Sheet Metal Welding is popular in dent repair, metal finishing as well as very extravagant artwork. Sheet Metal welding requires patience a lot of practice and average skill. The welding procedures used may be best determined by the specific project but may also be determined by tool available and the level of welding experience.
The three most common methods of welding sheet metal are Gas Welding, Mig Welding and Tig Welding. Of the three, TIG welding is less frequently used as TIG welders are not usually as accessible as gas and Mig Welders.
One of the advantages to gas welding is that the sheet metal is kept soft during the welding process, so a novice welder will find the material more malleable and much easier to work with. MIG welding is just the opposite; the material is harder to work with, louder and is known to shrink. The best metal welding combines the two processes to achieve the desired result. My advice is to work with a Gas Welder first to get the hang of it, and then introduce yourself slowly to the MIG welding process, testing in less visible areas. Most welding experts will gas weld as much as they can and then Mig Weld in the harder to reach places. The important thing to remember when combining these two welding procedures is to gas weld before MIG welding and never weld in the opposite order.
As weld with gas, use a small tip on your welder and be sure to have all your settings right. You don't want to try to weld with too much or too little pressure, so it's worth it to pay attention to your equipment as you weld. If you hear excessive popping, or too much noise, you need to make adjustments to your equipment.
Less experienced MIG welders tend to complain about not being able to see their work as they weld. So be sure your face mask is in good repair with clear lenses, and always work in plenty of light.
Equipment other than welders is also need to weld sheet metal safely and successfully. For safety's sake, you'll need heavy Welding Gloves. The welding gloves will protect your hands from sparks or sheet metal shards which may fly during the welding process. You'll also need a face mask specifically for welding; the best models have a light sensor attached to the mask.
Tool-wise, you'll need grinders, wire brushes, sandpaper at varying grits, vice grips, clamps, pliers with rubber grips on the handles, and sheet metal hammers. None of these items are optional. They all make sheet welding easier, and safer, and will ultimately make for a job well done.
If you're looking to improve your sheet metal welding then head on over to my blog at TIG welding sheet metal where I'm happy to share my decades of experience. Tips that will save you time and headaches.
Wheelchair modifications?
I stole a wheelchair from some homeless chick and I would like to swap it from electric to gas powered with either pull-start, or push-button start. What would be an ideal motor for such a project? I am looking at 2 strokes from wrecked bikes and small engine shops. I have TIG welded some wheelie bars I made at work and am putting a strut system for the back wheels. Anyone have experience with this? I want the next cripple who gets my wheelchair to have some attitude in this thing.
As long as you are goiing to put a gas engine on it why not do it up right? Place the engine on the rear (you will have to build the frame). Install a small 4 cyl turbo engine sideways. You will have to build a shaft from one wheel to the other then bolt on chain pullys to the crank shaft & the axle. Install the chain. If he or she doesn't get an attitude from the start ,they will from the stop.
To weld aluminum, operators must take care to clean the base material and remove any aluminum oxide and hydrocarbon contamination from oils or cutting solvents. Aluminum oxide on the surface of the material melts at 3,700 F while the base-material aluminum underneath will melt at 1,200 F. Therefore, leaving any oxide on the surface of the base material will inhibit penetration of the filler metal into the workpiece. To remove aluminum oxides, use a stainless-steel bristle wire brush or solvents and etching solutions. When using a stainless-steel brush, brush only in one direction. Take care to not brush too roughly: rough brushing can further imbed the oxides in the work piece. Also, use the brush only on aluminum work-don't clean aluminum with a brush that's been used on stainless or carbon steel. When using chemical etching solutions, make sure to remove them from the work before welding. To minimize the risk of hydrocarbons from oils or cutting solvents entering the weld, remove them with a degreaser. Check that the degreaser does not contain any hydrocarbons. Preheating: Preheating the aluminum workpiece can help avoid weld cracking. Preheating temperature should not exceed 230 F-use a temperature indicator to prevent overheating. In addition, placing tack welds at the beginning and end of the area to be welded will aid in the preheating effort. Welders should also preheat a thick piece of aluminum when welding it to a thin piece; if cold lapping occurs, try using run-on and run-off tabs. The push technique: With aluminum, pushing the gun away from the weld puddle rather than pulling it will result in better cleaning action, reduced weld contamination, and improved shielding-gas coverage. Travel speed: Aluminum Welding needs to be performed "hot and fast." Unlike steel, the high thermal conductivity of aluminum dictates use of hotter amperage and voltage settings and higher weld-travel speeds. If travel speed is too slow, the welder risks excessive burnthrough, particularly on thin-gage aluminum sheet. Shielding Gas: Argon, due to its good cleaning action and penetration profile, is the most common shielding gas used when welding aluminum. Welding 5XXX-series aluminum alloys, a shielding-gas mixture combining argon with helium - 75 percent helium maximum - will minimize the formation of magnesium oxide. Welding Wire: Select an aluminum filler wire that has a melting temperature similar to the base material. The more the operator can narrow-down the melting range of the metal, the easier it will be to weld the alloy. Obtain wire that is 3/64- or 1/16- inch diameter. The larger the wire diameter, the easier it feeds. To weld thin-gage material, an 0.035-inch diameter wire combined with a pulsed-welding procedure at a low wire-feed speed - 100 to 300 in./min - works well. Convex-shaped welds: In aluminum welding, crater cracking causes most failures. Cracking results from the high rate of thermal expansion of aluminum and the considerable contractions that occur as welds cool. The risk of cracking is greatest with concave craters, since the surface of the crater contracts and tears as it cools. Therefore, welders should build-up craters to form a convex or mound shape. As the weld cools, the convex shape of the crater will compensate for contraction forces. Power-source selection: When selecting a Power Source for GMAW of aluminum, first consider the method of transfer -spray-arc or pulse. Constant-current (cc) and constant-voltage (cv) machines can be used for spray-Arc Welding. Spray-arc takes a tiny stream of molten metal and sprays it across the arc from the electrode wire to the base material. For thick aluminum that requires welding current in excess of 350 A, cc produces optimum results. Pulse transfer is usually performed with an inverter Power Supply. Newer power supplies contain built-in pulsing procedures based on and filler-wire type and diameter. During pulsed GMAW, a droplet of filler metal transfers from the electrode to the workpiece during each pulse of current. This process produces positive droplet transfer and results in less spatter and faster follow speeds than does spray-transfer welding. Using the pulsed GMAW process on aluminum also better-controls heat input, easing out-of-position welding and allowing the operator to weld on thin-gage material at low wire-feed speeds and currents. Wire Feeder: The preferred method for feeding soft aluminum wire long distances is the push-pull method, which employs an enclosed wire-feed cabinet to protect the wire from the environment. A constant-torque variable-speed motor in the wire-feed cabinet helps push and guide the wire through the gun at a constant force and speed. A high-torque motor in the Welding Gun pulls the wire through and keeps wire-feed speed and arc length consistent. In some shops, welders use the same wire feeders to deliver steel and aluminum wire. In this case, the use of plastic or Teflon liners will help ensure smooth, consistent aluminum-wire feeding. For guide tubes, use chisel-type outgoing and plastic incoming tubes to support the wire as close to the drive rolls as possible to prevent the wire from tangling. When welding, keep the gun cable as straight as possible to minimize wire-feed resistance. Check for proper alignment between drive rolls and guide tubes to prevent aluminum shaving. Use drive rolls designed for aluminum. Set drive-roll tension to deliver an even wire-feed rate. Excessive tension will deform the wire and cause rough and erratic feeding; too-little tension results in uneven feeding. Both conditions can lead to an unstable arc and weld porosity. Welding guns: Use a separate Gun Liner for welding aluminum. To prevent wire chaffing, try to restrain both ends of the liner to eliminate gaps between the liner and the gas diffuser on the gun. Change liners often to minimize the potential for the abrasive aluminum oxide to cause wire-feeding problems. Use a Contact Tip approximately 0.015 inch larger than the diameter of the filler metal being used - as the tip heats, it will expand into an oval shape and possibly restrict wire feeding. Generally, when a welding current exceeds 200 A use a water-cooled gun to minimize heat buildup and reduce wire-feeding difficulties.
About the Author
elefanweld,we supply the Welding Machine equipment for you,and we can supply some skill and tips of welding.if you can have other question about the weld,please keep in touch me.let my weld experience tell you which welder to buy.
where can I buy Mig Welding TIPS (.035) on the weekends? The gas store is closed.?
for a miller dvi2
or is there a way to clean out the tip as wire won't feed through the 3 tips I have. Tthe wire seems too soft to ream out the orifice by hand. I was using Flux Core wire and dipping the tip in jelly.
Telemedicine Market Shares, Strategies, And Forecasts, Worldwide, 2010 To 2016-Aarkstore Enterprise
The 2010 study has 669 pages, 205 tables and figures. Worldwide markets are poised to achieve significant growth as the healthcare providers worldwide move to more cost efficient healthcare modalities leveraging telemedicine. Vendors are building out localized direct physician based services organizations, distribution partnerships, and e-commerce sites that support a telemedicine brand in every region.
