Primary Phases Of A Building Project For Owner And Contractor

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A complete understanding of building estimating demands a basic knowledge of things relevant to the construction process. An owner of a property or a contractor must have a clear and accurate forecast of how much a building project will cost. In this article, you will get to know about an overview of a building project’s primary construction phases.

A building estimating process helps both the builders and clients know about the financial impact of cost overruns and their failure in a project. It devotes typically time and effort to estimate a project cost.

Following Are the Primary Phases of a Building Project.

Project Commissioning
Determine the different requirements
Design team formation
Design the structure
Bidding based on a specific scope of work
Contract signing
Construction
Project completion

Project Commissioning

Commissioning of a project demands a certified verification process to ensure the builder designs, constructs. It delivers a project according to the owner’s requirements—an average period of running a construction process until a year of use. Commissioning of a building generally serves different particular functions.

Determination of Different Requirements

The beginning of a construction project is known as the pre-design phase or planning phase. Our pre-design step involves defining a specific project’s requirements like functions, cost or budget, locations, legal documents to comply.

Design Team Formation

A project owner contracts with an architect who selects different consultants to have a design team for a building’s structure. A complex project or a simple project demands design requirements like acoustics or housing hazardous materials with specialized consultants and ensures the design meets different needs. An architect is responsible for overseeing and coordinating the design process, and an expert engineer will quickly analyze the whole project design.

Design the Structure

This particular step deals with the architect creating a desirable series of design. An architect works in the beginning with the owner to decide the number of strokes of design and flesh out the structure’s design according to different requirements. We design a progression from a schematic design phase while an architect presents a higher-level design consultant to create a developmental stage.

An architect works efficiently with the design consultants to decide on different specifications of a construction design. The last step of the construction documents phase is to create construction drawings and specifications from where a contractor builds quickly.

Biding Based On the Scope of Work

After finalizing a construction document, an owner ran towards a contractor who wishes to bid on different projects. Along with such bidding documents, they also include instruction to submit a bid, a contract agreement, financial and technical requirements for various contractors. All of these documents mainly define the scope of work by consulting through a guide. We ensure fair bidding with the contractors to receive similar information, and our project owner opts for the lowest qualified bid.

Contract Signing

Authorities will send a contract right after the selection of a contractor. A contract document consists of the bidding documents that functions as a legal contract between owner and contractor. A contract consists of different models and relies on completing construction design or how an owner can bear a risk. A basic model is a lump sum contract that involves a contractor bidding to fix the total number of projects agreeing upon the project’s design.

Construction

While working on a construction phase, a contractor eventually analyzes to build following the different construction documents. Contractors usually hire expert subcontractors for different sets of construction tasks that include plumbing or foundation work. A construction process involves a contractor engaging cost control, comparison of actual expenditure with forecast expenditure at different points of a construction process.

Completion

An expert and reliable contractor completes all his incomplete comprehensive work on a punch Liston, which architects perform a final inspection. A contractor usually completes the structure to construction drawings, different types of Estimating like drywall estimating and specifications. It helps to save your time and increase efficiency with the design-build process cheaper than our conceptual design bid construct.

Augmented Reality: The Future of Online Shopping

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Augmented Reality (AR) has become a buzzword that is thrown around but most people don’t know what it really is or how it works exactly. One good example of AR is when during a sporting match broadcast, the video is perfectly blended with the images of the ball’s trajectory. It involves mashing up the imaginary and real objects and presently coherent visuals.

AR is also widely used in advertisements and movies to make things more interesting. It might come as a surprise but augmented reality was first introduced more than 20 years ago. Although it is often seen as a ‘complex technology’, the truth of the matter is that AR has widely engulfed our day-to-day lives. Web developers are even more deeply involved with AR.

Businesses and people can now develop their presentation using AR (3D mode), due to the reduction in the cost of using AR. For example, SHOPIFY is a great example of AR linked sites. It is the first platform that has successfully merged AR with e-commerce. After Shopify’s success, more and more companies are adapting AR in their own models to gain a competitive edge in the market.

Some e-commerce stores are hesitant to adopt AR based setups due to the challenges involved but the levels of conversion plus the ROI makes it worthwhile to incorporate AR into a website. The current trend involves purchasing ready-made packets by ordering individual AR solutions from a web studio but this can end up costing more than hiring a specialized web developer and integrating the technology into the web page in your preferred customized manner.

