text:
Pancreatic Cancer
- Diagnosis
- Screening
- Monitoring
- Background
- Lab Tests
- References
- Related Topics
- Videos
Indications for Testing
- Patient presenting with jaundice and pancreatic mass
- Monitoring for tumor recurrence after surgery
Laboratory Testing
- Liver function testing – may show elevated bilirubin and alkaline phosphatase
- CA 19-9 serum antigen testing – sensitivity depends on stage of cancer (50-75% sensitivity and 80-85% specificity)
- May be elevated in benign obstructive jaundice, chronic pancreatitis
- Should be used in conjunction with imaging studies to diagnose pancreatic cancer
- Limited use as early screening
- Levels may be predictive of outcome
- Other potential markers include MUC-1 antigen (also called CA 15-3 antigen) and carcinoembryonic antigen-related cell adhesion molecule 1 (CEACAM1), although neither has been sufficiently validated for pancreatic cancer
- Cystic lesions (small, but palpable chance of malignancy)
- Increased risk of malignancy when found in a patient with hereditary syndrome associated with increased risk of pancreatic cancer (ACG, 2015)
- American Gastroenterological Association (AGA) recommendations (2015)
- Cysts with at least 2 high-risk features (eg, size ≥3 cm, solid component) should be examined by endoscopic ultrasound with fine needle aspiration (EUS-FNA) – see Histology section below
- Aspirated cystic fluid testing – amylase, carcinoembryonic antigen (CEA), and CA 19-9
- Levels suggestive of cancer diagnosis
- Amylase – <250 U/mL
- CEA – >800 ng/mL
- CA 19-9 – >37 U/mL
- Levels suggestive of cancer diagnosis
- Cytology
- Positive cytology from laparoscopy or laparotomy performed after imaging studies is diagnostic of distant metastatic disease (American Joint Committee on Cancer, 2010)
- Molecular testing
- KRAS gene mutation in ductal adenocarcinoma is common
- May also be useful for cystic lesions with negative cytology and fluid analysis
- Gene mutation testing (eg, BRCA1, CDKN2A, PRSSI, SPINK1) may be indicated in familial syndromes
- BRCA1 and BRCA2 – indicated when two or more relatives have diagnosis of breast, ovarian, aggressive prostate, or pancreatic cancer at any age (NCCN, 2014)
- BRCA1/2, CDKN2A, PALB2, ATM – recommended testing as per ACG, 2015
- Evaluation for Peutz-Jeghers syndrome (PJS) and Lynch syndrome (LS) should be considered if component of personal or family history meets criteria for testing
- KRAS gene mutation in ductal adenocarcinoma is common
- Biopsy of tumor with histologic evaluation
- Fine needle aspiration (FNA) via endoscopic ultrasound (EUS) is initial procedure of choice for diagnosis
- EUS-FNA is preferred over CT-guided FNA
- Fine needle aspiration (FNA) via endoscopic ultrasound (EUS) is initial procedure of choice for diagnosis
- FISH detection of aneuploidy for chromosomes 3, 7, and 17, and loss of the 9p21 locus is helpful in establishing the diagnosis of pancreatic ductal carcinoma in cytologic specimens
- Histopathology of pancreatic tumors differs between exocrine and neuroendocrine types; see Pancreatic Neuroendocrine Tumors for more information
- Immunohistochemistry
- Available stains include cytokeratin 8,18 low molecular weight (CAM 5.2), protein gene product (PGP) 9.5, synaptophysin, epithelial membrane antigen (EMA), p21, and carcinoembryonic antigen polyclonal
Genetic Testing
- Consider molecular testing in the following (ACMG, 2015)
- Pancreatic cancer diagnosis at any age if any of the following criteria are met
- ≥2 cases of pancreatic cancer in close relatives
- ≥2 cases of breast, ovarian, and/or aggressive prostate cancer in close relatives
- Ashkenazi Jewish ancestry
- Pancreatic cancer and ≥1 Peutz-Jeghers syndrome polyp in the same person
- Pancreatic cancer and 2 additional cases of any LS-associated cancer in the same person or in close relatives
- ≥3 cases of pancreatic cancer and/or melanoma in close relatives
- Pancreatic cancer and melanoma in the same person
- Pancreatic cancer diagnosis at any age if any of the following criteria are met
Imaging Studies
- CT scan – use pancreatic triphasic protocol (arterial, late arterial, and venous phases)
- Volume rendering CT scan is most useful
- Provides diagnosis and helps identify resectable disease
- Helps assess vascular involvement
- EUS or endoscopic retrograde cholangiopancreatography (ERCP) to outline extent of ductal involvement; may also use MRI/magnetic resonance cholangiopancreatography (MRCP)
Differential Diagnosis
- Benign diseases
- Chronic pancreatitis
- Acute pancreatitis
- Autoimmune pancreatitis
- Acute cholecystitis/cholelithiasis
- Ulcers – duodenal, gastric
- Abdominal aortic aneurysm
- Malignant diseases
- Liver
- Stomach
- Biliary tree
- Cystic lesions
- Pseudocyst
- Choledochal cyst
- Autoimmune disease
- Screening recommendations ( ACG, 2015)
- Screening should be performed in expert centers
- High risk patients only and should include endoscopic ultrasound (EUS) and/or MRI (See Genetics in Background section)
- EUS and/or MRI
- Annually starting at 50 years or 10 years younger than the earliest relative's pancreatic cancer
- PJS – consider starting at 35 years
- CA 19-9 – serial monitoring recommended to assess follow-up after potentially curative surgery or response to palliative chemotherapy
- Carcinoembryonic antigen (CEA) – less useful than CA 19-9 for monitoring
Pancreatic cancer, a common cancer in the U.S., has historically been associated with a high mortality rate. It has a low 5-year survival rate due to the typically late stage of cancer at time of diagnosis.