Telemedicine is more cost efficient than nursing home or hospital care, every patient would rather stay at home if possible. As new telemedicine equipment and services proliferate in the U.S. and worldwide, more and more vital signs based healthcare delivery is being implemented.
Healthcare delivery systems are moving towards a quantum shift in care delivery. Technology provides a way to sense and monitor heart disease, inflammation, infection, cancer, diabetic condition, and chronic condition status using technology. This represents a quantum shift in care diagnosis. The old methods of verbal description that the physician rarely listens to and in person visual inspection are becoming less important. The monitoring technologies and blood work are being used in combination with imaging and telemetrics to provide a real time, continuous evaluation of patient condition.
This leads to care delivery by the numbers.
Few people describe themselves as old or sick—regardless of their age or health. We are moving toward care delivery by the numbers in combination with physical examination in person or over the HD TV. HD TV gives a quick, vivid image of where a person hurts and what they look like. The new sensor technology gives physicians visibility inside a person that is not available from a simple verbal description.
Telemedicine can supplement information available from a physical examination by making care delivery a available. Telemedicine is able to supplement traditional care. Telemedicine is extending monitoring into wellness tracking. The ability to visualize patient condition through blood work, monitors, sensors, imaging, and biometrics changes everything.
It is labor that is costly, not the imaging or the monitors. The automated process needs to be leveraged to reduce the labor costs by 90%, leveraging technology to provide consistent care. The systems need to be automated to the point where the patients and their families can provide accurate diagnostic information to the clinician, who by definition is the decision maker, not the care provider. The telemedicine is able to address the need to decrease labor costs.
Labor costs need to be removed from every step of the diagnostic process. The imaging machines need to be automated more. The sensing devices need to be able to take readings and send them to the automated patient record without human intervention.
New telemedicine devices do just this. Inflammation can be detected using a handheld biometric device. Cardiac symptoms can be detected automatically, just by placing a device in the proper position, no buttons to push, no screens to navigate.
In this context it has formalized a vision of the evolution of healthcare economic models. It is looking towards the transformation of the healthcare delivery systems in response to increasing responsibility of systems administrators to deliver quality care efficiently. C‐healthcare 2020® looks toward cost containment trends. These are playing out in the context of industry and professional efforts to improve the quality of care delivery:
1. Leverage automated process in the same way other industries have. Leverage cloud computing and System z mainframe computing to lower care delivery costs while improving the quality by quantum amounts.
2. Consolidate health care delivery systems in a manner that is able to achieve effective, efficient communication between caregivers.
3. Stop rewarding hospitals and physicians for over delivery of care and change. Move to care delivery systems that allow treatment of patients by the numbers combined with intelligent caring care. This is particularly true with the high cost profit center emergency room, get those costs way down.
4. Support the extended health care delivery systems that support healthy behaviors, including the acupuncture practitioners, chiropractors, and sports clubs.
5. Support Telemedicine and specialized intelligent support systems that permit leaving people in their own homes even if they cannot take care of every aspect of their life. Help old people take out the trash, sand the driveway when it snows, clean up the junk, help with the simple stuff that seems overwhelming to old people.
6. Reward families for providing care support to extended family members, these do not need to be financial rewards in every instance, maybe they are special recognition banquets and letters of commendation.
7. Implement systems that stimulate and reward patients for exercising and taking care of themselves in every way.
8. Implement computer assisted coding in a manner that allows automated transcription of physician and clinician notes into the electronic patient record; utilize the clinician notes, blood work, and diagnostic test results to provide tracking and reminding of conditions that need follow‐up after a specified length of time.
9. Use patient systems that are efficient.
10. Implement telemedicine.
Challenged with declining reimbursements, a nursing shortage and low productivity even as new agencies open, there has been significant industry consolidation. Automated process brought by Telemedicine information systems addresses management team issues. Existing providers need to improve overall operations to address these issues.
Several new studies provide large‐scale, independent, quantified proof of the value of healthcare information technology have. Users can utilize the scheduling notes to alert other staff of patient preferences or supplies needed in the home. Maestro intuitive process flow provides users with many reminders, including when a patient is out of orders, when a supervisory visit is required, or when a procedure needs to be completed during a visit.
Telemedicine Information systems are a significant part of the home care delivery systems. Software leverages the efficiency of clinical process in ways that have never become possible before. The system leverages virtually all the administrative and financial information needed to run a successful home care company. Information can be gathered right from the charts.
The significance of SOA integration and networking systems for telemedicine is not yet realized in Telemedicine information systems. However, as patients move from one care venue to another, the patient record is going to need to move with them. Thus telemedicine begins to play a significant role in care delivery. The hand-held, computer-based system guides home care clinicians through the entire patient care process. Clinicians can use structured record guides.
The systems automate reporting. The market opportunity for the Telemedicine information services providers is to enable consolidation of the 35,000 small agencies worldwide into a few large services providers. These few services providers then become customers for the Telemedicine information services systems. Telemedicine information systems will be enhanced by partnerships with IBM to leverage information analytics systems.
Without health, nothing else is very important. People with means choose to spend whatever they need to protect and promote their health. Statistics on total expenditures vs. value of those expenditures are meaningless unless they break out the impact on different population segments.
You often see statements from US analysts that say as President Obama did in In his speech to the American Medical Association: "we are spending over $2 trillion a year on health care — almost 50 percent more per person than the next most costly nation. And yet, as I think many of you are aware, for all of this spending, more of our citizens are uninsured, the quality of our care is often lower, and we aren't any healthier. In fact, citizens in some countries that spend substantially less than we do are actually living longer than people in other countries."
What the Obama statement misses is that some portion of the population is healthier. The US healthcare delivery system is superior to any. To say that not everyone is treated is not the same as saying that the system does not treat many people very well. Telemedicine is poised to make health care delivery better and spread that superior health care delivery system to a greater proportion of the population.
Perhaps if analysts looked at that portion of the population that is spending more on healthcare, it is possible to detect that those people have better quality of life and live longer, they are spending for themselves, not for everyone. So, that portion of the population that cannot afford good health care is creating a statistical offset that misleads analysts.
In fact, the US healthcare system is the envy of the world, for those who can afford the best quality care delivery, and for those people who see a doctor, and do what their doctors recommend, the US healthcare delivery system is the best. Telemedicine is rolling out in this context, facilitating the delivery of healthcare more frequently than has been possible before and creating a move toward wellness care delivery that supplements disease treatment.
Worldwide telemedicine markets at $7 billion in 2009 are expected to reach $24 billion by 2016. The total healthcare spending worldwide is 8.4 trillion. Telemedicine has the promise of delivering care more adequately to rich and poor people. Healthcare spending is anticipated to continue to rise as a percent of total expenditures because as people become more industrialized and have more disposable income, healthcare is a central aspect of expenditures.
This is the 427th report in a series of primary market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth potential are a priorities in topic selection. The project leaders take direct responsibility for writing and preparing each report. They have significant experience preparing industry studies. Forecasts are based on primary research and proprietary data bases.
The primary research is conducted by talking to customers, distributors and companies. The survey data is not enough to make accurate assessment of market size, so it looks at the value of shipments and the average price to achieve market assessments. Our track record in achieving accuracy is unsurpassed in the industry. We are known for being able to develop accurate market shares and projections. This is our specialty.
The analyst process is concentrated on getting good market numbers. This process involves looking at the markets from several different perspectives, including vendor shipments. The interview process is an essential aspect as well. We do have a lot of granular analysis of the different shipments by vendor in the study and addenda prepared after the study was published if that is appropriate.
Forecasts reflect analysis of the market trends in the segment and related segments. Unit and dollar shipments are analyzed through consideration of dollar volume of each market participant in the segment. Installed base analysis and unit analysis is based on interviews and an information search. Market share analysis includes conversations with key customers of products, industry segment leaders, marketing directors, distributors, leading market participants, opinion leaders, and companies seeking to develop measurable market share.
Report Methodology
This is the 427th report in a series of primary market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth potential are a priorities in topic selection. The project leaders take direct responsibility for writing and preparing each report. They have significant experience preparing industry studies. Forecasts are based on primary research and proprietary data bases.
The primary research is conducted by talking to customers, distributors and companies. The survey data is not enough to make accurate assessment of market size, so WinterGreen Research looks at the value of shipments and the average price to achieve market assessments. Our track record in achieving accuracy is unsurpassed in the industry. We are known for being able to develop accurate market shares and projections. This is our specialty.
The analyst process is concentrated on getting good market numbers. This process involves looking at the markets from several different perspectives, including vendor shipments. The interview process is an essential aspect as well. We do have a lot of granular analysis of the different shipments by vendor in the study and addenda prepared after the study was published if that is appropriate.
Forecasts reflect analysis of the market trends in the segment and related segments. Unit and dollar shipments are analyzed through consideration of dollar volume of each market participant in the segment. Installed base analysis and unit analysis is based on interviews and an information search. Market share analysis includes conversations with key customers of products, industry segment leaders, marketing directors, distributors, leading market participants, opinion leaders, and companies seeking to develop measurable market share.
