Monday, September 3, 2012

SA to host international small business gathering

South Africa would for the first time ever host the yearly International Small Business Congress, bringing together entrepreneurs and small business role players from around the world, Trade and Industry Minister Rob Davies said on Monday.

The congress would take place from September 15 to 18 at the Sandton Convention Centre, in Johannesburg, with more than 1 000 delegates expected.

Davies said the gathering would provide for a platform to benchmark and draw lessons from both developed and developing countries to help sharpen policy development and high impact programmes in the South African small to medium-sized enterprise sector.

The congress will be hosted in collaboration with the City of Johannesburg, the Foundation for African Business and Consumer Services, the Small Enterprise Finance Agency, the Small Enterprise Development Agency and the Industrial Development Corporation.

MTN Business, Absa Bank and Shanduka Black Umbrellas is providing sponsorship.

The theme of this year?s congress will be ?Fostering small business in new and high-potential industries worldwide?. ?This theme is of particular importance to South Africa, especially as we widen the market for South African goods and services through stronger focus on exports to the region and other economic groupings such as Brics [Brazil, Russia, India, China and South Africa].

?The theme is also important as we advocate for a diversified economy and we venture into activities geared towards greening the economy. Based on the latter, there are new opportunities for new enterprises and this congress will provide for a learning platform in these areas,? Davies added.
?

Edited by: Mariaan Webb

To subscribe to Engineering News's print magazine email subscriptions@creamermedia.co.za or buy now.

Source: http://www.engineeringnews.co.za/article/sa-to-host-international-small-business-gathering-2012-09-03

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Sunday, September 2, 2012

Kicking for Miracles | Farmington Sports & Recreation, Classes ...

Anti-clotting therapy may be used too often following orthopaedic surgery or trauma

Anti-clotting therapy may be used too often following orthopaedic surgery or trauma [ Back to EurekAlert! ] Public release date: 1-Sep-2012
[ | E-mail | Share Share ]

Contact: Kayee Ip
ip@aaos.org
847-384-4035
American Academy of Orthopaedic Surgeons

Some smaller clots may not require potentially risky treatment

Men and women who undergo joint replacement procedures, as well as those who have significant fractures, tend to be at an increased risk of developing pulmonary emboli (PE), blood clots that travel to the lungs where they may cause serious complications and even death. Patients are often aggressively treated with anticoagulants, or blood thinners, to help prevent the clots from forming, but a study published in the September 2012 issue of the Journal of the American Academy of Orthopaedic Surgeons indicates that some blood clots being identified by today's sensitive testing methods may not require aggressive treatments.

"If these clots break away from the wall of the blood vessel and travel to the lungs; this is called pulmonary emboli," said Paul Tornetta, MD, lead author of the study.

"Some recent studies have shown that while the incidence of diagnosis of pulmonary embolism is increasing, there is not a corresponding increase in mortality," Dr. Tornetta added. "What this suggests is that not all clots have the same clinical relevance that is, they may not require the same aggressive level of blood thinners for treatment and that increasingly sensitive tests may be picking up small, relatively insignificant clots that would not necessarily require treatment."

Risks of Treatment

Aggressive treatment of PE typically includes the use of anticoagulants to prevent blood clot propagation. However, orthopaedic patients also are at an increased risk for postoperative bleeding and blood thinner usage can increase that risk.

Accurately identifying blood clots that need treatment, as well as those that are not likely to cause complications, could help physicians reduce patient risks and improve outcomes. Currently, though, there are no standard guidelines for differentiating between clots that require treatment and those that do not. "Because these patients are at increased risk for both clot formation and bleeding events, they can pose a unique dilemma which can be very challenging to treat," Dr. Tornetta noted.

