Int. J. Environ. Res. Public Health 2013, 10(8), 3246-3262; doi:10.3390/ijerph10083246

A Seamless Ubiquitous Telehealthcare Tunnel

1,†,* email, 2,†email, 3,†email, 4,†email and 4,†email
Received: 20 June 2013; in revised form: 22 July 2013 / Accepted: 24 July 2013 / Published: 2 August 2013
(This article belongs to the Special Issue Advances in Telehealthcare)
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: Mobile handheld devices are rapidly using to implement healthcare services around the World. Fundamentally, these services utilize telemedicine technologies. A disconnection of a mobile telemedicine system usually results in an interruption, which is embarrassing, and reconnection is necessary during the communication session. In this study, the Stream Control Transmission Protocol (SCTP) is adopted to build a stable session tunnel to guarantee seamless switching among heterogeneous wireless communication standards, such as Wi-Fi and 3G. This arrangement means that the telemedicine devices will not be limited by a fixed wireless connection and can switch to a better wireless channel if necessary. The tunnel can transmit plain text, binary data, and video streams. According to the evaluation of the proposed software-based SCTP-Tunnel middleware shown, the performance is lower than anticipated and is slightly slower than a fixed connection. However, the transmission throughput is still acceptable for healthcare professionals in a healthcare enterprise or home care site. It is necessary to build more heterogeneous wireless protocols into the proposed tunnel-switching scheme to support all possible communication protocols. In addition, SCTP is another good choice for promoting communication in telemedicine and healthcare fields.
Keywords: communication tunnel; mobile device; stream control transmission protocol; telemedicine; ubiquitous computing
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MDPI and ACS Style

Cheng, P.-H.; Lin, B.-S.; Yu, C.; Hu, S.-H.; Chen, S.-J. A Seamless Ubiquitous Telehealthcare Tunnel. Int. J. Environ. Res. Public Health 2013, 10, 3246-3262.

AMA Style

Cheng P-H, Lin B-S, Yu C, Hu S-H, Chen S-J. A Seamless Ubiquitous Telehealthcare Tunnel. International Journal of Environmental Research and Public Health. 2013; 10(8):3246-3262.

Chicago/Turabian Style

Cheng, Po-Hsun; Lin, Bor-Shing; Yu, Chu; Hu, Shun-Hsiang; Chen, Sao-Jie. 2013. "A Seamless Ubiquitous Telehealthcare Tunnel." Int. J. Environ. Res. Public Health 10, no. 8: 3246-3262.

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