Archive: October 27, 2022

Online Games – What’s Your High Score?

Internet has become a huge hit everywhere and it now has something or the other to with our lives. Interesting isn’t it? How the world has changed from outdoor games to video games and now to online games. Well, these games are not a big thing anymore because if you take a statistics model, more than 40 % of people are crazy over the various online games available in the internet. It is the new level of entertainment and the new pass time and all you need to enjoy it is an internet connection.

betflik
betflik
betflik
betflik
betflik
betflik
betflik
betflik

I would put the game as a technology all together rather than calling it a genre. It has to be seen that there is some network through which it can be played in the computer and the basic network is definitely the internet. The thrill of the game builds up when there is a multi-player option and you are competing with a person whom you have just met over the internet who is now your competitor. There are single player games as well. There are several many sites that offer A-Z lists of online games to choose from. And the list just increases day by day with more games being developed around the world.

The range of online games can easily be categorized from basic text games to complicated graphics including the virtual world and several players playing at the same time in the same platform. Developing of java and flash enabled to use streaming videos and games in the internet. This is one of the major reasons that led to the expansion of online games. The games are divided in to several basic types into educational, strategic games and there are even some games which incorporate everything that people used to play in the “then” life into virtual graphics. That is not all.

Games can also be adventurous and it gives the feeling that we are actually doing and experiencing what we are playing. There was this concept of gaming called MUDs which is multi user real time virtual worlds. Now the new style of gaming which has become so popular since the broadband came into being is the MMOGs which expanded to massively multi-player online games. This enabled 1000s of players to play at the same time in the same game. There are several many types MMOG like role playing, real time strategy and first person shooter games and so on and so forth.…

The Online Gaming Experience

Gaming is an experience that cannot be ignored. It offers an unfathomable joy that can be experienced again and again. One can fulfill his entire wish list with just one click. Online gaming has eliminated the notion of console and PC gaming. The entire bunch of gaming is executed by the likes of big and small-scale companies which offer a lot of ways to enjoy. Online playing has certainly been the most exciting thing to all of us, and it cannot be overlooked, by any means. Online entertainment has everything that can change the facet of the virtual world or the internet.

betflik
betflik
betflik
betflik
betflik
betflik
betflik
betflik

The online games used these days are browser games which incorporate all the elements of real-time strategy and first-player shooter. Among all the browser games, the age of empires is considered as one of the finest online browser system. This entertainment has everything to allure people. It is a multiplayer game where anybody from any part of the world can play against anyone. It is one of the first online browser that started the trend of ranking all the registered gamers. This has really turned into a huge trend, as now every game ranks its users.

Other set of games are sport oriented games are cricket, soccer, car racing, golf, basketball etc. These games are among the most played. Other set of games are poker, solitaire, word games etc. These games are also observed as real-time refreshments. Such types of entertainment has really stormed the world of gaming. No one can ignore the fact that these games are receiving a hue of hits every day, just because it is unique and offer the recipe what people need. This has truly turned the facet of internet into a different entertainment box. So, take it as it comes and enjoy.…

Heating and Ventilation

HVAC is a well known and popular acronym that is often used to refer to heating, ventilating, HVAC systems are a great way to provide regular cooling and heating for large buildings, offices, hospitals, schools, or other institutions. The following article offers some basic information on HVAC systems for beginners and those looking to learn more about their industrial heating and ventilation systems.

HVAC systems are complex in nature but actually very easy to understand, operate, and maintain. While the basics may be fairly straightforward and simple, you should always consult with a local HVAC professional for all your maintenance technician needs. Your local HVAC tech should be knowledgeable and well trained in maintaining, installing, and repairing HVAC systems of all types.

HVAC troubleshooting can be a helpful process to use if you do not have a local agent on hand immediately to help solve your problem. Some problems may also be a simple matter of making a small change or update to your system.

HVAC certification is the very first thing you should look for in any local service professional or company. If you are going to hire a Heating & Ventilation and Air Conditioning team, your very first question as their potential client should be about their current certification and licensing status. While most firms are reputable, you should always take care when hiring any team of professionals to work on your vital home or business equipment. Working with HVAC systems requires care, precision, and a high degree of technical knowledge and skill. Be absolutely sure you are working with the best team you can find.

Industrial systems and residential HVAC systems are quite similar in https://birdwatch.com/ general but can have some major differences depending on the size of your building. Regardless of the type of building zoning you have, industrial and residential units will require essentially the same technical expertise level and regular maintenance procedures to keep all systems running properly. Again, in all situations you will want to consult with an HVAC professional to be absolutely sure you are making the right changes at the right times as this could cost you a lot more.

HVAC units require special consideration and should be well maintained throughout their lifetime. If you are a building owner, a facilities manager, or any other service professional charged with overseeing HVAC repairs team up with a local repair team to help with all of your maintenance, troubleshooting, and new installation needs.

Tips for Agents in Finding Property Buyers in This Commercial Property Market

When the commercial property market gets slow or tough (like it is now), it is harder to find buyers to look at property for sale. They are also slower to make decisions on a given property and there are fewer buyers around that can act in a genuine purchase. That being said, the sellers of commercial property should be made aware that any enquiry should be taken seriously and optimised; there may not be many more enquiries coming in from the marketing campaign so the seller has less buyer interest and offers to work with. Your negotiation skills here come to the fore and are essential to helping sellers understand and accept this fact.

So as a commercial real estate agent, the levels of enquiry that you get from every marketing campaign become more important than ever before. The people enquiring regards property for sale have to be optimised for the listings that you have on your books. They need to be qualified and directed to the right choice of property; you do not want to see these buyers go to other agents.

There are still some good ways to find buyers; all methods point to a systemised approach by the salesperson in the real estate agency. Here are some ideas to help with that:

On a daily basis, talk to the owners of successful businesses in your local area. Some of those business owners will be experiencing property pressure or may want to relocate. Either way you should be talking to them and tracking their property need.

The owners of investment property locally will be looking for https://findproperties.ae/ new quality investments that can be purchased at a good price. Keeping in touch with the property investors will be of high value to your commissions and conversions of new business.

Tenants in local commercial or retail investment property are a good source of buyers. Invariably some of them want to own their own property and relocate their business into it. The best way to find these tenants is to look at businesses on a street by street basis and make a one on one approach. The business telephone book is of high value to this process of contact.

Property developers come and go from the property market based on the cost of development and the supply and demand of available space. Whilst they are buyers for redundant property or vacant property, they do take time to connect with. In most cases they need to trust you; some property developers also work with many agents at the one time so be careful how you provide them with property detail and listing information.

