Review
Clinical Neurology
Constantinos Dean Noutsios, Virginie Boisvert-Plante, Erika Laberge, Jordi Perez, Pablo Ingelmo
Summary: Telemedicine has proven to be feasible, valid, and reliable in pediatric musculoskeletal examinations, with virtual diagnoses aligning with actual cases. Smartphone applications for measuring joint range of motion demonstrate high reliability and validity, while older children and adolescents can independently perform select physical exam maneuvers during consultations.
JOURNAL OF PAIN RESEARCH
(2021)
Review
Health Care Sciences & Services
Hind Bitar, Sarah Alismail
Summary: This study reviewed the current status, expert opinions, recommendations, and evidence related to the use of eHealth, telemedicine, and telehealth for healthcare services for chronic disease patients during the COVID-19 pandemic. It found promising potential for these technologies in delivering healthcare services remotely during the pandemic, but emphasized the need for further research to support their effectiveness.
Article
Health Care Sciences & Services
Martine W. J. Huygens, Helene R. Voogdt-Pruis, Myrah Wouters, Maaike M. Meurs, Britt van Lettow, Conchita Kleijweg, Roland D. Friele
Summary: The uptake of telemonitoring in Dutch chronic care remained stable during 2014-2019 but increased among medical specialists. According to both patients and professionals, telemonitoring improves the quality of life and quality of care. Professionals mentioned that monitoring data and tracking alerts can take up significant time.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
Katelyn Brehon, Jay Carriere, Katie Churchill, Adalberto Loyola-Sanchez, Petra O'Connell, Elisavet Papathanasoglou, Rob MacIsaac, Mahdi Tavakoli, Chester Ho, Kiran Pohar Manhas
Summary: This study evaluates the impact of a novel telerehabilitation service on quality of life, self-efficacy, and social support. The results show significant associations between self-efficacy and these outcomes, as well as the quick restoration of productivity. The findings provide insights into the potential impact of telerehabilitation services during pandemic restrictions.
Article
Business
Festus Oluseyi Oderanti, Feng Li, Marija Cubric, Xiaohui Shi
Summary: With the aging population and restrictions on public spending, there is a growing demand for eHealth innovations. While these innovations offer promising new avenues to improve the quality of life for older people, low user uptake and lack of focus on business models are key challenges to successful deployment.
TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE
(2021)
Article
Sport Sciences
Patrick J. Owen, Shelley E. Keating, Christopher D. Askew, Kelly M. Clanchy, Paul Jansons, Ralph Maddison, Andrew Maiorana, Jenna McVicar, Suzanne Robinson, Christopher Neason, Matthew J. Clarkson, Niamh L. Mundell
Summary: This study examined the effectiveness of exercise physiology services provided during the COVID-19 pandemic. The results showed that these services improved a range of client reported outcomes regardless of delivery mode. Further exploration of cost-effectiveness is warranted.
SPORTS MEDICINE-OPEN
(2023)
Review
Psychology, Multidisciplinary
Joaquin Aguirre-Sosa, Jorge Alberto Vargas-Merino
Summary: This research paper examines the different approaches and perspectives on telemedicine worldwide. Through a literature review of various scientific databases, 50 articles were selected to analyze the theoretical and empirical studies on telemedicine management in the past decade. The results indicate that telemedicine is managed through diverse approaches and scenarios, including humanistic, socioeconomic, ethical, contingency in the Armed Forces-NASA, and medical applications. Furthermore, it is concluded that there are challenges in telemedicine management globally, which need to be overcome to improve access to healthcare systems worldwide.
BEHAVIORAL SCIENCES
(2023)
Review
Health Care Sciences & Services
Clemens Scott Kruse, Annamaria Molina-Nava, Yajur Kapoor, Courtney Anerobi, Harshita Maddukuri
Summary: This study aimed to analyze the effectiveness of telemedicine through randomized controlled trials (RCTs). The results showed that telemedicine is as effective as or more effective than traditional care in improving medical outcomes, physical and mental health, behavior change, quality of life, self-efficacy, and social support.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Review
Health Care Sciences & Services
Olivia Owen, Veronica O'Carroll
Summary: Cardiac telerehabilitation delivers similar effectiveness to centre-based programmes. Phones are the most commonly used technology, with most studies using a combination of personal computers and self-monitoring equipment. Phase III telerehabilitation programmes are more effective than centre-based CR for increasing physical activity and functional capacity.
