Planning and Design of Behavioral Healthcare Facilities

Behavioral Healthcare Facilities: The Current State of Design

In keeping with most districts of healthcare, the marketplace has seen a boom in the construction of Behavioral Healthcare facilities. Contributing to this increase is the paradigm shift in the way society views mental illness. Society is placing a heavier value on the need to treat people with serious addictions such as alcohol, prescription and elicit drugs. A large percentage of people suffering from behavioral disorders are afflicted with both mental and addictive behaviors, and most will re-enter communities and either become contributors or violators.

These very specialized facilities do not typically yield the attention from today’s top healthcare designers and their quantity accounts for a small fraction of healthcare construction. However, Behavioral Healthcare projects are increasing in number and are being designed by some very prominent architectural firms such as Cannon Design and Architecture Plus. Many are creating state-of-the-art, award-winning contemporary facilities that defy what most of us believe Behavioral Healthcare design to be.

Changing the Way We Design Behavioral Healthcare Facilities

As with all good planners and designers, A+D (along with facility experts) are reviewing the direct needs of patient and staff while reflecting on how new medicine and modern design can foster patient healing rates, reduce environmental stress, and increase safety. This is changing the face of treatment and outcome by giving the practitioner more time to treat because they require less time and resources to “manage” disruptive patient populations.

The face of Behavioral Healthcare is quickly changing. No longer are these facilities designed to warehouse patients indefinitely. And society’s expectations have changed. Patients are often treated with the belief that they can return to their community and be a contributor to society. According to the National Association of Psychiatric Health Systems (NAPHS), depending on the severity of illness, the average length of stay in a Behavioral Healthcare facility is only 9.6 days.

What has changed?

Jaques Laurence Black, AIA, president and principal of New York City-based daSILVA Architects, states that there are two primary reasons for the shortened admission period:

1. Introduction of modern psychotropic drugs that greatly speed recovery

2. Pressures from insurance companies to get patients out of expensive modes of care

To meet these challenges, healthcare professionals are finding it very difficult to effectively treat patients within the walls of antiquated, rapidly deteriorating mental facilities. A great percentage of these facilities were built between 1908 and 1928 and were designed for psychiatric needs that were principled in the belief to “store” not to “rehabilitate.”

Also impacting the need for Behavioral Healthcare construction is the reluctance of acute-care facilities to provide mental health level services for psychiatric or addiction patients. They recognize that patient groups suffering from behavioral disorders have unique health needs, all of which need to be handled and treated only by very experienced healthcare professionals. This patient population also requires a heightened level of security. Self-harm and injuring staff and other patients are major concerns.

The Report of the Surgeon General: “Epidemiology of Mental Illness” also reports that within a given year about 20% of Americans suffer from a diagnosable mental disorder and 5.4% suffer from a serious mental illness (SMI ) – defined as bipolar, panic, obsessive-compulsive, personality, and depression disorders and schizophrenia. It is also believed 6% of Americans suffer from addiction disorders, a statistic that is separate from individuals who suffer from both mental and addiction disorders. Within a given year it is believed that over one-quarter of America’s population warrants levels of mental clinical care. Even if these statistics were cut in half, it cannot be denied as a serious societal issue.

With a growing population, effectively designing in accordance with such measures is at the heart of public health.

Understanding the Complexity of Behavioral Healthcare Design

Therefore, like Corrections, leading planners and designers specializing in Behavioral Healthcare are delving deeper to better understand the complexity of issues and to be the activist to design facilities that promote treatment and healing – and a safer community.

The following is a list of key design variables that are being studied and implemented:

1. Right Sizing

2. Humanizing Materials and Color

3. Staff-Focused Amneties and Happiness

4. Security and Safety

5. Therapeutic Design Tenants

Right-sizing

Today’s Behavioral Healthcare facilities are often one-story single buildings within a campus size. Often debated by Clients due to costs, this design preference is driven by the demand for Uncategorized light, window views to nature for all patient areas, and outdoor open-air gardens “wrapped” within. All of this provides soothing qualities to the patient, reduces their anxieties, counteracts disruptive conduct and helps to reduce staff stress.

“When you look at the program mix in these buildings, there’s a high demand for perimeter because there are a lot of rooms that need Uncategorized light. Offices, classrooms, dining areas, community rooms, and patient rooms all demand Uncategorized light, so you end up with a tremendous amount of exterior wall, and it forces the building to have a very large footprint.” – James Kent Muirhead, AIA, associate principal at Cannon Design in Baltimore

These design principles are also believed to improve staff work conditions. Unlike a multi-story complex, at any moment staff can walk outdoors and access nature, free from visual barriers, and within a building that more accurately reflects building types that both patients and staff would encounter in their communities.

