Hotel Derek – Houston, VS #st #johns #hospice

#hotel derek

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Hotel Derek

Dit moderne boetiekhotel ligt op 10 minuten lopen van het grote winkelcentrum Houston Galleria. Het hotel biedt gratis WiFi en uitstekende eetgelegenheid in het eigen restaurant, Revolve Kitchen + Bar. Het NRG Stadium bevindt zich op 7,6 km afstand.

Dit moderne boetiekhotel ligt op 10 minuten lopen van het grote winkelcentrum Houston Galleria. Het hotel biedt gratis WiFi en uitstekende eetgelegenheid in het eigen restaurant, Revolve Kitchen + Bar. Het NRG Stadium bevindt zich op 7,6 km afstand. In het hotel zijn huisdieren toegestaan.

Een flatscreen-tv met kabelzenders is aanwezig op elke kamer van Hotel Derek. De kamers zijn ook voorzien van een minibar en een ruim bureau. Sommige kamers zijn voorzien van een koffiezetapparaat, gratis mineraalwater en een eigen balkon met uitzicht op het centrum van Houston of het Galleria District.

Hotel Derek biedt gasten een ontspannend buitenbad en een 24-uursfitnesscentrum. Het zakelijk centrum is ook 24 uur per dag beschikbaar. U kunt een maaltijd bestellen via de roomservice of van een kopje koffie genieten bij de Starbucks van het hotel. U kunt gebruikmaken van een parkeerservice of uw auto zelf parkeren.

Hotel Derek bevindt zich op 14,5 km van het Minute Maid Park, de thuisbasis van de Houston Astros, en op 12 minuten rijden van het conferentiecentrum George R. Brown. Het hotel heeft een gunstige ligging vlak bij de Interstates 610 en 10, waardoor u gemakkelijk toegang hebt tot de omgeving.

Mis deze kans niet! Vandaag 30 keer gereserveerd

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De beoordelingen zijn persoonlijke ervaringen en meningen van klanten die via de website van Booking.com een reservering hebben gemaakt in dit hotel en na hun verblijf een vragenlijst hebben ingevuld. Dit zijn géén beoordelingen van medewerkers van Booking.com of van gasten die in het hotel hebben verbleven die niet via Booking.com hebben gereserveerd.

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  • Echte gasten • Echte overnachtingen • Echte meningen 103.759.868 geverifieerde reviews
  • We staan voor u klaar 24/7 klantenservice via internet en telefoon, in het Nederlands en 42 andere talen
    Beheer uw reserveringen online U kunt gemakkelijk annuleren. wijzigingen aanbrengen of een verzoek sturen naar de accommodatie
  • Echte gasten • Echte overnachtingen • Echte meningen 103.759.868 geverifieerde reviews
  • We staan voor u klaar 24/7 klantenservice via internet en telefoon, in het Nederlands en 42 andere talen




  • Top 10 CRM Comparison Chart: What s the best CRM solution for


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    Compare CRM

    Comparison made Easy

    Our CRM comparison chart outlines the top 10 CRM solutions on the market today. If you are not sure what the best CRM solution is for your company please contact us at Quality Integrity for a business assessment that will help you determine what CRM solution is the best fit based on your needs. Our CRM comparison is here to help make selecting the best CRM for your business. Below you will see a comparison of the TOP 10 CRM software solutions on the market.

    The CRM Audit planned exactly what we needed to do!
    Insurance A A Inc.

    Having worked with the top CRM solutions for over 25 years here is an unbiased comparison of the best CRM solutions available on the market today.

    The best CRM solution will always differ from client to client. Keep in mind that your organizations needs will be the driving force to selecting a CRM solution. With a proper CRM Audit your company can avoid implementing the wrong CRM solution, save thousands of dollars in lost time and sales and increase your CRM reporting accuracy. Call us if you have any questions regarding our CRM comparison chart or would like to book a demo for any one of the CRM products listed below.

    As a result of Quality Integrity s CRM Audit, we can proudly say that SalesLogix is the solution we were looking for We continue to expand our wish list for SalesLogix and count on Q I being with us every step of the way.
    -University Health System

    Top 10 CRM Comparison Chart

    CRM Software maximizes sales and marketing efforts. Visibility is crucial, Management Report s enables better decisions to be made. Sales Ease improves productivity and the ability of your organize to improve customer responsiveness. The IT departments, Technology Rating indicates the difficulty to maintain uptime and system administration knowledge. Overall Rating and Overall Risk provide a high level overview of the Customer Relationship Management product.

    MS Dynamics scores high for management reports ( 8/10 ) utilizing MS Dynamics Reporting Services and sales ease ( 8/10 ) using MS Dynamics Forecasting and MS Dynamics Sales Pipeline. The technology rating for Microsoft Dynamics is average ( 7/10 ) because configuration can be challenging because of the Microsoft library dependencies. Overall Microsoft Dynamics scores stars with our recommendation of: Most Microsoft CRM consultants and implementers lack experience to make it successful .

    MS Outlook scores high for management reports ( 2/10 ) because of a complete lack of internal reports or an ability to connect to Microsoft Reporting Services. Sales ease ( 9/10 ) because most people are familiar with Microsoft Outlook and know how to use it. The technology rating for Microsoft Dynamics is average ( 7/10 ) because configuration can be challenging because of the Microsoft library dependencies. Overall Microsoft Dynamics scores stars with our recommendation of: Most key sales reporting, forecasting and dashboards are not available in this product .

    Oracle scores high for management reports ( 8/10 ) utilizing Oracle Reporting Services and Oracle Business Intelligence. Sales ease ( 5/10 ) is low because it takes skilled implementers to properly configure and streamline the sales process within Oracle CRM. The technology rating for Oracle CRM is less then average ( 6/10 ) because of the complexity and power of Oracle, configuration is best left to the professionals. Overall Oracle CRM scores stars with our recommendation of: Very long implementation times and sales rep usage hurt this high priced option .

    SAP scores high for management reports ( 9/10 ) are some of the best reporting capabilities possible, especially with native integration with Crystal Reports and Business Intelligence. Sales ease ( 6/10 ) is low because of the steep learning curve and a heavily customizable environment means lower user adoption and increased training costs. The technology rating for SAP is average ( 7/10 ) because it can offer a complete turn key solution. Overall SAP scores stars with our recommendation of: Sales adoption and large investment required if you do not already have the SAP accounting infrastructure .

    Goldmine scores low for management reports ( 6/10 ) and sales ease ( 6/10 ). The technology rating for Goldmine is average ( 5/10 ) for poor data synchronization. Overall Goldmine scores stars with our recommendation of: Service requirements and outdated data synchronization model continues to hurt this once nice sales force automation software. Goldmine was the go to solution for small businesses, but with better offerings with easier upgrade and growth paths, SalesForce, MS Dynamics and Sage CRM are worth considering.

    SalesForce scores high for management reports ( 8/10 ) utilizing extensive reporting and but fails on sales ease ( 5/10 ) because of limitations in web browser based solutions. The technology rating for SalesForce (Force CRM) is low ( 6/10 ) because of Cloud Internet latency and browser performance. Overall SalesForce scores stars with our recommendation of: Heavy scrolling and user time required to perform common functions plus system latency hurts this option. SalesForce fees for data transfer and storage need to also be factored in.

    Sugar CRM scores poorly for management reports ( 5/10 ) as this is an open source solution and community developed reports are typically good enough but seldom great and serve more as examples and tutors rather then purpose. Sales ease ( 6/10 ) suffers from the same weakness, features and functionality are limited and basic aimed at serving the masses rather then being robust and extendible. The technology rating for Sugar CRM is average ( 7/10 ) because of lack of depth and integration with 3rd party technologies. Overall Sugar CRM scores stars with our recommendation of: limited depth and robustness of CRM reporting for management make this CRM product a concern. Its cost definitely makes it appealing, Sugar Open Source CRM is an excellent candidate for small sales teams that have a simple sales process, what it does, it does well.

    Sage CRM scores high for management reports ( 8/10 ) utilizing MS SQL Reporting Services and Sage Reporting Services. Sales ease ( 6/10 ) is limited by configuration, new features and lagging social CRM capabilities. The technology rating for Sage CRM is average ( 7/10 ) because configuration can be challenging because of the Microsoft library dependencies. Overall Sage CRM scores stars with our recommendation of: Slow innovation, release of new features and user base growth are serious concerns to the long term viability of Sage CRM. Sage CRM is positioned as an ACT! and Goldmine competitor.

    ACT! scores high for management reports ( 7/10 ) has decent native reports and integration with Microsoft SQL Reporting Services. Sales ease ( 9/10 ) makes ACT! one of the most friendly to use, highest user adoption CRM. The technology rating for ACT! is average ( 6/10 ) because of technology and data structure limitations that limit robustness and customizability. Overall ACT! scores stars with our recommendation of: Data limitations hurt this most popular CRM; recommended for individuals and small teams .

    SalesLogix scores high for management reports ( 8/10 ) utilizing SalesLogix Reports, MS SQL Reporting Services and Crytal Reports. Sales ease ( 9/10 ) using SalesLogix Forecasting and SalesLogix Sales Pipeline that leads to high user adoption for sales and marketing teams. The technology rating for SalesLogix is average ( 7/10 ) because configuration can be challenging because of the Microsoft library dependencies. Overall Microsoft Dynamics scores stars with our recommendation of: New feature growth and cloud CRM adoption rate are a concern for this good value mature CRM software .

    Interactive CRM Comparison

    The Comparison Experts

    Which CRM system is best suited to your company’s needs and objectives?

    Which system is likely to deliver the most valuable results for your business?

    Take this interactive Quiz and watch the chart calculate your answers instantly!


    Paralegal certification vs degree #paralegal #certification #vs #degree


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    Paralegal Certification Vs Degree

    Paralegal Certification | Requirements For Paralegal Certificate
    An associate degree in paralegal studies awarded by an accredited educational institution and/or and American Bar Association approved paralegal studies program plus six Paralegal certification may be offered by the state bar association, as is the case in Florida, North Carolina

    Paralegal Degrees Vs Paralegal Certificate Law School
    A paralegal certificate or a paralegal degree refer to two distinct ways by which people can be empowered, to some extent, to act as paralegals in the context of the U.S. legal system.

    Paralegal Certificate, Certification And Certified: What s
    Paralegal Certificate, Certification and Certified: What s the difference? What is a paralegal certificate and how does it compare with a degree? Types of Paralegal Certificate Programs. Most paralegal certificates are post-baccalaureate programs.

    Emory Paralegal Certificate Program Paralegal Education In
    Emory Continuing Education (ECE) s Paralegal Certificate Program prepares college graduates with the in-depth legal knowledge and skills necessary to succeed in the legal profession.

    Paralegal Studies | Continuing Studies
    Earn Your Paralegal Certificate from Duke University. Duke Continuing Studies has been proud to offer a Certificate in Paralegal Studies since 2003.

    Paralegal Certification vs. Certificate | The Center For
    Many people confuse two paralegal qualifications certification from certificate. Brush up your vocabulary and learn the distinction between these two terms.

    Read How Paralegal Degree And Certifications Vary
    Find everything you ll need to understand how paralegal degree programs vary, and how paralegal certificates offer different benefits.

    National Federation Of Paralegal Associations
    Paralegal Certification, Credentialing, Licensing and Having a Paralegal Certificate. This is frequently a source of confusion. In short: If you have completed a paralegal education program for which you have a certificate hanging on your wall, you could say you are certificated.

    Paralegal Certification Vs Licensure | Paralegal Training Center
    Paralegal Certification Vs Licensure details all the legal assistant/paralegal training programs available in your area, Counseling faculty must hold a minimum of a master s degree in counseling or a related Paralegal Studies Faculty Web Resources, College-in-High- Docs.accet.org

    Paralegal Studies Associate Degree Penn Foster
    Get info about the online Paralegal Associate Degree Program. Penn Foster College s Paralegal Degree can be completed online at a pace that s right for you.

    Earn Your Paralegal Degree Online Kaplan University
    Find legal studies programs and paralegal program online at Kaplan University.

    Paralegal Degree Or Certificate | IBMC College
    With a paralegal degree or certificate, you will be qualified by education, training and externship experience to perform specifically delegated legal work.

    Home | North Carolina State Bar Paralegal Certification
    This is an official website of the North Carolina State Bar and its Board of Paralegal Certification.

    Paralegal Wikipedia, The Free Encyclopedia
    Certification may be acquired at: Tshwane University of Technology National Diploma in Legal Assistance/Paralegal, University Of Johanesburg Diploma in Paralegal, UNISA National e.g. the Association s Diploma in Paralegal Studies, ILEX, Law Degree or HND (plus a procedural law

    National Federation Of Paralegal Associations
    Paralegal Certification Paralegal CORE Competency Exam and Credentialing. The Paralegal CORE Competency Exam (PCCE ) was developed to assess the knowledge, An associate s degree in paralegal studies, no experience or CLE; OR.

    Associates Or Bachelors Degree: Paralegal Studies PLATT COLLEGE
    Earn your Associates or Bachelors Degree in Paralegal Studies at Platt College s School of Business and Legal Studies!

    Paralegal vs. Lawyer: The Guide To Help You Decide
    Paralegal vs. Lawyer: The Guide to Help You Decide a paralegal associate degree may be your most cost effective alternative.You could be as little as one year away from working in the exciting legal field! RELATED ARTICLES:

    Paralegal Certificate vs Paralegal Associates Degree?
    Paralegal Certificate vs Paralegal Associates Degree? I already have a BA in English, and I #39;m looking into being a paralegal (law school under consideration in the future, but I need to pay down some debt).

    The Difference Between Degrees And Certificates
    What is the Difference Between a Degree and Certificate? It is important to note that most careers require employees to have achieved a certain degree or certification.

    Top 10 Reasons Why certification Is Better Than degree
    Top 10 reasons why certification is better than degree. This discussion lasts for ages and will never stop, at least in some in the near future.


