#adding inefficient pills
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soaps-mohawk · 1 year ago
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wait, were we talking abt shit we used to do as kids? am i too late? too bad im adding something
i used to swallow coins. like full on just swallow coins. my oldest sister would make me spit them out sometimes but i was a very sneaky kid.
Idk if they like. digest in ur stomach juice but if they haven’t then i have a good 30 cent sitting in there. probably part of the reason i have so many stomach problems.
swallowed coins as a 7 year old but cant swallow pills as a 19 year old. crazy.
-📿
Add away!! I love how this blog has turned into a little group therapy session about eating strange things 😂 Share away!!
Daaaang coins? That's a new one. I know kids stick them up their nose, but full on eating them?? You were a hardcore kid.
According to Google, depending on the coin, they either do dissolve or just pass right through. So unfortunately, no coins still in your stomach, but you never know. It might be the cause. The human body is just so strange and inefficient 😂
I feel you sooo hard on that once. I couldn't swallow pills until I was like 15 and even now over a decade later, I struggle if they're too big. Omega 3 pills and some vitamins?? Absolutely not, I've literally choked on those. Anything bigger than like ibuprofen, it's not happening. Thankfully the meds I do have to take daily are small enough it's not usually a struggle.
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true-blue-sonic · 2 years ago
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If I'm not mistaken, all the food in Onyx City is algae prepared and served in all the ways possible... Does it mean that everyone in Onyx City, Gold and the professor included, is following a vegan diet?
Do you think Gold would remain as vegan or vegetarian after know the foods from the past?
Indeed, Evan Stanley said as much on her Tumblr, however she added that on the night markets people can get scavenged meat. In Genesis, even if Onyx Island is not crashed on the ground, the same applies: especially Teal Class members scavenge pest animals and birds to get some extra food, since their rations are often lacking otherwise. Gold however is firmly on a diet of algae and nutrient pills, as she does not go to those night markets and the higher-ranked scientists have no need to eat scavenged stuff. When she goes to the past, I think she might need some time to get used to the idea of eating animal products! Though, I do not think she'd find it particularly disturbing or odd; it'd be more that the flavours are very strange to her due to eating only gross algae of flavourless nutrient pills for the past decade, haha. Once Onyx City has become liberated and changes are being made for the better, they might slowly begin to introduce new crops and foodstuffs to the citizens. Meat might still remain a rarity because hunting takes far too much effort for little gain and feeding plant material to livestock is highly inefficient, but over time perhaps they can begin building it up again! And then Gold can show off the knowledge she has about the past and create and adapt recipes for the citizens to try out <3
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ghm-store · 30 days ago
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The Summer of Frostra: A Tale of Cool Innovation
It was the summer of 2023, and the world was boiling. Not in the metaphorical, political sense — although that too — but in the real, sweat-on-your-back, fan-spinning, AC-blasting kind of way. Across the globe, people were sweltering in the hottest recorded temperatures in decades. Cities shimmered under heatwaves. Sidewalks radiated heat like stovetops. The simple act of stepping outside felt like entering a giant hairdryer.
Among the many people dreading the summer was Leila, a freelance graphic designer who worked from her tiny urban apartment in downtown Los Angeles. Her building was old, with no central air. A single oscillating fan groaned in her bedroom, pushing around the same warm air in circles like a lazy breeze that forgot its purpose.
Leila had tried everything: blackout curtains, ice packs wrapped in towels, mist sprays, and even DIY air coolers made from Styrofoam boxes and ice. But nothing gave her lasting relief.
Then one evening, while doom-scrolling through social media in a sweaty daze, she stumbled across an ad: “Meet Frostra – Your Personal Summer Savior.”
The Discovery
Intrigued, Leila clicked the link and was taken to the GHM Store. There, gleaming against a minimalist white background, stood Frostra. It wasn’t just another fan. It was described as a personal, portable air cooler — a smart, lightweight device that promised cool, humidified, and purified air wherever you needed it. It wasn’t as bulky as a traditional AC unit, nor as inefficient as a fan.
What caught Leila’s eye was how compact and stylish Frostra looked — almost like a sleek desktop speaker. It had a refillable water tank, USB charging, and multi-speed fan settings, and even featured LED ambient lighting for a calming, aesthetic vibe.
Even better? It was energy-efficient, which meant Leila wouldn’t be hit with outrageous electric bills — something she couldn’t afford as a freelancer.
With a deep breath and a hopeful heart, she hit “Add to Cart.”
The Transformation
The day Frostra arrived, the heat was unbearable. The asphalt outside her apartment shimmered, and the air felt thick enough to chew. But within minutes of plugging Frostra in and filling the tank with cool water, Leila noticed the difference.
A soft breeze, noticeably cooler and more refreshing than any fan she’d owned, brushed against her skin. It wasn’t just air — it was a clean, misted chill, almost like standing in front of a tiny, personal waterfall. Her room no longer felt like an oven. Her productivity soared. Her mood improved. She slept better.
