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Patients are admitted to the hospital either the evening before or the morning of the operation The shorter the hospital stay, the smaller the risk of contracting infections from hospital contamination The urine culture should be negative at the time of surgery [14,55] Antibiotic prophylaxis is used routinely Intravenous administration of the rst dose of the antibiotic should be completed at least one hour before the skin incision to ensure having adequate serum concentrations of the antibiotics at the time of surgery There is no general agreement on the antibiotic regimen to be used It is advisable to use the antibiotic recommendations of the hospital in which the surgery is performed The most common germs involved are Staphylococcus species, particularly Staphylococcus epidermidis, and gram negative enteric bacteria One commonly used antibiotic regimen is a cephalosporine during the hospital stay followed by oral cipro oxacine for one week after discharge [55] Some clinicians prefer to use vancomycine and rifampicin [14] Other clinicians use other combinations Genital shaving should be performed in the operating room immediately prior to surgery to avoid contamination of the incision Shaving should be followed by a fteen minute surgical scrub with iodopovidone [55] Traf c within the operating room should be minimized to reduce the risk of infection Proper sterile technique, minimizing tissue trauma, short operating time and effective wound closure, are also well known to reduce the risk of perioperative infections [26]

When you purchase a revenue property, it will have what s known as a cap rate Cap rates are similar to an annual rate of return, insofar as they are measures of the potential cash flow you can expect from the property In short, the cap rate assumes a property is worth a multiple of its annual net operating income Cap rates often drop when markets are strong because more buyers are willing to pay higher amounts for the available assets The greater the purchase price, the less favourable the net operating income is as a return The cap rate is important to take into account when assessing a property s potential, because knowing where the cap rate is heading will give you an idea of demand for the asset you re considering buying and what kind of a return you re likely to see on it Cap rates are hardly a sexy topic, but they re a common indicator of a property s merit For example, a cap rate of 6 percent on a $4 million office block indicates that the building annually returns $240,000 in net income to the owner Had the owner paid $45 million or $5 million for the property, the cap rate (and return) would be less Compression in cap rates means markets are peaking and generally signal a shift to a sellers market You may wish to hold off buying until cap rates loosen Ideally, you want to buy when cap rates are higher, because you ll enjoy greater ongoing yields Should cap rates rise, however whether because rents in the market improve or because demand for investment

Sockets Layer (SSL) for the contractors, terminating on a security gateway in the data center The operational network, therefore, used both IPSec and transport layer security Security and availability were the key requirements for this customer Another client, in the financial services industry, was extremely concerned with performance, specifically the response time of automatic teller machines and credit card authorization terminals The model here was centrally managed, but with premium services deformed from the central operations organization The central organization, not the participants, decided whether bypass links were necessary to get the desired performance level (Figure 118) This decision was based on whether or not the service provider organization felt it could meet service level agreements (SLAs) only by incurring the extra cost of bypassing bottlenecks or having to add extra capacity in major parts of the core network I saw a different economic model for bypass when I worked with one of the major centrally managed credit card authorization networks (Figure 119) This network charged a per-transaction fee to merchants and member banks Two large banks, which were both major credit card issuers, realized that perhaps a third of their transactions were with each other When they multiplied their

The surgical approach may differ according to the type of implant used, the surgeon s preference and the previous surgical history of the patient Semirigid prostheses may be implanted either subcoro-

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Unexpected emergencies, no matter how small or large, create stress To ensure you keep your wits about you, establish a foolproof, intuitive protocol for addressing such events Know it by heart, and if you have a property manager, make sure he or she knows it, too Being able to act responsibly in a stressful situation, whether break-in occurs or a flood or fire strikes, could win you the respect of the community A well-crafted response procedure that identifies concrete steps for your building manager and tenants to follow in the event of trouble encourages an orderly response that could limit losses to your property You may, for example, wish to post an evacuation route for tenants in hallways or stairwells, or post emergency contact numbers in a visible place so that people know who to call A resident manager will require this information as well, in order to provide clear leadership