Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

652
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...
652
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

1.8K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
1.8K
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

313
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
313
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

360
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...
360
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

5.2K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
5.2K
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

698
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
698

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Social and Behavioral Correlates of Self-Perceived Psychological Distress in Celiac Disease During the COVID-19 Pandemic: An Exploratory Cross-Sectional Study (COVIMPACT).

Nutrients·2026
Same author

Elevated microbially-derived metabolites in autism: a possible diagnostic screening test for a distinct ASD phenotype.

Molecular psychiatry·2026
Same author

Evaluating Open and Accessible Visual Language Models for Optical Character Recognition in Clinical Case Report Forms.

Studies in health technology and informatics·2026
Same author

Do predictors of motor recovery differ between robotic and conventional post-stroke rehabilitation?

Journal of neuroengineering and rehabilitation·2026
Same author

Profiling the Athletes' Gut Microbiome: A Critical Methodological Perspective on 16S Metabarcoding and Shotgun Metagenomics.

Biology·2026
Same author

Endovascular profiles linked to neutrophil activation in children and young adults with long COVID.

Pediatric research·2026

Related Experiment Video

Updated: Mar 19, 2026

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
05:56

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis

Published on: August 29, 2025

670

Emergency Department Utilization Report to Decrease Visits by Pediatric Gastroenterology Patients.

Jarone Lee1, Peter T Greenspan2, Esther Israel3

  • 1Departments of Emergency Medicine, Surgery, and Massachusetts General Physicians Organization, Boston, Massachusetts; and lee.jarone@mgh.harvard.edu.

Pediatrics
|June 12, 2016
PubMed
Summary
This summary is machine-generated.

Reporting emergency department (ED) use to pediatric gastroenterologists significantly reduced GI-related ED visits by 60%. This intervention fostered physician engagement and a shift towards prioritizing urgent patient care in the office setting.

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

18.8K
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

9.3K

Related Experiment Videos

Last Updated: Mar 19, 2026

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
05:56

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis

Published on: August 29, 2025

670
Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

18.8K
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

9.3K

Area of Science:

  • Health Services Research
  • Gastroenterology
  • Healthcare Management

Background:

  • Emergency department (ED) utilization significantly contributes to healthcare costs.
  • Specialist physicians, particularly at academic medical centers, play a crucial role in managing ED use.
  • Investigating methods to reduce ED visits is essential for cost containment and efficient patient care.

Purpose of the Study:

  • To determine if providing specialist physicians with data on their patients' ED utilization can decrease ED visits.
  • To assess the impact of reporting ED utilization on physician behavior and clinical practice.

Main Methods:

  • An intervention was implemented where pediatric gastroenterologists received regular reports on their patients' ED utilization rates.
  • The study analyzed changes in GI-related and all-diagnoses ED visits over a 2-year period using control charts.
  • The intervention aimed to foster cultural and process changes to prioritize urgent gastrointestinal complaints in the office setting.

Main Results:

  • GI-related ED visits decreased by 60% post-intervention (from 4.89 to 1.95 per 1000 office visits).
  • GI-related ED visits during office hours saw a 59% reduction (from 2.19 to 0.89 per 1000 office visits).
  • No significant change was observed in the rates of all-diagnoses ED visits.

Conclusions:

  • Physician-level reporting of ED utilization effectively engaged pediatric gastroenterologists.
  • The intervention led to a cultural and process shift, encouraging the preferential in-office treatment of urgent gastrointestinal issues.
  • Targeted reporting can be a successful strategy to reduce specific types of ED utilization.