swiss made watches from maurice de mauriac in zurich switzerland? it is time to buy a nice swiss made watch for christmas 2010. Wrist watches from switzerland from a great swiss made watch brand.
Maurice de mauriac is the only swiss made watch producer in zurich switzerland.
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Swiss made Christmas Gift 2010
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Swiss made Christmas Gift 2010
swiss made watches from maurice de mauriac in zurich switzerland? it is time to buy a nice swiss made watch for christmas 2010. Wrist watches from switzerland from a great swiss made watch brand.
Maurice de mauriac is the only swiss made watch producer in zurich switzerland.
Friday
Hotel London
Wie sucht man ein Hotel in London?
Ein Hotel in London billig zu finden ist nicht immer ganz so leicht wie viele es sich vorstellen. Dies liegt hauptsächlich daran, dass sich die Preise der einzelnen Anbieter schlagartig ändern können, wenn wieder einmal neue Touristenattraktionen in London für einen regen Verkehr sorgen. Dieser Artikel zeigt, wie man günstige Hotels in London ohne viel Aufwand finden kann.
London an sich ist schon eine Traumstadt und jeder sollte sich diese Stadt einmal im Leben ansehen und die ganzen Sehenswürdigkeiten wie den Big Ben oder Mme. Toussauds einmal vor Ort sehen. Dazu ist es natürlich wichtig, ein Hotel in London zu haben, denn unter der Brücke schlafen ist niemals die beste Lösung. Doch wie findet man am besten günstige Hotels in London? Dazu kann man den altbewährten Weg gehen und bei einer Reiseagentur nachfragen, oder die modernere Variante wählen und das Internet verwenden.
Der Weg über die Reiseagentur hat so seine Nachteile. Bekommt man dort ein Hotel? London wollen so viele Menschen sehen und die Reiseagenturen vermitteln in der Regel nur Komplettpakete, die auch die Hin- und Rückfahrt beinhalten. Aus diesem Grund ist dieser Weg nicht gerade der beste, wenn man auf der Suche ist nach einem Hotel. London kann man aber auch anderweitig erleben.
Auch eine Jugendherberge in London ist eine gute Idee, wenn man sich etwas Geld sparen will. Wie findet man nun aber die besten Angebote über das Internet. Am besten bedient man sich sogenannter Preisvergleichsseiten. Hier gibt man einfach das gewünschte Schlagwort ein, in unserem Fall „Hotel London“ und kann sich somit alle aktuellen Angeboten anzeigen lassen. Dies ist natürlich nur die Grundfunktion und die Suche kann je nach Anforderungen angepasst werden.
So hat man beispielsweise bei der Suche nach "Hotel London" die Möglichkeit, die Hotels nach bestimmten Kriterien anzeigen zu lassen. Wenn man beispielsweise mit seinen Kindern unterwegs ist, kann man diese so sortieren, dass keine Einzelbettzimmer angezeigt werden, die ja für eine ganze Familie nicht in Frage kommen. Zudem hat man auch die Möglichkeit einen bestimmten Zeitraum anzugeben, um nur die günstige Hotels in London anzeigen zu lassen, die im besagten Zeitraum frei sind.
Dies kann dem Suchenden eine Menge Zeit sparen, da man nicht mehr jedes mal in eine Reiseagentur rennen muss, um sich neue Informationen zu besorgen. Das Internet macht es uns möglich, nicht nur ein Hotel in London zu finden, sondern auch in allen anderen beliebten Reisezielen auf der Welt. Man kann über das Internet sogar einen Stadtplan von London bekommen.
London bietet wirklich für jeden etwas und es spielt keine Rolle, ob man ein Hotel in London für die Flitterwochen mit seiner Freundin sucht oder ob man lieber auf der Suche ist nach einem Hotel, das Unterkunft für die ganze Familie bietet. Es war noch nie so einfach ein günstiges Hotel in London zu finden, wie heute.
Natürlich kann man auch speziell nach beispielsweise einer Jugendherberge in London suchen ohne sich durch die vielen Seiten durchwühlen zu müssen, die nur Hotelzimmer anbieten.
Ein Hotel in London billig zu finden ist nicht immer ganz so leicht wie viele es sich vorstellen. Dies liegt hauptsächlich daran, dass sich die Preise der einzelnen Anbieter schlagartig ändern können, wenn wieder einmal neue Touristenattraktionen in London für einen regen Verkehr sorgen. Dieser Artikel zeigt, wie man günstige Hotels in London ohne viel Aufwand finden kann.
London an sich ist schon eine Traumstadt und jeder sollte sich diese Stadt einmal im Leben ansehen und die ganzen Sehenswürdigkeiten wie den Big Ben oder Mme. Toussauds einmal vor Ort sehen. Dazu ist es natürlich wichtig, ein Hotel in London zu haben, denn unter der Brücke schlafen ist niemals die beste Lösung. Doch wie findet man am besten günstige Hotels in London? Dazu kann man den altbewährten Weg gehen und bei einer Reiseagentur nachfragen, oder die modernere Variante wählen und das Internet verwenden.
