I want to stay on this discussion of TELEMEDICINE infrastructure having goals of SMART CITIES DEEP STATE authoritarian global corporate fascism being sold by far-right wing global banking 5% freemason/Greek players/pols as LEFT SOCIAL BENEFIT-----as leading to what will be a staging of decline for our 99% WE THE PEOPLE---being progressively pushed to stay inside a home/apartment for one reason or another.
The implication that these HOLOGRAPHIC ROOMS are about making sure public health care is SAFE-----they are watching after all those health employees------is FAKE NEWS---FAKE DATA. What is being installed in MY BUILDING being hard-wired for hyper-illegal surveillance-----embraces ALL THAT IS BAD/EVIL/DEPRAVED of to where these
ONE WORLD ONE TELEMEDICINE/GLOBAL MILITARY CORPORATION PARTNERSHIP will go.
Our US public health structure was killed during CLINTON/BUSH/OBAMA and replaced by global banking OLD WORLD KINGS military health corporations AKA HOSPITALLERS ------which works hand in hand with global private military corporations in attacking PUBLIC HEALTH----
'Tech talk: Video surveillance, holographic rooms and telehealth for the eye
Advanced technologies create a better vision on how to make health care safer
May 17, 2017
Is There An Advantage To Telemedicine and Telehealth?
July 23, 2018 / Vivian McNeil /
Picking up the latest Issue of the AARP Bulletin of July/August 2018, I was intrigued to read about latest news in telehealth or telemedicine. At least ten years ago, before smartphones were the rage, I remember visiting a former neighbor at his mother’s house. He is a doctor living in Israel who practices medicine via computer. At that time, he utilized a program similar to Skype to visit patients in rural America. This was my first introduction to telemedicine. Since then, I have not been updated on this recent phenomena until I read the article in the AARP Bulletin this week.
There are shortages of primary physicians in faraway and rural areas. According to a 2014 analysis, telemedicine is expected to grow annually at a rate of 18.2 percent through 2020. According to AARP, expansion of telemedicine promises to provide high quality medical care for older adults with chronic health conditions that directly affect their mobility. Telemedicine holds considerable hope in providing superior medical care without the bother of commuting to and from appointments by bringing quality medical care directly to the home. Many patients are in favor of telemedicine for numerous reasons. For example, surveillance of patients after they leave the doctors office. Typically, patients are responsible for their own health when they return home from the hospital, outpatient procedure, or medical checkup. If the patient lives far from his or her physician, they may neglect to follow up on a treatment plan. Of course, this can cause serious health issues for the patient. Telemedicine can reduce actual trips to the emergency room in certain instances as well.
Follow up nursing care by visiting nurses is quite time consuming for nurses especially the driving time from one patient to another. Audio and video monitoring can simplify remote health care. Even technological devices such as stethoscopes, blood pressure monitors and thermometers can be used remotely by having bluetooth connectivity. The “visiting” nurse will have more time to spend speaking and educating the patient, resulting in better use of their time which is lost by travel to long-distance patients. In addition, it helps address one of the big healthcare issues in the United States of nursing shortages.
One of the most common technology settings is the two way audio and video teleconferencing equipment. Infrared technology offers a continuous monitoring method for telemedicine candidates. An elderly patient in a nursing home, for example, would not even have to leave his bed or log into the computer by themselves. This is especially beneficial to families of a patient who live far away. Injuries, falls or sickness can be easily detected by such a system offering prompt medical or nursing care for the patient.
Telemedicine saved the life of an infant from Oregon in the following story. Seven month old, MaLea Fox awoke with a fever of 102.4°. Since they were unable to get in touch with the baby’s pediatrician, MaLea was rushed to a local hospital in Seaside. Doctors determined that a virus was to blame after taking a series of tests including blood work. She was sent home and immediately fell asleep. It was hard for her mom to arouse her after sleeping for four hours so her mother took her to a different hospital. Luckily the doctor on duty at Columbia Memorial Hospital, in Astoria ,Oregon, had the intelligence and foresight to consult telemedically with Dr. Jennifer Needle, a pediatric specialist. Dr. Needle examined MaLea via a two-way communication system, a robot-like device at MaLea’s bedside while she sat a a telemedicine computer at Oregon Health & Science University Doernbecher Children’s Hospital. Dr. Needle of Portland, could see the baby’s symptoms, which included a rash and high fever. She was able to check the baby’s vital signs and other pertinent information. She noted that the rash was so intense, “she ended up looking like a burn victim”. MaLea was diagnosed telemedically, with meningococcemia, a life threatening bacterial infection. Dr. Needle recommended having a breathing tube inserted into MaLea’s throat before having her transported by helicopter to Portland. More drama ensued as the helicopter was forced to turn back to Astoria because of fog. It took over six hours to get her to Portland, finally making it by plane. The breathing tube, or incubation fortunately saved her life.