In addition to right-sizing for the overall building footprint, is right-sizing for internal patient and staff support area. Similar to the move we have seen in Corrections to de-centralize support spaces, Behavioral Healthcare is moving to decentralized nursing/patient units called “neighborhoods.” With mental health facilities there is a large concern with distances and space adjacencies in relation to the patient room and patient support areas such as treatment and social spaces. Frank Pitts, AIA, FACHA, OAA president of Architecture Plus, Troy, NY, advocates neighborhoods that average 24-30 beds arranged in sub-clusters, called “houses”, of 8-10 beds. Thus, each neighborhood consists of three houses. Often these layouts will include a common area where patients congregate and socialize, with a separate quiet room so patients can elect to avoid active, crowded areas. In addition Pitts states, “There’s a move away from central dining facilities. So, while facilities will still have a central kitchen, it’s a whole lot easier moving food than it is patients.” However, it is important for the facility to mimic normal outside daily life routines, so patients are encouraged to frequently leave their neighborhoods to attend treatment sessions, and outdoor courtyards.

Humanizing Materials & Color

In all facilities that play a role in rehabilitation, design strives to create spaces that humanize, calm, and relax. Behavioral Healthcare patients need to feel that they are in familiar surroundings; therefore, the architectural vocabulary should feel comfortable and normal. Since these facilities are about rehabilitation (when possible) and encouraging patients to merge back into society, the facility should feel like an extension of the community. Their spaces should reflect the nature and architecture of the surrounding region and thus so, no two facilities should look too much alike.

“Our a
pproach to designing these facilities is to view the facility as an extension of the community where patients will end up when they’re released. Interior finishes also depend on geography because you want to replicate the environment patients are used to. You want to de-stigmatize the facility as much as possible.” – Tim Rommel, AIA, ACHA, OAA, principal with Cannon Design in Buffalo, NY.

Therefore, materials and colors within these spaces want to feel familiar to one’s region and everyday life. To soothe the psyche and rehabilitate, they want to feel soft and comfortable, yet visually stimulating. An interior that is overly neutral or hard in appearance is not appropriate. Materials should reduce noise, and colors should lift the spirit. This can help to create an environment in which the patient can learn, socialize, and be productive while easing anxieties, delivering dignity, and modifying behavior. As stated previously, behavioral studies advise the use of softer interior materials-like carpeting, wood doors and tile. Doing so translates directly to both patient and staff well-being, particularly staff safety, and makes for a nicer place to work. In addition, staff have more resources to “treat” instead of manage heated situations. When staff experiences are eased and satisfied, morale is boosted and life-saving rules and policies are more likely to be enforced.

Staff-Focused Amenities & Happiness

While reducing staff stress and fatigue through a healing supportive environment seems like an obvious goal, there are relatively few studies that have dealt with this issue in any detail. More attention has been given to patient outcomes. However, many leading hospitals that have adopted therapeutic tenants into their newly built environments have seen vast improvement through their “business matrixes” and financial reporting.

In one example, the Mayo Clinic, a national leader in implementing healing design in its facilities, has reported a reduction of nursing turnover from a national annual average of 20% to an annual 3%-4%. In another example, when Bronson Methodist Hospital incorporated evidence-based design into its new 343-bed hospital, they cited their 19%-20% nurse turnover rate dramatically dropped to 5%.

Now, both the Mayo Clinic and Bronson Methodist Hospital have had to initiate a waiting list for nursing staff seeking positions. This converts to better-trained and qualified staff, and a reduced error rate. Therefore, more health facilities are investing in staff support areas such as lounges, changing rooms, and temporary sleep rooms. Within these staff spaces and in the hospital throughout, facilities are also recognizing the need for upgrade materials, better day lighting, and an interesting use of color: One soon realizes that the need of patients and staff are interwoven, each impacting positively or negatively the other.

Security & Safety

Without debate, self harm and harm to staff is one of the biggest concerns mental health facilities manage. Often the biggest safety and security concern is the damage patients can do to themselves. “There are three rules I had drummed in me,” says Mark Hanchar; Director of Preconstruction Services for Gilbane Building Company, Providence, R.I. “First, there can’t be any way for people to hang themselves. Second, there can be no way for them to create weapons. Third, you must eliminate things that can be thrown.” Hanchar says that the typical facility is, “a hospital with medium-security prison construction.” This means shatter proof glass, solid surface countertops (laminate can be peeled apart), stainless steel toilets and sinks (porcelain can shatter), push pull door latches and furniture that cannot be pulled apart and used as a weapon. These are just to name a few.

