text:
San Diego Regional Asthma Coalition ASTHMA REPORT CARD 2004 The San Diego Regional Asthma Coalition is a collaborative of diverse agencies and individuals committed to providing leadership in identifying, developing, mobilizing and coordinating resources to prevent asthma and positively impact the lives of people affected by asthma. For more information contact Coalition Coordinator Joni T. Low at 619-297-3901 or via email at email@example.com. TABLE OF CONTENTS Executive Summary ………………………………………………………...…………… 2 Introduction to Asthma …………………………………………………………………. 3 Demographic Characteristics of the San Diego Region …………………………. 4 Asthma Indicators Asthma Prevalence …………………………………………………………….. 6 Mortality & Morbidity …………………………………………………………… 7 Health Care Utilization Hospitalization …………………………………………...……………… 8 Emergency Department & Urgent Care Visits ……………………. 10 911 Asthma-Related Calls ……………………………………………. 10 Air Quality & Environmental Triggers Particulate Matter ………………………………………………………………. 11 Toxic Air Pollution ………………………………………………...……………… 12 Indoor Air Quality ……………………………………………………………….. 12 Economic & Social Costs of Asthma Direct & Indirect Medical Expenditures …………………………………….. 13 Asthma in School ……………………………………………………………….. 13 Summary & Recommendations ………………………………………………………. 14 What You Can Do ………………………………………………………………………... 15 Acknowledgements …………………………………………………………………….. 16 References & Resources ……………………………………………………………….. 17 The San Diego Regional Asthma Coalition The San Diego Regional Asthma Coalition is a collaborative of diverse agencies and individuals. Staffed by the American Lung Association, the Coalition is comprised of over 50 participating agencies, including the County of San Diego Health and Human Services Agency, health care providers, health plans, hospitals, community clinics, school districts, researchers/educators, community collaboratives, community based organizations, social service organizations, environmental advocates, local businesses, and asthma patients. The Coalition's mission is to provide leadership in identifying, developing, mobilizing and coordinating resources to prevent asthma and positively impact the lives of people affected by asthma. Funding for the Coalition and development of this Report Card was provided by The California Endowment. San Diego County Supervisor Ron Roberts and the San Diego Childhood Asthma Initiative provided funding for printing costs. For more information on SDRAC activities contact Coalition Coordinator Joni T. Low at 619-297-3901or email@example.com. San Diego Regional Asthma Report Card 2004 1 EXECUTIVE SUMMARY The San Diego County Asthma Report Card The San Diego Regional Asthma Coalition (SDRAC) is pleased to present the first annual San Diego County Asthma Report Card. Its primary purpose is to summarize and document key data on asthma and asthma-related issues. By compiling data from several sources, we have gained a better understanding of asthma in San Diego County and the areas and populations most in need of asthma-related services. Currently there is no comprehensive asthma surveillance system in place, making it difficult to accurately track and measure the social, human, and economic impact of asthma. Nonetheless, the data presented in this Report Card provides useful information regarding trends and disparities in the San Diego Region. Major Findings and Recommendations 1. In order to efficiently and effectively target asthma treatment and prevention in the county, better surveillance of asthma symptoms and health care usage is needed. Specifically, data from schools and emergency departments is needed to better target the areas that are most in need of asthma treatment and prevention services. 2. The burden of asthma in San Diego County falls most heavily on those least able to cope with it effectively: children, the poor, and minority groups. Asthma treatment and prevention efforts for these groups need to be sustained and expanded. Broad-based support for better treatment from government, the insurance industry, and healthcare organizations is necessary to prevent future increases in human suffering and healthcare costs due to asthma. 3. Current efforts to control asthma are showing success. They should be continued and intensified to minimize the effects of asthma on all people in San Diego County. Overall hospitalization rates, deaths due to asthma, and 911 calls for asthma have declined gradually over the past several years. Air quality in San Diego County has also improved steadily over the same time. However, these gains have not been shared equally by all areas and populations in San Diego County. Areas where disparities exist need to be targeted and reduced. This report highlights the areas where better, more systematic data collection and asthma surveillance would allow services to be delivered more efficiently. Data are presented at both the county and sub-region level with particular attention given to the sub-regions with the greatest needs. Finally, racial/ethnic and geographic health disparities in prevalence, access to care, and control of asthma are presented when data are available. We hope this reference will be a useful resource for all San Diego communities and organizations that are involved in helping people with asthma to live healthy, active lives. 2 San Diego Regional Asthma Report Card 2004 INTRODUCTION What is Asthma? Asthma is a chronic inflammatory lung disease. Common symptoms include recurrent wheezing and coughing, difficulty breathing, and tightness of the chest. These symptoms result from an intense immune response in the lungs to allergens or irritants in the environment. Pet dander, dust mites, pollen, mold, tobacco smoke and chemical fumes are capable of triggering asthma symptoms and attacks. In addition to these environmental triggers, respiratory infections, exercise, and changes in weather can also produce asthma symptoms. While asthma episodes can range from mild to life-threatening, most can be prevented with appropriate clinical management and a healthy physical environment. Why is Asthma Important? During the past several decades, asthma prevalence has been rising. Asthma is currently one of the leading chronic health conditions in the United States. While there is no known cure for asthma, respiratory health can be dramatically improved and costs can be reduced through better prevention, detection, treatment and educational efforts. Healthy People 20101 challenges individuals, communities, and professionals to take specific steps to ensure long, healthy lives and to eliminate health disparities among specific segments of the population. Specific asthma-related objectives include: Asthma is the leading cause of serious chronic illness and • Reduce asthma deaths hospitalizations among children • Reduce asthma hospitalizations in San Diego County.. • Reduce asthma-related hospital emergency visits • Reduce activity limitations among persons with asthma • Reduce the number of school or work days missed by persons with asthma due to asthma • Increase the proportion of persons with asthma who receive formal patient education, including information about community and self-help resources, as an essential part of their condition • Increase the proportion of persons with asthma who receive appropriate asthma care according to the National Asthma Education and Prevention Program (NAEPP) Guidelines • Establish in at least 15 states a surveillance system for tracking asthma death, illness, disability, impact of occupational and environmental factors on asthma, access to medical care, and asthma management 1 A program of the Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services http://www.healthypeople.gov San Diego Regional Asthma Report Card 2004 3 Who is at Risk? • Children: Asthma is the most common chronic childhood disease, affecting 4.8 million children nationwide. Nearly 1 in 13 school-aged children have asthma, and the number of children with asthma is rising more rapidly in preschool-aged children than in any other age group. Asthma accounts for one-third of all pediatric emergency room visits, is the fourth most common cause for physician office visits, and is one of the leading causes of school absenteeism, accounting for over 10 million missed school days per year.2 • Low-Income & Rural Populations: The burden of asthma weighs heavily on low-income and minority "Persons with low incomes or populations. Asthma tends to be prevalent in low- who live in rural areas … are income neighborhoods and rural areas with poor more likely to experience housing conditions. Lack of health insurance, frequent asthma symptoms." inadequate primary care, language barriers and inability to access services further contribute to CHIS Policy Brief, UCLA, May 2002 avoidable hospitalization and asthma deaths. DEMOGRAPHIC CHARACTERISTICS OF SAN DIEGO San Diego County is the third most populous county in California with an estimated 2.8 million people. According to Census 2000, 55% of the County's population was White, 27% Hispanic, 9% Asian, 5% Black, 3% Mixed and 1% Native American. As illustrated in the density map, the population is concentrated in the San Diego metropolitan area and communities along the coast (west of I-15). 2 Environmental Protection Agency, 2003 - http://www.epa.gov/asthma/introduction.htm 4 San Diego Regional Asthma Report Card 2004 Socioeconomic factors play an important role in mediating the effects of asthma because of their influence on access to care and disease education. Housing stock and availability impacts the community burden of asthma because older houses tend to harbor allergen-producing pests and mold that can exacerbate asthma symptoms. Renters also tend to have less control over asthma triggers in their living environment than do homeowners. High numbers of vehicles and long commute times are detrimental for asthmatics because of increased pollution exposure. Socio-Economic Characteristics3 • During the last several years, the County's unemployment rate has decreased steadily from 6.4% in 1995 to 3.0% in 2000. • The County's median household income in 2000 was $47,067 and was slightly lower ($45,733) for the City of San Diego. • The percentage of children and youth living in poverty has also decreased from 22.7% in 1995 to 16.5% in 1999 Housing Stock3 • In 2000, approximately 97% of San Diego County's housing stock was occupied with an average of 2.73 persons per household. • Approximately 55% of the housing stock was owner occupied. • The residential density (housing units per residential acre) was 4.6. • 64% of the County's housing stock was built prior to 1979 Transportation4 • 39% of the County's households have 2 vehicles and 18% of households have 3 or more. • In 2000, the average commute time in the County was 27 minutes, close to the national average of approximately 26 minutes Rates of Medical Insurance Health insurance can be an important predictor of access to Figure No. 1: Estimated Percent of Children & Youth with Health Insurance by San Diego County Region (2000) medical care. In 2000, the United Way of San Diego estimated that 100% 89% of the County's households 95% 95% 92% had insured children (Outcomes & 88% 90% 87% Community Impact Program, 2000). 85% 84% 85% Hispanics had the lowest rate of health insurance (76%), followed by 80% White (93%), Asian/Other (93%) and 75% Black (96%). ta l d ra l ra l st h as lan nt nt Ea ut • Figure 1 illustrates estimated Co In Ce Ce So rth rth rth rates of children and youth with No No No insurance by San Diego region. Source: United Way of San Diego County, Outcomes & Community Impact Program, 2000 The South and Central regions Includes insurance provided by employer, purchased privately, Medi-Cal, Medicare or of San Diego County had the Champus lowest rates of health insurance. 3 SANDAG Data Warehouse www.sandag.org, (Census 2000) 4 SANDAG Data Warehouse www.sandag.org and U.S. Census Bureau (www.census.gov) San Diego Regional Asthma Report Card 2004 5 ASTHMA INDICATORS PREVALENCE Asthma disproportionately affects San Diego's Figure No. 2: Asthma Symptom Prevalence in Southern California (2001) California Health Interview Survey (CHIS) children and young adults. According to the California 12.0% 11.2% Health Interview Survey, 9.8% 9.7% 9.6% 10.0% 8.9% 8.9% 8.5% 8.8% 14.7% of San Diego County 8.0% 8.3% 8.3% 8.0% 7.4% 8.0% 7.7% 7.8% children (ages 1-17) have been diagnosed with 6.0% asthma, compared to a 4.0% 10.8% rate among adults.5 2.0% With the exception of Imperial County, San Diego 0.0% children suffer the highest o id e g e ria l de eg rs an pe i prevalence rates in Di Or ew Children (0-17) n ive Im at Sa R St Southern California and are Adults (18+) Source: 2001 California Health Interview Survey www.chis.ucla.edu higher than the state All Ages average of 13.6%. As part of the United Way of San Diego's Outcomes and Community Impact Survey, 3,600 randomly selected households are surveyed annually to measure resident's perceptions of need and services. In 2002, 10.7% of the respondents reported being diagnosed with asthma by a health care professional. Of those, 26% said they were unable to perform normal daily activities at least one day in the past 12 months as the result of asthma. Figure No. 3: Life-time Asthma Prevalence by Race/Ethnicity in 2001 - California Race/Ethnic Health Interview Survey (CHIS) Disparities 30.0% The burden of asthma is 25.5% 22.3% particularly heavy 25.0% 21.1% 20.8% 20.8% among low-income 20.0% 14.3% 16.2% 15.6% 15.0% populations, minorities, 15.0% 13.1% and children living in 11.7% 9.7% 9.2% 10.0% 7.0% urban area cities. 