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1. Childhood Cancers – Cure Rates. 80% Survival Rates in Developed Countries. St. Jude Children’s Research Hospital. 2. Childhood Cancers – Cure Rates. 0-30% Rates in countries with limited resources. 3. 4. International Visitors to St. Jude.
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Childhood Cancers – Cure Rates 80% Survival Rates in Developed Countries St. Jude Children’s Research Hospital 2
Childhood Cancers – Cure Rates 0-30% Rates in countries with limited resources 3
International Visitors to St. Jude Dr. Georgette Chammas with International Visitors
Donations of Hospital Infrastructure Dr. Barrett Haik with a donation of a Retcam to Guatemala 6
Objectives of Cure4Kids • Provide online education on catastrophic diseases in children to doctors, nurses, health care providers, patients and families. • Provides for group communication tools for users of Cure4Kids anytime, anywhere. • Provide assistance for Internet connectivity to partner sites.
1550 Users from 82 Countries 9 Honduras 8 Philippines 7 India 7 Paraguay 7 Netherlands 6 Panama 6 Ireland 6 Zimbabwe 5 Syria 5 Iran 5 Saudi Arabia 5 Qatar 5 Egypt 5 South Africa 5 Australia 4 Bolivia 4 Ukraine 4 Nicaragua 4 Italy 4 Uruguay 4 Singapore 4 Sweden 4 Iraq 3 Armenia 3 Germany 3 Hong Kong 3 Taiwan 3 France 3 Israel 3 Czech Republic 2 Malta 2 Albania 2 Dominican Republic 2 Cuba 2 Latvia 2 Croatia 2 Pakistan 1 Switzerland 1 Malaysia 1 Tunisia 1 Madagascar 1 Midway Islands 1 Bulgaria 1 Bangladesh 1 Norway 1 Kuwait 1 Haiti 1 Gibraltar 1 Rwanda 1 Trinidad and Tobago 1 Belarus 1 Micronesia 1 Nepal 1 Andorra 1 Slovakia 1 Thailand 1 Algeria 1 Portugal 1 Kyrgystan 1 Slovakia 1 Thailand 1 Algeria 1 Portugal 1 Kyrgystan 519 United States 181 Brazil 105 Mexico 57 Venezuela 50 Chile 38 Russia 32 El Salvador 32 Lebanon 31 Peru 31 Colombia 29 Canada 28 Jordan 25 Argentina 22 China 21 Morocco 21 Spain 17 Japan 16 Guatemala 13 Ecuador 12 Romania 10 Costa Rica 10 United Kingdom
Cure4Kids Online Content • Clinical Case Discussions • Online Lectures • Digital Library • Online Live Lectures
Cure4Kids Online Seminars • 120 Seminars available in 7 languages • Online Quiz and Feedback forms • Online Medical Education Credits (CME,CNE,CEU) • Usage is widespread by all disciplines. • Sometimes viewed and discussed as a group 17
Cure4Kids Digital Library • Medical Textbooks • Medical Journals • Medical Dictionaries • Literature Databases • Selected Web Links
Cure4Kids – Paper of the Month Journal Article of the Month Selected and reviewed by Dr. Raul C. RibeiroSt. Jude Children's Research Hospital
International Online Conference Rabat, Morocco Casablanca, Morocco 24
Cure4Kids Conference Rooms • 18 groups meet regularly on Cure4Kids • Central America • Morocco • Lebanon • Brazil • Conference Room A – general meeting Emerging Global Collaboration Network
The goal of this course is to provide the participants (nurses) basic pediatric oncology nursing training. This course consists of on demand lectures, online papers, online live class discussions, and links to external educational resources. 1 Historical Perspectives of Pediatric Oncology 2 Biological Basis of Pediatric and Adolescent Cancer 3 Assessments 4 Planning 5 Implementation 6 Oncologic Emergencies 7 Symptom Management and Supportive Care 8 Infection Control 9 Pain Assessment and Pain Management 10 Survivorship and Late-effects of cancer 11 End-of-life and Palliative Care 12 Professional portfolio development 13 Individual disease Entity 14 Future Trends in Pediatric Oncology Nursing
Cure4Kids Online Courses • Online lectures • Online readings • Online testing • Feedback forms • Links to external web sites • Live online class meetings
Cure4Kids Usage Statistics • Detailed usage statistics by • Country • Occupation
Telemedicine Dr. Francisco Pedrosa, IMIP/CEHOPE, Recife, Brazil 33
Telemedicine Recife is located in Pernambuco in the Northeast of Brazil, one of the poorest areas of the country. Recife has 3 million inhabitants, of which 50% are children.
Telemedicine 36
Telemedicine Telemedicine technology has been utilized at SJCRH to support the goals of the IOP in providing education and consultative expertise to medically under-served regions
Telemedicine IMIP, a SJCRH partner hospital, was selected to develop the pilot IOP TELEMEDICINE program.
Telemedicine • Implemented on October 28, 1998 • Aims: - increased survival rate - reduce early mortality • reduce advanced stage • disease at diagnosis
Telemedicine • Training and education of health care providers • Patient care (real time consultation) • Implementation of advanced diagnostic techniques • Continuing Education
Telemedicina EMBRATEL Fiber optics ISDN 6 Lines (BRI) 768 Kbps St Jude IMIP 41
Telemedicine 42
Telemedicine Case discussions with direct viewing of physical findings: Radiology Pathology Surgery
80 70 Conferences 72 60 69 50 38 40 45 30 37 20 10 3 0 1998 1999 2000 2001 2002 2003 Telemedicine From St Jude to IMIP = 264
30 Second Opinion 28 25 20 20 15 9 10 8 4 5 3 0 1998 1999 2000 2001 2002 2003 Telemedicine From IMIP to St. Jude = 72
Telemedicine 80 72 69 SJCRH IMIP 70 60 45 50 38 37 40 30 28 20 8 20 9 4 10 3 3 IMIP SJCRH 0 1998 1999 2000 2001 2002 2003
ALL – 1980-90 29% n=91 Telemedicine 47
ALL: 1997-2003 70±3% n=263 Telemedicine
ALL % 100 70 50 29 Survival 0 1980 2003 Telemedicine
NHL 1980-90 44±8% Cum Survival n=98 Years from Diagnosis Telemedicine