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Top Twelve Hospitals in the US
How We Rank Them

Top Twelves Hospitals in the US
We take Account of all other Rankings Out There and give you the Best Average.

Best US Hospitals

Mayo Clinic, Rochester, Minn.
Cleveland Clinic
Massachusetts General Hospital, Boston
Johns Hopkins Hospital, Baltimore
UCLA Medical Center
New York-Presbyterian University Hospital of Columbia and Cornell
UCSF Medical Center, San Francisco
Northwestern Memorial Hospital, Chicago
Hospitals of the University of Pennsylvania-Penn Presbyterian,
Stanford Health Care-Stanford Hospital, Stanford, Calif.
Duke University Hospital, Durham, N.C.
University of Colorado Hospital, Aurora

The Best Hospitals methodologies include objective measures such as patient survival, number of patients, infection, adequacy of nurse staffing and more. Methodology updates are made yearly.

We evaluated hospitals reviews from all majors sources in all areas: Cardiac disease care, surgery, cancer surgery and lung cancer surgery, excepts from U.S. News, New England Journals of Medicine, Web MD, Annals of Medicine, we made further adjustments to account for the socioeconomic mix of patients treated at hospitals. As a result, a hospital will not be negatively impacted if it sees large numbers of low-income patients. We average all listings and posting of all rankings and give you the Top Twelve Hospitals in the USA.

"We strive to provide patients with the highest-quality information on hospitals available, making it good for the professionals and reliable for the every day people.

The rankings, freely available online, will also be published in the U.S.
We will continue to evaluate provided information from all other sources and update our rankings as more ranking information becomes available.

TTimes World Health Editorial group.

Five Important Points in Health Care Design Concepts
By Scott Rawlings

In this series, Healthcare Design asks leading healthcare design professionals, firms, and owners to tell us what’s got their attention and share some ideas on the subject.

Scott Rawlings is a director of healthcare and leader of HOK’s regional healthcare practice in Washington, D.C. Here, he shares his thoughts on data-driven sustainable design strategies, planning for future flexibility, and using technology to build the hospitals of the future.

1. Teaching creativity

Many people have great ideas, but just don’t know how to develop them. As designers, we can help our clients and the future users of a space tap into their imaginations. Creativity happens when we bring a wide range of designers, facility users, and stakeholders to the table and engage them in lively conversations. This open, relaxed dialogue enables the design team to move beyond discussing standard workflow data and explore truly innovative ideas.

2. Technology’s influence

Healthcare buildings are not just becoming more complex. They’re also becoming much smarter through the use of sophisticated technology. Architects and engineers need to think outside the box by partnering with specialized tech firms that can help us integrate advanced information management, data usage, and communications technologies to design the hospitals of the future. These new partners can help lead visioning charrettes with clients and ensure that we are designing for flexibility to accommodate emerging technologies.

3. Healthier buildings

The healthcare industry is quickly moving past conventional approaches to sustainability and the LEED rating system. Our clients expect data-driven design strategies and a more scientific, performance-based approach to environmental issues. Designers need to consider both the buildings and the people who occupy them. Our underlying concepts for the building design should facilitate productivity and wellness. The WELL Building Standard allows us to focus on real data and measurable outcomes on people’s health and well-being.

4. Long-term viability and modularity

Avoiding obsolescence is one of the most important goals for new healthcare buildings. With the rising costs of healthcare and the impact on our society and economy, we can do our part to create a better healthcare system by designing buildings that remain viable well into the future. New manufacturing technologies are enabling us to focus on modularity. These modular systems provide efficiencies and substantial cost savings for new construction and future renovations. And, if planned correctly, this modularity can help staff work more efficiently across platforms in highly flexible spaces.

5. Creating value

Healthcare design historically has followed an inside-out approach, with operational planning serving as the foundation for successful projects. In recent years, though, more clients have begun to appreciate the value of great design. They understand that a well-designed healthcare facility leads to better patient outcomes, enhances community pride, provides healthier environments, and helps them recruit and retain the best people. The tools and data now available to healthcare designers enable us to create real value within specific budget parameters. We succeed when our design solutions respond to each client’s specific challenges and aspirations.

