Kidney Stone Pain Management

The hallmark of a stone that obstructs the ureter or renal pelvis is excruciating intermittent pain that radiates from the flank to the groin or to the inner thigh. The term staghorn refers to the presence of a branched kidney stone occupying the renal pelvis and at least one calyceal system.

The First Signs Of Kidney Stones Pain Causes Treatment Passing

Such calculi usually manifest as infection and hematuria rather than as acute pain.

Kidney stone pain management. Dietary management is a good starting point if not done already ensuring that Fenel is on a low quantity but high quality protein diet and received plenty of fluids. Kidney stones will employ the use of pain medication along with increased amounts of water ingestion to accelerate the kidney stone. When is it ordered.

Regards Dr Callum Turner DVM. Treatment of kidney pain depends on the cause of the pain. This is termed renal colic This kind of pain is usually seen when a kidney stone or other problem blocks the tube ureter that drains the kidney.

A kidney stone risk panel is usually performed several weeks after a kidney stone has been resolved to determine whether elevated levels of a substance are temporary or persistent. Further testing may be useful including a kidney needle aspirate to see the types of cells present. One potential explanation is the high frequency of stones in such patients nearly 70.

Kidney stone analysis is usually performed to evaluate the specific substances present in the stone if the kidney stone is able to be collected. Coogan notes the average size of a kidney stone is 5 millimeters. However other processes can cause chronic dull aching with occasionally sharp kidney pain.

Symptoms associated with kidney pain may include fever vomiting nausea flank pain and painful urination. This pain known as renal colic is often described as one of the strongest pain sensations known. To answer these questions and to figure out the right treatment for you your doctor might ask you to have a urine test.

Surgery may be required in cases of particularly large kidney. Even a very tiny kidney stone can cause a whole lot of hurt says Dr. However the size of the stone doesnt necessarily affect how much pain someone is in.

Kidney pain or flank pain can be acute relatively constant and sharp. Diagnosis of MSK is Increasing. Renal colic caused by kidney stones is commonly accompanied by urinary urgency restlessness hematuria sweating nausea and.

Urologists and nephrologists specializing in the treatment of kidney stones seem to encounter patients with medullary sponge kidney MSK far more often than one would predict given the fact that this disease affects less than 05-1 of the general population. Kidney stones can range in size. The treatment for a kidney stone depends on the size of the stone what it is made of whether it is causing pain and whether it is blocking your urinary tract.

Kidney pain has a variety of causes and symptoms. Infection injury trauma bleeding disorders kidney stones and less common conditions may lead to kidney pain.

Is The Second Vaccine Shot The Same As The First

The same goes for the Moderna vaccine. The Pfizer first dose is the same as the Pfizer second dose and so is the Moderna vaccine So we can verify there is no difference between the first and second doses of the vaccine.

It S Ok To Get Your 2nd Covid 19 Vaccine Shot After 21 Or 28 Days Health Officials Say

Vaccine effectiveness of partial immunization from Pfizer or Moderna more than 14 days after the first dose but before the second dose was 80 in a recent CDC study of.

Is the second vaccine shot the same as the first. The second dose is the same as the first dose but Pfizer and Moderna are not interchangeable. This video file cannot be played. Many who previously had one-shot Johnson Johnson COVID vaccine appointments are now being given the Pfizer or Moderna two-shot vaccines leading to plenty of questions about second.

Johnson Johnsons vaccine is a one-shot deal Theres no special secret sauce to that second dose. If you want a second dose keep in mind it can only be booked in the same state you got your first shot. And now people are starting to report that second dose can cause more side-effects than the first dose.

A point that really could have been clearer in much of the coverage of the vaccinations in the past two months. If you got the Pfizer vaccine for your first shot you need to get the Pfizer vaccine for your second shot. Steve Feagins of Mercy Health and medical director of Hamilton County Public Health.

6 hours agoMillions of Americans are skipping the second COVID-19 vaccine shot according to data released Sunday by the US. If you received the Pfizer-BioNTech COVID-19 Vaccine you should get your second shot 3 weeks or 21 days after your first. The Moderna vaccine requires two shots spaced 28 days apart.

You will make your appointment for the second shot during your appointment for the first shot. Both the first and second shots are exactly the same. Moderna and Pfizer both said in.

The first simply primes the immune. So the first dose it. Clinical trials were only conducted with people who took the same vaccine.

