Outsourcing Dental Devices


Dental devices make up a huge market in the US and the rest of the world. The size of the global market for dental devices was pegged at around $4.5 b for 2011. Dental devices are generally used for dental prosthesis like dentures. They are also used to support soft and hard tissues surrounding the oral cavity, which has to be custom made for every individual to replace missing teeth.Dental devices also include dental chairs, hand pieces, CAD/CAM systems, scaling units, instrument delivery systems, dental lasers, intra oral and extra oral radiology equipment, and CBCT scanners.



There is a growing concern is that dentists and their patients may be using outsourced products without even being aware of it. Such ignorance can often lead to the use of substandard products that can adversely affect the health of Americans.

Dental offices often send work order to the closest dental work laboratory, known for quality. Some of these laboratories outsource the work to overseas and restrict themselves to administrative duties. The imported product is checked by their skeleton staff for quality and minor adjustments are undertaken in-house. After relabeling and repackaging, the dental prosthesis finally ends up at the dental offices.

Cost vs Quality

Dental prosthesis is often outsourced due to low cost of the overseas product. They are cheaper by 33 to 50% than comparable American dental prosthesis. Dentists often use outsourced dental prosthesis on patients who negotiate for a better price and on those who do not have any dental insurance. New dentists are also known to use outsourced dental prosthesis, when they first start their practice, for financial reasons. The quality including material and fixture of the outsourced dental prosthesis is likely to degrade to harmful levels as cost becomes the only criteria for outsourced products.

Lead Poisoning

One of the major concerns is the presence of lead in outsourced dental prosthesis. Lead is a hazardous substance for adults and has serious health risks for growing youngsters. Lead poisoning is often not discovered until irreversible damage has taken place and is usually due to exposure from swallowing or breathing lead particles.


The Food and Drug Administration (FDA) requires laboratories, which outsource dental work to overseas, to give information related to outsourcing to the dentists. In reality, dentists obtain such information only upon request and the obtained information is usually not passed to the patient as it is not mandatory.

The FDA also oversees imported medical devices or devices that are relabeled, repackaged or manufactured. All medical devices with problems need to be reported but adverse reactions surrounding medical devices are rarely reported.

Therefore, the National Association for Dental Laboratories (NADL) is concerned about the public’s safety and wants all laboratories dealing with dental work to:

1.Register with a state agency
2. Have at least one Certified Dental Technician (CDT)
3.Use FDA approved materials
4.Disclose materials used in dental prosthesis
5.Disclose the point of origin of manufacture

Economic Recession Blues – Hospitals Aren't an Exception

In its most recent update, the International Monetary Fund (IMF) announced that world growth is forecast to fall to its lowest level since World War II. And with the US being one of the worst hit, the hospital business, an integral part of the medical marketplace, and often regarded as recession proof is beginning to feel the heat.

Despite the fact that hospitals aren’t hit the way the way the automotive sector or the retail has been, and that people will continue to fall sick irrespective of the economy, it seems that the number of people seeking medical care and the profitability of hospitals don’t walk hand-in-hand.

Growth stunted & patients decreasing

A recent report by the American Hospital Association (AHA) finds that the sputtering economy has already led to 45% of hospitals to postpone forthcoming capital projects, with about 13% being forced to completely stall any expansion projects already underway. The AHA report included 639 hospitals in the study.

Further, experts believe that even though people continue to fall sick they’re postponing, most treatments if not all, which can be classified as elective. The credit for the prevailing scenario goes to all the layoffs and the slowing economy. As per the Bureau of Labor Statistics the month of December saw some of the worst layoff figures, as there were 2,275 mass layoff actions, involving 226,117 workers.

What seems worse is that aside from foregoing elective treatments, patients seem to be avoiding essential drugs, with many actually abusing prescription drugs, such as narcotic painkillers , sedatives and tranquilizers and stimulants.

