Bim-led Prefabrication An Effective Way Forward For Healthcare Mep Projects

Designing and planning for mechanical, electrical, and plumbing (MEP) systems for healthcare facilities brings with it a set of daunting challenges for the entire MEP (M&E) fraternity. Considering the project complexities, stringent building codes, healthcare standards, local regulations, and constricted deadlines, MEP (M&E) designers and contractors are always walking a tight line.

Whilst building information modelling (BIM) techniques at the design stage may improve interdisciplinary MEP coordination, help detect design clashes and streamline scheduling/costing in the preconstruction phase, very little is known about how BIM-led prefabrication of MEP systems offsite can help enhance quality, save time and money, and optimise the logistical flow on site. The BIM design data, embedded in the MEP models, can be used to create fabrication drawings by either using traditional detailing or using fabrication softwares (AutoDesk Fabrication). These drawings display fabrication details which can be directly recognised by the CNC machines for production purposes.

One of the most challenging engineering systems to design, healthcare facilities house a range of medical and therapeutic departments to treat different illnesses. Each of these departments has its own set of requirements for HVAC, electrical, plumbing and fire protection systems as well as plant areas. So, whether the hospitals MEP system demands HVAC systems with precise humidity control, temperature, and indoor air quality (IAQ) standards or custom isolation for operating rooms, the information rooted in the BIM 3D documents can enhance modularisation of mechanical, electrical and plumbing systems.

Some other MEP components which are specifically used in healthcare facilities include sprinklers, fire suppression systems, high-pressure steam boilers, direct-expansion (DX) cooling systems, and tamper-proof receptacles. As it is well known in the AEC industry worldwide, BIM is a change in approach which brings together all the discipline-specific professionals during the pre-construction phase. On the contrary, the traditional design-bid-build approach lacks coordination between the concerned disciplines.

Accordingly, when MEP (M&E) designers, consultants, and fabricators use BIM for prefabrication of MEP components, the benefits are worthy. Besides, the modularisation of mechanical, electrical and plumbing systems in a controlled environment and installing them on site is highly effective considering its cost savings, quality improvements, labour efficiency, waste reduction, and in-time completion benefits.

Considering the complex nature of MEP (M&E) systems in healthcare facilities and an increase in adoption of BIM, prefabrication and modularisation will offer more productivity and efficiency gains to MEP (M&E) designers, contractors, manufacturers, fabricators, and installers. Modern prefabrication technologies along with integrated project delivery (IPD) can certainly lead to greater predictability, timely project completion, and increased cost savings.

The Health Benefits Of Buckwheat Honey

A number of years ago we ran an apple farm in Northfield, Massachusetts. To prepare and enrich the soil for future plantings we would grow a cover crop of buckwheat, a tall plant with a beautiful white flower. As apple growers we had several hives of bees for effective fruit pollination and the bees loved the buckwheat flower transforming its nectar into a beautifully dark and rich honey. Our children loved the buckwheat flower season because they came to love delicious taste of the buckwheat honey. What we as parents discovered was that a teaspoon of buckwheat honey seemed to greatly help whenever the children had sore throats or coughs. This proved to be especially true if they took the honey at bedtime for they always seemed to sleep a little better. Throughout their childhood we always made sure to put away enough buckwheat honey from the hives to get through a winter of respiratory ailments.

This was a long time ago and I had forgotten about this aspect of buckwheat honey until I recently read about a study that had been done in 2007 and published in the Archives of Pediatrics and Adolescent Medicine. This study found that children who received a small dose of buckwheat honey before bedtime slept better and coughed less than those who received either a common over-the-counter suppressant or nothing at all. Dr. Ian Paul, a researcher at Penn State College of Medicine indicated This is the first time honey has been actually proven as a treatment.

The research study involved 105 children between ages 2 and 18 in their randomized, partially double-blind study. Parents would answer questions about their childs sleep and symptoms after the first night during which there was no treatment. On the second night the children were given honey flavored cough syrup, honey, or nothing at all. It was clear that the children who received the honey slept better with fewer symptoms. Dr. Paul also noted that honey is generally less expensive than over-the-counter medications with none of the side effects like dizziness or sleepiness. Dr. Paul indicated that the type of honey plays a role in the treatment. Darker honeys have more antioxidants that lighter honeys and we wanted the best chance to see improvements.