5.0% Statewide, the racial/ 0.0% ethnic groups that are I r proportionately most te o ian n AN OP he hi tin ica AI W La As er NH Ot affected include Am Children (0-17) American Indian/ an ric Alaskan Natives, Native Af Adults (18+) Hawaiian and Pacific Note: AIAN is abbreviation for American Indian and Alaskan Native; NHOPI is abbreviated for Native Hawaiian and Other Islanders, and African Pacific Islander. Source: 2001 California Health Interview Survey Americans. 5 These figures represent the "point estimate" in a 90% confidence interval, which is a range that provides a more reliable prevalence estimate of persons in the population who fit that category (www.chis.ucla.edu). 6 San Diego Regional Asthma Report Card 2004 ASTHMA INDICATORS MORBIDITY AND MORTALITY During the last two decades asthma morbidity and mortality rates have been rising throughout the U.S., particularly in low-income urban and rural areas. In San Diego County, asthma-related deaths have been steadily declining. According to the California Figure No. 4: Asthma-Related Mortality Rates (per 100,000) Department of Health in San Diego County (1996-2001) Services 120 people died 2.5 from asthma-related causes in San Diego County Mortality Rate per 100,000 2 2.3 2.1 between 1999 and 2001. 1.5 1.8 1.5 1.5 • The overall death rate 1 1.3 between 1999 and 2001was 2.1 deaths per 0.5 100,000∗. 0 Though asthma affects more 96 97 98 99 00 01 males than females, the 19 19 19 19 20 20 mortality rate for females (1.8 Source: California Death Statistical Masterfiles, 1996-2001 per 100,000) was nearly 40% higher than for males (1.1 per 100,000)∗. Race/Ethnic and Geographic Figure No. 5: Asthma-Related Mortality Rates per 100,000 Disparities (Age-adjusted) by Race/Ethnicity in San Diego County (1999-2001) While overall asthma mortality 6 rates have been declining, 5.5 Asian/Other and African 5 Americans have experienced substantially higher rates than 4 Whites and Hispanics. 3.3 3 The highest asthma-related 2 mortality rates (between 1999- 1.4 2001) were in the Central region 1 0.8 of San Diego (3.4), followed by the South Bay region (2.1), East 0 County and North Coastal (both n he r te ni c 1.3), and with North Inland and ica Ot hi a er / W sp North Central experiencing the -A m ia n Hi an As lowest rates with 1.1 and 1.0 ric Af Source: California Death Statistical Masterfiles, 1999-2001 deaths per 100,000∗. ∗ Rate(s) adjusted for age. San Diego Regional Asthma Report Card 2004 7 ASTHMA INDICATORS HEALTHCARE USAGE Hospitalization Rates Despite increases in asthma prevalence, Figure 6: Asthma-Related Hospitalization Rates asthma hospitalization (per 100,000) in San Diego County (1997-2002) 100 rates have been 90 declining in California 80 94.4 85.5 86.9 since 1983 (Von Rate per 100,000 70 83.4 79.2 78.4 Behren, et al 1999). 60 50 The hospital discharge 40 rates (per 100,000) are 30 illustrated in figure 6 20 10 for patients whose 0 primary discharge 97 9 8 99 00 0 1 02 diagnosis was asthma. 19 19 19 20 20 20 During the last several Source: California Office of Statewide Planning & Development, Hospital Discharge Data, years, asthma-related 1997-2002 hospitalizations in San Diego County have continued to decline. Race/Ethnic Disparities As illustrated in figure 7, the asthma-related hospitalization rates in San Diego County continue to be substantially higher for African Americans. More current data is not available at this time. • In 2000, African Figure 7: Asthma-Related Hospitalization Discharge Rates by Americans had a Race/Ethnicity in San Diego County, 1997-2000 hospitalization rate 350 of 210.8 per 100,000∗ compared to the 300 overall County rate 1997 1998 of 83.4. Discharge Rate per 100,000 250 • Asian/Other also 1999 2000 200 have consistently higher rates of 150 hospitalization, while 100 Whites and Hispanics typically fall below 50 the total County 0 rate. n er hi te ic ic a th an er n/O W sp Am ia Hi a n- As ric Af Source: California Office of Statewide Planning & Development, Hospital Discharge Data, 1997-2000 ∗ Rate(s) adjusted for age 8 San Diego Regional Asthma Report Card 2004 Geographic Disparities There is also substantial variance from one region of San Diego to another. The Central Region has consistently recorded the highest rates in the County. • In 2002, Central San Diego had an Figure 8: Asthma-Related Hospitalizations Rates per 100,000 estimated asthma by County Region (1999-2002) 1999 hospitalization rate 2000 200 of 140.1 per 100,000 2001 Discharge Rate per 100,000 compared to the 150 2002 County rate of 78.4. • The Southern region 100 of San Diego followed with a rate 50 of 90.5. • The lowest rates 0 were found in the al tra l tra l ut h st d st Ea lan North County oa C en C en So . In C N. N. N Coastal (50.2) and Source: California Office of Statewide Planning & Development, Hospital Discharge North County Data, 1999-2002 Central (56.7) regions6. Age Disparities Young children are most susceptible to asthma because their lungs are small and still developing. • In 2002, the Figure 9: Asthma-Related Hospitalization Rates per 100,000 by Age (2002) hospitalization rate for children under five (281.6) was over twice 350 the rate of any other age group. 300 281.6 Discharge Rate per 100,000 250 In general, lung capacity decreases 200 with age for 139.9 everyone. For 150 103.9 people with asthma, 95.2 100 76.5 79.4 81.6 this decrease 56.8 contributes to an 50 24.8 31.4 increased risk of 0 hospitalization with age. Asthma may also develop later in 5 4 24 34 44 54 64 74 84 + 1 85 r - - - - - - - 5- de 15 25 35 45 55 65 75 life, though it usually Un Source: California Office of Statewide Planning & Development, Hospital Discharge Data appears in 2002 childhood. 6 Rates calculated using SANDAG January 1, 2002 population estimates. Prepared by Community Epidemiology. San Diego Regional Asthma Report Card 2004 9 Emergency Department & Urgent Care Visits (Children's Hospital) San Diego County does not currently have a comprehensive system for tracking emergency department and urgent care visits to area hospitals. However, data is available from Children's Hospital that provides useful indications of surrounding areas with higher healthcare usage. Geographic Disparities • Linda Vista (92111) and East Central (92102) both Figure 10: Asthma Related Emergency Department & Urgent Care Visits to Children's Hospital in San Diego experienced some of the (Rates per 100,000 - Fiscal Year 2000 to 2003) highest rates of emergency and 800 urgent care visits, followed by 700 FY2000-01 Visits per 100,000, Age 0-18 Logan Heights (92113) and City 600 FY2001-02 Heights (92105). 500 FY2002-03 • Encanto (92114) and South 400 Chula Vista (91911) both show 300 strong increasing trends over 200 the last three years. 100 • In most areas, emergency visits 0 were increasing or relatively 2) 111 ) 210 1 13) 1 05) 1 14) 9 50) 911 ) stable between 2000 and 2003. is t a (92 ra l (9 hts (92 hts (92 nto (92 it y (91 ista ( 91 aV ent e ig e ig ca al C V in d st C nH ty H En io n ula L Ea ga Ci Na t Ch Lo S. In addition to the data from Source: Children's Hospital, San Diego, 2000-2003 and SANDAG Children's Hospital, the 2002 United Way survey of 3,600 randomly selected households revealed that of the 10.7% who had been diagnosed with asthma, 18.1% reported going to the emergency room at least once in the previous 12 months. Asthma-Related 911 Calls In the fiscal year 2000-01, the total asthma-related 911calls in San Diego County declined from 40.06 per thousand (1998-99) to 31.34 per thousand.7 Figure 11 reveals the communities of San Diego County with the highest number of asthma-related 911 calls per 100,000. Geographic Disparities Figure 11: 911 Asthma-Related Calls for San Diego County Rate per 100,000 (1998-99 and 2000-01) • Central San Diego consistently experiences the 1998-99 150 highest asthma-related 911 114.4 2000-01 calls in the County, with Rate per 100,000 94.0 100 77.0 76.7 75.2 114.35 per 100,000 in 1998-99 54.0 57.8 48.7 37.1 37.0 40.1 31.3 and 93.98 per thousand in 50 2000-01. 0 • Mid-City, Southeast San Diego, Chula Vista and t y al res t o ista ota l -Ci ntr ieg Harbison-Crest experienced Mid Ce son -C an D u la V ty T rbi Ch un H a ea st S Co a decline in 911 asthma calls uth So in 2000-01, but continued to Source: County Emergency Medical Services Prehospital Database, 1998- have more calls than the 2001 county average. 7 The 911data is entered into the Pre-Hospital Database along with the chief complaint at the time the 911call is made. It is important to note that a diagnosis established by the emergency department or hospital may differ from the chief complaint at the time of the 911call. 10 San Diego Regional Asthma Report Card 2004 AIR QUALITY & ENVIRONMENTAL TRIGGERS Poor outdoor and indoor air quality can pose a serious health threat and is known to significantly increase the risk of asthma attacks. According to the Healthy People 2000 report8, each year in the United States: What is Particulate Matter? • The health costs of human exposure to outdoor air pollutants range from $40 to Particulate matter is found in both indoor and $50 billion. outdoor air. It includes very small particles and • An estimated 50,000 to 120,000 premature aerosols from combustion sources such as deaths are associated with exposure to air motor vehicles, industrial processes, tobacco pollutants. smoke, cooking, and wood burning activities. Particulate pollutants also include biological • People with asthma experience more than components such as pollen, mold spores, dust 100 million days of restricted activity, costs mites, cockroach allergens, soil particles and for asthma exceed $4 billion, and about fine fibers such as asbestos. 4,000 people die of asthma San Diego County has made important strides towards cleaner air and reached a major milestone in 2002 when it attained the federal one-hour clean air standard for ozone. Nonetheless, there are several areas where the County has not met more stringent air quality standards for the State of California. Particulate matter (PM10 and PM2.5) and ozone continue to be two areas of major concern. Particulate Matter Particulate Matter (PM10) is composed of small particles that stay suspended in the air and are small enough to be inhaled into the lungs. The State 24-hour standard for this air pollutant is 50 micrograms per cubic meter. San Diego County did not meet the State 24-hour standard for particulate matter (PM10). Based on data from the Figure 12: Highest 24-hr Readings for Particulate Matter (PM10) San Diego Air Pollution Control in 2001 and 2002 District's Annual Report, figure 12 2001 highlights the highest 24-hr 140 130 Micrograms/cubic meter (ug/m3) 2002 measurements in various areas of 120 107 San Diego (where air monitors are 100 84 85 74 located) during 2001 and 2002. 80 64 61 66 50 47 51 60 40 Particulate Matter 2.5 is composed 40 of smaller fine particles that can be 20 inhaled deeper into the lungs, 0 causing irritation. It contributes to sa sta on sa do w n heart disease as well as asthma and e Vi aj e di to ayM ula ElC n yM con wn other lung conditions. The State Ot Ch ar Es Do Ke Particulate Matter 2.5 standard Source: San Diego Air Pollution Control District, 2001 & 2002 Report (annual average) is 12 ug/m3. San Diego Air Pollution Control District indicates that San Diego exceeded this standard in 2002. For example, Chula Vista's annual average was 13.89 ug/m3, El Cajon – 15.34 ug/m3, Kearny Mesa – 12.85 ug/m3, Escondido 16.13 ug/m3 and Downtown 15.54 ug/m3. 8 http://www.cdc.gov/nceh/airpollution/airpollution.htm San Diego Regional Asthma Report Card 2004 11 Toxic Air Pollution Toxic air pollutants are poisonous substances in the air that come from natural or man-made sources such as motor vehicles, industrial processes (factories), and consumer products. There are thousands of chemicals in the air that can pose serious threats to health. Some of these substances are likely to contribute the risk of developing asthma. Many have also been shown to cause increased symptoms for those who already have asthma. For example, polycyclic aromatic hydrocarbons, produced by diesel exhaust, have been shown to provoke inflammatory responses in the lungs. Particulate matter from diesel-fueled engines is estimated to be responsible for more than 70% of the total ambient air toxic risks known today. Since 1990, the Air Pollution Control District of San Diego County has operated toxic sampling monitors in El Cajon and Chula Vista. According to sampling collected at these two sites, toxic air pollution has decreased by approximately 40% since 1990.9 However in 2001, 24,130,533 pounds of toxic air pollutants were emitted into San Diego's air from industrial, mobile, area and natural sources. Because there are so many different kinds of toxic air pollutants, the risks from these emissions are difficult to assess.10 This is an area where more research on specific compounds would be helpful to quantify the risks they pose for those suffering from asthma. Indoor Air Quality There are many sources of indoor air pollution in the home, school and workplace. Some of the most prevalent are combustion sources such as gas, kerosene and wood, tobacco products, building materials, mold spores from wet or damp carpet, household cleaning and maintenance supplies, dust from central heating and cooling systems, and pesticides. While there is little data available to measure the overall impact of indoor air quality, controlling and/or eliminating environmental triggers (both indoor and outdoor) can significantly reduce asthma attacks11. Common indoor environmental asthma triggers include: • Secondhand smoke • Mold • Pet dander • Dust mites • Cockroaches 9 "Air Quality in 2002", 2002 Annual Report, Air Pollution Control District, County of San Diego. 