text:
Supersets Weight lifting For Massive Muscle Growth
Chris Chew
If you have been lifting weights for sometime or have been reading bodybuilding magazines and journals, you would have probably heard of super setting. However, how often have you seen people super setting when weight lifting? If you did, did you notice those guys who were super setting were almost invariably the bigger boys. If you want to be big, then why didn't you superset like them?
What is weight lifting superset? A superset is when you perform two exercises back to back with
no rest in between the exercises. There are a few variations of superset such as, antagonistic muscle superset, pre-exhaustion superset and post exhaustion superset…..etc. We will discuss just these 3 of the more popular supersets in this article.
• Antagonistic Muscle Superset
An antagonistic super set is when you exercise opposite muscle group. Although they are opposite muscles, they actually support each muscle during your movements. For example, when you do dumb bell curls for your biceps, when you lower the dumb bells, your triceps are called into action as well. Similarly for the negative movement of a bench press, your back is working too like when you are doing the bent over row.
So for example of an antagonistic superset on your, say chest and back day, do a bench press routine then follow up with a bent over row or vice versa. That will be one superset. Rest for 2-3 minutes and then proceed with the second set and so on. This will work the muscles involved more deeply than mere straight sets.
• Pre-exhaustion Superset
In a pre-exhaustion superset, you work on the same muscle group with an isolation exercise and then follow up with a compound exercise without rest in between sets. For example, still on your chest and back day, you work out with dumb bell flyes (chest isolation exercise) then immediately thereafter with a bench press (chest compound exercise).
By performing with an isolation exercise first (flyes), you pre-exhuast the targeted muscles you are working on, which in this instance are your pectorals (pecs) and then hit your pecs hard again with a compound movement (bench press) that allows other muscles that are still fresh such as your deltoids and triceps to assist your pecs in the exercise.
• Post – Exhaustion Superset
Another version of super setting is the post-exhaustion method. It is the exact reverse of the pre-exhaustion. In other words, lift compound exercise first and then follow up with an isolation exercise for the same muscle group. It will allow you to lift heavier weight for the compound exercise because your targeted muscle group is not pre-exhausted yet.
Vary each of these various forms of superset every 2 – 3 months and watch your muscles explode with massive growth.
Article Source:
Chris Chew is a personal trainer of pageant winners, models and other celebrities. See his training system at
Free Build Muscles Ebook
Fitness Instructors Singapore
More Articles from Fitness Category:
Some Helpful Tips to Choosing the Right Spa Vacation
Fitness For Kids – Some Examples Of Basic Kids Fitness Routines
Buying A Bowflex?
Choosing the Right Stop Smoking Program
Why Should People Exercise ?
Exercise for Fun
Light Weight High Repetition ExercisesTo Define, Tone And Get Ripped Muscles?
Trikke Your Way to Health
Impotence Cured With Mind Power
Supersets Weight lifting For Massive Muscle Growth
High Fibre Meals and Peak Fitness
Fitness Programs
Breathing Exercises – Importance of Holding Breath
Does Your Soulder Need A Shoulder To Cry On?
Starting a Successful Fitness Program
Main Menu
Articles Home
Top Articles
Top Authors
Submit Articles
Submission Guidelines
Free Downloads
Top Downloads
New Programs
Link to us
Contact us
Search in
Soft Categories
Audio & Mp3
Business & Finance
Desktop Enhancements
Home & Education
Multimedia & Design
Security & Privacy
Software Development
System Utilities
Web Development
2006-2008 RedSofts.com -
Privacy Policy


text:
Epic Madagascar Kitesurfing Trip
by Reto Guler
I wanted adventure and thrill. I realized this the second day in Madagascar when my taxi driver told me at three in the morning to push the car as his battery was broken. After 4 hours of pushing I finally decided to walk to the beach which took me another hour. So it all started and I fell in love with this country. I soon realize that traveling alone with no reservation and 40 kilograms of kite equipment became a great adventure. Madagascar is a very big country with less than 25 % of the roads paved and those paved ones are in a very bad shape. You can travel with 14 seater-minivans which is a lot of fun since you feel like a trapped sardine with 30 other locals. Otherwise you can also fly within the country. I started my trip all in the North close to Diego Suarez. The wind in the Baie de Sakalava blows every day with an average of 30 knots. It is fantastic for big huge jumps and there are also some waves out there. You can also take a one hour fishermen's boat trip to Mer d'Emauralde. It is a small island with beautiful smooth waves and strong wind.
After narrowly escaping the crazy girls in the nightclubs of Diego Suarez, I decided to visit the quiet national parks with their bizarre landscapes and sweet lemurs.
After two boat trips and a six hour packed hardcore minivan trip I finally arrived to Nosy Komba (close to Nosy Be). Nice flat water and light wind was fun for freestyle. The whole village was watching me kiting.
Tired of hardcore traveling I decided to fly to the south. Kiting in Fort Dauphin next to and old shipwreck was really exciting. On the beach I was approached by a Malgache guide who promised to take me to the beautiful Lokaro beach the next day. After 3 hours of rowing and about one hour of walking with 40 kilos of kite equipment we finally arrived at the beach. Alternatively you can go with 4x4 which will cost you more.
I slept in Evatra, a little fishermen's village with no running water, no electricity and chickens running all over the place. Make sure to give the guide the money after the trip. My guide was completely drunk during the night and he woke me up several times during the night to ask for more money. The next day we only left very late since my guide was babalas and again we had to carry our equipment. This time it was raining like crazy and all my travel clothes was soaked. So I decided to fly to Tulear to dry my clothes and to kite in the beautiful island of Nosy Ve which you can reach with a fishermen's boat from Anakao. The famous Flameballs reef break is also out there if you love surfing. Madagascar is a great country to explore. Don't forget to learn some French before you leave and take your Lonely Planet guide with you.
Madagascar I will never forget you.
In love, Reto.

subset: commoncrawl


text:
Perera Elsewhere
Label: Friends of Friends
Release Date: Oct-29-2013
Forged from the depths of London, eventually finding Berlin as her sanctuary, Perera Elsewhere summons lost souls and presage of tomorrow in her craft. Acting on instinct rather than mathematics, incorporating organic elements that compliment and co-exist with robotics, carefully reserving space for her haunting yet soothing vocal passes...these are the bricks and mortar of Perera's waking dreams. From the grit of dark club to the absorption of indigenous sounds & styles along her travels, Perera melds these inspirations into her own semi-acoustic, abstract and pop-tinged bliss.Prophetic revelations put to tape. A message in a bottle delivered through cryptic vocals laid to a smoky atlas, guiding followers to a new translation of the world as we know it. These are just shadows of the sentiment that Perera Elsewhere delivers on 'Everlast', her 12-track debut LP for Friends of Friends. Touching on topics ranging from the corruption of organized religion, gender discrimination and technological advancements leading to human over-dependance, her vision couldn't be more focused. On "Giddy", she sings "You sway unsteady with your sword// it makes you livid, muzzle round your jaw// vivid dream that ain't got no flaws// pasting memories you can't recall..." making way for Gonjasufi to drive the chant home with his signature, emotive bars. On the lead single "Bizarre" she navigates the haunting melody flawlessly with the lyrics "its been a long time by the look of things// long time money's running everything// the same 10 families that run this show// friends with the president, friends with the pope", signing her name in the cement of her beliefs. Come October 28th, the world will bear witness to the sounds and sights of Perera Elsewhere. With a feature from Gonjasufi, as well as remixes slated from the likes of Hype Williams, Maria Minerva, Nautiluss and Kyson, the sum of the parts equals up to a concentrated plume of aural frankincense. We here at FoF are certainly ecstatic over the opportunity to present our new leading lady to the universe... "It's been a long time, so bizarre..."
1. Drunk Man
2. Giddy (feat. Gonjasufi)
3. Bizarre
4. Light Bulb
5. Ebora (feat. Aremu)
6. Dreamt That Dream
7. Shady (feat. Springintgut)
8. Bongoloid
9. Carousel
10. The Zap
11. Lazy
12. Dimmed Down
Purchase from:
Google Play
Sony Music Unlimited
Consequence of Sound
No Fear Of Pop
The Fader
Gorilla vs Bear
The 405
In Your Speakers
Resident Advisor
Dummy Magazine
Magnet Musik


text:
Read the full story here Web Link posted Tuesday, June 4, 2013, 11:23 AM
Town Square
Two dead birds test positive for West Nile virus
Original post made on Jun 4, 2013
Read the full story here Web Link posted Tuesday, June 4, 2013, 11:23 AM
Comments (2)
a resident of another community
on Jun 4, 2013 at 1:23 pm
Where were these birds found? It would be helpful to know if they were found coastside or bayside -- near the SF border or south in the Menlo/Atherton area? Were they found in the Baylands or in a suburban area? This would give us more info about how to protect ourselves in these various locations. Maybe we don't need to worry about putting on bug spray in our suburban backyards -- or maybe we do?
Please dig into this info for us!
Almanac staff writer
on Jun 4, 2013 at 4:35 pm
Dave Boyce is a registered user.
The dead birds were found in the city of San Mateo.
Bay City News Service reported: A Scrub Jay was reported Thursday in the Hillsdale area east of Alameda De Las Pulgas and an American Crow was reported Sunday in the Hayward park area, San Mateo County Mosquito and Vector Control District Vector Ecologist Theresa Shelton said.
Don't miss out on the discussion!
Sign up to be notified of new comments on this topic.
Opening alert: Kyosho Sushi in Menlo Park
By Elena Kadvany | 0 comments | 1,550 views
Love is a Verb
By Chandrama Anderson | 0 comments | 1,055 views
Meet the winners!
The results are in. Check out The Almanac readers' favorite foods, services and fun stuff in the area.