About One Third of Developing Country Hospitals Lack Clean Water
Often The Poor Result Starts From this Basic Need

At least a third of hospitals in developing nations do not have clean running water, a study has found, leading to unsanitary conditions and further spread of disease in drought-hit areas.
The study examined 430 hospitals in developing countries and found that one third of clinics did not have a reliable source of clean water to perform surgical operations.

Water availability ranged from 20 percent in Sierra Leone and Liberia to
to more than 90 percent in India, Malaysia and Guinea, according to the report, which used World Bank data and analysed previous studies between 2009 and 2015.

“Running water is something we take for granted and it doesn’t exist in a third of hospitals in these countries,” said Adam Kushner, lead author of the study, published in the Journal of Surgical Research.

“Instead of water just being there, some hospitals truck in water or collect it

How My Lyme Disease Went Undiagnosed
15 Years and Counting

Roughly 15 in 100 cardiopulmonary resuscitations result in a patient living long enough to be discharged from the hospital.

In my own case, it took doctors a long time (roughly 15 years) to recognize exactly what was wrong with me. Along the way, my blood work was at times a little off, or my inflammation markers and white-blood-cell counts were slightly elevated, but nothing seemed definitive, other than some persistent anemia. “Everything’s probably okay,” the doctors would say, or “You have an idiopathic problem,” which is doctor-talk for “We don’t know why you suddenly have hives every day.” They never implied that I was crazy, or seeking attention, or any of the other things you sometimes hear from patients (especially female ones) who have sought a diagnosis for years on end. At the same time, they didn’t believe anything was wrong enough to pursue; frequently they asked whether I was depressed before even doing a physical exam.

To them, I was a relatively fit, often high-functioning young woman who had a long list of “small” complaints that only occasionally swelled into an acute problem, for which a quick surgical fix was offered (but no reflection on what might be causing it). To me, my life was slowly dissolving into near-constant discomfort and sometimes frightening pain—and terror at losing control. I didn’t know how to speak to the doctors with the words that would get them, as I thought of it, “on my side.” I steeled myself before appointments, vowing not to leave until I had some answers—yet I never managed to ask even half my questions. “You’re fine. We can’t find anything wrong,” more than one doctor said. Or, unforgettably, “You’re probably just tired from having your period.”

In fact, something was very wrong. In the spring of 2012, a sympathetic doctor figured out that I had an autoimmune disease no one had tested me for. And then, one crisp fall afternoon last year, I learned that I had Lyme disease. (I had been bitten by multiple ticks in my adolescence, a few years before I started having symptoms, but no one had ever before thought to test me thoroughly for Lyme.) Until then, facing my doctors, I had simply thought, What can I say? Perhaps they’re right. They’re the doctors, after all.

But this essay isn’t about how I was right and my doctors were wrong. It’s about why it has become so difficult for so many doctors and patients to communicate with each other. Ours is a technologically proficient but emotionally deficient and inconsistent medical system that is best at treating acute, not chronic, problems: for every instance of expert treatment, skilled surgery, or innovative problem-solving, there are countless cases of substandard care, overlooked diagnoses, bureaucratic bungling, and even outright antagonism between doctor and patient. For a system that invokes “patient-centered care” as a mantra, modern medicine is startlingly inattentive—at times actively indifferent—to patients’ needs.

To my surprise, I’ve now learned that patients aren’t alone in feeling that doctors are failing them. Behind the scenes, many doctors feel the same way. And now some of them are telling their side of the story. A recent crop of books offers a fascinating and disturbing ethnography of the opaque land of medicine, told by participant-observers wearing lab coats. What’s going on is more dysfunctional than I imagined in my worst moments. Although we’re all aware of pervasive health-care problems and the coming shortage of general practitioners, few of us have a clear idea of how truly disillusioned many doctors are with a system that has shifted profoundly over the past four decades. These inside accounts should be compulsory reading for doctors, patients, and legislators alike. They reveal a crisis rooted not just in rising costs but in the very meaning and structure of care. Even the most frustrated patient will come away with respect for how difficult doctors’ work is. She may also emerge, as I did, pledging (in vain) that she will never again go to a doctor or a hospital.

