7 Home Improvement Tips For This Winter

The winter is approaching, and you need to be ready for it. You need to get your home ready for the cold season, which is important if you want to make your home energy efficient and comfortable. Check out the following home improvement tips that will make a difference this winter.

Go For an Energy Audit

You can hire a certified professional to get your home rated. The energy rater will conducted an “audit” and test your residence for possible energy losses and other safety issues. Based on the detailed report he will give you, you can make important repairs and make your home more energy efficient.

The professional will also give you some tips to address the common issues with your home. You can then take necessary steps to solve the issues.

Seal The Walls

The seals in the walls allow the air in, which causes fluctuations in the temperature inside your house. You can make a plan and use a tube of caulk to address the problem areas. Aside from this, you should seal the areas where you can find electric boxes on the drywall. Make sure all the tiny holes on the backside of the boxes are sealed.

Seal The Can Lights

Air leaks can occur in the ceiling as well, especially the area on the ceiling where the recessed lights are located. Some can lights are vented so that they don’t get overheated due to the light bulb. What you need to do is remove the can and then seal the perimeter of the can with quality caulk. In the same way, the internal area of the can should be sealed with aluminum tapeto or caulk.

Fill The Insulation Gaps

To find insulation gaps, you should check the outside faucets and air vents for big gaps. These gaps will allow the air to escape from the room in winter. You can use expanding foam to seal these holes.

Your Heating System

Before the arrival of winter, you can get your furnace tuned up. According to experts, the energy costs of an average house are affected by the heating. If your boiler system or furnace is inefficient, your heating bills may rise. Make sure you buy a quality filter.

You can replace the filter to make the boiler more efficient. While this may seem an unnecessary expenditure, it will pay back down the road.

Check Your Windows

Your windows should be suitable for the climate of your home. For instance, if you live in an area where it’s very cold in winter, you may want to invest in windows that feature double-panes insulated glass.

Buy a Smart Thermostat

You can consider installing a smart thermostat. Some advanced models can be operated with a smartphone as well. Programmable thermostats are available in different designs and price levels. These devices allow you to enhance the energy efficiency of your home.

So, you can use these 7 tips for home improvement before the arrival of next winter season. This way you can save some real cash on your heating bills.

The Major Benefits of Enlisting the Help of a Malpractice Attorney

We often hear in the news and media about people who have suffered from some form of malpractice. Whether it is medical, legal, of another form of malpractice, the problem usually goes unchecked until someone steps up and confronts the issue. If you are a resident of Texas and find that you have experienced the negligence of a health care professional or legal professional, you might want to consider filing a claim with a San Antonio malpractice attorney. Not only will you be forcing the company or professional to acknowledge the problem, but you could also be entitled to compensation for your injury, suffering, and loss of wages.

How can a malpractice attorney help you?

Here are the number of way a San Antonio attorney can assist you in

A. He will help you determine if you have a legitimate case.

B. He will also determine if the case is within the deadline.

C. Assess of damage i.e. loss, pain, suffering etc.

D. He will also file a formal claim on your behalf against the party responsible.

E. Research both in legal and medical terms is the job of your attorney.

F. He will also utilize the opinions of specialists along with their testimony.

G. If a settlement is negotiated he will help with a settlement.

How do you know when it’s the right time to contact a lawyer?

Listed below are just a few of the circumstance in which you should immediately contact a lawyer to begin a claim:

1. If you have become disabled or paralyzed due to an error by a health professional.

2. You have lost a body part due to a surgical error.

3. If you have been misdiagnosed due to the negligence of a lab technician.

4. You have suffered pain or infection due to an object being left inside your body after a surgery.

5. A family member’s life was lost due to a medical professional’s carelessness.

6. If your newborn was injured, permanently or temporarily, or lost his/her life due negligence during delivery or afterward.

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15 Things Not to Do in Japan

If you have plans to visit Japan, there are some things you need to know. Familiarizing yourself with some basic Japanese cultural practices will go a long way in making your trip there enjoyable. Also, you are not likely to get into trouble. Here are things you should not do based on Japan culture.

1. Don’t enter a house wearing your shoes

Are you used to walking around in your house in your shoes? Well, you might get yourself in trouble if you do that in Japan. There is a special place where you should keep your shoes before entering the house. Also, there are slippers for guests when entering a room.