The second does is just a booster shot its exactly the same thing as what was in the first dose same vial theres no difference. Its not an unexpected finding. The first dose and the second dose of the Pfizer and Moderna vaccines.

If you received the Moderna COVID-19 Vaccine you should get your second shot 4 weeks or 28 days after your first. The timing between your first and second shots depends on which vaccine you received. You must receive the same manufacturers vaccine either Pfizer or Moderna for your first and second shot and follow the recommended schedule for the second dose.

So providers will make sure they are giving you the same brand for your first and second dose says MetroHealths Dr. Centers for Disease Control and Prevention. Both doses of the Pfizer and Moderna COVID vaccines are the same but the way people react to the second dose is often different.

If you got a dose of Pfizer-BioNTech or Moderna for the first shot you should get the same for the second shot according to the CDC and experts who study vaccines. The person administering the vaccine needs to know the brand of the first dose. There are no studies on the efficacy or safety of receiving vaccines from different manufacturers.

Over 5 million Americans have missed their second shots of the mRNA vaccines by Pfizer or Moderna the New York Times reports citing data from the Centers for Disease Control and PreventionWhy it matters. Both doses are exactly the same according to Dr. It will also depend on whether any of the stores in the area have the vaccine.

Failed Hearing Test

If your child failed a hearing screening the first thing to do is to get your childs hearing tested by an audiologist who specializes in evaluating children. For audiometry tests failure is not measured in terms of how bad your hearing loss is but if you have suffered any loss at all.

What To Expect If Your Baby Failed The Newborn Hearing Test

Sometimes babies fail the hearing test because of blockages or fluid in the ear.

Failed hearing test. Most of our exams are less than 2 hours and from the moment you schedule an appointment with our on-site audiologists the average wait time is less than 1 week. These problems can usually be easily remedied. Rdmeren My son failed his initial hearing test as well as a follow up with his pediatrician and an audiologist.

Sometimes the problem is due to an ear infection sometimes it is permanent. If all of the hearing in the affected ear is lost it is often referred to as single-sided deafness SDD. How to FAKE a Hearing Loss During A Hearing Test.

Just had the same thing happen with my girly - failed on both ears on several attempts after birth in hospital and went back the following week and passed on both. Delays in speech and language capabilities. May 24 2017 at 600 AM.

Cliff Olson Audiologist and founder of Applied Hearing Solutions in Anthem Arizona discusses what yo. Fluid in the ear or excess wax can negatively affect the results. So there could be hearing loss in one or both ears it can vary in the level of.

This will give you a plausible conductive hearing loss. With quick-moving classes and hard-to-understand words I knew the hearing test was failing me more than I was failing it. Definitely dont panic.

After the hearing professional has examined their ears otoscopy quickly excuse themselves like they have to quickly use the restroom before they get in the sound booth. There are many reasons why a child might fail but its not a true fail Mackey said. Additionally fluid in the ear could lead to a failed hearing test in the doctors office which could be treated making the hearing loss temporary.

Regardless of whether the pitch was high or low I. Its important to retest your child within about 3 months. Older children too can have a failed hearing test for a number of reasons.

Though the list of words frustrated me I found the different tones even more aggravating. This doesnt necessarily mean that your baby has hearing loss but it does mean that he or she will need rescreening within the next three months. Go to the bathroom insert the tiny ear plugs and then sit down for the test.

Some of the more common developmental challenges include. First this test is a passfail test. But its also a possibility that there is an actual hearing loss and it needs to be investigated.

A failed hearing test can be the result of crying and fussing during the exam or a buildup of fluid or debris in the ears. There is always of course the chance that your baby failed due to actual hearing loss. Background noise or noises and movements made by your newborn could cause them to fail the test.

Therefore a failed test must be followed up with a formal auditory brainstem response ABR test. Tester said it was probably due to all the fluid and that they can even fail several weeks later due to the fluid and their hearing turns out completely fine. Your baby may also have fluid of some sort in their ears from the birthing process which could also cause them to fail this initial hearing screening.

A fail result means that the hearing screening didnt provide a clear indication of your babys level of hearing. In Canada less than 2 percent of babies fail the screening tests and go on for a full diagnostic test. There is no interpretation possible.