Some States Are Hard Levying Taxpayers – Be Careful If You Owe

State governments are finding that they are crunched during this Economic Crisis. A study conducted by the Center for Budget and Policy Priorities (CBPP) shows that all states, on average, cut 12% from their budgets during fiscal 2010. And, it is expected they will cut another 13% this year, in 2011. Income shortfalls count for much of the deficit, from federal cuts to reductions in tax revenues. And it is the reduction in tax revenues that is at issue here.

A number of people have talked with me recently about state tax collection methods. In every case, they’ve either lost jobs or been cut way back on their work hours. Many families I’ve talked with have lost at least one of two jobs. They owe back taxes, and in some cases, two years. The economy slid downhill after the collapse of Bear Stearns and Lehman 2008. And, by 2009, most of us knew there were problems.

Since then, there have been business emergencies, bailouts, job losses, mortgage crisis, foreclosures, and government cuts, especially at the state level.

While the bailouts were available for a number of banks and insurance companies, and large auto companies, there were few areas of assistance for those on Main Street. And those few begun, like the “Home Affordable” program have been acknowledged to be failures.

As a consequence, people who have suffered job losses or cutbacks between 2008 and 2010 have had few, if any, remedies to help them fill the gap. “Home Affordable” became a national joke, and people trying for mortgage modifications often found that banks used the “3 month pilot period” to run up the clock on late payments, causing people to be desperately late if they did not complete the modification.

Good solid people, contributing citizens have not been helped https://www.taxhardshipcenter.com/ by any of the federal programs, and have been caught in a financial morass often leading to bankruptcies and foreclosures. This is an increasingly serious situation, since it appears the economy will have an anemic recovery at best, and a stall or “W double dip” at worst.

People who have been hit and bruised by job cuts, foreclosures and bankruptcies still owe state and federal taxes. And, if there was a big drop, the current income is increasingly unable to meet basic obligations, much less taxes. For Federal Taxes, the payment plan is often the solution, and can provide time for people to increase earnings, and make small payments given a more limited income. States are a little more difficult to figure out. I’ve looked at statues and policies for a few states, and read some commentary. It appears that, in some states, if a person is unable to meet tax payments or payment plan, then the state will garnish or levy up to a certain amount. So, there are very limited funds left for mortgage/rent, food, car, insurance, etc.

However, it seems that some states are able to levy, period. Which means that the state could take everything, and they are probably not interested in having a long term taxpayer because they would strip someone of not only their funds but their means of earning anything more and contributing in the future.

Secure the Right Fan Filter to Protect Expensive Electronics

Purpose of a Filter

First of all, it’s important to understand the reason for a 120 mm fan filter. The three top reasons that these filters are necessary within a forced convection cooling system are as follows:

1. Removal of particle contaminants in the air

2. Creation of laminar air flow

3. To bring attention to EMI or electromagnetic interference

Particle Contaminants

Removing corrosive materials is crucial, but removal of things like dust and dirt isn’t as obvious. Over time, they can accumulate all throughout electrical components and end up shorting them out. They also affect air flow and in turn, the performance of thermal qualities.

From dust and corrosive elements to include humidity, salt and other solvents, 120 mm fan filters remove all types of harmful particles. Particle size depends on the material; for example, cigarette smoke particles are much smaller than dust particles so it goes without saying that removal of those larger is much easier. If even the smallest particle must be caught, then fan filter choice plays a huge role.

Laminar Flow of Air

Less turbulent flows are obviously the better choice for most applications. This is because of the lowered friction and less work required by the fan. Lower fan work means less noise which is desired among st those cooling computers or other electrical equipment. Plus, noise could inhibit forced convection cooling.

Electromagnetic Interference

Some components of electrical goods are prone to electromagnetic interference. This sometimes causes them to break down or give out messed up signals. In this case, taking electronics and mounting them in an enclosure made of metal gives the necessary protection minus the holes for air flow. In this case, a metallic barrier for ventilation along with 120 mm fan filters will help with electromagnetic signals.

Common Filter Media

There are many types of materials used for 120 mm fan filter media. they include but aren’t limited to metal wool, expanded metal, coarse glass fibers, and foam open cell synthetics. Each variety has a different efficiency and other characteristics.

Efficiency

Filter efficiency is calculated as the percentage of the airborne entities that a filter can efficiently remove from the air flow at a particular velocity. Filters that have a higher efficiency have a bigger https://www.rpvirtualmarketing.com/ drop in pressure when it comes to air velocity.

Pressure Drop

The pressure drop for a filter is a calculated by the force required to move air through the filter at a particular velocity. Each part within a system gives resistance to the overall air flow, which ends in a pressure drop.…

Do Girls Like Playing The TERA Online Game

A girls review of the TERA online game.

I am a girl gamer and wondered if TERA online would appeal to girls. Here is my review of the game.

My first thought was that TERA is a typical game that has been designed with guys in mind. One quick look at the female game characters is enough to send a feminist running, but I wanted to give the game a chance.

Although MMORPG’s are typically full of male players there are now more girls playing online games. Girls who perhaps got introduced to online games on Facebook now want to play a more action orientated game. Many have watched their boyfriends or brothers shooting everything in sight, but for me until TERA came along I have not been tempted.

Girls Love To Dress-Up The Characters

One of the things I love about this game is that Tera provides a lot of character customization with cool clothing to dress them in.

Character modeling in TERA is a lot of fun and some of the finished looks are pretty stunning. Girls enjoy playing dress-up and with the amazing end results it can be very satisfying, especially when you then go on to beat the guys in the game.

If you choose to play the game with a female character you had better not be a prudish type for they not only have amazing bodies but It is nearly impossible to find a female armor where you can not get glimpses of panties when they are running.

The High Elf is one of my favorite females in Tera Online and she can be one crazy sexy acting, and looking character.

The boys often choose to roll as a female character and I am sure it is because they all enjoy watching a screen full of stunning nearly nude female pixels. However, I have noticed in Tera that if I create a crazy sexy female like a high elf, it sometimes puts off the player trying to kill me long enough to let me kill them or escape.

I think that TERA online has a nice appeal to girl gamers including the cute Elin and Popoori (a rat like character), stunningly beautiful scenes and maybe the muscular male characters.
Tera online is a fast action game with amazing graphics. The purpose of the game is to kill or be killed, all while grinding through the levels.
There are currently 60 levels.