Der Weg über die Reiseagentur hat so seine Nachteile. Bekommt man dort ein Hotel? London wollen so viele Menschen sehen und die Reiseagenturen vermitteln in der Regel nur Komplettpakete, die auch die Hin- und Rückfahrt beinhalten. Aus diesem Grund ist dieser Weg nicht gerade der beste, wenn man auf der Suche ist nach einem Hotel. London kann man aber auch anderweitig erleben.
Auch eine Jugendherberge in London ist eine gute Idee, wenn man sich etwas Geld sparen will. Wie findet man nun aber die besten Angebote über das Internet. Am besten bedient man sich sogenannter Preisvergleichsseiten. Hier gibt man einfach das gewünschte Schlagwort ein, in unserem Fall „Hotel London“ und kann sich somit alle aktuellen Angeboten anzeigen lassen. Dies ist natürlich nur die Grundfunktion und die Suche kann je nach Anforderungen angepasst werden.
So hat man beispielsweise bei der Suche nach "Hotel London" die Möglichkeit, die Hotels nach bestimmten Kriterien anzeigen zu lassen. Wenn man beispielsweise mit seinen Kindern unterwegs ist, kann man diese so sortieren, dass keine Einzelbettzimmer angezeigt werden, die ja für eine ganze Familie nicht in Frage kommen. Zudem hat man auch die Möglichkeit einen bestimmten Zeitraum anzugeben, um nur die günstige Hotels in London anzeigen zu lassen, die im besagten Zeitraum frei sind.
Dies kann dem Suchenden eine Menge Zeit sparen, da man nicht mehr jedes mal in eine Reiseagentur rennen muss, um sich neue Informationen zu besorgen. Das Internet macht es uns möglich, nicht nur ein Hotel in London zu finden, sondern auch in allen anderen beliebten Reisezielen auf der Welt. Man kann über das Internet sogar einen Stadtplan von London bekommen.
London bietet wirklich für jeden etwas und es spielt keine Rolle, ob man ein Hotel in London für die Flitterwochen mit seiner Freundin sucht oder ob man lieber auf der Suche ist nach einem Hotel, das Unterkunft für die ganze Familie bietet. Es war noch nie so einfach ein günstiges Hotel in London zu finden, wie heute.
Natürlich kann man auch speziell nach beispielsweise einer Jugendherberge in London suchen ohne sich durch die vielen Seiten durchwühlen zu müssen, die nur Hotelzimmer anbieten.
Thursday
seo consultant and seo for more organic google search traffic
Today the basic aim of any seo consultant is to enhance the business of their clients. For this it must follow certain marketing goals for planning a strong and useful strategies that can give them a winning seo campaign approach. You should know that these consultants must have clear concept and also an eye for understanding the client's business. There are many things which any seo consultant should understand before dealing with their clients such as Business Objectives, Marketing Strategies, Demographics of Target Audience, Media Mix & Flight Dates, Creative considerations, Messaging, Success Metrics, Dependencies, and Methods of Measurement.If you're following any seo industry or want to know about this flourishing business then you must need to its various upcoming consultant firms.
At the very beginning the seo consultant focuses on client's strategic marketing and messaging information such as industry segment, target market, value proposition or offer, etc. This is all important for doing the right selection of keywords and creative development. The main wholesale concept of such consultant is to enhance the overall site visitors and conversions through enhanced keyword rankings. If you want or interested in any such consultants for enhancing your seo business or for availing high traffic then can hire them.These consultants follow seo methodology for increasing the client's traffic, and some of them are Keyword research & Keyword Tracking , Competition Analysis , Baseline reporting, and much more.
So its highly important that the seo consultant should know that they must be skilled in fulfilling all these mentioned task like Understanding Client’s Business Objectives & Strategic Marketing Plan , Comprehensive Website Analysis , Keyword Research and Analysis , Baseline report , Competitive analysis for main keywords/keyword phrases in Search Engines, Content Analysis & SEO Copywriting, Analysis of information architecture and linking structure, and many more. Your hired consultant must have atleast ten years of seo experience, proven track record, affordable pricing, no long term contracts, personal one-on- one service and much more. So its absolutely a business and your hired consultant must able to enhance its client's websites high in search engines and profilerating your business from the web.
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Article Directory Source: http://www.articlerich.com/profile/HancyRodes/105867
Replica Watches or real swiss made watches?
Obviously, watches have almost become an indispensable part of people¡¯s life nowadays, with Swiss-made-watches being the coveted target. Yet, it is impossible for everyone to buy a new watch of world-famous brand. As a result, the value of second-hand watches slowly comes to light.