10 2001 Air Toxic "Hot Spots" Program Report for San Diego County, Air Pollution Control District, County of San Diego 11 http://www.epa.gov/asthma/triggers/index.html 12 San Diego Regional Asthma Report Card 2004 ECONOMIC & SOCIAL COSTS OF ASTHMA In addition to the human costs of morbidity and mortality, asthma also places a significant burden on the community in terms of financial costs and reduced productivity. While they can be difficult to track, estimates of these costs are important to obtain because of their ability to show the impact of asthma in terms of dollars and cents. They may also serve as warning signs that asthma morbidity and mortality are on the rise. DIRECT & INDIRECT MEDICAL EXPENDITURES In 2002 the total charges for asthma hospitalizations12 in San Diego County were nearly $28.5 million (not including Kaiser Permanente patients)13. Despite the declining asthma hospitalizations rates and length of stay in 2002, this represented a slight increase in costs over 2001. Direct Medical Costs in (San Diego County) due to Asthma 2001 2002 Total Number of Hospitalizations 2,418 2,416 Mean Charge per Stay $11,331 $11,790 Average Length of Stay 3.40 days 2.98 days Total Charges for Hospitalization (not including Kaiser patients) $27.4 mil $28.5 mil Types of payments varied considerably by region. The Central region had both the highest percentage of the regional total (33%) and the highest percentage of Medi-Cal payments (48%). Figure No. 13: Percent of Hospitalizations by Expected Payment Type and Region in 2002 80% 60% 40% 20% 0% North Coastal North Central Central South East North Inland Total Medicare Medi-Cal Private Insurance Indigent/Gov. Other Regional Percentage Source: California Office of Statewide Health Planning and Development 2002 Public Use Discharge Data File ASTHMA IN SCHOOLS Since data collection methods vary considerably between and within school districts, it is difficult to accurately assess the impact of asthma on school absenteeism in San Diego County. However, national figures indicate: • Asthma accounts for 14 million lost days of school annually in the United States. • Asthma is the third most common cause of hospitalization among children under age 15. • The estimated cost of treating asthma among children 18 years and younger is $3.2 billion per year.14 12 Where asthma was the principal diagnosis 13 California Office of Statewide Health Planning & Development (OSHPD) 2002 Public Use Discharge Data File and Community Epidemiology, San Diego County Health & Human Services Agency. 14 http://www.cdc.gov/nceh/airpollution/asthma/children.htm San Diego Regional Asthma Report Card 2004 13 SUMMARY How are we doing in San Diego County? As previously mentioned, a comprehensive asthma surveillance system is not currently in place, making it difficult to accurately track and measure the social, human, and economic impact of asthma throughout the region. Nonetheless, the data presented in this report provides useful information regarding trends and disparities in San Diego County. In summary, the data suggests: • Children and Minorities are Disproportionately Represented: The data clearly suggest that children, rural populations, certain racial/ethnic minorities and low-income populations have higher prevalence rates and less favorable health outcomes. • Decrease in Asthma Related Deaths: Since 1994 the number of asthma related deaths in San Diego County have been steadily declining. • Slight Decrease in Asthma Hospitalizations: San Diego County has experienced modest decreases in hospitalization rates since 1999. Nonetheless, hospitalization rates among African Americans continue to remain high, as do hospitalization rates in certain sub-regions of San Diego County (most notably Central, South and East San Diego). • Emergency Department and Urgent Care Visits: Given the lack of systematic data collection, emergency and urgent care visits are difficult to assess. However data from Children's Hospital suggest that visits in certain sub-regions are on the rise while other areas of the County continue to experience a higher than average number of visits. The region of most concern continues to be City Heights (92105). • Decrease in 911 Asthma-Related Emergency Calls: The County Emergency Medical Services has experienced a decline in areas that typically generated the largest volume of asthma-related 911 calls. The area that continues to experience the highest number is the Central region, followed by Mid-City. • Air Quality in San Diego: The County has made considerable progress towards improving air quality, but does not yet meet the more stringent state standards for particulate matter and ozone. • Rise in Direct Medical Costs of Asthma: Despite the overall decrease in asthma hospitalizations rates, the direct medical costs in San Diego County continue to rise. Based on these data we put forth the following recommendations for policy leaders, community groups, and everyone with an interest in reducing the human and financial costs of asthma in San Diego County: 1. In order to efficiently and effectively target asthma treatment and prevention in the county, better surveillance of asthma symptoms and health care usage is needed. 2. The burden of asthma in San Diego County falls most heavily on those least able to cope with it effectively: children, the poor, and minority groups. Asthma treatment and prevention efforts for these groups need to be sustained and expanded. 3. Current efforts to control asthma are showing success. They should be continued and intensified to minimize the effects of asthma on all people in San Diego County. 14 San Diego Regional Asthma Report Card 2004 WHAT YOU CAN DO There are many ways that we can act as individuals and as a community to minimize the negative effects of asthma. The factors that have lead to the rapid rise in the incidence of asthma and the consequences of uncontrolled asthma affect not just people with asthma but also the San Diego County community as a whole. The following list suggests some ways that you or your organization can help in the fight against asthma. What you can do at home • If you or someone in your household has asthma, learn what you can do to prevent asthma symptoms at www.lungusa.org/asthma/ or call 1-800-LUNG-USA • Do not allow smoking in your home, especially if someone with asthma lives there • Reduce air pollution by conserving energy – purchase energy efficient appliances, turn off lights and appliances when not in use, and make sure your home is well insulated What you can do on the road • Walk, bike, or take public transit when ever possible • Minimize the number of trips you take in your car • Buy fuel-efficient, low-emission vehicles and lawn equipment What you can do at school • If you are a parent, contact your district or local school nurse and ask them about: - Their indoor air quality policies and procedures - Student access to asthma medications while at school - Emission controls and alternative fuels for school buses • If you are a teacher or work at a school, ask them to provide training on asthma • If you are a school principal or administrator, contact the San Diego Regional Asthma Coalition coordinator (firstname.lastname@example.com) for help with asthma education for your students and staff, or for help with establishing a tracking system for missed days due to asthma • If you are a healthcare provider, communicate with your school district about asthma management plans for your patients and permission to carry asthma medication at school What you can do as a citizen • Support the development of clean electricity supplies such as wind, geothermal and solar • Oppose the weakening of air quality standards or short-circuiting environmental review processes in order to speed up the construction of power plants • Support reduced emissions through cleaner fuel requirements • Call, fax, or email your local representative and let them know that asthma is an issue of concern What you can do as a business • Limit the use of diesel generators to emergency situations • Reduce the use of diesel fuel and consider natural gas alternatives for fleet vehicles • Promote telecommuting and other efforts to conserve energy and reduce pollution • Keep your workplace free of asthma triggers such as mold, smoke, dust, and pests What you can do as a government agency • Support efforts to track asthma within your agency and between agencies • Be aware of asthma risk factors/triggers and work to minimize them in your workplace • Contact the San Diego Regional Asthma Coalition to find out how your organization can work with other groups and businesses to help control asthma in San Diego County San Diego Regional Asthma Report Card 2004 15 ACKNOWLEDGEMENTS This report card was supported by a grant from The California Endowment as part of the state-wide Community Action to Fight Asthma (CAFA) Initiative. Funding for printing the report card was provided by San Diego County Supervisor Ron Roberts and the San Diego Childhood Asthma Initiative. Many individuals and organizations contributed to this report by helping to identify, gather, organize and analyze the data and asthma indicators. The San Diego Regional Asthma Coalition (SDRAC) would like to acknowledge the following individuals for their contributions: San Diego Regional Asthma Coalition Data & Research Workgroup: Members of Coalition's data and research workgroup provided invaluable leadership, time, and energy in compiling and analyzing data, defining content, and editing the first San Diego County Asthma Report Card. The members include: Jeff Johnson, MPH Senior Epidemiologist Community Epidemiology County of San Diego Health and Human Services Agency Joni T. Low, MPA San Diego Regional Asthma Coalition Coordinator American Lung Association of San Diego and Imperial Counties Sonia Taddy, MPIA (Principal Author) Associate Director of the National Latino Research Center, Cal State San Marcos Regional Technical Assistance Center for the Community Action to Fight Asthma (CAFA) Lily Lim Valmidiano, MPH, CHES Associate Director of Education and Programs American Lung Association of San Diego and Imperial Counties Matt Wimmer, MA Evaluation Coordinator for the Childhood Asthma Initiative Children's Hospital and Center for Child Health Outcomes Chair of the SDRAC Data and Research Workgroup Additionally, we would like to thank the following individuals for providing data, maps, suggestions, and valuable feedback for this report: Jan Cortez (American Lung Association of San Diego and Imperial Counties), Dr. Edward Castillo (Epidemiologist, County of San Diego Health and Human Services Agency), Dr. Gerardo Gonzalez (National Latino Research Center), David Lindsay (Senior GIS Analyst, County of San Diego Health and Human Services Agency), Konane Martinez (Center for U.S. – Mexican Studies, University of California San Diego), Mike Moder (Moder Marketing Research), Dr. Eric Roberts (CAFA Data & Environmental Resource Coordinator and California Department of Health Services), and Dr. Robert Yamashita (National Latino Research Center). 16 San Diego Regional Asthma Report Card 2004 REFERENCES & RESOURCES Brown, ER, Meng, YY, Babey, SH, and Malcom, E. Asthma in California in 2001: High Rates Affect Most Population Groups. Los Angeles: California Health Interview Survey Policy Brief, UCLA Center for Health Policy Research, May 2002. California Air Resources Board. Http://www.arb.ca.gov/research/indoor/indoor.htm California Department of Health Services 2003. Http://www.cal-iaq.org. California Department of Health Services. Strategic Plan for Asthma in California 2002. California Health Interview Survey (CHIS) 2002. UCLA Center for Health Policy Research. Http://www.healthpolicy.ucla.edu/chis/index.html. California Office of Statewide Health Planning and Development. County emergency medical services prehospital database, 1998-1999. California Office of Statewide Health Planning & Development (OSHPD) 2002 Public Use Discharge Data File. Centers for Disease Control and Prevention. Forecasted State-Specific Estimates of Self-Reported Asthma Prevalence in the United States, 1998. Morbidity and Mortality Weekly Report,1998. Centers for Disease Control and Prevention. Asthma surveillance programs in public health departments in the United States. Morbidity and Mortality Weekly Report, 1996;45:802-4. Children's Hospital, San Diego. Emergency Room and Urgent Care Visits Database 1999-2003. County of San Diego. Emergency medical services prehospital database 1998-2001. County of San Diego Health & Human Services Agency, Department of Community Epidemiology. Delfino, R.J. Epidemiologic evidence for asthma and exposure to air toxics: linkages between occupational, indoor, and community air pollution research. Environmental Health Perspectives 110 (August 2002); Supplement 4:573-89. Environmental Protection Agency. Http://www.epa.gov/asthma/introduction.htm (2003). Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services Http://www.healthypeople.gov SANDAG Data Warehouse www.sandag.org San Diego Regional Asthma Coalition. Strategic Plan, 2002-2005. Weiss K.B., Gergen P.J., Crain E.F. Inner-City Asthma: The epidemiology of an emerging U.S. health concern. CHEST. 1992; 101:362S-367S. Weiss K.B., Gergen P.J., Hodgson T.A.. An economic evaluation of asthma in the United States. The New England Journal of Medicine. 1992: 326: 862-866 United Way of San Diego (Http://www.sdunitedway.org) U.S. Bureau of the Census (Http://www.census.gov) San Diego Regional Asthma Report Card 2004 17
Pages to are hidden for
"ASTHMA REPORT CARD The San Diego Regional Asthma Coalition"Please download to view full document