Left untreated unilateral hearing loss can negatively impact critical communication and learning skills. Second the click stimulus is not frequency specific. It generally tests from 1000 to 4000 Hz which are the frequencies thought to be most important for speech and language but there is much more to our hearing.

Of those less than half are diagnosed with some degree of hearing loss. If offered screening can be performed periodically by asking the patient or family if there are perceived hearing problems or by using clinical office tests such as whispered voice finger rub. This exam allows us to pinpoint the root cause of your newborns hearing loss since the most appropriate treatment options can vary.

Only testing will confirm hearing ability and the cause if there is a problem. The goal of a hearing test is not to punish employees or search for a reason to fire someone but to protect health and identify problems before serious hearing damage is done. He has been tentatively diagnosed with bilateral neurosensory hearing loss.

While this test evaluates the more of the hearing pathway it too has some limitations. I failed my hearing test at meps last year when i was trying to get in the navy well i passed the first time i took the hearing test then they lost my paperwork i was so mad so they said i had to retake so i did and i failed during that time i found out my girlfriend was pregant so i didnt come in for the follow up and now that im trying to join the CGs it came right back to bite me in the A which i. If your child fails a hearing test again then its time to get help.

This will tell you whether your child has real hearing loss or if your child had a temporary problem which has gone away.

Low Spo2 Levels

A range of 80 to 100 mmHg is considered normal for arterial blood gases in a healthy individual. For a healthy person SpO2 values usually fall between 94-96 percent.

Lung Health Institute The Difference Between Normal And Low Oxygen Levels

Normal arterial oxygen is approximately 75 to 100 millimeters of mercury mm Hg.

Low spo2 levels. There is a visible effect on the skin known as cyanosis due to the blue cyan tint it takes on. How to get more oxygen. There is a little confusion surrounding the link between SpO2.

A normal reading is anything between 95 and 99. Cyanosis develops when the SpO2 level drops below 65. ABG is measured in millimeters of mercury.

Hypoxemia low levels of oxygen in the blood can turn into hypoxia low levels of. Pulse oximetry is measured in percentages. When oxygen saturation levels fall below 92 the pressure of the oxygen in your blood is too low to penetrate the walls of the red blood cells.

Normal arterial blood oxygen saturation levelsin humans are 95100 percent. BMI was negatively correlated with SpO2 Spearman R -027 P. A blood oxygen level below 60 mm Hg is considered low and may require oxygen supplementation depending on a.

The normal oxygen levels in a pulse oximeter usually range from 95 to 100. Invest In Your Gyms Future and Learn Why 6000 Gym Owners Choose The Myzone System. However a value below 90 percent during a COVID-19 outbreak could indicate low oxygen level a condition known as hypoxemia.

However in COPD or other lung diseases these ranges may. Arterial blood oxygen levels below 80 percent may compromise organ function such as the brain and heart and should be promptly addressed. Normal levels may vary if you have lung disorders.

The mean difference in SpO2 between the lowest and highest BMI categories 25 kgm 2 and 35 kgm 2 was 133 95 CI 089-178. Supplementary oxygen should be used if SpO2 level falls below 90 which is unacceptable for a prolonged period of time. Values under 60 mm Hg usually indicate the need for supplemental oxygen.

For patients with mild respiratory diseases the SpO2 should be 90 or above. 5 of subjects had SpO2 values below 95. Acute and persistently low SpO2 levels leads to a condition called Hypoxemia.

Ad Software and Solutions Designed For Heart Rate Monitoring Within Your ClubLearn More Now. 95 to 100 percent is considered normal for a healthy individual and anything below 90 percent is abnormally low. Among 2252 subjects the mean and median SpO2 were 976 and 980 respectively.

Recent Master checkup report Chest X. Medicare approves supplemental oxygen therapy for patients with Baseline SpO2 of 88. These conditions may require additional oxygen to maintain the healthy functioning of cells and prevent.

Was in hospital recently with a heart valve problem so obs were taken regularly. Patients with low baseline levels of SpO2 can require supplemental oxygen. Is this the reason.

If a pulse ox measured your blood oxygen level SpO2 a normal reading is typically between 95 and 100 percent. Hypoxemia can pave way for various health issues including organ failure. Ad Software and Solutions Designed For Heart Rate Monitoring Within Your ClubLearn More Now.

