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Go To a Casino Gambling Online Site, Have Fun And Make Money

It would be easy to assume that online gambling is a simple concept, but before you give it a try, you should be aware of a few gambling online rules. Thankfully there are not too many rules for gambling at an online casino, but a couple of them are very important, so take note.

One of the most important gambling online rules is that all players must be 18 years of age before they can play at an online casino. In simple terms, if you are not yet 18, you will not be allowed to play.

If you wish to gamble for money at casino on the Internet, you will be required to open an online money account and deposit some cash in it. If you are unable do this, you will only have access to the free games. The methods of depositing money will vary between different online casinos, so check the rules before you play, just in case you cannot adhere to the conditions.

US online gambling laws are very ambiguous, which means that some casinos do not allow US players to participate in their games. Always check the terms and conditions before you open an account to deposit money if you are based in the US.

The gambling online rules governing new player bonuses will vary between different casinos online, so check the small print before you play.

Always remember, the gambling online rules are partly there to protect your interests, so as long as you abide by them, you can still have lots of fun gambling online.

daftar qq online– The Top Ten Online Casinos.

So you want to beat the casino at their own game, you want so desperately to figure out a way to turn the odds in your favor when gambling online, well you are not alone, you and thousands of other online casino gamblers are thinking this very same thing. Maybe there’s no sure way of turning the odds in your favor when gambling online, but there are some online gambling strategies that you can practice to ensure that you are a winner, not necessarily the next online casino millionaire, but a winner nevertheless.

The first step to turning the odds in your favor when gambling online is to have a good strategy practice in place. Play games that you are familiar with, those that you understand, keep in mind that beginners luck may or may not appear and if it does it can only take you so far. Also start at the bottom, choose games that require the minimum number of coins but have a relatively good jackpot. Your cash flow will go a much longer way if you minimize your spending, plus you will get more game time. As you get more confident you can move up to the next higher paying game and so on.

Carefully examine the options of each game you intent to play, weigh the pros and cons of each game, know what the odds are, and work out a strategy to beat the odds and become a winner. If you are one of those people who likes everything to be done the easy way, then you are in luck, there are some excellent websites that do intensive research on online gambling games, and suggest various strategies to help you turn the odds in your favor when gambling online. It would be worth your while to give them a try, who knows you might become the newest online casino millionaire.

Gambling and this includes online gambling as well, is similar to those lottery tickets you purchase, it’s taking a chance and hoping for the best, and if possible having a little fun. The real culprit responsible for you winning any kind of game whether it’s online casino gambling, purchasing a lottery ticket, or playing at the regular land casinos, is “LUCK”, yep folks luck is all it takes to turn the odds in your favor when gambling online or gambling in the regular land casinos. Let’s just hope lady luck is on your side. Good Luck.

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Kombinasi Kartu Capsa Susun dari yang Tertinggi

Permainan capsa susun memanglah populer di berbagai kalangan judi. Mereka menyukai jenis permainan capsa susun karena sifatnya yang mudah. Di dalam permainan capsa susun, ada kombinasi kartu capsa dengan nilai yang berbeda-beda.

Berikut beberapa penjelasan mengenai kombinasi urutan kartu capsa susun

Royal Dragon

Royal Dragon adalah susunan tangan yang sempurna dan sulit didapat. Hal ini dikarenakan susunan kartu tersebut harus sama, jika mendapatkan kartu ini maka solusinya akan menang. Hanya pemain yang beruntung yang bisa mendapatkan kartu ini.

Dragon

Dragon adalah kartu sempurna kedua setelah Royal Dragon Card Perbedaannya terletak pada daunnya. Jika kartu bunga dari Royal Dragon Card itu sama, maka berbeda dengan naga yang tersusun secara tertib namun memiliki pola yang berbeda.

Satu-satunya perbedaan antara kedua kartu tersebut adalah pengembangan. Kombinasi kartu jenis ini juga sulit didapat.

Royal flush

Royal flush adalah susunan kartu dimana terdapat lima kartu yang berurutan dari angka 10 sampai dengan angka tertinggi dan bunga yang sama. Banyak jenis ditemukan selama permainan.

Straight flush

Straight flush adalah lima kartu dengan urutan dari 9 hingga K, dan itu juga dapat diatur dari AS hingga 5. Dalam susunan ini, bunga itu harus sama.

A kind of 4

A kind of 4 adalah empat di atas kertas yang sama, ditambah kartu gratis. Jika lawan dengan jenis yang sama ditemukan, kemenangan bergantung pada nilai kartu tertinggi.

Full house

Berikutnya adalah Full house. Full house adalah setumpuk kartu, yang berisi 3 kartu berjenis sama dan berpasangan, dan nilai full house ditentukan oleh 3 kartu berjenis sama. Jika full house berlawanan dengan straight hand, full house memenangkan taruhan.

Flush

Susunan kombinasi selanjutnya adalah flush. Kombinasi ini merupakan kombinasi kartu dengan angka berbeda, namun bunganya harus sama. Bandingkan jenis kartu ini dengan melihat kartu mana yang memiliki nilai lebih tinggi.

Stright adalah kombinasi kartu yang disusun dalam angka berurutan, tetapi bunganya tidak harus sama. Nanti, kita akan membandingkan kartu-kartu ini dengan melihat bunga yang nilainya lebih tinggi pada kartu tersebut.

A kind of 3

Kombinasi susun Capsa ini merupakan gabungan dari tiga kartu dengan nomor yang sama dan dua kartu gratis.

2 pair

Ada 2 pasangan campuran antara dua pasang sub-kartu. Kartu bebas digunakan sebagai tendangan. Jika pemain lain mendapatkan jenis sub-kartu ini, pemenang akan ditentukan sebagai nilai pasangan tertinggi.

1 Pair

Kombinasi kartu ini merupakan gabungan dari sepasang kartu yang mempunyai nilai terendah, bila bertemu dengan lawan yang sama sama kartu pair kemenangan ditentukan dari kembang masing kartu

High Card

Kombinasi kartu yang terakhir adalah high card. High card merupakan gabungan dari kartu dengan nilai tertinggi namun kartu ini merupakan kartu terendah.

Berbagai kombinasi di atas adalah jenis gabungan kartu yang seringkali ditemukan dalam permainan capsa susun online maupun offline. Semoga membantu!

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Dominoqq Site With The Most Strong Security System

If you have just decided for an online poker play but don’t know how to make a deposit at an online poker room, then this article will prove quite helpful for you.