A plethora of IT firms are currently studying AR technology from various different perspectives and trying to combine it with Virtual Reality technology. It is clear that these two technologies will be the dominant purposes of the technological world in the future. Facebook, Google, Amazon and Apple are extensively invested in exploiting the potential application of AR into services and products. Soon, Augmented Reality will be a common feature and it will contribute to improvement and expansion of web pages all over the globe.

AR technology will add value to the framework and will become a positive element in services and business sectors using AR to assist people to learn new concepts by visualization and enabling people to shop online by seeing full details of a product.

AR is here to stay and the future for AR is promising and exciting. To keep up to date on the latest tech news regarding augmented reality ensure you follow the Ultimate Online website.

Discover a Quick-Fix Solution For Heavy Periods

Are heavy periods ruining your everyday life? Millions of women suffer from excessive bleeding or menorrhagia and, there is no reason to be embarrassed about it. Kiran Patel, MD is a South Charleston board certified OB-GYN who uses Novasure endometrial ablation to treat the condition.

What Does the Treatment Entail?

Novasure Endometrial Ablation or EA is a painless and non-invasive procedure for treating heavy menstrual bleeding. Kiran Patel, MD, evaluates all the factors before recommending the best treatment option for you.

The doctor schedules the appointment at the clinic and lets you lie on the hospital bed. Then, Dr. Kiran Patel uses medicine to dilate the cervix before inserting a small tool known as the Minerva into the vagina.

Next, the equipment expands depending on the uterus’s shape and the doctor removes the endometrium of the uterus that causes heavy bleeding. Notably, Dr. Karin uses rapid radiofrequency energy to remove the uterine lining with no incisions or cuts and ensuring the uterus remains intact.

The treatment does not require admission at the medical facility, and after the procedure, the doctor releases you to go home.

Why do Specialists Recommend Novasure Endometrial Ablation?

Novasure Endometrial Ablation is a safe procedure that does not involve any surgery and has a high success rating. It is a walk-in treatment at your doctor’s office and will not take much of your time. The tools are less complicated and the side effects are manageable.

Is Novasure Endometrial Ablation Right for you?

As noted, Novasure involves the removal of the uterine lining that causes bleeding. Therefore, this procedure is best suited for pre-menopausal women with excessive menstrual bleeding. However, if you are still in the child-bearing stage, it is not the right treatment. It is advisable to discuss with your doctor the risk factors.

How Long Does the Treatment Take?

The Novasure Endometrial Ablation is a quick and permanent treatment done at your OBGYN office during your menstrual cycle. You can go home the same day and return to your everyday life in two days. The major benefit of this procedure is that recovery is rapid with no major complications.

The benefits are long-term and over time, you will experience lighter periods. Sometimes, the periods will cease forever. However, you can still conceive after this procedure and live life normally. For future conception, it is vital to discuss the possibilities of carrying a pregnancy to term with your specialists.

What are the Side Effects of a Novasure Endometrial Ablation?

Most women report normal bleeding after the procedure. However, you may experience some irritability, cramping, spotting, discharge, nausea, and vomiting. You may experience the need to urinate frequently; however, these symptoms are temporary and will disappear in a few days. If you experience excessive bleeding after the procedure, you can contact Dr. Kiran Patel for a review.

Every woman deserves to live her life normally, even during menstruation. Talk to your OBGYN specialist at Patel & Patel MD, who will decide on the right treatment for you.

Benefits of Going for Vascular Services and What to Expect During Your Appointment

Your vascular health is very crucial. Unfortunately, a malfunction of your lymph vessels, veins, and arteries will affect your blood circulation. Treatment of such conditions could range from prescription medications to a surgical procedure, depending on your disease’s severity. Alexandria vascular services specialist Dr. Gary P. Jones and his experts’ team understand that your blood vessels perform a crucial task of transporting oxygen-rich blood throughout your body and therefore work to ensure that they help restore your situation. These experts use a vascular ultrasound to diagnose and treat their patients’ vascular diseases, thus enabling them to live comfortable lives.

Why Would you Go to your Doctor for Vascular Services?

Have you ever felt numbness, chest pains, and shortness of breath that you cannot explain their root cause? If you have, then you could benefit from vascular services. During the assessment, your doctor will use a vascular ultrasound to check out for possible blockages in your blood vessels and several other vascular complications that could be affecting your vascular health. The good thing about vascular services and treatments is, you do not have to prepare. Most of these options are painless and noninvasive. However, if your doctor will recommend a surgical procedure, he might suggest you stop using particular medications.

What Should you Expect From your Vascular Appointment?