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Table of Contents :
TELEMEDICINE EXECUTIVE SUMMARY TELEMEDICINE SOFTWARE, EQUIPMENT, AND SERVICES EXECUTIVE SUMMARY ES-1 Telemedicine Systems Market Driving Forces ES-1 Telemedicine Market Shares ES-3 Telemedicine Market Forecasts ES-4 Xtend / BioHarp UNI US. ES-6 Healthcare Reform Vision and Strategy ES-7
TELEMEDICINE MARKET DESCRIPTION AND MARKET DYNAMICS 1. TELEMEDICINE MARKET DESCRIPTION AND MARKET DYNAMICS 1-1 1.1 Telemedicine Definition 1-1 1.1.1 Telemedicine Benefits 1-3 1.1.2 50 Different Medical Subspecialties Have Successfully Used Telemedicine 1-6 1.1.3 Telemedicine Reimbursement Fee Structure 1-8
1.2 Healthcare IT Support for Telemedicine in Asia 1-9 1.2.1 Healthcare IT in Australia 1-10 1.2.2 Telemedicine for the Internet 1-11 1.3 Technologies To Support Telemedicine Approaches 1-11 1.3.1 WinterGreen Research Healthcare Reform Vision and Strategy 1-12 1.4 Home Health Care 1-16 1.4.1 Home Health Quality Care 1-19 1.4.2 Medicare 1-26 1.4.3 Medicaid 1-26 1.5 Home Care Services Payors 1-30 1.5.1 Self-pay 1-31 1.5.2 Public Third-party Payors: Medicare 1-31 1.5.3 Public Third-party Payors: Medicaid 1-32 1.5.4 Public Third-party Payors: Older Americans Act (OAA) 1-33 1.5.5 Veterans Administration 1-34 1.5.6 Social Services Block Grant Programs 1-34 1.5.7 Community Organizations 1-34 1.5.8 Private Third-party Payors 1-35 1.6 Types of Home Care Agencies 1-35 1.6.1 Nursing care 1-36 1.6.2 Physical therapy 1-37 1.6.3 Occupational therapy 1-37 1.6.4 Speech therapy 1-37 1.6.5 Social workers 1-37 1.6.6 Home Health Aides/Home Care Aides 1-38 1.6.7 Homemaker/Attendant Care 1-38 1.6.8 Volunteers 1-38 1.6.9 Others 1-38 1.7 Telemedicine Information System Software Market Shifts 1-39 1.7.1 Characteristics Particular To The Telemedicine Information System Market 1-42 1.7.2 Implementation Depends On Documentation Of Each Discipline Needs 1-43 1.7.3 Home Care Services Billing Issues 1-43 1.7.4 Prospective Payment System (PPS) 1-45 1.7.5 Managed Care Requirements 1-45 1.7.6 Oasis Home Health Agencies 1-48 1.8 Need For Automation Of Home Care Companies 1-48 1.9 Telemedicine Information Technology Industry 1-50 1.9.1 History Of Low Investment In Healthcare Information Technology 1-52 1.9.2 Market Driving Forces For Worldwide Telemedicine Information Systems 1-53 1.9.3 Treatment Trends 1-53 1.9.4 Home Healthcare Delivery Industry 1-55 1.9.5 Competition Forms Basis Of U.S. Medical Care Services Delivery 1-55 1.9.6 Science And Medical Technology 1-56 1.10 Benefits Of Home Care 1-57 1.10.1 Home Health Saves Medicare Billions 1-59 1.11 Demographic Trends Driving Home Care 1-61 1.11.1 Mainstreaming Of People With Disabilities 1-61 1.11.2 Recovery And Active Lifestyles Of Disabled Portion of the Population 1-62
1.12 Healthcare Equipment Industry 1-63 1.12.1 Reimbursement Drives Healthcare Equipment Industry 1-64 1.12.2 Home Medical Equipment Industry Segments 1-65 1.13 Marketing Globally 1-67 1.13.1 U.S. Healthcare Delivery Industry 1-69 1.13.2 Competition Forms Basis Of U.S. Medical Care Services Delivery 1-70 1.13.3 European Telemedicine Market Trends 1-71 1.14 Hospital and Home Care Services Billing Issues 1-72 1.14.1 Managed Care Requirements 1-74 1.15 Market Drivers For Healthcare Cost Containment 1-77 1.15.1 Managed Care Organization Impact 1-78 1.15.2 Reasons Home Health Care Has Gained Wide-Spread Acceptance 1-78 1.15.3 Managed Care Change In The Healthcare Industry 1-79 1.15.4 Telemedicine For People With Long Term Disabilities 1-79 1.15.5 Health Care Cost Containment Trends 1-80 1.15.6 Medicare Reimbursement Guide for Power Wheelchair Drive Control Systems 1-80 1.15.7 Managed Care Organization Impact 1-81 1.16 Reasons Home Health Care Has Gained Wide-Spread Acceptance 1-81 1.16.1 Managed Care Change In The Healthcare Industry 1-82 1.16.2 Telemedicine For People With Long Term Disabilities 1-82 1.17 Worldwide Telemedicine Information Systems Market Distribution 1-83 1.17.1 Delivery Of Non-Acute Health Care 1-83 1.17.2 Leveraging Distribution Channels 1-84 1.17.3 Worldwide Telemedicine Information Systems Market Positioning 1-84 1.18 Increased Need For Information Technology 1-86 1.18.1 Medical Error 1-87 1.19 Shortcomings Of Traditional Healthcare Information Systems 1-88 1.19.1 Telemedicine Information Systems Market Strategy 1-89 1.19.2 Integrated Healthcare Information Technology Solutions 1-90 1.19.3 Flexible Product-Delivery Options 1-90 1.19.4 Leveraging Existing Customer Base 1-91 1.20 Telemedicine Information Systems Market Trends 1-92 1.20.1 Clinician Support For Spending Less Time At The Desktop And More Time Taking Care Of Patients 1-94
TELEMEDICINE MARKET SHARES AND MARKET FORECASTS 2. TELEMEDICINE SOFTWARE, EQUIPMENT, AND SERVICES, MARKET SHARES AND FORECASTS 2-1 2.1 Telemedicine Systems Market Driving Forces 2-1 2.1.1 Telemedicine Healthcare Landscape 2-3 2.1.2 Telemonitoring Systems Market Driving Forces 2-4 2.2 Telemedicine Market Shares 2-5 2.3 Telemedicine Equipment Market Shares 2-9
2.3.1 Honeywell LifeStream Web-Based Health Information Patient Care 2-11 2.3.2 Honeywell HomMed 2-12 2.3.3 Contec Medical Group PM50 NIBP/Spo2 Patient Monitor 2-12 2.4 Telemedicine Components and Modules Market Shares 2-15 2.4.1 Intel Research 2-16 2.4.2 AMD Global Telemedicine 2-17 2.5 Medical Imaging Telemedicine Market Shares 2-18 2.5.1 GE Digital Image Archive Telemedicine Inside a Facility 2-20 2.5.2 Philips Raytel Imaging Network 2-21 2.6 Telemedicine Software and (SaaS) Worldwide 2-23 2.6.1 McKesson Telehealth Advisor 2-24 2.6.2 McKesson Telehealth Improves Patient Communication and Self-Management 2-25 2.6.3 McKesson Telehealth Delivers Quality Care at a Lower Cost 2-26 2.6.4 Bosch Veterans Administration Success 2-26 2.6.5 Bosch Health Hero Network Health Buddy Project Expanded by Centers for Medicare and Medicaid Services 2-27 2.6.6 GenerationOne 2-29 2.7 Mobile Telemedicine Remote Monitoring Market Shares 2-30 2.7.1 Cardiocom Telemonitoring Systems 2-31 2.7.2 Cardiocom Omnivisor™ 2-32 2.7.3 Aerotel Medical Systems 2-32 2.7.4 Aerotel Medical Systems Mobile-CliniQ™ - Affordable Personal Mobile Health Solution 2-33 2.7.5 MedApps 2-33 2.8 Mobile Cardiac Arrhythmia Monitoring Market Shares 2-35 2.8.1 Cardionet 2-36 2.8.2 Philips-Raytel 2-37 2.8.3 Lifewatch 2-38 2.8.4 LifeWatch Services Arrhythmia Monitoring 2-38 2.8.5 LifeStar ACT Ambulatory Cardiac Telemetry 2-39 2.9 Telemedicine Networking and SOA Market Shares 2-40 2.9.1 IBM SOA Telemedicine Integration Foundation Systems 2-41 2.9.2 IBM Financing Makes the System z More Efficient 2-42 2.9.3 IBM System z 10x More Efficient Than Distributed Servers 2-42 2.9.4 Cisco HealthPresence 2-43 2.9.5 Hewlett Packard (HP) / 3Com Corporation Telemedicine 2-44 2.9.6 HP / 3Com Corporation 2-44 2.10 Telemedicine Opportunity 2-45 2.11 Telemedicine Market Segment Analysis 2-47 2.12 Telemedicine Market Forecasts 2-51 2.1 Telemedicine Equipment Market Forecasts 2-52 2.2 Telemedicine Electronic Components and Modules Worldwide Market Forecasts 2-55 2.3 Medical Imaging Telemedicine Market Forecasts 2-56 2.4 Mobile Telemedicine Remote Monitoring Market Forecasts 2-58 2.4.1 Wireless Mobile Health Monitoring 2-58 2.5 Mobile Cardiac Arrhythmia Monitoring Market Forecasts 2-60 2.6 Telemedicine Networks Market Forecasts 2-61 2.7 Telemedicine Applications Software and Software as a Service SaaS Worldwide Market Forecasts 2-63 2.8 Telemedicine Worldwide Market Segment Forecasts 2-65 2.9 Equipment and Software for Transmission of
