Varicose veins are bloated, discolored veins. They appear enlarged & twisted. Varicose veins are typically 3mm or more in diameter. They are normally found on the thighs or the backs of the calves. Varicose veins are a lot painful & itchy. Scratching them can root open sores to come out. Varicose veins occur extra frequently with women than men & with people over the age of 60. Despite the most outstanding efforts of researchers, the accurate cause of varicose veins still remains an ambiguity, but there are a few theories.

Arturo-Venous shunts can deteriorate the vein walls since it helps bypass the capillaries, which maintains the high BP of the arteries from overpowering the veins. The hormones formed during puberty, pregnancy & menopause can create Arturo-Venous shunts.

Surgery can be used to cure severe varicose veins. This method is called veins stripping. This is generally done under local & partial anesthesia. This surgical procedure involves inserting an elastic implement throughout the varicose vein. When the elastic is taken out, the varicose veins are removed with it.

The most common cure used to eliminate rigorous varicose vein is sclerotherapy. This process requires no anesthesia & doesn’t require an all night stay. A liquid such as sodium tetradcyl sulfate, hypertonic saline, & aethoxyskerol is injected into the varicose veins. This liquid will seal the vein walls & stop the blood flow. Then the varicose veins will turn into scar tissue & eventually fade away in quite a few weeks. Additional treatments might be required for a few special cases.

Researchers haven’t been able to determine a treatment for varicose veins, but there are cures that can alleviate a few of the troubles of varicose veins.

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After the mortgage crisis and collapse of lenders including Washington Mutual and Lehman Brothers, most lenders have restricted the availablity of loans and tightened the qualifications to get money. Nowhere in the country can one find a bank that is willing to lend money without substantial proof that it will be paid back. However, this should not discourage those individuals with less than perfect credit reports. It is still possible to obtain bad credit home loans.

Even though the criteria for getting a loan are much stiffer than in recent years, having good credit is not the only thing that banks look at when deciding who qualifies for a loan. Banks have come to the conclusion that past banking practices have left an abundant amount of people with bad credit because they were given loans they couldn’t finish paying.

There are plenty of lenders offering bad credit home loans to people with poor credit. The key is knowing that factors such as collateral to secure the loan, employment history, salary, and other bills will be looked at closely when making a determination of eligibility for a loan. It is also important to realize that customers with lower credit scores will be penalized by having to pay higher interest rates on their loans.

You’ll also need to have a lot of money available for a down payment on a bad credit home loan; this way, you’ll have enough equity by the time the loan is paid off that you can be in good shape, so keep this in mind. The lower the credit score goes, the larger the down payment will be that the bank will demand for the loan.

Many banking institutions are currently demanding credit counseling as a prerequisite of being qualified to receive bad credit home loans. Credit counseling will help people form better monthly payment habits, while helping them budget their income so they will be able to meet their monthly payment goals and have enough money left to get other necessities.

Credit counselors also help people manage their finances so as not to repeat the poor-credit cycle.

Second mortgages are much more difficult to get, regardless of your credit history, even if it is excellent. Depending on the amount of equity you have on your home, it could either be very hard or very easy to get another loan for your house; if chances are slim, you could just get a refinance loan.

Now that the economy is facing some troublesome times, and the unemployment rate is skyrocketing, there are plenty of people out there who need money but don’t have the credit to get it. This situation, along with the stricter criteria that banking institutions are currently using to determine who is and who is not eligible for a loan, can increase the difficulties associated with obtaining a bad credit home loan. Prospective borrowers should not get discouraged, however, because there are lenders out there who are eager for their business, but with just a few more restrictions.

John is experienced in the field of bad credit home loans.

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A wedding invite is the face of the wedding. A correctly developed wedding invite will make certain that the invitees understand the subject and generate an proper reply from them. Therefore a wedding invite involves special care when it is being developed, therefore if you want to have your wedding during winter weather, you may want some great blank wedding invitations. What comes to your mind when you think of this period? Obviously, winter weather says ‘cold’, but you cannot develop an invite that’s chilly. On the other hand, winter weather also indicates sipping sizzling coffee beside the fireplace in your cozy house. The invites as well really should encourage the heat and happiness that you and your wife to be for a lifetime are encountering.

