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to the I2 backbones Also I2 uses standard Internet technology that most healthcare personnel are familiar with In enterprise-level teleradiology applications, if each site in the enterprise is already connected to the I2 through its own institution, images can be transmitted very rapidly among the sites in the enterprise, as shown in Tables 86, 87, and 88 Because no T1 or other expensive WAN technologies are needed, teleradiology operation is low cost and ef cient 865 Current Status The current I2 technology is a very fast network compared with the commonly used T1 for teleradiology I2 requires a high initial capital investment for connecting to the backbones, which is generally absorbed by the institution Once the site is connected to the backbones, the network runs at minimal cost, and its operation is identical to that of using the standard Internet.

individual actor behavior What role do social constructs ( for instance, plans) play in achieving coordinated action by actors A social construct is a relatively persistent socially shared unit of knowledge, reinforced in its existence by its daily use Social constructs persist through years, decennia, and even centuries (take, for instance, the social construct of property/ownership) They have a key position in communication, learning, and developing social behavior by human beings Social constructs can be seen as knowledge units that are shared in groups or even social systems, reinforcing themselves by communication and their daily use These shared knowledge units can in uence individual behavior by forming habits, thus creating a cycle of selection and reinforcement, where some knowledge units are reinforced and others disappear Social constructs are negotiated, with conceptual representations belonging to the semiotic world that have to be distinguished from natural entities like persons or robots.

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In organizations, social constructs take the form of, for instance, shared stories, shared institutions (behavior rule systems), shared designs, shared plans, and shared artifacts These social constructs support habits of action aimed at cooperation and coordinated behavior Each habit of action consists of a commitment to act in a certain way, along with a more or less exible action program that governs the actual acting If we look at people in organizations, they do not necessarily require similar representations of the organization they are participating in However, people participating in organizations need a certain minimum of shared social constructs, and perhaps other shared knowledge, in order to be able to cooperate and coordinate their actions Commitments to act in a certain way and norms can be seen as being attached to social constructs.

These characteristics make I2 an ideal technology for developing enterprise-level PACS/teleradiology applications Table 89 summarizes the current status of I2 We discuss I2 again in 15 with regard to telemedicine and teleradiology 87 WIRELESS NETWORKS Wireless networks are other emerging technologies for PACS applications We discuss both the wireless LAN (WLAN) and wireless WAN (WWAN) in this section 871 Wireless LAN (WLAN) 8711 The Technology A wireless LAN (WLAN) is a type of LAN that uses high-frequency radio waves rather than wires to communicate between nodes WLANs are based on IEEE Standard 80211 also known as wireless delity (WiFi) IEEE Standard 80211 was introduced as a standard for wireless LANs in 1997 and is updated now to IEEE 80211-1999The current standard is also accepted by ANSI/ISO Table 810 shows the different standards available in this technology IEEE 802.

For instance, there are norms attached to the general social construct of property that are inherited by the speci c instance of that social construct in the form of the social construct ownership of my bicycle An example of these norms is the rule that no one can use my bicycle without rst asking my permission to do so We have to explain what we mean when we say that a social construct is a unit of socially shared knowledge Not all knowledge and all norms attached to a social construct will be shared by all the people that see themselves as committed to that social construct What is shared is the knowledge of, and commitment to, the social construct as a root concept with some norms or default behavior patterns connected The root concept enables us to nd out more about the social construct, if necessary.

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