Non-clinicians can retain specialists to help diagnose difficult situations. A hospital chain in Arizona uses a combination of a team of doctors at the hospital with a combination of telemedicine and home-monitoring techniques. These practices reduce unnecessary hospitalizations by an unbelievable 45% causing costs to plummet by a third.
I read an amazing article online written from an NPR program on “All Things Considered” by Emily Foreman ( November 24, 2017), about a doctor in Indiana, who is an addiction specialist. President Trump declared the opioid epidemic a public health emergency and changed regulations to include the allowance of doctors to prescribe addiction medicine without ever seeing the patient in person. Dr. Jay Joshi runs Prestige Clinics in Munster, Indiana. He is a nationally recognized board certified anesthesiologist and fellowship trained interventional spine and pain management physician. Every Tuesday, Dr. Joshi’s patients chat through video with a tele-psychologist who lives 140 miles away.
One of his patients, Elizabeth Hall is a former nurse’s assistant and has been with Dr. Joshi for about a year for treatment of back pain and heroin addiction. She must prove that she is in counseling in order to get reimbursed by her insurance. Since it was difficult for Hall to find a competent counselor in her neighborhood, she chose a tele-psychologist with Dr. Joshi’s recommendation.
One of the insurance companies requirements in Hall’s treatment regiment is for her to use urine tests to determine if she used drugs. Since she unfortunately had taken a dose of heroin the previous week the tests showed up positive in her urinalysis. Dr. Joshi asked her to speak to the tele- psychologist about it. She promised the telephychologist that she will remain clean of drugs. Now because of the failed drug test, Dr. Joshi must intervene before the insurance company cancels her coverage of the Suboxone prescription.
Even though, Dr. Joshi advises his patients to consult with the psychologist remotely, he wants to see his patients in person to prescribe the anti-addiction medication. Dr. Joshi believes that face-to-face interaction allows a trust, and the body language of the patient is important to him as well. By meeting face to face, he can more accurately determine if the patient is taking their medication or selling it.
On February 9, 2018, President Trump signed into law, the Chronic Care Act. This law expands telehealth coverage under Medicare Advantage plans. For example, it will allow nationwide reimbursement for stroke victims and home dialysis treatment. These improvements were added on to the recent ruling by the Centers of Medicare and Medicaid Service to cover telemedical monitoring for the millions of Medicare members with chronic health conditions. This system was recently implemented at the United States Department of Veterans Affairs. U.S war veterans now have the option to communicate with a doctor or have access to a specialist via telehealth.
Some medical scientists envision a future of technology in the medical field as astounding. The medical data of patients will be shared and compared by databases using powerful computer software. In a few decades, implanted devices will reduce the need for traditional doctor’s visits. Potential problems will be identified before they become serious, and the patient himself could be told what to do telemedically. For more complicated issues, the system will alert emergency services. Strokes and heart attacks could be virtually eliminated and ambulances and emergency hospital rooms will concentrate on accident victims only. One of the amazing benefits of this technology is that insurance premiums will drop since people will be monitored regularly. In one study it was noted that the use of telemedicine could eliminate as much as 387,000 emergency transports annually which would add up to a savings of $327 million per year.
More private insurers are starting to pay for telemedicine. This is a big step for people who are not eligible for Medicare or Medicaid. One obstacle in this new frontier is the danger of confidential information floating around the internet. There is a need to develop specific regulations so the health-care professionals can use this new technology to the max while still saving the foundation of high-quality health care, and the patient-doctor relationship.
