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Related Concept Videos

Spare Receptors01:30

Spare Receptors

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Some receptors remain unoccupied even when an agonist produces a maximal response. Such empty ones are called spare receptors. In presence of spare receptors the maximum effect of an agonist drug is achieved with fewer than 100% of the receptors being occupied. To determine the presence of spare receptors, scientists often compare the concentration of the drug needed to produce 50% of the maximum effect (EC50) with the concentration of the drug needed to occupy 50% of the receptors (Kd). If the...
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Adrenergic Agonists: Therapeutic Uses01:30

Adrenergic Agonists: Therapeutic Uses

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Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies.
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Direct-Acting Cholinergic Agonists: Therapeutic Uses01:11

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Direct-acting cholinergic agonists have many therapeutic uses in various medical fields. Choline esters, including acetylcholine, have limited clinical utility due to their non-selectivity and short duration of action. Still, acetylcholine and carbachol are applied topically during ophthalmologic surgery to induce miosis. Pilocarpine, a muscarinic and ganglionic stimulator, effectively treats open-angle glaucoma and alleviates xerostomia and dry mouth caused by radiotherapy or Sjögren...
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Agonism and Antagonism: Quantification01:14

Agonism and Antagonism: Quantification

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When drugs are administered, they can elicit either an agonist or antagonist effect on the body. Agonism occurs when a drug activates a specific receptor, triggering a biological response. On the other hand, antagonism happens when a drug binds to the same receptors but blocks their activation, thereby preventing a biological response.
To quantify these effects, researchers use a dose-response curve, which provides valuable information about the potency and efficacy of a drug. Potency refers to...
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Indirect-Acting Cholinergic Agonists: Pharmacological Actions01:30

Indirect-Acting Cholinergic Agonists: Pharmacological Actions

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Indirect-acting cholinergic agonists, also known as anticholinesterases, exert their pharmacological effects by enhancing cholinergic transmission in various body parts, including the neuromuscular junction, autonomic cholinergic synapses, and the brain.
At the neuromuscular junction, these agents work by inhibiting the breakdown of acetylcholine, allowing it to remain bound to the receptor and bind to nearby receptors. This process leads to repetitive firing of the endplate, causing muscle...
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Maximizing Ancillary Opportunities.

Lawrence T Donovan1

  • 1Orthopedics, Summit Orthopedics, St Paul, MN, USA.

Hand Clinics
|October 13, 2024
PubMed
Summary
This summary is machine-generated.

Ancillary services offer hand surgeons new revenue streams to combat rising costs and declining payments. Exploring these options can improve practice efficiency and financial stability.

Keywords:
Ambulatory surgery centerAncillary revenueCT scanIn-office surgical suiteMRI scanOffice-based surgeryReturn on investmentWALANT surgery

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Area of Science:

  • Healthcare Management
  • Surgical Practice Economics

Background:

  • Hand surgery services face financial pressures from increasing overhead costs and declining reimbursement rates.
  • Ancillary services present a strategy for revenue diversification beyond traditional surgical billing and office visits.
  • Diverse practice structures in hand surgery, including solo, group, and integrated systems, influence the adoption of ancillary services.

Purpose of the Study:

  • To explore the role and potential of ancillary services in enhancing financial viability for hand surgery practices.
  • To identify how different hand surgery practice models can leverage ancillary services for revenue capture.
  • To provide insights into improving financial security and reducing stress for hand surgeons.

Main Methods:

  • Review of financial pressures and revenue models in hand surgery.
  • Analysis of various ancillary service opportunities relevant to hand surgery.
  • Examination of how different practice structures (solo, group, integrated) may implement ancillary services.

Main Results:

  • Ancillary services can supplement income, potentially mitigating the impact of reduced reimbursement.
  • The type and scope of ancillary services may vary significantly based on practice size, specialty integration, and resources.
  • Successful implementation can lead to improved practice efficiency and financial resilience.

Conclusions:

  • Ancillary services are a viable strategy for hand surgeons to enhance revenue and financial security.
  • Practice administrators and surgeons should consider tailored ancillary service offerings based on their specific operational context.
  • Diversifying revenue through ancillary services can support the long-term sustainability of hand surgery practices.