As the 2012 VMAs approach on Sept. 6, look back at the fashions of awards shows past -- good and bad! Can you match the stars with their styles?
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Thursday, September 6, 2012
Boomers retiring to rural areas won't find doctors
In this June 19, 2012 photo, Dr. Bruce Stowell examines patient Robert Busch at his office in Grants Pass, Ore. Stowell is among many doctors in rural areas who have capped the numbers of Medicare patients they take due to low reimbursement levels. A nationwide shortage of primary care physicians willing to set up practice in rural areas is making the problem worse. (AP Photo/Jeff Barnard)
In this June 19, 2012 photo, Dr. Bruce Stowell examines patient Robert Busch at his office in Grants Pass, Ore. Stowell is among many doctors in rural areas who have capped the numbers of Medicare patients they take due to low reimbursement levels. A nationwide shortage of primary care physicians willing to set up practice in rural areas is making the problem worse. (AP Photo/Jeff Barnard)
In this June 19, 2012 photo, Dr. Bruce Stowell examines patient Robert Busch at his office in Grants Pass, Ore. Stowell is among many doctors in rural areas who have capped the numbers of Medicare patients they take due to low reimbursement levels. A nationwide shortage of primary care physicians willing to set up practice in rural areas is making the problem worse. (AP Photo/Jeff Barnard)
In this June 19, 2012 photo, Dr. Bruce Stowell shakes hands with patient Robert Busch at his office in Grants Pass, Ore. Stowell is among many doctors in rural areas who have capped the numbers of Medicare patients they take due to low reimbursement levels. A nationwide shortage of primary care physicians willing to set up practice in rural areas is making the problem worse. (AP Photo/Jeff Barnard)
Nina Musselman sits on her deck in Grants Pass, Ore., on Friday, Aug. 31, 2012. When she first moved to this small town nine years ago, she had no trouble finding a family doctor who would take Medicare. But when that doctor left town, she had a hard time finding one that would stick. Baby boomers retiring to rural areas are likely to have a hard time finding primary care doctors who take Medicare. Experts say rural areas have a shortage of primary care doctors in general, and diminishing payments from Medicare are making some limit the patients they will take. (AP Photo/Jeff Barnard)
Nina Musselman sits on her deck in Grants Pass, Ore., on Friday, Aug. 31, 2012. When she first moved to this small town nine years ago, she had no trouble finding a family doctor who would take Medicare. But when that doctor left town, she had a hard time finding one that would stick. Baby boomers retiring to rural areas are likely to have a hard time finding primary care doctors who take Medicare. Experts say rural areas have a shortage of primary care doctors in general, and diminishing payments from Medicare are making some limit the patients they will take. (AP Photo/Jeff Barnard)
GRANTS PASS, Ore. (AP) ? Nina Musselman had no trouble finding a family doctor when she retired to rural Oregon nine years ago to be closer to her children. But then that doctor moved away, leaving her to search for another who would take Medicare.
After a year of going from doctor to doctor, she finally found one who stuck.
As record numbers of baby boomers go into retirement, many are thinking about moving from the places they needed to live to make a living, and going someplace warmer, quieter or prettier.
If they choose small towns like Grants Pass, 250 miles south of Portland, they could well have a hard time finding a family doctor willing to take Medicare, even supplemental plans, rather than private insurance.
"It's a sad situation for seniors," she said.
There are several reasons boomers, the 78 million Americans born between 1946 and 1964, could face difficulties finding a doctor if they retire to small towns over the next 20 years.
First, many primary care doctors prefer to live and work in urban areas because of greater cultural opportunities, better schools and job opportunities for spouses.
Also, Medicare pays rural doctors less per procedure than urban physicians because their operating costs are supposedly less. That makes rural doctors less likely to accept Medicare patients.
With cuts to Medicare reimbursement for doctors targeted under the federal health care overhaul, the shortage is likely to get even worse, said Mark Pauly, professor of health care management at the University of Pennsylvania.
That is, unless increasing reimbursements for nurse practitioners and physicians' assistants encourages those providers to take up the slack, Pauly said.