- Incidence – 9-10/100,000
- Age – peak incidence in 60s
- Sex – M>F
- Ethnicity – 30-40% higher incidence in African Americans
Risk Factors
- Alcohol use – ≥4 drinks/day
- Tobacco use
- Increased body mass index – ≥30kg/m2
- Presence of chronic disease states
- Chronic pancreatitis
- Diabetes mellitus – type II ≥5 years
- Occupational exposures
- DDT, benzidine, dry cleaning agents, polychlorinated biphenyls
- Genetic( ACG, 2015 )
- Two relatives with pancreatic adenocarcinoma (1 relative is first degree)
- Three or more relatives with pancreatic cancer
- Familial syndromes associated with increased risk
- Hereditary breast-ovarian cancer syndrome
- Familial atypical multiple melanoma and mole syndrome (FAMMM)
- Peutz-Jeghers syndrome (PJS)
- Hereditary nonpolyposis colorectal cancer (Lynch syndrome)
- Ataxia-telangiectasia syndrome
- Familial adenomatous polyposis (FAP)
- Familial pancreatic cancer (FPC)
- Li-Fraumeni syndrome
- von Hippel-Lindau syndrome
- History or hereditary pancreatitis
- Tumor is usually ductal adenocarcinoma
- Accounts for >90% of pancreatic cancers
- 60-70% of tumors located in head of pancreas
- May also have mucinous cystadenocarcinomic variants
- Tumors may manifest solely as cysts
- Uncommon neuroendocrine tumors may also affect the pancreas
Clinical Presentation
- No specific early warning symptoms
- Signs and symptoms related to location of tumor
- Abdominal pain and weight loss – most common
- Obstructive jaundice if tumor is at the head of the pancreas
- Late features – ascites, abdominal mass
- If tumors are neuroendocrine in nature, patient may initially present with an endocrine syndrome (eg, hypoglycemia in insulinoma)
Initial screening for hepatobiliary inflammation
Panel includes albumin; ALP; AST; ALT; bilirubin, direct and total; and protein, total
Monitor pancreatic cancer
Sensitivity/specificity – vary depending on cancer stage
Cannot be interpreted as absolute evidence of the presence or absence of malignant disease
May not be detectable in patients with Lewis-a negative blood group
Results obtained with different methods cannot be used interchangeably
Cancer Antigen-GI (CA 19-9), Body Fluid 0020746
Method: Quantitative Electrochemiluminescent Immunoassay
May aid diagnosis and monitoring of pancreatic cancer
For information on body fluid reference ranges and/or interpretive guidance visit http://aruplab.com/bodyfluids/
Cannot be interpreted as absolute evidence of the presence or absence of malignant disease
Results obtained with different assay methods or kits cannot be used interchangeably
Pancreatobiliary FISH 2002528
Method: Fluorescence in situ Hybridization/Computer Assisted Analysis/Microscopy
Detect aneuploidy for chromosomes 3, 7, and 17
Use in conjunction with current standard diagnostic procedures as an aid for diagnosis of pancreatic cancer
Negative results indicate none of the numeric chromosomal abnormalities commonly associated with pancreatic carcinoma were identified in the specimen, but does not exclude the possibility of pancreatic carcinoma
If result is negative and high clinical suspicion exists, additional clinical studies should be considered
Assist with evaluation of pancreatic cysts
Aid histologic diagnosis of pancreatic cancer
Stained and returned to client pathologist; consultation available if needed
Assist with evaluating pancreatic cysts as benign or malignant
For information on body fluid reference ranges and/or interpretive guidance visit http://aruplab.com/bodyfluids/
Cytokeratin 8,18 Low Molecular Weight (CAM 5.2) by Immunohistochemistry 2003493
Method: Immunohistochemistry
Aid histologic diagnosis of pancreatic cancer
Stained and returned to client pathologist; consultation available if needed
Aid histologic diagnosis of pancreatic cancer
Stained and returned to client pathologist; consultation available if needed
Aid histologic diagnosis of pancreatic cancer
Stained and returned to client pathologist; consultation available if needed
Aid histologic diagnosis of pancreatic cancer
Stained and returned to client pathologist; consultation available if needed
Aid histologic diagnosis of pancreatic cancer
Stained and returned to client pathologist; consultation available if needed
Carcinoembryonic Antigen, Polyclonal (CEA P) by Immunohistochemistry 2003827
Method: Immunohistochemistry
Aid histologic diagnosis of pancreatic cancer
Stained and returned to client pathologist; consultation available if needed
Diamandis EP, Hoffman BR, Sturgeon CM. National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines for the Use of Tumor Markers. Clin Chem. 2008; 54(11): 1935-9. PubMed
Hampel H, Bennett RL, Buchanan A, Pearlman R, Wiesner GL, Guideline Development Group, American College of Medical Genetics and Genomics Professional Practice and Guidelines Committee and National Society of Genetic Counselors Practice Guidelines Committee. A practice guideline from the American College of Medical Genetics and Genomics and the National Society of Genetic Counselors: referral indications for cancer predisposition assessment. Genet Med. 2015; 17(1): 70-87. PubMed
Locker GY, Hamilton S, Harris J, Jessup JM, Kemeny N, Macdonald JS, Somerfield MR, Hayes DF, Bast RC, ASCO. ASCO 2006 update of recommendations for the use of tumor markers in gastrointestinal cancer. J Clin Oncol. 2006; 24(33): 5313-27. PubMed
NCCN Clinical Practice Guidelines in Oncology, Breast and Ovarian Cancer Genetic/Familial High-Risk Assessment: Breast and Ovarian . National Comprehensive Cancer Network. Fort Washington, PA [Accessed: Apr 2016]
NCCN Clinical Practice Guidelines in Oncology, Neuroendocrine Tumors. National Comprehensive Cancer Network. Fort Washington, PA [Accessed: Mar 2016]
NCCN Clinical Practice Guidelines in Oncology, Pancreatic Adenocarcinoma. National Comprehensive Cancer Network. Fort Washington, PA [Accessed: Jun 2015]
Pitman MB, Layfield LJ. Guidelines for pancreaticobiliary cytology from the Papanicolaou Society of Cytopathology: A review. Cancer Cytopathol. 2014; 122(6): 399-411. PubMed
Protocol for the Examination of Specimens from Patients with Carcinoma of the Pancreas. Based on AJCC/UICC TNM, 7th ed. Protocol web posting date: Jan 2016. College of American Pathologists (CAP). Northfield, IL [Accessed: Jun 2015]
Syngal S, Brand RE, Church JM, Giardiello FM, Hampel HL, Burt RW, American College of Gastroenterology. ACG clinical guideline: Genetic testing and management of hereditary gastrointestinal cancer syndromes. Am J Gastroenterol. 2015; 110(2): 223-62; quiz 263. PubMed
Vege SS, Ziring B, Jain R, Moayyedi P, Clinical Guidelines Committee, American Gastroenterology Association. American gastroenterological association institute guideline on the diagnosis and management of asymptomatic neoplastic pancreatic cysts. Gastroenterology. 2015; 148(4): 819-22; quize12-3. PubMed
General References
De La Cruz MS, Young AP, Ruffin MT. Diagnosis and management of pancreatic cancer. Am Fam Physician. 2014; 89(8): 626-32. PubMed
Fukushima N, Zamboni G. Mucinous cystic neoplasms of the pancreas: update on the surgical pathology and molecular genetics. Semin Diagn Pathol. 2014; 31(6): 467-74. PubMed
Galli C, Basso D, Plebani M. CA 19-9: handle with care. Clin Chem Lab Med. 2013; 51(7): 1369-83. PubMed
Hutchins G, Draganov PV. Diagnostic evaluation of pancreatic cystic malignancies. Surg Clin North Am. 2010; 90(2): 399-410. PubMed
Klimstra DS, Pitman MB, Hruban RH. An algorithmic approach to the diagnosis of pancreatic neoplasms. Arch Pathol Lab Med. 2009; 133(3): 454-64. PubMed
Maker AV, Carrara S, Jamieson NB, Pelaez-Luna M, Lennon AM, Dal Molin M, Scarpa A, Frulloni L, Brugge WR. Cyst fluid biomarkers for intraductal papillary mucinous neoplasms of the pancreas: a critical review from the international expert meeting on pancreatic branch-duct-intraductal papillary mucinous neoplasms. J Am Coll Surg. 2015; 220(2): 243-53. PubMed
McIntyre CA, Winter JM. Diagnostic evaluation and staging of pancreatic ductal adenocarcinoma. Semin Oncol. 2015; 42(1): 19-27. PubMed
Muniraj T, Jamidar PA, Aslanian HR. Pancreatic cancer: a comprehensive review and update. Dis Mon. 2013; 59(11): 368-402. PubMed
Reid MD, Saka B, Balci S, Goldblum AS, Adsay V. Molecular genetics of pancreatic neoplasms and their morphologic correlates: an update on recent advances and potential diagnostic applications. Am J Clin Pathol. 2014; 141(2): 168-80. PubMed
Rishi A, Goggins M, Wood LD, Hruban RH. Pathological and molecular evaluation of pancreatic neoplasms. Semin Oncol. 2015; 42(1): 28-39. PubMed
Ryan DP, Hong TS, Bardeesy N. Pancreatic adenocarcinoma. N Engl J Med. 2014; 371(11): 1039-49. PubMed
Singh P, Srinivasan R, Wig JD. Major molecular markers in pancreatic ductal adenocarcinoma and their roles in screening, diagnosis, prognosis, and treatment. Pancreas. 2011; 40(5): 644-52. PubMed
