text:
viacom inc-class b (VIAB:NASDAQ GS)
Executive Profile*
Philippe P. DaumanChief Executive Officer, President and Non-Independent Director, Viacom, Inc. |
Age | Total Calculated Compensation | This person is connected to 279 board members in 9 different organizations across 12 different industries. See Board Relationships |
60 | $44,342,529 As of Fiscal Year 2014 |
Mr. Philippe P. Dauman has been the Chief Executive Officer and President of Viacom, Inc. since September 5, 2006. Mr. Dauman served as an Executive Vice President from March 1994 to May 2000, Chief Administrative Officer since January 1996 and Chief Counsel and Secretary from February 1993 to October 1998 of Viacom Inc. He served as a Partner in the law firm of Shearman & Sterling in New York, which he joined in 1978. Prior to joining Viacom, he served as Co-Chairman ...
Corporate Headquarters*1515 Broadway Phone: 212-258-6000New York, New York 10036 United States Fax: -- Board Members Memberships*Former Independent Director Director, Chief Executive Officer of Viacom and President of Viacom Director Trustee Vice Chairman 1987-2006 Former Director, Chairman of Strategic Planning Committee and Member of Special Separation Committee 1994-N/A Former Director, Deputy Chairman of Viacom, Executive Vice President of Viacom and Director of Viacom 1995-2004 Former Director and Chairman of Compensation Committee 1997-N/A Former Director, Chairman of Management Development & Compensation Committee, Chairman of Stock Options Committee, Member of Audit Committee, Member of Finance Committee, Member of Pension Committee and Member of Special Committee 1997-Present Director, Chairman of Management Development & Compensation Committee, Member of Pension Committee, Member of Audit Committee and Member of Finance Committee 2000-N/A Former Director 2000-Present Director 2006-Present Chief Executive Officer, President and Non-Independent Director 2007-Present Independent Director, Chairman of Strategy, Investment & Sustainable Development Committee and Member of Corporate Governance & Nominations Committee
Education*BA Yale University JD School Of Law, Columbia University
Other Affiliations* |
Annual Compensation*
Stock Options*
Total Compensation*
Recently Viewed | |||
Name | Position/ Company | Compensation |
Thomas M. Rutledge | Chief Executive Officer, President and Director Charter Communications, Inc. | $2.0M |
Thomas J. Quinlan III | Chief Executive Officer, President and Director R.R. Donnelley & Sons Company | $1.0M |
Charles W. Ergen | Co-Founder, Chairman, Chief Executive Officer and President Dish Network Corp. | $900.0K |
James C. Smith | Chief Executive Officer, President and Non-Independent Director Thomson Reuters Corporation | $1.6M |
Leslie Moonves II | Chief Executive Officer, President and Director CBS Corporation | $28.5M | Compensation as of Fiscal Year 2014. |
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Apr 10, 2011 9:46 PM
Looking for a 16U coach or team to join organization.
Like (0)
Diamonds Softball is looking for a coach or partial 16U team to join our organization for 2011. We have already secured a 16U spot for the Colorado Sparkler and have soem spoits filled on a roster. If you are interested please call Manager Jim Rayls at (951) 329-7235 or E-mail email@example.com.
If interested give me a call.
We will be making a decision on the coaching position by this weekend. If you are interested give me a call.
Loking for a coach for a 96/95 16U combo team.
You probably already know some hot keys to capture screenshot of the desktop, like using the Command-Shift-3 shortcut for taking a screen capture of your entire screen, and the Command-Shift-4, to can choose the area you want to capture.
However, that only capture images and you probably want to do more like to video desktop capture mac additionally with sound.
How to deal with this? I recommend you Screen Capture for Mac. Screen Capture for Mac has the best screen capture function. Using a custom multithreaded SSE & Altivec accelerated, 64-bit enabled compression system, it can handle everything from capturing desktop video & audio to fast moving Keynote presentations.
Below is the detail to show you how to capture desktop video mac.
Step 1: Download Screen Capture for Mac and let the installation Wizard guide you through the process of installation.
Step 2: Launch Screen Capture for Mac and you will be presented with the Recording dialog below. Use default settings and choose the devices you wish to record audio, and press the record button.
Step 3: When you finish your recording, press command-shift-2 to stop recording. Screen Capture for Mac creates a new document of newly captured video, as shown below.
Step 4: Export and share the recorded video easily. Press Command-E or select "Export" from the File menu to export your presentation.
Ready to desktop capture video mac? Go for it.
Looking for a 96 coach or coach with partial team.
Team looks great we just need 1 more pitcher.
We have a good core of girls just looking for a good coach or a coach with a partial team. Let me know
Manager Jim Rayls
Diamonds softball
(951) 329-7235
I heard many people record screen with Macvide ScreenCap ( www.macvide.com ) , anybody used this app?