Christian Self Publishing
One of the best ways you can connect with your faith is to publish faith-based material. This will require that you study your faith extensively and you research how your faith applies to the modern day world. Taking such an in depth examination of your faith at a very deep level [...]Christian Self Publishing

Dallas Luxury Hotels provides you a high end choice of the premier 4 Star and 5 Star properties in Dallas. At our site you can select from the most luxurious accommodations in the city of Dallas. There are plenty of things to keep you busyThere’s lots of stuff to enjoy when you spend some time in a Dallas 5 Star Hotels. Rest assured that each luxury hotel has been selected by hand so as to provide you with sureness that our assembly of luxury Hotels in Dallas TX will meet the desires of the most discriminating traveler.

What’s really cool about our website is the mapping function. You will view every luxury hotel and resort rendered on the map which makes it much simpler for you to locate a place to stay nearby your planned destination. Just click on the map icon and it expands to show a picture of the property and other important information. You might also click a button that will enable you to check rates and availability. You will find that http://DallasLuxuryHotelsGuide.com offers among the lowest rates available online for Dallas luxury hotels.

As Washington DC Movers for 35 years, Bayshore is the expert at moving and storage services, in addition to various commercial services. Bayshore prides itself on the quality service and fair prices we provide our valued customers in the Washington, D.C. area and surrounding communities. We provide customized solutions for residential and business moves, corporate relocation and fine art storage, among others.

Trading Systems Optimization

To the new trading systems developer one of the most exciting things to play with is optimization. Optimization is using the power of the computer to look at every possible sequence of parameters and rules, and then using only those rules and or parameters that have worked the best. With enough computer crunching power, it is possible to find systems that perfectly “predicted” the past. We can run number crunching PC’s on automated routines and have them analyze billions of bits of data while we are sleeping! Many traders do this long enough and later “discover” the holy grail of trading systems. They jump into the markets with their new super predictive algorithms only to find they fall apart in real trading!

Trading Systems Optimization Failure

“What happened?” they ask. The answer is that what they created was likely a trading system that was a statistical coincidence (known as a “curve fit”). Curve fitting is where you force a system to conform to historical data. The problem is that the markets will behave much differently moving forward; therefore, a “perfect” trading system could be useless. For example, your computer finds the perfect dates historically to have bought and then sold the market. These dates are likely coincidental and have no future value, yet sometimes people will base a system on them. This is a clear example; however, most curve fits are some complex form of this basic concept.

Let’s look at another flawed example. Assume we wanted to optimize nickels that were most likely to land on heads. What we could do is flip millions of nickels and only select those that landed on heads. Then, we can take those remaining nickels and flip them again, once again only choosing those that land on heads. We could repeat this process over and over again each time only choosing those nickels that land on heads. At this point, we might conclude that we had narrowed down our nickels to only a small handful that were “optimized” to land on heads. We could then go out and wager large bets with those nickels putting all our money on heads. We would quickly make a fortune, right? WRONG!

We would quickly lose our money. Those nickels were not optimized for heads; they always had 50/50 odds. What might have confused some is that they thought they had found predictable nickels. All they found was a statistical coincidence!

Trading Systems Optimization Reality

Because there is so much data, and so much computing power available, these kinds of errors find their way into trading systems all the time. When developing a system it is imperative to avoid optimizing as much as possible. You need to find NON curve-fit, robust systems. There can be a place for some types of optimizing, but it must be handled correctly.

We design all our systems in a robust way that we feel avoids the optimization pitfalls of so many other systems.

Feel free to email or contact us with any questions or comments on this subject.