Today, most of us are still of the opinion that seeing is believing. There are now urgent care centers in every town and some of them are open until late at night. People are able to see doctors or physicians assistants most conveniently. Housecalls by health care professionals are coming back in style. People, including myself have certain reservations about telemedicine. Patient to doctor relationships will suffer even more than they do now. Presently doctors have to see as many patients a day as possible to make a living. With telemedicine doctors worry that they may get paid less if the insurance coverage is less for telemedical visits than in person appointments. For some maladies, like, strep throat it would be best to see the doctor in person.
Besides for its express treatment, telemedicine provides another benefit in that it would help diminish medical waste in Indiana and other U.S. states. Less patients will be occupying the waiting rooms and reduces the risk of spreading disease. All too often people with poor immune systems end up catching some virus while seeking treatment in hospitals and clinic’s.
By incorporating telemedicine into our healthcare programs there will be significant financial benefits. Such treatment could reduce the cost of our medical facilities by seeing less visitors. The American Institute For Stress claims that 75% – 90% of all visits to primary care physicians are for stress related problems. Telecommuting with a patient can certainly address these non invasive issues but more importantly high risk cases will begin to get immediate attention. Doctors in emergency rooms across the globe already use this type of communication and will be glad more then to make themselves available for clients and give them express treatment.
These few months of being made aware that I was victim of illegal surveillance black market PORNOGRAPHY exposure came with heightened PSYCHO-SEXUAL chatter/feedback all focused on making me aware that I had been a victim of this surveillance for most of my life----whether targeted or whether simply my naivety-------
FEEDBACK SAYS MY PARENTS HOME WAS TAPPED WITH ILLEGAL SURVEILLANCE SOME DECADES AGO----EXPOSING FAMILY AND CHILDREN TO THESE PORNOGRAPHY CAPTURES.
Two things my mother said over time in general talking-----she had concerns over a few of DOCTORS at NORTHAMPTON MEMORIAL HOSPITAL not feeling at ease with them and she shared a few years before she died that those DOCTORS gave her a COCKTAIL for suicide when she wanted to end life.
I make this connection because I know the SEXUAL PREDATOR controlling my FRIEND is a STURGIS and this psycho-sexual 'torture' against my FRIEND aimed at breaking down a GOOD PERSON making he/she appear to be a BAD PERSON involved lots of this ILLEGAL SURVEILLANCE STOCKHOLM SYNDROME psychological attack. These STOCKHOLM PSYCH structures are designed to break people from their morality-----to make them feel isolated, without support, fearful, and in the end RELATE TO THOSE SEXUAL PREDATORS having controlled them-----this is what happened to MY FRIEND over just a few years. STURGIS also happens to be employed by CHESAPEAKE BAY BRIDGE TUNNEL------home of TOILET CAMS capturing travelers crossing that bridge since 1970s.
THIS CULTURE OF USING CAMERAS AS ILLEGAL SURVEILLANCE LEADING TO PORNOGRAPHY WAS PERVASIVE ON VIRGINIA EASTERN SHORE.
I have no doubt that all that capture of ordinary, innocent people over time had a goal of being used to bring them down with this idea of HUMILIATION at any convenient time.
Riverside Shore Memorial Hospital -
Our HistoryThe organization now known as the Riverside Shore Memorial Hospital Auxiliary actually began in the 1910's before the hospital even existed. A hospital on the Eastern Shore of Virginia was a dream that originated with Dr. William J. Sturgis Sr. After a meeting held by Dr. Sturgis in Nassawadox to begin organizing for a new hospital, Bessie ...
In 1908, the Eastern Shore saw its first champion of medical services in Dr. William J. Sturgis, Sr. – known locally as the “Father of the Hospital.” After watching his neighbors dying from the most ordinary of ailments due to their distance from a medical facility, Dr Sturgis dedicated his life to building a community hospital on the Shore. Northampton-Accomack Memorial Hospital opened its doors in 1928, largely due to Dr. Sturgis’ commitment and perseverance'
When we look at INDIVIDUAL CASES like mine knowing these sexual assaults happened to almost anyone so my experience is a general one------then we can suspect the HEALTH POLICIES to to GLOBAL NEO-LIBERALISM ---AKA DARK AGES DO ANYTHING YOU WANT FOR MONEY------will super-size these illegal surveillance camera/microphone structures once used simply for BLACK MARKET PORN ----now MOVING FORWARD to DEEP DEEP REALLY DEEP STATE authoritarian military STANFORD TOTAL PRISON model.
