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Under a media spotlight, the CME community is issuing new rules to govern relations between pharmaceutical companies, educators, and physicians.
You've all heard about the escalating trend of dine 'n' dash meetings, where pharmaceutical companies invite physicians for an educational (or, as some argue, promotional) seminar served up with a tasty (some say extravagant) meal. But here's a new twist. Recently a company offered physicians the following deal: they could get a take-out dinner for themselves and their families at the Outback Steakhouse if they agreed to listen to a rep's drug pitch while waiting for their order.
"If I had to pay a doctor to listen to what I had to say, that would embarrass me," said former drug rep David F. Lichtenauer, president of Medical Education Consultants, in Indianapolis. "Why do the companies do it? My God--it works!" he quipped.
The audience laughed, but the atmosphere was anything but light as Lichtenauer kicked off the American Medical Association's 11th Annual Conference on CME Provider/Industry Relations, held September 25 to 29 at the Sheraton Inner Harbor Hotel in Baltimore. The conference, which attracted a record crowd of 376 attendees, couldn't have been more timely. Prescription drug prices and health care were election issues; and just the day before the conference, USA Today ran a front page story claiming that the FDA's drug approval process was biased, as many of the physicians evaluating the drugs had conflicts of interest. The story was just one of many recent press pieces exposing physician/drug company relations to public scrutiny. (For an analysis of pharmaceutical companies' increased spending on seminars, see "Pharmaceutical Firms Step Up Meetings Activity," page 10.)
"We need to demonstrate that CME provider/industry relations benefit patients," said Lichtenauer. "Otherwise, there will be a trial of the CME community in front of the press and public. It's up to all of us to make sure that doesn't happen."
In the past, the CME community has monitored itself, successfully staving off government intervention. Faced with growing public and press scrutiny, CME leaders are proposing new rules to address old, but growing, problems. But some CME veterans say those approaches are not enough.
Bribes or Benefits? During a packed breakout session on gifts to physicians, Herbert Rakatansky, MD, chair, AMA Council on Ethical & Judicial Affairs, told the audience that he'd recently received an invitation from a sales rep to attend a luncheon program. If he attended, the invite said, he would receive a check for $100. "That's a hundred-dollar bribe," he said. "You have to preserve your trustful relationship with patients and free yourself from bias. If you accept a bribe of one hundred dollars cash, or at trip to Bermuda, you have compromised that relationship."
Under the AMA's Ethical Opinion on Gifts to Physicians from Industry, doctors are supposed to accept gifts of only $100 value or less that enhance patient care, such as textbooks and notepads. Cash gifts are not acceptable, nor are gifts with strings attached. (For the complete text of the Opinion, visit www.ama-assn.org/cmeselec/cmeres/cme6.htm#8.061.)
Nevertheless, what Rakatansky sees as a bribe, other physicians see as their due. That's why it's important to re-examine the ethical opinion, said Lichtenauer. "As MD income levels fall, physicians are tempted to take [what companies] offer," he said.
The AMA's Council on Ethical & Judicial Affairs recently developed a working group to revisit its Ethical Opinion on Gifts to Physicians from Industry, address the escalating trend of companies showering physicians with incentives and rewards, and educate physicians. Eight major pharmaceutical companies are supporting the effort with hard dollars, Lichtenauer announced. Pharmaceutical companies were not involved when the AMA created its Ethical Opinion on Gifts to Physicians from Industry, Lichtenauer noted. "This time, industry is sitting at the table."
So far, the group decided not to rescind the resident exception, which allows pharmaceutical companies to provide scholarships for medical students, residents, and fellows to attend "carefully selected" conferences. (Companies are not allowed to underwrite physicians' travel or other meeting attendance costs.)
Eating Orders Next, the group is slated to provide an addendum this month that defines the "modest meal" physicians are allowed to accept under the guidelines.
So, what is a modest meal? For one thing, a physician living on Park Avenue is not going to have the same definition as one living in Lubbock, Texas, said Rakatansky. He said the addendum would probably describe the meal as one a doctor would generally order for him- or herself on a routine basis.
That announcement sparked a barrage of aggravated comments from attendees. "To be compensated for a meal but not for travel seems schizophrenic to me," said one attendee. "I live in New Hampshire and have to travel an hour and a half [to a seminar]. I can't see the clear distinction between accepting the meal and not the travel [costs.]" Another audience member echoed that view, saying that for rural physicians travel costs were an important factor in receiving education.
But physicians shouldn't expect a green light from the AMA on that one. "A meal is intrinsic to the education function," answered Rakatansky.
"These edicts come down from the ivory tower. Most doctors don't feel they are doing anything ethically wrong. Most doctors feel there is no evidence that they are changing their behavior [based on gifts]. They are still prescribing the best drug," said an attendee.
"If the assumption is wrong and industry's gifts to physicians don't influence their prescribing behavior, then an awful of money is spent uselessly," said Rakatansky. "Members of CEJA are not academic ethicists, in an ivory tower. We are all practicing physicians."
But another audience member countered that the AMA "did the industry the greatest favor by [instituting] the $100 glass ceiling."
Toothless Tactics Of direct impact on CME providers is the guideline stating that speakers can accept "reasonable" honoraria. "I offer speakers reasonable honoraria of $1,500 to $2,000," said one CME provider, "and they say, 'I'm accustomed to $10,000." Responded Rakatansky: "Hire somebody else."