Additionally, removing barriers between patients and nursing staff is a safety consideration. Frank Pitts, AIA, FACHA, OAA president of Architecture Plus, says what may be counter-intuitive for safety precautions, “Glass walls around nursing stations just aggravate the patients.” Removing glass or lowering it at nursing stations so patients can feel a more human connection to nurses often calms patients. There is also discussion of removing nursing stations altogether; decentralizing and placing these care needs directly into the clinical neighborhoods and community spaces. Pitt says, “The view is that [nursing staff] need to be out there treating their patients.”

Therapeutic Design Tenants

As medicine is increasingly moving towards “evidence-based” medicine, where clinical choices are informed by research, healthcare design is increasingly guided by research linking the physical environment directly to patient and staff outcomes. Research teams from Texas A&M and Georgia Tech sifted through thousands of scientific articles and identified more than 600 – most from top peer-reviewed journals – to quantify how hospital design can play a direct role in clinical outcomes.

The research teams uncovered a large body of evidence that demonstrates design features such as increased day-lighting, access to nature, reduced noise and increased patient control helped reduce stress, improve sleep, and increase staff effectiveness – all of which promote healing rates and save facilities cost. Therefore, improving physical settings can be a critical tool in making hospitals more safe, more healing, and better places to work.

Today’s therapeutic spaces have been defined to excel in 3 categories:

1. Provide clinical excellence in the treatment of the body

2. Meet the psycho-social needs of patients, families, and staff

3. Produce measurable positive patient outcomes and staff effectiveness

Considering the cost of treating mental illness, which is exceedingly high, and wanting facilities to have effective outcomes, a further practice of incorporating therapeutic design is increasing. The National Institute of Mental Health (NIM H) approximated in 2008 that serious mental illnesses (SMI ), costs the nation $193 billion annually in lost wages. The indirect costs are impossible to estimate.

The estimated direct cost to clinically treat is approximately $70 billion annually and another $12 billion spent towards substance abuse disorders. In addition to the increased need of care and the boom in Behavioral Healthcare construction, it becomes an obligation to make certain that we as facility managers, architects, designers and manufacturers therapeutically plan and design these facilities.

Notably, in 2004, “The Role of the Physical Environment in the Hospital for the 21st Century: A Once-in-a-Lifetime Opportunity,” published by Roger Ulrich P.H.D., of Texas A&M University, was released. In a culmination of evidence-based research, research teams found five design principles that contributed significantly to achieving therapeutic design goals.

The report indicates five key factors that are essential for the psychological well-being of patients, families and staff, including:

1. Access to Nature

2. Provide Positive Distractions

3. Provide Social Support Spaces

4. Give a Sense of Control

5. Reduce or eliminate environmental stress

Access to Nature

Studies indicate that nature might have the most powerful impact to help patient outcomes and staff effectiveness. Nature can be literal or figurative – Uncategorized light, water walls, views to nature, large prints of botanicals and geography, materials that indicate nature and most importantly, stimulating color that evokes nature. Several studies strongly support that access to nature such as day-lighting and appropriate colorations can improve health outcomes such as depression, agitation, sleep, circadian rest-activity rhythms, as well as length of stay in demented patients and persons with seasonal affective disorders (SAD).

These and related studies continue to affirm the powerful impact of Uncategorized elements on patient recovery and stress reduction. Thus, it is clea
r that interior designs which integrate Uncategorized elements can create a more relaxing, therapeutic environment that benefits both patients and staff.

Positive Distractions

These are a small set of environmental features that provide the patient and family a positive diversion from “the difficult” and, in doing so, also negate an institutional feel. These can be views to nature, water walls, artwork, super imposed graphics, sculpture, music – and ideally all of these want to be focused on nature and, when applicable, an interesting use of color. Therapeutic environments that provide such patient-centered features can empower patients and families, but also increase their confidence in the facility and staff. This helps with open lines of communication between patient and caregiver.

Social Support Spaces

These are spaces designed partially for the patient but mainly for the comfort and socialization of family members and friends of the patient; therefore, family lounges, resource libraries, chapels, sleep rooms and consult rooms all play a role. When family and friends play a key role in a patient’s healing, these spaces encourage families to play an active role in the rehabilitation process.

Sense of Control

In times when patients and family feel out of control, it is very healing for the facility design and staff to provide it back when appropriate. Although, this cannot always be done suitably in mental healthcare facilities. However, when applicable, these design features include optional lighting choices, architectural way-finding, resource libraries, enhanced food menus, private patient rooms and

optional areas to reside in. A few well-appointed studies in psychiatric wards and nursing homes have found that optional choices of moveable seating in dining areas enhanced social interaction and improved eating disorders. When patients feel partially in control of their healing program and that the building features are focused to them, an increased confidence of the quality of care enters and tensions lower.

As with all therapeutic design, this allows the caregiver to use their resources healing in lieu of “managing” patient populations.