Soon, Frostra wasn’t just a gadget — it was a lifeline. She carried it with her from desk to bedside, and even took it out on the balcony during sunset. Friends who visited asked about it, and some even tried to “borrow” it permanently. Leila started calling it her “chill pill.”
Why Frostra Matters – Beyond One Apartment
Leila’s story is just one of thousands.
As summers grow hotter and more unpredictable due to climate change, people are seeking smarter, more sustainable cooling solutions. Traditional AC units are expensive, heavy on electricity, and often inaccessible for renters or those in older buildings.
That’s where Frostra steps in — offering:
Portability: It can go anywhere — from your desk to your camper van.
Eco-conscious Design: Using water and low power to cool air naturally, reducing energy consumption.
Ease of Use: No installation, no heavy lifting, no complicated settings.
Affordability: A fraction of the cost of installing air conditioning.
Well-being: Better sleep, clearer breathing, and reduced irritability from heat fatigue.
Frostra is more than a product — it’s part of a movement toward smarter living. In urban apartments, college dorms, home offices, and even outdoor patios, Frostra is redefining how we handle heat.
The Legacy of Frostra
By the end of that summer, Leila bought two more Fros­tras — one for her mom and another for her cousin in Phoenix. She wrote a glowing review. Her apartment stayed cool through record highs. She even gave her Frostra a name: “Frosty.”
In many ways, Frostra changed her life. Not dramatically, not with firework displays or big budget commercials — but with quiet, consistent comfort. A whisper of coolness when the world burned hot.
And that is why Frostra isn’t just important in the summer — it’s essential.
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tekinn32 · 4 years ago
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Hormonal Harmony HB-5 Customer Reviews and Shocking Result!
Hormonal Harmony HB-5 Customer Reviews and Shocking Result!
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mconsent · 2 years ago
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How to optimize Your Account Receivable | mConsent
Do you ever feel like keeping up with Accounts Receivable makes your head spin? We totally get it and want to give you pointers on how to spend less time on AR.
By using insight from both angles, as a dental practitioner and as a business owner, you’ll be better able to develop an effective strategy to run your office more efficiently. In order to protect your practice from going under, it’s important to realize that a business cannot operate on “debt,” and that your finances will need to be sorted out.
Managing Accounts receivable (AR) has been a financial burden for many dental offices across the nation. Staying on top of office finances requires organization and time, which a lot of dental offices simply don’t have.
Improving medical accounts receivable in healthcare necessitates proactive revenue cycle management and the elimination of any inefficiencies that may hold your office back. Examples include investing time and effort in improving the administrative side, running AR reports, and tracking claims so that providers can recover revenue that would be otherwise lost.
If stacks of old accounts receivable begin to pile up, you may want to consider using an automated revenue cycle management (RCM) solution to handle reimbursement collection, and keep your finances in order.
Let’s get started
What is Accounts Receivable?
The accounts receivable balance is the sum owed to your practice for services already delivered but not yet collected. In other words, AR is a metric that quantifies your uncollected output. Seeing a high AR balance as a cost of doing business is not the correct way to view it. Payments from patients should be paid off promptly, and not continue to linger on for an extended time. While some accounts receivable are healthy, a large AR balance can significantly impact your business, from collection percentage to overall profitability, if not properly managed.
Start with Verifying Data
With a proactive strategy in place for managing patients’ information, you can address AR issues head-on. Dental practices revenue that amass huge amounts of AR over time, tend to do so because the check-in process is inadequate. Ensure that your system has up-to-date patient information including their address, pre-authorized payment method, insurance information, and other pertinent data. Being upfront with patients about any out-of-pocket expenses on uncovered procedures is important to avoid billing issues.
Make Obligations Clear to Patients
Ensuring that patients understand the importance of their recommended treatment and what expectations to have, is imperative for a good follow through and prevents miscommunication. Transparency benefits both patients and dental offices. Honest communication enables you to win over patient trust and long-term loyalty, along with providing clearly understood information about treatments and what a lack of proper treatment might entail in the future.
Persuading patients to seek preventive care and treatment can prove to be one of the most difficult components for many practices. It necessitates conversing with patients at their own level in a convincing and concise manner. These conversations may take more than a few minutes, but the payback will be more appointments added to your schedule.
Consequences of Revenue Leakage
Losing revenue to under-billing that has gone unnoticed, is a tough pill to swallow. The cost of revenue leakage can be significant enough to damage a practice if it continuously accrues over the year. Automation of billing and financial aspects of the practice has become a sure way to overcome Revenue Leakage, that thousands of practices have taken on.
Revenue Cycle Management (RCM)
Practices that are stumped on how to reduce days in accounts receivable, or lack the resources to assess their current processes, have the option of automating their entire RCM process. How? The key is to use an automated solution that will cut down on accounts receivable and revenue loss, and will provide the advantage of data and revenue cycle management upgrades.
RCM solutions use experience and big data analytics to pinpoint where providers have the most trouble with AR. Integrating your electronic health records to collect all charges, assure code accuracy, and automatically resubmit claims quickly, addresses many potential administrative errors through revenue and accounts receivable cycles.
