For voice conferences with large amount of participants (20+) usually stuff like TeamSpeak, Ventrilo and Mumble is used. It requires some special approach - for example, it is possible to setup SIP voice conference but because of SIP architecture it simply won't scale well for large amount of participants. And XMPPP/Jingle support for conferences is still experimental/work-in-progress.

For video conferences I am not aware of any free solution with better capability than Google Hangouts. It is quite a challenging task actually.

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