Early use of stents better than medical therapy alone for certain patients

Public release date: 28-Aug-2012
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Contact: Tracie White
traciew@stanford.edu
650-723-7628
Stanford University Medical Center

STANFORD, Calif. For patients with stable coronary artery disease who have at least one narrowed blood vessel that compromises flow to the heart, medical therapy alone leads to a significantly higher risk of hospitalization and the urgent need for a coronary stent when compared with therapy that also includes initial placement of artery-opening stents.

Those are the findings of a study to be published online Aug. 28 in the New England Journal of Medicine that was designed to evaluate the benefits of using a diagnostic tool called fractional flow reserve, or FFR, to help determine the best course of treatment for fixing a narrowed artery.

"We believe there is a significant proportion of patients who benefit from stenting early on as opposed to receiving only medical therapy," said William Fearon, MD, associate professor of cardiovascular medicine at the Stanford University School of Medicine and co-principal investigator and senior author of the multi-center international trial called FAME 2. "For this group of patients who have significant ischemia [blood vessel narrowing that compromises flow to the heart muscle] based on assessment with FFR, the need for hospitalization and urgent revascularization is much higher and the pain relief is much less when only medical therapy is prescribed. People feel better and do better with FFR-guided placement of coronary stents up front in this setting."

The study's principal investigator is Bernard De Bruyne, MD, PhD, of Cardiovascular Center Aalst in Belgium.

The trial was halted early, on Jan. 15, because of the high rates of hospitalization and coronary stenting needed in the patients with significant ischemia who received only medical therapy. Some of those patients had suffered subsequent chest pain and heart attacks requiring urgent revascularization, which entails repairing damaged blood vessels with emergency stenting or heart bypass surgery.

Narrowing of the arteries caused by buildup of atherosclerotic plaque is common. About 40 percent of Americans over the age of 60 have one or more narrowings in the coronary arteries but no symptoms or stable symptoms, a condition known as stable coronary artery disease. Many can be treated with medical therapy alone, which may include aspirin or statins.

The idea for this trial grew out of the landmark COURAGE trial, presented in 2007, which found that stenting didn't provide any significant benefits over medical therapy for people with stable coronary artery disease. That trial relied solely on X-rays from coronary angiograms and noninvasive stress tests to determine which patients needed stenting.

The FAME 1 trial, which Fearon also helped coordinate, published in the NEJM in 2009 showed that doctors should go one step beyond the traditional method of relying solely on angiograms and use the additional method of measuring FFR to determine which arteries should or should not be stented for patients with coronary artery disease. Its findings demonstrated that FFR-guided stenting decreased a patient's chance of dying, having a heart attack or needing a repeat coronary revascularization, and reduced the number of stents necessary, thereby saving money.

The FAME 2 trial also used FFR, which involves inserting a coronary pressure guide wire into the artery to measure blood flow. In this study, it helped doctors pinpoint which patients would benefit from early stenting, as it identifies vessels with blood flow reduced to a dangerous level. As the study documented, these patients need stenting to prevent future adverse events.

"It's hard to know which patients are ischemic and which are not," said Morton Kern, MD, professor of cardiology at the University of California-Irvine. Kern was not directly involved with research on the study, but was a consultant on safety. "FFR is a very simple marker to help identify ischemia."

The cost is low, an additional $700 compared to the average cost of a stent, which is roughly $2,000. And the FFR technology is available to most physicians, he said.

The study included 888 patients with at least one stenosis one significantly narrowed artery causing ischemia that was identified with FFR. An artery was considered seriously narrowed if the blood pressure was 80 percent or less past the narrowing than the pressure in front of the narrowing. Patients were enrolled in 28 centers in Europe, the United States and Canada. Fifty patients were enrolled at Stanford University Medical Center and the Veterans Affairs Palo Alto Health Care System in the portion of the trial led by Fearon.

Trial participants were randomly assigned to either medical therapy alone or medical therapy combined with stenting.

Patient enrollment began May 15, 2010. By Jan. 15 of this year, 75 patients in the trial had experienced at least one "cardiac event," such as the need for hospitalization and an urgent stent or a heart attack. The rate of these events was 4.3 percent for patients randomized to stents plus medical therapy compared with 12.7 percent in patients assigned to medical therapy.

###

The study was funded by St. Jude Medical, which owns Radi Medical Systems Inc. based in Sweden, one of two companies that make the pressure wires used in the study. Fearon reports receiving an institutional research grant from St. Jude Medical.

Information about Stanford's Department of Medicine, which also supported the study, is available at http://medicine.stanford.edu/.

The Stanford University School of Medicine consistently ranks among the nation's top medical schools, integrating research, medical education, patient care and community service. For more news about the school, please visit http://mednews.stanford.edu. The medical school is part of Stanford Medicine, which includes Stanford Hospital & Clinics and Lucile Packard Children's Hospital. For information about all three, please visit http://stanfordmedicine.org/about/news.html.

PRINT MEDIA CONTACT: Tracie White at (650) 723-7628 (traciew@stanford.edu)
BROADCAST MEDIA CONTACT: M.A. Malone at (650) 723-6912 (mamalone@stanford.edu)

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Public release date: 28-Aug-2012
[ | E-mail | Share ]

Contact: Tracie White
traciew@stanford.edu
650-723-7628
Stanford University Medical Center

STANFORD, Calif. For patients with stable coronary artery disease who have at least one narrowed blood vessel that compromises flow to the heart, medical therapy alone leads to a significantly higher risk of hospitalization and the urgent need for a coronary stent when compared with therapy that also includes initial placement of artery-opening stents.

Those are the findings of a study to be published online Aug. 28 in the New England Journal of Medicine that was designed to evaluate the benefits of using a diagnostic tool called fractional flow reserve, or FFR, to help determine the best course of treatment for fixing a narrowed artery.

"We believe there is a significant proportion of patients who benefit from stenting early on as opposed to receiving only medical therapy," said William Fearon, MD, associate professor of cardiovascular medicine at the Stanford University School of Medicine and co-principal investigator and senior author of the multi-center international trial called FAME 2. "For this group of patients who have significant ischemia [blood vessel narrowing that compromises flow to the heart muscle] based on assessment with FFR, the need for hospitalization and urgent revascularization is much higher and the pain relief is much less when only medical therapy is prescribed. People feel better and do better with FFR-guided placement of coronary stents up front in this setting."