JOURNAL OF TELEMEDICINE AND TELECARE
(2022)
Article
Health Care Sciences & Services
Benson Ncube, Maurice Mars, Richard E. Scott
Summary: Many national ehealth strategies lack focus on telemedicine, but developing a telemedicine-specific strategy can address healthcare system needs.
Review
Health Care Sciences & Services
Aashaka C. Shah, Linda C. O'Dwyer, Sherif M. Badawy
Summary: Research suggests that telemedicine interventions in malignant and nonmalignant hematology show similar or improved healthcare outcomes compared to traditional face-to-face encounters in both adult and pediatric populations. However, further studies are needed to determine the efficacy of widespread implementation of telemedicine for hematological conditions.
JMIR MHEALTH AND UHEALTH
(2021)
Article
Sport Sciences
Patrick J. Owen, Shelley E. Keating, Christopher D. Askew, Kelly M. Clanchy, Paul Jansons, Ralph Maddison, Andrew Maiorana, Jenna McVicar, Suzanne Robinson, Niamh L. Mundell
Summary: The COVID-19 pandemic has led to an increase in telehealth delivery of exercise physiology services, with a decrease in in-person delivery. The main factors limiting adoption are the physical and cognitive capacity of clients, as well as access to reliable delivery platforms.
SPORTS MEDICINE-OPEN
(2022)
Article
Health Care Sciences & Services
Li Kheng Chai, Clare E. Collins, Chris May, Leanne J. Brown, Amy Ashman, Tracy L. Burrows
Summary: This study aimed to evaluate the fidelity, acceptability, and satisfaction of a 12-week family-focused technology-based child nutrition and weight management intervention. Results showed that the intervention had good fidelity, with high acceptability and satisfaction among participants. Parents found the intervention components easy to use/understand and reported improvements in family/child eating habits.
JOURNAL OF TELEMEDICINE AND TELECARE
(2021)
Article
Health Care Sciences & Services
Kristin N. Ray, Samuel R. Wittman, Sarah Burns, Tran Doan, Kelsey A. Schweiberger, Jonathan G. Yabes, Janel Hanmer, Tamar Krishnamurti
Summary: During the COVID-19 pandemic, telemedicine provided by primary care practices became widely accessible for children. This study aimed to identify the factors associated with the use of primary care telemedicine among children with a usual source of care. Factors such as having a chronic medical condition, living in a metropolitan area, internet connectivity concerns, and higher health literacy were found to be associated with the use of primary care telemedicine.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Juan Uribe-Toril, Jose Luis Ruiz-Real, Bruno Jose Nievas-Soriano
Summary: This research analyzes the state-of-the-art research on eHealth from the perspective of social sciences through a bibliometric analysis using the Web of Science database. The findings show the evolution of publications, influential countries, relevant journals and papers, and propose future research directions in eHealth.
Article
Clinical Neurology
Kenneth A. Myers, Rebecca Barmherzig, Nichelle R. Raj, Saoussen Berrahmoune, Pablo Ingelmo, Christine Saint-Martin, Afsheen Q. Khan, Megan Kouri, Cynthia Morris, Andrew D. Hershey, Joanne Kacperski, Marielle A. Kabbouche, Nada Mohamed, Rashmi R. Rao, Ana Marissa Lagman-Bartolome, Amy A. Gelfand, Christina L. Szperka, Serena L. Orr
Summary: This study reviewed 32 pediatric patients and found that they experienced significant improvement in headache symptoms with indomethacin. The phenotypic spectrum of these headache syndromes was diverse, including primary cough headache which was previously believed to only occur in adults. However, adverse events were common and required co-administration of gastro-protective agents.
