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There were plenty of topics of conversation to discuss with UFC president Dana White at the UFC 126 pre-fight press conference in Las Vegas, and Ariel Helwani was the man to ask them.
Here's the keynotes from their chat, and you can scroll down to watch the full video for yourself…
– White dismisses the idea that Vitor Belfort may not be worthy of a title shot yet, saying that he's a fighter who's evolved over the years and, "can end a fight at any minute."
– White guarantees that, despite their cool, calm exterior at the presser, both Silva and Belfort are, "under a tremendous amount of pressure," due to the magnitude of this fight, particularly in their native Brazil.
He goes on to say that the two fighters don't like each other, stemming from their past. "They used to train together, there was some bad blood, some things were said about what used to happen in training, and they are both upset about it."
– Dana says one of his favorite things in all of combat sports is the staredowns, and he claims the one that had just happened between Silva and Belfort was instantly one of the top ten staredowns he'd ever witnessed.
– Asked whether the winner of Jones Vs Bader or Franklin vs Griffin is closer to a 205lb title shot, Dana admits that's a tough one, but that they would both be in the mix.
– On the difficult times being felt in the Japanese MMA market, White says the decline has been happening for some time. "When PRIDE Didn't work, it definitely upset the balance over there."
Despite the doom and gloom White says it's good that it now means we're getting to see more of the top Japanese fighters competing in the UFC instead, and he confirms they are hoping to hold an event in Japan this year.
– The UFC president says he's disappointed by the news that the New York governor has not put MMA in the budget, but that they will continue to push for the sport to be legalized there.
– White continues to raise eyebrows amongst MMA fans with his refusal to stick the boot in to rival promotion Strikeforce's upcoming heavyweight tournament. "If they come up with this tournament and people are behind it an dig it, then they did the right thing."
Helwani even gets White to admit (somewhat reluctantly at first) that he will probably be watching Fedor's fight in the quarter-finals of the tournament next weekend, though not necessarily live.
He did however question whether the tournament will run smoothly given that many of the fighters involved are on non-exclusive contracts.
– In the recent past White seemed to be dismissing the idea of the UFC ever going on HBO, but he seems to be softening his stance following the channel recently losing the rights to boxer Manny Pacquiao's next fight. He says that HBO are still, "No.1" despite that deal, and appears open to talking with them, though he claims that HBO have not called him.
Watch the full interview below.


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Heinrich Kaan's "Psychopathia Sexualis" (1844)
- $36.99
- $36.99
Publisher Description
"With Heinrich Kaan's book we have then what could be called the date of birth, or in any case the date of the emergence, of sexuality and sexual aberrations in the psychiatric field." ⎯Michel Foucault, Abnormal: Lectures at the Collège de France, 1974–1975
Heinrich Kaan's fascinating work—part medical treatise, part sexual taxonomy, part activist statement, and part anti-onanist tract—takes us back to the origins of sexology. He links the sexual instinct to the imagination for the first time, creating what Foucault called "a unified field of sexual abnormality." Kaan's taxonomy consists of six sexual aberrations: masturbation, pederasty, lesbian love, necrophilia, bestiality, and the violation of statues. Kaan not only inaugurated the field of sexology, but played a significant role in the regimes of knowledge production and discipline about psychiatric and sexual subjects.
As Benjamin Kahan argues in his Introduction, Kaan's text crucially enables us to see how homosexuality replaced masturbation as the central concern of Euro-American sexual regulation. Kaan's work (translated into English for the first time here) opens a new window onto the history of sexuality and the history of sexology and reconfigures our understanding of Richard von Krafft-Ebing's book of the same name, published some forty years later.


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'Twilight' & 'Teen Mom' Take Over Most Popular Baby Names List For 2011!
Isabella and Jacob sit at number one for girls and boys, while the names Maci and Bentley climb up the list!
Once again, the Twilight names Bella And Jacob reign supreme on Social Security's 2011 Most Popular Baby Names List! And in an interesting twist, the Teen Mom phenomenon has made an appearance as well! Would you name your baby Maci or Bentley?
Both Isabella and Jacob remained at number one on this year's list, where they have solidly been placed since 2010. Sorry Edward! And another Twilight name that seems to be moving up is Kellan for our dear Cullen vampire Emmett — Kellan Lutz!
And as Teen Mom grows in popularity, so does the cast's names! Both Maci and Bentley are on the rise, while the name Sophia sits at number two for girls.
And in another twist, thanks to Brad Pitt and Angelina Jolie, the name Knox is moving up too! As, well as Glee star Dianna Agron's character name — Quinn!
Check out the full top 10 list for boys and girls below! And let us know, would you give your baby any of these titles?
|1) Jacob
|1) Isabella
|2) Ethan
|2) Sophia
|3) Michael
|3) Emma
|4) Jayden
|4) Olivia
|5) William
|5) Ava
|6) Alexander
|6) Emily
|7) Noah
|7) Abigail
|8) Daniel
|8) Madison
|9) Aiden
|9) Chloe
|10) Anthony
|10) Mia
–Leigh Blickley
- Will William & Kate Be The Hit Baby Names Of 2011?
- Baby Name On The Rise Among Wealthy Parents: Seraphina!
- One Of The Fastest-Rising Most Popular Baby Names: 'Palin!'


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School of Geographical Sciences,
University Road, Clifton BS8 1SS
(See a map)
My research interests are broad, and I combine concepts from Geography, Biology and Chemistry to understand carbon cycle in the cryosphere. My research has concentrated in two broad areas. Firstly, I study microbes in the cryosphere. Against all expectations glaciers harbour a highly active microbial community. Bacteria, viruses and microscopic plants thrive in conditions that might be analogous to other planets and to early Earth. Second, I am also interested in a range of climate (e.g., UV radiation and acid rain) and human impacts (e.g., mining, sewage, pesticides) on freshwaters.
Alex is a Professor of Biogeochemistry in the Bristol Glaciology Centre at the University of Bristol. He gained his PhD in Limnology from Lund University, Sweden in 2000. His research combines molecular and biogeochemical approaches to determine microbial functionality and activity in the cryosphere. His previous research demonstrated that microbial activity at the surface of glaciers and ice sheets are responsible for significant carbon and nitrogen fixation with implications for biogeochemical cycles at local and global scales. He is one of the advocates that glaciers and ice sheets are one of the biomes of Earth. He is author in over ...
View complete publications list in the University of Bristol publications system
Edit this profile If you are Professor Alexandre Anesio, you can edit this page. Login required.
All details on one page > for printing etc.


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Business & Real Estate
Rancho Cordova's Cesca to conduct nationwide search for new CEO
Cesca Therapeutics Inc., the Rancho Cordova-based medical equipment firm that formerly operated as ThermoGenesis Corp., announced Wednesday that it will launch a nationwide search for a new CEO to replace Matthew Plavan.
The company did not disclose details of Plavan's departure but said he will be retained as an adviser during the CEO search process.
Cesca said Robin Stracey, a member of Cesca's board of directors with executive experience at other companies, will serve as interim CEO.