The study's principal investigator is Bernard De Bruyne, MD, PhD, of Cardiovascular Center Aalst in Belgium.

The trial was halted early, on Jan. 15, because of the high rates of hospitalization and coronary stenting needed in the patients with significant ischemia who received only medical therapy. Some of those patients had suffered subsequent chest pain and heart attacks requiring urgent revascularization, which entails repairing damaged blood vessels with emergency stenting or heart bypass surgery.

Narrowing of the arteries caused by buildup of atherosclerotic plaque is common. About 40 percent of Americans over the age of 60 have one or more narrowings in the coronary arteries but no symptoms or stable symptoms, a condition known as stable coronary artery disease. Many can be treated with medical therapy alone, which may include aspirin or statins.

The idea for this trial grew out of the landmark COURAGE trial, presented in 2007, which found that stenting didn't provide any significant benefits over medical therapy for people with stable coronary artery disease. That trial relied solely on X-rays from coronary angiograms and noninvasive stress tests to determine which patients needed stenting.

The FAME 1 trial, which Fearon also helped coordinate, published in the NEJM in 2009 showed that doctors should go one step beyond the traditional method of relying solely on angiograms and use the additional method of measuring FFR to determine which arteries should or should not be stented for patients with coronary artery disease. Its findings demonstrated that FFR-guided stenting decreased a patient's chance of dying, having a heart attack or needing a repeat coronary revascularization, and reduced the number of stents necessary, thereby saving money.

The FAME 2 trial also used FFR, which involves inserting a coronary pressure guide wire into the artery to measure blood flow. In this study, it helped doctors pinpoint which patients would benefit from early stenting, as it identifies vessels with blood flow reduced to a dangerous level. As the study documented, these patients need stenting to prevent future adverse events.

"It's hard to know which patients are ischemic and which are not," said Morton Kern, MD, professor of cardiology at the University of California-Irvine. Kern was not directly involved with research on the study, but was a consultant on safety. "FFR is a very simple marker to help identify ischemia."

The cost is low, an additional $700 compared to the average cost of a stent, which is roughly $2,000. And the FFR technology is available to most physicians, he said.

The study included 888 patients with at least one stenosis one significantly narrowed artery causing ischemia that was identified with FFR. An artery was considered seriously narrowed if the blood pressure was 80 percent or less past the narrowing than the pressure in front of the narrowing. Patients were enrolled in 28 centers in Europe, the United States and Canada. Fifty patients were enrolled at Stanford University Medical Center and the Veterans Affairs Palo Alto Health Care System in the portion of the trial led by Fearon.

Trial participants were randomly assigned to either medical therapy alone or medical therapy combined with stenting.

Patient enrollment began May 15, 2010. By Jan. 15 of this year, 75 patients in the trial had experienced at least one "cardiac event," such as the need for hospitalization and an urgent stent or a heart attack. The rate of these events was 4.3 percent for patients randomized to stents plus medical therapy compared with 12.7 percent in patients assigned to medical therapy.

###

The study was funded by St. Jude Medical, which owns Radi Medical Systems Inc. based in Sweden, one of two companies that make the pressure wires used in the study. Fearon reports receiving an institutional research grant from St. Jude Medical.

Information about Stanford's Department of Medicine, which also supported the study, is available at http://medicine.stanford.edu/.

The Stanford University School of Medicine consistently ranks among the nation's top medical schools, integrating research, medical education, patient care and community service. For more news about the school, please visit http://mednews.stanford.edu. The medical school is part of Stanford Medicine, which includes Stanford Hospital & Clinics and Lucile Packard Children's Hospital. For information about all three, please visit http://stanfordmedicine.org/about/news.html.

PRINT MEDIA CONTACT: Tracie White at (650) 723-7628 (traciew@stanford.edu)
BROADCAST MEDIA CONTACT: M.A. Malone at (650) 723-6912 (mamalone@stanford.edu)

---

[ | E-mail | Share ]

?

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Source: http://www.eurekalert.org/pub_releases/2012-08/sumc-euo082312.php

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Fundamental Concerns When Acquiring Internet business Hosting ...

The assistance wherein place is allotted to people on laptop computer servers with 24/7 online world connectivity so their web pages developed into readily available on the internet is generally known as website internet hosting. Servers are high-tech, efficient personal computers which have an totally sizable disk drive, or an array of stressful drives. Web hosting companies also hire place to potential clients, in order that they may have a web-based ?website existence.?

Stuff to Glance for When picking an internet Host

When searching for an useful online host, families may want to retain a watch out for that subsequent expert services:

one. FTP entry: Uploading information to your webpage will become much easier if FTP accessibility is involved inside of a web hosting organize. The good news is, FTP accessibility is given by a greater part of world-wide-web hosts.

two. Ample disk place: When hunting for world wide web hosts, men or women are advised to establish what amount net house they will need. Mostly, a disk house considerably less than 10MB is necessary by new web-sites.

three. Dependability and fast accessibility: When picking an internet, it ought to be ensured that a minimal uptime of 99% is assured. On-line people may be fairly impatient therefore the velocity of entry is essential as well so web content load swiftly.

four. Bandwidth/Traffic: The quantity of bytes transferred by an information site with the home computer of the customer when exploring from the online site is thought as being the bandwidth. As a result, enough bandwidth also needs to be provided with the internet hosting arrange which is becoming picked out in addition to a 3GB month-to-month bandwidth is a lot more than more than enough for just a new internet site.

five. Electronic mail addresses: E mail addresses must also be provided while in the web hosting regimen. Acquiring electronic mail addresses for the domain is authorized by a vast majority of web hosting establishments. So, web hosting ideas, such as e mail addresses will be picked.

six. Technical Help: 24/7 technical assist is mostly made available all year long by a bulk of online hosts, and other people will want to be sure this can be the event when selecting a person.

What?s the Big difference Around VPS Internet hosting and Shared Internet hosting?

Little doubt, essentially the most wide-spread style of spending plan website web hosting is shared web hosting. Within this kind of internet hosting, a range of website pages are hosted over a simple server, that?s shared around them. Even the sources of your server are shared around the web sites, which is what can make it a cost-effective opportunity.

