Resultados: 118
Au Canada, les maladies musculosquelettiques constituent un problème important de santé publique. Nombreuses sont les personnes qui en souffrent et doivent être traitées pour soulager leur douleur et améliorer leur état fonctionnel. Mais rares sont les traitements efficaces et sécuritaires pour le...
The use of electroconvulsive therapy in Québec
INTRODUCTION: From the time it was introduced into psychia-try in 1938, electroshock treatment, also known as ECT (for electroconvulsive therapy), has been highly controversial. In fact, it has been so controversial that in the mid-1960s, its use decreased considerably in the Western world, under social ...
Télésanté: lignes directrices cliniques et normes technologiques en télépsychiatrie
INTRODUCTION: La télépsychiatrie est l’une des plus anciennes applications de la télémédecine. Les premières expériences remontent aux années 1950, mais c’est à partir des années 1990 qu’elle a véritablement pris son essor avec l’implantation de plusieurs projets. Comme il s’agissait...
The excimer laser in ophthalmology: a state-of-knowledge update
INTRODUCTION: Since the publication, in May 1997, of the Con-seil d’évaluation des technologies de la santé du Québec’s previous report on the state of knowl-edge regarding excimer laser photorefractive keratectomy [60], the ophthalmologic applica-tions based on this means of intervention have con...
Telehealth: clinical guidelines and technical standards for telepsychiatry: summary
INTRODUCTION: Telepsychiatry is one of the oldest applications of telemedicine. Although the first experiences date back to the 1950s, telepsychiatry really began to develop in the 1990s with the implementation of a number of projects. Since these were almost exclusively initiatives in clinical settings,...
Summary: Transcatheter aortic valve implantation: Evaluation of the evidence and synthesis of organizational issues
CONTEXT: Aortic valvular stenosis, or narrowing of the valve orifice, is a progressive disease that generally affects patients over the age of 65 years in Western countries and is usually caused by degenerative calcification. Aortic stenosis causes increasing resistance against the ejection of blood fro...
The role of hyperbaric oxygen therapy in the management of autism: summary
CONTEXT: Autism is a neurological disorder characterized by early impairments in the overall development of cognitive, speech and relational functions. It is one of a family of pervasive developmental disorders (PDDs). The clinical picture of autistic disorder is highly variable, and its management requi...
Summary: use of class 3b and class 4 lasers and intense pulsed light sources for cosmetic procedures in non-medical settings
INTRODUCTION: Body image has always preoccupied people across time and cultures. Today, the search for beauty can be fulfilled with high-power technologies that are relatively easy to use, such as Class 3b and Class 4 lasers and intense pulsed light (IPL) sources. Lasers are devices that amplify light, e...
Summary: viscosupplementation for the treatment of osteoarthritis of the knee
INTRODUCTION: Osteoarthritis (OA) of the knee is a degenerative disease that frequently results in the need for total knee replacement. This disease has been absorbing an ever-growing share of the human and financial resources of Québec’s health-care system. Considered by some to be an alternative to ...
Summary: evaluation of the evidence on the HeartMate II® and HeartWare® ventricular assist devices for the treatment of chronic end-stage heart failure
CONTEXT: Heart failure is a complex syndrome that arises when the heart is incapable of pumping enough blood to respond to the metabolic needs of the body. Heart failure is often caused by defective contraction and relaxation of the myocardium, accompanied by elevated cardiac filling pressure. It represe...