As a consequence, hospitals are reeling under delayed hospital equipment and supply purchases, declining patient visits, reduced staff with no fresh hiring, unpaid medical bills, in addition to ceasing any construction projects. The AHA survey, released in November last year found that patient visits were static or had decreased during the third quarter of 2008, and the cases of unpaid medical bills for hospitals registered a hike of 8%.

The government’s role in uplifting the spirit of hospitals is being thought to be instrumental as Medicare and Medicaid account for about half of the hospital business industry.

Lead Generation Strategies in Commercial Real Estate Today

When it comes to your career in commercial real estate, your momentum and success will be significantly improved when you have a lead generation model. Far too many agents struggle with the process of servicing the business that they create and then forget about the need for ongoing lead generation.

Exactly who are your clients and prospects? It is an interesting question and it requires a specific your answer. When you know the answer and can see where these people are, you can start to implement your lead generation plan.

So to get things moving ahead, you need a lead generation model that you can implement on a daily basis. This is a personal process and involves a time commitment in your diary. There is no other way to handle the process.

A Crocodile Story

I was recently in Darwin in the Northern Territory talking to some Commercial Agents. Within the team there were some top performers and some very ordinary salespeople. The ratio was 15% to 85%. I think you know how the ratio was biased!

We were talking about the market, and I chose to use a local fact to tell a story. I chose the ‘crocodile story’. As many people will know, crocodiles are prolific in and about Darwin. It is not safe to swim in the sea or the rivers.

The lead generation model is like a crocodile that is continually on the hunt for food in the lagoon or ocean. Failure to find food means that they become weak and eventually will be dominated by other crocodiles in the same area. Over time the weak crocodile will die and be eaten by others.

Unfortunately, the same analogy applies in commercial real estate. Your competitors will take over your listings and your prospects if you do not constantly farm and generate leads. You must build your market.

Relieve the Pressure

You can improve your business momentum, listings, and commissions through a lead generation model. Here are the main rules to the process:

  1. Lead generation requires at least 2 or 3 hours each working day. To make the process a habit, it is best to select the same daily time frame and stick to it. You will find that others within the office may want to change your diary and activities frequently. Develop a habit of good time management and refuse the pressures applied by others.
  2. Good intentions and focus will usually help most salespeople get started with the lead generation model. Within a very short period of time however they see that the process requires a new skill set and mindset. The skills set required are most particularly your voice and your dialogue. Your mindset required is that of enquiring and questioning rather than pitching. Not everybody you talk to should be considered a prospect until you have qualified them. Should not meet with anyone until such time as you have defined an established need and interest.
  3. The parts of the system that you will need to develop start with the necessary daily research, and then flow through to cold calling, meeting people, and maintaining your database. In effect, you are marketing yourself. Without this process, the prospects and the opportunities in the market will not reach you.
  4. The lead generation model should include a strategy of constant contact. That will be the process of reaching through to and touching the prospects that are of some value to you. The process should occur at least once every 90 days. If there is an identified need, you should be talking to the people more frequently.

This process is simple to understand and yet difficult to implement. That is because all the old habits and mindsets that you have developed over the years need to be changed. The first three or four weeks of your lead generation model will be challenging given that new habits are being developed. You must believe in the process and stick with the actions involved.

The Flavorful Delights of Israeli Cuisine

It figures I’m about to start a culinary journey on Israeli cuisine while being exceptionally hungry. In my mind’s eye (and a grumbling stomach) I can see the comfort foods of my youth; foods that might make some people in the world ask, what on earth is that?

There’s no easy way to pigeon hole Israeli cuisine, a blend of cultures from Eastern Europe to the shores of Northern Africa and the far reaches of Asia. Each distinct region has brought Israel to the forefront the very best of their tasty dishes, making the act of eating in Israel a vacation all its own.

Many of you might have already heard of some traditional Israeli dishes. Ashkenazi cuisine comes from the folks from Eastern Europe. These are the same folks that give us some wonderfully sweet pastries, yet gave us borsht and gefilte fish. Go figure.