Intrigued by this information I searched further and found that The Journal of Pediatrics in May of 2008 gave their assessment of this study. In this well-designed and valid study, Paul et al were able to show that honey was significantly superior to no treatment for improvement in cough severity (47.3% reduction vs 24.7%) and an overall symptom score (53.7% reduction vs 33.4%). The findings of this study suggest that honey is better than no treatment for reducing cough frequency and improving combined symptom scores. Paul Doering, co-director of the Drug Information and Pharmacy Resource Center at the University of Florida has weighed in on the subject. I believe recommending honey as a cough medicine has merits. It provides a safe option to using chemical based options, he said, adding that honey is part of a trend of recommending more commonplace traditional remedies for ailments.

It should be noted that the Dr. Paul study gave no honey to children under 2 yrs. of age and the newest research seems to support that practice.

Remove Acne Scars – 6 Home Remedies

Even though acne is not a life threatening condition, in some cases it can cause pain and inflammation. It is more often considered as a cosmetic problem, as it affects the looks of the person. Most people want to know how to treat acne naturally since over the counter and prescription products can cause many different side effects. Natural treatments can get rid of your acne condition for good and the good news is that they are much safer for you.

1. One of the most popular acne herbal cure is aloe vera, which is available in the form of gels, soaps, etc. You can also go for freshly extracted aloe vera juice. Apart from controlling acne, it is also beneficial for healing the skin damaged by acne.

2. Drinking Water: One of the best acne treatment is to keep yourself hydrated by drinking enough water at least 64 ounces of water daily. Water improves blood circulation, removes acne scars and prevents acne breakouts, hence it helps in healing process.

3. You can use zinc to eliminate acne by eating food items rich in zinc like chicken, beef, nuts, and beans. Food items such as these will help to enhance your zinc level and avoid zinc deficiency. If you can’t get enough zinc through eating foods you can try using zinc supplements.

4. Washing your face every day before you go to bed is another of natural acne cures especially if you are the type who wears makeup. Some makeup contains harmful chemicals which can cause acne. Steaming your face is also beneficial; it involves putting hot water in a basin then wrapping a towel around your face so that the hot steam doesn’t escape. The hot steam helps by opening the pores of the skin. You can also try not to pierce the pimple because if you do so they may be infected with bacteria which may trigger acne to spread on your entire face.

5. Yogurt can work wonders as far acne control is concerned. You can make a paste of yogurt and oatmeal and apply it over the affected area. Once it is dry, use lukewarm water to rinse it off.

6. Healthy Diet: Eating healthy and balanced diet comprising of plenty of fruits, vegetables, whole grains and fibrous foods, helps in healing the acne scars fast. Proper nutrition is key to a healthy and glowing skin, hence, the more nutritious foods you add to your diet, faster the scars will heal.

Purple Awareness Pins To Celebrate National Cancer Survivors Day

National Cancer Survivors Day is an annual holiday dedicated to celebrating life after cancer diagnosis. Managed by the National Cancer Survivors Day Foundation, this holiday is held on the first Sunday in June each year. National Cancer Survivors Day 2011 was held on June 5th. Started in 1988, this year’s National Cancer Survivors Day marks the holiday’s 23rd anniversary. Originally held solely in the United States, holiday celebrations now also take place in Canada, India, the Netherlands and many other nations around the world.

Thanks to medical research and early detection, the number of cancer survivors has increased dramatically over the past decades. According to the Centers for Disease Control and Prevention, while there were 3 million cancer survivors in 1971, the figure for 2007 was 11.7 million of people who are living with this disease.

Though National Cancer Survivors Day is observed internationally, most festivities are local celebrations. These are often sponsored by hospitals, cancer research facilities and other organizations committed to the cause. It’s also common for other cancer awareness causes to be represented at holiday gatherings, armed with sign-ups for events like the Susan G. Komen Foundation’s Race for the Cure. Events held for National Cancer Survivors Day include fundraisers, carnivals, speeches, concerts and art exhibits. Most events are designed for all ages, so it’s a great idea to bring the entire family along.