Dean Hoffman
DH Trading Systems

The Bahamas – A Guide –

The beauty that is the Commonwealth of The Bahamas is in actuality 29 islands, 661 cays, and 2,387 islets. It is situated above of Cuba and Hispaniola, or the Dominican Republic and Haiti, and below of the United States. The largely English-speaking country is 5,382 square miles in land mass, with a population of around 330,000.

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The Bahamas are known around the globe as a famed sailing region due to its superb winds and typically relaxed waters. Boating races are held in the Bahamas all year round. The spectacular game fish native to the Bahamas draw sports fishermen from all over the world. Contenders have broken over 50 international fishing records during their stay at the islands. The Gulf Stream, home to some of the world’s most amazing marine life, actually originated in the Bahamas. Famed writer Ernest Hemingway called Bimini, a Bahamian island, his home.

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What draws fisherman and sailors to the Bahamas is the same force that brings tourists. These people spend their time in underwater parks, snorkeling and diving rather than fishing. The gorgeous area is also in ownership of 5 percent of the world’s coral reef.

But before you actually get to the water, you must first take in the wonderful experience that the beaches have to offer. Of all the beaches in the world, a few of the most lovely are home to the Bahamas. Whether you’re visiting Harbour Island, with its pink sands, Eleuthera, or the tranquility of the Exumas and San Salvador, you will by no means run out of areas to explore. Exotic animals such as the Abaco Parrot or the Bahamian Iguana live in gardens and parks further inland, where tourists frequently stop and visit.

Despite all the different visits people have made to the Bahamas, one thing that remains consistent are the people there. The hospitality and warmth of the native Bahamians is renowned; they happily extend and share their culture, history and cuisine. Once you’ve gotten comfortable with a plate of their famous cracked conch, stories are told all around. A People-to-People program was made by the Bahamas Ministry of Tourism to give visitors an informal, yet extraordinary experience. Not only do visitors make friends, but they shape a bond with all of the Bahamas that they will remember forever.

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No matter how old or youthful you might be, you must commemorate your birthday and have fun. For seniors people, there aren’t limitations. Actually, you can discover especially designed birthday invitations for ages 40, 50, 60, 70 and even higher. Ensure that you have a very great time and that you simply invite all of your neighborhood friends and household members. Invitations really should include the topic with the get together, if you selected one, and contain details with regard to the time and venue.Come up with a wise and funny phrasing and have a great moment at your get together, regardless of how old you might be.

The Bahamas – A Guide –

A gem of the Atlantic Ocean, the Commonwealth of The Bahamas consists of 2,387 islets, 661 cays, and 29 islands. The area lies north of Cuba, the Dominican Republic and Haiti, and south of the U.S., near the peninsula of Florida. The country, predominantly English-speaking, covers more than 5,000 square miles, and has a populace of approximately 330,000.

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The calmness of its waters and great winds have given the Bahamas a world-famous reputation for great sailing. Boaters compete in races no matter what the time of year may be. Sports fishermen visit for a chance to try their hand at the legendary Bahamian game fish. In their hunt of the “big one” fisherman have set over 50 international records off the coast of the islands. The offset of the Gulf Stream, where some of the world’s most extraordinary sea creatures can be discovered, is really in the Bahamas. Famed writer Ernest Hemingway called Bimini, a Bahamian island, his home.

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The same reasons that sailors and fisherman rush to the Bahamas is what draws tourists. Instead of relishing the experience of game fishing and perfect wind conditions, these visitors prefer to visit underwater parks, where they can go snorkeling and diving. The Bahamas has a beautiful coral reef that makes up 5% of the world’s total reef mass.

But before you even get to the water, you must first take in the wonderful experience that the beaches have to offer. The Bahamas is host to some of the world’s most gorgeous and perfect beaches. There’s no shortage of sand to delight in, whether it be Harbour Island, Eleuthera, San Salvador, or the Exumas. Exotic animals such as the Abaco Parrot or the Bahamian Iguana live in gardens and parks further inland, where tourists frequently stop and visit.