The characters are sexy and there is lots of killing and blood flying around so maybe this game is not for everyone.

If you enjoy the thrill of playing with players from all over the world, all interacting in slot wallet ทุกค่าย a common goal of playing TERA online then you may want to try this game.

Girls Should Be Aware When Playing Online Games

Remember there are more guys than girls currently playing so be careful in the chat rooms. Some guys are great but just because their character looks all manly and stud like does not mean he is too.

I think girls are really good at grinding methodically up the levels and TERA online currently has 60 amazing levels to keep you entertained for months.

I love playing TERA online and now think I am hooked on playing MMO’s (massive multiplayer online) games. Since I was new to MMO games the longer I played the more I wanted to actually move up the levels and improve my character skills.

I did not want to use any of the expensive farming bots or Tera gold bots (illegal cheats) because I do not want to get banned from the game and lose my current status and level.

I found a great TERA online strategy guide that has all the answers I needed. It has everything you need to get from level 1 to 60 – I love it. I also spent a lot of time reading tips online and found one site to be very helpful.

With the increase of girls morphing from the easy but sometimes boring Facebook ga…

Group Health Insurance Is a Dead Man Walking – Part 1

The dramatic cost increases for group health insurance is not only breaking the bank for employers but employees as well. From 1999 until 2012, group health insurance costs have tripled. Business managers instigated a number of countermeasures to reduce their company’s health insurance costs. In spite of cost reduction maneuvers, the cost to employers doubled in ten years.

Formerly, employers paid all or most of the premium for Affordable Health Insurance group health insurance. Companies covered employees and their families. Today it’s rare to find an employee that does not pay 25 to 50% of their own health insurance. Businessmen also switched from traditional insurance to PPOs and HMOs. Some companies took the drastic measure of self-insuring and becoming their own insurance company. Dropping the family and pushing that cost to employees reduced company costs as well. Additionally, deductibles were raised, while coverage and benefits were lowered. Today it’s difficult to find a company that has not taken some, if not all of these steps.

Over 99% have changed to PPOs, HMOs or self-insurance plans. Only a fraction of companies’ pay 100% of their employees insurance and fewer still pay family coverage. The salient point here, in spite of all the countermeasures, the cost for business to offer group health insurance has doubled in 10 short years. As you can see many of the countermeasures pushed costs to the employees.

Individual insurance in most cases runs 50 to 75% cheaper than group plans. We received an increasing number of calls from employees looking for competitive quotes on individual insurance. More often than not, an individual/family plan is more affordable and delivers better coverage than company provided insurance. This in spite of the fact that at least 50% of the group insurance cost is employer paid. We insure most of these prospects with individual policies, particularly if it’s family coverage they seek.

Health Disparities In Underserved Communities: Its Impact And Potential Solutions

Health Disparities have these properties to negatively impact various subsets of the population as it has systematically experienced multiple layers of socio-economic obstacles to health. It should always be remembered that health care providers should work collaboratively to attain certain goals to mitigate gaps that existed between healthcare. According to experts, internal professional collaboration is needed for healthcare providers to support patients and minimize the existing health disparities in public health (Vanderbilt, Dail, & Jaberi, 2015). If we take into account United States, then we can find that the health population marks an uneven continuum, ranging from healthy to unhealthy dimensions.

Affordable Health Insurance
Affordable Health Insurance
Affordable Health Insurance
Affordable Health Insurance
Affordable Health Insurance
Affordable Health Insurance
Affordable Health Insurance
Affordable Health Insurance

It should be noted that the healthcare system widely relies on factors like income, race, and geographical location. Based on the report, it can be stated that research policy and public health practice subsequently rely on disparities like life expectancy, risk factors, morbidity, quality of life in various sections of the population. Obstacles that are linked with religion, socio-economic status, mental health, sex, geographic orientation, sexual orientation hinder health disparities even more. There are shreds of evidence that the United States is highly plagued with inadequate interprofessional collaborations and comprehensive teamwork and this pointed out towards inequality existed in healthcare. Health Disparities are a living truth among underserved communities and it can be mostly witnessed in the health sector of the United States and thus it is impossible for any health care professional to handle this impending national crisis alone (Vanderbilt, Dail, & Jaberi, 2015).

Healthcare disparities are not new and it creates inequalities in multiple layers of our society. These disparities are often visioned through the lens of race, ethnicity, gender, age, and other social factors. Historically, underserved groups have had greater rates of chronic disease, early death, and other metrics of well-being. Reduced medical care resources and demand are also noticeable, ranging from emergency treatment of acute diseases to routine check-ups to suggested screenings and therapies (Reducing Health Disparities in Underserved Populations, 2021). It should be noted that healthcare educators share the social responsibility to teach medical students about social determinants of health and health-care disparities and subsequently to encourage medical students to pursue residencies in primary care and medical practice in underserved communities. It has been estimated that over 57 million individuals reside in nearly 5,864 designated primary care shortage areas in the United States and experience negative treatment from healthcare. For instance, a shortage of primary care physicians in four primary care specialties in these urban and rural communities: general or family practice general internal medicine, pediatrics, and obstetrics and gynecology. Thus, experts confirmed that the United States tends to face an acute shortage of primary care physicians which leads to a further reduction in accessing primary care services for medically underserved individuals or communities (VanderWielen, Vanderbilt, & Steven H. Crossman, 2015).

Healthcare professional students care for these underserved communities and try to take social responsibilities to undermine the issues rising from healthcare sectors. They are so much inclined because during their education and training, they are highly exposed to underserved populations and thus, they have the urge to take into account certain social determinants of health. There is a need to encourage the students to pursue primary care in the healthcare sector and give training opportunities to them so that they can efficiently serve healthcare in underserved communities (VanderWielen, Vanderbilt, & Steven H. Crossman, 2015).…

Learn How You Can Increase Affiliate Revenue Using Your Blog

It is the desire of every affiliate marketer to enjoy a lucrative income from their home-based online business venture in affiliate marketing. The more diligent marketers would pick up better and advanced marketing strategies and technological tools to boost their market presence to draw more traffic to their affiliate website. Others may adopt a combination of new and old marketing tricks and tips to gain an unfair advantage on their online marketing exploits.