Reduce or Eliminate Environmental Stress

Noise level measurements show that hospital wards can be excessively noisy places resulting in negative effects on patient outcomes. The continuous background noise produced by medical equipment and staff voices often exceeds the level of a busy restaurant. Peak noise periods (shift changes, equipment alarms, paging systems, telephones, bedrails, trolleys, and certain medical equipment like portable xray machines are comparable to walking next to a busy highway when a motorcycle or large truck passes.

Several studies have focused on infants in NIC Us, finding that higher noise levels, for example, decrease oxygen saturation (increasing need for oxygen support therapy), elevate blood pressure, increase heart and respiration rate, and worsen sleep. Research on adults and children show that noise is a major cause of awakening and sleep loss.

In addition to worsening sleep, there is strong evidence that noise increases stress in adult patients, for example, heightening blood pressure and heart rate. Environmental surfaces in hospitals are usually hard and sound-reflecting, not sound-absorbing causing noise to travel down corridors and into patient rooms. Sounds tend to echo, overlap and linger longer.

Interventions that reduce noise have been found to improve sleep and reduce patient stress. Of these, the environmental or design interventions such as changing to sound-absorbing ceiling tiles, are more successful than organizational interventions like establishing “quiet hours.”

Conclusion and Additional Information

The information contained in this excerpted report is intended as a guide for architects, specifiers, designers, facility planners, medical directors, procurers, psychologists and social workers which have a stake in providing improved facilities for behavioral healthcare patients. It is a portion of a report entitled “The Contributions of Color” authored by Tara Hill, of Little Fish Think Tank. Ms. Hill was commissioned by Norix Group Inc., in 2010 to research the role color plays in the safe operation of correctional facilities and behavioral health centers. More in-depth information specifically about the psychological influence of color and behavioral healthcare facility design can be found by reading the full report.

Dental Implants Give You a Lot of Reasons to Smile About

A major part of a person’s confidence comes from their ability to dazzle people with their personalities, most especially their smiles. Smiles say a lot about a person, it is an invitation of sorts for other people to take the time to get to know you because you will be worth it. It also says you are comfortable in your own skin and generally love who and what you are inside and out.

Unfortunately, not everyone can be like these lucky ones. Often, fate and other factors conspire to undermine your healthy teeth and you end up either losing them to accidents, to poor hygiene or inborn medical problems. One of the most-used parts of the bodies is our teeth because we use them to talk, eat, chew and smile. When people lose their teeth for any reason in the old days, the obvious and best solution was to get dentures fitted and as we all know, it doesn’t always turn out to be the best idea. For one, dentures prevent us from eating the foods we love because it makes chewing difficult. It also makes us self-conscious and makes us prone to embarrassing incidents since when used over a long period of time, they tend to loosen their grip and fall out at the most inopportune moments. In addition, they also make us slur our words, causing people to think we are drunk.

Which is why the advent of dental implants is considered a hallelujah moment for denture-wearers. Dental implants are artificial teeth that are used to replace teeth that have been taken out. They are Uncategorized-looking and permanent since they fuse with your jawbone over time. The way it’s done is that the dentist places a place an anchor and post in your jawbone. The anchor functions as the tooth root and is made from titanium. The post extends out of the anchor and this is where your new tooth or teeth will be attached to.

The dentist will usually advise you that you will need to wait for about 3 to 6 months for the jawbone to grow around the anchor and hold it in place. When the anchor is well attached to the bone, your dentist will cement the artificial tooth to the implant. After a few days of tenderness and possibly some swelling, you’re ready to face the world with a brand-new smile. What’s more, dental implants, unlike dentures don’t need to be removed for cleaning and soaking.

Since getting dental implants is one procedure people consider all the time, it is no surprise that experts came up with dental implant innovations designed to meet this demand. Even people who are born with disorders like ectodermal dysplasia or a series of conditions in which there are abnormalities in the development of ectodermal structures like the skin, hair, teeth, nails and sweat glands are able to avail of a new technique that involves bone graft surgery that rebuilds the bone in the mouth.

Doctors simply perform the surgery, which also restores facial contours and then put in one-piece prostheses to replace both arches. In the past, old dental implant techniques can only replace one or small groups of teeth so this replacing the whole arch is new. Plus, the new materials used match the Uncategorized color of the tooth better, giving the patient not just a whole new smile but a whole new look as well.

Then there’s also the much-talked about stem cell dental implants. This involves a growth factor-infused, three-dimensional scaffold made with Uncategorized materials and designed with the potential to regenerate an anatomically correct tooth just nine weeks from implantation. Our own stem cells are directed toward the scaffold and once the stem cells have colonized the scaffold, a tooth can grow in the socket and then merge with the surrounding tissue. This is touted to be the first technique that encourages tooth growth using the body’s Uncategorized resources.