text:
bonnie spyder plants
i do great with regular spyder plants, green and white, white and green doesint matter they do great. but i have nothing but trouble with bonnies, what am i doing wrong what needs to be done different? i just got a new one about a month ago and it is doing good but i want it to keep doing good, any advice?
Could you specify what kind of trouble you're having? That would help narrow down the advice we can give you to your specific issues.
Also, tell us more about your plant, i.e. how you're growing it. What lighting is it receiving (South window, indoors, outdoors, dark corner), how often do you water, is it in the original soil, etc.
Not to sound impolite, but you should be careful having your e-mail address displayed for everyone to see. I believe most of us who want to allow others to e-mail us have our setting set to "allow only members to see my e-mail address). Just some fyi for your safety.
it sits in a bright room with large west facing windows but not in direct light, water when dry, i give it a shower and let it drain about an hour, it is in a soil with bark and other stuff in it for drainage, dont rember what all is in it i get it at a local nursery, they mix it. it is not a normal store bought soil. all my other plants do great, and my other spyder plants do great, but bonnies just seem to wilt and die leaves first, it is kinda damp,then when it is dry to the touch when i dig down a bit then i water. as for the email, i dont know where that setting is, but i would be happy to change it
Wow, that's detailed lol (not used to that). Hmm... I don't know what to say to be honest. Nothing jumps out at me like that's the issue, right there! Sorry, I hope someone else will chime and have an answer to your question. I wish I could of been more help. :/
With respect to your e-mail address setting, in the top right corner where you click on "Login", once you login, it will display "Your Profile" instead. Click on that, and I believe it's near the bottom of the page, it says "Show my e-mail address to:" and it has a drop down lost that says Member, no one, and everyone. I think most set there's to Member.
i forgot to add i keep a pot of boilling water on the stove all winter for humidity, my daughter gets nose bleeds so i have to keep it humid. all the plants are in the kitchen/livingroom combo so it stays humid in the winter. in the summer it gets kinda dry but i water with rain water when i can, and mist. a lot of my plants go outside for the summer, considering keeping my bonnies in this summer unlike the other spyder plants the bonnie i had last year was doing kinda ok till i adjusted it to being out side then it just died. so far this one is still doing good, i hope it stays that way, it is hard to find them in this town. HD got a few in but before i could buy them they sent them back because they thought they were just sick spyder plants, yes that is how smart they are around here about house plants. garden plants abound, but WM and HD are the only place to get house plants in this town. we have two nurserys but they are seasonal and dont carry house plants.
I'm sorry I don't know what's causing the leaves to brown like that. I know 'Spider Plants' tend to brown at the tips from lack of humidity and/or fluoride in their water. Do you know if your water has fluoride? I wish I knew more, but I haven't had the issue you're having with my 'Bonnie' or any other 'Spider plants' I've owned. I wish I could be of more help, but I honestly don't know what's going on with your plant. :\
I hope someone else will chime in.
Something somehwhere inside the pot is pinching roots causing a root area to be to wet.
In another words
An area inside the pot is not taking up the water properly when you give it, water is perched ( stuck) somewhere in the pot.
IMO indicates you might want to repot your plant for yourself in a pot that has better drainage holes on the bottom and a looser soil to help the alleged when dry watering times to drain freely ( or evenly).