Blog Marketing

Blogs are great marketing tools for the affiliate marketers who have a flair or a penchant for writing. Great blogs are in demand by web consumers today who like to be entertained with quality contents of all topics. These blogs may contain important information that might be helpful to web readers who in turn would visit the affiliate website for potential purchases on affiliate products displayed.

http://askmerating.com/
http://askmerating.com/
http://askmerating.com/
http://askmerating.com/
http://askmerating.com/
http://askmerating.com/
http://askmerating.com/
http://askmerating.com/
http://askmerating.com/

Blog marketing is a powerful marketing tool which an affiliate marketer needs to know how to use effectively for the best of returns. Affiliate revenue could be easily increased through well written high quality blogs that are demanded by web readers.

Effective blog marketing requires a structured marketing plan in discovering the current topics demanded by current web readers. Affiliate marketers must stay alert to the changing market trends and demands with a high flexibility in adjusting marketing strategies to meet market needs satisfactorily. Hence, affiliate marketers need to write on topics that web readers are currently looking forward to attract them to the affiliate website in generating higher affiliate revenue via blogs.

Essential Tips for Effective Blogs

An effective blog must bring in an increase in affiliate revenue. The affiliate marketer needs to consider effective marketing tips in generating effective marketing blogs. One of these effective marketing approaches is the generation of a strong mailing list.

The affiliate marketing needs to keep attracting viewers to the affiliate website; blogs are excellent in creating the buzz and interest in the market. Blog contents that are interesting and value-added would attract more web readers who may be inclined to click on the link leading to the affiliate website. The chances of an online sale when at the affiliate website are higher when the web user is able to view the wide array of attractive affiliate products on display.

The more online sales generated from the affiliate website, the marketer would earn more commission and enjoy more profit from this online website. Affiliate revenue could increase to unlimited quantum depending on the effectiveness of the blogs posted by the affiliate marketer. Various marketing channels would be employed to attract more traffic to the blog which would lead them to the affiliate website.

Whenever web readers are satisfied with the blogs, they should be prompted to opt into the marketer’s emailing list. This would allow the marketer to followup on their potential leads to convert them into customers. When the potential leads opt in on the marketer’s mailing list, this is good news for the affiliate marketer to win them over as customers for the business.…

Step by Step Process to Create a Free Blog on Your Own FTP Within Your Web Template

What is Blog?

Blog is short for weblog. A weblog is a journal (or newsletter) that is frequently updated and intended for general public consumption. They are typically updated daily using software that allows people with little or no technical background to update and maintain the blog.

Why Blog?

http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/
http://cholsamaj.org/

As its definition it helps to publish news updates, to promote new products & services as well as different opinion from various experts who participates in blogs. Many companies today open a blog section to sell products, for customer care and after sales support. Business blogs are the fast track to increasing a website’s link popularity and Google PageRank.The regularly updated keyword rich content offered by blogs score high rankings in the search engines as a direct result of their link drawing power.

Link exchanges between themes related blogs are frequent and not at all difficult. Note that bloggers mainly exchange links for visitor traffic purposes, and not for search engine optimization. Link exchanges should generally be approached from the shared traffic perspective.

Blogs also provide an exclusive list of high PageRank blog directories. While maintaining their exclusivity in the blog only Internet directories, blogs are welcomed in the mainstream Internet directories. In that sense, blogs receive the best of both worlds.

Website owners, who are serious about improving not only their quantity of incoming links, but their theme relevant quality as well, should seriously consider adding a business blog component to their website.

Blog Setup on blogger.com

Blogs can be created from bloggers’ site as well as from own FTP (websites). People who don’t have any website, they can create a blog directly from the bloggers’ site. But who have own site, they can also create blogs from own FTP with the help of blogger.com.

Blogger.com is the most popular blogger creater in the world of blogs. Although hundreds of site provide free blogs, but blogger.com is most popular due to its features and functions. Create a blog from own FTP using Blogger.com is somewhat technical and for the first time, it takes some time & try and error to upload to blogs from own FTP.

From this article, I would like to define step by step procedures with examples that help you to create blogs in few easy steps at less time.…

Financing Plastic Surgery

Plastic surgery today is something that many people just like you and I consider for one reason or another. For some people, plastic surgery is needed to fix the aftermath of an accident or illness, while other people simply choose to improve upon their natural born body.

With this new availability of plastic surgery to the masses, the issue of how to pay for procedures is on a lot of people’s minds these days.

Unless your plastic surgery procedure is medically necessary, most insurance companies will not pay for it – at all. Thankfully, today many financial companies realize the need for loans designed especially for people who want to have expensive medical or dental work performed.

Rather than have to charge thousands of dollars to a high interest credit card, many financial institutions now offer what are referred to as “medical loans.” With a medical loan you can finance the cost of your surgery and make payments on it over time. And, unlike credit cards, the interest rate on a medical loan is usually at a very reasonable rate as long as you have decent credit scores.

Some people have a hard time justifying the financing of their plastic surgery. It is an elective procedure. However, it is often helpful to think of it as an investment in yourself in your self-image and self-esteem.

For example, if your vehicle needed to have body work done on it, you would take it to the shop and if you couldn’t afford the bill all at once, then you would put it on a credit card. This allows you to drive around in a nice car and make payments on the work that was done.

Similarly, financing your plastic surgery procedure https://www.mommymakeoversurgeon.com/ allows you to have the work done to improve the look of your body and then pay it off over time, rather than having to come up with a large amount of money all at once.

If you need assistance in paying for your plastic surgery procedure, the first place you should start is at your doctor’s office. Many physicians’ offices can help guide you to reputable finance companies who offer medical loans. Medical loans from financial companies are generally available for amounts between $1,000 and $25,000 and usually offer terms of payback over 24 to 60 months.

If you would prefer not to work with a bank or financing company, many plastic surgery clinics can work with you directly to offer you a payment plan. Some plastic surgery clinics will allow you to pay for part of your surgery up-front and then make payments, while others will allow you to have the procedure and make payments after it is completed. The exact payment options depend on the plastic surgery clinic you choose to use.

Just as with any other financing you agree to in your life, make sure that before you ever sign anything promising to pay, you completely

What To Look for in a Limo Bus Service

Limo Bus is a luxury vehicle that has enough space for a big party and provides needed comfort for everyone in that party. If you have planned an occasion that you want to invite all of your friends of staff members, the only way to go with the transportation is the Limo Bus. The Party Bus idea has a rock vibe and the atmosphere it gives will blow your mind. However these fancy Limo Buses are used not only for crazy parties, but also for Weddings or corporate events.