In addition to the increased PE risks associated with some orthopaedic procedures or injuries, other factors also can increase a patient's chances of developing one of these conditions, including:

  • Older age
  • Use of oral contraceptives
  • Having a personal or family history of PE
  • Undergoing extensive or prolonged surgical procedures
  • Undergoing a lengthy period of immobilization following surgery or trauma

Identifying Clots and Diagnosing PE

Many patients with PE have specific symptoms, including:

  • Sudden shortness of breath
  • Sudden onset of chest pain
  • Localized chest pain with coughing
  • Rapid heart beat

However, many orthopaedic patients with potentially dangerous clots do not have symptoms. For these patients, other methods of diagnosis must be used, including blood tests and imaging studies. The most common and popular imaging test is the computerized tomography pulmonary angiogram (CTPA), a very sensitive test that is capable of identifying potentially serious clots that could otherwise go undetected. But, because the CTPA is so sensitive, it may also identify much smaller clots which could resolve without use of anticoagulants.

"While it's clear that the use of blood thinners is of paramount importance in treating clinically relevant PE to prevent death, it is also becoming clear that many of these patients may not need the same aggressive level of these medications, which could substantially reduce their risks of bleeding problems," Dr. Tornetta said.

Different Approach

While there is no consensus regarding optimal PE treatment, Dr. Tornetta said the results of the recent studies indicate that physicians who treat orthopaedic surgery and trauma patients may need to use broader criteria when screening for potentially dangerous clots before beginning anticoagulant therapy. Some studies have shown that both the size and the location of the blood clot may be useful in determining whether or not to use blood thinning drugs.

"Based on current studies, there is no consensus as to what type of treatment, if any, is required when small clots are detected," Dr. Tornetta said. "Today's more sensitive detection methods are alerting physicians to small clots that may not require anticoagulant treatment. New guidelines may need to be developed that can help doctors more accurately identify which patients could benefit from anticoagulant therapy and help to balance the risks of aggressive anticoagulation."

Future studies may provide information which can be used to develop guidelines for the treatment of orthopaedic patients with small clots. Until then, as with any drug therapy, patients should discuss the risks and benefits associated with the use of anticoagulants following significant orthopaedic injury or surgery, he added.

###

September 2012 Full JAAOS Table of Contents

  • Bone Morphogenetic Protein in Spine Surgery: Current and Future Uses
  • Carpal Instability Nondissociative
  • Use of Negative-pressure Wound Therapy in Orthopaedic Trauma
  • Submuscular Plating of Pediatric Femur Fractures
  • Musculoskeletal Care of the Hemophiliac Patient
  • Glenoid Bone Loss in Primary Total Shoulder Arthroplasty: Evaluation and Management
  • Guideline: Preventing Venous Thromboembolic Disease in Patients
  • Deep Vein Thrombosis
  • Total Knee Replacement
  • Total Hip Replacement
  • For more AAOS News, visit the News Bureau
  • Follow AAOS on Twitter
  • Follow AAOS on Facebook

A Nation in Motion

More than one in four Americans have bone or joint health problems, making them the greatest cause of lost work days in the U.S. When orthopaedic surgeons restore mobility and reduce pain, they help people get back to work and to independent, productive lives. Orthopaedic surgeons provide the best value in American medicine in both human and economic terms and access to high-quality orthopaedic care keeps this "Nation in Motion." To learn more, to read hundreds of patient stories or to submit your own story, visit anationinmotion.org.

More information about the AAOS


[ Back to EurekAlert! ] [ | E-mail | Share 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.


Anti-clotting therapy may be used too often following orthopaedic surgery or trauma [ Back to EurekAlert! ] Public release date: 1-Sep-2012
[ | E-mail | Share Share ]

Contact: Kayee Ip
ip@aaos.org
847-384-4035
American Academy of Orthopaedic Surgeons

Some smaller clots may not require potentially risky treatment

Men and women who undergo joint replacement procedures, as well as those who have significant fractures, tend to be at an increased risk of developing pulmonary emboli (PE), blood clots that travel to the lungs where they may cause serious complications and even death. Patients are often aggressively treated with anticoagulants, or blood thinners, to help prevent the clots from forming, but a study published in the September 2012 issue of the Journal of the American Academy of Orthopaedic Surgeons indicates that some blood clots being identified by today's sensitive testing methods may not require aggressive treatments.

"If these clots break away from the wall of the blood vessel and travel to the lungs; this is called pulmonary emboli," said Paul Tornetta, MD, lead author of the study.