Ways to Reduce Days on Accounts Receivable
Many providers find that evaluating their systems is one of the simplest ways to enhance their medical accounts receivable. ARs decipher the age of invoices, and transfer it into revenue leakage when process inefficiencies and oversights go unchecked.
Establish Patient Expectations and Collect Patient Portions Promptly
When patients know what to expect from the start, they’ll have fewer billing surprises, and will be more willing to pay their portion on time. The best way to establish expectations is to communicate them before services are rendered.
It’s easy for patients to forget about outstanding bills if they receive them too far after service. Make it a priority to collect patient payments at check-in and immediately after treatment. It will help ensure prompt payment and minimize your days on AR. Taking on an automated AR solution will ensure faster collections of payments by providing patients with an easy payment route (Text/Email).
Charge Entry
Charge entry refers to creating or entering the initial invoice for a customer in the company’s accounting system. In charge entry, a customer’s record of charges allows payment to be collected from that customer. Charge entry is necessary to provide customers with proper billing information and ensure that they receive credit for any payments they make on their accounts.
Claims Submission
Claims submissions can be a tedious and error-prone process that leads to unnecessary costs for providers. However, with the digitization of the healthcare industry, it’s possible to streamline this critical aspect of patient care with minimal effort and cost.
AR Tracking
Tracking accounts receivable can be a tedious and time-consuming task. The best way to track AR is to use a downloadable spreadsheet or a template. Include the date, customer information, amount owed, and the needed information in your spreadsheet. You'll be on your way to tracking down payments past due in no time at all.
Conclusion
Practices may track trend-lines every month, which can be an efficient and practical approach to using AR-days concept. With it, you’ll be able to detect any changes in the entity’s ability to collect a debt due. In addition, they can compare the metrics for the same month of the previous year for more understanding.
Overall, choosing to automate with the most trustworthy accounts receivable management and billing partner like mConsent, can significantly improve your practice’s ability to sustain low AR days. Learn more about mConsent’s automated accounts receivable solution today.
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fluffy-critter · 2 years ago
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copperbadge · 7 years ago
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hey sam, i know you have an awesome set up for organizing your life (seriously, i'm jealous and kind of daunted). how did you get there? do you have any advice for someone trying to start their own system? because as is, i am an absolute mess and not sure where to begin
I mean…eighteen years of practice, basically :D 
I was terribly disorganized as a child and a young adult, and in college I probably would have continued that way but I would have failed out. A friend of mine gave me a weekly calendar, which I managed to train myself to use, and the rest was just a series of ongoing experiments in what works best. 
So, not to be general, but you just gotta keep trying shit until it works. And I don’t mean like, take one day of bullet journaling and then call it quits if you’re frustrated, but find something you’d like to try out and use it for a few weeks. If it doesn’t work, drop it, but if PART of it works, keep that part. 
I don’t think most people can handle a whole, single system, because systems are tailored to meet a lowest common denominator. The problem is that like…when it comes to budgeting I am the lowest common denominator, but when it comes to scheduling I’m extremely high-function, so I need two different systems for those. But because I’m also super lazy, I want them both in one place. The solution FOR ME was to take the calendar I was using (which I built in a spreadsheet) and add in one tab that has an accounting function, and that tab always lives next to the current month I’m in. But that spreadsheet is too slow to load or use for my running to-do list, because as soon as I think of ANYTHING I need to do I need to have that to-do list open and be adding it. So my to-do list lives in my gmail, in Google Tasks, which is always open on my desktop and which has its own app on my iphone. But I can’t put shit like “reblog that one post I saw but can’t work out how to comment on yet” on my to-do list, so I have an entire system of how I like, draft, and queue posts on Tumblr (likes are ONLY for posts I don’t know if I want to reblog yet; drafts are for posts I haven’t commented on yet; queue is everything that’s ready to post). 
Will that work for 99% of people? Probably not. Sometimes parts of it fail for me, too. But it keeps me mostly firing on all cylinders. And that’s because it’s a hodgepodge of what works, and I have never turned my nose up at something that worked, even if it seemed inefficient or ugly as a methodology. 
Think about what your actual needs are. Do you need to remember to pack your bag for work/school/etc every day? Do you need a better way to remind yourself of appointments or due dates? Do you need a way to keep a running to-do list of stuff, or just to prioritize a list you already have? Do you need a way to track paperwork and make sure you know where it is? Do you need to remember to take your meds? Make a list of these things on paper or in a document so that you don’t have to remember all the shit you need to remember. 
Then think about what will make those things the absolute easiest to do. Sometimes that’s carrying around a notebook and just, everything goes into the notebook. Sometimes it’s having special apps on your smartphone and making heavy use of your phone (along with a line I often give which is, “Sorry, I swear I’m not ignoring you, I just need to put this in my phone before I forget.”) Sometimes it’s having a medication box you fill up each week so you only have to remember to open the hatch and take the pills, not which pills you have to take. Sometimes it means designating an hour, every Friday, to scan in your paperwork, title it appropriately, and store it in a folder on your hard drive. (Yes. I do this for both work and personal life. Every Friday, “weekly scanning”, from 8-9am at work.) 