In a statement, Cesca board chairman Craig Moore said, "greater emphasis is now being placed on achieving major clinical, regulatory and reimbursement milestones." The board will seek a CEO "with extensive experience in developing and commercializing products in what is a clinically demanding and highly regulated therapeutic arena."
In its fiscal fourth quarter that ended June 30, Cesca reported a loss of $2.9 million, compared with a loss of $2.4 million in the same period a year ago. The company cited lower sales in its cord blood product lines and increased costs associated with cell-therapy programs in advance of anticipated clinical trials. For the year ending June 30, Cesca's net loss was $8.6 million, compared with a loss of $3.1 million the prior year.
ThermoGenesis was renamed this year after finalizing its merger with Los Angeles-based TotipotentRX Corp.
Call The Bee's Mark Glover, (916) 321-1184.


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CEEP's policy brief,"Overhauling Indiana Teacher Evaluation Systems: Examining Planning and Implementation Issues of School Districts," examines the implications and challenges for policy, higher education, and professional development with Indiana's new teacher evaluation legislation.
The brief is the second in a two-part series on the new era of teacher evaluation in Indiana. In the first brief, the results of a survey of attitudes and beliefs of school corporation superintendents were discussed; the features of quality evaluation plans were highlighted; and the essential elements of a planning process that ensures equitable, effective, and efficient plans for evaluating educators were introduced.
The objectives of the second brief are 1) to provide information and discussion on the implications of the Indiana legislation on teacher and administrator preparation programs; 2) to provide information and discussion on the implications for educational policy and the procedural challenges that the state, superintendents, and boards should formally address to limit the possibilities for legal challenges and to ensure high-quality plans; and 3) to provide information and discussion on the implications for professional development as it relates to teacher and evaluator training and the use of teacher evaluation data to determine the focus of professional development.
CEEP Policy Brief: Indiana's Teacher Evaluation Legislation
Friday, August 30, 2013


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The National Cardiovascular Data Registry Voluntary Public Reporting ProgramAn Interim Report From the NCDR Public Reporting Advisory Group
Author + information
- Published online January 19, 2016.
Author Information
- Gregory J. Dehmer, MD, Chair∗∗ (gdehmer{at}sw.org),
- Jonathan Jennings, BS, RN†,
- Ruth A. Madden, MPH, RN‡,
- David J. Malenka, MD§,
- Frederick A. Masoudi, MD, MSPH‖,
- Charles R. McKay, MD¶,
- Debra L. Ness, MS#,
- Sunil V. Rao, MD∗∗,
- Frederic S. Resnic, MD, MSc††,
- Michael E. Ring, MD‡‡,
- John S. Rumsfeld, MD, PhD§§,
- Marc E. Shelton, MD‖‖,
- Michael C. Simanowith, MD¶¶,
- Lara E. Slattery, MHS¶¶,
- William S. Weintraub, MD##,
- Ann Lovett, RN, MA∗∗∗ and
- Sharon-Lise Normand, PhD∗∗∗
- ∗Division of Cardiology, Baylor Scott & White Health, Texas A&M Health Science Center, Temple, Texas
- †Hospital Corporation of America, Nashville, Tennessee
- ‡Department of Cardiovascular Medicine, Cardiac Electrophysiology and Pacing Section, Cleveland Clinic, Cleveland, Ohio
- §Cardiology Division, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
- ‖Cardiology Division, University of Colorado, Anschutz Medical Campus, Denver, Colorado
- ¶Department of Medicine (Cardiology), Harbor-UCLA Medical Center, Torrance, California
- #National Partnership for Women and Families, Washington, DC
- ∗∗The Duke Clinical Research Institute, Durham, North Carolina
- ††Cardiology Division, Lahey Hospital and Medical Center, Tufts University School of Medicine, Burlington, Massachusetts
- ‡‡Providence Sacred Heart Medical Center, Spokane, Washington
- §§Cardiology Section, Denver VA Medical Center, Denver, Colorado
- ‖‖Prairie Cardiovascular, Springfield, Illinois
- ¶¶American College of Cardiology, Washington, DC
- ##Christiana Care Health Services, Center for Heart & Vascular Health, Newark, Delaware
- ∗∗∗Department of Health Care Policy, Harvard Medical School, and Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
- ↵∗Reprint requests and correspondence:
Dr. Gregory J. Dehmer, Cardiology Division (MS-33-ST156), Baylor Scott & White Health, 2401 South 31st Street, Temple, Texas 76508.
Public reporting of health care data continues to proliferate as consumers and other stakeholders seek information on the quality and outcomes of care. Medicare's Hospital Compare website, the U.S. News & World Report hospital rankings, and several state-level programs are well known. Many rely heavily on administrative data as a surrogate to reflect clinical reality. Clinical data are traditionally more difficult and costly to collect, but more accurately reflect patients' clinical status, thus enhancing the validity of quality metrics. We describe the public reporting effort being launched by the American College of Cardiology and partnering professional organizations using clinical data from the National Cardiovascular Data Registry (NCDR) programs. This hospital-level voluntary effort will initially report process of care measures from the percutaneous coronary intervention (CathPCI) and implantable cardioverter-defibrillator (ICD) registries of the NCDR. Over time, additional process, outcomes, and composite performance metrics will be reported.
Public reports of health care data, quality metrics, and outcomes have been available for over a decade (1). The Federal government, some state departments of health, and numerous private organizations regularly report measures of health care–related quality including outcomes using publicly available financial, administrative, and descriptive data, and often apply proprietary methods. Administrative data are readily available to payers and thus are attractive sources of information. Unfortunately, many studies have shown that administrative data are payer and market specific, use old and sometimes nonactionable data, and may poorly reflect acute severity of illness, correct diagnosis, and clinical outcomes (2–5). Although considerable financial resources are spent on such reports, it is not clear how and to what extent individual consumers use this information (6).
Professional organizations including the American Medical Association, the Society of Thoracic Surgeons (STS), the American Heart Association, and the American College of Cardiology (ACC) have articulated key principles to guide public reporting initiatives, as have several public and private initiatives (7–9). Fundamental to these principles is the use of clinical data whenever possible and returning timely, benchmarked reports to participating institutions to support their quality improvement programs. Since 1997, the ACC has developed a suite of registries within the National Cardiovascular Data Registry (NCDR) program that collect, audit, benchmark, and report clinical data and outcomes on specific cardiovascular procedures and diagnoses to participating institutions (10). This has occurred in partnership with the Society for Cardiovascular Angiography and Interventions for the CathPCI Registry, focused on percutaneous coronary interventional (PCI) patient care, and the Heart Rhythm Society for the ICD Registry, focused on implantable cardioverter-defibrillator (ICD) patient care. The timeliness and clinical detail of these data and reports are superior to administrative data. Facilities submit clinical data to the NCDR and receive quarterly reports of their own data compared with aggregated national data for quality benchmarking. Traditionally, NCDR data have only been available directly to participant facilities, consortia, or health plans. Several scientific publications from the NCDR have reported aggregate data to identify quality gaps at the national level to stimulate efforts to improve care (11). Now, the ACC, in partnership with Society for Cardiovascular Angiography and Interventions and Heart Rhythm Society, has developed a pathway for participant institutions to voluntarily publicly report their NCDR hospital-level data (1,12).