On your initial consultation, your surgeon will evaluate your condition and vascular health history. The assessment involves checking out your condition and how it affects you. After a thorough evaluation, your doctor will design a conservative-approach treatment plan which entails physical exercises and eating foods with low sodium levels.

Suppose the issue is on your legs, your doctor may prescribe compression socks as an initial attempt to alleviate your symptoms and manage your condition. The care provider could also request an ultrasound to check out your condition’s source and its severity.

After a certain period, most probably after three months, your doctor will expect you to go for a follow-up visit to assess your conservative methods’ success. If there is an improvement, your doctor will advise you to continue with the approach. However, if your symptoms fail to retreat, your doctor will recommend a minimally invasive option to treat your condition. These treatment options include:

Sclerotherapy
Endovenous radiofrequency ablation
Angioplasty and stenting
Endovascular aneurysm repair
Cryoplasty
Microphlebectomy

Before the procedure, your doctor will discuss the best treatment option. After he has settled on an option, treatment begins. During treatment, they will use hand-help equipment and a transducer to send ultrasound waves to the treatment areas. The transducer collects the waves’ echoes and transmits them to the screen producing your blood vessels’ images. From the screen images, your doctor can diagnose your vascular issues. Additionally, he could use the results as guidance in case he has to perform other procedures. If necessary, the care provider will use an endovascular technique to reach the malfunctioning parts of your blood vessels for repair.

Vascular diseases have high chances of adverse effects on your general health and could be fatal, especially if the blood vessel obstruction is severe, preventing blood flow. Contact the vascular experts today for more on vascular services and diseases.

How Technology Has Improved Ear, Nose, and Throat Care?

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Virtually everybody sees an otorhinolaryngologic at some point in their life. You can go your whole life and never see a cardiologist or a nephrologist or a neurologist, but basically, ear, nose, and throat disorders are prevalent. Specialists at Oasis Ear, Nose, and Throat provide advanced otorhinolaryngology services. Your Surprise ear, nose & throat doctor specialists offer diverse care, for example:

Kids can have ear infections, fluid in the ear, or tonsillitis problems.
Teenagers and adults can get allergies, broken noses, deviated septum, hearing loss, balance problems, sore throats, and swallowing problems.
Older adults can develop hearing loss, balance problems, dry mouth, taste changes, changes in smell, and nose and sinus problems.

Advancements in Otorhinolaryngology Procedures

Sinus Surgery

Initially, this procedure involved making cuts under the lip. Due to advancements, the procedure is now endoscopic and involves passing an endoscope through the nose. Trans-nasal brain surgery involves taking out pituitary and brain tumors in combination with neurosurgeons. Your surgeon will go through the nose for access, and then they work on the brain tumor without ever having to open the head.

Many ear surgeries have gotten very advanced in our ability to reconstruct different types of hearing loss.

Cochlear implants can restore hearing in people, particularly children who have deafness. Furthermore, care provider’s biopsy many things with a skinny needle, a fine needle aspiration biopsy, which is no different than a shot versus having to have an incision and open biopsy.

Better diagnostic tools, including endoscopic tools in most doctor offices, can take and store the videos.

Cancer

Squamous cell cancers, which are lining cancers associated with smoking of the larynx, tongue, and throat, are treated primarily with radiation therapy and chemotherapy as a combination. Surgery comes in after the tumor has been treated with radiation and chemotherapy, and then the surgeon removes some remaining tissue. Technological advancements have brought about better reconstruction in plastic surgery. Tissues taken from other parts of the body are moved up to reconstruct parts of the head and neck and re-establish their blood supply. Before, surgeons could only take local tissue and move it around. Now, distant tissue is taken and transplanted, enabling the reconstruction of the esophagus, the swallowing tube, and other areas that, in the past, had little option for reconstruction.

However, when it comes to ear, nose, and throat care, different types of treatment and different types of data assessment depend on a patient’s quality of life, functional status, and how diseases affect them. Your care provider must perform comprehensive clinical research on these different treatments to determine which one will better suit your condition. There are different nasal approaches to more complicated problems like brain problems, infections, and brain fluid leaks into the nose and sinus.

Your care provider should also cooperate with other medical staff at several levels trying to restore functionality. For example, when dealing with hearing loss by trying to take out complicated, intricate tumors in the inner ear next to the brain, your doctor may collaborate with diagnostic specialists to try and understand the root cause of your condition.

To learn more about the different conditions affecting the ears, nose, and throat and to receive professional, individualized care, contact Oasis Ear, Nose, and Throat by phone or book an appointment online.

