Economic Recession Blues – Hospitals Aren't an Exception

In its most recent update, the International Monetary Fund (IMF) announced that world growth is forecast to fall to its lowest level since World War II. And with the US being one of the worst hit, the hospital business, an integral part of the medical marketplace, and often regarded as recession proof is beginning to feel the heat.

Despite the fact that hospitals aren’t hit the way the way the automotive sector or the retail has been, and that people will continue to fall sick irrespective of the economy, it seems that the number of people seeking medical care and the profitability of hospitals don’t walk hand-in-hand.

Growth stunted & patients decreasing

A recent report by the American Hospital Association (AHA) finds that the sputtering economy has already led to 45% of hospitals to postpone forthcoming capital projects, with about 13% being forced to completely stall any expansion projects already underway. The AHA report included 639 hospitals in the study.

Further, experts believe that even though people continue to fall sick they’re postponing, most treatments if not all, which can be classified as elective. The credit for the prevailing scenario goes to all the layoffs and the slowing economy. As per the Bureau of Labor Statistics the month of December saw some of the worst layoff figures, as there were 2,275 mass layoff actions, involving 226,117 workers.

What seems worse is that aside from foregoing elective treatments, patients seem to be avoiding essential drugs, with many actually abusing prescription drugs, such as narcotic painkillers , sedatives and tranquilizers and stimulants.

As a consequence, hospitals are reeling under delayed hospital equipment and supply purchases, declining patient visits, reduced staff with no fresh hiring, unpaid medical bills, in addition to ceasing any construction projects. The AHA survey, released in November last year found that patient visits were static or had decreased during the third quarter of 2008, and the cases of unpaid medical bills for hospitals registered a hike of 8%.

The government’s role in uplifting the spirit of hospitals is being thought to be instrumental as Medicare and Medicaid account for about half of the hospital business industry.

The ABT Sportsline Audi R8 Super Car Tuning Program

The Audi R8 has been one of the most anticipated and sought-after cars since it was first introduced by the German automaker during its tour of the world auto shows in 2006. Its sleek lines, and modern design paired with its incredible performance makes it a very competitive model in the exotic car marketplace, while its mid-engined layout and two factory engine options provide the perfect platform for a super car tuning program. The team at ABT Sportsline has developed a range of upgrades that are designed to build upon the factory platform and increase performance dramatically for the German sports car. The range of modifications includes engine tuning, chassis and suspension modifications, aerodynamics, and new wheel and tire options.

One of the most important parts of the super car tuning program by ABT Sportsline for the Audi R8 is the engine upgrade enhancements. Both the 4.2-liter V8 and 5.2-liter V10 engines can be upgraded with a host of modifications. Items that are individual but unique to each engine type include racing air intakes with carbon fiber construction, lightweight stainless steel exhaust systems with racing catalytic converters, sport air filters, new spark plugs, and also carbon fiber engine covers. New ECU software tunes that were engineered by ABT Sportsline optimize the ignition, timing, fuel injection delivery, and other parameters to produce a wider power band with a higher overall output of horsepower and torque. For customers that want an extreme super car tuning program for the Audi R8, the German aftermarket company can install a new supercharger system that will drastically increase power output.

In addition to the engine super car tuning program, the Audi R8 4.2 and R8 5.2 can be outfitted with a range of aerodynamic options that optimize downforce and drag. Upgrades range from new front spoilers and air intakes, side skirts, extended fenders, new rear bumpers and diffusers, and trunk lid spoilers. The increase in downforce helps to improve high-speed stability and handling for better performance on the race track.

There are many chassis options available from ABT Sportsline for both Audi R8 models. The factory suspension can be modified with new coilover setups with adjustable damping, camber, and ride height settings or sport springs for better handling dynamics. New brake systems can range from carbon ceramic to steel rotors with larger six- and four-piston calipers at the front and rear axles. New ABT Sportsline DR and CR lightweight alloy wheels with corresponding high performance tires can be installed for better grip and traction.

All of the new products for the Audi R8 super car tuning programs are currently available from ABT Sportsline and can be purchased as a package if customers choose to do so.