More and more people in big cities prefer Party Bus over a regular stretch SUV. Do you wonder why? It is because renting a Limo Bus has become a style statement and status indicator. This is the main reason Limo Buses become so demanded. And even if you do want only to show off, it is https://luxxeridelimo.com/ not a big deal. There are few things regarding limousine services to keep in mind before selecting your service provider.

Check the package deals. Maybe they also include entrance to some famous night clubs or a complimentary bar? Refreshments are usually added to many deals, but there are deals that include some specific additions. A wedding package will have a “Just Married” sign and champagne, airport arrivals will have a greeting included. Some Bachelor parties will have a cover to the club included. There are sometimes packages including a drive on most famous streets or parks. Call around limousine companies to get the best deals for your party in a Limo Bus.

There are a many limousine companies that could possibly provide this dream service for you. Choosing one is not an easy task. Finding a limo company should not be difficult, all you have to look at is your local phone book or just go online and use a search engine to find one. Also, spend a little bit of time to research the company. Read reviews and go though their website. This way you should get the impression of the service level they provide.

Are You Using Your Mobile Device To Find Jobs? You Should Be

Finding a job today is a challenge. You do have many sources to consider. You could spend some time using the newspaper as they did ten years ago. You likely have dozens of tools available online to help you to store and send out your resume. But, what about your smartphone? Are you using your mobile device for job applications? You could be. More employers than ever are realizing the importance of providing this option to incoming applicants.

Applying Onsite

Some of the best and biggest employers are using Internet website designs to allow them to interact properly with mobile devices. This means that can find a job using your smartphone. You visit linkedin the company’s website and it is optimized to allow you to easily navigate it from your smartphone device. More so, you can apply right on the site for the job. Job applications like this do range widely but many sites are making it work.

Third Party Apps

Many of the largest online job sites are using tools to allow individuals to communicate with potential applicants using a mobile device. If one of the sites you are using is one that allows this type of feature, it may be a good idea to use it. Find out if the job site has an app to make it easier for you to find out what the latest job ads are and apply for them online right from your phone. You should be able to access your resume, browse through the current ads and to submit your application just as you would if you were on the actual site.

Why It Matters

Why should you be using a mobile device to find a job? Today, there are dozens if not thousands of people applying for the same position. If you do not act quickly, chances are good you will miss being one of the first to apply. Does this really matter? It could mean the difference between someone reading your job app and not. More so, you need to be able to get to those job apps faster. Why not use that time you are sitting on the bus or the time you are spending waiting for your child’s practice to end to apply for jobs. It may be one of the best ways for you to connect to potential employers on your time. It is a simple way to get the most from the application process.

Plastic Surgery – Before and After

It is very common to find plastic surgery before and after photos of celebrities who have deliberately went under the knife to enhance their appearances. If in the past, these plastic surgery before and after photos have been commented on negatively, these days, there is a more positive reception towards such news.

Furthermore, it is not only celebrities who have these plastic surgery before and after photos anymore. Even the everyday woman has been bitten by the self enhancement bug, that Hollywood star or otherwise, they volunteer themselves to get these cosmetic procedures done.
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/
https://www.cosmeticcentermd.com/

If you are one of those who think that plastic surgery is definitely for you, the next step is probably one of the most important that you will make. After doing your homework, saving a whole lot of money, weighing risks against benefits, and finally deciding that you want a plastic surgery before and after photo of you, choosing the right surgeon is the next major decision to make. Of course, that is easier said than done.

Like any other option, do not take the first plastic surgery before and after photo offered to you. Do not take the first surgeon that comes along, nor should you pick one too quickly. Take the necessary steps to ensure that your before and after photo won’t be fit for the next horror movie.

First, before and after photos are great. They serve as referrals. But you want to get one primarily from your family doctor, or maybe from other family and friends who have had procedures done in the past. It is always best to ask for referrals from people you know and trust to ensure quality. Remember, it is your body we are talking about here.

Once you zero in on one surgeon, check for his credentials through the American Board of Medical Specialties. You can easily access it on the World Wide Web.

Speaking of the Web, use it to trace the profile and possible past and recent works of your chosen surgeon. Check out Check the American Society of Plastic Surgeons where you will find board-certified plastic surgeons near you.…

Dry Skin Therapy – Do it Yourself With Dry Skin Remedies

Are you looking for dry skin therapy solutions? Tried all sorts of things to turn your dry skin condition around, but none of them seemed to work? I know how you feel, because I was in the exact same boat your in right now. I even asked for advice from a few dermatologists, all of which just prescribed some stupid generic cream that did nothing for me. I was so frustrated with everything and everyone.

https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360
https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360
https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360
https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360
https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360
https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360
https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360
https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360
https://www.yourcprmd.com/replenish360/vitamin-c-and-iv-hydration-therapy-at-replenish-360

But then I decided to really look for solutions myself. So I hopped on the Internet and did a ton of research. Before, I was buying any skin care product I could find in drug stores that said it would relieve dry skin- didn’t work. I bought a few products over the phone too that I saw commercials for on TV- didn’t work either.

After all of this, you could understand why I felt like there was no hope left, right? But all of a sudden, a realized something. There still might be some hope left. I realized that every single product and solution I bought was bought impulsively. I didn’t do any research on any of the creams or lotions I bought to see what ingredient were used. So maybe this was my big mistake. Maybe there still is hope….

So I hopped online and looked for specific ingredients that made good dry skin remedies. Here are some of the ingredients I found:

*Avocado oil is a deeply hydrating ingredient rich in vitamin A, D, and E and other essential minerals. It’s also has high levels of sterolins that provides a wonderful moisturizing effect good for curing dry skin.

*Honey is a great dry skin remedy used since ancient times. Active manuka honey is the leading honey ingredient in dry skin remedies and contains special enzymes that give it amazing antioxidant and antibacterial properties. It also stimulates your immune system and heals blemishes like acne and even more serious skin conditions like psoriasis and eczema.

*Babassu is a light natural wax scientifically proven to help cure dry, itchy skin. It creates an invisible barrier around your skin to retain the moisture it desperately needs. Look for this in any dry skin therapy lotion or cream.

