Do you have problems with anxiety or stress?You must know all effects of stress. Stress isnâ€™t some thing that isnâ€™t important and if you think that it is you will be in trouble. Stress can result on your healthy and that is very bad. You can have problem with healthy because you didnâ€™t rid of your problems and stress.
Usually when you have stress your heart beats faster you are upset and you increase blood pressure.
But more about that below. There are lot of advices and effects that I will explain to you below
1.You have to think that you will relief stress and he will gone. That isnâ€™t so hard. Just relax and think on better stuffs and donâ€™t say that you have problems with stress anymore and forgot about them. There are much stress reliefs techniques that you can choose and help yourself. Choose what is best for you and enjoy. You will see that is very helpful.
2.Also you maybe think that when you drink alcohol or smoke cigarets you help to relief stress. But that isnâ€™t good. You can become depend from cigarets or alcohol and that will produce more stress,depression and problems. So you have to find the healthier ways and reliefs techniques to rid of stress.
3.I already said that you must find the best relief technique for you. That is very important because it isnâ€™t your body exactly same like with some other man or woman. That is important because not everyone experience stress in the same way.
4.You probably donâ€™t know but stress can result on your physical look. That mean that you can look older than you are and I know that anyone want that. So relax you wont do anything if you think just on your problems.
5.You can help in reducing stress if you change some your usually things that you do. For change you can start do exercises or take a diet. That will motivate you and you will feel better. Maybe your stress is reduced by some bad things that you do and change them if you think that they arenâ€™t good.
Do you have problems with anxiety or stress?You must know all effects of stress. Stress isnâ€™t some thing that isnâ€™t important and if you think that it is you will be in trouble. Stress can result on your healthy and that is very bad. You can have problem with healthy because you didnâ€™t rid of your problems and stress.
E cigarettes are catching on real fast as healthier alternatives to smoking conventional cigarettes due to their many advantages over ordinary rolled tobacco cigarettes. Let us compare e this – both manual and automatic and see what each one of them has to offer to the smoker, their advantages and disadvantages.
When you compare this to conventional cigarettes, these are the clear winners due to the many advantages they have over conventional rolled cigarettes. To begin with, those claims that e cigaretes are healthier – they are true. E cigaretes do not work by burning tobacco like ordinary cigarettes do, they use a cartridge and a heater, a cartridge is basically a little container that contains a little substrate that is soaked in e cigarette fluid. A heater heats up the cartridge and the fluid gets vaporized and you have to inhale these vapors. When you compare e cigaretes to conventional cigarettes, the sensation is real and there is no difference between actual cigarettes and e-cigaretes.
But let us compare e-cigaretes of two types, manual and automatic. The first e-cigarettes that made their appearance were in fact manual. A few of these are still available, although they are becoming increasingly getting rare. Today’s e-cigarettes are practically indistinguishable from real cigarettes in terms of looks at least. They are made to resemble and feel like real cigarettes as closely as possible. When you compare e cigarettes of today to the e-cigarettes that were there a few years ago, you will see a huge difference indeed. Today’s e-cigarettes are much better than yesteryears’.
When e-cigarettes first made their appearance, they were awkward devices. They were heavy and didn’t really feel right. The technology was still in its infancy. Now when you compare e cigarettes to actual cigarettes, the mechanism of working is different and the e-cigarette uses a heater. This heater is an electrical device. And like all electrical devices, it needs to be activated somehow. And the way to activate the heater is by pressing a button. The button activates the heater and this is what makes the e-cigarette work.
The next improvement in e-cigaretes was when the e-cigaretes went automatic. Now there was no need to press a button, you just had to drag on it like you would with a conventionally cigarette. That is all you had to do to make the cigarette work. Now if you compare e cigaretes of the automatic and manual type, one thing becomes clear. The automatic type feels closer to home. You don’t press a button when you smoke a real cigarette do you? Some people are under the wrong impression that there is a lag in the drag operated automatic e cigaretes, but this is not an issue at all.
Car rental rates are obviously dependent on which dealership you opt for and how long you need the vehicle for. To get the best car rental rates you must be certain of the period in which you are going to require the vehicle for. For example, you would not want to rent a car for 3 days, to find out you need it for an additional 3 days this is where dealerships will charge for days the vehicle is required for, at their daily rate; savings are to be made when you book for a week if there is any chance of requiring the vehicle for longer. Agencies operate on weekly and daily rates; it always pays to look into the weekly rate as this is usually lower than a per day rate.
If you want to find the best car rental rates you must shop around. Car rental rates are constantly changing due to supply and demand and obviously change in line with the season. You will need to book far in advance should you want a rental car over any holiday period. Make sure you enquire about special holiday rates as some rental agents will give away a day extra for free over these periods. Make sure you are certain of you required dates over these periods as agencies cancellations over these periods will incur large fees.
To find the best car rental rates when it comes to long distance trips, it pays to book well in advance and ask your travel agent of any deals that are not publicly advertised. If you are planning a road trip to Las Vegas for tonight, you’ll have wanted to have booked at least a week ago to get the best rates and avoid disappointment. Remember that reservation only guarantees a reserved rate, you must specify if you are after a specific vehicle.
If you think the weekend car rental rates you are getting are too good to be true, then they probably are. You will want to ask for any hidden costs, such as insurance, state taxes, varying fees for drivers of different ages and refueling charges. Ask your rental agent of any compulsory insurance fees, as these hidden costs are generally what makes the advertised costs so well, read the disclaimer! Some states in America give rental car agents permission to charge extra fees on their rentals to cover the costs of licensing their cars. This is fee is generally 6% of the total rental costs. The majority of states in America do not require rental agents to inform the customer of this fee, so make sure you ask before hiring.
To get the cheapest, most value for money rental car rates you will need to shop around, be sure of the duration you require the vehicle for, make sure you ask about any hidden fees and always book well in advance.
Rent it or cab it?
People like the freedom of having their own vehicle to drive about in, at home or when they travel, and the tendency is to book a rental car when you are away. But freedom comes with a price and it depends where your travel destination is as to whether you’re best to rent a car or take a taxi.
Cheap ground transportation depends upon location, accessibility and extraneous expense factors, like gasoline costs and parking fees. Add to that the potential complexity of finding your way around a strange city, especially a large one, and you might change your mind about what freedom means.
A trip to, for example, New York City or Montreal, two North American cities with decent public transit systems, plenty of cabs, walkable areas in their cores, and very high parking fees, and you’ll realize that a taxi will almost inevitably surface as the cheapest mode of getting around.
But what if you want a day trip to the Laurentian Mountains or the antiques stores of Hudson? That’s the day to rent a car, or to find out if there is a luxury coach service to those destinations that returns the same day.
Car rentals are convenient, to be sure, but the costs add up quickly (don’t forget insurance and occasional peak-season added fees), unless your airline points cover all or most of the cost; even then, in large cities gasoline and parking is very costly, and that is not usually included in credit card or airline rewards perquisites.
When does a rental car make sense? If you live in North America (and can’t drive across the Atlantic Ocean!) and are vacationing in Italy, for example, landing in Rome and taking a motorcar tour of Tuscany and other regions from there, your only other viable option is the train. Like anywhere else, gasoline in Europe is expensive, but you can’t take a full driving holiday in a taxi. But don’t forget, there are guided tours and some taxi drivers will gladly spend a day with you, exploring San Gimignano; they are often the best tour guides, full of information about their homeland. And driving in other countries can be a harrowing experience, especially if it involves driving on the opposite side of the road than you are accustomed to!
Plan your itinerary, do an accurate cost comparison and decide whether a taxi or car rental, or combination of the two, is the cheapest way to get around when you reach your destination. And don’t forget to ensure that your driver’s license is current, and if you need to, get an international license before you set off for your trip. Happy motoring!
The dawn of 2011 gives us the perfect opportunity to predict the top 10 internet marketing trends for the upcoming year. The 90′s was the decade of the internet, and since then we have seen new layers, tools, and worlds built on top of the world wide web.
