Though there are no national survey records, it is estimated that deaths due to cancer are approximated at 120 per 100,000. And the assumption is that there are 35000 to 40000 cancer patients in the country at any given space of time.
B.P. Koirala Memorial Cancer Hospital (BPKMCH) was the first national cancer center of its kind for the fight against cancer in Nepal. The felt need of the hour was a competent establishment that would be able to fulfill the need of the people of Nepal. In a country rife with poverty, illiteracy the harsh geographical terrain and an almost negligible access to basic health facilities, this institution is envisioned to bridge that gap.
The innovations and findings made in the medical science across the world have also improved the health condition of Nepalese people. Control over some communicable diseases, improved obstetric care and better coverage in immunization has increased life expectancy. The improved communication facilities including greater opportunity for education and rapidly growing urbanization are contributory factors to changes in life style and human behavior. Yet the general trend can not be stated to be satisfactorily. The magnitude of the problem and the impact of the increased, indiscriminate and irrational use of chemicals in the farms, adulteration along with improper storage of food materials are yet to be assessed.
The Government of Nepal has declared health care as the fundamental right of every citizen. Hospitals face the major challenge of moving ahead with this sentiment and of making available their services to each and every patient. Since the treatment of cancer is very expensive, much attention must be given to prevention and early detection of the disease.
The common approach to various cancers is “risk adapted therapy” regarding the long-term life expectancy. Patients with solid tumors receive multidisciplinary therapy, including surgical removal of the tumor, radiation therapy and chemotherapy as indicated. Patients with hematological malignancies usually receive induction or re induction chemotherapy first. Then, they are assigned either to chemotherapy course or referred to BMT/SCT based on the risk of the disease.
Engraving businesses can be extremely lucrative. The demand for engraved keepsakes, trophies and gifts is extremely high these days. However, the costs of production for professional engravers can be prohibitively high. Fortunately, with the invention of the laser engraver, starting up an engraving company has become a more financially accessible business venture.
Laser cutting is definitely the most cost-effective means of engraving around. For one, it’s much more efficient than traditional hand engraving methods. This allows your staff to complete more engraving projects in a shorter amount of time, lessening your company’s manpower requirements and increasing profits. You also save tons of money on equipment costs. Granted, a single laser engraving machine costs significantly more than a complete set of hand engraving tools. However, a laser engraver requires much less maintenance (provided, of course that it is purchased from a reliable company such as Jamieson Laser). Hand engraving tools such as hammers and chisels are easily damaged and must be frequently replaced, whereas a laser cutter that is cleaned and oiled regularly can last for years or even decades. In the long run, a laser cutter is the more affordable option.
A laser engraver is also a much more precise engraving instrument. As a result, laser engraving produces much less scrap material wastage than normal hand tooling. Let’s say you need to engrave a phrase on a metal plate. If you used a hammer, chisel and knife, you’d have to engrave the phrase by hollowing out parts of the plate. That results in a lot of scrap metal. Over time, the cost of this scrap metal adds up. With laser carving, you don’t have to worry about that. The laser beam will physically melt the words into the metal plate so that no material is wasted.
A laser engraving machine from reliable manufacturers such as Jamieson Laser is the perfect investment for a newly-minted engraving business. It helps you save on all the little things, and as any skilled practitioner of the fine art of engraving knows, it’s the little things that make the difference in this business.
If you live in a northern state like NJ, roofing is a very important aspect of your home or business. The severe weather that is experienced throughout the year can take a toll on the roof. Property owners should regularly inspect their roof to ensure it does not need to be repaired or replaced. This is something that can easily be done in a few short hours and can save a lot of headache and expense in the future.
The first thing one should look for upon inspection is actually on the ceilings inside of the building. If there are discolored spots or wet spots on an area this could indicate a roof leak. The next step would be to inspect the attic space above the leak area. If the wood is wet or discolored then most likely there is a leak in the roof and the roofing material needs to be repaired or replaced. Another easy thing to check is how the roof looks in general. You should see if any shingles seem to be lifting up or are missing. If you have a tile roof, check for missing or cracked tiles. Any of these will indicate repair or replacement of your roof. The age of your roof is also a consideration. If it is an older roof, it most likely will be more cost effective to replace the entire roof rather than repair it in patches. This is because when it is replaced, the contractor will ensure it is brought up to your current code. A new roof and material will also ensure you have sufficient insulation which will help keep your electricity bills under control.
