If your online business is mainly kept alive by organic traffic, the search engine algorithm changes should not be seen as a hurdle towards your goal. Instead, you should face this challenge first by understanding the latest rule changes in SEO.
We can deal with these changes together with you and you can trust our experts to know what they are doing this 2015 to help with your SEO Durham campaign.
In 2015, you need to know about these new SEO rules:
• Websites should be mobile-friendly. As more and more people are using mobile devices, websites should be optimised for such devices. We can get you the responsive web design that you need without charging you excessively for it. You can get your money back in the form of a high ROI anyway, as people enjoy an improved user experience, increasing your website traffic and raising your rank in the search engine results.
• Websites need speed. Aside from being mobile-friendly, your website should load fast. Otherwise, website users will look for another site. We can do image optimisation and minimising coding shorten loading time for your site.
• Websites must be equipped with a balanced backlink profile. There should be a balance between your outbound and inbound links. Instead of intensifying your efforts in blatant guest and directory posting, you should focus more on gathering natural links. We will do this for you.
• Websites should have shareable content. The social media pull on Internet users affects SEO significantly. This is why your content should be shareable on Facebook, Twitter, Instagram, and the likes. Your increased exposure on social media will likely get you more natural, relevant links.
• Website content must be extensive. Instead of writing only up to 250 words for your website content, it would be better if you discuss your topics extensively and write up to 1,000 or even 2,000 words. But you should make each article interesting, informative, and helpful enough for your readers not to get bored with it.
These are the important SEO tactics that should include in your online marketing strategy. We can implement all these new rules for your SEO Durham launching to work.
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Virtual Private Server (VPS) Hosting Services is the best hosting solution if you are looking to have complete server control. VPS Hosting Services acts like a dedicated hosting service less the high cost. It offers you flexibility and total control of your server.
Here are the advantages that you will get if you invest in Virtual Private Server Hosting Service:
• VPS hosting services offer clients the same quality and type of service a dedicated server can offer.
• VPS offers uninterrupted service to every client in the same physical server. This is because each client will have his own disk space, RAM, and bandwidth.
• VPS offers quality performance that of dedicated servers saving you hundreds of dollars at the same time.
• VPS hosting services offer every client complete control of the server, and the flexibility to install and uninstall applications in it.
• VPS opens up business a business opportunity for resellers. You can buy a server or servers then lease it out to different customers. You will earn extra dollars by slightly increasing the price of each VPS.
• VPS offers you total control of your server. It allows you to upgrade or enhance your website so you can cater to your target market’s needs. It is less restrictive than shared hosting.
• VPS hosting services can manage high traffic during peak hours. You can expect that your website will still fun smoothly during peak hours, with fast connectivity, and uninterrupted power supply. Your site is also protected from malicious sites.
• VPS hosting services can offer you a hosting plan that will allow you to manage multiple domains and sub-domains, MySQL database, unlimited email accounts, and WHM control panel.
• VPS hosting services can guarantee you quality service and complete control. Any update in the main physical server will not affect the functionality of your site.
• VPS hosting services allow you to maintain your privacy. Any upgrades or application installation done by other clients using the same main server will not affect you. As mentioned, you will have your own isolated Virtual Private Server.
The advantages mentioned above surely surpass what a shared SEO hosting site can do for you. Virtual Private Server is the best choice for all webmasters who wants to save on monetary cost, but wants same quality service that of dedicated servers.
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Facial Trauma Limb Fractures for soft tissue cover Foot Trauma Fractures of the Jaws & Facial limbs
Orthopaedic support in limb traumas and Orthodontic and Prosthodontic
help for Maxillofacial trauma is readily available.
Few injuries are as challenging as the injuries of the face. Surgeons have a dual
responsibility : repair of the aesthetic defect and restoration of facial
functions. Not only is the regaining of the pre-injury appearance important
for the sagging self esteem of the injured patient but all those functions
of the various parts of the face which one takes for granted in life
like smiling, seeing, tasting, chewing, swallowing and talking are effected
and retrieving their pre-injury status is of paramount importance.
A face is home to all the five sensory organs of the body as well as our
means of identity in the society. The most important part of the body
needs the attention of the most qualified persons in the health pyramid
as a prompt and definitive reconstructive programme, started as early
as possible, is the only deciding factor between a good result – which
should go unnoticed in the society, and an average result – which will
attract unwanted attention.
A patient with facial injury often sustains other injuries as well, some
of which may be life threatening, viz. Head injury, Chest injury, Spinal
injury etc. and definitive care of facial injury must wait until these
have been properly attended and treated. While motor vehicle accidents
are the commonest cause of major facial injuries minor injuries can
follow domestic accidents, trivial altercations and outdoor sports.
At the site of injury an injured victim if unconscious, should have his
airways cleared and head turned to one side.
Bleeding should be controlled by gentle pressure and an ambulance called for early transportation to a hospital or a trauma centre. A conscious
patient should be reassured and made to sit up, if he can do so
comfortably, as they tend to bleed more while lying down. They should be
given nothing by mouth as they may require an emergency surgery which
may in turn require general anaesthesia.
