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Inolder infants and adults, phase III almost alwayshas a slightly positive slope, indicating a risingPCO2 due to the delayed emptying of alveoli witha low ventilation/perfusion ratio (high PCO2). The CRP level is moreclosely correlated with the clinical response to therapy than is the ESR, and is thereforethe preferred marker to monitor treatment success [54]. There arethree fundamental pharmacokinetic parameters,viz. Richards in a month and, if things con-tinue to improve, we’ll recheck in another month

Richards in a month and, if things con-tinue to improve, we’ll recheck in another month. For permissive hypercapnia, these lower-than-expected amount of alveolar ven-are summarized in Table 27.1

For permissive hypercapnia, these lower-than-expected amount of alveolar ven-are summarized in Table 27.1.

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It includes a complete outline of a comprehensive medical encounterincluding history taking and physical examination.

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Avoiding Surface Water Drainage Issues

Avoid Surface Water Drainage Issues with a Gutter SystemStanding water can ruin a property and pose serious issues to a community’s health. It can be a breeding ground for bacteria and mosquitos, and can lead to structural issues for buildings on the property. There can also be issues for adjoining properties, which can in turn will draw the ire of neighbors and possibly result in increased litigation risks. If you’ve ever had a property that has issues with surface water drainage, then you know full well the damage and headache it can cause.

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Is Rotten Wood Ruining Your Property’s Structures?

Fence with Wood RotEven in drought-stricken Southern California wood rot caused by water is damaging structures on both commercial and residential property. Rotten wood caused by moisture can be easy to miss, especially when the seasons have been as dry as they have been over the last 10 years. It’s also easy to put off the repairs – for some of us the drought makes dealing with wood rot seem like a back burner project. It’s easy to ignore the problem when we aren’t expecting wet weather.

Water-caused rot develops when moisture lingers on wooden surfaces that are unprotected. The lack of protection happens when wooden structures are not repainted regularly or resealed after a period of time. The moisture will settle into unprotected cracks and crevices and that creates a fantastic environment for fungi – the real culprit of the wood rot. Wood rot only needs 20 percent moisture content to live. That means it can show up in all but the most arid temperature zones. Continue reading

Preparing Your Property for Seismic Retrofitting

Los Angeles Requires Seismic Retrofitting

Los Angeles, California now requires Seismic Retrofitting.

As Californians, many of us have been waiting for “the big one” for years.

In 2015 Los Angeles set the nation’s strictest earthquake regulations. 15,000 of the city’s buildings will need to be retrofitted so that they can withstand the shaking of severe earthquakes.

Seismic retrofitting involves the process of securing buildings that may not have been adequately anchored prior to current retrofitting standards.

Most of the retrofitting will need to be done to the city’s apartment-style structures.

Smaller and medium-sized complex owners may not have the capital to complete their projects, but the city is offering various programs to help fund the cost. Also, many contractors have banks behind them and can offer financing to help fund the retrofit process. Continue reading

How Can I Repair My Building and Property To Code?

Code Compliance On Old Home Construction

Code compliance differs between old and new construction and repairs.

If you’ve ever been to Redlands, California, you may have seen its many historic buildings. There are dozens of Victorian-style residences and Craftsman era homes that date back more than 100 years.

I was recently talking with an acquaintance here in town that owns (and was looking to sell) an older home from the late 1800’s. He was telling me all about some of the renovations that he thought were necessary in order to bring the home up to code and make it habitable as a residence. There was a lot of work that needed to be done – ranging from replacing old electrical and plumbing work to repairing some damage to the structure that was a result of age and unstable land.

At one point, I was asked what I thought should be done about the structural issues due to the unstable land beneath the home? He was very concerned about what the city’s building department might require to repair the structure in order to sell it.  Since Helfrich-Associates has performed many investigations of structures that were built on unstable property, I knew he was probably dealing with issues that could range anywhere from minor cracks in the floors, walls, and ceilings, to difficulty operating doors and windows, to significant and serious foundation movement. If not repaired, these issues could discount the property value. Continue reading

How Do I Know If My Stairs Are Too Rusty To Be Safe?

Unsafe, Rusty Stairs

When you’re a kid, some things – like stairs and heights, can be really scary. As an adult, perhaps not so much. Yet there are few things scarier than stairs that have not been properly maintained and are on the verge of collapse.

We recently had a project in Central California’s Salinas Valley that involved rusted stairs. These stairs led up to the second story of a large apartment complex.

The stairs were very wobbly, and possibly close to collapse, which was of major concern. A collapse would almost certainly cause serious injury to any tenants that were on or near them. A collapse could also affect access to the upper floors of the building. Continue reading

Keeping Up With HOA Maintenance

HOA Maintenance

HOA Maintenance Image Courtesy

When you live in a Homeowner’s Association (HOA), you get some great perks, such as an HOA maintenance team. Some associations also boast parks and pools, full-service yard care. The maintenance teams usually keep those facilities in great condition. If you’re not familiar with how these associations can afford offer these benefits, they typically collect a monthly fee from all residents within the association. Usually agreement to pay these fees is a prerequisite to purchasing a home within the association’s communities.

HOA’s often include homes or condominiums in their communities. We’ve recently been working with condo-based associations that are having difficulties with keeping up their HOA maintenance programs. Continue reading