Call if you are interested.
Call if interested.
Call for information
We are looking to fill our 16U spot for the Fall showcase season. If you are interested please give me a call.
Manager Jim Rayls (951) 329-7235
Online Golf Tee Times with Last Minute Tee Time Deals & Discounts
Cool Running is the complete online resource for runners.
Find your favorite campground from the best campgrounds listing!

subset: commoncrawl


text:
Goodhew Socks
Classic Light Hiker Sock (Men's)
In Stock Product Number: 22028
The Classic Light Hiker sock by Goodhew is a merino hiking sock designed for incredible comfort and support while making the day trip up Mount Mitchell, or just walking the Guild Trail for a couple hours. Built with support in mind, the Classic Light Hiker is equipped with spandex throughout the sock to ensure it never bunches in your boot causing awful blisters or hot spots, and integrated arch support keeps your feet from fatiguing to quickly. Made in the USA!
- Spandex throughout the Sock
- Turn Welt Top
- Arch Support
- Flat Toe Seam
- These socks come in a pack of TWO!
- Made in the USA
Gender: Men's
Material: 68% Merino Wool 30% Stretch Nylon 2% Spandex
Season: S13
Vendor ProductId: CT10U-2
Review ProductId: 22028


text:
Top Definition
Another term for "no blitz" when calling shot gun for the front seat of a car. Believed to be invented by a group of homosexual rugby players.
Neil: I get the front seat in the Lexus!
Kenny: No, I called No Woopsy Doops
Kenny: No, I called No Woopsy Doops
โดย Tom Bric
30 ธันวาคม 2007


text:
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The 411 on shared decision-making
Blog Entry:
February 12, 2013 4:30 AM | Author: RICK CHELKO
Rick Chelko is president and founder of
The Chelko Consulting Group
, a health and welfare benefits consulting firm in Westlake.
A new trend is emerging — patients entering their doctors' offices armed with copies of diagnosis, treatment and articles downloaded from medical websites and other sources.
All this information is making it more complicated for doctors to diagnose, treat and prescribe like they used to. The message is clear - doctors now have to pay attention to more informed patients and share decision making with them.
HR managers have wondered (probably doubted) if their covered people were really using the medical web sites and other information they have made available. The answer seems to be yes! A lot of people are getting more medical information and are going through an attitudinal change. Writes big pharma consultant Al Topin:
They (patients) no longer salute the doctor's white coat and do exactly what they are told. They have multiple sources of information, loads of questions . . . and they expect to play a major role in treating their health problems.
While the Internet, smart phone apps and social media have served both as enablers and enticers of greater patient information, the Affordable Care Act, or ACA, is being seen as a major mover in getting patients to do what benefits managers have long wanted them to do; not just seek medical care, but actual medical value.
Pharma consultant Greg DiPietro writes, "With the approval of the healthcare law, the conversation has moved . . . to one of overall 'value,' which reflects the ACA's stated mission to deliver more effective care at a lower cost."
This value orientation is extending to closer patient scrutiny of medical services in the area of frequently over-used elective services. This evolution is assisted by a newly codified concept, found in Section 3506 of the ACA, "shared decision making," or SDM. Again, Mr. DiPietro: "Reform legislation calls for pilot projects exploring SDM, which creates a formal process that lets patients participate in making 'informed choices' about elective procedures.'
The good news keeps coming. HR managers don't have to go out and buy some new thing or service to help their employees participate in SDM. Many of the medical web sites and other informational tools available and used today can already assist in SDM. From the Jan. 3, 2013, issue of the
New England Journal of Medicine
For many health situations in which there's not one clearly superior course of treatment, SDM can ensure that medical care better aligns with patients' preferences and values. One way to implement this approach is by using patient decision aids — written materials, videos, or interactive electronic presentations…
Not sure if your health plan's website's tools measure up? Look no further than the National Business Group on Health's suggested SDM tool list.
Want to know if SDM has any payoff? Consider what the
New England Journal of Medicine
20% of patients who participate in SDM choose less invasive surgical options and more conservative treatment.
The Lewin Group estimated $9 billion in savings attributable to SDM nationally over 10 years
Group Health in Washington State showed that using SDM reduced hip and knee replacement surgeries by 38% and saved 12% to 21% of cost in six months
Maybe that kind of payoff is enough for companies to take a page out of the state of Oregon's playbook and provide incentives if employee/patients use the SDM materials they make available before having elective surgery or, perhaps even more effectively, apply higher deductible/copay penalties if they don't.
Mr. Chelko is president and founder of
The Chelko Consulting Group
, a health and welfare benefits consulting firm in Westlake.
