Amazing Birthday Cupcakes Bakery

These vanilla cupcakes make the best vanilla cake recipe! It might look complicated, but with the right materials, icing, and our tutorial, you can create a tower of cupcakes that will make your guests have the best day ever! Cupcakes are best eaten the same day they are baked; keep at room temperature until ready to serve, topped with scoops of ice cream, if desired. For best results use eggs that are at room temperature. And some reviewers do not necessarily cook so they cannot really be qualified when it comes to judging the best cupcake recipes. After a brief demo of how to create perfect frosting swirls, everyone was let loose to create whichever kind of cupcake they wanted to! This template is perfect for presenting design projects and creating presentations related to creative agencies. Libero is an attractive Keynote template for making modern portfolio and business showcase presentations. To find the best birthday cupcakes bakery near you follow the link.

Birthday Cupcakes Bakery

The ideal Keynote template for pitching or presenting your business ideas and concepts. Harmony is a Keynote template that features 200 unique slides with a modern and a clean design. Getting customers to make the leap of faith about buying an item they haven’t seen or smelled might be the biggest hurdle for an online bakery. You can expect to quickly find that you’ll be putting in far more time and time-eating. Hi Mei, I think you’d be fine reducing the sugar to 300 g, but I wouldn’t reduce it any more than that. However, bagel bins can display much more than just bagels. She had a great selection of flavours, but by this time we’d eaten so much we had to pass for once! The cupcakes themselves use a whole 4 ounces of bittersweet chocolate AND Dutch-process cocoa powder for as much chocolate flavor as possible. Hi there i would just triple the amount of add ins depending on what flavor.

Birthday Cupcakes Bakery

If it will probably be a backyard wedding event, like when the weather conditions are pouring down rain or extremely warm, if the day can be a popular and humid one particular. Put in the oven and bake for 15-20 minutes or until the cup cakes are cooked and golden on top. In a small bowl or cup mix together the egg and vanilla extract with a fork until broken up. The Farberware Nonstick Bakeware 12- Cup Muffin Pan has twelve cups for baking muffins at one go. Can u use bicarbonate of soda instead of baking powder will it still rise? Any few who makes use of these pointers probably could have a bonding expertise while they plan their wedding event collectively. While the moisture detracted a bit from the cake’s appearance, the fondant blended with the cream cheese frosting underneath and softened quite a bit and making it a better texture to eat. While the image link doesn’t have a recipe or making guide it is one of the most amazing cupcakes I have ever seen, and just the fact that it is a giant cake makes it all the better. I’m sure these wraps have been around since my kids lived at home.

I have never had problems with the frosting souring, and I have certainly never had any negative health issues as a result. I don’t think I would have the patience to work with fondant. Use a round cookie cutter that is similar in size to the top of your cupcakes to cut out fondant buttons. Use the extra lilikoi pulp to glaze the top of each cupcake. They mix well. Not too sweet, just the right sweetness for an apple cupcake. Cupcake from Cake Dreams! Most specialty cake pans come with ideas and cake decorating tips, so check the package before you throw it out. These beat the gourmet cupcakes that I use to eat during my dairy years before I was dragged into the emergency room to find out that I was allergic to dairy. Choose your favorite. You can use any chocolate that you like except white chocolate or candy melts. If the batter is thick, use a large spoon or an ice cream scoop if you prefer.

Spoon the (lumpy) batter into the muffin tin — it’s okay if you end up filling the holes all the way to the top. As you can probably see, heat and humidity did weird things to it but the decorations were still recognizable and, if anything, the softer texture made it tastier. Pour into prepared cupcake pans. These cute polka dot cupcake liners give cupcakes a retro look I think. I frosted the cupcakes. I only eat the gluten free cupcakes! Cupcakes are now common in grocery store, pre-made and pre-iced. They are super moist, fluffy and flavorful with 3 different frostings to choose from. Join them for a side of Chicago your stomach will surely remember! However, for the full chocolate experience, I suggest frosting with chocolate cream cheese frosting. This buttercream has butter and it has whipping cream in it. Then, last night I made the caramel and I thought it was pretty easy. I made this for my son’s 3rd birthday last week.

How to Create a Gluten-Free Kitchen Cupcakes

Decorating Christmas cupcakes could be a fun approach to inspire your little one’s artistic ability. You can allow your kids to make their particular custom cupcakes since most of these wish to offer a special final touch on their cupcakes and build fantastic centerpiece. Kids often feel excited to decorate the cupcakes and present them an individual touch. There are several ways they’re able to come up with a plain cupcake look attractive. Here are some useful ideas for the kids to brighten the Christmas cupcakes wonderfully.