Sephardic foods come from countries like Spain and Morocco, food like the savory pastry known as bourekas, made with puff pastry filled with cheese and spinach, just to name a few.

I’m getting ahead of myself–I should’ve talked about breakfast first. It is the most important meal of the day, right? Most hotels in Israel are quite proud of their Israeli breakfast, which many promote in order to get you to stay there.

Oh no, my American friends, this isn’t your bacon-laden, side of home-fries meal. Look around, you’ll find bowls of fresh fruit, salads made with finely chopped tomatoes, fish, eggs, bread, and yogurt.

Now that I think about it, almost all of Israel’s dishes center on fresh produce. This even includes the ever popular falafel; fried ground chickpeas stuffed in a pita served with Israeli salad (tomato, cucumber, onion) and tahina.

Oh tahina, a sesame sauce that makes everything taste better. Not that the world’s best street food like falafel can’t stand on its own, mind you.

I think the only thing more popular than falafel is hummus. Made with ground chickpeas, often served with pine nuts or a smatter of olive oil, it is generally eaten with just pita. Hummus is so popular in Israeli cuisine it seems to be a culinary staple, no matter what meal it is.

Food in Israel might be fresh and tasty, but it means nothing if not shared with family and loved ones. That is, unless, you’ve gotten a Moroccan and Tunisian fighting it out over who makes better couscous, a dish made from semolina flour with lamb or chicken simmered with veggies on top.

One of the best ways to enjoy Israeli food with the family is a hafla. This is a traditional Bedouin meal of salads and kebabs with Bedouin pita (known as fatir) served as you lounge on soft pillows drinking mint infused beverages (like tea or lemonade).

Food is so ingrained in Israeli culture so that if you’ve been invited into someone’s home, they will try to feed you. And it’s an insult to refuse–so eat up.

Food even has its superstitions. One lady friend who was going to have a baby mentioned in passing that she was “craving” falafel, only to be handed an entire container of them by her Israeli neighbor soon afterwards, simply because it was “wrong” to refuse a pregnant lady any food she wished for.

You could go on forever talking about food in Israel, and spend another lifetime talking about beverages in Israel. Great, now I’m even hungrier than when I started.–someone pass the falafel, please?

Homeopathy for Piles As Alternative Treatment

Alternative forms of treatment are all the fad recently. Homeopathy is one of these. Homeopathy for piles is considered by many as a practical alternative to other anti-hemorrhoidal treatment modalities.

Homeopathy is based on the principle that the symptoms are the body’s way of healing itself. So instead on suppressing the symptoms, homeopathy induces the symptoms more.

While this may not work for all diseases, it seems to be applicable to hemorrhoids. Basically, the sources of homeopathic agents are Uncategorized like plants. Here are some homeopathic treatments against hemorrhoids.

Aloe vera is one of the most popular homeopathic treatments against hemorrhoids. It can be easily be bought and grown. A medicinal preparation is also easily made directly from the Uncategorized plants.

One way is to make a suppository from its leaves. Just cut off the leaves and collect the gels coming out from them. Cut the gels into thin strips then freeze overnight and the frozen gels will serve as the suppositories.

It is also available as an ingredient in topical agents. It is indicated for protruded external hemorrhoids which are often bleeding. Do not use it if pregnant or has diarrhea.

Collinsonia is said to be a very effective anti-hemorrhoidal homeopath. It can be prepared into a tincture which is recommended for constantly bleeding piles. It is even safe for use among pregnant women.

It is especially effective for itchy hemorrhoids and may even address the constipation. The best thing about it is that no side effect has been found so far.

Sulfur is another agent used for hemorrhoids. It is a mild astringent as well as being antibacterial. It is particularly used for hemorrhoids with diarrhea, flatulence, intense burning, abdominal fullness and other stomach discomfort. Oral capsules are available as preparations.