text:
|Site name: JANDAKOT AERO
|Site number: 009172
|Commenced: 1972
|Latitude: 32.10 °S
|Longitude: 115.88 °E
|Elevation: 30 m
|Operational status: Open
A basic site summary is available in a pdf document. This includes a graphical summary of the climate data available for the site and an operational summary. Please contact the Bureau if you have difficulties with the pdf format, or if you would like additional metadata (available for the cost of provision).
This page was created at on
© Copyright Commonwealth of Australia , Bureau of Meteorology (ABN 92 637 533 532) | Disclaimer | Privacy | Accessibility


text:
Docket Management
Docket: 01N-0256 - Use of Opiate Analgesics in Various Patient Populations, Including Pediatric Patients
Comment Number: EC -221
Accepted - Volume 4
Comment Record
Mr. Ronald Vignone
2002-01-16 12:45:56
Enhanced Marketing, Ltd
Comments for FDA General
1. General Comments
Our organization, which is involved in the development of informational and educational programs for health care professionals who manage pain, supports the Consensus Statement of 21 health organizations and the DEA which was published last year. We wish to encourage the FDA Advisory Committee to consider the following facts in their discussions of use of opioid analgesics in various patient populations: Undertreatment of pain is a serious problem in the United States, including pain among patients with chronic conditions and those who are critically ill or near death. Effective pain management is an integral and important aspect of quality medical care, and pain should be treated aggressively. For many patients, opioid analgesics, when used as recommended by established pain management guidelines, are the most effective way to treat their pain, and often the only treatment option that provides significant relief. Helping doctors, nurses, pharmacists, other healthcare professionals, law enforcement personnel and the general public become more aware of both the use and abuse of pain medications will facilitate proper and wise decisions regarding the treatment of pain. Drug abuse is a serious problem. Those who legally manufacture, distribute, prescribe and dispense controlled substances must be mindful of and have respect for their inherent abuse potential. Focusing only on the abuse potential of a drug, however, could erroneously lead to the conclusion that these medications should be avoided when medically indicated, generating a sense of fear rather than respect for their legitimate properties. We urge the Committee not to take any action or make any recommendation that would restrict access to pain medication for patients in need.


text:
When building an effective marketing campaign, it's important to have both a solid understanding of your client base and a plan to reach them. With some industries, it's easy to identify promotional materials that best represent your business' products and offerings. Take our selection of tools and flashlights, created for DIY-ers and anyone who might benefit from the practicality of a handheld device. From custom tire gauges to lighters, flashlights to tape measures, ePromos offers a large selection of items designed to be helpful to the recipient. Find the tools to get people talking about your company with branded gadgets and accessories.
You'll never be left in the dark again with these clip style LED logo flashlights that include a convenient clasp for clipping.
Shed some light on your giveaways with these thin custom keychains that have a built-in bright light and your logo imprinted on the white panel.
This promotional tape measure is a clever promotional tool that really measures up with its multiple functions!
A handy two-tone promotional tape measure that also doubles as a keychain.
Small fix-it jobs will be simple to complete with the aid of this custom multi-tool that includes screwdriver bits, a level and a flashlight.
These customized pocket knives have 12 convenient tools built into 1!
These stainless steel custom bottle openers are the perfect bar accessory take home gift to kick off any summer marketing campaign event.
A yellow & black heavy-duty rubber casing ensures this promotional tape measure is a lasting promotion.
Your giveaways will come in handy when you add this multi-functional custom keychain tool to your promos!
Be prepared with this multi-use promotinal keychain that includes a flashlight and 2 head screw bits.
A handy two-tone promotional tape measure that also doubles as a keychain.
Promote safety and your business with this custom tire gauge with an LED light.
A rectangular imprint area makes this custom bottle opener an even more powerful promotional product.
Keep track of your glasses and enjoy your favorite bottled beverages with these Hat Trick custom bottle openers and sunglass strap combinations!
This bottle opener custom keychain features your stunning full color logo for a unique and memorable giveaway.
You will not get lost for ideas when it comes to promotional gifts, give this beautiful logo compass and your clients will always find their way back to you.
These compact customized flashlights are the perfect size and shape for direct mail promotions.
Make your logo bottle openers stand out from the crowd by creating a 2-dimensional custom shape based on your logo!
Get ahead of the group with this important piece of the puzzle - the Mini Puzzle Piece Key Light Promotional Keychain!


text: What better way to eat right, exercise and improve your well-being than to do them with friends? That's the idea behind a fun, new mobile app called WellWithMe. The free app lets friends work together to improve their health by sharing challenges, status updates and photos of their good-health achievements. WellWithMe was made possible through support from Aetna (NYSE: AET), a leading global diversified health care benefits company. "WellWithMe is such a fun, social way to engage friends and family members to get and stay healthy," said Karen Weinseiss, Aetna International's senior vice president of International Health Care Management. "All of us are much more likely to stick with good eating habits or daily exercise if we have a buddy to share the experience. We are pleased to have supported the development of WellWithMe as part of our drive to help people live healthier lives." WellWithMe lets people invite each other to join them in three healthy activities every day, one from each of its three categories: Move, Eat and Grow. Under Move, the activity might be a simple one, such as "take the stairs instead of the elevator," or more vigorous, such as "swim for 30 minutes." In Eat, activities include "eat three different colored fruits" or "have a salad with lunch." In Grow, suggested activities are "read for 30 minutes" and "make eye contact with five people." Participants can log on and invite friends through their Facebook accounts. The app keeps a running tally of completed activities and lets participants share photos and achievements. The idea for WellWithMe began in Berlin on November 3, 2012 when a four-member team of young European and American software developers competed at the Aetna International-sponsored code-a-thon held prior to Health 2.0 Europe, an annual conference on health technology. During the 29-hour competition, the foursome created an impressive prototype mobile app that earned them a €3000 prize. Their next step was to refine the app to make it ready for consumer use. With additional backing from Aetna International and some extra brain power from several developers they met at the contest, the team recently added WellWithMe to the Apple App Store and Google Play. The app is free. "We're terribly excited to see people all over the world use our app," said Caleb Oller, leader of the Berlin 6, the team who created the application. "It's very gratifying to know that our work can help people live healthier lives and have fun in the process. We're grateful to Aetna for helping us produce a really useful tool."


text:
Six-year-old girl hurt in brawl
Page Tools
A six-year-old girl was injured during a fight in which a man was allegedly kicked, punched and struck with a baseball bat outside a home on the NSW Central Coast.
The 37-year-old Woy Woy man was bashed after four people intervened in an altercation in front of a house on Barrenjoey Road, Ettalong, at 4.15pm yesterday.
Police said a six-year-old girl suffered minor injuries in the incident and the man had a possible fractured cheek, bruising and soft tissue damage.
Five people have been arrested and charged following the brawl.
A 41-year-old Liverpool man has been refused bail to appear in Gosford Local Court today charged with a number of offences, including assault.
A 42-year-old Woy Woy man and two Ettalong Beach women, aged 39 and 44, have also been charged with assault-related offences and conditionally bailed to appear in court next month.
Get The Age home delivered for as little as $2.70 a week*


text:
Holly Madison & More! Celebs Who Insure Their Body Parts (PHOTOS)
The Girls Next Door star Holly Madison is looking out for parts closest to her heart – her breasts! Some might say she has the breast insurance in town. The reality star just took out a $1 million insurance policy on her breasts with Lloyd's of London insurance company.
"If anything happened to my boobs, I'd be out for a few months and I'd probably be out a million dollars," Holly told People. "I thought I'd cover my assets… They're my primary money makers right now."
Holly isn't the first celebrity to take out an insurance policy on a body part.
In fact, she now joins a long list of celebrities that soccer star David Beckham and musicians Mariah Carey and Rihanna.
Check out our gallery to find out what celebrities have gotten insured over the years!


text:
Blackeyed Smiley
Nice. Smiley with an edge.
The standout coat is one of the strongest trends this season, and this Leifsdottir coat is the perfect example: interesting shape, great details but it doesn't go too far so it's still very wearable.Tags: outerwear, jackets, womens clothing, coats, trench, Belted, botton, Leifsdottir, left bankAdded 9 Years Ago from Nordstrom


text:
Earlier this year I took a journey down memory lane. This was because believe it or not I have now been blogging for more than ten years. I thought that it might be fun to complete the journey. So far I have posted my personal blogging highlights from the years 2007, 2008, 2009, 2010, 2011, and 2012. Today, we go back into what is in Internet years an aeon ago, the year 2006.My blogging year began with a couple of interviews, with Justin Taylor and Mark Dever. Then in February I embarked on … [Read more...]
Best of the Blog – 2006
Best of the blog – 2007
As regular readers will know I have been digging further and further back into the archives of this blog, so now it is time to share some highlights from back in 2007 which in Internet years is decades ago! I have already posted about 2012, 2011,2010, 2009, and 2008. I hope these posts give some sense of the journey that this blog has been for me. It is striking how certain themes are returned to, in some cases something that becomes a major theme later on appears briefly in a previous … [Read more...]
Best of the Blog – 2008
To continue this series of digging further and further back into the archives of this blog, here are some highlights from 2008. I have already posted about 2012, 2011, 2010, and 2009. This post therefore marks the half-way point, though 2003 was not a complete year of blogging, which is why the tenth anniversary of this blog is not till April 2013.In January 2008, as is often my custom I took a break from blogging, but shared my most widely read blog posts each day, which actually continued … [Read more...]
Best of the Blog – 2009
As my tenth blogging anniversary approaches I thought I would share the history of this blog for new readers. So far I have shared from 2012, 2011 and 2010. We now turn to 2009 which feels like yesterday!It is interesting to me to reflect on how much has changed over the years. It is also striking how fast time moves as I discover posts that I thought I'd written "a few months ago" are actually from several years ago! If you are interested in these posts do link to them on Twitter, or … [Read more...]
Best of the blog – 2010
To help new readers get the background to this blog, and as a filler while I take a blogging break I am posting a series of highlights from the ten different years that I have been blogging. Soon I will have my ten year anniversary. So far I have posted about 2011 and 2012. Here is my review of 2010.The year began for me in Enfield Cineworld where I would of course spend most Sunday mornings, and many other meetings during the year. I love being rooted in Jubilee Church, it helps keep me … [Read more...]
The Best of the Blog: 2011
It is getting very close to the ten year anniversary of this blog (April this year!) I also realize that I have gathered a lot of new readers since moving to Patheos. January is also usually a quiet blogging month for me, and I will be taking a break from new posts for at least next week for our church prayer and fasting. So I thought that I would do a bit of archeology and help new readers grasp the story that is this blog. I have already posted about the best bits of 2012, so here is what s … [Read more...]
The best of the blog: 2012
Most years, at around this time I like to review the highlights of my blogging year. 2012 has certainly been an exciting year in the life of this blog.The year began promisingly with "How Great is our God" trending on Twitter, and in January I wrote on how the Church is meant to be a refuge, and how to move the immoveable God.In February I preached on the three phases of faith, a sermon that might surprise some of my Reformed friends. I also wrote a simple post, that once again reminded … [Read more...]
My Top 50 Posts of all time
Here is a list of links to the most popular posts I have written over the lifetime of my blog. If you want an introduction to the kind of things I have written, this is a good place to … [Read more...]
Top 100 posts from this site
As I leave you for a well earned and very necessary blogging break, it is my custom to share with you a list of the most visited pages from all time, judged by the number of views received in the past 12 months. It is encouraging to me to see that there is a good spread of posts from previous years as well as this year in the list. It is more than enough to keep you going while I take my rest. I will not be blogging, tweeting or facebooking until the 13th January when I leave for Mobilise … [Read more...]
Review of 2010 part 2
Today, I will conclude my review of 2010's blogging. At the begining of June I shared notes from a sermon I preached, A People on a Mission. I also began some work on a planned online study guide for Raised With Christ. This included video footage and questions for people to consider or discuss in groups as they read the book. Unfortunately I had to put that on hold due initially to sickness, but later due to a season of incredible business which consumed the latter half of my year. I would l … [Read more...]