subset: commoncrawl


text:
Movie Wallpapers » Adventure » Exclusive Conan The Barbarian 3D Wallpapers
Conan The Barbarian
Premieres in August 2011
Starring Jason Momoa, Rose McGowan and Ron Perlman.
Awesome Tron:Legacy Wallpapers
Exclusive, first wallpapers of "Oz The Great And Powerful"
Insurgent movie stills and the final trailer
Starz's Outlander Wallpapers
If anybody is reading this and it's not April...
Can't wait to see this one!...
Enter your email address to subscribe to this blog and receive notifications of new posts by email.
Join 29 other subscribers
Email Address
Copyright © 2014 MovieDeskBack.com.


text:
Training Provided - Enter Data Into Spreadsheet
Closed - This job posting has been filled and work has been completed.
Job Description
I will provide video training for a specific form of data entry. Then, I will provide you with everything you need to put the training into action.
Skills: typing


text:
By clicking the "Submit" button, you agree to Avvo's Terms of Use. Please see our Community Guidelines and Privacy Policy for information on posting to Avvo and how we collect, use, and share information you provide to us.
1 E Washington St Ste 1900Phoenix, AZ 85004
Licensed for 34 years in AZ
Go back to Bradley's profile.


text:
I am a Bulgarian writer, bookdesigner and internet-activist, who moved to Germany some twenty years ago. You probably won't be surprised to learn that I spend most of my time in front of the computer, reading, writing and talking to people. 50 years old, living on my own with the two kids – great kids!, by the way. My daughter is an autist and the sweetest human being I've ever experienced. My son is a head above me, literally, and a very intelligent, very curious and open young man. As for me... you better try and read a bit of my writings (just do a fast Web-search under "ghostforest", that's my children's books; the other bunch is available only in Bulgarian).
Do I need to tell you that I consider myself a warm, open and generally friendly person? Most of us do, so I won't waste your time. Just read a bit of what I've written, folks. Let the music do the talking!
Looking forward to meeting you!


text:
Louis Vuitton Pre-Loved Coated Canvas Alma Handbag
$595.00 Our Price
$1,190.00 Retail
Carrying a designer bag is the quintessential mark of the fashion elite. However, there's something to be said for classic styling versus the hottest trend. An unparalleled beauty surfaces as you admire a piece and know it will remain timeless regardless of season. This Louis Vuitton Pre-Loved Coated Canvas Alma Handbag is recognized worldwide, as its reputation dutifully precedes it. A legend among many, it's an exquisite choice for everyday wear or to save like a fine wine, only to make an appearance during exclusive occasions. It's an extraordinary accessory for a deserving woman. Want to know more? • PRE-LOVED: this item was used, loved, and cared for by a previous owner • VINTAGE CONDITION: item shows signs of normal wear and tear • Please note: this item may not include all its original features or accessories • Style name: monogram • Stains: water marks on leather parts and bottom • Worn: corners • Color: brown • Includes: lock, dust bag • Missing: key • Material: coated canvas body, genuine leather trim • Dimensions: 11.7" W x 9.36" H, 6.63" D, handle drop 3.1" L • Country of origin: France • Product has been verified by a professional for authenticity • These orders are shipped standard delivery (10-14 days) and will arrive via FedEx--please allow 14 days total for standard shipping before contacting us • Final sale
Today's Deals
Live until March 28th 12:00 PM EST
HomeSave 86%
$169.99 Retail
4-Piece Set: Triple Marrow Soft Spring Colors Collection Sheets - Assorted Colors
WatchesSave 79%
$89.99 Retail
Ashley Princess Women's Watch & Wallet - Assorted Colors
SunglassesSave 59%
$145.00 Retail
Michael by Michael Kors Men's or Women's Fashion Sunglasses - Assorted Styles
ShoesSave 23%
$165.00 Retail
UGG Australia Women's Classic Cardy Sweater-Knit Boots - Assorted Colors
LuggageSave 69%
$529.99 Retail
3-Piece Set: RivoLite Lightweight Expandable Hardshell Spinner Luggage - Assorted Colors
HandbagsSave 66%
$34.99 Retail
Cross-Body Bag for Cellphones & Essentials - Assorted Colors
ElectronicsSave 68%
$75.00 Retail
Bluetooth Sport Headset with Inline Mic - Assorted Colors
HomeSave 79%
$169.00 Retail
2-Pack: Luxurious Queen Memory Foam Pillows
ElectronicsSave 42%
$399.99 Retail
Apple® iPhone® 5C Apple A6 16GB 4" Dual-Camera Smartphone - GSM Unlocked & Refurbished


text:
You may have dipped into the fast-moving stream of #ONA12 tweets that came out of the Online News Association conference in San Francisco over the weekend. We wanted to mix things up a little, asking attendees to create physical tweets by jotting down thoughts, drawings, overheards, and other moments from the conference — then tweeting your #IRLtweets creations.
Think of it as a slow tweet movement.
Many thanks to those of you who joined in, and to everyone at ONA for getting us thinking. Here's a sampling of what we all made:
We also really dug some of the sketched notes that came out of the conference. Check out some from Susie Cagle:
Plus some of Dan Carino's sketches of the conference:
As well as a few of Graham Clark's session notes:
What did we miss? We'd love to add your #IRLtweets from ONA to this collection.
|Millennials say keeping up with the news is important to them — but good luck getting them to pay for it
The new report from the Media Insight Project looks at millennials' habits and attitudes toward news consumption: "I really wouldn't pay for any type of news because as a citizen it's my right to know the news."
|The next stage in the battle for our attention: Our wrists
News companies have moved from print dollars to digital dimes to mobile pennies. Now, with the highly anticipated launch of the Apple Watch, the screens are getting even smaller. How are smart publishers thinking about the right way to serve users and maintain their attention on smartwatches?
|A wave of distributed content is coming — will publishers sink or swim?
Instead of just publishing to their own websites, news organizations are being asked to publish directly to platforms they don't control. Is the hunt for readers enough to justify losing some independence?


text:
My Daughter Melanie was married last Friday to Arthur Gallucci, and I have to say that it was the most awesome event (aside from possibly the Stones' Voodoo Lounge tour concert) that I have ever attended. We did the reception in a 17th century castle south of Brussels, with a couple of vintage cars, amazing food, and we even had good weather! Mel was, of course, a total knockout and that dress was so way beyond gorgeous… she left everyone speechless.
This was a municipal wedding in our town hall, and so there will be a full church wedding in August in Quebec where they will live as of Feb 3rd. that promises to be an awesome affair. Nonetheless, this was an amazing, fairytale day that none of us will ever forget. I'm posting this shot as I think it sums up pretty well the mood, but I'd like to have more on line over the next week.
… one week later… the official page is up and running, so if you're mad enough to want to see more, just click here !
Cheers & hugs, BB
Congrats to the new bride and groom and to you too BB!! Mel does make a beautiful bride!!
Congratulations ! she is so beautiful and they make such a hansom couple….beautiful capture :)
Wow Bill, big congrats to you and Melanie!!! (and Arthur) What a beautiful bride, and what a fabulous day it must have been!!!
Oh Billy, they look so happy…and it sounds like it was an amazing affair!
Mel looks so beautiful . love her gown and Arthur looks gorgeous and chuffed..they make such a handsome couple.
Congratulations to you all;)
I forgot to say you managed a wonderful shot I'm sure they'll treasure!
– billyboy
Cheers guys, and I also have to say my new 5D blew me away too. Awesome camera, awesome couple, awesome day. It just doesn't get better!
BB, congratulation with Melanie!!!! Really beautiful and happy couple..:)
COngrats they make a beautiful couple, may many years make them just as happy as this day…
I like the hint of a black Rolls in the background and the whit Jag?
Cheers Murray. Yeah, the cars were cool. The dark one was actually a midnight blue Bently from the mid 60`s, and the Jag was from the same year. We were lucky as they wanted the blue and white theme to the wedding and their two vintage cars happened to be the right colors. Rock&Roll !!
– billyboy
Congrats to the beautiful couple! Thanks for sharing billyboy! :D
Congratulations, all, and you've taken a beautiful, happy shot.