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text:
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the hot seat. Pull up a seat and stay awhile. Plush stool dines comfy at counter height in a bright pop of red. Carefree acrylic basketweave is tailored trim with welt detail that traces rounded corners from curved shoulders to edge of seat. Tubular metal legs stand spare and sleek in polished nickel finish.


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My biggest issue with AMDCCCLE is the fact it uses AMDPCSDB. When I was using the binary driver more often I would get very frustrated when I'd manually set something in xorg.conf and it won't work since AMDCCCLE was overriding it. Is there a command-line way to modify AMDPCSDB? Even so, its rather silly (and wasted effort) to have a whole seperate database subsystem for what amounts to a handful of options many of which have xorg.conf equivalents.
As far as a control panel for the open source driver, I'm somewhat surprised there isn't a good driver neutral GUI for that. My only guess is that most drivers don't have a lot of options and they do seem to change rather frequently, so nobody tackled this issue.
Since Nvidia's is open source and takes the right (IMHO) route of manipulating the driver via xorg.conf options, someone might want to extend it to all X drivers, including the open source radeon one.


text:
This item has been discontinued and is no longer available
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It'll be a summer full of memories and color with this Endless Summer Boardshort.
Get an alert when we add new styles of Hawaiian Island Creations! Simply sign up and we'll notify you.
In 1971, brother Stephan and Jimmy Tsukayama opened Kailua Bike Shop on Uluniu Street. A year later, the infamous Energy Crisis was upon us. Bike sales soared and with the additional capital the company expanded into the wholesaling of packaged plant items. To appeal to the tourist industry, "Hawaiian Island Creations" was composed in 1972 and Paul Ichimura was commissioned to create the present distinctive symmetrical logo.
In October 1995, HIC opened in Haleiwa Town on the North Shore of Oahu. The next few years brought dramatic changes to the make-up of the company. HIC's first Japan Addition opened in the city of Chiba In April 1997. Presently Coral Head in California is the national HIC clothing license and SFO Hawaii is the surfboard licensee. Internationally, HIC has licensees Europe, Brazil, and Japan.
Today HIC has 7 locations on the island of Oahu and 1 location in Lahaina, Maui. HIC continues to grow with Hawaii and with over 30 years of experience, HIC is still Hawaii's finest surf shop... Enjoy the ride!


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Iowa Hawkeyes Mens
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May 6, 2015
Get a look at the stories trending online from the Morning Show and what's on the menu at local area schools, all with some upbeat music!
It's all in the video above, so check it out! And, if you want to read more of the stories that are trending, check out the links below!
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or firstname.lastname@example.com.


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Top Definition
1) Someone who sucks up to you to gain your favor. This is done by doing stuff for you for no apparent reason, laughing at stuff you do that wasn't suppose to be funny, agreeing with everything you say, etc...
2)Also known as the TEACHER'S PET or ASS KISSER.
Eating pussy is like dealing with the mafia: One wrong move and your in deep shit!
von Joshiro007
24. Februar 2003
23 more definitions
A brown nose is a Sycophantic person who has their head so far up somebodys ass that they have a brown nose, hense the name.
"hey stop bringin' the teacher apples every day y' brown nose!!"
von Andy S. All
14. September 2005
Someone who 'suck up'. He is a person of low or irrelevant technical standing wishing to distinguish himself by his presence and input at meetings for which he has a minimal or no understanding. Complimenting and Agreeing with senior staff and their poorly thought-out plans is the typical implementation of this position. The position is typically advertised under a job-pseudonym.
Look how Brown Nose sucks up to The Man in Beige! He makes me sick!
von pipistrone
27. Oktober 2004
1. To try too hard to impress someone (often your manager at work). To be an ass kisser.
She is the biggest Brown Nose in the company!
von C.J. Byrne
17. April 2008
To suck up, charm, flatter and kiss butt by bodily or vocal charm.
George brownnosed his way to the top instead of getting there legitimately like everyone else.
von xAv1eR0o1
24. Oktober 2005
To seek favour by sniffing the bumhole of a superior; hence "Brown-Noser".
"Blair brown-noses Bush like a good poodle, hoping to get a profitable lecture tour on retirement." (Prince Charles in a confidential memo to his secretary, 1998)
von Edna Sweetlove
24. September 2006
to suck up or kiss ass. the term BROWN nose is because your nose is up there ass as you're kissing it, if that makes any sense.
John is a total brownnoser because he is always sucking up to the teacher.
John likes to brown nose in english class, because he needs a b etter grade and won't just do the work.