This holiday is as much for cancer survivors as it is for those still fighting. For patients still struggling with cancer, seeing and participating in the day’s events can help remind them that they’re not alone and that there’s hope. Look out for purple bracelets in the crowd; these are worn as a badge of honor by cancer survivors. Since many National Cancer Survivors Day events are locally-based, they also provide a great opportunity to meet new friends and supporters right in your own backyard.

Attending National Cancer Survivors Day parades or other events in your area is a great way to show your support for friends and loved ones who have been diagnosed with cancer. Just as cancer survivors typically wear purple bracelets, supporters can often be found wearing cancer awareness pins. Awareness ribbon pins are especially popular, as these can help show which type of cancer a loved one is battling. For example, pink ribbons represent the fight against breast cancer while teal ribbons support ovarian cancer. While supportive clothing and accessory items are not required to take part in National Cancer Survivors Day, they are a nice way to show some added support for the heroes this holiday honors.

Weight Loss Reduces Heart Disease Symptoms

When our heart has problems with pumping blood, it starts to show symptoms like chest pain. Most of the heart disease occurs due to clogging of arteries. Heart is a muscular organ which pumps blood, so when arteries are clogged, heart has to exert more pressure to pump the same amount of blood. So this causes mild chest pain initially. As the clogs in arteries increases, heart loses its ability to pump blood.

Most of the heart disease is associated with the food we take in. Food high in saturated fat often clogs the arteries. Apart from that food high in protein also increases the thickness of the blood, which makes the clogged arteries furthermore difficult to pump blood. One of the initial heart disease symptoms is palpitation. Palpitation is a condition that causes either a skip in the heart beat or rapidly increases heart beat. Palpitation is considered as a common heart disease symptoms, but it can actually be a serious warning for major heart disease. Apart from this, fatigue, lethargy, and shortness of breath are also heart disease symptoms.

People who have diabetes mellitus are also more prone to heart disease. Their high blood sugar tends to convert food into fat, thereby increases the fatty deposits. This is one of the main reasons, that people with heart disease symptoms are advised to loss their weight. When a person looses weight, the amount of fat in the blood gets reduced. This causes the heart to pump more blood easily. This is also one of the reasons why doctors suggest blood thinner for people with heart diseases.

There are various ways to thin blood naturally. By reducing the intake of saturated foods, dairy products, high protein food, frozen foods, the blood naturally looses its thickness. What we eat daily contributes to the thickness of the blood. There are many weight loss supplements available in the market. It would be helpful for a person with heart disease symptoms to loose weight. But one must exercise sufficient care while buying over the counter weight loss supplements. Because heart is a very sensitive organ and it reacts quickly to any wrong medications. So it is essential to find out the ingredients of a weight loss supplements before trying out any.

One can also try natural weight loss methods. Water is a natural blood thinner. Drinking hot water or hot green tea regularly helps to remove toxins and unwanted fat from the body. Weight loss supplements have its merits and demerits. Before trying out any medicines, it is essential to keep in mind that heart is a very sensitive organ and any wrong medications would take its own course.

Obesity Makes Individual Health Insurance Harder To Find

First Lady Michelle Obama has begun her fight against childhood obesity. In a nation where nearly one-third of Americans are overweight and another one-third are obese, it is important to nip the obesity epidemic in the bud. After all, it is easier to prevent weight gain in the first place than to lose the weight. Obesity can result in serious health problems, including Type 2 diabetes and heart disease. For this reason, it can also impact your experience buying health insurance.

If you have group health insurance through your employer, you will most likely get coverage regardless of your weight. However, if you must buy individual health insurance, being overweight or obese can affect your eligibility for health insurance and the health insurance premiums you are charged. When you buy a health insurance policy, most health insurance companies ask you for your height and weight. Those statistics allow them to calculate the body mass index (BMI) of a prospective customer. A BMI higher that 25 indicates that a person is overweight, whereas a BMI over 30 means that he or she is obese. (Calculate yours with this free BMI calculator.) BMIs are based on the average American, and may not apply to serious athletes with extraordinary amounts of muscle–but they are nevertheless used as a guide by individual health insurance providers.

Obese individuals with no other pre-existing conditions will often be subject to a medical exam when purchasing health insurance. They then face health insurance rates that are 20% to 100% higher than people who at a healthy weight. The rates vary among individual health insurance plans, so it’s important to shop around for one that fits your budget.

