text:
Here are answers to frequently asked questions about our Australian-domiciled ETFs. If you have questions that aren't answered in this list, please contact our SPDR ETF team on the number below.
What are SPDR ETFs?
An ETF is a collection of securities that typically track the performance of a broad or specific segment of the market e.g. Australian and international shares, small and large-cap shares, Australian bonds or commodities. SPDR ETFs are a family of ETFs offered by State Street Global Advisors that trade on the Australian Securities Exchange (ASX). They are priced continually and can be bought and sold throughout the trading day. SPDR ETFs are bought by thousands of Australian investors, whether it's through SMSF or directly, and provide liquid, cost-efficient exposure to a broad range of assets.
What is the difference between an ETF and a managed fund?
There are several differences between managed funds and ETFs. To cite a few:
Like managed funds, ETFs allow investors to track hundreds of Australian and international indices, including the S&P 500® and the S&P®/ASX 200 indices, as well as specific sectors or industries (e.g. financials, resources or listed property)
Unlike managed funds:
- ETFs give investors the flexibility to buy and sell on the Australian exchanges throughout the day, at the market price. Managed funds may only be purchased or sold at the fund's net asset value (NAV), which is calculated at the end of the trading day.
- Securities held within most ETFs are posted daily allowing investors to make informed portfolio decisions in real time. However, managed funds generally release their holdings periodically, for example quarterly.
- When ETF investors sell their holdings, portfolio managers do not need to sell securities to raise cash for the redemptions. So, unlike traditional unlisted funds, one ETF investor's sell decision has no impact on other investors and capital gains distributions are kept low.
Talk to your investment adviser to determine which one is right for you.
Why do investors buy SPDR ETFs?
The most common reason is to gain low cost access to a new asset class in a single trade or to further diversify an existing asset allocation to minimise stock specific risk. Another popular approach is to use ETFs to achieve a core-satellite strategy. This means an investor holds a relatively stable and diversified investment as a "core" holding, adding "satellite" positions around this core in the hope of generating additional returns.
How are SPDR ETFs priced?
ETFs are designed to trade at a price that approximates the market value of their underlying assets. To facilitate this, most ETFs publish detailed information about their portfolio holdings on a daily basis. Doing so enables investors to identify when an ETF is over-valued or under-valued relative to its underlying assets and to transact accordingly. Additionally, certain large market participates, known as "authorised participants", create and redeem directly with the ETF in large blocks helping to keep the trading price of the ETF in line with the market value of their underlying assets.
Are SPDR ETFs physically backed?
All SPDR ETFs are physically backed, that is, they hold the assets underlying the associated index.
What are the underlying investments?
Underlying investment refer to the securities that make up the benchmark index. SPDR ETFs will invest only in those securities. Details of the index composition and holdings can be found on this website or in the ETF's Product Disclosure Statement.
What are the cost advantages in investing in SPDR ETFs?
SPDR ETFs are designed to be cost-efficient. As an indexed investment, they can have the advantage of being less expensive to operate and therefore typically have lower management costs. Management costs have become increasingly important to investors because they can have a significant impact on your portfolio's return and potential for wealth accumulation.
What are cross-listed ETFs?
ETFs which are domiciled outside of Australia and listed on an overseas exchange (e.g. in the U.S) cannot be traded and settled on the ASX. Some of these offshore ETFs are made available for trading on the ASX in the form of CHESS Depository Interests (CDIs) which mirror the interests in the offshore ETF. Such ETFs are sometimes described in the marketplace as being 'cross-listed' but it is important to note that you do not hold interests in the offshore ETF directly as it is listed on its overseas primary market, instead you hold CDIs. The CDIs trade like any other securities quoted on the ASX. An example of such an ETF is the U.S. domiciled SPDR® S&P 500® ETF Trust which is principally listed and traded on NYSE Arca, Inc. under the symbol "SPY". CDIs have been created over units in SPY and are quoted on the AQUA market of the ASX and interests in the U.S. SPY fund are also traded on other global exchanges such as Japan and Singapore.
How do I buy or sell SPDR ETFs?
SPDR ETFs can be bought and sold on the ASX through a stockbroker like other listed securities.
ETFs trade during normal ASX market hours. It is recommended that investors refrain from trading before 10.15am or 10.30am. This gives the institutional liquidity providers additional time to ensure ETF prices more accurately reflect the true value of the ETF. Many investors also avoid trading at the market close, as the closing auction can result in additional price volatility.
Is there a minimum investment?
With ETFs, there is no minimum investment requirement.1 An investor can purchase as few as one ETF unit or as many as preferred.
What fees and expenses are associated with SPDR ETFs?
There are a number of costs associated with investing in an ETF, including management costs charged by the ETF provider and brokerage commissions. Investors may also consider indirect costs, including those stemming from the bid/ask spread and any premium/discount volatility.
Details of the management costs for SPDR ETFs can be found on this website or in the ETF's Product Disclosure Statement.
Can SPDR ETFs be bought on margin and sold short?
As capital market instruments, a share in a SPDR ETF can be traded as would a traditional equity. Your broker relationship must permit buying on the margin and short selling of stocks. The use of margin or short selling entails a high degree of risk, may increase potential losses and is not suitable for all investors. Please assess your financial circumstances and risk tolerance prior to engaging in these transactions.
What counterparty risk are ETFs exposed to?
Since SPDR ETFs invest directly in securities, investors are not exposed to counterparty risk associated with swaps or derivatives.
What is liquidity and why does it matter?
Liquidity refers to how easily an ETF can be bought or sold. ETF liquidity should be considered with respect to both the ETF and the underlying securities the ETF holds. Highly liquid ETFs and ETFs that have highly liquid underlying securities (even if the ETF does not have high trading volumes) typically have narrower bid/ask spreads than ETFs that trade less or hold less liquid securities.
Are returns guaranteed?
No. As with all investments, there are certain risks of investing in SPDR ETFs and the value of your investment will go up or down with the value of the assets of the Fund.
Why do returns sometimes differ from the benchmark?
Though SPDR ETFs seek to track their benchmark indices as closely as possible, there will generally be some deviation from the performance of the index (also called tracking error). This deviation is typically due to operating expenses, transaction costs, cash flows and operational inefficiencies, which are not reflected in index returns. In addition, funds that receive tax treatment different from their target index (e.g., funds benchmarked to MSCI indices) may also have performance that deviates from the index.
What are the distribution arrangements?
In general terms, investors will be entitled to a pro rata share of the distributable income (if any) for that period, based on the number of units held in the fund. Distributable income includes dividends and distributions received from the fund's investments. More information on distributions, including the timing of payment, can be found on this website and in the Product Disclosure Statement for the relevant ETF.
Can distributions from SPDR ETFs be reinvested?
With the exception of the SPDR S&P 500 ETF (SPY), all SPDR ETFs have a distribution reinvestment plan. Reinvestment plan documentation can be downloaded from the fund detail pages on this website.
How are franking credits handled?
OZF, OZR and SSO will distribute all franking credits they receive on a semi-annual basis. STW, SFY, SLF and SYI will distribute all franking credits they receive on a quarterly basis.
How do I update my contact details (i.e. change of address)?
Contact details can be updated via the Investor link on the Link Market Services, the share registry website for SPDR ETFs.
Where can I get the latest information on the SPDR ETF I invested in?
Our website www.spdrs.com.au has up to date information on all SPDR ETFs. You may also contact us at email@example.com or +61 2 9240 7600 to speak to our SPDR ETFs Sales and Support team.
1 Subject to brokerage rules/cost/fees


text:
Dr. Tony Diab completed his Bachelor of Science degree at Dalhousie University in 2011 with honours. He has always been an active person, involved in athletics and physical activity, where he worked as a personal trainer for two years. As a natural extension of his interest in physical and mental wellbeing, Dr. Diab developed a keen interest in chiropractic and decided to pursue a career in this field. He graduated from the Canadian Memorial Chiropractic College (CMCC) in Toronto, Ontario with a Doctor of Chiropractic degree in 2017. Dr. Diab is also a certified medical acupuncture provider and a Red Cross Emergency first responder.
Dr. Diab continuously strives to empower and educate his patients to take their health care into their own hands. He believes no two injuries are created equal and therefore an assessment and treatment must be tailored to the needs of each individual patient. His goals are to provide evidence-based interventions for optimal health and performance.
Dr. Diab treats the following conditions:
Low Back pain
Neck pain
Work/Sport/Overuse injuries
Shoulder injuries and day to day aches.

