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Orlando Regional Medical Center Reviews
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Employee ReviewsSort: Popular Rating Date
"Great place for new grad nurses "
- Comp & Benefits
- Work/Life Balance
- Senior Management
- Culture & Values
- Career Opportunities
I worked at Orlando Regional Medical Center full-timePros
Lots of overtime. Weekend shiftsCons
Health plan was the worstRecommendsPositive Outlook
"Clinical Technician "
- Comp & Benefits
- Work/Life Balance
- Senior Management
- Culture & Values
- Career Opportunities
I worked at Orlando Regional Medical Center full-time (more than a year)Pros
Decent benefits
quarterly meetings
free food sometimes
personal lockerCons
low pay
office culture
time-off policy
scolded for doing wrong, not applauded for doing goodRecommendsNeutral Outlook
1 person found this helpful
"A good 3 years, but time to move on "
- Comp & Benefits
- Work/Life Balance
- Senior Management
- Culture & Values
- Career Opportunities
I have been working at Orlando Regional Medical Center full-time (more than 3 years)Pros
I love the people I work with, friendly and helpful employees in all departments, many opportunities for OT, great benefits, the ability to self-schedule, opportunities for learning, opportunities for advancement, ORMC is a teaching hospital so the opportunity to precept studentsCons
the say "patient first" but it feel like bottom line first, nurse to patient ratio (1:6 at night on a med-surg unit), inappropriate assignments based on patient acuity, understaffed, turnover, low morale, lack of managerial support, lack of communication between doctors/practicesAdvice to ManagementAdvice
I think that Orlando Health is a very good organization. If I needed to be hospitalized, ORMC is the first place I would go here in central FL - the quality of care is excellent. I am still a relatively new nurse, but I am already beginning to feel completely burned out. It's far too early in my career to feel this way. I have considered transferring units (I've been on the same unit for almost 3 years), but with management spread so thin, the unrest regarding union vs no union, and the circumstances that initiated such talks, I fear good change will not happen fast enough and I am reluctant to stay with the company.
I have had an amazing experience at ORMC, but I need a change. I miss looking forward to going to work, ready to face the challenges of the shift. One of my favorite thing about nursing is that face time getting to know about the patient and educating them in care and self advocacy. More often than not now, I feel ready to leave before I have really gotten started, and wonder how I will get through the shift. I'm running around so much, sometimes I feel more like a secretary than a nurse. I barely have the time for lunch for myself let alone the quality time I wish i could spend with all of my patients.
There is no other hospital I would rather work for in the central Florida area. That being said, I believe I'll be exploring other employment options outside of the region.RecommendsNeutral Outlook
"I will like to work here again and again "
- Comp & Benefits
- Work/Life Balance
- Senior Management
- Culture & Values
- Career Opportunities
I worked at Orlando Regional Medical Center as a contractorPros
The working environment is very nice and Orlando is a very beautiful city with always something to do when not at workCons
i dont really have anything to complain about, it was a very wonderful expirienceRecommendsPositive Outlook
I have been working at Orlando Regional Medical Center full-timePros
Pretty good benefits, tuition reimbursement, they encourage promotions from within existing team members.Cons
The company is under going a tumultuous time with the current economy, which has led to an increase in micro-managing. You are expected to get the same if not more work done with less employees and get no incentive or recognition for the hard work. The team moral is very low in my own department, I can't speak for any others.Advice to ManagementAdvice
I think the management should appreciate their team members that come to work and work hard, instead of focusing on writing them up for time/attendance or having a tattoo showing. I believe if you have to treat your employees as individuals and be understanding of personal circumstance instead of blindly adhering to a policy that will ultimately make you lose many great employees.Doesn't RecommendNeutral Outlook
I have been working at Orlando Regional Medical CenterPros
The people, co-workers are great there. The best paying job in area, and nightshift diff is huge! Not much stress in job either. Very well staffed.Cons
It is very difficult to move up the clinical ladder. Teaching hospital so don't expect to intubate, ever! Scheduling sucks unless you've been there 20 years!Recommends
I worked at Orlando Regional Medical CenterPros
Great team to work with. Managers are all very caring and willing to help you with scheduling. Great place to work if you're currently taking classes at college.Cons
Dealing with angry guests and unhappy patients who want things done a certain way, even if it's against hospital policy. Doctors who think they own you.Advice to ManagementAdvice
Praise your employees more when they do good or amazing things. It's really easy to point out the flaws, but you should remember to praise the good too.Recommends
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... cheeses in scientific harmony. We construct the perfect sandwiches because everyone wants to make one better than his or her neighbor, whether this is for monetary gain or simply because we are competitive in nature.
Southern Spain is the most traditional place I've spent time, and not surprisingly, they make the worst sandwiches. They eat ham on dry bread, because that's what they eat, but they are happy.
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Rip City aka Stumptown aka Portland
... on SW 10th and Alder, opting for a chicken bento box and kalua pork for lunch. We wandered to Pioneer Courthouse Square to sit on the steps and eat while we did some people watching. They were busy setting up for a concert or event of some sort, so the people watching was subpar and we ventured off to NW 23rd after lunch. This area was full of fun shops, bars, and restaurants. It seemed to be quite a poplar area, and while we found plenty of ...
A Wonderful Family Visit
... I got the camper set up, Dave joined us and we went out to dinner. My cousin Gary and his wife Toni met us at the restaurant and we made some plans for Friday.
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... hostel so walked into the down town area to Powell's Book store, the largest book store in the US.
Then we walked around the Pearl district and tried a few of the different brew pubs, finished off with a great mac'n'cheese at a place just around the corner from the hostel.
First night for us in a hostel on this trip...
... everyone did report in and we decided to extend this shoot another hour. Why? Because this 5 � acres is a haven of tranquility and stunning beauty! It is a plethora of lush greenery, waterfalls, ponds, shallow streams, ferns, mosses, pagodas, bridges, poetry stones, sand art and a majestic view of Portland, Mt. Hood and a herd of cats!
Side Note: I still couldn't bring myself to haul around ...