    Acura tsx custom #automotive #reviews, #automotive #news, #2006 #acura #tsx #vs. #honda


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    2006 Acura TSX vs. Honda Accord, Mazdaspeed 6, Pontiac G6, VW Jetta

    First: 2006 Volkswagen Jetta GLI

    In a perfect world, a guy who likes to unwind lonely driving roads on a brisk weekend morning owns an implement dedicated to just such an activity. A Mazda MX-5, for example. Or a Pontiac Solstice. Or a Honda S2000. Or. fill in your favorite sports car. But that ideal presupposes a big budget for grown-up toys, and/or the absence of parental obligations, which immediately add extra doors and seats to the equation. As much as we love ’em, sports cars are pure automotive self-indulgence, with a low practicality index. And the sad truth is, many of us are economically limited to one ride that has to serve a variety of everyday transportation functions, as well as satisfying your inner Michael Schumacher. Perhaps you’ve noticed this?

    Take heart. Ownership of a car with four doors needn’t mean the end of fun-to-drive, and to support this proposition we present this field of five sub-$30,000 sports sedans that are just the ticket, able to deliver speed with a soupçon of luxury, too. Okay, more than a soupçon. A modicum. And in a couple cases, a profusion.

    As a conceptual group, our roundup of 30-grand sports sedans isn’t new. It’s one of our regular sports-sedan reality checks. Still, there is much that is new here-in fact, only one of these five packages is familiar. That would be the Acura TSX, a sophisticated sweetheart that’s been on our 10Best Cars list since its 2004 debut. Modestly freshened for ’06, the TSX prevailed in our last under-30-grand decathlon (“Sustainable Sports Sedans ,” October 2004) and, consequently, anchors this one. (As with our 10Best Cars protocol, the also-rans in that derby weren’t invited to this one.)

    The other everyday heroes are new for ’06 in varying degrees, and only one of them-the Jetta GLI-has gone through our battery of instrumented tests (October 2005 ). The GLI is the liveliest member of the Jetta family, and it shares its chassis and components with the GTI, VW’s famous hatchback hot rod. The Jetta’s inventory of go-faster hardware includes a new 2.0-liter direct-injection turbo four that churns up 197 horsepower and 207 pound-feet of torque, a useful upgrade from the previous 1.8-liter turbo motor’s 180 horsepower and 173 pound-feet, although the gain in output is mitigated by an increase at the scales.

    The other force-fed car in the field is the long-awaited Mazdaspeed 6, with all-wheel drive and 274 horsepower available from a turbo version of Mazda’s 2.3-liter four. That’s almost enough to put the Mazda on an equal performance footing with bad boys like the Subaru Impreza WRX STI or Mitsubishi Evo, and it was more than enough to hustle the Mazda to the front of this pack in terms of sheer zoom-zoom.

    As a refreshing change, a domestic entry made the starting grid, the GTP version of Pontiac’s G6 sedan, with more authority in the suspension, more grip, and more muscle, thanks to more displacement-3.9 liters in a pushrod V-6, very all-American.

    Beyond that, we found ourselves with an element of family feud. The Honda Accord has never been a player in one of our sports-sedan spectaculars, but for 2006 its extensive freshening includes the availability of a robust EX edition with a 244-hp, 3.0-liter V-6 and a six-speed manual. That combination is a first for Honda’s bread-and-butter four-door, and an essential element in qualifying for this bash-a manual transmission was one of the basic requirements for invitation, and all five cars were equipped with you-shift-it six-speeds.

    You might observe that a couple other prime everyday-hero candidates-the Audi A4 and the BMW 3-series-didn’t make the cut. What’s up with that? Money, that’s what. As was true in our 2004 comparo, even the humblest of 3-series sedans, the 325i, carries a base price of $31,595, overflowing our 30-grand ceiling, and that presumes you could even find an unadorned 325i. This also goes for the A4. A basic front-drive A4 starts at $28,360, but in an age of steadily shrinking evaluation fleets, finding a base edition of any vehicle is akin to finding the last virgin in Las Vegas.

    We drove the 280 miles to southeast Ohio, where we scorched the edges of our 13.5-mile driving loop. The Hocking Hills route is rich in linked turns, decreasing radii, whoop-de-dos, elevation changes, and bird watchers in L.L.Bean outfits, all in all ideal for gauging a car’s SQ (sporting quotient). This time around, it had a profound impact on the outcome.


    How to Install KVM and Create Virtual Machines on Ubuntu #kvm #vs


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    By Chris Hoffman on June 28th, 2012

    If you’re using Linux, you don’t need VirtualBox or VMware to create virtual machines. You can use KVM – the kernel-based virtual machine – to run both Windows and Linux in virtual machines.

    You can use KVM directly or with other command-line tools, but the graphical Virtual Machine Manager (Virt-Manager) application will feel most familiar to people that have used other virtual machine programs.

    Installing KVM

    KVM only works if your CPU has hardware virtualization support – either Intel VT-x or AMD-V. To determine whether your CPU includes these features, run the following command:

    egrep -c (svm|vmx) /proc/cpuinfo

    A 0 indicates that your CPU doesn’t support hardware virtualization, while a 1 or more indicates that it does. You may still have to enable hardware virtualization support in your computer’s BIOS, even if this command returns a 1 or more.

    Use the following command to install KVM and supporting packages. Virt-Manager is a graphical application for managing your virtual machines you can use the kvm command directly, but libvirt and Virt-Manager simplify the process.

    sudo apt-get install qemu-kvm libvirt-bin bridge-utils virt-manager

    Only the root user and users in the libvirtd group have permission to use KVM virtual machines. Run the following command to add your user account to the libvirtd group:

    sudo adduser name libvirtd

    After running this command, log out and log back in. Run this command after logging back in and you should see an empty list of virtual machines. This indicates that everything is working correctly.

    virsh -c qemu:///system list

    Creating Virtual Machines

    Once you’ve got KVM installed, the easiest way to use it is with the Virtual Machine Manager application. You’ll find it in your Dash.

    Click the Create New Virtual Machine button on the toolbar and the Virtual Machine Manager will walk you through selecting an installation method, configuring your virtual machine’s virtual hardware, and installing your guest operating system of choice.

    The process will by familiar if you’ve ever used VirtualBox, VMware, or another virtual machine application. You can install from a disc, ISO image, or even a network location.

    To assign more than 2GB of memory to a virtual machine, you’ll need a 64-bit Linux kernel. Systems running 32-bit kernels can assign a maximum of 2 GB of RAM to a virtual machine.

    By default, KVM gives you NAT-like bridged networking – your virtual machine won’t appear on the network as its own device, but it will have network access through the host operating system. If you’re running server software in your virtual machine and want it accessible from other devices on the network, you’ll have to tweak the networking settings.

    After selecting your installation method, Virt-Manager will boot the guest operating system in a window. Install the guest operating system as you would on a physical machine.

    Managing Virtual Machines

    The Virtual Machine Manager window displays a list of your installed virtual machines. Right-click virtual machines in the window to perform actions, including starting, shutting down, cloning, or migrating them.

    You can view information about the virtual machine and configure its virtual hardware by clicking the i-shaped toolbar icon in the virtual machine’s window.


    Tubular Batteries Vs Normal Batteries #html #vs #html


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    Ups Inverter Info

    The Blog

    Tubular Batteries Vs Normal Batteries

    What is special about Tubular Battery? This question may arise when you go for purchase of Ups (inverter ). In most cases even the battery shop owner can’t figure out the exact special features about tubular battery. One thing everybody knows is Tubular is better than normal battery, but in which way it is better? Have you ever wonder why you can’t find the right answer for this question. Don’t worry guys; Let me simply list out the specialties about tubular battery.

    Finally i have settled for the Exide IT500Super 150ahplus battery and purchased it for RS.17000/- today. I need your clarification for my doubt as below

    1. The dealer had 2batteries which arrived just today morning. One battery carton was completely drenched and the outer carton was damaged by spilt acid. So i asked him for the other battery which had not much leakage. But he was arguing that it was a usual case and all batteries loose some acid on transportation. But i went for the battery with less leakage and box not damaged.

    2. Now when i took the battery and when the level indicator was fixed, i found that it showed very low limit nearing red. The dealer said it is usual and there is no need to topup till 3months. I need your valuable suggestion about

    i) the effects on performance of battery due to leakage of acid on transportation
    ii) when i have to topup with distill water. Is it safe to use the new battery with indicator showing less acid for 3months as suggested by dealer ?

    Dear Rajesh,
    It seems the acid has spilled out of battery during transit, No need to panic, actually Exide IT500 super comes with some extra electrolyte, So the little loss of electrolyte will have no impact on your battery performance, You just add some distilled water to the battery and continue using it.

    dear admin
    i am waiting for your valuable reply
    Rajesh

    I m in need of a new battery. I ve microtek upse 875 va model inverter. Load shedding in my area is about 14 hrs. I need power for just watching 21 inch flat tv ,for a desktop and afew fans. Which Ah of battery is suitable for me? Tublar or normal flat battery is better?what is the price of 150 Ah normal and tubular exide battery. Please kindly inform me.

    Dear bisworaj
    we recommend Exide IT500 invatubular tall battery for your inverter, it would cost around Rs.14,000/-

    What are the health hazards of tubular batteries? Which is the safest battery type for a PC in a
    not-so-ventilated room for 5 to 8 hours or so?

    Priyanshu Mrinmoy Das

    Dear Admin,
    Kindly clear my doubts too. I have a Genus inverter model: 1400HC-HZ. This inverter was used for 2 batteries together. But now I want to use it with single battery only. So can I use it with single battery too directly or need some changes.

    Hi sir,
    I am planning to buy a 150 AH battery. In my area power cuts are frequent(appx 8-10 hours per day). On internet everywhere it s mentioned that TUBULAR is better than FLAT PLATE, but local battery sellers say tubular is better for less power cuts like in cities( appx 2-3 hours a day).for longer power cuts flat plate is better. Is it correct?
    Please suggest me right choice.


    Book Making: Lightning Source vs #createspace #vs #lulu


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    Lightning Source vs. CreateSpace vs. Lulu

    Today, blogger/book designerJoel Friedlandersaid he recommends that his clients use either Lightning Source or CreateSpace for POD books. I agree with his recommendation, and I posted comments about the differences I’ve found using three printers. I think it makes sense to publish my comments here, too.
    .

    I’ve used LS for most of my book, but CS for two books when my cover artist was busy and I decided to apply my own limited artistry to CS cover templates. I’ve also used Lulu for printed proofs and for selling PDF eBooks.

    A few differences among the companies:

    (1) CreateSpace is extremely paranoid about potential copyright violation, and demanded that I show proof that I had permission to use every photograph in a book. I ve never encountered this, or heard of this, with other printers, and it delayed publication of the book. Another time, CreateSpace did not question the photos, but rejected a book simply because it mentioned the name of corporate parent Amazon.com. I complained publicly and got a quick apology. Apparently, the robot censor was hyperactive and needed to be recalibrated. LS and Lulu don’t seem to care (or even notice) what you want printed.

    (2) It can get very expensive making repeated changes with LS ($70 per proof).

    (3) LS needs text submitted using Adobe Acrobat Distiller applied to a Postscript file, but CS and Lulu will accept “raw” PDFs.

    (4) CS robots will point out lots of potential problems with an interior file — many of which are not really problems. Responding to each one can wast lots of time.

    (5) Even though CS may use LS to print books in its Expanded Distribution service, it has different requirements. CS rejected an interior bleed on two pages that were identical to bleeds that were acceptable to LS.

    (6) File uploads to Lulu are much more likely to go nowhere than uploading to CS or LS, and it can take days to get the problem solved.

    (7) Even if you pay for “fast” shipping of a proof from CS, it may not come any faster than if you did not pay extra — and, unlike LS, no tracking number is provided.

    (8) For normal publishing, Lulu’s cost per book is MUCH higher than CS or LS. Lulu is inexpensive for proofing (even though it overcharges for shipping). I like to use a UPS Store for early proofs when I don’t care about a bound book with a real cover. UPS proofs cost less than LS but more than CS or LL — but are done in hours, not days. UPs proofs may give a false indication of a problem with a photo (e.g. a white background may be printed as gray), that turn our fine with LS or CS.

    (9) Lulu’s photo reproduction is better than CS or LS.

    (10) These comments are based on my experience with about 20 books. As with most things in life, “your mileage may vary.

    As to the differences between CreateSpace and Lightning Source on verification of copyright issues, one thing to consider is that, for many of the books submitted to it, CreateSpace is not a printer, but is, in fact, the publisher of record. Lightning Source (to the best of my knowledge) never is.

    If someone prints Joe Litigator s photo in their book without permission, both the author and the publisher are going to get invited to court to explain themselves, but nobody s going to bother with the printer. So Lightning Source has a lot less reason to be concerned with what s in your book than CreateSpace.

    Bearing in mind, of course, that most of the interactions people think they re having with CreateSpace are actually with robots of various sorts, this easily explains CreateSpace s apparent paranoia, both about photos and about corporate names.


    Inpatient vs #queensland #motel

    #inpatient care

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    Inpatient vs. Outpatient Care and Coverage

    So what’s the difference between inpatient and outpatient care and how does it affect me as a patient or insurance policyholder? Inpatient and outpatient care refer to the way that a healthcare service is provided. Which type of care you end up with will depend upon how involved your treatment needs to be as well as the additional resources that may be required to deliver it.

    Contents

    What is Inpatient Care?

    Inpatient care generally refers to any medical service that requires admission into a hospital. Inpatient care tends to be directed towards more serious ailments and trauma that require one or more days of overnight stay at a hospital. For the purposes of healthcare coverage, health insurance plans require you to be formally admitted into a hospital for a stay for a service to be considered inpatient. This means a doctor has to write a note to give the order to admit you, so if you were in the emergency room and were asked to stay overnight for “Medical Observation”, it does not make you an inpatient.

    Over half of all inpatient hospital admissions come through the emergency room department. Health insurance plans break out emergency room vs. inpatient facility care when it comes to your share of the costs. In some plans, the copays for emergency room services are waived if the patient is then admitted to the hospital.

    Inpatient care is broken into two parts: the facility fee and those related to the surgeon/physician. Generally speaking, copays for inpatient services are structured either on a per stay or per day basis for the facility. For some of the plans we’ve surveyed, copays are often a few hundred dollars per admission and up to as much as $1,000. In a few cases, we’ve seen cost sharing including both a multi-hundred dollar copay and coinsurance on top of it.

    What is Outpatient Care?