The baby shower cupcakes include the major attraction in the respective parties, so they really must be fabulously designed and made tasty as well. There are several fantastic ideas for making and decorating the fabulous cakes. You can follow them and succeed in making attractive cakes for the sheer excitement of your guests who’re likely to attend your party.

Baking and decorating your own personal cakes may be this type of personally rewarding experience in addition to a best part to share with young kids. I have great memories becoming an adult watching my Mom making cakes and waiting until I could lick the bowl. Don’t get me wrong, the ultimate product was pretty nice at the same time, but I’ll never forget those times in the kitchen with my Mother!

Increasingly popular wedding themes have included modern vintage and ‘shabby chic’ designs. Cameos, pearls, lace patterns, Victoriana, soft pastel pinks, sage greens, light golds, and English county garden flowers both sugar and real are employed to adorn the cake. Piped royal icing effort is ever coming back into fashion more and more, with pearl beading work to border and decorate the wedding cake or lace patterns inspired with the brides dress are used on the cake to combine the classic forms of vintage and modern. Think about using a variety of different vintage props including pretty bunting or birdcages to give your wedding day an eclectic and individual feel, if you are planning on selecting a vintage theme.

Now, to endure each and every ‘Food Day’ in October would take more words than anyone would probably want to read, so since October is month through which our favorite days occurs, purchasing that I will make reference to in the most this content will probably be days which might be linked to Halloween. Now, this may include Apples, Pumpkins and anything which may be scary! What kind of food is scary? Chocolate Covered Crickets, for one or snakes. Well, we will see!

Rénovation Salle de Bain

Vous avez besoin d’une expertise professionnelle pour une création de salle de bain à Parthenay ? Vous pouvez confier votre chantier à une entreprise unique qui possède tous les savoir-faire dont vous pourriez avoir besoin. Bulneo est l’expert en rénovation salle de bain en milieu habité dont la spécificité est d’intervenir en rénovation, sur mesure, sans dégâts et avec une pose dans la journée.

Rénovation Salle de Bain

Bulneo est l’expert en rénovation de salle de bains en milieu habité (salle de bain utilisable pendant les travaux, ndlr). Pour dissimuler les systèmes d’évacuation, il faut soit creuser le sol, soit rehausser le plancher de la salle de bains. La sélection du revêtement de sol d’une salle de bains est une étape essentielle. Vous souhaitez relooker l’ensemble; plongez vous alors dans les idées déco pour choisir le carrelage sol et mural, petit ou grand format adéquats à vos envies. Enfin, les mosaïques en émaux de verre se placent dans les zones de douche ou en frise déco. Pose et raccordement d’une douche. Le conseil de BienChezMoi : dans une petite salle de bains, mettez des meubles peu profonds et plutôt hauts que larges, pour gagner de la place.

Rénovation Salle de Bain

Vous désirez rénover ou aménager votre salle de bains, mais ne savez pas comment vous y prendre ? Mais se focaliser sur les avantages sans se soucier des contraintes lors d’une rénovation de salle de bains, c’est se heurter à certaines contraintes. Rénovation du sol au plafond d’une salle de bain. EAUBETECH est votre installateur de salle de bain en construction neuve et vous accompagne dans tous les travaux de rénovation et d’aménagement d’une nouvelle salle de bain. Que faire pour un projet de construction ou rénovation de salle de bain et cuisine réussi ? Une fois que tous ces éléments ont été pris en considération et que votre projet est mis en place, vous pouvez commencer les travaux de rénovation ! Une fois le montant fixé, définissez l’ensemble de vos besoins : que voulez-vous ? Spécialiste en rénovation de salle de bain, Renov Innova est un artisan qualifié pour vous accompagner dans vos projets d’aménagement intérieur du côté de Toulouse.