Every management programme should start after ensuring that the victim has a
clear airway, is breathing properly and has a stable circulation.
Accompanying persons should be reassured and advised about
voluntary donation of blood for the victim if required. Every
injured patient should have a tetanus prophylaxis and an antibiotic
coverage and he or she should be made pain free as soon as possible.
A proper photographic documentation of the injury and a radiological
assessment of the facial skeleton is next on the agenda. With the advent
of CT Scans and more recently a new software which can produce a
3D CT image of the facial skeleton, facial fractures can be best
diagnosed by this method whenever suspected.
Now is the time to gather the required multi-disciplinary team and to
reassess the patient and arrive at a diagnosis. Facial injuries can be
injuries to the soft tissues alone or a combination of soft tissue
injuries and facial fractures, or facial fractures alone. With a Plastic
Surgeon as the main anvil of the team, help can be sought from an ENT
surgeon, a Neurosurgeon or an Ophthalmologist depending upon the
nature of injury.
Subsequently once the wounds have healed and the
swelling subsided the help of a prosthodontist for some missing teeth or
an orthodontist for minor problems in occlusion may be sought. Last but
not the least, the psyche of the injured person should never be
forgotten and a friendly Psychiatrist can do wonders by boosting his
Injuries in the face can be contusions, abrasions, lacerations, deep lacerations
with underlying Facial nerve or salivary gland / duct injury, avulsion
of a part of the face, burn injury or ballistic injury with a
through and through hole in the mouth. A simple black eye could be
hiding a serious underlying fracture of the orbital floor or zygoma. A
small puncture wound may be leading into the eye or even the brain. A
small area of numbness or inability to chew with previous ease may
actually be because of a jaw fracture.
Because of such complexities in
presentation this is not the domain of amateur interventionists.
Every part of the avulsed face or cut nose or amputated ear should be put in a
polybag, which in turn should be put in an ice box or a flask containing
ice and rushed to the hospital. If arteries and veins can be identified
under an operating microscope these pieces can be replanted, if they are
well preserved, and if the injury is fresh.
Parents should realize that what they perceive as a small cut is, if nothing
else, a cosmetic blemish. Yelling children should not be pinned
down by overpowering relatives while an equally irritated doctor tries
to put a few stitches in it in his own clinic in local or vocal
anaesthesia. We need better preparation, better sterilization,
better anaesthesia, better environment, better magnification and better
suture materials for better results.
Parents should also realize that, no matter what they read in magazines or hear
in soap operas, no surgery has yet been invented in this world that does
not leave any scars. Scar-less surgery is a myth, the fact is that we
start scarring from the third month of our existence in our
mother’s womb. We inherit the scarring qualities from our parents and
none of us scar the same way. As a cosmetic surgeon our job is to
camouflage the would be scars in the lines of facial expression so that
they do not stand out in an animated face.
Some suture-less surgeries are now available where skin sutures are being
replaced by either strips of adhesive dressing materials or by a fibrin
glue. These also leave behind scars and have in no way proved to be
superior to a good suture technique. The decision to use them should
certainly rest with the surgeon in charge.
No management programme is complete without a word about prophylaxis. Automobile designers have come up with seat belts, padded dashboards, multi-laminated windshield and improvement in the design of rearview mirrors and steering wheels.
Helmets for two wheelers is a must as is keeping a cool head
on the roads. In the end I can not stop myself from emphasizing
that – ‘ If you drink and drive, you are an idiot ‘.
Limb Fractures for soft tissue cover Open fractures of the Tibia, significantly displaced, severely comminuted, resulting from high energy forces, are usually associated with extensive skin loss and devitalized muscles. There is often an element of crush and degloving and at times a vascular injury which needs primary repair for limb salvage.
After thorough debridement and skeletal stabilization using external
fixators the defect in the integument need to be addressed. In
Gustillo Anderson Type II injuries in the upper and middle third of leg
a pedicled myocutaneous flap from the calf is often enough to provide a
stable cover. However in Type III and IV injuries and particularly in
injuries involving the lower third of leg a microvascular free tissue
transfer of skin, muscle and, if required, bone provides us with the
best possible solution.
The restoration of the cutaneous covering is the primary surgical requisite
because deep healing can be no better than the surface covering.
Vascularized bone grafts also assist the bony healing on occasions when
there is appreciable bone loss.
Limb Salvage & Limb Reconstruction Using Microsurgery
Microsurgery in the lower limb is of four types:
Mangled Extremity Severity score:
This is a scoring system which decides whether the injured limb is salvageable.
Four factors are scored:Skeletal
and Soft tissue injuryLimb
ischemia time Shock Age of the victim and a score is reached. This score is doubled if the ischemia time is more
than 6 hours. The lower the score the better are the chances of success
of a replantation / revascularization surgery.
