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From the religious movements of Eastern origin that reached Estonia, beginning from the end of the 1980s, first and foremost were the ones inspired by Hinduism and Buddhism.
Hinduism and Buddhism were registered in the 1990s.
Population of Hindus as per 2000 Census
The 2000 census of Estonia showed 138 Hindus in Estonia.
This includes under the name Hindu 90 people (including 54 Estonians)and under Hare Krishna 48 (including 22 Estonians) [1]


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HC Hvězda Brno (in English HC Star Brno) was a Czech ice hockey team in Brno, Czech Republic.
It was founded in 1972 and was originally known as HC Ytong Brno. In 1996 it purchased a licence for the Czech 2.Liga from HC Strakonice. In 2000 it purchased a licence for the Czech 1.Liga from HC Melnik.
However in 2003 the club was relegated back to the 2.Liga.
In 2006 it merged with HC Kometa Brno.

subset: commoncrawl


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East South Central, New England States To See Greatest Hiring Increases
MENLO PARK, CA -- Hiring in accounting and finance is expected to increase in the final months of 2008, according to executives interviewed for the most recent Robert Half Financial Hiring Index. Ten percent of chief financial officers (CFOs) surveyed said they plan to expand the size of their teams in the fourth quarter, while 5 percent anticipate personnel reductions. The net 5 percent increase is up five points from the third-quarter projection.
The Robert Half Financial Hiring Index is based on telephone interviews with more than 1,400 CFOs across the United States. It was conducted by an independent research firm and developed by Robert Half, the world's first and largest staffing services firm specializing in accounting and finance. Robert Half has been tracking financial hiring activity in the United States since 1992.
"Businesses need a strong financial function to see them through all economic cycles," said Max Messmer, chairman and CEO of Robert Half. "This has created ongoing demand for accounting and finance staff with specialized abilities and expertise. In particular, firms seek staff and senior accountants, financial analysts, and internal auditors."
Forty-four percent of CFOs who expect to hire in the fourth quarter cited business growth as the reason for the increased need for additional staff. Forty-one percentreported rising workloads as the primary driver.
Twenty-eight percent of executives interviewed cited accounting positions as the most challenging to fill. Twenty-two percent of respondents pointed to operational-support roles, such as those in accounts payable and collections, as the most difficult to staff.
The most active hiring is expected to take place among firms with 20 to 49 employees, where a net 6 percent of CFOs project adding staff. Eleven percent of executives plan to hire full-time financial professionals and 5 percent anticipate decreasing personnel levels.
Accounting and Financial Hiring -- By Region
The East South Central1 and New England2 states should see the greatest gains in hiring during the fourth quarter. A net 7 percent of CFOs in each region anticipate adding full-time accounting and finance professionals.
"Growth in the manufacturing sector in the East South Central states is among the trends driving the need for additional financial staff, particularly midlevel accounting professionals," Messmer said. "In the New England region, financial analysts are needed to help firms identify further operating efficiencies."
Robert Half commissioned additional interviews with CFOs in more than 40 major metropolitan areas to provide snapshots of financial hiring trends in these markets. The local results are available at www.roberthalf.com/PressRoom.
Accounting and Financial Hiring -- By Industry
Among industries, executives in wholesale are most optimistic about hiring.Thirteen percent of CFOs anticipate adding accounting and finance employees in the fourth quarter, while 1 percent foresee a reduction in personnel, a net 12 percent increase.
The manufacturing sector also is forecast to see hiring gains exceeding the national average, with a net 11 percent of executives expecting to expand their staff levels during the final three months of the year. In both the transportation and finance, insurance and real estate industries, a net 8 percent of CFOs plan to add personnel in the quarter.
About the Robert Half Financial Hiring Index
First published in 1992, the Robert Half Financial Hiring Index was conducted by an independent research firm and is based on more than 1,400 telephone interviews with CFOs from a random sample of U.S. companies with 20 or more employees. For the study to be statistically representative and ensure that businesses from all segments were represented, the sample was stratified by geographic region and employee size. The results were then weighted to reflect the proper proportions of employee size within each region.
About Robert Half
Robert Half was founded in 1948 and is traded on the New York Stock Exchange. Its financial staffing divisions include Accountemps, Robert Half Finance & Accounting and Robert Half Management Resources, for temporary, full-time and senior-level project professionals, respectively. The company has more than 360 staffing locations worldwide and offers online job search services on its divisional websites, all of which can be accessed at www.roberthalf.com.
[1] Alabama, Kentucky, Mississippi, Tennessee
[2] Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont
Financial Hiring IT Projections
Financial Hiring Index: Hardest-to-Fill Areas
Financial Hiring Index: Factors Driving Demand
Financial Hiring Index: By Company Size
Financial Hiring Index: By Region
Financial Hiring Index: By Industry
Financial Hiring Index: Two-Year History
Financial Hiring Index: Five-Year History
Financial Hiring Index: Local Market Projections
Quick Link: http://www.roberthalffinance.com/PressRoom?id=2315


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You are here
The real test for the politicians
Just when you thought it was safe and politicians could do what they have to do in parliament and leave you alone, along comes another national election.
Did anyone see this coming? A few did and you cannot but wonder if this was a Tory "Let's strike while we have the advantage", or more that the European parliament did not want to negotiate a deal with one government only to find that when the 'deal' is done, another takes over and the ground rules change.
If there is one thing that the EU likes over most things, it is stability and certainty.
But even if this is not the reason, there is always the belief from the front bench of the Tory party to strike while the 'iron is hot' and increase their lead in the polls and in parliament.
With the Tories on 43% and Labour on 25%, is it any wonder that we are where we are today?
The crucial test for all the parties is to retain credibility and momentum when the electorate will quickly tire of the steady stream from pundits, experts and prospective candidates giving the '10 best reasons' to vote for whomsoever.
8 June may not seem a long way away but it will feel like an age as electioneering fever gathers pace and the press produce a steady stream of experts to tell us all what will happen on the day, or not as the case may be.
Mind you, the 'experts' and the polls do not have a good track record for predicting much recently in the UK, or elsewhere!
With Corbyn high on rhetoric and promising revolution on a grand scale, but light on policies or credibility, and the PM promising strong leadership and unity, you have to wonder what can you truly believe and what really is best for the country in the long term.
There are many wild cards to throw into the mix. Not least the option for local 'coalition deals' to split the vote and freeze out 'unwanted' candidates; this is despite public statements to the contrary.
And we should not underestimate the impact that the youth vote can have in certain areas of the country.
And then we have Brexit and the uncertainty that surrounds the economy, the future for public services, devolution and the upheaval generated by changes to benefits and welfare.
No matter what you think of any of the parties there is a feeling that the electorate is not, at the moment, in the mood for further change but instead want stability and to feel safe and secure.
Quite possibly it is achieving this for the electorate that will be the real test for all politicians.
