Can Amazon Simple Notification Service "push" notifications to a desktop client? It this possible as a true push without polling?
No, this is not (yet) available out of the box - Amazon SNS indeed works by publishers sending messages to topics, which in turn push these to endpoints subscribed to this topic. The currently available protocols for the Subscribe API are:
So the closest you currently have for push notifications to a desktop client is email, though it should be relatively easy to build custom ones by posting HTTP to a respective web service, which in turn could facilitate WebSocket or Growl etc.
Good luck!
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