Rationale for Public Reporting
The most compelling justification for public reporting is the right of an individual to know about the care that he or she is likely to receive. With the current national emphasis on the quality, accountability, and cost-effectiveness of health care, the various stakeholders and consumers of health care are eager to obtain information about health care facilities and providers. This has created a "market" for public reporting that, at present, is not well coordinated as different stakeholders have somewhat divergent goals and varying confidence in the utility of nonclinical data sources (Figure 1). Many public reports use data that are several years old, were not designed for clinical performance reporting, or are constructed using proprietary analytic methods that are difficult to reproduce or verify. This diverse reporting environment can confuse patients and purchasers, has the potential to misdirect our focus away from the rights of the individual patient, and has led to divergent public rankings of the same facility in different reporting systems (13).
Hospital-level public reporting, in its various formats, is now familiar to most clinicians. Public reporting of individual provider data is becoming more prevalent (14). However, physician-level reporting has additional challenges, such as attributing process and outcome of care metrics to specific providers and addressing variability in individual metrics in smaller practice groups or for individuals.
Public reporting is primarily based upon the belief that accessible, transparent high-quality information will affect decisions and behaviors of the various stakeholders, ultimately resulting in an improvement in health care delivery and outcomes. However, use of this information by various segments of the population is variable, and the effect of this information on patients' decision-making is uncertain (15,16). Reporting efforts to define the "best of the best" can motivate an unnecessary performance-reporting race and may not provide the information most patients are seeking. Patients' quality concerns seem more focused on access to empathetic, interactive providers and the availability of local common services that meet an acceptable standard of care (17–20). As public reporting efforts continue to grow, the ACC and its partnering organizations are committed to a leadership role in quality of care reporting, consistent with their principles of public reporting (7,11).
Public Reporting Programs and Data Sources
Many programs, such as the Centers for Medicare & Medicaid Services effort, reported on the Medicare website, utilize administrative data (billing claims) as surrogates for clinical information for some reported metrics as these data are readily available, are inexpensive, and cover broad populations (21). However, this approach has several shortcomings (2–5). First, invoices are financial instruments and are not principally designed to serve as indicators for clinical diagnoses, disease severity, or acuity of illness. Second, conditions and complications present before or during hospitalization have been difficult to verify, although this may now be mitigated with the new "present on admission" codes. Third, although claims data can identify tests that are ordered and billed, they do not include test results. Finally, clinical decisions or "appropriateness" are not documented. The Centers for Medicare & Medicaid Services now also reports total payments to physicians, drug prescribing behaviors and costs, and payments received by physicians from industry (22). Other programs, such as the Leapfrog Group, report survey data submitted voluntarily by hospitals regarding high-risk surgeries, maternity care, hospital-acquired infections, and compliance with safety measures (23). Numerous independent groups produce a variety of reports or promote websites where patients can report their experiences with hospitals or individual providers. The methodology for many of these programs is typically proprietary, is not explained, and oversight, if any, is not characterized. Some organizations focus on cost-profiling procedures at hospitals and by individual physicians without attention to quality, which is ultimately most important to patients (24).
In comparison, relatively few programs use clinical data to develop a public report. One of the first was the Northern New England Cardiovascular Disease Study Group, which maintains registries for all patients receiving coronary artery bypass grafting (CABG), PCI, and heart valve replacement surgery at 7 New England hospitals and provides a public report of CABG results on their website (25). More recently, the Clinical Outcomes Assessment Program reported clinical data from the NCDR and STS collected from 35 hospitals in Washington State (26). In Massachusetts, public reports utilizing NCDR and STS clinical data at all nonfederal acute care hospitals performing CABG surgery and PCI have been posted since 2002 and 2003, respectively, and the New York State Department of Health has issued CABG reports since 1992 and PCI reports since 1995 (27,28). The STS has maintained a clinical database on cardiac surgical procedures since 1989 and, in 2011, began a voluntary public reporting program in collaboration with Consumer Reports, a program that has been well received (29,30).
The Patient Protection and Affordable Care Act of 2010 includes a framework for quality improvement that embraces public reporting of health care quality information. More recently, the Medicare Access and Children's Health Insurance Program Reauthorization Act of 2015 (known as MACRA) incorporates a merit-based incentive payment system that will encourage alternative payment models compared with the traditional fee-for-service model. Payment adjustments will be based on 4 performance categories (clinical quality, meaningful use, resource use, and clinical practice improvement), creating an environment with an untested effect on access and care quality, but rich with public reporting opportunities.
Benefits and Concerns Related to Public Reporting
The merits of public reporting are debated. Advocates argue that public reporting enables patients to identify the best physicians and hospitals, simultaneously giving clinicians and health care organizations incentives to improve quality (31). Some studies have shown associations between public reporting and higher quality of care (32,33). Opponents counter that data used in some measures lack adequate clinical granularity to accurately reflect quality or that outcomes reporting may encourage denial of care to the sickest patients who might benefit most from treatment, but are also at highest risk for poor outcomes (34–41). Risk adjustment is intended to correct for the inclusion of sicker patients (42,43), but in practice, risk adjustment is imperfect; variability in how high-risk features are documented in the medical record and then abstracted into registry data are common (44–46). For complex diseases, the same facility may be rated differently when reported and analyzed by various commercial risk models, even when using the same administrative data (13).
Although recognizing the challenges to developing accurate and meaningful reporting, the ACC and its partnering organizations believe that a thoughtful, measured public reporting program, which uses clinical data with scientifically open methodology, subject to iterative improvement and oversight by professional organizations, has benefits and hopefully can minimize the potential unintended consequences. Patients, payers, health care quality organizations, and the government all desire transparent and accurate reporting of the performance of cardiovascular programs. Clinicians and patients can benefit from access to this information as long as it is correct and provided in a fair and understandable format. The ACC believes it has a responsibility to move the profession toward acceptance of public reporting by using clinical data from the NCDR. Therefore, after careful study of the feasibility of public reporting using NCDR data, the ACC and its partnering organizations established the Public Reporting Advisory Group to oversee the implementation of the public reporting program and guide operational decisions necessary to achieve these goals. A summary of the key decisions made by the Public Reporting Advisory Group and the structure of the public reporting program are described in this paper.
Structure of the Public Reporting Program and the Initial Metrics Reported
Major operational decisions about the structure of the reporting program are summarized in Table 1. Hospital participation in public reporting of their NCDR data is voluntary. Because metrics reported in the NCDR are only at the hospital level, there is no physician-level reporting. Data will be available to the public on the ACC's CardioSmart website, permitting consumers to search by hospital name, address, zip code, or cardiac services provided. The initial performance measures reported are from the CathPCI and ICD Registries and have been endorsed by the National Quality Forum, a requirement for NCDR public reporting at this time (Tables 2 and 3⇓⇓). Facilities will have 30 days to preview information on their individual, private, NCDR web-enabled dashboard before deciding to release their information publicly. Review of the STS public reporting effort shows that not only the top tier programs choose to report their results publicly, but also some facilities in the lowest tier.