If one considers my DEPOSITION for these few months of JAN-----APRIL it is easy to see those SURVEILLANCE structures and all that WIRING/CABLES inside walls and exterior of building -----with ever-increasing energy and electrical fields inside my apartment are EXACTLY THIS TELEMEDICINE ROOM infrastructure.
Why is a structure like this being installed in an ordinary Baltimore community residential ROW HOUSE? For now it is being used for RESEARCH AND FUTURE STAGING preparing for TOTAL SMART HOME SURVEILLANCE. Throw a little global private military ABU GHRAIB depravity for torture to get rid of victims of these OPEN SECRET RESEARCH and DEVELOPMENT of
SMART HOMES/SMART CITIES/DEEP DEEP REALLY DEEP STATE.
Power and telecommunications
Any room designed for telemedicine must have
sufficient electrical power, including emergency back-
up power for services involving videoconferencing.
Computer network connections will be required to
both the telemedicine network and the in-house
network and patient database. There also needs to be
an in-house telephone line that may be part of the
internal PBX (n.b. it is often helpful to have a
telephone with a silent ring, e.g. a lamp, to announce
incoming calls). A telemedicine clinical room also
requires at least one direct telephone line to the room
for technical support, and a fax machine to support
telemedicine telecommunications. These services
enhance the efficient flow of information within a
A typical telemedicine room showing a clinician with the site identification sign behind him
J Major Telemedicine room design
Journal of Telemedicine and Telecare Volume 11 Number 1 2005
health-care facility as well as among providers in
In telemedicine room design, the challenge is to
incorporate communication technology into medical
practice to facilitate efficient communication. If this is
done properly, the technology becomes unnoticeable
to those involved in the telemedicine interaction.
AFFORDABLE CARE ACT brought the BLENDING of global corporate military policing/security tied to global corporate PUBLIC HEALTH SOCIAL SERVICES agencies. We have discussed often how the blending of these two branches of what used to be COMMUNITY BENEFIT------CIVIL RIGHTS----public interest government agencies will lead to just what is happening today to ME and MY CASE-------where the few decades of NOSY NEIGHBOR AND THE GANG illegal black market PORNOGRAPHY segues with these TELEMEDICINE ROOMS-----to super-size PSYCHO-SEXUAL STANFORD TOTAL PRISON structures in all FOREIGN ECONOMIC ZONES.
NOSY NEIGHBORS are sent away for a session of training on how to use these new software/computer surveillance cameras and microphones----and how to combine illegal streaming PORNOGRAPHY with the installation of SURVEILLANCE ROOM TELEMEDICINE.
Being a HEALTH TECH has always come with a CERTIFICATION of learning maybe some months of training, maybe a 2 year certification. This is where NOSY NEIGHBOR the PORN MULES are MOVING FORWARD into ABU GHRAIB STANFORD TOTAL PRISON surveillance and psychological mind control.
MY FRIEND TIED TO BEING A SUPPOSED 'SEX SLAVE' IS JUST THAT------VICTIM OF A COMBINATION OF EMOTIONAL DISTRESS LEADING TO MIND CONTROL ACTIVITIES.
My FRIEND has been living in a house filled with the same SURVEILLANCE cameras/microphones complete with the same CHATTER/FEEDBACK I do today in my living space----and if one is not STRONG----it can indeed BREAK DOWN A PERSON-------AKA, MY FRIEND.
These are not TELEMEDICINE ROOMS----they are STANFORD TOTAL PRISON structures.
InfrastructureDesigning for telemedicine spaces
Planning for the next generation of health care delivery
February 3, 2016
Robert Hume PE, CCNA and Jeff Looney
• Telemedicine adoption has been increasing for a variety of reasons.
• A telemedicine solution for a specific facility depends on the service line and type of facility.
• Infrastructure considerations include room configurations, interior finishes, data capabilities, lighting and power.
• The continued growth of telemedicine systems requires health facilities professionals to learn more about their successful installation.
The increase in telemedicine adoption has been driven by expanding reimbursements, the shortage of physicians due to the growing and aging population, the increase in insurance enrollment, changing health care delivery models and technological innovations.