If you are in need of a roofing consultation in NJ, please contact the experts at American Home Remodeling. They will be happy to answer any questions you might have.
There comes a time when it is no longer profitable, economical or even practical for a growing business to continue handling its own order fulfillment requirements. It just takes away too much time and money which could better be spent improving service and expanding the business. When businesses reach this point they start to look for fulfillment companies to take over this part of their operations. Sometimes they only need the basics like storage and inventory management and at other times they require the full range of service like pick and pack services and other logistic services.
The order fulfillment process is an essential part of any business but especially those that depend on mailing their products to consumers. It is therefore important that if a company determines that it will be inefficient or ineffective at properly providing that service that it should outsource to a company it believes will do a better job as this will maintain a high level of service standard.
Outsourcing order fulfillment also becomes necessary when it is becoming too expensive to run on your own. Transferring this part of your operation to a company that has all the necessary facilities and expertise to handle this kind of demand, will auger well for your business. This move will position you to redirect all the resources that have been made available due to outsourcing your fulfillment operations, into production and growth of your company.
It is therefore important that you are in tuned with your business so that you will be able to identify the opportune time to relinquish operating control of your order fulfillment need to an independent company that has the tools needed to provide this service with greater efficiency. When this is done, both you and your customers will benefit as you will be able to concentrate on the core of your operations and your customers will be assured of reliable fulfillment services.
Many homeowners will look into refinancing their home at one time or another. There are many different reasons for refinancing such as locking in a lower interest rate or tapping into the equity to get cash for home improvements. There are also multiple refinance options such as an FHA refinance, VA refinance, or a conventional refinance.
The top reason an owner will refinance is most likely due to a lower interest rate. Perhaps the initial loan was an ARM type and the rates have increased over time. By refinancing, a lower rate can be obtained which in turn may lower the monthly payments significantly. Another perk to refinancing is tapping into equity for some extra cash. For example, the current mortgage may be in the amount of $100,000. The home may be worth $250,000 so therefore the homeowner can take a loan out up to that amount. They would then have up to $150,000 to use for home improvements or to pay off outstanding bills.
The first step in refinancing is to speak to your personal bank or lending institution. They can guide you into the appropriate type of loan for your circumstance. To do an FHA refinance, for example, there are certain guidelines that must be met. These include obtaining mortgage insurance, debt to income ratio guidelines, and the borrower’s past credit performance. Once the type of loan is agreed upon, the rest of the process is similar to a traditional mortgage. The bank will draw up the appropriate paperwork. Then the homeowners will meet and sign all necessary forms. Sometimes the refinance is done with a different institution than the original loan. If this is the case, the new bank will take care of the payoff for the original loan.
Refinancing can be a great way to save money. The most important thing is to speak with your bank to ensure the best course of action.
It’s difficult to tell whether laser technology has improved as a result of the public’s demand for more and more detail and refinement in design, or whether now that the technology is available, the public is making the most of it. Whichever it is, the extremely fine detail that today’s laser marking machine technology provides has been a boon to brides and grooms and jewelers like, as well as to insurance companies. Where once couples were restricted to simply having their initials or wedding anniversary date etched into the inside of their wedding bands, they are now able to request that they be inscribed with their full names, the date of the wedding spelled out, a poem or line from a song that is meaningful to them; some even have their wedding vows laser etched into their rings!
The process has become fairly simple as technology has advanced. The rings are simply mounted onto a clamp that slowly turns them, and the inscription is programmed into the laser marking machine, which follows the digital directions with remarkable precision. The same technology has allowed ring designers to create intricate designs to be etched onto the exterior of an assortment of jewelry items. Some manufacturers are using the equipment to reproduce photographs or drawings as an etching on the metal of a locket, ring or bracelet.
The ability to etch extremely small details into a valuable piece of jewelry has also been an enhancement that has been appreciated by jewelers in order to identify their specific work to prevent piracy or to add a logo or brand inside of a piece. Similarly, insurance companies are able to use serial numbers that have been inscribed onto the inside of a ring in order to help them with recovery or authentication in theft cases.
