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California's Central Valley is home to about five Kaiser-affiliated hospitals, offering emergency and other medical services 24 hours a day, seven cslifornia a week. West Lancaster, CA Driving directions References Kaiser Permanente: Quick Facts. Written by Max Stirner. Max Stirner is a New York-based writer and editor with over a decade of experience. Richmond, CA 1 0.

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Ideally, the following steps would occur when a Dragon user roams between endpoints: Closing of the user profile in Dragon Session roaming Reopening of the Dragon user profile, including correct input source selection Since this process cannot be automated, some user training or experience is necessary.

A virtual machine is rarely assigned to a specific Dragon user. When a View desktop is rebooted, they usually revert to or boot from a read-only master image and retain nothing from the previous session. While Dragon is in use, it maintains a local copy of a user s files on the Dragon workstation.

Some of these files are in constant use for speech recognition. Dragon does not store all speech recognition data files in random access memory. If anything slows down access to speech recognition data files, Dragon s performance may be negatively impacted. Profile redirection and its effect on Dragon performance A common method of managing Windows profiles in a VMware View environment is to use Windows, VMware View Persona, or third party software, to redirect all of portions of the Windows user s profile to a network share.

This is a valid and compatible method of managing the part of the user s Windows profile where Dragon stores its local files. However, this always causes Dragon performance issues. The protocol used for accessing files on a network share is not optimal for the way Dragon accesses local files. To maximize Dragon s performance, do one of the following: Exclude Dragon s local files within the Windows user profile from redirection Configure Dragon to store its local files in a place other than within the Windows user profile.

Impact of relocating Dragon local user files outside of the Windows profile storage location Dragon s local files store the most current copy of the user s profile. If you choose to exclude Dragon s local files from redirection or configure Dragon to store local files outside of the Windows user profile, you must remember to save the local user files before they are discarded by recycling the VMware View desktop.

The Dragon user can manually save their user profile or synchronize the profile with the master copy on a file server. By default, Dragon saves the user profile when the Dragon closes.

A user can disable this behavior. The local user files will be different than the master copy of the files. To prevent loss of Dragon user profile data, automate the following steps: Create a script that uses command-line switches to save the user profile and close Dragon before closing the VMware View desktop. To enable this script, you may need to configure Windows, VMware View, or both.

Automatic logout is a feature that is enabled or disabled at the site level using the Nuance Management Console. Users belong to a primary site and group. Dragon obtains the automatic logout setting from a user s primary site. The microphone must be attached the entire time Dragon is in use. If the microphone is unplugged, Dragon produces an error message.

The reason behind the error is clear and the Dragon user can rectify the situation as needed. Physical computers are often left to run for days or weeks. The Window operating system caches important runtime elements, resulting in optimization of frequently used applications.

Microphone usage and Dragon on a virtual computer When single sign-on software is used for user authentication on an endpoint and in VMware View, a locked endpoint screen disconnects the endpoint from the VMware View desktop.

If a Dragon user moves to different endpoints, some of the endpoints may not have a microphone or may have a different type of microphone. This may cause a mismatch between the user-selected input source, chosen in the Dragon session, and the available multimedia recording device in the Windows Guest where Dragon is running.

Often, the VMware View desktop computer is freshly booted at the beginning of each work day or work week. This may be due to policies and schedules related to virtual desktop provisioning and recycling. This affects the time it takes to start Dragon and open a user profile. As well, the guest operating system may not yet have cached. CPU usage and Dragon on a physical computer versus a virtual computer A physical computer has a relatively large amount of processing power at its disposal; idle CPU cycles are standing by to be utilized at any time for the resource intensive audio processing required for speech recognition.

The amount of processing power can vary widely from one moment to the next. This can significantly affect the perceived real-time nature of speech recognition. On average, lags in speech processing may be more evident in a virtual environment than on a physical platform with dedicated CPU resources.

Passed Test Opened and closed a user profile with and without a persistent user drive, with the same performance as a non-vmware configuration. Dictated a paragraph into Microsoft Word Pad.

Transcribed a recorded wave. Moved users from one client device to another, including moving the microphone, to find out whether the users can reconnect and continue dictating with Dragon. This functionality was tested with the microphone on, off, and asleep. Depends on specific configuration. This device is automatically shown in the drop down menu of USB redirection of View client.

Configuring a Phillips SpeechMike To use Philips SpeechMike, download the speech control application and drivers from the Philips web site and install and configure them inside the View desktops. Without this additional software, the buttons in the Philips SpeechMike will not work.

This affects the mouse controller trackball in the Philips SpeechMike. Refer to for instructions on how to prevent this. When using an older version of Phillips SpeechMike with a Windows 7 View desktop, the mouse pointer movement is not updated when using the trackball this may not applicable for newer models of Philips SpeechMike. Configuring an Analog Headset To use the analog headset, the Teradici audio driver needs to be installed in the View Desktop.