    Outpatient care, on the other hand, is medical service provided that does not require a prolonged stay at a facility. This can include routine services such as checkups or visits to clinics. Even more involved procedures such as surgical procedures, so long as they allow you to leave the hospital or facility on the same day, can still be considered as outpatient care. Many surgical services, rehabilitation treatments, as well as mental health services are available as outpatient services. Outpatient care tends to be less expensive, since it is often less involved and does not require a patient’s continued presence in a facility, which uses up less of the hospital or medical clinic’s resources.

    For the purposes of insurance, most outpatient care is broken out based on the type of service provided (Primary Care Physician, Specialist, Mental Health, etc.). Outpatient surgery is one area that is specifically identified, and describes your share of costs should you need a procedure or operation that does not require overnight admission at the facility. Like inpatient treatments, the costs associated with the facility itself and the physician/surgeon performing the procedure are often treated as two different coverage benefits.

    Inpatient vs Outpatient: What is the Difference?

    So how do inpatient and outpatient care differ, and why is this important to patients? As we mentioned, outpatient vs. inpatient care is determined by whether a doctor writes an order to admit patients formally into their hospital. If he writes the order, and patients get admitted, then the medical service will be considered inpatient. This in turn has a large impact on how much you as a health insurance policyholder wind up paying after receiving your medical services. In terms of the cost difference, inpatient care tends to be more expensive than outpatient services, as we will explain below.

    In most cases, the doctor’s decision between inpatient and outpatient care comes down to how involved the medical service you require will be. People who are admitted as inpatients to hospitals and facilities will typically have more serious conditions that require prolonged monitoring and care from medical staff overnight or for more days. As a result, the costs for inpatient care tend to be significantly higher; the patient and insurance policyholder are hypothetically using up more resources including beds at the facility and time and service provided by other medical professionals on staff, and thoses costs get passed along to both the insurance company and the policyholder.

    Oftentimes, the actual patient won’t have the ability or option to pick between getting his care administered on an inpatient or an outpatient basis, and the type of care he receives (and ultimately, the cost) will be completely based upon how serious the hospital team thinks the medical condition or operation is. There are some exceptions where patients have more freedom in electing whether their care is conducted inside or outside of a hospital, and that’s primarily with rehabilitation services (covered below). Some surgical procedures may also allow you the option to choose between an inpatient vs. outpatient options. This tends to happen more rarely, but certain types of specialized operations on knees, for example, can be handled inpatient or outpatient. While the options may not be exactly the same, when looking at the potential choices, patients should consider the additional costs of overnight facility stays as well as the added time commitment.

    Inpatient and Outpatient Rehab

    One area of care where consumers can choose the type of care they receive is in rehabilitation. This can apply to physical therapy as well as care that pertains to drug recovery. Inpatient admissions of this sort are not exclusive to hospitals but can include physical rehabilitation facilities that specialize in this process. The summary of benefits and coverage for insurance plans have a separate section to deal with the cost sharing involved with rehabilitation services, and many break out different copays and coinsurance when it comes to inpatient vs outpatient rehab. Again, for plans with copays, insurance carriers can opt to charge copays both on a per admission/stay basis or on a per day basis. Consumers reviewing their health benefits should be aware of the differences since it could have a significant impact on their wallets.

    Outpatient rehab tends to have much cheaper copays since these are akin to office visits that last a shorter period of time. Copays and coinsurance for outpatient rehab are similar to those that you would find for a visit to a primary care physician or a specialist, generally in the neighborhood of $10-$50 per visit depending on your plan. In contrast, inpatient rehab costs can vary quite widely depending on the facility and health insurance plan individual insureds choose.

    How much does inpatient care cost?

    To give you an idea of how expensive inpatient care can be, here is an analysis of inpatient expenses per day at hospitals in states across the country.





    Hatchback vs Sedan vs Crossover vs SUV: Which To Choose & Why?


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    The 1960 s saw the advent and subsequent rise of the hatchback in Europe. Due to it s compact size and ease of navigation on congested roads, the hatchback gained popularity the world over. The hatchback is the smallest mainstream car body configuration with a rear door which can be opened upwards to provide a boot space. They hold significant advantage and popularity over other car body configurations in India. Firstly, it requires a lot less space, which is a blessing to the traffic and cramped streets. Secondly, it provides comfortable space for four, its an ideal car for a family of four or less. They also consume less fuel, which works extremely well with the sustainable development environment-friendly outlook which is essentially the need of the hour if we are to save the planet.

    Maruti Suzuki Swift

    Swift has been around since more than ten years now and is still one of the biggest competitors in this category. It s athletic looks and elegant exterior is a favorite with the nation. A closer look inside would tell you that Maruti works hard on competing with other cars in this segment, as it provides all modern features such as 60:40 split seats, tiltable steering and inbuilt Bluetooth in the latest versions.

    The new Swift on the road consists of a 1.2 litre, K-Series VTVT petrol engine and Fiat s renowned 1.3 litre Multijet engine paired to a five-speed manual transmission. Variants also come with AMT option to keep up with the competition.

    Hyundai Elite i20

    Hyundai maintains a dominant position in the market with its Fluidic sculpture philosophy dictating the pulled back headlights and rear combination lamps. Its dynamic design pours a spacious interior with advanced capabilities such as touchscreen infotainment, keyless entry, multi-functional steering make it easily one of the best cars in this category.

    It s 1.2 litre Kappa dual VTVT petrol and 1.4 litre U2 CRDi diesel unit, mated to a five-speed manual with an option for a six-speed manual (only in the diesel range) gives durable and powerful performance.

    SEDAN

    Sedans have been around since a long time. The first locally manufactured mass production car to roll out in Australia was the Holden FX, manufactured way back in 1948. Sedans provide a more vast cargo space than hatchbacks with a proper segmentation between the rear seats and the trunk, a feature absent in any other mainstream category of cars. Their streamlined design also provides an elegant driving experience due to better aerodynamics. Maruti Suzuki Swift Dzire and Honda City are two sedans which we are going to talk about in this article.

    Swift Dzire

    An extension of the Swift platform, the Swift Dzire has been plying its trade in the industry since more than six years now. The new 2015 facelifted model has undergone minor cosmetic updates such as smoked headlamps, a new single chrome-slat grille, fog lamps with chrome inserts and new alloy wheels. Inside, the car can easily house five people and has increased head and legroom than before.

    The Swift Dzire is also the most fuel efficient sedans. It houses a 1.3-litre DDiS diesel and 1.2-litre petrol engine mated to a five-speed transmission. While the former offers 26.59kmpl, the latter one offers 20.85kmpl, high standards compared to other cars in most categories in the automotive industry.

    Honda City

    City s iconic stretched headlamps and sleek rear lights look like a feature of art. Being the prime car in the sedan category since a long time, Honda keeps updating it to live upto its standard, pushing every other challenger at the side of the picture.A little tight on mileage, the 1497 cc, i-VTEC petrol engine provides a mileage of around 14-15 kmpl.

    CROSSOVER

    A Crossover or Crossover Utility Vehicle(CUV) is a vehicle built on a platform combining features of SUV s and passenger cars. It ditches the body-on-frame manufacturing technique typical of SUV s in which the platform and the body are manufactured separately and instead goes for the unibody design to achieve a lighter weight, car-like handling and fuel economy. Crossovers merge the benefits and effortless handling of a car with the comfortable spaciousness of SUVs and the result is gaining immense popularity among the masses.

    Maruti Suzuki S-Cross

    The S-Cross, from the outside, looks like a hefty revamp of the now discontinued SX4. The interiors are black with a sporty hexagonal-shaped dashboard along with the usual visible use of leather on seats, door pads and steering wheel.

    As of now the S-Cross offers two diesel engines – the 1.3-litre and the 1.6-litre. The latter gives a mileage of 22.7km/l. The 1.3 litre engine s claimed mileage is 23.65 km/l. Both the engines are matched to a 6-speed gearbox. In terms of performance and comfort, the S-Cross does well at decent to high speeds due to a stringent suspension setup.

    BMW X-1

    BMW s budget luxury offering presents BMW s class and style in the shape of a small SUV of sorts, but still retains its fierce headlight and grille design and sleek rear lights. Combined with a well responsive steering and a tight suspension, it makes for a smooth ride on all Indian roads. A 6.5-inch infotainment system with Bluetooth is standard; navigation, adaptive cruise control, automated emergency braking, and a self-parking feature are optional.

    The BMW X1 was launched in three variants: sDrive18i (petrol), sDrive20d (diesel) and sDrive20d exclusive (diesel). The petrol version has a 1.8 litre engine and BMW X1 diesel version is equipped with 2.0 litre.


    TD Ameritrade Thinkorswim Review #thinkorswim #vs #interactive #brokers


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    TD Ameritrade Thinkorswim Review

    TD Ameritrade’s thinkorswim trading platform is widely considered one of the best available. Originally independent and acquired by TD Ameritrade in 2009, thinkorswim is a desktop application that offers access to research reports, real-time data streaming, stock scanners, charting, technical studies and more. Often considered premium features by other online brokers, these tools — and the whole of thinkorswim — are available to all TD Ameritrade customers for free.

    TD Ameritrade thinkorswim

    TD Ameritrade thinkorswim is best for:

    • Advanced investors
    • Frequent traders
    • ETF investors
    • Technical analysis
    • Automated trading platforms
    • Options trading

    The thinkorswim platform is ideal for advanced or frequent traders (the company’s Trade Architect platform is more suited for beginners ). But all investors can benefit from TD Ameritrade’s wealth of educational resources, including a learning center with instructional videos, online courses and trading demonstrations. Thinkorswim also offers a chat room full of traders sharing strategies and tips, as well as virtual accounts called paperMoney that allow traders to test strategies and practice using the platform without risk.

    Current promotion

    Open a new account with $3,000 or more and trade commission-free for 60 days, plus get a cash bonus on larger deposit amounts: $600 on $250,000+; $300 on $100,000 to $249,999; and $100 on $25,000 to $99,999.

    TD Ameritrade thinkorswim at a glance

    *Note: TD Ameritrade offers mutual funds and bonds, but the thinkorswim platform does not support these securities. They can be accessed via the broker’s web platform.

    Phone service and support 24/7; email support and live chat; 126 local branches

    Where TD Ameritrade thinkorswim shines

    Research and tools: Thinkorswim offers virtually everything an advanced trader would want in a platform, including customization of the workspace (and a new release, thinkorswim Sharing, allows traders to share their customizations with each other). Investors can also use scanners to filter stocks and options, view heat maps, use the company profile tool to analyze revenue and predict how it will affect returns, and access extensive third-party research. The platform has an active trader community and forum that is used to share watch lists, charts and strategies, and streaming CNBC and Dow Jones News are included.

    The Company Profile tool lets investors project and dig deeper. Click for more detail.

    Mobile trading: The thinkorswim mobile app, available for Apple and Android, closely mimics the desktop platform. Investors can fund their accounts, initiate trades, watch streaming news and view charts, all from their mobile devices.

    Investor education: As mentioned above, thinkorswim is really for advanced traders. But even they have a lot to learn, and thinkorswim delivers the tools to help them do it: The platform’s learning center has a wealth of instructional videos and how-to advice, there are daily “Swim Lessons” and platform demonstrations, and investors can practice trading with virtual margin and IRA accounts.

    Market Monitor offers a real-time look at your portfolio. Click for more detail.

    Commission-free ETFs: TD Ameritrade offers over 100 commission-free ETFs — many with low expense ratios — available to trade through thinkorswim. The list is independently curated by Morningstar.

    Options trading: TD Ameritrade was NerdWallet s pick for best options trading platform in part because of thinkorswim’s Strategy Roller feature, which allows investors to set custom covered call strategies and automatically roll those positions forward from one expiration to another. Investors can also closely monitor the market, strategize and trade within the program. It’s a near-ideal platform for advanced options traders.

    Thinkorswim’s charting capabilities include hundreds of technical indicators and studies.

    Where TD Ameritrade thinkorswim falls short

    Commissions: TD Ameritrade’s commissions are higher than average at $9.99 per trade for stocks and ETFs (though there is a large list of commission-free ETFs, as mentioned above). Many active investors are willing to pay the higher charge in exchange for thinkorswim’s premium research and tools, which are free to investors regardless of account balance or trade volume. However, it’s worth pointing out that trades can be made for half the price at competitors like OptionsHouse and TradeKing .

    Margin rates: Investors interested in margin accounts (which have a $2,000 minimum) will be disappointed in TD Ameritrade’s margin rates, which — like their commissions — are higher than average. The base rate is currently 7.75%, with a maximum margin rate of 9%.

    Accessibility: Again, thinkorswim is for advanced traders. While it’s not fair to call that a shortcoming of the platform, it’s important to point out that some traders could be overwhelmed by the level of information and tools available and will feel more comfortable with a more streamlined platform or even the company’s standard web trading platform.

    The bottom line

    If it weren’t for TD Ameritrade’s high commissions, thinkorswim would blow the competition out of the water. But even at the higher price point, the platform makes a very strong showing because of the wealth of free tools and research it offers. Those features make it a prime candidate for active traders.

    To compare TD Ameritrade to other online brokers, check out NerdWallet’s Online Brokerage Comparison Tool .

    More from NerdWallet:

    NerdWallet is a free tool to find you the best credit cards, cd rates, savings, checking accounts, scholarships, healthcare and airlines. Start here to maximize your rewards or minimize your interest rates. Arielle O’Shea

    Lower fees, smarter savings. See what accounts are right for you

    With the new NerdWallet tool, you can:

    • Take full advantage of your tax benefits.
    • Learn how much you should be saving and where.
    • Track your investment progress with NerdWallet.

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    Forced to Choose: Nursing Home vs #austin #motel

    #hospice nursing home

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    The New York Times

    Forced to Choose: Nursing Home vs. Hospice

    November 30, 2012

    An older person, someone who will die within six months, leaves a hospital. Where does she go?

    Almost a third of the time, according to a recent study from the University of California, San Francisco, records show she takes advantage of Medicare’s skilled-nursing facility benefit and enters a nursing home. But is that the best place for end-of-life care?

    In terms of monitoring her vital signs and handling IVs — the round-the-clock nursing care that the skilled-nursing facility benefit is designed to provide — maybe so. But for treating end-of-life symptoms like pain and shortness of breath, for providing spiritual support for her and her family, for palliative care that helps her through the ultimate transition – hospice is the acknowledged expert.