text:
New Yisrael Beytenu MK submits legislation mandating death penalty for terrorists
Kassams, selfies and Machloufs in the Knesset inauguration
Rivlin urges Netanyahu to expedite forming coalition
Netanyahu on Iran deal: Israel not 'burying head,' will do what is needed to secure its future
Israel has second-lowest abortion rate in Europe, continues to drop
Passover health warning: Avoid dangerous infections from cleaning pond fish
US model adapted by the National Poison Control Center 'boosts saving of lives and money'
First-ever effort between hospital and taxi company to ensure newborns are taken home safely
Study: Israeli patents in US jump 21%
It's Passover cleanup time in Israel and e-waste recycling is on the rise
American-Israeli team secures US gov't grant to build Burundi's first solar field
Eco Wave Power to establish its first Chinese power station
Entranced by Infected Mushroom
Damian Marley to serenade Rishon
Cinematic reality
Maale Adumim becomes Israel's newest tourist destination
Sinai Says: Another bizarre decision by BSL in changing playoff format again
Israel frustrated by Belgium at Teddy
Enormous Belgium showdown for Israel
Mac TA pulls out close one over Holon as Shelef remembered
Rabbis issue ruling banning police, IDF from involvement in yeshiva seizure
Haredi rebel newspaper holds stable market share
'Palestine' to become ICC member today
Analysis: Can the ICC go after settlements as war crimes?
IDF destroys 4 structures in W. Bank settler outpost erected to honor 3 slain teens
Palestinians asks FIFA to suspend Israel from competition
Former Tunisian president to sail on new Gaza 'Freedom Flotilla'
Jewish charities strive to prepare for Passover amid war-torn Ukraine
Mother of slain Toulouse soldier leading trip to Israel
Official report: Dutch royal family owns stolen Nazi painting
Anne Frank may have died earlier than previously believed, new research shows
'Biden told US Jews that Israel - not America - guaranteed their security'
UN report: Syria, Iraq a 'finishing school' for foreign fighters
US Congress will not accept a paper tiger
Powers blow past deadline with Iran in nuclear negotiations
White House lifts hold on military aid to Egypt
US sees enough progress at Iran talks to merit staying another day
Editorial: Passover wage hike
The making of a great leader
Ukraine-Israel: Way to freedom through prosperity
Letters to the editor
In my own write: Zeal for a deal
The blood libel Haggada
The turning point
Travel tech start-ups
On wings of carbon
Veterans: On target
Fusing modern and traditional in the kitchen
Book Review: Perceptive Haggada
Hot off the Arab press
Let's cooperate
Shabbat screenings
Passover perspective
On the field and in court
Happily Eva After: Times, they are a-interestin'
Music and the mamaloshen
What's the catch?
Kayaking for gold on the Kinneret
Why Tunisia?
Palestine – words matter but their meaning matters more
A nuclear deal with Iran – would it stick?
When words matter and when they don't
'מְלָגוֹת 'צוּק אֵיתָן
עוֹלִים חֲדָשִים
כּוּלָם רוֹצִים לִחְיוֹת
יִשְׂרָאֵל בְּמַבָּט פָּנוֹרָמִי
Getting a young start
A culinary festival starring the women next door
Global girl power
Apartheid South Africa: Israel edition
Sa'ar says national unity government is 'still on the table'
Israeli parties prepare legislative demands for Netanyahu's new coalition
With full term possible, Netanyahu may outlast Ben-Gurion (and Obama)
Arab sector turnout for recent elections reached 63.5%, polling data shows
Joubran: Polls have to include parties that don't pass threshold
'The Resistance' against Pope Francis
Israeli doctors save life of Iraqi Christian toddler who fled ISIS
Christian Friends of Magen David Adom donate ambulance in Jerusalem
Christians celebrate Palm Sunday in the Holy Land
Pope Francis pays tribute to Christians persecuted by ISIS during Palm Sunday mass
Green Leadership Conference in Hamalachim-Shahariya Forest
Scenic Lookout in Memory of Lt-Gen. Amnon Lipkin Shahak
Following in the Footsteps of Meir Har-Zion
Celebrating the 100th Birthday Anniversary of Sculptor Ahiam Shoshany
French Students Get to Know the Real Israel
Serbian PM Plants a Tree in the Grove of Nations
Sharing and Learning - German Forestry Students Intern with KKL-JNF
Israel and Finland Connect through the Environment
New Bio-filters Purify Surface Runoff Water for Reuse
Future Tour Guides Discover the Negev with KKL-JNF
The Shamir Drilling Project
Graduation Ceremony for Rosh HaAyin's Volunteer Firefighters
From Sunny Israel to Cold Canada
Walking for Water with KKL France in the Mountains of Eilat
JNF Ontario Community Mission Tours the Western Negev
Celebrating 50 Years of German-Israeli Diplomatic Relations
The Negev Conference on Agricultural Research and Development
Arava Open Day: Food Security for Israel and the Entire World
Living Green in Israel: the Contest and the Winners
Addressing Climate Change Conference
From Think Tank to Environmental Consultant
Award Winning Designer Launches Career as Wedding Dressmaker
Outdoor Fitness Israel: An Innovative Fitness Program Developed By UK Olim
The Burstein Brothers: 3 Oleh Siblings in the IDF
5 Tips to Land a Job in Israel
Starting Your Own Business in Israel: Real Life Examples
5 Strategies for Finding Your Professional Place in Israel
PetBNB:An Olah's Unusual Canine Startup
36 Hours in Southern Israel
Food Shopping In Israel
How Women Can Have it All in Israel
The Eisenberg's Long Journey Home
Why Retirees are Thriving in Israel
Thanks to Aliyah video
6 Frequently Asked Questions about Israeli Healthcare
Starting Over in Israel
VIDEO: Are you ready for the South?
Sovev Tel Aviv, Israel's Largest Biking Event
Running Through Color
Formula 1 Racecars Zip Through Jerusalem
Make yourself at home… in Israel
NBN Announces Bonei Zion Prize Recipients for 2015
NefeshB'Nefesh Provides Services to Bnot Sherut
How Doctors Are Impacting Israel's South
Over 1,000 IDF 'lone soldiers' attend personal errand day in Tel Aviv
04.01.2015 | 12 Nisan, 5775
Prime minister to Channel 1: I'll be running again in next election
Not all bleak for Netanyahu
China's moves: US decline, or balance in Asia?
Hanegbi heads to Myanmar for highest-level visit in 35 years
Former ambassador to the US Oren may enter politics on list Kahlon is drafting
MK calls on PM to destroy homes of Jews who murdered Arab teen
Netanyahu: Hamas leaders are legitimate targets, no one is invincible
Kahlon indicates comeback with new 'framework'
'Israel no better than Chelm for providing electricity to Palestinian companies that boycott it'
Manhattan borough president shows solidarity with Israel visit
Ministers and MKs urge Netanyahu to pound Hamas
Right-wing MKs call to investigate Balad party, ban it from Knesset after Qatar trip
Diplomacy & Politics
02/25/2013 17:09
Abbas gives speech marking Yasser Arafat's death 370 (R).
(photo credit:Mohamad Torokman/Reuters)
In what Jerusalem interpreted as a sign that the Palestinian Authority wants to
tamp down the violence, President Mahmoud Abbas said on Monday that Israel wants
to create anarchy and drag the Palestinians into a confrontation, but that the
Palestinians will not play along.Israel "wants anarchy by killing
children," Abbas said in Ramallah on the day in which Arafat Jaradet, who died
on Saturday in an Israeli jail, was buried in his village of Sa'ir near
Hebron."We know how to act and we won't allow them [Israel] to drag us
to their square," he said. "They will have to bear responsibility."Abbas
spoke as thousands took part in the funeral which, considering the concerns
voiced beforehand, passed relatively quietly.He warned, however, that
the death of Jaradat "would not pass by easily."Abbas said the
Palestinians were determined to know how Jaradat died "and who did
it."The UN's envoy Robert Serry, meanwhile, said the UN expected
Jaradat's autopsy, now under way, to be followed by "an independent and
transparent investigation into the circumstances" of his death.Referring
to the current violence in the West Bank, Abbas accused the IDF of using live
ammunition to kill Palestinian children.He also said that he would not
allow Palestinians to remain in Israeli prisons for the rest of their lives "for
no crimes they had committed."The PA president reiterated his call for a
"just and comprehensive peace" that would lead to the establishment of a
Palestinian state on the pre- 1967 lines with Jerusalem as its capital. "Without
Jerusalem, there will be no peace or state," he stressed.Israeli
officials said they hoped that Abbas's words about not wanting to be drawn into
anarchy was a sign that he was looking for a graceful way to keep a lid on the
violence without being accused of doing Israel's bidding.Over the past
two days, Prime Minister Binyamin Netanyahu has sent messages to the PA
leadership, both directly and through third channels, that Israel expected the
PA not to allow the violence to spiral out of control.The prime minister
received updates throughout the day on the situation in Judea and Samaria, and
met in the afternoon with Quartet envoy Tony Blair for a pre-arranged meeting
during which the current crisis was discussed.Netanyahu meets routinely with
Blair.Netanyahu's spokesman Mark Regev said Israel expected the PA to
"act responsibly" to "prevent incitement and violence that will only exacerbate
the situation." Ultimately, he said, "not violence but peace talks are what is
needed and it is high time for the Palestinian leadership to end its boycott of
the peace talks and return to the negotiating table."PA leaders,
meanwhile, stepped up their rhetorical broadsides against Israel in the
aftermath of Jaradat's death.Abbas's spokesman, Nabil Abu Rudaineh,
accused Israel of seeking to disrupt US President Barack Obama's planned visit
to the region next month. By contrast, Israeli officials have said the violence
was timed by the Palestinians ahead of Obama's visit to ensure that the
Palestinian issue was at the top of the agenda, rather than the Iranian nuclear
march or Syria.Accusing Israel of jeopardizing the lives of Palestinian
prisoners, Abu Rudaineh said that Israeli measures, including construction in
the settlements, would aggravate tensions in the region and hinder the success
of any peace process.Yasser Abed Rabbo, secretary-general of the PLO,
said the PA leadership was unaware of any Israeli request to calm the situation.
He was commenting on a statement the Prime Minister's Office issued on Sunday
saying that Netanyahu's special envoy, Yitzhak Molcho, had asked the PA
leadership to work toward preventing violence."We don't know of any such
request," Abed Rabbo said. "No one can tell a popular movement to
stop."Abed Rabbo claimed that Israel was trying to undermine the PA and
distort its image in the eyes of its people by talking about a request to calm
the situation.Israel, he said, did not want a strong PA that could
manage the affairs of its people.The PLO leader held Israel fully
responsible for the current wave of violence. "This is all because of its
settlement policy and holding prisoners of freedom in its prisons and even
killing them," he said.Senior PA representatives attended Jaradat's
funeral, including Issa Qaraqi, the minister for prisoners, and heads of Fatah
and commanders of the PA security forces.Meanwhile, the US Embassy
issued a "security message for US citizens" saying that due to "demonstrations
occurring at locations across the West Bank," the US consulate-general in
Jerusalem had "temporarily limited official travel to the West Bank by US
government personnel."American citizens, according to the message, "are
advised to defer nonessential travel to and within the West Bank and to exercise
an extra measure of caution during this period."According to the
statement, "demonstrations, even peaceful ones, can turn violent with little or
no warning." •
Your comment must be approved by a moderator before being published on JPost.com.
Disqus users can post comments automatically.
Comments must adhere to our Talkback policy. If you believe that a comment has breached the Talkback policy, please press the flag icon to bring it to the attention of our moderation team.
Sign up for our newsletter
Please insert a valid email address
By signing up to The Jpost mailing list, I hereby