Vincent A, Herman J, Schulick R, Hruban RH, Goggins M. Pancreatic cancer. Lancet. 2011; 378(9791): 607-20. PubMed
Xu X, Strimpakos AS, Saif MW. Biomarkers and pharmacogenetics in pancreatic cancer. Highlights from the "2011 ASCO Annual Meeting". Chicago, IL, USA; June 3-7, 2011. JOP. 2011; 12(4): 325-9. PubMed
References from the ARUP Institute for Clinical and Experimental Pathology®
Awadallah NS, Shroyer KR, Langer DA, Torkko KC, Chen YK, Bentz JS, Papkoff J, Liu W, Nash R, Shah RJ. Detection of B7-H4 and p53 in pancreatic cancer: potential role as a cytological diagnostic adjunct. Pancreas. 2008; 36(2): 200-6. PubMed
Chadwick B, Willmore-Payne C, Tripp S, Layfield LJ, Hirschowitz S, Holden J. Histologic, immunohistochemical, and molecular classification of 52 IPMNs of the pancreas. Appl Immunohistochem Mol Morphol. 2009; 17(1): 31-9. PubMed
Chadwick BE. Beyond cytomorphology: expanding the diagnostic potential for biliary cytology. Diagn Cytopathol. 2012; 40(6): 536-41. PubMed
Chen R, Pan S, Ottenhof NA, de Wilde RF, Wolfgang CL, Lane Z, Post J, Bronner MP, Willmann JK, Maitra A, Brentnall TA. Stromal galectin-1 expression is associated with long-term survival in resectable pancreatic ductal adenocarcinoma. Cancer Biol Ther. 2012; 13(10): 899-907. PubMed
Crnogorac-Jurcevic T, Chelala C, Barry S, Harada T, Bhakta V, Lattimore S, Jurcevic S, Bronner M, Lemoine NR, Brentnall TA. Molecular analysis of precursor lesions in familial pancreatic cancer. PLoS One. 2013; 8(1): e54830. PubMed
La'ulu SL, Roberts WL. Performance characteristics of five automated CA 19-9 assays. Am J Clin Pathol. 2007; 127(3): 436-40. PubMed
Layfield LJ, Bentz J. Giant-cell containing neoplasms of the pancreas: an aspiration cytology study. Diagn Cytopathol. 2008; 36(4): 238-44. PubMed
Layfield LJ, Hirschowitz SL, Adler DG. Metastatic disease to the pancreas documented by endoscopic ultrasound guided fine-needle aspiration: a seven-year experience. Diagn Cytopathol. 2012; 40(3): 228-33. PubMed
Layfield LJ, Jarboe EA. Cytopathology of the pancreas: neoplastic and nonneoplastic entities. Ann Diagn Pathol. 2010; 14(2): 140-51. PubMed
Moore JC, Hilden K, Bentz JS, Pearson RK, Adler DG. Osteoclastic and pleomorphic giant cell tumors of the pancreas diagnosed via EUS-guided FNA: unique clinical, endoscopic, and pathologic findings in a series of 5 patients. Gastrointest Endosc. 2009; 69(1): 162-6. PubMed
Schmidt RL, Witt BL, Matynia AP, Barraza G, Layfield LJ, Adler DG. Rapid on-site evaluation increases endoscopic ultrasound-guided fine-needle aspiration adequacy for pancreatic lesions. Dig Dis Sci. 2013; 58(3): 872-82. PubMed
Willmore-Payne C, Volmar KE, Huening MA, Holden JA, Layfield LJ. Molecular diagnostic testing as an adjunct to morphologic evaluation of pancreatic ductal system brushings: potential augmentation for diagnostic sensitivity. Diagn Cytopathol. 2007; 35(4): 218-24. PubMed
Medical Reviewers
Chadwick, Barbara E., MD, Medical Director, Cytology, and Staff Pathologist, Surgical Pathology at ARUP Laboratories; Assistant Professor of Anatomic Pathology, University of Utah
Genzen, Jonathan R., MD, PhD, Co-Medical Director, Automated Core Laboratory at ARUP Laboratories; Assistant Professor of Clinical Pathology, University of Utah
Salama, Mohamed E., MD, Medical Director, Hematopathology and Immunohistochemistry Staining at ARUP Laboratories; Associate Professor of Clinical Pathology, Director of Hematopathology Fellowship Program, University of Utah
Last Update: August 2016


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ELK CITY, Okla. - Clifford Baggett, 80, died Sunday, Nov. 24, 2002.
Services will be at 10:30 a.m. today in First Baptist Church of Butler with the Rev. Roy Wilburn officiating. Burial will be in Butler Cemetery by Martin Funeral Home.
Mr. Baggett was born June 9, 1922, in the Herring Community. He retired after 25 years of service with Ionics Corp. at the age of 75.
Survivors include three children, Phyllis Ford of Spavinaw, Patricia Addington of Afton and Wayne Baggett of Elk City; a stepdaughter, LaDine McKinney of Amarillo, Texas; three brothers, Harold Baggett of Oklahoma, Floyd Baggett of Balko and Raymond Baggett of Vian; seven grandchildren; 15 great-grandchildren; and four great-great-grandchildren.
Amarillo Globe-News, Nov. 27, 2002
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The Most Helpful UMB Bank Reviews
The most helpful favorable review
Umb columbia mo
Wonderful helpful people!! Coming from out-of-town to fix college son's account. They knew we were cutting it close with time. They had everything ready and we were in and out within minutes. Thanks again
The most helpful critical review
I wouldnt suggest using this bank.
Very disappointing customer service. Rude and the women are very hateful.
Latest UMB Bank Reviews
JReviewed By jmw Mar 7, 2016
Worst Bank Ever
I had only dealt with UMB Bank briefly in the past and did not care for there service so did not stay with them long.
Recently my brother died and had his account there. I took my court letter and death certificate and had the account converted to an estate account, made a deposit to it and they printed me counter checks plus a lot of his old bank statements, as I needed to track IRS deposits. They took about an hour filling out paperwork and keying things into the computer. I signed a signature card. I did not get copies mainly because it was not a new account, just changes.
I have been making deposits made out in my name as administrator and paying his bills on-line as he left me his on-line banking info. No problem.
I went in the other day - account changed Sept, I went in March 3rd - to cash a check on the account. Now that I want money out the whole file is missing. No where to be found. They had no signature card for me. Turns out they had no file or paperwork at all. No changes were apparently made in the computer. I kept his account at that bank for specific reasons. I came home to be sure I had no paper copies and went back Sat. The branch I went to now has no Sat lobby hours. So I went to the other branch in town and I thought possibly they sent the file there. They have nothing. So I tried to start over with the changes. She said not the simple need new account because his social security number is still attached to that. OF course, it is. I have the court letter to take it over. She made copies of Letter, Death certificate, and my driver's license and Fed ID I got for estate again. She said she would to talk to legal and call me on Mon. Legal does not open accounts. She would also have a manager call me Mon as well. Around noon after hearing nothing, I went in to just close the account. Took letter and death etc again. Now they decide they cannot accept the court letter because it is more than 90 days old. The Letters are good for several years according to the court. They want a certification from the court that the estate is still open, per their legal dept. OF course it is, they still have his money that I have to collect and distribute. The court does not constantly re-issue letters, never heard of one not being accepted. I called the court and they will for a tiny fee re-issue the letter. So now I have to wait on the mail back and forth to settle. How does a bank just lose all the paperwork and everything keyed into the computer? Totally unacceptable. Also on one of my trips I heard a teller tell a drive through customer she could not find his account. Eventually she did. I sent a complaint through customer service, of course no response to that either. All the most untrained, incompetent people ever. Including their legal dept because the letter is still good and they should know that. It has been quite a year yet. How do I know someone did not take my information home as is using it? I have checked my credit reports and bank accounts. At the moment all ok. Once this is settled Never Ever will I step into a UMB Bank again. IF you know anyone who uses them - tell them to get out fast.Thank you for your feedback Is this review helpful?
EReviewed By eja Jan 31, 2016
Sunday night problem with no one to call
On a sunday night my kids notice we can't get into our account and all our questions have been changed without any notice. I call the tiny number on the back of the card only to find out that I can only talk to a live body monday through saturday during the specific hours. So we are all trying to figure out if we need to go clean out our bank accounts or if someone has done that for us! If you are a criminal make sure you commit your cyber crime after 10 pm on Saturday night through Monday morning. Unreal!Thank you for your feedback Is this review helpful?
