Tag: up

What do the titles mean? RN, BSN, ADN? #step #up, #what, #need, #titles, #going,

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what do the titles mean? RN, BSN, ADN.

So are BSN and ADN forms of RN. What is the difference in college time, pay, etc?

No, RN is a professional license. BSN and ADN are college degrees. An ADN is an ASN or AAS degree obtained from a community college after two to three years of school (including prerequisites). A BSN is obtained from a four year university after four to six years of school (including prerequisites). You also have the option of an entry level MSN, masters in science nursing, which may grant a BSN along the way or may simply pass up the BSN.

Okay, I graduate school to be an LVN in August and already I’m being asked when I’m going back to become an RN. I hear so many titles and I need help clearing them up. I need to know what I’m going into to know the prereqs I need to get out of the way online or what online program to look into. What is my next step up from LVN? Is a BSN and ADN the same as RN? Aggghhhh. Please help

You need to set up an appointment with an Allied Health Nursing advisor at your institution. We have no way of knowing what prereqs are required for your school since not all schools are the same.

RN: Anyone who has completed at least their ADN, aka Associate Degree Nursing, at a minimum. The ADN is a two-year program excluding the general one year of prereqs (so it’s really a three-year program).

BSN is a four-year degree, aka Bachelor of Science Nursing. There is little, if any, difference in pay between a registered nurse with his/her ADN vs. BSN. The difference is management opportunity, which is geared toward the BSN.

Hopefully the pay rates will be raised in the future to reflect educational attainment, especially for those with a master or doctorate degree in nursing. It’s this lack of difference in pay that pushes me only up to my Bachelor degree, and I only want to go that far because I know when I am in my fifties I will want to lessen my load by doing less bedside care.

Last edit by ZanatuBelmont on Apr 19, ’09





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Start up business ideas #business #invoices

#business ideas

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You need to have a viable business idea. You must also have what it takes to make it work. You also must have enough money.

If you’ve got what it takes to start your own business, and you’ve done your research, forming a business is the next exciting leg on the journey.

Many people struggle with the financial side of managing their small business. Not everyone has a head for figures or wants to become an accountant.

If you want to run a legitimate enterprise, you must pay tax. It’s worth understanding your tax obligations before you start up to factor them in.

Many people, including some leading business representatives, argue that small firms are over burdened by the weight of business law.

It might be a cliché, but it remains true – planning without action is futile, while action without planning is fatal. You need a business plan.

Marketing matters. Marketing drives sales for businesses of all sizes by ensuring that customers think of their brand when they want to buy.

Premises provide the second-biggest overhead for many businesses. If you can start your business from your home, it will be much easier to break even.

The success or failure of a business can often rest in the hands of its most valuable asset – its people. But managing them can be a challenge.

There can’t be many firms in the UK, however small, that don’t use IT in some way. Many businesses simply couldn’t exist without IT.

Half of all new businesses fail within five years. So how do you survive and thrive? Find out how to scale up and become a high-growth business.

Start up business ideas





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Near sighted eyes #strabismus, #stabismus, #strabismis, #crossed #eyes, #cross-eyed, #cross #eye, #wandering #eye, #wander,

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Amblyopia

Amblyopia (am-blee-OH-pee-uh) or “lazy eye” is a condition in which the eye and brain don’t work together as they should. Kids who have it will develop good vision in one eye and poor vision in the other.

Kids often get used to this vision problem, and might not mention it to parents. As a result, their amblyopia might not be diagnosed for months or even years, while parents chalk up poor grades or clumsiness to a child not being academically or athletically gifted.

But sometimes the solution is as easy as visiting the eye doctor. Treatment for amblyopia can correct the way the eye and brain work together and strengthen vision. Early treatment is important waiting or not getting a proper diagnosis could lead to permanent vision loss later.

About Amblyopia

From birth until about age 8, a child’s eyes and brain form vital connections. Anything that blocks or blurs vision in one or both eyes can slow down or prevent these connections.