2. Don’t shout on the train

Trains are very common in Japan. However, people don’t make noise while in trains. They are always silent. If you have to speak to someone, do it in a low tone. Use your earphones if you have to listen to some music.

3. Don’t use your phone on trains

As indicated earlier, Japanese don’t like any noise in the trains. You will rarely find someone using his phone to make a call in the train. If you have to use your phone, send a message or talk in a low tone so as not to distract other people.

4. Don’t eat on trains

Japanese do not eat when traveling on commuter trains. Drinking is okay unless the train is too crowded. However, in long distance trains, eating and drinking are allowed. Food and beverages are also sold in such trains.

5. Don’t forget to remove toilet slippers

Once you get to Japan, you will notice that there are slippers only used when going to the toilet. These slippers are easily noticeable since they have particular words or pictures. Always remember to remove them when entering your house or walking on the streets.

6. Don’t tip anyone

While it is common to tip anyone after an excellent service in many cultures, Japan is an exception. No matter how satisfied you are with their service, they never accept tips. In fact, someone will come running after you, returning the tip!

7. Don’t ignore someone you are speaking with

If you are talking with a Japanese person, always stay calm and attentive. You may sound impolite and rude by just failing to show that you have understood a point. Whenever speaking, show your attentiveness by talking back.

8. Don’t photograph everything

Despite Japan being a beautiful country, you are not allowed to take photos everywhere. It is advisable to always ask someone before taking photos. You must be granted permission to take pictures in museums, temples, and shrines.

9. Don’t hug anyone you meet

Hugging is common in western countries. However, in Japan, it is not. You don’t hug someone you come across in Tokyo streets. Most of the older folks don’t like the habit. If you want to hug someone, then it’s best to know their age group and whether they are comfortable with it.

10. Don’t eat or drink when walking

It is uncommon to find Japanese eating or drinking while they are walking. Even on the streets with food stalls they always find a place to sit. Now you know how to behave when you are on Japanese streets so you don’t look foreign.

11. Don’t receive a present with one hand

Whenever receiving a gift or a visiting card from a Japanese, use your two hands and bow. Then tell him thank you. On receipt of a gift, don’t open it until the person who has given it to you has left.

12. Don’t throw away trash haphazardly

Another thing you might find hard to get used to is how to handle your trash. In most cities around the world, there are a lot of trash cans however, Japanese cities are different. People are encouraged to carry their trash until they find a place to dispose of it.

13. Don’t fail to say “thank you”

The verb “thank you” is highly valued in Japan. Learn to say it after being served in a hotel or store. Familiarize yourself with how bowing is done in Japan. You must always bow and say thank you when you meet with elders.

14. Don’t write down a person’s name in red ink

In Japan, it is OK to write “goodbye” in red ink but not a person’s name. The Japanese consider it to be disobedient. Therefore, if you have to write down your Japanese friend’s name, you know which color to avoid.

15. Don’t be shy

It is common for tourists to ask for help from locals. When you get to Japan, don’t be shy or afraid of asking for anything. They are very friendly and helpful. Even when you accidentally forget something somewhere, go back as no one is going to take it away.

A Guide to Tuning Your Car

Electronic tuning of diesel engines has been known for almost a decade. Before that there are limited scopes to enhance the performance tuning. With the introduction of electronic engine management, this has changed. It was possible for tuners now to build on the excess air that the diesel ingests through the air filters to squirt more fuel that what is normally done. After this, around late 1990s, computer controlled engines were manufactured that gave tuners much greater scope to improve engine efficiency.

Why Tune your Car?

For enthusiastic drivers, it is quite attractive to extract extra performance from their vehicles. Diesel tuning aims to improve the engine efficiency and enhance normal driving conditions by around ten to fifteen per cent. With the cost of fuel going up with each passing day, there is a more need of making your car economical by boosting its performance and with improved engine torque.