subset: commoncrawl


text:
Wednesday, September 30, 2009
* Dartmouth's President Kim and the Health-Care Dog-Paddle
The Valley News
(not published)
I appreciate Mr. Allen Hood's thoughtful response to my question to President Kim about Health Care. Apparently my phrase "the realm of the Divine" has muddied the waters. Let me try to clear them a bit: Perhaps a better phrase would have been "People shouldn't play God". That's what I am afraid Dr. Kim is advocating.
By the way, the tremendously competent human beings who saved my life at Dartmouth Hitchcock Medical Center, could not have done so if my health insurance hadn't paid for tests that indicated my life needed saving in the first place.
Instead I would simply have been a quietly ticking time bomb, waiting for kidney cancer to spread to my bones without any symptoms until it was too late.
I agree in a way with Mr. Hood that we should all sink or swim together with identical health care coverage: But I'm afraid what Dr. Kim and other health care experts are saying is that those of us who are swimming now, should be reduced to dog-paddling so that those who aren't swimming at all can dog-paddle too.
I want everyone to be RAISED to my level of health coverage. I don't want everyone to be LOWERED to a reduced coverage so that universal coverage can be achieved. Reduction is what Dr. Kim and Mr. Obama are proposing, I fear.
The real problem is this: Politicians are too cowardly to raise taxes so everyone can have the excellent health care coverage which I have.
Instead they want to reduce my health care coverage and give everyone else the same reduced coverage so they don't have to raise taxes.
But they want to do something else in their cowardly avoidance of raising taxes which is certain to poison the well. They want to cut doctors' pay by changing the fee structure incentive system.
Have you ever worked in a system where employees were disgruntled? I wouldn't want a disgruntled surgeon cutting out my cancerous tumor. I want my doctors happy, wealthy, and fulfilled, if you please, Dr. Kim.
Raise my taxes any day of the week.
Paul D. Keane
* Intellectual Guts: Yale and the Daily News
Letter to the Editor
Yale Daily News
Whatever one thinks of Yale Press's censorship (Bolton v. Blair) of the Muhammad cartoons one of the things I admire most about Yale and the Yale Daily News is their courage in making space for both sides of an intellectual argument to be heard, even when one (or both) is clearly wrong.
They did this in the 70's with racism: Black Panthers and the now discredited scholar who proposed that African Americans had inferior brain power; they did it in the eighties with feminism and sexism; and they did it in the 90's with gay rights and straight uptights.
Now they are doing it with the Yale Press censorship of the Muhammad cartoons and the very cartoonists and editors who published those cartoon appearing on campus.
This is what a Univerity is about: pursuing the truth wherever it leads.
Bravo Yale and YDN!
However,intellectual debate or not, it is ironic that the Judeo-Christian world has been so intolerant of the censorship imposed by the Muslim world on the image of Muhammad.
The Old Testament is full of censorship. The face of God could not be looked upon, nor his name (Yahweh) written or spoken--hence the millennia-old text-message-type abbreviation, YHWH.
Ham is cursed (Genesis 9:20-27) for "viewing" his father Noah's nakedness, and the 3000 year history of racism begins.
And unless my memory fails me, one of the central pillars of the Protestant Reformation was the taboo against images: hence the ransacking of Roman Catholic churches and the breaking of statues and desecration of stained glass and painted images, something Mr. Blair's country knows about firsthand. (Ever use the word "iconoclasm"?)
So former U.N. Ambassador Bolton (LAW '76) and his friends who call Yale Press's censorship "intellectual cowardice" shouldn't get too huffy and puffy in their smug rejection of Muslim taboos which prompted Yale Press's censorship.
Nor should former Prime Minister Blair, now teaching a religion and ethics course at Yale, who applauds the Yale Press's decision as "absolutely the right thing", fail to see the fascinating and horrifying stalemate created between different aspects of First Amendment rights here: Freedom of Speech vs. Freedom of Religion.
Pusillanimous Yale Press ?
(Removed by Yale Daily News)
When a taboo is elevated to the level of zeal bloodshed has often been the consequence. If I recall correctly, the Christian Crusades slaughtered a few folk in propagating its own taboos.)
It is only the intellectual debate embraced by Yale itself and the Yale Daily News which can keep the zeal in check.
Paul D. Keane
M.A., M.Div., M.Ed.
above letter appeared as
# 47 in comments to the article:
Cartoonist's visit causes stirBy Alison Greenberg, Danny Serna and Esther Zuckerman
Contributing Reporter, Contributing Reporter, Staff Reporter
Published Friday, October 2, 2009
. .
Comments from the Yale Daily News:
#51 By Hieronymus 1:55p.m. on October 5, 2009
#47: proving again the superfluity--indeed, the embarrassment--of DIV.
Paraphrase: "Jews wrote YHWH and Protestants trashed Catholics, so, we moderns should think twice about criticizing others' censorship."
Ah, equivalency and moral relativism--at least M.Divs are consistent.
Why do M.Divs even, well, *bother* with the G-d question, given that to them 'twould seem the conclusion is foregone?
#53 By PDK M.'Div. '80 5:34a.m. on October 6, 2009
"...should think twice about criticizing others' censorship." Hieronymous
Hieronymous seems a bit testy.
I believe the words were "it is ironic how intolerant the Judeo-Christian world is of Muslim censorship of the Muhammad image".
Does that say anything about "think twice about critciziing others'censorship?" Go at it. Criticize all you want. Am merely pointing out an irony.
My point may be (and it is still gestating) that religions go through evolutionary stages and that some of the components of Islam may be stuck in "arrested development" just as the Judeo-Christian world was stuck for centuries in "arrested devlopment", and remnants of it remain so today, in the name of orthodoxy.
Indeed my own letter was "censored" by the YDN and I am not objecting. If you want to read the omitted penultimate sentence go to http://theantiyale.blogspot.com
I assume YDN was acting responsibly since they thought my anti-christian sentiments about the christian Crusades might inflame an already incendiary situation. (Will they do that again here?)
Kindly don't lump me together with all "Divs".
My history at YDN as publisher, editor and sole writer of
Holy Smoke: Opinionation from Holy Hill 1976-80, and now as blogger of The Anti-Yale, is one of gadfly and irritant to the Yale and other institutions involved in the idolatrous worship known as Materialism. And don't for a minute think Materialism isn't a religion whose rites are practiced this very second on millions of digital altars around the globe.
I named those institutions Mercantilia in 1977 at YDS and that label still applies today.
My comments have nothing to do with "foregone conclusions."
And by the way, my comments are signed with a real name, and an academic background, for what that is worth.
Paul Keane
M.A.(Middlebury '97), M.Ed.(Kent State,'72)
#56 By Hieronymus 10:13a.m. on October 7, 2009
Apologies, Paul Keane: YDN did not find my response suitable for publishing.
Rest assured: my skewering of your hypocrisy was amusing and incisive.
#57 By Paul Keane 5:15p.m. on October 7, 2009
My dear Hieronymous:
Sarcasm I now see to be, in general, the language of the Devil; for which reason I have, long since, as good as renounced it.
Thomas Carlyle, Sartor Resartus (1833-1834), book II, ch. IV
While, Hieronymous, I do not subscribe to personifications of either evil or good in the form of deities or devils, I do believe that separating one's mind from one's heart is a pyschological equivalent of what Dante called the Inferno.
I recall when I was much younger taking a kind of sterile exhilaration from skewering others on the rapier of my prose.
Do I detect an echo of same in your "Rest assured: my skewering of your hypocrisy was amusing and incisive."
I could save you forty years of trouble, but unfortunately each new generation must learn these lessons anew.
So, Good night Hieronymous. The rest is silence . . .
Paul K
Tuesday, September 29, 2009
* Religious SEX at YALE: How Enormously Rude
This idolatry is the worship of Relationships with a capital R.
It has, paradoxically, been adopted by Christian religionists, with the smug twist that God is somehow more intensely present, more therapeutically manifest, more at home in the world, when captured in the cage of a Relationship between two persons (the prison of intimacy) than He is manifest elsewhere in the world, uncomfortable and awkward outside of the Sacred Dyad.
An Epicurean bonus to the notion of God as the Genie in the Lamp of Relationship is the proposition that God is somehow most sweetly and exquisitely Himself in the presence of the sexual intimacy of Relationship.
Of course, this smugness excludes about a third of the world, who, for some reason or other, are not skillful at intimacy, sexual or otherwise, and therefore must seek their emotional food from many persons in small portions rather than from one person in a perpetual banquet.
Persons of the past who fall into this third of the world include Emily Dickinson, A. E. Housman, Walt Whitman and Thornton Wilder (a Yale man).
Must we assume that the new idolators would somehow find those persons' lives to have been sadly remote from the Divine since they had no magic lamp of Relationship to rub in order to summon up the idolators' God?
The truth of the matter is that God will not be so caged or summoned. And the new post-Freudians' blasphemy will not be so easily swallowed in our egalitarian land which recoils as the very odor of elitism.
As a Biblical test to excuse this rudeness, the idolators appeal to Genesis 2:24, "Therefore a man . . . shall cleave unto his wife and they shall become one flesh."
In other words, the sum of one and one is One!
1+1 =1!
Very interesting indeed: Another attempt of the religionists to make man or woman feel that somehow he or she is less than whole, less than independent, less than self.
How rude. How enormously rude.
This idolatry permeates even the Christian caucus chambers of a great university, in this case Yale, where the religionists, in seeking to write a religious reply to the Yale medical community's booklet Sex at Yale, propose that sex is somehow most pure, most meaningful, most Godly, when it occurs in the context of Relationship.
Fleeing in terror and repugnance from the realities of our animal nature as Christianity has always done, the religionists at Yale hope to disguise sex by loading it down with the junk jewelry and perfume of the "Language of Intimacy", intimacy being the couture the post-Freudians assert is most alluring to Deity.
Regrettably this caucus is not confined to Christianity.
Jewish religionists –the traditional foes of elitism since they have been the victims of the elitist of elitisms for 2000 years (the proposition that Christ sits at the right hand of God and no one can approach the Father except through the Son ---rendering all of the prophets of the First Testament null and void), yes Jewish religionists, are regrettably also members of this committee toying with the idolatrous language of Relationship.
What rude rubbish.
We hope that before this little religious treatise on sex gets to the printer this idolatrous self-indulgence will be purged from its prose.
Submitted to the Chaplain and his committee after reading an advance copy of their proposed pamphlet responding to the Yale medical community's pamphlet, Sex at Yale, 1984/85.
Saturday, September 26, 2009
* Transgender Dorms at Yale (and Harvard?):Genital Jargon Disses the Gender-Neutral Student "Body".
When a single finger (or hand) pressed against a button (or lever) in the Enola Gay caused the annihilation of 100,000 people on Hiroshima in 9 seconds, all prior definitions of manhood were instantly and forever eradicated which depended on the Biological Determinism model: the strength and accuracy of a man's body to overhwelm another man's body (whether with sword, horse and joust, rifle, cannon, airpower, etc.) ; for, indeed, that finger could have been the finger of a woman just as well as that of a man. (It could have been the finger of a primate, for that matter.)
Man's superior body strength and its ability to target and overhwelm weakness in other combatants had been the primary ingredient in culturally agreed upon definitions of a man in the so-called Biological Determinism model.
Suddenly it was gone.
Anxiety over this sudden absence bubbles up unexpectedly--and perhaps unconsciously--four years later in Arthur Miller's 1949 play, Death of a Salesman: In the space of a thin 110 pages, over 10 definitions of a man appear!
Similarly, when the feminists of the 1970's divorced womanhood from all definitons which depended on the female body (i.e., the Biological Determinism model: one who makes babies; one who feeds others) a culturally agreed upon definiton of woman was eradicated.
Thus began our unmooring.
It is ironic that as this era unfolds without these previously agreed upon definitions of man and woman, the Feminist critique (which insists on liberation from the Biological Determinism model) persists in dissing men with that very same Biological Determinism terminology they eschew , i.e., "Phallocentric", "Dominator" "Hegemonic"
"Hierarchical" labels: all of which depend on the male's capacity to overhwelm others, with superior "force", originally a term which applied to male musculature and physical prowess alone.
If Yale and Harvard do create transgender dormitories, it will be interesting to see what inevitable language of oppression emerges to diss these groups: Will it be the genital jargon of Biological Determinism? Or will it be the slang of a gender neutral student body, an as yet uncoined slang divorced from the human body?
Note: In 1949, five years after the Enola Gay eradicated all culturally agreed upon definitions of manhood, Arthur Miller published Death of a Salesman. In the thin volume of 110 pages, no fewer than 11 definitons of a man emerged, revealing not only the "temporary" nature of Willy Loman's identity, but the anxiety of a society without manhood.
Eleven Definitions of a Man
from Death of a Salesman by Arthur Miller
"A man who can't handle tools is not a man." (Miller, p30)
"Never fight fair with a stranger, boy. You'll never get out of the jungle that way." (p.34)
":. . .a man is not a bird, to come and go with the springtime." (p.39)
"A small man can be just as exhausted as a great man." (p.40)
"You don't raise a guy to a responsible job who whistles in the elevator." 9p. 44)
" 'Gee' is a boy's word. A man walking in for fifteen thousand dollars does not say 'Gee'." (p. 47)
"God knows Howard, I never asked a favor of any man." (p.59)
" You can't eat the orange and throw the peel away ---a man is not a piece of fruit.." (p.61)
"You end up worth more dead than alive." (p.76)
"A man can't go out the way he came in , Ben, a man has got to add up to something." (p.99)
"No man only needs a little salary." (p. 110)
" It's the only dream you can have ---to come out number one man." (p.111)
Friday, September 25, 2009
* A Pound of Flesh at Yale (and Harvard too): Closet Usury? Portfolio Poker? Mercantile Mirage?
