First there are the captive finance companies. Think of them as the financing arms of all the major manufactures. They exist solely to provide financing to the public in an effort to sell their trucks. In the past they have been somewhat liberal in their underwriting criteria and like the mortgage industry perhaps too liberal. This relaxed underwriting of the past has caused serious defaults today. This has resulted in a subsequent tightening of credit. The end result is the selling of less trucks and trailers; customers have a harder time getting financing. Nonetheless, the captive financing company will always be part of the commercial truck financing game.Second are the independent financing companies. They are not tied to the manufactures in any way. They exist to make a profit from financing commercial trucks and other equipment. They can be a welcome alternatives for several reasons. First they can be someone to turn to if a good credit customer is “tapped out” with the captives. This means they have already financed trucks with the captive financing companies and they don’t want to do anymore for the customer (at least for now). These “A” credit sources are competitive on rate with the captives and, using different independent sources, a customer can finance an unlimited number of trucks. Independents are great for other reasons too. Say a customer wants a TRAC lease with different parameters than what the captives are offering. They can search for an independent that can tailor a TRAC lease for that customer. This is invaluable for the more sophisticated customer that has tax structure as their main objective. Here’s another one, we have customers calling us all the time that may only work nine months out of the year. They need financing that can offer skip payments. This way the customer can make nine payments a year instead of twelve; taking three months off of making their payments. One last one that hits home with us, the customer with bad credit. A captive financing company generally works only with people with good credit. For the customer with bad credit, their choices are limited. Thanks to independent financing companies (like ours) that specialize in customer with bad credit; these customers can get the financing they need to start or grow their business. Think of independent financing companies as offering financing products that can accommodate almost any need.The third financing arm for commercial truck financing is the in-house financing program. Usually offered by the smaller vendor, in-house financing offers benefits for both dealer and customer. By offering financing in-house the dealer is able to move more inventory than if he didn’t. This is important because a smaller dealer doesn’t always have a captive finance program. And with credit tightening up the independent financing companies are becoming less important. The dealer can act like an independent financing company by offering all the same products while keeping the benefits of earning interest on the trucks they sell. The bad side, of course, is they also suffer in the case of defaults where the customer stops making payments. The benefits to the customer is they have a one stop shop where they can finance a truck at the same place they are purchasing it from. Downside is they are limited to their inventory.This information will help you become a more educated consumer. By know who the players are you can better approach how to finance that commercial vehicle. Good luck!

Online business like any other business requires your dedicated time and efforts. As most of the things online will be unknown to the beginners, they should put more time in learning and implementing the things. There will be a lot of experimenting in the beginning phases to find out the right mix of business tasks and strategies which can be done to achieve the goals set for short term as well as long term.Most of the people who start their online business fall for the trap of quick and easy money. The four magically words have been used time and again by scrupulous marketers successfully to make people purchase their products. Although internet is known to make millionaires in the shortest period of time, there is no easy money in the online world. There is a lot of hard work put behind getting the things done. This part of the business is never told by any marketer to the people. The people are usually shown the success which they have achieved after implementing a particular strategy.A person should have a proper business mindset and not fall for any ‘get rich quick’ scheme which asks him to shed his hard earned money. He has to first decide the route he is going to take towards building his online business and stick to it no matter whether he finds success in the beginning or not. Most of the proven business models have a moderate gestation period. This is the period where you will be working but you cannot see any tangible results. Most of the beginners will stop at this phase and not continue. Only those who continue will see results and will achieve their business goals.It is in the best interest of any person who is beginning online to be wary about the business models which will reap benefits within a very short period. Although some