Medical Imaging, Telemedicine 2-67 2.9.1 Telehealth 2-68 2.9.2 Telemedical Systems Challenged 2-68 2.10 Telemedicine Regional Segment Analysis 2-71
TELEMEDICINE PRODUCT DESCRIPTION 3. TELEMEDICINE PRODUCT, NETWORKING, AND SERVICES DESCRIPTION 3-1 3.1 Mobile Cardiac Arrhythmia Monitoring 3-1 3.2 CardioNet 3-2 3.3 Philips-Raytel 3-3 3.4 Lifewatch 3-6 3.4.1 LifeWatch Services Arrhythmia Monitoring 3-7 3.4.2 LifeWatch Services NiteWatch Home Sleep Testing LifeWatch Services 3-9 3.4.3 LifeWatch Services Clinical Expertise 3-10 3.4.4 LifeWatch Services Web Enrollment and Reporting Tools 3-10 3.5 Mobile Telemedicine Remote Monitoring 3-10 3.6 McKesson Telehealth Advisor 3-11 3.6.1 McKesson Telehealth Improves Patient Communication and Self-Management 3-11 3.6.2 McKesson Telehealth Delivers Quality Care at a Lower Cost 3-12 3.7 Meditech Telemanagement Process In-Home Device 3-13 3.7.1 Meditech Telemonitoring And Telehealth For Home Health Agencies 3-17 3.8 Bosch Healthcare Telehealth Solutions 3-20 3.8.1 Bosch Tele-Health Systems Empower Patients 3-21 3.8.2 Bosch Health Hero Network 3-21 3.8.3 Bosch ViTelNet Range Of Services 3-21 3.8.4 U.S. Telehealth: Bosch acquires ViTel Net 3-22 3.9 Aerotel Medical Systems 3-23 3.9.1 Aerotel BP-Tel™ Transtelephonic Blood Pressure Monitor 3-23 3.9.2 Aerotel Tele-CliniQ™ 3-27 3.9.3 Aerotel Medical Systems Mobile-CliniQ™ - Affordable Personal Mobile Health Solution 3-33 3.9.4 Aerotel Medical Systems Connect-Cell™ - Cellular-Based Telemedicine Data Hub 3-33 3.10 Cardiocom Telemonitoring Systems 3-34 3.10.1 Cardiocom Omnivisor™ 3-35 3.10.2 Cardiocom Commander 3-37 3.10.3 Cardiocom Telescale® 3-37 3.10.4 Cardiocom Thin-Link® 3-38 3.10.5 CardiocomGlucoCom 3-38 3.10.6 Cardiocom Telemonitoring Tools 3-39 3.10.7 Cardiocom Integrated System For Communication 3-40 3.10.8 Cardiocom Telemonitoring Systems 3-44 3.10.9 Cardiocom Detailed, Objective Reports 3-45 3.10.10 Cardiocom .NET Installation and Maintenance 3-47 3.10.11 Cardiocom System 3-48
3.10.13 Cardiocom Commander Data Management System 3-49 3.10.14 Cardiocom • Blood Pressure • Glucometer • Peak Flow • Medical Scale • Pulse Oximeter 3-50 3.10.15 Cardiocom Telescale® 3-52 3.10.16 Cardiocom Cardio-Plan™ 3-54 3.10.17 Cardiocom Respiratory-Plan™ 3-57 3.11 Santrax Telemedicine Information Systems Telphony Solutions 3-59 3.11.1 Santrax Delivered Through The Web 3-65 3.12 AHL Telemedicine Solutions 3-69 3.12.1 AHL Telemedicine services 3-71 3.12.2 AHL Telemedicine Benefits 3-74 3.12.3 AHL Cardiostation 3-75 3.12.4 AHL Heartrak Smart Products 3-76 3.12.5 AHL Heartrak - Post-Event Cardiac Monitoring 3-77 3.13 Honeywell LifeStream Web-Based Health Information Patient Care 3-80 3.13.1 Honeywell HomMed Interface Options 3-81 3.13.2 Honeywell LifeStream View Securely Accesses And Tracks Patient Information In Real Time 3-82 3.13.3 Honeywell LifeStream Target Markets 3-82 3.13.4 Honeywell Products, Software & Peripherals 3-83 3.13.5 Honeywell Sentry Telehealth Monitor – Total Solution 3-83 3.13.6 Honeywell Genesis Telehealth Monitor – Targeted Solution 3-85 3.13.7 Honeywell Central Station – Diagnostic Software for Managing Patient Care 3-87 3.13.8 Honeywell Genesis Telemonitor - Targeted Solution 3-87 3.13.9 Honeywell Central Station Diagnostic Software for Managing Patient Care 3-90 3.13.10 Honeywell Medical Devices 3-92 3.13.11 Honeywell Health Center Kiosks 3-92 3.13.12 Honeywell HomMed Promoting Healthy Environments 3-95 3.14 Sajix 3-96 3.15 GenerationOne 3-97 3.15.1 GenerationOne Mobile Health Solution 24/7 Support 3-99 3.16 Telemedicine Networks 3-99 3.17 Cisco 3-100 3.17.1 Cisco HealthPresence 3-100 3.18 Hewlett-Packard / 3Com Corporation 3-102 3.19 IBM 3-105 3.20 Bosch / Health Hero® Network Deployments with Medicare, VA 3-108 3.20.1 Centers for Medicare and Medicaid Services Extending And Expanding Bosch Health Hero Network Health Buddy Project 3-109 3.21 Aruba Networks Wireless Solution: WiFi Wireless LANs 3-113 3.21.1 Aruba Networks Wireless Solution 3-116 3.21.2 Aruba Wireless Network Real-Time Surveillance Of The Patient Bedside 3-117 3.22 Cardiopulmonary Bernoulli Enterprise Management System 3-118 3.23 Telemedicine Equipment Worldwide 3-118 3.24 Contec Medical Group PM50 NIBP/Spo2 Patient Monitor 3-118
3.25 Mednet Healthcare Technologies Heartrak Smart 3-124 3.25.1 Mednet Healthcare Technologies Heartrak - Post- Event Cardiac Monitoring 3-125 3.25.2 Mednet Healthcare Technologies Heartrak 1000 3-125 3.25.3 Mednet Healthcare Technologies HeartView P-12/8 3-126 3.25.4 Mednet Healthcare Technologies HeartOne™ 3-127 3.26 Cardionet 3-128 3.26.1 CardioNet MCOT 3-128 3.26.2 CardioNet Event Monitoring 3-129 3.26.3 CardioNet Looping Multi-Event Monitor 3-132 3.26.4 CardioNet Non-Looping Chest Plate Event Monitor 3-133 3.26.5 CardioNet Holter Monitor 3-135 3.27 XTend Medical Telemedicine 3-137 3.27.1 XTend Pharmacy 3-139 3.27.2 Xtend / BioHarp UNI US. 3-140 3.28 LifeStar ACT Ambulatory Cardiac Telemetry 3-141 3.28.1 LifeStar ACT Products 3-141 3.28.2 LifeStar ACT Ex 3-142 3.29 GenesisHealthTechnologies HealthPia 3-144 3.29.1 GenesisHealthTechnologies HealthPia Glucose Meter (GlucoPack™) 3-145 3.29.2 GenesisHealthTechnologies BP Cuff 3-150 3.29.3 GenesisHealthTechnologies HealthPia Thermo Weight Scale 3-150 3.29.4 GenesisHealthTechnologies Glucose Information And Testing Security 3-150 3.30 IgeaCare Igeacom300Systems Nurse Call Devices 3-152 3.30.1 IgeaCare Igeacom500 Systems 3-153 3.30.2 IgeaCare Igeacom700 Systems 3-156 3.31 LifeSync Wireless Lead System 3-158 3.31.1 LifeSync Wireless ECG System 3-163 3.32 SHL Telemedicine Ltd. CARDIOSEN'C™ 3-167 3.32.1 SHL Telemeidicine CARDIOBEEPER12/12™ 3-169 3.32.2 SHL Telemedicine CARDIOPOCKET™ 3-172 3.32.3 SHL Telemedicine TELEMARKER™ Transtelephonic Cardiac Blood Testing Device 3-172 3.32.4 SHL Telemedicine TELEPRESS™ 3-175 3.33 MedApps 3-177 3.33.1 MedApps Wireless Mobile Health Monitoring 3-179 3.33.2 MedApps Wireless Health Monitoring 3-180 3.33.3 MedApps Mobile Wireless Health Monitoring System 3-184 3.33.4 MedApps HealthPAL 3-185 3.33.5 MedApps HealthCOM 3-186 3.33.6 MedApps HealthLINK – 3-190 3.33.7 MedPAL Medication Compliance 3-191 3.34 Apollo Products / Solutions 3-191 3.35 Heart Imaging Technologies 3-192 3.36 Telemedicine Electronic Components and Modules Worldwide 3-193 3.37 Intel Telemedicine Research and Innovation 3-194 3.37.1 Intel Telemedicine Technologies And Research Ecosystem 3-194 3.37.2 Intel Ethnographic Research In Healthcare 3-195 3.37.3 Intel Healthcare Research Global Understanding 3-196 3.37.4 Intel Healthcare Research Focus 3-197 3.37.5 Intel Research Portfolio Evidence-Based Innovation 3-199