Rénovation Salle de Bain

De plus, en faisant appel à un professionnel pour votre projet de rénovation salle de bain, vous bénéficierez de la garantie décennale de l’ouvrage. Afin de vous obtenir le juste prix, nous mettrons jusqu’à 3 Entrepreneurs Vérifiés à 360° en compétition sur votre projet. Pour faire des économies d’énergie, nous vous recommandons vivement l’emploi d’éclairage LED. Nous étions alors bien loin du quotidien actuel. Ou bien souhaitez-vous tout simplement changer de style et de décor ? Il est indispensable d’obtenir une estimation de prix avant de commencer vos travaux, ne serait-ce que pour définir précisément le budget nécessaire pour mener à bien votre rénovation. C’est évident, plus le budget est serré, plus les choses se compliquent. Elle donne un effet très naturel, à part que ce type de revêtement est aussi très résistant. Au sol comme sur les murs, le revêtement que vous allez choisir va devoir supporter les conditions d’hygrométrie des lieux. Une rénovation de salle de bain peut être un investissement rentable. Cette salle de bain intègre avec main de maître plusieurs finis de bois avec des surfaces blanches unies qui rajoutent une touche contemporaine. Cette pièce est l’une des plus délicates à penser de l’habitation, d’autant qu’aucune erreur n’est permise.

Dans cette optique, nos devis de rénovation de salle de bains sont idéaux pour vous donner une estimation des travaux à effectuer, à des prix stables. Inspirez-vous avec nos idée de couleur pour salle de bain! Visitez nos chantiers et nos terrains de travail pour avoir une idée sur nos procédures, la qualité des produits et notre équipe des architectes hautement qualifiés et de designers professionnels. Rien de pire que de se rentrer dedans, de bon matin, alors qu’on est en retard pour aller au travail. Aussi, créer une fenêtre ou un fenestron le cas échéant, l’aération naturelle est toujours supérieure à toute autre forme d’aération. Cela est d’ailleurs encore plus vrai dans le cas où votre pièce ne possèderait pas de fenêtre. Pour finir, ne choisissez pas la finition mate qui laissera apparaître des traces de calcaire. Enfin, 8 000 à 20 000 euros pour une salle de bain haut de gamme.

Façons simples et abordables d’agrandir votre espace de salle de bain

Que votre motivation soit d’augmenter votre expérience d’utilisation ou de transformer la valeur de revente de votre maison, le projet de réaménagement de votre salle de bain est probablement le meilleur investissement qu’une personne réalisera. Pour ce qui est d’optimiser les avantages, peu de gens peuvent débattre du fait que la rénovation d’une salle de bain vous offrira le meilleur rapport qualité-prix en ce qui concerne le retour sur investissement lorsque le moment sera venu d’échanger tout en vous procurant un excès de confort et de plaisir lorsque vous êtes encore à votre résidence.

Des toilettes saccadées, des tuyaux qui fuient, une cuvette bouchée, sont quelques-uns des problèmes que les ménages rencontrent avec des toilettes mal installées. Les plombiers ont généralement suffisamment de connaissances pour mettre ces problèmes à leur place, mais la plupart des ménages ne savent pas qu’ils sont capables de les résoudre aussi rapidement. Les plombiers ont tendance à être simplement un luxe offert par beaucoup. Les réparations peuvent être effectuées en utilisant le Web et dans une position avec des outils à utiliser. Alors, lancez-vous dans la réparation de toilettes et voici comment vous pouvez réparer une toilette qui a une valve qui fuit.

La première étape avant d’entreprendre l’ampleur de la rénovation complète de la salle de bain, en particulier si l’on demande aux professionnels, notamment aux plombiers et aux électriciens, serait de déterminer le coût et le budget globaux. Votre budget peut jouer un rôle important dans la finition exquise et somptueuse de la transformation de votre salle de bain. Si les accusations posent problème, la simple éclaboussure de peinture suffira.

Suivant sera la partie amusante! Frappez votre maison d’amélioration ou magasin spécialisé et regardez. Pensez à ce dont vous avez exactement besoin et que vous désirez extraire de votre nouvelle baignoire. De nombreux magasins proposent des bacs sur lesquels vous pourrez monter et voir si vous le souhaitez. Si vous avez des préoccupations spécifiques, le vendeur dispose d’une bonne quantité d’informations sur chacune d’entre elles, ce qui vous permet de comparer et de sélectionner la baignoire qui vous convient.

4. Faites appel à des professionnels. Trouvez une entreprise de salle de bain qualifiée sur place qui soutiendra le look et le travail nécessaire pour obtenir plus de salle de bain. Ces experts possèdent le matériel et les compétences nécessaires pour accomplir la tâche de manière professionnelle et ponctuelle. Le remodelage de la salle de bain peut être un grand projet. En fait, ce n’est pas quelque chose que la plupart des propriétaires peuvent tenter sans aide.