Please note VMware does not provide support for this driver. Please note that Nuance does not recommend using the analog headset with the Teradici audio driver as it did not pass the voice quality tests of Dragon Medical. Note: The preceding settings can be added in the Administrative Templates section of the Windows Group Policy editor, as shown in the following screen capture.

For details, see the VMware View Administrative guide. Configuring Audio Playback Configure playback through a built-in sound card The following steps apply to thin or thick clients: 1.

The Sound and Audio Devices window appears. Select the Audio tab. Navigate to the Sound Playback drop down and select the built-in sound card as the default device. Configure playback to VMware Virtual Audio 1. Select the Audio tab, then go to the Sound Playback drop down and select the built-in sound card as the default device. Follow the steps in to disable the audio in PCoP session.

Switching Between s VMware View provides a feature where the user can disconnect from one client and access the same desktop from another client without losing the running virtual desktop session. Keep the following points in mind when using this feature with Dragon: While switching between thin and thick clients connected with same make and model of microphone, close the expected error messages in the reconnected View Desktop session.

The microphone and all its button functionality will start working in seconds. Do not use playback of the recorded speech in Dragon Medical when the View Desktop session is disconnected from one client and reconnected to another client; occasionally the user's Dragon Medical session hangs he cannot dictate further.

While switching between thin or thick or zero clients connected with different model and make of microphones, reload the Dragon Medical user profile in the reconnected session Network Traffic and Bandwith Because significant network traffic almost 1. Because this traffic is generated whether or not the user is dictating, users should be trained to turn the microphone off rather than putting it to sleep when they are not dictating.

Changes are periodically. Dragon Medical Practice Edition, Version 2. Nuance, ScanSoft, the Nuance. Release Notes Copyright Planning and Deployment Guide Version 2. Dragon Medical Network Edition, 2. This material may not include some. All Rights Reserved. Dragon Medical Network Edition Version 2. Dragon Medical Network Edition, version 2. Dragon Medical Practice Edition version 3.

For more information. Given its amazing recognition accuracy, many assume that Dragon speech recognition would be an ideal solution for meeting. Using a Digital Recorder with Dragon NaturallySpeaking For those desiring to record dictation on the go and later have it transcribed by Dragon, the use of a portable digital dictating device is a perfect. All right reserved. For more information about Specops Deploy and other Specops products, visit www. Quickstart Guide Connect your microphone When you plug your microphone into your PC, an audio event window may open.

If this happens, verify what is highlighted in that window before closing it. If you. Visit www. To connect to a Windows server - After power up, the login screen will be displayed. This Manual will help you to get started with setting up your notebook. System Overview An error message will appear if you are attempting to join a Webinar using VoIP through a virtualized operating system, such as VMware, Parallels, etc.

P55 V3. This manual will help you to get started with setting up your notebook. The final product configuration depends on the model at the point. ESXi 4.

To check for more recent. The reader should. Remote Support User Guide 7. Its software- defined approach uniquely combines the economics. Contact your Intel representative to obtain the latest Intel. Basic Requirements Required Waves Licenses Installing MultiRack MultiRack Native Information in this document, including URL and other Internet Web site references, is subject to change without notice. Unless otherwise noted, the example companies, organizations, products, domain names,.

Note: When any problem arises, check Downloads at www. User Manual Version 0. Information and views expressed in this document, including URL and other Internet website references,. VMware vsphere 5. Information in this document is subject to change without prior notice. Certain names of program products.

P34 V6. Information and views expressed in this document, including URL and other. This document contains proprietary information that. The Virtual Appliance includes the same powerful technology and simple Web based user interface found on the Barracuda Web Application Firewall hardware appliance.

It is designed for easy deployment on. Table of Contents Chapter 1. User Interface Overview Part of the Adobe Connect 9 software includes functionality to support full audio in addition to chat areas, shared spaces, and video. The information contained in this document represents the current. ClearPass Policy Manager 6. Published in USA. Published June, EMC believes. Prepare Your Work Computer Prepare Your Home Computer Run the VPN Client Remote Connect to Your Work Computer Hardware and.

Hardware 2. Installation 3. Microphones 4. Roaming User Profiles 5. When and how to Make Corrections 6. Accuracy Tuning Running the Acoustic.

At Your Service Software, Inc. Figure 1 depicts the typical architecture of a VMware View implementation showing its different features. All rights reserved. This product is protected by U. VMware is a registered trademark or trademark of VMware, Inc. All other marks and names mentioned herein may be trademarks of their respective companies. The result is a seamless user experience that combines the best of VDI and client virtualization.

Using a template, you can customize virtual pools of desktops and easily set policies, such as how many virtual machines can be in a pool, or logoff parameters. Updates implemented on the parent image can be easily pushed out to any number of virtual desktops in minutes, greatly simplifying deployment, upgrades and patches while reducing desktop operational costs. With the core components of the desktop being managed separately the process does not affect user settings, data or applications, so the end-user remains productive on a working desktop, even while changes are being applied to the master image.