The normal SPO2 level is between 94 and 99. SPO2 below 90 is critical and can cause a strain on the heart lung and liver. Low levels of blood-oxygen conversely can lead to symptoms known as hypoxemia.

However there are many reasons why your blood oxygen level might be below normal. The brain gets affected when the SpO2 level falls below 80-85. This condition is known as hypoxemia.

The normal values of SpO2 range from 92 to 100 percent. My O2 was slightly low fairly often and I was told to breathe diaphragmatically. Your insurance company may not pay for oxygen unless your levels fall to 88 oxygen saturation.

I do get frequent Throat infection due to Sinusitis drain from throat and occasionally URI. If the level is below 90 percent it is considered low and called hypoxemia. A normal blood oxygen level varies between 75 and 100 millimeters of mercury mm Hg.

Values under 90 percent are considered low. Invest In Your Gyms Future and Learn Why 6000 Gym Owners Choose The Myzone System. In general the higher the SpO2 reading the better.

Asked for Male 34 Years My SPO2 is fluctuate between 89 to 99 and more constant between 9295. Typically these patients suffer from chronic conditions like COPD Chronic Asthma Cystic Fibrosis Pulmonary hypertension Obstructive Sleep Apnea and Heart Disease or Heart Failure. My levels are fairly similar to yours but husband is reliably 98-99 GP not interested although he did catch me at a good moment.

Normal pulse oximeter readings usually range from 95 to 100 percent. Persons with lung diseases usually have lower SPO2 level. A normal healthy person should be able to achieve normal SpO2 blood oxygen saturation levels of 94 to 99.

This is because high readings indicate that your red blood cells are carrying as much oxygen as they can. In fact very low levels of SpO2 can result in very serious symptoms. Causes and Symptoms of Low Blood Oxygen.

Low oxygen levels can also cause serious problems such as lung disease and sleep apnea. According to Harvard Medical School a normal blood oxygen or SpO2 level is usually about 95-100. It is a matter of gas laws.

Bleach To Water Ratio For Mold

Put on protective gear such as gloves mask eye goggles or old clothes. Add this solution to a garden sprayer spray bottle or cleaning bucket.

9 Reasons You Don T Want To Use Bleach To Kill Mold

Bleach Amount Water Amount Cleaning Steps.

Bleach to water ratio for mold. Spray onto mold and allow it. Pre-wet the surface to be cleaned with water Apply the bleach and water solution to the surface with a scrub brush. This solution will be sourced from Regular Household Bleach that has a 6 Sodium Hypochlorite concentration and we will dilute it with water to make a 200 ppm concentration for disinfecting.

Anecdotally many recommend diluting vinegar with a 11 ratio of water. Dry surfaces quickly and thoroughly after cleaning. Bleach will kill mold on non porous surfaces just fine.

Mix the chlorine bleach to water at 50 strength that a 1 to 1 ratio. Mold growth on hard surfaces. Mildew is a type of mold or fungus that may grow on your walls in certain conditions.

Keep this concentration in mind for any application. You can add the oxygen bleach and water solution to a sprayer or squirt bottle to apply it to the moldy surface. Bleach Dilution Ratio Chart For standard cleaning purposes Clorox suggests 12 bleach per gallon of water which is about a 130 dilution ratio.

Dont experiment with bleach to kill the mildew in your home. Dilution bleach to water ratio of 1285. Purchase a new hand sprayer to prevent cross contamination with different chemicals that reduce the effectiveness of the.

The ratio of bleach to water is usually between half a cup and one cup per gallon of water. Use a ratio of one cup to a gallon of water. This company more tha.

You can apply the vinegar mix to a cloth to avoid over-moisturizing and potentially damaging the leather. Kill and clean the stains with a bleach to water ratio for mold and mildew of 14 to 1 14 cups of bleach to 1. The most bleach you should ever use per gallon of water is one cup.

For larger jobs use 1½ cups bleach added to 2 gallons of water. However make sure to check for the ratio that the directions on the oxygen bleach recommend. The EPA recommends a slightly stronger mixture for bathrooms with 34 cup bleach per gallon of.

This should be your rule of thumb for most mildew-removal projects. Floors stoves sinks certain toys countertops flatware plates and tools. Apply the solution to non-porous surfaces with mold growth either by using a spray bottle or by using a bucket and a sponge or cloth.