text:
Member since 2/12/2014
- 2 total posts
- 2 comments
Recent comments from ahenry617
I stopped the pain meds. I justbreathe through the pain now... READ COMMENT
I have noticed i get tired VERY easy...ill get up and try to wash the dishes. By time i get the sink filled with water and put the ckean dishes up im tired! I just go sit down & tell my boyfriend to get them when he gets home... READ COMMENT


text:
[JoomUnited] Linky Map v2.1.0 – Download Joomla Extension Free
Linky Map is using data from Google Geochart to generate map with custom marker, region colored, with tooltips and HTML sidebar. You can create a hundred of custom maps even more. All the world, all the regions are included. You can add paramter on each map and have different view of the same country with, for example, a UK map with region or marker.
The customization of a map can be done on a single view. Responsive design included. The extension comes with a module for more flexibility. (more…)


text:
For generations, marketing has been hypocritical. We've been taught to market to others in ways we hate being marketed to (cold-calling, flyers, ads, etc.). So why do we still keep trying the same stale marketing moves?
UnMarketing shows you how to unlearn the old ways and consistently attract and engage the right customers. You'll stop just pushing out your message and praying that it sticks somewhere. Potential and current customers want to be listened to, validated, and have a platform to be heard- especially online. With UnMarketing, you'll create such a relationship with your customers, and make yourself the logical choice for their needs. This book:
Traditional marketing methods are leading to diminishing returns and disaffected customers. The answer? Stop marketing, start UnMarketing!
Download the accompanying reference guide.
©2010 Scott Stratten (P)2010 Audible, Inc.
"Smug author, unamused lister"
I wasn't a fan of the writer's tone throughout the book. It was further emphasized by the way he read the book and the amount of times he touted his Twitter following. I get it. You have a lot of followers. Slow clap. It's like he wrote the book just to hear himself read.
"Excellent Info, Delivered with Refreshing Candor"
Scott Stratten knows his stuff, and he tells it like it is. Expect no sugarcoating in this book. The conversational tone makes it seem as though you've stepped up to some sort of marketing Genius Bar for your one-on-one training session. Sarcasm runs amok here, used effectively as a telling barometer for what the industry will bear today. But Scott also dishes out some humility, being more than willing to share his missteps with you to ensure you make the correct choices.
The biggest takeaway from the book is that marketing is not about you -- that once you make it about you, you run the risk of losing your audience. He delves into social media, branding, customer service, viral marketing, trade shows and more, with lots of anecdotes and real-life examples to illustrate his points. I read the review above stating that Scott focuses on Twitter too much; sure, he favors Twitter because it's his preferred unmarketing tool, but I don't think it's overkill. Twitter is not just emerging, it's THE place to be, whether you're a third-generation mom-and-pop shop or a ubiquitous industry giant. When the recording ended, I felt newly motivated to get my social media and unmarketing efforts up to par, and thanks to Scott, I've got a handy list of resources to check out. I will be recommending this book both to colleagues and to any business-owners I come across who are in need of a serious marketing makeover.
"Not sure of the point of this book. Nothing useful"
This was sort of like listening to your friend complain about his experience at different places he shops. I found nothing useful for our business here. The author spends lots of time talking about his personal experience at different establishments which is the same info I can get from talking to a grumpy old lady.

Supposedly the author has consulting experience but I only counted two real life examples that were cited and one of them the client didn't implement so how am I supposed to find that helpful;

There is no central subject and topics just run all over the place. Seemed like a collection of separate blog articles rather than a book.
Classics, history, historical fiction, marketing, Napoleonic stuff and of course 'Boys own Adventure'. This is my bent. Occasional self help as well.
"Social Media rules, or at least the rules."
Possibly if I wanted to study more on this social media stuff.
Novels; this new marketing stuff changes so fast that it might be better to listen to people psychology rather than these personal experiences in the so called new medium. Even the classics novels give you an idea of peoples ways and methods that can be applied to modern day marketing.
Scott is fine, it is his work, his words, his style.
A little valuable points with the last few chapters and he makes his view point clear. I think if you know nothing of Social Media and want to use it for marketing then this is a good book to start with. His views and points are valuable but it is only a starting point. As with all new things, Ready, Fire, Aim. Use this book to get ready, get into it and then correct your aim.
"Ok book without much additional info."
This book just doesn't seem to be worth the money or the time. The writer constantly relates to Twitter and how he has made it to gather followers. Really no new and relevant information.
I am a frequent traveler in the automotive industry. Please feel free to seek me out on twitter @PacificFoodie. Thank you for reading!
"Wish I could get all my Clients to read this"
Scott is funny and honest. If you considered using social media to improve your business this is a must listen. He gives solid examples of the common mishaps of businesses and offers real solutions. I am trying to apply these principles in my own consulting and encouraging my clients to do the same. The recording is clear, paced perfectly and Scott reads it himself.
"Easily digestible, smart book"
This book is an easy listen, just as the paper version is an easy read. It has some great topics and really drives home the point that we're all marketing all the time. Great examples of things that can make or break a customer's experience and, in turn, affect your brand - forever. I recommend this book to everyone in business, especially if you're wondering how to make social media work for you.
Oh, and the snark is built right in. :)
"The future of marketing is un-marketing!"
I love books like this by people who have real experience and success so that's a plus here. Also lots of these how to books can be a little dry whereas Scott is funny and entertaining and he reads the book himself. I love the concepts and have been able to use many of them in my business. There are lots of great ideas and examples and you will be entertained throughout.
"From beginners to losers"
The title could have been the one I gave for this review. It's not even worth my comments.
mini cto
"Got my marketing gurus"
Getting direct one-on-one practical marketing guidance from a high profile digital marketing guru is very expensive and highly unlikely for a small business with a low budget. Perhaps, they can invest in a few good marketing books? A super busy small business owner does not even time to read a book!
Wait, they can listen to great marketing books while doing chores, exercise, driving, etc. ! So we looked for the best practical marketing book out there that you can listen to while doing errands, driving around in the car or sitting idle in the traffic. An outstanding audio book stood out amongst the many we considered: Unmarketing by Scott Stratten is that book. Mr. Stratten is a brilliant marketing expert that actually narrated his own book, which is always a big plus for an audio book. In fact, he actually had dictated many parts of the book in audio format and then had the audio edited into the printed edition.
His voice is super, and the book is very practical for small business owners. If a small business owner actually listens to what Scott has to say in this book, s/he will gain a mountain of insights into how to deal with non-traditional marketing through engagement. His examples are down to earth and relatable. Did we mention his voice and humor is just perfect for his content!
Made to stick really stuck with me, I loved, loved this audio book. It has made me think about how I market my own products. This book is a must read.
Report Inappropriate Content
If you find this review inappropriate and think it should be removed from our site, let us know. This report will be reviewed by Audible and we will take appropriate action.