3.37.6 Intel Acquires Wind River Systems 3-207 3.37.7 Intel Bringing Vital Information To The Point Of Care 3-208 3.37.8 Intel Innovation For Healthcare 3-209 3.37.9 Intel® Health Guide Personal Health System 3-209 3.37.10 Intel® Health Guide 3-210 3.38 AMD Global Telemedicine 3-210 3.38.1 AMD Telemedicine In The Access Model 3-212 3.38.2 AMD Primary Care Telemedicine 3-213 3.38.3 AMD Global Telemedicine 3-214 3.38.4 AMD Cutting Edge Cardiology Applications 3-216 3.39 Authentidate Holding Secure Health Information Exchange And Workflow Management 3-223 3.40 Equipment and Software for Transmission of Medical Imaging, Telemedicine 3-225 3.41 Philips / Raytel Imaging Network 3-226 3.42 GE Digital Image Archive Telemedicine Inside a Facility 3-229 3.42.1 GE Centricity RIS/PACS Integrated Solutions 3-230 3.42.2 GE PACS eHealth 3-232 3.42.3 GE Central databank Supports Remote Care Delivery 3-232 3.43 Telemedicine for Public Health Agencies 3-233 3.44 Voxiva HealthConnect Suite Of Interactive Mobile Health Information Services 3-233 3.44.1 Voxiva HealthWatch 3-234 3.44.2 Voxiva Disease Reporting 3-235 3.44.3 Voxiva HealthWatch Database Mining 3-236 3.44.4 Voxiva HealthWatch Outbreak Detection and Analysis 3-236 3.44.5 Voxiva HealthWatch Alerts on Health Events 3-236 3.44.6 Voxiva Case Investigation 3-236 3.44.7 Voxiva Outbreak Management 3-237 3.44.8 Voxiva Platform Solutions 3-237 3.45 Rivulet Communications Medical Video 3-240 3.45.1 Rivulet's Advanced Multimedia Telemedicine Solution 3-240 3.46 Pelham Sloane Mobile And Home Based Telemedicine 3-242
TELEMEDICINE TECHNOLOGY 4. TELEMEDICINE TECHNOLOGY 4-1 4.1 Telemedicine Product Lifecycle Accelerating 4-1 4.1.1 Personal Computer Based Systems Provide Significant Advantages 4-1 4.1.2 Telemedicine Establishes Professional Relationships, Builds Referral Patterns 4-2 4.1.3 Machine-to-Machine Sensing 4-3 4.2 Bosch Studies 600 Congestive Heart Failure (CHF) Patients – 4-4 4.2.1 Better Care For Hypertensive Patients 4-5 4.2.2 Accurate Non-Invasive Blood Pressure Measurement in the Critically Ill patient 4-5 4.2.3 Automated Blood Pressure Device Calibration Method 4-7 4.3 Patient Assessment 4-8
4.3.1 Accurate Blood Pressure Measurement 4-8 4.3.2 Accuracy And Clinical Validation Of The SunTech 247 4-9 4.3.3 Accurate Blood Pressure Measurement 4-10 4.3.4 Evidence-Based Innovation 4-10 4.4 Intel Telemedicine Cultivating Collaborations 4-13 4.4.1 Technology Research for Independent Living 4-13 4.4.2 Behavioral Assessment and Intervention Commons 4-13 4.4.3 Center for Aging Services Technologies (CAST) 4-14 4.4.4 Everyday Technologies in Alzheimer Care (ETAC) 4-14 4.4.5 Oregon Center for Aging and Tech (ORCATECH) 4-14 4.5 People-Centered Research 4-14 4.5.1 Technology Innovation Starts With People 4-17 4.6 Disease Conditions and Medical Care Categories 4-18 4.6.1 Diabetes 4-18 4.6.2 Chronic Care 4-18 4.6.3 Cardiac Care 4-19 4.6.4 Cardiology 4-21 4.6.5 Oncology 4-22 4.6.6 Women's health 4-22 4.6.7 Regulatory Requirements 4-23 4.6.8 Atrial Fibrillation 4-23 4.6.9 Atrial Fibrillation Printout 4-25 4.6.10 Increased Risk of Stroke 4-26 4.7 Real Time Locating System (RTLS) 4-26 4.8 Technological Trends 4-28 4.8.1 Thin Film Lithium And Lithium Ion Batteries 4-28 4.8.2 Thin Film Battery Market Driving Forces 4-29 4.9 Thin Film Solid-State Battery Construction 4-30 4.10 Science And Medical Technology 4-31 4.10.1 Physical Therapy 4-32 4.10.2 Treatment Trends 4-32
5. TELEMEDICINE COMPANY PROFILES 5-1 5.1 Aerotel Medical Systems 5-1 5.1.1 Aerotel Medical Systems / Tadiran LifeCare 5-2 5.1.2 Aerotel Medical Systems Mobile-CliniQ™ - Affordable Personal Mobile Health Solution 5-3 5.1.3 Aerotel Medical Systems Connect-Cell™ - Cellular-Based Telemedicine Data Hub 5-3 5.2 AMD Global Telemedicine 5-4 5.2.1 AMD Global Telemedicine Director of Clinical training 5-5 5.3 American Heartcare Limited AHL 5-5 5.4 Apollo Telemedicine Networking Foundation 5-6 5.5 Authentidate Holding 5-8 5.6 Bosch Group 5-10 5.6.1 Bosch Group / Health Hero Network 5-10 5.6.2 Bosch Group / ViTel Net 5-11 5.6.3 Bosch / ViTelNet Range Of Services 5-11 5.6.4 Bosch Group Charitable Ownership 5-12
5.6.5 Bosch Group Healthcare 5-13 5.6.6 Bosch Health Hero Network 5-13 5.6.7 Bosch Group Sales Revenue 5-14 5.6.8 Bosch Automotive Technology sales 5-15 5.6.9 Bosch Industrial Technology Sales 5-16 5.6.10 Bosch Consumer Goods and Building Technology Sales 5-18 5.7 Cardiocom 5-19 5.7.1 Cardiocom Telemonitoring System 5-20 5.7.2 Cardiocom Telemonitoring Used By Major Managed Care Organizations 5-21 5.8 Cardionet 5-22 5.8.1 CardioNet Positioning 5-26 5.8.2 CardioNet Acquisition—PDSHeart, Inc. 5-30 5.9 Cincom Systems 5-30 5.10 Cisco 5-34 5.10.1 Cisco Strategy and Focus Areas 5-34 5.11 Contec 5-37 5.11.1 Contec Medical Group 5-38 5.12 EHTEL eHealth 5-44 5.12.1 EHTEL Structure 5-45 5.13 GE 5-45 5.13.1 General Electric Revenues 5-47 5.13.2 GE Healthcare 5-47 5.14 GenerationOne 5-49 5.14.1 GenerationOne Mobile Collaborative Care Solution 5-50 5.14.2 GenerationOne / FireFly Mobile 5-52 5.14.3 GenesisHealthTechnologies / HealthPia 5-53 5.15 HeartIT 5-54 5.16 Hewlett-Packard / 3Com 5-55 5.16.1 HP Full Year Fiscal 2009 5-55 5.16.2 Hewlett Packard (HP) / 3Com Corporation 5-57 5.16.3 3Com Corporation 5-58 5.16.4 3Com Healthcare Customers 5-59 5.17 Honeywell 5-60 5.18 IBM 5-62 5.18.1 IBM Business Partnering Strategy 5-63 5.18.2 IBM Strategic Priorities 5-64 5.18.3 IBM BPM Powered By Smart SOA 5-66 5.18.4 IBM Delivers Integration and Innovation to Clients 5-66 5.18.5 IBM Business Model 5-67 5.18.6 IBM Unified Communications In The Cloud Architecture 5-68 5.18.7 IBM LotusLive Cloud-Based Portfolio Of Social Networking And Collaboration Services 5-70 5.18.8 IBM Revenue 5-71 5.18.9 IBM Q1 2009 Revenue 5-78 5.18.10 IBM Q2 2009 Revenue 5-79 5.18.11 IBM Software Capabilities 5-80 5.18.12 IBM Systems and Technology Capabilities 5-82 5.18.13 IBM Worldwide Organizations 5-83 5.18.14 IBM Integrated Supply Chain 5-83 5.18.15 IBM Security 5-84 5.18.16 Financing Makes the IBM System z More Efficient 5-87 5.19 IgeaCare Solutions 5-89 5.19.1 IgeaCare Telephony Based Communication Systems 5-90 5.20 Intel 5-91 5.20.1 Intel Operating Segments 5-92
5.20.2 Intel / Wind River 5-93 5.20.3 Intel Silicon Innovation 5-94 5.21 LifeSync Corp. 5-96 5.22 Lifewatch 5-98 5.22.1 LifeWatch Revenue 5-102 5.23 MedApps, Inc. 5-103 5.23.1 MedApps Personal Health Device 5-105 5.23.2 MedApps Receives FDA Clearance on a New Way to Bring Cost-Effective Remote Health Monitoring 5-105 5.23.3 MedApps Innovative Solutions 5-106 5.24 Mednet Healthcare Technologies 5-107 5.25 NuPhysicia LLC 5-107 5.25.1 NuPhysicia Telemedicine Programs 5-108 5.26 OCS 5-108 5.27 Philips 5-109 5.27.1 Philips Healthcare 5-110 5.27.2 Philips Key Revenue Data 5-112 5.28 Pelham Sloane 5-113 5.29 Polycom 5-113 5.29.1 Polycom Telemedicine Products and Services: 5-114 5.29.2 Polycom And AMD Global Telemedicine Delivers Integrated Visual And Voice Telehealth Capability To Clinicians 5-115 5.30 ProInfoNet 5-117 5.30.1 New England Telehealth Consortium 5-117 5.30.2 ProInfoNet Web development And Market Research 5-121 5.31 Rivulet 5-121 5.31.1 Rivulet Telemedicine 5-123 5.32 SHL Telemedicine Ltd. 5-124 5.33 Siemens 5-126 5.33.1 Siemens Comprehensive Healthcare 5-126 5.33.2 Siemens Computed Tomography (CT) 5-127 5.33.3 Siemens Combines Imaging Systems And Evaluation Software And Bundle Them Into A Complete Client- Server Solution 5-130 5.33.4 Siemens Molecular imaging meets computed tomography 5-130 5.34 Karl Storz Endoscopy-America / Global Care Quest 5-131 5.35 Suntech 5-131 5.35.1 SunTech Medical Development & Acquisition Plans 5-132 5.36 Voxiva 5-134 5.37 Wolters Kluwer Health 5-135 5.37.1 Wolters Kluwer Health 5-136 5.37.2 Wolters Kluwer Health Medi-Span® 5-136 5.37.3 Wolters Kluwer Health Facts & Comparisons® 5-137 5.38 XTend Medical Corporation 5-137 5.38.1 XTend Medical Partners 5-138 5.38.2 XTend Medical Telemedicine Solution 5-138 5.38.3 Xtend / BioHarp UNI US. 5-139 5.38.4 XTend Medical Business Model 5-139 5.38.5 XTend Revenue Model 5-141 5.38.6 XTend / BioHarp 5-143 5.38.7 XTend Medical Purchase Agreement With BioHarp, Korea 5-144 5.38.8 XTend Medical / AmeriChoice 5-145 5.39 Selected Other Telemedicine Companies 5-146 5.39.1 A&D 5-146