may be true to some extent, but, when there are big changes in the online community the income source will dry up very quickly and leave you stranded in your path to financial freedom. Therefore, the first and foremost thing to do while building your online business is to see what the other successful online business owners are doing and follow their path.Most of the beginners think that in order to be successful online they have to do something novel and be in the limelight. But, if we consider the cases of successful people, most of them have followed what their mentors or other veterans in the industry have been doing. When you start seeing results you can then develop your own system and be a pioneer in the industry. Until then following others and reaping the benefits is a sure-fire way to earning money online.Like any other business, even the online business has customers who have to be taken care of. Although there is no physical interaction between the buyers and sellers, the online world does have a very established system through which transactions take place. To be successful online, you have to see that there is a constant flow of customers to your site and a system to capture their details to contact them again for future promotions or offers.Many online marketers refer the customers to a site and earn commission on the purchases made by them. This will require a consistent effort on part of the marketer to bring the customer every time to the site. He might have chosen various traffic generation strategies, but in the end if the customer doesn’t buy on that site he will lose his customer forever. Hence, it is prudent to make the customer leave some of his details like email address and name on the site so that you can contact him again in the future without any efforts to generate traffic.Most of the people think that an online business gives you the freedom to travel or be at home and work at any time you want. Although this is true to a certain extent, it does require your dedicated time to get things rolling. Even if you are travelling you will have to spare some hours each day to do the tasks required for your business. The only benefit of such a kind of business is you can fulfill all your desires while you are young and also earn money by doing business. Moreover, you can scale the online business and have multiple income sources bringing cash for you simultaneously. This alone should fuel your enthusiasm for working hard in the beginning so that you can earn easy money in the coming years.

Building health related social networking sites require much-needed features like online health communities.Many illness sufferers are now participating in online illness specific communities, discussing their experiences. We all have sick friends and family members, and now thanks to e-mail, live health chat, health forums, medical blogs, video sharing and other online resources, we have become much more intimate and the supportive environments are helping those with serious illnesses and diseases.Social networking sites may have such supportive environments, however without an online health community, health related social networking sites simply become another social networking site.There are many challenges faced by most social networking sites and the most common is getting people back onto the site. How do we engage people in health care services and have them coming back to the social networking site on a regular basis that is not for a recreational means? One answer is ensuring the online health communities are active and relevant to the users of the site.The second most common challenge is how to create synergies among the different services offered by the social networking sites and what are the differentiations between these sites to better compete in this niche market. One answer is ensuring the online health communities are offering meaningful information related to the illness sufferers and ensuring that the “big brothers” or advocates of the social networking sites are keeping the health content up to date and relevant for all users of the site, be it illness sufferers or family and friends of illness sufferers.These online global health communities are emerging as a new medical domain and require illness sufferers to join to help keep the online global health communities afloat. These online health communities are open to all: illness sufferers, family, friends, professionals, and researchers. People seen within these communities are a valuable health resource to others suffering from the same illness or disease.People within these health communities are strong advocates, making others aware of what it is they are suffering from and detailing their experiences. These people can be seen as “big brothers or big sisters” to others within their community. They frequently post content designed to help others, and to respond to the questions posted by others.Quality of life improves when the illness sufferers are in control of their illness or disease, and the communities provide illness sufferers this support. The greater the community, the greater the support. All communities require growth, growth by visitors and growth by registered members participating in discussions.