Social networks dominated the past decade, apps came on top of that, and 2011 will bring even more areas of digital interaction and communication.
And just to have some fun for the holidays, I decided to turn them into some of the cheesiest puns and rhymes ever assembled in a blog post. If you can’t stand the rhymes, I’ve put a real title right next to them.
So here’s my take on the top 10 trends (in order) for internet marketing in 2011.
(1) No more game layer naysayers (The sculpting of the “game layer”)
Seth Priebatsch, the founder of SCVNGR, plans to build a “game layer” on top of the world. Things like rewards programs, board games, social games and check-ins have all come to make up the idea behind a game layer.
This game layer is a way to influence consumer behavior, by turning everything into a game. Wherever you go, whatever you buy will be built into a sort-of game dynamic that will reward you in multiple ways.
This game layer will be the most important trend to watch in internet marketing in 2011, as companies like SCVNGR and Four Square become a bigger part of the consumer process.
(2) Even more apps perhaps (Mobile apps continue to “suburbanize” the internet)
The internet has been compared to the wild wild west with its initial lawlessness and quick expansion. With the introduction of apps, the internet is being tamed into smaller communities – suburbanizing the internet in a way.
Jeff Cormier (Examiner.com) wrote an article today about how mobile apps are projected to experience 60% growth by 2014. In addition, revenue from mobile apps will increase from $4.9 billion this year, to $35 billion by 2014, according to an IDC report.
So we will see even more apps in 2011. Apps mark the beginning of the taming of the internet into organized mobile programs, and 2011 will continue this trend.
(3) All bets off, all Groupon (Downward pricing pressures on SMBs from Groupon-like sites)
As Groupon continues to roll out sites for more and more cities across the country, the “group coupon” phenomenon continues to sweep the web.
Thousands of other coupon sites have also popped up. I Am Hungry, for example, offers restaurant deals around your area. With apps for Facebook and mobile devices, these types of sites are spreading like wildfire.
We are almost at the point with all of these sites that you could always get a meal at half price. For 2011, look for the Groupon and I Am Hungry-type sites to put downward pricing pressure on small service businesses (especially restaurants).
(4) Online privacy issues and miscues (Online privacy becomes a huge issue/opportunity)
Access to data is an essential part of the idea behind Web 2.0. Having up-to-date information on people is the key to targeting search results, advertising, and offers. However, when will this go too far? 2011.
The Federal Trade Commission just released a report this month about protecting consumer privacy. This movement covers an idea to implement a “Do Not Track” program for consumers. This would be a technology that would allow consumers to tell websites to not track their activities and information.
As this movement plays out, look for online privacy to be a huge part of the web in 2011.
(5) Boob Tube out, YouTube in (Increase in online video marketing)
Faster internet connections, easy share capabilities, better video search, link integration, and YouTube channels – these all point to an even bigger emphasis on video marketing. A video going viral is the dream of every marketer, and it’s easier to make those videos and easier to have them spread.
Pew Internet Research says that 7 in 10 adult internet users have used the internet to watch or download a video. In addition, videos can help increase search rankings and have a major impact on SEO.
With all of these factors coming together, online video marketing will become mainstream in 2011.
(6) Local becomes focal for search engines (More emphasis on local search)
Over the last few months of 2010, we’ve seen local results take a bigger role in Google SERPs (search engine results pages). Tools like Google Places and Yahoo! Local make it easier for businesses to gain exposure for their certain keywords and now have placed more importance on those listings.
By incorporating Google Tags into Google Places and offering statistical insights for your place listing, Google is telling small businesses that local search will become even more important in 2011. This makes sense considering that the goal of a search engine is to deliver the best results for each search. What good would a plumber in Seattle do for a homeowner in Boston?
(7) 2011 Twitter: More litter, less glitter (Major change in the Twitter model)
A San Francisco Chronicle article came out today revealing statistics about Twitter. As the article states, Only 8% of American adults use Twitter and less than 1/4 of those users are “heavy” Twitter users.
Twitter’s goal to become the world’s largest media company, therefore, is too far out of reach.
It seems that Twitter has been most successful in the celebrity-realm, as people can get an insight into the lives of their favorites stars. The celebrity element, however, is not mainstream enough for Twitter to survive solely on that niche and its goal to become THE media outlet seems out of reach. So where does Twitter go from here?
Well, we’ve seen the introduction of “promoted tweets” and the new Twitter profile in 2010.
What does 2011 hold for Twitter? I am predicting declining participation rates on Twitter, more dead profiles, and potentially a serious change to make money and increase participation.
(8) HTML5 goes live (The release of HTML5 and its impact)
HTML5 is currently under development by the Web Hypertext Application Technology Working Group. The latest HTML revision will make it easier to incorporate multimedia into websites.
The impact on SEO will be interesting to follow in 2011. The new <> tag, for example, will make it easier to segment new posts for online periodicals like blogs and online magazines. Search engines will most likely place either more or different emphasis on these sorts of tags.
(9) Online communities = new opportunities (Market Research continues to change)
Typical market research reports are generated over a long period of time and result in 1000 pages of somewhat outdated data. Online communities are a newer way to conduct real-time market research from a group of about 200-500 consumers that represent the target market for that specific brand. These people will answer key questions and discuss certain topics associated with a product before it launches, for example.
Companies like Communispace and MindGauge allow brands to gather consumer insight quickly. MindGauge’s website describes the difference between traditional market research and online communities by saying, “Rather than an independent source gathering information, respective managers will begin to integrate the community into all components of their projects.”
Although this powerful insight tool has been around for awhile, we are predicting that more dollars will be devoted towards this kind of tool in 2011.
(10) The cloud starts to reign (Cloud Computing continues to spread)
Although “the cloud” does not really fall under internet marketing, its impact on agility for sales forces and IT departments is undeniable, so it found its way into the top ten. The days of building custom-made business apps and soft
ware are gone with companies like salesforce.com. Cloud computing allows businesses of all sizes to get better systems up and running, faster and cheaper than custom-built software.
For 2011, even more clunky and expensive IT systems will be scrapped for the cloud and collaboration will be brought everywhere through mobile devices.
2011 should be the fastest year in internet marketing. Many more trends will occur that could change the landscape of internet marketing for businesses of all sizes.
What do you see as the biggest trend for 2011?
Men and Women by nature are social animals. They always try to look their best by wearing different types of clothing and accessories. The habit of dressing fashionably is more prevalent in women then men. They are always conscious of the latest fashion and style. Fashionable women clothings are available in different qualities and prices.
The new styles and fashions are mostly the domain of the young. The main fascination of the young generation with fashion is to look different. The requirements of the young are different; an ideal life for the young requires designer clothing, money and a place to stay.
Now a days Designer women clothing are available almost every where. They are designed to fulfill the needs and requirements of every type of customers. Due to increase in the demand of fashionable clothes there is a demand for courses in fashion arts and design. Now a day a lot of universities are fulfilling the demand by offering these types of courses.
There are many good quality women clothing stores which sell their clothes online. Online stores have unmatched convenience there is no need to leave the safety of your house to select a dress. There are many women clothing online available, the choice is unlimited. If you are in U.K then Hobbs clothing is the place to shop for designer clothes. Even if you are not in U.K you can shop from Hobbs by using the internet. Women clothing can be obtained from the women shopping store of Hobbs. Designer women cloth can also be obtained from Zara online shop. The clothes at Zara are different and of a better quality then most online shops.
Another advantage of buying from exclusive women online clothing store is that they offer free delivery to homes of the buyers. Zara is one of those shops which not only offers free home delivery but also offers 3D images of women clothing, which helps a customer in making a better informed decision. Another feature of the quality web sites is that you can check the quality of the cloth by asking for a sample. Buying women cloth online can not only be a enjoyable experience but it can be a process which can save you time and money.