Make use of habits you already have – if you always have your phone with you and are constantly using it, use that. If you always have at least one email tab open, associate your email with certain tasks or set alarms within your email program (I have tons of alarms on Outlook, my work email, for shit I have to do during the day). The less you have to remember to do, the more likely you are to do it all. 
And our needs change as we grow older, as we change jobs, as we marry or have pets or kids, as we grow houseplants or change our diets. So if something stops working, stop and think about what could change to make it functional again.
It’s an ongoing process – it will never be complete, it will always be a car I am building as I drive it. But I’m getting where I need to go, which is the vital part.  
(Did you find this useful or educational? Distract me from my to-do list by dropping some change in my Ko-Fi or at my Paypal!)
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affiliatemarketingaff · 4 years ago
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best supplements for weight loss 2020 : what fat loss supplements really work?
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It isn't always simple to lose weight. There are numerous elements that influence a person's capacity to lose weight and keep it off in the long run. While appropriate food and exercise are essential, some people find that adding a supplement to their daily regimen makes achieving their weight reduction goals much easier.
There is no shortage of fat burner products on the market these days. However, as you might expect, not all of them live up to their billing. Some substances have little effect on fat loss, while others include potentially dangerous elements that may produce negative side effects.
If you want to encourage a healthy metabolism as well as natural fat burning and weight loss, this is the vitamin for you.
Meticore is one of the few metabolism-boosting supplements that contains robust and potent super nutrients that help to raise core body temperature. This vitamin, when used on a daily basis, can assist anyone in achieving their weight loss goals.
Heat is produced within the body by increasing cellular temperatures and cell activity, which stimulates and accelerates the metabolism. Use Meticore in conjunction with fat-burning lifestyle behaviors like balanced eating and regular exercise to achieve the best benefits.
Meticore is a daily supplement that boosts the metabolism and improves energy while also promoting fat loss.
What is Meticore?
Meticore is a weight-loss supplement that boosts metabolism by raising body warmth. This encourages weight loss that is more rapid and constant. Our ability to maintain an effective core body temperature decreases as we age. There have been numerous studies that show a link between metabolism and core body temperature. Low core body temperatures frequently cause the metabolism to slow down and perform inefficiently.
Both men and women can improve their core body temperature by taking the supplement on a daily basis, according to Meticore. Each pill contains six potent, high-quality nutrients that boost metabolism by raising internal body temperature.
If you're having trouble losing weight, this could be the vitamin you've been missing from your daily routine.
It's crucial to keep in mind that Meticore isn't a magic drug. If you continue to consume a high-calorie diet and exercise infrequently or not at all, you will not lose weight or burn fat. While Meticore will help to wake up a dormant metabolism and aid digestion, it won't work unless it's used in conjunction with a healthy lifestyle.
Negative reviews and feedback are likely to appear while researching any fat burner tablet, however this is mainly due to user error. Meticore must be taken on a regular basis, and many people forget that it is a supplement, not a cure-all.
Benefits of Meticore
What is Meticore and how does it work? The all-natural substances increase cell internal heat, reversing age-related metabolic sluggishness. The best part is that none of this has any negative consequences! Fat loss and an improvement in your general health are what you can expect.
There are hundreds of fat burners on the market today, but Meticore is one of the best. This product is worthwhile to think about because it:
1) Is devoid of stimulants. It doesn't contain any artificial stimulants to help you lose weight or keep it off.
2) Is completely natural and vegetarian-friendly.
3) There are no GMOs or other additives in this product.
4) Is potency and purity evaluated by an independent third-party lab.
Meticore may aid to balance blood sugar levels, as well as promote heart, brain, and joint health, in addition to increasing core body temperature to increase metabolism. This supplement is FDA authorized and manufactured in the United States. Meticore is manufactured in a GMP-certified facility, ensuring that it is processed according to strict and safe guidelines.
click here for this awesome product that I used and it really helped to lose weight get the offer now
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bestweb20sitelist · 4 years ago
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Revolutionising Lebanon’s agriculture sector as food runs out
New Post has been published on https://uspost.xyz/uncategorized/revolutionising-lebanons-agriculture-sector-as-food-runs-out/
Revolutionising Lebanon’s agriculture sector as food runs out
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Beirut, Lebanon – As time runs out for government subsidies in Lebanon, the troubled country faces an uphill battle to keep its population fed as food prices continue to rise, driven up by an ever-deepening liquidity crisis and a severe dependency on imported foreign goods.
Despite having the highest proportion of arable land in the Arab world with more than 200,000 hectares (494,000 acres), Lebanon’s own agricultural sector has gone underfunded and underdeveloped for many years, hindered by a lack of modern equipment and inefficient production techniques.
Now, with Lebanese farmers unable to even cover their own operating costs and the government paralysed by political deadlock, international NGOs such as Anera have been forced to upscale their aid programmes to fight back against the rapid socioeconomic decline.
“I think that Lebanon is a rich country that has not been developed to its potential, and not just in the agricultural sector,” Samar El Yassir, Anera’s Lebanon country director, told Al Jazeera.