Uses of Car Detailing

Owning a car has now become a norm for middle class families in India. With the country showing good economic growth, the average middle class consumer has enough money to splurge on a car. With a wide range of models to choose from, the Indian consumer is pampered for choice. From going out on picnics to having a fun drive, a car has become a part and parcel of an Indian family’s growth, happiness and transportation needs.

Buying an automobile is always a daunting task. First one has to decide if one needs a new care or a used car based on one’s budget and needs. But whatever be the case, a car once bought needs good care and maintenance for peak performance and all round reliability. Given that a car is a utility, due care must be taken to ensure that there are no breakdowns at any time so as not to be caught unawares. Besides periodic maintenance of the engine, chassis, turbocharger and other technical aspects, the aesthetic aspect of things must also be considered. A car is a work of art and over time, it is subject to a lot of wear and tear. The initial lustre may be lost, scratches and dents may occur. Further, when the owner decides to sell a car, he must ensure that he can attract potential buyers and convince them that their potential investment is good value for money. A first impression is always the best impression at any point in the lifetime of a car and here is where car detailing comes in.

Auto detailing is a technical process where an automobile is thoroughly cleaned, waxed and polished both on the inside and the outside to produce show quality level of detail. Besides improving appearance, it helps to raise the resale value of a car. It is subdivided into three aspects- exterior detailing, interior detailing and engine detailing.

Interior detailing involves cleaning the passenger compartment, trunk, dash board areas, panels, windows and carpet. Vacuuming is the first step and this may be followed by steam cleaning, use of liquid cleaners and brushing to remove stains. Exterior detailing involves cleaning and bringing to shine all the parts of the visible exterior like wheels, paint, chrome trim, windows, wheels and other components. Cleaning, polishing and protection are the three steps in exterior detailing. Cleaning deals with the removal of all foreign matter from the exterior surface. Polishing involves the use of machines to remove scratches and other imperfections from the surface. This is done by removing a micrometre of paint from the surface by special pads. Waxing or protection involves the application of wax on the surface to prevent foreign matter from adhering to the surface. The third aspect of detailing is where steam, high pressure water, degreasers and all purpose cleaners are used to clean under the hood of a car. A lot of car dealers in India offer restoration services in addition to car detailing. The best way to shortlist a company will be based on reputation, service quality and cost effectiveness.

How to Shop For Your Once in a Lifetime Wedding Dress

He proposed, you said yes. The wedding planning is in full gear and its time to shop for your wedding dress. Your wedding dress is the most memorable and expensive dress you will ever purchase. Here is some practical advice to make your shopping trip fun and let you know what to expect.

Make an appointment to try on wedding dresses. Some bridal salons don’t require them, but an appointment will guarantee you the individual attention of a bridal consultant and space in the dressing room.

Time your shopping trip to your best advantage. If you shop on a weekday afternoon, you will get the most attention and you will not be competing with a lot of other brides like you would on weekends. You also get more time to shop.

You will get the best deals if you shop in November and December when the bridal salons are slow and new merchandise is arriving. There will be more sales and more incentives to buy because they need to clear out stock to make room for new stock that is arriving. Wedding dresses arrive in cycles, with the late fall and early winter being the time the manufactures ship out new merchandise.

Don’t shop too early, if your wedding is two years away and you are not prepared to buy, stay home and surf the net for ideas. The styles will change and your idea of your dream dress may change, along with your weight and wedding plan. The style may also be discontinued by the manufacturer.

Don’t shop too late. Wedding dresses should be ordered 9 months to a year in advance. The manufacturers take 16 to 20 weeks to fashion your dress because of all the hand work that is done on the dress. You also need to allow transportation time and time to have alterations done. If you shop at the last minute, you will risk major disappointment. You will either have to buy off the rack or pay the manufacturer extra for rushing your dress.

Shop prepared. This should not even have to be mentioned., Wear underwear on your shopping trip. Wear clean underwear and be freshly showered or risk major embarrassment. Some salons will send you home to shower or come back with underwear and who can blame them? You are trying on expensive white dresses! And if you don’t wear underwear, you’ll be standing in the dressing room buck naked. If you are uncomfortable, you consultant will be doubly uncomfortable.

Bring along a strapless bra if you have one and a pair of heels to get a feel for how the gown will look on you.