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ARNIS BALCUS: VICTORY PARK 4th April – 18th May 2014 Street Level Photoworks Trongate 103 : Glasgow G1 5HD
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HELGA PARIS : FOTOGRAFIE 8th February – 30th March OPENING, Saturday 8th February, at 4pm. Helga Paris, born in 1938, occupies an outstanding position in German photography. In her work, she approaches the people she portrays with personal interest and … Continue reading
KAUNAS STREET PHOTOGRAPHY + LT PINHOLE @ Gallery 103
KAUNAS STREET PHOTOGRAPHY + LT PINHOLE 6th February – 16th March Following the exhibitions at Harbour Arts Centre in Irvine, we bring a selection from these two exhibitions to Glasgow to kick start a tour of other Glasgow Arts venues. … Continue reading
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Jannica Honey @ People's Palace Museum
Jannica Honey March 01 – April 14, 2014 "Humans have a deep-seated need for identifying and recognising, this is how we connect. After visiting Kahnawake I came to realise that how we see ourselves, what we identify with, is essential … Continue reading
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Lithuanian Photography Exhibitions @ Street Level Photoworks
KAUNAS STREET PHOTOGRAPHY 11th October – 29th November Lithuania has a strong humanistic genre within photography, no more so in the Black and White tradition of the 'decisive moment' of street photography. These three image-makers are all important photographers spanning … Continue reading
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Hugh Hood @ Gallery 103
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Poetic Documents @ Street Level
Poetic Documents at Street Level 11 Oct – 10 Nov The exhibition presents the works of various generations of photographers and writers which poetically convey a particular aesthetic experience of the past and present of Lithuania and the relationship between … Continue reading
Borderlands II @ Street Level Photoworks
Borderlands II 10 August – 6 October 2013 http://www.streetlevelphotoworks.org/ Borderlands II is shown as part of : Lithuanian Photography Season in the West of Scotland 10 August 2013 – 12 January 2014 Street Level Photoworks Trongate 103 Glasgow G1 5HD … Continue reading
Futureproof @ Street Level Photoworks
Futureproof – (Some) New Photography in Scotland 29th – 27th July 2013 THIS is the fifth in a series of exhibitions profiling some of the new talent from Scotland's BA Fine Art and Photography courses across Scotland. It embraces … Continue reading
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Awards ceremonies, premieres and parties. Where the stars have been spotted this week.
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Rising: Colin Stetson
The experimental saxophonist talks about his surreal new album.
By Ryan Dombal on February 3, 2011 at 10:00 a.m. EST
Colin Stetson: "Judges" (via SoundCloud)
On the surface, Colin Stetson's second album, New History Warfare Vol. 2: Judges, is a solo saxophone record. But across the LP, he turns the instrument into its own weirdo one-man band, using pad-hitting sounds as percussion and even singing through the horn while he's playing quick-trigger figures. It's disorienting and engrossing, somewhere between Ornette Coleman and Tom Waits (with whom Stetson has collaborated).
But the album seems even more unusual once you learn Stetson performed almost the whole thing by himself without overdubs or loops, with many songs nailed on their first recorded take. It's not just an artistic feat but a physical one as well.
Now 35, Stetson grew up in Michigan and currently resides in Montreal. Originally turned on to the alto sax by Men at Work's "Who Can It Be Now?", he started playing at 10. He went on to compete as a classical performer in high school before getting into more adventurous fare like John Zorn and Dewey Redman while studying at the University of Michigan. Since then, he's opened for Arcade Fire and the National, and played with Waits, Laurie Anderson (who provides guest vocals on Judges), and TV on the Radio. He's planning on recording the final album in his New History Warfare trilogy this spring before rehearsing and going on tour with Bon Iver later in the year.
Until then, though, he's concentrating on Judges, which is out February 22 on Constellation. Click on to read our Q&A with Stetson about his one-of-a-kind style and The Lost Boys:
Pitchfork: As a kid growing up playing sax, were you ever in a ska band?
Colin Stetson: [laughs] Never had a ska phase, but I was in a very grunge-like rock band that awkwardly had an alto sax in it. Remember the scene in Lost Boys where there's that ridiculous guy with his shirt off playing sax? It was kind of like that-- except not nearly as awesome.
Pitchfork: When I first started listening to Judges, I didn't know you recorded all the songs by yourself without overdubs. It makes it more impressive on a technical level, but how important are those recording restrictions to you?
CS: It's important to me in the creation of it because I figured as soon as I crossed that threshold into effects and loops it would completely undermine the premise of how I go about creating things physically, with the instrument. The element of breath through everything injects it with a life that it wouldn't have if I started playing around with machines. But I don't think it's too important musically. I would like for people to appreciate the album musically whether they knew how it was made or not.
Colin Stetson: "The Righteous Wrath of an Honorable Man" (via SoundCloud)
Pitchfork: The way you recorded and mixed the record-- with lots of mics and boosting certain sounds to make it seem like there's more going on-- is also really unorthodox, and helps to make the album sound like nothing I've heard before.
CS: I didn't want to just put up a stereo mic in a room and try to get some two-dimensional snapshot of an instrument. The set-up allowed us to capture it in three dimensions so we could then spread out and reshuffle and make our own surreal representation of that performance. There are mics inside the instrument, a contact mic on my throat, and countless mics clustered around the air of the horn and throughout the room. I wanted to make something that was specific to the medium of recording. I want to make albums that are like a Murakami novel or a Terrence Malick film-- something that explicitly states its own world.
Pitchfork: It's especially impressive that most of these songs were cut on first takes, too.
CS: Yeah, I think it's something I learned from Tom Waits when I was working with him back in the early 00s. I would listen to a song, go back to the studio, overdub a sax part, and he'd just give me a thumbs up and say, "That's it, we're done." I was just feeling my way around the song for the first time, but he wanted to stick to that initial gut reaction. Now, I feel like if I do my homework practice-wise, by the time I get to the studio I can put everything exactly where I want it to be right away.
Pitchfork: Playing these songs seems physically taxing. Do you have to do anything special to get your body in shape?
CS: I practice yoga and breathing daily along with all the exercises on the instrument. I'm getting more and more monastic about it, especially when I'm on tour, because I'm making songs that are harder to perform all the time. So I no longer smoke and I drink a lot less on tour.
Pitchfork: The album has some ominous and apocalyptic overtones. Were you going for any specific narrative?
CS: Narratively, there are two levels to it. The more general thematic arc is about isolation, but I was also thinking about isolation on an evolutionary scale as well, like when you think of an island like Madagascar where things are free to evolve unfettered by outside powers. That starts to reach into the underlying narrative, which is more of a literal story that I used as a construct to build songs around. I'm trying to write it all right now, and I'm collaborating with a friend to make a graphic novel of the story, too.
Pitchfork: Can you outline that more literal narrative?
CS: Oh, it's super weird and there's so much crap in it. [laughs] It goes along with the trilogy of albums and the first one was a story of some people lost at sea and this one is from one person's perspective who's washed up after a shipwreck in a strange place.
The first scene is this person on a small stretch of beach between two cliffs, and the only thing that he hears and sees is a mass of horses. These horses don't have any eyes and they had been created only to defend this island. They're rigged on each side with these automatic guns and, with every stride, they pump the cannons. So it's basically this idea of these blind animals charging toward the sea in total fear of the sound they're creating, and that blind mayhem and violence is how this place makes sure it's not touched by the outside. I can't believe I'm actually talking about this-- you will never listen to Judges the same now that you know about the horses. [laughs]
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text: Usually Celia & travel a bit upmarket but we were only over-nighting in Katoomba, playing music in a bar that night and then being picked up before dawn for a trip to Capertee Valley so paying as little as possible seemed sensible. And at the Cecil you pay as little as anywhere so ir represents very good value. Firstly the... More