Nuance Dragon Medical Compatibility with VMware View protection within your virtualized desktop environment to ensure service level agreements are met and downtime is minimized. Advanced clustering capabilities on the physical and virtual layers provide enterprise-class scalability with no single point of failure. VMware View can also be integrated with existing systems management platforms already deployed within the enterprise. This is not just mission critical; it is life critical.

That is why modernization of the Point-of-Care desktop and increasing access to these new clinical workspaces has become an urgent priority for hospital IT professionals as well as hospital caregivers. Desktops and patient care applications must be immediately accessible at all times, security mandates must be met; and the access to these systems must be fast and easy for the clinician.

VMware View, a key component of the AlwaysOn Point of Care solution, modernizes desktops and applications by moving them into the cloud and delivering them as a highly available managed service. Integration with major single sign on vendors allows clinicians to use proximity cards or biometric authentication to gain access no more passwords to remember, and strong authentication means IT has an audit trail. PHI data is secure as all data and information is in the datacenter and nothing is stored on the device that is accessing the desktop.

Determine maximum number of virtual desktops that could be run on a specific host with simultaneous ongoing dictation sessions. Test Methodology The Dragon Medical application was installed within a VMware View virtual desktop and a series of functional user scenarios were tested using different peripheral microphones attached to a variety of end user clients connected to the virtual desktops.

Physical Hardware and System Host Configuration Table 1 describes the configuration of servers, storage and client hardware used in the solution architecture. See Recommendations section for details. The following table describes the utilization matrix for various operations: Table 6: Network Bandwidth Utilization Type of Operation Avg. Microphone is turned on in Dragon Medical but no dictation is being done. Microphone is turned on in Dragon Medical and dictation is being done.

The test results show that the user experience with Dragon Medical is the same as expected in physical desktop environment. The dictation audio quality and speech-to-text conversion accuracy was excellent and no errors were observed. The playback of dictation worked well with the built-in speaker on the Philips SpeechMike and the Nuance PowerMic II as well as thin and thick client integrated speakers.

There was no delay observed while dictating the sentences into DragonPad or WordPad. All the tested microphone button operations worked as expected during dictation.

The barcode scanner functionality of the PowerMic II microphone worked well. It functions correctly as a standard USB microphone. The ongoing session of Dragon Medical within the virtual desktop was not impacted and the user could continue dictating when reconnected. When the View desktop session is disconnected from Thin or Thick clients and reconnected to the same session from Zero clients using Dragon Roaming User profiles, the user profile needed to be reloaded to continue the existing session, though there was no loss of text dictated from the previous connections.

Performance Testing Load tests were conducted with Dragon Medical Practice Edition running on VMware View to simulate a deployment scenario of concurrent virtual desktop dictation sessions deployed on a single physical host.

The goal of this testing was to determine resource utilization impact and the maximum number of virtual desktops that could be run on a specific host with simultaneous ongoing dictation sessions.

The results of this test are specific to a simultaneous dictation scenario on a specific host configuration and may not be directly applicable to a customer deployment for the following reasons: a.

Not all clinicians are dictating simultaneously c. Virtual desktops with Dragon Medical might not all be deployed on the same host Performance Testing Methodology and Tools VMware View Planner is a performance testing tool used to systematically simulate workloads and adjust sizing and configuration parameters to demonstrate the impact. View Planner simulates application workloads for various user types, task workers, knowledge workers, and power users by running applications typically used in a Windows desktop environment.

During the execution of a workload, applications are randomly called to perform common desktop user operations, including open, save, close, minimize and maximize windows; view an HTML page, insert text, insert words and numbers, conduct a slideshow, view a video, send and receive email, and compress files. View Planner also has the capability to exercise custom applications like Dragon Medical using the AutoIT scripting framework.

The load is driven from View Planner and user load is incremented with 8, 16 and 24 users. The load script executed two key functions against the Dragon Medical application running on the View desktop: Dragon-Open: Open the Dragon Medical application and connect the microphone.

Dragon-Dictate: Dictate 35 line of text including medical terminology needed to describe the medical condition of a patient. The dictation is accomplished using Virtual Audio Cable software installed in each virtual desktop. Memory Utilization of Each View Desktop MB 8, 16, 24 Performance Testing Summary It was observed that the host utilization peaked when 24 virtual desktops were running on the host with simultaneous ongoing dictation being done on each desktop.

The performance of the Dragon Medical application, dictation, speech recognition and conversion to text was not impacted at this level. For this physical hardware configuration, it was thereby found that 24 virtual desktops would be the maximum number that could be run under the scenario of simultaneous dictation without exceeding host resources and impacting performance.

However, most healthcare providers dictate intermittently, not continuously, so the practical limit on the number of virtual desktops with Dragon Medical running simultaneously is much higher or more in some installations.

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