As a matter of fact, second-hand watches enjoy much popularity for their irreplaceable advantages over brand-new watches. Although they may look a bit old in appearance, their quality and durability are by no means to be questioned. Valued second-hand watches, especially limited edition ones, are becoming increasingly popular as people pay more and more attention to watches of famous brands.
The basic reason many people choose second-hand watches is that those watches can enable them to reduce expenditure. As we all know, the price of second-hand watches is far less than that of the corresponding new watches. For ordinary consumers,spending a high amount of money to buy a new watch will inevitably disturb the balance between income and expenditure. So the choice of buying a second-hand watch instead could be counted as the wisest decision.
Next, the use value of these watches is the same as that of new ones. At this point there can be no dubiety. The function of these two kinds of watches is entirely the same, which ensures second-hand watches to reach the requirements of consumers in the current watch market.
In addition, used watches have very good collect value, especially some classical watches that will no longer be manufactured. They could also bring unbounded joy, excitement and enthusiasm for collectors. Moreover, sometimes second-hand watches even increae in value as time goes by.
Finally, the commercial effect brought by selling second-hand watches could in no case be undervalued. Take China market for example, it was reported that a man earned tens of thousands of yuan by selling two Rolex second-hand watches in HongKong. In fact, he bought them in Hangzhou for less than 68 thousand yuan each, but sold them at a high price of more than 100 thousand yuan each in Hong Kong market.
To sum up, second-hand watches have a huge market not only for their own irreplaceble advantages over new ones, but also for the huge commercial interests they can bring to investors.
Article Directory Source: http://www.articlerich.com/profile/joe-taylor/102522
Tuesday
www.findlaw.com law search engine
U.S. Supreme Court Opinions
FindLaw's searchable database of the Supreme Court decisions since 1893 (U.S. Supreme Court Decisions: US Reports 150-, 1893-). Browsable by year and US Reports volume number and searchable by citation, case title and full text.
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Seo Schweiz
Do you need a seo in switzerland for organic search?
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in switzerland.
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Swiss made watches
All of us know that, Swiss-made watches are the most famous watches in the world. There are many famous Swiss luxury watches brands. Many people prefer Swiss-made watches very much. If you wear a Swiss watch, you are considered as fashionable and stylish. Especial the latest watches are most popular among people. However, the stylish and fashionable watches are sold at heavy price tags. People who are not wealthy enough have no choice but to stand away from those expensive watches.
It is no doubt that the quality of Swiss watches is excellent and the skills are sophisticated. Most Swiss watches are made of costly materials, such as jam, diamond, and carbuncle and so on. All of these reasons result in high prices, and only wealthy people can afford them. A famous watch usually cost thousands of dollars. It is really too expensive to those people who rely on monthly salary. They need to send more than six months of their salary for buying a original watch. It seems that is a little crazy.
It is no doubt that the demands of watches are very huge. How can common people own Swiss watches? Is there any watch that cost a little but looks the same as authentic one? Then replica Swiss watches turned up. Many manufacturers started to imitate those famous watches. The industry of replica watches is glowing very fast.
With the development of imitation techniques, there are multitudinous models of Swiss replica watches in the market. These replica watches are well followed to original ones. They are stylish and up-dated. The most important, they are cheap and quality. These watches are not made of costly materials, but their qualities are really good. Replica watches have the same styles and surface as original watches. Its price is from $100 to $400, which most of us can afford. If you like, you can purchase several pieces to match with your different clothes.
Do you want to join into fashionable group? Swiss replica watches will be your best choice.
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swiss made watches
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Swiss Made Watches Zurich
Swiss made watches from zurich switzerland: get your free watch catalog for swiss made gold watches, diamond watches and for swiss made custom watches.
Thursday
california healthcare foundation
Introduction:
Since the events of September 11, 2001 and the further highlighting of the state of our National vulnerability as demonstrated by the issues raised in the response to Hurricane Katrina in 2004, The Federal Government has focused enormous resources in developing a National Response Framework, Establishing National Preparedness Goals and implementing a National Incident Management System. However, in the midst of all of these changes and improvements, the Nation Disaster Medical System has been tossed like a ping pong ball from the Department of Health and Human Services (HHS) to FEMA, and then Subordinated to the Department of Homeland Security when FEMA was integrated into that new organization, and then tossed back to the Department of Health and Human Services as of January 1, 2007. During this time, publically released documents continue to claim the NDMS has the capacity to respond to National Disasters. This article will look into the foundations of the NDMS, its current standing, and its capacity to respond to the California Earthquake scenario developed by FEMA, in conjunction with the State of California, in 1980.