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First Time Series
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Liver Failure/Cirrhosis/Portal Hypertension
Serum ferritin concentration and transferrin saturation before liver transplantation predict decreased long-term recipient survival†‡
Article first published online: 30 NOV 2011
DOI: 10.1002/hep.24635
Copyright © 2011 American Association for the Study of Liver Diseases
Volume 54, Issue 6, pages 2114–2124, December 2011
Additional Information
How to Cite
Weismüller, T. J., Kirchner, G. I., Scherer, M. N., Negm, A. A., Schnitzbauer, A. A., Lehner, F., Klempnauer, J., Schlitt, H. J., Manns, M. P. and Strassburg, C. P. (2011), Serum ferritin concentration and transferrin saturation before liver transplantation predict decreased long-term recipient survival. Hepatology, 54: 2114–2124. doi: 10.1002/hep.24635
- †
Potential conflict of interest: Dr. Schlitt advises and is on the speakers' bureau of Roche and Novartis. He received grants from Wyeth.
- ‡
This study was supported by the German Federal Ministry of Education and Research through the Integrated Research and Treatment Center—Transplantation (reference number: 01EO0802) to Hannover Medical School, Hannover, Germany.
Publication History
- Issue published online: 30 NOV 2011
- Article first published online: 30 NOV 2011
- Accepted manuscript online: 2 SEP 2011 09:29AM EST
- Manuscript Accepted: 2 AUG 2011
- Manuscript Received: 11 MAR 2011
- Abstract
- Article
- References
- Cited By
Serum ferritin (SF) concentration is a widely available parameter used to assess iron homeostasis. It has been described as a marker to identify high-risk patients awaiting liver transplantation (LT) but is also elevated in systemic immune-mediated diseases, metabolic syndrome, and in hemodialysis where it is associated with an inferior prognosis. This study analyzed whether SF is not only a predictor of liver-related mortality prior to LT but also an independent marker of survival following LT. In a dual-center, retrospective study, a cohort of 328 consecutive first-LT patients from Hannover Medical School, Germany (2003-2008, follow-up 1260 days), and 82 consecutive LT patients from Regensburg University Hospital, Germany (2003-2007, follow-up 1355 days) as validation cohort were analyzed. In patients exhibiting SF ≥365 μg/L versus <365 μg/L prior to LT, 1-, 3-, and 5-year post-LT survival was 73.3% versus 81.1%, 64.4% versus 77.3%, and 61.1% versus 74.4%, respectively (overall survival P = 0.0097), which was confirmed in the validation cohort (overall survival of 55% versus 83.3%, P = 0.005). Multivariate analyses identified SF ≥365 μg/L combined with transferrin saturation (TFS) <55%, hepatocellular carcinoma, and the survival after LT (SALT) score as independent risk factors for death. In patients with SF concentrations ≥365 μg/L and TFS <55%, overall survival was 54% versus 74.8% in the remaining group (P = 0.003). In the validation cohort, it was 28.6% versus 72% (P = 0.017), respectively. Conclusion: SF concentration ≥365 μg/L in combination with TFS <55% before LT is an independent risk factor for mortality following LT. Lower TFS combined with elevated SF concentrations indicate that acute phase mechanisms beyond iron overload may play a prognostic role. SF concentration therefore not only predicts pre-LT mortality but also death following LT. (HEPATOLOGY 2011;)
Orthotopic liver transplantation (LT) represents the ultimate therapeutic option for an array of progressive liver diseases that lead to irreversible liver failure. The evaluation of candidates for LT assesses the need of the potential graft recipient, the availability of a graft for transplantation, and estimates a favorable outcome of the procedure. Need is currently assessed with the Model of End-Stage Liver Disease (MELD) to predict 3-month mortality from different liver diseases, and to assign and define the priority for liver graft allocation.1, 2 This is necessary in view of the unfortunate shortage of organ grafts in most areas where LT is routinely available.
MELD employs international normalized ratio (INR), serum creatinine, and serum bilirubin for its calculation. High MELD scores indicate a high degree of mortality and morbidity and thus a need for organ replacement, but they also appear to affect post-LT survival.3-6 The correlation of MELD with inferior outcome after LT was not reported in all studies and settings.7, 8 It appears to be influenced by indication for LT such as hepatitis C virus infection and cholestatic and noncholestatic diseases,9-11 and shows low predictive abilities in some studies with a c-statistic of 0.54-0.58.12, 13 To refine the accuracy of MELD for allocation, additional parameters have been studied, such as serum sodium14-16 and serum ferritin (SF).17 Both parameters are easily determined and universally available in routine clinical chemistry laboratories. However, they can also indicate patient morbidity, which may influence prognosis and outcome following LT. This has been described for impaired renal function (as a part of MELD parameters),5 serum sodium,18 as well as for elevated SF and prognosis in hemodialysis patients,19-21 hematological diseases,22, 23 and iron overload prior to LT.24 An ideal instrument for the prediction of urgent need for LT would encompass only such parameters not also associated with an inferior prognosis following LT.
Several studies have analyzed data to define prognostic models associated with outcome following LT, which include only pre-LT recipient factors (age, serum creatinine, cholinesterase; SALT [survival after LT] score),25 or recipient, donor, and surgery-related data (survival outcomes following LT [SOFT] score).26 SALT reached a c-statistic of 0.79 (MELD = 0.57; 6-month post-LT survival) in an LT cohort with a mean MELD of 14.5.25 SOFT, developed in a large cohort with a mean MELD of 20.6, showed superior outcome prediction than MELD (c-statistic for SOFT = 0.7; for MELD = 0.63; 3-month post-LT survival) with the main variables being previous LT and pre-LT life support.26 In 2010, SF was reported as a prognostic parameter in patients on the waiting list.17 This observation is interesting, because SF not only represents a parameter for iron homeostasis27 but has also been linked to systemic inflammatory and cytokine-mediated processes spanning conditions including metabolic syndrome,28 rheumatological disease,29, 30 and hemodialysis,19 in which it is associated with increased mortality.19 We observed that patients with high SF concentrations before LT exhibited an inferior survival following LT.31 In this study, we therefore analyzed survival, SF, and transferrin saturation (TFS) in two independent LT cohorts. The results suggest that elevated SF in combination with low TFS prior to LT is an important predictor of mortality following LT.
Patients and Methods
Patient Population and Laboratory Investigations
In this retrospective cohort study, all consecutive adult patients with chronic end-stage liver disease, who underwent a first LT at Hannover Medical School, Hannover, Germany, between January 1, 2003, and April 1, 2008, were included. After the exclusion of patients with fulminant liver failure (n = 38), multiple organ transplantation (n = 39), living donor LT (n = 16), and 16 patients with a diagnosis of hemochromatosis, 354 patients remained to be analyzed.
Laboratory data on the last clinic visit prior to the day of LT were obtained from the patient's medical documentation record. Based on these data, we calculated the MELD and the SALT scores as described.1, 25 Serum sodium was measured immediately prior LT in addition to the documentation of demographics and etiologies of liver diseases.
SF (immunochemical assay; Roche Diagnostics, Mannheim, Germany),32 TFS, and serum iron were routinely measured at the time of evaluation for LT. In 92.7% of the 354 patients fulfilling the inclusion criteria, pretransplant SF was available; therefore, 328 of 354 patients remained for further analyses. The mean time from transplant evaluation measurement of SF and TFS to the day of LT was 393 ± 575 days.
The end of the study period was April 1, 2010, so that all patients were followed either until death or for at least 2 years after LT.
The primary endpoint of this study was patient survival at the end of follow-up. Secondary endpoints were patient survival at 1, 3, and 5 years after LT, graft survival, and time spent in the intensive care unit (ICU) following LT. ICU time was defined as total days spent in the ICU during hospitalization from the time of LT to discharge from the medical center.
Validation Cohort
In order to validate our hypothesis and results that patients with an increased SF prior to LT exhibit a reduced long-term posttransplant survival, we studied all consecutive adult patients, who received a first LT at Regensburg University Hospital Transplant Center, Regensburg, Germany, between January 1, 2003, and December 31, 2007. SF was available from patient medical records in 59% of the 139 patients, fulfilling the inclusion and exclusion criteria mentioned above, which resulted in 82 patients remaining for the analyses.
Statistical Analyses
Variables were expressed as mean ± standard deviations and medians. Categorical variables were compared with chi-square test, and continuous variables with the Mann–Whitney U test. Patient survival was determined by Kaplan–Meier survival analysis, and different groups were compared by log-rank test. With regard to our local laboratory's normal reference range, which is based on an evaluation of different SF assays in a standard population,32 365 μg/L was chosen as a preselected cutoff value for SF. Cox proportional hazard ratios for death were estimated for univariate and multivariate models. All tests were two-tailed, and a P value < 0.05 was considered significant. Statistical analyses were performed using SPSS version 13.0 for Windows (SPSS Inc., Chicago, IL) software.
Study Population and Outcome
The study cohort comprised 328 LT patients (61.3% were males) with a mean age of 48.8 ± 10.9 years (range = 20.2-68.8 years) at the time of LT. The main indications for LT were alcoholic liver disease (20.7%), hepatitis C (18%), hepatocellular carcinoma (HCC) (17.1%), primary sclerosing cholangitis (PSC) (15.5%), and hepatitis B (12.2%). A split graft was used for primary transplantation in 10.7%. Mean cold ischemia time was 671 ± 161 minutes. The mean MELD score at last reevaluation before LT was 15.1 ± 7.3 (Table 1).
|Study Population n = 328
|Subgroups According to SF
|P Value
|SF < 365 μg/L (n = 238)
|SF≥ 365 μg/L (n = 90)
|Age at LT (years)
|48.8 ± 10.9, 49.6
|47.9 ± 11.2, 49.1
|51.4 ± 9.8, 51.4
|Male sex
|201 (61.3%)
|138 (58%)
|63 (70%)
|Alcoholic cirrhosis
|68 (20.7%)
|42 (17.6%)
|26 (28.9%)
|56 (17.1%)
|37 (15.5%)
|19 (21.1%)
|Hepatitis C
|59 (18%)
|38 (16%)
|21 (23.3%)
|Hepatitis B
|40 (12.2%)
|31 (13%)
|9 (10%)
|51 (15.5%)
|46 (19.3%)
|5 (5.6%)
|20 (6.1%)
|16 (6.7%)
|4 (4.4%)
|18 (5.5%)
|18 (7.6%)
|Graft parameter:
|CIT (minutes)
|671 ± 161, 664
|682 ± 165, 676
|638 ± 143, 641
|Split graft
|35 (10.7%)
|29 (12.2.%)
|6 (6.7%)
|Pretransplant biochemistry:
|CREA (μmol/L)
|89.4 ± 83, 72
|80.6 ± 48.1, 69.5
|112.7 ± 135.8, 80
|BILI (μmol/L)
|90.1 ± 150.2, 41
|68.8 ± 123.2, 36.5
|146.3 ± 195.1, 69
|INR (ratio)
|1.45 ± 0.46, 1.33
|1.39 ± 0.43, 1.31
|1.59 ± 0.52, 1.45
|CHE (kU/L)
|3.6 ± 2.15, 3.1
|3.86 ± 2.22, 3.32
|2.92 ± 1.8, 2.64
|Na (mmol/L)
|136.3 ± 5.4, 137
|137.1 ± 4.9, 138
|134.1 ± 5.9, 135
|SF (μg/L)
|293.7 ± 436.7, 130
|106.9 ± 91.3, 74.5
|787.7 ± 581.6, 595
|48.4 ± 30.6, 41
|41.7 ± 28.3, 35
|64.7 ± 29.8, 66
|Iron (μmol/L)
|22.4 ± 13.4, 20
|21.5 ± 12.9, 19
|24.9 ± 14.3, 23
|Pretransplant scores:
|15.1 ± 7.3, 13.9
|13.8 ± 6.4, 13
|18.5 ± 8.4, 16.7
|0.97 ± 0.99, 1.21
|0.81 ± 0.99, 1.00
|1.37 ± 0.88, 1.48
Mean follow-up of the entire study cohort was 1260 days (range = 1-2653 days), follow-up for surviving patients was 1639 days (732-2653) days. During follow-up, retransplantation was necessary in 46 patients (14%), and 96 patients died (29.3%). The 1-, 3-, and 5-year survival rates were 79%, 73.8%, and 70.7%, respectively. Main reasons for death, either alone or in combination, were sepsis (58.5%), multiorgan failure (56.4%), malignancy (21.3%), graft failure (12.8%), bleeding (12.8%), cardiac (10.6%), or cerebral (10.6%) diseases.
Serum Ferritin and Baseline Characteristics
According to the reference range of our central chemistry laboratory, 365 μg/L was used as a cutoff value to divide the study cohort into a low-SF group (n = 238) and a high-SF group (n = 90). Clinical characteristics and biochemical parameters differed significantly between both groups (Table 1): high-SF patients were older with a higher proportion of males, and greater incidence of cirrhosis because of alcoholic disease. In contrast, none of the patients with autoimmune hepatitis (AIH) and only 9.8% of the patients with PSC had a pre-LT SF levels ≥365 μg/L. Parameters reflecting more advanced liver disease such as MELD score, serum sodium, and SALT score, which correlate with outcome after LT, and the parameters used to calculate these scores were significantly higher in the high-SF group. In accordance with this, the mean waiting time from first transplant evaluation and measurement of SF and TFS, until the day of LT was significantly shorter in the high-SF group (290 versus 432 days, P < 0.001). However, neither cold ischemia time nor the percentage of split-organ LTs differed between both groups.
Serum Ferritin and Outcome Following Transplantation
Patients with a SF ≥365 μg/L had a significantly reduced 3-year, 5-year, and overall survival (Fig. 1A). In these patients, longer postoperative ICU times were observed (Table 2). However, overall long-term graft survival did not differ between both groups.
|Study population n = 328
|Subgroups According to SF
|P Value
|SF <365 μg/L (n = 238)
|SF ≥365 μg/L (n = 90)
|Overall recipient survival
|Overall graft survival
|Time in intensive care unit (days), mean ± SD, median
|23.9 ± 34.8, 11
|22.8 ± 36, 9
|26.7 ± 31.4, 15
When analyzed as a continuous variable, surviving patients had a significantly lower SF prior to LT (264.7 ± 377.1 μg/L versus 363.6 ± 551 μg/L, P = 0.014), although there was no significant difference regarding serum iron concentration (22 μmol/L versus 23.3 μmol/L) or TFS (48% versus 49.5%). The surviving patients also had a lower pretransplant MELD score (14.4 ± 6.5 versus 16.8 ± 8.6, P = 0.025) and a lower pretransplant SALT score (0.81 ± 0.98 versus 1.34 ± 0.93, P < 0.001). In addition, a Kaplan–Meier analysis of patients who underwent LT, excluding those with HCC (n = 272), showed similar results, and also a significantly reduced overall survival of patients with a SF ≥365 μg/L (62.0% versus 78.6%, P = 0.002; data not shown).
Pretransplant SF ≥365 μg/L showed a specificity of 76.3% and a negative predictive value (NPV) of 74.4%, but only a low sensitivity of 36.5% and a positive predictive value (PPV) of 38.9% for death after LT in the long-term follow-up, resulting in an accuracy of 64.6%. The accuracy of SF ≥365 μg/L as a predictive parameter for outcome was even lower in patients who underwent transplantation because of alcoholic cirrhosis, HCC, or hepatitis C (Table 3). In contrast, for patients with cholestatic liver diseases (PSC in particular), specificity and NPV were greater than 85%, resulting in a good accuracy, although sensitivity was low.
|Cutoff SF 365 μg/L
|Whole Study Population
|Alcoholic cirrhosis
|Hepatitis C
|Hepatitis B
|Cholestatic (PSC, PBC, SSC, Caroli disease)
In view of the difference in waiting time between the low-SF and high-SF groups, we analyzed whether this impacted the observed results. Pre-LT waiting time was significantly longer in survivors (423 versus 321 days, P = 0.014). However, when both waiting time and SF ≥365 μg/L where entered into a logistic regression model, SF ≥365 μg/L remained as the only independent parameter. To exclude an influence of elevated SF levels that rose immediately prior LT due to acute-phase reactions, an additional analysis excluding those 45 cases with an SF measurement obtained less than 60 days before LT was undertaken. Even in this analysis, the results were confirmed to demonstrate a significantly superior overall survival of the low-SF group (n = 216) versus the 67 patients with pretransplant SF ≥365 μg/L (74.1% versus 61.2%, P = 0.027).