John likes to brown nose in english class, because he needs a b etter grade and won't just do the work.
von awink
27. Februar 2006


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Ice maker/water not working with dimming LED, power management, clicking from back Henry O. • Temecula, CA • April 01, 2014 Appliance: General Electric Refrigerator GSH25VGREWW My Repair & Advice The indication was that when I tried to use the icemaker or water dispenser, the green LED on the front would dim and the ice maker dispenser wouldn't work. It was intermittent at first, but this indicated it may be a power management issue, in that insufficient voltage was getting to the ice dispenser motor. I unplugged the unit to reset the electronics for about a minute, and when I plugged it back it the compressor would try to turn on (solenoid or relay would click about every two seconds) but it wouldn't run, but eventually went on. The next day I tried to reset it again, but this time it continued clicking every two seconds, so after a few hours I unplugged it. This was a second indication there may not be enough power getting to the compressor. I searched You Tube under the Model number and found a video with the same clicking issue, and he showed that he replaced the main board in the back. I accessed the back panel and sure enough there is a power transformer on the board, so I figured this was the problem. When I searched the model number and Main Board your site came up with the part. It was the best price we had seen. I ordered the part on Monday evening about 6:30 pm, but then called early Tuesday morning to see if I could expedite shipping. Since it was coming from Ventura and I'm in Temecula and your company sends by FedEx there was no need to change the shipping. I got the part Wednesday by 2:00 pm and had it up and running by 3:00 pm. I only needed to change the connector for the ground wire from a screw hole type to a plug in type (like a speaker connector) on the new board. I think this was a quarter inch female connector and it would be nice if you supplied this alternate part with the board. The cover comes off with just three hex head screws. My hand held screw driver receiver for the phillips/standard screw driver tip actually fits the hex head screws. The only difficult part is removing the old board which is held on with four expanding tip plastic arrows type retainers. I found an old tube dispenser tip (like the kind for a caulking tube - but clean) with a small opening in my tool box and used this to compress the end of the plastic retainers by just pushing it onto them without breaking them and then the old board slipped right off. There are four wire harnesses that are all different so your not likely to confuse their placement, just pay attention. The main power harness is also keyed so you can only connect it one way. The ice maker water line inlet is above the power board location. Although the cover has a foam seal, if this seal is bad and the water line leaks from above this could allow water to get into the board location. If you have evidence of this you should seal the cover after screwing it in place with duct tape or metal foil tape to protect it. While I had the unit out I also took off the back lower panel and vacuumed out the dust (carefully) around the heat exchanger coils. Was this review helpful to you?
Freezing only on bottom, even on fresh food side Dwayne M. • Knoxville, GA • March 21, 2014 Appliance: General Electric Refrigerator GSS22IFPCWW My Repair & Advice My sensors were the old style that are known to be bad. So i replaced all of them, but it was still freezing the bottom on both sides. So i dug further and found that the condenser fan wasn't working so i replaced it and it's been working perfectly ever since. Was this review helpful to you?
Run capacitor Joe B. • Kyle, TX • June 06, 2014 My Repair & Advice Replaced part Was this review helpful to you?
Light on but no cooling in refrigerator or freezer Stephen K. • Southport, NC • March 28, 2015 My Repair & Advice I read comments from other customers, ordered the main control board which arrived in 3 days. Used your video tutorial to replace and everything works now. Was this review helpful to you?
Nothing worked except the light :) Przemyslaw B. • Wallington, NJ • September 20, 2014 Appliance: General Electric Refrigerator GSH22JSTASS My Repair & Advice I changed the motherboard - computer and also changed the motor in the freezer, because it was doing a howling sound every time it turned on. The repair technician asked for $500 for a repair and that is on top of the $230 I paid him two days before. I looked up the parts and decided to try myself and it paid off. Great instructional videos. Thanks Was this review helpful to you?


text:
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10 Feb 2013
South Caribbean Cruise
Adventure of the Seas - 7 nights ex San Juan, Puerto Rico
Past Sailing
Don't miss out on Adventure of the Seas over 7 exciting nights aboard the South Caribbean Cruise to Caribbean. Your ship starts out from San Juan and calls into 6 ports in 6 countries before returning to San Juan. Your 4 star cruise from Royal Caribbean Cruises has forward departures, but is unfortunately sold out for this departure.