text:
Bone Densitometry
A user's guide
Associate Professor Barry Chatterton, Mr
Chris Schultz
Dr Tony Roberts
Associate Professor Allan Need
Dear Doctor,
The Department of Nuclear Medicine & Bone Densitometry has been involved in bone densitometry as part of a multi-disciplinary team involved with osteoporosis research since 1982. It continues to provide state of the art bone densitometry and general nuclear medicine services, which are available on direct referral to all medical practitioners.
This booklet was prepared in response to frequent requests from referring practitioners for information to allow the best use of results. It is meant to be a brief, general guide. If you have any further questions or comments to help us improve this guide or our service, please contact the department.
The department funds a large proportion of its clinical and educational activity from fees paid by private patients. Referrals are welcomed.
Associate Professor Barry Chatterton, Senior Director, Dept Nuclear Medicine & Bone Densitometry
The use of bone densitometry as a clinical tool in the diagnosis and management of osteoporosis is now established, but the choice of technique, interpretation of results, decision to institute therapy and time to repeat the examination are all subject to debate. The following may help in making an informed decision.
Increasing age & menopause are two major factors likely to be associated with increasing risk of osteoporosis and therapeutic intervention at this time is also most likely to be effective. Some authorities recommend a study in all women about the time of the menopause. In addition, 25% of hip fractures occur in men, and should be considered for testing where appropriate.
Most other risk factors are either uncommon or not discriminating and no combination of these allows good prediction of bone density (which therefore should be measured).
The risk factors recognised by the Medicare rebate schedule are (in both sexes) :
Additionally, The Australian Federal Government announced on 18-Dec-2006 that changes to eligibility criteria for alendronate and bone mineral density tests for patients over the age of 70 would apply from 1-Apr-2007. The following extracts are from the Minister for Healths speech:"From 1 April 2007, alendronate (in the form of Fosamax® Once Weekly and Alendro® Once Weekly) will be available on the PBS for patients with osteoporosis aged 70 years and over who are at high risk of fracture as measured by a bone mineral density test. Alendronate is already available on the PBS for patients with osteoporosis who have suffered a bone fracture following minimal trauma.
To coincide with this extension, bone mineral density tests for all patients aged 70 years and over will be covered by Medicare from 1 April 2007."
At present, universal screening is not recommended, and individualised assessment should be performed.
Patients receiving Strontium ranelate as a therapy for osteoporosis may exhibit a spuriously increasing "BMD".
The presently widely used techniques use ionising radiation, and have high levels of precision.
DXA has a very low radiation dose (a few days of background).
The existence of a Medicare rebate only for DXA and QCT of the axial skeleton has influenced the choice of technique.
The NIH Consensus Development Conference of 2000 stated "BMD measurements have been shown to correlate strongly with load-bearing capacity of the hip and spine and with the risk of fracture". Furthermore, measurement of BMD for each scan site is the best predictor of fracture at that site. A more detailed discussion of some of these techniques appears later in this guide.
The World Health Organisation (WHO) has recently reported on assessing fracture risk and developed the FRAX tool to determine an individual's 10 year probability of fracture at the hip and other sites based on BMD and clinical risk factors. Given a patient's clinical history, height & weight along with femoral neck T or Z score, a 10 year fracture risk is determined.
FRAX has been made available on-line to aid in assessing fracture risk and covers a range of countries. Paper tables are also available for download.
or Statistics! Statistics! The ZZZZZZZzscore!
Unfortunately, the interpretation of bone densitometry depends on a statistical understanding, which is sometimes a little different from the accepted way of interpreting other laboratory tests eg. a haemoglobin where the result is usually expressed as a range which encompasses 95% of normals (ie. ± 2 Standard Deviations, SD) with each range neatly defined according to age and sex-matched controls (see between arrows below).
This diagram represents the usual (normal) distribution of biological variables - bone density included. 66% of normal values will fall between -1 and +1 SD (and therefore 34% outside, 17% above and 17% below). Commonly, bone density reports plot the age matched mean ± 1 SD . This serves to make a larger proportion of the population seem abnormal (osteoporotic) than is usual for most diagnostic tests. The reason for this is somewhat arbitrary, but it is generally regarded as appropriate to treat more than the lowest 2.5% of densities.
For bone density at any age, the shape of the distribution is normal, but the absolute values fall after the peak bone density is reached in early adulthood.
The number of standard deviations away from the mean is represented in most reports as a Z score. A Z score of -1 means that the subject is 1 SD below the mean, and +2, 2 SD above the mean. The Z score may be expressed relative to normal people of the same age, or compared with young normals. It is the latter comparison (frequently designated the T score) which relates more closely to fracture risk. Medicare rebate eligibility is related to both T & Z score (see Rebates on page 14)
Although there is no true "fracture threshold" (a value of bone density above which fractures do not occur - sufficient trauma will break any bone), the risk increases considerably at bone densities which are less than 2 SD below the young normal mean. However, Medicare has decided that osteoporosis occurs at -2.5 SD or lower for the purpose of generating a rebate for repeat studies.
The graph adjacent is a schematic of a typical normal bone density curve from virtually any bone in women (menopause at 50). The horizontal lines are 1 SD (ie 1 "T" unit) apart, and the curve shows the mean value for age with heavier bars which are ± 1 SD, which is the range usually quoted in bone density reports, but for reasons mentioned above, excludes 29% of "normals". The thick horizontal line is 2.5 SD below the young normal mean, and therefore represents, by some definitions, the "Fracture Threshold", or the upper limit of the osteoporotic range. Note also the increased loss rate immediately after the menopause.
It can be seen that many elderly women may have a bone density that is 2.5 or more standard deviations below the young normal mean. This makes it "osteoporotic" by the above definition, despite being average for age. This corresponds with the increased fracture risk in the elderly. For comparative purposes, fracture risk approximately doubles for every SD reduction in bone density, so the fracture risk at -3 SD (ie T score = -3) is about 8 times greater (2x2x2) than the young normal, eg. O on the graph.
The elderly patient O marked above would therefore have a Z score of 0, but a T score (or young normal Z score) of -3. If osteoporosis is diagnosed on the basis of the young normal distribution, then about 45% of 50 year olds will have at least one site (hip, spine or forearm) affected, and virtually 100% of the very elderly will be osteoporotic. Bone density is normally higher in the heavier and taller patient. Many instruments will correct not only for age but also these factors, so occasionally one may see a heavy post menopausal patient with a greater bone density than a young normal, but nevertheless a corrected "Z" score of less than age matched!
Z and to a lesser extent T scores may be adjusted for weight or ethnicity. Densitometer manufacturers provide this as an option, and many DXA services utilise one or both adjustments.
Weight adjustment of the Z score is only provided on GE-Lunar systems, with weights above the population mean (about 70kg in women and 80 in men in US, UK and Australian reference populations) being raised when above the mean, and lowered when below the mean, but only in a range from 35-100kg. Outside of the weight adjustment range, the adjustment is limited to the maximum change. The magnitude of change per kg is small - typically 0.003 to 0.004 g/cm2 per kg (about 0.025 to 0.03 SD) , depending on scan site and gender. In practice, this means that a female patient with a mass of 100kg will have their expected BMD for age adjusted up by 0.12g/cm2 - or about 1 standard deviation. This may mean, for example, that the patient can have a T score of 0, but a Z score of -1 at age 50.
The NHANES study reported that non-Caucasian ethnic groups may have different normal ranges resulting in a higher expected BMD in the total femur (Looker A. et al, Osteoporos Int 1998; 8:468). Caucasian women were observed (on a Hologic DXA) to have an average peak BMD of 0.94g/cm2 with an SD of 0.12 in the total femur whilst African/American women had a peak BMD of 1.03g/cm2 with and SD of 0.16. This could lead to over treatment of non-Caucasian women.
An ethnic adjustment of the Z score is provided as an option by all DXA manufacturers, but Hologic and Norland also adjust the T score for ethnicity, whilst GE-Lunar do not.
The NOS(UK) and ISCD recommend that Z score adjustment be applied for ethnicity, and weight correction turned off, but the scientific basis for utilisation of weight correction is poorly documented, as is the ethnicity adjustment in the various Caucasian derived races.
Many practices have historically used these adjustments in different combinations. Suddenly changing the adjustment may cause difficulty for referrers using the values longitudinally to manage patients. It may be more appropriate to follow these recommendations in new DXA services but retaining existing adjustments in well established services but highlighting the adjustment.
It is possible to compare Z or T scores with percentiles. A Z or T score of +2 means that 97.5% of the reference population have less density
Z (or T) score
Some authorities recommend more intensive monitoring and preventative treatment of the patients with bone densities in the lowest quartile (25%) which correspond to a T score of < -0.7, particularly in peri-menopausal women. A more conservative approach is to use a T score of < -1.
Where a child's bone density needs to be assessed, most densitometer manufacturers provide a normal range for children in the lumbar spine and the total body. However, the paediatric normal range shows relatively high variability due to differential growth rates and puberty. Bone Mineral Content should increase until maturity and may be a better prospective parameter than BMD.
It is recommended that children be assessed and monitored using total body bone densitometry and bone mineral content until physical maturity. At physical maturity, an additional lumbar spine and femur scan may be acquired and used to continue monitoring.
Different densitometers express the results using different units of the amount of bone present. The BMD (from which the Z and T score are usually derived) is used almost exclusively (in hip and spine densitometry) for both diagnosis and follow-up. In some forearm machines and the total body, the bone mineral content (BMC) may be used for follow up. Bone mineral density (BMD) is more commonly used to compare a patient with others of the same age by taking into account the patients size and the size of the measured region.
The bone density estimate gives a rough guide to the risk of future fractures, with a similar predictive value to that of blood pressure or cholesterol levels on stroke or myocardial infarction as an example. As well as the level of bone density estimated on an initial study, it maybe prudent to check for rapid bone loss using biochemical tests or even follow-up bone density measurements. Treatment with hormones in particular will need a full understanding of the patient's wishes and her gynaecological status. As in any other field of medicine, the patient rather than a laboratory test is the subject of treatment.
A synopsis of management is included in the second half of this guide.
The 1996 Consensus Conference on Osteoporosis recommended the following :
T score (Young Normal BMD)
> + 1
No further measurements
0 to 1
Repeat measure 5 to10 years
-1 to 0
Repeat measure 2 to 5 years
-2.5 to –1
< -2.5
An journal article by M Whyte (J Clin Dens, Misinterpretation of Osteodensitometry with High Bone Density - BMD Z2.5, 2005, 8(1): 1-6) illustrated that very high Z scores may be due to underlying causes - other than fracture. The article describes a case study, and includes the following list of possible caused for very high bone mineral density.
|Dysplasias and Dysostoses
|Metabolic Disorders
|Other disorders
|Craniodisphyseal dysplasia
|Carbonic anhydrase II deficiency
|Diffuse ideopathic skeletal hyperostosis (DISH)
|Craniometaphyseal dysplasia
|Hypertrophic osteoarthropathy
Endosteal hyperostosis
|Heavy metal poisoning
|Ionising radiation
|Frontometaphyseal dysplasia
|Hepatisis C-associated osteosclerosis
|High bome mass (LRP5) phenotype/disease
|Hyper-vitaminosis A or D
|Infantile cortical hyperostosis (Caffey disease)
|Juvenile Paget disease
(idiopathic hyperphospatasia)
|Milk-alkali syndrome
|Multiple myeloma
|Metaphyseal dysplasia (Pyle disease)
|X-linked hypophosphatemia
|Mixed-sclerosing, bone dystrophy
|Osteopetrosis (several types)
|Paget's bone disease
|Progressive diaphyseal dysplasia (Engelmann disease)
|Skeletal metastases (especially breast and prostate)
With DXA technology, the usual projection for spine measurement is A-P and limited to the lumbar spine to eliminate confounding structures. The scan image will contain posterior elements (laminae, spinous processes), as well as the vertebral body in the measurement. Osteophytes and more anterior calcification (eg aorta) will also be included.
In the proximal femur ("hip"), the computer produces semi-automated regions of interest. The femoral neck and trochanteric regions are self-explanatory, Ward's triangle is shown on the scan as a rectangular region! It represents the region in the femoral neck with the fewest trabeculae, and therefore the least density. For this reason, it is a sensitive indicator of risk, but exact placement (& re-positioning) of regions of interest is difficult and therefore it is the least reproducible of these measurements. More recently, the sum of these areas – the total hip – has been shown to have the best precision for followup purposes.
Total body measurements divide the skeleton into arbitrary regions, which have some diagnostic value, and may also report other parameters of body composition such as lean body mass, and total body fat. The total body BMD is the value most commonly used.