Mold growth can be removed from hard surfaces with commercial products soap and water or a bleach solution of no more than 1 cup of bleach in 1 gallon of. A Basic Solution for Most Surfaces The most commonly used solution to use to remove mildew from a surface contains 14 cup bleach for every 1 gallon of warm water. Special substances are used for every mold type.

Use a bleach solution of no more than 1 cup 8 ounces household laundry bleach per 1 gallon of water to kill mold on surfaces. For killing mold with bleach use a ratio of one cup of bleach per gallon of water ie about 1 part bleach to 10 parts water. Find out how to remove mold and mildew with bleach.

In order to remove it effectively from your home you can search the services of Mold Out Services 1-415-861-8003. Telling people not to use bleach is just ridiculous. See below the instructions from our EPA Master Label for moldmildew removal using Clorox Regular-Bleach₂ with CLOROMAX.

Wash surfaces with the bleach mixture. Add ¾ cup Clorox Regular-Bleach 2 with CLOROMAX to 1 gallon water in the 5 gallon bucket. To kill mold you only need to work with a ratio of three-quarters of a cup of bleach per gallon of warm water.

Make a solution of 34 cup Clorox Regular-Bleach₂ with CLOROMAX per gallon of warm water 2700 ppm available chlorine solution best practices are to always pre-clean the surfaces of any visible material. 1 cup 8 ounces or 240 milliliters 1 gallon 38 L Mix 1 cup 240 mL of bleach in 1 gallon of water. Mix 1 cup of bleach into 1 gallon of water.

Where not to use. As for the rest of this buy a new bottle of bleach and either use outside or air the room out as you would for any other chemical. Pour the mixture into a spray bottle.

If you have a fan air conditioner or dehumidifier that wasnt affected by flooding use it. You need to use of a strong bleach and water solution for serious mold issues. If surfaces are rough scrub them with a.

Depending on the size of the area you want to clean youll need a larger quantity of the solution.

How To Pass A Drug Test For Opiates

The opiates that you happen to take are something that can be extremely dangerous for your system so there are some employers who are not going to want people using opiates. Brush your teeth regularly in the lead up to a saliva drug test.

Pee In A Cup Ohio Bill Would Ban Synthetic Urine As People Try To Beat Drug Tests The Blade

There are two products that you can use to pass a urine drug test in 24 hours or less.

How to pass a drug test for opiates. Drug Use Timetable marijuana in the body Pass a Urine Drug Test Pass a drug test. However due to its short half-life it is only detectable in urine for about 8 hours after administration. This makes you pee out a clean urine sample just in time for a drug test.

Detox drinks work by cleansing your bodys traces of metabolites and other drug residues. There are many different test panels available and depending on the company you may be required to sit through a more extensive screening process for methadone opium or another substance. But the tips apply to any type of drug metabolite in your saliva.

There are four types of drug tests. Like 2-3 gallons a few hours before testing start peeing at home then when your urine is clear pee in a clear glass when you hold it up and can see clearly right thru it you can go drop and it will come up negative. Theyre exactly what they say on the tin but well elaborate a little.

This is a place for anyone to join discuss things related to opiates harm reduction etc. Detox drinks and synthetic urine. How a Mouth Swab Test is Taken Mouth swab tests can be administered at any time of the day but must occur at least 20 minutes after the donor has eaten smoked or ingested any liquids.

There Are Only 4 Ways To Pass A Drug Test For Opiates. NOT A PLACE TO FIND A PLUG OR DRUGS. Tips On How To Pass A Mouth Swab Drug Test For Opiates So look now Ive given you the background Im going to tell you exactly how to pass a saliva test for opiates.

The first step in using activated charcoal to pass a drug test is to avoid using any other medication while using the activated charcoal. The presence of an opiate LOQ indicates exposure to that opiate within 2 to 3 days prior to specimen collection. It will come up negative dilute but its negative.

Call 1-888-420-6556 or 775-356-8327. Drink Lukewarm waterie 2-3 gallons. We are also big fans of pill and dope porn.

Urine tests blood tests saliva tests and hair tests. The standard 5-panel test tests for amphetamines speed meth crank ecstasy cannabinoids marijuana hash cocaine coke crack opiates heroin morphine opium codeine and phencyclidine PCP. Find out what type of test youll be taking.

Can Activated Charcoal Allow Users to Pass Opiate Drug Test s The answer to this question is yes. If your urine test provides you with instant results then it is better to pass the test by water thing. It is possible to pass a hair drug test for opiates.

