Livingston Reporting - page 38

Requiring Private Construction Bonds

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While public (federal, state, or local agencies) projects are required to provide performance and payment bonds, private construction generally does not require bonds. For privately-owned construction jobs, it is up to the owner to secure a bond. 

While most contractors will work with a surety to provide the bond, some contractors will make it mandatory for the owner to pay for the bond. Depending on the contractor, size, type, and duration of the project, bonds can range in price between one-half to three percent of the contract.

Some of the reasons why private owners elect to secure bonds include: 

  • Lenders: Owners may be required to provide bonds if a lender is financing the job. 
  • Contractors: Sureties will thoroughly screen contractors for proficient operations, management, experience, and financial stability. 
  • Guarantees: Bonded projects are more likely to be completed.
  • Support: If trouble emerges, the surety will intervene and offer support to avoid default. 

Private owners choose to forgo bonds because: 

  • Price: Bonds are expensive, and it can be challenging to justify higher expenses. 
  • Vetting: Financial and other records are generally difficult to obtain, but some contractors provide access to sureties.
  • Contracts: Countless provisions require clear communication between the surety and contractor.

Practically speaking, securing bonds for privately-owned construction jobs depends on the experience of the contractor, size, and nature of the project. Bonding might be justified if the project is big but the contractor is smaller. If the contractor is unfamiliar with the structure or components, a bond might be a good idea. Lastly, if a private construction job does require a bond, it is imperative for the owner to review the form with an attorney to ensure everyone will comply with the stipulations. 

At Construction Bonding Specialists, we work with new and experienced contractors to find the most satisfactory bond solutions. As a distinct surety-bond-only agency with decades of bonding experience, we work to discover surety solutions for all types of cases ranging from ordinary to challenging. Call us at 248-349-6227 to learn more.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/ 

Construction Bonding Specialists

Video Radiology Helps Patients Better Understand Test Results

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Video radiology reports are made for specific patients using simplified language and clearly annotated images to help them better understand test results, according to a novel study published by the American Journal of Roentgenology. 

Radiologists at NYU Grossman School of Medicine lead the study in collaboration with Visage Imaging GmbH and Siemens Healthineers. The study outlines how radiologists can create these patient-focused videos in under four minutes, delivering the results directly to patients and referring partners through an integrated patient portal. 

Lead author of the study, Michael P. Recht, MD, the Louis Marx Professor of Radiology and chair of the Department of Radiology at NYU Langone Health, said, “For decades radiologists have provided traditional radiology reports that are full of medical jargon and extremely difficult for patients to understand and decipher. Our findings demonstrate that when radiologists take a more active role in patient-centered care and provide helpful information about a particular diagnosis in an easy-to-comprehend manner, both the patient and clinician benefit.”

More than 100 radiologists at NYU Langone Health generated more than 3,500 video radiology reports during a four-month span between September 2021 and January 2022. All imaging modalities were used in the reports, such as MRIs, mammograms, X-rays, CT scans, ultrasounds, etc. 

The average length of each video report was 55 seconds. In a survey, 91 percent of patients reported they preferred both a written and video radiology report, suggesting it was helpful at showcasing the most imperative aspects of the overall report.

Researchers created the video radiology reports with Visage Imaging GmbH to integrate and build a tool inside the Picture Archiving and Communication System (PACS), which radiologists use to read imaging studies. 

After a series of images were identified, they were brought into the diagnostic viewer screen and recorded with audio while a mouse was used to identify notable anatomical anomalies. 

The NYU Langone Health MyChart housed the video radiology reports on the patient portal, with personalized clinical notes and a complete written report. 

Dr. Recht said, “Our study disrupts the old adage that radiologists ‘sit in a dark reading room all day’ and are invisible to patients. Through projects and research like this, our radiologists take a more active approach to patient-centered care that allows our department to provide exceptional, world-class care.”

Acceletronics is an industry leader in delivering the best equipment performance and service reliability from CT Scanners and Linear Accelerators across all major brands and models. Call 610-524-3300 to learn more.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

Acceletronics

Reconditioning Industrial Circuit Breakers

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Electrical systems should have an industrial circuit breaker to protect your crew and equipment from danger. These can range from several hundred to tens of thousands of dollars. If industrial circuit breakers become damaged, they must be serviced or replaced immediately.