    She could receive hospice care, also covered by Medicare, while in the nursing home. But since Medicare only rarely reimburses for both hospice and the skilled-nursing facility benefit at the same time, this hypothetical patient and her family face a financial bind. If she opts for the hospice benefit, which does not include room and board at the nursing home, then she will be on the hook for hundreds of dollars a day to remain in the facility.

    She could use the hospice benefit at home, of course. But, “we know these patients are medically complex,” said Katherine Aragon, lead author of the study in The Archives of Internal Medicine. and now a palliative care specialist at Lawrence General Hospital in Massachusetts. “And we know that taking care of someone near the end of life can be very demanding, hard for families to manage at home.” And that assumes the patient has a family or a home.

    For some patients, a nursing home, though possibly dreaded, is the only place that can provide 24/7 care.

    But if she uses the skilled-nursing facility benefit to pay for room and board in a facility, she probably has to forgo hospice. (The exception: if she was hospitalized for something unrelated to her hospice diagnosis. If she has cancer, then trips and breaks a hip, she can have both nursing home coverage and hospice. If cancer itself caused the bone to fracture, no dice.)

    Let’s acknowledge that these are lousy choices.

    The study, using data from the National Health and Retirement Study from 1994 through 2007, looked at more than 5,000 people who initially lived in the community – that is, not in a facility. About 30 percent used the skilled-nursing facility benefit during the final six months of life; those people were likely to be over 85 and family members said, after their deaths, that they had expected them to die soon. (The benefit is commonly referred to as S.N.F. which people in the field pronounce as “sniff”).

    The choice to use S.N.F. had ongoing repercussions. Almost 43 percent of those who used it died in a nursing home and almost 40 percent in a hospital. Just 11 percent died at home, though that is where most people prefer to die, studies repeatedly show.

    Among those who didn’t use the S.N.F. benefit, more than 40 percent died at home.

    In effect, nursing homes were providing end-of-life care, expensively and probably not so well, for almost a third of the elderly population.

    The skilled-nursing facility benefit, Dr. Aragon pointed out in an interview, is meant to provide rehabilitation. “The hope is that someone will get stronger and go home,” she said.

    Sometimes, of course, that is what happens.

    “What we may be missing is that this patient is on an end-of-life trajectory,” she continued. “Maybe they can’t get stronger.”

    Moreover, Dr. Aragon pointed out, nursing homes often have financial incentives to keep re-hospitalizing patients. After three days in a hospital, the skilled-nursing facility benefit starts anew, and it reimburses at a higher level than Medicaid, which pays for most nursing home care.

    Because this unhappy choice between hospice care and nursing home reimbursement reflects federal policy, there may be little that individual families can do. If physicians are willing to honestly discuss their patients’ prognosis, to assess whether a nursing home stay will lead to rehabilitation or whether it is where a patient will likely die, sooner rather than later, families may have some personal options.

    If they knew that death was likely within a few months, they might try to provide care at home with hospice help for that limited time, difficult as that is. Or they might be able to muster enough money to pay for a few months in a nursing home, so that their parent can be a resident and still receive hospice care.

    But these are still lousy choices. “Palliative care should be part of nursing home care,” said Alexander K. Smith, the study’s senior author and a palliative care specialist at the University of California, San Francisco. “And that regulation that prevents concurrent use of the S.N.F. benefit and hospice isn’t in the interest of patients and families.”

    Coming up in a future post: Experimenting with a concurrent-coverage option.

    Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

    We’re interested in your feedback on this page. Tell us what you think.





    Medical Assisting Degree vs #medical #assisting #degree #vs. #diploma #vs. #certificate, #medical


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    Medical Assisting Degree vs. Diploma vs. Certificate

    Are you interested in becoming a medical assistant? There are various ways that you can get into the medical assisting career.

    The medical field has an abundance of careers that one can get into. It is more than just physicians and nurses. One of the medical careers you can consider is Medical Assisting. A medical assistant usually works in a physician’s office, clinic and other health care facilities. As the term implies, a medical assistant helps in the administrative and/or clinical aspect of the facility.

    There are several ways to get into Medical Assisting. You can choose between getting a degree, diploma or certificate. If you are just deciding to get into the field, choosing which way to go can be confusing. Is there really a difference between the three? And the answer is yes.

    Medical Assisting Certificate

    Medical Assisting Certificate programs are offered both in private schools and community colleges. The program runs for about a year, and sometimes even shorter than a year, and focuses on specific skills – administrative or clinical. When you have completed your medical assisting certificate program, you would have to take the medical assistant certification examination. This option may be the least expensive of the three.

    Medical Assisting Diploma

    The diploma course for medical assisting can take 9 months to 1 year to complete, depending on the school or college you are enrolled in. The program offers a more comprehensive look into the medical assisting field. It deals with both the administrative and clinical aspect of the job and offers basic training in both. At the end of your program you would also need to take the medical assistant certification examination to get certified. The medical assisting diploma program may cost a little more than the certificate program. The diploma program is offered both in private schools and community colleges.

    Medical Assisting Degree

    Should you opt to get a medical assistant degree you need two years to finish the whole program. It is more comprehensive and in-depth than the diploma program. Expect higher academic demand that goes with the program combined with practical and on-hand training. Just like in the diploma program, this degree program will train you in both administrative and clinical tasks associated with medical assisting. You will also need to take up additional classes as part of the program requirement. After you have completed your degree you can take the medical assisting certification examination to get certified. This is the most expensive of all the three options. The medical assisting degree program is offered in community colleges and private schools as well.

    Each of these educational options will help you get into the field of medical assisting. You have to consider several factors before deciding which road to take. There is the time element – how much time can you devote to studying? Online studies may be an option here. How much money can you spend on the program? What is your career outlook for the next couple of years? Of course, the degree program offers a more lucrative job opportunities and security. Just weigh all the factors and consider all your options before deciding so you will get the best out of it.

    Recent Posts


    Centralised Logging – Splunk is expensive, now looking at logstash #splunk #vs


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    Scenario:

    We’re primarily a FOSS shop, so using Splunk to centralise our logging is just too expensive for us (500mb/day is not enough). Then I saw what awesomeness you can do with http://www.elasticsearch.org and http://www.kibana.org. http://docs.fluentd.org/articles/free-a. by-fluentd. So that’s sorted out the backend storage and visualisation, but how to supply the data in the first place?

    LogStash ( http://www.logstash.net ) looks pretty cool, as does Fluentd ( http://www.fluentd.org ). I want to index apache, mysql, debian syslogs, windows event logs.

    After a cursory look, i’m veering torwards Fluentd as i like it’s structure, and I’m not sure if I can encrypt the log data in transport with logstash.

    TLDR. Q. Does anyone use LogStash/Fluentd, or have a preference for either?

    Also, how do I go about deploying with fluentd, i’m presuming I need an engine on each server like this:

    SERVER1 || apache | syslogs | fluentd —
    SERVER2 || mysql | syslogs | fluentd —> — internet / SSL — fluentd | ES | Kibana || CENTRALSERVER
    SERVER3 || apache | syslogs | fluentd —

    You mention collecting logs, but then what are you going to do with them?

    my notes from that talk:

    Monitoring is really hard. And all the existing systems suck.

    Most generally, named value at some time. A k-tuple.

    Resolution (1 per min?), latency (how long from collection to action), diversity (how many different metrics?)

    Need one system for long-term trending, not high resolution. Need a different system that a sysadmin can start up for high-resolution short-term response.

    At Google: ops: high res, low latency, high diversity (realtime monitoring, immediate response) qa: high res, high latency, high diversity (qa looks over results of operations, can look at old dumps of logs and that’s OK) capacity planning: low res, high latency, high diversity product management: low res, high lat, low diversity

    For a large app, gathering data at the minimum one sample per second, you might get to

    0.5TB per day (25 metrics per system, 3/4 layers of systems (lb, dns, web, db), n+2 replication), up to

    40k samples per second.

    Must not have any manual steps to set up monitoring, e.g. use configuration management. Need some sane scheme for metadata.

    Overall, this is simpler for us in HPC, since our systems are not tightly coupled. So we can have a monitoring system per cluster, which is what I’ve been leaning toward. That can go onto the Rocks head node or the admin system from my other notes.

    E.g. of an actionable metric that requires analysis: disk usage. The number itself is useless without derivatives, what is the rate of filling, what is the evolution over time.

    tool overview: mrtg, nagios, ganglia, cacti, sensu, logstash, opentsdb, d3.js, graphite, shinken; each tool has its drawbacks, e.g. no alerting or rrdtool limited storage scaling or crummy visualization, e.g. nagios graphite sensu logstash.

    Collectd (did he mean collectl?), xymon

    We’ve already got monitoring and alerting of key servers and services via zenoss + dashboard graphs.
    The logging requirement is so that we can track more in depth events across our platform, do manual queries on demand, and improve our dashboards.

    With centralised logging, we’ll be able to improve our dashboard design based on some preset queries that we send into Elastic Search.

    And we’ll also be able to push web application events into our central logging system – so instead of each software application having it’s own dashboard we can start to centralise some of the metrics.


    Comparing Cord Blood Banking Companies #cord #blood #registry #vs #viacord


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    Comparing Cord Blood Banking Companies

    With so many banks out there, it can be hard to know where to go. We give you guidelines for researching public and private banks so you can find the right one to fit your needs.

    By Heather Morgan Shott

    Qualities to Look for in a Cord Blood Bank

    An accredited lab. In the United States, the FDA requires all public banks to have a Biologics License Application, but not private banks, though they are registered and inspected. Both public and private banks should have extra accreditation, which means banks are evaluated for the quality and accuracy of work. The two companies that handle accreditation are the American Association of Blood Banks (AABB) and the Foundation for the Accreditation of Cellular Therapy (FACT). Look for a bank with its own lab (some banks use labs at other banks), which means more regular quality control and testing standards.

    A history of releasing cord blood units for therapy. “This shows they’re not just selling contracts to parents — there are doctors who are actually accepting units of cord blood that have been stored there for therapy,” says Frances Verter, Ph.D. founder and director of Parent’s Guide to Cord Blood Foundation, a nonprofit dedicated to educating parents about cord blood donation and cord blood therapists.

    A courier collection service. Private banks have a person pick up your donated cord blood, which helps ensure that it arrives at your chosen bank quickly and doesn’t get lost along the way, and that the temperature will remain consistent enough to be accepted at the lab. (Public banks usually send an insulated kit for you to preserve and mail the cord blood.)

    A well-established history. Public banks are affiliated with nonprofit research institutions or hospitals, so they have a better chance of being managed more soundly. For families without a history of diseases treated by cord blood, such as leukemia and sickle cell anemia, the American Academy of Pediatrics (AAP) recommends that cord blood be donated to public banks. Although the AAP states cord blood has been used to treat certain diseases successfully, there isn’t strong evidence to support cord blood banking. If a family does choose to bank cord blood, the AAP recommends public cord blood banking (instead of private) to cut down on expenditures. Private cord blood banks are affiliated with business corporations, so, like any business, they may go under, says William T. Shearer, M.D. Ph.D. professor of Pediatrics and Immunology at Baylor College of Medicine in Houston.

    Six Cord Blood Banks in the United States

    Cryo-Cell, Viacord. and Cord Blood Registry are three of the oldest and largest private cord blood banks in the United States. They’ve been storing cord blood since the early ’90s, and they’re all accredited by the AABB. Cryo-Cell is located in Oldsmar, Florida; Viacord in Cambridge, Massachusetts; and Cord Blood Registry in San Bruno, California. Each of these banks has its own private labs that test for syphilis, HIV, hepatitis, cytomegalovirus, and human T-cell lymphotrophic virus (considered a precursor to leukemia); the testing is included in their registration fee.

    Lifebank USA is another private bank, located in Cedar Knolls, New Jersey, that’s accredited by the AABB. What sets this bank apart from the others: it’s one of the few banks that store umbilical cord blood and placenta blood (this is done for free). Stem cells from placenta tissue can turn into skeletal tissue types such as bone, cartilage, fat tissue, and connective tissue, whereas cells from cord blood turn into different types of blood cells.

    Family Cord. located in Los Angeles, has a high-quality lab, a top rating from the Better Business Bureau, and accreditation from AABB; it’s also been in business since 1997. Family Cord is one of the few banks that will also cover the cost of cord blood banking for the first year (there’s an annual fee after the first year) in cases where a baby has a sick sibling or another family member who could benefit from the cord blood.

    Carolinas Cord Blood Bank. established in 1998, is one of the largest public cord blood banks. It’s affiliated with Duke University, where trials are currently taking place to treat children with cerebral palsy with their own cord blood. Parents can mail in their cord blood donations and receive financial aid if they have a sick older child or family member who can be treated with cord blood.

    Find More Information About Cord Blood Banking

    Parents Guide to Cord Blood Banking


    EA vs #tax #lawyer #vs #cpa


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    EA vs. CPA Which is Right for You

    Continue Reading Below

    Most people turn to the two well-known groups of licensed tax professionals: certified public accountants (CPA) and enrolled agents (EA). No matter the acronym after their name, the first step in your decision-making process is to make sure the person is licensed.

    If they’re able to answer your questions and you understand, that’s when you want to continue to work with them, says Alan Pinck, an enrolled agent with A. Pinck Associates in San Jose, Calif. Communication is key. It shouldn’t be an intimidating situation. We have enough intimidating situations in our lives. When mistakes happen, it doesn’t hurt to get a second opinion.

    Here’s a breakdown of the two professions:

    An EA is authorized by the U.S. Department of the Treasury to represent taxpayers before the IRS for audits, collections, and appeals, according to the National Association of Enrolled Agents (NAEA). EAs advise, represent and prepare tax returns for individuals, partnerships, corporations, estates, trusts and any entities with tax-reporting requirements.

    Continue Reading Below

    EA’s only tend to focus on preparing taxes, and many specialize in tax resolution. In addition to an IRS-administered testing and application process, enrolled agents must complete at least 72 hours of continuing education every three years.

    A CPA’s bread and butter tends to be performing tax, accounting and financial services to businesses. Not a ll specialize in taxation, and some specialize in more than one service. Most states/jurisdictions require at least a bachelor’s degree, two years public accounting experience and a passing score on the CPA exam to obtain a license. The IRS does not require attorneys and certified public accountants to complete continuing education, but some state licensing offices have added additional requirements. In Massachussetts, for example, CPAs need 80 hours of continuing education every two years.

    Starting in 2013, the IRS will require tax preparers to pass a tax exam and obtain 15 hours of continuing education every year.