The following excerpts from a Yale Daily News front page article 9/23/09 ("It's official: Yale's worst loss ever") remind me that I have an uncomfortably sneaking suspicion every time I contribute to my 403B:
Aren't I really just a Closet Usurer every time I indulge my illusion ( my fantasy?) that I can make more money in the stock market than in Treasury Bonds or bank interest?
When I hear Mr. Swenson's investment techniques for Yale called a "long term strategy" it dignifies my complicity a bit. But my apprehension nags on.
If I were really honest, isn't the entire Stock Market investment "strategy" promoted by the mutual funds and the Mr. Swensons of the world (even the portion touched by the magic wand of Warren Buffet) little more than an elaborately intricate shill game ? A kind of Portfolio Poker? A mercantile mirage?
Pardon me for being heretical in an idolatrous society which unabashedly worships money.
Published Wednesday, September 23, 2009
It's official: Yale's worst loss ever
The Yale endowment posted a 24.6 percent investment loss in the fiscal year that ended June 30, falling to $16.3 billion in its most severe decline ever, University officials announced Tuesday.
. . . Swensen's approach emphasizes investing for the long term, and, indeed, over the past 10 years, Yale's endowment has still outperformed benchmarks: The fund returned an average 11.8 percent over the past decade, beating annual results for domestic stocks of negative 1.2 percent and domestic bonds of 6 percent. If Yale's investments had performed comparably to the average return of other college and university endowments over the past 10 years, the endowment would be $10 billion lower.
But this year saw a stunning reversal of fortunes: Endowments such as Yale's and Harvard's, which racked up enormous gains in recent years through alternative and illiquid investments, were hit hardest in the financial collapse. Meanwhile, portfolios such as the University of Pennsylvania's, which holds mostly stocks and bonds, lost 15.7 percent. . .
Tuesday, September 22, 2009
* What Glorifies Yale Glorifies Harvard . . .
The Crimson
Dear Editor:
Why do all things Yale have to do with all things Harvard too? These two Ivies are like right and left arms to New England --- indeed to the Academy itself--- and have been so since July 15, 1838, nearly 200 years ago, when Ralph Waldo Emerson grafted them (as the sites of equally prestigious Divinity Schools) to the same intellectual discussion forever in his divine heresy The Address to the Divinity Students at Harvard College.
That address challenged the very nature of orthodoxy itself , positing Transcendentalism in its place, a belief which has become progenitor of the self-help and self-esteem movements ubiquitous in our time.
Like Harvard, Yale is too important to society, and the Academy, not to be critiqued. It is in that spirit that I invite you and your readers therefore to view my blog The Anti-Yale at http://theantiyale.blogspot.com/ which includes my letter to Yale's President Giamatti in 1980 about the racial profiling incident I witnessed at Yale on my graduation night, outlined in a letter to The Crimson published last week.
The Anti-Yale blog is dedicated to Yale's most famous critic (In memory of Wm. F. Buckley, Jr. who alerted me that Man is God at Yale) and is inspired by one of Aleksandr Solzhenitsyn's favorite Proverbs( "Faithful are the wounds of a friend; but the kisses of an enemy are deceitful" Proverbs 27: 6).
It is comprised of letters, many published, both chiding and encouraging various parts of the University since my graduation in 1980, including the tragic murder at Yale two weeks ago.
first published in the now defunct Connecticut Magazine in 1985.
What glorifies Yale may glorify Harvard; What afflicts Yale may afflict Harvard too. In that spirit, I invite The Crimson editors and their readers to visit Sincerely,
Paul D. Keane
M. Div. '80
Yale Divinity School
Sunday, September 20, 2009
* Slavery and Segregation: National Mental Illness
The Fifth Estate: The Outting and Gutting of Racism
A response to General Holder's call for a "national discussion on race":Vermont playwright Alan Haehnel and Paul Keane, the Talking Turkey blogger, discuss how racism was exposed and eviscerated by the Fifth Estate.
There is a surprise appearance by Bentley, the dog.
To view this Blip TV clip, click The Fifth Estate link above. (Buffering takes a while; fiddle around with it!)
Friday, September 18, 2009
* Murder at Yale: Slenderly Knowing Our Selves
What the tragic murder at Yale this week tells us; what the unsolved murder of Ms. Jovin '99 a decade ago at Yale tells us; what the unsolved disappearance of Sam Todd while a student at Yale Divinity School in 1984 tells us; what the killings at Kent State in 1970 tell us: is that the human personality rests on uncertain terrain, with volcanic forces not far below.
Most people keep those forces at bay with neurotic bric-a-brac which are sometimes annoying, sometimes charming.
Occasionally those volcanic forces erupt.
We trivialize at our own risk; Perhaps that is why we are so much more shocked by murder at Yale than elsewhere.
We are living in the first generation in human history of what may become an epoch in which there is no longer any culturally agreed upon definition of a man; and, likewise for woman.
Both definitions have been severed from the human body: Biological Determinism no longer reigns. *
This 'liberation' may also be dangerously re-arranging the largely abandoned Freudian architecture of the psyche, an architecture no less valid for its antique, even archaic, appearance to the modern scholar.
We may indeed but slenderly know even how to begin to search for the LOCATION of our increasingly diluted and undefined Selves, let alone identify and neutralize their violent underpinnings.
We are unmoored.
Paul D. Keane
M.A., M.Div., M.Ed.
* When a single finger (or hand) pressed against a button (or lever) in the Enola Gay caused the annihilation of 100,000 people on Hiroshima in 9 seconds, all prior definitions of manhood were instantly and forever eradicated which depended on the Biological Determinism model: the strength and accuracy of a man's body to overhwelm another man's body (whether with sword, horse and joust, rifle, cannon, airpower, etc.) ; for, indeed, that finger could have been the finger of a woman just as well as that of a man. (It could have been the finger of a primate, for that matter.)
Man's superior body strength and its ability to target and overhwelm weakness in other combatants had been the primary ingredient in culturally agreed upon definitions of a man in the so called Biological Determinism model. Suddenly it was gone.
Anxiety over this sudden absence bubbles up ironically--and perhaps unconsciously--four years later in Arthur Millers 1949 play, Death of a Salesman: In the space of a thin 110 pages, no fewer than eleven definitions of a man appear!
Similarly, when the feminists of the 1970's divorced womanhood from all definitons which depended on the female body (i.e., the Biological Determinism model: one who makes babies; one who feeds others) all culturally agreed upon definitons of a woman were eradicated.
Thus began our unmooring.
NB: It is noteworthy in this regard that the 9/20/09 edition of New York Times Magazine has as one of its three feature articles "The Holy Grail of the Unconscious" about the work of Freud's disciple turned competitor, Carl Jung.
Thursday, September 17, 2009
* The Crimson: Racism at Yale (September 16, 2009)
The Crimson
The University Daily Since 1873 Updated: Wednesday, September 16, 2009 11:53 PM
LETTERS: Racial Profiling at Yale
Published On Wednesday, September 16, 2009 11:19 PM
By PAUL KEANE
To the editors:
On my graduation night from Yale Divinity School, May 1980, I witnessed an example of racial profiling by Yale Police hauntingly similar to that endured by Professor Gates this year, only the unfortunate handcuff victim was neither famous nor in his own home. And unfortunately, the term 'racial profiling" had not been coined.
Rather, the victim was a young African American male who was reclining on the front steps of Hendrie Hall, a Yale building on a public street in New Haven, early in the evening while it was still light outside. His "crime" brought three Yale Police to handcuff and arrest him. When I inquired as a passerby what these police accused him of doing, he wept and replied that he had been sitting or lying on the steps.
After I sent several letters to Yale's President A. Bartlett Giamatti and other Yale faculty, his arrest for trespassing was "nolle'd" when it went to court.
Paul Keane
White River Junction, VT.
September 10, 2009
Note post in this blog : YALE BEATS HARVARD (AGAIN): Racial Profiling at Yale
Wednesday, September 16, 2009
* Yale Disappearance Still Unsolved after 25 Years
Dear Editor:
I am sorry to add to your somber article (9/16/09) about Ms. Jovin '99's unsolved murder published in the wake of Ms. Le's tragic killing at Yale last week.
During my time at Yale, late '70's early '80's, a young male undergraduate was found dead on the steps of the Catholic Church on Hillhouse Avenue two houses up from the president's house. Apparently he had been mugged the night before and abandoned, leaving him without medical help till morning, when it was too late.
And then there is the unsolved case of the disappearance of divinity student Sam Todd in Greenwich Village New Year's Eve 1984/85. See Connecticut Magazine article on this mystery at the following blog address:
I have not changed my original conclusion in that article, even after 25 years: it is possible that Sam Todd could still be alive despite the time and silence of this quarter century which has passed.
Paul Keane
M.A., M.Div., M.Ed.
Sunday, September 13, 2009
* Dartmouth : Dead or Alive, Dr. Kim?
Letter to the Editor
Valley News
Dear Editor:
Last year the physicians at Dartmouth Hitchcock Medical Center saved my life, especially one highly alert young specialist who ordered three expensive tests which President Obama's health care cost-cutting imperatives would have denied me. I am very grateful for their skill and talent.
Jim Yong Kim, M.D., the new president of Dartmouth College (which includes the medical school), is a world renowned health care expert who indicated on Bill Moyers' Journal today, 9/13/ 09, that he supports those very same cost-cutting imperatives which would have killed me.
I have one question for Dr. Kim, after welcoming him to the Upper Valley. It is an age-old ethical question which I encountered in my degree studies at Yale Divinity School: Is the possibility of saving 10,000 human lives worth sacrificing ONE human life?
In other words, should my little old middle class Vermont life be sacrificed because the health care delivery "efficiency" Dr. Kim advocated on Bill Moyers' Journal might possibly help save 10,000 lives, lives which don't require such expensive tests as did I?
With all due respect to Dr. Kim, this decision belongs to the realm of the Divine, not to the realm of human, slick, efficient, cost-cutting, number crunching, health care bureaucratic experts.
Paul D. Keane
M.A., M.Div., M.Ed.
Friday, September 11, 2009
* YALE BEATS HARVARD (AGAIN) : Racial Profiling at Yale, Twenty-nine years before Henry Louis Gates at Harvard
26 May 80
A. Bartlett Giamatti
Yale University
Dear President Giamatti:
I am deeply disturbed by an incident I witnessed on my graduation night, May 25, at approximately 9:20 PM, on the steps of Hendrie Hall-----an incident which brings shame on Yale University and portends ominously for race relations between town and gown.
As I was walking by Hendrie Hall I noticed three white policemen, from Yale surrounding a young black male (perhaps 25 years old). The youth was handcuffed with hands behind his back and he was facing a wall of the building. I inquired of the policemen what was going on, and, when they refused to tell me, I inquired directly of the young man, "What are you accused of by these men?"
He replied that he had been lying or sitting on the front steps of Hendrie Hall. "Is that all?" I prodded. He turned his head toward me and replied, "Yes" with tears streaming down his face.
I asked him his name (Mr. S._______) and told him I would do something about it.
I returned to my apartment and immediately called Dean Leander Keck [Divinity School] and Professor Henri Nouwen [Divinity School], described the incident, and asked them to phone the campus police department and express their concern. I told them that as a lifelong resident of New Haven I felt that this was yet another example of Yale's hostility toward townspersons; and, that it more certainly was an incident of blatant racist harassment on the part of three white campus policemen. For, had a young white male or a stumble-bum been doing the same thing on Hendrie Hall's steps, he most certainly would have not been handcuffed and arrested. Or, even if an intoxicated Yale undergraduate had passed out on the front steps of Hendrie Hall and been mouthy to police who prodded him awake, the magic of the I.D. card would have insured that he would have been treated with the kid gloves Yale reserves for its own
Mr. S _____ had the misfortune to be neither white nor Old Blue. And his treatment by Yale police reflected that fact.
Dean Keck and Professor Nouwen were able to determine that Mr. S _____ was sent to city jail, charged with trespassing, and released.
I think Yale needs to evaluate the morality of this official behavior. Is lying on the front steps of Hendrie Hall such a heinous and threatening crime that three policemen from Yale need to handcuff a frightened black youth and reduce him to tears? Is one's need to lie down --- for whatever reason ---a crime?
Does Yale wish to disrupt a young man's life by requiring him to appear in court and perhaps earn a police record simply because he had the misfortune to sack-out on the property of precious Yale University?
I think decency and humaneness require that your office intercede in this matter to ensure that this young man's life and sensibilities are not further scarred by this official behavior by Yale University which I can only interpret as institutional racism.
But in a larger sense, I wish to know if my alma mater is so obtuse that it does not recognize that such police behavior contributes to a potential latent-dynamite scenario similar to that which exploded in Miami's race riots two weeks ago?
I would like to work quietly, behind the scenes with your office to create a town/gown committee composed of black and white clergy from the Divinity School and New Haven to monitor Yale University Police Department's arrests of non-campus persons. I believe such a watchdog committee could nip in the bud potentially explosive situations by creating an environment in which the campus police would feel themselves held more accountable for their behavior than they now are.
I would hope that you know me well enough by now to realize that I am willing to work WITH Yale in this matter. But if Yale ignores my concern and pooh-poohs what I consider to be a potentially grave situation, you do know me well enough to know that I will bring this matter to the attention of those who will take it seriously.
Paul Keane
Class of 1980
Yale Divinity School
Roland H. Bainton, Professor Emeritus, YDS [Yale Divinity School]
Leander Keck, Dean, YDS
Harry Adams, Associate Dean, YDS
Henri Nouwen, Professor, YDS
Gene Outka, Professor, YDS
Charles Brown, Professor, YDS
J_____R_____, witness to the incident


