How can we safely and effectively treat musculoskeletal disorders in this fast-growing population? Musculoskeletal Drug Therapy for Geriatric Patients is an essential reference for pharmacists, physicians, and nurses who plan treatment for elderly patients suffering from post-menopausal osteoporosis, osteoarthritis, rheumatoid arthritis, and gout or hyperuricemia. The medical cost of these common ailments is staggering: osteoporosis alone causes more than 1.5 million fractures each year with annual costs to the health system of approximately $14 billion. The human cost--in pain, disfigurement, restricted movement, and lost work--is incalculable. Today pioneering research is being done, and new drugs have become available to alleviate patients’suffering. Musculoskeletal Drug Therapy for Geriatric Patients offers detailed discussions of the newest drug treatments and recent findings on older medications. For example, many authorities agree that acetominophen should be frontline therapy of degenerative arthritis in the elderly, yet the most common adverse drug reaction of geriatric patients in long-term care is for NSAID gastropathy. This book suggests safer options, including the newest COX-2 inhibitors and disease-modifying anti-rheumatic drugs. Musculoskeletal Drug Therapy for Geriatric Patients offers clear strategies for the assessment and treatment of these painful, debilitating disorders in the elderly. Including tables and charts that comprehensively list test results, Musculoskeletal Drug Therapy for Geriatric Patients provides solid advice on the issues of medical management of these common diseases. This valuable book examines specific issues, including: the newest COX-2 inhibitors and how they work the evaluation, diagnosis, and management of osteoporosis osteoarthritis and its drug therapy a scholarly assessment of geriatric rheumatoid arthritis and its treatment. dosage, contraindications, and possible negative effects of various medications determining the need for chronic prophylactic therapy in patients with gout or hyperuricemia Although none of these musculoskeletal diseases can yet be cured, effective drug therapy can keep them in check. Musculoskeletal Drug Therapy for Geriatric Patients will help you give your patients the most powerful new treatments with the fewest side effects, thereby improving their quality of life.
Medication costs and common drug-related problems, such as misapplication of therapy, medication misuse, and adverse effects, can often be avoided or reduced. Geriatric Drug Therapy Interventions will help you get better outcomes with your patients as it points out pitfalls to avoid and provides you with logical principles for administering drug therapy. Offering guidelines, advice, and gentle reminders, this book shows you the importance of properly documenting patient problems and of considering the entire medical history of your patients. It also helps you perform fall and psychoactive drug risk assessments and address under-recognized and undertreated problems such as malnutrition, depression, sensory deficits, anemia, osteoporosis, and pressure ulcers. As Geriatric Drug Therapy Interventions clarifies, increased consultant pharmacist involvement in comprehensive pharmaceutical services results in the reduction of drug-related problems and medication-associated costs with long-term care patients. Using this book's helpful and substantive interventions, you can improve clinical, economic, and humanistic outcomes in your practice. For this purpose, Geriatric Drug Therapy Interventions discusses: a study designed to teach pharmacy students to identify, document, solve, and prevent medication-related problems providing patient-focused care and assuming responsibility for patient outcomes reimbursing pharmacists for performing cognitive service and cost-savings activities how the prevalence of drug-related problems that influence the need for hospital and nursing home admissions increases with age reasons for patient noncompliance NSAID-associated gastritis, gastrointestinal bleeding, drug-induced delirium, incontinence, and constipation why the advent of managed care does not bode well for the overall health outcomes of the elderly Pharmacists, physicians, and other health care providers can't control all aspects of drug use, but there are many practical steps you can take to help your patients use their prescriptions appropriately. Geriatric Drug Therapy Interventions will help you monitor the efficacy of drug therapy, guide patients who are exasperated with being poked, prodded, and barraged with medications, and work together to develop therapy patterns and schedules that are effective and comfortable.
If you?re a pharmacist, nurse, or physician involved in caring for elderly patients, you?ll definitely want to take advantage of the concise review of the most important drugs for gastrointestinal problems in Gastrointestinal Drug Therapy in the Elderly. Compact, clear, and concise, this new volume will give you vital information concerning drug therapy for the elderly as presented by some of the world?s most authoritative, qualified professionals. Your knowlege of effective drug therapies will expand, and you?ll find new avenues of application for your treatment methods. Gastrointestinal Drug Therapy in the Elderly brings out your practical side, giving you method after method for dealing with the gastrointestinal maladies of elderly patients. Its scope is broad and contemporary, covering everything from gastroesophageal reflux disease to peptic ulcers, from inflammatory bowel disease to constipation and diarrhea. Specifically, you?ll get pragmatic guidance in the following areas: heartburn causes and treatments gastritis and peptic ulcers inflammatory bowel disease case studies of drug effects on the gastrointestinal tract You?ll also receive in this useful volume a review of basic pathophysiology and the effects of drugs on the GI tract. Filled with useful case studies and recent findings on drug use, Gastrointestinal Drug Therapy in the Elderly is your guide to practicality and heightened success in the treatment of persistent gastrointestinal problems in your elderly patients.