Article
Anesthesiology
Laurel Walfish, Sultan Alobaikan, Zubin Lahijanian, Christine Saint-Martin, Maria DelPilar Cortes Nino, Pablo Mauricio Ingelmo
Summary: This case report describes a young patient with multilevel cerebrospinal fluid leaks and status migrainosus. After multiple catheter-guided blood patch procedures, the patient's symptoms resolved without further complications.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2022)
Article
Clinical Neurology
Don Daniel Ocay, Cynthia L. Larche, Natalie Betinjane, Alexandre Jolicoeur, Marie Josee Beaulieu, Neil Saran, Jean A. Ouellet, Pablo M. Ingelmo, Catherine E. Ferland
Summary: The study aims to analyze subgroups of children and adolescents with chronic musculoskeletal pain based on their psychosocial profile, somatosensory function, and pain modulation in order to personalize assessment and treatment. The results show that these patients are heterogeneous and can be divided into different subgroups, each with potentially distinct mechanisms and treatment approaches needed.
JOURNAL OF PAIN RESEARCH
(2022)
Article
Anesthesiology
Marie Vigouroux, Kristina Amja, Gianluca Bertolizio, Pablo Ingelmo, Richard Hovey
Summary: This study examines the experiences of pediatric anesthesiologists at two hospitals in Montreal as they dealt with the first wave of COVID-19. The findings highlight the need for simple and practical safety protocols, the challenges of keeping up with evolving knowledge, and the limitations and flaws of the current system.
PEDIATRIC ANESTHESIA
(2022)
Article
Anesthesiology
Michael R. King, Steven J. Staffa, Paul A. Stricker, Carolina Perez-Pradilla, Olivia Nelson, Hubert A. Benzon, Susan M. Goobie
Summary: This study aimed to provide an updated antifibrinolytic safety profile in pediatric patients undergoing craniofacial surgery by querying the Pediatric Craniofacial Collaborative Group database. The results showed no increase in seizures or thromboembolic events in patients receiving antifibrinolytics compared to those who did not.
PEDIATRIC ANESTHESIA
(2022)
Article
Pediatrics
Alice Bruneau, Catherine E. Ferland, Rafael Perez-Medina-Carballo, Marta Somaini, Nada Mohamed, Michele Curatolo, Jean A. Ouellet, Pablo Ingelmo
Summary: The evidence supporting pharmacological treatments for pediatric chronic pain is limited. This retrospective study found that using quantitative sensory testing (QST) and conditioned pain modulation evaluation (CPM) provided clinicians with pain phenotype information that helped tailor treatment for children with chronic pain conditions. The group that underwent QST/CPM testing received fewer opioids, anticonvulsants, and interventional treatments compared to the control group. The duration of treatment did not differ between the groups. QST/CPM testing appears to offer more targeted therapeutic options, reducing the need for polypharmacy and interventional treatments while maintaining effectiveness.
Editorial Material
Medicine, General & Internal
Ryan Antel, Pablo Ingelmo
Summary: The practice of regional anesthesia has been revitalized recently with the popularization of ultrasound-guided techniques. While rare, systemic local anesthetic toxicity can have devastating effects. This review summarizes the effects of local anesthetic toxicity and discusses the search for safer and longer-lasting options. Various prevention and treatment measures, including lipid emulsion therapy, are discussed, as well as the importance of vigilance and immediate intervention.
CANADIAN MEDICAL ASSOCIATION JOURNAL
(2022)
Article
Anesthesiology
Virginie Boisvert-Plante, Christelle Poulin-Harnois, Pablo Ingelmo, Lisa M. Einhorn
Summary: Methadone, a synthetic mu-opioid agonist, has potential advantages for postoperative pain control in pediatric patients. Studies suggest that the use of methadone in children and adolescents can decrease pain, opioid consumption, and certain opioid-related side effects. However, more research is needed to determine the optimal methadone protocols for pediatric surgical patients.