To further identify confounding variables that influence the effect of pretransplant SF on long-term survival, we analyzed the parameters differing between the group of recipients, which exhibited a correct correlation of SF with outcome and the ones that did not (Table 4). The group of patients (n = 212, 64.6%) in which long-term outcome was accurately predicted by pretransplant SF (cutoff 365 μg/L) was significantly younger, and had significantly lower MELD and SALT scores prior to LT. In addition, c-reactive protein and the MELD parameters creatinine, bilirubin, and INR were lower, whereas serum sodium and cholinesterase were higher in this group of patients. Interestingly, these patients also exhibited a significantly lower mean pre-LT TFS, whereas their serum iron concentrations did not differ.
|Data Entry Rate
|Correlation of SF with Overall Recipient Survival (n = 212)
|No Correlation of SF with Overall Recipient Survival (n = 116)
|P Value
|n (%)
|Age at LT, years
|328 (100%)
|275 (83.8%)
|Iron (μmol/L)
|307 (93.6%)
|CRP (mg/L)
|181 (55.2%)
|CREA (μmol/L)
|328 (100%)
|BILI (μmol/L)
|328 (100%)
|INR (ratio)
|327 (99.7%)
|CHE (kU/L)
|318 (97%)
|Serum sodium (mmol/L)
|322 (98.2%)
|327 (99.7%)
|318 (97%)
Serum Ferritin Plus Low Transferrin Saturation and Outcome Following Transplantation
Because of the highly significant lower TFS values in patients with a correct correlation of SF ≥365 μg/L and outcome, we stratified the patients of the high-SF group and the low-SF group according to their TFS with 55% as the optimal cutoff point, which we identified by receiver operating curve analysis. The overall survival of the 242 patients with either SF <365 μg/L or with SF ≥365 μg/L but TFS ≥55% was 74.8%, which was significantly (P = 0.003) better than the overall survival of 54.5% of the 33 patients with SF ≥365 μg/L and TFS <55% (Fig. 1B). Notably, the mean waiting time from measurement of SF and TFS to LT was longer (425 days; not significant) in the 33 patients with SF ≥365 μg/L and TFS <55% than in the 48 patients with SF ≥365 μg/L but TFS ≥55% (209 days). The graft survival was also lower in the high-SF group with TFS <55% (65.3% versus 51.5%), but this difference was not significant (log-rank test: P = 0.07). In addition, the post-LT ICU time was longer (26.8 versus 24 days) but not statistically significant (Mann–Whitney U test: P = 0.34). There were no significant differences regarding the causes of mortality between both groups.
Pretransplant SF ≥365 μg/L plus TFS <55% exhibited a specificity of 91% and a NPV of 74.8% for death after LT in the long-term follow-up (Table 5), but sensitivity (19.7%) and the PPV (44%) were low. The prognostic accuracy of SF ≥365 μg/L was also improved by the combination with TFS <55% in the other subgroups.
|SF ≥365 μg/L Plus TFS <55%
|Whole study population
|Alcoholic cirrhosis
|Viral (hepatitis B and/or C)
|Cholestatic (PSC, PBC, SSC, Caroli disease)
Univariate and Multivariate Cox Proportional Hazard Models of Long-Term Outcome
To identify predictive parameters for long-term outcome following LT, we assessed hazard ratios of etiology of liver disease, sex, the predictive MELD and SALT scores, serum sodium, and SF >365 μg/L plus TFS <55% in univariate and multivariate Cox proportional hazard models (Table 6). In univariate analyses, a history of alcoholic cirrhosis, presence of HCC prior to LT, MELD score and SALT score, and a SF >365 μg/L plus TFS <55% before LT were significant risk factors for overall mortality. PSC was a significant protective factor. We then further entered these significant variables into a multivariate Cox proportional hazard model, which identified the SALT score, presence of HCC, and a SF > 365 μg/L plus TFS <55% as three independent parameters predicting higher mortality following LT.
|Univariate Analysis
|Multivariate Analysis
|P Value
|P Value
|Male sex
|1.32 (0.86-2.01)
|Alcoholic cirrhosis
|1.73 (1.11-2.69)
|1.4 (0.83-2.35)
|2.09 (1.33-2.29)
|1.98 (1.12-3.48)
|Hepatitis C
|1.20 (0.73-1.97)
|Hepatitis B
|0.92 (0.49-1.73)
|0.37 (0.17-0.81)
|1.2 (0.49-2.95)
|1.04 (1.02-1.07)
|1.02 (0.98-1.06)
|1.77 (1.38-2.28)
|1.56 (1.09-2.24)
|SF >365 μg/L and TFS <55%
|2.28 (1.29-4.02)
|1.9 (1.07-3.37)
|Serum sodium
|0.97 (0.93-1.01)
Analysis of a Second Validation Cohort
The independent validation cohort from Regensburg Transplant Center differed from the Hannover study cohort: 75.6% of the patients were male. The most common etiologies were alcoholic-induced cirrhosis (51.2%), hepatitis C (18.3%), HCC (15.9%), hepatitis B (6.1%), and PSC (6.1%).
Mean follow-up time of this cohort was 1355 days (range = 30-2821 days) and 1689 days (range = 1054-2821 days) for surviving patients. During follow-up, a retransplantation was necessary in four patients (5%), and 25 patients died (30.5%). The 1-, 3-, and 5-year recipient survival rates were 81.7%, 76.8%, and 72%.
We could assign 40 of the 82 patients to the high-SF group (SF ≥ 365 μg/L); these patients had a significantly higher SF (1224.7 ± 1751.3 μg/L versus 100.7 ± 84.9 μg/L, P < 0.001), a significantly higher TFS (70.9% ± 35.9% versus 39.5% ± 27.9%, P < 0.001), but serum iron concentrations did not differ (116.4 ± 52.2 μmol/L versus 101.5 ± 67.2 μmol/L, P = 0.087). the 1-, 3-, and 5-year survival rates (70%, 60%, and 57.5% versus 92.9%, 92.9%, and 85.7%) as well as the overall survival (55% versus 83.3%) were significantly decreased in the high-SF group (Fig. 2A). The Cox proportional hazard ratio for overall mortality of SF >365 μg/L was estimated as 3.24 (95% confidence interval = 1.35-7.79, P = 0.009).
TFS data were available in 39 of 40 patients of the high-SF group. A total of 14 patients showed a SF ≥365 μg/L and a TFS <55%, and their overall survival was only 28.6%. This was significantly lower than the 72% overall survival of the 25 patients with SF ≥365 μg/L but TFS ≥55% (P = 0.017), the 87.5% overall survival of the eight patients with SF <365 μg/L and TFS ≥55% (P = 0.008), and the 82.1% overall survival of the 28 patients with SF <365 μg/L and TFS <55% (P < 0.001; Fig. 2B). The Cox proportional hazard ratio for overall mortality of SF >365 μg/L and TFS <55% was estimated as 4.83 (95% confidence interval = 2.09-11.16, P < 0.001).
SF and TFS are routinely available biochemical parameters usually employed to assess iron homeostasis as part of the clinical work-up of iron storage diseases such as hemochromatosis.27 However, SF is also elevated in other conditions, including diabetes mellitus,20 hemodialysis,19 metabolic syndrome,28 advanced liver diseases,33, 34 adult-onset Still's disease,30, 35 Behcet's disease,36 and other inflammatory conditions.37, 38
In a recent study by Walker et al., elevated SF was identified as a prognostic marker for liver-related mortality and clinical events in patients on the waiting list.17 Because SF is elevated in many conditions and appears to have a prognostic role, it appeared plausible that SF may also be a predictor of mortality and outcome after LT. We therefore studied a cohort of 328 consecutive patients who underwent first LT from Hannover Medical School that was stratified according to SF equal or above, or below 365 μg/L, reflecting the upper limit of normal of biochemical SF determinations. The analysis demonstrated a significant difference of overall recipient (74.4% versus 61.1%) but not graft survival following LT. This difference was significant at 3 and 5 years after LT. An independent validation cohort of 82 LT patients from Regensburg University Hospital confirmed this finding (83.3% versus 55%), with significant differences after 1, 3, and 5 years. As expected, the high-SF group exhibited more males, more alcoholic cirrhosis, less PSC and AIH, and higher MELD and SALT scores in addition to higher TFS and serum iron values. Patients with high pre-LT SF values required significantly longer ICU treatment indicating a higher degree of morbidity. The study and validation cohorts differed regarding indications for LT. More alcoholic cirrhosis (50.2% versus 20.7%) as well as a lower number of viral hepatitis and autoimmune diseases were present in the validation cohort. High numbers of alcoholic cirrhosis and associated high SF levels is a likely explanation why SF already significantly predicted mortality after the first year following LT in the validation cohort. The confirmation of this observation in two differing cohorts strengthens the observed predictive role of SF.
A plausible explanation for the predictive value of SF would be an increased iron load contributing to mortality after LT. SF would not only reflect increased hepatic iron but also iron accumulation in extrahepatic sites relevant to overall mortality. Cardiac iron deposition was observed in transvenous endomyocardial biopsies of 64% of patients with substantial hepatic iron staining.33 Moreover, studies examining iron load in explanted livers have shown an inferior survival in individuals with iron overload. A reduced 5-year post-LT survival of 40% in 37 patients with hepatic iron overload compared to 62% in age-matched controls was reported.24 In another study, hepatic iron overload (>40 μmol/g) was associated with a 1- and 5-year unadjusted survival of 74% and 63%, compared to 80% and 72% in patients with normal iron content (<40 μmol/g) (not significant).39 A multicentric study reported that patients without hemochromatosis but with hepatic iron overload had a reduced 5-year post-LT survival of 63% versus 72% in the overall LT cohort.40
Although iron load is a determinant of the course and severity of liver diseases the question remains why iron overload would affect 5-year survival of patients in whom the liver as a relevant site of iron storage has been eliminated. In univariate and multivariate analyses, independent parameters associated with increased mortality were analyzed. The presence of HCC, the SALT score (age, serum creatinine, cholinesterase),25 and SF ≥365 μg/L in combination with TFS <55% were identified as independent variables. In LT patients exhibiting SF ≥365 μg/L and TFS <55%, an overall survival of 54.5% in comparison to 74.8% in the remaining group was observed and confirmed in the validation cohort (28.6% versus 72%). These data indicate that with TFS below 55% the elevation of SF is associated with a higher risk of post-LT mortality.
Ferritin is also an acute phase protein elevated in response to immune-mediated and infectious stimuli, which may thus represent a surrogate marker for a general predisposition for morbidity and mortality. In our study, c-reactive protein levels were compared and found to be lower in the group in which SF correlated well with overall recipient survival (Table 4). Generally, elevated SF need not be linked to c-reactive protein levels in acute phase responses.41, 42 In addition, advanced liver diseases can contribute to a low c-reactive protein level response by reduced hepatic protein synthesis. In patients treated with interferon alpha-2b decreased c-reactive protein and significant elevations of SF were reported.43 This indicates a differential activation of acute phase markers such as c-reactive protein and SF, which is likely to be responsible for high SF, i.e., in adult-onset Still's disease29, 30 and other conditions. In patients undergoing hemodialysis and those with metabolic syndrome, elevated SF without elevations of TFS44, 45 has been observed, and SF levels have been associated with inferior prognosis.19, 21 Therefore, SF and TFS are not only markers for iron overload but can indicate an activation of acute phase and possibly other mechanisms35, 36 that influence mortality. In our study cohorts, liver biopsy material was not available to correlate histological iron load with the biochemical data. However, an analysis of the National Health and Nutrition Examination Survey (NHANES) 1999-2002 reported that even modest elevations of SF were associated with reduced cardiovascular fitness in young male subjects,46 and that SF may represent a morbidity-associated parameter. Against this background, the finding that elevated SF in addition to lower levels of TFS are predictive for mortality and morbidity may not indicate systemic iron overload. One limitation of this retrospective study is that no measurements of iron metabolism parameters were performed or were available after LT, which should be studied in future analyses to observe whether elevated SF persists after LT in patients with decreased survival. In addition, it may be of interest to reanalyze the pretransplant situation in other studies17 to assess whether there is also a difference between patients with high or low TFS and elevated SF regarding mortality on the waiting list. This may contribute to potential pre-LT therapeutic strategies.
In conclusion, we show that SF elevations before LT predict an increased mortality following LT. This risk is highest in patients with SF ≥365 μg/L and TFS <55%, which was identified as an independent parameter. The incorporation of SF into score models assessing the urgency of LT and placement on the waiting list should therefore be viewed with caution to avoid incorporating a parameter that may simultaneously be associated with inferior outcome.
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- 27Review article: haemochromatosis. Aliment Pharmacol Ther 2002; 16: 1963–1975., .
- 28Serum ferritin and risk of the metabolic syndrome in U.S. adults. Diabetes Care 2004; 27: 2422–2428., , .
- 29Clinical features and prognosis in adult-onset Still's disease: a study of 104 cases. Clin Rheumatol 2010; 29: 1015–1019., , , , , .
- 30Adult onset Still's disease: clinical presentation in a large cohort of Italian patients. Clin Exp Rheumatol 2010; 28: 41–48., , , , , .
- 31Ferritin and liver allocation? Impact on mortality not only on the waiting list but also after orthotopic liver transplantation should be considered. Hepatology 2010; 52: 392–393., , .
- 32Reference values for a homogeneous Ferritin assay and traceability to the 3rd International Recombinant Standard for Ferritin (NIBSC code 94/572). Clin Chem Lab Med 1999; 37: 821–825., , .
- 33Hepatic and cardiac iron overload among patients with end-stage liver disease referred for liver transplantation. Clin Transplant 2009; 24: 643–651., , , , , , et al.
- 34End-stage liver disease without hemochromatosis associated with elevated hepatic iron index. J Hepatol 1998; 29: 257–262., , , , , , et al.
- 35Iron saturation of serum ferritin in patients with adult onset Still's disease. J Rheumatol 2001; 28: 2213–2215., , , .
- 36Increased serum ferritin levels in active Behcet's disease. Int J Clin Pract 2002; 56: 310–311., , , , , .
- 37High ferritin levels are associated with hepatosplenic candidiasis in hematopoietic stem cell transplant candidates. Int J Infect Dis 2010; 14( suppl 3): 104–107., , , , , , et al.
- 38Fever of unknown origin (FUO): de Quervain's subacute thyroiditis with highly elevated ferritin levels mimicking temporal arteritis (TA). Heart Lung 2010; 39: 73–77., , .
- 39Increased hepatic iron and cirrhosis: no evidence for an adverse effect on patient outcome following liver transplantation. Hepatology 2000; 32: 1200–1207., , , , , et al.
- 40Survival after liver transplantation in patients with hepatic iron overload: the national hemochromatosis transplant registry. Gastroenterology 2005; 129: 494–503., , , , , , et al.
- 41Interpretation of serum ferritin concentrations as indicators of total-body iron stores in survey populations: the role of biomarkers for the acute phase response. Am J Clin Nutr 2006; 84: 1498–1505., , , , .
- 42Serum ferritin levels are increased in patients with glomerular diseases and proteinuria. Nephrol Dial Transplant 2004; 19: 2754–2760., , , .
- 43Regulation of ferritin: a specific role for interferon-alpha (IFN-alpha)? The acute phase response in patients treated with IFN-alpha-2b. Eur J Clin Invest 2002; 32( suppl 1): 79–83., , , .
- 44Predictors of the response to treatment in anemic hemodialysis patients with high serum ferritin and low transferrin saturation. Kidney Int 2007; 71: 1163–1171., , , .
- 45Dysmetabolic hyperferritinemia is associated with normal transferrin saturation, mild hepatic iron overload, and elevated hepcidin. Ann Hematol 2011; 90: 139–143., , , , , , et al.
- 46Relation of serum ferritin level to cardiovascular fitness among young men. Am J Cardiol 2009; 103: 115–118., .