How You Can Transfer Funds to an Internet Poker Room

Most of internet poker rooms offer their potential players a great choice of deposit options which range from direct credit card charges to bank transfers and even e-wallet services. Each option has its own pros and cons, particularly for players from USA where depositing money on an online poker room can be a tough job, but not impossible.

Credit card is the best option of depositing money on a poker room. There are many options: online poker sites allow you to use credit cards like Visa check cards, debit cards, and regular Visa and MasterCards. This is the most popular   Areadomino  choice of first time depositors; banks have targeted credit cards obeying the new U.S. legislation that prevents money transfer from a U.S. financial institution to an internet poker room. Online Poker Play is not illegal, but it is quite difficult to transfer money to a poker site.

Due to the new American Legislation, many leading online poker rooms like Poker Stars, Full Tilt Poker, Carbon Poker, Absolute Poker and Cake Poker don’t accept players from USA.

Apart from Credit Cards, there are many other fund transfer option among with E-Wallets is the most popular. E-wallets are a series of web based companies that act as a 3rd party funds transfer company. You can deposit money onto the e-wallet either through a credit card or bank transfer and then use the e-wallet service to transfer funds to any online poker rooms. Certain poker sites have different e-wallet depositing options but the most popular are Moneybookers, WebMoney. eWalletXpress, and EntroPay.

How Much You Should Deposit In An Internet Poker Room

When you have decided the best deposit option, you need to determine the amount that you should actually deposit to a poker room. The very first thing that you need to consider is the type of stakes you would be playing and the purpose for which you have decided for online poker play. If you are the recreational first time player, then it better to keep your first deposit under $100. There are many excellent low buy-in tournaments, Sit’n’Go tournaments, and small stake cash games in which you can play. It is possible to building a solid bankroll from less than $50. Recently, a PokerStars pro has proved that players can make $100,000 in less than one year by starting with just $5.

If you are more serious to become an online poker pro, there you need to consider many important things as very few players ever make enough to play at online poker tables continually to make a living. If you still want to make online poker play a way living, then start with $250 and moving up the stakes as your winning percentages move increases. The game of Poker has several variances. Hence, it is quite impossible to win every time and you must have a lot of patience.

How You Can Withdraw From An Internet Poker Room

If you are a USA based player, then the best withdrawal option is to be issued a check from the poker site. You can also use a direct bank transfer but it can create problems for you. However, withdrawing isn’t generally a problem. You need to send your identity proof to the poker site but the money is due to any player who requests it.

If you live out side USA, then you have a wide range of withdrawal options. You can withdraw your winnings directly to an e-wallet or a bank account. This process can take a few days, but isn’t generally a problem. Here, you are also required to provide your identity proof but that’s just a part of the internet poker room’s security.

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Christmas Gift Baskets

Where Did the Basket Originate?

Since the beginning of mankind, man has woven grasses, straw, twigs and branches to create baskets. Early uses for the basket were to store dry goods and to transport food and materials. In biblical times, larger baskets were used for transporting people and goods on the water. Always a useful, sturdy container, it was a tool of man for tens of thousands of years.

The First American Gift Baskets

When the Mayflower landed on the shores of America, the European settlers were greeted with the first gift baskets. Dried fish and meats, corn, beans and other vegetables were presented to the settlers, by the American Indians, to welcome their arrival. In the 1700 and 1800’s, individuals created baskets full of fruits, foods and candies for Christmas, Easter and other holidays. Today’s gift baskets are crafted to the individual recipients tastes for holidays, special occasions or “just because” gift giving. Fruits, foods and candies now share space in gift baskets with “useable” items for the baby, the bath, the kitchen or for play. The baskets or boxes themselves are designed to be creatively used as well by the recipient once they’ve enjoyed the contents of the gift basket.

What to consider when buying a gift basket?

Baby Gift Baskets

These popular gift baskets provide the new parents clothing, towels, blankets, soap and shampoo for the new baby. The new arrival can expect to receive rattles, books and other baby items for them to play with.

Fruit Baskets

Always a great gift, these baskets are loaded with delicious apples, pears, other seasonal fruits and nuts. They are perfect for any occasion, and as people look to provide a healthy gift, these baskets are becoming more popular.

Gourmet Gift Baskets

The “old reliable” in gift baskets for years, these gifts traditionally have been filled with gourmet chocolates and nuts. More recently, these baskets are customized with gourmet coffee, tea and chocolate drinks; Italian foods stocked for entire dinner; sauces and rubs for the barbeque.

Corporate Gift Baskets

This gift basket category is becoming more popular with each passing year. Businesses send them to their clients to say “thank you” or to say “happy holidays”. Many companies present them to their employees in recognition of a job well done, for anniversaries, for the arrival of new baby or for a holiday gift.

Birthday Gift Baskets

Here you will have a wide selection to choose from. In gift baskets for children, you will find a variety containing candy, toys  giỏ quà tặng Tết books and gift certificates. For the women, spa items, chocolates, candies, gardening items and her favorite beverage to relax with can be found. For the man, in addition to traditional candy and nuts, sports, cigar, cooking and barbeque gift baskets are crafted to meet his personal tastes and interests. Gift baskets provide numerous and unique ways to say “Happy Birthday”.

Condolences Gift Baskets

When heartfelt sympathy is due, consider sending to the home of family or friends a condolences gift basket. Are you looking to send a whole meal? Or snacks and treats? Send them a gift to convey your sympathy and let them know that they are in your thoughts.

Gift Baskets for Her

You want to spoil her “just because of who she is”. Look for a gift that she would truly enjoy. Aromatherapy, a spa gift, a mug of her favorite coffee or tea or gourmet chocolates are unique and “just for her”. Reusable items such as candle holders, bath sponges, or a coffee mug make the gift a lasting memory.

Gift baskets For Him

What are your man’s interests? A gift basket comes in many varieties. Does he barbeque or enjoy being a gourmet chef? A sports themed basket for football, baseball golf or fishing is appropriate. Or does he like to share a gourmet chocolate or food on a quiet evening? Treat his tastes with a gift especially for him.

Get Well Gift Baskets

Sometimes flowers or balloons just won’t do. A soup meal, a game book, snacks or a mug of hot tea fits the bill. A gift basket sends your get well wishes in a unique way. For hospital deliveries, make sure your recipient is still a “guest”.

Luxurious Spa Gift Baskets

Pamper that someone special with a spa at home. Bath gels, body lotions, loofahs, creams and even a gourmet snack or chocolate are a great idea. These gift baskets turn your home into their private spa retreat.

Sports Gift Baskets

Baseball, football, golf or fishing? What is their interest? Memorabilia, books, a tee or a creel are items that special someone will enjoy. Candy and/or snacks should be included with this gift. A gift with their interest in mind!