When you factor how fast dental implants heal and the new methods that you can choose from, then there really are more new reasons to smile about.

Dental Insurance And Individual Health Plans

You could rarely find and buy individual health plans that also cover dental hygiene. There is useful information that people should know particularly if they consider buying the policies separately.

It is estimated that about 45 million Americans currently don’t own any dental insurance policy. Most non-elderly citizens who own individual health plans also own dental hygiene policies. However, majority of people who buy health insurance plans by themselves do not have dental insurance. This data is based on a report released by Centers for Disease Manage and Prevention.

While individual health plans cover several added services like basic emergency care in addition to costs of prescription drugs, they logically are not necessary to include coverage for adult oral care. Nevertheless, for health insurance policies for children, dental services are needed.

In March 2010, reforms to the healthcare insurance coverage were set. However, despite the push exerted through many advocates, that bill did not include the wider dental component. Supporters and proponents of the reform argued that each health plans already cover costs for other pressing health problems like diabetes and heart diseases.

About 75% of 172 million Americans under age 65 years (who own private health insurance plans) have dental insurance plans as well. Their employers mostly supply the health insurances. Among those with separate dental protection, more than a quarter of them have comprehensive plans with dental insurance while one fourth have stand-alone plans. Some have both.

About 90 million Americans own individual health plans through Medicaid and Medicare insurance, which both do not offer dental care programs for adults. There is no figure available regarding public health insurance plans. Medicaid shoulders dental take care of people under 21 years old. The insurer currently serves up to 45 million people of the low-income group. However, such patients complain about troubles to find accredited dentists.

A separate government-sponsored program provides dental hygiene, albeit limited. It is the Children’s Health Insurance coverage Program. As for the older people, they could always choose to purchase separate dental care policies from health insurance companies.

Do you look for health insurers that also offer dental hygiene plans? Data from the Association for Health Insurance Plans reveal that we now have only a few insurers that do so. Individuals include Cigna Corp, Aetna Inc, Assurant Inc, Humana Inc, as well as UnitedHealth Group Inc. The association represents up to 80 of overall dental insurance plans in america. There are also health insurance plans that offer dental coverage included in health policies. They include several and specific programs from MetLife, Principal Financial Group Inc, and Azure Cross Blue Shield Association.

Experts advise people to purchase dental care insurance policies even if they currently own individual healthcare plans. Purchasing separate plans is more advisable especially because it might be very hard, if not impossible, to find and purchase health insurance policies that also include dental protection.

Clothing Store For Fashionable Women Clothing

Men and Women by nature are social animals. They always try to look their best by wearing different types of clothing and accessories. The habit of dressing fashionably is more prevalent in women then men. They are always conscious of the latest fashion and style. Fashionable women clothings are available in different qualities and prices.

The new styles and fashions are mostly the domain of the young. The main fascination of the young generation with fashion is to look different. The requirements of the young are different; an ideal life for the young requires designer clothing, money and a place to stay.

Now a days Designer women clothing are available almost every where. They are designed to fulfill the needs and requirements of every type of customers. Due to increase in the demand of fashionable clothes there is a demand for courses in fashion arts and design. Now a day a lot of universities are fulfilling the demand by offering these types of courses.

There are many good quality women clothing stores which sell their clothes online. Online stores have unmatched convenience there is no need to leave the safety of your house to select a dress. There are many women clothing online available, the choice is unlimited. If you are in U.K then Hobbs clothing is the place to shop for designer clothes. Even if you are not in U.K you can shop from Hobbs by using the internet. Women clothing can be obtained from the women shopping store of Hobbs. Designer women cloth can also be obtained from Zara online shop. The clothes at Zara are different and of a better quality then most online shops.

Another advantage of buying from exclusive women online clothing store is that they offer free delivery to homes of the buyers. Zara is one of those shops which not only offers free home delivery but also offers 3D images of women clothing, which helps a customer in making a better informed decision. Another feature of the quality web sites is that you can check the quality of the cloth by asking for a sample. Buying women cloth online can not only be a enjoyable experience but it can be a process which can save you time and money.

Effective Bird Control For Healthcare Centers & Hospitals

It’s no secret that people who are already sick are more vulnerable to contracting diseases.And one potentially unhealthful source of disease is bird waste. As a hospital administrator, you are no doubt aware of the problems pest birds can cause. Many species of birds, including pigeons, starlings and sparrows, often gather to roost on a hospital’s roof, under parking structures, in receiving bays and loading docks, and around exterior employee lunch and snack areas. Without bird control, you soon have a noisy, smelly and potentially dangerous problem on your hands.

