Search PubMed⌕ Search

PubMed · 8591153

A flexible approach to client-server computing.

Abstract

The number of standards for client-server computing almost equals the number of client-server applications. Although there are some standardization efforts, there is hardly any experience with applying these solutions to (medical) practice. The layering approach of the integration architecture HERMES anticipates the inclusion of commercial standards (when available and evaluated); it currently supports already the development of client-server applications. The toolkit provides support for the development of the communication between client and server through a callback mechanism. Stubs created with the HERMES toolkit contain a number of built-in callbacks that manage sessions between clients and services. An important feature of HERMES is the ability to include existing legacy systems as if they are true open services. In this way, the growth path from stand-alone to client-server computing can be shortened and the implementation of the client-server architecture can begin immediately. Moreover, the existing legacy systems remain available as a stand-alone solution for daily practice. Clients and services are connected through the HERMES kernel. This kernel uses a database to find the best server match for a request from a client. Moreover, it completes requests with mandatory data and tries to optimize performance. Special features are included to minimize the memory burden of the session-oriented client-server model. Currently, a system for the outpatient clinic cardiology, occupational health care, and clinical data analysis is available.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

E M van Mulligen. 1995. A flexible approach to client-server computing.. https://pubmed.ncbi.nlm.nih.gov/8591153/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Test value.

Explore the source record for details and available documents.

Computer Communication Networks↗

An economic analysis of screening for diabetic retinopathy.

The costs of telemedicine screening for diabetic retinopathy were examined in a trial conducted in northern Norway, involving the University Hospital of Tromsø (UHT) and the primary care centre in Alta, approximately 400 km away. In Alta, specially trained nurses examined 42 diabetic patients using a digital camera to obtain images of the retina. The images were then sent by email to an eye specialist at the UHT. A cost-minimization analysis showed that at low workloads, for example 20 patients per annum, telemedicine was more expensive than conventional examination: NKr8555 versus NKr428 per patient. However, at higher workloads, telemedicine was cheaper. For example, at 200 patients per annum, telemedicine cost NKr971 and conventional examination cost NKr1440 per patient. The break-even point occurred at a patient workload of 110 per annum. Given that there are some 250 diabetic patients in Alta, telemedicine screening is the cheaper service for the public sector.

Computer Communication Networks↗