Alternatively, in terms of operation is worried, VPS web hosting is similar as devoted server web hosting. It really is as instantly obtainable, versatile, with administrative deal with and talent to put in custom made apps and software systems, as devoted web hosting. In spite of this, in regards to the value, VPS web hosting is way less expensive than committed web hosting. In contrast to shared web hosting, the level of server means is devoted to every person as well as their online site. This is actually the good reason its thought to be considerably more isolated than shared web hosting, that is a very good problem and there aren?t any restrictions for web page homeowners.

As a result, when evaluating and contrasting VPS with shared web hosting, VPS is certainly the greater preference despite the fact that its selling price is perhaps somewhat larger it happens to be even now more affordable than committed web hosting. As for people newcomers seeking an online web hosting company, they need to frequently sustain the pointed out issues in your mind when selecting one particular.

Cheap Hosting ? Picking Your Earliest A Person will allow you to attain more beneficial understanding on the theme.

Source: http://usafreelistings.com/fundamental-concerns-when-acquiring-internet-business-hosting-remedies/

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Practical Advice For Your Web Hosting Needs - Internet Business Blog

In the process of creating websites, people often come to a major roadblock, choosing a web hosting service. A web hosting service features a server that allows its users to upload their content to the Internet and bring their website to life. This roadblock can be eliminated with the right information, such as the advice from the following article.

Find out what other programming services your potential web host offers. You don?t want your sites to be limited to CSS and HTML. The best web hosts offer the ability to code sites using PHP and ASP as well. Even if you don?t think you need these languages, you should use a web host that offers them. As your knowledge of web design grows, you might want to use these languages to help your site reach its full potential.

If you plan to change your web host, make sure that your new host offers at least the same features and service as your current host. Changing web hosts is not difficult, but it does require some preparation and work. So if you make the change, be sure that you are changing to a better plan to make it worth your while.

When using online reviews or customer recommendations, try to find several positive comments. Make sure you look at recommendations from a variety of sources.

Disk Space

When choosing a web hosting package, you need to make sure you get the right amount of disk space. When calculating the amount of disk space needed, you need to think of things like HTML files, graphics, scripts, and multi-media content. If you site uses up too much disk space, you will either be charged more money or the host can shut your site down.

It is important to do some research on the multiple web hosts that are available to you. You can contact them and compare the support they offer as well as the fees that they charge. This is a great way for you to be sure you are working with a web host you can trust.

Do your best to choose web hosts that have little downtime so that your site can be available as much as possible. When your site is down, you are losing web traffic and revenue.

Call the customer service number and ask about SSL certification and shopping carts. If the technicians are helpful, you have found a web host that understands e-commerce and will be able to meet your needs. On the other hand, if no one is able to answer your technical questions, look for a different host.

Web Hosting Company

When choosing a web hosting company, you want to go with security over cheaper prices. It is important that not only is all of your information secure, but all of your customers? information, as well. Select a web hosting company that you know you can trust and that provides secure web hosting.

Pick a host that has received a number of accolades and awards. This will help you easily get a feel for the support and service that you can expect. While these awards are sometimes fictitious, most sites use legitimate ones that are achieved through the site?s users casting a vote for that site to win. Awards which are voted on by customers are the ones you should focus on, as they really represent quality of service.

Carefully consider all of your budgeting needs before selecting a web hosting company to maximize your use of it. Many companies offer you the option of paying in advance by a year or more, and some are available for around five dollars a month. Understand what you can and want to spend, and that you have a number of payment plans available.

Think long and hard before deciding that you want to launch your own web hosting service. This can seem tempting, until you realize that you will likely spend inordinate amounts of time dealing with this service, rather than focusing on the business that you already have. Use the expertise of those who have been doing it for years, and pay them what they are worth.

When choosing a web hosting service, check to see if they have a money-back guarantee. This is especially important if you choose to take advantage of cost?s savings by paying in advance for a year or more of service. It will also give you a clue as to the professionalism of the service you are choosing.

Think about moving toward a dedicated server to host your website. A dedicated server will provide you with more bandwidth, storage space and security for your website. Your customers will get exactly the experience they hope to when they visit your site. Remember, if your customers are pleased, they?ll return.

As you have read, and probably witnessed yourself, people often face difficulty in finding a competent web hosting service that will allow their website to be created successfully. All it takes to eliminate this difficulty is the proper advice, like the ones from this article. Now, use that advice and make your website today

PS ? Who else wants to discover how to DOUBLE your income in the next THREE MONTHS? Free Report

Source: http://www.websitebusinesstactics.com/?p=3350

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Adam Lambert Covers Bob Marley, Asks: Is This Love?

Adam Lambert did his own version of Bob Marley this week. But the real question is this:

Did he do the reggae legend proud?

Down Under in Australia to promote his album "Trespassing," Lambert performed inside Sydney’s Top 40 Live Lounge and surprised those in attendance with his cover of “Is This Love," a Marley favorite from 1978.

Give it a look and a listen now and prepare for Lambert to soon hit the States with a tour:

 

Adam Lambert Covers Bob Marley

Source: http://www.thehollywoodgossip.com/2012/08/adam-lambert-covers-bob-marley-asks-is-this-love/

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TAG2nd - Logo, Font, Content & Product: Branded, Uniform ...

The Artist?s Guide to Success in the Music Business, 2nd Edition

TAG2nd ? Logo, Font, Content & Product: Branded, Uniform & Optimized before it is released and for that matter, before it is complete? ?YUP!!!!!

Title?for TAG2nd:

The Artist?s Guide to Success in the Music Business, 2nd Edition

Nickname?for TAG2nd:

TAG2nd

Tagline?for TAG2nd:

The ?Who, What, When, Where, Why & How? of the Steps that Musicians and Bands Have to Take to Succeed in Music.

One Liner?for TAG2nd:

The Artist?s Guide to Success in the Music Business, Second Edition, is a detailed analysis of the subjects that all musicians should understand and apply to pursue a successful and sustainable career in music today.

Signature Line for TAG2nd:

The?Artist?s Guide to Success in the Music Business, Second Edition, is a detailed analysis of the subjects that all musicians should understand and apply to pursue a successful and sustainable career in music today. TAG2nd shares the ?Who, What, When, Where, Why & How? of the Steps that Musicians and Bands?Have?to Take to Succeed in Music.