Learn about Medical Equipment including medical cabinets uses

Medical equipment such as medical cabinets has benefited the scientific and healthcare communities to a great extent. Sophisticated medical equipment is used these days in medical laboratories to perform diagnostic procedures with great accuracy. In order to meet the demands of patients for relevant tests and analysis, the lab should be well equipped with all the required medical equipment. This article will help you know more about medical laboratory equipment and its uses.


Common Types of Medical Lab Equipment
Common types of lab equipment include DNA analyzers, hematology analyzers, chemistry analyzers, microscopes, gamma counters, immunology analyzers, centrifuges, pipettes, beakers, flasks, and crucibles. All these devices find extensive use in research facilities, hospitals, medical laboratories, and forensic labs.


Some Tips to Buy Medical Equipment
Certain things have to be considered before buying medical lab equipment. Here are a few among them.

Understand the different laboratory products available

Some of the commonly used medical laboratory equipment includes coagulation analyzers, centrifuges, beakers, flasks, microscopes, condensers, blood gas analyzers, and hematology analyzers. Each product is intended for a specific function. So you should understand your requirement first before purchasing the product.

Check out the various brands available

It is always better to purchase branded equipment as they ensure quality performance. You can do a thorough research on the Internet, where you can find the complete list of leading manufacturers and suppliers.

Buy products that have technologically sophisticated features

In order to provide error-free end results, the equipment should have advanced features. Whatever product you select, be sure to check out its functionality, and results provided.

Buy according to your budget

You should consider your budget before planning to purchase lab equipment. If you are on a tight budget, then used or refurbished lab equipment is an ideal choice. Before they are put up for sale, the equipment is put through strict refurbishment and quality check procedures. These products are also covered with proper warranty options just as brand new ones.


Where to Purchase Laboratory Equipment
Nowadays, you can find several suppliers who sell both brand new and recertified medical laboratory equipment. But only a reliable supplier can provide good quality products at an affordable price. So it is important to choose one who has been in the business for a long time and who provides adequate repair and maintenance services. Such a dealer will have skilled in-house technicians to provide on-site maintenance services. Most top suppliers have an online presence, which makes the selection process easier. Online stores with clear product catalogs and other details will help customers learn more about medical laboratory equipment and its uses.

Event Promotion Tools – Social Media

Looking to learn more on event promotion tools?

From conferences to product launching and everything in between, event planning professionals are finding new ways to organize, plan, and promote their events with the help of social media. Lets focus on the tools available now.

event promotion tools
event promotion tools


Facebook has over 350 million users worldwide and has two great tools for promotion: Facebook Events and Facebook Fan Page.


Facebook Events allow you to promote using your social network of friends. It also allows you to make it a private or public event and gives multiple people the right to be administrators on the site. I recently coordinated an event and we had 21 administrators which allowed us to invite over 2,100 people. We had over 345 RSVP – a fantastic testimony to the power of Facebook! Facebook Fan Page is a page dedicated to your company. It allows you to create buzz around your meeting or soiree, and keep potential attendees up-to-date on new and interesting announcements within the company.


LinkedIn is the number one tool used by business professionals. It also has an Events page where you may invite up to 50 of your connections. It does not allow for more than one administrator but it does have a nice feature that Facebook does not; it gives you a URL link that you can email to anyone, as long as that person has (or will generate) a LinkedIn account.


LinkedIn also has many groups and event planning professional can use LinkedIn to find the perfect venue, corporate audio visual, conference equipment rental. You name it, and if you are in the right group, you can probably find it.


Twitter is a micro blogging system, limited to 140 characters, that can be used to promote the event and stream information while the event is going on. It is different than Facebook and LinkedIn, because there may be people that follow you that you do not know and that is okay. It is most effectively used to hype the event for the few days prior to start, and during the event your attendees can tweet about the what they are doing.


Foursquare is a geolocation platform. It allows an event planning professional to create a badge that can serve as a pass to a special VIP event. Insert a tip about the event or make a recommendation on things to do or see to attendees.


YouTube is the world’s most popular online video community, allowing millions of people to discover, watch and share originally-created videos. YouTube provides a forum for event planners and their attendees to connect and be informed about the meeting.


The goal of social media is to engage attendees in a conversation before, during, and after the event. It’s not just about promoting the event but making social media part of the event. Want to chat? Follow us on Twitter – we’d love to hear from you about event planning.