Most of the major brands, such as the Gamucci fag have full strength, half strength and minimal strength. This is designed for people who want for stoppen met roken. As they get used to using the electronic cigarette, they can gradually reduce the strength they use until they quit. Here is a brand new invention that everyone who smokes should know about. It’s called the elektronische cigaret, also known as a smokeless cigarette or e-cigarette, and it is changing the legal landscape for cigarette smokers around the world. The patented fag offers to effectively simulate the experience of smoking an actual cigarette, without any of the health or legal issues surrounding traditional cigarettes. While elektronische cigaret look, feel and taste much like traditional cigarettes, they function very differently. You see,fag do not actually burn any tobacco, but rather, when you inhale from an e-cigarette, you activate a “flow censor” which releases a water vapor containing nicotine, propylene glycol, and a scent that simulates the flavor of tobacco.
They are designed to look and feel like real cigarettes, even down to emitting artificial smoke however they do not actually contain any tobacco for stoppen met roken. Users inhale nicotine vapor which looks like smoke without any of the carcinogens found in tobacco smoke which are harmful to the smoker and others around him. The main advantages elektronische cigaret have over nicotine patches or gum is firstly, users have the nicotine hit much quicker and secondly, because a big reason why smokers fail to quit suing patches and gum is because they still miss the act of inhaling smoke from a cylindrical object.
The elektronische cigaret emulates that even down to the smoke. The nice thing about elektronische cigaret as opposed to say, nicotine patches, is that e-cigarettes produce the same tactile sensation and oral fixation that smokers desire, while satisfying ones tobacco cravings as well. The elektronische cigaret is also beneficial from a financial perspective. So for stoppen met roken set of five nicotine cartridges costs around £8 and is equivalent to 500 cigarettes. Although the initial investment of an elektronische cigaret kit of £50 may seem steep at first, users save money in the long run. As with many popular products, there have been a great number of cheap Chinese imitations flooding the market. They are usually half the price of a branded elektronische cigaret and look like the real thing as well.
Mobile phone shopping in today’s market is a difficult task in the sense that one has to choose from a variety of handsets with a hundred different features. One who is adept at handling a mobile knows that mobile features are upgraded every day. So he should keep in track with what is cooking in the world of mobile phones.
Mobile shopping has become very popular due to its affordability and accessibility. Today the mobile market is buzzing with phones that are not only affordable but comes along with many features as well. Camera phones are available at a very cheap range. One could not think of availing a mobile with all these features a decade ago. But today the scenario is different. With so many mobile manufacturers showcasing their products, the market has an epidemic of mobile phones. Moreover, every year new telecom operators are launching their network and to increase their customer base they are offering lucrative combo packs where a customer gets a handset and a sim card together.
Mobile shopping has also gained popularity because of new innovative handsets showing new features like touchscreen, digital music, digital camera, wi-fi connectivity and so on. Then online shopping network has made mobile shopping even better. One can choose from a wide range of products sitting at home by just surfing the internet. It gives the customer the liberty to choose the latest version of exclusive brands. The websites offering online shopping portals market the products of well known mobile handset manufacturers.
The popularity of mobile shopping is also due to mass usage. Phones have become a one stop solution for all sort of communication. It has become a communicator. Moreover it is the only commodity that is kept with a person all throughout the day. A person talks, messages, listens to music, takes picture and can send it as well. In upgraded versions one can check his mail and search the internet. This increasing obsession and dependency on this gadget has made its shopping even more popular.
Then the high class society has taken up mobile shopping for fashion and social status. Possessing new handsets with new features proves how tech savvy you are. Thereafter, a lot of business class people and professionals are using multiple handsets for their multiple connections.
The penetration of mobile network has miles to go and with every baby step the companies are taking, the popularity is increasing by tenfold.
Behavioral Healthcare Facilities: The Current State of Design
In keeping with most districts of healthcare, the marketplace has seen a boom in the construction of Behavioral Healthcare facilities. Contributing to this increase is the paradigm shift in the way society views mental illness. Society is placing a heavier value on the need to treat people with serious addictions such as alcohol, prescription and elicit drugs. A large percentage of people suffering from behavioral disorders are afflicted with both mental and addictive behaviors, and most will re-enter communities and either become contributors or violators.
These very specialized facilities do not typically yield the attention from today’s top healthcare designers and their quantity accounts for a small fraction of healthcare construction. However, Behavioral Healthcare projects are increasing in number and are being designed by some very prominent architectural firms such as Cannon Design and Architecture Plus. Many are creating state-of-the-art, award-winning contemporary facilities that defy what most of us believe Behavioral Healthcare design to be.
Changing the Way We Design Behavioral Healthcare Facilities
As with all good planners and designers, A+D (along with facility experts) are reviewing the direct needs of patient and staff while reflecting on how new medicine and modern design can foster patient healing rates, reduce environmental stress, and increase safety. This is changing the face of treatment and outcome by giving the practitioner more time to treat because they require less time and resources to “manage” disruptive patient populations.
The face of Behavioral Healthcare is quickly changing. No longer are these facilities designed to warehouse patients indefinitely. And society’s expectations have changed. Patients are often treated with the belief that they can return to their community and be a contributor to society. According to the National Association of Psychiatric Health Systems (NAPHS), depending on the severity of illness, the average length of stay in a Behavioral Healthcare facility is only 9.6 days.
What has changed?
Jaques Laurence Black, AIA, president and principal of New York City-based daSILVA Architects, states that there are two primary reasons for the shortened admission period:
1. Introduction of modern psychotropic drugs that greatly speed recovery
2. Pressures from insurance companies to get patients out of expensive modes of care
To meet these challenges, healthcare professionals are finding it very difficult to effectively treat patients within the walls of antiquated, rapidly deteriorating mental facilities. A great percentage of these facilities were built between 1908 and 1928 and were designed for psychiatric needs that were principled in the belief to “store” not to “rehabilitate.”
Also impacting the need for Behavioral Healthcare construction is the reluctance of acute-care facilities to provide mental health level services for psychiatric or addiction patients. They recognize that patient groups suffering from behavioral disorders have unique health needs, all of which need to be handled and treated only by very experienced healthcare professionals. This patient population also requires a heightened level of security. Self-harm and injuring staff and other patients are major concerns.
The Report of the Surgeon General: “Epidemiology of Mental Illness” also reports that within a given year about 20% of Americans suffer from a diagnosable mental disorder and 5.4% suffer from a serious mental illness (SMI ) – defined as bipolar, panic, obsessive-compulsive, personality, and depression disorders and schizophrenia. It is also believed 6% of Americans suffer from addiction disorders, a statistic that is separate from individuals who suffer from both mental and addiction disorders. Within a given year it is believed that over one-quarter of America’s population warrants levels of mental clinical care. Even if these statistics were cut in half, it cannot be denied as a serious societal issue.
With a growing population, effectively designing in accordance with such measures is at the heart of public health.
Understanding the Complexity of Behavioral Healthcare Design
Therefore, like Corrections, leading planners and designers specializing in Behavioral Healthcare are delving deeper to better understand the complexity of issues and to be the activist to design facilities that promote treatment and healing – and a safer community.
The following is a list of key design variables that are being studied and implemented:
1. Right Sizing
2. Humanizing Materials and Color
3. Staff-Focused Amneties and Happiness
4. Security and Safety
5. Therapeutic Design Tenants
Today’s Behavioral Healthcare facilities are often one-story single buildings within a campus size. Often debated by Clients due to costs, this design preference is driven by the demand for Uncategorized light, window views to nature for all patient areas, and outdoor open-air gardens “wrapped” within. All of this provides soothing qualities to the patient, reduces their anxieties, counteracts disruptive conduct and helps to reduce staff stress.