text:
Dear Counselor: Get a grip.
Disclaimer: We actually do have several really wonderful counselors at our school. But there are three that, ohdearlawd, just make me wanna holler.
By the way, how many counselors does it take to change a light bulb?
A: It only takes one, but the light bulb has to really WANT to change.
So here's the lay of the land: Similar situation to the last once I related, in fact same kid. Different counselor, same query (this counselor is a refugee from Godspell-- I swear, I'm waiting for the mime makeup to complement the peasant dresses). Can't I just excuse Kiddo so she can get all her extra-curriculars done? Oh, and "her parents won't accept any grade lower than an A from Kiddo's teachers."
Here's my response in a nutshell: I AM concerned about Kiddo. I am especially concerned that Kiddo absolutely cannot speak for herself to anyone but has asked, at various times: Counselor to intercede with me and with the physics teacher; Physics teacher with intercede with the sponsor of Student Council; the sponsor of Student Council to intercede with the track coach ....ad nauseam.
Today Kiddo came face to face with a conflict between my absolute deadline for make-up work and a chance to be involved in some after-school event (I want to point out that Kiddo could have taken care of this yesterday, but chose to avoid making a choice, which is, of course, actually MAKING a choice). I could not in good conscience budge. Kiddo sulked her way through her make-up test, but got it done and went off to the event late.
Choices, people!
And meanwhile, Counselor Number 2, every time we intercede instead of Kiddo, we shield Kiddo from the fact that Kiddo is hopelessly overloaded. And frankly, I think we make Kiddo's emotional distress worse, since we reinforce Kiddo's obviously perception of herself as powerless and voiceless-- to her parents, to club sponsors, to herself, and to teachers. Especially when it comes to saying "No" to something.
Labels: chutzpah, conflict, consequences-schmonsequences, TANSTAAFL


text:
Thomas Sabo's new collection dazzles at the Trafford Centre
Thomas Sabo launched their new exciting collection that sparkles from the glass windows, of their shop, in the Trafford Centre. The Trafford Centre store launched with a party that was filled with marvellous things to do. It saw a DJ which was playing upbeat tunesRead more


text:
Tuesday, October 09, 2012
Ebony and Fossil Mammoth Ivory Mini Phang Support Spindle
This 8 inch mini phang support spindle was crafted from ebony. It has been inlayed with fossil mammoth ivory. This beautiful handspinning tool weights 1.6 ounces (44 grams).
**What is fossil ivory?**
Fossil ivory is ancient ivory whose composition has changed from ivory to mineral. Care should be taken to distinguish fossil ivory from recent ivory which has yellowed or discolored. Fossil ivory (including walrus, mammoth and mastodon) and other archaeological and paleontological materials are regulated by an array of Federal and State laws. These items may not be collected on any Federal or
State lands. Fossil ivory may be collected on private lands with the permission of the land owner, and is not regulated under the Marine Mammals Protection Act. Fossil ivory does not have to be tagged or registered. Anyone may sell fossil ivory without first handcrafting it.
**Where do we get our fossil ivory?**
Ancient walrus and mammoth tusks are dug out of the permafrost or bone mounds by Alaskan and Siberian natives annually during the summer thaw and sold to subsidize their family or village income. We buy our ancient walrus ivory shards from ivory buyers that travel to the St. Lawrence Island area to buy from the ivory co-ops.
**Learn more about fossil ivory**
If you would like to learn more about fossil ivory, please visit the link below:
"Fresh" ivory and elephant ivory will never be used in any of the artwork created by Grizzly Mountain Arts.
New Embroidery Stilettos
Two new embroidery stilettos, or laying tools, were listed in our Etsy shop today. The woods used are purpleheart and leopardwood.
Golden Oregon Myrtlewood Burl Top Whorl Drop Spindles
Gorgeous doesn't begin to describe the golden Oregon myrtlewood burl that Dave used for these new top whorl drop spindles! Each has a rich golden color and amazing grain patterns. The shafts used for these beautiful handspinning tools are jatoba, ebony and purpleheart. Additional photos can be seen in our Etsy shop.
Sunday, October 07, 2012
Brass Picot Gauge Set with Oregon Myrtlewood Burl Case
This unique set of brass picot gauges is a Grizzly Mountain Arts original design! The entire set telescopes inside each other and then slides neatly into the Oregon myrtlewood burl gauge case. The four size increments are: 1/4, 3/16, 1/8 and 1/16. Also included is a 2 inch brass ruler.
Brass Picot Gauge Set with Oregon Myrtlewood Burl Case©
Wednesday, October 03, 2012
New Bone Laying Tools with Wood Cases
Three new bone laying tools, or stilettos, have been listed in our Etsy shop today. The woods Dave chose for the cases are Oregon myrtlewood burl, stunning tiger maple (an incredible amount of chatoyancy) and a beautiful joined wood. Additional photos of each set can be found by clicking the links above.
Tuesday, October 02, 2012
Bone Embroidery Laying Tool with Cocobolo Case
Dave has crafted this beautiful 4 1/4" embroidery laying tool, or stiletto, from bone. He chose a gorgeous piece of cocobolo to craft the 5" long case.
Subscribe to: Posts (Atom)


text:
Carpet Cleaning Brisbane – Northside
Professional Contract Cleaners in Northern Suburbs
If you are looking to get your carpets cleaned by a reliable and affordable cleaning company look no further. The contractors at Pro Carpet Cleaning Brisbane are fully trained to service both domestic and commercial properties in the North. Our customers have complete peace of mind knowing we are professionaly trained cleaners and have full public liability insurance.
Our service covers all the the Northern suburbs and surrounding areas. From a 1 bedroom apartment right through to a full house, we can do it all. We also provide flood restoration and pest control for domestic homes and offices. We'll get your your carpets looking the cleanest they've been in years.
We provide a full range of services including steam and dry cleans as well as all upholstery and stain removal services. The choice is yours. For affordable prices and an sparkling clean carpet make your booking today.
Get in touch to ask any questions, we look forward to hearing from you.
Our services include:
We provide the following services to residennts living inthe Northern region.
Dry Carpet Cleaning Northside
Steam Carpet Cleaning Northside
Carpet Stain Removal Northside
Upholstery Cleaning Northside
Rug Cleaning Northside
Blinds Cleaning Northside
Bond Cleaning Northside
Commercial Carpet Cleaner Northside
Pest Control Northside
Locations include:
Our services are available in the following areas in South East Queensland. Contact us for a full list of locations.
- Albion – Alderley – Ascot & Aspley
- Bald Hills – Banyo – Boondall – Bracken Ridge – Bridgeman Downs – Brighton & Brisbane Airport
- Carseldine – Chermside – Chermside West & Clayfield
- Deagon – Eagle Farm & Everton Park
- Fitzgibbon – Gaythorne – Geebung – Gordon Park & Grange
- Hamilton – Hendra – Kedron – Keperra & Lutwyche
- McDowall – Mitchelton – Myrtletown – Newmarket – Northgate – Nudgee – Nudgee Beach & Nundah
- Pinkenba, Sandgate – Shorncliffe – Stafford – Stafford Heights – Taiguma & Virginia
- Wavell Heights – Wilston – Windsor – Wooloowin & Zillmere
Request A Quote
What are you waiting for? We are standing by to answer any questions you may have.
Contact us today for a free quote.
Phone us on 07 3555 7944.