Such answers did not satisfy some attendees. "As a CME provider, I am frustrated," said Melinda Steele, director, CME, Texas Tech University Health Sciences Center, in Lubbock. "A lot of docs are not aware of the Opinion. I'm bound, as a CME provider, to adhere to it. I have no qualms about it. But unless there are penalties, unless there is something at stake, physicians see no problem [with their relations with drug companies]. As long as there are no teeth [in the Opinion] CME providers will continue to be the bad guys."
Where There's Smoke... In a standing-room-only session, appropriately titled "Managing Ourselves at Boundaries," Murray Kopelow, MD, executive director, Accreditation Council for CME, announced that the ACCME's new firewall was being built, or rather, implemented. Designed to ensure that CME remains bias-free, even if the accredited provider is, for instance, a pharmaceutical company, the firewall specifically sets guidelines for providers that are themselves, or are owned by, "interested companies"--corporations with a financial interest in health care products. (For background, see "ACCME Proposes Firewall to Protect CME," MM June 2000, page 8; for the text, see "ACCME's New Bias-Buster," page 36.)
More than 300 people responded to the initial proposal, and based on those comments, the ACCME revised and clarified the policy, Kopelow explained. The biggest change is that while the proposed version called on providers to seek feedback from attendees as to whether a CME activity was biased, the final guidelines stipulate that providers must go further. If attendees have perceived commercial influence, providers must document the steps they will take to detect and prevent such bias in future activities.
Although Kopelow said that the guidelines apply to only 20 to 30 of the ACCME's 600-plus providers, attendees from a variety of settings fired, numerous questions at Kopelow about how the firewall would pertain to them. We've synthesized the questions and provided the answers Kopelow gave during the session:
Q: Does the definition of "interested company" include vendors, such as communication companies?
A: The firewall defines "interested company" as one under the FDA regulatory jurisdiction. The devil is in the details--we'll see.
Q: The policy says that no "interested company" staff can be involved in CME activities. As you move up in corporate management, bosses that have oversight of products may also have oversight of CME. How far up the corporate hierarchy does that apply?
A: That's a governance vs. management issue. We are not interested in where the stationery comes from.
Q: A member of my planning committee is on a pharmaceutical company's speaker's bureau. Is that all right?
A: I won't answer that here. Call me.
Are You Happy? "Is this right? Are you happy? Is it nonsense?" Kopelow asked attendees after answering the first round of questions.
"I think it's a step in the right direction," said Texas Tech University Health Sciences Center's Steele. But not everyone agreed. Richard Tischler Jr., PhD, president, RF Tischler & Associates Inc., Mount Airy, Md., and former director of accreditation and recognition services for the ACCME commented: "This appears to be the first time the ACCME has defined a class of providers based on the nature of their business and said to them: 'You must comply with these additional standards to remain accredited.' That is a potentially dangerous precedent. What other classes of providers will be held to additional standards in the future?" i
Obligate Pathway-- the Online Version For at least the last few years, attendees at this conference and other CME meetings have asked the Accreditation Council for CME for guidance on implementing the Standards for Commercial Support when offering Web-based CME. And, until now, the ACCME responded that providers should view the Internet as just another delivery mechanism, and treat online education just as they would enduring materials or live activities. To those of you hankering for more specific answers, take heart.
The ACCME's initial approach was probably too simplistic, acknowledged Murray Kopelow, MD, executive director, and the organization is now working to develop rules for Internet CME. During a session at the AMA's 11th Annual Conference on CME Provider/Industry Relations in September, Kopelow floated some ideas past attendees.
The major issue, from the ACCME's point of view, is separating promotion and advertising from education. What if, he suggested, when a physician was doing an online CME activity, that window could not be minimized, so that, no matter what, advertisements could not be scrolling around the edges. If that is technically feasible, Kopelow asked, wouldn't that solve the issues?
Attendees responded favorably to that concept, but had questions about disclosure. Under the ACCME's Standards for Commercial Support, faculty must disclose their financial relationships with commercial supporters, and disclose when they will be discussing an off-label use of a drug. Since online CME is nonlinear, and physicians can jump in and out of activities, how can providers ensure that learners see disclosures? Physicians need to see disclosures at whatever point they enter an online activity, pointed out an attendee. Remember the FDA's rule prohibiting an obligate pathway at CME activities? In FDA-speak, that meant attendees should not have to pass by promotional materials when entering or leaving educational activities. Suppose providers created an "obligate pathway" for disclosure so that no matter what, a physician would have to see disclosure statements before participating in a CME activity?
Just one of the many questions for which there are, as yet, no hard-and-fast rules. Stay tuned.
The Bigger Picture The broader Internet health industry is currently taking steps to regulate itself in hopes of avoiding government regulation, said speaker Beth Nash, MD, Mediconsult.com Inc. in New York. Four organizations have issued guidelines toward that end. The CME community paved the way for such ethical standards, she said; in fact, organizations used AMA and ACCME regulations to develop their guidelines. Though the policies cover a broad spectrum of online health care issues, such as privacy and security, "CME Web sites need to adhere to the same set of ethical principles," Nash said.