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So you you’ve broken up with your boyfriend, maybe it was his fault, maybe it was your fault, it doesn’t really matter, all you know is you badly want him back. Well don’t sit there waiting for the phone to ring, take matters into your own hands to get your boyfriend back, otherwise you may lose him for good. how to get your ex girlfriend back

Now this doesn’t mean you should rush to make that call yourself, you see you need to have a strategy to get your ex boyfriend back and keep him for good. You need to play it cool, but not to cool. how to get your ex back

Men (and women for that matter) are more likely to pursue you if you play a little hard to get, rather than if you act all desperate and hound them. Most people well be put off by someone who resorts to begging or harassment, you will either end up being used as you are too willing to please or they will end up avoiding you if your too full on.

If you have just broken up with your man, forget him for a while, a few weeks at least, go about life as normal, enjoy yourself, and above all else don’t exhibit outward signs of the longing you are holding inside. If he visits you during these weeks (trust me his curiosity will get the best of him) or calls, play it cool, don’t answer the phone most of the time and turn down offers of dinner or fooling around.

Once this has gone on for a few weeks, your ex boyfriend will be going crazy, wondering what you are doing and in particular who you are spending time with when you are unavailable to see him or answer his calls.

Now you have him where you want him, arrange to go on a date, that doesn’t appear to be a date, a simple coffee at the coffee ship or help with moving some furniture for example.

Not only will you get your ex boyfriend back but you will now be in a position to garner an even better relationship, one in which you have a lot more power.

A career change is a very important aspect of each and every person’s life. If at all you are planning to get a good employment opportunity in the mining industry for example, you need to go in and plan for a suitable career. Career development and career planning are actually meant to help you build up a successful career plan. Now-a-days, people have started switching on careers from one field to another. This is done due to the rising competition amongst the working class people. In today’s world of competition, each one wants to prove himself far better than the other and so changing careers for better prospects in an individual’s personal career is the only good choice. Many people switch over their Career from accountant jobs to sales job, from mining jobs to customer service jobs, and so on.

Dean Hoffman
Hoffman Asset Management, Inc.

If you suffer from ringing, hissing, or singing within the hearing if you find absolutely no noise that way you deal with, then you might be struggling with tinnitus. This kind of circumstance could possibly be serious and will truly put stress on your own everyday activity. The problem could possibly get worse over time, when you are starting to have this kind of condition, you’ll need to learn the cause of this therefore it does not get any a whole lot worse.

Ringing with the ears, or tinnitus can be a very hard thing to reside with. It may actually get negative enough that you can produce permanent hearing loss. It could restrict the rest, your job, as well as your general well being. We were a bit tentative when embarking on this project on jaw clicking tinnitus. However, using the grit and determination we have, we have produced some fine reading material on jaw clicking tinnitus.

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Tinnitus is usually attributable to more than contact with noisy noise. A number of the traders who are most prone to this disorder tend to be music artists and bands, construction workers and the ones which tune in to their MP3 players also deafening. In the event you come under any of those organizations, you might like to do something to be able to prevent obtaining even worse. Using the intuition I had on jaw clicking tinnitus, I thought that writing this article would indeed be worth the trouble. Most of the relevant information on jaw clicking tinnitus has been included here.

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The Bahamas – A Guide –

Something that tourists often inquire ahead of visiting a foreign area is if the food there will be to their liking. There are many unique kinds of food offered in the Bahamas, from fast food, sea food, and specialty native dishes. It doesn’t matter what you prefer; something that suits your tastes will be available on the islands.

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The typical food that you will see being eaten in the Bahamas is seafood. Favorites among both locals and tourists include rock lobster, crawfish, conch, land crabs, Red Snapper, Yellow Tail, and Grouper, the most favorite. Conch is by far one of the most popular dishes. Conch is served in salads, chowders, stewed, made into fritters, or deep fried as “cracked” conch.