text: Sue and I got together today to plan some posts for the upcoming month. I learned how to make a fascinator and you'll be able to make one, too. Instructions will be coming soon. This picture of the two of us was taken outside O'Susannah's Quilt Shop and it started to snow on us – big flakes. It was cold! What's it like in your neck of the woods? (Betsy's on the left and Sue's on the right.)


text:
Home > SCAS > Vol. 110 (2011) > Iss. 2
Gila Monsters (Heloderma suspectum) are rarely seen in California with only 27 credible sightings reported in over 150 years. A previously unreported specimen was observed 30 April, 1974 near Black Mountain in the southern Chocolate Mountains of Imperial County. The area fits many of the criteria of Gila Monster habitat elsewhere in California and is relatively close to several other credible and possible records in the state.
Recommended Citation
Lovich, Jeff and Haxel, Gordon
"A previously unreported locality record for the Gila monster,"
Bulletin of the Southern California Academy of Sciences:
Vol. 110:
Available at: https://scholar.oxy.edu/scas/vol110/iss2/1


text:
Progentra's formula is inspired by the drugs produced by mainstream pharmaceutical companies, where they combine certain ingredients in order to make a better, more potent, and more effective drug. I discovered a this medicine, it progentra. it enhanceds the penis size without any side effects and it gives you sexual-power during intercourse.You don't have to imagine what it's like because using Progentra will certainly give you a first-hand experience that will remarkably change your sex life for the better.
With the discovery and combination of the right ingredients, extensive research, and years of clinical trials, the ultimate penile enlargement is now a fact rather than fiction.Progentra works on different stages, and each stage details how big of an impact Progentra would have on your body.
When it comes to finding the right male enhancement product, there are factors you need to consider. Firstly, it clinically tested and that guarantees a particular supplement is safe and effective. You don't want to take something that doesn't have any clinical substantiation.
Secondly, the ingredients of Progentra? And are these natural? Natural components are usually preferred because they're not likely to generate any harmful side effects. The wonders of nature also make it possible for these natural ingredients to be highly potent in producing worthwhile results.
Thirdly, there is a money-back guarantee? As a customer, you need to protect your interest, and a money-back guarantee is the only way to make sure that you get what your money's worth. Good manufacturers provide this feature because it makes their customers feel secure.
Lastly, what's the visibility of results like? Does it take a short time to work? Or do you need to wait several months before you feel any changes? Apparently, the faster the results are felt, the better.
All these factors being present in a male enhancement supplement are not easy to come by with a few exemptions, and one of these is Progentra. Here's why:
Clinically-tested – Prior to being released into the market, the product underwent rigorous clinical studies and testing in GMP-certified facilities to ensure that maximum safety and quality protocols are followed.
Ingredient profile – Progentra's ingredient profile mainly consists of natural ingredients clinically proven to increase penis size and improve sexual functions. These ingredients have also been traditionally used to address sexual problems. Hence, their history of effectiveness comes a long way.
Money-back guarantee – This supplement comes with a 90-day money-back guarantee. So, you can return the product and ask for a refund should you find Progentra unsatisfactory.
Visibility of results – Progentra generates noticeable results in a short period of time. In fact, many users have reported an increase in penile length and circumference within two weeks of using the supplement. Continuous use of Progentra is also recommended as numerous users have reported an increase of 2-3 inches after using the supplement on a regular basis for 2-3 months.
Based on the numerous positive reviews that we have encountered about Progentra, we are inclined to believe that Progentra does work – and quite impressively. Before the release of Progentra, there were no other male enhancement supplements that have been proven to make penis enlargement a reality. But if we are to believe the dozens of positive feedback that Progentra received, it may all be possible after all.
Progentra's formula is inspired by the drugs produced by mainstream pharmaceutical companies, where they combine certain ingredients in order to make a better, more potent, and more effective drug. The same process can be traced back to Progentra, where they combined several ingredients that are known to synergize, to create better results for the user.
Here are some of the things that you should expect when you are taking Progentra:
The intense expansion of penile tissue is made possible by the increased blood flow to the cavernous spaces in the penis. With Progentra, you can expect a significant increase in penis length and girth in just 2-3 weeks.
Progentra combines PDE-5 inhibitors with vasodilators to provide a wider, unobstructed pathway of blood to the penis to improve the quality of erections. This is further intensified by the increase in libido and testosterone, which further increases the pressure of blood that flows to the penis.
The refractory period is a period after having an orgasm when the individual no longer feels the sexual urge. This is caused by a sharp decline of testosterone. With Progentra, the effects of the refractory period is reduced, enabling the user to experience as much orgasms as he wants.
When you're unfamiliar with male enhancement pills and how they work, increasing a man's penis while also improving his sexual prowess seems impossible.
But, supplements like Progentra break the notion that penile increase is unlikely.
With the discovery and combination of the right ingredients, extensive research, and years of clinical trials, the ultimate penile enlargement is now a fact rather than fiction.
Progentra works on different stages, and each stage details how big of an impact Progentra would have on your body. Here is an excerpt of the different stages of Progentra taken from their website:
Fast-acting aphrodisiacs and PDE-5 inhibitors are absorbed by the body in just 30 minutes after taking the first dose. The effects of aphrodisiacs and PDE-5 inhibitors supercharge the user's libido and enhances the intensity and hardness of the user's erections.
Progentra contains aphrodisiacs and PDE-5 inhibitors that are assimilated into the body as quickly as half an hour after the first dose. The effects of these ingredients significantly fuel the sex drive and intensify the magnitude and firmness of the user's erection.
Delayed-release aphrodisiacs and PDE-5 inhibitors remain active to ready the body for sexual activities for 24 hours. Vasodilator ingredients increase the flow of blood to the penis, setting the conditions for continuous penis enlargement.
The aphrodisiacs and PDE-5 inhibitors in the supplement retain its potency so that the body's longing for sex and its capacity to do so remains. The components responsible for boosting blood flow continue their vasodilation functions to promote penis growth.
While the user experiences an erection, the PDE-5 inhibitor ingredients enhance the effects of the vasodilators to maximize the amount of blood supplied to the cavernous spaces in the penis, which would trigger an expansion of penile tissue permanently.
Hormone stabilization allows the body to increase the instances of erections by minimizing the effects of the refractory period in the body to prolong and maximize the penis enlarging effects of the formula.
Judging by these stages, the ingredients used by Progentra are definitely a major factor in the success of the product.
Name Meanings
Search Engine Optimization
How To's
Book Reviews
Slang Meanings
Real Estate
Self Improvement
Acronym Meanings
About Us
Contact Us
Copyrights © 2019 Voticle. All Rights Reserved.


text:
It would be nice to be able to pay for the entire balance of a new vehicle up front. But for the vast majority of drivers, that's simply not a reality. Fortunately, here at Wapiti Auto Sales we provide a flexible range of financing and car credit solutions that help customers in Alberta and Northern B.C. to afford the vehicles they need.
Sometimes banks shy away from approving car loans for used vehicles, feeling that it is a more risky transaction than financing a new car or truck. But fortunately, we don't work with just one bank-we work with six!
Once we have your pre-approval, we send it to our banks and they set an interest rate that suits their tolerance between risk and return. This allows us to shop around between the six lenders in order to bring you the best rates around for your current credit situation.
So no matter whether you have clean and stellar credit, or if you find yourself with bad credit or even no credit, we are sure to be able to find you a suitable solution. To learn more details about approving bad credit, please visit our Finance FAQ page.
If you need a vehicle, we are sure to be able to find a solution that works for you.
But we absolutely guarantee you will qualify if you meet these three minimum requirements:
It isn't just pre-owned cars and trucks that we finance. If you choose to have our service team do a custom lift job on your truck, we can roll in the cost into your financing plan, helping to split up the parts and labour costs over the length of your financing contract.


text:
You are on the Aquapresen webshop for United States (USD). Switch your shop with the flags underneath, in case you're from europe! Hide message
Poducts for the skin, feet and the most delicate areas and ear, nose and throat.
Products for the protection and care of stressed muscles, joints and lips.
Products to prevent the appearance of natural aging, cellulite and hair loss.
Products for relaxation that do wonders.
Worldwide first animal care based on activated water
Be the first to review this product
In stock
This mild and vegan deodorant with BIO- Aloe Vera nourishes sensitive skin and smells very pleasantly.Based on activated water. Aluminuim free.
Care Spectrum:Daily hygienic use.
Recommendation for use:Use as often as needed.
Ingredients:Aqua, Aloe Barbadensis Leaf Juice*, Glycine Soja Oil*, C14-22 Alcohols, Zinc Oxide, Caprylic/Capric Triglyceride, Triethyl Citrate, Zinc Ricinoleate, Cetearyl Alcohol, Glyceryl Caprylate, C12-20 Alkyl Glucoside, Citric Acid, Polyglyceryl-3 Caprylate, Glycerin*, Par- fum**, Potassium Sorbate, Xanthan Gum, Mica, Glyceryl Isostearate, Sodium Benzoate, Polyhydroxystearic Acid, Tocopherol, Sodium Chloride, Limonene**, Linalool**, Citronellol**, Citral**, Geraniol**.
Delivery time:3-7 Business days.
Email to a Friend
Background only applies for Boxed Layout


text:
The recent conclusion of negotiations on the European legislative framework for STS securitization ends a long period of uncertainty and unrest for the market. Now that the framework has been largely finalised (save for official publication of the final legislative texts), this series of Client Alerts will examine the key aspects of the framework in further detail during the 18 months until its implementation in 2019.
Part 1: An Overview
This Part 1 of the series provides a status update and an overview of some high-level issues as well as a comparative analysis of the various risk-weights, floors and caps under the STS framework with the global equivalent under Basel III and the existing European regime. We also round-up some of the key regulatory discussions amongst market participants attending the recent Global ABS Conference 2017 in Barcelona, where the progress made towards the framework's completion was welcomed.


