The Business of Geriatrics

 Geriatrics  Comments Off on The Business of Geriatrics
Jul 152019
 

This book takes a fresh look at how caring for Medicare beneficiaries can lead to success in today’s healthcare marketplace. Using examples from highly successful practice models, the book will take the reader through the key components necessary to run a profitable geriatric practice. The author, who co-founded what became one of the largest geriatric private practices in the country, discusses each part of the continuum of care from the perspective of the provider-client relationship, highlighting the importance of business cultures in this environment. The text also features an overview of payment models, starting with traditional fee-for-service, insurance (Medicare HMO’s), and finishing with the concept of bundled payment models that have been heralded as the future of physician reimbursement. Finally, this book focuses on the practical aspects of business planning, budgeting and hiring and concludes with chapters about the key challenges faced by a geriatric practice, focusing on provider productivity, coding and billing, and dealing with potential competition in the marketplace. The Business of Geriatrics is the ultimate business guide for primary care physicians, geriatricians, residents, medical students, healthcare administrators, policymakers, business and medical administrative students, and practice managers.

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Textbook of Geriatric Dentistry

 Dentistry, Geriatrics  Comments Off on Textbook of Geriatric Dentistry
Jul 142019
 

Textbook of Geriatric Dentistry, Third Edition provides a comprehensive review of the aging process and its relevance to oral health and dentistry. Now in full colour, this third edition has been fully revised and updated with new material encompassing recent research and clinical developments within geriatric dentistry. Written in a clear and accessible style, this is an essential guide to geriatric dental practice for undergraduate and postgraduate dentistry students and practicing clinicians alike. Key features include: * Contributions from an international group of expert authors * Comprehensive coverage of oral healthcare issues in the older adult, from demographics and physiology through to nutrition and pharmacology * Provides both foundational knowledge and a guide to clinical management * New chapters including material on orofacial pain, quality of life and treatment planning
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The PKU Paradox: A Short History of a Genetic Disease

 Geriatrics  Comments Off on The PKU Paradox: A Short History of a Genetic Disease
Apr 292019
 

In a lifetime of practice, most physicians will never encounter a single case of PKU. Yet every physician in the industrialized world learns about the disease in medical school and, since the early 1960s, the newborn heel stick test for PKU has been mandatory in many countries. Diane B. Paul and Jeffrey P. Brosco’s beautifully written book explains this paradox.

PKU (phenylketonuria) is a genetic disorder that causes severe cognitive impairment if it is not detected and treated with a strict and difficult diet. Programs to detect PKU and start treatment early are deservedly considered a public health success story. Some have traded on this success to urge expanded newborn screening, defend basic research in genetics, and confront proponents of genetic determinism. In this context, treatment for PKU is typically represented as a simple matter of adhering to a low-phenylalanine diet. In reality, the challenges of living with PKU are daunting.

In this first general history of PKU, a historian and a pediatrician explore how a rare genetic disease became the object of an unprecedented system for routine testing. The PKU Paradox is informed by interviews with scientists, clinicians, policymakers, and individuals who live with the disease. The questions it raises touch on ongoing controversies about newborn screening and what happens to blood samples collected at birth.

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Generic Drug Product Development: Solid Oral Dosage Forms, Second Edition

 Geriatrics, Pharmacology  Comments Off on Generic Drug Product Development: Solid Oral Dosage Forms, Second Edition
Apr 132019
 



In this era of increased pharmaceutical industry competition, success for generic drug companies is dependent on their ability to manufacture therapeutic-equivalent drug products in an economical and timely manner, while also being cognizant of patent infringement and other legal and regulatory concerns.

Generic Drug Product Development: Solid Oral Dosage Forms, Second Edition presents in-depth discussions from more than 30 noted specialists describing the development of generic drug products—from the raw materials to the development of a therapeutic-equivalent drug product to regulatory approval.

Major topics discussed include:

Active pharmaceutical ingredients
Experimental formulation development, including a new section on Quality by Design (QbD)
Scale-up
Commercial product formulation
Quality control and bioequivalence
Drug product performance
ANDA regulatory process
Post-approval changes
Post-marketing surveillance
Legislative and patent challenges

This second edition also contains a new chapter on the relationship between the FDA and the United States Pharmacopeia and in Chapter 4, using specific examples, the application of Quality by Design (QbD) during formulation development is examined.The book is a thorough guide to the development of solid oral generic dosage formulations. This textbook is ideal for the pharmaceutical industry, graduate programs in pharmaceutical sciences, and health professionals working in the area of generic drug development.

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Gardner and Sutherland’s Chromosome Abnormalities and Genetic Counseling, 5th Edition

 Geriatrics  Comments Off on Gardner and Sutherland’s Chromosome Abnormalities and Genetic Counseling, 5th Edition
Mar 152019
 

Even as classic cytogenetics has given way to molecular karyotyping, and as new deletion and duplication syndromes are identified almost every day, the fundamental role of the genetics clinic remains mostly unchanged. Genetic counselors and medical geneticists explain the ‘unexplainable,’ helping families understand why abnormalities occur and whether they’re likely to occur again.

Chromosome Abnormalities and Genetic Counseling is the genetics professional’s definitive guide to navigating both chromosome disorders and the clinical questions of the families they impact. Combining a primer on these disorders with the most current approach to their best clinical approaches, this classic text is more than just a reference; it is a guide to how to think about these disorders, even as our technical understanding of them continues to evolve.

Completely updated and still infused with the warmth and voice that have made it essential reading for professionals across medical genetics, this edition of Chromosome Abnormalities and Genetic Counseling represents a leap forward in clinical understanding and communication. It is, as ever, essential reading for the field.