Boiled fish and grits is a specialty for breakfast time in the Bahamas. The fish that is most often boiled in the Bahamas is the Grouper, which has a mild flavor, and is white, flaky, and tender. Peas and rice, craw fish, stew fish, and Johnny cake are other dishes native to the Bahamas. An average main entree in the Bahamas would consist of crab and rice, steamed fish, potato salad, and macaroni and cheese. For dessert there is generally guava duff, a Bahamian dish, coconut or pineapple tart, or bread pudding.

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The Bahamas offers many different kinds of drinks on their islands. Soda doesn’t often come by the tap, and can sometimes be a little pricey; search for it at local markets instead. The local soda, “Goombay Punch,” tastes like pineapple, and is described by natives to be sweet, rather than having the tastes typical of a cola. Malt beverages not containing alcohol are also very popular. Rum is the preferred alcoholic drink in the Bahamas, as well as Kalik, the nation’s beer.

Most meals in restaurants can be bought for as little as $5 to as much as $25 per portion. For those too cautious to experiment, fast food is available in downtown areas from chains such as McDonalds or KFC. during June is the well-known Fish Fry, changing things up from the usual American or British food being offered. Service is usually given at a deliberate pace, but it’s worth it: the utmost care is taken of patrons. But trust me, it’s worth it for the food.

You’re going to have to convince your mortgage company that you are availed no other option for retaining and being able to pay for your home except by virtue of a loan modification. It’s as simple as that. You’ll need to begin by sending them a short letter that is 1 or 2 pages long detailing your present situation and how you got to this point. Longer is not necessarily better and in many cases will work against you. It makes little difference if your letter is printed or you write it out long hand. You can go either route.

With the increasing quantity of loans in default lenders don’t have the inclination to read a long, heart wrenching story about why you can’t keep up with your mortgage. Make sure you relate clearly the reasons for why you need a loan modification and why they should allow it. Also let them know that if you enter into an agreement you will be able to maintain it and keep it current.

You will find resources on the Internet including websites that provide a hardship letter sample. Obviously, just writing a simple letter is not going to be all your lender requires. It is just the beginning of a very complicated and often lengthy process that you must do right to be insured of success. For that reason we suggest that you hire a professional, perhaps and attorney or real estate consultant with experience in loan modifications who will be able to represent your interests and make sure you do things right.

If you can’t afford to hire a professional we suggest you purchase one of the many good online programs that can be bought for typically under $100 in order to make sure you do things right. An excellent package that we highly recommend as a complete and thorough resource is 60-Minute Loan Modification which will help to insure greater success for you in getting your loan modified. Don’t delay, if you’ve got a financial problem and need help from your lender do it today . . . things normally only get worse when you procrastinate the inevitable.

electricity from your solar using collection boxes and applied the heat to cook food. Solar power energy mainly involves amassing lgt and heat through the sunshine rays and employing it both in homes and in offices for pretty several makes use of. Get additional information at home solar power systems. According to studies a rather tiny portion of your warm in the sun is truly becoming transformed into electricity. This is primarily simply because some many people in developed nations have every one of the electricity they involve that they tend not to see the point in harnessing stamina from the sun whereas other countries tend not to have the technological innovation essential to do it. Source: homemade solar panels.

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A Trading Systems Worst Case Analysis

Somebody once asked me “if there were only one performance report I could look at to decide about a trading system what would it be?” My first reaction was that this was a silly question. There are many factors that must be considered when choosing trading systems. There are numerous performance indicators and ratios. Things such as average annual return, maximum drawdown, Sharpe ratio, margin requirements, robustness, the lists are long, but, there has indeed been one report that I have come to rely on more than any other report. It is a report that has given me more comfort and confidence as a system trader than any other report. If I knew a system was properly created, I could almost use this report alone to decide about trading it! So what is this report? It is a “Start Trade Report”.