Finding individual health insurance can be even more difficult for those with a BMI of over 35, which is considered severely obese. Health insurance underwriters may decline you altogether! Since obesity is associated with many potentially expensive health issues, it may be more profitable for health insurers to refuse someone they consider to be at high risk for filing more medical claims. If you are in that predicament, there are guaranteed issue individual health insurance options available. Those plans are legally required to cover all applicants, no matter how much they weigh. Such plans tend to be a bit more expensive than standard health insurance, but reduce the stress being uninsured can cause.

Unfortunately, health insurance companies do not take a person’s weight trajectory into account when setting rates or deciding whether to approve coverage. In other words, you will not pay lower health insurance premiums if you are on a proven weight loss plan and making process. Weight loss is good for your health, and losing even 10% of your weight will prevent or even reverse many pre-existing conditions that make it even harder to get individual health insurance. Even if you are still considered overweight or obese for your height after that initial loss, you may be able to stop taking expensive prescription medications for high cholesterol, for example.

Mental Health Continuing Education Social Work

When it comes to social workers, mental health continuing education is a must. For many professionals, it is required to remain licensed and employed. But even for those who are not required by law to maintain CEUs, it is a good idea to find accredited institutions that provide additional training beyond graduation. Social workers must remain up to date on the latest theories and research in the field in order to maintain effectiveness with their clients. Social work itself covers a broad spectrum. Some work in the public sector, helping those who are facing addictions and mental illness. Some work as advocates in the legal system. Whatever your primary goal is, however, furthering your study is never a hindrance.

Though it depends on where you work and in what respect you are employed, most social workers have at least a Bachelor’s degree in their chosen field (usually some form of soft science such as psychology or sociology). These days, especially with a tight, competitive job market, it is becoming more and more common to see a Masters degree as an entry-level requirement for employment. After achieving their degree, the aspiring social worker will likely have to take the Association of Social Work Boards exam in order to become licensed. Each state has different requirements as it pertains to what is a passing grade. A candidate may retake the exam as many times as needed to pass.

Anyone interested in mental health continuing education should avail themselves of the necessary requirements by their state and local governing boards. This can make a big difference when it comes to where you can further your training. Depending on where you live and how far you want to progress in your work, you can choose to simply meet ongoing standards for education or you can move on and obtain an advanced degree in your field of study. Some government and private institutions will put a lot of weight on advanced degrees and some will not. Few places will hold it against you, however. At the same time, this doesn’t necessarily make it the right choice. Going back to school can be expensive, so you have to weight the potential increase in earnings against the loans you may have to take out.

There has never been an easier time for a social worker to keep up to date with their mental health continuing education requirements. Online opportunities abound, along with those in the traditional channels.

If you career involves mental health continuing education is a necessary part of maintaining a strong skill set. To know more, visit:

All The Misguided Health Tips Circulating Among All The Aunt Pollys Out There

Hundreds of thousands of the elderly watch enough health shows and surgery broadcasts to believe they’re almost qualified doctors themselves. With much casual medical knowledge easily available on the subject of what to eat, how to exercise, and how all the medicines on the pharmacy shelves work, some people can effortlessly end up with some pretty strong feelings on how to maintain the body, in a state of good health. Anyone who sees a self-styled health expert go on like this, invariably thinks of the following lines from Tom Sawyer: ” [Aunt Polly] was one of those people who are infatuated with patent medicines and all new-fangled methods of producing health or mending it. All the “rot” [the “Health” periodicals] contained about ventilation, and how to go to bed, and how to get up, and what to eat, and what to drink, and how much exercise to take, and what frame of mind to keep one’s self in, and what sort of clothing to wear, was all gospel to her, and she never observed that her health-journals of the current month customarily upset everything they had recommended the month before.” Let’s look at a few of the health tips that the overenthusiastic get wrong all the time.

Eating healthy is wonderful, and important. But people love to get carried away with the dietary health tips. One rule they love is, “only eat raw organic foods”, because cooking destroys the “essentials” in foods. Some people love to save up all their money to spend on exotic small farm produce that’s carted over by a pony and Farmer Brown. In fact, “eating right” can so consume them, and take up all their energies, that they often have little time for anything else in life. Doctors actually feel that there is a kind of eating disorder associated with going too far with eating right. They call it orthorexia nervosa, and they feel it’s as serious as anorexia.