Things to Remember before you Tune

There is a number of cheap tuning software available online. But, not all of them are good and your car might not be ready for a remap. Here are some of the important points to consider before you have your diesel tuned –

  • Before you think about tuning, always check the health of your car. Check its engine, tyres, suspension and more. In case you have any engine problems, ensure that you get it sorted before you think about tuning.
  • Always research about tuning so that you know exactly what you will be getting as many of these processes are irreversible.
  • It is best to talk to tuning companies and judge them based on their answers. Compare their offers and then check their websites for customer feedback so that you can be sure that you are picking the right one.
  • You should eliminate any service provider making questionable claims and also those that appear unreliable.
  • It is best to look for service providers that provide great after-sales service.
  • Also, look for providers that offer insurance as it will help you in case anything goes wrong during the tuning process.
  • It is important to see your tuner face to face by taking your car to them and you can ask them appropriate questions regarding the performance of your car.

Which Type of Tuning is the Best?

Diesel electronic tuning involves the modification of the electronic instructions that is sent to the different engine components. Chipping and tuning software rewrites changes the software written to the ECU using carefully developed modified programs that changes the engine management instructions. You can also opt for plug and play packages that intercept the standard ECU signals by placing a small box of electronics between the ECU and the key engine components. The effectiveness of these will vary depending on the cost and the kind of software that is being used.

Can a Habitual Traffic Offender Seal Their Public Driving Records?

Becoming a habitual traffic violator doesn’t happen overnight. But it also doesn’t happen only to bad drivers. Those who drive often for work, whether all day commuting or long-distance travel, are often faced with time crunches, leading them to drive a little faster than they would if they were not limited by time restrictions and deadlines. Realtors, contractors, salesmen, and more are all common victims of speeding and seatbelt tickets because they are often traveling from one obligation to another.

So whether a product of vocational lack of time, or simply an unmindful driver, 10 traffic offenses in a period of 10 years, with 1 being a major violation (i.e. DUI, reckless driving, driving while suspended, etc.), will eventually suspend you of your driving privileges and mark you as an official habitual traffic violator for at least 5 years.

Sounds harsh, doesn’t it?

But it’s not so bad if you live in a state that allows record sealing and expungement. If you qualify to have your driving records sealed from the public, it can help you get your license back, that job you’ve applied for, that promotion you’ve been working toward, or obtain a professional license that was inaccessible before.

Qualifications vary from state to state, and not all states even offer the option, but the most influential factors are time and severity of offenses. Talk to a criminal record expungement lawyer to see if you are eligible for record sealing in your state. In the meantime, continue reading to learn more about habitual traffic violator driving records and personal privacy.

While Awaiting Eligibility

After you are convicted as a habitual traffic violator, you must remain one for at least 5 years; however, you can petition to get a probationary drivers’ license after only 3 years. In order to qualify for a probationary license, one must have:

  1. Never previously been granted a probationary license as a habitual traffic offender;
  2. Never been guilty of more than 3 unrelated major traffic offenses in one 10-year period;
  3. Never been guilty of a major traffic offense that resulted in bodily harm or death of another;
  4. Never been guilty of violating the habitual traffic offender probation guidelines.

In some cases where the offender is a person who operated a vehicle for the purpose of business, such as a traveling salesmen or delivery person, the waiting period may not apply since their poor driving record may be partly a result of their frequent commuting. It is important to retain the services of an experienced criminal defense attorney to ensure you are receiving due justice in traffic court. 

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Isn’t It Time to Wake-Up?

People (at all ages), often say things like, “you made me feel this way”, etc. It just simply isn’t true. Only you decide how you’re going to feel. No one has that power over you.

You get to decide whether or not to react or respond to someone/something. Not the other way around. Now, if you notice you constantly feel bad around someone, you will want to look at why that is. Are you needing to work on setting boundaries with others, is there another reason why this is persisting, or does this person have a negative energy about them and it’s time to take control of who you’re surround yourself with? In any event, it is still your decision on how you react. I remember being told this by someone years ago when I was first entering the self-development arena. I got it intellectually, but didn’t really “get it” on a deeper level. This involves a lot of inner work, and it starts with taking responsibility for every single thing happening in your life.

It amazes me when people complain about not getting the results in their life. You are your only problem. If you aren’t getting what you want externally, something is off internally. What is happening on the outside of you is a direct result of your thinking. Always. Regardless if it’s negative or positive. You need to look inside. Who are you being or not being? What type of thinking is causing you to stay stuck? Do you believe you have to struggle or think the potential clients you are talking to just aren’t ready to take action? You are fooling yourself. This is your subconscious trying to keep you stuck. It has a positive intention, which is to keep you where you feel safe. Growing a business involves risk and putting yourself out there. This can be scary and to the subconscious it’s not a safe zone.