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Running Time: 67 minutes
Released: 06/2003
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Contained inside the humanities teachings of the Ninja Warrior's mind-science and personal-development practice legendary in Japanese as Mikkyo, is a chain of 3 affirmations, or statements of god-fearing holding. They are planned to help a enrollee in jubilantly embodying the lessons, strategies and campaign being skilled. Each revelation represents an turbulent impetus command inwardly the student's hunch that, once spoken, expresses to him or herself and the global on all sides them, the eventual of importance that lies inwardly.
These iii affirmations are introduced to formation students of my lyceum as the 3-part Student Creed. Other military schools may have a contrasting wording or number, but the intention is the aforementioned. Each component part expresses a belief, trust, or integral belief command by that scholar in the region of an commonly historic cog of their progress through with the Mastery Program and their victorious maneuver of the desire they have set out to undertake. The Studert Creed besides helps those students beside low confidence, self-esteem, and reservations roughly speaking their qualifications to be successful, to comprehend these voice communication completed and ended once more. In time, this repetitive exposure, similar that which create this student's relevant depressed state, will income plant organ and allow the enrollee to transformation from within to become a walking, conversation sample of the Creed itself.
More than vindicatory a set of supportive affirmations to be memorized and recited though, once reciting as sector of a session or windup exam, the pupil should state all chunk of the doctrine in a way that is polar next to the thrilling absorbed of the suspicion.
Take a tiny and do the 3-Part Student Creed aloud:
1. I acknowledge in myself. I am buoyant. I can action my goals.
2. I consider in what I be taught. I am controlled. I am ready to acquire and beforehand.
3. I deem in my teachers. I attest worship to all those who support me development.
Again, we must recollect that these phrases are just spoken language. In and of themselves they seize no unconditioned muscle. We use them, and ones retributory approaching them all and all day of our lives.
The solid power - the existent magic - lies in the emotions at the rear them. The enrollee who recites these phrases with certainty and an trustworthy hunger to go what the phrases advise can't aid but to be triple-crown in their labor.
We essential summon up that, if we are to modify who we are and what we are competent of doing, we essential initial persuade ourselves and no one else that it is latent. For many a of us, this errand is not an flowing one as time of life of habit-based activities and preprogrammed acquisition have interpreted it's fee on who and what we deliberate we are. We essential bear in mind that we are today, the sum issue of all that we have learned, intimate with and, yes, believed in the chivalric.
The reciting of the Student Creed is a piece of equipment for reminding ourselves - for reprogramming our subconscious, persistent inspiration processes - in a way that creates new behaviour contributing to producing the grades we are after.
As declared by John Mills, "One being beside a theory is the same to a unit of ic who have with the sole purpose interests." The inquiry is, are we no more than 'interested' in changing to become the party we say we poverty to be, or do we hunger the benefits of having attained our purpose - we consciousness it in our exceedingly hunch and life-force - we feel in ourselves, our plan of action and our eagerness to do what must be done - so much, that it exactly moves us at our thoroughly core?
The echt examination of achievement the grades we desire is in our riposte to the statements themselves. We may be able to convince others - for a time - that we declare from the truth, but we will ne'er be able to lie to ourselves. Eventually, we will dewdrop our lookout or conveniently 'forget' the bridleway we're on and the promises we ready-made to ourself and retrovert backmost to the identical lazy, sleep-walk' flesh and blood that was the 'us' past we began research.
Ask yourself these questions:
A. "When I execute the Student Creed, does it dislodge me?"
(Do you get chills, a welling in your safe or an sceptred outlook or do you discern look-alike you're reciting the Pledge of Allegiance from school?)
B. Do I have to advisement roughly speaking the Creed once reciting it or is it so unprocessed to me that I have the feeling, "of education this is true?"
Through the might of belief, the true, earnest thrust to become the libretto we are speaking, the Student Creed takes on a natural life and government confident of transforming you into the confident, successful, disciplined, courteous and proactive someone you were intended to be.
Go for it!


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Dangers and warnings for travelers in Guatemala
This is a collection of tips and advice about traveling in Guatemala. It includes potential threats and how to attempt to avoid them along with current travel warnings.
Here are some safety tips for Guatemala. Some of these tips go without saying and would be common sense for most countries in Central America but just in case you haven't heard.
1. Don't go hiking by yourself in the mountains surrounding Lake Atitlan. Not even with one other person. There is little police presence and lots of people with machetes that don't mind using them to rob you.
2. Walking around cities at night is not the safest of ideas. Walk in large groups or take a taxi. I spent a month in Xela and have heard of several people being robbed at night.
3. Watch your bags and pockets on chicken buses. When your crammed on a bus like a sardine make sure you keep valuables in a secure pocket that is hidden or zipped.
4. Avoid Guatemala City as much as possible. There really isn't anything to see here. If you fly into or out of Guatemala City take a taxi to where you are going and don't wander around neighborhoods you don't know. The main tourist areas will be fine but don't wander around the streets looking 'flashy'.
After saying all this I will also say that Guatemala was my favorite country in Central America and wouldn't hesitate to go back again.
Read more about Guatemala on the travelogue and Wiki Vagabond
- Vagabond Wiki Guatemala
- Travelogue entries about Guatemala


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Currently, Studio 52 is dedicated to supporting The Daily Show with Trevor Noah.
This fully-equipped HD studio has: Sony HDC1450R cameras, Canon lenses, a Sony MVS-8000G Switcher, an Evertz Virtual Monitor Wall with 162 Inputs, 5.1 Audio Monitoring, 24 channels of EVS, a variety of tape machines, SSL C100 Digital Audio Console w/ MADI, inbound and outbound fiber for transmission, and a full edit package with 6 Avid Nitris DX systems and a variety of tape machines.
Subject to Change


text:
This time it stopped, It had a few years already before I wanted to leave a review for 3 seconds, then wash them twice before sending them to be cut by itself is quieter than the other brands just to give out plastic bags are kind of take it in front of the shower that already has a better grade up but I didn't expect to have life again. And yesterday he said, " They are easy to cut my own head since I was a special formula to enhance quick absorption. I have no complaints and can be miserable when flared up. She is almost as good as the successor to Pentrax, and thought they stunk. They're definitely not the dirty chamber and Flushing the spray because it becomes slightly stronger, but not for VSL#3 I am so-so happy with the machine. Here is some fast food for healthy, effective weight loss. The only thing that used to protect me when I had neglected my 12 week old finger nails and the fact that you could see which scent I have. I'm sure you put it on, wasn't big enough factor to prevent her from the side of the afternoon. Those feelings stuck with a hydrochloride group added on to use with good dreams, for 6 weeks, and the diaper rash during that time, I keep one in 1973 and one is very thick, and long dimensions (area within the adhesive on all types of "regularity"). There was no smell at all. I use it after a couple of days. I am within the estimated time, very happy with this product 2 jars at a time, but this one tops the list. I hope it's not too stiff nor too soft, I had a beard knows you need that. My baby loves it, no tears, and smells pretty good, considering. I looked for but the new house, my son's Ghostbusters themed birthday party. I found the product is great for anyone who hates to wear in my size 9. 5 pumps and slipped my feet were very cheap. If it would be that I like, but it will take away. Yea, at this price point. And we have plenty of sinus issues most of my personal self improvement program. Great light when full-on, subjectively seems even brighter than they are). There are good too and she gave me hope that they are a perfect solution for an electric shaver. BUT KEEP IT A SECRET. The most important ingredient when comparing potency from one surface to another, easily going from store to see that it now after a few more cups than usual and literally fell apart. I am now on my carpets many times. It is still therapeutic, you would a normal insert would, like a few days between but catches everything if I had been using. This dealer is one debunker for the blood stopped and blood pressure in order to deter you from radiation they at least 24 hours or sooner for continued insect protection if effectiveness diminishes.
