Understand Poker by Learning Poker Online

Many people who play poker are hooked to this card game. This game provides fun and challenge for every player. This leaves a thrilling experience especially when the stakes are high. If you do not know what this game is about and want to play, learning poker online is also an effective process.

Poker for Beginners

Poker is a card game that involves betting and individual plays. The winner is determined according to rank and combination of the cards. Some cards remain hidden until the end of the game. Poker games also differ based on the number of cards dealt with, number of shared cards, and the number of cards remain hidden. The betting procedures also vary among different poker games and tournaments.

Many card players consider poker as the richest card game that also initiates heated discussions. This is why this form of gambling is popular worldwide. Everyone can learn how to play this game. It only takes skill, attention to details, and concentration to start winning poker games.

The Essentials of the Game

You must understand the basic rules of the game before playing. Magazines, publications, and other reading materials also provide brief lessons for playing poker.

You can start thinking of card strategies once you understand the game more. This can give you an advantage over your opponents.

Try playing with your friends before entering poker tournaments. Try learning poker online as this is similar to the real card game. Many websites today can help you improve your skills without betting real money. Play against opponents throughout the world, or with your friends connected to a single network.

One of the most important things online games can teach you is figuring out the best hands you should play and which ones you should fold. You can learn quick tips such as calling a bluff, and determining if your opponent is faking it.

Playing Online Poker Games

Improve your poker abilities by playing online games. You can choose to play in online rooms, or tournaments where you do not have to pay to enter. You can always play for cash, but this is not advisable if you are just starting to learn. There are many good players on the internet today. The chances of losing a lot of money are high when you do not have enough skills.

Be aware of the kind of website you are looking at. Regardless of how skilled you are, choosing the wrong site may not improve your playing. Online poker sites that involve money betting require credit card information. Check if the site is secure. Your personal information is at risk so choose the right website for safe play.

The best way to learn how to play poker is by trial and error. While it may be good to read materials that have a lot of information about poker, the best way to improve your game is to actually go out there and start playing it.

3 Tips For a Budget Holiday Road Trip

Looking for budget travel plans for your next long weekend holiday? A road trip might be your best shot!

1. Rented cars is the most economical solution for road trips.

Car rental companies normally offer a variety of ‘holiday car rental’ packages for holiday travelers to select from. These packages have to be affordable for travelers who are on budget and also wants to have a free & easy driving holiday.

Holiday car rental has been appealing to seasoned travelers and lately has attracted younger travelers that want to explore places that are less travelled. Competitive holiday car rental rates help travelers to save money and enable them to go to places less-travelled where ordinary holiday travelers are unable to explore.

With the advent of intra-Asia travel, holiday car rental will continue to grow as it offers the benefit of leisure travel at individual pace. As a result, many rental companies are aggressively marketing their holiday car rental program to meet the discerning needs of travelers. Several rental companies have seen double digit growth and demand continue to increase for this segment of the business.

2. Plan your route wisely. Use Google Map or GPS Navigation.

A traditional way of planning your driving route is to purchase a printed map from a bookstore. Today, it is a lot more convenient to just route your journey on Google Map, then just print out the map with specific driving directions. But for the adventurous travelers, a GPS navigation system is their best choice. And more than often, a GPS Navigator is included in your rented car for just a little extra money.

3. Travel packages for overnight trips – Low cost and safety.

If you are planning an overnight stay, then you should check with your rental company for any travel packages available. Many do offer competitive travel packages to attract budget holiday travelers. Working closely with travel agencies, they are able to offer special rates on hotels, motels and inns, which sometimes also provide occupants with complimentary breakfast.

It is also usually safer to go with the hotels, motels or inns associated with your rental company. Their relationships with your rental company should indicate that they meet a certain quality standard and are more trustworthy.

Cheap Car Insurance and Car Safety – Drink-Driving

The dangers of drink-driving, sometimes referred to as dui or dwi, have become much more obvious in recent times, as well as being socially unacceptable, have become a major concern for motorists and safety campaigners and taken much more seriously by lawmakers and law enforcers.

The seriousness with which courts regard any form of drink-driving is reflected in the severity of potential sentences and the consequences that any form of drink-driving may have on the motorist, passengers and anyone potentially involved in any accident.