“When you look at the program mix in these buildings, there’s a high demand for perimeter because there are a lot of rooms that need Uncategorized light. Offices, classrooms, dining areas, community rooms, and patient rooms all demand Uncategorized light, so you end up with a tremendous amount of exterior wall, and it forces the building to have a very large footprint.” – James Kent Muirhead, AIA, associate principal at Cannon Design in Baltimore
These design principles are also believed to improve staff work conditions. Unlike a multi-story complex, at any moment staff can walk outdoors and access nature, free from visual barriers, and within a building that more accurately reflects building types that both patients and staff would encounter in their communities.
In addition to right-sizing for the overall building footprint, is right-sizing for internal patient and staff support area. Similar to the move we have seen in Corrections to de-centralize support spaces, Behavioral Healthcare is moving to decentralized nursing/patient units called “neighborhoods.” With mental health facilities there is a large concern with distances and space adjacencies in relation to the patient room and patient support areas such as treatment and social spaces. Frank Pitts, AIA, FACHA, OAA president of Architecture Plus, Troy, NY, advocates neighborhoods that average 24-30 beds arranged in sub-clusters, called “houses”, of 8-10 beds. Thus, each neighborhood consists of three houses. Often these layouts will include a common area where patients congregate and socialize, with a separate quiet room so patients can elect to avoid active, crowded areas. In addition Pitts states, “There’s a move away from central dining facilities. So, while facilities will still have a central kitchen, it’s a whole lot easier moving food than it is patients.” However, it is important for the facility to mimic normal outside daily life routines, so patients are encouraged to frequently leave their neighborhoods to attend treatment sessions, and outdoor courtyards.
Humanizing Materials & Color
In all facilities that play a role in rehabilitation, design strives to create spaces that humanize, calm, and relax. Behavioral Healthcare patients need to feel that they are in familiar surroundings; therefore, the architectural vocabulary should feel comfortable and normal. Since these facilities are about rehabilitation (when possible) and encouraging patients to merge back into society, the facility should feel like an extension of the community. Their spaces should reflect the nature and architecture of the surrounding region and thus so, no two facilities should look too much alike.
pproach to designing these facilities is to view the facility as an extension of the community where patients will end up when they’re released. Interior finishes also depend on geography because you want to replicate the environment patients are used to. You want to de-stigmatize the facility as much as possible.” – Tim Rommel, AIA, ACHA, OAA, principal with Cannon Design in Buffalo, NY.
Therefore, materials and colors within these spaces want to feel familiar to one’s region and everyday life. To soothe the psyche and rehabilitate, they want to feel soft and comfortable, yet visually stimulating. An interior that is overly neutral or hard in appearance is not appropriate. Materials should reduce noise, and colors should lift the spirit. This can help to create an environment in which the patient can learn, socialize, and be productive while easing anxieties, delivering dignity, and modifying behavior. As stated previously, behavioral studies advise the use of softer interior materials-like carpeting, wood doors and tile. Doing so translates directly to both patient and staff well-being, particularly staff safety, and makes for a nicer place to work. In addition, staff have more resources to “treat” instead of manage heated situations. When staff experiences are eased and satisfied, morale is boosted and life-saving rules and policies are more likely to be enforced.
Staff-Focused Amenities & Happiness
While reducing staff stress and fatigue through a healing supportive environment seems like an obvious goal, there are relatively few studies that have dealt with this issue in any detail. More attention has been given to patient outcomes. However, many leading hospitals that have adopted therapeutic tenants into their newly built environments have seen vast improvement through their “business matrixes” and financial reporting.
In one example, the Mayo Clinic, a national leader in implementing healing design in its facilities, has reported a reduction of nursing turnover from a national annual average of 20% to an annual 3%-4%. In another example, when Bronson Methodist Hospital incorporated evidence-based design into its new 343-bed hospital, they cited their 19%-20% nurse turnover rate dramatically dropped to 5%.
Now, both the Mayo Clinic and Bronson Methodist Hospital have had to initiate a waiting list for nursing staff seeking positions. This converts to better-trained and qualified staff, and a reduced error rate. Therefore, more health facilities are investing in staff support areas such as lounges, changing rooms, and temporary sleep rooms. Within these staff spaces and in the hospital throughout, facilities are also recognizing the need for upgrade materials, better day lighting, and an interesting use of color: One soon realizes that the need of patients and staff are interwoven, each impacting positively or negatively the other.
Security & Safety
Without debate, self harm and harm to staff is one of the biggest concerns mental health facilities manage. Often the biggest safety and security concern is the damage patients can do to themselves. “There are three rules I had drummed in me,” says Mark Hanchar; Director of Preconstruction Services for Gilbane Building Company, Providence, R.I. “First, there can’t be any way for people to hang themselves. Second, there can be no way for them to create weapons. Third, you must eliminate things that can be thrown.” Hanchar says that the typical facility is, “a hospital with medium-security prison construction.” This means shatter proof glass, solid surface countertops (laminate can be peeled apart), stainless steel toilets and sinks (porcelain can shatter), push pull door latches and furniture that cannot be pulled apart and used as a weapon. These are just to name a few.
Additionally, removing barriers between patients and nursing staff is a safety consideration. Frank Pitts, AIA, FACHA, OAA president of Architecture Plus, says what may be counter-intuitive for safety precautions, “Glass walls around nursing stations just aggravate the patients.” Removing glass or lowering it at nursing stations so patients can feel a more human connection to nurses often calms patients. There is also discussion of removing nursing stations altogether; decentralizing and placing these care needs directly into the clinical neighborhoods and community spaces. Pitt says, “The view is that [nursing staff] need to be out there treating their patients.”
Therapeutic Design Tenants
As medicine is increasingly moving towards “evidence-based” medicine, where clinical choices are informed by research, healthcare design is increasingly guided by research linking the physical environment directly to patient and staff outcomes. Research teams from Texas A&M and Georgia Tech sifted through thousands of scientific articles and identified more than 600 – most from top peer-reviewed journals – to quantify how hospital design can play a direct role in clinical outcomes.
The research teams uncovered a large body of evidence that demonstrates design features such as increased day-lighting, access to nature, reduced noise and increased patient control helped reduce stress, improve sleep, and increase staff effectiveness – all of which promote healing rates and save facilities cost. Therefore, improving physical settings can be a critical tool in making hospitals more safe, more healing, and better places to work.
Today’s therapeutic spaces have been defined to excel in 3 categories:
1. Provide clinical excellence in the treatment of the body
2. Meet the psycho-social needs of patients, families, and staff
3. Produce measurable positive patient outcomes and staff effectiveness
Considering the cost of treating mental illness, which is exceedingly high, and wanting facilities to have effective outcomes, a further practice of incorporating therapeutic design is increasing. The National Institute of Mental Health (NIM H) approximated in 2008 that serious mental illnesses (SMI ), costs the nation $193 billion annually in lost wages. The indirect costs are impossible to estimate.
The estimated direct cost to clinically treat is approximately $70 billion annually and another $12 billion spent towards substance abuse disorders. In addition to the increased need of care and the boom in Behavioral Healthcare construction, it becomes an obligation to make certain that we as facility managers, architects, designers and manufacturers therapeutically plan and design these facilities.
Notably, in 2004, “The Role of the Physical Environment in the Hospital for the 21st Century: A Once-in-a-Lifetime Opportunity,” published by Roger Ulrich P.H.D., of Texas A&M University, was released. In a culmination of evidence-based research, research teams found five design principles that contributed significantly to achieving therapeutic design goals.
The report indicates five key factors that are essential for the psychological well-being of patients, families and staff, including:
1. Access to Nature
2. Provide Positive Distractions
3. Provide Social Support Spaces
4. Give a Sense of Control
5. Reduce or eliminate environmental stress
Access to Nature
Studies indicate that nature might have the most powerful impact to help patient outcomes and staff effectiveness. Nature can be literal or figurative – Uncategorized light, water walls, views to nature, large prints of botanicals and geography, materials that indicate nature and most importantly, stimulating color that evokes nature. Several studies strongly support that access to nature such as day-lighting and appropriate colorations can improve health outcomes such as depression, agitation, sleep, circadian rest-activity rhythms, as well as length of stay in demented patients and persons with seasonal affective disorders (SAD).
