and Methods The Human Protections Office at Carl R. Darnall Army Medical Center (Fort Hood, TX) reviewed and approved the project with a non-human research determination. A multi-disciplinary workgroup with representatives from nursing, pharmacy, and health information technology (HIT) was formed to develop the dashboard. Based on a logic flow diagram of the desired communication, HIT created a medication request form and status dashboard using SharePoint and Nintex workflows. The dashboard was implemented for a 30-day pilot on a 25-bed medical/surgical nursing unit. The time required for medication processing, the time from discharge order to patient exit, the number of phone calls between nursing and pharmacy, and the usability of the medication request process were measured before and after implementation. The results were analyzed with descriptive statistics and evaluated for statistical significance with a P value ≤.05. Results With implementation of the dashboard, the average medication processing time decreased from 125 minutes to 48 minutes (P < .0001), and the average patient discharge time decreased from 137 minutes to 117 minutes (P = .002). The usability score of the medication request process increased from 40 to 87 for nursing (P < .0001) and from 62 to 85 for pharmacy (P = .003). The total number of voice calls between nursing and pharmacy decreased from 1,115 to 434, while the total time on voice calls decreased from 33 hours and 50 minutes to 13 hours and 19 minutes (P < .0001). Conclusions The electronic dashboard is an effective method to enhance interdisciplinary communication during patient discharge and significantly reduces medication processing times. However, despite the medication processing time decreasing by over an hour, the discharge time only decreased by 20 minutes. Additional investigation is needed to evaluate other contributors to delayed discharge. A key limitation of this study was the convenience sampling used over a 30-day pilot on a single unit. The process has since been adopted by the entire hospital, and additional analysis could better reveal the impact to the organization. This communication system shows high usability and reduces phone call interruptions for both nursing and pharmacy staff. Additionally, this technology could easily be applied to other communication pathways or request processes across military medicine.

Gambaran Penggunaan Teknologi Informasi Kesehatan Pada Pasien Tuberkulosis Paru

Long treatment for tuberculosis, which is 6 months, often makes patients feel bored and forgets to take medicine and causes non-compliance. The development of increasingly high use of smartphones, along with the use of information technology in health, especially for tuberculosis patients, makes many things accessible to patients. By using smartphones, the patients can access the MHealth application, DCC (Drugs Consumption Calendar), SMS gateway, voice calls, and video calls which provide health information and care for tuberculosis patients. It also can make patients obedient to taking medication to increase the TB cure rate. To describe the use of health information technology in pulmonary tuberculosis patients. The design of this study used a literature review of five articles from the PubMed database and Google Scholar. The instrument critical appraisal in this research used Strobe. There were 791 tuberculosis patients (76%) who used information technology in the form of mobile phones. The types of information used included Short Massage Service (SMS) (31% or 246 patients), using the telephone (17.4% or 221 tuberculosis patients), and using video calls (25, 1% or 199 patients). The health information. generally, were a schedule for taking medication and control, reminder to take medication, reporting if there were side effects that occur during treatment, prevention, transmission, food, and patient diet and counseling. The use of health information technology is very helpful in the treatment of TB patients starting from text messages, video calls, and voice calls to improve medication adherence in tuberculosis patients.Keywords: Mobile Health App, SMS, Tuberculosis, Information Technologv, Video Call AbstrakPengobatan tuberkulosis yang lama yaitu 6 bulan sering membuat pasien jenuh dan lupa untuk meminum obat serta menimbulkan ketidak patuhan. Perkembangan pengunaan smartphone yang semakin tinggi, diiringi dengan teknologi informasi dalam kesehatan khususnya pada pasien tuberculosis mulai banyak bermunculan yang dapat diakses menggunakan smartphone diantaranya adalah aplikasi M-Health, DCC (Drugs Consumption Calender), SMS gateway, pangilan suara, video call yang dapat memberikan informasi kesehatan serta perawatan bagi pasien tuberkulosis dan dapat membuat pasien TB patuh minum obat sehingga meningkatkan angka kesembuhan TB. Untuk mengetahui gambaran pengunaan teknologi informasi kesehatan pada pasien tuberculosis paru. Desain penelitian ini menggunakan literature review terhadap lima artikel dari data database PubMed dan Google Scholarinstrument critical appraisal penelitian ini menggunakan Strobe. Sebanyak 791 pasien tuberkulosis (76%) menggunakan teknologi informasi berupa handphone. Jenis informasi yang digunakan antara lain Short Massage Service (SMS) 246 pasien tuberkulosis (31%), penggunaan telefon 221 atau (17,4 %) pasien tuberkulosis, dan yang menggunkan video call sebanyak 199 pasien tuberculosis paru (25,1%). Informasi kesehatan yang diperoleh dari masing-masing artikel umumnya berisi jadwal pengambilan obat dan kontrol, menginggatkan minum obat, melaporkan jika ada efek samping yang timbul pada saat pengobatan, pencegahan, penularan, makanan dan diet pasien serta penyuluhan.Pengunaan teknologi informasi kesehatan sangat membantu dalam pengobatan pasien TB mulai dari pesanteks, pangilan video dan pangilan suara meningkatkan kepatuhan pengobatan pada pasien Tuberkulosis.Kata kunci: Mobile Health App; SMS, Tuberkulosis; Teknologi Informasi; Video Call