Background:
After viewing the destruction wrought by the eruption of Mt. St. Helens in Washington State in May 1980, President Carter became concerned about the impacts a catastrophic earthquake in California, and the state of readiness to cope with the impacts of such an event. He directed that the National Security Council conduct a review of the state of preparedness of the Nation to meet such an event. FEMA determined that "the Nation is essentially unprepared for the catastrophic earthquake (with a probability greater than 50 percent) that must be expected in California in the next three decades" (Federal Emergency Management Agency, 1980). Casualties projected for this type of event ranged between three thousand and twenty three thousand dead, and between twelve and ninety-one thousand requiring hospitalization (based upon 1980 census data). The ranges were based upon the location of the epicenter and the time of day that the incident struck. The California Office of Statewide Health Planning and Development (OSHPD) recently found that nearly half of hospital floor space that needs retrofitting to meet current codes and comply with a 2013 state seismic safety deadline is in buildings that are considered vulnerable to collapse during a major earthquake (California Health Care Foundation, 2007). Current FEMA Scenario planning estimates that nearly two thirds of the Hospital Beds in Los Angeles, Orange, Riverside, and San Bernardino County will be non-functional (Science Daily, 2008). Based upon this estimate, a service population of approximately ten million, and that the United States presently maintains 3.6 Hospital Bed per 1000 people (Nationmaster, n.d.); this equates to a loss of approximately 24,000 patient beds, which for the most part are occupied with chronic and or acute patients, as well as the infrastructure to support them. These facilities would simultaneously be experiencing a surge of new patients presenting as a result of the injuries sustained from the Earthquake event. Even assuming occupancy rates of only 60% (low for the industry) approximately 14,400 patients would be displaced and require discharge, inter-facility transfer or evacuation outside the impacted area, without regard to the casualties that were generated by the event.
In 1981, President Ronald Reagan established the Emergency Mobilization Preparedness Board to develop a national medical response system (Kramer & Bahme, 1992). The board consisted of representatives from the Federal Emergency Management Agency (FEMA), the Department of Defense (DOD), the Veterans Administration, and the Public Health Service of the Department of Health and Human Services. This Board developed the National Disaster Medical System (NDMS); which was established by Presidential Directive in 1983. Originally conceived as a partnership to respond to the scenario of large numbers returning military personnel who were injured in an overseas conflict to an overwhelmed Continental United States (CONUS) military medical system; the NDMS was never activated to fulfill this original mission (Franco, E., Waldhorn, Inglesby, & O'Toole, 2007).
The mission of the NDMS evolved to create a system whereby civilian hospital beds, in non affected areas, could be used in the event of a disaster within the U.S. and Disaster Medical Assistance Teams (DMATs) who could respond to the impacted areas of a disaster (National Association of DMATS, n.d.). Prior to the NDMS, the assets available to fulfill these type missions were the one thousand-nine hundred and thirty Civil Defense Emergency Hospitals that had been pre-positioned throughout the country by 1964. The Civil Defense Emergency Hospitals, later renamed Packaged Disaster Hospitals, were 200 bed mobile hospitals based on mobile military hospitals that used the same federally procured military equipment. These hospitals were equipped with supplies for 30 days of operations. According to the 1964 DOD Office of Civil Defense Annual Statistical Report; "the Civil Defense Emergency Hospital (CDEH) is an austere but completely functional 200-bed general hospital designed to be set up within an existing structure such as a school, church, or community center. They required 15,000 square feet of floor space which permitted the separation of wards, operating rooms and other functional sections. The staffing requirement was for 316 personnel, including 10 physicians, 4 administrators and assistants, 34 professional nurses, 18 practical nurses, 6 anesthetists, 2 pharmacists, 128 medical aides and 124 other personnel, including dentists, laboratory technicians, X-Ray technicians, maintenance engineers, clerks, helpers, messengers, and housekeepers to be drawn from local resources" (Civil Defense Museum, n.d.). A little more than one half (25%) of the Civil Defense Emergency Hospitals pre-positioned in 1964 could conceivably have provided a total of 100,000 patient beds, with a staffing requirement of about 150,000 personnel. This number of beds exceeds the worst case scenario of developed by FEMA in 1980.
The NDMS System:
Presently the National Disaster Medical System has fifty-five Disaster Medical Assistance Teams. A Type I DMAT team is able to muster a 35 person roster in 4 hours, has 105 or more deployable personnel assigned including 12 physicians, has a Full Federal DMAT Cache of Equipment and Supplies, and is able to triage and treat 250 mixed category patients per day for three days. The DMAT is not and does not operate a field type hospital, but with augmentation from the national strategic stockpile and with additional personnel being recruited (local survivors with the needed skill sets), they can provide the Triage and Emergency room functions of a field type hospital with the patient holding capacity being provided by a co-located Federal Medical Station. The Federal Medical Station requires a team of 100 personnel and can sustain 250 stable primary care patients who require bedding services (U.S. Department of Health & Human Services, n.d.). Therefore, the maximal number of patient beds that the NDMS system can generate, providing that there was at least one Federal Medical Station (FMS) per DMAT team, and that all DMAT teams were at Type I readiness would be 13,750 patent beds, with a staffing requirement of 11,275 personnel. This number of beds does not even address the 14,400 patients would be displaced and require discharge, inter-facility transfer or evacuation outside the impacted area, without regard to the casualties that were generated by the event.