These and related studies continue to affirm the powerful impact of Uncategorized elements on patient recovery and stress reduction. Thus, it is clea
r that interior designs which integrate Uncategorized elements can create a more relaxing, therapeutic environment that benefits both patients and staff.
These are a small set of environmental features that provide the patient and family a positive diversion from “the difficult” and, in doing so, also negate an institutional feel. These can be views to nature, water walls, artwork, super imposed graphics, sculpture, music – and ideally all of these want to be focused on nature and, when applicable, an interesting use of color. Therapeutic environments that provide such patient-centered features can empower patients and families, but also increase their confidence in the facility and staff. This helps with open lines of communication between patient and caregiver.
Social Support Spaces
These are spaces designed partially for the patient but mainly for the comfort and socialization of family members and friends of the patient; therefore, family lounges, resource libraries, chapels, sleep rooms and consult rooms all play a role. When family and friends play a key role in a patient’s healing, these spaces encourage families to play an active role in the rehabilitation process.
Sense of Control
In times when patients and family feel out of control, it is very healing for the facility design and staff to provide it back when appropriate. Although, this cannot always be done suitably in mental healthcare facilities. However, when applicable, these design features include optional lighting choices, architectural way-finding, resource libraries, enhanced food menus, private patient rooms and
optional areas to reside in. A few well-appointed studies in psychiatric wards and nursing homes have found that optional choices of moveable seating in dining areas enhanced social interaction and improved eating disorders. When patients feel partially in control of their healing program and that the building features are focused to them, an increased confidence of the quality of care enters and tensions lower.
As with all therapeutic design, this allows the caregiver to use their resources healing in lieu of “managing” patient populations.
Reduce or Eliminate Environmental Stress
Noise level measurements show that hospital wards can be excessively noisy places resulting in negative effects on patient outcomes. The continuous background noise produced by medical equipment and staff voices often exceeds the level of a busy restaurant. Peak noise periods (shift changes, equipment alarms, paging systems, telephones, bedrails, trolleys, and certain medical equipment like portable xray machines are comparable to walking next to a busy highway when a motorcycle or large truck passes.
Several studies have focused on infants in NIC Us, finding that higher noise levels, for example, decrease oxygen saturation (increasing need for oxygen support therapy), elevate blood pressure, increase heart and respiration rate, and worsen sleep. Research on adults and children show that noise is a major cause of awakening and sleep loss.
In addition to worsening sleep, there is strong evidence that noise increases stress in adult patients, for example, heightening blood pressure and heart rate. Environmental surfaces in hospitals are usually hard and sound-reflecting, not sound-absorbing causing noise to travel down corridors and into patient rooms. Sounds tend to echo, overlap and linger longer.
Interventions that reduce noise have been found to improve sleep and reduce patient stress. Of these, the environmental or design interventions such as changing to sound-absorbing ceiling tiles, are more successful than organizational interventions like establishing “quiet hours.”
Conclusion and Additional Information
The information contained in this excerpted report is intended as a guide for architects, specifiers, designers, facility planners, medical directors, procurers, psychologists and social workers which have a stake in providing improved facilities for behavioral healthcare patients. It is a portion of a report entitled “The Contributions of Color” authored by Tara Hill, of Little Fish Think Tank. Ms. Hill was commissioned by Norix Group Inc., in 2010 to research the role color plays in the safe operation of correctional facilities and behavioral health centers. More in-depth information specifically about the psychological influence of color and behavioral healthcare facility design can be found by reading the full report.
No fax no teletrack payday loan are today the most widely searched for keywords on the internet. Availing a no teletrack or a telecheck advance is the most convenient way of organizing funds even with a bad credit history.
Gone are the days when no body was ready to finance a person with bad credit record. Now if you are willing to apply for a no fax, no teletrack pay day loan, numerous financiers will come forward to finance you. All you need to do is surf the internet to look out for options that are available then it is just a little paperwork. Just compare the finance quotes of different companies and shortlist the finance companies that suit your need of funds.
About Pay Day Loans
Payday loans are the most favored advance options now days which help a debtor to handle a financial urgency even with a record of bad credit history. No fax no teletrack payday loans assures peace of mind to a person even with a poor credit record that his need will not be turned down in his hour of need.
These loans are usually short term loans which handle an urgent need without teletracking. This is really beneficial for someone with a bad credit. You can file your application for this loan on the internet. The main advantageous point of these advances is that it is sanctioned to the person within 24 hrs, or even less, so, a debtor can start immediately using the funds towards fulfilling his requirements.
About The Teletrack System:
In general, Teletrack is the system that is used to examine the financial and credit record of the debtor’s account which can expose all the flaws of the debtor’s credit history. These drawbacks can deter him from being eligible for a loan. By applying for the no teletrack loans, one can be assured that there will be no need to fax any documents to the financier that are related to his credit details.
Pay day loan companies impart immediate cash for a short period as against normal loan companies’ long and lengthy procedures. These agencies charge a higher rate due to higher risk factor and no demand of collateral or security.
Benefits In Short
The main advantage of this loan is that the money will be transferred immediately to your savings account upon the approval of your application form and you can start using the funds as per your needs. Thus, these loans serve many purposes like peace of mind, no teletracking and immediate disbursal.
When you start work in commercial real estate sales or leasing, there is a real temptation to do what everyone else does. That is a real danger in that most salespeople in the industry are not good role models. In fact some agents are really ordinary and they do not share information effectively for new people.
So to improve your chances of being a top agent, you can start to focus on the right things and those things that will build your market share and business. Here are some ways to do that:
- Find out just who dominates the local property market as a top salesperson in your office and then watch what they do. Review their listings and market share. Drive around their listings and see what makes their listings and marketing different. Do they have more exclusive listings than open listings? How do they market property in this economic environment? What has their sales record been like over the last 12 months? How does their market share compare to other agents?
- They are likely to have a solid database of local contacts. You will need to start this process for yourself anyway, so ask them what database software they use and if they could show you how they build their prospect list. How do they interact with their clients?
- They may have been operating in the local property market for some time and this will have bearing on the activities that they undertake every day. They should however still be prospecting to maintain their position as a top agent. Ask if you can sit in on their cold calling time one day to see how they do it and what they say. Perhaps you could replicate their script to words that suit you and your area or property type.
- Get to know your area really well, and that will mean property owners, business owners, vacant land, property developers, and professionals like solicitors and accountants.
- Identify the top property locations in your area and inspect the properties for a real understanding of why those areas are favoured. Survey the factors that impact location such as transport, services, amenities, highways, roads, ports, and infrastructure.
- Get to know the top property owners in the area. Whilst they will be dealing with many agents, you can connect with them now and start to build a level of trust for the time that you will have some property solution that you can offer them.
To rise to the top of your market, you simply need to watch the right people and practice what they do. Build your database from deliberate and directed effort; the property market awaits your involvement.
Electronic cigarettes are on the rise, and since their introduction to America in 2006, they have had overwhelming acceptance coupled with overwhelming questioning. Many questions focus on whether or not electronic cigarettes are actually healthier for the consumer, and what makes electronic cigarettes function.
Are Electronic Cigarettes Better for Your Health?
While many people have switched to electronic cigarettes to avoid the well-known harmful effects of tobacco and tobacco smoke, others are leery of switching due to a lack of research done on electronic cigarettes. However, various companies, reviewers and doctors have reviewed the product and there seems to be an overwhelming conclusion, best said by Dr. Travis Stork from the popular television showThe Doctors:
“The greatest issue with cigarettes is the 500+ other ingredients added, not just the nicotine.
Do we recommend this for non-smokers? Of course not, but for current smokers this is the most revolutionary device to date.”
Tobacco cigarettes include over 4,000 chemicals and toxins, while electronic cigarettes, generally speaking, have a limited number of ingredients, with the major ingredients being nicotine and propylene glycol. The majority of the additional ingredients, used as a flavoring agent or scent agent, are also found in fruits and breads.