If that happens, the brain might not fully recognize the images seen by one or both eyes. Then, the brain begins to ignore the images seen by the otherwise healthy eye, and the eye becomes weaker, losing vision strength (acuity). This eye is then referred to as “amblyopic.”

Causes

A number of things can interfere with normal brain eye connections and lead to amblyopia.

One of the most common problems is strabismus . In this condition, one or both eyes wander in (“cross-eyed”), out, up, or down. When eyes don’t line up together, the straight or straighter eye becomes more dominant. The vision strength of the straight eye stays normal because the eye and its connection to the brain are working normally. The misaligned or weaker eye, though, doesn’t focus properly and the brain ignores its signal, eventually leading to amblyopia.

Not all kids with amblyopia will have crossed or wandering eyes in fact many have eyes that are perfectly straight. If so, amblyopia might be due to an anatomical or structural problem that interferes with or blocks vision, such as a droopy eyelid or a cataract .

Other causes of amblyopia are severe far-sightedness (hyperopia), near-sightedness (myopia), or astigmatism (a form of blurry vision). These problems make vision blurry, and it’s these blurry images that are sent to the brain. Over time, the brain begins to ignore these images, resulting in amblyopia in one or both eyes.

Sometimes, having different vision strengths in each eye known as anisometropia can cause amblyopia. When one eye sees more clearly than the other, the brain ignores the blurry eye.

Genetics play a role, too. Amblyopia tends to run in families. It’s also more common in children born prematurely or those with developmental delays.

Signs and Symptoms

Most children with amblyopia won’t complain of vision problems. Over time, they become used to having good vision in one eye and poor vision in the other.

Often, a parent or teacher might realize that a child is struggling with a vision problem maybe noticing crossed eyes, frequent squinting, or tilting the head to see better. Some kids have poor depth perception and trouble seeing in three dimensions.

Regular vision screenings by health care providers are an important part of finding any problems in kids.

Treatment

Treatment for amblyopia involves forcing the brain to pay attention to the images of the amblyopic or weaker eye so vision in that eye gets stronger. This is done with glasses, eye patches, eye drops, surgery, or a combination of these:

  • Glasses. Glasses are prescribed when amblyopia is caused by severe refractive errors and/or anisometropia (when one eye sees more clearly than the other). Glasses help send clear, focused images to the brain, which teach it to “switch on” the weaker eye. This allows the brain to use the eyes together and develop normal vision.
  • Eye patches. In many cases, kids with amblyopia must wear an eye patch over the stronger or unaffected eye. The patch is worn for 2 6 hours a day while the child is awake for several months or years, depending on the condition. There are two types of eye patches: one works like a band-aid and is placed directly over the eye; the other, designed for kids who wear glasses, is a cloth patch that fits securely over one lens.

Making sure a child wears the eye patch can be a challenge. But kids usually adapt well, and the patch simply becomes part of their day. In the meantime, distraction with a new or exciting toy, a trip to the park, or just playing outside can help kids forget they’re wearing an eye patch.

  • Atropine drops. Sometimes, despite parents’ best efforts, some kids won’t wear their eye patch. In these cases, atropine drops may be used. Just as a patch blocks the vision in the unaffected or straight eye, atropine drops will temporarily blur out the vision in the strong eye, forcing the brain to recognize the images seen by the weaker eye.
  • Surgery. If strabismus is causing amblyopia and treatment with glasses, patches, or drops doesn’t improve the alignment of the eyes, eye muscle surgery might be an option. Surgery also might be done if amblyopia is caused by a droopy eyelid or a cataract.

    Surgery involves loosening or tightening the muscles causing the eye to wander. This type of surgery usually doesn’t require an overnight hospital stay.

  • Eye Exams for Kids

    Kids reach “visual maturity” by about 8 years old; after that, vision problems can be harder to treat. The earlier amblyopia is diagnosed and treated, the better the chances to improve vision and avoid permanent vision loss.

    Sometimes there are no apparent signs of a vision problem, so it’s important for kids to have yearly vision screenings. These exams should begin in the toddler and preschool years so that problems are caught before a child reaches visual maturity.