Spend a day in an emergency room, and chances are you’ll be struck by two things: the organizational chaos and the emotional detachment as nurses, doctors, and administrators bustle in and out, barely registering the human distress it is their job to address. The same could be said of our oddly bloodless debates about the future of health care. The rhetoric of medical reform draws mostly on economics: Experts differ over, among other things, how to structure “insurance mandates” and what constitutes “overutilization” of a rapidly expanding array of high-tech procedures and diagnostic tests. They argue about why “the United States health care system is the most expensive in the world,” as a 2014 Commonwealth Fund report finds, yet consistently “underperforms relative to other countries on most dimensions of performance.” (Currently, according to that report, the U.S. ranks last among 11 major industrialized nations in efficiency, equity, and “healthy lives,” meaning health outcomes attributable to medical care.)

The Lagos Shopper's Times
Focus on Victoria Island - The Galleria

The Galleria, Victoria Island One Stop Shopping Center in Lagos. Magestically designed with plenty of stores to choose. When you are in Victoria Island, stop over at the Galleria

Lagos Is Owing N124 Billion
Nigeria Tribune

The Lagos State’s debt profile, as of April 30, 2011, stands at N124.188billion, according to data released by the state’s ministry of finance.

The figure was contained in an address presented on Thursday by the state finance commissioner, Rotimi Oyekan, during the ministerial press briefing held to commemorate the fourth anniversary of Governor Babatunde Fashola’s administration.

The breakdown of the debt profile showed that the state government has a multilateral debt loan of N62,426,899,007.40 (calculated using an exchange rate of N156.50) and domestic loans of N61,761,172,731.97.

Multilateral loans are debts owed by developing countries to the World Bank and the International Monetary Fund (IMF).

Mr Oyekan, in his speech, said such loans are “structured as long-term loans with a moratorium and at significantly lower rates than commercial loans”, and his presentation on the multilateral loans showed that $200million was obtained for the Lagos Metropolitan Development and Governance Project.

This loan which was described as “the largest World Bank direct funding for a sub-national government to date”, was obtained to “increase sustainable access to basic urban services through investments in critical infrastructure”.

The commissioner also said another $100million loan has been obtained from the French Development Agency for the expansion of the Ikorodu road into six-lanes including the BRT route.

Borrowing for the budget

Toddler Mauled To Death By Five Pit Bulls
A two-year-old boy has been mauled to death by five pit bull terriers at his family home in America.

Jacob Bisbee opened the garage door at the four-bedroom house in Concord, California, and was immediately savaged by the pack of dogs.

Police said the toddler suffered "very severe" injuries and was pronounced dead in hospital.

His grandfather Steven Hayashi, 52, who was not at home at the time, has been arrested on suspicion of child endangerment and owning dangerous animals.

All five of his dogs were put down by Contra Costa County Animal Services.

A police spokesman said officers had no idea why the animals attacked.

He said: "The dogs were part of the household. As far as I know, they had them as pets."

People living in the cul-de-sac said there were several recent incidents when the dogs had run loose in the street.

One neighbour, Elizabeth Mazan, told CBS she was washing her car when one of the pit bulls ran up to her and began barking.

"I was scared, but when she told the dog to go home, it did," she said.

The child's death has renewed calls for dangerous dog laws to be strengthened in the US, in the wake of other attacks.

A 71-year-old man was killed and three others injured in a pit bull attack in Memphis, Tennessee.

Authorities in Worcester, Massachusetts, are also considering imposing tighter restrictions on owning the animals.

Official figures show 2% of dogs in the city are licensed as pit bulls, while 25% of all reported dog bites are caused by the breed.

How To Beat The Tough Economy With Your Assets
By Donna Every

“When times get tough, some people feel it is their lot to sit back and accept their ‘fate.’ However, I have seen the best that human potential has to offer, so I don’t accept that – and neither should anyone else,” said Every, an MBA who is also a former Ernst & Young chartered accountant. “We can make things happen because we all have some gift or ability, some skill or some resource that we can use to transform our financial situation. All we need is the faith and determination to make it happen.”

Every’s tips for getting through the tough times include:

• Liquidate dormant assets – With the massive wealth accumulated in America, most people have possessions or property of value sitting in their attics or garages. With the advent of craigslist and eBay as online sales resources, many of these dormant assets can be turned into cash.