Minimum Sample Size for Reporting
A small minimum sample size encourages reporting from each registry by most facilities. However, low-volume facilities will inevitably have more variation with wider confidence intervals around point estimates, making identification of truly superior (or inferior) hospitals difficult. For measures in the CathPCI Registry, the minimum number of records required to qualify for public reporting is 25 procedures annually. Analysis of national NCDR data indicated this threshold excluded approximately 3% of facilities, allowing 97% of facilities to be eligible for public reporting. For measures in the ICD Registry, the minimum number of records required to qualify for public reporting is 11 procedures annually. A minimum number of 25 cases was considered, but at that level, approximately 30% of facilities would be disqualified from reporting due to low volume. Reducing the threshold to 11 cases annually allows more than 80% of facilities to qualify for public reporting. Although this may seem low, the 11 case threshold is consistent with the requirements of the American College of Surgeons National Surgical Quality Improvement Program and the requirements for reporting on Hospital Compare.
Statistical Analysis and Display of Reported Variables
To address some of the uncertainty due to sample size, a model-based approach was adopted rather than using the actual observed fraction of eligible patients who receive a therapy as the reported value. The model provides an estimate of the hospital's probability of providing a therapy among patients identified as eligible for the therapy. For example, if a recommended drug were given to 10 of 11 patients receiving an ICD at a facility, the computed (observed) performance score would be 91%. Because of the small sample size, the computed score of 91% could be an incorrect assessment of the facility's true performance, and the resulting confidence intervals would be wide. The model-based approach described in the Online Appendix accounts for both the "noise" associated with a small sample size and the similarities among patients treated within the same hospital. The model provides a mechanism to pool information that is known about each hospital and what is known about all hospitals, avoiding the "regression to the mean" problem. Using this model, an individual hospital with a small sample size and a score above the mean of all hospitals is "pulled down" closer to the mean score, whereas an individual hospital with a small sample size and a score below the mean of all hospitals is "pulled up" closer to the mean score of all hospitals. The amount a score is adjusted up or down by the model depends on the number of cases it contributes. This method better predicts future performance than the point estimate provided by observed rates. Although more challenging to explain to hospitals and the public, this approach is commonly used in other reporting efforts such as Hospital Compare and adheres to standards for public reporting of outcome measures (9,47). This is consistent with the ACC's position that the motivation behind public reporting should be the promotion of best practices and quality improvement rather than creating unjustified apparent differentiation across facilities (7).
The information provided in public reporting should be understandable and usable. The amount of information and manner in which it is displayed determine whether consumers can actually process and use it in decision-making (48,49). Information displays that aid consumers in quickly understanding the meaning of data increase consumer motivation to use the information, in contrast to a bewildering display that will quickly be dismissed as too complicated. On the basis of recommendations from several sources and the previously cited best practices for public reporting documents, we adopted a 1 to 4 star-rating scheme.
Once a facility's performance score for a measure is estimated from the model, the score is converted to a star rating for public display. To avoid confusion, the same scheme for the star assignments of performance scores is used throughout the reporting program rather than using a different scheme for star rating assignment for individual metrics. Among the options considered to convert the modeled score to stars, an absolute scoring option was chosen. The primary benefit of absolute performance scoring is that performance scores are converted into star ratings based on cut-points that were deemed clinically relevant and that would yield meaningful clinical differences between groups. However, a potential drawback is the possibility to have no (or all) hospitals assigned to a specific star tier, and thus, this display could provide little discrimination between hospitals for the consumer. In addition, there is subjectivity to the thresholds, as not all may agree on clinically meaningful threshold values. The cut points chosen for star assignments were: 1 star for a performance score <75%, 2 stars for performance scores ≥75% but <90%, 3 stars for performance scores ≥90% but <95% and 4 stars for a performance score ≥95%.
Display of Uncertainty
The hierarchical model-based approach used in reporting will adjust for some of the uncertainty in the performance scores related to sample size. Because scoring model accuracy depends on the amount of data available, there will always be a degree of uncertainty in the performance score of a facility. The amount of uncertainty in a performance score is high when the sample size is small and decreases as the sample size increases. Uncertainty in a measurement is typically expressed by displaying confidence intervals that show the range of values within which the actual score is contained at a chosen level of probability. All of this information will be accessible to the reader through additional links available from the basic data display. A detailed discussion of the statistical methods is presented in the Online Appendix, and a mock-up of the proposed display of the metric performance page on CardioSmart is provided (Figure 2).
NCDR Data Accuracy
For any public reporting program to be successful and provide meaningful information to the public, it is essential for the reported information to be accurate and timely. Administrative data typically lags 1 to 2 years behind in reporting and may fail to accurately characterize the target population of procedures, resulting in the evaluation of a heterogeneous cohort with misleading case numbers and mortality rates (50,51). Critical clinical variables necessary for adequate risk adjustment may be lacking, and comorbidities may be confused with complications in administrative data (52–54).
All incoming data from facilities participating in the NCDR are subject to checks for data completeness and consistency (55). Completeness focuses on the proportion of missing data within fields, whereas consistency determines the extent to which logically related fields contain values consistent with other fields. Accuracy of data is checked by random independent chart audits to assess the agreement between submitted registry data and the contents of original charts from the hospitals submitting data. The accuracy of data entered is high, although the number of audits annually is relatively small compared with the volume of data being entered. Concerns that some variables, especially those used to characterize high-risk patients, are not captured persist (44,45). As such, the variables captured within the NCDR are routinely evaluated, with specific attention to variables reflective of elevated risk. Past NCDR risk models have demonstrated high performance among high-risk patient subsets (56).
The Future of NCDR Public Reporting
This first iteration of public reporting by the ACC follows the principles set forth in the NCDR public reporting program mission statement (Table 4). The NCDR acknowledges that this is only the initial step in our public reporting program. There are several important reasons for hospitals to participate in the NCDR public reporting programs. First, the public has a growing desire for this information; thus, providing these NCDR data demonstrates a good faith effort to deliver high-quality clinical data to assist patients' health care decisions. Second, value-driven purchasing, which will include public access to provider performance, will be dominant within several years. Failure to understand and use clinical data now to improve operations may result in facilities falling subject to public judgments based on administrative or proprietary-derived data and falling behind in their adaptation to the changing health care environment (57). Finally, all major cardiovascular professional organizations support patient advocacy, serve members' practice advancement, and promote quality education programs for their members, and many support clinical databases (8,10). These registries use standardized, timely, benchmarked reports to document best practices and outcomes and aid participants to improve operations and services. These data are also used for member recertification and the documentation of competencies. This approach harmonizes into the value-purchasing paradigm that is rapidly approaching.