For more information on ethical guidelines for the online health care industry, visit:
* Health on the Net Foundation at www.hon.org
* Internet Health Coalition at www.ihealthcoalition.org
* Hi-Ethics at www.hiethics.org.
ACCME'sNew Bias-Buster Here's the partial text of the Accreditation Council for CME's newly approved firewall policy:
When the ACCME considers a provider with, or an applicant for, ACCME accreditation, to be owned by, or to be, a corporate entity with a proprietary or financial interest in a medical or health care product over which the FDA has regulatory jurisdiction (an "interested company"), then the following will be among the criteria ACCME will use to judge the provider's compliance with the ACCME's Standards for Commercial Support:
1. There must be no staff or consultants of the interested company . . . involved in the development of the CME activities of the accredited provider or accredited CME unit within the interested company. . . .
2. All in-kind support, or funds, supplied by the interested company to the accredited provider will be considered "commercial support" . . . . (To be compliant with SCS 5 and 7, which cover management of funds and disclosure.)
3. After each activity, the ACCME accredited provider must ascertain directly from the learners and faculty if [they] perceived that the activity was commercially biased, and if [they did], the accredited provider must have documented the steps that will be taken to detect and prevent the presence of such bias in the future. (To be compliant with SCS 1 and 3, which address the integrity and independence of content, and exhibits and other commercial activities.)
Currently accredited providers, to whom this policy applies, will be asked to demonstrate compliance with the policy after October 1, 2001.
For more information, visit www.accme.org.


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Mid-Century Ceramic Lamp - $125
Los Angeles Scavenger
Good finds for outdoor rooms and modern decor in today's picks for the Los Angeles Scavenger. See the full list after the jump.
Apartment Therapy Furniture Classifieds are open for your business in our Shopping Guide.
• Mid-Century Ceramic Lamp (Eagle Rock) - $125
• McCobb End Table (Eagle Rock) - $225
• Set of Barcelona Ottomans (Hollywood) $200
• IKEA Docksta Table + Chairs with Custom Cushions (Hollywood) - $300
• 1930s French Deco Dining Table (Ontario) - $750
• Glass Dining Table (West Holywood) - $400
• Rustic Wooden Dining Table (Los Angeles) - $595
• Danish Modern Dining Table + Chair Set(Los Feliz) - $450
• Leather Ottoman (Los Feliz) - $40
• Pair of Adjustable Outdoor Chairs (Eagle Rock) - $150
>> The most recent Los Angeles Scavengers
Apartment Therapy is not the seller of these items. This is an edited selection of our favorite offerings from other independent sources. Please check the item's link for the original source.

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Standard & Poor's upgrades California's bonds...but state is still in the bottom two
Sharon McNary/KPCC
California Gov. Jerry Brown speaks in support of Prop. 30 at a rally of UCLA students on campus, Oct. 16, 2012. The passage of the ballor measure in combination with fiscal discipline has led ratings agencies to re-examine California's debt.
Hot on the heels of lowering Illinois' general obligation (GO) bond debt one notch, from "A" to "A-", Standard & Poor's raised California's GO debt to "A" from "A-".
So California is now the second lowest rating U.S. state, among those whose debt S&P rates.
It was S&P's first upgrade for the state since before the financial crisis.
I talked to California Treasurer Bill Lockyer after the announcement, and he credited the combination of Prop 30 — the ballot measure passed last November that raised sales taxes and income taxes on wealthy Californians — along with improved fiscal discipline for prompting the upgrade.
Another agency, Fitch Ratings, is also keeping an eye on California's improving finances. Doug Offerman, an analyst I spoke with last year, wouldn't put a timetable on a possible upgrade, but he did indicate that Fitch likes the math Prop 30 delivers:


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Written by Right Side News
That's the calculation of the Congressional Budget Office, which said such tax rates "would probably not be economically feasible" and predicted the economy will "suffer serious damage" if Congress doesn't act to restrain the soaring costs of Medicare, Medicaid and Social Security.
The nonpartisan CBO's recent letter on the subject, Heritage Foundation budget expert Stuart M. Butler writes, "is another dire warning to Congress that it should deal quickly with these unsustainable promises."
Unless Congress takes entitlement spending off auto-pilot and subjects it to review and restraint, Heritage research shows, lawmakers will be responsible for saddling every child in America with the equivalent of a $175,000 mortgage debt -- only without a house to go with it.
Combined spending on the Big Three entitlements isn't yet comparable in size to such Top 10 economies as Germany, the UK or France. But the price tag of Uncle Sam's middle-class retirement promises is gaining on the estimated economic output for 2007 of Italy, Spain and Mexico. It's well ahead of South Korea, Iran and Australia.
If Social Security spending were a country, so to speak, its $581 billion in spending would bump oil-rich Saudi Arabia to No. 23 in the ranking of national purchasing power. That's also bigger than the GDP of close competitors Argentina, South Africa or Egypt.
At $371 billion, Medicare spending comes in just below the GDP of Belgium (No. 28) but outstrips that of Malaysia, Venezuela and Sweden. And at $291 billion, Medicaid spending creeps up on the GDP of Hong Kong (No. 39) -- and outpaces Algeria, Norway and the Czech Republic.
Of course, U.S. economic output remains the world's highest by far -- at $13.9 trillion, about twice that of No. 2 China. But the CBO estimates ever-growing entitlements mean federal spending will total more than a quarter of GDP in 2050 -- and more than a third about 30 years later.
