BACKGROUND Approximately 100,000 persons with sickle cell disease (SCD) live in the United States, including 15,000 in the Midwest. Unfortunately, many patients experience poor health outcomes due to limited access to primary care providers (PCPs) who are prepared to deliver evidence-based SCD care. Sickle Treatment and Outcomes Research in the Midwest (STORM) is a regional network established ...

BACKGROUND Minimally invasive surgery offers many advantages, but its correct practice is associated with a steep learning curve. Telesurgery allows a surgeon at a remote site to guide and teach surgeons at a primary site by utilizing robotic devices, telecommunications, and video technology, thereby reducing complications. PATIENTS AND METHODS From September 1998 to July 2000, 17 procedures ...

To date, applications of Google Glass in the operatingtheatre, including video streaming for training andtelementoring [1], can be characterised by the outwardflow of information from the device. No precedentshave been set where the platform acts as the deliverymechanism for patient-specific 3D images, providinganatomical guidance at key stages during surgicalprocedu...

BACKGROUND Medical mentoring is becoming increasingly complex with the evolving needs of trainees and the complexities of their personal and social lives. The Internet is an enabling technology, which increasingly facilitates interaction with multiple people at a distance. Web 2.0 and 3.0 technology shows promise in furthering this facilitation. OBJECTIVE The objective of our study was to est...

In September 2001, a hospital in Strasbourg, France, probably broke the record for the most expensive standard surgery in history by removing the gall bladder from a 68-year-old woman for the princely sum of more than €1 million. But it was not the exorbitant cost of the operation that made the headlines in the popular and biomedical press. It was the fact that it was the first example of trans...

Background—Time is of the essence for effective intervention in acute ischemic stroke. Efforts including stroke teams that are “on call” around-the-clock are emerging to reduce the time from emergency room arrival to evaluation and treatment. Summary of Comment—Based on the results of the NINDS rt-PA Stroke Trial, which demonstrated both clinical effectiveness in reducing neurological deficits ...

BACKGROUND Pain assessment and management in advanced and end-stage dementia are challenging; patients are at risk of under-diagnosis, under-assessment and under-treatment. Previous research has highlighted the importance of needs-driven training and development in this area for physicians, nurses and healthcare assistants (HCAs) across specialties, disciplines and care settings. This study use...