Keep in mind that a single pigeon can excrete up to 25 pounds of droppings per year. The bacteria, fungal agents and ectoparasites in bird droppings and nesting materials have been known to carry any of 60 diseases–including histoplasmosis, encephalitis, salmonella, meningitis, and toxoplasmosis, even the West Nile virus.

No less harmful is bird fecal dust carried into hospitals through rooftop heating, ventilation and air-conditioning ducts. Birds often build nests around air handling equipment, ducts, compressors and other vented pathways. Dried by wind and sun, this disease-infested dust gets sucked into HVAC systems. The fine particles can quickly spread diseases throughout a hospital or medical center.

Hospital administrators should also be aware of the negative visual impact bird droppings, nests and other debris can have on a hospital’s image. Finally, bird droppings can cause dangerous slip-and-fall hazards–a huge legal liability for any institution.

Today’s Bird Control Measures

Hospitals and healthcare centers are somewhat restricted in their use of pest bird control measures. They certainly can’t use firearms, noise cannons or fireworks. And poisons present too much of a liability. Besides, federal, state and local wildlife protection ordinances forbid the use of lethal or harmful bird control measures. Fortunately, there are several highly effective bird proofing solutions currently available that are safe, sane and humane.

Bird Spikes

The good thing about Bird Spikes is that they prevent many species of large birds from landing in the first place. Suddenly, rooftops, ledges, signs, light fixtures and other elevated areas are off-limits to birds. Bird Spikes come in rows of spiked strips. And you can get them in either rigid U.V.-resistant unbreakable polycarbonate or high strength, durable stainless steel. The stainless steel spikes come in 3-, 5- and 8-inch widths; the plastic spikes (which cost slightly less) come in 3-, 5- and 7-inch widths. Plastic spikes are ideal for use near antenna arrays since they won’t interfere with radiated RF energy. You can get bird spikes in a non-reflective metal finish or a variety of colors–like white, tan, gray, black, brown, brick red and crystal clear. There’s also a no-gap spike that’s easy to affix to curved surfaces.

If your hospital or healthcare center is being invaded by large birds like gulls, try the Mega Spike. Its 7-inch spikes made of marine grade stainless steel will make sure these birds get the point and leave. There’s also the Gutter Spike, ideal for keeping large pest birds out of gutters or drains. Look for gutter spikes that have adjustable clamps at the base; these allow the spikes to be easily attached to the lip of a gutter.

Lastly, Birds Spikes look dangerous, but they are harmless to birds or people. They have even been approved by a number of humane groups worldwide–including the U.S. Humane Society and PICAS (Pigeon Control Advisory Service).

Sonic Bird Deterrents

Ideal for use in certain areas of a hospital or healthcare center, Typically, Sonic Bird Deterrents emit predator and distress calls that frighten pest birds but are basically just Uncategorized sounds that are not unpleasant to humans. Some highly versatile sonic systems emit distress and predator calls for as many as 22 types of birds. The sounds are cycled every few minutes to convince pest birds that they best leave or risk being attacked. Sonic Bird Deterrents are an ideal bird control solution for deterring pigeons, crows, starlings, swallows, gulls, woodpeckers, sparrows, grackles, cormorants and many other birds.

Bird Netting

To keep pest birds out of certain specific areas–like eaves, overhangs, patios, and parking structure recesses–there’s Bird Netting. This barrier bird control measure is available in various cuts and mesh sizes. For large birds like pigeons or seagulls, use a 1-1/8-inch to 2-inch mesh size. Sparrows or starlings, on the other hand are best excluded using a 3/4-inch mesh net. The best bird repellent netting will meet ISO 1806 protocols, is U.V. stabilized, flame resistant and rot- and water-proof. In areas where electrical conductivity or radio frequency interference is a problem, non-conductive netting is often used. Also note that netting now comes in various colors– including white, stone and black–to match a structure’s color scheme.

Electric-Tracks
A great spot deterrent for ledges, rooflines, eaves, signs and most flat or curved surfaces, Electric Tracks impart a mild electrical shock when birds land on their surface. This is an ideal bird control device for use against a wide variety of pest birds–including pigeons, sparrows, gulls, starlings and crows. The best electric tracks feature a low-profile design that makes them almost invisible. The strips of electrified track are usually powered by an AC charger or solar charger. One manufacturer uses copper knitted wire mesh in a continuous tube-in-tube stocking design. This gives the track greater conductivity, strength and reliability. The copper mesh is resists corrosion and will stand up to alkali and acidic environments.
Bird Slope
These angled, slippery PVC panels known simply as Bird Slope, won’t allow pest birds enough of a grip to land. After a few unsuccessful attempts, they just slide off like water off a goose. Bird slopes are easily installed, tucking unnoticeably into ledges, eaves, beams and other 90-degree areas pest birds often nest. The best panels are U.V. protected and sun and weather resistant. They deter a wide range of birds, including swallows, starlings, pigeons and seagulls. Some panels have a “snap-on” extender, which allows them to adapt more easily to wider ledges and coverage areas.
Bird Scare Deterrents

These inexpensive bird control devices make pest birds too nervous to nest. There’s Flash tape, an iridescent material that shimmers and crackles in the sunlight and breeze to scare pest birds. And Bird Scare Balloons, which, emblazoned with lifelike reflective predator eyes, bob and weave menacingly in the breeze to make birds really uncomfortable.