“With the bad governance we have instead of optimising our resources many times we are diminishing [them].
“Our interventions are at a grassroots, community level and not a policy level. There is not a government to influence. We are trying to find ways to build resilience and sustain these communities through these crises.”
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Farm workers tend to newly planted fields [Courtesy: Anera]
Infrastructure non-existent
In happier times, some of Lebanon’s farmers made a tidy profit selling produce to foreign markets. However, this has led to a system of diminishing returns as those markets have become inaccessible.
Saudi Arabia suspended all imports of Lebanese fruit and vegetables back in April after a shipment of pomegranates was found to have been used to smuggle millions of Captagon pills into the kingdom, cutting off an important revenue stream and tainting the image of Lebanese produce internationally.
“Lebanon grows quality produce that sells at high prices in the Gulf region,” said Serene Dardari, Anera’s communication and outreach manager.
“When agricultural exports fetch high prices, Lebanon imports the same products from other neighbouring countries in order to benefit from the price difference and taxations, which is not really a sustainable economic system.
“Infrastructure and technological support is weak or nonexistent,” she continued. “Water supplies are in constant shortage due to a crucial lack of dams, which would otherwise allow for the use of surplus rainwater for irrigation and other functions, despite Lebanon having the highest rainfall levels in the region.”
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Anera is working closely with farmers to improve both the quality and quantity of their crops [Courtesy: Anera]
In Lebanon’s coastal Akkar district, one of the country’s most fertile regions, Anera has been providing farmers with tools and technical assistance, as well as high-quality seeds and pesticides, while also helping them to take on additional agricultural workers, many of whom are Syrian migrants.
This then allows farmers to expand their farmland and establish new plastic greenhouses and irrigation tubing systems, also provided by Anera.
“Many of our rivers are polluted and much of the land is not used properly,” explained Yassir. “We are teaching farmers how to do irrigation with water that isn’t polluted and with good practices. The hope is that this will not only improve their incomes, but also the quality of the food they produce.”
Dardari added: “The driving notion behind this is to teach a man how to fish rather than to give him one. By increasing the farmers’ capacities, as well as both the quantity and quality of their yields, we are trying to minimise their dependency on aid.”
With this scheme, the NGO hopes to provide a model for a more productive and profitable agriculture industry. This would allow Anera – as well as other organisations and local communities – to further build upon this for the future with an approach scalable to the resources available.
Fears of ‘brain drain’
In order for this development to continue in a meaningful and long-lasting way, a new generation of farmers is required to carry it forward. With so many Lebanese graduates and professionals leaving the country in search of a better life elsewhere, that may prove difficult.
“What concerns me as [both] a Lebanese and a development professional in this country is the ‘brain drain’ across all sectors,” lamented Yassir.
“One of Lebanon’s many resources is its people. [We] have access to good education, so we [need to] utilise these talents.”
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A farmer displays freshly picked cucumbers [Courtesy: Anera]
Fortunately, Anera may have found a potential solution to this issue by offering young people a chance to try out farm work for themselves, synergising with their other development initiatives.
“We are investing in training youths in agriculture, placing them with different farmers so they can gain more experience while also helping these farmers,” said Yassir. “We are also helping them set up their own small agricultural practices on their own land.
“Lebanon has fallen and we need youth and communities to build it again,” she added. “Lebanon needs a government that is able to enact the reforms that are currently holding back foreign aid.”
By cultivating interest in the field among the younger generation, the NGO said it will come to appreciate the need for sustainable agriculture and possibilities it can offer as a potential career path.
With fuel subsidies also coming to their end, many in Lebanon are bracing for further dramatic increases in food prices, as farmers require large volumes of fuel to operate their machines and transport their goods to market.
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david1003-posts · 4 years ago
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Repeat Prescriptions Are Expensive and Time Consuming: Is it true?
Repeat prescriptions have become increasingly popular over a short time. Most of the repeat prescription services are prescribed by the GPs to manage long health term conditions as the likes of diabetes and cardiovascular diseases where there's a need to buy the same medicines for months or even years at go. The popularity behind repeat prescriptions lies in the very fact that this allows patients to demand medicines without having to go in for another doctor's appointment. The patient conveniences are balanced and regardless of the myths revolving around, they are pretty cost-effective.
Repeat prescription for quite some time has been considered to be a major boon for many patients given the combination of problems that they suffer while going through the troubles of making another appointment at the doctor's clinic. With repeat prescriptions giving them the freedom to dispense the same prescription for more than once, them being expensive or time-consuming is simply not true.
The key advantages of the repeat prescription are that they help in issuing monthly supplies of medicines. Also teamed up with the repeat prescription service online, there is an added benefit of having all the essential medicines being delivered to your doorsteps around the weeks or months as suggested by the physician. There can be plenty of reasons why patients can't meet a doctor round the corner for the same chronic illnesses again and again. From financial issues to lack of timing and so on. This leads to lessening the consumption of pill putting the patient's health at risk. Also with the patients having fewer pills in their possession, it is harder to mislay or stockpile them.