If the Medicare cuts go through, "the doctors are saying: "We're out of here,'" Pauly said. "The least they are saying is: 'We'll treat Medicare patients like we treat Medicaid patients,' which is mostly not."
Still, there is some good news, depending on where you live.
Pauly said the Affordable Care Act "puts a lot of emphasis on wellness programs and primary care. Nurses, especially nurse practitioners, are intended to play a major role there."
In Oregon, Washington and 14 other states, nurses and nurse practioners "can operate independently of doctors, writing prescriptions, ordering tests, and even running clinics," Pauly said.
Nationwide, the 22.5 percent of primary care doctors who practice in rural areas roughly matches the 24 percent of Medicare patients living there, said Dr. Roland Goertz, chairman of the American Academy of Family Physicians board.
A survey of academy members nationwide shows 83 percent take new Medicare patients. But there is an overall shortage of primary care physicians that still makes it hard for retirees to find a family doctor.
The real problem, he said, is that the health care system "has not supported a robust, adequate primary care workforce for over 30 years."
According to the American Association of Medical Colleges, rural areas need about 20,000 primary care doctors to make up for the shortages, but only about 16,500 medical doctors and 3,500 doctors of osteopathy graduate yearly.
"We are always trying to recruit doctors. We are barely keeping even," said Lyle Jackson, the medical director at the Mid-Rogue Independent Physician Association, a cooperative of doctors in Josephine County, where Musselman lives.
Taking part in the Medicare Advantage program, which pays a higher rate to doctors than standard Medicare, helps, but is still not enough, said Jackson, a former family physician.
A 2009 survey of doctors in the Oregon Medical Association showed concern over Medicare reimbursement rates topping the list of 23 issues, with 79 percent rating it as very important, said Joy Conklin, an official at the association.
The survey showed 19.1 percent of Oregon doctors had closed their practices to Medicare, and 28.1 percent had restricted the numbers of Medicare patients.
That really becomes evident in Josephine County, which attracted retirees after the timber industry collapsed.
Low taxes, cheap housing, wineries, a symphony and low traffic put it in top 10 lists for retirement communities. The 2010 census puts the number of people older than 65 at 23 percent, compared to 14 percent for the state.
But the website County Health Rankings & Roadmaps, which gathers a wide range of health care data nationwide, shows 933 patients for every primary care physician in the county, nearly 50 percent higher than the national 631-to-one rate.
At the Grants Pass Clinic, Dr. Bruce Stowell said they are no longer taking new Medicare patients. Medicare pays about 45 percent of what commercial insurance pays.
As it is, their proportion of Medicare patients is double that of a similar Portland practice.
"We used to get a steady stream of high-quality (resumes) from U.S.-trained and U.S.-born physicians," he said. "Over the last year, that stream has declined into a trickle. Very few (doctors) are choosing to go into primary care."
Schools are turning out more nurse practitioners and physician assistants.
How well they fill the doctor gap will depend largely on how much independence states give them to practice, said Tay Kopanos, director of health care policy for state affairs at the American Academy of Nurse Practitioners.
Meanwhile, overall demand for primary care will be increasing as more people can afford it under the Affordable Care Act, said Joanne Spetz, a health care policy professor at the University of California, San Francisco.
Dr. Atul Grover, chief of public policy for the American Association of Medical Colleges, said the nation is facing a tough time recruiting for primary care as well as other specialties that treat Medicare patients, such as oncologists.
When he decided to become a primary care doctor in the 1990s, it was because of a widespread belief that health maintenance organizations were going to be hiring all the doctors.
He said they wanted primary care doctors to emphasize wellness and prevention. Now, many graduates are moving into specialties that do procedures, such as surgery, because Medicare pays more for them than plain-old office visits.
Also, the Balanced Budget Act of 1997 capped the number of residencies paid by Medicare, so there is no quick way to increase the numbers of doctors in general, let alone in rural areas, he said.
"An entire year's worth of doctor production is needed to deal with the (rural-area) shortage just today," he said.
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All Hail Apple, King of Hardware
When you look at PC hardware not much has changed in the last thirty years.? The main PC box is broadly same size and shape as it was in the days of the original IBM PC, it just stood up rather than sitting squat, and the hardware inside computers has changed even less with computers still using the old x86 architecture with motherboards sporting the same layout and bus types.