For a very long time I dreaded Christmas, birthdays, baby showers, bridal showers… well, suffice it to say I hated gift-giving occasions pretty much across the board. It wasn’t that I didn’t enjoy the shopping and I definitely subscribed to the old “it’s better to give than receive” adage. No my only real complaint was the wrapping. I am seriously, the world’s worst wrapper. Now that’s really saying something since I can distinctly remember my mother wrapping gifts in brown paper grocery sacks or the comics section of the news paper – with masking tape no less! Yet somehow, despite expensive papers and trimmings I still couldn’t measure up to mom. Well, hello paper gift bags!
I’m one of those last minute shoppers; usually I whip into the mall or department store en route to the party. Yes, I am that woman who ends up having to madly wrap presents in the front seat of her car using the traditional paper, tape and bows. Mistake! I’m ashamed to admit that I have (on more than one occasion) subtly (and not so subtly) hinted that one of my kids wrapped those presents.
Now paper gift bags have been around for something like twenty five years. Honestly I’m not sure why I didn’t start using them right away, but if memory serves they only came in a limited range of sizes and colors. That is certainly not the case any longer. Gift bags are available in a wide array of sizes and materials and colors. From exquisitely elegant to ridiculously cute, it’s almost as hard to select a bag as it is the gift itself.
Over time I’ve learned to pre-purchase gift bags in a variety of colors and sizes and styles; along with coordinating tissue paper, ribbons and such. Now when it’s gift giving time I’m already prepared. Although I have to confess there have been times that I’ve selected the bag before shopping and am left looking for a gift that will fit so that I can wrap it in the car on the way to the party. Some things never change.
Replacing our windows unfortunately becomes necessary from time to time. The need to replace a window may be due to any one of a number of reasons. You may choose to change a window in order to conserve energy or to replace a damaged window or simply to change the style. It is strongly advised that you do some preliminary research to find the best company that offers replacement windows NJ, New York, Florida, Washington or wherever you live.
With the many advances in technology, people are now opting to replace their old windows with newer better ones. What makes them better, you may ask. Well for one thing there are windows that are designed to be more energy efficient. That is they insulate the property so well that little or no energy is lost through the window. These kinds of windows are said to significantly reduce energy costs in the long run.
The insulation that is provided by these technologically advance windows also results in noise reduction from the outside. This is especially desirable if you live in a noisy neighbor and really need a reduction of noise interference in order to sleep or concentrate on work, or just simply relax.
The technological advancement in window design has also lent itself to greater safety in some instances. The material that is used to make some windows can withstand excessive force and therefore help to prevent break-ins. Of course along with the resistant safety film it is also important to have good locks on your windows as well to prevent break-ins.
Finally, make sure you consult with several companies in order to get a clear idea of the best products and services. You don’t want to commit to a company replacing your windows and then realizing after the fact that they are incompetent and was a colossal waste of your time and money.
Fashion is one of those industries where timing is everything. From designing and marketing the latest trends to manufacturing and getting those trends into stores and ultimately into consumers’ hands, every step of the process is time-sensitive. Even the purchase and delivery of quality supplies can be critical. That is why the logistics of the business is becoming increasingly important for every size company in the fashion industry.
News spreads very quickly in the fashion world. What is hot in Milan can be in stores in Los Angeles in the blink of an eye. This makes getting your global fashions to market as quickly as possible a prime objective before someone else capitalizes on your hard work.
A global fashion logistics company should understand your business and the urgency behind it. It should provide top flight customer service and the highest performance to earn your trust. Choose a company that understands your market and your customers, will work to answer shipping inquiries courteously and timely and will manage the flow of shipments and deliveries efficiently and cost–effectively.
If you are interested, some third party logistics companies can even handle a wider variety of duties, freeing you to focus on the fashion end of your business. For example, order taking and credit processing could be some of the functions you outsource to the right logistics agency. Imagine the time this can save your in-house staff.
With global fashion heating up as countries like China become bigger players in world markets, logistics will become an ever-increasingly important aspect of the fashion industry. Partnering with the right logistics agency can help you meet the demands of your customers around the world without sacrificing service or quality. Fashion waits for no man or woman and with the right logistical support, it doesn’t have to.