The time and effort which is spent at dispensing pills in community pharmacies are also considered when put to arguing states the fact that there's inefficiency. With the repeat prescriptions, there's a shorter prescription that cuts down the time frames and helps in improving the efficiency. There's also a decrease in the workload for GPs authorizing further prescriptions. The repeat prescription can be used in any of the late-night pharmacies like Late Night Pharmacy Richmond or late Night Pharmacy Teddington to get away from the crowd of the regular pharmacies and purchase your medicines with ease.
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mansoorahmed-stuff · 5 years ago
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What is Internet of Things (IoT)?
What is Internet of Things (IoT)?
The internet of Things, or IoT, refers to the billions of physical devices around the world that are now connected to the online , collecting, sharing and analyses of data . It describes the network of physical objects that are embedded with sensors, software, and other technologies for the aim of connecting and exchanging data with other devices and systems over the online.
Because of cheap processors and wireless networks, it's possible to point out anything, from a pill to an aero plane to a self-driving car into a neighborhood of the IoT.
Overview
IoT will control the Fourth industrial revolution.
The Fourth industrial revolution is changing the very software-defined automation allows manufacturers to link all stages of the price chain, rapidly adapt to changing markets, and make highly personalized products on a mass scale.
The opportunities presented by this revolution are incredible. According to McKinsey, the economic impact of smart factories could reach up to $2.3 trillion once a year by 2025.
At the center of the Fourth industrial revolution is that the Internet of Things (IoT), which uses digital technology to connect sensors, actuators, and machines to each other and to factory workers.
Definition
The web of Things is that the network of physical devices that combine IP connectivity with software, sensors, actuators, and other electronics to directly integrate the physical world into our computer-based systems, resulting in efficiency improvements and economic benefits.
Simpler Definition:
the web of Things could also be a network of Internet connected devices that communicate embedded sensor data to the cloud for centralized processing.
Applications
The extensive set of applications for IoT device is typically divided into consumer, commercial, industrial, and infrastructure spaces.
Consumer applications
A growing portion of IoT devices are created for consumer use, including connected vehicles, home automation, wearable technology, connected health, and appliances with remote monitoring capabilities.
Smart home
IoT devices are an area of the larger concept of home automation, which can include lighting, heating and air conditioning , media and security systems and camera systems.
Long-term benefits could include energy savings by automatically ensuring lights and electronics are turned off or by making the residents within the home aware of usage.
Smart Planet (Green environment)
Environmental sensors.
Water power leak detection
Pollution, weather monitoring
Smart cities (Connected communities)
Lighting, water management
Monitoring and security
control
Smart Energy (Electric grid)
Voltage and power sensors
Meters and breakers
Fault detection
Smart Transport
Electric mobility
EVs and HEVs
High speed trains
Infrastructure ,V21, V2v,V21+1
Smart Industry (Industrial environment)
Lightening, security, actuators, production control, Robotics
Elder care
One key application of a wise house is to provide assistance for those with disabilities and elderly individuals. These home systems use assistive technology to accommodate an owner's specific disabilities.
Voice control can assist users with sight and mobility limitations while alert systems are often connected on to cochlear implants worn by hearing-impaired users.
They can also be equipped with additional safety features. These features can include sensors that monitor for medical emergencies like falls or seizures. Smart home technology applied during this way can provide users with more freedom and a far better quality of life.
The term "Enterprise IoT" refers to devices utilized in business and company settings. By 2019, it's estimated that the EIoT will account for 9.1 billion devices
The Current and Future Impact of IoT
The IEEE has compiled data and makes the next claims about its current and future impact:
In 2015, the worldwide wearables market had already increased 223% from the previous year (and data on Statista shows it increasing by another 243% between 2015 and 2022)
By 2020, 250 million vehicles are getting to be connected to the online
IoT will add 15 trillion dollars to the worldwide economy over subsequent 20 years
There are getting to be 50 billion Internet-connected devices by the year 2020.
Benefits of IoT
The interconnection of these multiple embedded devices are getting to be resulting in automation in nearly all fields and also enabling advanced applications. this is often often resulting in improved accuracy, efficiency and economic benefit with reduced human intervention. the most benefits of IoT are:
Improved Customer Engagement
Technical Optimization
Reduced Wastage
Integrate and Adapt Business Model
Better Business Decision
IoT Enabling Factors
Miniaturization
Connectivity
Advanced power sources and power management
Inexpensive processors, sensors, and actuators
Cloud-based processing
Ubiquitous computing
Challenges to IoT
Security, Privacy and compliance.
Market fragmentation
Legacy infrastructure
LAWN/WAN Connectivity
Underutilized data
Interoperability and Standards
IoT Devices vs Computers
IoT Device features a main function break free Computation
Cars drive, Phone make calls, TVs displays shows
Computation could also be a means to an end
Computers main function is to compute, they're general purpose machines
IoT Devices are Special Purpose Devices, software and hardware are efficient for the task - but inefficient for other tasks
Technological Trends that cause IoT
Cost of hardware has decreased allowing to be added to devices
Smaller size and lesser weight needed to incorporate computation into devices
Computation ability has increased tremendously
Internet is out there everywhere
Wireless Access (4G, Wi-Fi) has become cheap and ubiquitous, 5G on the way (No physical cables required)
Data transmission cost is fairly low, internet bandwidth is high
Cloud computing is getting used extensively (IoT devices are a window to those cloud services)
Rise of Open Source Software (Rust, Web Assembly, Docker, Kubernetes, etc.)