PReviewed By Phebo81 Dec 31, 2015
Worst UMB experience ever!
I have been a UMB customer for w0 years, and have always had a wonderful experience. I'm literally in the lot right now after leaving at 1230pm new years eve. After waiting in line for 10 minutes I had a lady tell me she couldn't help me because i had a deposit and a money order. I'd have to wait for the next teller. As the next person arrived at her window she loudly proclaimed to the rest of the line (condecendingly, I might add) that everyone needed to already have they're deposit slips filled out. Then the manager came out and again stated that everyone needed to have everything filled out. When I finally got to the teller he said there were no envlopes for my money order (which they gladly give me at every other branch I've ever been to). Overall, 3 people plus a bank manager working on new years eve is ridiculous, on top of everyone treating they're customers like children. I will never come to this location again.Thank you for your feedback Is this review helpful?
BReviewed By bolts Dec 29, 2015
Denies Credit Worthy Applicants
I applied for a Born Free credit card through UMB to help the elephants and was denied. I have credit in the excellent range, it was stated on the denial letter. Granted, this is a bank I had never EVEN HEARD OF until I saw the application on Born Free's website.
Just goes to show why I had never heard of it. It is a joke of an institution.Thank you for your feedback Is this review helpful?
FReviewed By formercust Oct 27, 2015
Know nothing about customer service!
At this UMB bank, I am treated consistently as if I should bow down and kiss the feet of the bank personnel. A couple of years ago I informed them the purpose of my visit was to withdraw the Required Minimum Distribution from a Beneficiary IRA. After going through all the steps to complete the withdrawal I was confused when I was told the balance of the IRA, as it did not correspond with the statement I held (the only one I have ever seen, which was sent to my mother's address). It turns out that the bank had just recently sent me the RMD payment without notifying me, either before or after completing the transaction. I was told they could not reverse the transaction that I had just made, even if I had no knowledge of the stealth RMD payment I had yet to receive from the bank. I have made multiple requests for a statement - so far the result has been absolutely none. Today I tried to cash a $20 birthday check I recently received at the bank, but was told that to cash the check I had to go to Chase. Well that is just what I am doing. Rolling over that IRA to the Chase just down the street. No wonder there are NEVER any customers when I visit this UMB. I imagine the employees are always chuckling over the latest text they sent/received from another employee - just like the unprofessional clerk was doing today when I approached her. STAY AWAY. YOU WILL BE GLAD YOU DIDThank you for your feedback Is this review helpful?
MReviewed By Mizzou Oct 26, 2015
Umb columbia mo
Wonderful helpful people!! Coming from out-of-town to fix college son's account. They knew we were cutting it close with time. They had everything ready and we were in and out within minutes. Thanks againThank you for your feedback Is this review helpful?
EReviewed By ellen coady Jul 22, 2015
absolutely worst customer service ever!
I was trying to add to my HSA account and was not able to do it. It took 3 calls and a supervisor to finally find out the reason. They are "like Pay Pal" and will take two test withdrawals before the actual withdrawal can be made. I couldn't find this anywhere on their website, and the agent insisted it was there. And it wasn't so much the issue I was having as the attitude of the UMB representatives and even a supervisor, they really didn't seem to care about my needing to add money to my HSA today. It just was not possible unless I wanted to wire funds and then there would be a charge on both ends, they seemed to happily inform me.
I would suggest UMB invest in customer service training for the direct phone line staff. And I have suggested to Premera to look for another bank to partner with. And no I don't expect either of these companies to really care.Thank you for your feedback Is this review helpful?
PReviewed By PaulaRobbins Apr 3, 2015
HSA Customers Beware
I have to say that I am terribly disappointed not only in the level of inaccuracy in procedures by the bank staff, but more so in the poor follow up and service response to the bank's mistakes. I received a 1099 with a total of $324.xx, when I paid out over $1500.xx in medical expenses for 2014. Most of my 2014 deposits were made by cash at the branch level. When they were processed as a "redeposit" rather than a "deposit" after a wait of 3-6 days (for a cash deposit, mind you), this threw my total off completely. A deposit is cash. A redeposit is when a vendor per se, sends money back into the account for like an over payment. In other words, the deposits I made were inaccurately documented as redeposits, thus, throwing my 1099 total down by more than $1200! Even worse, when I called to get this rectified, the first time, I was told I'd hear back from someone within 1-2 business days... That was two weeks ago and I need to file my tax return, so need this now. I left the country and now that I'm back and am following up, the best they can tell me, again, is I need to wait 1-2 business days for them to review this, and that they recommend that I not walk in to a UMB branch for these deposits. That I send a deposit by mail... Really? If you can't trust a bank to handle a cash deposit in hand, how can you trust a bank at all? Very disappointed and very upset that this has taken so much work...and surely not feeling confident at all it will be accurately resolved. Poor accuracy, poor customer service response.Thank you for your feedback Is this review helpful?
DReviewed By dj02106393 Dec 27, 2014
Very Convenient
I have never once experienced anything but very friendly and helpful tellers at this Price Chopper branch of UMB.Thank you for your feedback Is this review helpful?
AReviewed By anakata Sep 23, 2014
Excellent bank and customer serviceThank you for your feedback Is this review helpful?


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According to textile historians, tapestry weaving has been practiced for more than two thousand years, and it is a favorite craft among both experienced and novice weavers today. Tapestry can be woven with simple looms and simple tools, yet tapestry weaving can create intricate designs, sometimes using hundreds of different colors to make realistic pictures. Tapestries have proven more durable than paintings, and many have been passed as heirlooms through families, generation after generation. Let the experts at Weaving Today guide you through the joys of this ancient form of weaving with this eBook full of instructions, free projects, and tips for using a tapestry loom.
Tapestry weaving is a creative journey. Warping for a tapestry is quick, and the process affords hours of weaving pleasure. Extensive sampling of wefts and shapes can improve your skill for a final piece. It's easy to experiment: taking out and redoing a section is easy and simply part of the process.
How to Make a Hanging Wall Tapestry
Geometry Man Tapestry by Karen Donde
The basic tapestry weaving techniques described here represent only a fraction of the many methods used by tapestry weavers. Practice with these for your own Geometry Man or try them with other geometric designs. Either way, this is an easy way to jump right onto the woven wall hanging trend.
Karen designed this tapestry while earning her Handweavers Guild of America's Certificate of Excellence when the first sample called for a tapestry of geometric shapes. She used a computer drawing program to create a variety of shapes and moved them around to stumble upon what is now "Geometry Man".
How to Make a Tapestry Loom Stand from an Art Easel
Set Your Body (and Your Loom) Free by Karen Piegorsch
Frame looms are popular among both experienced and novice tapestry weavers due to portability, low cost, and ease of warping. Commonly, the frame loom is used in the lap, balanced against the edge of a table. A painter's box easel makes a great portable tapestry stand, because the loom can be clamped to the box for transport. The briefcase-style handle makes carrying the loom easier and helps mitigate the easel's weight. This article uncovers the secrets to using good ergonomics with your tapestry weaving supplies.
How to Make a DIY Cardboard Loom
Weave a Tapestry Bag on a Box by Sarah Swett
Weaving on a box is immensely satisfying. You can take your time and play with blocks of color without tying up a floor loom. Sarah usually recommends a small box for your first bag, but there's no limit to the fun you can have with playing with size, shape, and designs to fit the future life of the bag. Once you've enjoyed the pleasure of upcycling a sturdy loom from the rubbish, you'll never look at the UPS truck in quite the same way.
Tapestry on an Embroidery Hoop
Wedge Weave in Miniature by Margaret Windeknecht
This article is an introduction to a very unique adaptation of this old weave technique. I call the technique drawn-thread tapestry because it is similar to drawn-thread embroidery and can be used with any tapestry technique. It is done with cotton or linen fabric on an embroidery hoop using cotton, silk, or wool floss wefts threaded in a tapestry needle. These miniature wedge-weave tapestries can be presented as framed artwork, dollhouse- scale handwovens, or small bits of jewelry.