Aside from a few minor innovations along the way such as faster processors, USB, PCI Express and such, things have stayed static for two decades.
The only real changes have come about in the last few years, beginning with the introduction of black towers, all-in-one PCs and moving on to tablets and ultrabooks.? If you look at where these new innovations and hardware types have come from though you?ll quickly find Apple behind every one of them.
Under the watchful eye of Steve Jobs, the fantastic design of Jonathan Ive and the work done by Apple?s senior engineering team has transformed the way we use computers.
The latest of these innovations is the retina display.? This isn?t a screen that can give you super-dense resolutions, though they can be used for that.? This is a display aiming to bring print-quality text and images to the computer for the first time, some twenty years after the explosion of DTP and the move by the publishing world to a digital medium.
Now everyone?s jumping on the bandwagon with Samsung being the first to demo a prototype 2560?1440 pixel display in a luxury ultrabook, Asus launching a convertible Android tablet with a super-dense 1920?1200 screen and display manufacturers can?t make the things quickly enough for businesses or consumers, both of which are clamouring for this next big thing.
It?s not all about the retina display though.? Apple?s shunning of technologies such as Blu-Ray and their initial reluctance to employ USB 3 aren?t just decisions that should be dismissed from high-minded technologists.? These are decisions to be watched very carefully indeed.
Most modern PCs come with a Blu-Ray drive but with most video content now delivered via a download it?s looking like Steve Jobs was right to declare the Blu-Ray disc essentially dead before it even got out of the starting gate, certainly with computers where it?s not even used for backup.
Who is it that?s pushed processors towards low-power and efficient ARM models?? Again it?s Apple who made this move and despite their own adoption of Intel chips on the desktop, it can be argued that the only reason Windows 8 now runs on Arm is because the iPad does as well.
The crux of it is that we?re now riding on the crest of a wave of innovation in design and in new technologies that?s been entirely created by this single company.? They did it initially to claw back market share and to stave off bankruptcy, but now they do it to solidify their position as the largest technology company on Earth.
It seems odd then that other companies haven?t seen the light and followed suit.? Sure the profit margins in the PC business are very small and gambles are gambles, but that could have been said when Apple launched the iMac fifteen years ago, just look at them now.
I love innovation in hardware and I hated those dire years during the 80?s and 90?s when we had almost none whatsoever.? I?m very happy then, as a Windows guy, to hold my hands up in praise to Apple, for helping all of us to live in a brighter world.
Source: http://www.thelongclimb.com/2012/09/04/all-hail-apple-king-of-hardware/
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Wednesday, September 5, 2012
Nokia Lumia 920: The Great Windows Phone Hope [Nokia]
Source: http://feeds.gawker.com/~r/gizmodo/full/~3/IsilM1N0_ZI/nokia-lumia-920-the-great-windows-phone-hope
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Tuesday, September 4, 2012
Follow the Guidelines for Remodeling your Kitchen
Remodeling a home is said to be one of the most difficult things to do. Not only that it is hard but it needs a lot of money to remodel or renovate your home. Remodeling a kitchen is the hardest things to do. And yes, it is indeed very expensive to renovate you entire kitchen. Most of the people do not hire experts at all when remodeling their kitchen. Instead, they use do it yourself kitchen appliances and techniques for remodeling, which is very affordable. One has to be very smart and technical if one needs to remodel ones kitchen via do it yourself appliances. If you plan to remodel your kitchen yourself, these tips and suggestion will help you in doing so. * Study and do as much research as you can about kitchen remodeling and renovation. You can find detailed video tutorials over the internet for the same. If you think you cannot handle this task, do not try it at all. It is not something that you can experiment on. Only do it if you are sure that you can do it yourself.
* You need to start your remodeling step-wise. Make a plan. Make a detailed plan as to how things will be done. How you will handle everything. What needs to be moved, what needs to be replaced and what needs to be repaired.
* The first thing, you need to get rid of trash or things that need to be thrown away. This is important. Without removing all the garbage and trash from your kitchen you cannot start the remodeling process.