TELEMEDICINE MARKET DESCRIPTION AND MARKET DYNAMICS Figure 1-1 1-2 How Telemedicine Works. Figure 1-2 1-3 Usage of Telemedicin
Table 1-3 1-4 Benefits Of Telemedicine Table 1-3 (Continued) 1-5 Benefits Of Telemedicine Table 1-4 1-6 Medical Subspecialty Use of Telemedicine Table 1-4 (Continued) 1-7 Medical Subspecialty Use of Telemedicine Table 1-5 1-12 Telemedicine Approaches Table 1-6 1-14 WinterGreen Research Has Formalized A Vision Of The Evolution Of Healthcare Economic Models Figure 1-7 1-16 Number of US Telemedicine and Hospice Agencies Figure 1-8 1-17 US Telemedicine Payment Source Figure 1-9 1-18 US Telemedicine Patients Receiving Help Table 1-10 1-19 Home Health Quality of Care Measures Table 1-10 (Continued) 1-20 Home Health Quality of Care Measures Table 1-10 (Continued) 1-21 Home Health Quality of Care Measures Table 1-11 1-21 Senior Telemedicine Assessment Table 1-11 (Continued) 1-22 Senior Telemedicine Assessment Table 1-11 (Continued) 1-23 Senior Telemedicine Assessment Table 1-12 1-23 Medicare Program Payment Conditions Table 1-13 1-30 Home Care Services Payors Table 1-14 1-40 Telemedicine Information System Software Characteristics Table 1-14 (Continued) 1-41 Telemedicine Information System Software Characteristics Table 1-15 1-42 Market Characteristics For Evaluation of Telemedicine Information System Software Vendors Table 1-16 1-44 Home Care Services Billing Issues Table 1-17 1-46 JCAHO ORYX Requirements Table 1-17 (Continued) 1-47
Table 1-19 1-50 Home Care Specialty Services Provided Table 1-20 1-51 Home Market Information System Software Market Segment Table 1-21 1-54 Factors Relating To Value Of Home Health Care Over Institutional Care Table 1-22 1-58 Studies Illustrate Patients Choose Home Care Table 1-23 1-60 Home Health Savings Table 1-24 1-63 Home Healthcare Services Target Markets Table 1-25 1-66 Home Medical Equipment Market Segments Table 1-27 1-73 Home Care Services Billing Issues Table 1-28 1-74 Home Care Services Billing Changes Needed Table 1-29 1-75 JCAHO ORYX Requirements Table 1-29 (Continued) 1-76 JCAHO ORYX Requirements Table 1-30 1-85 Worldwide Telemedicine Information Systems Market Positioning Table 1-30 (Continued) 1-86 Worldwide Telemedicine Information Systems Market Positioning Table 1-31 1-89 Strategies For Offering Technology Solutions To The Home Healthcare Industry Table 1-32 1-93 JCAHO ORYX Requirements Table 1-18 1-49 Home Care Standard Services Provided
TELEMEDICINE MARKET SHARES AND MARKET FORECASTS Table 2-1 2-2 Telemedicine Systems Market Driving Forces Table 2-2 2-5 Telemonitoring Systems Market Driving Forces Figure 2-3 2-6 Telemedicine Software, Equipment, and Services Worldwide Market Shares, Dollars, 2009 Figure 2-4 2-7 Telemedicine Software, Equipment, and Services Worldwide
Market Shares, Dollars, 2009 Table 2-5 2-8 Categories Of Telemedicine Figure 2-6 2-9 Telemedicine Equipment Worldwide Market Shares, Dollars, 2009 Table 2-7 2-10 Telemedicine Equipment Worldwide Market Shares, Dollars, 2009 Table 2-8 2-12 Contec Medical Group Patient Monitors Table 2-8 (Continued) 2-13 Contec Medical Group Patient Monitors Table 2-9 2-14 Contec Medical Patient Monitors Figure 2-10 2-15 Telemedicine Electronic Components and Modules Worldwide Market Shares, 2009 Figure 2-11 2-16 Telemedicine Electronic Components and Modules Worldwide Market Shares, 2009 Figure 2-12 2-19 Telemedicine Medical Imaging, Equipment, Software, and Services Market Shares, Worldwide, Dollars, 2009 Table 2-13 2-20 Telemedicine Medical Imaging, Equipment, Software, and Services Market Shares, Dollars, 2009 Table 2-14 2-23 Telemedicine Software and (SaaS) Worldwide Market Shares, Dollars, 2009 Table 2-15 2-24 Telemedicine Software and (SaaS) Worldwide Market Shares, Dollars, 2009 Table 2-16 2-30 Mobile Telemedicine Remote Monitoring Equipment and Services Market Shares, Dollars, 2009 Table 2-17 2-31 Mobile Telemedicine Remote Monitoring Equipment and Services Market Shares, Dollars, 2009 Table 2-18 2-34 MedApps Solutions Benefits Figure 2-19 2-35 Mobile Cardiac Arrhythmia Monitoring Equipment and Services Market Shares, Worldwide, Dollars, 2009 Table 2-20 2-36 Mobile Cardiac Arrhythmia Monitoring Equipment and Services Market Shares, Worldwide, Dollars, 2009
Figure 2-21 2-40 Telemedicine Services Oriented Architecture SOA and Networking Worldwide Market Shares, 2009 Figure 2-22 2-41 Telemedicine Services Oriented Architecture SOA and Networking Worldwide Market Shares, 2009 Table 2-23 2-46 US Chronic Conditions Table 2-24 2-46 U.S. Patients with One or More Chronic Diseases Figure 2-25 2-47 Telemedicine Equipment and Services Worldwide Market Segments, 2009 Table 2-26 2-48 Telemedicine Equipment and Services Worldwide Market Segments, 2009 Figure 2-27 2-49 Telemedicine Equipment and Services Worldwide Market Segments, 2016 Figure 2-28 2-50 Telemedicine Equipment and Services Worldwide Market Segments, 2016 Table 2-29 2-51 Telemedicine Software, Equipment, and Services Market F orecasts, Worldwide, Dollars, 2010-2016 Table 2-30 2-52 Telemedicine Equipment and Services Market Forecasts, Worldwide, Dollars, 2010-2016 Figure 2-31 2-54 Telemedicine Equipment Market Forecasts, Worldwide, Dollars, 2010-2016 Figure 2-32 2-55 Telemedicine Components and Modules Market Forecasts, Worldwide, Dollars, 2010-2016 Figure 2-33 2-57 Medical Imaging Telemedicine Market Forecasts, Worldwide, Dollars, 2010-2016 Figure 2-34 2-59 Mobile Telemedicine Remote Monitoring Market Forecasts, Worldwide, Dollars, 2010-2016 Figure 2-35 2-61 Mobile Cardiac Arrhythmia Monitoring Market Forecasts, Worldwide, Dollars, 2010-2016 Figure 2-36 2-62 Telemedicine Networking Market Forecasts, Worldwide, Dollars, 2010-2016 Figure 2-37 2-64 Telemedicine Applications Software and Software as a Service SaaS Market Forecasts, Worldwide, Dollars, 2010-2016 Table 2-38 2-65 Telemedicine Software, Equipment, and Services
San Jose Moving Companies – Cost Cutting Tips on Moving and Packing
Planning to move out of San Jose? Then you can search for either San Jose moving companies or California movers. But we all know that moving is very expensive and before we hire a company, of course, we will check our pocket to find out if we are in a position to afford the expenses. There are few things that you need to keep in mind when you plan your move to cut down your expenses. But we often, in haste, miss out the small but important matters that can make a lot of difference in our moving expenses. We will organize the move step-by-step and find out the areas where we can cut down the moving cost.
