Budget Your Total Bathroom Remodel

Like any responsible homeowner or renter, you plan to budget for your upcoming bathroom remodeling project. But finding the dough to accessorize like a celebrity may prove more than challenging. Whether you’re looking to install high-tech toilets, new faucets and showerheads or simply to afford new rugs, follow these penny-pinching tips; you’ll be on your way to a new total bathroom makeover without cutting back on your family’s food or selling your assets.

Plan in Advance

No matter what size remodeling project you plan to undertake, you can never plan too far in advance. The larger the project, the more long term you should think. But before you either sell you’re car or begin purchasing new bathroom accessories or fixtures, write down your plan. Create a mock blueprint of your ideal bathroom, complete with what fixtures you need or want to replace, as well as the aspects you can repurpose and refurbish for free. Now, conduct simple market research online and estimate the average price for the new features you wish to include in your makeover project. For standard durable pieces, look for trusted brands such as Kohler, Price Pfister and American Standard.

A good rule to follow should be based upon how long you intend to stay in your home. If you’re simply looking at a quick fix and sell home, then opt for simple improvements. If your family will be staying for decades, you may want to consider comfort and ease first, and then think of what will increase the value of the home over time.

Additional costs are accrued when you pay for the labor. So no matter how big or small you plan to remodel, also factor in how much – or how little – the cost of labor will be.

Evaluate the Spending

With your estimated expenses in hand, examine your current weekly and monthly spending habits. Are there any areas where you can afford to trim down? A few dollars here and there spent on gourmet coffee, fast food restaurants and even those extra cents tacked onto gasoline prices paid with debit or credit cards can really add up quickly. Budget-friendly ideas include carpooling, consolidating all errands into one day to eliminate expensive fuel costs as well as opting for stay-at-home dinners which tend to be cheaper and healthier.

Stick to the Plan

If you’ve decided to trade in your Chinese take-out Tuesdays and quick trips to the post office for a home cooked meal and a walk to the local stores, then stick to it. And it will be tough to stick to this plan, but be prepared. It’s easy to find excuses (it’s too cold outside to walk); writing down specific tasks on your calendar will help keep you focused on your goal: remodeling your new bathroom. Also, seeing tasks written in permanent ink will help guilt-trip you into behaving, especially if you’ve slipped once or twice.

Small Budget Makeovers

With the rocky economy and unstable job market, many families simply cannot afford a total bathroom makeover as they’ve dreamed. However, a few small and inexpensive changes can transform your bathroom. Often, just a simple accent wall in a dark, rich paint can change the feel of a bathroom instantly-while only a fraction of the cost of totally repainting your entire bathroom. Check out local yard sales and online listings for freebies and discount giveaways; a wicker basket or antique bedside table can double as an artistic and decorative toilet paper holder.

Total Redesign

Transforming your entire bathroom will require a hefty budget, especially if you’re reinstalling valves, bath tubs and cabinetry (which will most likely require the assistance of a professional). Splurge on the luxury model toilets with heated seats, heated tile floors to keep your toes toasty or the automated sink faucets that eliminate wasted water. Over time, you’ll see more money in your pocket, since these luxury upgrades will most likely replace your frequent trips to day spas.

Commercial Real Estate – Sales Success on Step at a Time

In commercial real estate agency, we tend to look at the end result of the sale or the lease with perhaps too much focus. There is a lot of work to be done as real estate agents before we get to the end result. The more effective we are with the stages leading through the sale, the easier the end result is to achieve.

To create more opportunity for yourself as a real estate agent, it is best to consider and refine at your actions one step at a time. Thinking and planning each step is a good way to go.