text:
Launcher Update
Get the Desktop App for Battle.net Now
- All your games in 1 place
- Log in once
- Automatic game updates
Lets focus on some wizard items since this is in the wizard forums shall we ^_^
Disclaimer: Anything said in this original post should be taken as information and not gospel. The details in this post may or may not be fictious. The events may or may not have occurred.
"AH3" (Auction House 3) is not for everyone please attempt at your own discretion. Success may vary.
I've always wanted to do an "How to auction house" type guide or series, but never wanted to publicly expose my techniques, but seeing as the AH is coming to a close and my AH3 presence has been reduced, i'm more then willing now to share my experiences with the masses. Also, since the Auction House is an ever evolving beast, its hard to make any kind of concrete guide on it that would have any lasting effects.
I'll do my best to start off from the ground up with all budgets so this is relevent to everyone.
Learning to play the AH has obvious benefits.
1) It will make the game more enjoyable allowing another "game" or fraction of D3 you can explore.
2) It will open up avenues in higher gearing which otherwise would require extreme luck or using real money to acquire.
3) Financial Gain ? Sure why not
4) Something to take pride in.
5) Something different to break the monotony of grinding.
6) Obviously PROFITABLE. Fastest legitimate way to make gold + increase your capital !
Story Time
If there is one thing I love more then DEEPs its AH3.
As many may know, I'm one of the few to be able to self make myself off AH into great success. I've been working the AH since the Aug 2012 and things are much different now compared to before. Remember when gold was $7 PER MILLION on RMAH? yeah.
Anyways, I started off flipping rare armor pieces and gold find pieces for 25k-100k profits. Slowly building up my bankroll and increasing the capital i needed to flip larger items. Eventually I went into flipping one handed weapons and then into legendaries mainly focusing on wizard items since my knowledge was limited at that time. Discovered RMAH and GAH discrepancies in pricing and went that route. This also expanded my AH slots from 10 to 20. I'm not a genius, i've talked to many people and many have helped me along the way with their knowledge. I actually got the idea to flip via a youtube video way back when.
As capital grew so too the cost of the items I was selling. To the point where I only looked for 2B+ items exclusively. I would estimate my life time earnings somewhere in the 250-500B range. I would attribute my success with being able to adapt to the changing AH climate.
Now I flip and sell everything under the sun. There is no amount of profit (1k to 100B) I deem too small. It all adds up remember !
I am very grateful for the success that i've had, it really is something that I can take pride in and I salute others that do it as well.
General Advice:
1) This takes time, there is an element of "luck" but nothing can beat good old time investment. There really isn't a get rich quick "scheme".
2) Don't over extend. If you have 100m in your bank, dont spend 90m on a weapon and expect to grow the remainder 10m overnight. Don't venture into markets you do not know. Especially starting out where your risk absorption is low. Focus on items like Chant wands/ forces/ storm crows/ armor pieces like BT pants/ vile wards etc.
3) Be frugal and patient, look for deals. Take the time, if the item is something you can live without, wait another day or wait for a open bid item and take a shot at that instead of doing "buyouts" You'll be surprised at what you can win and at what price. Be patient, this is probably your biggest money making and losing attribute. Don't slash prices so quickly when you fail to sell after a day or two, some days are slow, especially now with ROS around the corner. Increase your posting activity on weekends where more items are likely to be moved. Weekdays are less activity of course.
4) Start small. Get comfortable with the stat ranges, using the search functions, price ranges before committing larger amounts on "flips". Mostly everyone starts small, so dont be hasty.
5) BE SMART. Dont buy something with 90% of your capital hoping for a 10% return. Example 90m item out of 100m budget, hoping to resell for 120m which after tax is 102m. This is not a good investment since the return is so small and the risk so great. Also have to consider the time investment in trying to turn a profit. I'd rather split that 90m purchase into 5 purchases.
Know your items, know a 0.25 chant wand is worth more then a 0.24. Know 10 apoc is worth more then 8 apoc. Know 4% elite dmg is worth more then 3% elite damage on unity or storm crows. These are things that need to be learned if you want to be profitable. You should expect a HIGH margin of success when flipping. TBH i will say i have about 95% success rate on flips.
6) Get a stop watch + calculator or know math. This helps you time your snipes better on open bids, refresh the screen until the time changes then start the watch. Do this near the end of auctions ie <5mins. Calculator to find out how much you need to sell for to turn profit, remember to cut out 15% for taxes.
7) Threshold / Mass bidding - Technique people use to bid MANY of the same or similar items on the AH that have open bids. Find a stat range you are comfortable evaluating, determine minimal profit margins your willing to accept, find your max bid threshold, bid max bid threshold on as many of similar items as you can afford to. When you return, if you are lucky you will hit a "win" for a great price that is an almost guarenteed flip/profit if you evaluated the pricing properly.
Example. Search parameters for vile wards - 180+ INT 0 vit - max bid 300k or Search parameters 20%+ Gold find rings - max bid 20k
8) Price your items CORRECTLY Search items that are WORSE then yours and price them less then or slightly more then its nearest competitor. People usually need 2 reasons of reassurance to pull the trigger on an item. These 2 are the most common, 1) Good price 2) Good Value. Assure the customer your item is what he wants over the nearest competitor !
Also, when pricing, lower your search parameters, so you have 190int/50vit vile wards. Search for 180int and 30vit, and do a quick 10 second scan of the front page sorted from lowest priced. Price accordingly. Dont look for too exact parameters, you are limiting yourself. Also, consider the time remaining on a nearest competitor, if the posting has 2 hours remaining... chances are it will not sell @ the listed price.... So price accordingly.
9) Home Run Pricing - I call this the home run, and the idea is that you can't hit a home run without swinging the bat. If you have a piece of gear that is on your character, that has some sort of special quality and your willing to part with. Post it up on AH before you log off for the day for a price that will 1) recoup cost of replacement 2) after factoring taxes, nets a nice profit.
Example: Say you purchase a nice chantodos will for 300m, you sift through the AH for one in your range of stats, say it is special due to having 199INT and 1.65 APS. Very nice wand. Why not price it with a hefty BUYOUT price ? If sold then you can find a similar one on another day or downgrade a bit for a nice net profit ? This works for this wand because replacements are readily available 24/7 almost and downgrading can save you a bunch, while not costing you too much DPS/stats.
I've done this with items I've picked up for 100-200m and sold for 2B overnight. They were really nice examples and arguable the best on the GAH at that time. Items that come to mind are STR/INT/VIT vile wards and nice stormcrows.
10) Never bid round #s unless you bid 2,000,000,000. People love round numbers, bid higher then the nearest round #. If it costs 100m Bid 100,000,001. Or if you really want to level someone's mind, bid an even weirder number, like 100,782,944. This will beat out the people that are bidding 100,000,001. And so forth. In the end if you want something you have to bid the max you can afford, but adding a bit of change on top could mean the difference between win and loss.
********Too much information to put down, but this is a good starting point.*********
Making Mistakes is normal, so don't dwell on it if you've listed an item incorrectly or what have you.
View: http://us.battle.net/d3/en/forum/topic/11206140575?page=1
That's my latest blunder. And my biggest :)
Protecting yourself while Trading
1) Getting Zero Bidded -We've all seen it now, the infamous ZERO bid. They are rampant now on gold auction house due to some sort of unconfirmed exploit. In order to protect yourself from this it is in your BEST interest to not set an open bid auction for your item. Always set buyouts. Very few things are worth setting as open bid hoping to garner more return then a BUYOUT. Famously Melkor had a 1160+ socket chant wand zero bidded a long time ago. Seems like there are some specific items these people target, although the zero bid is everywhere. They target items that exceed 1B in value generally, sometimes less. So in order to protect yourself just set BUYOUTS without open bids and your safe from this exploit.
2) Counting zeros + checking item in private trade box - I've had many people try to scam me by using the switcheroo method in the trade box. They usually try to distract you with extra items, they close the window trade box quickly and then they replace the true item with a crappy version of it. You can save yourself from any tricks by making sure you checking the items always before clicking "accept". Same with counting the zeros, they will try to distract you and close and reopen the trade window again hoping to catch you off guard. Always check. This onus is on you.
3) Advanced Trickery - People will go great lengths to try to scam someone, sadly many fall for this and has resulted in thousands of dollars lost in gear over time.
To protect yourself against these would be scammers, always exercise caution against someone willing to purchase and spend large amounts on gear that you feel is not deserving of such a price.
Also do not download any type of program they are insisting you download. Do not feed any personal information over the internet.
Do not accept any type of PAYPAL transaction privately unless you know this person. PAYPAL will not side with sellers. So seller beware.
Obviously do not drop your gear on the ground for any reason.
1 to 10 million gold capital flip recommendations:
-GF jewellery - 20+% on rings - 40%+ on amulet
-MF Jewellery - 18%+ on rings - 40%+ on amulet
-GF + MF jewellery
These all readily available, mispriced often and can sell for ridiucluos amounts if bots get the ban hammer and need restocking.
-Cheap socketable items
-Innas pants
-BT pants
Focus on INt/vIt/AR/armor or wizard build stats since this is generally your expertise and you have a better idea of stat and price ranges. Look for gems misplaced in the item still. For example. I found a pair of innas pants yesterday wiht 40m worth of gems in them and the price of the pants were 15m buyout. The pants sold for 800k. you get the idea.
Also - non- socket BT pants are still profitable. Generally these go overlooked esp in the lower market ranges.
Cheap Vile wards
They span all classes, but are mispriced in the lower market spectrum very often. Keep an eye out for ones with VIT. Remember STR is worth less on vile wards.
Natalya's boots - 190 dex + random resistance
Lower end nats boots with the higher standard dex rolls and random resistance rolls are great for starter monks and sell/mispriced often. Also readily avaliable so feel free to mass bid.
Storm crows - CC% - 400+LOH 8% elemental and 4% elite
Getting very cheap nowadays but still worth a quick look, i've seen some decent 4.5% CC storm crows under 1m now. Maybe lower recently as well. These are easy flips for a bit of extra profits starting out.
10m to 100m Capital Recommendations:
All of the above can apply, your looking for higher values of INT/VIT/AR, etc.
Jewellery - Rings/Amulets with DPS/EHP stats.
This is the budget where you can focus a bit more on the desirable stats on these items. They will get out of the price range quickly as you start adding stats. Jewellery have large earning potential because most are hard to compare to others, and value can be raised for special stats ie. armor/LOH/STR/DEX. These stats do not pertain to other classes as much as wizards since CM value and stack str and dex more then other classes.
Gloves - IAS/CC/CD/AR/Primary stat in any combination you feel comfortable with.
Same as jewellery, this is where you start looking for gloves, whether it be DPS oriented or AR/armor/vit/EHP oriented. Resist buyouts, and try to win lower end open bid items with "desirable" stats, like 9IAS, higher CC% or higher AR. As with any gear, anything that has something "maxed" out will always carry an extra "wow" factor for potential buyers.
4) Socket or IAS Chantodo Wands / Life steal weapons
With current trends, these items will be obsolete along with most other gear soon into ROS, however, they are still worth buying and selling at the right price.
Remember higher attack speed and 10APOC make a big difference in Chant wand qualities. Life steal % and Crit damage on a weapon is very important. If it has a primary stat it will increase its value compared to one without. If it has 2 stats then it will appeal to more classes. Remember STR and DEX is worth more then INT for most life steal weapons.
Also "black" weapons are considerably worth more then "non-black" weapons in terms of price. With this budget, your options will be probably limited to the low 1000dps weapon range and will have more risk attributed to them since they generally are larger investments with smaller audiences. So be smart about purchases.
To be continued...........
I'm going to answer any questions pertaining to wizard gear + AH usage in this thread. I'd consider myself a great resource of information for those that want to use it, please take advantage of it. Please address any questions whether specific or general in the thread I will keep it up to date to help those build captial for ROS.
I will continue to update this thread with larger budgets and more tips. It will be a ongoing process.
Thanks for your attention.
Hope someone took useful something out of it.
Elaborated and expanded some sections
Added 10m-100m section
Added "Protecting yourself while Trading" section
Edited by Boozor#1433 on 1/9/2014 7:13 PM PST
Posts: 4,085View profile
booz helped me but then i started bagging huge commissions and just grabbed what i wanted when i wanted it ;p
Posts: 6,984View profile
I always admired you as as business man, Boozor.
I can't claim to have made my wealth via flipping. I have flipped items but never to the degree or fiscal success of you. My earnings always came from gems...and my percentages and profit margins were steady..and paltry compared to you. Even in my biggest pay off moves...just very impressive.
Posts: 341View profile
This is cool, if kind of apocryphal at this point ;)
I didnt start flipping till post 1.0.5. Hated idea I play game for fun not work (farm act 4 anyone?), and flipping feels like work, low paid work, plus my 500m gear at the time got it done. Anyway once I wanted trifectas and whatnot to transform from a 120K wiz to 280K with mit I was accustomed to had start no other way around it.
My method was simple and just a maturation of my frugal buying process i always used. Never hounded AH. Just like 5min per session looking for items for myself on every slot to see whats out there. Tried never BO always bid half retail cost. Lost about 95% of bids but it's not the ones I lost that matter but ones I won. Guaranteed profit.
So far I cashed out $2400 which isnt bad but no where near real pros like Booz/void and other dedicated.
It's a PITA for me to use RMAH. Have to transfer all items to my brothers account. Some of you have helped me when I can't get a hold of him. Then list things. Then have him send me paypals. sigh..
Edited by Aimless#1700 on 1/2/2014 11:35 AM PST
Posts: 3,667View profile
Thumbs down!
I know you're holding out on more tips and tricks.
Posts: 3,044View profile
Thanks for sharing Booz! These are always interesting reads.
@ Melkor
Your gem workings are 100% guarenteed returns. Requires time, but slow and guarenteed returns whereas buying/re-selling is actually some risk involved. Of course risk can be mitigated through knowledge+information. We are different species of the same animal bro :)
@ Darshu/Vox/Lameboi
Thanks for the comments, something for me to keep discussions going in the forums ^_-
@ Aimless
Your strategy totally works. And it is something I do as well, bid low and lose 95% of time. But 5% wins are guarenteed profits based on your low bid strategy. This works for smaller items unless you have large capitals for multiple big bids. Also only works for items that are readily available and with numerous competitiors. Highly sought after items with no competitors will not get slipped by so easily through the cracks. I will include this strategy later. Thanks for reminder.
@ Junger
Of course I save the best for myself for the time being ^_^
Teach me how to sell a 300 average damage, 8+ APoC, 9/9.5 Chantodo's Force.
Diablo III MVP | Forever a Wizard
Archon Video Guide: http://us.battle.net/d3/en/forum/topic/9793089550
YouTube Channel: http://youtube.com/Jae7ch
Twitter: @Jaetch
Int ? Might help if it was 200int
Force market is complete crap right now. Even 9/10/10 - 290-295dmg cannot sell on RMAH for 2B equivelent.
If your lucky you can get 2.5B privately from the right person. But finding that person is up to you. I suggest spamming the internet lol
Story Time
Booz, your story reads like any rags-to-riches Wall Street tale. And now I'm picturing you in Glengarry Glen Ross.
@Booz - Can you believe I've had it on the RMAH for ~$35 and AH for ~1.4-1.5 bil without it budging to this day?
Diablo III MVP | Forever a Wizard
Archon Video Guide: http://us.battle.net/d3/en/forum/topic/9793089550
YouTube Channel: http://youtube.com/Jae7ch
Twitter: @Jaetch
Indeed. Void told me once he's always refreshing and constantly doing searches to snag those elusive GG items like trifecta allegences quadpox or whatnot someone foolishly listed on GAH. I just don't have the time and patience. But my method worked fine to buy anything common on AH like y mempo I bought for 2b gloves 2b etc.. which gets a player GG, You just wont be in top 50 space unless you show more dedication and use jsp.
This is why respect to guys like yourself void and whatnot is due. Good things are always hard work.
Edited by Aimless#1700 on 1/2/2014 11:55 AM PST
Posts: 5,778View profile
You forgot to mention your true love booze. PUR> deeps
@ Jaetch
As I said... Force market is near the bottom right now.... It has been in steady decline since Last march... moreso then other pieces.
I'm not surprised. I would have started at 2b for your item and work down.... I have a 292dmg 190+ 9/10/9, can't sell for almost 2 months now on RMAh. Might just 2b it.... being ready to be disappointed actually lol.
@ Jenz/Aimless
Did i ever mention that I use to do "gold" runs by myself back in July. I didn't know what or how to use the AH... I was grinding gold off an elite + gold find + a chest for hours a day by hand. Looting around 250k an hour......
That was how hurting it was to play this stupid game in the beginning for gold.
Then dived into AH after I picked up my first mill and never looked back. Otherwise this game would have been over for me after the first 8 weeks.
The refreshing for 2b snipes USE to work. Around regular basis to be honest on some items. Mempos especially. However it is not worth the time/effort anymore since the gold duping fiasco. This strategy works for lower end items much more successfully and with more occurance. However, nothing more exhilerating then sniping that 2b item and cashing it in I must admit.
@ Jellz
True love ? Probably booze. ^_^
LOL there are forces listed at 250m that went 1.5b before on AH. Chants suffers double whammy of IAS not being as useful in patch and CM being useless in patch. I'd fire sale. That source won't be worth 100m as AH draws to close and more ppl in the know.
I got 3 sources i'm taking into patch. None are chants and used a chants almost all my post 1.0.4 life. Apoc ones, double int ones. Source is built for CM wizard and thats about it. With CM dead its dead.
Edited by Aimless#1700 on 1/2/2014 12:29 PM PST
Yeah, I know. AH is another game within a game. Brilliant move.
Even now I see you working so hard to close deals. Man, I don't have the stomach for it like you do. You're probably one of the hardest-working dealmakers I've seen in this game.
One thing I've learned is that patience is something that pays off almost always. "Fire sales" are panic sales. It's not rational decision making to maximize return. Yes it moves the item ASAP, but it is a desperate last effort move IMO.
From previous experiences I've held onto items for 4-8 weeks on RMAH, only to have it sell for random reasons. Always done within reason of course.
Notice all the GG barb gear going into RMAH after the datamined ROS info? Ya panic. $60 teemings? Thanks. Resell for $200. Just an example.
@ Jen.
Its part obsession, part passion, part fun. I love it. Generally I look for the 50/50 win win, but sometimes its a drag-a-thon negotiation especially with foreginers.... but can't be helped, they are the biggest spenders usually.
Haha. I just don't like the mindgames involved. Oh, the buyer puts his status to AFK when you know he's there and just ignoring your last message to drive you to lower your price or not make the deal. He's watching the clock just like you are, and you are thinking about walking away from the offer completely. Until. Someone. Caves.
Threats of violence. We take these seriously and will alert the proper authorities.
Posts containing personal information about other players. This includes physical addresses, e-mail addresses, phone numbers, and inappropriate photos and/or videos.
Harassing or discriminatory language. This will not be tolerated.