    Most screenings are done at the pediatrician’s office or at school by the school nurse. If problems are found, your child will be referred to a pediatric ophthalmologist for further evaluation and treatment.

    Talk with your doctor if you have any questions about your child’s vision.

    Date reviewed: January 2017





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    10 Steps For Starting a Car Wash From The Ground Up – Tommy Car

    #car wash business

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    10 Steps For Starting a Car Wash From The Ground Up

    As a 40 year veteran car wash equipment manufacturer and site developer, we’ve seen it all. We know what a daunting and potentially confusing process starting a new car wash can be. What comes first? Prospecting site locations? Securing financing? Assessing your market? How soon should you begin marketing? How long will the process take?

    While we certainly can’t cover everything you need to know to start a car wash in a single post, we can take a few words to cover what we feel are the 10 most important steps to launching your own car wash business.

    1) Location is Everything Go Scouting

    Car washes aren’t automatically successful. Great care must be taken when selecting the location on which you want to build. Our Site Model Pages have in-depth descriptions of location criteria to consider (including population, competition, street types, car counts, and more) and our site development services can help you select and approve the best locations available in your area.

    Start by driving around your target area, paying close attention to the relative traffic, types of local businesses, and anything that looks for sale. Get a feel for your potential market. You should also visit a commercial real estate MLS like Loopnet.com or many others. Be sure to take your time and never rush into a purchase.

    2) Review the Competition

    Try to get a feel for the local car washes in the area. How many customers do they have and how aggressively are they marketing? What will they do when you open your wash? Can they afford a multi-million dollar renovation to bring their wash in line with yours? Are they debt free and can they cut prices to outcompete you (with your interest payments) in the short term? Are their customers frequent users and very loyal—or are they waiting for something better?

    Entrenched local competition can be dangerous, even for Totally Tommy buildings, and selecting a location with some elbow room between you and competitors is important. But don’t worry too much about single stall automatic car washes or local fundraisers—you’ll be working in a completely different weight class.

    3) Do the Paperwork

    Find out what local city or county department handles business licenses and request an application, as well as information on local utility usage codes, insurance requirements, tax rates, and other requirements for opening a business. You will also need a Taxpayer Identification Number and you should use the U.S. Patent and Trademark Office’s trademark search tool to check your brand then register to claim it.

    Each area and city has different rules, so make sure you take the time to understand everything and keep your business in line. If you can, also get information on local sanitary sewers (for your waste water), utility prices, water usage limits, and other regulations.

    4) Planning and Approval Process

    Set up a meeting with the city planner. Show them a rendering of your concept and try to get verbal approval of the design—or a list of probable issues to address. If you have approval you can set up a formal meeting to present your plans and have them voted on at a city council meeting. With luck, your Totally Tommy building with its modern style, efficient design, and great investment potential will blow them away! Try to be friendly, optimistic, and down to earth. If the city gets on board with your project it can make the whole process move along more smoothly.

    5) Research Car Washes

    Tour as many successful car washes as possible to see what makes them tick—especially if you haven’t been in the business very long. Check out automatic car washes, partially automatic, express, detailing, and other washes to see how they differ from one another. Operations, promotions, pricing, services, demographics… Try to learn as much as you can and develop as deep a background as you can with operations, staffing policies, equipment repair, and customer management (aka, complaints ).

    To help out, our team has training available to teach you everything you need to know BEFORE you’re trying to run your wash on hot days with long lines.

    6) Operations Decisions

    Will you run your car wash independently or will you have a franchise, LLC, or S-corp? There are many models, each with pros and cons. Franchises offer support at the cost of a residual. Solo operations offer total freedom but deprive you of much-needed backup and brand awareness. How much personal involvement are you looking for? If you plan on hiring a manager instead of handling things yourself, make sure he or she has the necessary qualifications and is heavily invested in your future success.

    7) Make a Business Plan!

    Your car wash business plan (click for outline) should focus on both long term and short term operations. Use a professional service and remember that the more detailed, thorough, and researched your plan is, the better it will look to investors or your bank. Include costs (up front and overhead costs), planning for building to long-term revenue management, and marketing strategies (launch and long-term). Professional proforma companies are ready to help and our team is also standing by with years of experience to back up our advice.