Doubled marginal tax rates "would significantly reduce economic activity," the CBO said in its letter to Rep. Paul Ryan (R-Wisc.), who had asked Congress' budget agency to estimate the impact of raising rates to pay for the huge increase in entitlement spending in future decades.
"Three former CBO directors and budget analysts from across the political spectrum have urged a fundamental restructuring of these programs, both to avert an economic crisis and to avoid placing an unacceptable burden on future generations," says Butler, Heritage's vice president for domestic and economic policy studies. "Yet proposals abound in Congress and on the campaign trail to create new entitlements and to raise taxes to pay for them."
The Heritage Foundation


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Hey guys,
I'm new to the forum but not the iphone unlocking/jailbreaking world. So last night I connected my unlocked/jailbreaked 1.1.3 iPhone to the pc. I opened up itunes and proceeded to sync my library. Itunes gave me a message saying that the iphone firmware on my phone was TOO OLD and therefore not all songs could be copied(the ones purchased from itunes). Has apple found a new way of restricting those who unlock/jailbreak and do not upgrade to the current firmware? I think it is rather stupid of them becuase really all it does is cause people to pirate songs from Limewire and the like instead of their itunes store. I googled this and couldnt find anybody with the same thing happening.


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Great Western Bank: Making Life Great
Contact Great Western Bank
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Report a lost or stolen ATM/Debit Card
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We want to answer your questions and respond to your comments as quickly as possible. If you'd like, you can take a look at our Frequently Asked Questions. Our simply email us using the form below.
Use the form below to contact us via email. Do not send sensitive information using this form. To send a secure, encrypted message containing sensitive information to a Great Western Bank employee please use our Secure Email site.


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popular topics
Register your kids for daycamps in City of Edmonton facilities.
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Find Your Fit at City of Edmonton Rec Centres - over 50 drop-in classes to fit you.
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A child playing with a lighter set off a fire that caused severe damage to one unit in an apartment complex on Airport Road shortly before 1 p.m. Monday.
"The child is very lucky he wasn't killed," Carson City Fire Chief Stacey Giomi said.
The fire, in the bottom of a six-unit apartment complex, caused severe damage to the bottom apartment, moderate to the unit above it and smoke damage to two more.
The flames spread up the outside wall and went into the attic, Giomi said.
No one was injured, and the fire department was able to rescue several …


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Growing up in Soviet era Ukraine, Irina always had an eye for fashion and was the go-to local expert for creative designs. She started her career as a sample maker at a small atelier shop in Kiev before earning a Masters degree in Fashion Design and Pattern making Technology from Kiev Fashion Institute of Technology in 1976. In the late 90's Irina moved to NY where she earned an AAS degree in Pattern Making from FIT. Since then she has worked with a variety of designers and brands including Victoria Secret catalogue. She also helped with the launch of In the Now line that was part of the Gen Art collaboration in 2001. For the last eight years Irina has been working with Shin Choi as a production patternmaker.Irina has over 30 years of industry experience in Eastern Europe and USA. She specializes in women's sportswear, eveningwear, suits and coats. Her specific expertise is in creative draping, flat pattern making and garment construction. She has extensive experience in sample pattern making for fashion shows as well as production pattern making. In Irina's words: "I enjoy working with designers on creating beautiful and well-constructed garments by day and passing my knowledge to students by night. I have worked with Parsons students for over 10 years and am always excited to meet new creative geniuses. I always encourage my students to be creative, but to also remember that fashion should be worn and not admired on the mannequin!"
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Fall Natural Centerpiece
Dress up your decor for the season with this beautiful fall pumpkin filled with floral favorites in festive fall colors.
Designed By Jessica Walker
Material List
- Craft Pumpkin, 9-inch Cream
- Floral Foam
- Spanish Moss
- Creative Versa-Tool™
- Wire Cutters
- Low Heat Glue Gun & Glue Sticks
- Hydrangea Stems (4) fall colors of choice
- Floral Bushes (2-3) rust, green & cream
- Greenery Bushes (1-2) styles of choice
Project Instructions
Cut the top out of the pumpkin using the Versa-Tool™.
Secure floral foam and moss inside the pumpkin with glue.
Cut the stems down on the hydrangeas to desired height and place them at the four corners of the pumpkin. Cut apart the bushes of rust, green and cream flowers and arrange them as desired.
Cut apart the greenery bushes and arrange them as desired.
To add more greenery, use the leaves from the hydrangeas and place them under the arrangement.
Cut some stems with leaves and add them in various places throughout the arrangement.


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Configure AdWords for Analytics
Import Analytics goals & transactions into AdWords Conversion Tracking
To import your goals and Ecommerce transactions from Google Analytics into AdWords Conversion Tracking, the following conditions must apply:
- Your Analytics and AdWords accounts are linked.
- You've opted into data sharing in your Analytics account.
- You've enabled auto-tagging in your AdWords account.
- On a per-type basis, your Analytics goal or transaction has received active traffic from an AdWords ad at some point.
In addition to importing Analytics goals and transactions into AdWords Conversion Tracking, you can also view Analytics metrics—like Bounce Rate, Avg. Session Duration, and Pages/Session—on your AdWords Campaigns and Ad groups tabs. To learn how, read See Google Analytics data within your AdWords account.