Reduce Signs of Aging, Without Surgery but with Botox & Fillers Specialist in New York

You can reduce the appearance of aging signs such as wrinkles and lines without invasive surgery. At New Dimension Dentistry, Doris Giraldo, DDS, and the expert medical team provide Botox and fillers in Midtown Manhattan, New York, to ensure patients enjoy a more youthful, natural-looking appearance. To find out how you can benefit from Botox and fillers, schedule a New Dimension Dentistry consultation through mobile or use the online booking tool today.

What Is Botox?

Botox is a purified toxin, which for a moment eases the muscle movements responsible for causing creases and lines to form on your face. Botox injections can soften crow’s feet around your eyes, frown lines between your brows, and horizontal forehead furrows.

What Are Dermal Fillers?

Dermal fillers reduce the appearance of mild-to-moderate fine lines, wrinkles, and hollow contours, which develop due to aging. As your skin matures, it begins to produce less of the compounds responsible for plumping, hydrating, and softening your skin’s appearance. Dermal fillers restore the hyaluronic acid, an organic skin compound, to create a more youthful appearance.

What Skin Problems Do Botox and Fillers Injections Treat?

Botox and fillers treat a wide range of skin problems associated with aging, including smile lines, thinning lips, forehead furrows, vertical lines around the lips, crow’s feet, marionette lines, frown lines, and hollow contours in the cheeks.

If you wish to smooth out your appearance, discuss the Botox and filler treatment with Dr. Giraldo. Dermal fillers are available in various formulas, each of which is perfect at addressing a particular skin concern. After understanding your unique aesthetic needs and goals, Dr. Giraldo develops a personalized treatment plan for you.

Are Botox and Filler Injections Painful?

Botox and filler injections involve using a needle, you might feel a pinch and a slight sensation as the treatment enters your skin. The treatments offer drastic results, and many people tolerate them perfectly. Some formulations comprise lidocaine to ease any discomfort you may experience. If you are worried about discomfort, consult with Dr. Giraldo about using a topical anesthetic before treatment.

How Long Do Botox and Filler Results Last?

Dermal fillers are a non-permanent solution to wrinkles, fine lines, and other aging skin problems. The actual time your treatment lasts varies according to the type of filler used, your body’s metabolism, and the area treated. But generally, the results from dermal fillers last from six up to 18 months.

To ensure you maintain your new youthful look, you should schedule additional treatments often. On the other hand, Botox relaxes the lines and wrinkles for up to three or four months. Like fillers, you’ll also need to create a schedule of continuous treatments to maintain your look. Consult with Dr. Giraldo to create a regular schedule for your dermal fillers or Botox injections.

That said, wrinkle-reducing injections such as Botox and fillers offer drastic and desirable results. To determine if you are the right candidate for these treatments, schedule a New Dimension Dentistry consultation today through mobile or book online.

Conservative, Comprehensive Care For Musculoskeletal Pain And Sports Injuries In New Jersey

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Living with pain can make it even challenging to perform the most basic tasks. Fortunately, a wide range of safe, effective, non-invasive pain management techniques is available. At Downtown Pain Management, Red Bank board certified physical medicine & rehabilitation physician Ron Ben-Meir, DO, FAAPMR, specializes in the diagnoses and treatments of sports-related injuries. For exceptional pain management care, call the Downtown Pain Management office or use the online booking tool to schedule a consultation today.

Meet Dr. Ben-Meir

As a previous Division 1 college football player of the Texas State University in San Marcos, TX, Dr. Ben-Meir has first-hand experience with sports injuries he’s currently treating. After completing his Bachelor’s education, Dr. Ben-Meir attained his osteopathic medicine doctor from Touro University California in Vallejo, CA.

He later completed fellowship training in interventional spine and sports medicine at the Icahn School of Medicine at Mount Sinai, located in Manhattan, NY. The blend of hands-on experience and a high level of training gives Dr. Ben-Meir exceptional knowledge and expertise to treat all forms of sports-related injuries, whether acute or chronic. In case you have any queries or concerns about Dr. Ben-Meir, reach out to him at any time- he’s always available to respond.

Services

As a board-certified physical medicine and rehabilitation physician, Dr. Ben-Meir focuses on treating sports-related injuries for patients of all ages and levels of experience, ranging from college weekend warriors to competitive athletes. At Downtown Pain Management, he offers personalized pain management care for other chronic conditions such as arthritis.