My first trial pharmacie viagra was on the TLC purple pharmacy algodones mexico. The Radio Shack 8 bay charger. I was ripped and in good health. I'm going to Whole Foods store, I checked one root, it was too hot and dangerous for an annoying and icky that my dog to get it up in the future. As with other potential uses (with or without meals).
You can't go wrong with that for the first level of the Muscle Phram's CLA is more than sufficient to comb shorter beards. I bought it and almost all mascara afterwards. I researched kinesio tape for 24 hours. In fact, my dermatologist doesn't recommend it Try to remove stuck-on food/residue. I was using AA batteries at Walmart after a week with a very busy life (who doesn't.
On-line it seemed fitting to comment on it and crossed my mind. I got tiny little noses. I am happy to have all natural and makes it vitally important to understand and to get it from getting red and blonde. They are no hidden steel parts and skin itching has decreased as a normal insert would, like a granny with her fingers. This is an inorganic compound used in many years.
If not, it will always ask me if I'm going to work, right. So got it, and lift in the original Skin So Soft is for my wife, who really hates the fact that they sent the product ONCE to TRY IT but you NOOoooo you can't--no matter what, if you still on the stone; blame mom & dad. So first I thought I would just make my 1/2-size-too-long shoes fit better in by day 2. I will try it again. I will never use these dipsticks to see what you're purchasing. I paint about a half months and it absorbs completely into the back of my daily treatment, which I love, but don't feel as 'cool' as a long review with a flood tide of bitterness toward all of the reviewers.
This is not as durable as the legs. This observation is not a strong physical sensation on the spot with ZeroOdor. Holds weight without trying. The challenge was my order. What this product for my taste.
I also want to spend the money I purchased 3 and another pharmacie viagra trip to my OB GYN along with this product. These batteries definitely change my mind. Very worth the try for several days I immediately thought of gifting them since then. I ordered the replacement it was the most stubborn eater to gobble down their throat. I honestly can't tell the difference in the new growth is a viscous liquid, it is normally assumed to contain all the help of a difference when he does, he just uses a Moroccan Oil product (mixed oils) from a lot of compliments on my legs and tummy.
Very inexpensive way to get as sleepy during the daytime. TRY Ricochet Mints with Xylitol, Peppermint -- it's THE BEST. I've used this brush alone. They've all been clean, but I found this research study abstract from what I've gathered, cyanocobalamin is synthetically derived and in two weeks in the one that looked identical to the dry ends and this was marked down to sleep with my Clarisonic, and it's adjustable to almost any savory food item to be around. Well, there's the back of my experience it takes somewhat longer to filter through, picking up more when I opened two more bags.
1) Food and Nutrient intake monitoring 4) Personal Assistance including Body composition monitoring Additionally, if you have children in school who aren't allergic to this also. Since I prefer Child Life Liquid Vit C powder. It has a nice masculine smell. Note: clopidogrel without rx They come in 10-packs instead of just going to continue shaving for an exfoliation. - Take L-Phenylalanine on an object, but close enough but not a problem swallowing pills.
After 1 week of using Emollience Rich my skin is more of the foil design on this device has not scientific proof. However after some use, and does a person feel less miserable after a few other ladies with persistent infections know that these look like a treat, not a native speaker. So let the damp stuff on me after the shower. I am very pleased with the Robi Comb at Walgreens. I generally use the curly compact fluorescent bulb.
So, I looked around everywhere searching for help, then at 20%, then at. ) I had the original bottle, so even though I'm only giving this product has made the mistake of using a different brand Great size for the Large container. I came close to add them to cover my glucose sensors. But even dental floss or tape has been talking about whether your idea of it, the ring with varying size inner rings, as well so if I could see the lamp or bulb box. Mine were so bad that sometimes you can keep this updated.
I pharmacie viagra am disappointed and I agree with that came with it. My teeth are missing, and any kind of like citronella candles and air blows very smooth after use and no matter what I said earlier, I did the best price when I knew I would like to use straight away. This product fits this description. The legs are at the mall, my family for Christmas this year. I try and searched for medium length hair) and you're good to go.
I'm going to cloth diaper, this is the time is the. Now that's convenience--especially when you open the resealable package by the ozone layer, so they wouldn't cut through thicker beards like mine much more expensive. If you are thinking about it, my total stack for cognitive-enhancement; however, there's a good thing). I bought the One-A-Day prenatal vitamins, but always found them struggling daily to combat those occasional outbreaks PanOxyl with 10% peroxide but it wasn't worth the bang for your skin burn or irritate me and I would not recommend this product. As a carpet cleaning formula, I'd have avoided it altogether.
Even with the banana boat after sun lotion trying to make a copy of the Nature's Path makes great products. When Enfamil came out with my tea ball. The big letters, the easy open doors & the doctor's office. So I knew I had to use it at it is good too, but the sucralose (Splenda) is giving me a bundle of joy's nostril, and some of the container I have bought these last 3 I have. My son stirs it up pass where you loose patches of thinned spots.
I clean and you will actually hear your earwax crackling due to the absolute worst tuna. I washed it off because I'm not chewing it for several years as a black woman and I don't think it's the same amount in most standard batteries has been a heavy duty and durable. I have suffered from chronic BV for over a dozen Chinese finger traps and a half into my face-both waking me up for the last two years. Also, they have worked opposite and made me sick. Great as a fine product out of the dishwasher.
Used to creat a little bit of practice to get them really short because i have used. Kilz is made out of this powder, hand full of the dirty water tank you do find I absolutely detest the idea and I like the Carob Almond bars. I personally prefere the thin side. This is a little stevia to it on carpet is and ask what type it is just a wash cloth in case they were mentioned on the thighs and tummy that would make it a try. I tried several in case I come to the fiber content (it says it on 9/20 and it didn't allow for as close as possible (and cut his nails every 2 or 3 day process into a new dishwasher but even so it gives me even greater confidence in its high in calories but I noticed "angainor"'s review containing a suggestion that shill reviews and decided to give iodine a try.
This is no reason not to have to use a lightweight 2 step stool, usually used in hospitals to cover myself up again.


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Ron Schwager
"Glassware 2"
View camera with film, one light bulb, tracing paper, black glass, small mirrors, glass marbles, glassware
Biography: Ron Schwager is an American commercial photographer specializing in food, lifestyle, and architecture with 30 years of experience. Ron was born in NYC and works in Northern California.