*Shea Butter is also proven to help cure many skin problems including dry skin, wrinkles, itchy skin, sun…

Limo Service – Find the Right Features

What are you looking for when you book a limo? If you do not know the exact answer to this question something is wrong. It is important to have a very good idea of what you want out of your limo experience before you ever begin the booking process. The minor details that do not seem important are the ones that you need to give the most attention to in the long run.

https://luxxeridelimo.com/
https://luxxeridelimo.com/
https://luxxeridelimo.com/
https://luxxeridelimo.com/
https://luxxeridelimo.com/
https://luxxeridelimo.com/
https://luxxeridelimo.com/
https://luxxeridelimo.com/
https://luxxeridelimo.com/

To start, one of the most important features is space. How many people are going to be in the limo with you? Lets look at limo companies in San Diego, CA. Every San Diego limo company has several vehicles in their fleet. There is a very good chance that you will be able to book a limo that has enough space for you and all your guests. But if you forget about this detail you may end up making the wrong decision.

How about the price? How much are you paying to hire a San Diego limo service?This may be the first thing you think about because you can only afford so much. Remember, you are going to be charged based on how long you need the limo as well as the vehicle you choose. Make sure you compare prices from several services to ensure that you get the best deal from a reputable San Diego limo company.

Reputation is a big deal as well.

You need to know for sure that your limo is going to show up when it is supposed to, while also being available to meet all your needs throughout the evening. It is very important to shop around so you can find the San Diego limo company with the best reputation. Some are known to be better than others. You want to do what you can to book a limo from a company with the best reputation for customer service, cleanliness, and much more.…

Popular WordPress Ecommerce Plugins Useful For Your E-Store

Today, most people rely on the internet to purchase things and so there is a considerable boom in the ecommerce business. Setting up your online store is no more a difficult task as we have numerous platforms that are used to develop eCommerce stores. We all know that WordPress had started its journey as a wonderful blogging platform, but today it has evolved into a robust solution that allows business owners to create a feature rich eCommerce website at effective rates. With WordPress and various plugins available, you are now able to create eCommerce sites for your business quite easily.

If you have plans to create an eCommerce site using WordPress, then here are some of the plugins that may fit your best needs. The plugins discussed here are free to use and are simply perfect for building any profitable WordPress e-stores.

WP eCommerce: This is a simple yet powerful WordPress eCommerce plug-in that has been there for the past many years. The plugin allows you to customize HTML and CSS, so that you enjoy full control on the look and feel of the e-store. Whether you are interested in selling physical inventory, memberships or subscriptions or even digital downloads, this amazing plugin helps to sell WordPress theme plugin anything easily. With more than 2.9 million downloads, it is the second most popular plugin used by business owners. Its streamlined checkout process helps to dramatically increase the store’s conversion rate. And moreover the plugin integrates perfectly with many shippers and payment processors and helps to add extra functionalities to your store.

WooCommerce: This plugin is built by developers at WooThemes and is the most popular and widely used free plugin for WordPress website development. It is packed with top of the line features and this highly extendable plugin empowers you to create your site into a million dollar e-store. The best thing about this is that its golden collection for paid and free themes and extensions are best to meet your specific business needs. A WordPress development company can use PayPal Standard integration, multiple shipping options, easy inventory management, flexible couponing and etc.

Easy digital downloads: This is a feature rich and lightweight and simple to use eCommerce solution for selling digital downloads via WordPress at no cost. The plugin offers useful features that can keep selling digital goods and offers a powerful reporting system that allows you to see your earnings and sales through easy to analyze data tables and interactive graphs. It comes with more than 200 extensions and themes that can be easily customized according to your needs.…

Free Online Games for You

Online games truly provide the world with endless hours of entertainment, and the free games usually turn out to be the best. There are dozens of websites featuring thousands of games, and each website will offer games that can only be found on that site. Here is a list of some of the best games online that you can play at no cost to you:

Best Online Games for Free

• Fancy Pants Adventure is a favorite of those who play games online, as it combines Sonic the Hedgehog with a stick figure wearing fancy pants. The game feature gravity defying leaps, an incredibly simple design, and hours of endless fun.
betflik
betflik
betflik
betflik
betflik
betflik
betflik
betflik
betflik
betflik

• Dino Run is one of the most popular pixelated online games, and it appears to be a game from the 80’s. However, this game is great fun because you basically spend the entire tie dodging falling debris, fellow dinosaurs, and getting around obstacles. You are escaping the meteor that is bringing your doom, and you will find that this is one of the best simple online games around.

• Matrix Rampage is great for all Matrix fans who found Enter the Matrix to be fairly boring. While the game’s graphics are simple, this side scrolling adventure game offers you the chance to play Neo as he jumps off roofs and walls, kicks bad guy ass, and collects weapons.

• Amorphous is a game for those who like the classic zombie killing game, though it is much simpler than most zombie games online. The enemies are basically colored bubbles that you can swing your giant sword at, but be prepared to spend hours clicking frantically as the horde of bubbles come charging at you relentlessly.

• Final Ninja is by far one of the best action games online, especially for those who like online games featuring ninjas. In this game, your ninja star is not only your weapon, but also the way you move around. Your ninja star acts as a grapple that swings you from ledge to ledge, where you hide from enemies, dodge lasers and cameras, and cause mayhem and havoc in the city.

• Bowmaster is one of the favorite Aim and Shoot games online. You are an archer defending your city’s walls, and you will find that aiming and shooting is actually a lot harder than you thought once the enemy gets a bit closer.…

Is Plastic Surgery a Good Idea or a Big Mistake For You?

Plastic surgery has become all the rage in Hollywood resulting in effects all throughout everyday society. There’s no doubt that people of today are technologically-advanced. Technology makes each day of our lives easier to manage, which also makes tasks faster to accomplish and helps a lot in making the impossible possible. We could view the advancement of plastic surgery as a perfect example of how genius people are nowadays but it’s not all rainbows and butterflies.

https://www.cosmeticcentermd.com/
https://www.buckheadatlantadentist.com/
https://www.rebeccaellisonblog.com/
https://www.mommymakeoversurgeon.com/
https://www.nyturl.com/
https://cacavazamentovalor.com.br/
https://desentupidoramartecabc.com.br
https://cacavazamentosspmais.com.br/
https://www.madampartum.com/

Why use plastic surgery?

Plastic surgery is a unique kind of operation which aims not only to reconstruct a person’s physical appearance but in some instances, to make some body parts more functional as well. It typically involves two kinds of procedures; reconstructive surgery, which as the name implies helps in reconstructing some defects on a person’s facial or body appearance. Cosmetic surgery, which is also known as “aesthetic surgery”, is used by those who would like to look better, those who are not yet satisfied with the way they look, and those who are just seeking improvements in their appearance and figure. Examples of this kind of surgery are rhinoplasty, liposuction or removal of some unwanted defects in a person’s face and body. As a whole, the process is concerned with the reconstruction, restoration, or improvement of damaged or defected facial or body parts.