Preservation and Transportation Proper preservation in a poly-bag which in turn is put in an ice box / another
poly-bag containing ice with a time label is essential. The part
should not come in direct contact with ice and should not be immersed in
any antiseptic solution or tissue preservatives. All dismembered parts
should be sent as non salvageable parts form an important source of skin
and fascial flaps and artery, vein, nerve, tendon and bone graft. The
part can be sent before the patient so that work can start while the
victim is being resuscitated for other accompaning injuries. So for
transportation the three golden rules areDO IT QUICKLYDO IT PROPERLY SEND ALL DISMEMBERED PARTS
Aims of managing a mangled extremityAN
AESTHETICALLY ACCEPTABLE SKIN COVERGOOD
AND EARLY HEALING OF BONEGOOD
MOVEMENT OF CONTIGUOUS JOINTS
While salvaging lower limbs special care should be taken in decision making.
The answer to be sought is not whether the limb will survive but whether
the limb will function usefully.
We would only go ahead with limb salvage if the Tibial nerve is
preserved or its recovery is assured. Choice of flap is not the limiting
factor of limb preservation but the sensibility of the sole of the
IF SOLE OF FOOT DOES NOT GAIN SENSATION
THE REPLANT THOUGH SUCCESSFUL ANATOMICALLY IS A FUNCTIONAL FAILURE
Plan of management:
ASSESSMENT OF DEFECT IN 3 DIAMENSIONS
THE CHOICE OF FLAP
TENDON AND NERVE REPAIR
we prefer muscle flaps?
MUSCLE BRINGS BETTER VASCULARITY
CONTAINS SUBCLINICAL SEPSIS
MOULDS WELL TO THE DEFECTS
FILLS IN CAVITIES
SUPPORTS CANCELLOUS BONE GRAFTS
ATROPHIES PREDICTABLY-BETTER SHAPEChoice
of tissue transferred
depends on the type of tissue lost:
Muscle + integument loss
and soft tissue loss
RADIAL FOREARM FLAP
SOLEAL FLOW-THROUGH FLAP
LESS THAN 8 cm. – FREE ILIAC CREST
MORE THAN 8 cm. – FREE FIBULA
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I was born in the NHS, I’ve worked for the NHS, I’ve used the NHS.
Anuerin Bevan, minister for Health in the Attlee’s post war Labour Government, established our NHS with the mission to provide medical care free at the point of need for all Britons. 66 years on the NHS is still going strong and withstanding a relentless Tory led assault on its founding values.
The principles of National Healthcare System that’s free at point of use, based on need, not on ability to pay; is to me what makes Britain one of the greatest countries in the world. It is a system that promotes fairness and compassion, but most of all – to value life
For many others like myself who live in Harrow our local hospital is Northwick Park. Over the years have come here many times; whether it’s been for a blood test or to visit friends and family in hospital – most of us in Harrow have used Northwick Park hospital.
For me it is the Christmas of 1999 that cemented it’s place in my heart. That December my father suffered a heart attack. He was rushed by ambulance to Northwick Park Hospital – taken its A&E department, to intensive care and then on to nearby Harefield hospital.
I spent that whole Christmas holiday season in and out of the hospital, but I never once worried that my dad’s life wasn’t in safe hands. From the nurses in intensive care to the heart surgeons in theatre, they all battled together to keep him alive and to send him home in time for Christmas.
It is this memory, of a dedicated staff working tirelessly to aid a speedy recovery and to send my father home in time for Christmas that will stay with me forever.
The hospitals in and around our borough are a vital part of our community.
I know first-hand the capability of the state to protect and to transform my family and many other families’ lives. And for this I am eternally grateful. My story is one that has left me with happy memories – but I know it isn’t like this for everyone.
I know the hopelessness and frustration that people have felt when the service has let them down or has not met their needs and I know this cannot be allowed to happen
That is why Labour have argued that it’s not the current multibillion top down reorganisation that is needed but more investment and a more efficient system that tailors to individual needs of patients.
Since the Tory led Government came to power in 2010, the NHS has lost over 7000 nurses, A&E waiting times are the worst in almost a decade and real terms NHS is spending is lower now than when Labour left Government.
Labour understands that we will inherit an NHS that has been forever changed by the Collation government but we have pledged that we will do what it takes to protect and strengthen the system.
We understand that to protect the NHS, is to change it. Change for the Tories means destroying the ethos of it. Change for Labour is means to strengthen it.
Going forward we need a National Healthcare System that can adapt to the changing needs of modern Britain. Labour has pledged to do just that.
The NHS is one of Labour’s proudest achievements and it is part of the fabric of our Country.
Labour has led the fight against planned closures of many of hospitals, A&Es and other NHS services across the country. We will continue to fight against it, because we know how important the NHS is to our communities.
In the words of its founder ‘the NHS will last as long as there are folk left with the faith to fight for it’
PS: These days I visit Northwick park hospital on a weekly basis, but it’s to present for the hospital’s radio station. It’s my way of saying thank you.…