Telemedicine offers promise in reducing costs, increasing accessibility to care and reducing the risk of health care-associated infections. Telehealth is explicitly listed as a strategy in three out of the four goals in the Health & Human Services’ Federal Health IT Strategic Plan for 2015–2020.
Variety of solutions
The earliest telemedicine systems were fixed video teleconferencing (VTC) systems and, generally, still offer the highest quality video and audio. These are commonly used in conference rooms and education spaces. They consist of a camera, microphone and hardware device called a codec (coder-decoder). Video is displayed on video monitors or projector screens. Popular manufacturers of VTC equipment include Polycom Inc., San Jose, Calif.; Cisco Systems Inc., San Jose; and Lifesize, a division of Logitech, Newark, Calif.
Telemedicine carts have become popular for bringing telemedicine services to any room. The hardware is essentially the same as a fixed VTC system but mounted to a cart for portability. Devices do not need to be duplicated (and potentially sit idle) in every telemedicine-capable space. A typical application would be stroke care in the emergency department, sometimes called “telestroke.” Although telemedicine carts have many advantages, the need for staff to wheel the cart around may be troublesome. To overcome this, telemedicine vendor InTouch Technologies Inc., Santa Barbara, Calif., teamed up with iRobot Corp., Bedford, Mass., best known for the Roomba vacuum cleaning robot, to create RP-VITA, a remote presence telemedicine robot that promises to improve workflow efficiency by navigating between patient rooms.
While carts may be preferable in some cases, other telemedicine applications may be better served with fixed equipment in each patient room. In an electronic intensive care unit (eICU), remote intensivists are available 24/7 to monitor patients in ICU patient rooms as support for on-site staff. An on-site caregiver may contact the remote intensivists using a wall-mounted call button on the headwall. The intensivists then can assess the patient using a pan-tilt-zoom camera and microphone at the footwall and communicate back to the ICU room via loudspeaker (and optionally a video monitor). The remote intensivists can do rounding and other forms of monitoring as well.
Most of the latest telemedicine solutions are Web-based systems running on standard computers or mobile devices. Services like Skype, Google Hangouts and FaceTime brought video teleconferencing capability to the masses. While these products are easy to use and inexpensive, all are not appropriate for telemedicine. For example, Skype does not offer a business associate agreement for health care providers to meet HIPAA requirements.
There are alternatives to consumer video teleconferencing products for Web-based telemedicine. Companies offering business associate agreements for HIPAA compliance include Avizia Inc., Reston, Va.; Blue Jeans Network, Mountain View, Calif.; Aurora Information Technology, Cold Spring, N.Y.; eVisit Telehealth Solutions, Mesa, Ariz.; SnapMD Inc., Glendale, Calif.; Vidyo, Hackensack, N.J.; VSee Lab Inc., Sunnyvale, Calif.; and Zoom Video Communications, San Jose.
Web-based telemedicine solutions face challenges beyond HIPAA compliance. The American Medical Association (AMA) states, “Whether a patient is seeing his or her physician in person or via telemedicine, the same standards of care must be maintained.” Additionally, minimum technical requirements may need to be met. For example, American Telemedicine Association (ATA) guidelines require a minimum of 640 x 360 resolution and 30 frames per second for video. In other words, what’s good enough for a chat with a friend or family member may not be good enough for telemedicine.
While communication with a camera and microphone is appropriate for many encounters, connected medical devices have the potential to make telemedicine much more powerful. For example AMD Global Telemedicine Inc., Chelmsford, Mass., offers otoscopes, stethoscopes, dermascopes and ultrasound probes as well as vital signs monitors, spirometers and electrocardiography (ECG) equipment by Welch Allyn, Skaneateles Falls, N.Y., integrated with their telemedicine solution. The software allows split-screen viewing between the camera and medical devices. GlobalMedia Group LLC, Scottsdale, Ariz., offers the transportable exam station (TES), a rolling suitcase equipped with laptop, otoscope, stethoscope, ultrasound probe, ECG system and more. This is geared toward treating homebound and rural patients.
