Diseño de un sistema de comunicaciones en tiempo real en la web y su escalabilidad en la nube para consultas y seguimiento médicoResumen. En este artículo, se elabora un sistema de comunicaciones en tiempo real en la web con infraestructura en PubNub para las consultas y seguimiento médico por videoconferencias. El modelo se compone de dos etapas, la primera de ella es la generación de la comunicación por WebRTC y la segunda consiste en la configuración de la IaaS (Infrastructure as a Service) de PubNub y su puesta en marcha. Para evaluar el rendimiento de la aplicación se realizaron pruebas sobre usuarios en entornos de atención, obteniendo como resultado una confiabilidad del 80% sobre cinco sesiones de dos participantes cada uno. Los resultados muestran que la posibilidad de comunicarse entre los usuarios paciente-doctor fortalecen y facilitan el seguimiento de un tratamiento.Abstract. In this paper, a real-time web communications system with PubNub infrastructure for consultation and medical follow-up by videoconferencing is developed. The model consists of two stages, the first of which is the generation of communication by WebRTC and the second consists of the configuration of the IaaS (Infrastructure as a Service), of PubNub and its implementation. To evaluate application performance, users were tested in care settings, resulting in 80% reliability over five sessions of two participants each. The results show that 47
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