With a goal of increasing patient safety and improving medical outcomes, the installation of computerized provider order entry (CPOE) systems has been growing steadily nationally, particularly as the government has implemented incentives. Medication errors are consistently cited as the single largest cause of medically-based errors. The negative effects for patients, and for hospitals by extension, have been extensively documented, as have the improvements that computerized entry systems offer. It would seem that there would be little resistance to the use of new technology, yet resistance persists. This has been a source of frustration for hospital administrators, who had hoped that physicians would embrace the technology upon being provided with the resource. Extensive research has been done to determine the cause of the hesitation, and the results of a recently revealed survey shed some light on the problem.
A survey that specifically targeted the physicians of hospitals which had implemented CPOE systems surveyed the physicians themselves as well as hospital administrators, and the results that were yielded provided significant insight for future improvements to implementation and adoption. The physicians who were most likely to adopt the CPOE system were those who had access to Single Sign-On, Virtual Desktop and Remote Access. When questioned specifically about why they would not use a system, physicians’ replies can best be summed up as being unwilling to submit to anything that they perceived as interrupting their work flow.
This information is invaluable for those implementing CPOE systems in their hospitals, as the steps to adoption and compliance become more clear; physicians require a system that will enhance their productivity and allow them to focus on their patients rather than one that is perceived as impeding it. A CPOE system that offers fewer clicks, voice recognition and yet still provide security will be far more likely to be adopted.
While most homeowners in Maryland are aware that regular roofing and electrical maintenance is necessary to keep their home in good condition, few of them know about the severe problems poorly-maintained gutters can cause. If you’ve been too lazy to inspect and clean your roof gutters, I’d strongly advise you to roll up your sleeves and tackle dirty gutters maryland style – with your bare hands!
Let’s start by giving you some motivation to clean your gutters. Did you ever wonder why outbreaks of mosquito-borne diseases such as dengue fever and malaria increase during the rainy season? Well, gutter blockages prevent rainwater from flowing out the downspout, making these roof gutters the perfect breeding ground for mosquito larvae. To ensure you’re not unwittingly paying host to these nasty little creatures, make sure your gutters stay blockage-free. In addition, if you have wooden doors, window frames or beams inside and around your house, you’d do well to keep your gutters clean. When additional rainwater pours down into overflowing gutters, the water will splash elsewhere and cause any wooden objects in the splash zone to rot.
Preventing all these complicated problems from developing is a surprisingly simple affair. Start by getting a heavy-duty stepladder – remember that the heavier the ladder, the more stable it will be! Once you have a good, sturdy ladder, ascend it carrying a bucket, a knife and a leaf blower. When you begin cleaning your gutters, use the knife to scrape out the leaves and dirt clogging up your gutter and dump them in the bucket. Stubborn dirt in hard-to-reach parts of the gutter can be extricated using the leafblower. Make sure you angle the bucket so that the dirt particles will be blown inside it!
The importance of clean gutters cannot be overstated, but if you don’t feel up to cleaning your gutters yourself, don’t take the risk. A gutter cleaning service is a perfectly affordable alternative if you’re worried about safety. Whatever your choice, make gutter maintenance a top priority in your home maintenance scheme or you’ll regret it in time to come.
There is still time to refinance your mortgage and take advantage of the low rates. We are in the fourth year of the real estate crash. Experts say that historically when a market crashes it takes anywhere from five to seven years to recover. All of the economic stimulus plans that were put in place to assist the market are still working and available to homeowners; however the clock is ticking on these low interest loans.
Looking at the market in historical terms, if you consider the five to seven recovery models, it appears that the bottom of the market and loan rates has been reached. If you were planning to buy a home or refinance a loan, it probably isn’t going to get much lower or favorable than it is right now. Rates will start to climb as the housing market recovers.
A lot of homeowners had mortgages that were running anywhere from five to seven percent. During the heyday of the market sometimes as much as eight to nine percent would not be unusual, even with good credit. Today’s rates at three and a half to four percent, while they are here for the recovery will not stick around as the market climbs.
Rates on large loans like a mortgage affect not only how much house you can buy, they affect whether you can also upgrade your car, improve your home or set aside cash for retirement. The difference of a few percentage points on a mortgage can represent hundreds of dollars saved monthly, and thousands over the life of a loan.
If you are in the minority of people who were not affected by the real estate crash and have been in your home riding out the real estate wave, this is probably a good time to take advantage of this bonus to your wallet!