To import your goals:
- In your AdWords account, open the Conversions page. There is a message alerting you that you can link your goals and transactions. Note that it may take up to two days for AdWords to import your Analytics data.
- In the Conversion Tracking table, click Import from Google Analytics.
- From the list, select the goals or transactions you want to import.
- At the bottom of the table, click Import.
AdWords Conversion Tracking starts importing the data from your Analytics account starting from the day you clicked Import. Historical data from before this date is not added to conversion tracking. Your goals appear alongside your conversion data in your Conversions page and AdWords reports within two days.
When you import a goal from Analytics into AdWords Conversion Tracking, it will have the same name as it does in Analytics, followed by its view name in parentheses. For example, an Analytics goal named "Sign Ups" located in a view called "Master View" will be named "Sign Ups (Master View)" in AdWords Conversion Tracking. If you want to change the name of an imported goal, you'll need to make the edit in Analytics. The change will later be reflected in your AdWords account.
Imported Analytics goals have a 30-day lookback window, meaning that only those conversions that happen within 30 days after a click are imported into AdWords. Imported Analytics goals also use the Analytics last non-direct click attribution model, so only conversions where AdWords was the last-clicked source are imported into AdWords.
To learn more about how AdWords Conversion Tracking works with Analytics once the two are linked, read Conversion Tracking and Google Analytics.
You can also learn more about why you may see some discrepancies in the conversion statistics between AdWords Conversion Tracking and Google Analytics.
If you're using Conversion Optimizer to manage your bids, it will automatically start using Analytics goals and Ecommerce transactions once you've clicked Import.


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zenkarma wrote:catmoon wrote:Rounding a corner you immediately notice there is a flaming pit in the middle of the road. Having accumulated a certain amount of experience with flaming pits by now, you give it a wide berth and continue unharmed. This is Enlightenment.
Are you certain of this? Maybe enlightenment is realizing that you and the flaming pit are fundamentally not different. In which case the problem never arises.


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Mikuni Coca-Cola Bottling Co. Ltd. - Company Capsule
Report description
Canadean's "Mikuni Coca-Cola Bottling Co. Ltd. - Company Capsule" contains in depth information and data about the company and its operations. The profile contains a company overview, key facts, major products and services, competitive benchmarking, financial ratios, financial analysis, mergers & acquisitions, recent developments, key employees, company locations and subsidiaries.
This report is a crucial resource for industry executives and anyone looking to access key information about "Mikuni Coca-Cola Bottling Co. Ltd."
The report utilizes a wide range of primary and secondary sources, which are analyzed and presented in a consistent and easily accessible format. Canadean strictly follows a standardized research methodology to ensure high levels of data quality and these characteristics guarantee a unique report.
• Identifies crucial company information about "Mikuni Coca-Cola Bottling Co. Ltd." along with major products and services for business intelligence requirements.
• Provides key ratios on company's financial performance.
• Identifies key employees to assist with key business decisions.
• Provides annual and interim financial ratios.
Reasons To Buy
• Enhance your understanding of "Mikuni Coca-Cola Bottling Co. Ltd."
• Increase business/sales activities by understanding customers' businesses better.
• Recognize potential partnerships and suppliers.
• Qualify prospective partners, affiliates or suppliers.
• Acquire up-to-date company information and an understanding of the company's financial health.
Key Highlights
Mikuni Coca-Cola Bottling Co., Ltd. (Mikuni) is a soft drinks manufacturer and distributor based in Japan. The company manufactures Cola drink, fruit drinks, coffee, sports drinks, Oolong teas and other alcoholic beverages. It offers soft drinks including Japanese canned coffee under GEORGIA brand name. The company also produces and sells carbonated drinks and imports wine. Mikuni roasts, processes and sells coffee. It is also involved in logistics business, and leasing and maintenance of vending machines. It operates through six subsidiaries and two associated companies. The company was established in the year 1963. Mikuni is headquartered in Okegawa-shi, Saitama, Japan.
Table of contents
1 Business Analysis
1.1 Company Overview
1.2 Major Products and Services
2 Analysis of Key Performance Indicators
2.1 Five Year Snapshot: Overview of Financial and Operational Performance Indicators
2.2 Key Financial Performance Indicators
2.2.1 Revenue and Operating Profit
2.2.2 Asset and Liabilities
2.2.3 Operational Efficiency
2.2.4 Solvency
2.2.5 Valuation
2.3 Competitive Benchmarking
2.3.1 Market Capitalization
2.3.2 Efficiency
2.3.3 Valuation
2.3.4 Turnover – Inventory and Asset
2.3.5 Liquidity
3 Mergers & Acquisitions and Partnerships
3.1 M&A and Partnerships Strategy
4 Recent Developments
5 Key Employees
6 Locations and Subsidiaries
6.1 Head Office
6.2 Other Locations and Subsidiaries
7 Appendix
7.1 Methodology
7.2 Ratio Definitions
7.3 Disclaimer
List of Tables
Table 1: Major Products and Services
Table 2: Key Ratios - Annual
Table 3: Key Ratios - Interim
Table 4: Key Capital Market Indicators
Table 5: Key Employees
Table 6: Subsidiaries
List of Figures
Figure 1: Revenue and Operating Profit
Figure 2: Financial Position
Figure 3: Operational Efficiency
Figure 4: Solvency
Figure 5: Valuation
Figure 6: Market Capitalization
Figure 7: Efficiency
Figure 8: Valuation
Figure 9: Turnover – Inventory and Asset
Figure 10: Liquidity
Related research categories
By company: Coca-Cola Bottling Co. Consolidated
The just-drinks office is currently: Closed
Office opening hours
Mon-Thursdays 9:00am-5:30pm
Fridays 9:00am-4:30pm
The office is closed during weekends.