For more information on TAG2nd, Loren Weisman and where to purchase a copy of the paperback book, the CD?s or the download cards in numerous eBook and Audio formats as well as complete versions and individual chapters, visit:
http://tag2nd.com/
http://lorenweisman.com/

Short Bio for TAG2nd:

The Artist?s Guide to Success in the Music Business, Second Edition, is a detailed analysis of the subjects that all musicians should understand and apply to pursue a successful and sustainable career in music today. Full of practical advice, this music industry book provides comprehensive details on how to achieve self-empowerment and optimize your success in today?s music business. From production and performance tips to marketing and career-building advice, this music business book instructs and empowers artists on how to take the hard-earned lessons of a fellow musician and put them to work in their own careers.?The ?Who, What, When, Where, Why & How? of the Steps that Musicians and Bands?Have?to Take to Succeed in Music. ?This is the updated version; do not go back and buy Volume 1. TAG2nd Shares the ?Who, What, When, Where, Why & How? of the Steps that Musicians and Bands?Have?to Take to Succeed in Music.

Medium Bio for TAG2nd:

The?Artist?s Guide to Success in the Music Business, Second Edition, is a detailed analysis of the subjects that all musicians should understand and apply to pursue a successful and sustainable career in music today. Full of practical advice, this music industry book provides comprehensive details on how to achieve self-empowerment and optimize your success in today?s music business. From production and performance tips to marketing and career-building advice, this music business book instructs and empowers artists on how to take the hard-earned lessons of a fellow musician and put them to work in their own careers. This is the updated version; do not go back and buy?Volume 1.?TAG2nd Shares the ?Who, What, When, Where, Why & How? of the Steps that Musicians and Bands?Have?to Take to Succeed in Music.

This is not a step-by-step instructional how-to book. This is not the end-all, be-all career guide, and as long as the book may seem, this just scratches the surface of today?s music industry. Some parts you may already have in check, organized and working. Other sections may be an eye-opener and might make you bring certain aspects of your career back to the drawing table. Other parts might give you the ideas for some small tweaks and refinements to push through a wall that may be in the way. Some of this stuff you might know, other bits you might not.

Long Bio for TAG2nd:

The Artist?s Guide to Success in the Music Business, Second Edition, is a detailed analysis of the subjects that all musicians should understand and apply to pursue a successful and sustainable career in music today. Full of practical advice, this music industry book provides comprehensive details on how to achieve self-empowerment and optimize your success in today?s music business.From production and performance tips to marketing and career-building advice, this music business book instructs and empowers artists on how to take the hard-earned lessons of a fellow musician and put them to work in their own careers. This is the updated version; do not go back and buy Volume 1.?TAG2nd Shares the ?Who, What, When, Where, Why & How? of the Steps that Musicians and Bands?Have?to Take to Succeed in Music.

This is not a step-by-step instructional how-to book. This is not the end-all, be-all career guide, and as long as the book may seem, this just scratches the surface of today?s music industry. Some parts you may already have in check, organized and working. Other sections may be an eye-opener and might make you bring certain aspects of your career back to the drawing table. Other parts might give you the ideas for some small tweaks and refinements to push through a wall that may be in the way. Some of this stuff you might know, other bits you might not.

Every miniscule detail is not addressed, but the broad spectrum of ideas, applications and methods are laid out in a solid blueprint form for each artist or industry professional to use different pieces in their own personal way.?My goal for this book is for you to find the information that you need, or may be lacking; information that you can personalize and apply to your career and/or the careers of the artists you work with.

Primary Keyword Phrases for TAG2nd

Artists guide
success in music
music business
music industry
todays music business
music industry book
music business book
music consultant
music coach
booking gigs
band touring
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music marketing
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marketing and promotions
fundraising and investing
music consulting
music coaching
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music funding
musicians and bands
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music conferences

Proof of concept and a concept that makes sense?
I like to think so.

The same elements I discuss about branding for your band and your music are the exact same steps I am taking with this book. It works, give it a shot. Branding and preparing your marketing and promotions for your product in advance will only make marketing and promoting the product after you launch it, worlds easier!

LW

Music Consultant, Music Producer & Music Coach Loren Weisman works to help, assist & consult independent artists, musicians, bands, labels & managers to achieve sustainable success. For more on LW's college speaking, music mentoring, music consulting, music coaching or other services, visit:?http://lorenweisman.com/ or http://TAG2nd.com/

Source: http://www.lorenweisman.com/2012/08/24/tag2nd/

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Apple awarded $1B in Samsung patent case

Lee Jae Won / Reuters

Apple's iPhone 4s, left, and Samsung's Galaxy S III.

?

By Gerry Shih, Reuters

SAN JOSE, Calif. -- Apple scored a sweeping legal victory over Samsung Friday as a jury found the Korean company had copied critical features of the hugely popular iPhone and iPad and awarded the U.S. company $1.051 billion in damages.

The verdict -- which came much sooner than expected -- could lead to an outright ban on sales of key Samsung products and will likely solidify Apple's dominance of the exploding mobile computing market.

A number of companies that sell smartphones based on Google's Android operating system may now face further legal challenges from Apple, a company that is already among the largest and most profitable in business history.

Shares in Apple, which just this week became the biggest company ever by market value, climbed almost 2 percent to a record high of $675 in after-hours trade.

Brian Love, a Santa Clara law school professor, described it as a crushing victory for Apple: "This is the best-case scenario Apple could have hoped for."

The jury deliberated less than three days before delivering the verdict on seven Apple patent claims and five Samsung patent claims -- suggesting that the nine-person panel had little difficulty in concluding that Samsung had copied the iPhone and the iPad.

Billions of dollars in future sales hang in the balance.

Apple's charges that Samsung copied its designs and features are widely viewed as an attack on Google ?and its Android software, which drives Samsung's devices and has become the most-used mobile software.

Apple and Samsung, two companies that sell more than half the world's smartphones and tablets, have locked legal horns in several countries this year.

Earlier on Friday, a South Korean court found that both companies shared blame, ordering Samsung to stop selling 10 products including its Galaxy S II phone and banning Apple from selling four different products, including its iPhone 4.

But the trial on Apple's home turf -- the world's largest and most influential technology market -- is considered the most important.

The fight began last year when Apple sued Samsung in multiple countries, accusing the South Korean company of slavishly copying the iPhone and iPad. Samsung countersued. Apple had sought more than $2.5 billion in damages from Samsung, which has disputed that figure.

The companies are rivals, but also have a $5 billion-plus supply relationship. Apple is Samsung's biggest customer for microprocessors and other parts central to Apple's devices.

