在儿科神经瘤学服务中使用甲基胺的障碍
Alexander J Hagan1, Simon Bailey2,3, Sarah J Verity1,3
1Departments of Paediatric Health Psychology.
概括
甲基酸盐在儿童中枢神经系统 (CNS) 瘤幸存者中改善神经认知缺陷有希望,但由于资源限制和缺乏证据,其使用不一致. 需要进一步的研究和合作来推进其应用.
科学领域:
- 神经瘤学神经瘤学
- 儿科幸存者的情况
- 神经认知康复神经认知康复
背景情况:
- 儿童中枢神经系统 (CNS) 瘤幸存者面临显著的神经认知后期影响.
- 在这种人群中,甲基酸盐可能会改善神经认知功能和生活质量.
- 目前神经瘤学中甲基胺的处方不一致.
研究的目的:
- 调查英国儿童中枢神经系统瘤幸存者的神经认知评估和康复,包括甲基胺的使用.
- 了解当前的做法,并识别甲基酸处方的障碍.
主要方法:
- 一项使用半结构化问卷分发给临床心理学家和神经心理学家的定性研究.
- 从国家卫生服务小儿神经瘤主要治疗中心 (PTC) 收集的数据.
- 应用专题分析来探索收集的数据.
主要成果:
- 在许多PTC中,心理学资源不足,限制了甲基酸的获取.
- 甲基胺主要用于治疗严重的神经认知障碍.
- 临床医生对甲基化物表达了兴趣,但缺乏疗效证据和明确的治疗方案.
结论:
- 国家合作对于推进儿童中枢神经系统瘤幸存者的甲基酸等干预措施至关重要.
- 解决资源局限性和产生强有力的证据是扩大甲基化物实施的关键.
- 需要改进的研究摘要和治疗方案,以支持甲基酸的使用.
相关概念视频
Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
326
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
326
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
192
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
192
Prescription, Nonprescription and Orphan Drugs
761
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
761
Attention-Deficit/Hyperactivity Disorder
90
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
90
Factors Affecting Drug Distribution: Physiological Barriers
239
Drug distribution in the body is intricately regulated by various physiological barriers that control the passage of substances. These include the capillary endothelial barrier, the blood-brain, blood-cerebrospinal fluid, blood-placental, and blood-testis barriers.
The capillary endothelial barrier allows only smaller molecules below 600 Da (Daltons) to pass through. It also restricts drugs like heparin that are bound to blood components, limiting their movement within the bloodstream.
The...
The capillary endothelial barrier allows only smaller molecules below 600 Da (Daltons) to pass through. It also restricts drugs like heparin that are bound to blood components, limiting their movement within the bloodstream.
The...
239