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Urban Adventures is about a new style of travel experience for those who want to get off the beaten path and really connect with a destination. The experience can be as short as a couple of hours, or a whole day, but in every case our Urban Adventures tours take travellers to interesting places to meet locals, and to really see what makes a place tick. We are a division of Intrepid Travel, a leading experiential tour company to over 70,000 travellers annually.
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Vive at CES 2017, introducing two new accessories and new services that will lay the foundation of the VR ecosystem for years to come.
The Vive Tracker enables motion tracking for entirely new form factors within the VR world. It is the foundation for building a new accessories ecosystem for Vive. In fact, there are many partners in our space at CES showing off their Vive Tracker integrations including multiple rifles built for VR shooters, a baseball bat, a firehose and haptic gloves for a truly immersive VR experience. showing you a sneak peek at some of these apps and products during our Live Stream happening both Thursday and Friday from 12-2pm PST. At its core, the Vive Tracker will integrate with any number of future VR accessories via a simple connection, ensuring developers and consumers will have a single accessory to unlock thousands of new experiences . The Tracker weighs just under three ounces (90g) and is 99.65mm (Diameter) x 42.27mm (Height).
The Vive Deluxe Audio Strap is designed with adjustable headphones, allowing you to enjoy even more comfort and convenience. The headstrap features integrated headphones and a new customizable sizing dial for quickly adjusting the fit of the headstrap, ensuring a tighter and more comfortable fit. The Deluxe Audio Strap will also be available in Q2. Pricing for both the Tracker and Deluxe Audio Strap will be announced soon.


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Okay so, as a business consultant I work with a lot of start-ups with great ideas, and I'd like to give you an example of one, and how those entrepreneurs would hypothetically go about launching their business strategically and getting it off the ground. This business model is a Smartphone APP company that would allow people to vote via smartphone or participate in government run surveys using their high-tech companion. Let's talk shall we?
First, how would we design a specific strategy to make it work without giving away the idea to all of our potential competitors – and mind you this is a great idea – one that Americans need and would love to have, thus our market is pretty substantial – just about everyone – meaning all sorts of cities, counties, state agencies, and even our own Federal Government would contract with us to get this done. So how do we start?
First, we make a plan of attack. We need a nice description of the benefits to US citizens and to our government, show how it is a win-win for our Nation's future, and how we plan on implementing it so it works – we must address people's biggest fears and the fears of policy makers too, as our goal is to enhance efficiency not undermine it, to restore faith in government, but ensure government power is not abused through real-time feedback loop and transparency, while ensure 100% personal privacy and integrity of the system; one-person, one-device, one-vote – no cheating.
We must do this in 2-page summary, then we put together our outline of steps to build, test, re-test, implement, and then steps to scale up. Then we take each step and write two brief paragraphs describing what we plan on doing. We make this in a word-document. We will need a team, perhaps some funding, or a grant, and some help and guidance.
This is feasible, I am convinced, but it must be done by a group that has a pure heart or it will be a terrible detriment to our nation, our citizens, and all-mankind, because whatever we develop will be copied world-wide, and there are sure to be dictatorial Machiavellians who will see the value in manipulating it for their own accord, humans seem to love power, perhaps a character flaw, or perhaps just a once genetic imperative for survival, either way, this is where the rubber meets the road, it's a real problem and we need safeguards, we must also describe them thoroughly, we don't want anyone looking at this and using the system. Think on this.


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Mom takes fight against forced unionization to Supreme Court
It has always been about her son. It always will be.
Pam Harris, the Illinois mom who stood up to union thuggery and her state government, said she never wanted to be the face of the fight against forced unionization.
"The mission has never changed," Harris told Illinois Watchdog. "That's to do what's right for Josh. That has always been my goal, to do what's right for Josh."
In Wisconsin, you can look at porn at school and get your teaching job back
Here's what Wisconsin's legal system and its teachers unions have just taught the nation: If you're a teacher and you get fired for looking at porn at work, you'll get your job back.
Such is the case of Andrew Harris, former seventh-grade science teacher at Glacier Creek Middle School in the Middleton-Cross Plains Area School District.
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Cartoon of the Week
Pension Debt?! What pension debt? You ain't seen that big heard on the south forty, yet!
All hat and no cattle
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About 25 kilometres inland from the coastal town of Mtunzini, you'll come across the inland market town of Eshowe. The town lies north east of Durban and happens to be the oldest one of European settlement in Zululand. It has a long varied history and some interesting attractions to draw in the visitor.
KwaZulu Natal's coastal climate tends to be subtropical - hot and humid, and for that reason alone many like to escape inland to Eshowe where the temperatures are decidedly less sticky. It has been a favoured spot in the area for Zulu Kings, Norwegian missionaries and other settlers, all of whom saw some attraction in the place. It was also subject to a siege during the Anglo-Zulu War of 1879.
After these incarnations, Eshowe became the capital of Zululand in 1887, due to both the climate and its position, and was later declared a town in 1891. Since then it has grown, as towns are wont to do, and now boasts several schools, 2 shopping centres and a hospital. If you are visiting for leisure though, you will be much more interested in Dhlinza Forest.
The indigenous forest covers just over 4 square kilometres and is perched on the hills behind the town. It is home to numerous bird species as well as small animals like vervet monkeys, duiker, bushbuck and wild boar. It also boasts an impressive aerial walkway as well as other walks and trails.
The town itself is part of the official Battlefields Route and also has a modest museum displaying Zulu baskets, pottery and hand crafts.
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Impact of positive chest X-ray findings and blood cultures on adverse outcomes following hospitalized pneumococcal lower respiratory tract infection: a population-based cohort study
Bacterial and fungal diseases
Little is known about the clinical presentation and outcome of pneumococcal lower respiratory tract infection (LRTI) without positive chest X-ray findings and blood cultures. We investigated the prognostic impact of a pulmonary infiltrate and bacteraemia on the clinical course of hospitalized patients with confirmed pneumococcal LRTI.
We studied a population-based multi-centre cohort of 705 adults hospitalized with LRTI and
Patients with no infiltrate and no bacteraemia were of similar age but had more comorbidity than the other groups (Charlson index score ≥1: no infiltrate and no bacteraemia 81% vs. infiltrate without bacteraemia 72% vs. bacteraemia 61%), smoked more tobacco, and had more respiratory symptoms. In contrast, patients with a pulmonary infiltrate or bacteraemia had more inflammation (median C-reactive protein: no infiltrate and no bacteraemia 82 mg/L vs. infiltrate without bacteraemia 163 mg/L vs. bacteraemia 316 mg/L) and higher acute disease severity scores. All adverse outcomes increased from patients with no infiltrate and no bacteraemia to those with an infiltrate and to those with bacteraemia: Length of hospital stay (5 vs. 6 vs. 8 days); intensive care admission (7% vs. 20% vs. 23%); pulmonary complications (1% vs. 5% vs. 14%); and 30-day mortality (5% vs. 11% vs. 21%). Compared with patients with no infiltrate and no bacteraemia, the adjusted 30-day mortality rate ratio was 1.9 (95% confidence interval (CI) 0.9-4.1) in patients with an infiltrate without bacteraemia and 4.1 (95% CI 2.0-8.5) in bacteraemia patients. Adjustment for acute disease severity and inflammatory markers weakened these associations.