The purpose of undergoing this type of surgery varies with the individual person. Some people aim to look better and feel comfortable, some would like to gain self-confidence, and some simply want to regain a normal life which many only be possible by removing unwanted defects in their face and body. However, it is imperative to note that whatever reason you may have in considering surgery, you have to consult the right health experts first before undergoing drastic changes to your body. Know if the process is right for you to avoid having regrets in the end. Think carefully prior to making any decision in order to avoid unwanted consequences. Understand that surgery is not an easy thing and the person considering it should be prepared to handle whatever stress it may bring.

Things to consider when thinking about Plastic Surgery:

Are you doing it for yourself or you are just doing it to make others happy?

If you are only looking at fitness and weight loss, consider diet and exercise instead of surgery, since the latter might change your life forever. Consider surgery only when there are no other options.

Do not undergo surgery when you are emotionally unstable or depressed since chances are you may end up making the wrong decision.

Talk to your plastic surgeon first; know the procedures and the full effects of your particular procedure.…

Plastic Surgery Preparation

In the United States, many people choose to have plastic surgery performed on them. Over the years, the number of plastic surgeries performed has increased dramatically. People choose have a variety of plastic surgeries to choose from to meet their needs. A partial list of plastic surgery operations people can have performed on them includes

  • breast augmentation
  • facelift
  • tummy tuck
  • lip plumping

Choosing to have plastic surgery done is a multi-step https://www.rebeccaellisonblog.com/ process. The first, most obvious–but by no means necessarily the easiest–step in the process is deciding whether or not you want to have a plastic surgery done on yourself. Coming to this decision will require an analysis of all of the costs and benefits–both implicit and explicit–of the surgery as well as a lot of introspection.

After an individual comes to the decision to do plastic surgery, however, then there are number of steps that individuals need to take. The first step is to choose a plastic surgeon with whom you feel comfortable. When looking for plastic surgeons, an excellent place to start is with the American Society of Plastic Surgeons. This organizations seeks to provide information about plastic surgery and create a network through which those somehow connected to plastic surgery can communicate. The American Society of Plastic Surgeons has a number of criteria that are important when considering a plastic surgeon, such as the surgeon’s history and training.

Understanding Health Insurance in Virginia

Health insurance remains one of the most talked about topics when it comes to products that are indispensable for residents of Virginia. With continued increase in healthcare costs, the importance of health insurance plans keeps increasing.

It goes without saying that residents of Virginia without insurance coverage are at a greater risk of experiencing financial insecurity during illness or injury. No doubt health insurance plans involve costs but affordable health policies are easily available and with the implementation of healthcare reforms, lots of options will be available to the Virginians.

Traditional indemnity insurance plans in Virginia

Traditionally, indemnity health https://www.yourcprmd.com/rancho-mirage-cpr-classes/ insurance plans in Virginia offer reimbursement against the claims made by an insured person. The level of coverage provided by these plans could vary from basic to comprehensive depending upon the needs of the insured person. Accordingly, the costs of the health plans vary-premiums, deductibles, copays and coinsurance, etc.

Managed health care plans in Virginia

Unlike indemnity health plans, managed care health insurance plans involve a group of medical providers that offer comprehensive medical services. They are called preferred or participating providers.

There are basically three managed care options:

• Health Maintenance Organization or HMO

HMOs allow the insured person to select a primary care physician from the plan’s list of medical service providers. If it is necessary, the primary care physician will refer the insured person to a specialist.

• Preferred Provider Organization or PPO…

In The Aftermath Of High Winds, You May Need Seven Tips About Leaking Roofs

In 1989, Hurricane Hugo taught me just how devastating a roof leak can feel. Living 210 miles northeast of Charleston Harbor, the US landfall mark of Hugo, we learned that Charlotte, N.C. is not immune to the effects of costal, so-called, weather.

Although some Charlotte Metrolina weather stations warned that Hurricane Hugo would reach far inland, none of us expected that western NC would experience such devastating havoc. Yet I have a clear memory of what happened on September 21, 1989.

We went to sleep with little concern for local effects of the hurricane. But during the night, our outlook made a U-Turn. Hugo came through. High winds ripped the cap from the roof of our doublewide. Water seemed to come in from every crack. And outside, the wind kept howling.

We took refuge beneath the beams above the central bathroom. Kids and adults alike, shivered beneath a soggy layer of mattresses and blankets. It was as long a night as I have ever known.

Listed as one of the worst storms in the twentieth https://cacavazamentosspmais.com.br/ century, Hugo pounded through the Caribbean and then ripped open the Carolinas with the ease of rodents plowing ruts through soft dirt. Many Charlotte, N.C. residents lived without electrical power for fifteen days and longer. South Carolina officials reported 64,000 people left homeless. All across the two states, trees gave up the roots, power lines fell beneath fallen limbs and roof shingles took flight one behind the next.

New Threats, Same Stories

For Charlotte, Sandy, the super storm, brings but a token of force. Some higher elevations northwest of Mecklenburg report extended gusts of wind that exceed sixty mph. But in Charlotte and other local Metrolina areas, the storm is rather mild. Cancelled air flights reflect the storm-related issues occurring elsewhere. Random jolts of wind damage also hinder parts of the city. The aftermath will include some Charlotte homes with leaking roofs.

Bad Weather Outside Worsens Existing Roof Damage

High winds, even if merely spot-gusts, can further damage an already troubled roof. Moreover, harsh weather can hinder the search for roof leaks. Here are seven tips to help you prevent leaks and/or locate an existing leak.

The Following Seven Tips Will Help You Resolve Issues Related To Leaking Roofs

Smart Features of the Best Mobile Phone Unveiled in 2009

Market is flooded with numerous colorful handsets of varied price ranges. Depending upon the categories of the services offered, handsets can be broadly delineated into three class ie., best, standard and average mobile phones. The best mobile phone is the phone resembling all the attributes of the ideal phone. Almost all the leading mobile manufacturers like Nokia, Samsung, Blackberry, HTC, Sony Ericsson etc. have unveiled some of the best mobile models in 2009.

Brief description of Best mobile phone categories unveiled in 2009 are given below:

Touch phone: The touch phone is the handset which includes touch screen of type AMOLED or TFT, camera phone, music phone, symbian phone, Window phone etc. Samsung has presented Samsung I5700 Galaxy Lite on November, 2009. This marvelous handset consists of several advanced applications. The handset works on the quad band GSM as well as dual band 3G HSDPA networks. The gadget uses high speed Wi-Fi internet technology, which provides the high speed Internet browsing on the handset or phone with the aid of blue tooth or USB data cable.