Typical reproducibility of bone density estimations is 1% (one of the most precise measurements in medicine)! This means that (statistics again!) 67% of measurements repeated on the same day will fall within ± 1%. To be 99% sure that a change has really occurred, a change of three times this magnitude should occur for single serial measurements. Real annual changes of this degree occur at the time of the menopause or in patients on corticosteroids. Therefore in the individual, there is little point in repeating the study in less than 12 months and often 2 years. This limitation of course may not apply in research studies, where averaging from many patients allows meaningful results from shorter follow up periods.
Referrers should be aware that patients treated with Strontium ranelate (PROTOS or PROTELOS) may have significant increases in BMD, with up to 50% of the change in BMD being due to Strontium incorporation into the bone due to the higher atomic number of Strontium affecting DXA measurements. The magnitude of change in BMD may, therefore, not be accurately determined with this treatment.
There is incomplete agreement between measurements at different sites, partly due to machine errors in measurements, and selection of the normal ranges, but also due to real biological variation. (One may have a "thick" waist and thin wrists, and similar variation in bone density is also explicable.) Measurements at each site may predict fracture to a similar extent. It is probably prudent to use only a predetermined site or sites for measurements.
There are 3 major brands of densitometer currently operated in Australia (Hologic, LUNAR & Norland). Unfortunately, the calibration of these 3 instruments differ, resulting in different BMD and BMC values, and therefore preventing direct numerical comparison of results. The normal ranges on these instruments has also been defined from different populations.
Studies have been performed which allow for cross calibration of the different instruments, but this is of limited value, as there will be some discrepancy (due to statistics again!). We can provide some of the cross calibration equations on request, but as new models are introduced, the number of conversion factors increases.
When performing follow up studies on a patient, it is strongly recommended that the same brand of densitometer (and for preference, the same machine) be used to ensure the most valid comparisons.
The highly computed modern densitometers produce an excess of data for clinical use, and the raw report is often difficult to quickly assess. Values are often given for BMC, BMD, Z scores & percentiles (relating both to young normals and age matched controls), for each of the lumbar vertebrae and permutations and combinations of these, and in the hip, neck, Ward's triangle and trochanteric region. Using the mean of several vertebrae (often L2-L4), the femoral neck or total hip probably obtains the best information. In the analysis of a study the operator will exclude vertebrae that appear crushed or have an excessive amount of sclerosis relating to degenerative change. As Z scores will be different for the same density as the patient ages, the BMD for DXA (or forearm BMC) should be used in follow-up.
The RAH has developed an automated reporting system which provides uniform interpretation, and emphasises the most important data, but may not take into account unusual clinical situations. A sample report (as PDF) is provided below.
Analysis of the density of the lumbar vertebral body imaged in the lateral position was seen as a method to reduce errors due to arthritic changes and calcification in the aorta. Unfortunately, in patients who would best benefit from this study it has been found that overlying pelvis and ribs and the greater path of soft tissues that the X-ray beam must penetrate, limit both the precision and number of vertebrae which may be studied. Routine use is not recommended, but it may have some value in the elderly. Lateral projections are obtained in morphometry, which is an image processing rather than a densitometric technique.
Specialised ultrasound machines produce an index of the bony properties of the heel, tibia, phalanges and other sites. The degree to which the sound is attenuated gives an estimate of the quality of the bone (ie trabecular structure) and the speed of sound through the heel may indicate the amount of bone in the path of the sound beam. The combination of these results has been shown to stratify patients into their relative risk of future fracture at the hip almost as well as DXA at the femoral neck.
The result is not strictly bone density, and the precision is such that follow-up of treatment is not yet possible. Because of the imprecision in the method, and also because it measures a different bone, the correlation between DXA measurements at other sites is only moderate. Medicare does not reimburse this study. Future developments may make it more applicable.
Due to the lack of ionising radiation, quantitative ultrasound tests are often performed on a self referral basis.
What are the differences between ultrasound tests for osteoporosis and that available from DXA service providers?
Vertebral crush fractures are a common, usually diagnostic, feature of osteoporosis. These have been previously diagnosed using standard X-ray techniques. Vertebral compression fractures are independent predictors of future fracture and may qualify patients for specific therapy under the PBS .
Some of the more recent generation of bone densitometers use multiple detectors to produce a high-resolution image from which semi-automated measurements of vertebral dimensions are obtained. The ratio of the vertical heights of the anterior and posterior edges of a vertebral body allows the diagnosis of a wedge fracture to be made, for example. This technique allows vertebral fracture to be diagnosed with much less radiation exposure than a standard radiograph. Morphometry may represent an independent method of following the progress of osteoporosis.
The output gives vertebral heights and A/P ratios relative to expected standard deviations. A single 4 SD or two or more 3 SD differences are generally regarded as a significant fracture. The percent height loss is also displayed.
NOTE: DXA morphometry measurements do not meet the HIC requirements for PBS applications.
The aim in preventing or treating osteoporosis is to stop further bone loss, so the best form of monitoring is sequential bone density. However, because of the relationship between the precision of bone densitometry (1%) and the average annual rate of loss (1.2%) it is necessary to wait a year or more after treatment begins for densitometry to confirm it is working. Biochemical markers for bone resorption & formation show effects within weeks of starting treatment. Biochemical tests can also be used to select the most appropriate form of treatment. Intestinal malabsorption of calcium is common in osteoporosis and responds to calcitriol therapy (calcium absorption can be measured by a radiocalcium absorption test at the Institute of Medical & Veterinary Science). Osteoporotic women with a high fasting urinary calcium excretion appear to best respond to hormone therapy. Women with low bone turnover may respond best to anabolic steroid therapy.
Tests currently being used in the management of osteoporosis include :
(see Consensus Statement recommendations)
Women more than 1 SD below (T < -1) the young normal mean for bone density at the menopause can rapidly become osteoporotic since women lose over 10% of their bone mass within 5 years of the menopause. We recommend these women receive immediate prophylaxis to prevent further bone loss.
Women with bone density within 1 SD (T > -1) of the young normal mean at the menopause should have their bone density remeasured after two years in case they are losing rapidly. Perimenopausal women in the top quartile of bone density (T > 0.7) do not need to have another measurement for at least five years.
Women with osteoporotic fractures should definitely be treated and women with a bone density more than 2.5 SD below the young normal range should probably be treated, but it is worth remembering that the lifetime risk of fracture depends on the number of remaining years of life. Thus there is much more value (and less inconvenience) in treating someone aged 65 with a low bone density than in treating someone aged 85. It is also worth remembering that 75% of hip and spine fractures occur in women with a bone density more than three standard deviations below the young normal mean.
Osteoporosis in men is less likely to be treated, although many of the risk factors are common to both sexes, and 25% of fractures occur in men.
General measures should include:
Specific medications to prevent further bone loss include:
A calcium supplement of 1 gram daily (preferably taken at night) will often arrest bone loss but may be ineffective if intestinal calcium absorption is impaired. Patients who excrete less than 3mmol per day of urinary calcium are likely to have calcium malabsorption.
Oestrogens will stop bone loss, help prevent heart disease, and may be indicated for women with postmenopausal symptoms. There may be a small increase in risk of breast cancer. They must be given with Progestagens in women who still have a uterus to protect against endometrial cancer.
Available oestrogens include:
Oestrogen skin patches or implants are available when oral oestrogens are not tolerated.
The progestagen, norethisterone (Primolut-N, 2.5mg daily), can prevent bone loss in its own right and investigations are under way to assess the relative benefits and side effects.
Calcitriol (Rocaltrol, 0.25m g b.d. or 0.25m g daily with
1g Calcium) is available on the Pharmaceutical Benefits List (authority required)
for patients with vertebral compression fractures or other fractures occurring
with minimal trauma.
It has been shown prospectively to reduce the incidence of fracture in women.
Etidronate (Didrocal, 400 mg daily for two weeks every three months), Alendronate (Fosamax and Fosamax Plus, 10mg daily or 70mg per week) and Risedronate (Actonel and Actonel Combi, 5mg daily or 35mg per week) are effective and are on the PBS (authority required for similar indications) for both men and women.
Osteonecrosis of the jaw has been reported as a result of bisphosphonate therapy. Whilst the incidence is very low, it is a potential serious side effect of such therapy. Several review articles and comments are available:
Please refer to these articles for further infornation.
Selective oestrogen receptor modulators are now available (PBS authority required and only for post menopausal osteoporosis). Raloxifene (Evista, 60mg daily) has been shown to reduce the risk of fractures and may also be shown to reduce the risk of breast cancer.
Anabolic steroids are useful in patients with low bone turnover as they appear to increase bone formation. They are limited by virilising side effects. After six months of therapy (50mg of nandrolone decanoate - Deca-Durabolin – given i.m. every 4 weeks) a significant risk of voice change and hirsutism exists.
Calcitonin injections are effective for pain relief following acute vertebral fracture, but are expensive and include side effects such as flushing and nausea. Calcitonin is not currently approved for the treatment of osteoporosis in Australia.
This compound has recently been approved by the PBS for treatment of post-menopausal
osteoporosis in Australia. Strontium ranelate has been reported to reduce
the risk of new vertebral fractures by about 30 percent over four years. The
strontium is reported to incorporate into new bone, not old bone, probably
changing bone architecture.
Treatment requires consumption of a 2g sachet of Strontium ranelate powder in water daily.
Patients treated with Strontium ranelate will exhibit significant increases in BMD. Changes of up to 4% per annum in the lumbar spine and 2% per annum at the femoral neck have been reported with DXA measurement. It is recommended that BMD only be used to determine compliance with therapy as changes in BMD cannot be accurately determined.
Bisphosphonates, Calcitriol, SERMS, HRT and Anabolic steroids have a role in the prevention and treatment of steroid induced osteoporosis.
Once therapy is commenced, it is best to ensure bone loss is controlled. A reduction of markers of bone reabsorption (urinary cross-links) is a useful early marker. A repeat bone mineral density measurement after twelve months to two years will usually suffice unless bone loss is expected to be rapid (eg. during corticosteroid therapy).
Patients with side effects from treatment, poor response to treatment or without access to densitometry services may benefit from assessment by specialists in skeletal medicine.
Interventions to reduce the risk of falling include:
A number of research studies have shown that use of padding around the hips significantly reduces the risk of femoral neck fractures in those at risk of falling. The Health Promotion Unit of the Royal Adelaide Hospital can supply a Hip Safety kit, which includes:
Further information and assistance may be obtained from a number of sources listed at the end of this document
The schedule of benefits as of 1 November 2008 are reprinted below.
Details may be found in the Medicare Benefits Schedule book or online. The following notes should only be considered after referral to this section.
12315 DXA/12318 QCT - monitoring (where result will assist management)
[one service only in a period 24 consecutive months]
12321 DXA monitoring
12323 DXA measurement for a person 70 years or older
Note - screening at the time of the menopause remains specifically excluded.
Sample DXA report
For Bone Densitometry, including AP Spine, femoral neck, forearm, total body DXA, lateral morphometry, ultrasound and rural Mobile DXA service, please contact the staff in the Dept Nuclear Medicine & Bone Densitometry at the Royal Adelaide Hospital.
Phone: (08) 8222 5408
E-mail: Email a query
For biochemical diagnosis & management,
Dr Tony Roberts, Dept of Endocrinology, Royal Adelaide Hospital
Phone (08) 8222 5520
Relevant RAH clinics :
Osteoporosis (08) 8222 5586
Endocrine (08) 8222 5586
Women's Health Centre (08) 8222 5587
For information on fall prevention services and fall management:
Health Promotion Unit, Royal Adelaide Hospital
Phone (08) 8222 5193
Falls and Injury Assessment Clinic, Repatriation General Hospital
Phone : (08) 8275 1103
Flinders Medical Centre Falls and Injury Prevention Service
Phone : (08) 8204 5511
Homefront (for Dept of Veterans Affairs)
Phone General Enquiries : (08) 8290 0478
Veterans only : 1800 801 945
The full NIH consensus statement on Osteoporosis is available at:
Sitemap | © 1997-2009, Nuclear Medicine, PET & Bone Densitometry, Royal Adelaide Hospital | Last major modification : February 2009 | Disclaimer | Link to us