Near clean sweep
The jury spent most of August in a packed federal courtroom in San Jose -- just miles from Apple's headquarters in Cupertino -- listening to testimony, examining evidence and watching lawyers from both sides joust about seven Apple patents, five Samsung patents, and damage claims.

Jurors received 100 pages of legal instructions from U.S. District Judge Lucy Koh Tuesday prior to hearing the closing arguments from attorneys.

Lawyers from both tech giants used their 25 hours each of trial time to present internal emails, draw testimony from designers and experts, and put on product demonstrations and mockups to convince the jury.

At times, their questions drew testimony that offered glimpses behind the corporate facade, such as profit margins on the iPhone and Samsung's sales figures in the United States.

From the beginning, Apple's tactic was to present what it thought was chronological evidence of Samsung copying its phone.

Juxtaposing pictures of phones from both companies and internal Samsung emails that specifically analyzed the features of the iPhone, Apple's attorneys accused Samsung of taking shortcuts after realizing it could not keep up.

Samsung's attorneys, on the other hand, maintained Apple had no sole right to geometric designs such as rectangles with rounded corners. They called Apple's damage claim "ridiculous" and urged the jury to consider that a verdict in favor of Apple could stifle competition and reduce choices for consumers.

The trial produced its share of drama and heated moments. Lawyers routinely bickered over legal matters in the jury's absence, filed rafts of paperwork to thwart each other's courtroom strategy, and sometimes even resorted to public relations tactics to make their views known.

Related: Jury in Apple case: Yes, you can patent cool

Below, CNBC's Jon Fortt?reports?from outside the courtroom following the jury's verdict. He discusses a likely Samsung appeal and notes "This is now full-on war."

More money and business news:

Follow NBCNews.com business on Twitter and Facebook

?

Copyright 2011 Thomson Reuters. Click for restrictions.

Source: http://bottomline.nbcnews.com/_news/2012/08/24/13462559-apple-earns-1-billion-victory-over-samsung-in-patent-case?lite

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Remodeling Resource: Tips When Considering Financing For Your ...

Remodeling projects now are larger and more expensive than always ahead. ?Nearly consumers are now exploitation roughly typewrite of funding to assistance store their remodeling dreams and shuffling them a realness. ?Likewise, the accessibility of funding has led to bigger, more blanket projects.

When considering funding, you should acknowledge that thither are respective dissimilar types useable. ?Thither are secured and unbolted loans. ?Fixed Place APR or Varying Pace APR, Nada Sake, Deferred Interestingness, Like as Cash or Installing Loans. ?All are dissimilar and bear unlike price and weather, so shuffling certainly you prefer the platform that is compensate for you and your office.

A secured lend fundamentally just agency that thither is a secured interestingness (indirect) on the loanword. ?Unremarkably this interestingness is secured in the mannequin of a spleen on your abode. ?Secured loans leave loosely bear a lour pursuit range than an unguaranteed lend (since thither is a greater peril of nonpayment on a loanword with no secured pursuit). ?A dwelling fairness loanword or contrast of mention is an instance of a secured loanword, since your habitation is beingness ill-used as the secured pastime. ?These types of loans broadly get concern rates betwixt 2.99 and 9.99%. ?You moldiness birth fairness in the holding in ordering to use this case of funding (nonetheless, since it is fundamentally a arcsecond mortgage, any stake you pay on these types of loans are tax-deductible, just alike the stake on your mortgage). ?These loans are commonly set up as installation loans, significant they are repaid as a unconstipated monthly installation requital.

Unsecured loans are loans that are NOT secured by any case of concern or confirmatory, so course they testament sustain higher concern rates. ?Cite cards are examples of unguaranteed citation, because thither is rattling cypher they can yield if you don?t shuffle your payments. ?Eventide an motorcar loanword is a secured lend, because if you don?t shuffling your payments, they can takings the car. ?Interestingness rates on unguaranteed funding can motley anyplace from around 8.99% to 27.99%. ?When comparison sake rates on unlike types of funding, be trusted to equivalence apples to apples. ?You shouldn?t equivalence rates of unlocked loans to those of secured loans, as they are wholly dissimilar animals!

Set Rates, Deferred Sake and Like as Cash Whether you select secured or unlocked funding you should forever feel for a lend with a set place, pregnant the APR leave not vary during the sprightliness of the loanword.

Deferred involvement loans are real prevailing in the remodeling industriousness tod. ?These are unremarkably unguaranteed loans with a higher involvement pace, still the pastime is deferred for a menses of clip, 12 months for lesson. ?During this deferred concern stop (sometimes referred to as the Promotional Stop), the client can pay the counterweight of their loanword without pastime, as foresightful as it is paying in wide-cut inside the promotional stop. ?Notwithstanding, be measured, with a deferred concern lend stake is quieten accruing during the promotional flow. ?It is deferred to the end of the promotional catamenia, so if the full equalizer is not nonrecreational by the end of the promotional catamenia, all of the accumulated pursuit from the integral 12 month catamenia is so added to the equaliser. ?This pursuit rank is ordinarily ludicrously heights, complete 20% in nearly cases. ?This is a expectant typewrite of loanword for individual who is ordinarily (or plans to be) a cash purchaser, but is just wait on a fillip, tax repay, or peradventure wait for a CD to suppurate. ?This typewrite of loanword testament countenance you to get the oeuvre through now, with no upfront be, and so pay for it various months posterior without salaried any more than if you nonrecreational cash that day up forepart. ?Nevertheless, do not use a deferred concern lend if you are not trusted if you leave birth it paying off inside the promotional flow.

Same as Cash programs are real exchangeable to deferred pastime, lone that the sake does not startle to fall until afterward the promotional menses. ?Nonetheless, be measured, some contractors are victimization deferred involvement programs but vocation them Like as Cash! ?So brand certain you recognize what the price of your funding are ahead you augury anything.