Environmental sustainability impact
A priority regarding Internet-of-things technologies pertains to the environmental impacts of the manufacture, use, and eventual disposal of of those semiconductor-rich devices.
Modern electronics are replete with an honest sort of heavy metals and rare-earth metals, also as highly toxic synthetic chemicals.
This makes them extremely difficult to properly recycle. Electronic components are often incinerated or placed in regular landfills.
Furthermore, the human and environmental cost of mining the rare-earth metals that are integral to modern electronic components continues to grow.
Although IoT devices can help in some cases to reduce the energy consumption of certain applications, the impact of getting billions of devices connected and consuming power from batteries and from the grid will have a huge impact on energy consumption and CO2 emissions.
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qmtashely89501-blog · 5 years ago
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ynsespoir · 5 years ago
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5 Reasons why Prior Authorizations are Challenging
What is Prior Authorization in healthcare?
Prior authorization (PA) is often used with expensive prescription drugs. Health insurance companies use prior authorization to verify that a certain drug, procedure, or treatment is medically necessary before it is done or prescribed. Put simply, it is the process of getting approval from your health insurance company (not your doctor) to obtain a prescription or treatment.
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Here are five reasons why prior authorizations are hard to manage:
1. Time-Consuming for Doctors
Many physicians have long expressed their dissatisfaction with the time they and their staff have to spend interacting with health plans according to Medical Economics. When a prescription needs authorizing, this takes a lot of admin time, including the time a physician has to spend persuading an insurance company to cover a medication or a procedure that is expensive.
Per the AMA, “Ninety percent of surveyed physicians reported that the PA process delays patient access to necessary care. Forty-four percent of doctors say PA requests “often or always” hold up care. And those delays are often lengthy, with 26 percent of physicians saying that, in the prior week, they waited three business days or more on average to receive PA decisions from health plans.”
There are multiple steps that a physician has to follow to complete prior authorizations. This can involve securing the correct form, then filling it out with the required information, submitting the form to the plan, etc. In particular, holding time is long when trying to reach a customer service representative in the insurance company, with hold times averaging 20 minutes or more. Many physicians will tell you that the overall process can take 30-45 minutes for each PA submission.
There are many real-life case studies that demonstrate the inefficiencies of PA. Danielle Ofri, an associate professor at New York University School of Medicine, speaks of her experience with PA as “frustrating.” In one example, Dr. Opri had to go through four phone calls and four customer-care representatives to get the request of 90 pills each month for her patient who suffers from high blood pressure, rather than the 45 which was recommended by the company. The issue was that the 45 pills a month was the maximum allowed for this particular medication. After submitting a list of information including a list of all the blood-pressure medications that the patient had been on in the past, including dates of initiation and relevant lab values, Dr. Ofri was able to get an approval from the representative after going back and forth countless times. According to Dr. Ofri, the time spent on the phone could have been put to better use for patient care.
Kevin de Regnier, DO, a solo family practitioner in Winterset, Iowa, also speaks of his negative experience with prior authorization, which has grown steadily during his 26 years of practice. According to de Regnier, the nurses spend about 10% of their time each day on prior authorization. “It’s an unreimbursed cost of providing care, and unfortunately, we don’t have the financial resources to bring in someone to do prior auth exclusively, even on a part-time basis,” he says.
Unfortunately, they are not alone; a survey found that 84% of responding physicians believe the burden of PAs is high or extremely high. Another 86% of physicians also responded that the burden of PAs has increased over the past five years, which takes away the time that physicians can care for their patients.
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2. Costly for Healthcare Practices
Although PA has been an issue among healthcare providers for many years, little is known about the cost, either to individual practices or the healthcare system as a whole. In 2009, one study estimated that, on average, prior authorization requests consumed about 20 hours a week per medical practice: one hour of the doctor’s time, nearly six hours of clerical time, plus 13 hours of nurses’ time.
A study by Health Affairs further revealed that when the time is converted to dollars, practices spent an average of $68,274 per physician per year interacting with health plans. This equates to $23 billion and $31 billion annually! Prior authorization ultimately ends up costing the health care system more than it saves.
3. The Process Problem
More drugs than ever before require a prior authorization. The number of insurance plans is increasing as well, each with its own forms and policies. This makes it difficult for providers to keep up as the requirements keep changing.
Failure to obtain proper authorizations can have a drastic effect on the practice income. No authorization means no payment. Insurers won’t pay for procedures if the correct prior authorization isn’t received, and most contracts restrict you from billing the patient. PA denials result in lost revenue, declines in provider and patient satisfaction, and delays in patient care.
The chart below demonstrates this and shows how much revenue is lost due to authorization.
