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Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

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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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Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

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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...
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Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

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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...
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Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

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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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Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

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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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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Telemedicine for General Pediatrics.

Luisa Taylor, Jay M Portnoy

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    |December 13, 2019
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    Summary

    Telemedicine (TM) offers effective remote healthcare delivery, increasing access and patient satisfaction while reducing costs, especially benefiting rural and pediatric populations.

    Area of Science:

    • Health Informatics
    • Telehealth Research
    • Digital Health Services

    Background:

    • Telemedicine (TM) utilization is expanding globally via asynchronous and synchronous technologies.
    • TM provides effective healthcare delivery at a distance, adaptable to various settings.
    • Its application ranges from direct-to-consumer models to inpatient and ambulatory consultations.

    Purpose of the Study:

    • To review the growing use and effectiveness of telemedicine in healthcare.
    • To highlight the benefits of TM in improving access and reducing costs.
    • To assess patient and provider satisfaction with telemedicine services.

    Main Methods:

    • The study synthesizes information on the application and outcomes of telemedicine.
    • It examines various delivery models including direct-to-consumer and clinical consultations.

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  • Evidence is drawn from national and international telehealth implementations.

    • Main Results:

    • Telemedicine enhances healthcare access, particularly for rural communities and pediatric care.
    • It has demonstrated effectiveness in providing remote emergency and specialty consultations.
    • Studies indicate decreased patient costs and high satisfaction rates among users.

    Conclusions:

    • Telemedicine is a proven, effective method for delivering healthcare remotely.
    • It significantly improves access to specialized care and reduces healthcare costs.
    • High patient and provider satisfaction underscores the value of telemedicine in modern healthcare.