Day | Date | Port of call | Arrival | Departure |
1 | Sun 10 Feb 2013 | San Juan, Puerto Rico | 8.30pm | |
San Juan, the capital and most populous city of Puerto Rico, is the oldest city on US territory. It is the Caribbean commercial hub, best known for its beautifully restored historic district of Old San Juan. It is situated on a rocky peninsula girded by thick walls jutting into the crashing Atlantic surf. With its 400 restored buildings from the 16th and 17th century Spanish colonial period, this area is steeped in history. Add to this the expansive stretches of smooth clean beaches, boutiques, and pleasant restaurants, and one understands why this port is the heart of the island's tourism. Take time to stroll along the narrow cobblestone streets and investigate the pastel-coloured buildings, restaurants, museums and mansions. Explore El Morro, the dramatic fortress on a rocky promontory with its barracks, dungeons, turrets, towers and tunnels. The massive Castillo de San Cristobal with its series of fortifications, and the World Heritage Site La Fortaleza, comprising a forty room mansion that was completed in 1540, are also well worth visiting. Some interesting neighbourhoods are well worth your time. They include: the 'seen-it-all' Condado; tranquil Ocean Park; gritty Santurce, relaunched with art galleries after a two-decade-long depression; and swanky Isla Verde awash with resort hotels and casinos. There are many statues and monuments to be appreciated including: the Citizen of the Americas, a statue of Christopher Columbus, and one of the first native Puerto Rican who served as governor, to name but a few. The San Juan Cemetery is considered a beautiful place of great historical interest, as is the El Capitolio de Puerto Rico, a powerful symbol of self-government. Its interior design highlights Puerto Rico's history through the medium of murals. Above all you will find yourself surrounded by warm and friendly people. more/less... |
2 | Mon 11 Feb 2013 | St Croix, US Virgin Islands | 8.00am | 5.00pm |
Saint Croix is the largest of the US Virgin Islands in the Caribbean. Spain, Great Britain, the Netherlands, France, the Knights of Malta, Denmark and the United States all played a role in its past, and brought their influence to this small island. This has resulted in a fascinating culture that is best experienced through its arts, crafts, and music, as well as the festivals and cultural events that are held throughout the year. Visitors can also absorb the beauty of its gorgeous beaches, the surprisingly diverse landscape, and take the time to explore the two main towns of Christiansted and Frederiksted. St Croix is a sensational setting for enjoying a range of water-activities that include sailing lessons, snorkelling, and dving among vibrant reefs just minutes away from fascinating sunken ships. Take the opportunity to fly a kite on the beach, and if energetic go kayaking. Another alternative is to explore the island scenery with an eco-tour, safari tour, or horseback ride. Those interested in the island's rich and lengthy history will be sure to visit the many museums, churches and other historical sites. As can be imagined, St Croix offers cuisines that span the globe, from French to Thai to Caribbean fusion, although there are also plentiful cafes, pizzerias and American restaurants. The two charming towns offer countless duty-free stores to satisfy eager shoppers. All will appreciate this tropical destination with its lush green hills, warm aquamarine water, and sugar-white sand beaches. more/less... |
3 | Tue 12 Feb 2013 | St Martin, St-Martin / St Maarten | 8.00am | 5.00pm |
The island of Saint Martin (Sint Maarten) was discovered by Christopher Columbus in 1493, and is located about 250 km north of Guadeloupe. Since February 2007, after a poll, it has become a French Territorial Collectivity. Previously divided between the Dutch and the French, the peaceful cohabitation of the two communities has resulted in this tiny island becoming an extremely popular holiday and duty-free shopping destination in the Caribbean. Probably most famous for its delightful variety of 37 palm-treed beaches that even include salt-water ponds, one can simply laze, or go snorkelling and scuba diving in the coral reefs, or windsurfing, and even parasailing. Renowned for its elegance and variety of cuisine, there are many restaurants and bistros, but Grand Case, with its small wooden 'gingerbread style' cottages, is considered the gourmet capital of the island. All the great chefs, European, American, or Asian vie to compete in this gourmet capital of the Caribbean, creating cuisines equal to the best of Paris or New York. Above all, vacationers have the opportunity to enjoy three distinct cultures on one island. There is the delightfulness and soberness of the Dutch on one side, the savoir-faire of the French on the other, and the blending of both with exotic native heritage. Motorboats and sail boats offer excursions, while those who enjoy game fishing are sure to appreciate the variety of fish found in the offshore waters. Visit the historical Museum of Saint Martin and then possibly take a climb to the historic Fort Louis, built in 1767. Traces of Saint Martin's history can also be found in the other villages of the island. The pastel-coloured houses and tulips in Phillipsburg tell their own story, while in Quartier d'Orléans, the original settlement of the French on the island, much of the old structures and atmosphere has been preserved. more/less... |