At the very beginning you will need to decide how much you can afford to spend on your move from San Jose to your new destination. Probably you can call some San Jose moving companies for quotes to find out the approximate expense. If you feel that you will not be able to make payment for the full service move, then you can simply cut down a huge amount by doing some of the stuff by yourself. There are some tips offered by the San Jose moving companies for helping you save on your out of pocket expenditure during the moving phase.
San Jose Moving Companies Tips For Saving On Packing A move can be broken down into few parts like packing, driving, loading & unloading etc. Lets start with packing, there are many household items that you will have to pack. You might have some electrical appliances and electronic goods which came in a box. All you have to do is just put them in the same box in which they were brought in. Also give adequate paddings and then seal the lid. Now see how many of them are already packed, probably a number of them I guess. Apparently you might feel that packing is tough but once you learn the tricks of the trade, then obviously you can pack the entire house by yourself. Visit the online video websites and check for packing tips to pack as much as you can. There might be some items that you might find difficult to pack. So leave the rest for the professionals to take care off.
You can also save on packing materials. Before you start your packing, collect some hard card-board crates and medium sized boxes from the nearest liquor or grocery shops. Get some newspapers for stuffing and packing. Apart from getting left out boxes and crates from shops, you can also checkout with neighbors who have moved recently. I believe they will be more than happy to give out the moving waste to someone who needs them rather than throwing it away. So what do you say? Didn't we save quite a lot on packing?
San Jose Moving Companies Tips For Saving On The Journey When the packing part is over you can either hire people for loading them or do it with the help of your friends. There are many companies that offer truck rental services. In that case you can also drive your stuff to your new destination if there is any drive way. For truck rental services you can contact some San Jose movers, Bay Area movers etc.
Note: Driving is not a feasible or possible option for all types of move. It can differ with the type of move.
There are few more, which you will come to know in some of my other articles.
What are the tips in cutting down on sugar or simple carbohydrate in your diet?
Sometimes you just don't have choice if you are on the road or at work. Is there any strategy you employed that helped you in reducing you sugar and simple carbohydrate intake in your diet?
I am trying to build muscles with strength training, but I would like to cut down on sweets (but do not mind upping my total caloric intake) while doing that.
Any physical and mental approach you can suggest?
It's hard to cut down on carbohydrates. But as for sugar, always order a bottle of mineral water instead of soda! I'm sure that would help loads! And whenever you feel like eating something sweet, grab a yogurt instead of coke or chocolates!
Hairstyling & Cutting Tips : How to Use Hot Rollers
When you hear the name Dan Torres and pickups in the music industry, ears tend to perk up or pickup, that's a joke get it.I know a bad one. And pickup makers like Seymour- Duncan and Di Marzio tend to take note. Introduction of this article and information on Dan Torres the amp and pickup Master from California, is by Canadian Guitar Player Music Consultant Dee Curtis.
The first time I heard of Dan Torres was when I was out in Los Angeles in the early 80's with a group of musicians, who were talking about Dan Torres who was and still is a guitar moding guru,moding their amps and guitars for them.
These guys back then got in touch with Dan through an ad in (Guitar Player) when mail order was the rage in the music business. So I sent away for some info on how to hop up your guitar and do mods to your amp, through his free brochures, and wound up getting some reprints of his articles which were in (Vintage Guitar).
I had a bit of electronic know how at the time which was helpful but nothing with tube amps. But through some of his articles I started tinkering with The capacitors and resistors in the amp head along with changing tubes, to reshape the sound coming through the cab. I wound up using his Midrange tone control switch on every guitar I had back then. Currently I'm not using them and I miss them.Dan is one of the top experts on amp and guitar modification and one a lot of top musicians use.
Very recently, I contacted Dan about my (Sovtek Midget Combo Amp) and asked him what tubes he recommended because the Sovtek was sounding a little dark to me. I had some feedback from Sovtek on this and made some mods, but it was still sounding too dark.
I love the amp, but I wanted more sparkle and cleaner tones. Dan suggested I try( 6L6 GC Tubes) which will give me clearer top end and less mid-range and darker tones. I have them on order now and I know it'll sound beautiful.
Now, anyone who's a guitar or bass player I implore you to get Dan Torres book (Inside Tube Amps), which is literally the bible on tube amps, and it's in laymen terms so anyone can understand how to--mod their amps or guitars.
Mark Grove: We first started this article with an intro on how Dee Curtis was first introduced to the amp and pickup master himself Dan Torres, but we'll end this section where we originally wanted to go, and that's talking about Dan Torres take on restoring pickups and the fact he was one of the first techs to start rewinding pickups for musicians in California. Dan also has a line of single coil and custom made pickups, along with new ones called (Torres P90's) and custom Humbuckers -- as well as SRV midrange and blues pickups.
This man is the master of pickup tone control along with other gurus like Bill Turner (EMG founder and current resident pickup expert for Fender. In this interview with Dan Torres we'll venture into Pickup restoration and how to keep those vintage pickups just"hummin" along.
<a href="http://www.torresengineering.com">www.torresengineering.com</a> This is a "uber cool" site for players
I know another bad line. Dan is also known for his amp and guitar building kits which are popular for the more astute musician. This will be an interview you'll want to archive in your e-mail or site, so get ready to be amazed by Dan Torres fellow musicians. Canadian Guitar Player talks to Dan Torres about the intricacies of pickup restoration and when to toss that old heap.
M.G: At what point has a regular or vintage pickup for that matter outlived it's usefulness sound wise and mechanically?
D.T: Currently, since the beginning of magnetic pickups, virtually none of them have actually worn out. Even the earliest pickups, unless damaged, are still functional sound wise and mechanically.
M.G: What's the most common form of pickup wear and tear that has to be addressed when restoring a pickup?
DT: Most common wear is user wear. Pick damage to the top of the pickup, getting jabbed with screwdrivers, stripped screws and results of mistreatment. Magnets and hardware may rust quite a bit from an instrument that is allowed to get damp. Rust can push magnets out of contact with the pole pieces, causing the pickup to stop working correctly.
M.G: Is re-magnetizing a pickup important to gain back the original sustain and solid string pull?
DT: This is a very tricky question as the target tonal character of our most popular guitars (and pickups) is based on those instruments being old at the time they were used/recorded. That is--one does--not seek out a 1959 Gibson Les Paul with Patent Applied Hum-bucking pickups to play "how high the moon" (a Les Paul hit of the 50's) they seek it out to play "Sunshine of your Love" (Clapton" or "One Way Out" (Allman Bros”)
The guitars that are the most treasured were in their "second life" as used instruments picked up by the young musicians of the mid 60s' from pawn shops, etc. as very inexpensive, used, good sounding guitars. Therefore, the original magnet strength - that is the magnet strength when this particular guitar was manufactured in 1959, is not the desired "effect". The desired sound is the "old guitar" heard in the 60's, 70's, 80's, 90's and today.