In order to figure out where your thinking is off, you will need to look. If you are speaking to your ideal client and they decide not to move forward with your service, the problem is you. Something is going wrong in the sales conversation. It is likely that you’re stopping yourself from asking those tougher questions because you care too much what they think of you. However, if you don’t ask those tougher questions, they will not see that they need your help and that you’re the one to provide the help.

Look at the results you’re getting/not getting and determine if you’re where you want to be. If they’re in line with your vision, then awesome! If not, take a hard look at your thinking. No one is to blame but you.

Those are some common themes that I see preventing business owners from moving forward. Running a business involves a commitment to doing whatever it takes to succeed. Are you willing to take responsibility for your life / actions / results? Once you do this, you will be amazed at what starts to happen.

Important Facts About National Impaired Driving Prevention Month

The Purpose of National Impaired Driving Prevention Month

Since December is one the busiest months of the year full of winter holiday celebrations like Christmas and New Year’s Eve, there are a lot more social events and late night get-to-gathers where alcohol is available. Sadly, driving under the influence is quite common during holiday season. Impaired driving puts drivers, passengers, and pedestrians at risk, and each year it claims the lives of thousands of Americans. In December, we observe National Impaired Driving Prevention Month to create more awareness on the issue.

Some Important Facts About This Month

It is reported that every year, around 30 million people drive while intoxicated and around 10 million drivers go behind the wheel after taking illegal drugs.

Nearly 25 people a day were killed in alcohol-impaired driving crashes in 2010. Drinking and driving can be deadly, especially for teens.

Young adults (ages 21-34) are much more likely to die in a car crash after drinking alcohol.

According to the Centers for Disease Control and Prevention (CDC), every day, 28 people in the United States lose their lives in motor vehicle crashes that involve an alcohol-impaired driver.

In 2014, of the 1,070 traffic deaths among children (ages 0-14), nearly 19% involved alcohol-impaired drivers.

Drugs other than alcohol are also a factor for traffic accidents.

Effective Preventive Measures

Prevention starts with our sense of personal responsibility. It is high time that drivers, irrespective of their age, start thinking about how they can practice safe driving and re-evaluate their driving habits.

Conducting school programs and educating teens on how important it is NOT to get in the car with a driver who’s under the influence would be an effective solution.

Electronically monitoring repeat DWI offenders also appears to be effective. Ignition interlocks in cars prevent operation of the vehicle by anyone with a blood alcohol concentration (BAC) above the specified level.

If you come across a possibly drunken driver on the road, immediately contact the police! Your timely action might save someone’s life.

Families play an essential role in putting an end to impaired driving. We should all educate our children about the risks involved in consuming alcohol or illicit drugs and especially how dangerous this is while driving.

If your holiday plans involve drinking liquor, make sure to always plan ahead for a safe ride home.

Every year, a higher volume of vehicles flood the roads. People rush to see their loved ones for the holidays and the odds of getting into a driving accident increase during these periods. While most people are well informed, there are still many other people who are not aware about how this easily avoidable problem could affect their loved ones. It is our personal duty to help people understand how dangerous this habit actually is.

Organize a local awareness campaign to explain the risks involved and how drinking and driving can affect families. Surprise the attendees with customized giveaways. Silicone wristbands are perfect for such campaigns because they are original, durable, long-lasting and inspiring. You can get them in different colors, fonts, sizes and styles. Wristbands carry messages. Choose from “Think and Drive”, “Never Drink and Drive” or come up with something of your own.

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What’s So Great About Water?

It’s the ONE Element that doesn’t get the credit it deserves! Dive in for some amazing facts about this low-calorie libation…

If you count yourself among the health-conscious, you probably put in some exercise every day. Perhaps you also live on ‘health foods’, avoid smoking and never forget to brush your teeth. Top marks to you. But wait! Is there something that may be missing from your healthy routine? Do you remember to drink enough water?

Far too many of us don’t. In doing so, we unwittingly forego the wide-ranging benefits of one of the cheapest and most accessible aids to good health. Because water – just plain water – is what helps our bodies tick along smoothly, keeps our systems going and even relieves minor ailments.