    8) Get Financing

    This is likely the most challenging step, and your success here will largely depend on how well you’ve researched and prepared your business plan ahead of time. A solid revenue model can help convince investors to put up the capital for your new car wash business, so be prepared to demonstrate that you need enough funding for a truly high quality car wash facility and equipment with great return potential. You will also need a convincing resume with business and/or car wash experience, and a solid marketing plan.

    9) Build the Right Wash

    Car washes thrive when they capture the attention of the local market and are designed to make turning in, purchasing a wash, and moving through the tunnel as quick and easy as possible. The Totally Tommy building is the best way to do just this, drawing huge numbers of passing customers with a great looking building, perfected layouts, and a full and fast service menu. Proven in scenarios around the country, every component of this facility design has been carefully thought out to create a single, cohesive investment that pays off. From our towers to our pay system, deceleration lanes, glass walls, stainless steel equipment, and clear roof, everything is designed to project sophistication, professionalism, and value. So why waste money reinventing the wheel, and why risk building a second-best wash when a Totally Tommy wash is waiting for you?

    10) Market your New Business

    Customers don’t know what they don’t know, so don’t just expect them to line up without any effort on your part. Make sure to let the community know about your wash ahead of the grand opening with onsite advertising as well as print, radio, local web, and possibly TV advertisements. You’ll begin to build a curious customer base who will drop buy and tell their friends and family afterwards. $15,000 or $1 / car for initial marketing including billboards, mailings to 5 mile radius, promotional washes, and radio commercials is a good place to start at your launch and $.10 / car is a standard ballpark long-term rate for the future. One or two day Social media campaigns (incentivize customers with free washes for best results) can also be highly successful. Be prepared to collect feedback and adapt your marketing program for the greatest possible effectiveness moving forwards.

    Launching any business, and especially a brick and mortar car wash filled with high-end technology, is a complex and daunting prospect. But don’t worry. The team at Tommy Car Wash Systems has hundreds of washes behind us with thousands of installations and developments. We know the steps you’ll need to take to get your wash planed, approved, built, and operational, and we’ll help you turn a fantastic business opportunity into an even better reality.

    Tommy Car Wash Systems

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    How To Set Up A Business Email Address #busy

    #business email address

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    Three Ways to Set Up Your Business Email Address

    Not only does a business-branded email address show the world you’re credible, it’s an easy way to start building your company’s online presence – an essential component to the growth and success of your business in this Web-reliant world.

    Once you register a domain name for your business, there are generally three ways on where to host and use your new branded email address:

    1. Email Service Provider, Like Gmail –

    When you purchase your domain name, you’ll have the option to create a business email, and then redirect it to an existing email account like Gmail. It’s a smart, immediate way to look professional when you’re just starting out.

    Simple to set up, you can manage your personal and professional emails in one central location. Keep in mind that if your email service provider goes down, you won’t be able to retrieve your emails. And customer support is usually not included.

    2. Web Host Provider Who Offers Managed Email Services –

    The company you bought your domain name from or using to host your website usually offers a business email service for a low-monthly fee. This is a convenient, more comprehensive way to manage your professional emails and is relatively easy to set up.

    Reasonably priced, this option only requires you to manage one provider and typically includes customer service. But the email interface may have limited features and functionalities, and there could be additional costs to increase storage.

    3. Online Office Suites –

    If you’re in need of other online business tools, consider a package like Google Apps for Work and Office 365 Small Business. Some office suites allow you to purchase tools a la carte, such as document editing, online storage, video conferencing, and secure file sharing or you can just start with the email only option.

    In addition to business-class email with 99.9% uptime, you’ll be able to create unlimited email addresses, sync up your email and tools to all of your digital devices, and have controls to secure your company’s data and devices.

    Even though all three methods are effective, take into consideration how your business operates (i.e. email dependency, number of staff, budget, etc.) and choose the option which suits your needs best.