DIY Tapestry Postcard
Postcards from the Field by Nancy Taylor
If you've ever wondered how to make your own tapestry in the traditional, photo-realistic style, this is the perfect place to start. This woven tapestry project allows you to try your hand at emulating a real-life scene without being too intimidating, since it's only the size of a postcard. It's also a great travel or holiday tapestry project, since it's on a portable tapestry loom.
Try these projects and you'll soon find out why bloggers love making tapestry wall hangings so much.
Along with this FREE eBook, you'll also receive a free membership to our Weaving Today community. Your membership provides you access to our free projects library, our weaving community blogs, and our email newsletter with all sorts of tips, tricks and more free projects!


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Tinley Lynn Rowe - August 31, 2011
To Chris and Angela Rowe of Gothenburg on Sunday, Aug. 28, 2011, at Gothenburg Memorial Hospital, a daughter, Tinley Lynn, weighing seven pounds, eight ounces. She was welcomed home by a brother, Tanner Rowe, and a sister, Emma Howerton.
Paternal grandparents are Reg and Bev Rowe of Cozad. Maternal grandparents are Roger and Tammie Wheelbarger of Kensington, KS.
Great-grandparents include Ken and Louise Rowe of Salina, KS, and Vanetta Brumbaugh of Abilene, KS.
Latest Headlines
- Training for emergency preparedness
- Gothenburg FFA members compete at state fair
- Learning to adapt to change
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- New hospital safety ratings now available to the public
- Mentees, others share value of TeamMates


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2012 Ram 1500 Tradesman & Express Give Best in Class Bang For Less Bucks
The 2012 Ram Tradesman is the most capable 1500 on the market, Express lineup expandsby Patrick Rall The Chrysler Group has announced some changes to their Ram Truck brand lineup that makes the 2012 Ram 1500 the most powerful half ton pickup on the market. And with new options for the low priced Express and […] More »
Dodge to Offer Mopar Packages on New 2012 Charger Pursuit
Dodge and Mopar are in hot pursuit of police car sales with six all-new quality-tested and factory-installed police-equipment packages for the high-performance 2012 Dodge Charger Pursuit. Vehicles are ready-for-duty right from the manufacturer.
The 2012 Dodge Challenger SRT8 392 is Officially Awesome
by Patrick Rall The Dodge Challenger SRT8 392 has carried the SRT name on its own while the company worked on the new SRT variants of the Charger, Chrysler 300 and Jeep Grand Cherokee. And after gallantly carrying such a load, Chrysler has announced some new additions for 2012 that will make a great muscle […] More »
The 1966/67 Dodge Charger: For the "Go" Generation
by Robert Tate On New Year's Day of 1966, the original Dodge Charger made its debut as the "Leader of the Dodge Rebellion". It was an instant hit among the buying public. However, it was the Dodge Charger II prototype that was displayed earlier to crowds in Detroit, Chicago, Los Angeles, and Tampa that generated […] More »
New Dodge Durango Named Top Safety Pick by IIHS
Dodge Durango has been named a "Top Safety Pick" for 2011 by the Insurance Institute for Highway Safety (IIHS). The IIHS recognizes vehicles that perform "good" in front, side, rollover and rear crash test evaluations performed at its Vehicle Research Center in Virginia. This award applies to Durango models built after May 2011.


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Alaska's Anvik River LodgeAdditional Locations
Phone: (888) 362-6845 Fax: (386) 447-5484 PO Box 109, Anvik, AK 99558 http://www.anviklodge.com
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This company offers a lodge with vacation packages for sport fishing.
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Don Parsons Golf Instruction is the premiere option for Santa Barbara golf lessons.
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Offering Golf Lessons, Club Fitting, Golf Coaching Programs, Group Golf Coaching, K-Vest Swing Evaluations, and our Putting Studio you will not find a better golf experience in Southern California.


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Order cialis online pharmacy. Our Online Drugstore glad to offers a safe, secure, private, and convenient way to buy cheap generic prescription drugs This online drug store is offering lowest prices on generic drugs
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Bright pink spot on cured pork belly ***PIC***
This is a belly that's been cured for 7 days. Never seen it before. It wasn't constricted any funny way during the curing period. Any thoughts?
What kind of cure (recipe) and what was your fridge temp?
Ruhlman and 36-38
I have no answers for you and wish you luck!
I wish I had the guts to cure some bacon. My Dad used to cure his without pink salt using only salt & pepper and hickory smoke. I keep asking him to help me do it the old school way that he did, but he has no interest in it nowadays. I think it's because it reminds him too much of my late Mother.
Either way, I hope to do it sometime with his help before it's too late.
I know you said you used the Ruhlman Cure, but did you use cure #1 or Cure #2?
Possibly your curing agent was not evenly applied, or it may have pooled in the liquid run off from curing.
Could that area have rested against a USDA stamp on another piece of belly during the cure?
did you turn it at all. maybe the red spot was not in the cure long enough?
Yeah, I'm leaning toward an application issue or not turning often enough. As I recall, Ruhlman's cures are usually pretty strong, but I think he recommends overhauling only once...... Have you done the sniff test yet?
I have noticed that raw cured meat that it exposed to air is gray...but if it isnt exposed to air (such as right against the plastic) is pink
So if everything has been done correctly...meat turned...proper cure ingredients in the proper amounts....it should be ok..But when in doubt...throw it out specially if it smells funky
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Vor Barrel Aged Gin
Vor Gin is composed of an entirely, and uniquely Icelandic, assortment of botanicals ranging from the trendy (Thyme) to the obscure (kale). It's base spirit is composed of also Icelandic Barley, and for their barrel aged variant, ultimately it is rested in an oak barrel— that I suspect owing to the lack of oak, the barrel may not be locally coopered— but alas, it's Icelandic and barrel aged. And it's a gin that we were quite a fan of on its own, so how does it stand up after a gentle rest?


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I am a graduate of Baylor University living in Tyler, TX. I am currently the admin/creator of the "Man in Black" mod for Deus Ex. Our team is recruiting for numerous positions, so any interested parties can contact me here or via e-mail.
GMDX is a comprehensive "advancement" modification which aims to improve upon almost every aspect of the Deus Ex experience. Gameplay mechanics have been painstakingly tweaked and revised in order to provide far better balance between skills, augmentations, and expendable items. NPC and enemy AI has been altered to behave more realistically and challenge the player to a far greater degree than ever before. Meanwhile, each level has been retouched and/or expanded with a number of graphical, decorative, and architectural enhancements which add an extra layer of discovery for veteran DX players. When combined with the New Vision and HDTP mod packages, this "fresh coat of paint" does an outstanding job of remaining faithful to the original artistic vision of Deus Ex while improving the graphical fidelity of the game.
Augmentations, in particular, have been enormously improved. Health Regeneration and Ballistic Resistance no longer throw the difficulty curve out of balance, while the much maligned Aqualung and Microfibral Muscle systems are now significantly more useful and worthy of consideration. Meanwhile, a revamped skills system (which includes new abilities such as Stealth) yields far more variety and actually forces the player to think hard about how to allocate his or her XP.
There is no denying that GMDX is a far more challenging experience than the original game. The Hardcore difficulty mode in particular is a punishing experience which will test even the most experienced of DX experts. In almost every circumstance, however, I found that the increased difficulty forced me to think outside my familiar approaches to the game's obstacles. This approach managed to breathe brand new life into a 14 year old classic, and I can honestly say that GMDX represents the definitive Deus Ex experience.
A must-play for DX newcomers and veterans alike.
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Toshiba recommends Windows.
Technical Support (Computers)
Technical Support (Televisions)
Business, Education, Government,
Enterprise and Reseller Sales
800-705-2397 firstname.lastname@example.com
Toshiba Service Station is telling me that a new BIOS is available, however, the button tells me : Reinstall instead of Install.