The practical side of being caught and convicted to any type of drink driving can result in any or all of the following consequences. There is certainly a likelihood or possibility of being sent to jail. This may be a relatively short time and act, or be meant to act, as a real deterrent to doing it again in the future.

This is normally the case if there is no one else involved and has been no real damage done to any third party. The jail sentence will normally reflect an intent to send a message to the person involved. If the drink-driving has resulted in an accident or damages of a serious nature either to an individual or their property or loss of life, then the jail term may be significantly longer.

If the driver involved has already been convicted of a drink-driving offence in the past, then the courts will take an even harsher view and significantly increase, or the likelihood is they will significantly increase the jail term involved. The motorist involved will almost certainly lose the use of their licence for a significant period of time, quite often up to several years. This has a major impact on their lives, and the lives of their family and people who may be dependent on them having a car.

There is likely to be a significant fine as well, the amount will be dependent on the age of the driver as well as any damage that the driver may have caused. This fine will not be covered under the motorists car insurance policy and will need to be paid by them themselves out of their own pocket. In addition, when they do eventually get their licence back their insurance rates will rocket and they will have to pay a substantial loading on their car insurance policy for a long time afterwards.

In addition to the possibility of being sent to prison, there is also a significant chance that the driver will be sent on some type of alcohol safety awareness program. A court may decide to send the driver to Alcoholics Anonymous meetings, and can potentially order a number of psychiatric tests if they feel that the mental state the driver is sufficiently unstable to warrant it.

Drink-driving levels are something that are a bit of an anachronism in that they are set by lawmakers as being a top threshold at which it is deemed safe to drive having drunk a small amount of alcohol. In truth the only safe amount of alcohol is no alcohol. Many people accidentally drink slightly more than they should do and often are not aware that they are over what is a relatively low limit when they decide to drive a car. It is a much safer approach to this issue either not drink at all if you’re driving, or if you do decide to drink either get someone else to drive you or to use a taxi or a minicab.

Also bear in mind that if you are involved in an accident of any sort, whether it is your fault or not if you have an excess level of alcohol in your bloodstream, then the police and authorities will prosecute and can convict you irrespective of who was at fault or to blame for any accident.

Kids Waterproof Splashsuits – The Essential Travel Garment For Your Young Child

Most adults would simply prefer to stay indoors when it is raining. Nobody wants to get soaking wet. However, kids really enjoy playing in the rain and splashing in puddles. They are thrilled when it is necessary to go out in the rain. Of course their parents do not really enjoy dealing with the results. The kids will get soaking wet and dirty from all the water. Choosing the right waterproof clothing for your child can really help prevent your child from getting too wet and catching a chill.

There are a number of different types of kits waterproof clothing available, so you can choose the one that is most suitable for your child. One option that many people don’t think about which is particularly good for very young children is the splashsuit. When it comes to kids waterproof clothing, the splashsuit is the most likely to keep your child dry. This is because it is a one piece outfit that has a hood and straps to go under your child’s feet. Add a pair of rain boots and your child will be covered from head to foot. Young children have difficulty holding an umbrella, and will want to splash in puddles so this is a great solution for them.

Kids waterproof clothing for slightly older kids can be chosen to suit their interests and their behavior. Those who still refuse to stay out of the puddles can wear splashsuits, while those who are better behaved can choose a combination of a raincoat or poncho with a matching umbrella and rain boots. This will keep them mostly dry and let them have a few more options when it comes to the design of their rain gear. Another option is to get separate dungarees and jackets so that they will still be fully covered when they are out in the rain.

Raincoats are available with designs including dinosaurs, bugs, firemen, pirates, sail boats, alligators, ladybugs, bees, frogs, butterflies, flowers, ducks, watermelons, strawberries, fairies, and more. Many of these coats have hoods, so an umbrella is not necessary, although kids tend to like to carry them once they reach a certain age. These are great for preschoolers and those who are just starting school. They will be more likely to actually want to wear their waterproof clothing if it is in a design that they really love.

For those older kids that view kids waterproof clothing with designs as being a bit childish, there is rain gear available in solid colors, or combinations of solid colors, such as red and gray or blue and gray, that look a bit more adult and might appeal to older kids a bit more.

Some of the options that are currently available for kids waterproof clothing are made so that they are easily packable for when you want to go on a trip, or just to have available in your bag should it start to rain unexpectedly. Some brands now manufacture very lightweight packable splashsuits and jackets which are ideal for taking on holiday as they take up so little room in the suitcase.