Wedding Gift Baskets

If you’re looking for a unique wedding gift consider the gift basket. A time capsule or a picture frame to remember their special day. Commemorative champagne glasses and a gourmet treat will express your wishes. These are great gifts for family and friends alike.

Kids Gift Baskets

What do your kids like? Probably a sampling of gifts is the answer. Books and popcorn. Snacks and candy. Certificates and toys. “Can you make them happy? Yes you can!” Look for stuff they enjoy and that you feel good giving.

Housewarming Gift Baskets

Consider this gift if your relative or friend moves into their new home. If you are a real estate agent and you want to express your thanks to your client, think a gift basket as a unique housewarming gift. A meal, gourmet food or a unique, reusable basket says “Congratulations” to the new home owner.

Holiday Gift Baskets

Whether it’s Christmas, Valentine’s Day, Mother’s Day, Father’s Day or any other traditional holiday, give a gift that sends your wishes with the spirit, flavors and colors of the holiday. Personalize the gift with items that reflect the individual’s interests and tastes to insure their enjoyment and to tell that that you really care.

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diantaranya ialah bonus komisi referral 10%, bonus ini dapat Anda peroleh cukup

I’ve just finished reading way too many articles about how to win a gambling online bonus and other fool proof ways to win at casinos. I’ve had enough with roulette computers that beat roulette wheels. I feel a need to get in my two cents in. My two cents are pessimistic. That being said, I do know how you can tilt the odds in your favour. It’s just not that glamorous. It’s like cutting out coupons in the newspaper before you buy your groceries.

Quality online gambling casinos like new customers. It’s a bit of an obvious statement, but a good place to start nonetheless. Quality online gambling casinos Situs Judi BandarQQ are wrestling with the marketing problem. Faced with many similar casinos, how can one create a unique value proposition for customers? How can they make their casino the best? There are several possible means. Casinos can compete on:

– Payout ratio (one casino pays out 98% of the money it takes in)

– Quality of the software

– Give you a gambling online bonus when you sign up.

The main problem with the first marketing effort is that it reinforces the notion that you’re taking money from the players. This might not be the fact that you want to emphasize in your online casino marketing efforts.

The problem with the second is that the best and highest quality software and resulting quality online gambling experience can’t be experienced until after the customer downloads the software. This strategy doesn’t help get new customers. The first two strategies don’t help you get new customers; they just help keep the ones you already have. The last strategy is the online equivalent to the $5 lobster dinner at Vegas. It’s just a loss leader – plain and simple.

Combined with search engine optimization and affiliate programs, the third strategy seems to be the strategy of choice. The proposal works like this. Sign up, deposit $50 and we’ll give you $50. The only catch for this gambling online bonus that you need to gamble a bit before you take the gambling online bonus money out.

Many quality online gambling casinos offer a gambling online bonus of 10%, 20%, or 25%. It might be better to look for individual free money for every $25 you deposit. If the quality online gambling casino gives you a free $50 for every $50 you put in, this works out to a 100% bonus. One place offered $100 for a $25 deposit. This is a whopping 400% bonus! Not bad.

So is there a catch? Not really, as long as you don’t end up losing more than the bonus. A little self discipline.

So, how do you hustle the quality online gambling casino?

A Blackjack player that knows some basic strategy has a disadvantage of around .5%. This means that for every $100 that you wager, you should get $99.50 back. I think that this is actually pretty good. For one hours worth of entertainment, you should be down at most a buck or two. If you’re lucky, you might win a bit.

Quality online gambling casinos usually want you to make $50 worth of bets before you take the money out. Normally, you’ll end up with $40 to $60 to take out (assuming you deposited $25 and the casino kicked in $25 as well). It’s cool is you suck at Black don’t sweat it just play Baccarat or Craps. In Baccarat, bet player or banker. In Craps, bet pass or don’t pass. These strategies give you about a 1% disadvantage. Make all your bets the table minimum. Keeping you bets at the minimum diversifies the risk over more hands and increases the chance that you will end up with between $45 and $55 worth of cash. Now just have fun and make $50 worth of bets. In general, it’s a good rule of thumb to deposit more than the minimum amount for the gambling online bonus. This is just to avoid suspicion. After you’re done, take most of your money out. If you leave a bit in, the casino might give you the same sort of gambling online bonus and you can make more money this way.

That’s it! The be proven way I’ve found to provide a beating to a one armed bandit.

Devan Dafoe writes reviews on various online betting website. In this piece of write up he highlights one of the most searched topic gambling online bonus

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Hair Transplant Clinic in Lahore is here to take away your pain

Finding an effective hair regrowth treatment for men can be very confusing because there are various products available in the market. It can be very difficult for men to look in the mirror and notice that their hair is falling or thinning. Keep in mind that this can also decrease confidence. Even though this problem can be very frustrating, there is no reason why you should rush and but the first hair regrowth treatment that you see in front of you.

You should take your time in researching the treatments available especially if you’re planning on purchasing them online. If you’re planning on buying the hair regrowth treatment from an online store, you should first check if they have a free trial because this will enable you to return the product and receive a refund if you aren’t satisfied with the way the product works. You should also read all the reviews about the products because this will ensure that you are protected from any scams. There are a lot of oils and shampoos that you can use as well. These treatments are very affordable and can easily be purchased from any drug store and this is important for individuals who don’t have enough money to purchase expensive treatments. These treatments are extremely beneficial and can help you in growing your hair again if you use them accurately.

Natural treatments such as coconut oil and onions can help in reducing hair loss. Coconut oil can strengthen the hair strands by enriching them with nutrients and proteins. It is also useful in cleaning your scalp by penetrating the holes in your scalp and removing any dirt or debris. The reason why onions are effective is because they consist of sulfur and this is a nutrient that stimulates hair growth. You will have to rub the onion directly on your hair and leave it for thirty minutes. You don’t have to worry about any odor because you can easily wash your hair after it using a normal shampoo or a scented soap.

If none of these treatments work, then this is a sign that you will need more advanced treatments such as hair transplant. The first thing you have to do is visit a dermatologist because he/she will be able to inspect your scalp and understand the main reason behind hair loss. You should understand that the reasons for hair loss usually differ from one person to another. This means that you should never use a treatment because it worked for someone else. There is always a chance that you might not be applying your treatment properly or the treatment you are using is not suitable for the symptoms that you have.