If there is any one thing among all health tips that deserves to be called a health demon, it has to be the multivitamin. Advances in an understanding of what vitamins were in the early 20th century, revolutionized public health. Quaint old diseases that were very common back then, scurvy from low vitamin C, beriberi from a lack of thiamine, rickets from low Vitamin D and such, came from how humanity then, had not enough food to go around. What people got to eat, didn’t supply them with the vitamins they needed. So, the health establishment began to recommend vitamin supplements. While those were excellent for the time, they aren’t really needed today, a time when reasonable nutrition standards are easily achieved all over. But the multivitamin habit is hard to kick, still. And from this comes vitamin overdosing. There were all kinds of reports now, that too much vitamin C can give you cancer, how too much vitamin E can give you a heart attack, and so on. The thing is, if you don’t have a clear health problem you need to take extra vitamins for, you’re best off leaving them alone.

And of course, to include something from outside of the diet, how about a runner’s knee? The health tips are always telling you that a regular run in the park, I can give you arthritis. The doctors got that from studying marathon runners long-term. But researchers have been following marathon runners long-term, and they find that nothing really happens to them after running for 20 years. They find that people who have sore knees and take a running, actually improve over time. If you have a good running technique, no one can fault you for exercise of this kind.

Progressive Dental Marketing Continued European Expansion In Switzerland

Dunedin, FL, February 14, 2014 – Progressive Dental Marketing recently expanded its international reach into Sion, Switzerland. This is the fifth international client and third country the firm has signed since its 2009 launch; Progressive Dental Marketing currently serves three Canadian practices as well as one client based in Pesaro, Italy.

Currently marketing for dental professionals in 38 out of the 50 states in addition to Washington, DC and the US Virgin Islands, Progressive Dental Marketing continues to build its clientele at home as well as abroad. Dr. Henri-Pierre Aoutz is a laser-certified periodontist who received his dental DDS from the University of Geneva. Dr. Aoutz also completed two years of postgraduate training at the University of Pennsylvania, where he earned certifications in periodontology, periodontal prosthesis, and fixed prosthesis in addition to a Master of Science in Oral Biology.

Dr. Aoutz and Progressive Dental Marketing CEO Bart Knellinger initially connected at an American Academy of Periodontology meeting in Philadelphia. Dr. Aoutz decided to utilize the company’s services for his practice’s online marketing campaign shortly thereafter. As Progressive Dental Marketing’s first Swiss client, Dr. Aoutz will have the benefit of several key marketing services, including staff training, press release packages, and a keyword-optimized website with customized content written by Progressive’s copywriting team. The new French website for Dr. Aoutz’s practice, VS Dental, recently went live and the English site is scheduled to launch in the near future. Dr. Aoutz is multilingual and speaks French, English, German, and Italian fluently. VS Dental serves patients in Sion and Crans-Montana areas of Switzerland. Patients residing in those areas should visit VS Dental’s new site at

To learn more about Progressive Dental Marketing’s dental consulting services, please visit or call 1-888-600-4996 to speak to a representative today.

About the Company

Progressive Dental Marketing (PDM) has “changed the game” in regards to marketing for high dollar surgical cases by implementing a Full-Circle Marketing approach. PDM is the leading dental marketing and dental consulting company for attracting targeted patients through online marketing, seminars, direct mail, TV, radio and referral programs. The majority of dental consulting clients will see an eight to ten ROI the first year and staff members are ready to handle the increase in new patient calls with ongoing consulting and training. PDM maintains a 97 percent client retention rate, which is leading by a large margin among dental marketing companies! PDM is based out of Dunedin, FL and always offers a complimentary initial marketing evaluation. The staff includes dedicated account managers and dental consulting specialists who are available to answer any and all questions. To learn more about PDM, visit their website at and call (727) 286-6211.

Press Contact:
Progressive Dental Marketing
Dunedin, FL
+1 (727) 286-6211 Ext: 111


Some Facts About Heart Disease You Need To Know

Coronary Heart Disease Overview

It develops when fatty material, calcium, and scar tissue (plaque) were combined and builds up in the arteries that supply the heart with blood. Through these arteries, called coronary arteries the heart muscle (myocardium) gets oxygen and other nutriens it needs to pump blood.