A lot of effort has been put into demagnetizing magnets or finding old ones. Currently my collection of patent applied for original Gibson magnets sell for $150+ per magnet if I will let go of any of them. (only about six left.)
M.G: Does the magnetic field become weaker over time yet produce mellower and fatter tones?
DT: This is easy, yes. But the magnet field has quite a long life. Even the oldest pickups we commonly see, such as the "Charlie Christian" pickup found on the 1939 Gibson with cobalt magnets still have more than enough flux to this day. Jazz Great Barney Kessel used to bring in his far-too-famous Gibson with the Charlie Christian pickup.
Those huge, very old magnets were still very strong and the best pickup (he had several) was very high impedance, 10,000 ohms. This pickup sounded absolutely wonderful, a magical musical instrument. A lot of experimentation was done in the 80's by many pickup manufacturers, with stronger or exotic magnets.
But the point of diminishing return was reached instantly. Stronger magnets may produce a louder pickup with more output, but the excess string pull caused damping, pulling the strings out of pitch so the pickups had to be placed quite a ways below light gauge strings, canceling out most of the improvement. The exotic magnets did not sound as nice as the wider flux range alnico or ceramic magnets.
M.G: Do hum-bucking or single coil's wear down faster and why?
DT: A tough one. Single coils, such as Strat pickups die more frequently, but usually due to damage. It is not hard at all to wear through the top of a strat pickup cover and damage the coil. P-90 type single coils use hum-bucking magnets (2) and have a plastic coil form, so we have a cross over in pickup structure between the hum-bucker and P-90.
The cylindrical magnets of the Strat and Telecaster pickup have a large amount of flux and will last several life times if they are not damaged. The earliest guitars still sound spectacular. Jerry Garcia replaced his DiMarzio hum-bucking pickups frequently saying they had worn out, but these pickups have been moving around here in the San Francisco Bay area, and do not seem to have lost anything noticeable. But musical perception is far, far more sensitive then any instrument.
Not hearing them brand new makes it impossible to hear what Jerry heard. By their nature, single coils may wear down faster as the magnets are more subject to the real magnet killer, shock being hit by the pick, strings etc.
M.G: With your handling some of todays top players pickups, do they think twice about throwing out their singles or hums, or even going to a different company for restoration?
DT: I usually encourage pros and amateurs to consider keeping vintage pickups in place if they are providing the type of tone they want. I find if the guitar feels right, but doesn't sound right, hand wound or new pickups from ourselves and or all the other manufacturers can be selected along with appropriate potentiometers, tone controls, etc.
To fine tune the guitar to do exactly what one wants without butchering a fine vintage guitar, many pros are choosing new guitars, or fine quality imports (Ibanez, Aria, Cort etc.) so they can make as many changes as they wish and have several identical guitars on hand without the super high cost of vintage instruments. Restorations are done if pickups have been severely damaged, are dead or partially dead, or in some cases--when they just look ratty, ugly.
Rust can be removed and/or new pole piece screws and studs fit to hum-buckers, delicate work with steel wool can clean up strat--tele magnets. Most restorations are to dead vintage (valuable pickups) getting them back to life without losing their inherent musical character.
Broken coils are the main problem by far. With a very good eye, steady hand, and knowing exactly what to look for, the broken coil wire can be located and reattached without losing any more than one or two ohms of a 5,000 ohm pickup.
The most difficult part of this process may not be finding the broken wire. It is treatment of it after finding it. Usually you only have one chance. The wire is coated with insulation that must be removed before you can re-solder to it. Since the wire is thinner than a hair, and in some cases one is working with just 1/16 to 1/8 in of wire. This is delicate work.
M.G: What is the most common type of pickup that is replaced?
DT:Currently it is running about 55% strat--tele type and 45% hum-buckers, but it shifts constantly pretty much keyed by the current popular guitars in use on TV, Concerts and other media.
M.G.: Is restoring pickups for the most part something you should leave to luthiers or guitar parts restoration specialists?
DT: If the pickup has high value, yes, get someone with experience. A good eye, practice, and knowing what to look for can rescue a $200.00 Patent Applied for that may be totally destroyed by an inexperienced (or unsteady) hand trying to fix a broken coil wire. attention to detail will bring the pickup back to life as it should be.
M.G.: When restoring a pickup are single coils or hum-buckers easier to restore?
DT: Single coils are usually easier - they are simpler, everything is out in the open and easy to see, there are no layers of age-old tape to peel off,(a real difficulty with old hum-bucking pickups.) But -"funky" type single coils. Harmony, Silvertone, Danelectro, Kay etc. are REALLY hard to restore as they are often made on a budget.
Cardboard coil forms, glue and masking tape are all used in assembly pretty difficult to dig through. Some of these old inexpensive guitars do not even have coil forms. Just a coil of wire and magnet. It is often hard to tell what it was supposed to be in the first place!
M.G: Are there any special ways of repotting, re-magnetizing or rewinding a pickup to actually improve it's tone and sustain in regards to string pull?
DT: I would not say "special ways" as much as the application of very good technique in all these technologies. Potting or repotting in wax (or lacquer) has to be at the right temperature so the wax soaks the whole coil, but not so hot it melts a coil for tricky re-pots. But once you have it right it is easily repeated.
This will prevent microphonics, allowing the pickup to perform at a much higher volume level without squeal. Re-magnetizing may improve or restore the tone of a damaged magnet. Shock can demagnetize the magnet enough so it does not produce a signal. In this case re-magnetizing will bring it back to life.
Often more powerful magnets, such as Alnico 5 are demagnetized or redone to a lower "aged" level, to reduce string pull and get the effect we hear from vintage guitars.
A fairly effective process that may well increase sustain of a given pickup. But with our stock of new Alnico 2 magnets, it is often easier to just install a lower flux Alnico 2 magnet in place of an Alnico 5 for the lower magnetic pull, sweeter tone. Pickup winding is another story. Most of the "classic" guitars made in the 50's had hand wound pickups to some degree.
In a conversation with Doc Kauffman, Leo Fender's original partner he told me it was quite some time before he and Leo thought " maybe we should measure these pickups?"
In winding a pickup to get a good vintage tone a "scatter wound" technique works the best.The wire is not laid down absolutely perfect, but somewhat random, filling the coil by eye as it spins. This gives the pickup a more harmonic tonality - not so perfect is often more musical. Hum-bucking pickups, having two coils, are essentially unbalanced in the original Gibson Design. Each coil has a different iron load, therefore a different impedance. If the coils themselves are also not exactly equal, there is an effect of, again, less perfection and more harmonic quality due to the slightly different tonalities of each coil.
Additionally the distance between the two coils picking up the guitar string signal at different locations (called phase cancellation) gives the hum-bucking pickup its distinct character. These factors can be manipulated to vary the pickup's tonality to very extreme extents.
DiMarzio is quite skilled at developing more and more new sounds from techniques like this,(and many others.) Observation of dozens of real Patent Applied for Gibson Humbuckers,show coils that are "pretty close" but not exact when read with Digital Vom Meters,which were not available when they were made.
M.G.: When wiring a pickup are there techniques used to give your guitar a tone based on the type of music you're playing?
DT: This is one of our specialties. Besides all the variations in pickups we have discussed, we introduced the concept of varying the potentiometers to decrease or increase the load on the pickup, vastly changing the frequency response, gain and tone.
We also make a range of passive midrange controls that can be applied to any guitar to give the musician still farther range of tones from the "same old" pickups. One can start with new or custom pickups and optimize them still further for their use, or work with existing pickups by varying the volume controls, tone controls and wiring harness.
M.G.: Do higher prices for vintage pickups make it more attractive to restore the originals?
DT: Certainly, and my customers, friends, are always on the lookout for guitars that "don't work". Restoration often does not cost much and we have about 90% success on dead pickups. The balance are rewound. Very few are discarded, maybe 2 a year out of hundreds. Finding a dead pickup and having it restored or even rewound is certainly the least expensive way to get "the sound".
Dan Torres
Mark Grove-CGP
To contact Dan Torres for amp or guitar pickups mods:
Mark Grove,music industry writer from Canada.I write how to material
for musicians on guitar and gear tips,music business and artist
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a coil of 1000 turns enclosing a magnetic circuit 20 cm sq. in section.with 4Amp the flux density is 1 wb/m sq
and with 9 aMP it is 1.4 WB/M sq.
find the mean value of inductance between this current limits and induced emf if the current falls uniformly from 9 to 4 amp in .05 seconds...
By Faraday's law emf = - N*dF/dt, where N = 1000 and dF/dt is derivative of magnetic flux through one winding. In your case initial flux is (1.4/100)*20 = 0.28 Wb and final flux is (1/100)*20 = 0.2 Wb. The flux change in 0.05 sec is (0.2 - 0.28)/0.05 = -1.6 Wb/s, and induced emf = -1000* (-1.6) = 1600 V.
emf can be defined through inductance L as: emf = L*di/dt, where i is the induction current. In your case di/dt = (4 - 9)/0.05 = - 100 A/s. Therefore (the mean value of) L = 1600/100 = 16 H (sign neglected).
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