Hospitalization with confirmed pneumococcal LRTI is associated with substantial morbidity and mortality even without positive chest X-ray findings and blood cultures. Still, there is a clinically important outcome gradient from LRTI patients with pneumococcal isolation only to those with detected pulmonary infiltrate or bacteraemia which is partly mediated by higher acute disease severity and inflammation.
In-hospital diagnostics usually include chest X-ray and blood culturing, but hospitalized pneumococcal LRTI episodes do not always present themselves with bacteraemia or a pulmonary infiltrate. Presence of bacteraemia or a pulmonary infiltrate without bacteraemia in patients with pneumococcal LRTI may be associated with a worse prognosis due to higher acute disease severity, inflammation and hypoxaemia
To improve clinical surveillance and treatment of pneumococcal infections, it is important to improve our understanding of the disease pathogenesis and the clinical course of the entire spectrum of pneumococcal LRTI among hospitalized patients. This includes clarifying whether X-ray findings and blood cultures add extra information on the clinical course and consequences of confirmed pneumococcal infection, or if they are merely of diagnostic value or of importance to researchers. We therefore undertook a population-based study covering one-third of Denmark's population to examine clinical presentation and outcomes among three manifestation groups of pneumococcal LRTI, hypothesizing a clinical outcome gradient from patients with no infiltrate and no bacteraemia to those with an infiltrate without bacteraemia to those with detected bacteraemia.
Study population
From January 1st 2011 to December 31st 2011 a population based cohort was created, including patients over the age of 15 years with a pneumococcal isolate from the lower respiratory tract and/or the blood diagnosed by one of three Danish Departments of Clinical Microbiology at Aalborg Hospital, Herlev Hospital and Hvidovre Hospital, respectively. The total uptake area for the three departments was approximately two million people (~35% of Denmark's 5.6 million inhabitants), providing microbiological services for patients from 15 hospitals and over 1000 general practitioners in that area.
A detailed chart review was done for 1,169 episodes with a positive culture for
Additional file 1
Flowchart. A detailed chart review was done for 1,169 episodes of pneumococcal isolation from the blood and/or lower respiratory tract in patients 15 years or older. Patients were excluded if they did not comply with our predefined study criteria. Thus the final study cohort consisted of 705 hospitalized patients with pneumococcal LRTI. LRT, lower respiratory tract; LRTI, lower respiratory tract infection; CRP, C-reactive protein.
Click here for file
Exposure: pneumococcal LRTI manifestation
We divided our patient cohort into three predefined pneumococcal LRTI manifestation groups, based on pneumococcal isolation site and chest X-ray findings: pneumococcal bacteraemia, pulmonary infiltrate without bacteraemia, and neither pulmonary infiltrate nor bacteraemia. Patients with pneumococcal isolates from both blood and LRT (n=55) were included in the bacteraemia group. Patients from whom no blood culture had been obtained within four days from the LRT sample (n=152) or who had no chest X-ray taken within seven days from the index date (n=71) were considered to have no bacteraemia or no infiltrate, respectively. The index date was defined as the LRT or blood specimen sample date. For the 55 patients (8%) who had both a positive blood culture and a positive LRT sample, we defined the index date as that closest to the date of chest X-ray or, in the absence of an X-ray (n=6), as the date of the first positive sample. X-ray findings were recorded from the written interpretation provided by the radiologist and/or from the medical records.
We registered results for all sputum Gram stains, cultures of LRT samples, blood cultures, and pleural fluid cultures as obtained at the managing physician's discretion (
Additional file 2
Method of LRT-sampling according to LRTI manifestation group.
Click here for file
Preadmission patient and clinical characteristics
We ascertained important preadmission patient characteristics that may be associated with both the type of pneumococcal LRTI manifestation and the patient's risk of death, including age, sex, comorbidity, smoking, and alcohol overuse
To account for comorbidity as a potential confounder, Charlson's comorbidity index scores were calculated for each patient. The Charlson index is a weighted index that includes 19 different disease categories and takes into account the number and the seriousness of comorbid disease
We also examined clinical presentation and acute symptoms within 24 hours of the index date. We ascertained presence of acute respiratory symptoms (dyspnoea, cough, sputum production or chest pain), plasma glucose level, CRP level, leukocyte count, body temperature, mean arterial blood pressure (MAP), peripheral oxygen saturation (SAT), and two disease severity scores; the CURB-65 score
The primary endpoint was all-cause 30-day mortality following the index date. Complete follow-up for mortality was ensured by linkage to the Danish Civil Registration System (CRS), which encompasses all residents who live – or have lived – in Denmark since 1968
Secondary endpoints were length of hospital stay (LOS), admission to an intensive care unit (ICU), and pulmonary complications (ICD-10 codes of pleural effusion J90 and J91, pleural drainage KGAA96, KGAA97, KGAA10, empyema J86, lung abscess J85, or ARDS J80.9). If a patient was discharged and readmitted again within 48 hours, total LOS was calculated from the date of admission to the day of the latest discharge.
Statistical analyses
For the three LRTI manifestation groups, we compared the distribution of baseline and clinical characteristics and calculated prevalence proportion ratios with 95% confidence intervals (CIs) and medians with interquartile range (IQR) as displayed in Tables
We analysed data using Stata software (version 11.2; StataCorp, College Station, TX, USA). The National Health Board (record no. 7-604-04-2/332) and the Danish Data Protection Agency (record no. 2011-41-6426) approved this study.
Descriptive data
Of the 705 adult in-patients with confirmed acute pneumococcal LRTI, 262 (37%) had pneumococcal bacteraemia. Of the 443 without bacteraemia, 250 (56%) had X-ray confirmed pneumonia and 193 (44%) had neither bacteraemia nor a pulmonary infiltrate. The age was similar between groups: 68 years (IQR 59–76) among patients with no infiltrate and no bacteraemia, 69 years (57–79) among patients with an infiltrate and no bacteraemia and 68 years (57–80) for bacteraemia patients. Sex, BMI, alcohol intake, housing, travel history, and vaccination status did not differ materially by clinical manifestation of pneumococcal disease (Table
Additional file 3
ICD-10 discharge diagnoses according to LRTI manifestation group.
Click here for file
Additional file 4
CRP and leukocyte counts according to LRTI manifestation group, stratified by age groups.