Aesculus or horse chestnut is another homeopathic remedy. It is best for very painful protruding hemorrhoids, with the pain lasting long after the passage of stool. Headache, rashes and dizziness are common side effects.

Hamamelis or witch hazel is another famous homeopathic product and is a common ingredient in Uncategorized-based creams and ointments. They are good in stopping the bleeding as well as shrinking the enlarged hemorrhoids resulting to reduced pain. There are no known side effects so far but you may watch for rashes or dizziness.

Most of these homeopathic medications are available as oral capsules in different doses or as topical products. Since some of them are not yet scientifically proven effective and safe, be wary in initial doses and observe for reactions. Generally, however, homeopathy for piles is a good alternative that you can inquire about on your next visit to the physician.

Quick Finance – Caveat Loans And Bridging Finance

Short term loans help people lessen their immediate money troubles, because of increasing everyday expenses and no sufficient income to meet the requirements. These loans by and large come in a shape of payday loans, in that you can obtain immediate cash with the settlement time between two and three weeks. Lots of lenders in Australia offer their service online that let you submit an application for the finance, 24 hours a day and 7 days a week.

If you need fast money, then a caveat loan, short term loan or bridging finance from any Australian finance Centre can help.

Caveat loans

Fundamentally, caveat loans are all about when lenders offer the borrower fast money, in return for their property as defense for the finance.

The submission of applications for these loans is extremely quick, and it is likely to be short term from approximately one month to four months. Usually the borrower can get the money inside 24 hours after the request has been launched, and in the majority of cases, having a bad credit documentation does not have an effect on your possibility of successfully achieving it. In other words, these loans are finance for property.

The reason caveat loans are provided for assets is since the borrower have to secure an asset against it, and the majority of the time, the assets consists of realty properties or vehicles, as other kinds of assets are usually not acknowledged to be a defense for such loans.

Bridging Finance

By explanation, Bridging Finance is a short-term loan used to buy business property.

This is something that can come in very helpful, conditional on your particular circumstances. There are two major points that you need to think about before you choose a Bridging Finance package, your wants and the condition of the property market.

One of the main benefits of Bridging Finance is that it will let you close on a property and buy a new property before you get rid of your existing one. You will need to assess your present situation to decide if your wants give good reason for taking on this sort of finance.

Paying off your Bridging Loan at the ending of the term usually depends on your capacity to sell your existing property. If it is not sold in the obligatory time, then you will have to pay the existing loan on your present property, your new property and the newly transformed Bridge Finance, too. If you think that this might be the likelihood then be sure to take a package that can be changed to business Loans if the need comes up. Or else, you might have to come up with the complete finance amount at the conclusion of the funding time.

Thoughts On How To Watch Your Cash Flow

How do you watch as cash “visits” your business? Your answer matters.

Sometimes your thoughts on how to watch your cash flow matters more than you may realize.

Why? Because your expenses are your investment in your future.

Watch your cash.

Seriously. This matters for success. Your cash stash represents your ability to persist.

Your ability to persist equates with your ability to succeed. Because you’re going to run into situations where your effort over time comes to define your business.

For good or bad! Persist over time and you will succeed.

Don’t give up! Refuse to quit!

Do you know what happens when you get that right? You can figure out what to do to succeed.

This is one of the most important lessons for small business owners. It is also among the most misunderstood of all lessons that can be shared.

Small businesses most often fail because of cash problems.

In fact, 80% of small businesses fail within their first three years.

Failure! End of venture! Not from a lack of profitability!

Watching cash flow is the life blood of your business:

  • Your business pumps fresh cash in as INCOME.
  • Cash comes IN
  • In time for
  • Your business to pump that cash out on bills for EXPENSES
  • Cash goes OUT

I mean, profit is important.

But Cash Flow is King!

You can be profitable beyond your wildest dreams and plans – and still fail because of how you handle cash.

You want to do things to get cash working well in your business. That means watching!