"Some recent studies have shown that while the incidence of diagnosis of pulmonary embolism is increasing, there is not a corresponding increase in mortality," Dr. Tornetta added. "What this suggests is that not all clots have the same clinical relevance that is, they may not require the same aggressive level of blood thinners for treatment and that increasingly sensitive tests may be picking up small, relatively insignificant clots that would not necessarily require treatment."

Risks of Treatment

Aggressive treatment of PE typically includes the use of anticoagulants to prevent blood clot propagation. However, orthopaedic patients also are at an increased risk for postoperative bleeding and blood thinner usage can increase that risk.

Accurately identifying blood clots that need treatment, as well as those that are not likely to cause complications, could help physicians reduce patient risks and improve outcomes. Currently, though, there are no standard guidelines for differentiating between clots that require treatment and those that do not. "Because these patients are at increased risk for both clot formation and bleeding events, they can pose a unique dilemma which can be very challenging to treat," Dr. Tornetta noted.

In addition to the increased PE risks associated with some orthopaedic procedures or injuries, other factors also can increase a patient's chances of developing one of these conditions, including:

  • Older age
  • Use of oral contraceptives
  • Having a personal or family history of PE
  • Undergoing extensive or prolonged surgical procedures
  • Undergoing a lengthy period of immobilization following surgery or trauma

Identifying Clots and Diagnosing PE

Many patients with PE have specific symptoms, including:

  • Sudden shortness of breath
  • Sudden onset of chest pain
  • Localized chest pain with coughing
  • Rapid heart beat

However, many orthopaedic patients with potentially dangerous clots do not have symptoms. For these patients, other methods of diagnosis must be used, including blood tests and imaging studies. The most common and popular imaging test is the computerized tomography pulmonary angiogram (CTPA), a very sensitive test that is capable of identifying potentially serious clots that could otherwise go undetected. But, because the CTPA is so sensitive, it may also identify much smaller clots which could resolve without use of anticoagulants.

"While it's clear that the use of blood thinners is of paramount importance in treating clinically relevant PE to prevent death, it is also becoming clear that many of these patients may not need the same aggressive level of these medications, which could substantially reduce their risks of bleeding problems," Dr. Tornetta said.

Different Approach

While there is no consensus regarding optimal PE treatment, Dr. Tornetta said the results of the recent studies indicate that physicians who treat orthopaedic surgery and trauma patients may need to use broader criteria when screening for potentially dangerous clots before beginning anticoagulant therapy. Some studies have shown that both the size and the location of the blood clot may be useful in determining whether or not to use blood thinning drugs.

"Based on current studies, there is no consensus as to what type of treatment, if any, is required when small clots are detected," Dr. Tornetta said. "Today's more sensitive detection methods are alerting physicians to small clots that may not require anticoagulant treatment. New guidelines may need to be developed that can help doctors more accurately identify which patients could benefit from anticoagulant therapy and help to balance the risks of aggressive anticoagulation."

Future studies may provide information which can be used to develop guidelines for the treatment of orthopaedic patients with small clots. Until then, as with any drug therapy, patients should discuss the risks and benefits associated with the use of anticoagulants following significant orthopaedic injury or surgery, he added.

###

September 2012 Full JAAOS Table of Contents

  • Bone Morphogenetic Protein in Spine Surgery: Current and Future Uses
  • Carpal Instability Nondissociative
  • Use of Negative-pressure Wound Therapy in Orthopaedic Trauma
  • Submuscular Plating of Pediatric Femur Fractures
  • Musculoskeletal Care of the Hemophiliac Patient
  • Glenoid Bone Loss in Primary Total Shoulder Arthroplasty: Evaluation and Management
  • Guideline: Preventing Venous Thromboembolic Disease in Patients
  • Deep Vein Thrombosis
  • Total Knee Replacement
  • Total Hip Replacement
  • For more AAOS News, visit the News Bureau
  • Follow AAOS on Twitter
  • Follow AAOS on Facebook

A Nation in Motion

More than one in four Americans have bone or joint health problems, making them the greatest cause of lost work days in the U.S. When orthopaedic surgeons restore mobility and reduce pain, they help people get back to work and to independent, productive lives. Orthopaedic surgeons provide the best value in American medicine in both human and economic terms and access to high-quality orthopaedic care keeps this "Nation in Motion." To learn more, to read hundreds of patient stories or to submit your own story, visit anationinmotion.org.

