BackgroundStudies on telemedicine concentrate largely on children with congenital heart disease (CHD), in lieu of their respective parents. The psychological responses of parents of children with CHD may impact on their child's well‐being. This study aimed to examine the impact of telemedicine on the mental status of parents of children with CHD.MethodsA meta‐analytic approach was used to analyze scores on the Self‐reporting Anxiety Scale (SAS), the Self‐reporting Depression Scale (SDS), and the World Health Organization Quality of Life, Brief Report (WHOQOL‐BREF) of the parents of children with CHD. Scores were compared between the telemedicine group and the control group prior to and following the intervention using the measurement of mean difference (MD) with 95% confidence interval (CIs).ResultsA total of 209 studies were assessed, of which 10 were incorporated into the systematic review, while four other studies met the meta‐analysis inclusion criteria. Following the intervention, the SAS and SDS scores were significantly lower in the telemedicine group in comparison to the control group (p < 0.001). Telemedicine also exerted a substantial influence on lowering the parents' SAS (p < 0.001) and SDS scores (p < 0.001), as well as improving the quality of life of the parents (p < 0.001).ConclusionTelemedicine has a positive impact on lowering both anxiety and depression as well as improving the quality of life of parents of children with CHD.

Introduction: Testicular torsion is a twisting of the spermatic cord, which results in impaired blood flow to the testicle. This urological emergency occurs 3.8 per 100,000 males annually, most often observed younger than 18 years. The left testis is more frequently involved. Bilateral cases report for 2% of all torsions. We describe a male with a late presentation of more than 24 hours of acute testicular pain. Patients hesitate to seek advice from doctors for testicular pain because of unawareness. Case Reports: A 16-year-old man arrived at the Emergency Room with more than 24 hours history of sudden severe left testicular pain after taking up two gas cylinders, but he was not aware. After more than 24 hours, he came to the emergency room with worsening testicular pain. The physical examination found tender, slightly swollen, and high-riding left testes. Phren test and cremaster reflex were negative on the left testes. TWIST score of the patient was 7 (high risk for testicular torsion). We made quick order for ultrasound, which shows left testicular torsion. Emergency exploration of testes was done, found the necrotic left testes with rotation more than three times. After complete derotation of the cord, the testes were still necrotic, and we decided to do left side orchidectomy after enough observation. Conclusion: Late presentation to the hospital is one of the causes of delay in treatment and mostly leads to orchidectomy in testicular torsion. Every case of testicular pain should be treated as testicular torsion until proven otherwise. Keyword:  Emergency, Late presentation, Orchidectomy, Testicular torsion.