4 | Wed 13 Feb 2013 | St John's, Antigua and Barbuda | 8.00am | 5.00pm |
St. John's, the capital of the island nation of Antigua and Barbuda in the Caribbean, sits on the NW coast of the tropical island of Antigua that is home to innumerable magnificent beaches. This wonderland of shopping and restaurants is a great spot to soak up the sun throughout the year. St.John's reflects its British heritage with such edifices as Fort Barrington that looms dramatically over the shoreline, and Fort James built in the 17th Century. Then there's the national sport of cricket that highlights its predominantly British culture. However, above all, it feels more like a tropical paradise. Within walking distance of the pier are fascinating small streets with traditional shops, and restored colonial buildings which line the waterfront. All are dominated by the evocative white neo-baroque towers of the well known St John's Cathedral. Antigua and Barbuda are aptly named the 'Gateway to the Caribbean'. To appreciate the early history of the islands, be sure to visit the Museum of Antigua and Barbuda, where thought-provoking replicas and models cleverly depict the history of the Caribbean. The Cedar Valley Golf Course, known for its sweeping views of the sea, offers a very enjoyable change for many. The colourful and different statue of the respected elder statesman of Antigua & Barbuda, V C Bird, has resulted in a wide range of opinions, and should not be missed. Of special interest is the sad piece of history that can be seen at Betty's Hope, where a sugar plantation set up in 1674 is preserved as a monument to the slaves whose labour was exploited. An alternative is to take a day trip on the Barbuda Express, an enjoyable ferry ride. The staff is very attentive, so with music playing the whole time visitors have a lot of fun singing along. Then they delight in the Island's amazingly secluded pink sand beaches. There are also tours that provide a delightful sampling of what the Barbuda Island has to offer. These may include the Frigate Bird Sanctuary, Low Bay that is regarded as one of the top ten beaches in the world, and the caves at Two Foot Bay, to name but a few of this island's highlights. more/less... |
5 | Thu 14 Feb 2013 | Castries, St Lucia | 8.00am | 5.00pm |
Castries is the capital of the volcanic island country of Saint Lucia, part of the Lesser Antilles in the eastern Caribbean Sea. Its popularity stems from the tropical weather (the dry season runs from December through May), scenery, and numerous beaches. Saint Lucia's population is predominantly of African and mixed African-European descent, and while the official language is English, French-Creole is spoken by 95% of the population. North of downtown and across the harbour is Vigie Peninsula, host to the island's largest duty-free complex, where many tourists spend the entire day. The area around Castries is well worth exploring, either by car or bus. Sightseers admire murals painted by a local artist inside the Cathedral of the Immaculate Conception, and relax in Derek Walcott Square, named for the St. Lucian Nobel-prize-winning poet. Atop the 253m high Morne Fortune (Hill of Good Luck) is Fort Charlotte - where the French and English battled over control of the island - visitors take in panoramic vistas. Also visit the City Library and Government House. Interestingly, each May since 1991 Saint Lucia has hosted an internationally renowned Jazz Festival. For rum lovers, how about a behind-the-scenes tour of a traditional distillery, complete with a chance to taste the island's famous export. From the port at Castries, take a trip to the 'drive-in' volcano and Sulphur Springs, where the crater bubbles with hot sulphur springs, or the beautiful tropical surroundings of Diamond Botanical Gardens Waterfall and Mineral Baths. Also visit the magnificent world heritage site of the twin peaks, The Pitons. Other tourist attractions include the Botanical Gardens, and the Pigeon Island National Park, home to an old British military base. more/less... |
6 | Fri 15 Feb 2013 | Bridgetown, Barbados | 8.00am | 5.00pm |
The city of Bridgetown is the capital and largest city of the island country of Barbados, a major tourist destination in the West Indies. The city has numerous attractions, landmarks, monuments, museums, and art galleries of an international standard. It is also a starting point for visiting many other popular cities on the island. This historic city and its nearby Garrison are recognized as a UNESCO World Heritage Site, so be sure to take a virtual tour to explore the area. While tourists devote at least a portion of their time in Bridgetown to see the monuments and museums, duty free sales also attract a great deal of attention. With a host of fascinating things to be done, one suggestion would be to take a trip to the Tyrol Cot Heritage Village. It is rather like stepping back in time, as the Barbados of old is recreated here, offering visitors the chance to learn about its agricultural past and slave days. Explore the delightful beaches, discover the oldest synagogue in the western hemisphere, and visit the Barbados Garrison, a former 17th century