The real estate business is really quite simple. It does however require total dedication to the separate stages of the process in order to become the market leader. Consider these stages:

  1. A prospecting model that you use every day to generate new business opportunity with qualified prospects.
  2. Meeting lots of local people who could potentially have an interest in commercial real estate in selling, renting, occupying or owning.
  3. A presentation process that hits the mark every time with the people that you have qualified in and around the local area. Include facts about the local market and its prices, results, competition, time on market, and property solutions available.
  4. A listing model that identifies the right target market that the marketing campaign can be built around with great effect. If you do not know your target market you cannot sell or lease the property in a timely way.
  5. A marketing model that is reliable and direct to attract enquiry for the property quickly and effectively. Every property is unique so the marketing should also be specially designed for the property.
  6. An inspection process that is designed to the property and picks up the key features of the property for the buyers or tenants as the case may be. To do this you have to know the property well.
  7. A negotiation system that gets qualified prospects onto paper so you have something to negotiate with. Verbal offers are difficult to negotiate because you really have nothing to work with. Get the offer on paper before you do anything with it.
  8. Enforceable legal documentation for the deal should be accurately and quickly drawn up for the parties concerned. Slow documentation creation or completion will kill a deal faster than anything else.
  9. When the deal is signed up, it is never really finished; on that basis is pays to stay with the deal to the very end. Hurdles and obstacles will develop as you move through the time between documentation and settlement.

When you work in commercial real estate it is the levels and stages above that will bring the results for the salesperson. Refine and specialize your actions and processes in each of the stages. On that basis you will get more of the right results coming through.

Bad Credit Fast Payday Loan – Small Duration Cash Loans For Bad Credit Holders

We are frequently exposed to situation when we need urgent cash for medical purposes, paying bills or some other unplanned expenditure. It may not support the pocket at present but if you are lent money you are sure that you can pay off the debt later. However, people having bad credit consider them to be unlucky and think there is nothing for them in loan market. However, present market which is highly competitive provides them with option of bad credit fast payday loan. As the very name suggests these loans are approved and deposited within no time in your account and to add to it, bad credit fast payday loan can be obtained even if you have poor credit rating.

Bad credit fast payday loan: procedure

Process of applying for bad credit fast payday loan is simple. You can fill up the online form giving details regarding your income, address, credit score and other details. Lenders will process your application and once approved money is deposited into your checking account within 24 hours. To be eligible for bad credit fast payday loan you must be 18 years or above, having a full time job and an income not below £1000, you need to be a citizen of UK residing at your present address for at least a year. Also you will be required to have an active checking account.

Bad credit fast payday loan: amount and interest

Amount that you can obtain will depend on your income and your ability to pay back. You can be lent an amount up to £15000. Your credit score is not a denial factor but will certainly be a deciding factor on what amount you can be lent. Once, you pay back in time you will be improving your credit score and will be eligible for amount when you apply for bad credit fast payday loan next time. Lenders charge a fixed fee instead of interest. You should make sure that you are not overcharged on the name of payday loan.

Bad credit fast payday loan is a short term loan which needs to be paid back within a week or two. You can defer payment day by paying some fine and interest for that duration. In general repayment day is coincided with your payday.

Bad credit fast payday loan gives you the money when you need them most and above all you get money even if you have poor credit score.

AED – Automatic External Defibrillator

How many chances do you have in your life to save another?

Purchasing an AED (automatic external defibrillator) may seem as simple as purchasing a copier machine, but the choices you make today, may be instrumental in more than just reducing your insurance policy-it may actually save a life.

Just a few short years ago, the very concept of a average person using a defibrillator on a person in cardiac arrest may have resembled a comedy movie. Fortunately today, the advancement of technology has transformed science fiction into everyday convenience. The modern Automatic External Defibrillator is safe to use, simple to operate and portable enough to go anywhere.

With rapid advancement of technology comes explosive opportunities for the marketplace. Entire companies now focus on the manufacturing and sales of this important, life-saving device. With a wide variety of choices, colors, models and prices the uninitiated buyer will most definitely be confused.

Here are the 7 key things you should insist upon when purchasing an Automatic External Defib.


Variety of models. A “one size fits all” isn’t a good strategy. You may only have a single need, but a distributor with a variety of options will be able to custom fit the right device with your organizational needs.

Other medical equipment. On the surface it seems that a company that specializes in AED units would be the logical choice. However, by working with a company that has other medical equipment available, you’ll be working with a supplier for all your needs. Customization with one-stop shopping!

24/7 Support. While shopping may be a daytime activity, your lifestyle may not. Be sure to work with a company that has 24/7 support either by phone or online where you can get your order fulfilled, product tracked and questions answered.


Charging of the unit. What is the shelf life of the unit? How long can it last without be charged? What is the expiration date of the unit?