 Although many technical advances have been made in the field of surgical hair restoration over the past decade, particularly with the widespread adoption of follicular transplantation, many problems remain. The majority revolve around doctors recommending surgery for patients who are not good candidates. The most common reasons that patients should not proceed with surgery are that they are too young and that their hair loss pattern is too unpredictable. Young persons also have expectations that are typically too high – often demanding the density and hairline of a teenager. Many people who are in the early stages of hair loss should simply be treated with medications, rather than being rushed to go under the knife. And some patients are just not mature enough to make level-headed decisions when their problem is so emotional.

In general, the younger the patient, the more cautious the practitioner should be to operate, particularly if the patient has a family history of Norwood Class VII hair loss, or diffuse un-patterned alopecia.

Problems also occur when the doctor fails to adequately evaluate the patient’s donor hair supply and then does not have enough hair to accomplish the patient’s goals. Careful measurement of a patient’s density and other scalp characteristics will allow the surgeon to know exactly how much hair is available for transplantation and enable him/her to design a pattern for the restoration that can be achieved within those constraints.

In all of these situations, spending a little extra time listening to the patient’s concerns, examining the patient more carefully and then recommending a treatment plan that is consistent with what actually can be accomplished, will go a long way towards having satisfied patients. Unfortunately, scientific advances will improve only the technical aspects of the hair restoration process and will do little to insure that the procedure will be performed with the right planning or on the appropriate patient.

Five-year View

The improvement in surgical techniques that have enabled an ever increasing number of grafts to be placed into ever smaller recipient sites had nearly reached its limit and the limitations of the donor supply remain the major constraint for patients getting back a full head of hair. Despite the great initial enthusiasm of follicular unit extraction, a technique where hair can be harvested directly from the donor scalp (or even the body) without a linear scar, this procedure has added relatively little towards increasing the patient’s total hair supply available for a transplant. The major breakthrough will come when the donor supply can be expanded though cloning. Although some recent progress had been made in this area (particularly in animal models) the ability to clone human hair is at least 5 to 10 years away.

Key Issues

1. The greatest mistake a doctor can make when treating a patient with hair loss is to perform a hair transplant on a person that is too young, as expectations are generally very high and the pattern of future hair loss unpredictable.

2. Chronic sun exposure over one’s lifetime has a much more significant negative impact on the outcome of the hair transplant than peri-operative sun exposure.

3. A bleeding diathesis, significant enough to impact the surgery, can be generally picked up in the patient’s history; however OTC medications often go unreported (such as non-steroidals) and should be asked for specifically.

4. Depression is possibly the most common psychiatric disorder encountered in patient’s seeking hair transplantation, but it is also a common symptom of those persons experiencing hair loss. The doctor must differentiate between a reasonable emotional response to balding and a depression that requires psychiatric counseling.

5. In performing a hair transplant, the physician must balance the patient’s present and future needs for hair with the present and future availability of the donor supply. It is well known that one’s balding pattern progresses over time. What is less appreciated is that the donor zone may change as well.

6. The patient’s donor supply depends upon a number of factors including the physical dimensions of the permanent zone, scalp laxity, donor density, hair characteristics, and most importantly, the degree of miniaturization in the donor area – since this is a window into the future stability of the donor supply.

7. Patients with very loose scalps often heal with widened donor scars.

8. One should never assume that a person’s hair loss is stable. Hair loss tends to progress over time. Even patients who show a good response to finasteride will eventually lose more hair.

9. The position of the normal adult male hairline is approximately 1.5 cm above the upper brow crease. Avoid placing the newly transplanted hairline at the adolescent position, rather than one appropriate for an adult.

10. A way to avoid having a hair transplant with a look that is too thin is to limit the extent of coverage to the front and mid-scalp until an adequate donor supply and a limited balding pattern can be reasonably assured – an assurance that can only come after the patient ages. Until that time, it is best to avoid adding coverage to the crown.

Introduction

Hair Transplantation has been available as a treatment for hair loss for over 40 years. [1]

Through a majority of that time, hair transplantation was characterized by the use of plugs, slit grafts, flaps and mini-micro grafts. Although these were the best tools available to physicians at the time, they were incapable of producing consistently natural results.

With the introduction of Follicular Unit Transplantation (FUT) in 1995, doctors were finally able to produce these natural results. [2] But the mere capability to produce them did not necessarily ensure that these natural results would actually be achieved. The FUT procedure presented new challenges to the hair restoration surgeon and only when the procedure was properly planned and perfectly executed, would the patient truly benefit from the power of this new technique.[3]

The ability of follicular unit grafts to mimic nature soon produced results that were completely undetectable. This is the hallmark of Follicular Unit Hair Transplantation. [4] Of equal importance, however, is hair conservation – the one to one correspondence between what is harvested from the donor area and what ultimately grows in the recipient scalp. Since a finite donor supply is the main constraint in hair transplantation, the preservation of hair is a fundamental aspect of every technique. However, unlike the older procedures that used large grafts, the delicate follicular units are easily traumatized and very susceptible to desiccation, making follicular unit transplantation procedures, involving thousands of grafts, particularly challenging. [5]

As of this writing, the vast majority of hair transplants performed in the United States use Follicular Unit Transplant techniques. Due to limited space, this review will focus on only this technique and not on the older procedures. Nor will it focus on Follicular Unit Extraction, since this technique is still evolving and the ways to avoid the major pitfalls of this procedure are still being worked out and a subject onto itself. As the title suggests, this paper will focus on the prevention of the various problems encountered in FUT, rather than its treatment – an equally important subject, but one that has already been covered in an extensive review. [6, 7]

For those not familiar with Follicular Unit Transplantation, there is a concise review of the topic in the dermatology text Surgery of the Skin [8]. For more detailed information, several hair transplant textbooks have sections devoted to this technique. [9, 10]

The most common types of problems that occur in FUT procedures can be grouped into two broad categories; those involving errors in planning the hair transplant and those caused by errors in surgical technique. Of the two, errors in planning often lead to far more serious consequences for the patient and will be the subject of this paper.

Patient Selection

Age

The single greatest mistake a doctor can make when treating a patient with hair loss is performing a hair transplant on a person that is too young. Although, there is no specific age that can serve as a cut off (since this will vary from person to person), understanding the problems associated with performing hair restoration in young persons can help the physician in deciding when surgery may be appropriate. Getting it wrong can literally ruin a young person’s life.

When someone is beginning to lose hair in their teens or early 20s, there is a significant chance that he (or she) may become extensively bald later in life and that the donor area may eventually thin and become see-through over time. Although miniaturization (decreased hair shaft diameter) in the donor area is an early sign that this may occur, and can be picked up using densitometry, these changes may not be apparent when a person is still young.