text:
T-Shirts Polos Sweatshirts
Denim &
Dress Shirts
Uniform Shirts & Aprons
Athletic Wear
Eco-Friendly Safety
Pens Calendars/Magnets
Golf Items
Bags & Totes
Offset Printing
Durable Advertising Items Patches
Union or Made In The USA Specials
How To
Order Sending
Your Logo
See Us
Make It
Contact Us
Mailing List Blog
What is the minimum order?
Our minimum order for custom printing
or embroidery is only 12 pieces. For
screenprinted logos with 3 or more ink colors, our minimum
order is 36 pieces.
Are there any hidden charges?
No. The prices listed on our websites or
price lists under "embroidered" include your
embroidered logo in up to 9 thread colors
sewn in one position on the garment.
If you want logos or text sewn in more
than one position like the left chest and a sleeve on a polo
or the front and the back of cap, there is an
additional charge for the second logo. The prices
listed for "screenprinted" includes your printed
1 color logo in
one position. If your logo has more than one color
additional charges will apply based on the number of colors
and quantity - just email us the art for an exact quote.
Printing in multiple positions -
front/back/sleeve etc is additional.
Can I mix sizes and colors?
Yes! You can mix sizes, styles and
colors of shirts any way you like as long as they are
getting the same logo.
What is the difference between
screenprinting, embroidery and digital printing?
Embroidery reproduces your logo by
stitching it with thread. Screenprinting reproduces your
logo by printing it with plastisol inks through a mesh
screen. Digital printing reproduces your logo by applying a
pigment ink image of your logo under high pressure and heat
or by digitally printing dyes directly onto the garment.
Digital printing is for white garments only. Screenprinting
and embroidery can be done on any color garment.
Why don't you charge setup charges,
art charges or screen charges?
At the Arizona Cap Company we want to make ordering a simple
and easy process. There are a lot of costs involved in
preparing your logo for embroidery or print. For embroidery
your logo must be digitized, a process that converts the
logo to a machine readable file and programs an embroidery
machine to stitch the logo. For screenprinting, your logo
needs to be color separated, outputted to film and
chemically burned into a mesh screen. These processes are
time consuming and costly. Many of our competitors charge
for each of these steps. Sometime they don't tell you about
these charges until after you order. We thinks that's
confusing and annoying. Those processes are our
concern not
yours. So we just don't have any setup charges. After all,
how would feel at the grocery store if they rang up your
milk at dollar a gallon and then added on ten cents a gallon
to milk the cow, ten cents a gallon to pasteurize it and a
forty dollar one time charge for raising the cow?
Our no setup charge policy applies to all
screenprinted and embroidered apparel. Factory production of
durable advertising products like pens, mugs, and other
non-apparel items may have factory setup or die charges
depending on the the factories method of production.
Is digital printing the same as the
iron-ons you can make at home?
No - there are variety of digital
printing methods available today. For most shirts we use a
Digital Garment Printer, a large format printing machine
that sprays ink directly onto the garments. For caps we use
a digital transfer process – that
process uses an ink jet printer, a carrier paper and
a hat heat press –
If needed we can also use a inkjet
transfer for shirts but not what you use at home. The materials and equipment
we use are not the same. We use pigmented inks (not water
soluble) in a wide format high resolution printer. We apply
the logo with a commercial heat press at high temperature
and most importantly under high pressure. This results in a
significantly better print than you can get at home.
What are your payment terms?
Custom printed or embroidered orders are pre-paid. We accept
checks, Visa, MasterCard and American Express.
Is there sales tax?
Only if you are in Arizona.
How long does it take?
Production time depends on the type and quantity of items
ordered. Most items ship in about a 5-7
business days. If you
have a special date or rush event you need items for please let us
know and we can usually take care of it for you.
How do I reorder?
We keep your logo on file for easy
future ordering. If you can't remember the color or style
you ordered last time just ask us and the answer is seconds
away. If you need to make changes to a logo or want to
it on different garments we can handle that for you easily.
What does Pique mean? What
is Jersey Knit?
Pique is a knitting method that creates
a fine textured mesh surface. It is the most common knit for
polo shirts. Jersey knit is smooth knit fabric. If you look
at and feel a polo shirt and it has textured feel and look
to it is probably a Pique Knit. If it is smooth like a
t-shirt it is a Jersey Knit. Many fashion
polos come in newer variations and knits with different
textures and patterns. Ask one of our team to help you
choose the perfect shirt.
Which is better
t-shirt or polo 50/50 or 100%
cotton? What about 100% polyester?
Depends – 100% cotton is more popular
in most cases because it is comfortable, cool and available
in a greater variety of styles and colors. You may want a
50/50 blend if the shirts you are ordering are going to be
heavily soiled. Newer performance fabrics
made from 100% polyester or poly-cotton blend have
many advanced features like wrinkle free wear, moisture
wicking or stain resistance.
What does the fabric weight mean?
Is heavier better?
The fabric weight (i.e. 6.5 oz cotton)
is the average weight of the fabric per yard of cloth.
20 years ago people
almost always thought heavier
was better,
more durable and better quality. Today that is far from the
consensus. Different fabric weights are made to create
different thicknesses, hands (how a shirt feels), drapes,
and wear. We sell a 12 oz sweatshirt but hardly anyone ever
buys it. The thing is practically bulletproof. If you want
to play soccer or work around the yard you would much prefer
a midweight 7.5 oz sweatshirt. If you are ice fishing, you
want the 12 oz. Heavy t-shirts (6 oz)
used to be the overwhelming majority but in recent years
many younger buyers have trended toward lighter weight,
thinner t-shirts or performance fabric t-shirts.
I want a shirt/hat that's not in
your catalog on your website. Can
you get it?
Most likely yes. We have access to
hundreds of brands of shirts and caps.
catalog just shows apparel. Do you sell pens, magnets,
banners or other advertising products?
Absolutely. We work
with top factory direct sources to provide our clients with
a full variety of durable advertising products. Pens,
magnets, drinkware, banners, business cards, postcards, &
more are available with your logo. We will prepare your art
or create it to make the perfect marketing piece, gift, or
© Copyright 1999, 2014
Arizona Cap Company, Scottsdale Arizona, USA -- All Rights Reserved Prescott,
Arizona, USA


text:
Hey did you know the 5th of May is coming up? O para mis amigos espanoles es Cinco de Mayo! In case you've been living under a rock for your entire life Cinco de Mayo is basically the Mexican version of St. Patrick's Day. But instead of eating corned beef and drinking Guinness you eat tacos and drink tequila. While that may explain HOW most Americans celebrate the holiday it doesn't really explain WHY we celebrate.
Significance of Cinco de Mayo
Now if I were to ask you why Mexicans celebrate on the fifth of May you would probably say it was the Mexican Day of Independence. You would be wrong, but I wouldn't blame you. In fact the Mexican day of Independence is not until the 16th of September. A date you're probably completely unaware of if you're not of Mexican heritage. So if Cinco de Mayo isn't a celebration of Independence than what is it a celebration of? Cinco de Mayo is a commemoration of the Battle of Puebla where Mexico won an unlikely victory over France in 1862. Did you know that European countries were still invading the Americas almost 100 years after the birth of America? No? Neither did I.
Mexico vs USA
Were you surprised that Cinco de Mayo is the celebration of a victory in a battle you've never heard of, as a part of a war you probably didn't know ever happened? Then you'd better be sitting down for this next bombshell. Mexico rarely celebrates Cinco de Mayo! It's not even considered a national holiday! Mexico commemorates the day with military parades and little else. In that way Cinco de Mayo is more of an American holiday than a Mexican one. The story goes that when Mexicans working in California heard that the Battle of Puebla was won they threw a big party to celebrate. California has celebrated Cinco de Mayo every year since 1863. It has since grown to encompass the entirety of the United States.
Cinco De Mayo Today
Today Cinco de Mayo is less a commemoration of an old battle and morer a celebration of Mexican-American culture. It is the one day a year that the whole country celebrates Mexican culture and all the great things we have adopted from them such as tacos, tequila, sombreros, mariachi bands etc. So when Cinco de Mayo rolls around this year and you've got a taco in one hand, a tequila in the other and a sombrero on your head, just take a moment to think about the wonderful people these things you love came from and maybe buy yourself a Mexican flag to really show your solidarity with your brother and sisters from the south.


text:
Beta access to Google's Data Studio 360 arrived this week, and we spent some time creating reports. At first glance, this new product appeared to be a souped-up version of Google Analytics Dashboard or Custom Reports, lacking the robust features one might expect with Domo or Tableau. However, it's priced well below those more mature products.
The sample report for "ACME" looks a lot like something we would expect from Google Analytics, although the "World Population" sample demonstrates the much more powerful data visualization tools offered.
The product is designed for non-technical users. To start, click the "new report" button (unlabeled in the bottom right corner of the screen) to view a variety of data sources that are linked to your Google account login. These sources include Google Analytics, AdWords, YouTube, Google Sheets (which, of course, could contain any number of data files from 3rd parties like Facebook), and BigQuery.
You are able to extract data from these APIs into your reports without writing a line of code. To start, simply select your desired data fields and ensure that your fields are formatted properly. It is imperative to make sure this is done properly at the outset, as you won't be able to redo this later. One of my favorite formatting styles is the "numeric" style duration, which automatically converts the numerical value for a session visit into "minutes: seconds". I find this incredibly helpful, as this is the way the data is typically displayed.
My early favorite of Data Studio 360 is the BigQuery data import. Writing BigQuery queries such as:
can be avoided altogether simple by navigating to the desired BigQuery dataset. There is no need to specify a data range in the query – Data Studio automating creates a query that will access the entire dataset. We are currently doing some testing to see what the quota/billing implications of these Data Studio queries are.
The bottom line is that Data Studio 360 reports linked to BigQuery datasets gives the Google Analytics 360 customers easy access to "unsampled" reports, since all of the data collected in BigQuery is unsampled. This access is vital when analysts are interested in comparing relatively small differences in large datasets, where the difference between sample and unsampled reports is critical.