text:
Senior Member
Thanks Meter: 6
113 posts
Join Date:Joined: Nov 2009
Also - a little unrelated; does anyone know of an effort to support Apple iOS apps on Android? I vaguely remember there being something for that but I cannot find it anymore. I really want to play the Ascension game but it has only been released for Apple on iOS. Was hoping there was a port/vm someplace.
You are thinking on iemu? HERE is the link. It is still a WIP with no release yet.
|Thread Tools
|Search this Thread
|Display Modes
Linear Mode


text:
$44.99Go to 1-800-Flower...
If every rose color has a meaning, a gift of two dozen assorted roses will be the most meaningful surprise of all. Send two dozen of our most vibrant blooms to your Valentine and watch her face light...More
Find, Compare, Read Reviews & Buy the 1-800-Flowers.com - Two Dozen Assorted Roses - Bouquet Only Online @ Yahoo Shopping Want to see your products in Yahoo Shopping? Advertise with us. Sitemap All Brands
Terms | Privacy | About Our Ads | Help


text:
Can you help ID this seed?
JessicaBe(5-6 Central Ohio)May 3, 2013
I found two of these seeds, one I caught will flying and the other in my flower garden. It looks like a bigger version of A. Tuberosa.
The one on the left is A. Tuberosa and the other is what I found.
JessicaBe(5-6 Central Ohio)
Leafhead- I looked at incarnta and the seedlings so far resemble so thanks!!
Sherry tropical milkeed doesn't overwinter here I'm in central Ohio z5/6 I just found these this year. But thank you so much for your input :-) Also I didn't know if the seed would resemble a. Tuberosa so I waited until there was some differences between the two


text:
ioSafe designs and builds award-winning fireproof and waterproof data storage solutions. Our products are used for physical protection, private/hybrid cloud-based backup and disaster recovery solutions for businesses of all sizes, creative professionals and home users. Like an aircraft black box for critical data, ioSafe improves recovery point and time objectives while reducing costs and simplifying infrastructure.
Since 2005 we've been dedicated to protecting vulnerable data across the globe with multi-bay NAS and single drive USB storage hardware. Backed by PROTECT, the industry's best service and support program, we've helped our channel partners grow their businesses by opening new markets and opportunities with the world's leader in disaster proof hardware.
ioSafe products are designed and built in Auburn, California.
ioSafe 1515+ NAS RAID
ioSafe 214 NAS RAID
Solo G3
SoloPRO SSD
ioSafe Rugged Portable SSD
Data Recovery Service
For Home
For Business
For Enterprise
Data Storage Strategies
Regulatory Compliance
Industry Stats
Case Studies
White Papers
Contact Us
External Drive Software
Register Products
Order Status
Registration Status
Reseller Deal Registration
Contact Us
Reseller Application
Partner Testimonials
Press Releases
Image Bank
In The News
Reviews & Awards
Patent Portfolio
Terms of Use
Privacy Policy
Compliance Policy
ioSafe Blog


text:
Run your own SportNetwork site
SportNetwork offers all the technology and the style to make your unofficial site a lot of fun. You will be part of a busy sports community and it puts you at the heart of your sporting community and, of course, it can earn you some money through a share in the advertising revenue of your site. more >
What Happens Next?
Setting up your unofficial site is remarkably easy. This is what you need to know more >
Register Now
Want to go ahead? This is what you need to do to get your unofficial site up and running. more >