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Available in Black, White
It's hard not to love the structured appeal that blazers add to any look. We're particularly fond of this reinvented version because of its dropped-collar and open front (both of which lend an effortlessly luxe feel). Unfussy yet totally streamlined, this is one piece your wardrobe shouldn't go without. Lightweight, woven Fully lined 100% polyester 22" full length, 38" chest, 38" waist, 24" sleeve length Measured from Small Machine wash cold Imported Model Info: Model ...
A great blazer anchors a polished outfit. Our current obsession is this long-sleeved version, featuring a contrast sateen shawl collar inspired by classic tuxedos. Complete with an open front and welt front pockets, this piece is topping off all our favorite work-to-weekend looks. Lightweight, wovenFully linedShell 1: 93% polyester, 7% spandex; Shell 2: 96% polyester, 4% spandex; Lining: 100% polyester26" full length, 34" chest, 30" waist, 23.5" sleeve lengthMeasured from SmallDry cleanImported
Available in Black, Blush, Charcoal
Love 21 - An oversized, lightweight blazer featuring an open front and a draped shawl collar, with cuffed 3/4 sleeves and front patch pockets. Woven, fully lined28.5" approx. length from high point shoulder to hem, 37" chest, 38" waist, 20" sleeve length from high point shoulderMeasured from SmallShell: 71% modal, 29% polyester; Lining: 100% polyesterHand wash cold, dry flatImported
A menswear-inspired silhouette that references old-school smoking jackets meets ladylike detailing in this elegant blazer. Outfitted with sheer chiffon sleeves and a slim shawl collar for a flattering drape, this is one of those magical pieces that pairs with pretty much everything - so it's practically guaranteed to have you out the door on time (and looking seriously chic, to boot). Woven, fully linedOpen front, vented sides100% polyester25" full length, 36" chest, 36" waist, 23" ...