Medication mishaps can and do happen in nursing homes. This highly important new book focuses on the scope of drug-related problems (DRP) of misuse and adverse reaction to medications in the nursing home environment. Experts provide practical methods for detecting DRPs, they explain a systematic approach to preventing DRPs, and they document the magnitude of DRPs in the long term care setting. Each chapter of this timely book deals with a different type of drug-related problem and includes operational definitions, prevalence of the problem, and the actions needed to detect and minimize risk and prevent recurrence. A checklist at the end of each chapter aids readers in assessing specific problems in nursing homes, home health care, day care settings, and other locations in which medications are given to the elderly. Illustrative case examples are used throughout the text. With an emphasis on awareness and change, Drug-Related Problems in Geriatric Nursing Home Patients will be invaluable for pharmacists, physicians, and nurses who work in long term care; health care planners who need to be cognizant of the scope and magnitude of medication mishaps in the nursing home; administrators who are ultimately responsible for such problems. Students and educators will find the information, and especially the checklists, timely and practical.
Improve Your Python Code with Modern Object-Oriented Design Patterns To write clean, efficient, maintainable code, developers everywhere turn to design patterns. Now there's a Python-specific patterns guide that's friendly and practical enough for every Python developer, regardless of experience. Best-selling patterns author James W. Cooper presents visual, example-driven explanations of 23 proven patterns for writing superior object-oriented code. Through clear and intuitive code samples, he introduces modern techniques for creating Python objects that interact effectively in powerful, flexible programs. Python newcomers--including those moving from other languages--will find a succinct introduction designed to get them up to speed fast. Cooper's wide-ranging patterns coverage addresses abstract classes, multiple inheritance, GUI programming and widgets, graphical classes, drawing and plotting, math, databases, Python decorators, images, threads, iterators, creating executable code, and more. Throughout, his informal visual presentation makes patterns far easier to work with--so you can confidently build sophisticated programs that use Python's rich capabilities. Review the essentials of Python objects and visual programming Learn what design patterns are, and how they help you write better code Use creational patterns to enhance flexibility and avoid unnecessary complexity Apply structural patterns to ensure that program elements work together well in large programs Optimize communication between objects with behavioral patterns
Diabetes Mellitus in the Elderly keeps you up-to-date with the latest information concerning the treatment and understanding of conditions that lead to diabetes mellitus. Discussing the multi-organ involvement of this disease and the contingencies of a wholly effective treatment, this book explains both positive and negative attributes and reactions to tested methods. From Diabetes Mellitus in the Elderly, you'll receive current facts and data that will help you offer the best care to the growing number of elderly patients afflicted with this disorder. Offering you a review of studies relating to various aspects of the disease, Diabetes Mellitus in the Elderly discusses innovative information that will assist you in your practice, including: genetic and polygenic links to type 2 diabetes mellitus (2 DM) studies indicating the correlation between increased visceral body fat and old age and hyperinsulinemia, impaired glucose tolerance (IGT), and diabetes mellitus mechanisms that increase the risk of diabetes, such as insulin resistance involving skeletal muscle and malfunctioning of the liver and B-cells from the pancreas that disrupt glucose homeostasis data supporting the importance of strict glycemic control, goals of glycemic control, choice of oral agents, insulin regiments, and oral agent/insulin therapy combinations in the elderly effectiveness and performance of insulin products, such as sulfonylureas, alpha-glucosidase inhibitors, biguanides, and thiozolidinediones European studies that show acarbose may reduce glycemic fluctuations, insulin dosage, and episodes of nocturnal hypoglycemia Much of the data examined in this book offers you and your colleagues ideas for future research and contains implications for more effective treatments. Complete with charts, tables, and graphs, Diabetes Mellitus in the Elderly will inform you of new developments in the field and help you decide upon the most effective methods of treatment for your patients.