The rationale behind the apparent lack of concern for the additional 90,000 plus patient beds required for the worst case scenario presented is the over 110,000 pre-committed patient beds from the 1,800 participating National Disaster Medical System fixed facility hospitals. Community, teaching and trauma Hospitals across the nation have joined with the National Disaster Medical System, through Memorandums of Understanding, to make available their empty patient beds in times of disaster. Like the military combat medial delivery system, patients are to be evacuated out of the impacted (combat) area to the safe and secure Zone of the Interior (ZI).
The Challenges:
The challenge for this scenario is that the aero-medical and ground evacuation assets required to perform a mission of this magnitude are scarce. Mission planning factors for the aero-medical evacuation of a maximum of 6,000 patients a day from Iraq during Operation Just Cause accounted for 97% of the aero-medical evacuations assets available to the United States Military. Further, the actual mission accomplishment of 12,632 patents being evacuated on 671 Aero-medial flights averaged less than 20 patents per airframe (Green, n.d.). Thus, at this density, to evacuate even 50,000 patients would require 2500 airframes. Even assuming 250 flights per day, it would require ten days time to evacuate 50,000 patients. Other forms of transportation can also be used, such as railroad and bus assets; but these assets are not pre-configured, and the patients would require beds until such coordination was completed. It is reasonable to expect that a significant number of patients would not be able to be evacuated until at least ten days after the incident and therefore disaster level patient care beds should be planned for as they will be required to maintain the patients until evacuation assets became available.
To further confound the premise of evacuating the majority of patients requiring hospitalization to the Zone of the Interior is the harsh reality that patients must be first stabilized before they can be safely evacuated. Using techniques such as delayed closure, external fixation and the like, definitive care of some orthopedic and surgical patients can be delayed, without a significant increase in morbidity and with the attendant savings of the logistics overhead of providing the required supplies to perform these procedures in the austere medical environment expected within the impacted area. However, stabilization of internal injuries (crush) and other medical conditions must be attained before an aero-medical staging facility, or other evacuation management site will clear a patient for further evacuation. The general rule for military medical evacuation to the zone of the interior has been that the patient was expected to remain stable with onboard care supplies for at least 24 hours. In the case of an overwhelmed medical system within the impacted area, an evacuation policy that facilitated short haul evacuations for further stabilization to the closest medical facilities outside the impacted area could be envisioned; however, these facilities would likewise need to be transfer and evacuate their patients further into the zone of the interior. Additionally, to avoid becoming overwhelmed themselves, and lose their ability to receive new patients from the impacted area for lack of patient beds, they too would need to be augmented by resources from the National Disaster Medical System.
The Reality:
This returns our discussion to the present DMAT teams within the National Disaster Medical System. Unfortunately not all DMAT teams are at the TYPE I level of readiness. In fact, according to David G.C. McCann MD, Former Chief Medical Officer of FL-1 DMAT since 2003, a 2008 Senior Policy Fellow in Homeland Security at George Washington University's Homeland Security Policy Institute, and Current Chair of the American Board of Disaster Medicine (ABODM), the "NDMS is being marginalized as DHHS (Department of Health and Human Service) prepares to upgrade the Commissioned Corps of the USPHS (United States Public Health Service) to serve as the "first-line" in disaster response" (McCann, 2008). To support this assertion Dr. McCann reflects that the number of voluntary members of the DMAT teams has dropped from over 7000 to about 5,000; that the contract that provided the training to DMAT members that was required for teams to be certified as being Type I expired October 31, 2005 and has not been renewed or replaced (University of Maryland, Baltimore County, 2005); that despite a budget increase of 6.3% for FY08 over FY07, teams have had their budgets significantly reduced and their administrative officer is forced to maintain the team's credentials and records on little over 20% of the budget he had last year. Further, he asserts that there had been a complete freeze on hiring new NDMS personnel lasting over 2 years; consequently, "Maybe 10% of the 55 teams are at Type 1". According to the RI-1 DMAT team Deputy Commander, Tom Lawrence, their team is one of the 31% of all NDMS team assets that have reached Type I readiness, and that they are also "very short on nurses" (Rhode Island Hospital, 2008).