What Makes Electronic Cigarettes Function?
Electronic cigarettes, unlike conventional tobacco cigarettes, contain no combustion and require no ignition to function. Electronic cigarettes are powered by a rechargeable battery and contain between two and four parts.
Let’s examine the two-part model.
The two-part model includes a battery and a cartridge. The design of the battery includes a flow sensor, which determines when the user is using the product and the powering battery agent. The design of the cartridge includes the nicotine cartridge and a catcher feature which ensures there will be no liquid nicotine leakage.
When a consumer takes a drag from the assembled electronic cigarette, the flow sensor powers the battery on and vaporizes the nicotine in the cartridge, producing a satisfying puff of vapor. The “smoke” coming out of the consumer’s mouth is not actually smoke but rather a completely harmless vapor.
Explore electronic cigarettes and determine for yourself if you think that electronic cigarettes are safer and more effective than traditional tobacco cigarettes.
Nurses have a lot of work options ahead of them. This is why nurses have been one of the most in demand careers that there is. People who are studying to be a nurse are aware of the countless benefits that they can get in this career. They can work in hospitals, doctor’s offices, the ICU, home care services and a lot more. Depending on their training or qualifications, they will be able to choose the field where they can work. But sometimes, nurses also need to find excitement in their work. They need to be flexible in order to fill any vacancies in the hospitals or other places where they work.
Travel nurses have been one of the career options that give nurses an opportunity to enjoy their work. They are able to work in other countries of their choice. Sounds exciting? Well it is! You will get to explore other places while you are working to serve other people. Plus you get full compensation on your expenses. You do not need to worry about your travel costs as well as where you will live there. All of these will be taken care of when you work as a travel nurse.
All you need to do is to find an agency that offers work for travel nurses. You just need to apply to these agencies, pass the requirements and you are one step closer to being a travel nurse. It is better to apply to an agency rather than applying on your own. These agencies provide workshops and training on how to make your curriculum vitae and prepare you for interviews. They will make sure that you will be qualified nurses when they refer you to several hospitals. This is one of the advantages of applying to an agency. They have all the contacts of hospitals and institutions that need travel nurses. This ensures you that you will get a job when you apply to an agency.
Do not forget to ask the agency of their policies. You need to know the benefits that you will get from them. Make it clear which are compensated or not. Talk about the salary or allowances that will be given to you. These things need to be clear before agreeing to their policies so that there will not further conflicts. If you prefer to work in a certain department in the hospital, you can tell them so that they can give you a job in that department. If not, just accept what job they give you. This is why nurses need to be flexible because they can be assigned anywhere in the hospital. They can handle any work that is given to them.
Remember that it takes a lot of courage to be a travel nurse. You need to be strong when you travel to other places. You will really get homesick and you should be able to deal with it. Give yourself some time to adjust to it and your will surely enjoy your job as a travel nurse.
Short term loans help people lessen their immediate money troubles, because of increasing everyday expenses and no sufficient income to meet the requirements. These loans by and large come in a shape of payday loans, in that you can obtain immediate cash with the settlement time between two and three weeks. Lots of lenders in Australia offer their service online that let you submit an application for the finance, 24 hours a day and 7 days a week.
If you need fast money, then a caveat loan, short term loan or bridging finance from any Australian finance Centre can help.
Fundamentally, caveat loans are all about when lenders offer the borrower fast money, in return for their property as defense for the finance.
The submission of applications for these loans is extremely quick, and it is likely to be short term from approximately one month to four months. Usually the borrower can get the money inside 24 hours after the request has been launched, and in the majority of cases, having a bad credit documentation does not have an effect on your possibility of successfully achieving it. In other words, these loans are finance for property.
The reason caveat loans are provided for assets is since the borrower have to secure an asset against it, and the majority of the time, the assets consists of realty properties or vehicles, as other kinds of assets are usually not acknowledged to be a defense for such loans.
By explanation, Bridging Finance is a short-term loan used to buy business property.
This is something that can come in very helpful, conditional on your particular circumstances. There are two major points that you need to think about before you choose a Bridging Finance package, your wants and the condition of the property market.
One of the main benefits of Bridging Finance is that it will let you close on a property and buy a new property before you get rid of your existing one. You will need to assess your present situation to decide if your wants give good reason for taking on this sort of finance.
Paying off your Bridging Loan at the ending of the term usually depends on your capacity to sell your existing property. If it is not sold in the obligatory time, then you will have to pay the existing loan on your present property, your new property and the newly transformed Bridge Finance, too. If you think that this might be the likelihood then be sure to take a package that can be changed to business Loans if the need comes up. Or else, you might have to come up with the complete finance amount at the conclusion of the funding time.
If you are looking for the best 2012 Halloween costumes for boys, we have some ideas for you to get started. Depending on the age of the child, you are going to most likely want to get some input from them on what they want to be – unless they’re a baby, of course. In all seriousness, involving the child in the process of picking a suitable Halloween costume can go a long way in making sure they have a lot of fun on the big night, which is what it’s all about – not to mention the candy.
- Spiderman Costumes – The Amazing Spiderman was big this year, and as in years past, you can expect many boys to want to become the wisecracking Spidey. The good news is that there are quite a few great – and relatively cheap – Spiderman costumes available.
- Batman Costumes – Another Superhero that’s huge again this year is Batman. As with Spiderman, the popularity of this costume means there are going to be a lot of different options for you as a parent. From simple plastic outfits to complex costumes with a separate Batman mask and accessories, there’s something for every budget.
- Historical Costumes – Not every boy is going to want to use a historical figure for a Halloween costume, but this can be great in many different ways. For one, not a lot of other kids are going to have the same costume most likely if you go with a George Washington, Ben Franklin or some other historic figure – Caesar anyone?
- Homemade Costumes – If you are on a budget or just like to be creative and spend quality creative time with your children, homemade costumes for Halloween can be a great idea. You just want to make sure you involve the boy in every step of the process so he is happy with the outcome and will want to wear it on Halloween night!
- Soldier Costumes – This is one that is relatively easy to put together cheaply. A little camo and some other accessories – no guns! – and you can have a great looking solider whether it’s a sailor or someone in the airforce or marines. Camo face paint really puts the final touches on this great costume idea.
- Fireman Costume – Being a civil servant or first responder like a fireman on Halloween is a lot of fun and may be an indication of a future career path for your little one. There are a lot of great accessories you can get to make your costume really stand out from all the others. Don’t forget the cute fireman’s hat and boots!
After you choose which costume you want, it’s all about saving money. Next, we have some tips to make sure you get the most for your money when buying a boy’s Halloween costume this year.
- Shop Early – One of the best things you can do is shop early. If you were thinking smart last year, you bought your costumes a day after Halloween when they went on sale. Even if you didn’t do this, the earlier you start shopping – even during the final summer months – the more you are going to be able to look around and find the absolute best price.
- Shop Online – Speaking of finding the best price, another great idea is to make sure you do most of your shopping online. While there’s nothing more fun than taking a kid (or five) to a Halloween costume shop (sarcasm!), there’s something to be said about shopping for a costume online. It’s easy, safe and convenient – and you can save money too.
- Read Reviews – Finally, you are going to want to make sure you read reviews of the various costumes before you get out your credit card and make any purchases. There are quite a few places you can read reviews these days, but you should find a website you trust and stick with them and their recommendations for the best Halloween costumes for boys in 2012.
Halloween is all about having fun and being able to dress up and score a lot of candy. Picking out the costume should not be stressful or a headache! The sooner you start shopping for a Halloween costume, the sooner you’re going to be able to relax and just enjoy the holidays.
Electronic cigarettes are available in many different styles such as mini, pen style, cigar style, traditional cigarette and much more. Those using ecigs report that they find the device to be much better in helping them quit smoking than other quit smoking devices. They give the same kind of sensation as that of smoking a traditional cigarette, but without the side effects.