For those looking for an interesting profession in the medical services field, becoming a pharmacy technician or ‘PT’ can be a great option for the right person.It is a detail-oriented job in a growing industry, so there are many opportunities available all the time and estimations are that job availabilities will continue to increase over the next few years.Before deciding that becoming a PT is the job for you though, it is important to have a good understanding of the pharmacy technician job description in order to decide if this is the type of work desired.With a good knowledge of what this profession requires in regard to jobs performed, interested students should be able to enroll in school or training in confidence that this is what they want to do afterward.Pharmacy Technician Job DescriptionAlthough there are numerous setting where PTs can work such as hospitals, retail pharmacies, outpatient and inpatient centers and more – all of which will have some specific duties – their main job is to provide assistance to the registered pharmacy on duty. Most of the time this includes tasks such as:- Receiving prescriptions to be filled, either from retail customers or from hospital staff, for their departments;
- Counting, packaging and labeling prescriptions;
- Dispensing medications to customers in retail environments;
- Dispensing medications to patients and/or nursing staff in hospital environment;
- Accept payment for prescriptions;
- Overseeing medication inventory;
- Keeping medication inventory records;
- Ordering and stocking medications;These duties usually make up the bulk of what a pharmacy technician does, although in retail PTs usually handle other retail duties as well, such as general stocking and straightening, customer assistance throughout the store, and even discussing with customers the use of their medications.In specialty settings like compounding pharmacies, duties would likely include assisting in mixing medication formulas like ointments, syrups and other medicines that are sometimes specially prepared, then shipped to retail locations, or to patients themselves.Working at a compounding pharmacy especially requires the hand of a skilled technician who is very detailed, since this involves understanding medication dosages and mixing prescription strengths.Then, there are also positions at companies that manufacture medicines where job duties include things like quality control and packing and shipping medicines to hospitals, retail stores and other pharmacies that sell medications.Differences in Pharmacy Technician RolesAlthough many times a “pharmacy technician” job will get lumped under that one title, there are actually different classes of PT. There are positions where the technician works very closely with the licensed pharmacist and can do more detailed and technical jobs like compounding and delivery of medications to hospital patients or staffs, and then there are positions where the technician mostly sells already-prepared prescriptions to customers, and other more routine tasks.In some places such as the US, these positions are not always recognized as being different, but based on schooling and certification, they can be very different. A schooled PT holds the title of Certified Pharmacy Technician (CPhT) and usually qualifies to apply for more technical jobs in the field.Those without their CPhT many times will only be considered for the less-qualified, retail positions. In the UK and some other countries, there are specific job titles that mark the differentiation:PTs are those who have fulfilled the higher schooling and job experience requirements while Pharmacy Dispensers are those who are qualified for mostly selling medications to patients in a more retail setting. Technicians are able to give medication advice to customers as well while Dispensers are not.Salary Differences Depending on Pharmacy Technician Job DescriptionBased on the differences in pharmacy technician roles, there are generally differences in salary as well.The less skilled positions – while they can still command a respectable salary that is considered at least average by most healthcare professions on this level – earn between 25 and 50 percent less than the skilled, certified pharmacy technicians, with salaries that can reach as high as the upper $50,000 per year or more.This is something that potential pharmacy technicians should definitely consider when trying to decide on which schooling to take.With this look at what a current pharmacy technician job description entails, it is hopefully easy to see that while the bulk of job duties any pharmacy technician should expect to perform are similar, there are some definite differences.Based on job experience, schooling and position held, some pharmacy technicians will perform more exact tasks, so their need to take their position very seriously is paramount.Also, depending on the job, amount of time spent working with the public directly will vary. Understanding all of this can be a good aid in deciding which type of schooling to enroll in, and what type of professional position is favored.