Noticing! Paying Attention!

As in caring a lot! Care enough to take action!

Awareness! Be ready and willing to change behavior.

Because as important as cash flow is for all business? To do business online successfully, what you need most is you.

Just YOU!

(1) Focused.

(2) Preparing.

(3) Doing the right stuff

Getting good habits! For example:

As you part with cash, ask yourself how you’ll be causing that expense to generate income.

You may be surprised to find out that some of what you spend a little bit on is where investing a lot more is wise.

Paying attention to cash flow is not always about spending less.

Observe expenses. Care how expenses generates income.

Be willing to adapt based on cash flow. Every business is different.

Watch your cash! Care about your thoughts on how to watch your cash flow.

Online Directory Tips

A directory is a list of all the possible services and businesses in an area. Before, the go-to book of every individual was the yellow pages directory. But now that the advent of technology has taken over, we move forward to a dynamic type of directory on the internet.

The dynamic directory listing scheme is a directory where every list has a special treatment, or so to say. Unlike the traditional yellow pages where the contact number and address are the only information available, the dynamic directory allows the viewer to feel the place within a click. There is the availability of the pictures, a virtual tour and videos. This feature would enable one to really have a glimpse of the place without actually having to go there.

It does not matter whether or not your directory is geared towards the local business community or the international arena, it will always be best to have a directory that is content specific. This will create a community within the website. Below are ways to have a better directory.

Create a forum – A forum is a webpage where users from different places could comment and stimulate discussions regarding a certain topic. When you create forum that details all the topics within your directory, people can discuss issues, tips and bugs. This way, people can talk to each other and you can monitor their problems regarding your website at the same time.

Have a news section – People love it when you have updated information on your website. When a person goes to your website and sees no changes, chances are they would look for another website that is worth your time. It is sort of hitting two birds with one stone. One, you attract people to your site and two, you give them useful information.

Announce events – Aside from creating a directory list, it would be best if you would allow your users to announce events to fellow users as well. This would increase their audience and at the same time find sponsors for their event. Think of it as doing your users a favor for the patronage that they have given to you.

One site off the net is one offered by Elumba Technlogies. They have been in the business for song long already. They have dynamic directory listing and has been on the internet for how many years already. You may also resort to other sites which offer the same features.

Riding, Running and Rebounding For Health and Fitness

What do horseback riding, cycling and running all have in common? Simple! They all require a strong, lifted core to execute and maximize the exercise. That means that rely on the use of the abdominal center, erectors of the back and spine, tuck of the butt and lift of the lower back to maneuver and they also require/benefit from open, lifted and proud shoulders.

It also should come as no surprise that the cross-training benefits of yoga and pilates, in building core strength, re-aligning musculature and developing mind-body connections are transferable to these exercise disciplines. What might surprise and delight is the use of a rebound exercise tool, the Kangoo Jumps, as a recommended resource for the devotee of riding, cycling and running to maximize cardiovascular training and effectiveness.

A young woman wrote to me recently, looking for a way and a recommendation as to how she could put less stress on her body (knees, joints, ankles, hips) while gaining aerobic and cardiovascular conditioning. A lover of Pilates and equestrian sports judge by profession, she wanted a way to maximize her fitness programming, increase her cardiovascular fitness training while preventing injury to her body. She didn’t want to run anymore because of the stress and strain it caused to her knees. I knew her connectedness to nature, the outdoors and the feeling of control through movement was tantamount to finding success for her training. While I don’t ride horses, I do understood the desire to avoid the body breakdown caused by of running. Torn, as she was, as I find it to have the closest connection one can duplicate to the experience of riding in the open, free space and having a connected feeling to the elements.

I understood the need to avoid the body breakdown as it was my personal pursuit a few month earlier. As an exceptionally active person, the older I got, the more pounding, I experienced on my knees, heels and hip joints and less and less I enjoyed running 3 miles, 2x week to keep my weight in check. As a result, last spring, I bought a pair of Kangoo Jumps and totally eliminated the pain (and recovery) in each and everyone one of my workouts. For that reason, I recommended the same option to her.