British military base. The Public Buildings or Parliament, which stand directly north of Heroes Square, are home to the third oldest continuous parliament in the British Commonwealth. Bridgetown is typical of all good Caribbean islands and resorts, boasting a fine selection of tropical white sandy beaches - many with superb coral reefs and even submerged shipwrecks - affording excellent snorkelling and scuba diving opportunities. Many will be sure to taste some of the famous local rum, while some may take an electric tram to journey through a series of underground caverns. There is truly something for everybody. Indeed, at one point in the city's early history, Bridgetown was the most important city of all British possessions in the New World due to its easterly location in the Caribbean region. more/less... |
7 | Sat 16 Feb 2013 | At Sea | ||
8 | Sun 17 Feb 2013 | San Juan, Puerto Rico | 6.00am | |
San Juan, the capital and most populous city of Puerto Rico, is the oldest city on US territory. It is the Caribbean commercial hub, best known for its beautifully restored historic district of Old San Juan. It is situated on a rocky peninsula girded by thick walls jutting into the crashing Atlantic surf. With its 400 restored buildings from the 16th and 17th century Spanish colonial period, this area is steeped in history. Add to this the expansive stretches of smooth clean beaches, boutiques, and pleasant restaurants, and one understands why this port is the heart of the island's tourism. Take time to stroll along the narrow cobblestone streets and investigate the pastel-coloured buildings, restaurants, museums and mansions. Explore El Morro, the dramatic fortress on a rocky promontory with its barracks, dungeons, turrets, towers and tunnels. The massive Castillo de San Cristobal with its series of fortifications, and the World Heritage Site La Fortaleza, comprising a forty room mansion that was completed in 1540, are also well worth visiting. Some interesting neighbourhoods are well worth your time. They include: the 'seen-it-all' Condado; tranquil Ocean Park; gritty Santurce, relaunched with art galleries after a two-decade-long depression; and swanky Isla Verde awash with resort hotels and casinos. There are many statues and monuments to be appreciated including: the Citizen of the Americas, a statue of Christopher Columbus, and one of the first native Puerto Rican who served as governor, to name but a few. The San Juan Cemetery is considered a beautiful place of great historical interest, as is the El Capitolio de Puerto Rico, a powerful symbol of self-government. Its interior design highlights Puerto Rico's history through the medium of murals. Above all you will find yourself surrounded by warm and friendly people. more/less... |
Adventure of the Seas is based in San Juan (Puerto Rico), offering two different 7-night voyages. One visits five ports in the Eastern Caribbean, the other calls at four ports in the Eastern and Southern Caribbean. Adventure of the Seas entered service in 2001, was last refitted in January 2014, and at 137,276 GT and carries 3114 passengers.
Staterooms come in four main categories and 22 grades, with variations based on guests' needs: Suites/Deluxe Staterooms, Balcony Staterooms, Outside Staterooms and Interior Staterooms. When selecting accommodation consider the view, the level of privacy, and location near to or far from activity areas. All staterooms come with private bathroom, vanity area, hair dryer, interactive TV and phone. Many cabins are family-friendly with up to four additional bunk beds, and interconnecting rooms. Promenade staterooms overlook the interior Royal Promenade, and some accommodate up to six people. There are no single cabins, and many are wheelchair-accessible. In-cabin service and dining is available 24-hours.
Food and Dining
For the Main Dining Room, spread over three levels, select from three dining choices before cruising: fixed seating at the same table nightly, at either early or late sitting; open-seated My Time Dining (with pre-paid gratuities) at a flexible time; and early sitting My Family Time Dining that allows children aged 3 to 11 years to leave for their Adventure Ocean kids club. Menus feature healthy, vegetarian and kosher options. Special dietary needs can be catered for by giving advanced notice. Menus change daily throughout the cruise. Evening dress is casual or smart casual. Expect one to three formal evenings in the Main Dining Room during your cruise. There are seven complimentary eating options, including Windjammers Café, Jade Sushi and Asian cuisine, Café Promenade for coffee, pastries/snacks, and room service.
Signature features to entertain you include: Broadway-style productions in the Main Theatre; Studio B's ice shows, comedy, game shows, onboard parties, and cooking demonstrations (and when the rink is not being used, skate for free); and gaming in Casino Royale. Live music features around the pool, in the main dining room, and in many lounges, bars and specialty venues. There are always parties and parades to join. Alternatively, just stroll around the Royal Promenade and shop duty-free, or for a quiet time retire to the Library/Card Room or Internet Café.
Click here to view Adventure of the Seas's calendar of future cruises or
View the current location for Adventure of the Seas here!