Parenteral nutrition refers to nutritional support provided by an intravenous route. Access may be a peripheral vein or central vein. Peripheral venous access is usually used for short term support and limits the volume of fluids and nutrients that can be delivered. Whenever possible, enteral nutrition is preferred in order to provide nutrients to the gut and maintain the intestinal barrier.Indications for Parenteral NutritionParenteral nutrition is used in cases of gut failure or severe gastrointestinal disease. Catheter-related sepsis is a significant risk in immunocompromised patients. In HIV/AIDS, TPN will induce weight gain, the composition of which depends on the underlying etiology of the malnutrition. Septic patients tend to gain primarily fat whereas those with malabsorption or inadequate dietary intake gain more body cell mass. It is possible that this modality may not be widely available throughout the Region. However, it is an option that should be pursued when necessary.Components of Parenteral NutritionThe solution for parenteral nutrition consists of nutrients in their simple form,namely dextrose, amino acids, lipids and micronutrients. Dextrose is the monosaccharide that provides the major source of non-protein energy. Each gram of dextrose in parenteral solution provides 3. 4 kilocalories or 14. 2 kilojoules. Carbohydrate should be provided in adequate amounts to spare protein, but not in excess as this may cause hyperglycemia, fatty liver or other complications. The recommended rate of dextrose infusion should not exceed 4 to 5 mg/kg/minute. Amino acids provide protein to maintain nitrogen balance and prevent degradation of somatic proteins. Protein requirements are calculated based on clinical condition and goals of treatment. Amino acid solutions provide 4 kilocalories per gram or 18. 1 kilojoules per gram. Parenteral lipid emulsions provide a concentrated source of energy and essential fatty acids. They may be used in conjunction with carbohydrate and amino acid solutions or alone for caloric enhancement. The energy content of lipid emulsions depends on the formulation. ten percent yields 1. 1 kilocalorie per mL; 20% yields 2. 0 kilocalories per mL; 30% yields 3. 0 kilocalories per mL. There is some evidence that parenteral lipids may have a negative effect on immunity. In patients with HIV infection lipids should not exceed 30% of total energy intake or 1 g/kg/day. Hyperlipidemia may also develop if lipids are not cleared. Thus serum lipids should be monitored at baseline and regular intervals thereafter. Micronutrients and electrolytes are provided as standardized components of parenteral solutions. These may be modified according to the needs of the patient.Anabolic TherapyNutrition support will usually result in weight gain, but for some PLWHA, classified as non-responders, there is evidence of an anabolic block, whereby the regained weight is composed of a disproportionately high amount of body fat with limited accretion of lean tissue. This phenomenon can be identified with body composition analysis. Thus,although re-feeding is always necessary, it is not always sufficient for some individuals. In cases where lean tissue gains are insufficient, an anabolic agent may be required such as testosterone replacement. Other anabolic therapies that have shown favorable results include Oxandrin, Decadurabolan, and Recombinant Growth Hormone.Palliative CareWhen AIDS patients become terminally ill and medical care becomes mainly palliative,not curative, the nutrition care plan should reflect the overall goals of care. Nutritional therapy is directed to alleviating symptoms and providing comfort. Nutrition support should be considered to improve quality of life if the patient, caregivers and medical team agree to this intervention.Common Dietary ProblemsDuring the course of treatment and care, many dietary problems can arise. Strategies to help alleviate common problems are addressed inPregnancy, Lactation and HIVPregnancy, lactation, and HIV disease engender physiologic stress, with increased nutritional needs for energy, protein and micronutrients. It is well recognized that the nutritional health of a pregnant woman influences pregnancy outcome. Nutritionalstatus has even greater implications for the HIV-infected woman who is at higher risk of premature delivery and having a low birth weight infant.Low birth weight infants have an increased incidence of infant mortality as well as medical and developmental complications. Other risk factors, such as pregnancy during adolescence, substance use, opportunistic infection, low pre-pregnancy weight and inadequate gestational weight gain impose further risks of a poor pregnancy outcome. Moreover, vitamin A deficiency has been associated with poor pregnancy outcome and increased risk of perinatal HIV transmission. Pregnant HIV-positive women should be referred early in pregnancy to a dietitian or other suitable health care professional for counselling to optimize nutritional status and improve pregnancy outcome. It is essential to assess complementary therapy use, as mega-doses of vitamins and some herbal preparations are contraindicated in pregnancy.Weight Gain in PregnancyRecommended weight gain based on pre-pregnancy weight:Underweight (BMI 25):Nutritional Requirements12. 5-18. 0 kg11. 5-16. 0 kg7. 0-11. 5 kgAccording to the Recommended Dietary Allowances for use in the Caribbean, the following requirements for pregnancy/lactation are in addition to the requirements for HIV+ women:4? Additional 285 kilocalories per day to support fetal growth and developmentAdditional 6 grams protein per dayPrenatal multivitamin-mineral daily (to include at least 0. 4 mg folic acid)Other micronutrient supplements as needed (e. g. iron, calcium)Lactation: additional 500 kcal per day and 11 grams of protein Vitamin A:Maternal vitamin A deficiency is associated with increased risk of vertical HIV transmission to the infant. However, there is little evidence that vitamin A supplementation of the pregnant woman reduces the risk of HIV infection to the infant. Moreover, high doses of vitamin A can be teratogenic. Should supplementation be necessary, the following WHO guidelines can be used.Iron deficiency anemia is highly prevalent in pregnant women throughout the world. Anemia is associated with increased risk of maternal and fetal morbidity and mortality, as well as intrauterine growth failure. Iron status should be assessed and deficiency should be treated. WHO recommend that women receive 60 mg iron during 6 months of pregnancy and 120 mg per day to treat severe anaemia.Folate deficiency:Folate deficiency causes megaloblastic anemia and is associated with risk of neural tube defects in the infant (e. g. spina bifida). WHO recommends 0. 4 mg folate supplement daily.