Bill Hall, Spokesperson for the Department of Health and Human Services disputes Dr. McCann's claims; he says the department remains "fully committed" to NDMS. "We are not closing down or eliminating teams. In fact, for fiscal 2009, HHS is proposing a $7 million increase for NDMS". The commanders of six Florida-based DMATs posted a letter online on the National Association of DMATS website (Kruschke, et al., 2008) saying they had "confirmed through multiple independent sources" within the department that HHS officials are "engaged in a systematic plan to deemphasize" NDMS and to replace DMATs with new PHS Commissioned Corps Health and Medical Response (HAMR) teams; but Hall insisted that the HAMR teams will play a "complementary role" to DMATs. "Nobody is being replaced". (Garza, 2008)
Regardless of the validity of the claims made by either the Commanders of the Florida DMATS or the Spokesperson of the Department of Health and Human Services, it becomes readily evident that the current status of the DEMAT teams within the National Disaster Medical System is sub optimal. In a presentation on their website targeting elected officials, the National Association of DMATS express their concern over the HAMR teams, Budget Issues, the loss of Warehouse Space, Inability to use Team owned equipment, Training, and Delays in Application Processing. They close their remarks with the statement "NDMS team members feel we are less prepared now to respond to a disaster than before Hurricane Katrina. This is a direct response to action taken by ASPR to dismantle NDMS. As the primary disaster medicine response agency we feel our elected leadership must look into the problems facing NDMS and the citizens of the United States who are the potential victims of the next disaster, natural or man-made" (National Association of DMATS, n.d.) .
In September 2008, The National Biodefense Science Board (NBSB) provided feedback to the U.S. Department of Health and Human Services on the review of the National Disaster Medical System (NDMS) and national medical surge capacity as required by the Pandemic and All-Hazards Preparedness Act (PAHPA) and as specified by Paragraph 28 of Homeland Security Presidential Directive (HSPD)-21. (National Biodefense Science Board, 2008). The report, marked confidential was available on the open web. It made thirteen recommendations which have been condensed and listed below:
1. Strategic Vision: NDMS...does not represent an overall system to provide for the medical needs of patients at a time of national need.
2. DEVELOPMENT OF AN NDMS / ESF-8 ADVISORY GROUP: The establishment of ongoing civilian advisory groups for the National Disaster Medical System.
3. MONITORING AND DOCUMENTING NDMS IMPROVEMENT; previous studies have identified opportunities for improvement in the NDMS... there does not appear to be an organized methodology to track and monitor attempts to address these identified issues.
4. MEDICAL RESPONSE PERSONNEL: To achieve full staffing and operational status for all NDMS response teams... An improved, streamlined application process for DMAT membership is necessary. A training curriculum should be developed, adopted and implemented.
5. NDMS FIELD PERSONNEL CAPABILITY AND GAP ANALYSIS: Consideration should be given to improving the NDMS personnel capability especially in terms of volunteers' conflicting obligations and time to respond, for multiple specified national scenarios.
6. DEFINITION OF THE NDMS PATIENT: The definition of what constitutes an "NDMS patient" should be reviewed and expanded for the purposes of reimbursement.
7. REFINEMENT OF PATIENT MOVEMENT CONCEPT OF OPERATIONS: The ability to implement an effective, smooth mass evacuation of patients from an impacted area remains an unresolved issue.
8. NDMS ELECTRONIC MEDICAL RECORD (EMR): Although the advantages of the EMR are many... Its use must not compromise the efficiency of the healthcare providers in the field.
9. IMPROVED COMMUNICATION WITH STATE/LOCAL REPRESENTATIVES: Serious consideration should be given to returning the DMAT program to its original intent of first building local and state capability, and then exporting these volunteer resources through the NDMS for federal assistance to other parts of the country impacted by a disaster.
10. DEVELOPMENT OF IMPROVED NDMS STANDING CAPACITY: Serious consideration should be given to establishing improved alliances between NDMS and the public/private healthcare sector to provide assistance in field care, patient transport and definitive patient care.
11. FEDERAL REGULATIONS: Criteria should be developed in advance to specify when health-related federal regulations (e.g. HIPPA) should be considered for temporary suspension.
12. OVERALL NDMS FUNDING: It is clear that the funding level for NDMS is inadequate to support even the current level of the NDMS operation.
13. The Department of Health and Human Services is requested to respond to these recommendations in writing during their summer 2009 Public meeting.
Conclusion: The materials presented herein clearly show a National Disaster Medical System that is not ready to respond to an earthquake of major magnitude in California. The NDMS system can currently be safely called broken, and the challenge of the next administration is to address these issues in a timely manner before the system needs to be called upon to respond to the medical needs of our citizens during a major or catastrophic event.