text:
An interesting article about being a good husband can be found here: The Good Husband's Guide. It's worth taking a look at, because it plays off that bogus home economics chapter about being a good wife that was being passed around the Internet constantly a couple years ago.
How to Affair Proof Your Marriage You can always count on The Art of Manliness to give you the real scoop on important subjects like being a good husband. And explaining how to avoid having an affair is as useful a thing to do in the pursuit of being a good husband as I can imagine.
The 7 Habits of Highly Effective People This is the best program of personal improvement ever created, and the lessons apply to being a good husband as much or more than they apply to being a good businessman. Highly recommended.
Miss Manners Having good manners should be part of every husband's training. Etiquette determines how we all get along, including wives, husbands, and children.


text:
By Bob Kimball, USA TODAY
With Philadelphia's National League club trying to land a second championship in 125 years, here are some memorable moments from the Phillies' World Series history:
Oct. 20, 1993 vs. Toronto: The Phillies blew six leads in the highest-scoring Series game ever as the Blue Jays finally nailed down a 15-14 Game 4 victory. The contest included 32 hits, 14 walks and 11 pitchers. "Sometimes your arm doesn't have life to it," said beleaguered reliever Mitch Williams, who gave up three run-producing hits during the six-run eighth that put Toronto ahead to stay in the four-hour, 14-minute contest. Mound order was restored the next day when Curt Schilling threw a five-hitter as the Phils won 2-0 at old Veterans Stadium only to have Williams surrender Joe Carter's series-ending home run in Game 6.
Oct. 21, 1980 vs. Kansas City: The Phillies claimed their lone world title by winning Game 6. Leave it to first baseman Pete Rose — in his second year as Philadelphia's high-priced free agent after 16 seasons with the Cincinnati Reds — to provide the key play in the ninth. With two on and one out, catcher Bob Boone gloved Frank White's foul ball only to have it pop out of his mitt – and Rose snag it. Tug McGraw then struck out Willie Wilson to send Philadelphia into baseball ecstasy. Speaking 25 years later about Rose's grab, Boone said, "I wanted to kiss him."
Oct. 18, 1980 vs. Kansas City: Many believe reliever Dickie Noles' pitch near the head of Kansas City's George Brett in the fourth inning of Game 4 turned the Series. The Royals were in the process of evening things at 2-2 when Noles buzzed Brett, who had been 6-for-11 with four extra-base hits. After the incident, an enraged K.C. manager Jim Frey watched his club score only four runs and Brett get just three singles in the final 22 innings. McGraw finished with two saves and one victory to lead Phils pitching.
1950 vs. New York: The Whiz Kids went down to the Yankees in four straight, but the ride to the Series was certainly exciting for a team that featured Hall of Famers Richie Ashburn and Robin Roberts. A five-game lead with six to play nearly evaporated before Dick Sisler's final-day three-run homer at Brooklyn helped clinch the flag against the hard-charging Dodgers. In the Series, the Phils were so tapped out by the pennant drive that National League MVP and relief ace Jim Konstanty made his only start of the season in the opener. Yankee pitching held Philadelphia to just five runs and a .203 batting average.
1915 vs. Boston: This Series was unremarkable for the Phillies except that it with their first Fall Classic and their last for 35 years. Manager Pat Moran's forces fell to Boston in five games despite having 31-game winner Grover Cleveland Alexander and Gavvy Cravath, who was the home run king of the dead-ball era. The Phils batted just .182 and Cravath managed only one RBI while Alexander went 1-1 in two starts against the Red Sox.
Guidelines: You share in the USA TODAY community, so please keep your comments smart and civil. Don't attack other readers personally, and keep your language decent. Use the "Report Abuse" button to make a difference. Read more.


text:
North Dakota State College of Science
Visit with academic departments to get the inside scoop on programs that interest you, experience student life and learn about admission information.
Special Event Days typically run from 9 a.m. to 12 p.m. Register by completing the form below or by calling 701-671-2173 or toll free at 1-800-342-4325 ext. 3-2173.
You have a few options from this point. The first and most recommended option would be to download one of the browsers below. If that is not possible, the second suggestion would be to update your current browser, you can follow the update link below for that. Otherwise, the site will still function in its current state, but in a limited capacity.


text: Energy & Industry Tourists and tailings in Utah Staff June 27, 1994 From the print edition Print Share Subscribe Donate Now When the federal government suggested hauling 3 million cubic yards of low-level radioactive sand down the main street of Blanding, Utah, the mayor and city council agreed. That came as a shock to the Department of Energy's project manager Don Leske, who expected to be urged to build a highway bypass. "When you go to a town and say we'd like to run 110,000 trucks through here in the next two or three years, the normal reaction is, well, a very strong "no'," he told the Salt Lake Tribune. Instead, the town council worried that a bypass would require an environmental impact statement, and that inevitable appeals would kill the tailings cleanup project and the jobs it would bring. Even worse, town residents feared that a bypass would give tourists a way around their town. Townspeople who fought for a bypass say their dust and traffic concerns were largely ignored. "Blanding is a fool's paradise and anyone who raises an environmental question is instantly branded a second-class citizen," says Gene Stevenson, president of the Concerned Citizens of San Juan County. The Department of Energy intends to consolidate radioactive tailings from a 40-year-old federal uranium mill in Monticello at the Umetco uranium mill south of Blanding. Republish Share Like Tweet +1 LinkedIn Email Energy & Industry Comments


text:
Toll Free Phone Sex is a very good deal. Not only should you ask for the flat rate on your first call but you can be assured that all the calls are covered by the satisfaction guarantee. A word of advice. DO NOT call any number that is not toll free. You have let them put their hands into your pockets long before it is time. There are enough toll free numbers on this page and the print page to keep you entertained forever. Do not stray and have a good time. Hint. Get an egg timer. Time really does fly when you are having fun. If this is the first time calling a phone sex line, please leave your inhibitions behind. Toll free phone sex is a boon to all who love to chat with the girl of their choice. You will pay for phone sex but, it is like any other hobby that you may have. Count it in the colum under "Entertainment". It is much cheaper than dinner and a movie. There is no such thing as, "Free phone sex. " that is not some sort of scam. All of the 800 number series are toll free. When you call one of these phone sex numbers you will not be charged for the call. If you are hunting for a bargain in phone sex be sure and use the toll free numbers and be sure and ask for the Flat Rate. It is a lot cheaper way to go than the minute to minute. What you do is buy a block of time, up front and then use that to chat. Phone sex is fun and entertaining but there is no reason to break the bank. The print bar will take you to all the phone sex numbers that you will ever need. There is a general number so if you do not see your particular desire you can call that one and ask. It is impossible to list all the types of phone sex available since they are added to on a regular basis.
Expensive But Special Phone Sex - For Those Who Demand The Best
Toll Free Phone Sex
Toll free, all niche inclusive numbers - No waiting.
Toll free, But very hard core.
Amateur Phone Sex
Asian Phone Sex
Anal Phone Sex
Anal Phone Sluts
Adult Phone Sex
Ass Slave Phone Sex
BBW Phone Sex
The Absolute Best Phone Sex
BDSM Phone Sex
This site is intended for adults who are interested in BDSM Phone Sex. Private Discreet bdsm phone sex Dominates and Submissives
Puffy Nipples Hard As Little Stones Call Toll Free To Play With Them
BlowJob Phone Sex
Bulk Phone Sex
Cheap Phone Sex
Cheating Wife Phone Sex
Femdom Phone Sex
Gay Phone Sex
Granny Phone Sex
Hardcore Phone Sex
Hot Phone Sex Absolutely Uncensored Toll Free
Lesbian Phone Sex Toll Free
Live Phone Sex
Mature Phone Sex
Mommy Phone Sex
Phone Sex
Phone Sex Group Swinger Phone Sex
Shaved Pussy Phone Sex
Hot and Juicy Teenage Phone Sex
Transsexual Phone Sex
Cheating Wife Phone Sex