More information about the AAOS


[ Back to EurekAlert! ] [ | E-mail | Share 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/2012-09/aaoo-atm083112.php

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Rage by Miners Points to Shift in South Africa

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Source: www.nytimes.com --- Friday, August 31, 2012
The unrest at South African mines has placed the spotlight on the country?s business leaders and politicians, who once led those protests and are now wealthy members of the establishment. ...

Source: http://www.nytimes.com/2012/09/01/world/africa/south-africa-leaders-on-other-side-of-rich-poor-divide.html

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Saturday, September 1, 2012

Isaac renews old debate about Louisiana levees

Kenny Melkin, left, helps his wife Becky navigate through floodwaters from Hurricane Isaac as they make their way to see their flooded home in the West End Park neighborhood along Lake Pontchartrain, Friday, Aug. 31, 2012 in New Orleans. Isaac is now a tropical depression and the center was on track to cross Arkansas on Friday and southern Missouri on Friday night, spreading rain as it goes. (AP Photo/David J. Phillip)

Kenny Melkin, left, helps his wife Becky navigate through floodwaters from Hurricane Isaac as they make their way to see their flooded home in the West End Park neighborhood along Lake Pontchartrain, Friday, Aug. 31, 2012 in New Orleans. Isaac is now a tropical depression and the center was on track to cross Arkansas on Friday and southern Missouri on Friday night, spreading rain as it goes. (AP Photo/David J. Phillip)

Becky Melkin reacts as she returns to her home to see the damage caused by Isaac in the West End Park neighborhood along Lake Pontchartrain, Friday, Aug. 31, 2012 in New Orleans. Isaac crawled into the central U.S. on Friday, leaving behind a soggy mess in Louisiana. It will be a few days before the water recedes and people in flooded areas can return home. New Orleans itself was spared, thanks in large part to a levee system fortified after Katrina devastated the Gulf Coast in 2005. (AP Photo/David J. Phillip)

Kenny Melkin, right, and his wife Becky return home to see the flood damage caused by Isaac in the West End Park neighborhood along Lake Pontchartrain, Friday, Aug. 31, 2012 in New Orleans. Isaac crawled into the central U.S. on Friday, leaving behind a soggy mess in Louisiana. It will be a few days before the water recedes and people in flooded areas can return home. New Orleans itself was spared, thanks in large part to a levee system fortified after Katrina devastated the Gulf Coast in 2005. (AP Photo/David J. Phillip)

Christopher Tabb walks a boat into a flooded community to help recover items from his flooded home, Friday, Aug. 31, 2012, in LaPlace, La. Isaac crawled into the central U.S. on Friday, leaving behind a soggy mess in Louisiana. It will be a few days before the water recedes and people in flooded areas can return home. New Orleans itself was spared, thanks in large part to a levee system fortified after Katrina devastated the Gulf Coast in 2005. (AP Photo/Eric Gay)

Christopher Tabb, left, with the help of Anthony Tabb, center, and friend, Frank Story, right, uses a boat to recover items from his flooded home, Friday, Aug. 31, 2012, in Reserve, La. Isaac crawled into the central U.S. on Friday, leaving behind a soggy mess in Louisiana. It will be a few days before the water recedes and people in flooded areas can return home. New Orleans itself was spared, thanks in large part to a levee system fortified after Katrina devastated the Gulf Coast in 2005. (AP Photo/Eric Gay)

(AP) ? When Hurricane Isaac whirled into the Gulf Coast this week, the federal levee system protecting New Orleans did its job. But the patchwork of floodwalls shielding subdivisions outside the city and rural fishing and farming communities was no match for the drenching storm.

As the cleanup began Friday, an old debate grew more urgent: Is it worth billions of dollars to build better levees in areas that are sparsely populated and naturally flood-prone?