A Trading Systems Start Trade Report

In my opinion, the start trade report gives the most robust three dimensional view of trading systems possible. It cuts through so much of the pitfalls in traditional analysis. It even cuts through the nonsense involved in looking at real-time performance. I can hear it now “wait a minute, how can real-time performance be argued with?” Let me give an example with one of my systems Synergy. In May of 2003 Synergy started a trade in London Copper. The trade became the most successful trade of the year. As of this writing, (March 7th 2004) the trade has profits of over $25,000 a contract. If a trader were using position sizing, he might have had on 2 or 3 (or more) of these contracts, but had they started a week or even a day after this trade they would have missed it! Two investors trading the same system with the same amount of money and the same money management rules could show a $25,000 or $50,000 or $75,000 (or more) difference in their account! They might have only started one day apart! This can create tremendous confusion, because one broker’s real time accounts could be far different from other broker’s real time accounts with the same trading systems.

Misleading Trading Systems Reporting This phenomenon can also be used for disingenuous purposes. It is possible for a trading systems vendor to cherry picked the best historical starting date. He can choose a date right before a huge winner (or series of winners). This can cause it to look as though the system needed little original starting capital and that the return on invested funds was enormous. The first winners financed trading. However, what if trading had started on a different date? What if a trader had started on a date that was right before a series of losers? They might have needed 2 or 3 or 4 times the starting capital than they would have had they started on a different date. The return on invested capital would be much less, or, they might have lost all their investment before earning the profits shown.

Even if a broker or vendor shows an average of several accounts this can still be a meager view. They could still cherry pick the 3 or 4 accounts and their different starting dates, or they could have so few accounts to average from that the data suffers from what statisticians call a small sample size (This means not enough data to draw any valid conclusions.)

The worst offender would be if a disingenuous brokerage or vendor were pushing day trading systems because of the high frequency of trades and commissions it generated and then used some cherry picked “real time” accounts to “prove” that it worked.

The point I am making is that there are countless ways that start dates can impact performance, both in hypothetical reports and real-time performances. Traders need to have something robust.

A Trading Systems Solution What’s the answer? Well, in my opinion it is the start trade report. What the start trade report does is tests various systems hundreds or thousands of times over the given period. Each test it starts on a new date that coincides with a date that traders could have taken a new trade. If there were 2000 trades over a 10 year period, then it will retest the system 2000 times starting on the date of each new trade every time. It also resets the equity back to the original starting amount with each test. This is crucial because when using position sizing traders may skip some trades in the beginning when the equity is small. It is not correct to look at the results of trades that a trader would not have taken. I have sometimes seen brokerage firms report on trades my system generated that many of my clients would not have taken (based on their account size.) For example, a $3,500 losing trade in a system where most clients would have skipped any trades with risk above $2,000. The start trade report knows to skip trades at the right time based on the traders starting amount. This report can also let traders evaluate performance based off of the margin required. What this allows traders to do is see ALL the outcomes, rather than just one.

Trading Systems Start Trade Report Summary

A few things a Start Trade Report can show traders are:

1. What percentage of the first 12 months were profitable over 2000 different starting dates?

2. What was the average first year performance when averaged over 2000 different starting dates?

3. How much money did my account need if I started on the worst possible date?

4. What was the average account size I needed to trade the system over 2000 different starting periods?

5. What were the average and the most I ever went under my original starting amount? (This is different from maximum drawdown)

This report allows traders to filter out so much of the garbage seen in typical performance reporting. It filters out so many errors in reporting “real time” performance based on a small sample size or “cherry picked” starting dates and accounts.

I hope traders can see that this information is invaluable. I honestly do not know how a trader could ever trade any trading systems without it. Traders can see how much comfort and confidence this can build when they have looked at a system in this much detail. When I started trading, this is he report that gave me incredible peace of mind. It was the only report that comforted me when there were drawdowns. It allowed me to know whether we were in the normal ranges of the bell curve. It also gave me a realistic range of outcomes to expect in the first year of trading.

We believe that providing traders these reports gives them an incredible edge and builds confidence. Traders need this confidence when the inevitable drawdown comes. In my own personal case, I’m able to remain calm during those times because of these reports. To get a copy of the start trade reports please email us.