Accessories. Does the product come with pads compatible for children? Is it wall mounted on in a kiosk? Does the unit come with signage for the unit? Is a storage container included?

Training. Is the unit easy to use. Does it come with English only instructions or can a non-English speaking user easily operate the device? Does it come with a DVD or manual for the owner? Are appropriate compliance documents included?

The value you seek in purchasing a life-saving device must be clearly defined. Getting a good price doesn’t mean the lowest price. There will be more than one good choice of an AED for your organization, but selecting the best one will require you to eliminate those options which don’t fit your needs and working with a company that thinks and acts like you. By purchasing your AED from a supplier with a variety of models, options and prices, you’ll now only be confident you’ve made the right choice for you, but you’ll know that the value you received is 2nd to none. Be wary of discounts in parachutes, insurance and defibrillator’s. The life you save, could be your own.

Home ElectronicsCigarette (cigarrillo electronico) Automated Protection You Need To Know

Electronic cigarette(cigarette electronique) is a safe thing to consider when the(sigaretta elettronica). Electronic cigarettes(cigarros electronicos) are a new and unknown computer, that should be reviewed and understand the use of the (elektronisk cigaret) for personal use. Security (cigarrillos electronicos) to be taken seriously and understood the use of the(elektronischen zigaretten).

Safety begins with the spray electronic cigarette(cigarrillo electronico). The spray is the small part that screws into the pile of electronic cigarettes(sigaretta elettronica) and connect the spray cartridge (elektroniske cigaretter). This sprayer is heated to convert the liquid nicotine cartridge into the water vapor that is inhaled. The electronic cigarette is safe in the knowledge that this warming and can be hot. Never drag a permanent or inhaling the, because this will make(cigarros electronicos) spray to keep warm and eventually melt the toner. You must be a burden when you feel the urge to smoke. The use of the is moderately good security and cartridges will actually last longer.

Another important safety does not hinder the too hard. When you take a drag of your, you should take a slow, deep pull in about 3-5 seconds. If you pull too hard on the cartridge, you can potentially suck some of the nicotine in the mouth. If this happens, the security of(cigarro) correct too quickly, rinse your mouth with water.

Cartridges are available in a wide variety of tastes and strengths of nicotine. For regular, menthol, also the apple and strawberry flavor cartridges and nicotine strengths come in full, a medium, light, and no. While(elektroniskas cigaretes) are technically “alternative to smoking”,rather than smoking cessation device, the range of nicotine strengths offers clear opportunities to support those trying to quit smoking, and seems to be proving to be popular in these markets.

The nice thing about that you say, nicotine patches, that give the same tactile sensation and oral fixation that the desire of smokers, while satisfying the desires of snuff as well. When you take a drag n really feel your lungs fill with smoke flavored snuff warm and the waves of smoke exhaled from your lungs as the regular snuff, however, as mentioned, the smoke is actually a lot more water vapor that evaporates quickly heals and not offend anyone in the vicinity.

Laparoscopic Surgical Instruments

Pacing the Trocar in its correct spot is one of the most crucial procedures of laparoscopic surgery for your medical instrument. Many crucial problems have been reported as a result of incorrect placement of laparoscopic instruments. You need to make positively sure that you are placing the trocar correctly.

Their is so many different types of trocars on the marketplace, some of the most easiest to use are the trocars with the safety mechanisms with robust blades. While basic handling is the same for most trocars, it is important to understand the different functions of the different types.

Laparoscopy approach, When pressing to see if the space can be entered you should view the area through another trocar to be positive that the space can be entered safely. Make sure the patient is free from abdominal wall vessels, darkened the room and view the area under transmitted light. Hold the trocar perpendicular to the abdominal wall. Stretch your finger along the length of the trocar while using your other hand to provide support and prevent accidentally going in to deep. twist and trun the trocar, while maintaining even force until the tip passes through the wall. When using your medical equipment try not to press to hard. Hard pressure may shrink the internal space, increasing the risk of hitting an organ and causing damage. Once the tip is passed through adjust its direction so that it points to an area of open space and press it in further. Locking the safety mechanism will help decrease the risk. However some trocars do not have a lock mechanism safety. You need to be especially careful when inserting this sort of device. A malacar trocar is the best for this operation. It has a self-securing lock you can use during the procedure.