Current time at just-drinks headquarters: 8:22am (Thursday, 24 April 2014)


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Perris Citrus Hill 66, Riverside Norte Vista 24—The third-seeded Hawks won their second consecutive championship with a dominant offensive performance that included 528 yards of offense and touchdowns on their first nine possessions. Brett Hollingsworth completed 15 of 19 passes for 236 yards and three touchdowns, and also ran for a touchdown, and P.J. Walker rushed for 174 yards and three scores. Norte Vista's Victor Gonzales had seven receptions for 250 yards, including touchdowns of 86, 31 and 66 yards.
Inland Division
Corona Centennial 26, Vista Murrieta 12—Tre Watson carried 48 times for 304 yards and touchdowns of 5 and 8 yards for second-seeded Centennial (12-2), which beat the top-seeded Broncos for the second year in a row. Robert Webber passed for 203 yards and TDs of 20 and 85 yards. Despite giving up 56 points last week in a record-setting 86-56 victory over Upland, the Centennial defense held Vista Murrieta's potent offense to 247 yards—two field goals and a double pass for a touchdown.
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Northern Division
Newhall Hart 28, Valencia 21—Brady White passed for 318 yards and three touchdowns, including a 53-yarder to Wes Fitzpatrick with 5:42 remaining, s the Indians (12-2 upset second-seeded Valencia (11-3). Hart won the game despite committing seven turnovers. The victory avenged a 24-19 loss to Valencia during Foothill League play.
Southern Division
Corona del Mar 42, Garden Grove 12—Second-string running back Anthony Battista, a sophomore, carried 11 times for 163 yards and two touchdowns to lead the top-seeded Sea Kings (14-0) to their 24th consecutive victory and third consecutive championship. Luke Napolitano passed for one touchdown and ran for two as his team beat second-seeded Garden Grove (13-1) for the second year in a row.
Western Division
West Hills Chaminade 38, Gardena Serra 35—After losing to Serra in Mission League play, 36-0, Ben Kreitenberg kicked a 27-yard field goal as time expired to give second-seeded Chaminade (12-2) an upset of top-seeded Serra (13-1). Donovan Lee rushed for 125 yards and four touchdowns for the Eagles, and Brad Kaaya passed for 298 yards and a score. Serra, which beat Chaminade in last year's final, 30-28, was trying to win its fourth title in five years; with a victory, it was a lock to participate in the State Bowl Regional and, along with Bellflower St. John Bosco was a favorite to be selected for the Open Division. Serra was boosted by a 94-yard punt return and 95-yard kickoff return by Adoree Jackson. Chaminade coach Ed Croson has now won section titles in the Southern and L.A. City sections.
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East Valley Division
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Northeast Division
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Northwest Division
No. 4 El Segundo (10-3) at No. 2 Ojai Nordhoff (12-1), 7 p.m., Prep Zone
Pac-5 Division
No. 1 Bellflower St. John Bosco (13-0) vs. Mater Dei (11-2) at Angel Stadium, 8 p.m., Prime Ticket
Southeast Division
No. 1 Norwalk (13-0) vs. Whittier La Serna at Cal State Fullerton, 7 p.m., Prep Zone
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proud but exhausted working mammy to two high needs babies
- my surprise baby: the one and only D-Man born 3 weeks late (5/5/08) at 9 lbs 14 oz and 21.5 inches, and
- the shock H-Girl born about a week late (10/7/09) at 8lbs 15oz and 20.75 inches.
If I am here I am covered in baby (probably two) and fighting for control of the keyboard.
Family beds are awesome
Wondering if you have PPD? Take the screening and see your doctor. You deserve to feel better.
here DONA
oh, and getting an epi is your choice, it does have both good and bad things about it. that being said, i have had 3 of them.
Married to my Sugar Daddy
Mom to Matt (5/14/97)
James (11/8/06)
Kelly Anne (3/14/08)
Paul (3/11/10)
I forgot a really great site.
GREAT videos and tips on latching
As far as birthing alone. Please do look into a doula (and just in case you've never heard that...a Doula is a birth professional who cames and supports you during your entire labor). Labor and birth can be stressful in parts and it could be a really nice thing to have another woman there who is with you and stays by your side to support you. A lot of OBGYN's can refer you to a Doula or even ask WIC. I have heard of some birth coaches being WIC counselors too. But I'm also sure that if you are in fact alone that the nurses in Labor and delivery will take extra special care of you
If you are in the U.S., 2 other programs you can look into are Early Head Start and Help Me Grow (they should be in the phone book). Both support pregnant mamas and children birth to three. They can help with a lot of your needs as a young new mama!
Good luck! And I completely agree with the previous posts in that I am AMAZED at your preparedness to be a mommy. You are a very wise young woman and I am so happy you have found these forums! Please keep coming back. I know that we would all love to support you and little Brandon in your next big journey.