The ACC recognizes that reporting alone is not sufficient to drive improvements in care delivery and will continue to build Clinical Toolkits as part of the Quality Improvement for Institutions initiative made available at no cost to every NCDR participating facility (10). NCDR data are used to identify gaps in care as priority topics for toolkit development, and the toolkit resources are focused to align specifically with the patient care goals being measured through NCDR.
Future public reporting using NCDR data may include use of validated quality metrics, risk-adjusted clinical outcomes, and composite quality measures across NCDR registries. For some of these outcome measures, it will be necessary to link NCDR data to external databases to derive outcome measures beyond hospital discharge. To that end, the NCDR conducted a pilot program to report 30-day risk-standardized readmission after PCI. The pilot required linking patients undergoing PCI with data from Medicare on readmissions following discharge from the index PCI. Among participating CathPCI Registry facilities, 22% volunteered to have their PCI readmission data displayed, including facilities with higher than expected readmission rates. Enhanced search functions are also planned in future updates.
The medical community continues to have an understandable degree of anxiety over the unintended consequences of public reporting and the ability of the public and others to misuse or misinterpret the results. The ACC is firmly committed to developing a cardiovascular public reporting program using high-quality clinical data that fairly and accurately characterizes the care provided while delivering usable and understandable information to the public. Voluntary participation in public reporting has the potential to enhance a health care facility's standing and linkage to the community.
The authors are grateful to the Massachusetts Data Analysis Center (Mass-DAC) staff (Mathew Cioffi, Treacy Silbaugh, Robert Wolf, Caroline Wood, and Katya Zelevinsky) from the Department of Health Care Policy at Harvard Medical School for data management and programming expertise.
The NCDR Public Reporting Advisory Group is a collaborative effort of the American College of Cardiology (ACC), the Society for Cardiovascular Angiography and Interventions (SCAI), and the Heart Rhythm Society (HRS). Except as noted, all positions are voluntary. Dr. Resnic is the CathPCI Registry Steering Committee liaison. Dr. Malenka is the ICD Research and Publications Committee Liaison. Dr. Rao is the SCAI Representative. Ms. Madden is the HRS Representative. Drs. Ring and Shelton represent the ACC Board of Governors. Ms. Ness is an ex officio member for the ACC Board of Trustees. Dr. Masoudi is the Senior Medical Officer of the NCDR, and Dr. Rumsfeld is the NCDR Chief Science Officer; both are members of the ACC Board of Trustees. Dr. Ring is on the medical advisory board for Boston Scientific; is a proctor of Medtronic; and is on the speakers bureau for Amgen. Dr. McKay is a consultant for OrthoNet LLC. Dr. Normand is a paid statistical consultant to the Public Reporting Advisory Group. Dr. Simanowith and Ms. Slattery are employees of the ACC.
Listen to this manuscript's audio summary by JACC Editor-in-Chief Dr. Valentin Fuster.
- Abbreviations and Acronyms
- American College of Cardiology
- coronary artery bypass graft
- implantable cardioverter-defibrillator
- National Cardiovascular Data Registry
- percutaneous coronary intervention
- Society of Thoracic Surgeons
- 2016 American College of Cardiology Foundation
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Citation Manager Formats
Article Outline
- Top
- Abstract
- Rationale for Public Reporting
- Public Reporting Programs and Data Sources
- Benefits and Concerns Related to Public Reporting
- Structure of the Public Reporting Program and the Initial Metrics Reported
- Minimum Sample Size for Reporting
- Statistical Analysis and Display of Reported Variables
- Display of Uncertainty
- NCDR Data Accuracy
- The Future of NCDR Public Reporting
- Conclusions
- Acknowledgments
- Appendix
- Footnotes
- References


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Applications have closed for the 18/19 season. Click here for more information.
Apprentices are fully immersed in the theatre's management, artistic, and marketing teams, while having a direct influence on the development of a professional theatre company. This is a fantastic learning opportunity for young professionals to network and work with established local artists on various projects throughout your time with Tipping Point. The program provides invaluable contacts while developing resume skills. Because of the integral role Apprentices play within the organization, apprenticeships are tailored to individual strengths and interests with an emphasis on investing in the future of the apprentice. Apprentices work as Box Office Staff, Assistant Stage Manager, Light & Sound Board Operator, and House Manager among other duties and responsibilities. Professional opportunities are also available for those who are interested.
Tipping Point Theatre accepts resumes for a one year Apprenticeship program early each year. Applicants must have a college degree or equivalent experience in theatre related fields.
A weekly stipend is offered to help offset living expenses.
Mentoring program with Boxfest Detroit
BoxFest Detroit is an organization that showcases and creates opportunities for women directors. BFD produces festivals that allow women directors the opportunities to direct original shows of their choice and win awards to help further their careers in directing. Proceeds from each festival are given to one or more directors as a scholarship to help further her career. The winning director of the audience vote competition is given the opportunity to direct a show with Planet Ant Theatre's Late Night Series.
BoxFest Detroit has served and continues to function as a springboard for many women and their directing careers. Directors who have participated in past festivals have gone on to pursue graduate studies at highly competitive universities, become directors at professional theatres, and form their own successful theatre and production companies. BoxFest Detroit's importance within Michigan's theatre community was validated when Between The Lines honored the festival with the Critic's Choice Award at the 2008 Wilde Awards.
Tipping Point Theatre is partnering with BFD for our 17'-'18 season to launch a new mentoring program. Through this program, two BFD 2017 directors will be given the opportunity to shadow, learn, and collaborate with established, experienced, female-identifying directors at Tipping Point. It also gives emerging directors exposure to networking opportunities in the Metro-Detroit theatrical community.
Northville High School Theatre Program
Tipping Point Theatre staff works with the Northville High School Drama Club on the production of two shows per school year.
Children's Theatre
The Plymouth Uptown Players (PUPS) is an experimental theatre group that is made up of elementary and middle school aged children. Each season (Fall and Spring) children are invited to participate in open auditions. All children who audition will receive a part. The program culminates in a play performed on Tipping Point Theatre's stage. The performances are open to the public.
The program teaches children everything about producing and acting in a play including costumes, sets, and working together as a team with your other cast mates.
Classes are also offered through the Plymouth Community Arts Council. Keep a look out for more information!
Be sure to stay on top of important dates and information! Check out the Parent Information and Updates page regularly to stay up to date.


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Seculosity: How Career, Parenting, Technology, Food, Politics, and Romance Became Our New Religion and What to Do About It | 9781506449432
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The California Air Resources Board has released a new plan seeking to make nearly 100 percent of new autos sold in the state zero-emission (ZEV) or plug-in hybrid (AT-PEZ) vehicles by 2040. In the meantime, California may seek to set regulations mandating that one-seventh of all new light duty vehicles sold there carry at least plug-in hybrid electric drive capabilities. If the scheme is enacted, automakers would be forced to increase the portion of plug-in vehicles in their fleets between model years 2018-2025, culminating in a 15.4 percent mandate by the final year of the rule.
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Henry is the son of Elizabeth and Greg Rogers. Born in 2016, Henry was diagnosed with End Stage Renal Disease. The doctors at Cincinnati Children's Hospital Medical Center in Ohio have recommended a life-saving kidney transplant. An estimated $100,000 is being raised by community volunteers.