If a person were to become very bald (become a Norwood Class 6 or a Class 7) then he would often not have enough hair to cover his crown. A transplanted scalp with a thin or balding crown is a pattern acceptable for an adult, but totally unsuitable for a person in his twenties. [11] In addition, if the donor area were to thin over time, the donor scar might become visible if the hair were worn short – a style that is much more common in people who are young.

Expectations

This subject is very closely related to age. For surgical hair restoration to be successful, expectations must match what can actually be accomplished. The expectations of a young person are usually to return to the look they had as a teenager; namely to have a broad, flat hairline and to have all of the density they had only a few years before.

The problem is that a hair transplant neither creates more hair (and therefore can’t increase overall density) nor prevents further hair loss (so the pattern must be appropriate as the person ages). But since receded temples and a thin crown is not an acceptable look for a young person, the surgery should best be postponed in a person in whom this is not acceptable. As a person ages, he often becomes more realistic and is happy with what a hair transplant can actually achieve. And, over time, if a person’s donor area proves to be stable and his hair loss limited, more ambitious goals can be attained.

Chronic Sun Exposure

Although it is common wisdom to avoid sunburns after a hair transplant, in fact, significant chronic sun exposure over one’s lifetime has a much more significant negative impact on the outcome of the hair transplant then peri-operative sun exposure.

Actinic damage alters the collagen and elastic fibers so that the grafts are not grasped as securely and the alteration to the vasculature decreases the ability of the recipient tissue to support the transplantation of a large number of grafts. Even with the very small recipient sites used in follicular unit transplantation, making sites too close can result in a compromised blood supply and result in poor growth.

Another issue is that a hair transplant will cover areas of sun damage and make cancer detection more difficult. When the actinic related growths are finally treated, the involved sections of the hair transplant will be destroyed.

The best approach in a person with significant sun damage is to first treat the entire scalp aggressively with 5-flurouracil to remove all of the pre-cancerous lesions before hair transplant is contemplated. One should wait at least 6-12 months after the treatment for the scalp to completely heal, as the tissue will be more friable during this period. Although this treatment can set the surgery back a year or more, it will result in better graft survival and less problems with future skin cancer detection.

Medical Conditions and Medications

Although not necessarily an absolute contraindication to surgery, a number of medical conditions make the follicular unit hair transplant procedure more problematic and need to be taken into account. Whenever significant medical conditions are present, it is always prudent to obtain medical clearance from the patient’s primary care physician or appropriate specialist.

Because the scalp is quite vascular, and FUT procedures involve a large surgical team, patients that are known to have blood born pathogens, such as HIV and Hepatitis B and C, pose some increased risk to the staff, despite the fact that universal precautions are used. It is useful if the team is aware of the medical histories of hair transplant patients so that they can proceed with a higher degree of alert when necessary.

In an HIV positive patient, it is important to make certain that the patient’s immune status is adequate, so that the patient does not have a greater risk of infection. In patient’s with Hepatitis, it is important to assess their liver function so that the dosing of medications is appropriate.

Patients with diabetes mellitus may be at greater risk of having a peri-operative infection. In this case the normal aseptic conditions that most hair transplants are performed under might be changed to a modified sterile technique (modified in that it is difficult to prep the scalp). This should also be considered in patients with cardiac valvular disease, implanted devices and others in whom bacterial seeding might have more severe consequences. Antibiotic coverage should also be administered in high risk individuals, although it is not needed in routine hair restoration procedures. [12]

A bleeding diathesis, significant enough to impact the surgery, can be generally picked up in the patient’s history; however medications often go under the radar and should be asked for specifically. Patient’s often don’t think to report taking aspirin and this must be asked about as well as other non-steroidal anti-inflammatory medications. Plavix, in particular can significantly increase bleeding during the procedure. Alcohol, of course increases bleeding as well. [13]

One should make adjustments in a patient’s anti-coagulant medication in conjunction with his/her cardiologist or regular physician. As a general rule, one should stop anti-platelet medications one week prior to the hair transplant, but the interval will vary depending upon the specific drug, the size of the procedure, and the importance of the medication to the patient’s health. They can be resumed three days after the procedure. If the anticoagulants cannot be stopped, it may be reasonable to proceed with a smaller session.

Since epinephrine is used in most hair restoration procedures, if a person has a history of arrhythmias or other cardiac disease that could be exacerbated by epinephrine, medical clearance from the patient’s primary care doctor, or cardiologist, should be obtained. Epinephrine can also interact with broad-beta blocking agents such as propranolol, causing a hypertensive crisis; therefore, it is best to have the patient switch to a selective beta-blocker for the surgery. [14]

A number of manipulations can be used during the procedure to control bleeding and decrease the need for epinephrine. Among the most useful, is to scatter the recipient sites broadly over the area to be transplanted (allowing the extrinsic pathway to begin coagulation) and then filling in the areas with additional sites when the bleeding has subsided. [15]

If patients have a history of seizures, it is important that they do not discontinue their medication for the procedure and that medical clearance is obtained. One should also remember that otherwise normal patients can have a vaso-vagal episode during the procedure; particularly during the administration of the local anesthetic. This can be avoided by immediately placing the patient in Trendelenberg as soon as the patient complains of nausea or begins to sweat, or look pale.

A patient should be monitored with a pulse oximiter if a significant amount of sedatives or other respiratory depressants are used. The patient should be monitored closely to be sure that local anesthetics are administered in safe amounts and that the warning signs of lidocaine overdose are well known to all members of the surgical team. [16]

Finally, it is helpful to have a pre-printed summary of all the medications and their doses commonly used during the procedure. This can be given to the patient’s regular physician when seeking medical clearance.

Psychological Factors

Hair loss can take a psychological toll on a person’s self-esteem and cause considerable emotional distress. When a person has underlying psychiatric issues, the impact can be more severe and, therefore, management of hair loss considerably more difficult. It is important to identify these problems as well as other psychological factors that may play a role in a patient’s ability to clearly understand both the hair restoration process and its anticipated outcome.

In some cases, counseling can be done in conjunction with hair restoration, but often it should precede treatment, especially when surgery is contemplated. It is prudent to obtain clearance for surgery from a psychiatrist or clinical psychologist when there is a history of mental illness, or when it is suspected at the time of the consultation.

A number of psychiatric conditions are particularly relevant to the successful outcome of a hair transplant. These include Trichotillomania, Obsessive-Compulsive Disorder (OCD), Body Dysmorphic Syndrome (BDS), and Depression.

Trichotillomania is a relatively common condition characterized by the persistent urge to pull out one’s hair. It most commonly involves scalp hair, but can also involve the eyelashes, facial hair or other body hair. It often results in bald patches and can be identified by short hairs in the affected area that are not long enough to grasp. Active trichitollomania on any part of the body is an obvious contraindication to a hair transplant, but if a person has a history of this condition, the doctor should also be cautious and only consider surgery if the therapist is confident that the condition has little chance of recurring.