Installment Loans Instalment loans are geared towards customers who would wish to brand a monthly requital. ?This can either be secured or unbarred, and are ordinarily for a set bit of monthly payments (such as 48 months, 60 months, etc). Nevertheless, about types of unbolted funding are not for a frozen bit of months, comparable a reference add-in. ?Your monthly installation defrayment is based on a portion of your amateur equaliser. ?Deterrent to pee-pee indisputable thither is no pre-payment punishment when victimisation an instalment plan. ?This agency that you can pay the loanword off betimes and solitary pay stake on the sentence you really exploited the loanword. ?About remodelers are oblation nil involvement instalment loans likewise. ?These types of loans are rattling attractive to the consumer for obvious reasons. ?Still, the declarer is stipendiary a fee to fling these programs to their customers, so that fee is ordinarily reinforced in to the sale damage of the projection. ?Thus you should invariably ask if thither is a ameliorate flock if you didn?t employ ?any funding options. ?The terms you pay cash may be importantly glower than the toll you pay when you are victimisation funding. -Tim Trombley, Sales & Finance Handler, Kopke Remodeling & Invention, www.kopkehome.com

Source: http://remodelingresource.blogspot.com

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Source: http://kredite.org.ua/remodeling-resource-tips-when-considering-financing-for-your-home-improvement-project/

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Facebook 5.0 brings faster, better, stronger native app to iPhone and iPad

Facebook has just released the highly anticipated new version of Facebook for iPhone and Facebook for iPad, a update they've promised would make it better, faster, and stronger than ever before. That's important because Facebook has always been one of the most popular apps on iOS, yet has also been plagued by bugs and other problems unbecoming one of the largest companies in the world. And here's how Facebook's aimed to make it right:

We've rebuilt the app so it?s faster and easier to use. * Scrolling through news feed is faster than ever * New banner lets you tap to quickly see more stories ? no need to refresh * Photos open fast and close with one downward swipe * Instant access to your notifications

Now, here's the deal: Facebook may have re-architected their app to use native display elements instead of building everything out of HTML5, but they're still pulling almost all their content from the web, and that won't be significantly faster. So, while scrolling and other elements of the user experience are indeed improved, any time you try to pull anything not already cached, it's still going to take its sweet time.

That's why Facebook dedicating themselves to making great iOS apps is much more important than any relative claims of speed improvement or interface implementations. Facebook wanting to be proud of their mobile apps is what matters, and what I hope gets validated going forward.

In the meantime, grab the update and let me know how it works for you. Is this the Facebook for iPhone and iPad app you've been hoping for? Answer here or Facebook me at Rene Ritchie)...

Free - Download now

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Facebook For Iphone

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Source: http://feedproxy.google.com/~r/TheIphoneBlog/~3/OM_kOlSckYo/story01.htm

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Fisher Communications Announces Seattle Broadcasting ...

SEATTLE, WA ? (Marketwire) ? 08/22/12 ? Fisher Communications, Inc. (NASDAQ: FSCI), a leader in local media innovation, announced today that Jim Clayton, Senior Vice President and General Manager of the Company?s Seattle-based television and radio stations, will retire from his current duties effective August 31, 2012, and Janene Drafs, Vice President and Station Manager of KOMO-TV, is being promoted to replace Clayton and will be responsible for Fisher?s broadcasting assets in the market. Mr. Clayton will continue to be employed as a senior advisor to Fisher, where he will focus on special projects.

Ms. Drafs, who most recently served as Vice President and Station Manager of KOMO-TV, has been named Vice President and General Manager of Fisher?s Seattle broadcasting stations, effective September 1, 2012. A 25-year employee of Fisher Communications, she started with KOMO-TV as a Sales Assistant and held a number of positions of increasing responsibility, including Account Executive, Regional Marketing Executive for Business Development, Local Sales Manager and General Sales Manager for the station.

?Janene is an accomplished leader who brings the full range of newsroom and sales experience, along with deep community knowledge, to this position,? said Colleen Brown, President and CEO of Fisher Communications, Inc. ?She has been instrumental to our success in the Seattle market, and we look forward to her continued contributions in this new role.?

Mr. Clayton has more than 40 years of service in the broadcasting industry and has led some of America?s biggest and best television stations. Since joining Fisher in July 2006, Clayton has helped reshape Fisher?s Seattle broadcast properties in many unique ways, including uniting the Company?s TV, radio and online media platforms into the KOMO News Network brand; creating the Problem Solvers investigative unit at KOMO-TV; and developing Fisher?s Hispanic market presence with KUNS.

?We are grateful for the many contributions that Jim has made to KOMO-TV, KUNS-TV and Fisher Radio,? added Ms. Brown. ?He is highly respected and admired throughout the Company ? and across the industry ? for the terrific job he has done leading our Seattle team and mentoring the next generation of media executives, including Janene.?

About Fisher Communications
Fisher Communications (FSCI) is an innovative local media company with television, radio, internet and mobile operations throughout the western United States. Fisher owns or operates 13 full power and seven low power television stations, which include network affiliations with ABC, CBS, FOX, Univision and The CW that reach 3.5% of U.S. television households, and three radio stations targeting a full range of audience demographics. Fisher Interactive produces more than 120 local and hyper-local websites and delivers comprehensive multiplatform advertising solutions to local businesses. The Company is headquartered at Fisher Plaza in Seattle, WA. More information about Fisher Communications, Inc. is available at www.fsci.com.

Media Contact:
Fisher Communications, Inc.
Robert I. Dunlop
(206) 404-3065

Source: http://www.nearshorejournal.com/2012/08/fisher-communications-announces-seattle-broadcasting-leadership-changes/

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User:MuielMaddock3389 - AdvaitaWiki

From AdvaitaWiki

Web Optimization - Revealing The Distinction Between A False Website Optimization From A Legitimate One

They claim it isn?t basic to get a business to turn out to be profitable over the Web because it demands an in-depth knowledge concerning how to market the business online. Luckily, there are certainly Search engine optimization businesses which could assist these firms. Nevertheless, among those Search engine optimization corporations over the Internet, you will find false SEOs that are mixed in that fray - SEOs who will reap the benefits of the naivety and the ignorance of entrepreneurs for their own gain. as a result when considering Search engine marketing for a website, enterprises must feign ignorance and have a look at meticulously, which Search engine optimization is respectable or not using the assist of this post. Know more about that in this site: check .

What Unrealistic SEO Is

Generally, what distinguishes a false Search engine marketing with reliable Search engine optimization is considered the way how they attract potential clients and how they handle their services. The first thing you would notice is that false SEOs will fill their marketing approaches with bountiful promises and great gimmicks; in some occasions they'd even say that the keywords they use are the one of a kind key phrases which can support web sites enhance their rankings.

You are able to also tell if the Search engine marketing is false or not by noticing what marketing strategy they use. If these SEOs prefer using cold-calling or perhaps sending enterprises with many mails that will detail their Search engine optimization skills, then there is an enormous possibility that these SEOs aren?t legitimate or even competent at all. It is still because, authentic and competent SEOs will never ever resort to this low cost type of marketing. The same as this great site: see here now.