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As I mentioned in yesterday's Feeling Blue post, I have made a new goal to read five books before the end of 2012. I made this goal in order to encourage me to read more. When I was younger, all I did was read. Ask any of my family members and they would tell you that I was normally curled up in a chair in the corner with a book in hand. But since moving out and going to college and now working full time while taking care of life, reading has kind of fallen to the side. I just always say I don't have time to read anymore. So after talking to a good friend of mine, she encouraged me to make a goal and so I did. And I've already finished a book! Granted, I had it started before I made this goal but I'm still counting it.
Book #1: Choosing to SEE by Mary Beth Chapman
I'm in the middle of another one and just about to start a 3rd. The reason why I'm reading two at a time is that one is on a more personal topic and I didn't want to bring it into work and arouse questions. So I leave it at home and bring a different one into work. Now that my classes are done for the summer, I can use my hour long lunch breaks to read and relax instead of doing homework. I'm looking forward to it.
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Use Morning Tasks to Build a Morning Routine Step by Step
Use Morning Tasks to Build a Morning Routine Step by Step If you read recent articles and listen to self-development podcasts you will definitely come across the phrase "morning routine". Books, articles, interviews, videos, podcasts and all kinds of other outlets...read more
The easiest salad you'll ever make… no cutting required
The easiest salad you'll ever make... no cutting required A couple of months ago I wrote an article about how to eat leafy greens every day. While I still think it's a valuable guide it requires some preparation to make those salads every day. Although, to be honest,...read more
Health decisions: Do You Want Can or Have-to Decisions?
Health decisions: Do You Want Can or Have-to Decisions? Every day you are faced with dozens if not hundreds of decisions. Take a moment and reflect on your day so far. Most decisions you probably won't even notice as such, for example: "Should I get up or stay in bed...read more
Produce, don't consume. Mindless consumption will make you unhealthy
Produce, don't consume. Mindless consumption will make you unhealthy. The word consume has it's origin in the latin language, as the majority of words we use. Back then it was pieced together from the words "con", which means "altogether" and "sumere", which means...read more
Your Digestive System: A Quick Overview
FOOD Your Digestive System: A Quick Overview You are 30 feet long. "No I'm not" you might think and you are right. But your gastrointestinal (GI) tract is. The GI, which makes up your digestive system is around 9 meters (30 feet) long. Every time I read this I'm...read more
Is your phone more important than your food?
FOOD Is Your Phone More Important Than Your Food? I thought something is wrong with me. I don't know if you ever got that feeling, but maybe you did. Here's what happened. I was standing in the vegetable section of the supermarket. I needed to buy tomatoes. Actually,...read more
What you should know about – 24 hour fast
FOOD What you should know about - 24 hour fast My favourite method of doing this is to start after dinner and don't eat until the evening of the next day. Some people advise to start in the morning, but especially for beginners, this will be the harder method....read more
Sleep Mask – everything you need to know
SLEEP Sleep Mask - everything you need to know You see them in airplanes or movies and most often they're worn by women. There is some kind of feminine touch to them, but I guess this is going to change over the next few years. What I'm talking about? The sleep mask...read more
Why do we eat? The Pyramid of Eating
FOOD Why do we eat? The Pyramid of Eating A few months ago I did a 4.5 day fast. Since them I'm usually doing one 24 hours fast every month. Sometimes I do two, but this post isn't about fasting, although fasting actually got me thinking about this topic. It's about...read more
What are you health priorities?
Over the last couple of weeks, I realised how important it is to set priorities for your work. Every evening I write down my 3 MITs (thanks to Leo Babauta for that concept), my 3 "Most Important Tasks" that I want to do the next day. So far this is working quite well....read more
Waking up during sleep
Yesterday I woke up in the middle of the night. Somehow it still feels weird to be a sleep coach and not have "perfect sleep" every night, but that's just how it is. Every coach and every professional experiences these kinds of situations. What's different about them...read more
What about health tracking?
10.000 steps. 8 hours of sleep. 2000 kcal. Are those the ideal numbers? I don't know. According to some researchers they are, at least on average. Keep that in mind. These days everybody is tracking all the time. There are dozens if not hundreds of different apps and...read more
The digital world will probably ruin your sleep
Recently I got a new phone. My old one was already 4 and a half years old, and since it was a pain to work with it, I thought it is time for a new one. So far so good. No more crashing apps and everything was so incredibly fast. I kept asking myself how I was able to...read more
Card games & self-awareness
>> Find something to get self-aware << Maybe you've read or heard about how Donald Rumsfeld launched a new app called "Churchill Solitaire". I'm not going to write about him or about his app, but about what it taught me. I love games and as soon as I read...read more
Questions about your health
Health is subjective and that's the reason why you're the best person to find the answers to any questions regarding your health. Of course in order to come up with the best answers, you need to acquire at least a basic amount of knowledge. That shouldn't be the...read more
Stay present to calm down
"How can I deal with my stress?", "How can I stay relaxed?", "What's the secret to inner peace?". I get a lot of questions around this topic. These are good questions, but they are hard to answer. Actually, every person needs to answer these questions for themselves...read more
Why spending money won't make you healthy
>> Money won't make you do things in the long-term << Do you know the saying "Money alone won't make you happy"? I do and I think there could be a similar saying that applies to your health. "Money alone won't make you healthy". In today's world, money is...read more
A Case for Morning Exercise.
>> Structure, blood flow and improved brain function << A few months ago I was reading Tom Rath's book "Eat, Move, Sleep".I really liked it as it was easy to understand, backed by research and actionable. In chapter eight he presents the benefits of...read more
Why you should focus on all aspects of your physical health
>> Built more lanes on your road to physical health << Did you ever drive on a single lane road and an accident occurred? Pretty annoying, right? Did you ever drive on a four-lane highway and an accident occurred? Probably not that big a deal, right?...read more
Wake up naturally. No snooze button required.
>> Stop wasting 3 hours of your week << Did you know that the snooze alarm was invented by the same guy that also wrote Ben Hur? His name was Lew Wallace and he got all things started. Well, actually this is only a rumor and nobody seems to know whether...read more
You're eating too fast. Slow down.
>> The benefits of slow eating << Recently I asked people on my email list what their biggest problems were when it comes to their health and several answered that it was stress in combination with digestive issues. Maybe you were among these people, maybe...read more
Intermittent Fasting Benefits & Methods
>> How simplifying your day can make you healthier << Recently I wrote about my experiences with 24-hour fasts. Today, although the general topic, fasting, is the same, I will write about it in a different context. Today's article is about intermittent...read more
Leafy greens: How to eat them in a salad everyday.
>> The Power of a Salad << I recently read "Super-Immunity" by Joel Fuhrman M.D. And he recommends to eat one salad every day. I love that idea and try to include it my daily routine. At the moment, I make myself a salad for lunch every day. A few months...read more
Why and How to Drink More Water.