Get Ready Now: Tips For A Stress Free Holiday Season!

Planning

1.) Write — Sit down at the table with a blank notebook and do what I call a Time Out where you write down everything associated with your holiday traditions. Write all of the tasks, to-do’s and commitments you can think of and include things you are responsible for as well as what you take part in. Do you always travel? Are you hosting meals and house-guests? Do you set up or participate in a gift exchange? Annual parties and events? People you always buy gifts for?

2.) Sort & Prioritize– Take your Time Out and sort it into a task list, an events list and a gift list. Hosting Thanksgiving dinner is an event, meal planning, grocery shopping and delegating who brings what, are tasks. Shopping for gifts goes on the task list, what you buy for whom goes on the gift list. You may choose to create more lists to further breakdown tasks or events that you are in charge of. In addition to the gifts your family exchanges, the gift list should include: hostess gifts, teacher gifts, holiday tipping, office gifts, Secret Santa and the like. Having these lists will help you prioritize and you should make a note of the must-do, non-negotiables (visiting grandma) and the things you might be able to skip to save your sanity (decorating 12 dozen cookies by hand).

3.) Schedule — Assign the events and tasks to your calendar. Notate all the travel, arrivals and departures of guests, the annual food drive and neighborhood caroling. If you are unsure of dates, put a question mark next to them and add a note to your task list to call people to clarify. This part helps other people make decisions and put plans in motion. Mark time and dates ahead of events for tasks, chores and errands so nothing sneaks up on you. Feeling frantic feels terrible; being prepared feels great! Decide when you have time to bake, write cards and shop online and schedule those tasks too.

Act Now! Looking at your lists and calendar, what can you do now to save time, energy and stress later on? Here are some ideas:

1.) Cooking — Plan your meals, choose your recipes and make your lists.

• Do you make the same Thanksgiving dinner every year? Make your grocery list and start stocking up on the non-perishables. Place orders for the turkey, pies and linen rental. Mark your calendar with dates to call and confirm as well as the pick up or delivery dates. Delegate side dishes to your guests now and don’t be afraid to be specific!
• Plan your recipes for holiday cookies and appetizers for parties and make your grocery lists. Can you make dough or sauces ahead and freeze? Double a recipe and bring the same item to multiple parties. This saves time and money by streamlining effort and ingredients. People will only remember your contribution and the fabulous flavor!

2.) Traveling — Plan your trip.

• Book your airline tickets, car rental and hotel reservations now! Prices are only going to go up as the holidays near.
• Set up your transportation to and from the airport. Arrange home and pet care while you’re gone. Again, set up dates to confirm in your calendar.
• Make lists for what to pack and get all the cold weather gear out of storage, cleaned and ready to go.

3.) Guests coming to you — Get ready for your guests and help them get ready for their travel.

• Make sure their travel is booked. Do you need to arrange lodging or are they staying with you?
• Make sure your home is house-guest ready and check your linens, towels and spare toiletries. What items do you need to buy to make their stay more comfortable?
• Plan events, activities and transportation now, purchasing tickets and making reservations when necessary.

4.) Minimize future errands — Stock up now on items you always need. Remember, being prepared feels great!

• Make shopping lists from your tasks list for the holidays and the normal things you shop for. This step will save you trips to places like the drugstore.
• These items might include your everyday toiletries, paper goods, wrapping paper, cases of wine, water and other beverages.
• Create a space in the closet, garage or even under the bed for all these extras so your home doesn’t get overwhelmed.
• Make a note of what you bought and where you put it!

5.) Holiday cards, newsletters and photos — Start now! Having these time-consuming tasks out of the way will allow you to breathe easier.

• Make your list, purchase your supplies, including postage and put a bag or box together with everything you need including pens and your address book (if you still use one) so you can have it at the ready, but put it away when you’re done.

• Do a few at a time so the task isn’t overwhelming and they’re ready to send on the date you’ve chosen.

• If you order pre-printed cards, do that now too.

• Newsletters are fun to send and keep people updated on your goings on so make an outline of what you’d like to include and start writing!

• If your card includes or consists of a photo, choose one now or set up your photo session ASAP.

6.) Gifts — As an organizer, I love to give people consumables: food, beverages, gift cards and charitable donations. You can buy many of these now and they will save you so much time and energy. Feel free to personalize, but it’s a real time saver to streamline and give everyone, or group of people, the same thing.