Obsessive-compulsive disorder (OCD) is a condition characterized by recurrent, intrusive thoughts (obsessions) and related behaviors (compulsions) which attempt to neutralize the anxiety or stress caused by the obsessions. In consultation, the OCD patient often asks a litany of questions and often asks the next question before listening to the answer to previous one. OCD patients are extremely difficult to satisfy and even in a very successful hair transplant can focus on a minor imperfection seeming oblivious to the good overall result.

Body dysmorphic disorder (BDD) is a mental disorder that involves a distorted image of one’s body. The person is extremely critical of their physical self, despite the fact there may be no actual defect. It should be obvious that patients with BDD will not be satisfied with a hair transplant, or other forms of cosmetic procedures, and the condition is best treated by a psychiatrist rather than a surgeon. Another note of caution is that patients with BDD have a much higher suicide rate than the general population, even greater than patients with depression. [17]

Depression is possibly the most common psychiatric disorder encountered in patient’s seeking hair transplantation, but it is also a common symptom of those experiencing hair loss. The doctor must differentiate between a reasonable emotional response to balding and a depression that requires psychiatric counseling. It is important to realize that a hair transplant will be ineffective in curing a medical depression and unfulfilled expectations may lead to a worsening of the condition.

References

1. Orentreich N: Autografts in alopecias and other selected dermatological conditions. Annals of the New York Academy of Sciences 83:463-479, 1959.

2. Bernstein RM, Rassman WR, Szaniawski W, Halperin A: Follicular Transplantation. Intl J Aesthetic Restorative Surgery 1995; 3: 119-32.

3. Bernstein RM, Rassman WR: Follicular Transplantation: Patient Evaluation and Surgical Planning. Dermatol Surg 1997; 23: 771-84.

4. Bernstein RM, Rassman WR: The Aesthetics of Follicular Transplantation. Dermatol Surg 1997; 23: 785-99.

5. Gandelman M, et al: Light and electron microscopic analysis of controlled injury to follicular unit grafts. Dermatol Surg 2000; 26(1): 31.\

6. Bernstein RM, Rassman WR, Rashid N, Shiell R: The art of repair in surgical hair restoration – Part I: Basic repair strategies. Dermatol Surg 2002; 28(9): 783-94.

7. Bernstein RM, Rassman WR, Rashid N, Shiell R: The art of repair in surgical hair restoration – Part II: The tactics of repair. Dermatol Surg 2002; 28(10): 873-93.

8. Bernstein RM, Follicular Unit Hair Transplantation. In: Robinson JK, Hanke CW, Siegel DM, Sengelmann RD, editors: Surgery of the Skin, Elsevier Mosby, London UK. 2005.

9. Unger WP, Shapiro R. Hair Transplantation. New York: Marcel Dekker, Inc. 2004.

10. Bernstein RM, Rassman, WR. Follicular Unit Transplantation. In: Haber RS, Stough DB, editors: Hair Transplantation, Chapter 12. Elsevier Saunders, 2006: 91-97.

11. Norwood OT. Male pattern baldness: classification and incidence. So. Med. J 1975; 68:1359-1365.

12. Haas AF, Grekin RC: Antibiotic prophylaxis in dermatologic surgery. J Am Acad Dermatol 1995; 32: 155-76.

13. Otley CC. Perioperative evaluation and management in dermatologic surgery. J Am Acad Dermatol 2006; 54: 119-27.

14. Gandelman M, Bellio R, Barretto M: Beta-blockers and local anesthetics with vasoconstrictors: A dangerous association. Intl J Aesthetic Restorative Surgery 1995; 3 (2): 143-45.

15. Bernstein RM, Rassman WR: Limiting epinephrine in large hair transplant sessions. Hair Transplant Forum International 2000; 10(2): 39-42.

16. Skidmore RA, Patterson JD, Tomsick, RS: Local anesthetics. Dermatol Surg 1996; 22:511-522.

17. Phillips KA, Menard W: Suicidality in body dysmorphic disorder: A prospective study. Am J Psychiatry, 2006; 163:1280-82.

18. Bernstein RM, Rassman WR. The scalp laxity paradox. Hair Transplant Forum International 2002; 12(1): 9-10.

Hair transplant in lahore is Clinical Professor of Dermatology at the College of Physicians and Surgeons of Columbia University in New York. He is recognized world wide for pioneering Follicular Unit Hair Transplantation. Dr. Bernstein’s hair restoration center in Manhattan is devoted to the treatment of hair loss using his state-of-the-art hair transplant techniques.

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RAJAQQ SITUS JUDI QQ ONLINE PALING AMAN SE INDONESIA

Cigar smoking gentlemen, glamorously dressed ladies, oodles of money, cards, roulette tables and slot machines. All these could be present in any casino in Las Vegas or in any casino in any part of the world. The smoke filled rooms are intrinsic to any casino the world over. Ask anyone who has visited a casino about what remains part of them, Situs Judi QQ for days after visiting a casino. It is the smell of smoke which clings to their clothes despite visits to the cleaners.

Smoking is among the biggest reasons for causing lung cancer. In a casino you cannot get away from this smoke even if you are a non smoker. The smoke filled environs of a casino can cause harm to the non smokers as well. It is a well known fact that passive smoking is as injurious to health as smoking itself. There is no way you can avoid the smoke in an actual casino even though casino owners have been asked to provide for non smoking and smoking rooms. These have been provided to protect the health of the other patrons of the casino.

For all the avid gamblers and health conscious people, help is at hand. Gamble at online casinos and protect yourself from lung cancer. In online casino gambling the user is a part of the gambling experience without getting up from his or her home. The environment is controlled by the patron of the online gambling casino. Prevent any health problems by being a part of online gambling through online casinos. In online casino gambling the players sit in the cool and comfortable confines of their homes. There is no need to venture out in unhealthy environments with their ill effects like lung cancer.

Online casino gambling is advantageous as the players can visit as many casinos as they wish to without suffering through the smoke and noise of an actual casino. The smoke in an actual casino takes away from the playing experience and causes discomfort, to top it all. Studies have shown that repeated exposure to smoke filled rooms can be a cause for lung cancer. All this can be avoided through the world of online casino gambling. You can enjoy and practice the art of gambling without exposing yourself to the risk of lung cancer.