Don’t shop with a posse. Shop with someone you trust, your mom, your sister, your best friend. Don’t shop with your entire wedding party. Too many people means a lot of confusion for you and your consultant. Too many opinions will make you crazy. Are they giving you their true opinion, or picking out a dress they would wear to their own wedding? Invite your friends to see your choice after you’ve made your choice. They’ll be more interested after you’ve chosen your dress. Sure, a huge shopping trip sounds like fun, but you’ll totally regret it when you leave exhausted, confused and aggravated.

Don’t try to cram too many shopping appointments in one day. Trying on wedding dresses is exhausting. You’ll be standing up in heels for a long time. Some of the dresses are very heavy. Pretty soon you’ll be suffering from white blur, a wedding term that means that all the dresses are starting to look alike. Limit your appointments to no more than two a day and take time in between to grab something to eat and drink. The only way you can be on top of your dress shopping game is to be fueled up, hydrated and relaxed. Its going to be a long day!

Shop with an open mind and a good attitude. You have a dress etched into your mind. You are closing yourself to dresses that may be more flattering on your figure, cost less money and be THE dress. Be open and receptive to different necklines, body styles and fabrics. You may leave with the dress still etched in your mind, but you may just find THE dress if you stop telling yourself that you are picky. By constantly reinforcing your pickiness, you’ll make yourself and your shopping companion crazy. Bridal consultants are trained and experienced in finding dresses that make the most of your figure and hide the parts that need to be hidden. Stop whining and listen, you’ll be amazed at how fabulous you can look if you just open your mind and adjust your attitude.

What to expect when shopping for your wedding dress. Expect to be warmly welcomed into the bridal salon and meet your consultant. Your dress consultant will ask you some questions about your wedding. They’ll ask you about the type of wedding, the formality of the wedding and your wedding dress budget. They aren’t being nosy. They need to help you choose a dress from a mind boggling selection of dress styles. You can’t try everything on in the store, its physically impossible. They also need an idea of your dress budget, so you don’t fall in love with a dress that is out of your price range. If you want to see dresses under a thousand dollars or under five hundred dollars, tell them honestly to avoid a lot of disappointment on your part.

You will be shown styles, feel free to say no to anything you don’t like. Be honest, you will not like everything and it will help your consultant pull more dresses that are in line with what looks best on you and you like.

You will be helped try on the dresses. Dressing yourself in a bridal salon is difficult, so expect to be helped on and off with the dress, in addition to zipping the dress.

You will be asked more questions, for example, do you feel comfortable in this style?

Your consultant will categorize your dresses by the dresses you like, the maybes and the definite no way. You might want to retry the dresses you like to cut down on your selections. Your consultant will keep the dress style on file so when you return, the can find the style.

If you are uncomfortable in the style, its a no. If you feel overwhelmed in a style, its a no. If you feel fat in a style, its a no.

And above all, do NOT be pressured into buying a dress by anyone. If you feel pressured, gracefully say you’ll be back to try it on once your mind is cleared. Don’t buy anything from pressure. Buy the dress because you love it and its THE dress!

Discover Why Cheap Car Rentals Are the Best Option

Spending a great weekend or the year end with your family on a holiday trip is a great idea. Moreover, in order to ensure your non-stop holiday, you always need a car hire service. And what could be greater than to hire the cheap DIY car hire that would give you comfort as well as a hassle-free service. Instead of taking a tour bus or public transport, a car hire turns out to be a great help.

With their easy and simple booking process, you can instantly get your car booked in no time. And the best part is their amicable culture that makes your experience with such services memorable. Whenever we want to hire a car, we always look for the best and economical package that suits our budget and does not burn a hole in the pocket.

Most amazingly, many such car hire services provide numerous options with their efficient services and facilities. Their friendly staff also helps you to get the best value in car hire. Suiting every need, their variety of cars and vehicles gives you ample options and leeway to get what you want. Ranging from budget cars to luxury cars, they present their entire options to give you the best they can.

Be it any climate or place, they help you to get there as comfortably as you want. For harsh seasons, they have the facility of suitable cars to accommodate your luggage and your entire family in a single vehicle. They provide child safety features for your babies. They make your trip pleasant in hot regions with their air conditioned cars. And if you are in the mood to have fun, you can also go for open-top cars.