Everybody knows that, without water, we’d die of thirst. But not many realize that water does much more than wet a dry mouth! That’s why we need around two to three liters (8-10 glasses) of fluid everyday. If you are currently getting by on a few sips here and there, you might wonder why such hefty amounts are needed. Here are some answers to some questions you might want to ask.

Q #1: I don’t feel very thirsty – why must I drink plenty of water?

Because water does more than quench your thirst. It works inside your body on a minute-to-minute basis. Water has a role to play in every vital function of the body.

We may be in the jet-age, but inside our body everything still works on “water-transport”! Vital supplies of food, oxygen and infection-fighting cells flow around the body through the blood, which is 83% water. Digesting food and absorbing it needs some water too, because digestive juices work better in a semi-fluid environment. Even breathing in and out needs moisture. In fact, it is possible to use up the equivalent of two glassfuls of water a day, just exhaling!

Again, many of the body ‘s waste products can be thrown out only if they are well-dissolved in water (as sweat and urine). If there is insufficient water to carry out this function, the body may retain toxins and end up being poisoned by its own waste products! Sounds far-fetched? Small proofs of this are not difficult to find. Forget to drink enough water and you may soon be suffering from constipation!

Water, when it leaves the body as sweat, is what keeps our body temperature constant even on the hottest summer day. Our body operates on delicate chemistry and it is water that maintains the internal balance. When every bodily process is using up water, imagine how vital it is to replace used-up fluids. A stray glassful can hardly do the job!

Q #2: Can’t we depend on our body to demand enough water, according to its needs?

By and large, YES. Thirst is the body’s signal that the system is “running dry”. But natural signals would be wholly dependable only if we led a wholly natural life! The farm labourer drinks water by the jugful, because he works up a powerful thirst that is hard to ignore. The average city worker, on the other hand, ends up drinking far too little water, often less than he should. The reasons are many: Sedentary work, especially in an air-conditioned room, produces only a mild thirst that is easily ignored. Fear of water-borne diseases prevents city-dwellers from drinking water away from home. People are equally finicky about using public toilets. So they play it safe by drinking as little water as possible!

And then there are umpteen myths about the “ill-effects” of drinking water. Here are some that we’ve heard – do you believe in any of them? Frequent drinking of water causes a sore throat… Cold water makes people fat… Water interferes with digestion… Drinking water aggravates a case of vomiting and diarrhoea… People with coughs and colds should avoid drinking water… Drinking water before exercise gives you cramps in the stomach…

These beliefs have no scientific basis and some of them can prove downright dangerous, say doctors. With so many misconceptions floating around, it is not surprising that the thirst signal often goes unanswered, or only nominally satisfied. A few sips of water will take the edge off your thirst, but that little amount cannot meet your needs.

Q #3: What happens if you don’t drink enough water?

If you drink sufficient water occasionally, your body adjusts: it secretes less urine and otherwise manages to function normally. But those who habitually drink too little water may develop problems. Healthy kidneys keep the body’s water at a safe level, but operating with insufficient fluid puts them under a strain. When You drink insufficient water, that fluid is used up for vital functions, leaving little for other processes. For example, hydration of the skin or digestion may be hampered, resulting in problems like dry-looking skin or constipation.

A certain amount of water should pass through the kidneys every day, otherwise bacteria which should be flushed out of the kidneys, bladder and urethra will lodge there. This give rise to urinary tract infections, with symptoms of burning while urinating, backache and so on.

Certain common drugs (including painkillers and anti-inflammatory drugs) leave behind a residue in the kidneys, which must be washed out with plenty of water so that it does not accumulate and damage kidney tissue.

Insufficient water can also cause kidney stones in those predisposed to them. Regularly drinking plenty of water actually helps prevent kidney stones and infections. Provided the water is clean, of course.

In athletes and sportsperson, low fluid intake can contribute to muscle fatigue and poor performance. A lot of water is lost when you play and exercise. Interestingly enough, strenuous exercise temporarily depress your thirst, when in fact you should be replacing all that lost fluid!

So what it boils down to is simply this: While our body can ‘get by’ on insufficient water, it does no good to push it too hard!

Q #4: We consume so many other fluids… don’t they count?