How do I determine the BIOS version currently running in my Satellite (which, by the way, works fine -- no problems. I don't wish to create any by reinstalling a BIOS that may not be needed.)?
12-22-2011 08:05 AM - edited 12-22-2011 08:07 AM
Start, type "System" in Search Box, click on System Information in listing above.
BTW, if you aren't having any problems that a BIOS update is designed to fix, I advise you to leave well enough alone. If it ain't broke, don't fix it.
Copyright © Toshiba America Information Systems, Inc. All rights reserved.


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Wednesday, 7 November 2012
From the Times of India
MUMBAI: One of the features of Sufi shrines is an inclusive approach to devotees. That character is now being turned on its head by Mumbai's iconic dargahs, which have started segregating men and women visitors. Seven dargahs have banned women from entering the astana (sanctum sanctorum, where a saint is buried) and many more are preparing to do so.
The ban has existed for a year at the Haji Ali dargah, which allows women to offer prayers and chaddar from behind a barrier that is four feet from the mazaar (grave), thus preventing them from touching the resting place of the saint.
At the Mahim dargah-the shrine of Makhdoom Shah Baba-the trustees for six months have been "sensitizing" women to the thought that going near the saint's grave is "un-Islamic".
After the dargah's redevelopment, there will be a separate enclosure for women like the one at the Haji Ali shrine, denying them access to the astana. At present, men and women are allowed into the astana in separate batches.
Sunni and Deobandi clerics support the seven dargahs' decision. "The sharia does not allow intermingling of men and women at any place. The visit of women to graves is forbidden. It is welcome that the dargahs are following this rule," said Maulana Athar Ali, a Sunni cleric. Senior Deobandi cleric Maulana Mahmood Daryabadi echoes this. "They should have done it much earlier. I am glad they are now following a rule sanctioned by the sharia," he said.
But liberal Muslims are outraged. "This is shocking and shameful. This is a regressive step that will further fuel Islamophobia and encourage the detractors of Islam to allege that the religion practices discrimination against women," said Javed Anand of Muslims for Secular Democracy.
Dargah trustees are adamant on their decision. Suhail Khandwani, managing trustee of the Mahim dargah and also a trustee at the Haji Ali dargah, said trustees were only following what muftis, or clerics who issue fatwas, have demanded for long. "Muftis have time and again pointed out that Islam does not permit women to visit a cemetery. While we prefer to call dargahs resting places of the saints, they are in fact graves and the sharia does not allow women to visit graves."
The development at the seven dargahs was brought to light by the advocacy group Bhartiya Muslim Mahila Andolan (BMMA), which recently surveyed 20 dargahs in Mumbai. "Last March, after our conference in Mumbai, our women activists visited the Haji Ali dargah and offered prayers inside the sanctum sanctorum. But this year, during the survey, we were shocked that the dargah had banned women from entering the mazaar," said Noorjehan Safia Niaz, founder member, BMMA. What worries the BMMA is that dargah trustees may not stop with banning women from entering astanas. "They might bar entry for non-Muslims as well, which would damage the secular fabric of the country,"
Posted on 11/07/2012 2:28 AM by Esmerelda Weatherwax
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Some of the causes of osteomyelitis include:
Osteomyelitis can have a sudden start, a slow and mild start, or may be a chronic problem, depending on the source of the infection.
Symptoms of osteomyelitis vary, depending on the cause and whether it starts quickly or slowly. These are the most common:
The symptoms of osteomyelitis may look like other medical conditions or problems. Always consult your doctor for a diagnosis.
Your health care provider will review your medical history and do a physical exam. Other tests may include:
Your health care provider will figure out the best treatment based on:
The goal for treatment of osteomyelitis is to cure the infection and minimize any long-term problems. Treatment may include:
Osteomyelitis calls for long-term care to prevent complications such as:
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Take your logo on the road with compact customized mirrors that are imprinted with your full color logo on the cover.
Add your favorite fresh citrus juice to your smoothie or protien shakes with this custom shaker bottle that features a removable citrus juicer.
Be prepared for sewing emergencies fixes with this promotional sewing kit containing 10 pre-threaded needles and other emergency sewing aids.
This Perfect Score Promotional Duffle Bag is a great way to bring your brant to a customer's active lifestyle.
Promotional sewing kit in full zippered logo case.
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From hair salons, nail salons, spas, and massage parlors, your services deserve to have the best promtotional products from ePromos. Clients can practice what they've learned and use promotional manicure sets, custom massagers, personalized grooming kits, etc. to keep their look fresh as they day they left the salon.


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|I am just a girl trying to find her place in this journey called life...
For Your ConsiderationConsider this:For Your Consideration by pullingcandy
We're going to go on a date, nothing fancy. Perhaps a burger and movie. Afterwards, I will let you walk me home, or vice-versa. There will be no touching, we will remain as pure as driven snow for this night, this glorious evening which will consist of red checker table cloths, Italian food (we nixed the burger idea, or we will at any rate. Linguini with mushrooms and white wine sauce is a little more elegant, wouldn't you say? Lady and the Tramp, they knew where it was at - we'll just push it up a notch) and coffee, followed by an action movie, any action movie, any movie will do. Consider that.
We met in a cloudy bar, at the end of June. You had bedroom eyes, and I was convinced I had bedroom hair. I spent two hours getting ready for this night, I was fashionably in disarray. You probably spent 15 seconds getting ready, perhaps going out was a split second decision after gorging on pizza or whatever it is you males do in private on a Friday evening, football, b
Silence that spoke...We never shared a good relationship, my son and I.Silence that spoke... by Wor-D-Rizzle
There was always a distance between us, a gap that never seem to lessen. And I knew my reserved nature was partly, largely, to blame. I wanted that distance gone. But I didn't know how, or what to do about it.
Perhaps now, with him all grown up, it's too late for us.
My wife is the bridge between us; the person who made the three of us a family. Sh
The Green monsterThe green monster wasn't a stranger to her.The Green monster by Wor-D-Rizzle
They've met before,
a time or two,
and it never bothered her before that he tried to color her feelings.
But this time,
he chose a known face,
a loved soul,
a heart that knows her own.
And it eats her from inside,
bit by bit,
like acid being poured slowly,
that she actually allows him
to color her feelings for her
In such a vivid shade of green…
|I am just a girl trying to find her place in this journey called life...


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"Craven County is a great place to start or grow a business. We offer a community of resources to business owners and we can help you find the right spot with the amenities you need to be successful." read more >>>
Owen Andrews, President & CEO
That's how you feel in Craven County – welcomed. Your business matters to us and we want to help you start, grow, or move your business here. We have partnerships with industry leaders in education, health, service, and manufacturing - and all are working to build a strong economy here in Craven. You see, when businesses succeed, so does the community. We're glad you're here. Take a look at what we offer and decide how Craven County can make your business better.
If you are interested in learning more about economic development initiatives in Craven County or need assistance, please call us, but also take a look at our Comprehensive Economic Development Strategic Plan and Five-Year Work Plan for more detail.
Our logistics include highway, barge, air and rail. Your goals, your dreams, all within reach today, in Craven County.
Come thrive in a community that sees the world your way, in a vibrant historic setting of lush natural beauty.


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BMI View: We continue to favour the Brazilian agricultural sector over the rest of the region because of better targeted and adjustable government support. Argentina's and Paraguay's agricultural sectors will continue to be plagued by counterproductive levies on crop exports, discouraging investment in production. Mexico's government support to the sector will continue to focus on consumer prices, leaving the country highly dependent on imports in the long term.