The plaque often narrows the artery so that the heart does not get enough blood.
This slowing of blood flow causes chest pain, or angina.
If plaque completely blocks blood flow, it may cause a heart attack (myocardial infarction) or a fatal rhythm disturbance (sudden cardiac arrest)

As a child, the inner lining of the coronary arteries is quite smooth, allowing blood to flow easily. As a person ages, the cholesterol and calcium content in the walls of the coronary arteries increases, making them thicker and less elastic.
Unhealthy habits, such as a diet high in cholesterol and other fats, smoking, and lack of exercise accelerate the deposit of fat and calcium within the inner lining of coronary arteries.
This process is known as atherosclerosis, or hardening of the arteries. The deposits, or plaques, eventually obstruct the blood vessel, which begins to restrict blood flow.

Plaque is like a firm shell with a soft inner core containing cholesterol. As blood hits it during each heartbeat, the plaque may crack open and expose its inner cholesterol core, which promotes blood clotting. Clots may further reduce blood flow, causing severe pain (angina), or even block it all together.

What cause the appearance of serious disease?

Heredity, levels of cholesterol in blood above the healthy level, smoking habit,
Obesity, high blood pressure, diabetes, lack of exercises, high fat diet, stress, and type A personality (impatient, aggressive, and competitive).

Cardiac arrest for most people who have previous heart attack
Chest pain on exertion (angina pectoris), which may be relieved by rest
Shortness of breath on exertion
Jaw pain, back pain, or arm pain, especially on left side, either during exertion or at rest
Weakness on exertion or at rest.
Feel dizzy/fainting.
Irregular heartbeat.

When to Seek Medical Care

If you have any of these conditions, please contact your health care provider. You may affect by the heart disease. These symptoms include of chest pain, feeling indigestion, shoulder or arm pain, jaw pain, shortness of breath after exertion, fainting, pain in the upper part of abdomen, unexplained nausea, vomiting/sweating, palpitations or dizziness.

Types of Heart Disease

Types of heart disease that affect the electrical system are known as arrhythmias. They can cause the heart to beat too fast, too slow, or irregularly. These types of heart disease include Sinus tachycardia, Sinus bradycardia, Atrial fibrillation, Atrial flutter, Supraventricular tachycardia, Paroxysmal supraventricular tachycardia, Ventricular tachycardia, Ventricular fibrillation.

Self Care at Home
Lifestyle changes are the most powerful way to prevent heart disease from getting worse or of reducing the risk of getting heart disease in the first place. The phenomenal drop in the heart disease death rate over the past 30 years has been due more to reducing risk factors than to advances in treatment.

Some of the tips are:
Eat a healthy heart diet, avoid take fat source food, lower the blood levels, do regular exercise, quit smoking, control high blood pressure, take a low dose aspirin daily.


1.Aspirin: When taken daily or every other day, aspirin reduces the risk of developing angina or heart attack by reducing the tendency of your blood to clot.
2.Beta-blockers: Beta-blockers decrease your heart rate and blood pressure, thus reducing your heart’s demand for oxygen
3.Calcium channel blockers: Calcium channel blockers dilate the coronary arteries to improve blood flow. They also reduce blood pressure, and slow heart rate.
4.Statins: Statin drugs work by reducing the amounts of lipids (cholesterol and other fats) in your blood.
5.Coronary angioplasty (PTCA): This procedure is similar to coronary angiography (cardiac catheterization or a dye study to visualize the inside of coronary arteries) but is therapeutic as well as diagnostic.
6.Stent: A stent is a small, sieved, coil-like metallic tube or scaffold mounted over a balloon. Stent: A stent is a small, sieved, coil-like metallic tube or scaffold mounted over a balloon.
7.Atherectomy: Sometimes the plaques become too rigid, bulky, or calcified to be treated with angioplasty or a stent.
8.Brachytherapy: Radiation is applied to the blockage to clear it.

What will they do if your health cant improve?

For the severe patient who doesnt have chances to improve, they will be advice to undergo a surgery. There are several types of surgery including of Coronary artery bypass grafting (CABG), Off-pump bypass surgery, Minimally invasive coronary bypass (MINI-CABS), Transmyocardial laser revascularization (TMR). Please get the advice from medical experts for the suitable surgery.

For your futher information, feel free to visit us at,