What the Best Stock Broker in India All Have in Common

The best stock broker in india is someone who assists in buying and selling of fiscal securities. They’re licensed professionals who assist in investments dealings for clients. Some brokers have been shown to improperly trade the securities in a customer’s account to generate profits. Nevertheless, the very best (and wealthiest brokers) don’t act from that basis. They have strategies and techniques that ensure profit generation without compromising their integrity.

best stock broker in india
Best stock broker in india


Many times, brokers are only there to follow your instructions enter a trade investment… not to evaluate stocks. Really, stock brokers can have lone discernment to determine referred stipulated margin percentages depending upon the marketplace situation. They discuss the share market related information that the typical buyer undoubtedly needs at some point.


They may not be able to inform the client of the variance or decline in advance… though, many of the most successful brokers are said to use The Science of Activating Your Supreme Power, which helps them better foresee positive and negative trends. This system apparently guides them towards making the best, most profitable decisions. While stock brokers are agents who trade stock on NYSE, some are far more successful (and wealthy) than others.


Brokers are crucial since they undertake the standards of the markets with the purpose to promote more goods. Though, they’re duly prohibited from recommending transactions that are unsuitable in the context of the investor’s total holdings or financial circumstances. I’ve been told by an insider that the most on wall street tend to practice The Science of Activating Your Supreme Power. This is a thought system evidently practiced by leaders, celebrities, and high achieving individuals. Its allegedly the difference between generating millions and billions in the stock arena and other profitable fields. You may want to check with your broker to see if he has at least read the book…


When considering stocks there are two kinds. One is an internet broker. An internet stock broker gives the most recent information on the stocks that happen to be getting traded. The stock broker is available on-line on the broker’s site or can be found in various search engine websites. When you buy shares, it is usually important to be wise and consider a long-term view. The can help you do this.


The best traders handle well over one hundred million dollars. Any successful broker will tell you that in trading tons of money can be made. Keep in mind that even when its fast, accumulating wealth long-term will inevitably take some time. Some of the best brokers assert fervently that reading, learning, and practising The Science of Activating Your Supreme Power has helped make it faster, more enjoyable, and easier for them.

Best Cbd Oil For Anxiety – From Anxiety to Lasting Relief

So you have either purchased the best cbd oil for anxiety or still looking for it? Continue to read my article below and learn more on anxiety:

best cbd oil for anxiety

Anxiety can produce a truly generous variety of symptoms, not only of psychological origin, but physical symptoms such as muscular pain, headaches, and fatigue, among others, are frequently reported as well. Therefore I have created an equally generous list of tips that will help you address these omnipresent symptoms:


1) Drink water – Drinking a lot of water and mainly substituting sweet drinks with water will help you with a bunch of bodily processes such as clearing you of waste substances or aiding in blood circulation. Drinking water has proven to help reduce the severity of anxiety attacks, many psychologist/psychiatrist will advise you to do so. Dehydration often results in migraines and dizziness, not something that will ameliorate anxiety symptoms. Avoiding sugary drinks prevents possible complications arising from excess carbohydrate consumption such as mood swings.


2) No alcohol or tobacco – Alcohol is a well-known central nervous system depressant, although you may find a short relief it will make your anxiety worse in the long run. The same goes for tobacco and other recreational drugs. Many might seem helpful at first in ameliorating anxiety, but they usually just cover the symptoms like a blanket and let them stack up for later when they will be too overwhelming to handle.


3) Exercise – Exercising daily will help you achieve a better attitude, improve your health and distract you from all the anxious thoughts going through your head. Exercising proved to be as efficient as adding a secondary anti-depressant in depression treatment. Furthermore aerobic exercise promotes neuronal growth and so compensates for the neurotoxicity induced by chronic depression/anxiety due to increased cortisol levels (hypercortisolemia).


4) Occupy yourself – Don’t think about your anxiety, don’t try to analyze every possible trigger of your anxiety and don’t analyze your thoughts all the time, but rather keep yourself occupied with something you like to do. Even if you don’t feel like doing anything try to be forcible with it. Swing in focus will keep you at a safe distance from anxious thoughts and will help you slip into doing something pleasing and productive, which is essential to any recovery.


5) Rest your mind – Meditation allows you to empty your mind and relax your body. Close your eyes and focus on your breathing, give yourself enough rest, because when your rest your mind rests as well. Not only does meditation meliorate many symptoms common to, albeit not limited to, anxiety such as inhibited focus and alertness but it has even proven to elicit physical changes in the brain by facilitating the thickening of gray matter, a brain region associated with intelligence. Meditation is therefore a must try practice.