    To sum it up simply, Taxes are laws, and accounting is numbers, Pinck says. The price for preparing a return may even be comparable between a CPA and a EA.

    So how do you choose which type of professional is right for you? It’s not always black and white and requires an evaluation by each individual, but here are some general guidelines from the experts:

    When you have out-of-state returns. Enrolled agents are the only taxpayer representatives who receive their unlimited right to practice from the federal government (CPAs and attorneys are licensed by the states). That means if you need to file in more than one state and eventually need representation before that state in an audit or resolution case, the same EA can do it, Pinck says.

    When you need help resolving an IRS dispute or expect to owe. People who don’t have the resources to pursue a taxation attorney often hire EAs instead for civil resolution cases, according to David Miles, an enrolled agent with 20/20 Tax Resolutionin Broomfield, Co. Not only do EAs rates tend to be more affordable, they can their tax law expertise to represent clients in tax proceedings, audit hearings and appeals.

    EAs help ensure clients are treated appropriately by the IRS, work out payment plans on the best possible terms, and ensure the IRS follows laws that protect taxpayers, Miles says.

    Choose a CPA when:

    A little accounting guidance wouldn’t hurt. If you own a small business, hiring a CPA with a bookkeeping and reporting background can help you get organized and on track for the next year. “When you have a couple million dollars in business, some of the accounting can get complicated. We make sure everything is in the right bucket,” says Irene Wachsler, a CPA with Tobolsky Wachsler CPAs in Massachussetts.

    An audit of your business deductions, expenses and income is in order. A CPA’s main differentiator is the ability to attest an audit, which means it affirms to the IRS that financial statements are truthful, says Theodore Flynn, CEO and president of the Massachusetts Society of CPAs. To do that, a CPA will request bank statements and other proof, which limits the possibility of mistakes, Wachsler says. But make sure any professional you hire will guarantee their work on your returns, she adds. That means they agree to represent you later pro bono if there’s a problem with the return.


    Social Work Vs #counseling #vs #clinical #psychology


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    Social Work Vs. Clinical Psychology

    Related Articles

    Although social workers and clinical psychologists are both in professions that try to help people deal with problems, there are considerable differences between the two. A social worker can work in direct services, helping people cope with problems related to poverty, legal issues or human rights. Or, they can work in the clinical field, where they diagnose and treat mental, behavioral or emotional health issues. Psychologists study human behavior and the ways in which the human mind works. The work of clinical social workers is more similar to that of a psychologist.

    Psychologists’ Duties

    Psychologists observe, interpret and record how people and animals respond and relate to each other and their environments. A clinical psychologist may interview patients, perform diagnostic testing for emotional or mental disorders or provide psychotherapy. They may also design behavior modification programs or administer personality, intelligence or performance tests. Most clinical psychologists cannot prescribe medications, although two states, Louisiana and New Mexico, allow clinical psychologists to prescribe.

    Social Workers’ Duties

    Direct service social workers help clients develop plans to improve personal well-being and make referrals for services such as food stamps or health care. Clinical social workers, more commonly called licensed clinical social workers or LCSWs, also make referrals, but they are more likely to be to other mental health professionals or support groups. The LCSW develops a treatment plan and provides direct therapy to families, couples, groups or individuals. The LCSW also develops a care plan, usually in collaboration with other health-care professionals such as physicians or nurses, to promote the client s mental and emotional well-being.

    Education

    Educational requirements for social workers and psychologists differ. A clinical psychologist is required to obtain a Ph.D. or doctorate in psychology, and most clinical psychologists must also complete a one-year internship as part of the doctoral program. Licensure or certification is also required in most states. Social workers may have either a bachelor s or master s degree in social work, although a master s in social work is required for clinical social workers. The licensing requirements for direct-service social workers vary from state to state, but LCSWs must be licensed.

    Skills and Characteristics

    Social workers and clinical psychologists both need strong communication and people skills. Both need good problem-solving skills to find appropriate treatments for mental health problems or solutions to patients social issues. Compassion and trustworthiness are also important qualities; patients need emotional support and want to know that what they say will be kept confidential. Clinical social workers and psychologists must also be able to interpret behavior such as facial expressions or body positions in relation to therapeutic goals.

    Salaries and Job Outlook

    Salaries for social workers vary according to their area of specialization, according to the Bureau of Labor Statistics. Child, family and school social workers earned an average salary of $44,410 in 2011, while health-care social workers earned $50,500, and mental health and substance abuse social workers earned $42,650. Most social workers in these groups are clinical social workers. All other social workers earned an average annual salary of $54,220, according to the BLS. Clinical, counseling and school psychologists earned an average salary of $73,090. The job outlook for both social work and psychology is good. In both cases, growth is expected to be above the average for most occupations.


    What is iSCSI (Internet Small Computer System Interface)? Definition from #iscsi #vs


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    iSCSI (Internet Small Computer System Interface)

    iSCSI is a transport layer protocol that describes how Small Computer System Interface (SCSI ) packets should be transported over a TCP/IP network.

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    iSCSI, which stands for Internet Small Computer System Interface, works on top of the Transport Control Protocol (TCP ) and allows the SCSI command to be sent end-to-end over local-area networks (LANs ), wide-area networks (WANs ) or the Internet. IBM developed iSCSI as a proof of concept in 1998, and presented the first draft of the iSCSI standard to the Internet Engineering Task Force (IETF ) in 2000. The protocol was ratified in 2003.

    How ISCSI works

    iSCSI works by transporting block -level data between an iSCSI initiator on a server and an iSCSI target on a storage device. The iSCSI protocol encapsulates SCSI commands and assembles the data in packets for the TCP/IP layer. Packets are sent over the network using a point-to-point connection. Upon arrival, the iSCSI protocol disassembles the packets, separating the SCSI commands so the operating system (OS ) will see the storage as a local SCSI device that can be formatted as usual. Today, some of iSCSI’s popularity in small to midsize businesses (SMBs ) has to do with the way server virtualization makes use of storage pools. In a virtualized environment, the storage pool is accessible to all the hosts within the cluster and the cluster nodes nodes communicate with the storage pool over the network through the use of the iSCSI protocol.

    This image illustrates how a simple iSCSI SAN deployment could share the same infrastructure as the rest of the computers on the network. Ideally, the two networks would run separately to avoid network congestion.

    This image shows a more practical approach to planning a network for iSCSI. This design can be scaled to allow multi-path I/O by adding dedicated Ethernet switches for the storage network or by allowing the production LAN to be used as a backup path in case the dedicated Ethernet network is not available.

    An iSCSI initiator is a piece of software or hardware that is installed in a server to send data to and from an iSCSI-based storage array or iSCSI target. The following video discusses the impact of the Microsoft Windows Server 2012 iSCSI Target software functionality, and shows how to install the iSCSI target, create an iSCSI virtual disk and use iSCSI for failover clustering .

    iSCSI benefits

    Because it uses standard Ethernet. iSCSI does not require expensive and sometimes complex switches and cards that are needed to run Fibre Channel (FC ) networks. That makes it cheaper to adopt and easier to manage.

    An FC storage-area network (SAN ) transmits data without dropping packets and has traditionally supported higher bandwidths. but the FC technology is expensive and requires a specialized skill base to install and configure properly. An iSCSI SAN, on the other hand, could be implemented with ordinary Ethernet network interface cards (NICs ) and switches and run on an existing network. Instead of learning, building and managing two networks — an Ethernet LAN for user communication and an FC SAN for storage — an organization could use its existing knowledge and infrastructure for both LANs and SANs.

    iSCSI market success

    Because of concerns about performance and compatibility with other storage networks, iSCSI SANs took several years to catch on as mainstream alternatives to Fibre Channel. Start-up vendors EqualLogic Corp. and LeftHand Networks Inc. finally achieved enough success with their iSCSI storage arrays that larger vendors acquired them. In 2008, Dell Inc. bought EqualLogic for $1.4 billion and Hewlett-Packard Co. paid $360 million for LeftHand.

    Fibre Channel remains a more popular storage protocol than iSCSI, but all major storage vendors now have iSCSI SAN arrays, including storage platforms that support FC and iSCSI. Systems that run FC and iSCSI are known as unified or multiprotocol storage, and they often run network-attached systems for files.

    Ethernet alternatives to iSCSI

    iSCSI is the most popular approach to storage data transmission over Internet Protocol (IP ) networks, but there are alternatives, such as the following:

    • Fibre Channel over IP (FCIP). also known as Fibre Channel tunneling, moves data between SANs over IP networks to facilitate data sharing over a geographically distributed enterprise.
    • Internet Fibre Channel Protocol (iFCP) is an alternative to FCIP that merges SCSI and FC networks into the Internet.
    • Fibre Channel over Ethernet (FCoE) became an official standard in 2009. Pushed by Cisco Systems Inc. and other networking vendors, it was developed to make Ethernet more suitable for transporting data packets to reduce the need for Fibre Channel. But while it is used in top-of-rack switches with Cisco servers, FCoE is rarely used in SAN switching.
    • ATA over Ethernet (AoE) is another Ethernet SAN protocol that has been sold commercially, mainly by Coraid Inc. AoE translates the Advanced Technology Attachment (ATA ) storage protocol directly to Ethernet networking rather than building on a high-level protocol, as iSCSI does with TCP/IP.

    iSCSI security

    The primary security risk to iSCSI SANs is that an attacker can sniff transmitted storage data. Storage administrators can take steps to lock down their iSCSI SAN, such as using access control lists (ACLs ) to limit user privileges to particular information in the SAN. Challenge-Handshake Authentication Protocol (CHAP ) and other authentication protocols secure management interfaces and encryption for data in motion and data at rest .

    This was last updated in October 2014

    Continue Reading About iSCSI (Internet Small Computer System Interface)

    Related Terms

    Internet Small Computer System Interface (iSCSI) adapter An iSCSI adapter is a network interface card that enables the transmission of data between host computers and iSCSI-based storage. See complete definition iSCSI initiator An iSCSI initiator is software or hardware that enables a host computer to transmit data to an iSCSI-based storage array through. See complete definition SCSI (Small Computer System Interface) Definition: The Small Computer System Interface (SCSI) is a set of parallel interface standards used to attach disk drives and. See complete definition

    Dig Deeper on ISCSI SAN


    Mortgages & Home Loans – Refinance & Interest Rate Calculators #bank #check


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    CHECK MORTGAGE RATES

    TODAY’S RATES

    MORTGAGE NEWS

    CALCULATORS

    SEARCH RATES

    MORTGAGE ARTICLES

    Traditional mortgage down payments have always been 10 to 25 percent of the total purchase price of the property.

    Mortgages default every day in the world and they are just a normal part of the business for mortgage lenders. There are a certain number of mortgages that will default every year and it is planned for accordingly. While it is common business practice for lenders, it can be devastating for you individually. If you default on a mortgage, it can ruin your credit and your financial outlook for the future. Mortgage default is a major setback for you, but it is not the end of the road. If you are faced with a default on your home, you can take measures to get back in good standing with the lender.

    The content on this site is provided for informational purposes only and is not legal or professional advice. Advertised rates on this site are provided by the third party advertiser and not by us. We do not guarantee that the loan terms or rates listed on this site are the best terms or lowest rates available in the market. All lending decisions are determined by the lender and we do not guarantee approval, rates or terms for any lender or loan program. Not all applicants will be approved and individual loan terms may vary. Users are encouraged to use their best judgment in evaluating any third party services or advertisers on this site before submitting any information to any third party.

    Mortgage101 is an Internet Brands company


    Pex Repiping #los #angeles #repipe, #los #angeles #repiping, #long #beach #repipe, #long


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    PEX REPIPE SPECIALIST

    Uponor Pex Repipe – The World’s First, Best, And Most Widely Used System For Single Family Homes And Residential Units.

    What is PEX?

    PEX is an acronym for crosslinked polyethylene. It is a flexible, durable, proven piping product that has been used in plumbing systems for more than 20 years. PEX tubing won’t pit, scale or corrode and, because of its flexibility, it also offers potential freeze-damage protection.

    Residential Commercial Pex Plumbing. Call Toll Free 877-473-7473

    Uponor Pex plumbing systems feature PEX-a tubing, which is considered the superior PEX tubing manufacturing method in the industry. PEX-a is the most flexible of all PEX types, and because of its shape and thermal memory, it can use ProPEX expansion fittings which are the only fitting system that actually gets stronger over time – making it highly leak resistant.

    1) Repiping in a home begins at the transition point.

    2) The transition point is the point where the potable water system enters the building from the exterior of the building.

    3) Repiping a potable water system means you totally abandon the existing potable system and replace it with a new system.

    4) The first step in repiping your home is masking or “covering” the floors, and this must be completed before the walls are masked off. This overlap “ enveloped ” system allows the plastic sheeting to be rolled up in one continuous motion.

    5) Cutting the sheetrock: You will be shocked at how little sheetrock has to be removed for the layout and installation of a new potable water system. A real Pex Plumber is an expert at HVAC, framing, plumbing, and electrical layout, and will lay out the home pex repipe in the most effective route. The better the repiper. the smaller and fewer the drywall holes!

    6) A “GREEN REPIPE” potable water system refers to a Pex repipe potable system only – such as UPONOR or ZURN with corrosion resistant fittings. CPVC and copper systems are not green systems.

    7) The drywall pieces that are removed must be used in the patching process as each texture is a little different in thickness. This gives you a uniform surface thickness as you start the repair process. Each piece goes back in the hole it came from.

    8) Repipe with an approved material. There are currently three main materials used in pex repiping jobs across the US: copper pipe and fittings, CPVC pipe and fittings, and PEX repipe and fittings. (DO NOT USE CPVC, IT IS THE NEXT POLYBUTYLENE)

    9) Repipe inspections must be performed by the local building inspectors after the repipe is completed, with the system under full water pressure.

    10) The signed inspection card must be given to the homeowner after the PEX repipe inspection is completed.

    11) Drywall repair begins after all the necessary backing has been installed. Backing supports the drywall pieces that were removed to access the potable water pipes and accommodate the repiping of a new Pex repipe or copper potable water system.

    12) The fiberglass mesh tape must be used 100% of the time.