Yes, they do. All the tea, coffee, juices, soups, milk, etc. that we drink do contribute to our fluid intake. And that’s precisely how most of us get by without actually drinking the large amounts of water we need. We derive some water even from solid food, especially fruits and vegetables. For example, Green beans are 89% water and lettuce 95% water! Incidentally even the adult human body holds 35 to 50 liters of water.

Q #5: Of other fluids do count, why is it important to drink plain water?

Water is not entirely replaceable, and has its own advantages. Unlike soft drinks, which are often used to quench thirst, plain water has no artificial colours, flavours or preservatives. (You don’t have to worry about BVO (Brominated Vegetable Oil), for instance!). Unlike, coffee or tea, it has no caffeine and no sugar to damage your teeth. And, compared to alcoholic drinks… well, water is guaranteed not to make a monster out of you! Before or after sport or exercise, water is the best drink to have. Very sweet drinks, which are considered energy-giving can draw out water from your muscles into the intestinal tract (instead of it being the other way round), causing internal dehydration which can result in cramps during exercise. Even for non-athletes, plain water is the best thirst-quencher. Why make your body handle all those extra substances when water serves the purpose?

Of course, when little solid food is being consumed (as during illness), other beverages are preferable because they can provide nutrition as well as fluid. But if you’re in normal health, drink as much as you like – it’s zero-fat and calorie-free!

Q #6: How much water does one need?

Needs vary, depending on your size, diet, activity and the climate you live in. In the hot climate, much water is lost through perspiration. And even more is lost by a person who has fever (due to faster breathing, sweating) and also by a person with vomiting and diarrhoea. A 60-kg, moderately active man would need about 10 glasses of fluid a day, ideally much of it water. Slightly more or less is okay. The colour of urine is good indicator – dark-coloured urine suggests that you may need more water. While this casual check is good enough for most, there are also categories of people for whom it is vital to consume plenty of water. This group includes those who have chronic chest congestion – smokers with emphysema, for instance, would benefit from keeping their system well-hydrated.

On the other hand, there are those who may be asked by their doctor not to drink too much water. A person with renal failure, congestive heart failure and some cases of liver failure may not be permitted to overload their system with water. This is either because the kidneys are not eliminating water efficiently or because the heart is not strong enough to pump too much fluid.

Q #7: Water and overweight… is there a connection?

It has become fashionable (among a certain set) to say, “I look fat only because I retain water.” If the body retains excess water instead of eliminating it through the kidneys (as do some women due to hormonal ups and downs), the person may feel slightly bloated and the scales may even show a slight gain in weight. But usually this is small and temporary. Water retention is not responsible for actual fat. So, trying to achieve weight loss via water loss is not desirable, not safe and not permanent An obese person may quickly lose one or two kilos of “water weight” by profusely sweating in a steam-bath or through violent exercise. Or diuretic drugs may step up kidney function and cause a rapid loss of water. Such drastic attempts might be useful only to jockeys and wrestlers who must show a certain weight at the time of weighting-in. But as a method of weight-control, they are worse than useless. The little weight lost by such methods come back as soon as you take in fluids. Athlete or not, trying to dehydrate the body is dangerous. To control water retention and its effects, it is better to cut down salt intake rather than water intake.

Important Facts:

  • The human body can go 5 weeks without food.
  • The human body can go without water for 5 days.
  • The kidneys use 5 glasses of water daily.
  • The human body loses 10 glasses of water daily.

 

The Weakness of Contemporary Cultural Medicine

The term Cultural Medicine is used to refer to changes to a medical system provided specifically to reach out to and serve a diverse culture. The title is applied differently than Integrative Medicine. Integrative Medicine acknowledges that there are different preventive and reactive ways to address issues of preventive health, health maintenance, disease, injury and medical care (IntgMed), many of them cross-cultural. Cultural Medicine is applied to all that is not specifically IntgMed. Rather, it is that which supports underlying layers of infrastructure required to deliver ever-expanding, culture-specific positions, products and services, rather than focused, inclusive services.

