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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
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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...
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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,...
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2013 Pediatric Position Development Conference: executive summary and reflections.

Catherine M Gordon1, Mary B Leonard2, Babette S Zemel2

  • 1Division of Adolescent Medicine, Hasbro Children's Hospital and Brown University, Providence, RI, USA.

Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry
|March 25, 2014
PubMed
Summary

The International Society for Clinical Densitometry updated pediatric bone densitometry standards in 2013, focusing on fracture prediction, osteoporosis definition, and dual-energy X-ray absorptiometry in children with chronic diseases.

Area of Science:

  • Pediatric Endocrinology
  • Bone Metabolism
  • Radiology

Background:

  • The International Society for Clinical Densitometry (ISCD) held its second Pediatric Position Development Conference (PDC) in 2013.
Keywords:
Childrendensitometryosteoporosispediatrics

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  • This conference aimed to update recommendations for bone densitometry standards in children and adolescents.
  • Previous guidelines were established in 2007.