Through the pioneering efforts of ecologist B. W. Wells (1884-1978), thousands of North Carolinians learned to appreciate and protect the state's diverse plant life long before ecology and conservation became popular causes. A keen observer of the natural landscape, Wells provided the first scientific descriptions in modern terms of the forces that shaped coastal communities, bogs and savannahs, the Carolina bays, pine forests, old fields, and mountain grassy balds. But the broader impact of his life lay in his championship and popularization of nature. Outside academic circles, he shared his knowledge through public lectures, articles, and lobbying efforts, and by teaching anyone who would listen. In 1932 he produced for his Tar Heel audience a revolutionary work on the plant ecology of the state, The Natural Gardens of North Carolina. Organized by habitat, this volume is still entertaining and instructive. Wells received his Ph.D. in botany from the University of Chicago in 1917 and served as chair of the North Carolina State College botany department for thirty years. He was a memorable teacher and a significant force in the development of his academic institution.
Chief among its contents we find abstracts of land grants, court records, conveyances, births, deaths, marriages, wills, petitions, military records (including a list of North Carolina Officers and Soldiers of the Continental Line, 1775-1782), licenses, and oaths. The abstracts derive from records now located in the state archives and from the public records of the following present-day counties of the Old Albemarle region: Beaufort, Bertie, Camden, Chowan, Currituck, Dare, Gates, Halifax, Hyde, Martin, Northampton, Pasquotank, Perquimans, Tyrrell, and Washington, and the Virginia counties of Surry and Isle of Wight.
Design patterns are elegant, adaptable, and reusable solutions to everyday software development problems. Programmers use design patterns to organize objects in programs, making them easier to write and modify. C# Design Patterns: A Tutorial is a practical guide to writing C# programs using the most common patterns. This tutorial begins with clear and concise introductions to C#, object-oriented programming and inheritance, and UML diagrams. Each chapter that follows describes one of twenty-three design patterns, recommends when to use it, and explains the impact that it will have on the larger design. The use of every pattern is demonstrated with simple example programs. These programs are illustrated with screen shots and UML diagrams displaying how the classes interact. Design patterns will have an immediate impact on your work as you learn the following: Applying design patterns effectively in your day-to-day programming Using patterns to create sophisticated, robust C# programs The interaction of classes as demonstrated by UML diagrams Advancing your programming skills using design patterns Design patterns will not only enhance your productivity, but once you see how quickly and easily object-oriented code can be recycled, they will become an everyday part of your C# programming.
Thirteen million Americans and at least half of the 1.5 million nursing home residents in the U.S. experience urinary incontinence (UI), yet many people go without treatment because they feel embarrassed or don't realize that UI is highly responsive to treatment. Urinary Incontinence in the Elderly discusses how to educate health care providers and the public about UI and how physicians, directors of nursing, and other health care providers can begin and maintain a comprehensive, science-based approach to diagnosing and treating UI. In no time at all, you will be able to implement effective treatment plans that are consistent with your patients'conditions, goals, and wishes. In addition to its practical techniques and steps for managing acute and chronic UI, Urinary Incontinence in the Elderly contains tables and charts that will help you diagnose the patient's condition, identify the causes for UI, and select appropriate treatment methods. The book also gives you a list of helpful questions to assist you in the identification and assessment of UI and sample bladder records so that you or your patient can keep track of voluntary and involuntary urine voidings. To further increase your understanding of UI and its management, this helpful guidebook discusses: teaching women about gestational and postpartum pelvic muscle exercises proper bladder-emptying techniques behavioral, pharmacologic, and surgical treatment of UI risk factors associated with UI, such as low fluid intake, high-impact physical activities, diabetes, and estrogen depletion stress incontinence how your body makes, stores, and releases urine ensuring proper care of long-term residents Urinary Incontinence in the Elderly will help consumers and caregivers treat and manage UI, but it will also enable them to work together to target and alleviate specific risk factors before UI even sets in. Don't let UI go untreated--with dedicated teamwork and this book's advice and suggestions, you can overcome it, or at least manage it, with surprising levels of success.
A properly structured financial model can provide decision makers with a powerful planning tool that helps them identify the consequences of their decisions before they are put into practice. Introduction to Financial Models for Management and Planning, Second Edition enables professionals and students to learn how to develop and use computer-based models for financial planning. This volume provides critical tools for the financial toolbox, then shows how to use them tools to build successful models.
Computer simulations, serious digital games, and gamification add fun and engagement to business courses, while also improving students' learning outcomes. Computer Simulations and Gaming provides business educators with the theoretical background, selection foundations, and implementation advice they need to successfully select and implement computer simulations, serious digital games, and/or gamification elements.
This eight-volume, reset edition in two parts collects rare primary sources on Victorian science, literature and culture. The sources cover both scientific writing that has an aesthetic component – what might be called 'the literature of science' – and more overtly literary texts that deal with scientific matters.
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