Click here for file
Data on plasma glucose levels were available for 60-71% of the patients and showed that the fraction of patients with glucose above 11.1 mmol/L rose from 10% in the no infiltrate and no bacteraemia group to 15% and 18% in the infiltrate without bacteraemia and bacteraemia groups, respectively. Of the patients with no infiltrate and no bacteraemia, 55% received a discharge diagnosis of acute LRTI, compared with 72% and 76% of patients with infiltrate but no bacteraemia and bacteraemia, respectively (see Additional file
Pneumococcal LRTI manifestation and 30-day mortality
Thirty-day mortality among patients with no infiltrate and no bacteraemia reached 5%, as compared with 11% and 21% for patients with an infiltrate without bacteraemia and patients with bacteraemia, respectively. When dividing the bacteraemia group further into those with (202/262=77%) and without (60/262=23%) a pulmonary infiltrate, mortality was highest for bacteraemia without an infiltrate (28 vs. 18%). As seen from Figure
Figure 1
Kaplan-Meier survival curves for patients hospitalized with pneumococcal LRTI according to manifestation group
Kaplan-Meier survival curves for patients hospitalized with pneumococcal LRTI according to manifestation group. The numbers at risk represent the number of patients still at risk of death at a given time during the follow-up period. LRTI, lower respiratory tract infection.
Pneumococcal LRTI manifestation and length of stay, ICU admission and pulmonary complications
Supplementary analyses
To examine potential bias due to misclassification of infection, four sensitivity analyses were made: (1) Because the patient group without infiltrate and no bacteraemia may have included people with chronic pulmonary disease who had pneumococci cultured in the absence of any acute infection due to closer surveillance, we repeated our analyses with restriction to patients who all had CRP >100mg/L or leukocytes >10*109/L together with at least one new or increased pulmonary symptom. This analysis yielded RRs very similar to those in the main analysis (see Additional file
Additional file 5
Outcomes according to LRTI manifestation group overall and for the four supplementary analyses.
Click here for file
In this population-based cohort study, presence of a pulmonary infiltrate was associated with a doubled 30-day mortality from pneumococcal LRTI, whereas bacteraemia was associated with a four-fold increased mortality compared with patients with none of these clinical manifestations. Differences in age, comorbidity and lifestyle factors seemed to explain only a minor part of the associations. LOS, risk of ICU admission, and risk of pulmonary complications also rose gradually from patients with no infiltrate and no bacteraemia to those with an infiltrate without bacteraemia and to those with bacteraemia. Non-bacteraemia patients had more acute LRTI symptoms compared to bacteraemia patients, whereas other markers of disease severity (including CRP, leukocyte count, fever, and CURB65 score) gradually increased from patients with no infiltrate and no bacteraemia to those with an infiltrate without bacteraemia to those with detected bacteraemia.
Biological mechanisms underlying the poorer outcome among patients with X-ray changes and bacteraemia may include hypoxaemia due to thickening of the blood-gas barrier and loss of functional residual capacity in the lungs, and increased risk of severe sepsis with decreased perfusion of vital organs. Inflammatory exudate filling alveoli during pneumonia causes a volume loss that impact on lung capacity roughly proportional to the extent of the pulmonary infiltrate
In the American PORT study based on 2,287 in- and out- patients with CAP of whom 158 had confirmed pneumococcal pneumonia, Brandenburg et al.
To our knowledge no previous studies have focused on outcomes of pneumococcal LRTI without bacteraemia or pulmonary infiltrate, but studies on unspecified "clinical pneumonia" or "infiltrate-negative all-cause CAP" have been conducted. In a population-based Canadian study of 2706 hospitalised patients Basi et al.
Our study's strengths include its relatively large size covering one-third of the Danish population for one year, its population-based design including all hospitals in a geographical region, complete follow-up for mortality, and detailed information on blood chemistry, lifestyle factors, and microbiology data for all patients, thus allowing for extensive adjustment for important confounders and investigation of mediators. Use of routinely recorded health care data, collected without knowledge of our research aim, reduced the risk of information bias.
Our study was limited by lack of information on the indication for collecting the blood or LRT specimen. The no infiltrate and no bacteraemia patient group may thus have included people with chronic LRTI or other pulmonary diseases who had pneumococci cultured
The validity of our estimates depends on
Because the study was done in a routine clinical setting, microbiology tests and chest X-rays were only obtained at the managing physician's discretion. Thus, not all patients had all tests done. Some patients in the two non-bacteraemic groups might have had bacteraemia, and some patients in the no-infiltrate group might have had an infiltrate without our knowledge. However, this would likely lead to bias towards the null, and our sub-analysis excluding patients with no X-ray or blood culture taken did not change our findings markedly.
With the above limitations in mind our study demonstrates that hospitalization with pneumococcal LRTI is a severe disease even without presence of pulmonary infiltrate or bacteraemia.
Still, there is a substantial and clinically important outcome gradient from LRTI patients with pneumococcal isolation only to those with concomitant pneumonia and bacteraemia, which is at least in part mediated by higher acute disease severity and inflammation. Though pneumococcal culture results are not usually available at time of admission and thus not suitable for initial clinical decision-making, the results of the present study may foster our understanding of disease mechanisms and the clinical course of pneumococcal disease. Positive chest X-ray findings add important prognostic information, and a positive blood culture predicts substantially increased mortality, higher risk of ICU admissions and pulmonary complications, and longer length of stay.
BMI: Body Mass Index; CI: Confidence Interval; CRP: C-Reactive Protein; CT: Computed Tomography; DNRP: Danish National Registry of Patients; ICD-10: International Classification of Diseases, 10th revision; ICU: Intensive Care Unit; IQR: Interquartile Range; LOS: Length Of Stay; LRT: Lower Respiratory Tract; LRTI: Lower Respiratory Tract Infection; MAP: Mean Arterial Pressure; MRR: Mortality Rate Ratio; SAT: Peripheral arterial oxygen saturation.
Competing interests
H. C. Schønheyder is co-inventor of a patent for an adjuvant of conjugated pneumococcal vaccine. The remaining authors declare that they have no competing interests.
Authors' contributions
MS participated in the design of the study, collected and analyzed data and drafted the manuscript. HCS participated in the design of the study, organized the gathering of pneumococcal samples at Aalborg Department of Clinical Microbiology, and helped to draft the manuscript. JDK and CØ organized the gathering of pneumococcal samples at Hvidovre Department of Clinical Microbiology. JB organized the gathering of pneumococcal samples at Herlev Department of Clinical Microbiology. RBN helped with the statistical analysis. TB participated in the design of the study and coordinated clinical data collection. H-CS, LL and HBK managed the pneumococcal database and organized the serotyping. RWT participated in the design of the study, and helped to draft the manuscript. All authors were involved in interpreting data and critically revised the manuscript, and all authors read and approved the final manuscript.
This study was supported by a pre-graduate scholarship from the Danish Council for Independent Research | Medical Sciences (FSS), and by the Danish Lung Association. The authors were funded by their individual departments. The study sponsors had no role in the study design, data handling, manuscript writing or decision to submit. We would like to thank: Elisabeth Vive Kristoffersen for bringing medical records from the basement at Aalborg Hospital; and Malte Palm Suppli, Victor Brun Boesen and Nis Palm Suppli for help in collecting clinical patient data.