How do electronic cigarettes work? They have a battery which is used to work an atomizer. The atomizer heats up the nicotine cartridge that vaporizes when the device is switched on giving off vapor-like smoke that dissolved in the air quickly, but which gives a same feeling as taking a drag on a traditional cigarette.
E-Cigarette cartridges contain the nicotine solution that vaporizes when the device is activated. The vapor when inhaled gives the same sense of satisfaction as that of smoking a traditional cigarette, but without the side effects. Those using ecigs report that the device mimics a real cigarette to the T’ and that they did not feel like smoking so often or getting back to using their usual pack again.
E-Cigarette cartridges are available in different flavors. You can find the traditional cigarette flavors such as Marlboro or Camel and there are also a range of non-nicotine flavors such as menthol, melon, strawberry, pepsi, champagne, orange, lilac, whiskey and vanilla. Nicotine solutions are available in different nicotine dosages such as 68 mg/ml, 1014 mg/ml, 1618 mg/ml, and 2054 mg/ml.
When starting out on ecigs, user begin with a nicotine solution that has a higher level of nicotine level because they feel more like the traditional cigarette brand that they have been using so far and then reduce the nicotine level. There are electronic cigarette cartridges available with zero nicotine levels.
Instead of opting for refill nicotine cartridges, you can refill existing cartridges by yourself. Open the cartridge device and use a paperclip to remove the liquid container from it. Add juice to the container using a dropper and do not overfill. Make sure that the cartridge is filled correctly. Push the container back into the cartridge device, which is to be placed into the atomizer.
ECigsUnlimited provides a range of e-cigarettes and electronic cigarette cartridges at the most reduced rates. You can find them in different styles along with a range of accessories that can be used to enhance device usage.
Healthcare has been the topic of debate for most of the last few years. From the boardroom to the water cooler, costs and quality of care are hot topics that impact everyone in this country. Young and old, Americans are feeling the squeeze and most are finding it difficult to come up with solutions. In the boardrooms of corporations both large and small, employers are struggling to cope with reality of rising premiums and declining benefits. Meanwhile employees are left with the prospect of going without health insurance. Currently it is estimated that 50 to 60 million adults in this country are walking the tightrope of living without health insurance. With such widespread reach for ripples created by this healthcare debacle, everyone is looking for answers. How can we afford coverage? Can we go without? What can be done to curb the costs and get this problem under control?
In the workplace, employers and employees often feel as if they’re on opposite sides of the fence. Employers feel as if their subordinates take no consideration of how difficult it can be to turn a profit while facing spiraling costs and a difficult economic environment. While large corporations may be able to ride out the storm, small businesses rarely have this luxury (especially at a time when credit is difficult to obtain). Most small businesses would close their doors if the balance sheet goes in the red for more than a few months or quarters. On the other hand, employees often adopt a near-sighted approach. How could they expect me to afford a premium increase? Should I just try to float without insurance for a while? These questions often lead to resentment on both sides of the coin, but are the employers or employees to take the blame and the higher cost?
Looking for answers to this growing problem is not easy. Where did the system go wrong? Why is it so expensive? Who’s to blame?
Many people blame healthcare providers for the rising costs of quality care. I can assure you this is not the case. Providers are facing a myriad of challenges and roadblocks. More so than ever, running a profitable medical practice is daunting task. Like any other business, a medical practice will close if it can not cover expenses and afford to pay salaries. Labor and leasing expenses are only the tip of the iceberg. Practitioners are forced to pay for equipment, insurance, hardware, software, licensing, and more. After establishing an office with all the appropriate resources, medical practices and hospitals must then attract patients in a very competitive marketplace.
Yet with all these costs and challenges in their way, healthcare providers are not complaining about patients or labor or costs! The largest problem facing healthcare providers is the insurance reimbursement process. Contradictory goals of payers and providers are resulting in inefficient and difficult payment systems. Insurance companies are more concerned with bottom-line profits and shareholders than they are about the care their members receive. How can we expect doctors and healthcare providers to keep their offices open if they can hardly get paid for the services they perform? Individuals believe that because they pay premiums, the insurance company will pay their doctor. Unfortunately, this is hardly the case. Health insurance claim denial rates can reach as high as 25% or more. Many providers have outstanding receivables measured in the millions of dollars. The insurance reimbursement process is so arduous that many medical practices never get paid and as a result close their doors forever.
Insurance companies use a wide variety of tactics to delay payments and deny claims. Payers employ hoards of representatives charged with the task of fielding calls and scrutinizing claims. Due to these tactics, insurance claims take anywhere from 30 days to more than 1 year to reach a completed status. In most cases claims are delayed and denied due to inconsequential, irrelevant errors. These errors result solely from the many difficult and senseless hoops that are placed in the way of the provider’s billing representatives. This extremely labor intensive process of collecting from insurance companies costs providers a great deal of time and money.
The only beneficiaries of this process are the shareholders of insurance companies. The delays in payments result in interest earned for the time period in which the claim was delayed. In many cases, providers never receive reimbursement for the services they perform. These claims must be written-off as a loss by providers while insurance companies see these cases as victories leaving more cash on their balance sheets. It appears that the primary goal of insurance companies may be to deny as many claims as possible; after all they answer to shareholders not providers or individual policy holders. This gross abuse of power by insurance companies may be the biggest problem we face in the healthcare sector.
The days when doctors sat on golf courses all day while making millions per year are over. Now they must battle insurance companies tooth and nail for every claim. If insurance companies paid doctors for the services they perform, perhaps we would see a reduction in costs related to providing care.
Surely there is no easy fix to this problem. We may find the answers by addressing the goals of big insurance companies. Providing oversight and incentives for paying healthcare providers for the services they perform would be a good start. If insurance companies focus on weeding out fraud rather than just delaying and denying payments, we could see an increase in efficiency and productivity in the healthcare sector that could be the start of controlling costs while maintaining a high standard of care. For the sake of all Americans, hopefully we find an answer soon!
How To Set Up and Start Operating a Home Based Business
I remember myself anticipating to having my first website ready when I first started, as if when I would have it ready, my business would become internationally known at a blink of an eye! Being Enthusiastic is essential… Another thing that is essential though, is to try to keep your feet on the ground. Becoming known on the internet is a Step By Step process that you have to go through very carefully and with consistency. The more focused and consistent you are from the instant you start, the sooner you will achieve your business goals, by accordingly following your business plan! Most of All: Do Not Panic!!
1) Establishing Your Target Market:
This is probably the most important thing you can do when getting your business started. You have to do your research on Who Your Customers Are before you get into any type of marketing and advertising. Especially with Pay Per Click advertising e.g., on Google AdWords you have to know what are the right keywords for your business in order to attract the right people to you, that will ask exactly for what you have to offer. Marketing to the wrong set of keywords will kill your business, produce a substandard leads. On the other hand, marketing to the right set of keywords or the right target market will explode your business.
2) Find A Good Domain Name And Hosting Company:
This is the second very important part of your business foundation. Having a good domain name that relates directly to your offering business opportunity and a hosting company that has reliable customer service daily 24/7, Live Support to make sure your website – blog is up and running effectively.
3) Decide What Method You Will Use For Your Promotion Plan:
Squeeze Pages or Branding Site? After you have established your target market, and set up a domain and a hosting account for your website, you will need to decide what type of Marketing Site you will use. Squeeze pages and branding sites are different, but both are necessary tools for the internet marketer. As with any other topic, you will get different opinions when it comes to Squeeze Pages or Branding sites. I use Branding Sites as I want people to get to know who I am and where I come from before starting any kind of partnership or business deal with them.
Difference between a Squeeze Page and a Branding Site:
A squeeze page is a mini sales page. Squeeze pages are also called opt in pages, splash pages, and landing pages. It’s the first and most important page that you will create and the place where your people will leave their name, email and number, in order to get more information about your business opportunity. Your squeeze page should have a smart eye-catching headline and invoke curiosity. The content of your squeeze page should address to solve a ‘problem’ or fill a ‘void’ of your customers.