Out of all the region's government support frameworks, we believe Brazilian agricultural policy has been the most efficient in encouraging production and enhancing competitiveness on the global scene. The country's agricultural sector has relatively little support by global standards. Total support to the sector, which includes support to producers and the financing of general services to agriculture, averaged BRL8.2bn (US$ 2.7bn) annually over 2002-2004. This is only 0.5% of GDP, compared with 1.1% on average for OECD countries. Also, three-quarters of this support is delivered directly to producers, and accounts for approximately 3% of total gross farm receipts in 2002-2004, one of the lowest percentages globally.
|Close To New Zealand
|Select Countries - Producers Support (% of total gross farm receipts)
Most of Brazil's government support is targeting specific weaknesses in the country, such as problematic access to credit. The government distributes preferential loans to farmers and initiated a process of debt restructuring in the 2000s for farmers suffering from unsustainable leverage ratios. This has been very important for the sugar sector, as most of the country's mills were on the brink of bankruptcy after the 2008 financial crisis. We believe the effects of the recent debt restructuring for these mills are starting to be seen; sugar plantations are showing higher-than-expected rates of replanting, as the sector's profitability is not being restricted by heavy debt burdens.
|More Money To Uncompetitive Crops
|Brazil - Producer Support Estimate By Commodity (% of total gross farm receipts)
Overall, Brazil's grains and oilseed sectors have benefited strongly from the lack of restriction on investment in the agricultural input industry as well as for the export sector. Developments by Monsanto and Syngenta in Brazil have not been restricted by the government, and the rapid growth in seed offerings has benefited the expansion of the country's corn and soy yields over the past decade. The agricultural machinery industry has also developed without restriction in the country, helping productivity in the grain sector. Finally, agricultural exports out of the country are tariff, and the only restrictions they encounter are in recipient countries (outside of Mercosur), where they can be subject to quotas, origin preference or dumping accusations.
On the contrary, agricultural policies in Argentina and Paraguay have partially discouraged production in these countries. Both regularly impose taxes on agricultural exports with a focus on raising government revenues in times of weak fiscal situations and to ensure sufficient supply for the domestic market while controlling inflation. Export taxes have mainly targeted grains and oilseeds in both countries, while Argentina has extended them to meat and dairy. These taxes have discouraged local producers from boosting production, as the domestic consumer market does not offer enough growth potential on its own compared with the export market. As a result, entire sectors including beef and dairy, which represented a huge export industry in the past, have shrunk massively, and Argentine farmers have become less competitive than neighbouring Brazil.
|Boost From Liberalised Imports Of Agricultural Inputs
|Argentina - Select Inputs Import Values (US$ '000, LHS) & Corn, Soy Yields (tonnes/hectare)
In spite of these factors, the Argentine agricultural sector remains significant globally, with major crops expanding and the country's farmers adapting rapidly to the changes in export tax regimes. First, this is because the country's agricultural sector still represents 10% of the country's GDP (compared with 20% in 1959), and the farming lobby is extremely powerful. Second, the liberalisation of imports of agricultural inputs in the 1990s encouraged a boost in productivity for the sector and partially compensated for the loss in profitability due to remaining export taxes. In the 1990s, Argentina's fertiliser, pesticide and agricultural machinery use, as well as plant genetics and seed development, lagged well behind the US. In fact, the national average application rate for all fertilisers was only 8 kg/hectare (ha), compared with 55kg in Brazil and nearly 187 kg in the US. By 1998, the country had tripled its fertiliser use to 32kg/ha, and latest data show that fertiliser use now stands at 38.8kg/ha.
The tremendous growth in machinery and pesticides imports also helped take yields much higher over the past two decades. Finally, the country's farmers have proved very quick to adapt to changes in the country's grain export taxes, recently shifting plantings away from wheat as the grain is currently subject to the highest taxes (23% on wheat; 20% on corn, sorghum and barley; and 5-10% on rice).
|Products covered under
the forward contract program in 2011 (%)
|Source: ASERCA/SAGARPA, USDA
|Livestock Products
For Mexico, we do not believe the current government's support for forward contracts programmes between farmers and buyers will have any major impact on local production. The grain sector (corn in particular) will continue to be favoured by government support, with support prices for farmers selling these crops helping to maintain a certain amount of revenues and therefore reinvestment in the country's crop. Overall, we see government intervention mainly targeting consumer prices with the aim of maintaining sufficient supply of tortilla bread on the domestic market and controlling price movements for the staple. As a result, we expect the country to remain very dependent on imports over the medium term, with government support very likely easing imports at the expense of boosting production.


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Drake Hotel Toronto
No prices found through our partners. Please contact the business directly or check some of our recommended alternatives.
How has this hotel rated in the past?
- Suites
- Free High-Speed Internet
- Restaurant
- Room service
- Bar/lounge
- Business Services
Photos of Drake Hotel Toronto
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Historical Traveler Reviews Drake Hotel Toronto
Fantastisch- Service, Essen, Unterkunft
Wir hatten unsere Familien Hochzeitsfeier und waren 2 N�chte im Drake und hatten dann noch eine gr��ere Feier in "The Great Hall" gegen�ber vom Drake. Das Drake war wie ein zuhause weg vom zuhause. Fantastischer Service, Essen, und Unterk�nfte, die uns eine ausgezeichnete Hochzeit bescherten.
Wir k�nnen es allen, die eine klasse Hochzeit oder Familienfeier planen, nur empfehlen. Vielen Dank an das Personal und die Inhaber des Drake Hotels. Mozes family Ottawa, Toronto, London (UK)
Richtig cooles Hotel!!! Komme sicher wieder.
Ich war auf Gesch�ftsreise f�r 3 N�chte im Drake. Ich reise oft allein und habe die Nase voll von karakterlosen, gro�en Gesch�ftshotels... dieses geh�rt NICHT dazu. Es ist jung, energiegeladen und voller cooler (und gut aussehender) Leute. Die Zimmer sind klasse. Ich war in einem Crash Pad, das kompakt ist aber auch mit viel �berlegung und Stil designt ist !!! Ein wirklich cooles Zimmer. Mit den Bars und Restaurants im Hotel kann man einfach runtergehen und einen sch�nen Abend verleben und danach gleich wieder im Zimmer sein. Nicht hier buchen, wenn man es ruhig und friedlich mag. Oder wenn man eine junge Familie hat. Aber f�r einen Einzelreisenden so wie mich und jemanden, der gerne Leben um sich hat, ist es das perfekte Hotel!
It's OK, but
Modern rooms, but no elevator and nobody to help with the luggage. I have bad knees (blew out the ACL in both knees) and our room was on the 3rd floor. Ouch.
When we got there the in-room internet wasn't working, the wi-fi wasn't working, and they weren't answering their phone. Had to walk down the flights of stairs again to find someone - anyone - who could help. Eventually a very nice guy figured out their problems and restarted the internet.
There was no chair in the room - made it a bit less than comfortable. TV was nice, though.
The Best Place to be in Toronto
I've made the Drake hotel a regular hangout now for me.
From the first night my friends and I decided to stop in, we were greeted at the door by very cool doormen. No attitude from these guys what-so-ever.. That's what makes you remember your "fun night out with friends".
I've travelled quite bit and stayed in a lot of major cities in the world. This is the hands down best hangout I've been in.
All sorts of different people.. As I said no attitude from their staff.
I totally recommend the Drake if you are looking for a hotel that has it all - great rooms, food, drinks and nightlife.
Very cool hotel !!! Would def. stay here again.
I stayed at the Drake for 3 nights on a business trip. I travel alone quite a lot and am so bored of characterles big business hotels....this is NOT one of them.
It's young, buzzy, hip and full of cool (very attaractive) people.
The rooms are great. I stayed in a Crash Pad and whilest it is compact it's also be deisgned with a lot of thought and style!! A really cool room.
With bars and restaurants in the hotel you can just go downstairs have and great ngiht out and come back up to your room.
Don't stay here if you like peace and quiet. Nor should you choose to stay here if you have a young family. But for a lone traveller like myself and soemone who likes to know there is life going on around me, this was the perfect hotel for me!
Fantastic-service, food, accommodations
We had our family wedding reception and we stayed 2 nights at the Drake and then we had a larger reception at "The Great Hall" across the street from the Drake. The Drake gaves us a home away from with fantastic service, food and accommodations which help to give us an excellent wedding. We would recommend it to anyone wanting a great wedding or family re-union. Thanks so much to staff and owners of the Drake Hotel. Mozes family Ottawa, Toronto, London (UK)
Avoid Room 203 at any cost! Not a Family Hotel!!!