    13) The patches must be pre-filled with quick set patching compound. The compound comes in 18lb bags, and because it is a powder, it must be mixed with water. This locks the perimeter of each patch and will make the area of the patch stronger than it was before the work process began. The reason this is important is that when you close the doors in the house, the walls flex just a little bit, and if you do not perform this method of repair, the patch will fracture over time from the flex/vibration caused by shutting the doors.

    14) Do not coat the drywall patches with regular all-purpose joint compound on the repipe patches.This is a common practice and the patches will crack later 100% of the time, even if it’s years later.

    15) Coat all the repipe drywall patches with quick set patching compound only. USG will do and you can find it at any home and hardware store, or you will have fractures in the walls at the patch locations.

    16) Float all the walls with quick set patching compound and use a 12″ drywall knife and stagger each coat until the walls become smooth and flat. The next step is wet sanding the patches and this must be done if you want the patches to blend in perfectly after the texture is applied. The reason you’ve seen bad patches in the past is that repairmen do not know how to “kill the edges.” This is an old drywall term that means you must do the detail wet sanding work and there is no short cut.

    17) Texture to match the existing texture, and this is not as easy as you might think. This is a real art form for the few that know what they are doing. Also, if the texture is spray texture, you must sponge off the overspray for the texture to match. Nothing gives away the location of a patch more than overspray that is painted over and not “killing the edges.”

    18) Paint to match the existing paint. All repipe companies color match the same way. They run down to their local hardware store and have the computer color matching done by the man behind the counter. This is beginner color matching. The proper way to color match is hand color matching. First, match the paint sheen. Second, computer match for the base color. Third, tint for color adjustment. Fourth, match the color and sheen after the paint sample has dried. Repeat if necessary. Did you know that the paint color on the wall after it dries will be different than the paint color while it is wet and in the can?

    19) If you follow the basic repiping rules, after a very short time you will not be able to point out all the drywall patches from the repair. You will simply forget where the holes were due to the patches receiving the proper floating, texture and painting techniques. Your friends, neighbors, relatives, and even plumbing contractors will not be able to find the patches.

    20) This is a basic guideline for a home repipe. and if done, properly you will have a repipe that was done as well as a repipe can be done.

    At Integrity Repipe. we provide total abandonment of your existing potable system, and there are never hidden extras, and we don’t hire subcontractors. You’ll receive nothing but the finest, most complete and professional job in the industry. The scope will be for a lead-free and yellow brass -free potable “GREEN SYSTEM” with a full lifetime warranty that covers material and labor.

    Contact Your Local Burbank Repiping Company


    Act vs goldmine #act #vs #goldmine


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    HEAT Support Portal Users: Portal Access and Layout has changed!

    You are now able to login to the Support Portal via the “ Sign in with Ivanti Community ” link (directly below the regular login). Signing in via this method will allow you to access the full functionality of the newly modified Knowledge Base (replaces Knowledge) and Product Downloads (replaces Releases) sections of the Support Portal, which are now part of the Ivanti Community.

    Please note: You MUST sign in via the Ivanti Community link if you want to contribute to the Knowledge Base community pages or if you want to access the Product Download links.

    To sign in via the Ivanti Community link, simply click the link and use your Ivanti Community credentials.

    • H EAT Support Portal users who have previously logged into the HEAT Support Portal will need to do a one-time password change once you click on the Ivanti Community link. Your Ivanti Community Username should be your same email you use to login to the HEAT Support Portal.
    • If you have a Username for the HEAT Support Portal but you have not registered for the Ivanti Community, you may do so from the Register Here link on the Community login page.
    • If you do not currently have an Account for the HEAT Support Portal, please email our Customer Care team to create an account. They will also invite you to register for the Ivanti Community at that time.
    • Once your login is setup, you will be able to log directly into the HEAT Support portal for incident management of your HEAT products, and you will also have full access to contribute to the Ivanti Community and be able to download HEAT products.

    To learn more about our innovative IT Service Management solutions, visit our website at Ivanti

    Copyright 2005-2017 Ivanti. All rights reserved.

    HEAT Support Portal Users: Portal Access and Layout has changed!

    You are now able to login to the Support Portal via the “ Sign in with Ivanti Community ” link (directly below the regular login). Signing in via this method will allow you to access the full functionality of the newly modified Knowledge Base (replaces Knowledge) and Product Downloads (replaces Releases) sections of the Support Portal, which are now part of the Ivanti Community.

    Please note: You MUST sign in via the Ivanti Community link if you want to contribute to the Knowledge Base community pages or if you want to access the Product Download links.

    To sign in via the Ivanti Community link, simply click the link and use your Ivanti Community credentials.

    • H EAT Support Portal users who have previously logged into the HEAT Support Portal will need to do a one-time password change once you click on the Ivanti Community link. Your Ivanti Community Username should be your same email you use to login to the HEAT Support Portal.
    • If you have a Username for the HEAT Support Portal but you have not registered for the Ivanti Community, you may do so from the Register Here link on the Community login page.
    • If you do not currently have an Account for the HEAT Support Portal, please email our Customer Care team to create an account. They will also invite you to register for the Ivanti Community at that time.
    • Once your login is setup, you will be able to log directly into the HEAT Support portal for incident management of your HEAT products, and you will also have full access to contribute to the Ivanti Community and be able to download HEAT products.

    To learn more about our innovative IT Service Management solutions, visit our website at Ivanti

    Copyright 2005-2017 Ivanti. All rights reserved.


    Post graduate vs graduate #post #graduate #vs #graduate


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    Graduate

    A World-Class Education

    John Jay College has been a world leader in educating for justice since 1964. We define justice both narrowly, with an eye toward meeting the needs of criminal justice and public service agencies, and broadly, in terms of enduring questions about fairness, equality and the rule of law.

    We are recognized globally for delivering the highest standards of graduate training and professional education. As a graduate student, you will have access to a wide range of resources and opportunities to help you succeed in your education and eventual profession, such as a renowned faculty, state-of-the-art facilities, research capabilities and strong partnerships with industry leaders.

    Why choose John Jay College?

    Our Mission: We are committed to preparing students for meaningful career opportunities in a diverse range of fields including criminal justice, public administration, forensic science and security management among others.

    Our Philosophy: We promote a multi-disciplinary approach to creating justice through education, advocacy, research and collaboration.

    Innovative Programs: We offer a variety of graduate degrees with innovative curriculum, a student-centered focus and a collaborative scholarly environment.

    World-Class Research: John Jay College fosters an academic environment that promotes scholarship and encourages research across a diverse range of subjects.

    Our Faculty: Our globally recognized and highly engaged faculty is devoted to giving students individual attention for stimulating their ideas, and counseling them on career choices.

    Our Setting: Beyond our campuses, our students experience the blend of culture, entertainment, business and social energy that makes New York City one of the greatest places in the world.

    Our Resources: John Jay College offers abundant resources from financial aid counseling to educational workshops and career services for professional development.

    Track Record of Accomplishments: Our graduates have distinguished themselves through leadership positions in government, non-profits, businesses, and international organizations housed here and abroad

    .
    The Dynamic Range Our Masters Programs

    Master of Arts in Criminal Justice
    This program encompasses a general survey of the field, covering research methods, causes of crime and analyses of the police, courts and the correctional system.

    Master of Arts in International Crime and Justice
    The first of its kind in the United States, this program combines advanced substantive knowledge of international crime challenges and domestic and international responses.

    Master of Arts in Forensic Psychology
    This program focuses on the understanding, evaluation and treatment of both offenders and victims.

    Master of Arts in Forensic Mental Health Counseling
    As a “license eligible” program, this satisfies New York State’s educational requirements leading toward professional licensure as a Mental Health Counselor, with a specialization in forensics.

    Master of Public Administration
    This curriculum is offered as two distinct programs, one with a focus on Policy and Administration and the other on Inspection and Oversight.

    Master of Science in Forensic Science
    Drawing from the areas of chemistry, biology, physics and law, the program involves the mastery of techniques for the laboratory and the courts.

    Master of Science in Digital Forensics and Cyber Security
    This program balances practice and theory through study in computer science, law and criminal justice.

    Master of Science in Protection Management
    This program offers advanced professional education in theory, design, management and operation of fire and security protection, and emergency management systems.

    ONLINE Master’s Programs

    Doctoral Programs
    John Jay offers doctoral programs in psychology and criminal justice in conjunction with The City University of New York’s Graduate Center. Click here for more information.

    Our Application Process

    1. A secure online application account will enable you to track the status of your application.
    2. Once your application is completed, it will be reviewed by the program’s faculty admissions committee .
    3. You will receive a application decision. If you are offered admission, you will need to submit a commitment deposit to confirm your enrollment.

    Please submit your application materials to the address listed below no later than the designated application deadline.

    • A non-refundable application fee of $125.00 in the form of check or money order payable to “John Jay College” (do not send cash). John Jay College Alumni must submit a valid alumni card and Veterans/Active Military must submit copies of their DD-214 or military card to be waived from the application fee.
    • Official Undergraduate/Graduate transcripts from ALL schools attented.
    • Personal statement and letters of recommendation if you did not utilize the online options within the application.
    • International students click here for further information.
    • Appropriate standardized test scores if required (GRE, TOEFL, LSAT).

    Associate of Applied Science in Occupational Therapy Assistant #associate #of #applied #science


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    Associate of Applied Science in Occupational Therapy Assistant

    Associate in Applied Science (AAS) programs are designed to provide preparation for entry level employment and are not intended for transfer. Certain courses in AAS degree programs may be accepted by a four year college or university for transfer credit in an associated field of study.

    • To learn more about the faculty and staff of the Occupational Therapy Assistant Program, click here .
    • To see Jefferson College of Health Sciences Catalog, with the Occupational Therapy Assistant section beginning on page 131, click here .

    To view the Occupational Therapy Assistant Program “Online Information Session” click here .

    Following viewing of the Online Information Session, a short quiz must be taken and submitted. These two components are part of the OTA Program application process. For further information regarding the admission requirements, please scroll down.

    The Occupational Therapy Assistant Program at Jefferson College of Health Sciences is the oldest OTA program in Virginia, established in 1992.

    Our small class size (average 25 students) allows for more individualized instruction and hands-on participation in the classroom. Students range in age from recent high school graduates to individuals returning to school to prepare a second career. These differences in age and life experiences make for lively discussions in classes as we explore different roles people assume throughout their life span. Awareness of cultural diversity is an important tenet of the profession and our student body reflects this diversity.

    Philosophy and General Program Information

    Our faculty believes students learn best by participation in active learning experiences. As a result, lectures may involve student presentations followed by labs where new techniques can be practiced. Our faculty to student lab ratio of 1 to 12 allows the faculty to get to know students personally. Involvement in professional activities and associations allows for more interaction both personally and professionally in the development of leadership and advocacy.

    Part of the education process in this program is for the students to experience hands-on patient interactions. Fieldwork experiences provide these opportunities. Our academic fieldwork coordinator places students in facilities where their clinical skills can best be developed. Fieldwork placements can be local or long distance depending on availability.

    Student may take all the courses required for this degree at Jefferson College, or may transfer any of the general education courses from other institutions, as deemed appropriate by the Registrar. All professional courses (those with OTA prefixes) must be taken at Jefferson College. Graduates from the OT Assistant program have consistently scored higher than the national average on the national certification examination.

    Our graduates are generally employed within six weeks of graduation. It is not unusual for employers to contact our OTA Program for recruitment purposes. The program maintains a strong reputation for excellence throughout the state of Virginia and the nation.

    The Occupational Therapy Assistant Program is accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA) located at 4720 Montgomery Lane, Suite 200, Bethesda, Maryland, 20814-3449. The telephone number for ACOTE (c/o AOTA) is 301-652-2682 or (301-652-AOTA). The web site link is www.acoteonline.org

    Click here for the general information on admissions requirements.

    OTA Admission Requirements:

    Certification and Licensure Information

    Graduates of the program will be eligible to sit for the National Certification Examination for the Occupational Therapy Assistant, administered by the National Board for Certification in Occupational Therapy (NBCOT). After successful completion of this exam, the graduate will be a certified occupational therapy assistant (COTA). In addition, most states require licensure to practice; however, state licenses are usually based on the results of the NBCOT certification examination. A felony conviction may affect a graduate’s ability to sit for the NBCOT certification examination or attain state licensure. It is recommended that OTA program applicants who have a felony conviction apply for “Early Determination and Character Review” to determine their potential to sit for the national certification examination.

    Information about the National Certification Exam can be found at http://www.nbcot.org .

    Information about licensure for Virginia Occupational Therapy Assistants can be found at http://www.dhp.virginia.gov/medicine/ .

    Student and Program Outcomes

    Information regarding JCHS OTA graduate pass rates on the national certification examination can be found on the following website: https://secure.nbcot.org/data/schoolstats.aspx

    Go to:

    2017 Jefferson College of Health Sciences. All Rights Reserved.


    Whole Life Insurance vs #universal #vs #whole #life #insurance


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    Whole Life Insurance vs. Universal Life Insurance

    When you hear the phrase “permanent life insurance” what comes to mind?

    Generally speaking, there are two primary types of permanent life insurance coverage:

    In some ways, these two types of coverage appear to be identical. However, as you dig into the finer details, you’ll find that there are many differentiating factors.

    Let’s start here: since these are both considered permanent life insurance policies, they are designed to remain active during your entire life. Unlike term life insurance, neither one of these will expire after a particular period of time (such as 15 or 20 years).

    With that out of the way, it’s time to learn more about each type of policy. Here are two points to get started:

    • Whole life insurance has a fixed premium (and death benefit), allowing you to pay the same amount every year. Also, this type of policy can accumulate cash value.
    • Universal life insurance has a flexible premium, meaning that you have the opportunity to adjust how much you pay by the year. For example, you can access the cash value as a means of lowering your premium payment.

    The Benefits of Both

    By now, you should be getting closer to understanding what type of permanent life insurance is best for you. Now, we need to talk about the benefits of both. Let’s start with whole life insurance:

    • Opportunity to pay the same premium, year in and year out.
    • Ability to take a loan against the policy.
    • Tax-deferred cash value growth.

    Here are some of the primary benefits of universal life insurance:

    • With cash value, you may be in position to lower your premium payment or skip a payment altogether.
    • With some companies and policies, you can increase or decrease your death benefit as you see fit.
    • You can borrow against the cash value of the policy.

    Are these Identical?

