Re: [Health] VideoChat is working now - hooray!
Hi all, quote who=Martin Langhoff exactly. There's a lot of fun to be had, and a lot to learn with this. Might be useful in some cases (perhaps growing number of cases, if connectivity improves over time) and more things become viable. For health purposes, it will probably not be useful, except for a tiny % of cases. If people want health tools, that's a different project. Let's refocus that camera on collaboration and education. The Videochat app will largely be used for counselling, speech pathology, and generally for remote support to students in regions where they don't have easy access to any of the above. Obviously they'll also have fun with it, and we are looking at connecting up classrooms of children to do cultural exchanges and learning. I believe it will play a basic eHealth role in future where children/adults can communicate with health professionals for basic remote health service, which, although would require very high res for anything particualrly complicated, would be better than what some of these communities currently have. Cheers, Pia -- OLPC Australia http://olpc.org.au/ Linux Australia http://linux.org.au/ Open Source Industry Australia http://osia.net.au/ Software Freedom Day http://softwarefreedomday.org/ What are we doing today brain? We're taking over the world like we always do. - Pinky and the Brain ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [Health] VideoChat is working now - hooray!
Hi all, quote who=Harshvardhan true. plus a good broadband network connection, The video is relatively small and the broadband requirements don't appear to be ridiculously high. I guess I would ask that you all download and test the app, see what it is capable, of, post to the list and VideoChat page your findings, and the potentially pitch in to making it better :) Cheers, Pia -- OLPC Australia http://olpc.org.au/ Linux Australia http://linux.org.au/ Open Source Industry Australia http://osia.net.au/ Software Freedom Day http://softwarefreedomday.org/ He who loves the world as his body may be entrusted with the empire. - Lao-tzu ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [Health] VideoChat is working now - hooray!
I have been involved with provider-to-provider telemedicine projects in remote areas in Cambodia, Ecuador, the the Congo for the past 7 years. We have found huge advantages by focusing on structured history-taking (text) and highest possible resolution still images... These have allowed for asynchronous low-bandwidth communication (important if time zones are different) and clear images if visual inspection is important (ie skin rashes, reviewing xrays, wounds, etc). If you create some compelling case studies for the use of real-time video chat that has advantages over cell communication , we would certainly like to look for opportunities to pilot them at our clinical sites in Cambodia. Our project leverages Internet access at a hospital and a school in rural Cambodia, (which is one of hundreds of schools with Internet access - including a school sponsored by Negroponte!) Thanks Paul On Mon, Oct 13, 2008 at 9:24 PM, [EMAIL PROTECTED] wrote: On Mon, 13 Oct 2008, Paul Heinzelmann wrote: I sense that there are a lot of new and yet-to-be-discovered ways to use these kind of low-bandwidth capabilities for health (including consultation, collaboration, and education). The perceived value of these will always be user-dependent and likely require a trial and error approach. In terms of a role for clinical consultation: The tough sell, in my opinion, is to engage specialists who are expected to diagnose. The more appropriate role for video function may be to simply triage patients and make simple decisions rather than definitively diagnose or assess patients. the key thing to remember is that in many cases the alternative isn't a in-person visit to the specialist, it's going without professional diagnosis entirely. David Lang Just food for thought. Best wishes Paul On Mon, Oct 13, 2008 at 8:04 PM, Martin Langhoff [EMAIL PROTECTED]wrote: 2008/10/14 [EMAIL PROTECTED]: but those are not all cases. exactly. There's a lot of fun to be had, and a lot to learn with this. Might be useful in some cases (perhaps growing number of cases, if connectivity improves over time) and more things become viable. For health purposes, it will probably not be useful, except for a tiny % of cases. If people want health tools, that's a different project. Let's refocus that camera on collaboration and education. m -- [EMAIL PROTECTED] [EMAIL PROTECTED] -- School Server Architect - ask interesting questions - don't get distracted with shiny stuff - working code first - http://wiki.laptop.org/go/User:Martinlanghoff -- Paul Heinzelmann, MD Operation Village Health ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [BULK] Re: [Health] VideoChat is working now - hooray!