They also provide you with their skillful and professional drivers. But if you feel no need of driver and want to drive on your own, they also provide such facility for your total convenience. You can drive to any part of Australia by fixing your deal with the most desirable and best car hire service. You can visit their site, browse their cars and prices, look for the conditions with safety and take your quote.

More optimally, you can trace your destination and decide the car and price according to the kilometers. The clear cut information and services allows you to have tension free trip and prevent any such confusion that could incur more payment.

Hence, whether you decide to move to a place for an hour, a day or a week, you can rely on the efficient service of this remarkable brand. Give your family the uninterrupted journey of joy with extraordinary services from the most popular name in the Australia.

Basic Horse Riding Tips for Beginners

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

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

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

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

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

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

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

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

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

What is the Best Stretch Mark Removal Cream?

There is a lot of hype about stretch marks, this is because they affect a large number of the world’s population – especially pregnant women. It is said that up to 90% of pregnant women develop these little blighters. Stretch marks aren’t exactly a confidence boosting experience, especially when you’re pregnant and feeling fat anyway!

When you develop stretch marks, it becomes your top priority to remove them; this is when some careful research should come in. There are lots of methods of removal such as laser & dermabrasion, however we are not going to focus on them, instead we will focus on removal creams as they much more cost effective and used over time work just as well as cosmetic treatments.

There are a lot of creams available to buy, but the one I recommend is “Revitol Stretch Mark Cream”. I am going to focus on this cream because I feel it is the most competitively priced for what it has to offer.

Revitol cream contains only Uncategorized ingredients. This is advantageous to you because you know that no harm is going to come to you by using this treatment, some treatments may contain rogue or banned ingredients which can cause your body more harm then it will good.

When choosing what’s best for you, make sure where your buying it from is a credible source. For instance make sure that they offer you a money back guarantee, you don’t want to be using the treatment for 6 months to find it does nothing. Always ask for some credible testimonials before, any legitimate company will give these.

Having stretch marks isn’t a pleasant experience, so be sure to work with a product that feels right for you, that is why I have recommended Revitol stretch mark prevention cream, it’s formulated to work with anyone.

The Uses and Types of Industrial Gears

Gear, by a very basic definition is the machinery or device in a vehicle that regulates the power of its engine. However, the modern and sophisticated industrial gears have surpassed the conventional gears, both in application and scope. Today, the gears are used in a multitude of applications in numerous sectors. Some of the industries in which the contemporary gears are used include aviation, cement, defense, fertilizer, food-processing, medical, railway, steel, to name a few. Given below are some most prominent and useful types of industrial gears:

1) Bevel Gears: In these conical shaped gears the teeth perfectly mesh together. These gears are useful when there is a change required in the direction of the shaft’s rotation. These gears can be used in different number of teeth to increase or decrease the rotational speed. Although these gears are generally installed on shafts at a 90ยก angle, they can work well at other angles as well. These gears are also considered very beneficial as they allow adjustments during the assembly stage.

2) Differential Gears: This gear is very commonly used in the automobiles. It links two separate shafts with a covering and tune the total rotational angles of the shafts to that of the covering. These gears are designed in such a manner that when the differential side gear is meshed with the other gear then it produces a high torque, which is transmitted to the axle shaft. There is a set of coaxial gears present in the differential gears. This set includes pinions and turntable.

3) Girth Gears: These gears are used in numerous industrial applications. They are unique in the way that unlike other gears, they are made in multiple segments which can be of two, four, or eight equal sizes. Some benefits that one might get by choosing these gears are their low initial cost, ease of installation, simple operation, to name a few. Their most popular standards include AGMA 321.05, AGMA 6004 F88, and ISO 6336. These are also known as split ring gears.

4) Helical Gears: These are also one of the well-known types of industrial gears. The involute teeth of these gears mesh at an angle to create optimum thrust load. The name helical is due to their teeth, which are curved along a helical path or resemble a helix. Their advanced design enables a smooth operation of these gears. Not only this, they can comfortably carry heavy loads due to the enhanced surface contact with teeth.

5) Spur Gears: Although these gears are simple in operation, they are used in a multitude of industrial and non-industrial applications. They are often found in cylindrical or disk shapes. These gears are used for the purpose of making variations in the force and speed of rotating axles. They possess straight teeth and are usually installed on parallel shafts. They can be used either separately or in a combination of two or more spur gears, depending upon the scope and nature of the application.