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


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.

Ceramic Headers Are A Sound Performance Choice

The first step is getting more power out of your car is freeing up your system’s exhaust tract. In terms of aftermarket upgrades, this is the path the majority of tuners take. Remember that the internal combustion engine is basically a pump, and the more gases you can flow through cannot but improve performance. When it comes to modifying your exhaust, your choices will be dictated by its intended use. For example, your ride does primary duty as a daily driver. In that case, state laws may limit you to a catback exhaust. Sometimes, the option may be open for you to replace your exhaust pipes and cats too, from the exhaust manifold collector down to the muffler itself.

But for complete freedom in modifying your exhaust, your engine and the rest of your car, it would be best to have a track car registered as such, and you can then replace components to what your budget will allow. One exhaust system component that has been the subject of discussion in recent years is ceramic-coated headers. Ceramic headers offer the dual benefits of lowering engine compartment temperature by keeping the heat metal tubes would otherwise radiate. But by keeping the exhaust heat within the tubes, exhaust gas scavenging is improved. Which is a fancy way of saying that gas flow is increased, thereby benefiting engine performance. Making a blanket prediction on how much performance can be gained with ceramic coatings can be tricky though, because a lot of variables in the rest of the exhaust system have to be taken into account.

Note that so-called ceramic headers are actually steel-pipe headers with a ceramic coating on them. They can be less expensive than stainless steel headers because manufacturers can use mild steel for forming the headers and then coat them with the ceramic material. So, in performance terms, ceramic headers can be better than popular stainless steel headers because of cost and performance factors. Stainless steel though wins in terms of durability but not cost. Aesthetically, gearheads who go for bling will choose the look of stainless.

Bear in mind that as you extract more horsepower from your car’s engine, heat will become a major factor. In this regard, ceramic headers will be a better choice because they will keep underhood temperatures down. They may not look as fancy as stainless steel headers, but if they contribute to a more powerful and reliable engine, what is the better choice?

Internet Marketing Tip – Do You Grade Your Work?

When you were in school, your teacher graded every paper you did. Sometimes you got an A, sometimes your might have failed. Your internet content should be subjected to the same scrutiny, if you want success. Only by giving your content an accurate test and grade, can you determine your next steps. This is one of the basic steps you must learn to succeed.

Not all content and sales pages are created equal. Sometimes it takes only minor changes to give your site dramatic changes in performance. If you’re not testing, you’ll never know the success or failure of your efforts. This is one area most beginning internet marketers fail to implement, and may never know the reason for their failure.

One of the first things you must monitor and test is traffic to your site. You need to know if your efforts in creating backlinks, and spreading content around the internet is working. One of the best tools for accomplishing this task is Google Analytics. You will need a Google account to setup for Analytics. The instructions on Google’s site are very simple, and you should be able to easily add the code to your website.

If you are using a blog, you should be able to install a simple plug-in to activate Google Analytics, and just add your unique account code for this test. With Google Analytics installed, you will be able to get a daily report of changes in traffic, explore where your traffic comes from, and even see what keywords were used while searching. This information is invaluable. When you learn you are getting traffic on a specific phrase, you can optimize for it, and draw in even more traffic.

Google analytics will also allow you to track conversions or actions. By setting up properly you can test if your visitors are following the path you intended, and taking the actions you desire. This makes it very easy to adjust your offers, and then to analyze if the changes are increasing your conversion rates or not.

On free content sites you may not be able to use Analytics. A good example would be EzineArticles. In this case you need to rely on the articles views reported by EzineArticles, and to monitor incoming traffic to your primary site. You’ll be able to see the traffic being generated from EzineArticles and evaluate your effectiveness. You can even drill down and see specifically which articles are sending the traffic to your primary site.

This level of feedback from your traffic generating sites can be very beneficial. You can then test by changing titles, and changing your resource box to see exactly what contributes to higher traffic to your offers.

As you can see, your website, blogs and content all need to be graded just as thoroughly as your teachers did in school. Only by measuring your results can you make adjustments, keep the winners, and quit working on the losers. This internet marketing tip can be the difference between increasing your income every month, or watching your profit wither away. Start testing today, and soon you’ll be a statistics junkie, when you see the power of knowing your real results.