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Related Concept Videos

Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Ethical Dilemmas II01:30

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Decision Making: P-value Method01:09

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First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim  is also stated. These statements can act as null and alternative hypotheses:  a null hypothesis would be a neutral statement while the alternative hypothesis can have a...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

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Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

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Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...

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Related Experiment Video

Updated: Jun 11, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Shared decision-making in pediatrics: a national perspective.

Alexander G Fiks1, A Russell Localio, Evaline A Alessandrini

  • 1ediatric Research Consortium, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. fiks@email.chop.edu

Pediatrics
|July 14, 2010
PubMed
Summary
This summary is machine-generated.

Children with ADHD or asthma experience less shared decision-making (SDM) when health is poor or clinicians are hard to reach. Improving communication can enhance SDM for better pediatric care.

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Last Updated: Jun 11, 2026

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Published on: January 12, 2018

Area of Science:

  • Pediatric Health Outcomes
  • Health Services Research
  • Patient-Centered Care

Background:

  • Shared decision-making (SDM) is crucial for pediatric care, particularly for chronic conditions like attention-deficit/hyperactivity disorder (ADHD) and asthma.
  • Understanding factors influencing SDM is essential for improving healthcare experiences for children and families.

Purpose of the Study:

  • To identify patterns of SDM in US children with ADHD or asthma.
  • To determine associations between demographics, health status, or access to care and SDM.

Main Methods:

  • Cross-sectional study using 2002-2006 Medical Expenditure Panel Survey data.
  • Latent class models defined high SDM based on 7 survey items.
  • Logistic regression and marginal standardization analyzed factors associated with SDM.

Main Results:

  • 65% of households reported high SDM for both ADHD and asthma.
  • Poor general health and behavioral impairment were associated with lower SDM.
  • Difficulty contacting clinicians significantly reduced SDM for both conditions.

Conclusions:

  • Children's health status and ease of clinician contact are key factors influencing SDM.
  • Strategies to improve family-clinician communication may enhance SDM in pediatric care.