I just stayed at the Drake for ONE night, Monday 5/16/05 for a business trip. First of all: this is an interesting hotel as its rooms are very modern and the amenities are nice. However, please note: this hotel is also home to three VERY active night spots which are booked solid, each with separate bands/events, almost every night if the calendars they publish are correct.
On this particular Monday night the place was jammed with people. Based on this, it appears that the hotel makes as much or more from the bars and restuarant as they do from the hotel rooms. I was with a group of 4 who had other rooms that were also nice and most a little quieter than mine.
Avoid Room 203 at all costs because it is located at the top of a long stairway [or echo chamber] from the lobby, and the window overlooks a very active outdoor patio area. I understand that if you complain about the noise the front desk will send you a set of their own earplugs. If you want to sleep, be sure to use them!
Also note: this is NOT a family hotel. I found a Drake Hotel "pleasure menu" in my room which claimed it was the "first of its kind in North America." It was full of sex toy packages available from the desk and there was a display in the lobby as well.
So Buyer Beware!
Great & Cleverly Designed Rooms
While the website is a little kooky and odd to navigate, the hotel itself is a gem. In a neighborhood-in-transition (i.e. it's in the process of being gentrified by artists). The hotel itself doesn't look like too much from the outside but inside the owners have put thought and care into all the different and unique design touches. The cafe and restaurant are great and very relaxed. The rooms are unlike any I have ever seen before. Very small but efficiently designed with high end elements and unique design. Plasma TV and incredible bed. As good as any high end boutique, art-centric hotel you would find in NYC for two-to-three times the price.
Works for me
Toronto has been lagging in the area of cool hotels for years, so when the Drake opened I was excited. I just want to let people know, this hotel is not a generic Standard or W style hotel. It is chill and unique with lots of boho influence, as well as being quite affordable. Some uptight white collar types might not get it, as it is casual but cool. For those that do get it, the personal touches (handwritten welcome etc) and the cool but friendly staff will make you very happy. Almost every time I've stayed there, the owner has been around, which helps with the uniqueness of the experience. The rooms are exactly as the web site describes them...no surprises. The bars and lounges are great, but as with most urban centres, I would avoid the weekend bar crowd, as the suburbanites invade the coolness, trying to celeb spot. The hotel and it's lounges are happening, so if you want a quiet getaway this is not the place. You are on your own with parking and it is still a pretty sketchy neighbourhood, so leave nothing in your car that can get stolen. I will stay there again on my next visit as I find it fun and welcoming, with a great dose of authenticity.
I had a good feeling that his place was going to be fantastic from the moment I walked in and received a most courteous welcome from the staff.
A frequent business traveler, the room I had was among the best that I have ever stayed in. Of course, it was small, but I knew that going in from the description on the Internet (What's this? Truth in advertising?). But the modernized amenities more than made up for the limited room. Although they have pictures on the web, they don't adequately convey the whole story here. The glass and chrome, the flat-panel television, DVD player, CD player, the down comforter, and firm bed...you name it, it was all here.
Rooftop lounge was terrific, dining options were numerous. If you're looking for swank for your next Toronto visit, look no further.
TripAdvisor Reviews Drake Hotel Toronto
Travel Blogs from Toronto
After 23 Hours To Get Here... Dorothy Had it Right
5 AM (Actually 4 "something") : The alarm is going off? Up and ready to head home, a cross between a sense of dread and also excitement! Chester's name is going to get mentioned several times over the next many hours!!
6AM: Checked out, boxed breakfast in hand and we wait for our cab. Accompanied by another young couple we had noticed earlier on our trip as they "stood" out somewhat ...
The Journey Begins....
... about other luggage
I boarded the plane at 3 pm. This was my first time traveling with China Eastern airlines and I was a little worried after reading some reviews online. The overall experience was quite good actually. The service and food was at par with other airlines I have flown with. The seat and leg room was OK and I had no problem communicating with the flight attendants. They were all ...
Our last day in Canda
... amp; I didn't participate some did. I think this is an excellent idea for wineries
We had quiet trip back the airport a number of us were sleeping.
Our flight back to Sydney via Vancouver was eventual except like all airlines we were fed on leaving then after a 4 hr flight and a brief stopover in Vancouver we were offered food again which we ...
FAMILY & FRIENDS POOL: Tie-Breaker Rule
... serif; line-height: 17.920000076293945px;">
Union Station- Day 2
... This was, mildly disconcerting, until we spotted the lighting and camera crew just seconds before the director called cut. Happily the panicked passengers were just extras and the angry men actors. No clue of what they were filming but not sure it looked nearly gory enough for us.
A lovely security guard assured us he would be more than happy for us to plod on straight through and plonk ourselves in the middle of this film set to buy our tickets, encouraging ...


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Primeaux helps lead Midland to Bell City Bruins Relays title
BELL CITY – Midland track and field coach Todd Briley didn't have high expectations heading into Wednesday's Bell City Bruins Relays.
After all, his squad had just competed in the Lacassine Relays, their first outing of the season, the Friday prior to Bell City's midweek meet.
But even with little recovery and practice time, Briley's squad was up to the challenge.
The Rebels won six events and racked up 125 points to edge Johnson Bayou (122.5) for the overall team title. The host Bruins placed third in the meet with 117 points in the 10-team field.
"We are doing a little better than I expected," said Briley, whose Rebels finished second at the Lacassine Relays. "I didn't expect us to do as well as we have done the last two weeks being that we are just getting started."
And although it was a total team effort on Midland's part, there was one individual that stood out on the night.
Stephen Primeaux excelled on the track by winning both the 200-meter run (23.80) and the 400-meter run (53.72) as well as running the anchor leg on the winning 4x200 and 4x400 relays.
His 25-point performance was more than enough to earn him the Outstanding Track Performer Award.
"Stephen runs hard and he gives it everything he has," said Briley. "He's a competitor and he has some ability."
Devon Gautreaux also scored a first-place showing, winning the 800-meter run (2:08) and Dylan Miller was second in the 1600-meter run (5:09.81)
"Devin ran real well," said Briley. "He ran a 2:09 and that's really a good time for him. That's a pretty good time in the 800.
"And Dylan, he's just a freshman; he ran well in the mile and we're thinking about putting him in the 800 as well."
Jake Gautreaux gave the Rebels their final individual victory of the evening with a time of 11:13.41 in the 3200-meter run. He also teamed with Floyd Baker, Darren Arceneaux and Primeaux to win the 4x200 relay (1:37.54).
"Jake did a good job," said Briley, of Gautreaux who shaved nearly 20 seconds off his time in the 3200 from the previous meet. "He improved his time quite a bit and he ran a lot better than he did in the first race."
Arceneaux, Miller, Devon Gautreaux and Primeaux won the 4x400 relay in a time of 3:44.56.
"I'm really proud of our guys," said Briley, who was without the services of Randy Primeaux due to a muscle strain. "We don't have a lot of guys out there (maybe 12) so they are having to do a lot of events. But they hung in there and pulled it out."
On the girls side, the Lady Rebels scored 60 points to finish fifth in the field of 12 teams.
Bell City's Lady Bruins won the meet with 151 points while Hathaway was second with 102. Lacassine followed with 75 points and Sacred Heart was fourth with 70.
Kristen Breaux had the highest individual performance for the Lady Rebels with a second-place showing in the 400-meter run (1:10.65). Katie Woods was third in the 3200 (13:56.44) and Tori Craigen was fourth in the 200 (29.38)
The Lady Rebels also scored in all three relay events. They were second in the 4x400 (4:45.45), third in the 4x100 (56.01) and fourth in the 4x200 (2:01.19).


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33, Los Angeles, CAI am looking for a partner to enjoy life with. I have always been the single one amongst my friends and I have always yearned for that special someone to have fun with. I enjo...
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