Cruises Are a Great Option for Your Honeymoon

Cruises are actually a wonderful place to take a honeymoon. There are several reasons that they are great for this event in your life.

One of the great things about cruises is that they are almost all-inclusive. You can order room service anytime, you can order and eat as much as you desire at meal times. However, alcoholic beverages may or may not be included. You have access to pools, spas, and other amenities. The ship will take you to the shore, and you then have the freedom to explore and take excursions. If you do not want to spend any extra, you do not have to do so. Excursions cost, but you could choose to just enjoy the boat’s amenities that are included.

People may figure that cruises will cost a large amount. It is true that they can be costly, but for what you get they are well worth it. If you watch for specials, you may be able to get a good price. One thing to remember with cost is that your airline flight is not likely included. That is really the only transportation cost you will have unless you need to pay for a shuttle from the airports.

As you think about cost, try not to get overwhelmed. Just break it down. If you decide you want to go on a cruise, start having 20 dollars put in your savings account every week. By doing this, you should be able to pay for your honeymoon within four or five year’s time. The amount you save may actually exceed what you need. If you do not have five years before you are getting married, break it down in a different way. If you need to put it on credit, then you will know that you should be able to pay it off in less than seven years if you include the interest. To lucky ones, your honeymoon might be given as a wedding gift, and in these cases, you will not have to pay for anything except the extras.

There is a downside to many things, and that is the case with cruises as well. If you are prone to getting seasick or motion sick, then you might have a problem going on a cruise. If you believe you might have a problem, see your doctor. He or she should be able to provide you with something to help or a suggestion for something over-the-counter. You may or may not struggle if you get medication. There is a doctor on the ships, so if you end up having a major problem, they should be able to help.

Do not let a fear of cost or seasickness keep you from considering cruises as an option for your honeymoon. Sit down with the one you love, if you know them yet, and talk about it. If you have not yet met someone, maybe now is the time to start saving for the future.

How to Easily Choose the Products for Your Dry Skin

If you have dry skin and want your skin to look fabulous, the right skin care products are important. But how do you choose the right products for yourself given the many choices of beauty products you see in cosmetics stores and chemist?

You can easily be paralyzed by the choices you have. But getting the right product for your skin is the cornerstone of every successful skin care. Here’s a list of beauty aids that may fit into your skin care regiment.

Masks

Dry skin would definitely feel suppler if you use a mask on a weekly basis. However, be careful to choose the type of mask that is more moisturizing for your skin. For those who prefers heavy-duty moisturizer, you might want to increase your frequency of using a hydrating-mask to two times a week.

Exfoliators

Is an exfoliating necessary? Are skin care companies overselling the benefits of exfoliators? Well, the fact is, exfoliating does helps to remove dead skin cells and debris which is more prominent if you have dry skin. Thus, it can be a useful beauty aid to remove the flakiness of your dull looking skin. Avoid choosing physical exfoliators that contains harsh particles that can damage your skin fiber. Instead, there are newer exfoliators these days that will help you remove dead skin cells without any adverse reactions from your skin.

Serums

Serums are not exactly the type of skin care products to help you moisturize your dry skin. However, most serums contain a special ingredient that can help to soften any lines and firm up the skin. Due to the different formulations and skin structure of our body, there are a wide variety of serums created for our face, eye, neck and even thigh. If you find your skin is much drier at the jaw lines, try applying a layer of serum face creams to create a more radical smoothing effect.

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

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

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

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

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

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

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

Auriculotherapy And Phytotherapy Used in Cancer Treatment

Auriculotherapy or ear acupuncture is a therapy based on the piling of needles in the ear. Its historical roots date back to classical antiquity of Mediterranean people, Hippocrates, the father of Western medicine, described the scarifications of the posterior ear against sexual impotence and treat sciatica. And again, Galen described the therapeutic use of scarifications in some diseases of the ear. Auriculotherapy is based on the principles of conventional medicine and Western uses of specific points of the ear that correspond to somatotopic areas distant parts of the body, such as the stomach, the muscles of the spine, and so on. By insertion of needles or other stimuli can cause reflexes that induce stimulation of neurogenic type in organs and tissues of the human body. In this discipline the therapeutic concept of the disease remains the same medicine, the only thing that changes is the way of doing therapy, then gastritis or gallstones are the same disease described in the treaties of Medicine officer, have nothing to do with particular beliefs or philosophies, and the same condition is given the same treatment.