text:
Providence RI (SPX) Mar 26, 2009
Even small devices need power, and much of that juice comes from fuel cells. As these devices become even smaller, the rush is on to find more efficient ways to power them.
In the last several years, scientists have discovered that palladium, a metal, is a strong candidate for providing that initial boost that helps fuel cells go. Palladium is far cheaper than another popular fuel cell catalyst, platinum, and it's more abundant.
But researchers have wrestled with creating palladium nanoparticles with enough active surface area to make catalysis efficient in fuel cells while preventing particles from clumping together during the chemical processes that convert a fuel source to electricity. Two Brown University chemists have found a way to overcome those challenges.
The scientists report in the online edition of the Journal of the American Chemical Society that they have produced palladium nanoparticles with about 40 percent greater surface area than commercially available palladium particles. The Brown catalysts also remain intact four times longer than what's currently available.
"This approach is very novel. It works," said Vismadeb Mazumder, a graduate student who joined chemistry professor Shouheng Sun on the paper. "It's two times as active, meaning you need half the energy to catalyze. And it's four times as stable."
Mazumder and Sun created palladium nanoparticles 4.5 nanometers in size. They attached the nanoparticles to a carbon platform at the anode end of a direct formic acid fuel cell. The researchers then did something new: They used weak binding amino ligands to keep the palladium nanoparticles separate and at the same size as they're attached to the carbon platform. By keeping the particles separate and uniform in size, they increased the available surface area on the platform and raised the efficiency of the fuel cell reaction.
"It just works better," Sun said.
What's also special about the ligands is that they can be "washed" from the carbon platform without jeopardizing the integrity of the separated palladium nanoparticles. This is an important step, Mazumder emphasized, because previous attempts to remove binding ingredients have caused the particles to lose their rigid sizes and clump together, which gums up the reaction.
The Brown team said in experiments lasting 12 hours, their catalysts lost 16 percent of its surface area, compared to a 64-percent loss in surface area in commercial catalysts.
"We managed to ebb the decay of our catalyst by our approach," said Mazumder, who is in his second year in Sun's lab. "We made high-quality palladium nanoparticles, put them efficiently on a support, then removed them from the stabilizers efficiently without distorting catalyst quality."
The Brown scientists now are looking at various palladium-based catalysts with enhanced activity and stability for future fuel cell applications.
"We want to make it cheaper with analogous activity," Mazumder said.
Share This Article With Planet Earth
Related Links
Brown University
Powering The World in the 21st Century at Energy-Daily.com
Portuguese wave-power snake dead in the water
Lisbon (AFP) March 24, 2009
Opened in September as a world "first" in producing electricity from waves, a pioneering installation here is dead in the water having functioned for only a few weeks in a stormy process of research and development.
|The content herein, unless otherwise known to be public domain, are Copyright 1995-2007 - SpaceDaily.AFP and UPI Wire Stories are copyright Agence France-Presse and United Press International. ESA Portal Reports are copyright European Space Agency. All NASA sourced material is public domain. Additional copyrights may apply in whole or part to other bona fide parties. Advertising does not imply endorsement,agreement or approval of any opinions, statements or information provided by SpaceDaily on any Web page published or hosted by SpaceDaily. Privacy Statement


text:
Fig and Blue Cheese Tarts
- Servings: 4 FIRST-COURSE SERVINGS
- 6 ounces all-butter puff pastry
- 2 ounces blue cheese, preferably Fourme d'Ambert, crumbled
- 4 fresh black Mission figs, each cut crosswise into 6 slices
How to make this recipe
Preheat the oven to 350°. Line a baking sheet with parchment paper. On a lightly floured surface, roll the pastry out to a scant 1/4-inch thickness. Cut out four 4-inch rounds. Place the rounds on the sheet; freeze for 5 minutes.
Using a fork, prick the dough all over. Cover the rounds with parchment and another baking sheet. Bake for about 20 minutes, until the pastry is golden and crisp. Remove the baking sheet and the top layer of parchment. Scatter the cheese over the pastry and arrange the figs on top. Bake for 5 minutes, until the cheese is melted and the figs are warm.


text:
FlexPath featured in front page Star Tribune article
October 7, 2013
The need for innovation in higher education has never been greater, and I'm pleased to share that the media continues to focus on direct assessment, specifically Capella's FlexPath program, as an innovation that can lower the cost and the time needed to complete a degree.
The Star Tribune newspaper in Minneapolis published a front page story on FlexPath / direct assessment on Oct. 6. I encourage you to check it out and let me know what you think.
Capella recently received approval by the U.S. Department of Education to offer FlexPath as the first bachelor's and master's degree programs utilizing direct assessment. The FlexPath model offers the potential to significantly reduce the cost of a degree, accelerate the time required for degree completion, and better align learning with the needs of learners and employers. The direct assessment approach no longer relies on credit hours or seat-time requirements to measure learners' success and allows Capella to focus on learning outcomes instead. It is important to note that our faculty will remain at the heart of Capella's FlexPath model as they provide feedback and guidance for students working to demonstrate and master competencies.
Leave a reply
Let us know what you think. All comments will be reviewed prior to going live. Comments that are profane or obscene, or unrelated to the topic of the post will not be published.


text:
More than 60 per cent of Australians believe the safety standards of Qantas have slipped, according to a poll released on the same day as another incident involving the national carrier.
Thirty-six people were hurt, 20 seriously, when a Singapore to Perth international Qantas flight suddenly lost altitude over Western Australia on Tuesday throwing passengers from their seats.
UMR Omnibus, one of Australia's leading research and polling companies, said it surveyed 1,000 people two weeks ago on people's attitudes towards the national carrier.
The results, published on the UMR website, show 63 per cent of Australians believe the airline's safety standards have become worse over the last few years.
This compared with a figure of 52 per cent when a similar poll was conducted in early August.
Women, older Australians, low-income earners and Queenslanders were particularly concerned about Qantas's safety, the study found.
But two in three Australians still believed Qantas was a safe airline to fly with.
The August poll was carried out after two incidents involving Qantas in the previous month.
An exploding oxygen bottle punched a huge hole in the side of a Qantas Boeing 747-400, forcing an emergency landing in the Philippines, while a Qantas Boeing 737-800 returned to Adelaide after a landing gear door failed to retract.
The September poll followed an incident in August involving a Manila-bound Boeing 767, which was turned back to Sydney after developing a hydraulic fluid leak.
UMR managing director John Udding, who was waiting at Perth airport at the time of the incident, had his Qantas flight cancelled because of the Airbus incident.
A UMR spokesman said Mr Udding would have liked to comment but was unavailable as he had been forced to take a late flight to Melbourne rather than his booked Sydney destination.


text:
[Skift region]
Din indkøbskurv indeholder 0 varer, for i alt DKR 0,00. Du kan se din indkøbskurv eller gå til betaling.
Du kan også logge ind eller oprette dig.
Sales leaders are charged with the important task of motivating their sales teams and making sure that the sales professionals who they lead have the knowledge, skills and resources required to successfully sell their company's products and services. The challenge is that sales leaders are continually managing multiple priorities and often find it difficult to find the time required to support their sales teams in a way that delivers maximum value. They must be able to prioritize their sales management activities and focus their efforts on leading both at a team and individual level.
The Sales Leadership 1-day workshop provides sales leaders with the skills and knowledge required to properly manage their time and provide the high-value support required to contribute towards team performance and individual performance. It helps sales managers establish realistic and sustainable routines that include the right sales management practices, and teaches them how to execute those activities effectively.
Benefits for the Individual
Benefits for the Organization
What You'll Learn:
• Aligning your goals and priorities
• Balancing team and individual engagement and enablement activities
• Developing realistic and sustainable weekly, monthly, quarterly, and annual sales management best practices
• Maximizing team and individual communication
• Running effective sales meetings
• Providing results-based and behavioural feedback
Company events - Firmakursus
Public - Klasserumsundervisning
Spørg for datoer
Download fuld kursusbeskrivelse:
Sales Leadership
Global Knowledge
is rated 4.3 stars on Facebook based on 12 reviews


text:
I would be interested in an online config file generator if it let me write
an image with the confix.xml file already in it. The reason is that with the
IP330s I'm running, I have to write the image, then mount the card in
another machine and edit the config file to spoof the MAC addresses, then
install it in the IP330. It would be much easier if I could write an image
with MAC addresses already spoofed.
----- Original Message -----
From: "Junior Gillespie" <jgillespie at t dash speed dot com>
To: <m0n0wall at lists dot m0n0 dot ch>
Cc: <m0n0wall dash dev at lists dot m0n0 dot ch>
Sent: Friday, February 10, 2006 11:11 AM
Subject: [m0n0wall] Auto Generated Image
For a while now, I've been reading in the lists about the idea of an
automated image builder for m0n0wall using svn, as well as a custom image
builder. I've developed a set of php scripts to build my own custom images
with branding for various m0n0wall users. I would like to get an idea of
what features and type of build system the m0n0wall users would be
interested in.
So far, I think having a nightly and spur-of-the-moment build environment
for the developers would be very helpful in developement. We could also
setup a build environment for the registered public, that would allow the
Customization of menu
Customization of language
PreConfigured Image
Also, would anyone be interested in a online config.xml generator?
These are some thoughts and ideas, please feel free to add your comments and
Junior Gillespie
To unsubscribe, e-mail: m0n0wall dash unsubscribe at lists dot m0n0 dot ch
For additional commands, e-mail: m0n0wall dash help at lists dot m0n0 dot ch