Smart Real-Time Recommendation of Mobile Services

In this paper, a new vision is presented for highly personalized, customized, and contextualized real-time recommendation of services to mobile users (consumers) by considering the current consumer-, network-, and service context. A smart service recommendation system is elaborated, which builds up and dynamically manages personal profiles of consumers, aiming to facilitate and optimize the service discovery and recommendation process, in support of consumers’ choices, thereby achieving the best quality of experience (QoE) as perceived by those consumers when utilizing different mobile services. The algorithm-driven recommended mobile services, accessible anytime-anywhere-anyhow through any kind of mobile devices via heterogeneous wireless access networks, range from typical telecommunication services (e.g., outgoing voice calls) to Internet services (e.g., multimedia streaming). These algorithms also may be further enriched by their being adapted and expanded to cover more sophisticated services such as helping the consumer’s health and security needs, an example being the finding (with subsequent dynamic changing, if required) of the most 'healthy' or 'secure' driving/biking/jogging/walking route to follow so as to avoid areas posing particular, consumer-specific, health or safety risk.

Long-distance texting: Text messaging is linked with higher relationship satisfaction in long-distance relationships

Due to the widespread use of smartphones, romantic couples can connect with their partners from virtually anywhere, at any time. Remote communication may be particularly important to long-distance relationships (LDRs), compared to geographically close relationships (GCRs). The goals of the current research were to examine differences between LDRs and GCRs in (1) the patterns of remote communication (video calls, voice calls, and texting), and (2) how frequency and responsiveness of remote communication are related to relationship satisfaction. Data were drawn from an online survey of emerging adults ( n = 647) who were in a relationship or dating someone (36.5% were in an LDR). Participants in LDRs engaged in more frequent video calling, voice calling and texting, compared to those in GCRs. Long-distance relationship participants also perceived their partners to be more responsive during video and voice calls, compared to GCR participants. More frequent and responsive texting predicted significantly greater relationship satisfaction among participants in LDRs, but not GCRs. Meanwhile, frequency of voice calls was associated with greater relationship satisfaction in GCRs, but not in LDRs. The use of video calls was not significantly related to relationship satisfaction in either group. Overall, study findings add to a growing literature on remote communication in romantic couples and suggest a uniquely positive role of texting within LDRs. Further research is needed to examine the ways in which LDR and GCR couples can best capitalize on different forms of remote technology to maintain their relationships during periods of separation.

The Impact of Healthcare Traffic Over H2H and M2M Networks During the Spread Phase of Pandemic Diseases

Recently, the coronavirus pandemic has caused widespread panic around the world. Modern technologies can be used to monitor and control this highly contagious disease. A plausible solution is to equip each patient who is diagnosed with or suspected of having COVID-19 with sensors that can monitor various healthcare and location parameters and report them to the desired facility to control the spread of the disease. However, the simultaneous communication of numerous sensors installed in the majority of an area’s population results in a huge burden on existing Long-Term Evolution (LTE) networks. The existing network becomes oversaturated because it has to manage two kinds of traffic in addition to normal traffic (text, voice, and video): healthcare traffic generated by a large number of sensors deployed over a huge population, and extra traffic generated by people contacting their family members via video or voice calls. In pandemics, e-healthcare traffic is critical and should not suffer packet loss or latency due to network overload. In this research, we studied the performance of existing networks under various conditions and predicted the severity of network degradation in an emergency. We proposed and evaluated three schemes (doubling bandwidth, combining LTE-A and LTE-M networks, and request queuing) for ensuring quality of service (QoS) of healthcare sensor (HCS) network traffic without perturbation from routine human-to-human or machine-to-machine communications. Finally, we simulated all proposed schemes and compared them with existing network scenarios. The results have showed that when we have doubled the bandwidth the SCR of all traffic was 100% as same as the Queue strategy. However, when we prioritized the HCS traffic the SCR has recorded 100%, while H2H and M2M traffic has recorded 73%. When we used hybrid network LTE-A and LTE-M network, the HCS and H2H traffic has recorded 100% and M2M traffic has recorded 70%. After analyzing the results, we conclude that our proposed queuing schemes performed well in all conditions and provide the best QoS for HCS traffic.

FENOMENOLOGI KOMUNIKASI TERAPEUTIK FAMILY CAREGIVER KOMUNITAS PEDULI SKIZOFRENIA INDONESIA (KPSI)

Therapeutic communication has an important role to help the recovery process of People With Schizophrenia (ODS) who have symptoms of hallucinations and delusions that can lead to a tendency to have difficulty communicating to withdraw from the social environment. Therapeutic communication is a form of communication aimed at the therapeutic process and patient healing. Phenomenology is used as a method and therapeutic communication as a theory in this study. The data collection method was carried out through online interviews using WhatsApp voice calls to 6 ODS family caregiver informants. The results of this study indicate that the experience of therapeutic communication carried out by family caregivers in the form of interpersonal communication can help the ODS awareness process regarding schizophrenia as indicated by ODS' willingness to take medication regularly, as well as communication in the form of showing acceptance, listening carefully, and emotional regulation when communicating with ODS can provide appropriate treatment when ODS has relapse symptoms so that it can help the process of developing ODS.