Branding sites are designed to brand YOU. Word Press sites are great for branding. Word Press sites have a home page. The home page allows you to provide more information and detail than a squeeze page. As I mentioned earlier the branding site is meant to give your people information; lots of information about you, your product, and your services.
Lay out your branding site with a home page about your product and service. The “about me” tab should be all about you…your story, your background, and your truth.
It is a peoples’ Business and people will connect with you if they like you first and trust you later.
4) Pay Per Click Advertising:
Get Yourself Acquainted with the Forms and The Functionality of Pay per Click Advertising.
What is Pay Per Click?
Pay Per Click Marketing is the fastest way to drive traffic to your web site, that is a fact.
The three big pay per click sites that are recommend are as follows and they are in this order for a reason with Google being at the top.
The three major search engines are Google, Yahoo, and MSN, but Google is the Leader of the market.
Google is the main pay per click marketing search engine.
How Does Pay Per Click Work?
Pay Per Click works by you selecting keywords that are related to your business, product, or service.
1. You choose keywords or long key phrases
2. You bid an amount on those keywords or key phrases to get them seen
3. Google determines which ads to show
So how do you get your ads seen?
1. Write an attractive ad (great copywriting is a key factor in all marketing)
2. Bid the right amount
3. Make your ad relevant to your keywords as well as your website
Google AdWords Program has unlimited free informative tutorials on how to set up and start your PPC campaign. There you will have the choice to target your ads according to language, country, set your own preferred bids on your ads and keywords, and set specific days for your ads to run or pause them anytime you wish.
After you make your keywords research, when you will know what you are doing it won’t be that difficult to get your ads seen throughout the web. To many people rush to get their ads out on Google and do not do the proper research, or work with experienced marketers and coaches.
You can apply the strategies you use for the big search engines like Google,Yahoo and MSN. Googles’ pay per click program is called Ad Words. There is a difference between “paid” search results that appear on the top and right-hand side and “Uncategorized” searches – the search results that appear on the left-hand side of the search page which are free and can make wanders if you manage with good Search Engine Optimization to get your ads there on the first pages of these engines.
5) Article Marketing Advertising:
Article marketing is probably one of our most interesting and cost effective ways to market.
This method requires a process and time to get results and visibility. It is a way for you and your business to become known on the web and be considered as an active part of the Online Marketers Community. What happens when you do article marketing is that people pick up your articles for content on their sites, for content. It’s huge. Your content is spread around virally.
The way this works is you write an article, something of value. Be sure you check out our chapter on outsourcing on next paragraphs, because if you don’t like to write, you can outsource it to experts.
When you write and submit your articles, you are putting in your links on these articles, the articles that you originally produce. These are one-way back links to your site, so when people pick up your articles for content, the Google crawler picks up the links and your site goes up in ranking. That means more visibility for you, more traffic to your site and recognition, traffic and hopefully sales.
The articles you submit should be relevant to the topic of your business. They should pertain to what you are doing and whatever business you are in. In this case your articles should pertain valuable content for your readers to go through concerning Home Business Industry Topics. These could be Internet Marketing Techniques, the advantages of running their own business from home, freedom of time, ‘How-To’ articles which are a very ‘HOT’ plate for the search engines and many more.
Make sure that your articles are around 300-500 word long. You want to be picked up as providing good content about your industry or business. You should have a bio attached to the article. BIO is the only place that you can ‘sell’. It’s the place for you to ‘TAKE’. This is where the link to your website or splash page will be located. The bio should be about you as the author. At the body of t
he article you only ‘GIVE’: Content of Value. The links in your Bio should come back to your website.
Your Bio should include 2-3 sentences pertaining 1) Who you are and what you do, 2) A reason to visit your site after reading your article and 3) A call to action, for them to do so.
Make room in your life to submit at least two articles per week; set aside a specific time or day to make it happen. You have lots of information you can write about in whatever industry you are in. You can do it manually, or you can purchase submission services through Article Submitter Special Software. They have over 1000 places to submit your articles. It is time saving and accelerates the process of distribution and visibility.
6) Video Marketing Activity (HUGE)
Run a Google search on a topic like ‘best home based business opportunities’. Most likely, in addition to articles and websites, there will be several videos that pop up in the search results. Imagine having a dynamic and powerful video that introduces your product, service, and company live with your voice on and researchers landing on your beautiful video instead of being sent to a single and ‘one of the thousands’ splash pages. Google is very attracted to videos and pick them up quickly. It will help your ranking. Video Marketing is a very powerful selling tool as well as the fastest free way to get those ads out there. Use it in order to stay ahead of the competition.Your ultimate goal in marketing is to have your ads not only seen by as many potential customers as possible, but to be in front of as many of your targeted customers as possible.
The way you treat your Video Marketing campaign is the same with how you treat your PPC campaign and your article marketing campaign. You must focus on a specific ‘keyword-driven’ target market. At Step 1 I mentioned the importance of establishing a target market and a core group of keywords. The same keywords will be plugged into the videos when you submit them. Ultimately, everything comes up to your initial development of your target market and core keywords.
As in Article Marketing you can 1) submit your videos manually to limitless video directories for free like You Tube, Yahoo Videos, Google Videos, etc or 2) Submit to as many as possible directories through Video Submitting Software that do massive distribution of your videos with a click of a button.
7) Press Releases Marketing Method (Get Faster and Higher Ranking)
Another way of effective marketing of your website is to write and submit Press Releases. The information in your press release needs to be viable, newsworthy and high value content. Inside your press release, you should have one-way links that bring readers back to your site – your branding site or your squeeze page. The difference between the articles and the Press Releases is that in PR you can place your URL link in the ‘body’ of your content, once every 100 words. Press releases are a great SEO tool that can quickly improve your ranking. There are a lot of sites looking to gather information to build the content on their websites, so if they pick up your press release, and inside your press release you have one-way links back to your site, the search engines will know and act accordingly by rewarding you with higher ranking.
This is a method that requires some time to build a reputation. Give it some time and as long as you do this on a consistent basis, sending out once press releases per month with relevant, high value information, you’ll start seeing increased traffic to your site. Again there is a free PR submission option and a paid one. Again it will be up to your budget flexibility.
8) Social Media Marketing:
Millions of people everyday are viewing, updating, or connecting with others all over the world. These sites are very easy to get set up on, as all you have to do is sign up with your information and you are ready.
As of today the big three that I use consistently for internet marketing are Facebook, Twitter, Linked In and Ecademy.com. There are hundreds more out there and this is a great way to let people know about whom you are what you do, as well as what your product or service is all about. Social Networking Sites are considered as the Hottest Market Place and reports have shown that people search and finally trust opportunities through viral tools, such as all these today’s Hot Marketing Trends.
You must apply the ’90-10%’ Marketing Rule which means, that the 90% of your posts and interactions must be about you socializing, making connections, letting people know you first and only a 10% talking about your business. People don’t like to be sold. Be human and treat like you would like to be treated. It is a Peoples’ Business.
9) Outsourcing Resources:
Every marketing method I mentioned so far, every tool that you are given to use can be outsourced. Evaluate the time that you can give to your business, filter the activities that are most compatible to your character and nature and outsource the rest! Web design building, hosting etc. You cannot outsource everything assuming that your budget is limited; you will have to learn how to do some of them, apply at least 2 of the previous mentioned methods for your business. Article marketing, Social Media Marketing and Pay Per Click advertising is definitely skills that anyone that starts an online business should master for himself and his business’s success.
Take it Step By Step when growing your business and grow your outsourcing at a steady pace. You always have the control of all your marketing activities. You are the leader and the one that will lead you to Success!
Make sure you are on the right track and apply the knowledge you learn, every single piece of it day by day! And of course enjoy yourselves always!
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