While some regional health facilities have arrangements with third parties or large hospitals to provide remote specialists for services like telestroke and eICU, larger health systems may provide their own specialists. A facility implementing a telemedicine program needs to determine how and where remote specialists will work. In October 2015, Mercy opened the Mercy Virtual Care Center, a 125,000-square-foot facility billed as the world’s first virtual care center, to house specialists serving 28 Mercy sites. Mercy’s telemedicine services include eICU, telestroke and home monitoring.
The wide variety of telemedicine solutions have equally diverse infrastructure requirements. The impact includes the room location and size, flooring, lighting, power, data and conduit pathways. But the impact extends beyond a single room, requiring an assessment of network infrastructure, building services, power distribution and more. Even Web-based solutions using existing computers have potential impacts on a facility’s design and physical infrastructure.
When planning for dedicated telemedicine rooms, they should be located in a quiet area away from loud mechanical equipment, foot traffic, the central utility plant and exterior noise sources. The Guidelines for Design and Construction of Hospitals and Outpatient Facilities, 2014 edition, published by the Facility Guidelines Institute, includes acoustics requirements for maximum noise levels, sound absorption coefficients, sound isolation between rooms and speech privacy, all of which must be considered for telemedicine.
Carpet is excellent at controlling sound, but finds limited use in clinical settings because of infection control concerns. Many facilities are turning to rubber flooring for both cleanability and sound control. In fact, the new Parkland Memorial Hospital in Dallas, which opened in August 2015, includes more than 750,000 square feet of rubber flooring.
For telemedicine encounters occurring in an exam room, equipment placement must be considered with adequate space provided for the telemedicine cart and associated staff members. The room also must be large enough to position the cart-mounted camera with an appropriate view of the patient and staff.
The backdrop of the video should be free of distractions and clutter. Some facilities place signage with the site location in the background to help orient participants. The choice of paint is also important. Generally, white walls and dark walls should be avoided. A light neutral color is preferable. Powder blue is often recommended to provide contrast with flesh tones. Flat or matte paint is preferable to glossy paint to reduce glare.
Lighting cannot be overlooked for telemedicine video. Overhead fluorescent lights alone are often insufficient, requiring additional lighting. The best lighting is diffuse light in front of the subject since it provides even illumination without strong shadows. Windows should be avoided, especially behind the subject, because bright sunlight may wash out the video image or create extreme shadows. Telemedicine devices, such as otoscopes, should be used with a light source.
The VTC equipment itself also will impact infrastructure. A fixed VTC system typically is installed with conduit pathways for cabling from the microphones, cameras and monitors back to the codec. The codec may be installed on a shelf or in a rack, credenza or podium. The codec requires power and network connections. Audiovisual (A/V) equipment enabling routing of sources to displays is usually provided in conference rooms in addition to the VTC equipment, because these rooms serve multiple functions. Telemedicine carts eliminate the need for most in-wall A/V cabling, but power outlets and network connections must be provided where the cart will be in use. A telephone should be provided in telemedicine spaces as a backup means of communication as well as for troubleshooting the VTC system.
Camera placement is crucial for conference rooms and offices. The camera should be at eye level and a few feet from the subject to mimic face-to-face encounters. Microphone selection and placement is equally important to ensure clear speech communication. For offices, a headset microphone ensures consistent sound levels and minimal echo and noise. For conference rooms, table-mounted microphones evenly pick up voices around the table, though they may require holes drilled into the table, wiring and a floor box with conduit pathway. Ceiling-mounted microphones may be a better option to reduce infrastructure impact or if the conference table is movable.
An eICU also requires significant physical infrastructure. Typically, each patient room requires an A/V server in an enclosure, which requires a power outlet and a network connection. The camera, microphone, speaker and call button are wired back to the A/V server, preferably through conduit pathways. The camera also may require a power outlet. The camera, speaker and monitor need to be wall- or ceiling-mounted. The placement of the call button is important and requires clinician input. Even if a single-gang, low-voltage provision is free on a headwall system, there may not be sufficient clearance for the call button. The call button should be no more than 48 inches above the finished floor to meet Americans with Disabilities Act (ADA) requirements. A telephone in the patient room that directly dials the eICU remote intensivists is required as a backup means of communication. The eICU system also requires rack space for servers in the data center.