    Are you beginning to get the feeling that whole life insurance and universal life insurance are one in the same? It’s easy to see why you may think this, but there are some key differences to keep in mind as you compare policies:

    • Universal life insurance has more flexibility in regards to using the cash value to lower your premium or skip payments.
    • Whole life insurance has level premiums, a set death benefit, and greater potential for growth.

    These two differences, along with the benefits and other details listed above, go a long way in showing that these types of policies are not the same.

    How to Make a Decision

    Only you know what type of life insurance is best for you. Only you know how much you can afford to spend and what you need to get in return.

    Making a decision is based on many factors, including but not limited to:

    • Your preference based on the pros and cons of each policy type.
    • Your financial approach and budget.
    • The goals that you have set for yourself and your family.

    Here are some questions to answer that can help you make a decision:

    • How much money are you able to spend on life insurance?
    • Are you interested in a policy that remains unchanged from the day you buy until the day you pass on?

    Which One is Best?

    There is no denying the fact that whole life insurance is more popular than universal life insurance. This isn’t to say that a universal policy provides no benefits, but this type of coverage is not nearly as common.

    Most consumers find that whole life insurance is easier to purchase, as more companies offer this type of policy. Along with this, they enjoy the fact that they can obtain coverage with a death benefit and premium that remains the same. Furthermore, the ability to earn cash on an annual basis helps make these policies even more appealing.

    With all that being said, whole life insurance is typically the better choice for most consumers.

    Whole Life Categories


    Fidelity Investments Review 2017 #fidelity #vs #etrade


    #

    Fidelity Investments Review 2017

    » Get the most out of your money: Use NerdWallet s free investment planning tool to learn how to make your money work harder today and tomorrow.

    Most investors know Fidelity Investments for its extensive lineup of mutual funds and as a workplace retirement plan administrator. That may be why the company’s brokerage arm is less well-known among regular traders. That said, they should take a closer look. What they’ll find at Fidelity are low commissions, a wide investment selection and an impressive amount of research. The biggest knock on Fidelity’s brokerage side is the trade minimum on its active trader platform.

    NerdWallet is a free tool to find you the best credit cards, cd rates, savings, checking accounts, scholarships, healthcare and airlines. Start here to maximize your rewards or minimize your interest rates. Arielle O’Shea

    NerdWallet’s rating: 5.0 / 5

    Quick Facts

    • Commissions: $4.95 per trade
    • Account minimum: $0 for IRAs, $2,500 for brokerage
    • Promotion: 300 commission-free trades with deposit of $50,000 or more

    Get started on their secure site

    Where Fidelity Investments shines

    Commissions: Fidelity lowered its commissions in February 2017, dropping from $7.95 per trade to $4.95. That s rock-bottom among online brokers, especially for the level of service the company provides.

    Research: Fidelity is simply unmatched here. The company offers research from more than 20 providers, including Recognia, Ned Davis, S P Capital IQ and McLean Capital Management.

    Stock quote pages show an Equity Summary Score, which is a consolidation of the ratings from these research providers. It gives an “aggregate, accuracy-weighted indication of the independent research firms’ stock sentiment,” according to the Fidelity website.


    ETF snapshot pages also show an impressive number of analyst ratings and reports, and mutual fund fact sheets include both Morningstar and Lipper ratings.

    Twenty or more research firm offerings might seem like too much to wade through, but investors can take a short quiz to identify providers that match their investment style. A research firm scorecard evaluates the accuracy of the provider s recommendations.

    Customer service and educational support: Fidelity has long scored points for customer service, and the company offers in-person guidance and free investor seminars at branch locations throughout the country. Seminars cover such topics as how to navigate the company’s website, when to take Social Security and the basics of technical analysis. Online, Fidelity’s learning center offers guides and webinars on a similar range of issues.

    Customers who qualify for the company’s Active Trader Services also get 24/7 access to dedicated trading specialists. To qualify, investors must place 120 or more trades in a rolling 12-month period and maintain at least a $25,000 balance in their eligible Fidelity accounts.

    Platforms and tools: Like other brokers, Fidelity offers trading via its website and mobile apps, plus a desktop platform for active traders.

    The company’s online trading platform is easy to navigate and fairly comprehensive — highlights include advanced screeners using the aforementioned research and strategy-testing tools based on 10 years of historical data. Fidelity’s mobile app is equally impressive, with real-time quotes, multi-leg options trading. a consolidated version of the company’s research offerings and a notebook where you can save ideas and articles from your mobile browser.

    Active traders who qualify for it will prefer the company’s Active Trader Pro platform, which includes both a downloadable desktop version and a web alternative at ActiveTraderPro.com. Investors can toggle seamlessly between the two. The customizable platform includes intuitive shortcuts; pre-built market, technical and options filters; advanced options tools; and a multi-trade ticket that can store orders for later and place up to 50 at a time.

    Finally, the company’s Wealth-Lab Pro, also a premium tool, is desktop-strategy-testing software that allows investors to customize strategies and access up to 20 years of daily historical data.

    Where Fidelity Investments falls short

    Trading platform restrictions: The downside to Fidelity’s trading platforms and tools is that, as mentioned, certain offerings are restricted to high-volume traders. Active Trader Pro requires that customers trade at least 36 times in a rolling 12-month period; some advanced tools on that platform, like charting with Recognia, are available only to traders who place at least 120 trades per year. Wealth-Lab Pro access requires 36 trades per year and a minimum of $25,000 in assets.

    Investment minimum: Fidelity’s minimum investment for brokerage accounts is $2,500; that’s fairly high compared with other brokers. The company’s minimum for IRAs is a much more reasonable $0, but that will get you only as far as the core position — in other words, cash.

    If you want to invest in mutual funds, most Fidelity and non-Fidelity funds carry a $2,500 minimum. That’s a fairly high bar to clear. The good news: You can avoid that mutual fund minimum by signing up for automatic investments of at least $200 a month or $600 a quarter.

    The bottom line
    Fidelity’s lineup of services for investors goes well beyond retirement accounts. Investors interested in venturing outside of the land of mutual funds should take note of the company’s low commissions, advanced trading capabilities — including a very strong mobile app — and breadth of research. Fidelity is best for traders who qualify to use its advanced platform, tools and active trader support.

    More from NerdWallet:

    Updated Feb. 28, 2017.


    Lennox AC Units vs Trane AC Units: AC Review & Product Comparison


    #

    One constant reality about living in the Valley of the Sun is heat. With temperatures rising above the triple digit level virtually every day between May and September, ensuring your house or business is cooled by the best air conditioning unit possible is a reality that virtually every individual must deal with. But, among the two leaders in this industry, Lennox AC Units vs Trane AC Units. which is the best?

    Both Lennox and Trane offer their customers huge selections of high-quality AC units to choose from that are tailor-made to provide the service you individually need. Whether you are trying to cool a two-bedroom condo. or a 6-bedroom home or multiple room office, it is important to find the right AC Unit that will meet your needs best. And each company, Trane and Lennox offer superior quality units for multiple applications.

    Key Benefits of Lennox AC Units

    The Lennox AC Units are available to consumers in three major categories including:

    There are a total of (7) individual units available that are all Energy Star rated and have SEER Energy Ratings ranging from a low of 13 (for the Merit Series 13ACX Air Conditioning Unit) to a high of 21.2 (for the Dave Lennox Signature® Collection XC21 AC Unit). The Seasonal Energy Efficiency Ratio (SEER ) rating system was created by the United States Federal Government to provide consumers an easy and unified method of rating AC Units by terms of energy efficiency.

    Key Benefits of Trane® AC Units

    Trane® has a tag line that states, It s hard to stop a Trane® meaning, their units are build to last (and are exceptionally quiet). The Trane Air Conditioning Company provides consumers a total of (8) individual residential AC Units to choose from. These units, classified by their XL, XB and XR classifications range in SEER ratings from a low of 13 (in the XB300 Series AC Unit) to a high of 20.0 (in the XL20i AC Unit sold by Trane®). Trane offers customers exceptional quality, at very good pricing – similar to Lennox in many categories as well.

    Warranties Provided by Both Trane and Lennox AC Units

    Trane® offers their customers a 60 day limited warranty on all AC Units they sell. The warranty covers any manufactures defects on parts for a total of 10-years; which include both the coil and compressor. This warranty does not cover these parts for standard wear and tear, and requires that they unit be registered via phone or online. Trane® will replace parts; however the cost of installation and other materials is not covered by the manufacture.

    Lennox on the other hand is a bit more extended on their warranty coverage. They offer a 10-year warranty on parts, the compressor and the limited lifetime warranty on the heat exchanger for the Dave Lennox Signature Collection AC Units. The Elite Series offers a 5-year warranty plan on parts; 10-years for heat exchange and 20-years or ‘limited lifetime’ for other parts. The Merit Series is similar to the Elite Series.

    Both companies offer extended services plans through authorized dealers who install Lennox and Trane AC Units.

    View this brief presentation that highlights the Lennox vs Trane comparison:
    click the symbol at the bottom right to enable Full Screen mode.

    When choosing between each company, it is important to select the AC Unit that will fit your individual need best. As such, it is always advised to contact an authorized Trane or Scottsdale Lennox dealer and professional installation company who will provide expert advice and consultation for your AC Unit needs. To Get in touch with a certified Lennox Dealer in Scottsdale or Trane dealer in Scottsdale, we can help. Contact Scottsdale Air by calling 480-359-7141 today to get all of your questions answered, we are authorized Trane® and Lennox dealers.

    Contact the AC experts at Scottsdale Air Heating Cooling to replace your HVAC unit to keep your home cool. Email us or call 480-359-7141 now!

    Read related articles:

    http://www.scottsdaleair.com/wp-content/uploads/2015/08/scottsdale_logo4.png 0 0 Michael Cross http://www.scottsdaleair.com/wp-content/uploads/2015/08/scottsdale_logo4.png Michael Cross 2013-01-22 15:40:23 2016-11-07 19:57:35 Lennox AC Units vs Trane AC Units: AC Review & Product Comparison

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    Inherited IRA: Rules and Options for Inheriting an IRA #inherited #ira, #what


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    Inheriting an IRA

    What is an Inherited IRA?

    An Inherited IRA, or a Beneficiary IRA, is an account that is opened when someone inherits an IRA or employee-sponsored retirement plan after the death of the original owner. As a beneficiary, you can’t make additional contributions, but with an Inherited IRA the funds can remain tax-deferred, and you can generally withdraw money right away without a penalty. Inherited IRAs are typically opened for non-spouse beneficiaries, as spouses can transfer inherited assets directly into their own personal retirement accounts.

    You do have to take Required Minimum Distributions (RMDs) from an Inherited IRA, the timing of which is based on the age of the original account holder, and the amount is based on your own life expectancy and the account value. However, by only taking out the RMD amount each year, you can continue to grow the financial life of your Inherited IRA, and can pass it in turn to your own future heirs.

    Need IRA help? Call 866-855-5636 anytime.

    Inherited IRA FAQs

    Anyone (a spouse, non-spouse, or entity) who has inherited the assets of an IRA or employer-sponsored retirement plan is eligible to open an Inherited IRA. Eligible IRAs include Traditional, Rollover, SEP, SIMPLE, and Roth IRAs.

    Yes. You can transfer the existing IRA into your name and defer distributions until you are required to take the Required Minimum Distribution (RMD). If you plan to take a distribution before you reach age 59½, you can open an Inherited IRA. Consult your tax advisor for more details.


    What is Palliative Care (vs Hospice care) #cheap #motels #sydney

    #cancer hospice care

    #

    The Basics of Palliative Care

    Stacy Fischer, MD

    by Stacy Fischer, MD
    Associate Professor of Medicine, University of Colorado of Medicine

    Most of us will experience a time living with an advanced serious illness. For persons with cancer, this time can lead to an incredible emotional and financial strain for themselves and their caregivers. Health care has grown increasingly costly, fragmented, and the focus is often on all else but the patient.

    Palliative care is a medical specialty that may address the unique needs and challenges faced by patients with advanced serious illness, like cancer. Palliative care is often delivered by an interdisciplinary team composed of doctors, nurses, social workers, and chaplains.

    The focus is on pain and symptom management, maximizing quality of life, and improving communication between patients and their care providers by helping to match patients’ goals with the medical care possible.

    Palliative care can be given concurrently with chemotherapy, surgery, radiation therapy, or other life prolonging treatments.

    Palliative Care vs Hospice Care

    One common barrier to patients accepting palliative care is the mistake of equating palliative care with hospice care.

    In hospice care, all the treatments are directed toward comfort and patients rarely receive life prolonging therapies. Hospice is offered within the last 6 months of life.

    In contrast, palliative care can be offered at the time of diagnosis of a life-limiting illness, even when patients may be expected to live years. In fact, early palliative care for advanced lung cancer helped improve patients’ quality of life, symptom burden, and actually helped patients live longer. More studies examining the benefits of early palliative care interventions are ongoing but evidence to date suggests that palliative care helps people live better.

    So to address some of the questions and concerns about palliative care, I have added a few commonly asked questions with answers.

    Is palliative care the same as hospice care?

    See the section above palliative care is not hospice.

    Where can I get palliative care?

    A growing number of hospitals and outpatient cancer centers now have palliative care consultative services. In addition, many hospice programs have expanded to include separate community-based palliative care programs. Ask your provider or social worker what might be available at your health care center or in your community.

    It is also important to remember that a palliative approach can be incorporated by your own primary care provider or oncologist. Here are some of the core things you might want to talk about with your oncology care provider:

    • Pain or other symptoms such as constipation, nausea, anxiety, depression, and fatigue
    • Prognosis-what kind of information do you want to know about your prognosis?
    • Advance Care Planning-having your health care providers lead you through a discussion or consider a more DIY start through patient-centered websites such as Prepareforyourcare.org

    Who pays for palliative care?

    Nearly all public and private insurances including Medicare or Medicaid will cover inpatient consultation. Most will also cover community based palliative care services.

    Palliative care is increasingly recognized as a mainstream part of comprehensive cancer care. The American Society of Clinical Oncology, American Cancer Society, National Comprehensive Cancer Network, and the Institute of Medicine have all endorsed palliative care as part of quality cancer care. If you would like to find out more about palliative care check out this website .

    MORE

    I had no idea that palliative care even existed until very recently when I had a friend who requested it. I thought it was the same as hospice care. After reading your article, though I know that it can be given at the time of a diagnosis of a life-limiting illness. It s cool that it can actually extend the life of individuals too!