6) Supplements – Proteins, Minerals, Vitamins and other substances are essential for brain to function properly as they represent the cellular basis. The chances that your anxiety or at least a portion of it can be traced back to a vitamin or mineral deficiency are quite high. Do not underestimate the power of simple supplements such as B-complex as deficiency of this particular abundant vitamin can cause symptoms of mania, psychosis, fatigue, memory impairment, irritability, depression and personality changes.


7) Herbal remedies – There is a large variety of herbs which have the potential to alleviate nervousness and anxiety to a noticeable extent. The major advantages of this approach is that these forms of medication are considered to be relatively safe (mainly because of their dilute potential) and rarely carry a risk of developing dependence since it is all just plant matter and not a potent alkaloid extract or other concentrated derivative intrinsic to prescription medication. Unpleasant side effects are also quite infrequent making them a well-tolerated treatment. I have experimented with a wide range of herbal remedies and in some cases have found them more efficient than actual prescription medication, especially in the long run.


8) Target your source of anxiety – identify the triggers of your anxiety and then take corrective measures to eliminate or avoid them. If you are, for example, scared of being among crowds of people exposure therapy might prove useful. By challenging your anxious triggers repeatedly the frightening response you associated with them gradually dissipates liberating you from the enslavement of anxiety. Nevertheless, use reason to decide for which triggers you should apply exposure therapy and for which aversion is better suited. If coffee induces anxiety in you, then just avoid it; the concept of exposure therapy would be counterproductive here as the response is mediated via caffeine’s binding to anxiety-generating receptors.


Now you see that having anxiety should not discourage you from having a positive outlook on life, nor should it take your hopes of fully enjoying day-to-day activities away, because there are a plethora of exit routes, of which I only mentioned a fraction. Surely, there will be ups and downs, as in everyone’s life, and surely anxiety can turn those ups into a rarity, but only if you let it to. By believing in recovery and investing some effort along with that belief you can greatly enhance the quality and possibly quantity, being a side effect of healthy living, of your life.

Telemedicine In Texas

Access to telemedicine in texas healthcare is in need of a large band-aid. South Carolina happens to be one of the unhealthiest states in the Union by reports with a ranking of 46 out of 50 in the nation. This low ranking may be in part to the lifestyle and genetics of the population, but very likely the resident’s poor access to quality healthcare is a determining factor. Poor dietary habits, a diet traditionally rich in fatty and fried foods along with the general lack of exercise by the vast majority contribute to this but can be overcome with proper preventive medicine interventions.

telehealth
telemedicine


Syndrome X (Metabolic Syndrome) is rampant in the southeast, hitting SC very hard with large populations of those suffering from hypertension (HTN) and diabetes mellitus (DM). Lack of access to basic healthcare mean hypertension, diabetes and other disorders go unrecognized and thus untreated. Ramifications of untreated HTN and DM alone can account for great morbidity among the population, leading to heart disease, renal failure, stroke, and blindness to name a few outcomes. This population of under-treated will eventually consume a greater healthcare dollar as their disease process worsens and sequelae materialize.


Statistics show some 19.4% of those living in South Carolina are uninsured, having no type of health insurance at all. From a 2002 report, the uninsured residents cost the healthcare system upwards of $1,936 per individual per year. While 60% of the uninsured are hard working citizens, the vast majority (74%) when asked list “affordability” as the reason for not obtaining or purchasing health insurance. About half the eligible individuals without health insurance do not enroll in public programs for two chief reasons; firstly, they don’t want to receive government support and secondly, they don’t want government to provide health coverage.


The problem goes beyond the individual residents of the state. Almost 80% of businesses in SC, excluding self-employed and government workers have fewer than 10 employees and 53% of these “small employers” with a work force less than 10 employees do not offer group-sponsored health insurance to their employees because of cost issues. Now that the problem has been identified, what is the solution? Well it is a complex and multi factorial problem to solve. Should the government step in and cover the cost of supplying healthcare to all individuals at great expense to the taxpayer? I say no. A resounding no! For the most part we see the failures in the system of government sponsored or supplied healthcare with what is currently going on with Medicare and Medicaid. Another example of mediocre healthcare delivery is with our nation’s veterans. The Veteran Administration (VA) system of healthcare is increasingly slow, impersonal and cumbersome.