>>Drink More Water for Better Health << How much water did you drink today? Probably not enough. It's 1 pm and I already drank 2 liters (67 oz) of water and will reach my goal and the official recommendation of 3.7 liters (125 oz) for men who exercise with...read more
Health vs. Wealth?
>> A never ending conflict << Most people worry about money. A common trap. Sometimes I fall into this trap myself, but I try not to as often as possible. Maybe you do too. It's hard not to, I know that, especially if you can barely make the monthly...read more


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Sneak Peek KIRA KIDS AW 14/15
We wanted to share this exclusive sneak peek of Kira's AW14 Big City Collection, inspired by their love for the hustle and bustle of New York City! From their cravings for street food and adventures in the big city, this season's graphics embody Kira's silly and mischievous personality.
The entire collection is made in the USA by local manufacturers using non toxic dyes and water based inks. Their love for mixing rich and modern colors can be felt in the super soft luxurious cottons and blends. These garments are made with the comfort of playtime, bike rides and nap time in mind.
Stay tuned all month long as they share details of their Big City collection, surprise limited edition collaborations and exciting new retail partners! The Fall 2014 collection will be released in July at www.kirakids.com and also to exclusive retailers around the world.


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Zinc Research's "digital oxytocin" concept cited in Fast Company social media feature
Fast Company article cites Zinc Research's "digital oxytocin"
Zinc Research's online survey research complements thought-provoking neuroeconomics research on social media's trust-building connections
In an article in the July 2010 edition of Fast Company, technology writer Adam L. Penenberg reports that social media have been shown to trigger the release of oxytocin, the "trust-confidence" chemical in the human brain. The article describes the innovative research of neuroeconomist Dr. Paul Zak, and in particular it focuses on the huge implications this work could have on the way businesses think about social media and the people who use them.
That's where Calgary's own social media and market research specialists Zinc Research come into the picture. Penenberg quotes Zinc president Brian Singh, who has coined the term "digital oxytocin" in his research on social media as a relationship-builder, not only among individuals but also between businesses and their customers. "One day, a company might be better off asking not what its margins are, but what its trust factor is," Singh told Penenberg.
Based on findings from Zinc's long-running online social media survey, "The Bridge," Singh emphasizes that in today's Web 2.0 universe, marketers – and market researchers – need to reassess what their customers, consumers and other stakeholders are saying, and feeling, if they are to more fully understand the depth and dimensions of their trust of their brands and their organizations.
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To see related social media features by Zinc Research, click on the following:
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: What marketers can learn from epidemics, viruses and the sound of crickets chirping"
Social Media by the Numbers:
An online research study showing segmentation of Canadian social media users - who they are, how they act and interact, and how marketers can reach them more effectively"
About ZINC Research
Founded in Calgary in 2006, ZINC provides online and onsite quantitative and qualitative market surveys and analysis for regional and international private and public sector clients throughout North America. Founding president Brian F. Singh is a market researcher and economist with over 20 years of experience. He has worked as an advisor and project manager in a broad range of industry sectors, including tourism, the environment, engineering, retail, financial services, demography, health and wellness, and information technology.
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Oracle NetSuite is delighted to support the Sunday Times International Track 200 and celebrate the international success of Britain's mid-market private companies.
NetSuite's cloud business software suite is the top choice of companies who understand that the key to unlocking and managing growth both domestically and internationally is a system that can address today's challenges while providing the critical foundation for future expansion.
Today, over 16,000 customers in 203 countries trust NetSuite to run their mission-critical business processes from accounting, procurement and HR through to marketing and sales. NetSuite's track record as the business system of choice for high-growth companies across all industries is unmatched. Companies of all sizes benefit from its comprehensive, global financial and accounting core that makes international expansion straightforward; improved visibility across the business; and increased efficiency from eliminating manual processes and disparate systems.
Companies are embracing the latest software to achieve scale overseas, says Nicky Tozer
(from the 2019 International Track 200 supplement)
Inside NetSuite's EMEA Expansion, and What It Means for Your Business
The new, new NetSuite – it's all about your growth at SuiteConnect
NetSuite industry innovations help European businesses accelerate growth
Discover the secrets of the UK's fastest-growing international companies with the Oracle NetSuite Growth and Technology Report, produced in partnership with the Sunday Times International Track 200.
Email: firstname.lastname@example.com
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Void Filling
Fix that Unsightly Void Before it Gets Worse!
The space between a slab of concrete and the ground is called a 'void'. A void typically occurs next to a sidewalk or walkway leading up to a home. A void can also occur under a concrete patio, porch or driveway. You will sometimes notice a void when you walk on the concrete, and you can feel it give under your feet. The obvious signs of a void can be seen. Concrete Raising Systems Kansas City can fix this problem by drilling small 5/8" holes in the concrete and injecting our polyurethane foam into the void to strengthen the concrete and prevent it from cracking and breaking. Polyurethane is added to the sides of the concrete slab.
Concrete sidewalks with voids can develop cracks like driveways
We then recommend adding dirt or landscaping next to and on top of the exposed void filling. UV rays from sunlight can damage the integrity of the polyurethane fill over time.
We think every job is important, and no concrete repair job is too small! Kansas City calls us!
Before you buy a home, make sure you brush away the mulch from your sidewalk to see if any voids exist. It is easy for sellers to hide (unintentional or intentionally) a void by adding mulch around the sidewalk to cover it. Finding out you bought a home that had a void can add expense to your move-in process and be a disappointment in an otherwise, happy occasion.
We not only can fill your void, but we lift and repair sidewalks, driveways, garage floors, pool decks, and patios. The longer you wait to have the problem fixed the more expensive it may be to fix. Wait too long and you may have to replace your concrete altogether and that will certainly be more expensive than having us raise and repair it!
Contact or call us today (816) 419-8306. Estimates for void filling, as well as estimates for everything we do, are free! And we do not ask for a deposit before we do the work!


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Since 1999, AutoVaun has provided motorists in the Mesa, AZ 85215 area with comprehensive auto repair services that include 4x4 Services, Alignment, Brakes, Car & Truck Care, Domestic Cars & Trucks, Electrical Services, Electronic Services, Engine & Transmission, Engine Maintenance, Fleet Brakes, Fleet Drive Train, Fleet Electrical, Fleet Electronics, Fleet Engine Work, Fleet Front End Services, Fleet General Services, Fleet Suspension Work, Fleet Tires, Fleet Trailer Work, Fleet Wheel Services, General Services, Heating and Cooling Services, Import Cars & Trucks, Miscellaneous Services, Towing, Transmission Services and Undercar Services. Our goal is to offer the best services available at affordable prices to get you back on the road in no time.
You'll be hard-pressed to find the same level of expertise that our auto mechanic specialists provide! We have years of experience working on both domestic and import vehicles of all makes and models and can work with you to find cost-effective repair and maintenance alternatives.
For a high-performing vehicle, trust AutoVaun with your car, truck, or van. To learn more about the services we offer, please contact us by phone at 480-807-6555 or send us an email. We also invite you to learn more about our dedication to you, our valued customer.