I'm Colleen
Mama to
Silas born May 2009 ~ Nursed 18 mos, weaned during pregnancy, unweaned at 24 months, still nursing when he feels like it
Lola born March 2011 ~ The Mary Lou Retton of toddler nursing
Married to Brandon
Using cloth on both bums
We hibernate together
Here is another site with info on epidural risks. One big problem with all interventions, no matter how minor or positive they seem, is that they often necessitate further interventions, which in turn create a need for more interventions. This "cascade of intervention" is how many women are pushed from a birth that's going just fine to an emergency situation.
This is not to say "don't get an epidural" if you feel you need one. It's to suggest that the best tool you can have when it comes to birth is education- if you're an informed consumer and you know the risks of various interventions ahead of time, you won't regret your decisions later on.
If you can get a pump, do. Pumps can come in very handy- like if you run into a situation where need to be apart from your baby for a while, or a situation in which your baby won't nurse.I switched to doing all my classes online so I can stay with the baby, so I don't think I'll need a pump.
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"
Hi, I'm Allison
Mama to Henry Carl 12/28/06
7lbs, 15 oz, 20.5 in
Breastfed for 20 months!
Mama to Ryan Thomas 11/20/08
8lbs, 7 oz, 21 in
Breastfed for 30 months!
Mama to angel 4/03, Mama to angel 12/05
Feb TBTTW 33.1/70
What I meant about the birthing classes is that some of them teach really nothing at all about the labor process or ways to handle childbirth without meds. The local hospital here (with a 50% section rate) has a class that pretty much teaches about meds you can have during labor and NOTHING about how to manage without meds. It's frustrating because I know several women who later said they would have liked to have tried without, but the hospital pushed the meds so much they gave in and didn't realize they had a choice....and they had never prepared since they took this stupid class. A couple of them ended up with c-sections from all the interventions
Same class also teaches silly nonsense about breastfeeding.
If you want one, it's an option. But look at both sides to the issue. I recently posted two links on epidurals and their risks -- most of which the medical community will never tell you about --- in the pregnancy options forum
Get a doula.
Mama to my all-natural boys: Ian, 9-4-04, 11.5 lbs; Colton, 11-7-06, 9 lbs, in the water; Logan, 12-8-08, 9 lbs; Gavin, 1-18-11, 9 lbs; and an angel 1-15-06
18+ months and for Gavin, born with an incomplete cleft lip and incomplete posterior cleft palate
Sealed for time and eternity, 7-7-93
Always babywearing, cosleeping and cloth diapering. Living with oppositional defiant disorder and ADHD. Ask me about cloth diapering and sewing your own diapers!
1. I think it's because sadly, that's the way most mothers end up going.
2. They only try to talk you into using formula if you're having huge breastfeeding issues and your little one is losing weight. At the hospital where I had my daughters, the postpartum nurses were all VERY supportive of my decision to breastfeed with the exception of one who offered a pacifier to me when she was two days old because "it's easier to get rid of the pacifier than it is to get rid of the thumb."
3. It's likely that you'll make PLENTY of milk, but new mothers (including myself) tend to be worriers and one of the easiest things for a new mom to focus on and worry about is her milk production. That can lead to a self-fulfilling prophecy; just relax and let your baby help your body work its magic. =)
4. I think older mothers tend to research everything to death and are more knowledgeable about the true benefits of breastfeeding than younger mothers, but that's just my assumption and is not based upon any scientific method whatsoever.
5. Just make sure you're eating a balanced diet with roughly 600 extra calories per day and plenty of water and you're golden, although I would suggest cutting out caffeine (and alcohol).
6. Breastfed babies often eat more often because breastmilk is so easily digestible. I don't know how you feel about cosleeping, but it's wonderful for breastfed babies and their moms because mom can literally fall asleep while the little one is still nursing.
7. I suggest you have nipple cream such as Lansinoh nipple cream on hand; other than that, if you're not going back to work, the only items you need are your breasts. If you ARE going back to work then you need to examine pumps, breastmilk storage kits, and bottles that are as close to Mama's breasts as possible.
8. Some babies are allergic to some of the foods their mothers eat, but not the milk itself.
9. My doc instructed me to continue taking my prenatal vitamins as long as I breastfed; as long as I take those and eat a balanced diet I don't have to supplement anything for my youngin.
10. I don't believe feeding on demand causes metabolism issues later; I believe quite the opposite - but that's my opinion and I have no facts to show you to back it up.
11. Breastfeeding will not damage mom's body as long as she takes care of herself. Quite the opposite - breastfeeding helps heal you faster and - I don't know about other moms - but I haven't had a sniffle since I've been breastfeeding.
Wife to DH February 17, 2004.
First time mom to my precious baby girl, welcomed to this world August 3, 2009!
Birth: 6 lbs. 6 oz. and 18.5"
6 months: 14 lbs. 14.5 oz. and 26"
1 year: 20 lbs. and 30"
Woohoo! We made it one year!
Learn more about us at my blog.
I'm Shannon!
Single, babywearing, barefoot in the grass mama to 3 wonderful babies!
Abby 11-25-03
Terry 9-29-06
Kate 6-12-08
and my Jack 11-17-02, gone to God at 11 weeks
"While we try to teach our children all about life, our children teach us what life is all about."