Online casino gambling has become popular mainly because the players sit at home in their comfortable surroundings where the control is in their hands. From the casino, to the temperature, to their own exposure to health hazards all is in the hands of the user. If the player does not wish to be exposed to cigar smoke as he or she is a non smoker then it can only be done through online gambling. In an actual casino the smoking of others cannot be controlled and may lead to unpleasantness if insisted upon.

So keep yourself from being exposed to smoke by visiting an online casino and prevent lung cancer. Be a part of the exciting world of gambling without the ill health effects you might have to suffer in an actual casino. Go online!!!

It’s unfortunate how many people will jump right into online gambling without any cares in the world. Sometimes I feel that these people will deserve the loss they get. I know that sounds a bit cold, but it’s very true. There are plenty of resources where people can become educated on the world of online gambling. I understand the whole entertainment attraction, since that is what gambling is all about.

The downfall is when people become desperate and begin to lose all their hard earned money in a matter of minutes, sometimes even seconds. Since I am human, I do have feelings and care a bit for those who are down and out. I’ll begin by telling you this. If you are down and out, depressed, and are really desperate to earn some cash, DON’T GAMBLE. If you are able to draw a fine line and separate the entertainment side of gambling with the addiction side of gambling, you’ll be able to fair much better in the end.

There are many important things one should know before spending even 5 seconds on an online gambling website. Online casinos are a different world than the casinos you may have visited in person. Although the concept is similar, there are different gaming rules and regulations that come into play.

Read carefully. I’ll be brutally honest here. If you have a problem with comprehension, and have a hard time understand the online casino rules of each individual casino, then you may want to have someone help you understand what all the rules mean. You want to read all the payout percentages, the game odds, etc. You’ll want to become familiar with everything that is put out in front of you.

Reading the reports that each online casino puts out is extremely important. You’ll want to analyze the reports for previous months the casino has operated. Be sure to take a good look at the terms and conditions of the website you are visiting. I know, the terms and conditions that are written up are usually difficult to understand, but you’ll want to at least make an effort to read what’s there.

Not every casino is the same when it comes to these rules. Even though there are plenty of casinos willing to give you all sorts of freebies and cash bonuses, you’ll want to see when you can withdraw this money. There are many online casinos that will hold that bonus until you play a certain amount of your own cash before you can withdraw. This is not uncommon, it’s simply a matter of business. If you are at a site that has games you have no idea how to play, move on to somewhere else. It’s not like there aren’t other sites to play at. There is no point in accepting at a site that has games you aren’t comfortable playing.

Understand all the processes. If you have the ultimate goal of winning tons of money, then you must may want to think about doing something that involves a bit less risk. Understand how much money of your own you must play to make a profit from the bonuses being offered. If there is an unreasonable amount listed in the terms and conditions of the casino, move on to somewhere else. I can’t stress the importance of this enough.

And remember, START WITH A BUDGET! You must have a budget and a set amount of money in mind when you are participating in these online games. Keep a constant watch on your money. Be fully aware of what you are starting with, what you are winning, and what you are losing. If you don’t do these simple things, you might as well put a blindfold over your eyes and walk into a casino and begin playing all the table games you know nothing about. It’s essentially the same thing.

Of course I can’t end by saying you must play with common sense. There is a lot of money to win, a lot of money to lose, but you’ll increase your risk if you don’t have a strong degree of common sense. Online gambling can be a lot of fun, if you play legally, play safely, and think with a clear mind.

William E. Shepherd is an accomplished author and business analyst. Shepherd enjoys spending time reading, traveling, and gambling. He also maintains Casino Cashout [http://casinocashout.info], offering entertaining and online casino strategies to those interested in online gambling.

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Tried and Tested Steps to Follow While Selecting the Best Web Designing Company

Most of the business owners dream of expanding their business in the international market. But some silly business owners believe it as a fantasy and never try to fulfill them. While some business owners are smart enough to think their dream as their vision and run after their vision until it becomes true.

To expand a business in the global market the first thing business owner should do is to have a website of the business. Some are hesitant to spend any money to make their own website. They don’t understand that why should they invest for creating any website. But the fact is more and more people spend much time online these days. So, to draw attention of the potential customers the strongest asset a business owner could have is a website of the business he owns. Ask your website designing company to create a professional and amazing website so that you can attract more and more visitors and turn the visitors into customers. Web design company

To create your own business website, you need to contact the best web designing company. There are a number of web designing companies who will build a website for you. But all the web designing companies are not the same good. Even an excellent web designing company may not fulfill all your requirements. So, stay careful as much as necessary while choosing the best web designing company that will work as per your requisite perfectly and proficiently.

Here I will present you 13 essential tips to follow while selecting a web designing company:-

  1. Fund – First of all you should take a look at your finance. Ask yourself that why do you need a website. You may need a website for your online business to sell your products or you may simply promote your business through your website. You may give all the information about your business through your website, or you may simply offer some information and rest you may offer directly via phone or any brochure or leaflet. So, there are different reasons behind creating your own website. So be aware of what you want and go ahead to the next steps.
  2. Portfolio – After you get the names of some web designing companies, you should ask their portfolio from them. A huge amount portfolios of a company will help you to understand that the company is well experienced in the field of website designing. Different type of élite designs in different website created by a single company shows that the company is versatile and hence it can design the exact type of website that you need. The websites designed by the companies necessitates easy navigation as all the visitors of your website are not much savvy in using computers and internet.
  3. Service details – The third point is about all the services the website designing company provides you, like domain registration, internet marketing service, search engine optimization, social media marketing, web hosting, technical support etc. If your business is an online business and you sell products online, then you should also make sure that your web designing company provides services like payment gateway integration, shopping cart integration, SMS and Fax integration etc.

4.Contract on website ownership – Some web designing companies offer license to use the website after they have created your business website instead of transferring the ownership to you. So make it sure from the contract paper where it is clearly stated that the website owner is only you. So that if you switch to another service provider, you can take your website also with you.

  1. ftp and hosting control panel user-id, password – Try to confirm from your service provider that they will furnish you with all the details about ftp and hosting control panel login user-id and password of your website. So that you can change your service provider if required.
  2. Long-term relationship and cancellation policies – Try to understand if the company wants to keep up a long-term relationship with you, so that you can up-to-date your website if needed. Also know about their contract cancellation policies so that you don’t face any unwanted troubles in future.

Some web designing company may want to keep up a long-term relationship with you and in turn you have to pay them on monthly or yearly basis. But if you are not willing to up-date any new information in your website, then it is unnecessary for you to pay on regular basis. So be sure about this policy also.