Dean Hoffman
DH Trading Systems

The Bahamas – A Guide –

Formally called the Commonwealth of The Bahamas, this bunch of 29 islands, 661 cays, and 2,387 islets is truly a treasure of the northern Atlantic Ocean. The area lies north of Cuba, the Dominican Republic and Haiti, and south of the U.S., near the peninsula of Florida. The largely English-speaking country is 5,382 square miles in land mass, with a community of around 330,000.

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Its perfect winds and tranquil waters have given it a fame for sailing all throughout the world. Boaters compete in races no matter what the time of year may be. Sports fishermen are pulled to the area by the legendary game fish that live there. Boaters have broken more than 50 records from different countries in the Bahamas. The Bahamas is actually the birthplace of the Gulf Stream, where some of the world’s most fantastic sea life thrives. One of the islands of the Bahamas, Bimini, was actually the home of well-known author Ernest Hemingway.

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What draws fisherman and sailors to the Bahamas is the same force that brings tourists. Snorkeling and diving at underwater parks are the main attractions here, rather than weather conditions and game fish. The gorgeous area is also in ownership of 5 percent of the world’s coral reef.

Just as amazing, however, are the multitude of beaches all throughout the country. Of all the beaches in the world, a few of the most lovely are home to the Bahamas. There’s no shortage of sand to delight in, whether it be Harbour Island, Eleuthera, San Salvador, or the Exumas. Gardens and parks are just some of the other attractions that wait for visitors further inland.

One of the most enjoyable parts of the Bahamas are the people who live there. They are always welcoming to new-comers and tourists of all kinds; they are willing to share their history, culture and food with visitors. Tales of epic adventures are shared over cracked conch, a signature dish of the Bahamas. The Bahamas Ministry of Tourism puts together genuinely real experiences through their People-to-People program. Your stay could lead you to new friends, family, or even better, a connection to a society and country that will forever hold your heart.

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“The OCAI assessment improves insight and stimulates contemplation,” according to Jane Nelsen. She is a manager at a rehabilitation centre. “We have a predominant clan culture, more than I presumed. I have seen how valuable a warm working environment is. A private hospital was understaffed despite good salaries, since doctors and patients were bossing the nurses around.”

The free of charge OCAI cultural assessment was done by many colleagues at the rehabilitation center. “This happened naturally: some people started. Next, the other staff members were informed,” Nelsen explains.

It started off as an remarkable meeting on the outcome. “Around here we acknowledge our clan culture. We have been operating in self-managed teams for some time now. The teams arrange their work within the broad guidelines and define their own activities. So people have to consult each other a great deal. This works out enormously well with clan culture.”

“The clan culture goes well with me as well,” Nelsen explains. “I know that being a member of an effective team gives you wings. When you work together in agreement, three people can do the work of five, so to speak.”

“I guessed market culture as my favorite culture because I enjoy to accomplish results. After finishing the assessment, this seemed to be different. This really gave me more insight in my own working values. What do I really want? When given the choice between clan culture or market culture what is key?”

Less compensation but more respect

To clarify how crucial organizational culture is for personnel and patients, Jane Nelsen tells a tale. “I traveled to South Africa some time ago. It is entirely different from our circumstances. I was a bit shocked by the enormous poverty, insecurity, and shortage of nursing staff.

I went to see both a private hospital and a state hospital. You wouldn’t suppose the private hospital to be low on staff because they pay better salaries. But this was just not true. Fact is the hospital fell short of a first-rate working climate. Patients were commanding nurses and doctors behaved like they were king. I pay for it and therefore want to be well taken care of is what they were thinking like.

Driven by the same values nurses and doctors at the state hospital were combining forces as a team. They had a great time even though they received less salary.

Working together emphasizing concern for people: that is what clan culture signifies. This may very well be the reason why people possibly could feel less negative about a low salary and work pressure in contrast to a market culture. Staff members feel esteemed because of clan culture. They are taken seriously and have the feeling they make an important contribution.”