An example of inclusive delivery is recognition that the national language is English. A focused, nationally oriented, fully integrative system of medicine would acknowledge the beneficial elements of all IntgMed, but it would be delivered in English (except non-translatable elements). This approach encourages all citizens to learn and excel in English and markedly limits the cost of IntgMed products/services components delivery. If for example, government-paid and/or delivered services focus on delivering a more culture-neutral, English-based IntgMed service only, costs would be markedly reduced and all citizen-consumers would be encouraged to become more English-language proficient. As an aside, pharmaceutical products, medical technologies, acupuncture needles, physical therapeutic manipulations and exercises, and other key elements of IntgMed do not recognize the human body as gender, ethnicity or culture-specific – they simply perform functions. Such subdivisions are behaviors of service providers.

One of the primary sets of questions ignored by state and U.S. governmental agencies are:

  1. Who is most qualified to determine if a proposal or intervention should be that in which we should invest given all other needs, ideas, and proposals?
  2. Who should be responsible for payment for this proposal/intervention if we proceed with it?
  3. Define success. What does it look like?
  4. When (initial and follow-up) and how shall we measure the effectiveness of the subsequent program, service, or intervention?
  5. Is it not appropriate for payers (e.g., public taxpayers) to receive easily accessible, unbiased reporting of interim services delivery progress and performance measurements?”, and
  6. What will we do if measured results are not as expected and desired (e.g., inadequate Return on Investment)?

If you took your car in for service, paid for the services, and only fifty percent of the claimed fixes were effective, would you be satisfied? No, you would not be satisfied. If the same automotive repair company employed you, yet still provided you and your peers with the above-described poor service, would you then be satisfied and recommend to your friends that they should be satisfied in similar circumstances? You should respond, “No.” You should not be favorably biased toward the repair company simply because it employs you. However, government initiatives usually provide many millions, if not billions of dollars to the recipients of their investments, including the creation of well-paying jobs. And, unlike as would be the case in private industry, recipients of these public windfall monies and opportunities are loath to give up your tax money, and are often willing to publicly denigrate you for demanding that they be held accountable (e.g., fix the entire car as promised versus aren’t you satisfied with partial function?)

There are numerous governmental pseudo-medical/medical programs that are abysmal failures, that continue to expand. In spite of their prolonged failures at missions to curtail drug abuse, misuse, pharmaceutical products-related deaths, decrease STD/STI incidence, minimize gender-critical maladies, and social disruptions due to related issues, the programs and funding persist. With grand budgets and swollen senses of importance and entitlement, no one receives good answers to above listed six questions from these program representatives. Such are the effects and weaknesses of contemporary Cultural Medicine. Everyone in the culture, position-empowered or not, rich and poor, citizens or not, payers or not, aware of and sensitive to current budget constraints or not, believes that they should receive timely, broad-based, sometimes very expensive, individualized care and financing of their programs. And, numerous cultural subgroups (geographic, ethnic, gender-specific, age-specific, financial, religious, secular, other) with sufficient financing and/or sophisticated representation, lobby for special consideration. To suggest that they do not have the right to do so would be politically incorrect and insensitive, right?

Contact your local, regional, state and national government representatives to determine how they are addressing the weakness of contemporary Cultural Medicine in your neighborhood.

Choosing The Right Fence For You

When it is time for a new fence you have many choices to choose from. Choosing the right fence is very important if you want one that will last for years to come. Read this article and learn about the different types of fences that are available.

The first type of fence and perhaps the most common is the common plank style privacy fence. You can find these fences in heights up to 8 feet and they have many advantages. For example they are affordable and they offer a great deal of privacy compared to other fences. The downside to these fences is that they are vulnerable to wind, insects and rot. To extend the life you can get them made with cedar or even vinyl and with posts made from metal.

Another type of fence is the chain link fence. This has the advantage of also being quite affordable and being very durable. The downside to chain link fences is that they offer no privacy whatsoever and that they may not quite fit in with your neighborhoods style.

Wrought Iron is another type of fence that you might be interested in. It has benefits and drawbacks similar to those of chain link fences. It is very durable and offers little in the way of privacy. They are however expensive compared to other fences but they are more likely to make your neighbors happy as they are quite attractive.

The last fence style I will talk about is the picket fence. They are available in wood or vinyl and are an attractive alternative. If made from wood, they are vulnerable to insects and rot but the gap between the planks makes them less vulnerable to wind damage. They also offer little in the way of privacy and are reasonably priced.

Hopefully this has given you something to think about. If you are having a hard time deciding you should consult a local fence builder. They will be able to suggest something that will fill your needs.