One option for fixing industrial circuit breakers is recognized by the ANSI/IEEE, which is the process of reconditioning. It is defined as “The process of maintaining existing power switchgear equipment in operating condition as recommended by the manufacturer’s instructions, using only the original manufacturer’s recommended replacement parts, without altering the design.” 

Below are the five steps taken to ensure a quality reconditioning process:

  1. Inspection: A visual analysis is performed to pinpoint mechanical damage, missing parts, discoloration, etc. The breaker’s trip settings are recorded, along with the breaker’s overall electrical condition. 
  2. Disassembly: Defective components can more easily be identified after the breaker is deconstructed into its component parts. Components labeled by serial number are not commingled with others. All parts are thoroughly inspected, cleaned, lubricated, repainted, and replated as necessary. 
  3. Reassembly: Components are put back together with precision, ensuring all bearings, pins, retainers, nuts, bolts, and hardware that show wear are replaced with OEM pieces. All contact pivot surfaces (stationary and moveable), operating mechanisms, linkages, and bearings are lubricated based on the manufacturer’s recommendations. Afterward, they are adjusted and aligned for mechanical integrity and tension. 
  4. Testing: After the circuit breaker is reassembled, it must be tested to make sure it works properly. The trip mechanism and indicator is tested to ensure proper operation. A record of the amount of electricity required to trip the breaker is also documented. Once they are in working order, low-voltage breakers must be tested as well. Electrical operation including the spring change motor, closing operation, shunt trip, and more are all tested to ensure proper functionality.

Reconditioned breakers are thoroughly verified to be safe. The fundamental role circuit breakers play in the safety of electricians, and electrical equipment is paramount. 

Are you looking for genuine reconditioned electrical parts? You’ve come to the right place! Check out our expertly assembled refurbished products today.

J&P Electrical is a full-service electrical supply company. At J&P, we source contractors, end-users, and supply houses with new surplus, quality reconditioned, and obsolete electrical equipment. We also purchase a wide range of heavy industrial electrical equipment such as bus plugs, bus duct, transformers, circuit breakers, fuses, and switchboards. Call us at 877-844-5514 for assistance.  

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/ 

J & P Electrical Company

Direct Mail Tips

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Direct mail has one focus: to be opened. An assortment of tools and tactics can help your direct mail be opened in the hands of potential customers. Once they are drawn to the mail for whatever reason, whether copy, images, ink, paper weight, etc., they are more likely to open it.

When judging mail by its cover, the envelope is the first thing potential customers see. Plain envelopes are “blah” and don’t attract attention to the target. Instead, opt for an inviting, exciting, and unique envelope. With more differences to set your mail apart from other envelopes, the chances of it being opened are much higher.

Ultimately, direct mail envelopes should reflect the contents, but consider how people will be intrigued or how their attention will be drawn to it. Below are some suggestions for achieving stellar direct mail envelopes.

Color
With solid-color envelopes or full-bleed 4-color images, your message will really pop. Look up some color charts to discover which types of emotions you are trying to provoke. 

Copy
Personalize the envelope or add an intriguing sentence to get your envelope opened. 

Size
Consider using unconventional sizes or custom shape cuts to achieve a different look.

Paper
The United States Postal Service has requirements for thickness, but you can still take advantage of various paper stocks, embellishments, finishes, and embossed text. 

Eco-Friendly
Consumers love making a difference; depending on your target audience, several materials (kraft, recycled, etc.) can help get your mail opened…that are good for the planet, too. 

Gifts
Special gifts or freebies can be wonderful incentives for people to open your envelope. 

Urgent
Create a sense of urgency by saying things like, “Hurry – offer ends in 10 days – immediate attention needed!” to hook your potential customers. It’s a tried-and-true method sure to help you get results. 

If you are looking for direct mailing services, you’ve come to the right place. Contact Econo Print today.

At Econo Print, we strive to deliver the highest-quality printed products possible. We produce top-rated goods in a timely fashion at a competitive price. Listening to our clients and helping them achieve their business goals is our top priority. We are proud of the strong roots we’ve built in the community and pride ourselves on using cutting-edge technology. Our products, commitment to service, and level of expertise exceed our clients’ expectations. Contact us today or visit www.econoprintusa.com to learn how we can help launch your business to the next level. 