Call 480-807-6555
Honest efficient and straight forward, they were willing to walk me through the work needed and answered all my questions.
We have been going to Autovaun for years, they are outstanding. They are not a discount service center so do not expect to save money over a dealership, but they are truly honest, there have been many times where a dealer told me one thing, with multiple items needing to be replaced and at a huge expense and autovaun found and repaired the actual single broken part. We have never had an issue with any work done and all the repairs have lasted us.
They filled my AC with freon and put in a dye that would let them know where the leak was. Since it was leaking I had them fix the ac. While there they noted my check engine light was on, explained to me it was most likely the catalytic converter and called the dealer finding out it was still under warranty. He told me to have them run a diagnostic. Sure enough, the catalytic converter needed to be replaced and everything was covered. I really appreciate Autovaun for going above and beyond to help me out like that.
Quick in, low wait time, and quick out for headlight bulb replacements. Saved me over $100 instead of going to the stealership. I would definitely come here again .
Care (oil change/maintenance) for our two vehicles. "Service with a smile." Over the past few years Autovaun has taken care of pop-up problems with our vehicles (Camry and Buick... older models) with fair prices, timely service and a family attitude that beckons us back...and we go. I trust these folks... and that's not an easy thing to do nowadays with car repair shops...whether it be at dealerships, franchises or independents.... YUP... highly recommended! Thanks Autovaun!!
Have taken our cars to Vaun's for several years. They are friendly and helpful. The prices seem far and they have always stood behind everything they do. They are honest and will tell you if something that needs repaired can wait for a bit or is emergent.
Our family has taken our cars to Autovaun for about ten years. They have always been courteous and personable. We are very protective of our vehicles and the team at Autovaun are too. They are extremely fair in their pricing. They recommend any maintenance that should be considered while also providing an explanation to the effects on the vehicle if the service is not performed and or how long (distance) until it will become a problem. In other words, they are hyper-vigilant about customer costs.
Had upper and lower control arms replaced on my 99 Chevy van at a GMC dealership. Drove it down the highway and it was drifting to the right. Took it back to the dealership. They adjusted the alignment but it still drifted to the right. They told me to go to a frame shop...my frame must be bent...nothing more they could do. Within an hour...Autovaun professional tech had my van perfectly aligned. Thank you guys for blessing my sock offs. Great job!
A regular customer for 4 years now, I continue to return to AutoVaun because they consistently provide a positive experience. The staff are welcoming and knowledgeable, and offer a level of customer service rarely seen any more.
Great job!


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I knew at some point I'd be forced to write about bitcoin on this site. I didn't want to do it, but it was inevitable. So I'm sorry. Anyway, Coinbase, which is one of the major bitcoin players here in the United States, sent out a tweet last night noting that four major credit card … Continue reading "Four Credit Card Issuers Block Coinbase Purchases"
Starbucks Credit Card Review: Earn Free Starbucks on Everyday Purchases
If you really like coffee, this new credit card might be right up your alley. Starbucks has teamed up with Chase to offer a co-branded credit card known as the "Starbucks Rewards Visa Card." In short, it allows cardholders to earn free drinks and food at Starbucks via the bonus stars you earn in their … Continue reading "Starbucks Credit Card Review: Earn Free Starbucks on Everyday Purchases"
Cardpool Review: Pretty Amazing for Unloading Gift Cards Fast
It's that time of the year again, when we scramble to make sure any and all calendar-year travel credits are exhausted. For those who still have unused credits, they might be looking at gift cards to get the job done. As most of you know, gift cards typically trigger travel credits offered by credit card … Continue reading "Cardpool Review: Pretty Amazing for Unloading Gift Cards Fast"
Is the TD Ameritrade Client Rewards Credit Card a Good Deal?
I have an Ameritrade account and the other day upon signing out I was shown an ad for the "TD Ameritrade Client Rewards credit card." To be honest, I didn't even know they offered a credit card, though it's not in the least bit surprising. after all, Toronto-Dominion Bank is a very large Canadian financial … Continue reading "Is the TD Ameritrade Client Rewards Credit Card a Good Deal?"
Chase Offers Is Now Live: Link Your Card and Save
It took a while, but Chase is finally in the offers game with the launch of "Chase Offers," a new cash back program that seems eerily familiar to Amex Offers. At the moment, it only appears to be live for Marriott credit cards from Chase. Fortunately, I have one of those so I decided to … Continue reading "Chase Offers Is Now Live: Link Your Card and Save"
JetBlue Credit Card Now Offers Highest Ever 60,000 Point Sign-Up Bonus
The JetBlue credit card from Barclaycard is currently offering its highest sign-up bonus ever, a full 60,000 TrueBlue points when you spend a mere $1,000 in the first 90 days from account opening. This is double the normal offer of 30,000 TrueBlue points for the same spending requirement and annual fee. In other words, you … Continue reading "JetBlue Credit Card Now Offers Highest Ever 60,000 Point Sign-Up Bonus"
Two Things to Do When You Open and Close a Credit Card
Whether you're a credit noob, or a seasoned pro, there are two important things you should do every time you open and close a credit card. I thought of these things after I opened a slew of new credit cards lately. It was getting somewhat stressful to keep track of everything, so I came up … Continue reading "Two Things to Do When You Open and Close a Credit Card"
HSBC Premier World Elite MasterCard Review: 50k Bonus and $100 Uber/Lyft Credit
It seems that just about every day a new credit card is being released, with the latest being the "HSBC Premier World Elite MasterCard." This new credit card aligns with the likes of American Express Platinum and Chase Sapphire Reserve in its premium qualities, and unlike many other cards, allows points transfers to frequent flyer … Continue reading "HSBC Premier World Elite MasterCard Review: 50k Bonus and $100 Uber/Lyft Credit"
Capital One Savor Credit Card: 3% Cash Back on Dining, 2% for Groceries
Do you like food? And credit cards? Well, if so, you might like the new Capital One Savor card, which offers 3% cash back on dining and 2% cash back on groceries. Clearly this new credit card is aimed at foodies, what with the highest cash back categories food-centric and the name Savor. But is … Continue reading "Capital One Savor Credit Card: 3% Cash Back on Dining, 2% for Groceries"
Capital One Spark Cash Review: Earn a Quick $500 or 13% Cash Back
I like credit cards for several different reasons. Sometimes it's sheerly for the convenience, sometimes it's for the perks, like airport lounge access, and other times it's for the amazing sign-up bonuses. Breaking down that last reason, the sign-up bonus can be geared toward points, like frequent flyer miles and free hotel nights, or simply … Continue reading "Capital One Spark Cash Review: Earn a Quick $500 or 13% Cash Back"


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Dingle Ocean World
dingle, aquarium, turtle, kids, kerry No Comments
There are so many amazing things about Corca Dhuibhne and Dingle but one that is #extrasupercool is Dingle Ocean World. The care and attention to detail is evident everywhere, and the staff are really friendly. Check em out: http://www.dingle-oceanworld.ie/
Also on a side note - my wife wrote a film that had a scene here. We were extras in this scene. FAME!