THE UPDATED DEFINITIVE REFERENCE ON MEDICAL AND DENTAL OFFICE DESIGN
Medical and Dental Space Planning is an indispensable guide to the myriad of details that make a medical or dental practice efficient and productive. The unique needs of more than thirty specialties, as well as primary care, are explained in the context of new technology and the many regulatory and compliance issues influencing design. Concepts are also presented for ambulatory surgical centers, diagnostic imaging, clinical laboratories, breast care clinics, endoscopy centers, community health centers, radiation oncology, and single-specialty and multispecialty group practices and clinics. A thorough review of the latest dental technology and many creative space plans and design ideas for each dental specialty will be of interest to both dentists and design professionals. Important topics like infection control are top of mind, influencing every aspect of dental office design.
An "inside look" at what goes on in each specialist's office will familiarize readers with medical and dental procedures, how they are executed, and the types of equipment used. Technology has radically impacted medical and dental practice: digital radiography, electronic health records, mobile health devices, point-of-care diagnostic testing, digital diagnostic instrumentation, CAD/CAM systems for digital dental impressions and milling of restorations in the dentist's office, portable handheld X-ray, and 3D cone beam computed tomography for dentists all have major implications for facility design.
The influence of the Affordable Care Act is transforming primary care from volume-based to value-based, which has an impact on the design of facilities, resulting in team collaboration spaces, larger consultative examination/assessment rooms, and accommodation for multidisciplinary practitioners who proactively manage patient care, often in a patient-centered medical home context.
The wealth of information in this book is organized to make it easy to use and practical. Program tables accompany each medical and dental specialty to help the designer compute the number and sizes of required rooms and total square footage for each practice. This handy reference can be used during interviews for a "reality check" on a client's program or during space planning. Other features, for example, help untangle the web of compliance and code issues governing office-based surgery.
Illustrated with more than 600 photographs and drawings, Medical and Dental Space Planning is an essential tool for interior designers and architects as well as dentists, physicians, and practice management consultants.
The family vacation has been portrayed in many ways. From National Lampoon's "Vacation" showing the trials and tribulations of the Griswold family trying to get to "Wally World" to "The Great Outdoors" with John Candy and his family renting out a cabin in the woods only to encounter a meddling bear. Family vacations in the media seem to be one thing going wrong after another. But in real life, the family vacation is a time to bond together as a family unit and enjoy newfound times of closeness while exploring new adventures and locales. The memories you can make on these vacations will stay with you for years and give your children special moments they'll treasure forever. You can choose to drive cross country and see the quirky roadside attractions such as the largest ball of yarn or the corn museum. Some don't look at this as a true vacation. After all, being stuck in a car for the majority of the trip can breed some real family strife! You could also book a family cruise or fly to Mexico to spend time at a resort, but this can get pricey, and with all the activities they have for children, some parents fear the bonding they were looking forward to won't happen. For the family on a budget, the notion of a memorable and fun-filled vacation may seem out of reach. That's simply not true, however. There are many, many ways you can have a terrific family vacation while on a budget. You don't have to sacrifice fun because of lack of money. There are all kinds of vacations that can be had within almost every budget. While traveling is good for the economy and for your soul, it can be hard on your wallet. In fact, AAA estimates that a family of four should budget at least $244 per day for meals, lodging and automobile travel costs. And that figure doesn't include the staple of family vacations' entertainment. As usual, the best way to keep the costs down is to plan ahead and make informed decisions. But how do you start? You start with family input, a survey of your resources, and a well-thought out plan. We'll not only show you how to do that easily, but we'll also give you all kinds of ideas for family vacations and ways that you can make them affordable and fun! Always dreamed of going to Disney World? You can! Think the Caribbean is out of reach? It's not! We've compiled the advice and suggestions from many vacation experts and added some of our own experiences as well to give you this comprehensive guide to taking a family vacation on a budget! We'll show you different ways to save money on airfare, hotels, transportation, and eating. We'll also give you some great specific ideas for family vacations that won't break the bank along with some suggestions to help you save money and time in general while on your family getaway. Whether it's a summer trip, spring break jaunt, or wintering in the tropics, you'll be able to plan your dream vacation without breaking the bank. You'll get maximum fun without sacrificing every penny of your hard earned dollars and you may even come back with a little extra to save for that next vacation! What are you waiting for? Read on and enjoy your ebook "VACATION PLANNING (ON A BUDGET)!"
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Worldwide experience with the Lcs* mobile bearing total knee prosthesis has been unpar- alleled both in terms of enduring popularity and outstanding long-term clinical results. Buechel and Pappas's design was based on the principles of; restoring anatomical joint function to as near normal as possible, minimising contact stresses to avoid wear and darn- age to the bearing surfaces. and finally the idea that constraint should refiect the need for mobility, to avoid shear stresses and loosening of the implant. In 1977, the LCS(R) knee was implanted by Dr. Frederick Buechel. This was the first mobile bearing, tri-compartmental knee implant. This was also the first to successfully address the key issues ofloosening, wear and patello-femoral problems associated with earlier designs. The unique design solution was the creation of a common articulating geometry for the tibia and patella on the distal femoral surface. This resulted in a tibial and patellar articulation that was mobile in nature, but with an identical radius of curvature and conformity. The mobile bearing concept was considered sufficiently novel and unproven that the US FDA (Food & Drug Administration) required that it be validated in an Investigational Device Evaluation (IDE). An FDA IDE study involving 25 US surgeons was initiated in 1981. Validation of the clinical success of the device in this study resulted in FDA approval of the LCS, Knee (for cemented, tri-compartmental use) in 1985.
Process intensification (PI) leads to a substantially smaller, cleaner, safer and more energy efficient process technology. For example, the scale reduction made possible by using high gravity fields to separate liquids has seen the reduction of distillation columns from 75m to a four of five metres in height in some areas.
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