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    RBI opens up bond market #business #plan #layout

    #bond market news

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    RBI opens up bond market

    The Reserve Bank of India (RBI) on Thursday announced a comprehensive set of measures to change India s lacklustre bond market and provide a push to the currency market as well, completing the agenda of Raghuram Rajan, the outgoing governor of the central bank.

    The RBI proposed to allow banks to raise capital through masala (rupee) bonds in the overseas market and liberalised the currency market by allowing customers residents and non-residents to maintain big open positions.

    Among a series of blockbuster measures, the RBI also proposed to allow listed companies to lend money to banks through repo market mechanism, essentially overnight money, something that can have wide ranging ramifications for call money rates, short-term money market rates as well as the banking system liquidity.

    The central bank also proposed allowing listed companies to lend longer tenure money to banks through the repo market mechanism. This will have an impact on interest rates, the bond market, and liquidity in the banking system.

    The RBI said it would also seek legal amendments to allow banks to borrow from it by pledging corporate bonds. This should raise demand for rated corporate paper and make secondary trade possible. Currently, 95 per cent of corporate bonds are privately placed.

    The proposal to allow foreign portfolio investors direct access to bond trading platforms for government and corporate paper will widen the investor base. The central bank has also proposed that banks nudge corporate clients to borrow from the bond market. Final guidelines on most of today s proposals will be issued after Rajan s departure, but some measures come into effect immediately. For example, the steps taken in the currency market essentially opened up India s closely-guarded currency market, perhaps bringing an element of speculation in the exchange rate. The Reserve Bank will now permit entities exposed to exchange rate risk, whether resident or non-resident, to undertake hedge transactions with simplified procedures, up to a limit of $30 million at any given time. The exposed person will be free to access any market (over the counter or exchange) and use any of the permissible products, the RBI said in its statement on its website.

    In addition, banks might, based on their assessment of the risk management capabilities of a customer, allow an open position limit of up to $5 million, the RBI said. The currency market move was intended to improve liquidity and depth, the RBI said, adding the limit would be revised according to experience. Guidelines on this will be issued by November. Another critical change is allowing companies to lend money to banks through a market repo mechanism. So far, listed companies could only lend a maximum of 7-day money, taking government securities as mortgage, also known as repo. The RBI said this constrains their participation . It is proposed to allow such companies to lend through the repo market, without any tenor or counterparty restrictions. Guidelines based on a comprehensive review of regulations on market repo in G-secs are being issued today, it added.

    Analysts hailed the measures taken by RBI. These are all critical reforms from short-to-long term perspective. Opening up of global markets for AT1 and Tier-II bonds in negative rate condition prevailing globally will be beneficial for banks, said Soumyajit Niyogi, associate director, India Ratings and Research. Listed corporates are encouraged to park short-term surplus fund through repo in G-Sec. FPI s and Individual s direct presence in bond markets and inclusion of corporate bond in LAF window will strengthen market activities, Niyogi said. Gaurav Pradhan, co-head of investment banking & capital markets for Credit Suisse in India said RBI s proactive steps acknowledged the potential of the masala bond market. Further issuance from banks will help broaden and deepen the market for masala bonds, making the product more sustainable in the long run as a financing option. From a macro perspective, we expect the RBI s move will help banks to better manage their balance sheets and lower their cost of funds, and should have a positive impact on local interest rates, Pradhan said.

    Karthik Srinivasan, co-head, financial sector ratings, ICRA said RBI measures will encourage greater participation from issuers, investors and intermediaries while the permission to banks to raise masala bonds can develop the overseas market for rupee denominated bonds.

    Many of the measures for the corporate bond market were built on recommendations in a report by the HR Khan committee released a week ago by the Securities and Exchange Board of India. These measures are intended to further market development, enhance participation, facilitate greater market liquidity and improve communication, the central bank said.

    The RBI also decided to enhance the aggregate limit of partial credit enhancement provided by banks to corporate bonds to 50 per cent of the bond issue size from 20 per cent earlier, provided a single bank restricted its enhancement to 20 per cent of the issue size. It also proposed to permit brokers in corporate bond repos, authorise the platform for repo in corporate bonds, and encourage credit supply for large borrowers through the market mechanism. To further encourage the overseas rupee bond market, banks are being permitted to issue rupee bonds overseas (masala bonds) for their capital requirements and for financing infrastructure and affordable housing, the central bank said.