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Geriatric Ophthalmology: A Competency-based Approach, 2nd edition

 Geriatrics, Ophthalmology  Comments Off on Geriatric Ophthalmology: A Competency-based Approach, 2nd edition
Mar 052019
 

Geriatric patients have unique responses to treatment and disease, often harboring co-morbidities that can impact evaluation, treatment, and prognosis, which can require specialized expertise or experience. Geriatric Ophthalmology, Second Edition draws upon the successful first edition by applying a competency-based approach to these patients, improving awareness, increasing understanding, and encouraging expertise about geriatric issues among eye care professionals.

These intersecting conditions and their treatment are comprehensively discussed in this fully updated second edition, complete with additional high-quality illustrations and photos. Each chapter utilizes illustrative cases to exemplify the points of care encompassed by the competencies. Topics of special interest are included, such as diabetic retinopathy, age-related macular degeneration, cataracts, glaucoma, diabetic retinopathy, low vision, all diseases of aging, and the effect of vision loss on the geriatric patient’s quality of life. Medical students, residents, fellows, clinicians, and allied health personnel alike will find this to be a comprehensive resource and exceptional guide to the care of older patients with geriatric ophthalmology problems.

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Nephrology and Geriatrics Integrated: Proceedings of the Conference on Integrating Geriatrics into Nephrology held in Jasper, A

 Geriatrics, Nephrology  Comments Off on Nephrology and Geriatrics Integrated: Proceedings of the Conference on Integrating Geriatrics into Nephrology held in Jasper, A
Jan 142019
 

Because of many advances in medicine and biotechnology, an increasing number of individuals are surviving into old age, and we are now challenged to apply sophisticated medical knowledge to the care of the elderly citizen. In nephrology, individuals older than 65 are the fastest-growing group of patients requiring dialysis. Similarly, in increasing numbers, elderly persons present themselves with renal complaints to their family doctor, the geriatrician or the nephrologist. In August 1998, with the financial support of the John A. Hartford Foundation, leaders in geriatrics, nephrology and urology met in Jasper, Alberta, for one week to discuss their areas of special knowledge and to learn from each other. Geriatricians learned from nephrologists, nephrologists learned from geriatricians, and both came to see that they had much in common. All participants discovered a common interest, challenge and commitment, namely, to provide the best renal care to a progressively aging population and to teach their fellows the principles of the other collaborating specialties. This book contains all the papers presented at this meeting and also the text of group discussions on Training and Education, Special Clinical Problems in Geriatric Patients, and Recommendations in Basic and Clinical Research. Nephrology and Geriatrics Integrated will prove useful to both nephrologists and geriatricians in their efforts to manage the renal complaints of the elderly, who come to them in increasing numbers.
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Advanced Age Geriatric Care: A Comprehensive Guide

 Geriatrics  Comments Off on Advanced Age Geriatric Care: A Comprehensive Guide
Dec 272018
 

As the Baby Boomers age, concerns over healthcare systems’ abilities to accommodate geriatric patients grow increasingly challenging. This is especially true with the population deemed to be “the oldest of the old,” specifically those over the age of 85. Unlike any other time in history, this demographic is the fastest growing segment of most developed countries. In the United States the oldest old is projected to double from 4.3 million to 9.6 million by 2030. The increased life expectancy of the population since the early 1900s has been built on the improvement of living conditions, diet, public health and advancement in medical care. With this we have seen a steady decline in the age-specific prevalence of vascular and heart diseases, stroke and even dementia. Older persons are healthier today than their counterparts decades ago. More importantly than in any other age group, the care of the oldest old must be individualized; management decisions should be made taking into consideration the older persons’ expressed wishes, quality of life, function and mental capacity. The inevitable consequence is that there will be an increase in the prevalence of older persons with chronic diseases, multiple co-existing pathologies and neuro-degenerative diseases. The oldest of the aging population are often excluded from drug trials and their treatments are largely based on findings extrapolated from that of the younger old. Furthermore, among the oldest old, physiologically they are more diverse than other segments of the population. Their demographic characteristics are unparalleled and different compared to that of the younger old. Several studies have drawn attention to the differing attitudes among health professionals towards elderly people and many show prejudice because they are old. As a result, the use of age as a criteria in determining the appropriateness of treatment is of very limited validity, yet there are limited resources that guide physicians through these challenges. This book creates a greater awareness of these challenges and offers practical guidelines for working within the infrastructures vital to this demographic. This book is designed for geriatricians, primary care physicians, junior medical officers, specialty geriatrics nurses, and gerontologists. It is divided into 3 sections: General Considerations, Chronic diseases and Geriatric Syndromes. Each chapter provides a summary of important and essential information under the heading of Key Points. Case studies are included in some of the chapters to highlight the principles of management.
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Office Care Geriatrics

 Geriatrics  Comments Off on Office Care Geriatrics
Nov 132018
 

This practical, ready-access reference provides clinicians and students with evidence-based strategies for the care of older patients. The book is organized to yield quick answers to questions arising during the patient encounter. The contributors offer pragmatic management guidelines appropriate for the complexities of multiple problems and advanced age, and emphasize a disease management approach.
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Value Driven Healthcare and Geriatric Medicine: Implications for Today’s Changing Health System

 Geriatrics  Comments Off on Value Driven Healthcare and Geriatric Medicine: Implications for Today’s Changing Health System
Nov 102018
 

Value driven healthcare is the lasting legacy of the Affordable Care Act, which had three goals: to improve access to healthcare by increasing healthcare insurance coverage, to improve the patient’s experience and quality of care, and to slow the rate of increase in healthcare costs. Regardless of changes to the financing of healthcare or changes in policy, value-based purchasing for healthcare is to remain a constant feature of the healthcare horizon.
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