Selected References:
California Health Care Foundation. (2007, January 18). Nearly Half of California Hospitals Unprepared to Meet Deadlines for Seismic Safety. Retrieved October 15, 2008, from California Health Care Foundation Press: http://www.chcf.org/press/view.cfm?itemID=129513
Federal Emergency Management Agency. (1980, November). An Assesment of the Consequences and Preparations for a Catastrophic Californis Earthquake: Findings and Actions Taken. Retrieved September 24, 2008, from The Project Gutenberg: http://www.gutenberg.org/files/18527/18527-h/18527-h.htm
Garza, M. (2008, May). Special Report: DMATS in Danger? Retrieved October 15, 2008, from JEMS.Com: [http://www.jems.com/news_and_articles/articles/jems/3305/dmats_in_danger.html]
Kruschke, G., Hendrickson, B., Wrona, N., Ketchie, K., Caprio, J., Parker, L., et al. (2008, February 1). Florida Commanders Letter. Retrieved October 15, 2008, from National Association of Disaster Medical Assistance Teams: [http://www.nadmat.org/File/FLCommadersLetter.pdf]
McCann, D. G. (2008, February 4). NDMS: Do not Go Gentle into that Good Night. Retrieved October 15, 2008, from The National Emergency Management Summit; Agenda Day One, Monday Febriuary 4, 2008: http://www.emergencymanagementsummit.com/past2008/agenda/day1.html
National Association of DMATS. (n.d.). Presentation to Elected Officials. Retrieved October 19, 2008, from National Association of DMATS: [http://www.nadmat.org/index.cfm/m/5/dn/Presentation] to Elected Officials/
Dan A. Niederman FAEM
Lieutenant Colonel, Medical Service Corps
United States Army Reserve, Retired
Article Source:
california healthcare foundation
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Thursday
Printing Catalogs
If you're looking for a printing company, expect that it wouldn't be as hard as before. Today, there are many of these companies and what matters now is how to choose the best one to give you good results without stressing you out. Choosing a catalog printing company is not only about getting your catalogs printed by the first company you find. Remember, it is your own business which is at stake and if you choose people who are unreliable, your interests could be compromised.
In many aspects, all of these companies will offer the same services. But there will always be one or a few that will have an edge over the others. If you don't know where or how to start judging the suitability of the many choices you are faced with, perhaps you can begin by looking for the company that adopts a friendly attitude towards its customers. Above technical expertise, it is this factor that determines the final outcome any job done.
Then you can proceed to looking at catalog samples which should be preferably all originals. Check how clear the color resolutions are. Do their catalog samples have high-resolution image quality? Inquire about their printing equipment. Is it state-of-the-art equipment? Are its rates affordable? Both technology and the technical staff will have a big impact on your catalog since these two are the ones that will be directly responsible for the results. Also consider the years spent by this company in the industry. Experience is, of course, indispensable.
Another advantage would be a company that operates 24/7 and is always ready to implement a customers' changes in order specifications. It should have an online order system for easy access. It should be able to send proofs of catalogs they have produced through e-mails. They should be capable of multi-process delivery for which options must include shipping, direct mail service and door-to-door. Delivery should take no longer than six days, though prices may vary depending on how soon the catalog are to be delivered.
A good company is one that offers free design services and discounts and is able to give instant online or on-the-phone price quotes. It should also provide options of all four binding choices, including saddle-stitched, perfect bound, plastic coil binding, and wine-o-binding. A wide-range of color choices and sizes for catalogs must be available and, to top it all, the company must let you, as the customer, customize your design catalog. This freedom should include a customized design, color, and size to be backed by the company's expert advice and technology.
Finding a good book printing may no longer be as hard as before, but you still have to choose well among the many companies you'll find and so goes for catalog printing and all your other printing needs.
Article Source: http://EzineArticles.com/?expert=Greg_Pierce
Today's women are busier than ever
Today's women are busier than ever, and their need to keep track of time has increased along with their activities. But no matter what they are doing, women want their sense of style to extend from their wardrobes to their watches.
A board meeting requires a woman to dress with taste as well as professionalism. The Cartier Women's Silver-Tone Dial & Stainless Steel Bracelet Watch covers both requirements. The steel case and silver-tone dial shine without being showy, as does the beautiful braid-style stainless steel bracelet. Black Roman numerals mark the hours with their businesslike shapes. Simple black hands are powered by quartz crystals, providing the most accurate movements available in a timepiece.
When the business is a little less formal, a watch with a fun flash of color will carry the businesswoman through her day. The Pink Dial & Stainless Steel Bracelet Watch by Cartier looks feminine and businesslike on her wrist. A pink dial with pink Roman numeral hour markers is easy on the eyes and pleasant to look at when she needs to check the time. Quartz movement powers the watch and a scratch resistant sapphire crystal keeps the hands covered.
Lunch at a dockside restaurant calls for something light on the arm. Cartier's Blue Dial & White Fabric Strap Watch sits pretty on her wrist with its fun fabric strap and steel case. The dial is a lovely blue with white Roman numeral markers at each hour. A date display sits at the three o'clock hour, and everything is tucked beneath a durable sapphire crystal.