Private sector delivery systems can provide an answer as long as they are regulated to eliminate unfair business practices and unscrupulous profiteering. To allow a system to become successful as a business model, it must keep overhead down, allow current advances in communication technologies to be at its disposal and become free from the blood letting of insurance companies and a legal system with no reforms to place a ceiling on monetary awards for malpractice claims. One way to solve issues of cost containment for delivery models that will allow savings to be past to consumers is the use of telehealth with self insurance and the passing of legislation for tort reform. For a mere fraction of the cost of operating a brick-and-mortar typical family practice, telehealth can accomplish almost 70% of what can be conducted in an office setting without the cost prohibitive costs. End result is the savings passed along to the patient (consumer). Making routine and basic healthcare one again affordable.


Exploring this model are several telemedicine or telehealth services. The group of clinicians I am in association with have departed from the typical means of conducting business via a traditional office based practice and is exploring new ways of healthcare delivery via telephone and video-consulting. The Internet savvy end-consumer will most likely embrace this new technology with offers great promise and practicality. Older patients who are used to office based practice may find the task of trusting the Internet and telemedicine a daunting task. The younger patient, typically will have minor acute illnesses that have lower acuity and can be managed comfortably by practitioners well versed in telemedicine, knowing the abilities and limitations of the system. Thousands of healthcare dollars can be saved if this new model is embraced. This will divert non-emergent or non-urgent patients from burdening our already overcrowded emergency departments and allow for better and more efficient management of higher acuity patients in true need of the ED.


Likewise access to online direct access testing (DAT) will allow astute consumers/patients direct access to lab and blood testing. Bypassing the traditional avenues to obtaining routine annual labs, they can once again drastically reduce their expenditures on the basic routine aspects of health and wellness. With only minor interventions and guidance by healthcare providers the vast majority of the public can obtain affordable healthcare tests they would have otherwise ignored or put off for lack of ability to pay a higher price tag. Affordable and easily accessible telehealth may very well be the panacea to save the majority of uninsured clients in our state and the nation.

Continuous Quality Improvement

One of the seven wastes identified in the Toyota Production System is waste of product or inventory on hand. Although not clearly seen as a problem in health care usually, manufacturers and retailers clearly understand the problem with excess inventory. Too much inventory means valuable space is being taken by the inventory that could be used in production or in sales.


Does this type of waste apply to health care? Yes it does! Consider these situations:
Nurses on a hospital ward hoard supplies that they think they might run out of. The problem with that is that other staff might be short of the supplies being hoarded. Further, some supplies that they are hoarding may be used rarely and the supply passes its ‘use by date’ and expires. If a hoarded supply expires, it becomes a cost to the hospital.


Administrative staff at an ambulatory site stock up on printer cartridges for their ink jet printers because they can get a good deal from their supplier. Sounds like the right thing to do. The problem is that if much of the supplies for the office are bought on special pricing events or bulk price discounts, there can be an excess of inventory that crowds out space that could be used for better purposes, such as work space for staff or other needed supplies.


Each time someone from patient room supplies-bedding, etc.-delivers supplies to a patient floor they take as much as they can so they can save time and trips. They think they are saving the hospital money by taking fewer trips to the floor. The problem with this line of thinking is that the space being used for excess supplies could be better used for other, more critical supplies.


Rarely used medication (some of which can be very expensive) are stocked in the hospital pharmacy. Too much of it passes its ‘use by date’ and must be discarded. This can be very expensive.


Surgeons ask to have tools available that they rarely use in a procedure. They want the tool on hand though, just in case they need it. They do not trust that the hospital staff can readily deliver it in case it is needed. The problem is that these tools are not often used but become un sterile, needing to be either discarded or sterilised again, costing the hospital time and money.


With the right systems in place the losses due to excess storage and hoarding need not occur. One of the systems that must be in place is a process that supplies needed inventory at just the right time in the correct amount. This is a kanban system. I do not want to go into too much detail here, but in a kanban system a signal of some kind indicates when a supply is running low and needs to be replenished. Then, someone who is responsible for supplying the needed inventory replenishes it in just the right amount. The right amount is determined by a team of those who use it and those who supply it.


