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. 2010:2010:536237.
doi: 10.1155/2010/536237. Epub 2010 May 11.

Arogyasree: an enhanced grid-based approach to mobile telemedicine

Affiliations

Arogyasree: an enhanced grid-based approach to mobile telemedicine

Sriram Kailasam et al. Int J Telemed Appl. 2010.

Abstract

A typical telemedicine system involves a small set of hospitals providing remote healthcare services to a small section of the society using dedicated nodal centers. However, in developing nations like India where majority live in rural areas that lack specialist care, we envision the need for much larger Internet-based telemedicine systems that would enable a large pool of doctors and hospitals to collectively provide healthcare services to entire populations. We propose a scalable, Internet-based P2P architecture for telemedicine integrating multiple hospitals, mobile medical specialists, and rural mobile units. This system, based on the store and forward model, features a distributed context-aware scheduler for providing timely and location-aware telemedicine services. Other features like zone-based overlay structure and persistent object space abstraction make the system efficient and easy to use. Lastly, the system uses the existing internet infrastructure and supports mobility at doctor and patient ends.

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Figures

Figure 1
Figure 1
Life cycle of a patient request in Arogyasree.
Figure 2
Figure 2
Architecture of telemedicine grid.
Figure 3
Figure 3
Overlay structure.
Figure 4
Figure 4
Structure of patient and treatment profiles, request object.
Figure 5
Figure 5
Hierarchy of specialists for heart ailment.
Figure 6
Figure 6
Realizing global space within and across zones.
Figure 7
Figure 7
(a) Average delay (ms) versus number of parallel requests for centralized and grid scenarios, (b) requests drop (%) versus number of parallel requests for centralized and grid scenarios.
Figure 8
Figure 8
Response time (ms) for fetching patient history in a grid of size 20.
Figure 9
Figure 9
Response time (ms) for interzonal requests.

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