text: Gasoline Prices Fall Slightly By John Lee September 12, 2011 9:32 AM Share on Facebook Share on Twitter (Photo by Justin Sullivan/Getty Images) We're paying slightly less at the pump this Monday morning. AAA's Daily Fuel Gauge Report says the average price for a gallon of regular gasoline in Shreveport/Bossier is $3.47. Last Monday, it was $3.49. Matter of fact, it was $3.49 a month ago today. Statewide, the average is $3.50. Nationally, it's $3.65. Filed Under: AAA, gasoline prices, shreveport/bossier Category: Shreveport/Bossier City News Share on Facebook Share on Twitter More Leave a comment Send to a friend! Print this page Pin it! Reddit This! Share on Tumblr! Best of 710 KEEL Recommended For You Around the Web


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A $1.25 million gift from Jeffrey P. Hughes '65 and Bettysue C. Hughes WC '65 will create a new faculty chair at Duke Law School.
The couple's gift to establish the Jeffrey and Bettysue Hughes Professorship is being matched by funds from The Stanley A. Star Matching Gift Fund (the "Star Challenge Fund"). The combined endowment will further Dean David F. Levi's goal of adding leading scholars to the faculty.
Jeff Hughes is succinct in explaining why he and his wife made their gift. "It's easy. David asked and the ability to maximize our gift using Stanley's challenge fund was appealing," said Hughes.
Hughes, vice chairman of The Cypress Group, said that he and his wife share Levi's interest in motivating other alumni to take advantage of maximizing their gifts through the Star Challenge Fund. "David very much wants to get this done, and I'm glad to help him."
"Jeff and Bettysue Hughes understand that what makes Duke Law School one of the great law schools in the world is the strength of its faculty," said Levi. "Their gift will help us maintain and deepen this remarkable group of scholars and teachers in the years to come. The Hughes' leadership, and that of the Stars, helps us to continue making a difference to the legal profession, our society, our understanding of law, and our students. It is wonderful to have this generous and forward looking gift as we try to reach our full potential as a still young institution of higher learning."
Jeff Hughes practiced at Simpson Thacher & Bartlett after his Duke Law graduation. He joined Lehman Brothers in 1968 and became a partner in 1976. He launched the firm's private-financing department, led early leveraged buyout financings, and had senior investment-banking coverage responsibilities for industrial, energy, and consumer-product companies. A member of Lehman Brothers' investment committee, he was head of the financial institutions group. He helped found The Cypress Group, a private equity firm, in 1994.
Bettysue Cameron Hughes graduated from the Duke Women's College in 1965. She taught in the private schools of New York City before retiring to raise two sons. She has continued her involvement in Early Childhood Development through various volunteer activities.
The Hughes' gift to endow a chair in law is the latest in the couple's long history of philanthropy and service to Duke Law School. They are members of the Lanty L. Smith Society, which recognizes alumni and friends whose cumulative support of the Law School is $1 million or more. Jeff, a life member of the Law School's Board of Visitors and a past chairman of the Global Capital Markets Center, served as chair of the Campaign for Duke Law School in the late 1990s. He received the Law School's Charles S. Rhyne Award in 2010 in recognition of his career achievements, as well as his commitment to education, professionalism, and public service in New York and elsewhere.
The Star Challenge Fund was established in late-2010 by Stanley A. Star '61 and Elizabeth Star as the centerpiece of a matching gift initiative designed to inspire alumni and friends to establish four new faculty positions at the Law School.
The Law School's associate dean for Alumni & Development, Jeff Coates, said, "The impact of providing gifts to establish faculty positions is transformative. We are deeply appreciative of the Hughes' and Stars' generosity. They have come together to create something that will benefit our Law School's faculty and students for decades to come."
Hughes gift establishes endowed chair
A $1.25 million gift from Jeffrey P. Hughes '65 and Bettysue C. Hughes WC '65 will create a new faculty chair at Duke Law School.
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1 person found this helpful
"Sell Outs "
- Comp & Benefits
- Work/Life Balance
- Senior Management
- Culture & Values
- Career Opportunities
I worked at Pizza Hut full-time (more than 5 years)
Great support from payroll and other off-site departments when assistance is needed.
Good Benefits f it is a corporate store-not good if it isn't
Work 50+ hours a week
No Bonus system for Assistant Managers
The start pay is low- just about $26,000
Much work is required for inadequate compensation
The corporation could sell off your area- if you work for the corporation
- Any Location
- Any Job Title
I have been working at Pizza HutPros
They recognize integrity and professionalism in their employees. Reasonable advancement oportunities for the right individuals; if you do your job effectivly it will not go unnoticed! Great top management depending on location.Cons
Customers are sometimes difficult and demanding, and employees are working for the minimum wage they make..I.E. no pride.Advice to ManagementAdvice
Find a clear and direct plan for the future. Where is the company going?RecommendsApproves of CEO
I have been working at Pizza HutPros
Flexible scheduling, easy tasks requiredCons
Lack of discipline when necessary, little communication with managers about improvementsAdvice to ManagementAdvice
Talk to employees.No opinion of CEO


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Swarm by Foursquare
By Foursquare Labs, Inc.
Open iTunes to buy and download apps.
Swarm, the new app from Foursquare, is the fastest way to keep up and meet up with your friends. With Swarm, you can easily see who's out nearby and who wants to hang out later.
- Want to meet up with friends? Quickly open up the app to see who is out nearby.
- Want to share what you're doing? Checking in is faster and more fun than ever.
- Got an idea for something fun to do? Easily message all of your nearby friends.
Get started with Swarm now!
- A note on battery – We've spent years developing the location technology that powers Swarm, making it extremely power efficient. But, as with all apps of this type, please note that continued use of GPS running in the background can dramatically decrease battery life.
What's New in Version 2.0.1
2.0.1: This release fixes a few crashes, specifically around syncing your contacts and accepting friend requests.
Introducing messages!
In this release, we've added the ability to message your nearby friends (even if they don't have Swarm) to quickly and easily meet up.
We also moved some things around. The check-in button is now closer to your thumb, at the bottom center of the screen. Try it out!
Finally, when viewing a friend's check-in, you can quickly see more details about the place, including which of your friends has been there.
iPhone Screenshot
Customer Reviews
Get This App & Tell Your Friends!!!
This app is great and is easily one of my most used apps on my phone. The new format makes checking into places so easy and seamless. Being able to message friends from the app has proved to be an excellent way to make plans with my friends. I love being able to look back on places I've checked in to and learning about new places to go from my friends check ins. Go get this app and tell all your friends to as well!
Well-made app, nice to keep track of day
I don't use many of the social aspects, but I like keeping a record of where I've been. It lets me know how long it's been since I've visited a certain place, it lets me record the spots I go to when I travel, and it helps me get awesome Foursquare recommendations. App is also solidly-made and easy to use.
I rate it "ok"
I rate it "ok". I don't like how you have to use Swarm and Foursquare separate. The searching is better on Foursquare and I don't know why they made Swarm, really. I like the map aspect and like to track where I have been. I wish you could check-in privately if you didn't want everyone to know, like the gym or your kids school. Most of my friends aren't on here and wish there was more integration with major Social Networks.
Customers Also Bought
- Free
- Category: Social Networking
- Updated: Mar 20, 2015
- Version: 2.0.1
- Size: 18.0 MB
- Languages: English, Catalan, French, German, Indonesian, Italian, Japanese, Korean, Portuguese, Russian, Spanish, Thai, Turkish
- Seller: Foursquare Labs, Inc.
- © foursquare
Compatibility: Requires iOS 7.0 or later. Compatible with iPhone, iPad, and iPod touch. This app is optimized for iPhone 5 and iPhone 6.


text:
Jumbo Pack of Movies
The place to share trailers, posters and write reviews about new release movies, upcoming ones and also some all time favourite films of everyone.
MadMisfit:this group is really quiet, there are bunch of movies out there ^_^ lets discuss about something, come on now! ^_^
Leviosa ADMIN :Maze Runner 2 is in the making, expected to released next year. Have you watched the first one? It was awesome, I would rate it 9/10 .. recommended!
Download it here: http://gallery.mobile9.com/f/4274302/
Put your youtube video embed code here.
MadMisfit:he looks like the guy from teen wolf?
Leviosa ADMIN :Yup, that's the guy
MadMisfit:ah, no wonder he look familiar on the screenshot
Leviosa ADMIN :Anjaan - Fearless trailer
Download it here: http://gallery.mobile9.com/f/4255277/
Put your youtube video embed code here.
GeekQueen:Dragons 2 only coming out next week in S.A.
gourabguddu:How to train your dragon 2...
just waiting for it
gourabguddu:How to train your dragon 2...
just waiting for it


text: Search results Listings are for East Coast. For local listings, Enter zip code or Sign in Go Display: All Results TV Shows Movies Actors Directors Only show HD Only show new episodes We found the following shows with actor/director: "Louis f. Edelman" in the next 14 days. Hotel Berlin (1945) Sun 3/29 10:00 PM 23 TCM (Cbl) 2 hours No rating An escapee from Dachau, an actress and others hide in a grand hotel as the Third Reich falls. View in TV Listings 1-Click Record Record with options


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Bespoke Photobooth, Green Screen and Red Carpet events. The ultimate event entertainment.
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On Episode 9 of UFC 189 World Championship Tour Embedded, featherweight champion Jose Aldo and challenger Conor McGregor cross the pond to England.
Aisling Daly has been moved from UFC Fight Night
Former Pride FC champion Wanderlei Silva doesn't think Ronda
Watch the UFC 189 World Tour press conference in
Beautiful. Why is it EVERY time a fight ends with a dramatic strike, mmaweekly never has a shot of it?
I can remember only one instance where a big shot that ended the fight was captured: Corey Hill's leg braking.