Facilities dedicated to telemedicine are a recent development, and best practices for design have not yet been established. The design of Mercy Virtual Care Center focused on large, open work areas. These open work areas are intended to increase collaboration as well as provide flexibility for future changes. To offset the long hours caregivers spend in front of computers, floor-to-ceiling glass walls provide views of nature. Privacy screens placed behind the caregivers serve the dual purpose of protecting patient privacy and serving as the video backdrop.
Equipment used for telemedicine, including computers, monitors, VTC equipment and carts, should be powered by an uninterruptible power supply (UPS) connected to critical power, if possible. Network connections should be wired rather than wireless. Even if the wireless network can support a telemedicine session, the traffic will negatively impact all other devices connected to the wireless network nearby.
Because telemedicine solutions likely use the hospital’s local area network (LAN), the network must have high availability. Network equipment should be powered by a UPS connected to critical power. Additionally, each network switch may have redundant power supplies which protect against internal power supply failures and allow separate circuits, or even separate power feeds, to provide redundant power. Redundant fiber links may be provided between telecommunications rooms and the network core to protect against the failure of a single link. Links may take separate pathways for additional protection.
Services to the building may be redundant as well. Separate service pathways are even a requirement in National Fire Protection Association (NFPA) 99, Health Facilities Code, 2012 and 2015 editions. In the past, video teleconferencing systems used integrated services digital network (ISDN) lines dedicated to the VTC system. Most systems now use Internet Protocol (IP) with the VTC traffic sharing the facility’s connection to the Internet service provider. Because this arrangement lacks the predictable bandwidth of dedicated lines, network Quality of Service configurations are important.
The bandwidth required for a video teleconference varies depending on the resolution, frame rate and video encoding. ATA guidelines call for a minimum of 384 kilobits per second (kbps) bidirectional. High-definition video teleconferencing typically requires between 768 kbps and 1024 kbps. Because most LAN ports are 100 megabits per second or 1 gigabit per second, data rates from the service provider, not the LAN itself, are the most likely bottleneck. This is especially true if multiple video teleconferences occur simultaneously in the same facility.
When I discuss either the issues for MY FRIEND or MY CASE------both LIVING SPACES have been filled with illegal surveillance cameras and microphones complete with FEEDBACK/CHATTER designed to destabilize individuals -------and it is indeed a combination of global military corporations meets global predatory and profiteering health systems------to build ONE WORLD ONE TECHNOLOGY GRID--------
ONLY THOSE GODS AND GODDESS IN THE CLOUDS WILL END UP BEING 'WINNERS' IF WE ALLOW ALL THIS TO MOVE FORWARD.
So, is my REAL LEFT SOCIAL PROGRESSIVE I AM MAN voice compromised as global banking uses NOSY NEIGHBORS AND THE GANG to supposedly 'HUMILIATE' me with what I see as a simple case of PARASITIC infection needing EXTRACTION.
Why do people put others down?
People put others down for various reasons but the most common ones are hatred and wanting to elevate their own self worth.
When i talked about hatred earlier i said that it's a weakness. A person hates another when he can't do anything about it. If a man was treated very badly by his mother that he suffered from serious psychological problems then he might start hating women because he couldn't do any better.
In other words if a man hates women then this doesn't mean that women are bad but it might just mean that this man was too helpless to do anything but to hate them.
I also talked earlier about putting others down and i explained how most people do it to feel good about themselves. If a person can't feel worthy by going up then his best chance would be bringing people down.
I am a man
Many of the mysterious behaviors men do have the goal of helping them feel more manly. Men are put under serious pressure to act manly as soon as they are born. Under that kind of pressure most men end up wanting to prove their manliness to the world.
Men who don't feel manly enough might develop some behaviors such as becoming sex addicts, spreading adult jokes or even beating women in order to prove that they are strong and manly.
See why some men use violence against women.
In other words many men put women down because they don't feel manly enough and the only way they found to feel better is making fun of women or putting them down.
All the depravity of CONTINUOUS WARS being allowed to be filled with global sex trades/global black market PORN networks have DE-MASCULATED our US 99% of men as well as reversing societal rolls of our 99% of US women as family, children, caretaker, and community
NOSY NEIGHBOR says SHE CAN READ MY MIND using all these illegal surveillance cameras/microphones collecting BODY function data------OH, REALLY????? What I hear is this: I AM READING HER MIND---SHE IS PLANNING TO BE VIOLENT----which of course I am NOT
U.S. Military and the Global Health Security Agenda
by Global Biodefense February 1, 2016, 8:32 am 2.9k Views
For nearly two decades, the Military Health System (MHS) has supported global public health surveillance to both protect military members and strengthen biosecurity capabilities with partner countries.