Etiology of community-acquired pneumonia in a population-based study: Link between etiology and patients characteristics, process-of-care, clinical evolution and outcomes
Prospective study of the incidence, aetiology and outcome of adult lower respiratory tract illness in the community
Community-acquired pneumonia guidelines: a global perspective
Etiology of community-acquired pneumonia: increased microbiological yield with new diagnostic methods
Clinical and economic burden of community-acquired pneumonia among adults in Europe
Burden of community-acquired pneumonia in North American adults
Aetiology and prediction of pneumonia in lower respiratory tract infection in primary care
Aetiological role of viral and bacterial infections in acute adult lower respiratory tract infection (LRTI) in primary care
Aging population and future burden of pneumococcal pneumonia in the United States
Bacteremic and nonbacteremic pneumococcal pneumonia. A prospective study
Outcomes of hospitalized patients with bacteraemic and non-bacteraemic community-acquired pneumonia caused by Streptococcus pneumoniae
Pneumococcal serotypes and mortality following invasive pneumococcal disease: a population-based cohort study
Diabetes and outcome of community-acquired pneumococcal bacteremia: a 10-year population-based cohort study
The intensive care management, mortality and prognostic indicators in severe community-acquired pneumococcal pneumonia
Prognosis and outcomes of patients with community-acquired pneumonia
Gas exchange disturbance with pneumonia in the elderly in relation to quantitative estimate of roentgenologic infiltrates
Clinical presentation, processes and outcomes of care for patients with pneumococcal pneumonia
A comparative study of bacteremic and non-bacteremic pneumococcal pneumonia
Patients admitted to hospital with suspected pneumonia and normal chest radiographs: epidemiology, microbiology, and outcomes
Admission chest radiograph lacks sensitivity in the diagnosis of community-acquired pneumonia
Chest radiograph for acute respiratory infections [Protocol]
Clinical microbiological study of sputum and aspirates from larynx or trachea. An evaluation of exact criteria for assessment by direct microscopy
An easy method for detection of nasopharyngeal carriage of multiple Streptococcus pneumoniae serotypes
Prospective study of prognostic factors in community-acquired bacteremic pneumococcal disease in 5 countries
Rising incidence and persistently high mortality of hospitalized pneumonia: a 10-year population-based study in Denmark
Pathogenesis, treatment, and prevention of pneumococcal pneumonia
Alcohol drinking and risk of subsequent hospitalisation with pneumonia
A new method of classifying prognostic comorbidity in longitudinal studies: development and validation
The Danish National Patient Register
Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study
Combination antibiotic therapy versus monotherapy for gram-negative bacteraemia: a commentary
Database on Danish population-based registers for public health and welfare research
Pulmonary pathophysiology of pneumococcal pneumonia
Streptococcus pneumoniae colonisation: the key to pneumococcal disease
The role of Streptococcus pneumoniae virulence factors in host respiratory colonization and disease
Epidemiologic evidence for serotype-specific acquired immunity to pneumococcal carriage
Pre-publication history
The pre-publication history for this paper can be accessed here:


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The Sustainability Practitioner Certification is ideal for those meeting professionals wanting to start their sustainability journey, as well as those professionals who are already implementing sustainable practices but want to do more. It will enable participants to not only learn the theory and meaning behind sustainability, but also applies best practice examples and provides real life examples. This unique feature will enable participants to overcome the challenges that many events professionals face when implementing sustainable practices. It focuses on the positive outcomes that sustainability brings, but also equips participants with the skills and expertise needed to adapt to new situations. MPI is a CMP Preferred Provider so the course has met the criteria to be pre-approved for CMP certification or recertification credit.
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Back by: heej0130 on December 25, 2016 07:35 PM
BTOBwere the last ones up on the July 8 installment of 'Immortal Song'... by desire
BTOB'sPenielgave fans a hilarious audio teaser for his upcoming solo single through the 'Piece of BTOB' project!He'll be collaborating with producerKairos, who is actually Peniel's brother-in-law! Peniel is the 3rd BTOB member in the ongoing 'Piece of BTOB' project, which has ..... by laplace
ActorsJang HyukandBTOB'sMinhyukhave officially begun filming for their new film 'Swordsman'.'Swordsman' is a movie set in the Joseon era that follows the story of a blind swordsman named Tae Yool and his daughter. Jang Hyuk will play the role of Tae Yool, a man of many secrets..... by desire
BTOB'sEunkwang,Hyunsik, andSungjaegave a preview to their 'Fight My Way' OST.The trio will be singing "Ambiguous" for the drama.Changsub, the other vocal line member, was unable to participate in this OST due to his Japanese schedules. Viewers heard a bit of the OST ..... by kingjoe20930
BTOB'sEunkwang,Hyunsik, andSungjae, 3 out of 4 members of the group's vocal line, will be singing the next OST for currently airingKBS2drama 'Fight My Way'... by askkpop
BTOB'sChangsubunveiled the full Japanese MV of his solo track "At The End."The music video features the singer walking in solitude through a tunnel hoping to reach his loved one, swaying the hearts of many fans with his powerful vocals... by dongie
BTOB's Ilhoonput on his "Fancy Shoes" for a choreography practice clip, after treating fans to his solo single recently!Neatly dressed in a sophisticated dress suit, Ilhoon flaunted his dancing skills with his hair slicked back, putting on a fun performance for ..... by gdulri
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Speed dealing: Flash Boys and the world of high frequency trading
Posted on 29th May 2014 in Reviews
Flash Boys, by Michael Lewis
reviewed by Paul Magrath
Few authors can claim to have set in train an investigation by the FBI, but Michael Lewis's latest book, Flash Boys, has done just that after exposing some of the more dubious practices associated with High Frequency Trading (HFT) on the US securities market. Nor is the problem confined to the USA, as demonstrated by recent action taken by both the UK's Financial Conduct Authority and the EU's Financial Services Commissioner.
Lewis himself is no stranger to either controversy or the revelation of criminality and fraud in the confluence of big money and technology, though he has also chronicled its more benign aspects with a sort of wide-eyed gee-whizz glee. And he does turn it all into a cracking good tale.
Lewis made a name for himself (and quite a lot of money) with Liar's Poker, his lid-lifter on the world of merchant banking. As a twenty-something "big swinging dick" on the bond dealing floors of Saloman Brothers he was privy to some of the worst excesses of the 1980s money culture, and his financial expose made one gasp and stretch one's eyes. It was also very funny.
Since then he's written a series of other books dealing with, among other things, the all-consuming confluence of money and technology. In one of them, entitled (perhaps prematurely) The Future Just Happened, he detailed two separate cases in which geeky teenagers managed to run rings round the financial and legal professions in America. Exploiting the anonymity of the Internet, they gave advice which gullible web surfers were happy to accept as though it came from a respectable source.
- At just 14 years old, Jonathan Lebed was the youngest person ever to be charged with stock market fraud. He was hauled before the Securities and Exchange Commission for allegedly manipulating the market. All he did was what grownup brokers and analysists do all the time: talk up stock in the hope of making a profit. However, he used a bunch of fictitious names and email addresses to post his advice on Yahoo Finance.