2008/10/13 Harshvardhan [EMAIL PROTECTED]: true. plus a good broadband network connection, And a personal jetpack too! Now, while the personal jetpacks evolve, let's look at more realistic steps forward :-) This can work locally for all sorts of fun and educational uses. Some schools will have very slow internet or just no internet but may have reasonably good connection amongst themselves. A probably tiny number of schools will have a fast enough connection for a video/audio link as well. Over time, both cases will grow in numbers. m -- [EMAIL PROTECTED] [EMAIL PROTECTED] -- School Server Architect - ask interesting questions - don't get distracted with shiny stuff - working code first - http://wiki.laptop.org/go/User:Martinlanghoff ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [Health] VideoChat is working now - hooray!
-BEGIN PGP SIGNED MESSAGE- Hash: SHA1 Bob Pyke Jr.,RN,CPNP wrote: | It aappears to be interestimg. But if your doing remote telehealth you need to have 30 fps for video. I think this is a misunderstanding. We are not talking about robotic remote surgery here, or anything requiring low-latency feedback. Telehealth in this context refers to an interview between a patient and a medic. For example, a patient might hold up an injury and ask the doctor if it looks infected. In fact, for health applications, I would make the unusual tradeoff of sending the full resolution of the camera (640x480) at high quality, even if this means that we can only achieve 1 or 2 fps. - --Ben -BEGIN PGP SIGNATURE- Version: GnuPG v2.0.9 (GNU/Linux) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org iEYEARECAAYFAkjzsAoACgkQUJT6e6HFtqQ95wCfW3tZ5Yq/bojohVwfWjI9Dpyc Qa8An2jyUmIpz1P6vgKyI9oQ1SycrzHc =CROV -END PGP SIGNATURE- ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [Health] VideoChat is working now - hooray!
I think its very exciting to see telemedicne applications being developed for this platform. But I also think you need to be very careful here. There are multiple studies on resolutuion of images and utility for various telemedicine purposes. (ie Still images from a 2 megapixel camera are likely mimimal for wound care, follow up, etc.) In that scenario, video at 1 or 2 fps wouldnt be very good for assessing wounds. I think Bob is on target when it comes to the value add of video when it comes to doing evidence-based telemedicine. For example, if you are assessing a movement disorder, or trying to assess non-verbal cues in a psych patient, this will not be possible at 1-2fps. It certainly adds a 'gee whiz factor to see the doctor from the patient's perspective, but the value to the doctor in terms of diagnosis will be minimal in my opinion. That being said, the challenge is to find low bandwidth applications that make sense for patients and health workers and I think this will be very case-specific. Cudos to those seeking to develop them! On Mon, Oct 13, 2008 at 4:31 PM, Benjamin M. Schwartz [EMAIL PROTECTED] wrote: -BEGIN PGP SIGNED MESSAGE- Hash: SHA1 Bob Pyke Jr.,RN,CPNP wrote: | It aappears to be interestimg. But if your doing remote telehealth you need to have 30 fps for video. I think this is a misunderstanding. We are not talking about robotic remote surgery here, or anything requiring low-latency feedback. Telehealth in this context refers to an interview between a patient and a medic. For example, a patient might hold up an injury and ask the doctor if it looks infected. In fact, for health applications, I would make the unusual tradeoff of sending the full resolution of the camera (640x480) at high quality, even if this means that we can only achieve 1 or 2 fps. - --Ben -BEGIN PGP SIGNATURE- Version: GnuPG v2.0.9 (GNU/Linux) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org iEYEARECAAYFAkjzsAoACgkQUJT6e6HFtqQ95wCfW3tZ5Yq/bojohVwfWjI9Dpyc Qa8An2jyUmIpz1P6vgKyI9oQ1SycrzHc =CROV -END PGP SIGNATURE- ___ Health mailing list [EMAIL PROTECTED] http://lists.laptop.org/listinfo/health -- Paul Heinzelmann, MD ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [Health] VideoChat is working now - hooray!