Since Hurricane Katrina in 2005, the Army Corps of Engineers has backed away from the idea of extending protection across much of south Louisiana, citing doubts about whether improved levees would work and whether the money could be better spent elsewhere.

None of that sits well with locals, who feel abandoned.

"Each time you have a hurricane, you are going to spend enormous amounts of money on search and rescue, rebuilding churches, schools, everything, just like right here in Ironton," said Charles J. Ballay, district attorney of Plaquemines Parish, as he rode atop an airboat looking for stranded residents. "This was a Category 1 storm and look at what it has done."

The town baseball field was a lake, water lapped inside living rooms and children's toys bobbed in the high water. Not far away, ranchers tried to save a herd of cattle that stood neck-deep in the flood.

About 1 million people in coastal Louisiana live outside the massive levee system that protects greater New Orleans, and almost all of them are at risk of flooding during a major storm.

For decades, Louisiana has pressed the federal government to erect larger, stronger levees in areas vulnerable to hurricanes. The calls for better protection intensified after Isaac.

"These people don't deserve this," Democratic Sen. Mary Landrieu told WVUE-TV near Braithwaite, a community flooded to the rooftops when a nearby non-federal levee was overwhelmed by Isaac's storm surge. "We have to fight harder and stronger for protection for everyone. You know, on one side of the levee it's completely dry. Houses are safe. Families are going back to normal. And on the other side, it's a nightmare."

Matt Ranatza, a farmer in Jesuit Bend, a town left out of the federal system in Plaquemines, said the situation makes him "insane."

"There's a perfectly good levee right behind my house that they could have fixed, and that's the levee that was in danger of overtopping," he said. "For them to just say we're not going to do it there is criminal."

Huey Galmiche, an oil services salesman who evacuated to escape Isaac, said the parish was worth saving because it is a hub for the oil and natural gas industry. Anytime the main highway gets flooded, oil production is cut off.

"So that's costing us money for me and everybody that buys a gallon of gas, OK?" he said. "Raising the levee in the long run probably saves money."

Katrina killed about 1,400 people in New Orleans and caused flooding that covered about 80 percent of the city. The disaster exposed the corps' engineering standards as weak and unreliable, which led to revisions that made new levee systems even more expensive.

In the hurricane's aftermath, the corps was given $14 billion to protect New Orleans with new floodgates and floodwalls and higher levees. But none of those efforts encompassed the many smaller communities beyond the city, and the agency has struggled to offer those areas any added defenses.

In June, the corps scrapped plans to build a $1 billion levee system to protect areas between the Mississippi River and Bayou Lafourche southwest of New Orleans.

The agency said it could not find an economically feasible way to build levees or raise enough homes to guard parts of nine parishes against a storm with a mere 1 percent chance of occurring in any given year, also known as 100-year protection.

Meanwhile, another big-ticket levee project designed to protect Houma, the Morganza-to-the-Gulf project, is on hold because of similar doubts about costs and benefits.

At a news conference Friday, Landrieu said she hoped the levee issue would get the attention of Republican presidential nominee Mitt Romney, who was touring damaged areas.

She wanted Romney to see that the Corps of Engineers is underfunded.

"I realize that he's all about cutting the federal budget," Landrieu said. "But this is one agency that cannot, absolutely cannot, take any additional cuts."

For now, Louisiana is putting its hopes on money the state expects to get in coming years from increased offshore oil and gas royalties and other sources, such as money BP PLC is expected to pay for damage caused by its 2010 oil spill.

Still, even Louisiana has begun to second-guess the wisdom of trying to protect everything.

This year, the state issued a master plan that put emphasis on building so-called "ring levees" around towns and cities instead of erecting great wall-like systems to shield larger areas.

"We've drawn some lines in the sand," said Joseph Suhayda, a coastal oceanographic consultant. "There is a lot of area to protect, and the population density and property has got to factor in there somewhere."

But building levees takes time, and it's not clear that they are a reliable, long-term solution.

In Louisiana's poor soil conditions, levees sink and must be raised up every once in a while with new dirt. It can be costly to find suitable material to build them.

Besides that, the Louisiana coast is steadily eroding due to rising sea levels, oil drilling and even levee building that stops spring floods from replenishing marshes. The state has lost about 1,900 square miles of land since the 1930s, and scientists warn that more will follow.