• Give all the teachers gift certificates where they can treat themselves to an indulgence, like a pedicure, shopping or restaurants.
• Make charitable donations for hostess gifts — a few favorites are the Heifer Foundation and Charity Checks which allows people to choose where their donation goes.
• The office or neighborhood can pool together and instead of individual gift giving, Adopt A Family, volunteer at or make donations to a local charity or animal shelter.
• If you give monetary gifts to people such as your hairstylist or garbage collector, visit the bank as you can afford to, write the accompanying notes and store the envelopes in a safe place.

7.) Dressing Up — Plan your party outfits now so you’re not scrambling through the mall on the day of the event.

• Comb your (hopefully organized!) closet and find what fits, is occasion appropriate and what you can reinvent?
• If you need to shop, consider basics and/or separates that you can change up with accessories and can be worn year-round. Or maybe you only need a few sparkly accessories to spruce up your favorite frock.
• If you have children, make sure their clothes fit too and that everything is clean and ready to go.
• Taking family photos? Do you need or coordinate what you’re wearing? Plan and shop now.

8.) Decorating — Where are the ornaments? Do I still like everything I have? How is it stored?

• When you take out your decorations, use only what you love or what has meaning and part with the rest. Sometimes we continue to use the decorations we have, even if we no longer like them, out of habit or because you only look at it for 30 days or so.

• Before you put anything away, make sure you have proper storage to protect your treasured ornaments, wreaths and lights. Plastic bins keep the critters and dust out and everything organized inside. Check out The Container Store for their fabulous and helpful products. Don’t forget to label everything!

I hope these tips help you to plan and get ahead for the holidays so you can enjoy this wonderful time with your family and friends!

Electric Cigarettes (cigarros electronicos)? An initial Line Reaction to Giving up Smoking

Electric cigarettes(cigarros electronicos) really are a first line reaction to giving up the demon tobacco weed and preventing the consumption of poisonous chemicals and pesticides that are by items from burning tobacco in cigarette(cigarette), pipes and cigars.

Electric cigarette(cigarro electronico) are determined by nicotine being breathed in in the small atomizer included in the electric cigarettes(elektronines cigaretes) however that’s in which the resemblance finishes when evaluating electric cigarettes(elektroniskas cigaretes) to regular tobacco filled cigarettes.

Preventing the deadly practice of smoking cigarette or tobacco items do not need to function as the agony it’s been for decades of people who smoke previously electric cigarettes(elektroniske cigaretter) enable people who smoke to create the difficult and somewhat harrowing transition from smoking regular tobacco items and also the debilitating unwanted effects and withdrawal signs and symptoms to some creation that brings about all of the pleasures of smoking with no Uncategorized dangers.

Traditional tobacco items are statistically accountable for over 400,000 deaths in the usa each year and never surprising really once the content of tobacco is analysed and also the results show some 5,000 chemicals and compounds are contained therein, including numerous chemicals for example arsenic, chemicals, ammonia & benzopyrene simply to title a couple of.

Electronic cigarettes(sigarette elettroniche) really are a socially acceptable option to smoking regular tobacco items because there’s no smoke produced therefore there’s no smoke smell hanging in mid-air, neither are non people who smoke around the immediate vicinity contaminated using the foul smell and acrid burning sensation to them, nor it is possible to danger from what’s generally known to as ?passive smoking.
Overall, electronic cigarettes(cigarette) really are a safe option to regular tobacco items in just as much that no deadly chemicals or compounds are made available to your body.

Electronic cigarettes(sigaretta elettronica) work by vaporizing a tiny bit of liquid nicotine which provides the enjoyable feeling acquired from smoking, but no hideous unwanted effects connected with smoking real tobacco items for example stained teeth, foul-smelling breath, emphysema, cancer from the lung area, throat and mouth and also at worst, a lengthy and agonized slow dying.

E-cigarette have numerous, several benefits for private wellness and health, but additionally they provide an excellent wealth advantage too.

The Government does not tax them out of the box the situation with real tobacco items, plus they are cheaper professional rata without ?no tax? benefit.

To learn more and also to discover which non tobacco electronic cigarettes (cigarro)or electric cigarettes is worth considering and also to break the deadly habit a person can have, start smelling more gratifying and restore your wellbeing.