Besides the types of gears mentioned above, there are a lot of other gears and gearing equipment available at present. If you are seeking comprehensive and reliable information on these advanced equipment, you should visit Gears Manufacturers Marketplace.

The Positive Aspects of a Travel Nursing Career

If you are happy with your job as a nurse but feeling stuck in the particular location you are working in then why not live like a nomad for a while and try a traveling nursing career on for size? As a nurse who is willing to relocate you can help people while at the same time indulge your passion for seeing the world. Whether it is beaches that are your thing, mountains or islands, working in a traveling capacity allows you to fulfill both your professional goals as well as your personal ones all at once.

In the pursuit of a nursing career you can break away from the confining feeling of working at the same place day in and day out. You can rediscover and reconnect with why you became a nurse in the first place. You can focus on the profession you love and the patients that need your care. There is also freedom in this way of life, a level of flexibility and financial success (leading to financial stability).

In order to become a nurse willing to move around you can look online to find nursing agencies that work with nurses to connect them with travel opportunities. Take the time to do a search over the Internet. Look for opportunities that are a good fit for you. There are many different options and the key is to find the one that fits your criteria for work. Read through what each nursing agency has to offer you in terms of benefits, advantages, guidelines and rules. Take the time to compare and contrast each agency. Your number one goal should be to find a reputable nursing agency. Many of these agencies are not reputable so do some thorough research before you sign a contract with an agency.

The pay for a travel nurse is very lucrative. The pay varies from one agency to another. Rates are competitive because each one of the nursing agencies wants to sign on as many nurses as they can. The hourly wage for a travel nurse is dependent upon your specialty, the region you are working in and the facility you are working in. As a general guideline you can expect to earn in the range of $22 to $40 per hour. Some agencies offer a sign-up bonus that can range anywhere from $500 to $5,000.

Some of the most obvious benefits of a nursing career include free deluxe corporate housing, a flexible spending account, financial success, and travel reimbursement. There is also free dental, health, disability and life insurance.

This is only the beginning of why a nursing career can be a dream could true for a dedicated nursing professional! To learn more about the opportunities that wait you as a nurse do an online search right away!

Things I Have Learnt About Prospecting and Cold Calling in Commercial Real Estate

In any real estate market and economy, the prospecting process remains fundamentally important to the success of the real estate agent and individual salesperson. Prospecting on a daily basis is the key to progress and success with both territory control and domination.

Here are some key facts that I have learned from prospecting and cold calling over the years:

  1. Most people working in the industry rank very poorly when it comes to prospecting on a regular basis. This is a significant opportunity for those that get their prospecting model under control.
  2. Face to face contact remains the ultimate conversion factor when it comes to prospecting. Everything you do should point towards a successful introductory meeting with the qualified parties.
  3. The telephone is a very powerful tool for creating meetings and contact with the right people. The cold calling process you use must be consistent and professional. Gone are the days of sleazy sales pitches.
  4. One of the more successful traditional methods of marketing that has been around for years is the signboard. The more signboards you get into your territory, the more momentum and ease you will have with building listing and sales opportunity. The signboard infers that you have market presence and domination. That is what the local community and property investors think, providing you have a good number of signboards placed on quality property throughout the area.
  5. E-mail marketing and database use is now critical to both the individual salesperson and the real estate agency office. It remains a tool of constant contact of relevant property information to qualified prospects. These are people that already know you and expect information and property updates from time to time. Growing and shaping the database each day from personal contact across the sales team is fundamental to progress and market share.
  6. Some less experienced salespeople tend to rely on E mail as the first and final point of contact. The process of Email is convenient and easy to use, however it has little benefit in prospecting and will not replace the benefit of one to one contact. If the prospect does not respond to the Email, a typical salesperson will usually discard and forget the prospect. The reality of the prospecting emails that you send is that most of them are deleted and discarded.

Prospecting for commercial real estate listing opportunity should be based around unique and personal contact. The more that local people know you personally as a professional and knowledgeable real estate expert, the more listings you will achieve. This image and mantle takes time to develop but it will occur through diligent personal contact.