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

Econoprint

Recognizing and Removing Poison Ivy

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It’s poison ivy season – but many people don’t know how to recognize this pesky plant, let alone remove it. Rashes can result from touching poison ivy (a.k.a. Toxicodendron Radicans) with bare skin. Those clearing out overgrown areas or weeding with bare hands or minimal protection should be careful.

Being able to identify poison ivy is crucial and is often confused with other plants. To spot poison ivy, look for compound leaflets that are two- to four inches long with pointed tips and a dull or glossy finish. The middle leaf is usually bigger than the others on the left and right. The leaves can appear irregularly toothed, lobed, or smooth. Stems have alternate leaves with young oily or shiny foliage with a reddish color.

Poison ivy should not be touched or pulled. Instead, spray all foliage with a specially formulated herbicide. Do not spray the weed killer on other plants, as it will also damage or kill them. To protect plants, you wish to survive, cover them with plastic bags while you spray the poison ivy. After the leaves wither and die, they can still cause rashes, so handle with layered gloves.

For poison ivy growing in trees or twisted throughout landscape shrubs, cut the vine as close to the ground as possible and treat the stump with herbicide. The root system will die, causing the rest of the vine to shrivel up as well. This method can be used any time during the year.

Check your neighbor’s landscape for poison ivy vines, which can spread seeds to your yard. If spotted, be vigilant and remove it immediately before it gets out of hand.

If you have come into contact with poison ivy and develop a rash, apply an over-the-counter Cortisone cream, poison ivy ointment, calamine lotion, etc. Try ingesting oral antihistamines such as diphenhydramine (Benadryl) to ease your sleep and minimize swelling.

Wolf Survival Gear is a hub for your prepping and survival needs. We are your trusted resource for concerned families, avid hunters, or serious preppers. Make us your one-stop-shop and prepare now, before you’ll need it later.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

Wolf Survival Gear

Pool Maintenance Tips

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After basking in the sun and cooling off in your refreshing pool, maintenance of said pool can sometimes be an afterthought. Neglecting to maintain your pool properly can result in thousands of dollars worth of damages and eventually cause your pool to be uninhabitable. To avoid ultimate disaster and continued enjoyment of your pool, check out our tips to keep your pool under control.

Remove Dirt and Debris
This might seem obvious but keeping the surface of your pool free from dirt and other organic material can help prevent infection. Pool vacuums are designed to swiftly remove debris, algae, and other harmful compounds. It is recommended to vacuum your pool at least once a week. Simultaneously, brush your pool’s walls, steps, and floors, along with skimming the water’s surface. 

Water Your Pool
That’s right; you need to maintain your pool’s water level by adding water appropriately. If your pool has lower or higher levels than it should, the chemical water balance can easily get thrown off. Moreover, pool filters and water skimmers have a hard time keeping the water clean if the water level is not adequate.

Keep the Chlorine in Check
The magic number for keeping your pool properly sanitized is to add three parts per million (ppm) of chlorine to the water. If you smell chlorine or have itchy eyes, use an at-home test to ensure your levels aren’t too high. Chlorine is the most reliable solution for cleaning pools, as it won’t corrode plumbing or discolor pools like salt water. 

Clean the Filter
Depending on how often you use your pool, cleaning your filter is absolutely necessary for pristine water. Signs it is time to clean your filter include unusual odor, clogged drain, or an inefficient hose cleaner. Cartridge filters will need to be cleaned every four- to six months. Diatomaceous earth filters should be completely disassembled and cleaned every three- to six months. Sand filters should be replaced every three- to five years.

Create a Schedule
We’ve established that pools need to be maintained regularly, but it’s still easy to forget. Ensure you remember when it’s time to clean your pool by setting notifications on your phone or writing reminders in your calendar. The cleaning intensity depends on each pool, but once you figure out exactly what your pool needs, try to be as consistent as possible. 

Pound Pool Plastering services residential and commercial pools in applying a wide variety of pool plaster finishes and complete renovations. We offer Diamond Brite, Sunstone, Hydrazzo, and Marcite – and a great selection of tile choices and coping stones. Owner Dale Pound personally oversees each pool project to ensure the highest quality is delivered. Call or email us for a free estimate. 


Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

Pound Pool Plastering

Determining the Best Whole House Generator

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Generators are all the rage. Whether you want to disconnect from the power grid or keep your essential appliances operating during an outage, whole house generators are the way to go. Before you need one, it’s best to buy the right generator for you, to ensure you are prepared when the time comes. 

Whole house generators are great for when power is unavailable through the electrical grid. When purchasing a generator, take note of your household power requirements. Large-draw appliances such as refrigerators, air conditioners, sump pumps, water heaters, and space heaters will pull the most electricity. To calculate how much power you need, locate the wattage rating label on your appliance and use an online wattage calculator to determine how much electricity it draws. You can also check with your utility company to determine how much power you consume regularly. 

There are several aspects of whole-house generators to familiarize yourself with before purchasing. Below, we’ve outlined the differences and benefits they can bring to your household.

Air-cooled
These generators draw in air to cool the engine. With forced-air cooling, a fan is used to blow air over the engine. Air cooling is also accomplished passively by surrounding air absorbing the heat and drifting away from the generator. Air-cooled units are typically not the best for the long run since the cooling process is insufficient.  Generators using air-cooling are prone to overheating and shut down automatically for safety purposes. 

Liquid-cooled
Using coolant pumped through the engine block, these generators absorb heat from the engine. The coolant then passes through a radiator that lowers the temperature of the coolant and repeats the cycle. Liquid-cooled generators can operate more efficiently in high temperatures or climates that regularly reach over 100 degrees Fahrenheit. Their low chance of overheating makes these generators a viable option. 

Natural Gas
Since whole house generators are permanent, they can connect to your house’s natural gas line from a utility line. Natural gas usually comes from a utility line (or a large, whole-house custom tank that has to be refilled) which can be a downfall for those who want to stay off the grid. 

Propane
A more affordable fuel, propane burns much cleaner than natural gas as it doesn’t exude as much contamination. However, propane’s downfall is that the tanks need to be refilled. 

Sound Intensity
Whole-house generators will probably be permanently installed next to your house, so the noise level is an important factor. Those that run on the softer side are at about 65 decibels, while the higher models run at roughly 69 decibels. Traditional vacuums read at about 75 decibels. Mind the placement of your generator next to office or bedroom windows. 

State Electric Company is a leader in the electrification of the nation. Our highly educated and experienced team of professionals uses industry-leading software technology and has partnered with manufacturers to deliver affordable solutions for all your electrical needs. State Electric Co. is also an exclusive distributor for Enel X JuiceBox EV chargers for residential and commercial use. We are fully licensed, insured, and bonded to install charging stations for homes, offices, hotels, and more. With our extensive knowledge in renewable energy, our team provides customers – large or small – with efficient electrical solutions. Contact us today to learn how we can safely and affordably meet your energy needs.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

State Electric Co.

Deciphering the Difference Between Critical and Mundane Tasks in Radiology

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Successful people who thrive in their careers are typically engaged in their workload and manage responsibilities well, with a keen focus uninterrupted by distractions. Generally, it isn’t too difficult to decipher actual “work” from mundane tasks that are counterproductive or irrelevant, yet many people are guilty of partaking in the latter more often than not. 

Diagnostic radiologists are typically responsible for interpreting images and providing reports outlining the findings. Whether certain clinical questions, managerial roles, or imaging protocols are involved, the overall group functions more efficiently when everyone is equally engaged. 

Once in a while, radiologists might feel like they are partaking in mundane activities; for example, if a reporting template doesn’t match their personal style or search pattern. Another scenario might include defending one’s reporting language against a hypercritical QA reviewer. 

Based on what the radiologist believes their work should encompass, one radiologist’s critical tasks are another’s. 

To bridge the gap between critical and mundane tasks, one must note the subtle perverse incentives that might be happening in the workplace. Government, regulatory, and academic fields all succumb to these inadequacies when someone is rewarded for bad behavior or punished for good.

Common issues in radiology include no reward for productivity or no survey of who is contributing to the overall team effort. Radiologists who produce more RVUs might be extra stressed, which increases malpractice liability, both of which are perverse disincentives. To regain equilibrium, the radiologist can reduce their efforts or take more breaks, for example.

When certain team members become more aware of their performance impediments, better tools, more personnel, etc., are appointed. Once leadership is alerted, staff surveys are performed, which could lead to new hardware, software, coworkers, and more. 