The acupoint used to treat nausea in all these diseases is always the same and does not vary according to personality the patient’s eating habits, etc. Scientific research in this field is developing rapidly, although at the moment auriculotherapy in cancer patients has proved especially useful for pain treatment.

Phytotherapy deserves a separate mention because herbal medicine is the discipline that comes closest to the Uncategorized conventional medicine as it is based of course on the use of chemicals present in plants, with organic farming activities. Besides, just think that 30 – 40% of conventional drugs derived from herbal substances. Herbal medicine is the medical discipline so using medicinal plants and derivatives in prevention and treatment of diseases, in relation to the pharmacological properties of chemical constituents present in the plant, or better in the preparation used. It does not follow diagnostic or therapeutic methods different from those of scientific medicine. The medicinal plant, so it can simply be considered, a container of chemicals, sometimes isolated and used as such in therapy, in other cases the source of raw material for the production of drugs or as a basis for the production of herbal medicines themselves. Herbal medicine is a discipline particularly promising for the cure cancer, both as a preventive measure or as a complementary therapy to chemo and radiotherapy or surgery. It is used as an immunostimulant, for treatment of gastrointestinal disorders and radiodermatitis and to combat certain symptoms such as fatigue, depression, constipation, etc.

There are also many studies that confirm the pre-clinical anticancer activities of substances present of many plants. The substances of plant origin may also be toxic, causing serious interactions with pharmaceutical drugs taken concurrently, or be responsible for allergic reactions. For these reasons, suitable extracts must always be used, quality controlled, standardized active ingredients, purified from useless or dangerous, and used only with medical prescription. For example, cancer patients often use honey and aloe smoothies (presented as a miracle cure for cancer!), not knowing that just some substances present in the plant cut the effectiveness of Chemotherapy.

Please consult an oncologist or more than one before you begin a cancer treatment.

How to Make $100 an Hour – The Simple Secret to Earning Great Money Online (Fast, Fun and Free!)

Who else is looking to build a business around doing something you truly love… while simultaneously earning a great living to boot? Are you motivated by contribution as much as cash? Progress as much as profit? If you truly feel a compelling craving to CREATE a community of passionate people who you can truly help succeed, you already have the very BEST business model in the world in mind.

The truth is, if you can coach, teach or train people in an area that you already excel, and simply share valuable information that helps makes their lives better, you’ve got 90% of the puzzle put together.

Where most people drop the ball?

In figuring out how to make a profit from their passion!

In my experience, people go through so many hoops and confuse themselves by making the simple… complex.

If you know what you love, and you are good at it, I don’t care if it’s cooking or credit repair, you CAN make a great business doing what you really enjoy.

Here is the secret:

Making great money as coach, consultant, teacher, trainer, mentor, marketer or PASSION professional is about math, as much as it is about marketing. You need a certain amount of people to be exposed to your ideas, authority and expertise for each income goal you set, and there is really NOTHING more to it than that.

Let’s say you want to earn $150 an hour and you want to work 4 hours a day… 4 days a week.

That is $2400 a week, and while that may SOUND like a lot of money, in this business… as you probably already know, it really isn’t.

The truth is, you only need 16 coaching clients to pay you your hourly goal to hit that number.

Or – 8 who meet with you for 2 hours a week.

Or better yet, while this MAY sound difficult to believe, getting 3 or 4 premium priced clients who pay you several thousand dollars each for higher end coaching or consulting over the course of the month.

Remember, in the real world… a hairdresser, or karate teacher, or computer tech is going to earn 60-80 dollars on average for one client, meeting them in a LOCAL community.

With the WORLD as your stage, why shouldn’t you be able to get at least that much, if not double… if you are really good at what you do… and can literally work from people in every state, and every country in the world?

Here is my basic formula:

I write articles like this one 2 or 3 hours a day.

I force myself to write at a fast clip – 1 4-500 word article every 20 minutes.

Every article I write, over it’s lifetime… generates about 20 visitors to my website.

About a third of those will sign up for my list.

That means, on average (and on the low side) every hour I create content about 18 people join my community.

If I can convert 5% of my community (meaning 95% will buy nothing) to spend $150 with me at some point now or in the future… every hour, mas o menus, I’m creating about 1 new client worth about $150 to my business.

It’s truly about MATH, and not marketing.

The marketing is easy! (the math is the challenge)

Of course, where you can REALLY make a killing is scaling the above with ads, offers, and leveraging the viral nature of the web to get your marketing message out to more people… and using the very same approach on a larger level… building your brand, your blog, your business and your bank account to boot!