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Don't see your question? Visit our help section.
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by 505 Games
Rated 8.0
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Rated 7.1
In a hurry?
Pick Up At Store
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Rated 9.1


text:
iFood Diary for iPad
By iHealth Ventures LLC.
Open iTunes to buy and download apps.
*** Best Selling iFoodDiary now available for iPad - Featured by Apple as New & Noteworthy. ***
iFood Diary is an easy to use app for iPad to help you keep track of your daily food intake. It helps you keep a journal of the foods you eat and the beverages you drink each day. This app is also a valuable tool for diet analysis for maintaining a good health.
*** SUPER SPECIAL SALE !! (24 hours ONLY BUY NOW) ***
Dietary habits and physical activity play a key role in the prevention of overweight and obesity. According to American Journal of Preventive Medicine, keeping a "food diary" may help you lose twice as much weight. Carry around iFood Diary in your iPad all the time to keep on top of your diet. Designed from the ground up for the iPad.
* EASY and INTUITIVE interface to journal daily food intake.
* MONITOR changes in your diet over time.
* The LOG HISTORY display allows one to view all historic data.
* SEARCH nutrition information from thousands of different food products, restaurant menu items as well as food brands to make healthier food choices.
* Snap PHOTOS of your favorites food and drinks from your camera or album. Share with friends and food lovers.
* Manage emotional eating by tracking how you're feeling when you eat, your mood, hunger scale.
* "Hunger Scale" to help you eat more mindfully
* Track weight
* Fully Integrated with Facebook.
* COMPARE food intake from day to day. Track healthy vs junk. Track your food consumption.
* EMAIL and SHARE your Food Diary with your nutritionist. You can also email to your self for backup and sharing.
* CUSTOM Reports - Daily, Weekly, Monthly , View by Meal Type.
* EXPORT to Microsoft Excel : data is semi-colon delimited.
* Automatically calculates Body Mass Index (BMI)
* Privacy and Security - All data is stored locally on your iPad for your privacy.
* Full support for metric/non-metric units
* Eat Well, Live Well, Be Well.
* Record your food intake to make healthier choices.
* Useful for Bariatric patients. Bariatric surgery food journal
* Weight loss surgery food journal
* Add free text NOTES to each log.
* Obesity can increase the risk of heart disease, maintaining a food diary can help in weight loss.
* SEARCH your food history for patterns, trends, and correlations.
* Track your daily fruit/vegetable intake for healthy lifestyle.
Watch a video of the demo - http://www.youtube.com/watch?v=Y9fgLm-U9x4
***** Life changing gadgets and apps can improve health - FoxNews
***** Top 6 iPad apps to lose weight
* Love this journal **** by Authentic body coach. As a coach who advocates consciousness eating practices, I heartily recommend this app
* Perfect Diary ***** by Oprah fan. I have been looking for an app that was a food diary, but not tied to calorie counting.
* Love it **** by Neek68. I really love this app.
This app saves diet information and calculated data. In addition to maintaining a convenient log of your diet history, the app is also a valuable tool for diet analysis which may help you and your doctor decide on the best diet for keeping a good health.
For any issues with the app or request for new features, please email us at email@example.com.
We look forward to your feedback and suggestions.
What's New in Version 4.5.0
Minor bug fixes
iPad Screenshots
Customer Reviews
Waste of money
I was hoping this had a few more basic features but if you want those features you need to pay $.99 a month for it. It is really not worth it, there other apps that include that nutritional value without having to pay for it.
Customers Also Bought
- $2.99
- Category: Health & Fitness
- Updated: Jan 10, 2015
- Version: 4.5.0
- Size: 8.3 MB
- Languages: English, Spanish
- Seller: iHealth Ventures LLC.
- © iHealth Ventures LLC.
Compatibility: Requires iOS 5.1 or later. Compatible with iPad.
Top In-App Purchases
- Nutrition Reference Subscription for One Year$11.99


text:
could somebody help me with this problem for Matlab:
I have a number 8 as a limit and want that I just get numbers in range from 1 to 8, how can I do it? in MaxMsp this function is called "mod" so if I have mod8 than it will count until 8 and when 9 comes up it will output 1 again, 10 will be 2, 11 will be 3, 12 will be 4 etc.
this must be very simple but I just cannot find it in help.


text:
AMSA PremedFest
University of Florida, Gainesville, FL
April 11-12, 2015
AIDS Activism
Access to Essential Medicine
Your Guide to Grassroots Action
Find comprehensive resources for organizing and
executing a strategic campaign with these step-by-step
guides to organizing around an issue, creating influential and effective
lobbying materials, and getting the message out to those who will
effect change. Included are tactics you will need for targeting the media, Congress, state legislators or even fellow
AMSA actively focuses on campaigns throughout the year that align with our organization's aspirations, mission and values.
45610 Woodland Road - Suite 300, Sterling, Virginia 20166
Phone: (703) 620-6600 / Fax: (703) 620-6445


text:
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Instantly downloadable sheet music by Alana Graham for orchestra (Instrumental Parts) of MEDIUM skill level.
Genres: Celtic, Folk, Irish, Patriotic, Inspirational, Festival, World, Christian, Religious, Celebrations
Instantly downloadable sheet music by Katherine Lee Bates for accordion of MEDIUM skill level.
Genres: Americana, Patriotic, Traditional, Folk, Miscellaneous
O Canada / God Save the Queen / Star-Spangled Banner: B-flat Tenor Saxophone. For Concert Band. Instructional. Part. 1 pages. Published by Alfred Music - Digital Sheet Music (AX.00-PC-0002593_TX1). About Digital Print Sheet Music Digital Print is printable sheet music available anytime, anywhere. Just purchase, print and play! View your online sheet music at home, school, work or anywhere you have a computer connected to the Internet. With Digital Print, you can print your digital sheet music immediately after purchase, or wait until its convenient. And our software installation is easy - we'll guide you through the simple steps to make sure you have Adobe Flash Player, Adobe AIR and the Sheet Music Plus AIR application. Learn more
Pages: 1
Instruments: Tenor Saxophone, Saxophone, Woodwinds
Genres: 4th of July, Memorial Day, Patriotic, Celebrations, Folk
(Featuring: A String of Pearls / Chattanooga Choo Choo / American Patrol). Arranged by Jeff Hest. Jazz Ensemble. Jazz Ensemble. Premier Jazz Series. Grade 4.5. Conductor Score. 28 pages. Published by Alfred Music Publishing
Pages: 28
Genres: 4th of July, Jazz & Blues, Memorial Day, Patriotic, Celebrations, Folk
Instantly downloadable sheet music by Stuart Gorrell for piano solo of EASY skill level.
Instruments: Piano, Piano and Keyboard
Genres: Country, Pop, Patriotic, Film & TV, Standards, Folk, Jazz & Blues
The Star-Spangled Banner (Violin and Piano). Arranged by Jascha Heifetz. For violin and piano. LKM Music. 6 pages. Hal Leonard #S511015. Published by Hal Leonard (HL.42616). ISBN 1617742988. 9x12 inches. Sheet music.
Pages: 6
Instruments: Piano, Violin, Piano and Keyboard, Strings
Genres: 4th of July, Memorial Day, Patriotic, Celebrations, Folk
By William Steffe (1830-1890). Arranged by Peter Wilhousky. Orchestra. For Flute I, Flute II, Piccolo, Clarinet I, Clarinet II, Tenor Saxophone, Horn III, Horn IV, Trumpet I, Trumpet II, Trumpet III, Tenor I, Tenor II, Tenor III, Oboe, Bassoon, Alto Saxophone, Horn I, Horn II, Tuba, Timpani, Harp, Percussion, Violin I, Violin II. Carl Fischer Classic Orchestra Edition. Classical. Score and part(s). Standard notation. 10 pages. Published by Carl Fischer
Pages: 10
Instruments: Piccolo, Clarinet, Oboe, Alto Saxophone, Tenor Saxophone, Bassoon, Horn, Violin, Harp, B-Flat Trumpet, Percussion, Timpani, Tuba, Flute, Woodwinds, Saxophone, Brass, Strings, Trumpet
Genres: Classical, 4th of July, Memorial Day, Patriotic, Celebrations, Folk
American Folksongs From Southern Mountains (18) - Score by Bixler. For Alto recorder and voice. Recorder Solos, Recorder with other Instruments. Folk, Patriotic. 1 - Easy. Score. Published by Magnamusic Distributors Inc (MM.MM00018). Sourwood Mountain (fiddle tune) Down in the Valley Fair and Tender Ladies One Morning in May Black is the Color Going to boston Shady Grove Evry Night When the Sun Goes In The Riddle Song The Wind in the Willows Cindy Wondrous Love Shell Be Comin Round the Mountain Old Joe Clark Lonesome Valley DUETS (A, T):Cumberland Gap A Paper of Pins Lord Lovel.
Instruments: Voice, Alto Recorder, Vocal, Recorder, Woodwinds
Genres: 4th of July, Americana, Folk Songs, Memorial Day, Patriotic, Celebrations, Folk
Instantly downloadable sheet music by Paul Lavender for orchestra of MEDIUM skill level.
Genres: Patriotic, Folk
Instantly downloadable sheet music by Alan Jackson for guitar of MEDIUM skill level.
Instruments: Guitar
Genres: Country, Pop, Patriotic, Inspirational, Love, Folk, Christian, Religious, Miscellaneous