On Mon, 13 Oct 2008, Paul Heinzelmann wrote: I think its very exciting to see telemedicne applications being developed for this platform. But I also think you need to be very careful here. There are multiple studies on resolutuion of images and utility for various telemedicine purposes. (ie Still images from a 2 megapixel camera are likely mimimal for wound care, follow up, etc.) In that scenario, video at 1 or 2 fps wouldnt be very good for assessing wounds. I think Bob is on target when it comes to the value add of video when it comes to doing evidence-based telemedicine. For example, if you are assessing a movement disorder, or trying to assess non-verbal cues in a psych patient, this will not be possible at 1-2fps. there are times when you need full motion viedeo, there are times where you need higher resolution than the camera can provide. but those are not all cases. saying that it's no good for those cases if valid, but the way it is being said implies that if it's not good enough for those cases it's completely useless for all cases, and shouldn't be deployed. David Lang___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [Health] VideoChat is working now - hooray!
On Mon, 13 Oct 2008, Paul Heinzelmann wrote: I sense that there are a lot of new and yet-to-be-discovered ways to use these kind of low-bandwidth capabilities for health (including consultation, collaboration, and education). The perceived value of these will always be user-dependent and likely require a trial and error approach. In terms of a role for clinical consultation: The tough sell, in my opinion, is to engage specialists who are expected to diagnose. The more appropriate role for video function may be to simply triage patients and make simple decisions rather than definitively diagnose or assess patients. the key thing to remember is that in many cases the alternative isn't a in-person visit to the specialist, it's going without professional diagnosis entirely. David Lang Just food for thought. Best wishes Paul On Mon, Oct 13, 2008 at 8:04 PM, Martin Langhoff [EMAIL PROTECTED]wrote: 2008/10/14 [EMAIL PROTECTED]: but those are not all cases. exactly. There's a lot of fun to be had, and a lot to learn with this. Might be useful in some cases (perhaps growing number of cases, if connectivity improves over time) and more things become viable. For health purposes, it will probably not be useful, except for a tiny % of cases. If people want health tools, that's a different project. Let's refocus that camera on collaboration and education. m -- [EMAIL PROTECTED] [EMAIL PROTECTED] -- School Server Architect - ask interesting questions - don't get distracted with shiny stuff - working code first - http://wiki.laptop.org/go/User:Martinlanghoff ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [Health] VideoChat is working now - hooray!
I sense that there are a lot of new and yet-to-be-discovered ways to use these kind of low-bandwidth capabilities for health (including consultation, collaboration, and education). The perceived value of these will always be user-dependent and likely require a trial and error approach. In terms of a role for clinical consultation: The tough sell, in my opinion, is to engage specialists who are expected to diagnose. The more appropriate role for video function may be to simply triage patients and make simple decisions rather than definitively diagnose or assess patients. Just food for thought. Best wishes Paul On Mon, Oct 13, 2008 at 8:04 PM, Martin Langhoff [EMAIL PROTECTED]wrote: 2008/10/14 [EMAIL PROTECTED]: but those are not all cases. exactly. There's a lot of fun to be had, and a lot to learn with this. Might be useful in some cases (perhaps growing number of cases, if connectivity improves over time) and more things become viable. For health purposes, it will probably not be useful, except for a tiny % of cases. If people want health tools, that's a different project. Let's refocus that camera on collaboration and education. m -- [EMAIL PROTECTED] [EMAIL PROTECTED] -- School Server Architect - ask interesting questions - don't get distracted with shiny stuff - working code first - http://wiki.laptop.org/go/User:Martinlanghoff -- Paul Heinzelmann, MD ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
[BULK] Re: [Health] VideoChat is working now - hooray!
true. plus a good broadband network connection, warm regards, Harshvardhan. On Sun, Oct 12, 2008 at 6:07 PM, Bob Pyke Jr.,RN,CPNP [EMAIL PROTECTED] wrote: It aappears to be interestimg. But if your doing remote telehealth you need to have 30 fps for video. Bob, ___ Health mailing list [EMAIL PROTECTED] http://lists.laptop.org/listinfo/health -- Harshvardhan; Information Digital Design, PG Campus, National Institute of Design, Gandhinagar, Gujarat; +919879235052; ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
Re: [Health] VideoChat is working now - hooray!
It aappears to be interestimg. But if your doing remote telehealth you need to have 30 fps for video. Bob, ___ Devel mailing list Devel@lists.laptop.org http://lists.laptop.org/listinfo/devel