• Mine overlooked assets – Everyone has something they do well, and if they do it well enough, it’s not much more difficult to market it. Some people can sew and cook, while others are artists or musicians. In most households, just making a little extra money every month can make all the difference, so part-time jobs doing something you do well can help fill the gap. For example, one woman I met in Barbados couldn’t make ends meet with her day job as a maid, so on the weekends, she opened a mini-restaurant off the side of her house. She’d prepare meals during her off time during the week, and sell them to her neighbors on Friday and Saturday.

• Keep the faith – Belief in yourself, your motivation and your abilities is a far better path to tread than to give in to despair when the tables turn against you. Meeting challenges head on can not only save the day – they can also change your life.

“Our financial situation is a result of the choices we make,” she added. “Choices made out of fear and anxiety are never the right ones. We need to make sure that we are making the best possible choices.”

Author Donna Every has a degree in Mathematics from the University of the West Indies and is a Chartered Accountant and an MBA. She worked with Ernst & Young Barbados as an auditor and then as a consultant for ten years before starting her own business in 1998. Donna is passionate about helping people improve their lives and has shared proven principles and practical steps to achieve this through her speaking engagements and through motivational workshops which she conducted over the years for the Ministry of Social Transformation and the Ministry of Education. She has been married for nineteen years and has two children

Two Fabulous Villas For Early Spring Get Away
Think of a Warm Get Away

Fabulous Villa Rentals in Lovely Locales

With the Christmas holidays behind us, and chilly temperatures across most of the U.S. and Europe, I thought a little warm-weather family vacation nudge might be appreciated! Renting a villa with friends and/or family is such fun—and can be so carefree when the villa is staffed. Breakfast in your pajamas, lounging by your own private pool, games and books in your own living room ... it's cosy & delightful.

With spectacular views, sparkling pools, breezy terraces for alfresco dining & in-house staff to take care of all the details—plus special offers that make them all the more "worth it"—these five top-notch private villas from Hawaii to Tuscany and Costa Rica will help take your mind off the winter chill ...

Bali Hale | A 4-bedroom spacious villa on Maui, set on a five-acre private estate with uninterrupted views of the Pacific Ocean. Perfect for an intimate wedding or a getaway with friends or family.

Moonrakers | A 6-suite beachfront retreat on the Caribbean island of Anguilla—chic & stylish with a stunning pool and terrace plus spectacular views to neighboring St Barth's and St Maarten.

World Tallest Building Opens Our View To The New Global War
Religious Intolerance Versus Tolerance For Economic Survival of the Human Race

The Global War For Religious Tolerance

Two worlds mixing together in an uncomfortable clash. You can ask the question of Christians in Lebanon, or muslims in Detroit or orthodox christians in Istanbul, Turkey. Even better yet, ask the 49 percent of Nigerians who are christians and have a utter disdain for AbdulMutallab and his religious Jihad war he was fighting on behalf of his brothers in Yeman and Somalia, that has now left an unwarranted marks on them as muslim terrorist nation. Globalization keeps running into the clash of global religious intolerance. As Dubai opens its doors to the world, many of her neighbours see the bold and openly tolerant move as high level betrayal and some even see it as an act of defiance against what they believe sacred to their religious traditions in the region. All the same, One day ahead of the official inauguration, Burj Dubai the world's tallest building, in Dubai, United Arab Emirates, we are faced with the question of who will win the war of religious tolerance. Burj Dubai is over 800 metres (2,625 ft) tall and has more than 160 stores, the most of any building in the world. Impressive building, with much more. Burj Dubai is home to the world's first Armani Hotel, luxury offices and residences, and a variety of other sophisticated leisure and entertainment facilities, all centered at the front lines of the new global war. Its religious intolerance versus economic tolerance and survival of the human race.

Yemen, Saudi Arabia, Iraq, as neighbouring countries, Burj Dubai will house about 12,000 worker a day. One may ask in a good western fashion sense, what does the well dressed visitor wear to a when attending a formal business dinner event at the opening of Burj Dubai or for that matter any event in Dubai.? We would opt to pose an additional question, who will win the war of religious tolerance. Do we divide the world along religious lines or do we tolerate one another, promote commerce and afford better lives for citizens of the world.

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