text:
The Highwayman
Transportation in Houston with Dug Begley
Posts filtered on Category
Early reaction to downtown bike lane from cyclists is optimistic
Saturday's kickoff of construction along Lamar for Houston's first dedicated bike lane downtown was cause for celebration by cycling advocates, who hope the lane will live up to expectations. "Overall the public response has been extremely positive with record levels of Facebook enthusiasm for the effort," BikeHouston executive director Michael Payne said. The lane, between […] [Read More]
Lamar bike lane work starts Saturday
After a delay, crews will start work Saturday on a two-way bike lane along Lamar Street in downtown Houston, considered a critical link for bicyclists between popular area trails. Work to paint, install signs and separate the lane from vehicle traffic will occur only on weekends, according to a memo from Houston Public Works. Crews […] [Read More]
UH team develops ideal Houston bicycle
While Houston has been slow building a better reputation as a bicycling city, students at the University of Houston have been building a better bike, tailored to the city. "I presented to students the notion that U.S. downtowns are being redeveloped," professor Mark Kimbrough said. "Downtown infrastructures are being rebuilt with bike paths and bike […] [Read More]
Design, not just rules, critical to sharing streets
Although Houston police have only written 11 citations in the 20 months the city has had an ordinance requiring drivers to give pedestrians and cyclists some space, robust enforcement is hardly the only challenge cyclists face. It's important to note they bear some responsibility, too. Let's face it: laws aren't going to stop all bad […] [Read More]
Fifteen transportation things to watch in 2015
Happy new year. May you prosper and end 2015 better than you entered it. But you're still going to sit in traffic. Sorry to be a buzzkill so soon into the year, but it's true. You'll likely sit in traffic in 2016, too. This is the Houston area. It's big and a lot of people […] [Read More]
Sentencing in Chelsea Norman case won't end debate over cyclists, safety
As Friday's story noted, the decision to sentence Margaret Mayer to prison for 15 years was a conclusion to a trial, but it hardly brought relief either to Mayer's family or to the family of the cyclist she hit, Chelsea Norman. As Randy Norman, Chelsea's father, said shortly after Mayer was led from court, neither […] [Read More]
One year later, death still resonates with local cyclists
NOTE: This post has been updated to include comments from others. There's a reason this post appeared at 10:17 p.m. It was one year ago, to the minute, that Chelsea Norman took off from her job at Whole Foods, according to Houston police. A few moments later, she was pedaling along Waugh when, it is […] [Read More]
Researchers seek respondents for survey on transportation sharing
Don't worry, you're not going to have to carpool with anyone. Texas A&M Transportation Institute researchers are studying what folks in major Texas metro areas know and think about various types of shared transportation options, and they're offering $50 to participants. Here's a link to the survey that gets you into the larger study, if […] [Read More]
Houston has the recipe for portable water
One topic that, understandably, comes up in any discussion of bicycling as a way to get around the Houston area is the climate. For leisure, yeah, people are willing to work up a sweat — but to get to work every day? For downtown workers, commuting by bike involves a risk of soaking your work […] [Read More]
Upcoming weekend a big one for Houston bicyclists
If you're a Houston bicyclist, this coming weekend is going to be a big one. If you're not, at least you'll know why someone dressed as a ketchup bottle pedaled past you and which streets to avoid. Oh, and if you like bikes and Market Square Park, just consider bringing a tent.* Friday night, a.k.a. […] [Read More]
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In a small bowl, combine the bulgur and boiling water.
Let stand for 1 hour.
Drain and press out excess water.
In a no-stick skillet, cook the lamb over medium-high heat for 10 minutes or until browned on all sides.
Let cool.
In a large mixing bowl, combine the bulgur, lamb, pepper, scallions, oregano, coriander, tomatoes, cucumbers, and parsley.
Toss gently.
Arrange the lettuce on a serving platter.
Place a scoop of the lamb mixture on each leaf.
Garnish with mint, if desired.


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PEX tubing vs. copper for drinking water
Our architect is highly recommending that the builder of our new home uses copper piping to the sites (like kitchen, bathroom faucets) from which water will be routinely drunk - the concern is potential chemicals leached from PEX piping. Copper is much more expensive to install than PEX. A realtor acquaintance said that he had not seen people concerned with all PEX piping in a potential purchase. What is the collective wisdom of using all PEX (cost effective) vs. selective copper tubing?
On our remodel I told our builder I wanted copper on all drinking water sources. I rationalized that I spend enough time in places where I can't drink the water and I wasn't doing that in my own house.
We are using PEX for the baseboard heat, PVC for waste lines, and copper for all supply. I know that PEX has its benefits but it hasn't been around long enough that I'm drinking from it (even though I drank from a green garden hose as a kid, I know it's somewhat irrational but it's my money).
I don't think your choice will affect resale UNLESS someone finds out that it does leach chemicals and then it will be like Chinese drywall and lead paint - a big deal for some people but not all.
PEX was invented in the 1950s and has been used extensively and very successfully since the 1970s....in Europe! I think the big question over its use for potable water here arises from the effects of the high chlorine content in our water. In most of Europe's potable water chlorine is almost non existent. Perhaps the amount of chlorine we are drinking should be our larger concern!


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|4407 US Highway 301N 34222
ELLENTON/PARRISH SALES: The Feed Store Antique Mall Spring Fever Sale March 27, 28, & 29. 10% to 50% OFF throughout the Store. 4407 US Highway 301N, Ellenton, FL 34222, 941-729-1379. Mon thru Sat 10 to 5, Sunday 12 to 5.More info Email a friend
|7600 Charleston St 34201
SOUTH MANATEE SALES: 11th ANNUAL UNIVERSITY PLACE COMMUNITY GARAGE SALE Sat. March 28th, 8am to 12noon. University Pkwy to N on Honore, R on Cooper Creek (gates on Honore and Cooper Creek are open) 50+ families. Quality home furnishings, clothing, and much more!!!More info Email a friend
|2820 Bay Drive 34247
ELLENTON/PARRISH SALES: Estate sale - rattan living room furniture, many book cases, antique tables, wing back chair, chest of drawers with tv shelf, Christmas decorations, patio furniture (like new), glass topped dinette set with 4 rolling chairs, tools, two computer desks, file...More info Email a friend
|306 51 Ave W. 34207
WEST BRADENTON SALES: GIGANTIC EX-HOARDERS SALE! SO MUCH STUFF!COLLECTIBLES, ANTIQUES,FURNITURE,SCRAPBOOKING AND BEADING SUPPLIES,CLOTHING,CUT GLASS,BOOKS,PICTURE FRAMES (LOTS!),AND MUCH MORE! NO EARLY BIRDS!!!More info Email a friend
|1111 14th Ave West 34205
WEST BRADENTON SALES: VILLAGE OPEN MARKET ... GARAGE SALES ... ARTISTS ... MUSICJoin us Saturday, March 28, 2015 11 AM -- 4 PM Village of the Arts 13th Ave West at 12th Street West Bradenton, FL 34205https://email@example.com,-82.573039,17zVillage Wide Garage Sales...More info Email a friend
NORTH & WEST BRADENTON SALES: SAT 8-2 Quality clothing, Jewelry, furniture & lots more 505 Palma Sola Blvd.More info Email a friend
|307 41st Blvd East 34221
CRAFT SALES/BAZAARS: SHOP Ministries Bazaar March 21, 2015 5 am-Until Booth rentals are $35.00 Minimum donation All proceeds are your to keep! Crafts, new and used items, food, and much, much more!!! Contact Emily @ (727) 366-4980More info Email a friend
|7001 Pointe West Blvd 34209
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|8014 Planters Knoll Terrace 34201
SOUTH MANATEE SALES: MASSIVE!!! SPORTSCARD COLLECTION OF OVER 400,000 CARDS, PLUS 40+ ALBUMS AND OTHER MISC. ITEMS FROM 70'S-CURRENT!! FIRST $500.00 OR BO GETS IT. YOU WILL NEED A PICKUP OR SUV! OTHER SPORTS ITEMS,SHOES,CLOTHING,HOME ITEMS,BIKE,AND MUCH MORE!UNIVERSITY PLACE...More info Email a friend
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Moore, Ortiz Line Up for HK Jockey Battle
Ryan Moore, currently topping the Longines World's Best Jockey rankings, heads the list of riders invited for the Dec. 10 Longines International Jockeys' Championship at Happy Valley in Hong Kong.
Ryan Moore, currently topping the Longines World's Best Jockey rankings, heads the list of riders invited for the Dec. 10 Longines International Jockeys' Championship at Happy Valley in Hong Kong.
Japanese raider Admire Rakti made a storming seven-wide run in the final 150 meters and snatched a half-length victory in the Aus$3 million Caulfield Cup (Aus-I) Oct. 18.
Trainer Chris Waller enjoyed a group I double Sept. 20 in Australia, capturing the George Main Stakes (Aus-I) with Sacred Falls at Royal Randwick and the Underwood Stakes (Aus-I) at Caulfield with Foreteller.
The Hong Kong Jockey Club reported a record for total handle during its 2013-14 season, which concluded July 6.
In the first of four group I turf races Dec, 8 at Sha Tin Racecourse, Dominant posted a surprising win for the locals, taking the Longines Hong Kong Vase (HK-I) with a big move at the top of the stretch to hold off The Fugue.
Australian rider Kerrin McEvoy edged Hong Kong's Zac Purton in the Dec. 4 Longines International Jockeys' Competition as American veterans Gary Stevens and Mike Smith were all but shut out.
Winning jockey Zac Purton's post-race exclamation, "Phenomenal!" perfectly summed up Military Attack's dominant win in the Singapore Airlines International Cup (Sin-I) May 19 at Kranji Racecourse.
Ambitious Dragon overcame a raft of problems, including an injury the day before the race, and still produced a dramatic run to win the Longines Hong Kong Mile (HK-I) Dec. 9 by three-quarters of a length.
Comments from Zac Purton after his winning ride on Little Bridge in the King's Stand Stakes on opening day at Royal Ascot, June 19, 2012. Watch Video
Hong Kong raider Little Bridge hit the front a furlong from the wire and easily held off the late charge of Bated Breath to win the $542,500 King's Stand Stakes (Eng-I) by three-quarters of a length at Royal Ascot June 19.
Earlier this year the silks of Denise Martin, a well known, much loved and highly successful buyer and syndicator of racehorses, were made famous with the two group 1 wins by champion 2-year-old Sebring.
He's No Pie Eater is not the most tasteful name to inflict upon a noble Thoroughbred. But it has not stopped him joining some of Australia and New Zealand's finest, including Phar Lap, on the list of Chipping Norton Stakes (Aus-I) winners.