Perhaps you are skeptical about excess inventory as a source of waste. Park Nicollet Health System in Minneapolis, a recognized leader in Lean Health Care, had at one clinic 628 containers of medication, 28% of which were rarely used, and had a value of $32,513. A team at the site reduced the amount of medication by 29% and the cost by 50%. In order to do this, they developed a kanban supply system and employed 5S, a method of organizing inventory while eliminating unused inventory.
In 5S the first step is to sort out and weed out. Items in a storage area are examined and any item not used in the past 3 months (for example, office supplies) or other appropriate period is removed from the storage area. Out of date product should be tossed; other inventory should be placed in another storage area that is used for less frequently used inventory, or donated to charity. After the inventory is sorted the remainder is then neatly organized with standard placement of items in the inventory. While this is being done the area is cleaned thoroughly. After this initial assessment of the inventory storage area, the team involved maintains its organization and cleanliness.


To make management of inventory work requires input from front line employees with support from top-level management. Since the management of inventory is an ongoing process, including cleaning and organizing storage areas, a continual input of ideas is required from employees. The goal for management should be to get ideas which will continually improve inventory management. An idea system from the best manufacturers and retailers generate 11 or more ideas per employee per year, most of which are implemented. The ideas may only make modest improvements, but with this many small improvements per employee per year, the overall impact is quite large, such as at Park Nicolette.


Inventory is often an unrecognized source of waste in healthcare settings. Clinical service providers rarely are trained to recognize it. Administrative and other employees often do not understand the correct management of inventory. Using the Toyota Production System methodology health care facilities can greatly reduce the losses due to poor inventory management, thus improving the bottom line. The efficient management of inventory requires continual, incremental improvements with ideas generated by front line employees with support from management.

Learn more on continuous quality improvement.

My experience with monthly seo packages

Monthly seo packages

So i have a website a few of them and i started to experiment with some monthly seo packages offered by a few providers, i have used so many in the past however to date my favourite one is rankersparadise.

Why?

From start to finish the company helped me in so many ways. When you sign up to a package, if you don’t know what seo is like me they do all the work for you from keyword research to ranking of your website.

I dealt with two lovely people Nick and Caroline who were so helpful and were there fast when i had any questions.

When you sign up to one of their packages you get access to your very own dashboard where you can see all of the work being carried out on your website , you can also communicate through the dashboard which is set up for you.

They use a whole load of different link building strategies which get results. My site was on page 10 of google and after two months its sitting nice at number 2. I still am using them and the site is currently being worked on and i am overwhelmed by the results. I have other websites and i intend to use them for those also.

I am currently on the starter package which is only 300 dollars per month very affordable compared to other companies. And all i can say is Rankers paradise is my number 1 go to seo site for monthly seo packages.

Things to Consider When Choosing an IT Consulting Denver Firm

Importance of Consulting on IT Denver

Consulting firms see other problems that in-house employees are not able to detect. They can present problems from different perspectives, so you can come up with a better solution to your company’s IT-related issues. Also, since these firms value their clients so much, they put you first and work as quick as a flash.
Of course, results vary from one firm to the other, but in general, hiring the services of an IT firm is beneficial to your business. But to make sure that you get the best services, here are some factors to consider.


These days, you rarely find a company that does not depend on computers, the Internet, and other sophisticated gadgets to support their operations. But just like any other mechanical devices, these electronic-dependent gadgets are not perfect. They crash down, malfunction, give erroneous data, and die. So to make sure that their operations go smoothly as planned, companies depend on their IT staff to address these technical issues and problems. But while these in-house employees may be at the top of their game, their abilities are limited. So to make up for these limitations, the need to hire an IT consulting firm cannot be overly emphasized.


Things to Consider When Choosing a It Consulting Firm

  1. Quick and efficient methods
    Firms vary in the method that they employ to solve IT-related problems. But what you want is the most efficient and quick method that can accurately address your company’s needs. So before you agree to anything, you must have a thorough understanding of what the firm does to assess, evaluate, and solve your company’s technical problems.
  2. Extensive experience
    Technical problems vary in nature, ranging from simple troubleshooting concerns to a much more complicated problem such as setting up an electrical room. So you want an IT consulting firm that has had exposure to different kinds of problems to make sure that your IT problems are solved as quickly as possible. An IT firm with extensive knowledge and experience does not rely on trial-and-error but tackles the problem in a scientific and systematic manner.
  3. 24/7 Customer support / service
    Technical problems and issues can happen anytime, so you want a firm that you can rely on whenever you need their services. As much as possible, choose a company that offers excellent customer service and offers 24/7 customer support.
    Aside from those above-stated factors, other things that you can consider include the following: years in business, payment method, ease and convenience of payment, pricing options, and your other preferences.

Source – Zilkerpartners