Paul Kemp, a coastal geologist who heads the National Audubon Society's Gulf Coast Initiative, said many people in Louisiana are drawing back from the coast and behind the better levees systems.

"Look at Plaquemines since Katrina," Kemp said. "It has not been rebuilt. It's a bunch of trailers. That's what the future holds: People will have a house behind the levee and then have something more disposable outside the levees."

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2012-08-31-Isaac-The%20Levee%20Debate/id-5afb2b0aa2dc47c3b98f2ae037c01e3d

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Ford India welcomes Mr. Vinay Piparsania as the new Executive Director-Marketing, Sales and Service

Ford India welcomes Mr. Vinay Piparsania as the new Executive Director-Marketing, Sales & Service

Ford India, the Indian subsidiary of the American multinational automaker has welcomed Mr. Vinay Piparsania as the company?s new Executive Director, Marketing, Sales and Service and he will be replacing Mr. Nigel Wark, who has been promoted to Ford Joint Venture in China. Mr. Piparsania will be operating in his position with effect from 1st September, 2012 and will be reporting to Mr. Michael Boneham, President & Managing Director, Ford India.

?

Ford India welcomes Mr. Vinay Piparsania as the new Executive Director-Marketing

Ford India welcomes Mr. Vinay Piparsania as the new Executive Director-Marketing

?

While welcoming Mr. Vinay Piparsania in his new position, Mr. Boneham, commented, "We are very pleased to welcome Vinay back to Ford India. His extensive marketing experience along with the rich regional perspective that he has gained from his various positions across markets in the Asia Pacific and Africa region will surely help us go further with our brand and business in India."

Under his new designation, Mr. Piparsania will be responsible for handling Marketing, Sales and Customer Service Operations. He will be working for the planned goals of launching eight new models in India in the coming years and strengthening and diversifying the reach of the sales and service touch points across the country.

Mr. Piparsania holds a degree in mechanical engineering from IIT Delhi and an MBA from the US based Tulane University. Before his appointment in the new role, he was heading the Marketing and Sales at Ford Group Philippines as Vice-President. He had successfully handled the challenging tasks of handling the product launch readiness and the dealer development activities for the launch of the all-new Ford Ranger, the all-new Ford Focus and the Ford Mustang.

He joined Ford India in 1996 as General Manager ? Sales and was highly credited for establishing a robust dealer distribution network in the country.

Source: http://www.cartrade.com/car-bike-news/ford-india-welcomes-mr-vinay-piparsania-as-the-new-executive-director-marketing_salesandservice-118320.html

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Lenovo outs 15-inch IdeaPad U510 Ultrabook with Ivy Bridge CPU, optical drive: $679 and up

Lenovo outs 15-inch IdeaPad U510 Ultrabook with Ivy Bridge power and an optical drive

Lenovo's IFA itinerary is marathon-length. It unveiled no fewer than three tablets yesterday, not to mention three new IdeaPad S Series notebooks, and today it's serving up more laptops. Let's hit the high-profile guy first: Lenovo's IdeaPad Series lineup of Ultrabooks is getting its first 15-inch model, the Windows 8-running U510. The machine weighs 4.85 pounds (2.2kg) and measures 0.83 inches (21mm) thin, which is hefty for an Ultrabook but gives it enough room for a DVD burner or an optional Blu-ray drive. The 15.6-inch display's resolution is a ho-hum 1,366 x 768, which is exactly what you'll find on the IdeaPad U310. The laptop will be available with up to a Core i7 Ivy Bridge CPU, up to 8GB of RAM and a 500GB, 750GB or 1TB hard drive and optional 24/32GB SSD cache. Connections include USB 2.0, USB 3.0, VGA and HDMI, and there's an SD card reader as well. Lenovo rates the machine for six hours of battery life. The U510 will set you back $679 (for the entry-level configuration) when it goes on sale in September. For now, you can check out the press photos below.

Continue reading Lenovo outs 15-inch IdeaPad U510 Ultrabook with Ivy Bridge CPU, optical drive: $679 and up

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