Planning and Design of Behavioral Healthcare Facilities

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

Right-sizing

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.

“Our a
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.

Positive Distractions

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.

What Is Involved When You Have Laser Therapy For Mole Removal?

If you have been undesirably blessed with a mole on an embarrassing part of your body or have developed moles during your formative years then you might want to get rid of them in a safe manner. If you have unsuccessfully tried various home remedies, Uncategorized treatments, and over-the-counter products, and are apprehensive about traditional surgery to remove your mole or moles then you should definitely explore the laser therapy mole removal option.

You could be afflicted with moles that might belong to different categories such as sebaceous moles, junctional moles, decimal moles, compound moles, or blue moles, that each has different characteristics and sizes. Unlike traditional surgery that might uproot the mole in one single sitting, laser therapy requires several sessions that slowly destroy each layer of the mole with a precisely guided CO2 or Erbiumyag laser beam.

You might require local anesthesia over the mole and its surrounding area during treatment to eliminate any pain, which anyway is minimal. The laser beam basically cauterizes each layer and this ensures hardly any bleeding at all. This ensures that no stitches are required after laser therapy mole removal. However, laser therapy has proved to be more successful on flat or raised moles that do not have very deep roots since moles tend to bounce back with added aggression and size if they are not eliminated completely from the roots.

You should make it a point to visit a trusted dermatologist that can examine your moles and suggest appropriate treatment. Laser therapy requires a few sessions based on the size and depth of your moles. This form of treatment is also quite costly as compared to creams or traditional surgery, but if successful hardly leaves behind any scars. Once the treatment is completed then you will observe the formation of scabs over your moles that will usually fall off within a week. There is also a risk that another mole might replace the existing one if the roots of that mole have not been completely destroyed by the laser.

If you do opt for laser therapy mole removal treatment then you might also need to pay the bills from your own pocket since most insurance companies do not pay for such cosmetic treatments. You will also need to undertake regular checkups once your treatment is complete so as to observe if any new mole is trying to emerge in place of the old one. In case you have a history of skin pigmentation or vitilago then you might need to undergo skin tests before starting the treatment. Laser treatments involve the use of low and high intensity laser beams to slowly destroy the mole while ensuring minimal damage to surrounding tissues. You might require up to 3 sessions before a mole is fully destroyed by the laser.

If you have tried all types of mole removal treatments including using homemade concoctions, products made from Uncategorized ingredients or over-the-counter creams that usually involve acidic chemicals, and are also afraid to go under the knife then you still have one option left. You could opt for laser therapy mole removal treatment that is painless and usually leaves behind no scars. Although this form of treatment is quite costly, it will usually reward you with freedom from moles and a clear skin that bears no scars.

Internet Marketing and Advertisement

Internet marketing and advertisement, it will be well worth your while to look closely at this article and to get informed up-to-the minute industry internet marketing standards, tools and techniques for advertisement, those tools and techniques that are aimed at producing marketers who will be empowered with the skills and knowledge required in today’s competitive global market place.

Internet Marketing is combination of both paid and un-paid marketing, which is also called organic (un-paid) and in-organic (paid) methods of marketing. The technique which is used to market the website or product without paying i.e. the un-paid technique of marketing is Search Engine Optimization. However Search Engine optimization will not be discussed here. The other technique of marketing is paid advertisement and paid internet marketing that will be my core topic here.

The world’s top three search engines Google, Yahoo, MSN (Bing) provide the powerful tools and techniques for the paid advertisement and internet marketing on the search engines. The reason of why these search engines provide the tools is, according to the facts and figures of 2008-09 the 70-80% of the traffic comes through search engines and Google has the largest share in this percentage. That’s why Google AdWords is one of the mostly used and powerful tools in paid internet marketing and advertisement.

Before telling you in detail about Google AdWords, let me tell you the basic difference between the paid and un-paid internet marketing. If the website is at the top of the Google 1st page at the left side followed by other web sites, then it is through the un-paid techniques of internet marketing and is called the organic results. Now if you see at the right side of the Google page, there would be some ads with the heading on the top called sponsored ads, this is paid internet marketing. It would take time to get on the top of organic results in the Google through Search Engine Optimization, but you can be in the top of sponsored results in Google within ten minutes right after creating and managing you account in Google AdWords.