Despite the effort to save cost on the insurer’s side, it is not even clear whether insurance companies are saving money in the long run. One study examined the records of more than 4,000 patients with Type 2 diabetes who were prescribed medications requiring prior authorizations. Those who were denied the medications had higher overall medical costs during the following year; not getting the medications probably worsened their conditions. Therefore it cost insurers more in the long term as they seek other treatment and medication.
Although PA is widely implemented as a cost-containment measure, it is a labor-intensive procedure for health care providers, patients, pharmacists, and pharmacy benefit plans. Denied claims create the need for manual intervention; this increases practice costs and administrative transaction costs (just under $14 per transaction).
A common problem with many busy practices is that many claim denials sit unworked since denials are usually the most difficult and time-consuming work for billing staff. PA requires multiple letters with supporting documentation and multiple telephone conversations. As a consequence, PA costs are expensive, administratively daunting, and unsustainable for most primary care providers.
4. Patient Delay
The real impact of PA is often felt by patients who are delayed in getting their medication or treatment. As a patient, PA problems can create a huge interruption; they have to figure out whether the process is stalled out with the doctor, the insurance company, or the pharmacy.
Nearly all physicians noted that wait times corresponded with delays in necessary care, which added to the risk of adverse events. Significantly, 78% of respondents said that PAs could result in patients forgoing necessary treatments, according to the release.
Up to 92% of doctors say that prior authorization harms patient access to care, which ultimately damages clinical quality outcomes. While the process brings a certain accountability and cost containment, several hours are lost in productivity.
For a submission to get authorized, approximately 64% of physicians waited for at least one business day for a PA decision, and 30% said they waited three or more business days, according to the AMA. During this time, patients are unable to start treatment. These long wait times have a negative impact on patient experience and patient care, and for many practices, the burden of the PA process causes them to abandon a preferred therapy in favor of a different formulary medication.
5. Process Management
The management of PA can sometimes be difficult to manage as the requirements can vary widely from one insurer to another, each of which also has a different process for submitting prior authorization requests. This means the process cannot be standardized at times and must be done manually, which, of course, can drain resources and time if this is already limited.
Even when the practice has provided a request in a timely way, the insurer may still end up not paying for the prescribed medication or treatment. Unfortunately, claims with prior authorizations are denied more often than you might think. Insurance companies can deny a request for prior authorization for reasons such as:
The doctor or pharmacist didn’t complete the necessary steps
Filling the wrong paperwork or missing information such as service code or date of birth
The physician’s office neglected to contact the insurance company due to lack of time
The pharmacy didn’t bill the insurance company properly
Outdated information – claims can be denied due to outdated insurance information, such as sending the claim to the wrong insurance company
The insurer failed to notify the pharmacy
The approval expired after a limited time (normally 30 days)
The chart below shows the reason PA was denied:
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Image source: Managed Care
From the chart, it is clear that the majority of payers report their denials due to the failure of physicians not meeting their guidelines – 70% of payers say that they deny requests because what is sent over is not consistent with their listing/guidelines. Whereas from the practice manager’s perspectives, 42% of requests were denied due to them not meeting the guideline, therefore there is a slight discrepancy between the two.
One significant difference in perception between the practices and payers, however, is the denials for medical necessity. Only 12% of payers say they base their denials on medical necessity, yet 51% of practices say they receive denials for this reason. Payers and physician practice managers have different perceptions of why authorizations are denied.
What can be done to improve the Prior Authorization process?
Although prior authorization is an unavoidable step in many practices, the current process is all too often manual and involves prescribers, payers, pharmacists, and patients in a cumbersome flow of information that may result in delays in treatment and dissatisfaction for all. As a result, many are implementing electronic prior authorization solutions to address common issues with the approvals process. ReferralMD integrates directly with electronic health records (EHRs), enabling healthcare professionals to easily obtain prior authorizations in real-time at the point of care. This also eliminates time-consuming paper forms, faxes, and phone calls.
In 81% of instances where claims are denied, prior authorization was either not obtained or not handled properly.  By initiating automated prior authorization processes for hospitals, front-end denials are reduced. Healthcare surveys revealed that prior electronic authorization could save as much as 416 hours per year! In 2015, the average cost to a provider for a fully electronic prior authorization was $1.89 compared to $7.50 for entirely manual authorization.
What the prior authorization process demonstrates is the incredible amount of clerical time that it takes: up to about 50% of the physicians’ time in the office, while less than 30 percent of the day is spent on direct clinical care. These growing diversions from patient care act as physicians’ biggest source of professional dissatisfaction.
In order to simplify the prior authorization process, there may be improved ways to achieve the “Quadruple Aim” of healthcare.  The Quadruple Aim includes Improved Patient Experience, Better Outcomes, Lower Costs, and Improved Clinical Experience. If healthcare technology can help physicians automate approvals, they would be free to pursue better care, improved health outcomes, lower costs, and enhanced clinical experiences.
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affiliatemarketingaff · 4 years ago
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hvrthe-blog1 · 6 years ago
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slowlyeden · 6 years ago
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