Some of the most common pain disorders treated by Dr. Ben-Meir include back pain, cancer pain, pelvic pain, neck pain, post-surgical pain, joint pain, pain from acute trauma like an auto accident or sports injury, pinched nerves (sciatica), complex regional pain syndrome (CRPS), and nerve pain, including spinal cord injuries and neuropathy. At times, chronic pain develops by itself without any identifiable cause (chronic pain syndrome). In such cases, it might be associated with debilitating conditions like a stroke and fibromyalgia.

Dr. Ben-Meir carefully assesses your state and develops a customized pain management plan designed to meet your unique needs. To ensure patients enjoy long-term pain relief, some of the interventional pain management treatments he uses include, but are not limited to:

Platelet-rich plasma therapy (PRP)
Genicular nerve blocks
Epidural steroid injections and nerve blocks
Radiofrequency ablation
Facet joint injections
Trigger point injections
Prolotherapy
Selected nerve root injections

Dr. Ben-Meir considers every option available for managing your pain, including alternative and integrative therapies such as acupuncture, chiropractic care, yoga, and medical marijuana. Medication and physical therapy are also vital in pain management. If your chronic pain persists despite these treatments, your provider might recommend a surgically implanted spinal cord stimulator. Schedule a consultation to determine what treatment suits you best.

Testimonials & Reviews

Dr. Ben-Meir values and appreciates reviews from his patients. To date, the practice prides itself on a 5 out of 5 stars rating based on two collected reviews. For more patient testimonials, visit the facility’s website.

That said, Dr. Ben-Meir and his team at Downtown Pain Management offer conservative and comprehensive care for sports injuries and musculoskeletal pain. To get started, schedule a consultation today through mobile or book online.

LES Surgery in the Treatment of GERD

LES or laparoscopic anti-reflux surgery is useful in treating GERD when drug prescriptions or lifestyle changes are no longer effective. Jacob Rinker, MD, FAS, is a Casper acid reflux expert at Wyoming Medical Associates and specializes in treating GERD and its symptoms.

What Happens During the Surgery?

Your surgeon will apply general anesthesia to put you to sleep during the operation. Next, Dr. Jacob Rinker sterilizes the stomach with an antibacterial and covers it with sterile drapes.

The doctor uses a scope, or a special camera, to examine the abdominal cavity under this treatment option. Up to six minor cuts are made on your abdomen wall. Then, the surgeon inflates your stomach with carbon dioxide gas. The abdominal walls are separated from the internal organs, and this offers the surgeon an ideal space for the surgery.

The doctor inserts the laparoscope via the incision to take images and transmit them to an external monitor. Experts also use other equipment such as a nasal cannula alongside the laparoscope.

For treatment, the specialist corrects the hernia by wrapping the upper part of the abdomen near the esophagus. The doctor checks for any bleeding and rinses your abdominal cavity. Lastly, the tiny incisions are closed and you are put into an oxygen mask to remove excess anesthesia in your body.

Why is LES Surgery the right Treatment for GERD?

The surgery aims at preventing food reflux to the esophagus and is the most effective treatment in the management of GERD. The surgical procedure is ideal for patients who would like to stop medications in treating GERD and involves creating a one-way-valve to stop the acid reflux.

Laparoscopic surgery is the most common as it is less invasive; you will experience minimal post-recovery pain and return to your normal lifestyle quickly.

Who is the Right Candidate for LES Surgery?

Patients with chronic GERD are the right candidates for LES surgery. However, even though it has lots of benefits, it is not ideal for some people.

Your doctor will do a comprehensive examination and assess any risks associated with the surgery. It is advisable to stop taking any other medication one week before the surgery.

How Much Time Does an LES Surgery Take?

Before the surgery, the doctor will do a pre-surgical evaluation. Then, the specialist schedules a surgery in a few weeks.

Since you will be under general anesthesia, you will be asleep throughout the operation, which will last a few hours. After the operation, you will stay in the hospital for one day. But you can stay longer, depending on the progress of your recovery.

Side Effects or Complications After an LES Surgery

Following the procedure patients should not lift heavy items or take part in strenuous activities. The incision area might swell but will clear off within a few days. It is important to contact your specialist if you experience redness, high fever, bleeding, or pain. The strips will eventually fall off and if they do not, the doctor removes them during your next appointment.

If you are looking for alternatives to treat acid reflux or GERD, Wyoming Medical Associates are specialists in less invasive LES surgery.

Sourcing for a Qualified Plastic Surgeon: Which Qualities Should You Look for?