While some false SEOs are deemed as scammers by several; you will find several which we could call as the black hat SEOs. Since business lead generation methods is important for corporations, these Search engine optimization could pick to go the non-legal technique to do this. And if the business web-site was optimized in this way, sooner or later, they'll must face significant repercussions from breaking these legalities in optimization.

Legitimate SEOs

Legitimate SEOs are the direct opposite of false SEOs - every little thing from marketing their services to accomplishing their tasks. Instead of making false promises, legitimate SEOs will approach their customers and tell them about the real, confirmed, and trusted strategies in optimizing a website. Reliable SEOs can aid business have a prominent rank in search engine results because these SEOs understand the needs with the web-site. click here .

Source: http://nickburgoyne.com/AdvaitaWiki/index.php?title=User:MuielMaddock3389

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Clinical trial targets breast cancer cells by injecting trastuzumab ...

In two to five percent of women with breast cancer, tumor cells migrate into the spinal fluid invading the tissue surrounding the brain and spinal cord called the meninges. While a rare complication, the condition is challenging because there is no agreed-upon standard of treatment, leaving little hope for patients affected. Northwestern Medicine- researchers are currently examining a novel approach to delivering an FDA approved drug that they hope will advance research for this type of cancer and lead to discoveries that may improve outcomes in the future.

As part of the clinical trial, the drug Trastuzumab is directly injected into the spinal fluid in hopes of stopping the growth of the cancer cells in patients with HER-2 positive breast cancer. Jeffrey Raizer, MD, co-director of the Northwestern Brain Tumor Institute (NBTI), is the principal investigator for trial which he developed. NBTI is part of the Robert H. Lurie Comprehensive Cancer Center of Northwestern University at Northwestern Memorial Hospital.

?When cancer spreads to the spinal fluid and tissues surrounding the brain, called leptomeningeal metastases (LM), there are very limited therapeutic options,? said Raizer, who is also medical director of neuro-oncology at Northwestern Memorial and associate professor of neurology at Northwestern University Feinberg School of Medicine. ?This rare condition typically occurs in later stages of cancer and often the benefits of treatment are small and may be counteracted by its side effects. For women with HER-2 positive breast cancer, they often have well-controlled disease in their body when this complication occurs.?

Raizer explains that drugs cannot easily penetrate from the blood stream into the spinal fluid because of the blood brain barrier, making the condition difficult to treat. In this trial, the antibody will be delivered directly into the spinal fluid using a device that is placed under the scalp called an Ommaya reservoir. A small catheter is inserted into a fluid-filled space allowing fluid to be removed and for the drug to be instilled into it.

Article source: http://www.news-medical.net/news/20120807/Clinical-trial-targets-breast-cancer-cells-by-injecting-trastuzumab-directly-into-the-spinal-fluid.aspx

Source: http://cancerkick.com/2012/08/07/clinical-trial-targets-breast-cancer-cells-by-injecting-trastuzumab-directly-news/

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The Car Seat ? A Practical Wedding: Ideas for Unique, DIY, and ...

This week marks our three-year anniversary (my favorite holiday). Since APW (of course) started as me writing about our planning and wedding, anniversary week always makes me particularly thoughtful. How does our wedding (now three years ago) relate to our marriage? How do relationships change and grow? So this week we wanted to talk about an idea that's integral to all long-term relationships: The Breaking Point.?That point where you come upon something that can?either?break you, or make you whole. This week, we're exploring how major events can enrich a relationship. And first up, we have A., writing about?becoming?a stepmom to a seven-year-old, at thirty-two.

Wedding planning traditionally involves shopping for silver, linen, and crystal. Flowers, candy, and jewelry are typically considered to be romantic gifts. Three weeks after moving in with my fianc?, he went out while I was at work and bought something for me: a pink car booster seat. I arrived home to find it in the foyer. He had picked it out with his seven-year-old daughter, my future stepdaughter, for use in my car when she rides with me.

I will admit right now that my first reaction was not positive. I am very glad to have my future stepdaughter, S., in my life. She's funny, smart, and eternally curious. I enjoy her company, and I feel like we're doing a pretty good job figuring out this whole living together as a family unit thing. But a car seat? in my car? My sporty single-girl truckette, now to be turned into a child-hauling grocery-getter?

A note of explanation on my relationship to my vehicle: My petite four-wheel-drive is practical, cute, and ready for adventure?words that I hope also describe me. It's not just a prized possession, paid off early through years of scrimping, but also one of my most personal spaces. Lacking a private study or home office, my car is the place where I can be by myself, crank up the music, and think. As in so many other areas, we have a gender role reversal in our relationship, as my fianc? couldn't care less about cars, while I tend to view mine as an integral part of my lifestyle (especially living in an area where public transit is not viable for our daily commutes). Suddenly, confronted by the brightly colored child safety device sitting in my new home, destined for a place in my motorized sanctuary, my head was spinning and the past few weeks of remarkably little moving-related tension seemed to fall away.

I had driven S. places before, but had always just borrowed the booster seat out of her dad's car. The purchase of a new car seat for my vehicle was precipitated by a commuting crunch. He's a professor at the university in the next town over, and is teaching an 8 a.m. class this summer. That means he has to leave early, and on the days we have S. with us, it would be impossible for him to get her to her summer day camp on time, plus make it to class. My work starts later and is near her camp, so it follows that I drop her off when she is with us. Thus it also follows that it made sense to buy an extra car seat for my vehicle.

Because I've always been cautious about the idea of parenthood or stepparenthood, we had, prior to moving in, tried to keep clear boundaries drawn around the work of parenting. He's the parent and I have been, in sequence, Daddy's friend, girlfriend, and now fianc?e. But I have never been a parental figure, to her or to anyone, up to this point. In fact, I would go so far as to say that being childless has been a defining point of my identity. In a society that encourages women to define themselves by their child-having status, and when you are of an age when many of your friends are having kids, it becomes easy to define yourself as "not-a-mom," and to incorporate non-motherhood into your self-concept.

The thing is, now that we've moved in together as a baby family, the lines are blurring, physically and emotionally. The physical manifestations of this blurriness are easy to point out: We eat groceries out of the same pantry. We share a mailbox. Possessions like towels, vacuum cleaners, flatware, and dishes are now held in common regardless of who originally bought them.