The shoes are based on rebound exercise and are a low impact rebound sport shoe designed to provide a safe platform for jogging and other exercises that are hard on the joints. The boots use a lightweight spring to absorb the shocks due to impact on the ground and create a rebound effect that reduces shock impact on ankles, knees, hips and lower back. They are Swiss designed for joggers, however, they also provide benefits for athletic strengthening and conditioning, rehabilitation and injury prevention and group aerobics. The unique “floating above the ground” sensation created by Kangoo Jumps has to be experienced to be understood.

Core balance and control are two other variables (and benefits) of using the shoes for training.

Quality vs Quantity

Kangoo Jumps deliver the benefit of 50-minutes exercise in only 20 minutes and the injury prevention potential has already caught the attention of several elite football teams. The boots can be used indoors or outdoors on paved roads, dirt paths and grass as well as at the beach or on snow. N.A.S.A. has found rebound exercise to be the best form of exercise for astronauts because it restores bone and muscle mass lost during time spent in outer space. Consequently Kangoo Jumps are recommended for people suffering osteoporosis, with the “slow-motion” steps and exercises of Kangoo Aerobics make it suitable for middle aged and senior people.

Other Cardiovascular Options

The other option I recommended, and one I personally use during the warm weather months, to avoid joint pain, is a road bike. A road bike and a trail can make a world of difference in clearing your head while building cardiovascular strength. Climbing hills with a bike will give anyone keen cardiovascular training.

As a Pilates and equestrian sports devotee, my friend already understood the reliance on core strength and easily made the connection that these two disciplines were good cross-training modalities to support the prevention and overuse of muscle and back pain; typical injuries and imbalances caused by cycling.

6 Great Reasons to Visit Grenada in the Caribbean

Grenada is a beautiful island that sits close to Trinidad and Tobago. Most famous for it’s beaches, almost perfect weather and people, it’s also got a ton of great tourist delights. There are many incredible reasons to visit Grenada including the beautiful vegetation, the carnival and laid back vibe. Whatever your motivation, here are the top 6 reasons for visiting the Spice Isle.


If you want beaches and you want them with white sand and warm crystal clear waves lapping on the shoreline, then you’ve got the right island. The strongest point of most islands, you get a lot of beaches! Grand Anse is beautiful but then so are the other beaches further north such as Levera, Sauteurs and the one on Sandy Island is truly unbeatable!

The People

Friendly, polite and generally very considerate, the locals like to meet tourists. They are very helpful and will go out of their way to ensure that you know where to go and what to do. Their warmth and generosity of spirit will come across rapidly.

The Food and Drink

The fresh produce is fantastic on this very fertile island. Of course, the climate has a bit part to play in this. Make the most of trying the more exotic items on the menu such as friend breadfruit, avocado juice, soursop and papaya. You’ll get a true taste of local life – and it’s good for the body!

Grand Etang

This nature reserve is part of the rain forest. You can opt to hire a professional guide who will show you the most interesting points of the reserve. Look out for Mona monkeys, hibiscus bushes, hummingbirds and other rarely seen fauna.

Sandy Island

Truly a paradise island, this trip should not be missed. It’s a 40 minute boat ride away but you’ll think that you’ve landed on a tropical nirvana. Whilst you snorkel your fish will be seasoned and cooked on the open fire. There is also a hurricane damaged resort. Take sun protection with you.

The Leatherback Turtles

These astounding pre-historic marine creatures will blow you away. They swim up to 10,000 miles every year to feed and mate. They weigh over a tonne and will land on the beach, dig a hole for their eggs and then make their way back down. If you want to be touched with nature – this is the trip for you.

Grenada is a beautiful island and is one of the quietest large Caribbean islands. Be sure to visit and enjoy it’s wonders.