    Jeanne Rice says

    The article is very informative and helpful in explaining the difference between these two kinds of care.

    In the section Is Palliative Care the same as Hospice Care? , it says, Did you even read the above section? When someone says did you even . that kind of jars sensibility and seems very unkind. Possibly you could say that differently. It sounds like you are very annoyed. It makes me wonder how you might treat someone in person.

    And, it seems like this subject is ALL ABOUT how you will treat someone in person. How kind and compassionate would you be when you are giving palliative care?

    Jeanne, thanks for bringing that to our attention. Top med professionals guest write blogs to inform patients, and we appreciate your feedback on the tone. We ve updated to reflect both our organization s and our guest writer s priority to help patients through a diagnosis.

    It looks like palliative care is the way to go. My grandfather used hospice in the months before he passed away, and they re not a bad service. If research is beginning to show that palliative care makes patients more comfortable, though, I m definitely going to look more into it if my parents or I ever need similar services. Thanks Stacy!

    It is so good that they have Palliative care. I have an aunt that went through serious cancer and it was difficult on her and her family. I am sure that if she had palliative care her journey would have been much more manageable.

    Stacy, for a while I was under the impression that palliative care and hospice care was the same things. I didn t realize that hospice care was only offered withing the last six months of life and palliative care could be offered when a patient is diagnosed with a life limiting illness. I will have to keep that in mind.

    It s great to know that we have a lot of options in the case of terminal illnesses. Palliative care can really help to improve the quality of life for many people. In my opinion I think that is even more important than intense chemo-therapy.

    Thanks for explaining palliative care so well. A number of close family members in my family are getting increasingly advanced in age, so we re starting to look at the treatment and care options for them and their various health issues. I m glad that you noted that early care may be better; that will probably influence our decision. Thanks for the information.

    Thanks for the information! My mother could benefit from palliative care, so I ve been looking for a facility for her. I ve always thought that they re usually privately owned by doctors that offer palliative care, so it s good to know that she can get it in an outpatient cancer center that offers it. I hope that we can find a center near our house where she can get quality palliative care.

    Hospice care was the most amazing thing I have ever seen. My grandpa had prostate cancer when he moved in with us, and we weren t able to give him the care he needed, so we got a hospice care for him. Absolutely amazing people, they were fantastic and extremely professional. He had cancer for a few years but didn t really need any care until the last 2 or 3 months of his life, do you think that palliative care would have been a nice thing for him to have?

    I had no idea that there was a difference between hospice care and palliative care. I have been researching items for my aging parents, and thankfully, no serious harm has come to them. That doesn t mean I wouldn t want to share this information with other loved ones who actually have family that have suffered or are going through such trials. I will pass this on to them to be able to provide for them.

    Katie, glad you found this info helpful! Thanks for the comment!





    Home Care vs Nursing Home #bishop #motels

    #home care nursing

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    Home Care vs Nursing Home

    Many seniors prefer to “age in place,” living out their later years in their own homes, especially when faced with the outdated concept of old “nursing homes.” However, today’s senior can enjoy a wide range of choices in what his or her life will look like in the years to come, including options for still-active seniors who simply want to downsize, or seniors with medical conditions that would benefit from easy access to medical care. Below are three considerations in this decision, and the pros and cons of staying at home or moving to a nursing facility.

    1. Access to Care

    In-Home Care:

    While access to care at home is definitely a possibility, it’s important to consider how much care a senior will need, and when he or she will need it. There are agencies that provide a range of services, from assistance in daily tasks (such as preparing meals, taking medication, grooming, etc.), to simple companionship, to more intensive medical care. You can even arrange for physical and occupational therapists to come to the house to provide therapy on a regular basis, helping maintain quality of life for as long as possible. Care services can range from a few times a week, to daily, or even overnight. Many agencies also offer “palliative care,” meaning someone coming to stay with a senior for several hours to allow a caregiver personal time to run errands, make appointments, or just take a break. In-home care can be substantially more expensive than care in a facility, but there are pros and cons to both choices.

    Nursing Home:

    Nursing homes are probably the most convenient way to ensure you or a loved one will always have immediate access to medical-grade nursing care, although it’s important to review what a potential facility offers, since it can vary. Some facilities provide the additional benefit of offering a range of care options, allowing residents to move around as needed. For example, a resident may need knee surgery, so for the six weeks of recovery, he or she can move into the facility’s rehab wing, then return to his or her permanent room once they’ve recovered. These types of residences offering continuous care are helpful for couples . where one member may need more medical care at any given time, allowing the other member to visit easily and maintain most of his or her regular daily routine.

    2. Familiarity

    In-Home Care:

    A senior often prefers to remain in his or her home where they have created so many memories and where they are familiar with the location of all necessities, furniture, light switches, and restrooms. A drawback, however, is that a once-manageable home can easily become difficult to maintain, with lawn care, cleaning, and chores for a large home adding up. There are ways to safety proof a house that can make life easier for a senior, including ensuring that all rugs and carpets are removed or tightly secured, furniture is out of traffic ways, and handles and bars are installed in bathrooms to help with mobility. If a senior is living alone, some wearable safety technology can allow them to contact help with the touch of a button if for some reason they cannot reach their phone.

    Nursing Home:

    Some seniors, especially those in the beginning stages of dementia, can find change especially confusing and upsetting. Moving into a new living facility can cause substantial frustration and worry. There are several ways you can ease the transition, including visiting the facility ahead of time, and also having familiar people along during the move (ideally, you can have two people helping the senior, one to fill out the needed forms and one to attend to the senior).

    For more active seniors, downsizing to an apartment in an independent living community can be a major change but can also offer freedom from maintenance and chores. Today’s senior facilities often offer hotel-like amenities, and plenty of shared space for entertaining friends and family who may come to visit. More senior-only apartment complexes are popping up across the nation, creating the ideal environment for getting to know new, likeminded people and get involved in clubs, activities, and groups.

    3. Cost

    The bottom line is that the more care a senior requires, the more expensive the care. However, it’s important to remember that in-home care can often outpace care facilities since providers often charge by the hour. Depending where a senior is on the spectrum of care, different options might make the most sense.

    For a ballpark on cost, 2015 averages show:

    • Home Care Aide Cost: $20 per hour or $160 per day
    • Assisted Living Cost: $119 per day, approximately $43,000 a year
    • Skilled Nursing Home Cost: $220 per day, approximately $80,000 a year

    Whether the final choice is to stay at home until the very end, or to try out a new locale, there are many great topics to consider and discussions to have . It’s an incredibly important decision to make for yourself or a loved one, and thankfully, there are numerous free resources and options to seniors. Finding the best solution can take come work, but feeling safe and cared for is invaluable and worth the time, energy, and money.

    SeniorAdvisor.com has a comprehensive listing of home care and nursing homes across the country. Explore your options now:

    Megan Hammons lives in the Central Texas countryside just outside of Austin, pursuing her love for copywriting after a career in high-tech marketing. She is part of a large, diverse family and enjoys spending time with the multiple generations living in her community.





    Forced to Choose: Nursing Home vs #motels #in #fargo #nd

    #hospice nursing home

    #

    The New York Times

    Forced to Choose: Nursing Home vs. Hospice

    November 30, 2012

    An older person, someone who will die within six months, leaves a hospital. Where does she go?

    Almost a third of the time, according to a recent study from the University of California, San Francisco, records show she takes advantage of Medicare’s skilled-nursing facility benefit and enters a nursing home. But is that the best place for end-of-life care?

    In terms of monitoring her vital signs and handling IVs — the round-the-clock nursing care that the skilled-nursing facility benefit is designed to provide — maybe so. But for treating end-of-life symptoms like pain and shortness of breath, for providing spiritual support for her and her family, for palliative care that helps her through the ultimate transition – hospice is the acknowledged expert.

    She could receive hospice care, also covered by Medicare, while in the nursing home. But since Medicare only rarely reimburses for both hospice and the skilled-nursing facility benefit at the same time, this hypothetical patient and her family face a financial bind. If she opts for the hospice benefit, which does not include room and board at the nursing home, then she will be on the hook for hundreds of dollars a day to remain in the facility.

    She could use the hospice benefit at home, of course. But, “we know these patients are medically complex,” said Katherine Aragon, lead author of the study in The Archives of Internal Medicine. and now a palliative care specialist at Lawrence General Hospital in Massachusetts. “And we know that taking care of someone near the end of life can be very demanding, hard for families to manage at home.” And that assumes the patient has a family or a home.

    For some patients, a nursing home, though possibly dreaded, is the only place that can provide 24/7 care.

    But if she uses the skilled-nursing facility benefit to pay for room and board in a facility, she probably has to forgo hospice. (The exception: if she was hospitalized for something unrelated to her hospice diagnosis. If she has cancer, then trips and breaks a hip, she can have both nursing home coverage and hospice. If cancer itself caused the bone to fracture, no dice.)

    Let’s acknowledge that these are lousy choices.

    The study, using data from the National Health and Retirement Study from 1994 through 2007, looked at more than 5,000 people who initially lived in the community – that is, not in a facility. About 30 percent used the skilled-nursing facility benefit during the final six months of life; those people were likely to be over 85 and family members said, after their deaths, that they had expected them to die soon. (The benefit is commonly referred to as S.N.F. which people in the field pronounce as “sniff”).

    The choice to use S.N.F. had ongoing repercussions. Almost 43 percent of those who used it died in a nursing home and almost 40 percent in a hospital. Just 11 percent died at home, though that is where most people prefer to die, studies repeatedly show.

    Among those who didn’t use the S.N.F. benefit, more than 40 percent died at home.

    In effect, nursing homes were providing end-of-life care, expensively and probably not so well, for almost a third of the elderly population.

    The skilled-nursing facility benefit, Dr. Aragon pointed out in an interview, is meant to provide rehabilitation. “The hope is that someone will get stronger and go home,” she said.

    Sometimes, of course, that is what happens.

    “What we may be missing is that this patient is on an end-of-life trajectory,” she continued. “Maybe they can’t get stronger.”

    Moreover, Dr. Aragon pointed out, nursing homes often have financial incentives to keep re-hospitalizing patients. After three days in a hospital, the skilled-nursing facility benefit starts anew, and it reimburses at a higher level than Medicaid, which pays for most nursing home care.

    Because this unhappy choice between hospice care and nursing home reimbursement reflects federal policy, there may be little that individual families can do. If physicians are willing to honestly discuss their patients’ prognosis, to assess whether a nursing home stay will lead to rehabilitation or whether it is where a patient will likely die, sooner rather than later, families may have some personal options.

    If they knew that death was likely within a few months, they might try to provide care at home with hospice help for that limited time, difficult as that is. Or they might be able to muster enough money to pay for a few months in a nursing home, so that their parent can be a resident and still receive hospice care.

    But these are still lousy choices. “Palliative care should be part of nursing home care,” said Alexander K. Smith, the study’s senior author and a palliative care specialist at the University of California, San Francisco. “And that regulation that prevents concurrent use of the S.N.F. benefit and hospice isn’t in the interest of patients and families.”

    Coming up in a future post: Experimenting with a concurrent-coverage option.

    Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

    We’re interested in your feedback on this page. Tell us what you think.





    Hotel Derek – Houston, VS #hospice #of #kitsap #county

    #hotel derek

    #

    Hotel Derek

    Dit moderne boetiekhotel ligt op 10 minuten lopen van het grote winkelcentrum Houston Galleria. Het hotel biedt gratis WiFi en uitstekende eetgelegenheid in het eigen restaurant, Revolve Kitchen + Bar. Het NRG Stadium bevindt zich op 7,6 km afstand.

    Dit moderne boetiekhotel ligt op 10 minuten lopen van het grote winkelcentrum Houston Galleria. Het hotel biedt gratis WiFi en uitstekende eetgelegenheid in het eigen restaurant, Revolve Kitchen + Bar. Het NRG Stadium bevindt zich op 7,6 km afstand. In het hotel zijn huisdieren toegestaan.

    Een flatscreen-tv met kabelzenders is aanwezig op elke kamer van Hotel Derek. De kamers zijn ook voorzien van een minibar en een ruim bureau. Sommige kamers zijn voorzien van een koffiezetapparaat, gratis mineraalwater en een eigen balkon met uitzicht op het centrum van Houston of het Galleria District.

    Hotel Derek biedt gasten een ontspannend buitenbad en een 24-uursfitnesscentrum. Het zakelijk centrum is ook 24 uur per dag beschikbaar. U kunt een maaltijd bestellen via de roomservice of van een kopje koffie genieten bij de Starbucks van het hotel. U kunt gebruikmaken van een parkeerservice of uw auto zelf parkeren.

    Hotel Derek bevindt zich op 14,5 km van het Minute Maid Park, de thuisbasis van de Houston Astros, en op 12 minuten rijden van het conferentiecentrum George R. Brown. Het hotel heeft een gunstige ligging vlak bij de Interstates 610 en 10, waardoor u gemakkelijk toegang hebt tot de omgeving.

    Mis deze kans niet! Vandaag 30 keer gereserveerd

    Beschikbaar voor u – voeg data toe om prijzen te zien

    Superior Tweepersoonskamer met 2 tweepersoonsbedden

    Standaard Tweepersoonskamer met 2 Tweepersoonsbedden – Geschikt voor Gasten met een Lichamelijke Beperking

    Bezig met laden

    De beoordelingen zijn persoonlijke ervaringen en meningen van klanten die via de website van Booking.com een reservering hebben gemaakt in dit hotel en na hun verblijf een vragenlijst hebben ingevuld. Dit zijn géén beoordelingen van medewerkers van Booking.com of van gasten die in het hotel hebben verbleven die niet via Booking.com hebben gereserveerd.

    Nog geen reisinspiratie?

    29 miljoen aanbevelingen om de perfecte accommodatie te vinden

    Iedereen is dol op deals

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    Beheer uw reserveringen online U kunt gemakkelijk annuleren. wijzigingen aanbrengen of een verzoek sturen naar de accommodatie

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    Beheer uw reserveringen online U kunt gemakkelijk annuleren. wijzigingen aanbrengen of een verzoek sturen naar de accommodatie
  • Echte gasten • Echte overnachtingen • Echte meningen 103.759.868 geverifieerde reviews
  • We staan voor u klaar 24/7 klantenservice via internet en telefoon, in het Nederlands en 42 andere talen