The presence of 6-MAM is conclusive evidence of prior heroin use. How to flush opiates and meths from your system to pass the urine drug test. This method basically involves drinking more water to increase urine formation and consequently leading to a lower concentration level of the target drug metabolites in the urine sample.

Opiates will naturally clear out of your system over a period of time. The best way of. However if the lab performs it then dont carry out.

There are specific urine tests that can end up testing for opiates specifically. The real tricky one is a hair drug test. Welcome to Opiate Church.

To do this you will need to remove all the toxins from your hair. Wait Until Your Body Clears The Opiates Naturally. Pass A Urine Test For Opiates.

While several ways have been suggested to pass a urine test for opiates the internal dilution method remains the most reliable. The simpliest way to test negative is to drink ALOT of water. Everything is welcome here as long as the rules are followed and its conducive to a happy community.

Substances such as morphine cocaine and thebaine tend to leave the system quickly but may remain detectable in saliva between 24 to 48 hours. Step one is analyzing the sample using ELISA test and the second is a confirmatory GC-MS test to rule out possible false positive drug test results. Various home remedies urban legends and.

Trust Your Fate To Urban Legends Or Home Remedies.

Enterprise Risk Control

What are the major risks that could stop us from achieving the mission. Enterprise Risk ManagementIntegrating with Strategy and Performance 2017 In keeping with its overall mission the COSO Board commissioned and published in 2004 the Enterprise Risk ManagementIntegrated Framework.

Enterprise Risk Management Cloudtheapp

SimpleRisk a comprehensive easy to use affordable risk management platform.

Enterprise risk control. Ad Risk management solution to identify analyze prioritize and respond to risks. Enterprise risk management ERM is a plan-based business strategy that aims to identify assess and prepare for any uncertainties that could negatively or positively influence the achievement of the corporations objectives. Enterprise Risk Management ERM is the process by which organizations identify and manage a broad portfolio of significant risks in an integrated way.

Secure 247 access to your data. What Is Enterprise Risk Management ERM. We know that you want to be a successful leader.

Enterprise risk management often shortened to ERM is a type of process management strategy that seeks to identify understand and prepare for the kinds of dangers hazards and other potential deviations from standard operating procedures that could be perceived as risks. Safety should be the first priority as every business must face the. The risk management system and governance structure is reviewed on an annual basis.

Enterprise risk management ERM is a plan-based business strategy that aims to identify assess and prepare for any dangers hazards and other. ERM is foundational for organizations of all sizes to ensure that they are prepared to the extent possible to mitigate andor capitalize as appropriate on risks to their organizational strategy. In the past managing risk was done in a.

The Risk Management Committee met in November 5 2013. Ad Risk management solution to identify analyze prioritize and respond to risks. Different risks such as operational financial and strategic are included in enterprise risk management other than risks related to accidental losses.

The problem is you dont know what you dont know. 1 Overall risk management philosophy of the company. Easy integration into your existing systems.

Risk Management Understanding Enterprise Risk Assurance Control Frameworks It is not possible to control or manage 100 of risk but knowing what do before during and after an event will mitigate the damage and harm. What is enterprise risk management ERM. ENTERPRISE RISK MANAGEMENT Management regularly reviews and updates the risks faced by the Company and presents it to the Board.

The simple question that ERM practitioners attempt to answer is. COSOs Enterprise Risk ManagementIntegrating with Strategy and Performance COSO ERM Framework defines risk as the possibility that events will occur and affect the achievement of strategy and business objectives3 This includes both negative. We understand its challenging to figure out whats important.

We believe that everybody deserves to work for a great leader. Breakthrough proprietary technology that expedites the approval process. Enterprise Risk Management ERM is a term used in business to describe risk management methods that firms use to identify and mitigate risks that can pose problems for the enterprise.

Over the past decade that publication has gained broad acceptance by organizations in their efforts to manage risk. SimpleRisk a comprehensive easy to use affordable risk management platform. Through the ERM process it is possible to plan organize lead and control an organizations activities for minimizing the risk effects on the capital and earnings of the organization.

Identifying potential hazards and risks and making it part of the day to day business is important. Customizable intuitive user interface. Section 7 of the Manual.

In order to do that you need to oversee what you need to control.