If the fashion world is her forte, the Gucci White Dial & Stainless Steel Bracelet Watch will keep her at the top of her industry and on time as well. The round bezel of this timepiece is accented with diamonds as it circles the white dial. A stainless steel case and bracelet provide more shine and the Gucci logo on the band proclaims her sense of style to the world.
If digital and funky is her thing, the Gucci Digital Pink Rubber Strap Watch is a fun and easy to read contemporary timepiece. The case is stainless steel surrounding a silver-tone dial that goes digital with time, date and day of the week front and center. A pink rubber strap features the Gucci logo, and adds that quick flash of fun to her day.
Every woman wants to wear something a little dressy from time to time, and the Cartier Women's Silver-Tone Dial & Stainless Steel Bracelet Watch is just the thing. Overlapping circular links of stainless steel form a comfortable and elegant bracelet that hugs the wrist. A rectangular steel case surrounds a black dial with silver hour and minute hands. The Movado mark sits at 12:00 beneath a sapphire crystal, giving this watch a sophisticated look that can handle the symphony, theater, or a discreet dinner date.
For a daintier look, the Gucci Signoria Stainless Steel Bracelet Watch has a decorative stainless steel strap that skims the wrist like a fine bracelet. The square stainless steel case surrounds a white mother-of-pearl dial that features black markers at each hour. This is the watch to wear with those breezy summer sundresses.
Leather always looks a little sportier when it hugs the wrist. If that's the look the lady wants, then the Renato Women's Beauty Petite Stainless Steel Swiss Quartz Lizard Strap Watch will delight her. A genuine lizard strap in brown fits close to the brushed stainless steel case. Four screw accents add to the sporty look of this timepiece, while the black dial and baguette cut red topaz hour markers ensure its place among fashionable wristwatches. This watch is available in rose-tone with sweeping rose-tone hands or in a similar silver-tone configuration. The movement comes from a Swiss Ronda 763 Quartz and the crystal is sturdy sapphire.
Whimsy comes in hearts and flowers and the Ed Hardy Heart Crush Quartz Bracelet Watch has both-with an edge. The heart-shaped stainless steel case comes in black, gold-tone or silver-tone, each with its own special dial design. Choose a koi fish pattern on the gold-tone dial, a geisha girl on the white dial that comes with the silver-tone bracelet and dial, or a "love kills" design in black on black. Arabic numerals mark the four sides of this timepiece and a Miyota 2025 Quartz movement keeps it running on time. Heart-shaped cutouts provide the final feminine touch to the bracelet of all three choices.
Finally, nothing beats a classic timepiece. The Rotary Women's Quartz Stainless Steel Bracelet Watch is simple but fashionable. The case is round, constructed of stainless steel-as is the bracelet. The hour positions are noted in black Roman numerals and the black hour and minute hands are powered by a Ronda 1069 Quartz movement. This is the watch that can go almost anywhere, keeping up with today's woman.
Wyatt Hume is a freelance writer who writes about jewelry, watches and specific brands such as Android Watches.
Article Source:
Wednesday
swiss watch review
Great swiss watch review on youtube.com
all the content ist from a blog to read. great vlog about all kind of reviews online.
swiss made watches from zurich switzerland? check out a great brand for swiss made watches.
maurice de mauriac from zurich switzerland.
swiss watch review
Tuesday
Watches Contemporary Art and Seeds
Swiss Watch from Maurice de Mauriac in Zurich. Great custom made brand watches for him
and her. Goldwatches and Diamondwatches. A great gift for christmas 2010
Contemporary art from Starkart Switzerland. Starkart Switzerland is a great art promoter.
A great taste and amazing artists from all over the world show their work in this great
artspace.
Would you like to buy a very special gift online? Some flowers? We found a great onlineshop
for seeds from all over the world. Huge directory for seeds. Flowers and all kind of strange
plants. This could be a great gift too for christmas 2010.
Immobilien Portal Berlin
Immobilien Berlin, kaufen und verkaufen? Portal für Immoblien Kauf und Verkauf online.
Mehr videos auf youtube vom Immoportal Deutschland.
Immobilien Inserate aufgeben oder Immobilien online kaufen. Hypotheken Beratung oder Holzhaus Bausatz Verkauf in der Schweiz. Fertighaus Bausatz Beratung.
Berliner Wohnungen vermieten oder mieten? Immobilien in Berlin anbieten und verkaufen? Jetzt beim Immoportal anmelden und loslegen. Hunderte von Immobilien online und täglich werden es mehr.
chronograph swiss watches
Chronograph watches from maurice de mauriac zurich. Great watch brand from zurich switzerland. Custom made chronograph watches for him and her. Visit the great watch shop in zurich switzerland. 5 minutes from paradeplatz, bahnhofstrasse in zurich city.
If you would like to see more watch videos about swiss chronograph watches visit youtube.
If you want to know more about maurice de mauriac from zurich switzerland: Knol article about chronograph swiss watches from maurice de mauriac.
Monday
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