"I am going to be happy today, though the skies may be cloudy or gray. No matter what comes my way, I am going to be happy today."
Hi, I'm Cyndie. Married my , Tony.
Lydia--15 mo and still nursing
Brenden--6.5 yo bf for 6 months
Preston (SS)--13.5 yo
Brittany--12.5 yo bf for 6 weeks
"You are not a pacifier; you are a Mom. You are the sun, the moon, the earth, you are liquid love, you are warmth, you are security, you are comfort in the very deepest aspect of the meaning of comfort.... but you are not a pacifier!" -- Paula Yount


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This page documents the ATTACK_DETECTION_SPECIALS configuration setting in FormMail.
Type Of Setting
ATTACK_DETECTION_SPECIALS is a LEAVE setting, which means...
LEAVE : you can change this setting if you really need to and know what you're doing, but we recommend that you leave this setting unchanged.
Enables the "email address in a special field attack" detection.
Set ATTACK_DETECTION_SPECIALS to false if you don't want FormMail's attack detection to check for the "email address in a special field" attack.
This attack detection logic checks certain special fields for the presence of an email address. The special fields that are checked would never have an email address in them, so the presence of an email address indicates an attack on your FormMail.
The special fields that are checked are:
- derive_fields
- required
- mail_options
- good_url
- bad_url
- good_template
- bad_template
- subject (from FormMail version 8.00)
The list of fields checked is specified in the settings ATTACK_DETECTION_SPECIALS_ONLY_EMAIL and ATTACK_DETECTION_SPECIALS_ANY_EMAIL.
ATTACK_DETECTION_SPECIALS_ONLY_EMAIL lists the fields to check for containing only an email address. This means the whole field must comprise just an email address in order to be detected as an attack.
ATTACK_DETECTION_SPECIALS_ANY_EMAIL lists the fields to check for containing an email address anywhere in the field. This means if any part of the field contains an email address, it's detected as an attack.
If your "subject" field can validly contain an email address, you will need to remove "subject" from the list of fields specified in ATTACK_DETECTION_SPECIALS_ANY_EMAIL.
The special fields "derive_fields" and "mail_options" can validly contain an email address within them, however, they are listed in ATTACK_DETECTION_SPECIALS_ONLY_EMAIL so the logic only looks at the whole field value not just a part of it. It is never valid for these fields to contain only an email address.
It's also possible that you might use an email address as a parameter to your "good_url", "good_template", "bad_url", or "bad_template" fields, so they are also listed in ATTACK_DETECTION_SPECIALS_ONLY_EMAIL instead of ATTACK_DETECTION_SPECIALS_ANY_EMAIL.
Note that Tectite FormMail has always been invulnerable to this type of attack - your server is safe with Tectite FormMail.
The purpose of the ATTACK_DETECTION_SPECIALS setting is to allow you to ignore these attacks (no errors or alerts will be sent to you) and to send the user/attacker to an explanatory page.
Default Value
$ATTACK_DETECTION_SPECIALS_ONLY_EMAIL = array("derive_fields","required",
$ATTACK_DETECTION_SPECIALS_ANY_EMAIL = array("subject");
$ATTACK_DETECTION_SPECIALS_ONLY_EMAIL = array("derive_fields","required",
$ATTACK_DETECTION_SPECIALS_ANY_EMAIL = array();


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You must earn 10,000 points to post other members' whiteboard
Real nice avatar
Congratulations on posting for 600 consecutive
days, that's real commitment. May 2014 bring you and yours peace and joy. .Lets be buddies. Thanks. Shep
Congratulations on having the perseverance to post for 600 consecutive days! WoW! Good luck on reaching your next milestone!! Want to become buddies in 2014?? Warren :)
Congratulations on having the dedication to post for 500 consecutive days. MERRY CHRISTMAS!! Care to become buddies? Warren 8-)
Congratulations on posting for 400 perfect consecutive days. Lets be buddies also. thanks. Shep
Welcome back to Colorado. It appears you have been consecutive from day 1. That is a rare feat, and I've only seen three Gasbuddies that have done it. Thank you for being a Gasbuddiy, and Congrats on your 356 consecutive day, so far. Safe travels.
Jonathan's Shop & Save don't have gas.
Congratulations on having the stamina to post for 300 consecutive days. Keep up the Great Work. Want to become buddies?? Warren {:-)
Hi, BIG congratulations on having the dedication to post for 200 consecutive days. WOW!! Keep up the great work and Good Luck in the future! Want to become buddies??? Warren :-)
Welcome to Colorado! Here's hoping your stay is pleasant and as eventful as you had hoped for. The weather and road conditions are continually changing. If you are traveling to the high country or any other part of Colorado, then please visit: http://www.cotrip.org for the latest road conditions and webcams. It's the "Bomb", and you'll find it useful while here. Safe and warm travels, and best to you in 2012 and beyond.


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- View All
- Hospitals & Centers
- Community Locations
Penn Orthopaedics offers services at a number of locations throughout Philadelphia, its suburbs, and southern New Jersey.
Hospitals & Centers
Community Locations
* A facility of the Hospital of the University of Pennsylvania
Learn more about community locations
Need an appointment? Request one online 24 hours/day, 7 days/week or call 800-789-PENN (7366) to speak to a referral counselor.