    The bonds should be perpetual debt instruments used to shore up additional Tier 1 and Tier II capital of banks. Masala bonds to be issued for financing infrastructure and affordable housing can be of the nature of any long-term debt. The central bank said it had worked out a market making scheme in government securities by primary dealers (underwriters of government bonds) in consultation with the government which might help in increasing the liquidity of semi-liquid securities. The central bank will soon comprehensively review the framework for hedging of commodity price risks in the overseas markets by Indian companies.





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    13 Best Quit-Smoking Tips Ever With Pictures #slideshow, #slide #show, #slideshows, #slide #shows, #quit

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    13 Best Quit-Smoking Tips Ever

    IMAGES PROVIDED BY:

    (1) Sami Sarkis / Photographer’s Choice / Photolibrary
    (2) Stuart McClymont / Stone / Getty Images
    (3) Image Source
    (4) Jupiter Images Unlimited
    (5) Marcin Balcerzak / iStockphoto
    (6) Jacob Wackerhausen / iStockphoto
    (7) Terje Rakke / The Image Bank / Getty Images
    (8) Image Source / ArtLife Images
    (9) Charles Thatcher / Stone / Getty Images
    (10) Aimin Tang / iStockphoto
    (11) UpperCut Images / ArtLife Images
    (12) Jupiter Images Unlimited
    (13) Justin Horrocks / iStockphoto

    Smokefree.gov: “What’s Your Reason to Quit?” “Tools Tips,” “Find a Quit Method That Works for You,” “How Much Will You Save?”

    American Lung Association: “Benefits of Quitting.”

    Kidshealth.org: “How Can I Quit Smoking?”

    Reviewed by Brunilda Nazario, MD on October 09, 2015

    This tool does not provide medical advice. See additional information.

    THIS TOOL DOES NOT PROVIDE VETERINARY ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional veterinary advice, diagnosis or treatment and should not be relied on to make decisions about your pet’s health. Never ignore professional veterinary advice in seeking treatment because of something you have read on the WebMD Site. If you think your pet may have a veterinary emergency, immediately call your veterinarian.

    WebMD Slideshows

    View our slideshows to learn more about your health.





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  • How To Set Up A Business Email Address #start #online #business

    #business email address

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    Three Ways to Set Up Your Business Email Address

    Not only does a business-branded email address show the world you’re credible, it’s an easy way to start building your company’s online presence – an essential component to the growth and success of your business in this Web-reliant world.

    Once you register a domain name for your business, there are generally three ways on where to host and use your new branded email address:

    1. Email Service Provider, Like Gmail –

    When you purchase your domain name, you’ll have the option to create a business email, and then redirect it to an existing email account like Gmail. It’s a smart, immediate way to look professional when you’re just starting out.

    Simple to set up, you can manage your personal and professional emails in one central location. Keep in mind that if your email service provider goes down, you won’t be able to retrieve your emails. And customer support is usually not included.

    2. Web Host Provider Who Offers Managed Email Services –

    The company you bought your domain name from or using to host your website usually offers a business email service for a low-monthly fee. This is a convenient, more comprehensive way to manage your professional emails and is relatively easy to set up.

    Reasonably priced, this option only requires you to manage one provider and typically includes customer service. But the email interface may have limited features and functionalities, and there could be additional costs to increase storage.

    3. Online Office Suites –

    If you’re in need of other online business tools, consider a package like Google Apps for Work and Office 365 Small Business. Some office suites allow you to purchase tools a la carte, such as document editing, online storage, video conferencing, and secure file sharing or you can just start with the email only option.

    In addition to business-class email with 99.9% uptime, you’ll be able to create unlimited email addresses, sync up your email and tools to all of your digital devices, and have controls to secure your company’s data and devices.

    Even though all three methods are effective, take into consideration how your business operates (i.e. email dependency, number of staff, budget, etc.) and choose the option which suits your needs best.





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