* Then remove all the cabinets and shelves. Remove the doors as well. The furniture and fixture that will be installed again must be taken care of. Put everything that you need to reuse in the backyard or at any other safe place. The items that you do not need any more, get rid of them quickly. Throw them away or dispose them off. Do not keep them in your home.
* Then you need to uninstall all the appliances from your kitchen. Put all the appliances at safe place. If you do not know how to uninstall an appliance, use its manual or call your manufacturer to send in someone for your help. Do not try different things with your appliances, you might destroy them.
* Now is the time to remove the counter top. Remove it safely and then remove the base cabinets.
* Once you have removed everything from your kitchen. Install them back in the same reverse order. Install new items instead of old ones (where needed).
* Whenever you find that things are not going in the right direction or you find yourself stuck somewhere, call in a professional. It is strongly recommended not to do something that you cannot handle.
* It is also recommended to seek help from someone who is expert at kitchen remodel. Find someone from your friends, colleagues or relatives and ask for guidance. You will surely find someone expert at do it yourself kitchen remodeling among your social circle.
Ray Julia, who is interested in writing house remodeling articles. If you are looking for even more details about kitchen remodeling you can visit their website.
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Tips For Getting Your Home Business Off The Ground! - Comments on
There are many ads out there promising instant success working from home. A lot of people try to say that you can work from home. You can be successful, but you need to understand that it takes hard work and dedication. You will get tips to get your online business going in this article.
Set clear boundaries when it comes to visits from friends and family during your work hours. You need to communicate to unexpected visitors that you are busy working and can?t chat at the moment. If they show up at while you are working, have them wait in another area and watch TV or read a magazine. See them when you can spare the time, putting your work schedule first.
Before choosing a home business idea, do some homework to make sure you completely understand what the business requires. You will need to look at the opportunity objectively and understand all the different aspects of the business.
Opening a business checking account makes keeping records of what your business is doing much easier. Use your account for all deposits, payments and expenditures related to your business. Once you are organized, you have a convenient way to review your business finances at any time. Get a credit card for your business to order supplies and such.
TIP! As the primary owner of the home business, you should also be the one making final decisions regarding any and all financial matters. If you allow another person to use your business credit card to make a personal purchase, you may be unable to write off other business-related purchases on your taxes that show up on the same receipt.
Business Owners
Many home business owners ?hang out? online. Hang out on many different web forums, including those that have nothing to do with your niche. There is a wealth of information to be had from small business owners, whether in your niche or not, that can have a major impact on your thinking, creativity or your business prowess.
If at all possible, you should start a home business while you still have employment. New businesses don?t start churning out profit right away, so don?t count on it right away! Have another job or a backup plan. There are advantages to this, including having a steady income while you wait for your business to turn a profit.
When you return emails and calls in your pj?s you may start to miss being at work. Take time to schedule regular meetings and errands for your business outside of your home to avoid feeling lonely.
TIP! If you choose a new business email that includes your domain name, you can attach your brand to your email address while separating your business and personal emails. Set up your e-mail in different areas as well.
Make it so that there is a clear wall of separation between work life and personal life. Set work hours and stick to them. Pick a time of day when after which you?ll no longer accept a business call. It is important to leave time for friends, family and even yourself.
You have to be determined and self-starting if you intend to make your home business successful. Since certain cities or counties have regulations that restrict you from operating a business in your home, consider building a business space on your property that you can tailor to your business, and also use it to keep customers separate from your home environment. This also helps you keep the spheres of business and home from intersecting.
If you ask for outside investment, be prepared to answer lots of questions about how your business operates. Focus on maximizing your profits right now.
Business trips are a very good idea. Business trip expenses can be deducted from your taxes. Remember that you can always get some sight seeing in while at a conference located in a vacation destination. This allows you to legally write-off the expenses without committing IRS fraud.
TIP! There are tons of ideas for your business, such as starting an in-home daycare, personal grocery shopping, or even giving rides to people that need help with transportation. Spend a few minutes brainstorming; you?ll be surprised at how many good ideas you can come up with to help the people who are less fortunate than you.