text:
Thank you for your interest in distributing URGE products. We're excited by the possibility of working together to create a long-term mutually profitable relationship.
In order for us to understand how we might work together, please tell us a little about your company below. Specifically your business name, website and contact information. If you want to share more or have other ideas, we're all ears!


text:
Founded in 1994, The Luxury Marketing Council Worldwide is an exclusive, "by invitation only" collaborative organization of more than 4,000 top CEOs and CMOs who represent more than 1,000 major luxury goods and services companies in 37 cities worldwide.
We are now creating The Young Luxury Marketers' Council, a new organization created in June 2011 designed to galvanize the community of fast-track, young luxury marketers, ages 25 to 39.
Before they were teenagers Gen Y (those born after 1977) had computers and technology in their lives. They grew up finding comfort and ease in integrating technology into their work and social lives: mobile applications, social networks, iPads and Galaxy tablets, GPS, Skype/video conferencing, webinars and smart phones. All part of this generation's common language. For top management today, Gen Y is now one of the most important sources of intelligence on the rapidly changing shape of marketing.
Our vision is to provide young luxury marketers with a business and social network of like-minded, future leaders having similar intellectual and professional backgrounds; cultivate long-lasting relationships; provide a forum for a vibrant exchange of ideas and a platform for profit-generating collaborations and partnerships.
For Information About Joining The Young Luxury Marketers' Council, Please Contact:
Chris Olshan, email@example.com, 717-725-6175


text:
Co-workers-turned-girlfriends! Left to right, Liz, Neha, Jane, Julie's mom, Julie, me, Kim, and Lauren.
I'm really thankful for all of my girlfriends. I've learned a lot from them, partly because they have life experiences I don't and because I trust their judgment. But sometimes we girls can sound bossy, petty, mothering, and nagging—all in the name of caring. Here's how to respond to the things your girls might tell you.
You should listen to your girlfriends if they say…
1. "The guy you're dating totally sucks."
When you like a guy, you see what you want to see. If he's being flaky or lame or rude, you look past that and focus on his looks and how funny he is. But since your friends probably aren't attracted to him the way you are, they will watch how he behaves and how he makes you feel and behave. If you're being jerked around, you may be able to justify it—there's a lot of gray area when dating anyway—but your friends cannot justify you feeling like crap. Trust me on this one; my friends have been right every time.
Laurie (left) has definitely told me that a guy I was dating sucked. (Here I am, later that night, also with Laura right)).
__2. "You don't look fat in that." __
First of all…who cares if they're telling the truth or not? Just listen to them. If you have to ask, then you're not satisfied with how you look—and you're the only one who can make any changes anyway, so don't ask them.
3. "You should stop drinking."
So often, this can come out condescendingly. Remember, they've probably been drinking, too, so they're probably not monitoring their tone. If you hear this when you're drunk, you may feel overly sensitive, or act more rebellious. But seriously, if more than one person hands you a glass of water, it's time to sober up. Your friends really do care about your safety (and reputation!).
"Put that XL margarita down!" Where were my girls on Friday night with that statement?
4. "Don't date my brother (or ex)."
I don't have a brother, so I can't tell you what it's like to see my girls macking on a relative, but I do know it makes girls uncomfortable. Same with the ex—bigtime. Why make your girlfriend uncomfortable or worse, upset? Even if she's being irrational, it stands that the guy will probably leave, but your girls will always be there. Let's respect each other's wishes. (If it's true love, time will tell.)
5. "You should try to be more open-minded."
This could sound offensive. I don't like hearing that I'm picky. I often think my friends just want me to settle down so that I will be more like them. But the thing is, when you're constantly finding things wrong with the men you date, you can't be all that happy. If you keep an open mind, you have every shot at finding someone decent. All they're asking is that you take a second look.
But you can disregard the following…
__"You have to come! If you don't come out with us…" __
I was never one to respond to bribery, guilt trips, or peer pressure. A lot of girls will try to guilt trip you into going to a party. I usually find that girls will be emphatic only when they want you as a buffer or crutch or conversation starter or clown. If you're tired, just say no. If you have work to do, just say no. And don't feel bad about it. You can only be in so many places at once!


text:
Running is an exercise which is an established reason for decreasing the incidence of cardiac disease.
Heart attack or Acute Myocardial infarction is commonest reason of morbidity and mortality in adult male population.
However running has to be done in a proper manner to avoid injuries.
Some guidelines for running without any injuries -
The 5 Best Ways To Run Without Injuries
Athlete's feet? Then you should probably read this. The legs of a runner are his most accredited, most important body part. However, not all runners treat their leg second to God. In fact, abusing one's feet is a serious problem! But every runner needs to understand, they have got only one pair of those little guys! If they are gone, no more running for Jacky! That is why it is paramount that every runner take care of their physique, especially their body. Read on to know more about how a runner should take care of their feet, in order to run free of injury:
Your Body's Your Best FriendHey! Your body's always there for you isn't it? Even when no one else is around? That's why, it is like your best friend, treat it accordingly. Don't increase your running totals faster than 3-5% a week. Moreover, if your current running schedule causes pain, that is, abnormal pain, consider downgrading it a bit. That may make you temporarily slow as a racer, but ultimately, it will help both your career and your health. The choice to care for your body is all yours.
The Tortoise and the RabbitForget the story you where taught at childhood. Here is the new story, based on a research in December 2009: The tortoise and the rabbit were both great runners. The rabbit followed his usual stride despite continuous, excruciating pain, and initially achieved loads of success. However, he ended up getting a tibial stress fracture and had to stop running for life. The tortoise, on the other hand, reduced his stride by just 10%, and ended up avoiding any major injury, and grew up to be a successful runner in the long run. Shorten your stride, adjust your gait and change your signature running styles to suit your feet. Avoid continuous pain and long-term diseases.
Strengthen Your BodyIn order for you to be able to withstand the constant pressure of running miles and miles under the bright red sun, you need the body structure of the Incredible Hulk. For that to be possible, just running isn't enough, you need other activities, different forms of exercise. The kind of exercise you need is not the show-off stuff teenage boys do to attract creatures of the opposite sex. All you need is exercise that actually works, that helps strengthen your hips and lower body, your torso. This way, you can make sure you don't get injured easily.
Have Some RICERest, ice, compression, and elevation. Summed up in the short abbreviation of RICE, nothing deals better than pain and injury for runners. However, some runners take rice for a different meaning: run-and-ice. That's extremely harmful, as you don't get enough rest for the pain to heal. Hence the new abbreviation, PRICE, with P for Protection. Don't run before your pain heals, or you may run into trouble, even permanent injuries that can destroy your career altogether.
Pick Good ShoesPick your shoes wisely. The market has changed over the years, and there is an assorted collection of quality runners' shoes that you can find a market. Pick one that not only fits your size but also suits your feet comfortably. This way, you will not get blisters and scary foot infections that result from wearing bad, faultily-designed and unfitting shoes. Try picking a good shoe from a large shoe shop, or just shop on the internet! Remember, a spy is only as good as his gadgets, and a runner his shoes.
Thus you see? It is not as hard as it may have previously seemed. There are a lot of ways you can practice to avoid injuries and lead a healthy life as a professional runner. Will you be able to avoid those occasional foot-aches and pains in the leg that occur after long hours of running? Probably not. But you surely will escape serious injury or a lifelong disease.
Don't treat your feet like crap. They are human, just like you. They work like a machine, if you misuse them, they will almost certainly give way. However, if you use them wisely and take care, they can yield you a long and healthy professional life as a runner.
Running as a mode of reducing the incidence of Cardiac episodes in Adult population
Leave a Reply.
Air Ambulance Worldwide
Updates about Air Ambulance Transportation information
March 2017


text:
Wall to Wall Service
When you order a mount from Joy Roman Fish Taxidermy you will know that you're doing business with the best in the business. Visit our showroom and studio in San Antonio or check out our Photo Gallery for examples of our work. Look at the detail, get up close. You'll see what makes us different and sets up apart.
Take a kid fishing
By taking a kid fishing, it teaches them patience, responsibility, confidence, and a healthy appreciation of nature and the outdoors. What better way to preserve that memory than a mount to last a lifetime.
Custom Made in America
Joy Roman Fish Taxidermy is a family owned and operated business based in San Antonio. We have been providing custom fish taxidermy, fish replicas, habitat scenes and fish mount restoration and repairs for over 35 years. All we do is fish.
Unlike a growing number of our competitiors we only use major components and materials that are made in the U.S.A. In fact, many of these key items such as molds for replicas are made right here in our shop. This insures that the quality of our work remains at the level our customers have come to expect. Every piece we do is handcrafted to order by artisans right here at home. Read More...
Request a Quote
Although every project is unique based on the type of mount, species of fish, measurements etc. we are able to give you an estimate of cost when you provide basic information. Request a Quote now or visit our Field Guide or Photo Gallery for more...
Gift Certificates
A gift certificate from Joy Roman Fish Taxidermy is the perfect way to show your Angler that you care. Gift certificates can be purchased in any amount. Just call us up and let us know what you need we will send your Certificate via Priority U.S. Mail.
Home of StarFish Replicas. Supplying Taxidermists with quality fish replicas for over 15 years.


text:
Frequently Asked Questions
We are more than happy to review any engagement ring designs with our clients, however a great place to start is talking with her mom, sister or best friend to see if your girlfriend has dropped any hints. They can be your eyes and ears without your girlfriend knowing. Another hint, check out her Pinterest page!
"Love love love!!!! Thank y'all for helping R-chie pull this off! You gals are the best!!!!!" – Diane, fiancée
"I LOVE the Yes Girls! I read the sweet proposal stories & want to be one of them! My boyfriend (of 4 years) and I picked out my engagement ring weeks ago…but he still hasn't popped the question. I love him and want to marry him with or without a romantic proposal. But…….I would prefer to have a thoughtful (and romantic) proposal, of course!"- J, girlfriend
"Seriously, you need to talk to my boyfriend. I would love it if he used your help to make it romantic. I'm obsessed with what you do!" -Valarie, girlfriend
Furthermore, we get our clients discounts with quality vendors (photographers, videographers, and jewelers for their engagement rings). So in the end, the discounts that our clients receive from our library of vendors more than makes up for the planning fee.
According to research, 80% of women were disappointed in how they were proposed to by their fiancé/husband. Your thoughtful effort towards creating her dream proposal will be a simple reminder of why her answer was "Yes!" You will be so proud when she brags about your amazing marriage proposal rather than shies away from telling her friends. Always start by avoiding the two common blunders in marriage proposals; one, a man makes it all about his interests or two, his lack of planning leads to a poor presentation. Actually, this is why The Yes Girls Events was created, to help men avoid those common mistakes.