  1. Technical support – before you sign-up with any company you should also verify if the company provides any technical support or not, so that if you face any problem later on while navigating your website, the service provider stands by you to correct all the technical errors.
  2. Best web designing company – The web designing company should have a team of committed, experienced and vibrant experts. The experts are confident enough and equipped with most web tools and advanced technologies. So that they could offer the best solution for your business and put your businesses at the top. The compan is a leading brand in web design and development in the global market.
  3. On-time project delivery – Before you sign-up, confirm that the company will complete your project within your time-frame. Some companies are there who will take months together to contact you for simple and small details and delay your project.
  4. Customer satisfaction – The web designing company should give priority to client-satisfaction.
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Are Big Box Gift Baskets Really A Bargain?

Quality food baskets are a great gift idea to give to others. Everyone loves receiving these edible delights. You can stay within budget and still present a beautiful gift by creating your own basket. All you need is a little bit of creativity and some time.

Now, how do you go about creating a basket? Ask yourself:

*Who is receiving the basket and for what occasion?

*How much do you want to spend?

*Think about the recipient. What does he/she like to do or eat? Is it an indulgence for someone? What is his lifestyle?

Food Gift Baskets are the perfect solution for the difficult-to-shop-for person or for the one who has everything. Food baskets that you purchase are usually expensive and this is a great way to save some money. Handmade food gift baskets carry a nice personal touch and the recipient feels you have taken the time to think about him or her specifically.  
hộp quà tặng The personal touch brings a smile to the face of the special people in your life.

==>Contents

Here are some potential items that can create a fun and delightful gift:

*Special theme basket – for example, Italian meal, Scottish foods, Sushi, Barbecue. Add a cooking utensil to complement the special theme.

*Gourmet foods – desserts, crackers and cheese, and of course chocolate!

*Occasions – birthday, holiday or graduation gift baskets can be created with special items that add to the celebration.

*Personalized – find a company that creates personalized wrappers for their favorite food and wrap up the items in the basket with the recipient’s name.

*Organic – create an organic food basket for the health conscious person on your list. Include nuts, dried fruit, organic grains and spices along with a note stating the organic basket was created to honor their lifestyle.

*Tea or Coffee Time – you can go gourmet on this one or go to your local market and gather a collection of different teas or flavored coffees. Throw in a box of cookies or a bar of yummy chocolate to compliment.

*Wine or Champagne – surround your bottle with fruit or chocolate to compliment the taste.

*All Around a Sweet Tooth – here you can indulge the taste buds of a “sweets lover”. Treat them to cookies, candies, chocolates or their favorite decadent dessert.

*From the Kitchen – if you love to cook or bake, this is a perfect time to showcase your talent by creating a special home cooked gift basket.

Tailoring a food gift basket to someone else’s cravings, choices and preferences can be hard at first, but you can decipher what it takes rather effortlessly.

Anything that can be consumed – fresh produce, snacks, treats, home-made goodies, meat, dairy, sweet, salty – fits into your Gift Basket. There are numerous options to choose from. Just be creative.

==>Presentation

It is not just about what goes into the food gift baskets, but also how you present and deliver it. Here are some ideas to add your own personal touch to the creation of the gift basket:

*You don’t have to bring a large gift basket to make a statement. If you are going to a barbecue, create a gift with a large barbecue style mitt. Tuck into the mitt a brush utensil to coat the food, as well as some sauces that add extra flavor to the grilled food. It’s different, appropriate for the host or hostess and not expensive.

*You can organize your basket in a see-through container, a special box, or a basket that has been shrink wrapped and tied with a beautiful bow. Don’t limit yourself to the traditional basket format. Instead, look around the house and see what container type items you have ready to be included into a beautiful gift to someone. Obviously, the container needs to be in good condition or spruced up to look like new before it’s filled with your goodies.

*All year round, collect interesting boxes and ribbons to use when you are in the mood to create a basket for someone. Save them and you’ll always have one handy when needed.

*Need filler to elevate the items in the basket? Check out the site The Custom Basket for more information on how to build your basket.

What’s the next occasion that you need a gift for? Are you ready to try your hand at creating your own gift basket? Start today! Go to the library and get a book on creating gift baskets. You will be surprised what can go into a basket that makes it interesting and economical for you. And don’t forget to have fun creating your own gift basket!

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How AI Transform The Future Of Digital Marketing

“Adapt or perish,” I told myself as I read about Amazon’s new plan to deliver packages inside your home.

You’ve probably heard about this new program, called Amazon Key, that lets delivery people waltz into your home and place packages nice and secure in your kitchen, hallway, living room… wherever.

It went live recently in 37 U.S. cities. Simply buy Amazon’s $120 internet-connected security camera called Amazon Cloud Cam and a smart lock (together costing at least $250), download the Amazon Key app and you’ll be all set for this option.

Recently, I had to talk with Amazon about a package that never made it to my door – whether it was stolen by someone who really needed a banana holder for their kitchen counter, or something happened in transit, I’ll never know. The service representative was great about refunding my money, but I wanted to ensure that I didn’t have to worry about stolen packages ever again.

So I’m considering this option. (If you’re like me and unsure if you should trust strangers, no matter how well-vetted, into your home, you’ll understand why it’s taking me so long to decide.)

As I began to think about this huge shift in our delivery system options, the H.G Wells quote I mentioned earlier flitted through my mind: Tech Talk City

.

There are so many innovative “smart” designs hitting the market these days that it’s hard to keep up. The Internet of Things (IoT) trend is clearly happening – and in big, paradigm-shifting ways.

Already, we’re tailoring neighborhoods with “future design” in mind. Since October, there have been at least three big announcements about smart cities:

Bill Gates just invested $80 million to build an Arizona smart city. This high-tech development will be built outside of Phoenix and, as CNN reports, it will boast “high-speed networks, autonomous vehicles, high-speed digital networks, data centers, new manufacturing technologies and autonomous logistics hubs.”

In October, Alphabet Inc.’s urban innovation organization – Sidewalk Labs – committed $50 million for a similar smart city in Toronto. The company’s tagline is “reimagining cities from the internet up” – and this city is a perfect example. The cost of the project is likely to run over $1 billion, with a focus on self-driving car lanes, public Wi-Fi hubs and other modern advances.

And earlier this week, Cisco announced that it plans to invest $1 billion to develop smart cities around the world – which will use its Cisco Kinetic of Cities IoT platform.

Clearly, it’s not just our delivery systems that are getting an upgrade. Our entire walk of life is shifting as the smart money flows into building a world that previously only resided in science fiction stories.

We may not want to adapt with every smart innovation that hits the market, but we still need to adapt our investing strategies if we want to stay ahead of the game.

So follow the smart money if you haven’t already. Start looking into the building blocks of these smart cities and see which companies are setting up for explosive growth.