If your business has an address outside of your actual home, then use it, rather than a PO box for your business address. Your customers will feel more comfortable knowing your company is not a faceless entity. By doing this, you will not only relieve your customers? concerns about whether or not you will reply, but you will also be showing your dedication to them.
Be sure to stay positive. It is important to celebrate past successes, but they have already happened. Your focus now needs to be on the upcoming days and weeks. These things will prepare you for newer opportunities and future obstacles. And, there will be less unwanted surprises.
You should have a different checking account for your home business. This way, you can keep your business expenses separated from your personal expenses. It will be easier for you to file for taxes if you use a separate bank account. It will also help you not to make mistakes when filling out your tax forms.
Find a space in your house that you can call your own work space. Make sure you have the space in your house to keep all things organized. This assists in business organization, and organization is a critical element to home business success.
TIP! When you are trying to come up with a product for your home business, pick something that fills a need you have. People buy items that fulfill their everyday needs.
Design the layout of your office with ergonomics in mind. For example, choose a strategic spot on your desktop to place your laptop or your monitor. Craning your neck in order to see the screen on your computer will make you uncomfortable or worse yet, could lead to some sort of permanent damage. Buy a good desk chair if you?re going to be sitting in it a lot. This is also true of the rest of your office fixtures. You can start with around 200 dollars.
Create a schedule of work hours. Jot down the hours when you plan to work so you have a schedule to stick by. Sometimes working overtime is necessary, but you want balance your work with your life as much as possible. One of the best ways to lower your stress level is by spending quality time with family members.
Make sure you save your business receipts when running a home based business. As a business owner, any expenditures that you have that are related to your business activities are tax deductible, including the cost of transportation. Keep every receipt, you will never know what you can use for tax deductions. Failure to maintain adequate records with accompanying receipts could result in your paying more taxes than necessary.
Get a break on your taxes by entertaining your clients. Treating clients to dinner can be written off as a business expense. Just save all your receipts, because if you?re audited, this will provide you with proof that you were with clients.
As you have just learned, there are many people trying to sell you on scams. However, as you?ve learned throughout this article, there are also many common-sense tips and tactics that you can use in order to grow your home business. If you?re willing to put in the work, you can certainly be successful
To get more real tips, strategies, and pain saving lessons on how to network marketing and how to generate massive and endless free mlm leads online using new cutting-edge technology, visit my Funded Proposal Sitewww.planBNetworkMarketers.com
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Source: http://emmanueladegbola.com/tips-for-getting-your-home-business-off-the-ground/
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SEO Programs Will Quickly Grow A Company Online | Deskstops ...
Businesses that are looking to expand their revenues by getting more hits on the web must make sure that they have the right kind of marketing in place. Internet marketing comes in several forms today, but search engine optimization is one of the best ways for a company to grow its revenues very easily. If you are trying to invest in SEO programs so that you will be able to get more hits on search engines, you must take the time necessary to find a high quality search engine marketing specialist. The best provider of SEO programs online will be able to help you get more views on the web without training your staff on marketing or techniques used in this sector.
SEO programs help you by optimizing your company?s web site to get more hits on search results pages. Search engines use a complicated algorithm to determine which sites are indexed more highly than others. SEO programs work by optimizing different areas of your web site to contain elements that make you appear more highly within search results pages. The most crucial element of getting quality SEO programs is to obtain them from a dependable marketing business.
Seo programs should come from a marketing company that can tailor their needs to your requirements. For example, if you are a medical firm, you should try to get the type of SEO programs that make you appear more highly on searches for medical terms that relate to your practice. SEO works based on keywords, so you will never have to worry that you are spending money on search engine marketing that does not assist your business.
There are some important advantages of using search engine optimization so that you can get your business exposed to more companies. First, SEO will give you the ability to draw in particularly the kinds of clients you need. Businesses that have SEO will be much more competitive than other companies that do not have search engine marketing in place because they will appear more highly on search engine results pages. People are more likely to click on links that they see higher up in the search results pages. Even if you have never before invested in marketing your business online, you can find search engine optimization so that your company grows its presence and never has to worry about falling behind others in the industry you operate in.
Source: http://wallpaperspc.com/2012/09/seo-programs-will-quickly-grow-a-company-online/
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