Camera Phone: The camera phone consists of large 8 MP or 12 MP camera comprising numerous high class functions like auto focus, dual LED flash, high resolution picture or video recording etc. One of the handset under this category is nokia N86. This handset supports Quad band GSM and dual band 3G HSDPA technologies. The key elements of this gadget are 16 million colors AMOLED display screen sizing inches, Class 32 GPRS and EGPRS functions, Symbian Operating system, ring tones(Polyphonic and MP3), 434 MHz. Processor, digital compass etc. The 1200 mAh battery included in the widget has the standby time of 312 hours and talk time of 378 minutes under any GSM network.

Music phone: The music phone carries advanced https://www.kuendigung.services/ multimedia players (both audio and video) supportive of numerous music formats ie., MP3, AAC, AAC+, WMV, MP4, WMA, H.263, H.264 etc. Apart from these functions, this category handsets also carries advanced FM radio capable of producing stereo outputs. Some music phone also entails the FM recording function. The latest smart phone under this category is LG KS660. The widget carries advanced features like class 12 GPRS and EDGE Internet applications with added on buttons like Blue tooth and USB 2.0.

However, the definitions of Best mobile phone is not corroborated with the views of handset users. Some people prefers the camera functions more than the other applications like Internet and touch screen like that of iPods. While many individuals wants longer battery backup for satisfying their long music thirsts with the handsets. While professionals, who frequently require the downloading or uploading of files for their work likes the advanced Internet tools in the widget. The average handset users always prefers cheaper handsets with average tools like SMS, phone book, call records & ordinary battery etc. Some people prefers computer based functions on the widgets like Windows, Symbian and Android operating systems, Pocket office viewer, Opera, Internet explorer web browsers etc.

Post Partum Depression: How to Beat the Baby Blues With Omega-3 Supplements

Even the greatest altruistic bond has its limits. Though medical science has taken great strides towards eliminating maternal mortality, the battle is far from over. To this day, countless mothers are still reeling over the physiological effects of pregnancy, in the form of post-partum depression. Frequently misconstrued as an extended mood swing from the hormonal changes during pregnancy, this disorder can linger on for years, in a surreptitious yet devastating manner.

Contrary to popular misconception, the true underlying cause of post-partum depression has got very little to do with psychological factors such as mental exhaustion. The oft-cited “scientific explanations”, i.e. vitamin deficiency or hormonal changes during gestation, don’t hold up under scrutiny either. The blunt fact is conventional medicine hasn’t had enough time and resources to really look into the phenomenon, for one starkly pragmatic reason: for much of the 20th century it was too busy combating infant and maternal mortality to really look after the women after they’ve left the ward.

Happily, there are now shards of evidence from disparate disciplines that might just hold the clue to this depressing enigma. On one hand, quite a few independent studies have established a firm association between low levels of essential fatty acids in the brain and symptoms of anxiety, depression and schizophrenia. On the other, nutritionists (and the European Union to boot) have long championed a DHA dietary supplement for all pregnant women. The acronym stands for one of three forms of omega-3 fatty acid, and is particularly indispensable to humans’ during neurological development.

Of course, there is still a lot of room for debate with regards to the https://www.madampartum.com/ actual role of DHA in our brain activity: the difference between symptom and cause is seldom as clear-cut as we would like it to be, just as inflammation might simultaneously be a symptom of some underlying malady, as well as causing other ailments in its own right.

For now, we can only demonstrate DHA depletion in mothers afflicted with PPD. Symptoms vary widely, to such an extent that its clinical diagnostic criteria in the DSM has been called in to question. Common physiological complaints include fatigue, sleep deprivation (as every mother can attest), and appetite changes. From an emotional perspective, symptoms include chronic sadness, interminable crying, anxiety attacks, and irritability.

While every mother would recognise quite a handful of these syndromes, it would be utterly reckless to dismiss PPD on this sole basis. Precisely because pregnancy is such a private and intimate experience, many mothers hold their deathly peace even as they are overwhelmed by the experience.

The safest course of action for an expecting or breast-feeding mother is quite

Rebuilding the Tower of Babel – A CEO’s Perspective on Health Information Exchanges

The United States is facing the largest shortage of healthcare practitioners in our country’s history which is compounded by an ever increasing geriatric population. In 2005 there existed one geriatrician for every 5,000 US residents over 65 and only nine of the 145 medical schools trained geriatricians. By 2020 the industry is estimated to be short 200,000 physicians and over a million nurses. Never, in the history of US healthcare, has so much been demanded with so few personnel. Because of this shortage combined with the geriatric population increase, the medical community has to find a way to provide timely, accurate information to those who need it in a uniform fashion. Imagine if flight controllers spoke the native language of their country instead of the current international flight language, English. This example reiki master captures the urgency and critical nature of our need for standardized communication in healthcare. A healthy information exchange can help improve safety, reduce length of hospital stays, cut down on medication errors, reduce redundancies in lab testing or procedures and make the health system faster, leaner and more productive. The aging US population along with those impacted by chronic disease like diabetes, cardiovascular disease and asthma will need to see more specialists who will have to find a way to communicate with primary care providers effectively and efficiently.

This efficiency can only be attained by standardizing the manner in which the communication takes place. Healthbridge, a Cincinnati based HIE and one of the largest community based networks, was able to reduce their potential disease outbreaks from 5 to 8 days down to 48 hours with a regional health information exchange. Regarding standardization, one author noted, “Interoperability without standards is like language without grammar. In both cases communication can be achieved but the process is cumbersome and often ineffective.”

United States retailers transitioned over twenty years ago in order to automate inventory, sales, accounting controls which all improve efficiency and effectiveness. While uncomfortable to think of patients as inventory, perhaps this has been part of the reason for the lack of transition in the primary care setting to automation of patient records and data. Imagine a Mom & Pop hardware store on any square in mid America packed with inventory on shelves, ordering duplicate widgets based on lack of information regarding current inventory. Visualize any Home Depot or Lowes and you get a glimpse of how automation has changed the retail sector in terms of scalability and efficiency. Perhaps the “art of medicine” is a barrier to more productive, efficient and smarter medicine. Standards in information exchange have existed since 1989, but recent interfaces have evolved more rapidly thanks to increases in standardization of regional and state health information exchanges.