“Infectious disease does not respect international borders or government bureaucracies,” said Dr. Jonathan Woodson, assistant secretary of Defense for Health Affairs, during the recent Asia-Pacific Military Health Exchange. “Identifying and cultivating areas where our cooperation can be strengthened is something on which we all should be focusing.”
Global Health Security Framework
Launched in February 2014, the Global Health Security Agenda (GHSA) provides a five-year framework with clear targets and milestones to accelerate progress in strengthening public health systems needed to protect global health security.
The GHSA now includes 31 partner countries, and is an important framework guiding health security efforts for the DoD. GHSA oversight and coordination efforts for the military are led by the Defense Health Agency’s (DHA) Armed Forces Health Surveillance Branch (AFHSB) which supports force health protection activities to meet national security objectives.
“The MHS plays an important supporting role within the United States Government to prevent, detect, and respond to endemic and emerging infectious disease threats and is highly complementary to our on-going global health biosurveillance and force health protection mission,” remarked Dr. David Smith, deputy assistant secretary of Defense for Health Readiness Policy and Oversight. “Through its force health protection mission, MHS contributes to the GHSA by conducting global infectious disease surveillance and outbreak response with partners globally, and by leveraging these surveillance activities to inform countermeasure development.
The GEIS Network
An important contributing component to the health security effort is the DoD’s
Global Emerging Infections Surveillance and Response System (GEIS), reaching more than 70 countries with biosurveillance engagement organized around emerging infectious disease program areas to include antimicrobial resistant (AMR), gastrointestinal, febrile and vector-borne, respiratory or sexually transmitted infections.
“GEIS works with 14 DoD research laboratories operating a regional network. We support endemic and emerging disease surveillance and response missions with host-nation ministries of agriculture, health and defense, as well as public and private universities and various nongovernmental organizations in order to inform combatant commands of the disease burden in their areas of operation and appropriate force health protection measures to undertake,” said Air Force Col. Carol Fisher, DHA Public Health director. “Because surveillance findings are routinely shared with other U.S. government agencies and respective host nations, these activities contribute to our national security by allowing us to aid public health prevention and treatment programs, and ability to contain disease before it crosses borders.”
Emerging Threat Surveillance and Response
AFHSB leveraged existing febrile and vector-borne infection control efforts in Liberia to support the recent Ebola outbreak response. The Liberian Institute for Biomedical Research served as a central hub for Ebola diagnostic testing with the help of the Naval Medical Research Unit-3 in Cairo, Egypt and two Maryland-based facilities, the Naval Medical Research Center in Silver Spring and the U.S. Army Medical Research Institute of Infectious Diseases in Frederick.
The GEIS antimicrobial resistant infections surveillance program helps U.S. civilian, military and regional U.S. and foreign public health authorities identify and respond to resistance threats, allowing policymakers to develop both infection control policy and therapy recommendations. GEIS has supported AMR surveillance programs in GHSA participant countries, including Peru, Jordan, Cambodia, Thailand, Kenya and Uganda.
GEIS has also supported five DoD overseas laboratories in developing standardized surveillance for norovirus (a virus that can cause acute gastroenteritis in humans) and enterotoxigenic Escherichia coli among U.S. military and traveler populations.
AFHSB provided subject matter expert support to U.S. Africa Command (AFRICOM) in their development of the African Partners Outbreak Response Alliance, a group of representatives from 12 countries – including GHSA participants such as Liberia, Ghana, Burkina Faso, Côte d’Ivoire and Senegal. This alliance works together to improve detection, response, and prevention of disease threats within their communities.
“We value the role that our GEIS activities play in support of GHSA,” said AFHSB Chief, Army Col. Michael Bell. “We are proud of the resources that we can bring to bear in handling endemic and emerging infectious disease threats. We recognize that these efforts are not only critical to U.S. national security interests, but also assist in keeping our forces healthy and ready to perform their duties.”