How To Use H.264 Vdts

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1 Video Conference ACTIVITY REPORT 2011 MOHAMAD ZAHIR AHMAD INFORMATION TECHNOLOGY DEPARTMENT UNIVERSITY OF MALAYA MEDICAL CENTER (UMMC) 17 DECEMBER 2011 Introduction to UMMC Video Conferencing History in UMMC Video Conferencing Technology Used In UMMC Conducting Video Conferencing Success Factor MYREN Connectivity Recent and coming activity Challenges To move forward Q&A 1

2 2 University Of Malaya Medical Center Teaching hospital for Faculty Of Medicine University Malaya Established in 5 th Aug 1968 for; Healthcare services Health education Research 1 st teaching hospital in Malaysia 1st reference hospital in Malaysia 5000 staff 1000 beds 2000 outpatient & 200 inpatient daily 3

3 Started in 2006 E Lecture : Waste management by University of Kyoto, University of Tsinghua and Universiti Malaya KU/TU/UM take turns to conduct weekly lectures. APAN Medical Group meeting Active video conference session in UMMC: Endoscopy Conference (APAN meeting) Laparoscopic Workshop (Dept of Surgery) Open Surgery Workshop (Dept of Surgery) Workshop (laparoscopic) Exam evaluation Teaching for MO/HO 4 Why? Live interaction Visual Space Save time Save cost For UMMC Teaching Clinical Workshop/Seminar Collaboration with other Univ/Institution Research & Innovation Meeting Preparation for remote TELEMEDICINE 5

4 H.323/H.264 -Commonly used for short meeting and multi-site conferencing -Simple setup and easy to use DVTS -Use for high quality case presentation (recorded video/live) - More complex setup DVTS Plus -Use for average quality multi-site conferencing -simple setup and require lower bandwidth (8MBp/s) Direct -Use for HD transmission -Using separate LAN/network 6 Planning -Get the detail requirement (connecting stations/locations, technology used and equipment needed -Planned dates for series of testing before the actual event -Planned the equipment needed and outsource if required -Notify and coordinate testing with connecting station engineer ( , phone, YM, skype) Trial run testing - Test network speed & latency - Testing equipment & trial run Before Event -Install wiring & equipment -Final Testing and rehearsal -Fine tune setting if needed 7

5 During Event -Standby for technical issues -Fine tune if needed -Took photos Post Mortem -Dismantle equipment/wiring -Getting feedback from organizer/participant -Record issues/problem for avoid/mitigate for future event 8 Coordinator X 1 -To get the user requirement -To plan testing/equipment/technology to be used -Coordinate with user/team/vendors Network Engineer X 1 -To check and perform network test -To assist the cabling network installation - To standby and troubleshoot network issues Multimedia Engineer X 2 -setting up equipment, cables, mic, sound system -video shooting, recording and editing AV Technician X 2 -setting up equipment, cables, mic, sound system -Sound system -Visual system (projector/tv, etc) 9

6 10 OT MYREN OT Scope Camera Fluroscopy Other Research Network TEIN3 Router Firewall Auditorium UM Network Ext Camera VLAN Trunk ADVC AV Mixer Notebook Conference Room UMMC Network 50MBp/s all the way from UM to UMMC in 100MBps pipe ADVC 10

7 Preparation -The earlier the arrangement made, the more successful the event -Series of testing before the actual event -The more testing conducted, more chance the event will be problem free Internet Speed - The lower the network latency, the image will be smooth and no lag - The bigger bandwidth will provide the best quality and smooth image PC/Notebook (DVTS) -The higher the CPU/RAM then the better image and smoother video -A good graphic card will display the best image quality Doctor -telemedicine program -Workshop -R&D and collaboration with other 11 Month/Year Activity Transmission Technology Feb/ st APAN Meeting MYREN DVTS Apr/2011 Malaysian Endoscopy Local DVTS Conference 2011 Apr/2011 Coronary Bypass Surgery Local DVTS Student Practical/Teaching May/2011 TNC APAN 2011 Technology MYREN DVTS Plus May/2011 Jun/2011 Apan India preparation meeting Laparoscopic Inguinal Hernia Perceptorship Workshop MYREN H.264 Local DVTS 12

8 Month/Year Activity Transmission Technology Jun/2011 APAN Medical group meeting MYREN DVTS Jun/2011 MWG Remote Meeting (Nurse) MYREN DVTS Jul/2011 Jul/2011 Aug/2011 Laparoscopic Inguinal Hernia Perceptorship Workshop #2 Laparoscopic Surgery Workshop APAN Medical Committee Meeting Local DVTS and H.264 Local DVTS and H.264 MYREN H.264 Aug/2011 APAN India Technical Meeting MYREN DVTS Plus Aug/2011 APAN India ConferenceMeeting MYREN DVTS 13 Month/Year Activity Transmission Technology Sept/2011 ENT workshop Local DVTS Oct/2011 Nov/2011 Nov/2011 Dis/2011 Dis/2011 Malaysian Urology Pre- Conference Workshop Malaysian Urology Conference 2011 Medical Working Group Meeting 1 st Malaysian Medical Talk 2011 Asian Telemedicine Symposium 2011 Local Local DVTS Direct (HD) MYREN H.264 MYREN MYREN H323 H323 Feb/2012 APAN Thailand Seminar MYREN HD-SCR/ VPN 14

9 Short of Equipment UMMC has conducted more than 18 live event since Dec 2010 but some AV equipmen loaned from Kyusyu University Japan and MYREN Problem when more OT per activity No dedicated room for video conferencing There is no dedicated room in UMMC for video conferencing All setup are mobile and ad hoc basis. Taken long time for preparation (wiring & installation) HD Requirement Scope cameras using HD quality but mixer is not HD HD will be use more intensively in the future Most video conferencing equipment shall need to be upgraded to HD 15 Sound Quality Humming sound (too high volume setting in pc/mixer) Echo problem (using separate channel L/R, using different mixer for receive/send) Network Intermittence Video Lag, distorted image happened during 31 st APAN meeting Managed to solve by having direct MYREN connectivity to UMMC (latency issues) Video not smooth Video performance not good and image disturbance Caused by having low spec notebook. Use high spec notebook Use separate notebook for receiving and transmitting Interlacing effect Lining effect when fast movement interlaced mode camera/mixer Using progressive mode to reduce interlacing effect 16

10 Financial UMMC require USD60, to buy HD AV equipment set dedicated to be used in UMMC. (HD video mixer, HD cameras) Dedicated room for video conferencing To have dedicated room for video conferencing session Dedicated OT fully equipped with AV equipment for workshop, teaching and conference save time and for ad hoc conference Actively Involve in APAN Engineer Meeting Collaborate and sharing knowledge, idea with other APAN engineer participate Technology Showcase in each APAN seminar 17 Tel : Zahir Ahmad 19

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