PEDIATRIC ANESTHESIA
(2023)
Article
Pediatrics
Alice Bruneau, Sabrina Carrie, Lorenzo Moscaritolo, Pablo Ingelmo
Summary: Chronic non-cancer pain in pediatrics is a common problem among adolescents, but there is a lack of evidence for optimal treatment. The efficacy and safety profiles of pharmacological treatments for adolescents with chronic pain need further study. Pharmacological treatments should be used carefully within an interdisciplinary treatment program that includes physical rehabilitation, integrative medicine, psychology, and normalization of daily activities.
Review
Health Care Sciences & Services
Gianluca Bertolizio, Marta Garbin, Pablo M. M. Ingelmo
Summary: The association between intraoperative nociception and patient morbidity is well known, but hemodynamic parameters may not adequately monitor nociception during surgery. Various devices have been developed to detect intraoperative nociception by measuring surrogates such as sympathetic and parasympathetic responses, electroencephalographic changes, and muscular reflex arc. Each monitor has its own advantages and disadvantages. This manuscript provides an overview of current nociceptor monitors in clinical practice, with a focus on their use in pediatrics.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Health Care Sciences & Services
Marta Somaini, Thomas Engelhardt, Pablo Ingelmo
Summary: Unsettled behaviors are common in children after general anaesthesia, with up to 80% of cases experiencing this phenomenon. Emergence delirium and acute pain are the main causes, but measuring and defining unsettled behavior is challenging. The incidence of emergence delirium is estimated to be between 10% and 20%, with several potential risk factors. Differentiating between emergence delirium and pain in partially awake children is difficult, leading to potential undertreatment or overuse of opioids. This paper provides a pragmatic approach to identifying and treating emergence delirium and pain in daily practice.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Pediatrics
Mathieu Georges, Thomas Engelhardt, Pablo Ingelmo, Federico Mentegazzi, Gianluca Bertolizio
Summary: Postoperative hyperglycemia is an independent risk factor for postoperative complications. This study aimed to confirm the correlation between GSI and duration of intubation, PICU stay, and postoperative complications in infants undergoing elective open heart surgery. The study also investigated the influence of preoperative fasting on GSI.
Article
Clinical Neurology
Michelle Stoopler, Manon Choiniere, Annabelle Nam, Andre Guigui, Laurel Walfish, Nada Mohamed, Marie Vigouroux, Victor-Hugo Gonzalez-Cardenas, Pablo Ingelmo
Summary: This retrospective study aimed to evaluate the number and costs of chronic pain-related emergency department (ED) consultations of children and adolescents with chronic pain conditions. The results showed a reduction in the number of chronic pain-related ED consultations and associated costs within 1 year after the first evaluation by the interdisciplinary center for complex pain.
CANADIAN JOURNAL OF PAIN-REVUE CANADIENNE DE LA DOULEUR
(2022)
Article
Health Care Sciences & Services
Mandy M. J. Li, Cynthia L. Larche, Kelsey Vickers, Marie Vigouroux, Pablo M. Ingelmo, Richard Hovey, Catherine E. Ferland
Summary: This qualitative study aimed to better understand the adverse effects (AEs) of analgesics from the perspective of adolescent patients with idiopathic scoliosis after spinal surgery. The study found that gastrointestinal and cognitive AEs were most frequently reported, with constipation being the most persistent and bothersome. Pediatric patients used pharmacologic, nonpharmacologic, and reduction of analgesic intake strategies to mitigate AEs.
JOURNAL OF PATIENT EXPERIENCE
(2022)
Review
Clinical Neurology
Nabeel Ahmed, Marie Vigouroux, Pablo Ingelmo
Summary: Juvenile fibromyalgia (JFM) is a condition characterized by chronic widespread musculoskeletal pain in children and adolescents. Recent studies have found that a significant number of JFM patients show small fiber pathology similar to small fiber neuropathy (SFN). Distinguishing between JFM and SFN is important due to differences in recommended therapies.
JOURNAL OF PAIN RESEARCH
(2022)