Without any sign of stress in the system, those who rank higher on the totem pole are unable to specifically outline any issues or provide support. However, with help from other team members through surveys and the like, leadership can improve the situation based on feedback. 

Constructive evaluation and prevention is key in reducing perverse incentives and increasing overall morale. 

RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 to learn more.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

RadParts

Human Eyes Revived After Death by Scientists

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A study published in Nature outlines how scientists at the University of Utah and Scripps Research restored life in human eyes after death. A team of researchers tracked activity in both mouse and human retinal cells soon after their passing. After only a few hours and a couple of tissue adjustments, scientists were able to revive the cells’ ability to communicate. 

B-waves, which are specific electrical signals, are typically seen in living retinas and indicate active communication between cells. Scientists were able to reignite the deceased eye cells with light stimulation. 

This novel discovery is the first of its kind, leading scientists to speculate further about death when pertaining to the central nervous system.

Biomedical scientist, Fatima Abbas from the University of Utah, said, “We were able to wake up photoreceptor cells in the human macula, which is the part of the retina responsible for our central vision and our ability to see fine detail and color. In eyes obtained up to five hours after an organ donor’s death, these cells responded to bright light, colored lights, and even very dim flashes of light.” 

Visual scientist, Frans Vinberg from the University of Utah, said, “We were able to make the retinal cells talk to each other, the way they do in the living eye to mediate human vision. Past studies have restored very limited electrical activity in organ donor eyes, but this has never been achieved in the macula, and never to the extent we have now demonstrated.”

Retinal cells prodded by the researchers reacted to light for just about five hours after passing; however, the b-wave signals immediately ceased due to a lack of oxygen. 

The study authors wrote, “Since the retina is part of the CNS, our restoration of the b-wave in this study raises the question of whether brain death, as it is currently defined, is truly irreversible.”

Vinberg said, “The scientific community can now study human vision in ways that just aren’t possible with laboratory animals. We hope this will motivate organ donor societies, organ donors, and eye banks by helping them understand the exciting new possibilities this type of research offers.” 

Rohr Eye & Laser Center offers the most advanced technology available to provide personalized and extraordinary care to our patients. Whether your goal is to maintain or improve your natural vision, we are here to help you. Call us at 877-579-0202 to learn more.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

Michigan Lasik

Identifying, Treating Skier’s Thumb

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An Ulnar Collateral Ligament (UCL) injury is better known as skier’s thumb. It is identified as an injury, tear, or other damage done to the soft tissue connecting the bones of the thumb that provide stability to the thumb joint. Many skiers experience this injury while partaking in the sport. 

According to the National Institute of Health (NIH), “A partial or complete rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb, skier’s thumb, is an often-encountered problem. It concerns 86% of all injuries to the base of the thumb. The estimated incidence in the US is approximately 200,000 patients per year. The incidence in the Netherlands is not known. In the last four years, we have diagnosed approximately 85 patients in our own hospital.” 

When the ligament on the inside portion of the thumb joint is torn from the bone, the pinch strength of the thumb is affected. It often takes place with a dislocation or pulling outward of the thumb. 

To diagnose skier’s thumb, specialists analyze the patient history and perform a thorough exam. Patients often report a thumb injury where it was pulled backward or to the side. Swelling is also present, combined with the thumb ligament showing instability. X-rays are typically performed to further gain insight, and an MRI to confirm diagnosis. 

Cast immobilization is generally the treatment for skier’s thumb, with minimal surgical options available. If the injury is treated early on, the ligament might have the potential to be repaired and brought back to the bone. An internal brace allows for a swift recovery. However, if a strong ligament is absent, a tendon can be taken from the wrist to reconstruct the ligament. 

Generally, the recommended immobilization period varies between four and six weeks, usually followed by physical therapy. After roughly three months, the thumb should be completely functional again. 

Michigan Hand & Wrist was founded in 2001 with the mission to provide the highest-quality care for patients seeking surgical or non-surgical hand or upper extremity relief. Our goal is to exhaust all non-operative measures before discussing or moving on to surgical interventions. We offer on-site physical therapy from therapists committed to improving your quality of life. Our individualized treatments are modern, progressive, and exceptional. Call us at 248-596-0412 for further questions. 

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

MI Hand & Wrist