The protein myoglobin
is a very important thing that people should be very knowledgeable about, this is because it involves the production of proteins that are very important to our bodies. Without proteins our bodies cannot function properly so they are very essential to our bodies. When choosing the best protein supplements that we should consume in our bodies we should be very careful. People should know that not every type of food that they consume into their bodies is proteins and not all proteins that we will take into our body will be helpful. Before buying a protein check the company that produces those products first, persons are urged to do this so that they do not buy products produced by fake manufacturers which in the long run, will harm their bodies. Choose the proteins that are manufactured by big companies which are known to produce good products, also check if the protein manufacturing company is standardized to ensure that its products are harmless and healthy, so that the proteins can have a big impact in our body. An individual should also know that some people have allergies with some of the proteins that are been manufactured, so when they see some spots in those individuals’ bodies they should not get scared. This reaction is usually very normal and the only thing that you can do is maybe to avoid eating that type of protein or you go to the hospital, but the best option is for a person to go to the hospital and be treated so that he can be able to eat that type of protein because every protein is very essential to our bodies. Protein manufacturing is done through various stages so that it can be able to fit the different supplements of the different types of people for example the type of protein supplement that a sick person is taking is not the same one that a healthy person can take, this is because that one of a sick person is much stronger because he needs more proteins to make his body strong compared to the person who is very healthy.
Real Estate in Tel Aviv is situated in a very good area for medical professionals seeking investment properties. They are located in areas where commuting to the C.B.D is made easy and hustle free. Not all of them are near the main town. However where the bus terminus or railway station is far, there is provision of free transport. The way that they are build is professional allowing the resident to their privacy. Even in cases where you are strangers with your neighbor in the villa, complete privacy is offered. You will never find someone smoking on your couch yet you don’t know them. They are fitted with lifts which make accessing the higher floors easy. For people who may wish to take the stairs due to keep fit, the stairs are also available. The buildings have been done by professional builders and developers. There is a body in the city which is in charge of inspecting any upcoming buildings. Unless a building meets all the expected conditions, it’s not allowed to continue. More »
The human flesh is susceptible to numerous types of ailments. Most of them are caused by viruses, bacteria, and unhealthy lifestyle. Physicians cannot determine a patient’s specific ailment if a battery of tests is not undertaken. A number of medical equipment is needed to pinpoint the source of a specific disease. Because many of these tests can be expensive if done in hospitals, there are private clinics and laboratories that are doing such tests. They normally charge lower because some of them employ used medical equipment in their diagnostic services. Using second hand equipment does not require the amount of investment for shiny new equipment.
Patients who have limited budget for their medical treatment are forced to do some painstaking price comparisons just to be able to find the services that fit their budget. This situation can be tougher for the elderly who have no means of supporting their medical need. More »
There are a number of types of equipment which is designed to make the lives of humans more comfortable. The X-ray and Magnetic Resonance Imaging equipment are indispensable in the medical treatment of patients. The personal computer is now a necessity for offices, hospitals, and even homes. In the engraving industry, the weak points of the tool bit are now eliminated with the laser marking machine. The marking medium is a beam of light made up of electromagnetic radiation. The laser beam has the advantage of having precise marking based on the pattern set on the surface. This is made possible through the achievement of high irradiance which enables the beam to be focused on the precise spot.
Within the equipment, the light energy being produced is converted into heat. The hot and focused light can easily penetrate the structure of materials such as plastics and wood. Nonetheless, the laser marking is not only limited to a couple of materials. By using lasers of varying wavelengths, other materials can also be successfully marked like metals and glass. For the former, there used to be no commercially-made machine that can cut through it. By making some adjustments in the laser specification, metals can now easily be marked with conventional laser machines in the market. Glass may be seen as too fragile for the power of the laser. However, with the attainment of the right speed, focus, and power, it has been found to be a perfect material for marking using laser technology.
The laser’s effectiveness in marking different materials makes it one of the most versatile processes used for various industries. There are now companies who are capable of assembling laser machines for commercial uses. For marking and cutting purposes, end users can now select from among the different models available in the market. Like other commercially manufactured equipment, laser machines vary in sizes, features, and prices. The potential buyer must first determine the exact purpose for the machine to be able to choose the right model. In this way, they would not spend for some features that they do not need in their operation.