Diet and nutrition products have helped countless individuals maintain a healthier lifestyle, by providing essential vitamins and minerals in an otherwise poor diet. Diet and nutrition is important for everyone but it is especially important for runners, or for those who exercise vigorously. If you are dieting, you are ill, or you are regularly eating a fast-food diet, you should be especially concerned about what you and your family are getting as proper diet and nutrition from your food.Nutrition is important for everyone because food gives our bodies the nutrients they need to stay healthy, grow, and work properly. In 2005, the government’s revised Dietary Guidelines for Americans introduced the term “nutrient density,” which sounds complicated but simply refers to how much nutrition a food provides. Nutrient density is especially important when overall nutrition and health is considered.Experts believe these nutritional substances may help prevent heart disease, fight certain cancers, ward off dementia, and even slow certain aging processes. And so if you are like many of us, not quite hitting the entire food pyramid, you might be trying to outwit your body by giving it nutritional supplements to make up for the sins of food-group omissions.Even the results of the best diet supplements are improved by proper nutrition and regular exercise, because when people eat healthy foods and exercise, they feel better, have more energy and are less prone to health problems. Health and nutrition products can help ensure that adequate levels of nutrients provide your body what it needs to stay healthy.Nutritional snacks can be very important to our overall health and nutrition. When you snack, you can fill in nutritional gaps, if you boost your intake of fruits and vegetables. This helps you keep your mood on an even keel, and helps with appetite suppression and weight control. However, snacking can be a bad thing too, and can definitely contribute to weight gain. If you’re searching for a villain in America’s obesity epidemic, most nutritionists tell you to put one picture on the wanted poster: a cold, bubbly glass of soda pop.Good nutrition is one of the ways the body restores itself to health. Restoring and maintaining good nutrition is a key principle in the management of diseases like Irritable Bowel Syndrome. Diet and nutrition concerns of patients with inflammatory bowel disease are extremely common, and appropriate. Because IBS, Crohn’s disease, and ulcerative colitis are diseases of the digestive tract, it is only natural that you will have many questions about diet and nutrition, if you have been diagnosed with one of these disorders. As research continues, we will learn even more about the relationship between nutrition and IBS, Crohn’s disease, and ulcerative colitis, and how to treat and or avoid them altogether.As you can see, good nutritional habits and adequate caloric intake are very important. However, it’s desirable to also maintain intake of at least some dairy products because they represent such a good source of nutrition, particularly calcium and protein, contributing to even more good nutrition. And, good nutrition quite simply equates to good health.In summary, while diet and nutrition may not play a role in causing IBS, and some other digestive diseases, maintaining a well-balanced diet that is rich in nutrients can help you to live a healthier life. As stated earlier, if you are dieting, ill or eating a fast-food diet, you should be concerned about what you and your family are getting as a proper diet and nutrition from your food.Or, maybe you feel as though you are just missing something while trying to sift through all the information out there about diet and nutrition. Either way, it is up to each of us to learn all we can about diet and nutrition, and then to apply that knowledge to our own lives. Good nutrition puts us on the path to good health, and good health is something we all should desire in order to live and be happy.