The emotional blurriness is harder to pin down. I do mundane parent-y things now, like asking S. to set the table and reminding her not to jump on the sofa. We also do fun things as a trio?like volunteering at the local food pantry together, taking walks that detour through the neighbors' lawn sprinklers, and planning Princess Bride?movie nights. S. and I have found common ground in a mutual love of glittery nail polish and history books. Slowly, the lines that once separated us into two distinct social units?him and her as family with me as a visitor?are starting to get fuzzy.

As I've discussed before on APW, the decision to marry my fianc??is also a deliberate decision to create a family with him and S. Like any engaged couple, we're creating a baby family?it just has more people in it than some, and thus is a little more complicated in the set-up.

As we prepared to move in together, we took inventory of our possessions and decided which items we could get rid of. Some things were easy?having two identical Ikea garlic presses meant we just had to put one in the charity box. Other things were harder. I gave up my favorite napping sofa. He gave up his 1960s sleeper couch and his bedroom dresser. Some negotiations over objects seemed little, but were actually kind of a big deal. I made the decision to use his fruit bowl in the kitchen, although I liked mine a bit better, because he was attached to it; he puts up with my enormous collection of FiestaWare dishes, to which I have my own unreasonable emotional attachment.

Feelings are a different matter. Difficult emotions aren't as easily discarded as a spare spatula. We can't transfer our feelings by putting them in a charity drop box. And we can't compromise on everything as easily as where we put our apples. So we have to talk about how we feel?ad nauseum, it sometimes feels like.

While walking and talking with my fianc?, I confessed that I felt a little weird about the car seat. The thing was, as long as I was just borrowing his car seat, I was also just borrowing the mantle of "parent" and all that goes with it. With the installation of the booster in my backseat, it felt like I was taking it on full-time, and that freaked me out.

My fianc? found this kind of amusing because, as he noted, our culture tells us that men are afraid of parenthood, marriage, and "settling down," while women push for it. Here we were, reenacting a clich?d scene in reverse. I was the one balking at the idea of any trappings of domesticity, from putting a car seat in my car, to having dinner on the table at a reasonable time every evening (a big change for someone who used to eat cereal for dinner when feeling too lazy to cook). Although he found this funny, I wasn't laughing?I was a little scared, as I felt like I was being pushed into a mold that didn't fit, needing to compromise who I had been for most of my adult life in order to accommodate our relationship and impending marriage.

Then, this morning, as I was driving S. to camp, her sitting in her pink-flowered car seat, I cranked up the radio. She said, "I know this song!" and started to sing along. I sang too.

She said, "My mom and dad always just listen to news in the morning."

"I like to listen to music, to get going," I said.

"Me too!" she responded.

So, we jammed to Top 40 the rest of the way to camp. I was doing things differently than her parents, and that was okay. We were having fun together, doing what I always do in my car in the mornings. I was being myself, and she was being herself. We were getting glimpses into each other's worlds as I listened to her talk about her friends, and she approved my choice of morning drivetime music.

Just as our stuff has gotten mixed up since moving in, our lives are all becoming ever more swirled together. Growing our baby family doesn't start when we say our vows next Spring?it starts now, through every small act of daily life. There are going to be concessions made, emotional fences dismantled, and self-concepts redefined. The process may get messy at times, just as our new home started as a mess of jumbled boxes. But as my future mother-in-law said, if we can blend our lives as well as we have blended our possessions, we'll be okay.

And I have to say, I think S. liked having her own seat in my car this morning. I certainly liked having her there. Next time I think I'll bring some Cyndi Lauper (one of her favorites and mine). Girls just want to have fun, after all, whether they're seven years old and getting a new stepmom, or thirty-two years old and becoming one.

Photo from A's Personal Collection

Source: http://apracticalwedding.com/2012/08/becoming-a-step-mom-and-a-wife/

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Sr. Leasing Associate - SelectLeaders

Position Description:

The Senior Leasing Associate is directly responsible for implementing and overseeing the leasing strategies necessary to achieve the investment goals for the company's existing portfolio and new business initiatives. The primary focus will be retail assets.?

The candidate will work closely with the Finance, Asset Management, and Construction teams to;

• evaluate and recommend leasing strategies for each asset,
• implement leasing strategies as determined by management and partners,
• develop and evaluate market data,
• solicit and attend new business pitches with the objective of growing the third-party leasing business,
• work with the investment team to underwrite new acquisitions and disposition of assets
• implementing the front line marketing focus for each asset under its guidance

The position will be based in the Washington DC office and will report directly to the Managing Director of Development and Leasing.

?

Overall Job Responsibilities

• Leasing the assets assigned including the following activities;
  • Canvassing ?and cold calling for new tenants,
  • Meeting on site, touring, and working with existing tenants to finalize leases or lease extensions,
  • Attending networking events and conferences specific to retail and the retail brokerage community.
• Develop a Leasing strategy and merchandising plan for each asset including all proforma assumptions;
• Research and understand the market where investments have been made or are proposed in order to develop, evaluate, and implement the appropriate financial and operational objectives;?
• Review and contribute to the annual business plan, leasing plan, project design, construction assumptions, and merchandise mix for each asset;
• Interact with the asset management team on issues of new leases, renewals, and expansions;
• Assist with investor and lender communications, as appropriate;
• Assist in property dispositions, as needed; ?
• Assist the new business team, finance director and CFO with analysis for new acquisitions and create income projections and lease up timelines, and marketing programs for new properties, as needed;
• Prepare monthly reporting for partners and other team leaders using, Yardi, MRI or other such required software database programs.?
• Monitor performance to ensure results are consistent with approved budgets and business plans or identify solutions to correct performance;

?

Relevant Experience: At least 5 years experience in commercial real estate leasing. The individual should have in-depth knowledge of the metropolitan DC commercial real estate market, trends in local growth markets, and a strong understanding of retail leasing tactics and processes. The individual will be expected to source new leasing activity and have the knowledge and skills to take the prospective tenant through the entire leasing process. Excellent computer and analytical skills, as well as knowledge of Yardi and MRI is preferred.

?

Compensation: Compensation will be commensurate with the experience of the individual and the requirements of the position. Compensation will include base salary, potential bonus, 401(K), and health and dental insurance.

Source: http://www.selectleaders.com/candidate/viewjobdetails.do?jid=25709

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