text:
August 31, 2009
BPL Album Release
Created with Admarket's flickrSLiDR.
Several of my friends are in a funky hip-hop group known as BPL. Friday night they played a show to celebrate the release of their first album, "Higher." They spent a great deal of focused time recording the album and then had it remastered. These guys are all extremely talented musicians, many of them members of the Appalachian State Univeristy Broyhill School of Music. To hear a few tracks, pick up the new album and learn more about BPL visit their web-page here.
August 26, 2009
Scattered Sunshine
As I mentioned in the previous post I had intended to shoot waterfall pics yesterday but headed to the parkway when I noticed the weather. Glad I changed gears, as I was headed back down the parkway and came around the curve to see the sun fragmented by the slowly lifting fog in this field. Oh, the title also relates to the recent weather. The scattered sunshine was very welcomed after a week of rainy days.
August 25, 2009
Oh Deer
Got up dark and early around six with intentions of going out and shooting some waterfall photos. When I peaked out the window and realized it was going to be a foggy morning I decided to head towards the Blue Ridge Parkway instead. Along the way I stopped by a few fields where the deer and their fawn were grazing on the moist overgrowth and I snapped of a few shots seen below... Photos from the foggy parkway morning to come tomorrow, check back!
Created with Admarket's flickrSLiDR.
Created with Admarket's flickrSLiDR.
August 18, 2009
Created with Admarket's flickrSLiDR.
Finally a short break from the rain to let a little sunshine into your life...
August 12, 2009
Arnone Wedding
Created with Admarket's flickrSLiDR.
Congratulations Steve and Lauren Arnone, married August 9th, 2009! The wedding was held at East Wind in Wading River, NY. The ceremony was held on a beautiful outdoor patio, filled with an enormous amount of bright flowers. Luckily the rain held off just long enough for the outdoor ceremony to be held and the reception to get under way. Congrats again and have fun on the honeymoon!
August 08, 2009
High Country Magazine Cover Photo by FR
For about a month or so I worked with the staff of High Country Press on a story about the incredible volunteer firefighters that serve our neighborhoods. I couldn't have been more overjoyed when the editor informed me he was using one of the photos (above) for the cover of the August magazine! To check out the magazine, visit the High Country Press website. Let us know what you think!
Posted by FlyingRooster Photopgrahy at 8:57 PM 1 comment:
Labels: fire departments, firefighter, firemen, firemen photo, fleetwood fire department, flying rooster firefighter, flying rooster magazine cover, high country magazine, high country press, house fire
August 02, 2009
Tater Hill Open
Created with Admarket's flickrSLiDR.
The 4th Annual Tater Hill Open wrapped up yesterday with some pretty decent afternoon weather. The property owner Bubba was gracious enough to let me come to the top of the hill and take some photos of the event. I had never really seen paragliding up close until the Tater Hill Open and it was quite intriguing. The take off seemed to be pretty complicated, keeping yourself from getting all tangled and catching the right wind. Anyhow, to learn more about the Tater Hill Open, visit their website FlyTaterHill.com
August 01, 2009
Chicken Coop
In the garden my housemate Will has built a pretty sweet passive solar chicken coop. We currently have 4 hens, who were laying eggs consistently for several weeks but have now stopped laying all together. The farm fresh eggs are tastier than the store bought ones. Hopefully they will start again soon, if not perhaps a little rotisserie action?
Subscribe to: Posts (Atom)


text:
Percutaneous transluminal coronary angioplasty led to improved clinical outcomes in low-risk patients with acute MI
ACP J Club. 1997 Nov-Dec;127:59. doi:10.7326/ACPJC-1997-127-3-059
Related Content in the Archives
• Immediate angioplasty was better than streptokinase in acute MI
Source Citation
Zijlstra F, Beukema WP, van't Hof AW, et al. Randomized comparison of primary coronary angioplasty with thrombolytic therapy in low risk patients with acute myocardial infarction. J Am Coll Cardiol. 1997 Apr;29:908-12.
To compare the effectiveness of primary percutaneous transluminal coronary angioplasty with thrombolytic therapy in low-risk patients with acute myocardial infarction (MI).
Randomized controlled trial with 6-month follow-up.
Center in an academic institution in the Netherlands.
95 low-risk patients (mean age 56 y, 77% men) with symptoms of MI for > 30 minutes presenting within 6 hours of symptom onset or between 6 and 24 hours if there were signs and symptoms of ongoing ischemia with ≥ 0.1 mV ST-segment elevation in > 2 leads. Patients were considered low risk if they had no contraindications for thrombolytic therapy; Killip class < 2; no electrocardiographic evidence of anterior wall infarction or of extensive nonanterior infarction defined as ≥ 8 leads with ≥ 0.1 mV ST-segment elevation or depression or both. Exclusion criteria were life expectancy < 6 months or severely impaired quality of life.
45 patients were allocated to angio-plasty and 50 to streptokinase, 1.5 million IU. All patients received heparin intravenously. Aspirin and β-blockers were given to all patients unless contraindicated.
Main outcome measures
The primary end point was death, nonfatal stroke, or reinfarction. Secondary end points were left ventricular ejection fraction and total medical charges at 6 months.
Main results
The trial was terminated earlier than planned because of the apparent benefit in the angioplasty group. The primary end point was reached in 2 patients (4.4%) in the angioplasty group compared with 10 patients (20%) in the thrombolysis group (P < 0.02) (Table). The difference primarily resulted from a higher reinfarction rate in the thrombolysis group (0% vs 16%, P < 0.01). Mortality and stroke rates were low and not statistically different in the groups. No differences existed for left ventricular ejection fraction or total medical charges.
Primary percutaneous transluminal coronary angioplasty led to improved clinical outcomes compared with thrombolytic therapy in low-risk patients with acute myocardial infarction.
Source of funding: The Netherlands Heart Foundation.
For article reprint: Dr. F. Zijlstra, Department of Cardiology, Hospital De Weezenlanden, Groot Wezenland 20, 8011 JW Zwolle, The Netherlands. FAX 38-429-91-25.
Table. Angioplasty vs thrombolysis*
|Outcome at 6 mo
|Angioplasty (EER)
|Thrombolysis (CER)
|Death, nonfatal stroke, or reinfarction
|78% (16 to 94)
|7 (3 to 40)
*Abbreviations defined in Glossary; RRR, ARR, NNT, and CI calculated from data in article.
Primary angioplasty led to improved clinical outcomes at a cost similar to tissue plasminogen activator in acute MI
It is still unclear which patients benefit from primary angioplasty as a treatment for acute MI. In the report by Stone and colleagues, more clinical benefit is derived in high-risk patients. However, Zijlstra and colleagues also report benefit in low-risk patients. Although the numbers in the latter study were small, reinfarction occurred in 16% and more patients reached the combined primary end point after thrombolytic therapy than after primary angioplasty. Reinfarction rates were higher than in most previous studies, which is possibly related to chance in this relatively small investigation. Benefits associated with angioplasty were derived from lower re-infarction rates without statistically significant differences in mortality rates.
Although the use of primary angioplasty seemed to have no extra cost, it can be debated whether the use of this procedure to prevent reinfarction (but with no difference in mortality) is justified, considering the resources required for its widespread use. Perhaps a more cost-conscious way would be to carefully assess patients after thrombolysis and to consider intervention in those who fail to reperfuse (1, 2), so-called rescue angioplasty. Although the clinical criteria used for reperfusion may lack a high positive predictive value, it is clear that 20% to 30% of patients do not have Thrombolysis in Myocardial Infarction (TIMI) grade 2 or 3 perfusion and up to 40% do not achieve grade 3. Careful evaluation of the efficacy of the thrombolytic agent in each individual patient is currently widespread in clinical practice. Full use of early angioplasty in those who seem not to have reperfused could have led to early transfer of high-risk patients who were most likely to benefit in terms of mortality and morbidity to facilities equipped for angioplasty. This strategy of careful early evaluation for failure to reperfuse and invasive management in a targeted group could lead to increased acceptance of a role for angioplasty as a treatment for acute MI.
The cost-effectiveness of primary angioplasty compared with thrombolysis for acute MI remains a contentious issue. It has been fairly well established that, at least in relatively selected patients, primary angioplasty ensures TIMI grade 3 flow in a higher proportion of patients than can currently be achieved with the best thrombolytic therapy. Better TIMI flow has been shown to correspond to improvement in short- and long-term outcomes (3). It is less clear whether the results reported in the PAMI trial can be reproduced in most clinical settings and at what true cost. Should the goal of obtaining the best patency be paramount and, if so, how many balloons, stents, or newer agents, such as ReoPro (Centocor, Malvern, PA), will be required? Although these issues are the subject of ongoing studies, the trial by Stone and colleagues suggests that the outcome benefits have no additional cost; however, some issues that surround the data presented warrant cautious interpretation.
First, it is uncertain whether the high patency rates achieved by angioplasty in the PAMI study can be consistently attained if the technique becomes more widely used by less-skilled operators. Second, readers really want to know what the cost is, not what is charged. The authors acknowledge this potentially serious shortcoming in the discussion section of their paper. Finally, the extra cost of thrombolysis primarily resulted from the need for repeated catheterization and subsequent nonprotocol angioplasty and coronary surgery. Can we be sure that all these further interventions were done according to protocol and not under the pressures physicians may feel to provide a treatment initially denied by randomization in the trial? One important potential resource saving is the shortening of the hospital stay for patients known to have TIMI 3 flow in all arteries after angioplasty.
In the many clinical settings, primary angioplasty may cost more than is suggested by these studies because the start-up costs for new interventional catheter laboratories and the provision of personnel for 24-hour coverage must be included. These substantial funding requirements are likely to limit wide dissemination of primary angioplasty. Also, new trials will need to address improvements in angioplasty techniques as well as in pharmacologic therapies for acute MI (new thrombolytic agents and adjunctive therapies vs stents and ReoPro). Transfer of patients most likely to benefit from intervention may be the preferable option, at least in the short term, but it must be stated that this has not been shown in trials. In the meantime, in situations in which primary angioplasty is available, these studies show that it is a credible clinical option.
A. H. Gershlick, MD
University of LeicesterLeicester, England, UK
1. Klootwijk P, Langer A, Meij S, et al. Eur Heart J. 1996;17:689-98.
2. Zabel M, Hohnloser SH, Koster W, et al. Circulation. 1993;87:1542-50.
3. Anderson JL, Karagounis LA, Califf RM. Am J Cardiol. 1996;78:1-8.