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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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REM Sleep Behavior Disorder01:15

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REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
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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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Substance Use Disorders Affecting Sleep01:24

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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

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Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
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Sleep Apnea01:21

Sleep Apnea

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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
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Guidelines for Elective Pediatric Fiberoptic Intubation
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Telemedicine in Pediatric Sleep.

Shalini Paruthi1

  • 1Sleep Medicine and Research Center, St. Luke's Hospital, 232 South Woods Mill Road, Chesterfield, MO 63017, USA; Pediatrics, Saint Louis University School of Medicine, St Louis, MO, USA.

Sleep Medicine Clinics
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This summary is machine-generated.

Pediatric sleep medicine clinicians rarely used telemedicine before the COVID-19 pandemic due to examination difficulties and reimbursement issues. This review explores telemedicine

Keywords:
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Area of Science:

  • Pediatric Sleep Medicine
  • Telehealth

Background:

  • Limited adoption of telemedicine in pediatric sleep medicine pre-pandemic.
  • Barriers included examination challenges, inconsistent reimbursement, and clinician time constraints.

Purpose of the Study:

  • Review historical telemedicine use in pediatric sleep medicine.
  • Analyze current applications and challenges of telemedicine.
  • Propose future directions for pediatric sleep via telemedicine.

Main Methods:

  • Literature review of telemedicine in pediatric sleep medicine.
  • Analysis of pre-pandemic, current, and future applications.
  • Discussion of challenges and opportunities.

Main Results:

  • Telemedicine use was minimal before the pandemic.
  • Existing barriers hindered widespread adoption.
  • The pandemic accelerated interest and exploration of telehealth.

Conclusions:

  • Telemedicine offers potential for pediatric sleep medicine.
  • Addressing challenges is crucial for successful implementation.
  • Future integration requires strategic planning and adaptation.