text:
Model Type
25 Combined MPG (21 city / 33 hwy)
EPA estimated
After decades of the 3 Series Coupe, BMW says it has changed the name of its revered two-door to the 4 Series. Why? Because according to BMW, "It's plus one of everything."
As cliché as that sounds in today's world of Gmail high fives, BMW is quite accurate in its statement.
The all-new 4 Series is longer, wider, lower, faster and more focused than its predecessor. It also has more interior room and a bigger trunk.
More accurately, it's a "plus-one" model range for BMW, because it will spawn a cabriolet, a four-door coupe and, of course, an M4. Until that M4 arrives, though, the 2014 BMW 435i will be the strongest and fastest of the two 4 Series models headed here.
New Name, Familiar Engines While Europeans get a range of diesel-powered coupes, the U.S. market will have a choice between the 240-horsepower turbocharged four-cylinder 428i and the 300-hp turbocharged inline six-cylinder 435i.
BMW will tie those engines to a six-speed manual gearbox or an eight-speed automatic. Rear-wheel drive is standard, with all-wheel drive an option on both models.
When equipped with the eight-speed, BMW claims the 435i will go from zero to 60 mph in 5.0 seconds and on to a top speed of 155 mph. The 428i offers nearly the same performance with a lot less weight over the front axle and far better economy. It hits 60 mph in 5.7 seconds and has the same top speed.
Can't See the Big Changes It isn't sheer power that makes the 2014 BMW 435i the car it is, but the chassis engineering inside it. BMW worked on creating a body-in-white that was about the same weight as its predecessor but had 60 percent more torsional rigidity and a 50:50 weight distribution. Total weight is a claimed 3,527 pounds for a 435i with the eight-speed automatic, but that's an unloaded European-spec figure so U.S. models will likely weigh in slightly higher.
Perhaps more critically, the 435i has had its center of gravity lowered by nearly an inch. That helps the driver to feel more like part of the car rather than a rider on top of it, and gives the 435i a more planted feel in corners.
The steel body gets an additional link between it and the front subframe to make the suspension more accurate than it is in the sedan, while the rear end gets a five-link suspension setup, but critically, no mechanical limited-slip differential.
The brakes are single-piston units all around and the car officially rides on 17-inch wheels that nobody is going to order. Every test car on our drive rode on 19-inch rims with Bridgestone Potenza S001 rubber sized to 225/40R19 up front and 255/35R19 at the back.
So Close to Perfection It all comes together to create a driving package that's nearly perfect in its abilities and comfort. Our only complaint? The broad gap between the Comfort and Sport modes of the adjustable dampers.
There are five modes: EcoPro+, EcoPro, Comfort, Sport and Sport+. The first three of the modes use the Comfort setting on the dampers, while the top two use the Sport setting.
In Sport, the 435i is extremely firm and tends to jiggle over short, sharp bumps while it wallows too much in Comfort. Sport might work well on a track, but as one of the BMW chassis engineers told me, it's a marketing setting: intentionally stiff to remind people that they're in the Sport mode they paid for.
That may be the public's perception of how the most "sporty" setting should feel, but it's not the most efficient way to get around in the real world. We found Sport way too skittish throughout our test route in Portugal.
So Easily Likable, Lovable Even The shame of it is that the rest of the car is all there. It's an easy car to be immediately comfortable in, especially sitting so low in the chassis that you feel almost as if your butt is below the propshaft. The steering feels even better sorted than the suspension, the electric system finally delivering the sort of intuitive tacking that BMW lost in the switch from hydraulics.
But it's the chassis that stars, with its wider front track biting hard into corners, flitting out the other side in a marvelous example of chassis balance and suspension geometry. It feels faithfully, progressively lovely.
That feeling of loveliness is helped by a tried-and-trusted powertrain that feels similarly progressive, sophisticated and composed. It's as sweet and free a revver as anything that crunches a limiter in the sixes and it feels as though it's got plenty of urge left in it, should BMW choose to jailbreak its own software.
It has a strong midrange, particularly in its lower three gears, and can transform comfortably from roaring with enthusiasm when you're pressing on or silently watching as you poke along on cruise control. Its automatic gearbox is nearly invisible and only draws attention when it delivers big blips on downshifts in Sport or Sport+ mode.
A Little More Room To Work All 2014 BMW 4 Series models will be available with the option of Luxury, Sport and Modern lines, with BMW clumsily explaining that while the first two are self-explanatory, the Modern line makes the brand-spanking-new 4 Series look more, umm, modern.
The cabin is very similar to that in the 3 Series, with the direct controls and dials trained on the driver and everything in front dominated by the speedo and the tach. As in every BMW, the multimedia screen is a permanent feature atop the dashboard, while the iDrive controller now has a touchscreen-style function on the top, though it's not an immediately intuitive system to use, even for regular smartphone users.
And it all works. Coming from 3 Series architecture, everything in the cabin is familiar and comfortable and easy to use. Its shortage of interior cubby holes is a touch frustrating, as is BMW's inability to provide a firm holding spot for the remote key.
It hasn't hurt the design team that it was given a longer wheelbase (an additional 1.6 inches) than the old 3 Series Coupe and shorter overhangs at both ends. The cabin delivers more head-, leg-, shoulder and knee room in all four seats than its predecessor.
The seats are comfortable, the steering wheel feels fabulous and the controls are all accurate. Even the iDrive works well, but you might want a back-up map should you ever use the navigation system in Portugal.
No Surprises Here This is an easy car to like. It looks great, goes well, handles progressively and it's comfortable. Sure, much the same could be said about the old 3 Series coupe, yet the 2014 BMW 435i manages to tweak all the parameters without giving up anything along the way.
Maybe when the 4 Series lands Stateside in a couple months, it will have slightly updated tuning that will bridge the gap that we found so obvious. Even without such a change, few will find the 4 Series objectionable. It's just too pretty, too fast and too well-sorted everywhere else to complain.
Edmunds attended a manufacturer-sponsored event, to which selected members of the press were invited, to facilitate this report.
A full list of available features and filters for the used 2014 BMW 4 Series inventory include but are not limited to: Edmunds Special Offers: Gas Card (80), Used Offers (54), Purchase Offers, Lease Offers. Model Type: Coupe (128), Convertible (56). Trims: 428i xDrive SULEV (67), 430i xDrive SULEV, 435i xDrive (40), 435i (25), 440i xDrive, 428i xDrive (19), 428i SULEV (17), 428i (16), 430i SULEV, 440i. Features: Audio and cruise controls on steering wheel (184), Auto Climate Control (184), Automatic Emergency Braking (184), Aux Audio Inputs (184), Bluetooth (184), Fold Flat Rear Seats (184), Multi-Zone Climate Control (184), Post-collision safety system (184), Power Driver Seat (184), Rear Bench Seats (184), Stability Control (184), Tire Pressure Warning (184), Trip Computer (184), USB Inputs (184), Upgraded Headlights (184), Alarm (146), AWD/4WD (126), Sunroof/Moonroof (128), Electronic Folding Mirrors, Back-up camera (40), Heated seats (48), Navigation (49), Parking sensors (40), Leather Seats (59), Keyless Entry/Start, Power Liftgate/Trunk (45), Heads up display (23), Upgraded Stereo (18), Apple Carplay/Android Auto, Blind Spot Monitoring (3), Lane Departure Warning (3), Pre-collision safety system, Adaptive Cruise Control (1). Engine/Mechanics: 4 cylinders (119), 6 cylinders (65). Transmission: Automatic (162), Manual (13). Fuel Type: premium unleaded (required) (184), premium unleaded (recommended). Drivetrain: all wheel drive (126), rear wheel drive (58).
New Car Resources
Used Car Resources
Car Research
Follow Edmunds
Unlock the ability to save and share your research, receive personalized price alerts on vehicles you're interested in, and access our Live Help Team.
Unlock the ability to save and share your research, receive personalized price alerts on vehicles you're interested in, and access our car buying experts.
Save the cars you want now, get alerts later We'll keep an eye on vehicles you've saved - then let you know when their price drops.
Unlock the ability to save and share your research, receive personal price alerts on vehicles you're interested in, and access our Live Help Team.
An email has been sent with a link to reset your password.
Know your password? Sign in now


text:
Call 800-522-2025M-F 8:30am - 7pm EST
Shopping Cart($0.00)
FREE SHIPPING No Minimum Order!
SHOP MARKERTEK EVERYDAY for all of your needs. Free shipping on almost every order placed on our website.
Special order & oversized freight intensive items ship at an additional cost. Continental US orders only.Ask about our new Economy International Shipping Options.
Secure LoginClose X
Returning Markertek Customers
New Markertek Customers
Why Create an Account?
Creating a Markertek account now will save you time on future orders. You'll have full access to your order history and a personalized shopping experience.
Home > Product Categories > Expendables > Cleaning & Maintenance > Lens Cleaner > 10034
Item #: PUR-CLOTH-L MFG #: 10034
List Price:$9.95Our Price:$9.95Quantity Pricing
+ Add to Wishlist + Add to Quote
Purosol Microfiber Cloth is engineered to be used with all Purosol molecular cleaning products. The product is made to Purosol's specifications using the latest in advanced fabric technology and is woven to release dirt particulates when used with the Purosol line of formulas without damaging the surfaces on which it is applied. Designed to be washable and reused multiple times, Purosol's MicrofiberCloth is the perfect complement to its revolutionary line of formulas. The product is attractive and combines the softness, resiliency, absorption, and durability to many applications.
Add Accessories for your 10034:
Recently Viewed Items:
Newsletter Sign Up
Weekly email with exclusive deals, unique new products, how-to videos and so much more!
Download the Newest Catalog!
© 2017 Markertek, Division of Tower Products Incorporated • Legal Notice & Code of Ethics


text:
Bitmain Antminer L3+ 504 MH/s August Batch LiteCoin Miner UK
Related News
Only the Best News, taken by leading exponents of Bitcoin and Accredited Crypto currencies Stories via Rss.
BitRss.com not only Update the Sources few time a day and allow Visitors to follow the lates News, but accept submissions of your own Bitcoin Feed.
It requires no payments or fees to allow the publication on BitRss.com; our Team will evaluate in depth, human touch, if the sources rss, will be in line with our policy..
Please support BitRss.com, and share the Bitcoin News on your Socials!
Top News
Bitcoin is Growing Rapidly in the Developing World, But Who is Using It?
Bitcoin's ability to help the economies of the developing world represents one of the cryptocurrency's most promising characteristics. Advocates...
Life in Crypto Time
Trading expert Tim Enneking compares the crypto asset space with the early days of the internet, where time just seemed to fly faster. Source
Life in Crypto Time
Tim Enneking is managing director at Crypto Asset Management, which oversees Crypto Asset Fund, a regulated US cryptocurrency trading fund. In...
Thousands of Japanese Retailers, Restaurants May Stop Accepting Bitcoin
More than 5,000 retail stores and establishments in Japan may halt accepting...
WikiLeaks Exposes CIA's SSH Hacks for Windows and Linux
WikiLeaks has released new documents in their Vault 7 series of leaks exposing the CIA's hacking tools. The new documents cover tools that the CIA...