Here I am going to describe you the details and ways of internet marketing through Google AdWords.

Adwords, as I have told you, is Google’s advertising product, which displays your advertisement in the form of ads to people looking for your products or services on Google, in other words pay-per-click advertising model of Google. It allows you to display ads which directly link to your website or product when searches are made for your chosen keywords. These ads are located to the right of the results which Google gives you for a search and they’re also displayed on Google’s many partner sites which include AOL, HowStuffWorks and blogger.

After creating your AdWords ad, you choose keywords for which your ad will appear on Google and specify the maximum amount you’re willing to pay for each click. Remember Google’s AdWords program uses a PPC model it means you only pay when someone actually clicks on your ad and hence visits your website.

There are varieties of ad formats in AdWords, You can choose from those ad formats, including text, image, and easily track your ad performance using the reports available in your account. AdWords accounts also include graphs and performance data so you can track what’s working and edit your ads accordingly.
Life Cycle of Paid Advertising or PPC. Let’s take a quick look at how this works and analyze what is going on in PPC Advertising.

Your potential web visitor/client goes to Google, Yahoo, MSN or an affiliate site and types in a keyword phrase, for example “Swim Shoes”. Your ad appears alongside the results. Web visitor/client read your ad and click. Web visitor/client visit your site. Web visitor/client finds what they want and pick up the phone, fax, and order something online or through email.

The goal of all PPC advertising is obviously to drive more and more customers to a website, so you should try to think from customer’s perspective. Ask yourself what words a potential customer would type into the search engines. For example, let’s say company A is shoe maker and sell swim shoes. If I were a customer, what words would I type into Google, Yahoo or MSN to find this company?
Similarly, there are many other questions that must be in your mind along with the answers in order to run a successful advertising and marketing, like:

-What are the core products and services that you sell or offer?
-How do you distinguish your products and services from your competitors?
-What marketing material do you have addressing your products and services?
-How do customers usually find out about your business and Keywords that a customer would use to come to your website?

Remember! Spend significant amount of time on these questions to get answers. Now! Come to the task or activities after the advertising. With Google AdWords, it’s all about results. It’s important to analyze what you want to gain from your advertising and marketing and then plan how you’re going to measure that success. There are several key factors you’ll want to monitor to evaluate how well your advertisement is performing. Like:

-Are your ads running properly on the internet?
-Are you making a profit from your advertisement?
-Are you meeting your goals that you have defined before starting the advertisement?

Basic Horse Riding Tips for Beginners

Horse riding is good fun, and a very healthy sport for all ages to take part in, but it should always be kept in mind that riding can be a dangerous activity. So with this in mind I have written these few tips on safety and horsemanship to help you enjoy your sport.

If you are new to riding then you should definitely take some lessons from a good qualified instructor first. Your instructor will teach you all the basics about horse riding and will advise you on all the relevant safety measures that you should take when around horses.

Although this is very basic information you should still follow these rules at all times. Never ever walk around behind a horse. When a horse can hear something behind it and can only barely see some movement, out of fear many horses will kick out, it should be remembered that a kick from a horse can cause serious injury and may even prove fatal!!

Next, wear a suitable riding hat or helmet, there is no fun in landing on your head when you have been thrown or fallen from a horse. Also you should wear appropriate foot ware, riding boots if possible these will help you to keep your feet in their stirrups.

Riding solo is not to be recommended, if you fell and were injured you could be in serious trouble before you were found. Even if you are an experienced rider on a calm intelligent animal and were going into the forest to ride alone you should still tell someone what route you are taking and when you expect to return.

How you handle the reins is crucial to controlling your horse and keeping good balance. Keep your hands low just above the front of the saddle this will help to keep your centre of gravity low and help you to be stable in the saddle.

Now if you have a healthy well adjusted animal to ride, within reason there are few boundaries on what you and your horse can do. Whether you wish to walk, trot, canter or gallop the only barrier is the skill of the rider.

The most important safety skill of riding is being able to stop your horse where and whenever you want. If you have maintained the correct hand position and grip on the reins while riding it should be relatively easy to stop your horse, just pulling your hands back firmly will pull the horse’s head down and bring him to a halt.

Directing a horse is also easy if they are given the proper signals. If you wish to turn to the right just pull back on the right reins and apply pressure to the horses belly with your right boot, and for turning left do exactly the same with the left reins and boot.