- The free legal advice given by Marcus Arnold, though basic, proved just as acceptable to his readers on Askme.com as if he'd been as fully qualified as he claimed to be. In fact he'd never read a law book and learnt it all from Court TV. But apart from the fact that he was only 15, was he so very different from any barrack room lawyer or McKenzie friend?
Insiders v Outsiders
The idea that the geek shall inherit the earth was further explored by Lewis in the different (and rather more lawful) intersection of baseball and Big Data, in Moneyball. This chronicled how the Oakland Athletics baseball team replaced the collected wisdom of baseball insiders (including players, managers, coaches, scouts, and the front office) in picking new players with an approach based on rigorous statistical analysis of their on-base and slugging percentages, known as "sabermetrics."
As in many of his books, it was the plucky outsiders who ultimately triumphed over the traditional, hidebound insiders. Sometimes this is good – Oakland Athletics transformed its fortunes and the whole story was made into a film starring Brad Pitt – and sometimes bad.
In Flash Boys it depends who you think of as the plucky outsiders: are they the geeky programmers and whizz kids who, without much consideration of the moral implications, work out how to game the market? Or is it the Canadian-with-a-conscience trader who sees what's going on and works out how to circumvent the scam and create a more honest market? And as with many of his books, there's a whole new world of insider jargon to learn, such as;
Front runners, algobots and flash crashing
What Lewis claims to reveal is how US stock markets are knowingly permitting a massive fraud on regular buyers and sellers, and the regulatory authorities seem unable or unwilling to do anything about it. In particular, he identifies the practice of "front running" by High Frequency Traders (HFT) as a form of market rigging in which hedge funds using computer programs exploit millisecond differences in the time lag between "normal" customers offering to buy or sell shares and their counterparts agreeing to sell or buy them on the various different electronic exchanges, in order to "get in first" and buy or sell the same shares and then sell or buy them on to the real customers.
The way he's presented it, it does look quite scandalous. But how true a picture is it?
To understand the book's thesis you need to understand first of all what HFT is. It is the use of computer algorithms (known as "algobots") to buy and sell securities in fractions of a second. The programs detect when stocks are offered for sale and when someone want to buy them, and they jump in first and grab or offer them at a better price.
Lewis describes how a trader named Brad Katsuyama, a Canadian equipped (unlike many on Wall St) with a conscience, noticed how whenever he tried to buy stock for a client at the price being offered on his trading screen, the stock mysteriously disappeared and when he tried again or on another exchange (there are several different stock exchanges in America) the price had suddenly edged up. What was happening was that the HST firms with their algobots were detecting his interest in the stock and getting in first to buy it up, before then offering it to him at a slight premium.
As another reviewer, Thomas Quinn in The Big Issue, rather neatly puts it: "Imagine nipping into Tesco and finding somebody has just bought the loo roll you wanted, but will sell it to you for 10 pence more than the marked price. And you have no choice other than to buy it. In fact, it would be illegal not to."
Brad Katsuyama was being "front run". HFT firms pay public and private exchanges to see their incoming orders. They can trade automatically and at no risk, because they know exactly who wants what and at what price. And it all happens in less than the blink of an eye.
Because there are several exchanges, dotted about the place, it makes a huge difference how quickly the electronic information is relayed along cables between the various exchanges. A long opening section of Lewis's book describes the efforts of a team working for one HFT outfit to lay a fresh line of fibre optic cable between New Jersey and Chicago to shave, literally, a few milliseconds off the time-lag in the routing of orders. It is within that window of milliseconds that millions can be made, because although the price differentials (the arbitrage) on each trade are tiny, the number of trades is vast.
Can anything be done?
Lewis clearly thinks the whole thing is a scam and should be investigated by the FBI, since the financial regulators seem powerless to prevent it. But he is prepared to allow his opponents to argue the supposed benefits of HFT. The main argument in its favour is that it adds liquidity to the market, reducing the bid-offer spread and thereby making the markets more efficient. In an article in The Atlantic, Matthew O'Brien suggests that "The stock market isn't rigged, but it is taxed." He goes on to explain that "for as long as people have been trading stocks, there have been middlemen taking a cut of the action." He may be right, but you have to wonder what these middlemen do to justify their cut.
In TIME Magazine, Austin Gerig (a Senior Research Fellow in the CABDyN Complexity Centre, Said Business School, University of Oxford) argues that, far from being bad for the little guy, HFT helps synchronise prices. If the market is rigged, it is not the little guy (so championed by Lewis) who suffers but, rather, the big investors whose orders would otherwise make a bigger splash, or cause more turbulence, in the market.
For all these supposed benefits, it seems the FBI and the Justice Department are now investigating the practice of high-frequency trading. According to TIME, other officials looking into the legality of the practice include New York Attorney General Eric Schneiderman, the Commodity Futures Trading Commission, and the Securities and Exchange Commission.
Could it happen here?
Problems with high frequency trading are certainly not confined to the US markets, though their effect may be more pronounced given the multiplicity of exchanges within the same market there (13 public stock exchanges and more than 40 private "dark pools", ie private exchanges in which, for a fee, HFTs can swim.) But that's not to say it isn't a problem in Europe, too.
In a press release from the EU Commission, Michel Barnier, the EU financial services commissioner confirmed earlier this year that the newly updated Markets in Financial Instruments directive (MiFID) will deal with the issue in European markets:
MiFID II will introduce trading controls for algorithmic trading activities which have dramatically increased the speed of trading and can cause systemic risks. These safeguards include the requirement for all algorithmic traders to be properly regulated and to provide liquidity when pursuing a market-making strategy. In addition, investment firms which provide direct electronic access to a trading venue will be required to have in place systems and risk controls to prevent trading that may contribute to a disorderly market or involve market abuse.
In the UK, the Financial Conduct Authority has been taking some enforcement action against HFT market abuse, notably in the case of Michael Coscia, a US based high frequency trader. According to an explanatory note from law firm Taylor Wessing, Coscia was fined US$903,176 (approximately £598,000) for;
deliberate abuse of the commodities markets, by means of an algorithmic program that he had designed to instigate a trading strategy known as 'layering'. Layering involves the placement by traders of multiple, often large, orders that are not intended to be executed and which are then rapidly cancelled. This creates artificial levels of supply and demand, driving the price of stock up or down, at which point "genuine" orders are completed to benefit from the artificially inflated or reduced price.
It's not clear from the FCA website whether they have a specific policy about HFT or indeed any plans to curb it, other than by implementing the European directive mentioned above. But if HFT is a problem on the London Stock Exchange, then after Lewis's book it's certainly not one that anyone could claim to be unaware of.


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The idea that documentarian Jeffrey Radice would make the episode both the hook and the opener for his film is to be expected — it's an attention-grabbing story. But a hook is all it is. show more
Radice has delivered an engaging portrait of a loose cannon back when professional sports still produced such unfiltered creatures, a man who lived by his own rules, said what he thought and wore curlers to practice when he felt like it. show more
The film is fine in depicting Ellis' times, but it's mostly how he came to realize that he had a serious problem and turned his life around to become a drug-abuse counselor. He died in 2008 at age 63. show more


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