One could almost say that APSJ works with clients one shovel -- or one fresh chicken, or one pair of eyeglasses -- at a time. Founded in 1975 to assist "refuseniks" (individuals refused the right to emigrate) and prisoners of conscience, APSJ changed its name and redirected its energies when the Soviet Union dissolved in 1991. Able to contact and work inside of whole Jewish communities, APSJ now aids some of the most vulnerable and impoverished citizens -- e.g., the elderly, the handicapped, et al. Its main project is "Adopt a Bubbe" (bubbe means "grandmother" in Yiddish) because so many elderly are women; of course many zaydes (grandfathers) and others are helped as well. Operating in 44 communities (22 cities, 22 villages) volunteer coordinators find out where needs are not being met. Medicine for a pressing illness, a hearing aid, new socks or underwear, coal for the winter, repair of a broken refrigerator, new boots or a shovel for gardening -- these small things can make a huge difference, and most requests can be met with a modest expenditure. When a gift of sugar enabled some villagers outside the city of Dnipropetrovsk to make preserves, they donated a portion for distribution to indigent pensioners in the city. They understood only too well the meaning of simple gifts. Here you can make a huge difference.