Cruise summary
Cruise: South Caribbean Cruise
Duration: 7 nights
Ship: Adventure of the Seas
Star rating:
Departs: San Juan
Returns: San Juan
Ports of call: 6
Forward departures:
What's onboard? ▼
- StateroomsStaterooms, room service
- Royal Promenade
- Shops, Souvenirs
- Dining & Café venues (8)
- My Family Time Dining
- Mystery Dinner Theatre
- Ben & Jerry's Ice Cream
- Bars, clubs, lounges (15)
- Broadway Production
- Comedy, jazz, karaoke
- Nightclub
- Casino Royale
- Swimming pools (3)
- Whirlpools (6)
- SCUBA (Caribbean)
- Solarium adult retreat
- Vitality Spa & Fitness
- Basketball court
- Ice-skating rink
- In-line skating
- Jogging track
- Sports courts
- Rock-climbing walls
- Golf simulator
- Mini-golf course
- Games, contests, dancing
- Internet, Wi-Fi (pay)
- Enrichment lectures
- Library/Card room
- Conference Centre
- Wedding packages, Chapel
- Youth Program, lounge
- Babies & Tots activities
- Laundry, drycleaning (pay)
- Mobile phone reception
- Wheelchair accessibility
- Medical centre
What's included? ▼
- Accommodation as booked
- Flight/s and/or transfers as specified
- All main meals on-board
- Coffee, tea, iced water, lemonade 24 hrs
- Anytime or fixed sittings, & multi-venue dining
- In-cabin dining at no charge
- Use of ship facilities - indoor & outdoor
- Entertainment - live music and/or shows, movies
- Activities - organised & individual
- Bridge director on select cruises
- Infant crèche, kids clubs & teen programs
- Cruise Director & all English speaking staff
- Special needs requests & service animals allowed
- Ship-shore-ship transfers
What's excluded? ▼
- Airfares, accommodation & transfers not specified
- Shore & land excursions and meals not specified
- Alternate specialty dining venues
- Alcoholic beverages, soft drinks
- Casino gaming, bar expenses
- Certain entertainment, fitness classes
- Passport & visa fees
- Insurances of all kinds
- Increases in third party charges or taxes
- Customary land tour gratuities are welcome
- Service charge: A$ 11.90/US$ 12) per guest (A$ 14.20/US$ 14.25 for suite guests) pp/night is included in pre-paid fare. Or, service charges can be paid onboard. For all ages. Modify for inadequate service.
- Service charge 15% automatically added to bar, mini-bar, spa & salon services.
- Items & services of a personal nature
- Medical services, vaccination costs
- Laundry and/or valet charges
- Wi-Fi, Internet, satellite/mobile phone & fax charges
- Babysitting, individual or in groups (from 1 yr)
Recent testimonials
"Had a wonderful cruise. Thank you for all your help and the wonderful attention you gave me to achieve this fantastic trip. "
Barbara B from Miami Beach
"Terri remembered every member of our party from last year's Diamond Princess. She goes out of her way to say hello & is always ready with helpful advice."
Margaret from NSW
"I wanted to let you know how impressed I am with the excellent service Roxana has provided. From the first time I spoke with Roxana, her friendly helpful manner really impressed me."
Sandra F from Brisbane
Other Ships ▼
- Allure of the Seas
- Anthem of the Seas
- Brilliance of the Seas
- Enchantment of the Seas
- Explorer of the Seas
- Freedom of the Seas
- Grandeur of the Seas
- Independence of the Seas
- Jewel of the Seas
- Legend of the Seas
- Liberty of the Seas
- Majesty of the Seas
- Mariner of the Seas
- Navigator of the Seas
- Oasis of the Seas
- Quantum of the Seas
- Radiance of the Seas
- Rhapsody of the Seas
- Serenade of the Seas
- Splendour of the Seas
- Vision of the Seas
- Voyager of the Seas


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Polo Pima Cotton V-Neck Sweater
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Polo Pima Cotton V-Neck Sweater
Color: | |
Size: | |
Brand: | POLO RALPH LAUREN COR |
Style: | 87435-BTFZ |
Our Price: | $62.50 |
This classic sweater is made from luxurious Pima cotton and designed with a V-neckline.
Ribbed V-neckline. Long sleeves. Ribbed cuffs and hem.
Our embroidered pony accents the left chest.
100% Pima cotton. Hand wash. Imported.
send to a friend | print notes |


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Top Definition
The term romantic deception, coined by Dr. Sally Caldwell, author of the book Romantic Deception: The Six Signs He's Lying, "is the unrestrained misrepresentation of significant facts in the context of an intimate relationship."
Sheila became a victim of romantic deception when she learned the man she'd been dating for six months was actually married to another woman.
Por b4ucommit
18 de octubre de 2010


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A precise Deutsche-Wurlitzer replica of the legendary model 1015 (first built in 1946), this classic jukebox houses a thoroughly modern 200-watt stereo amplifier, six powerful speakers, and a microprocessor-controlled 45 record player. The program book contains over 1,000 titles, and the pages turn automatically to show a full view of 6 record contents at a time. Jukebox can be set to play random songs at timed intervals if no selections are made by listeners. With automatic memory of top-played tunes, continuous and random play options, and volume control. A four-digit LED display shows CD and track numbers. Wood cabinet with walnut finish. 60" H x 32" W x 25" D. (355 lbs.)
Lifetime Guarantee
The Wurlitzer 45 Jukebox comes with The Hammacher Schlemmer Lifetime Guarantee at no additional charge. If this product ever disappoints you, for any reason, you may return your Hammacher Schlemmer purchase for exchange, credit, or refund.Should you have any questions, we are available 24 hours a day, seven days a week. Please call 1-800-321-1484 to speak with a product specialist or email us at email@example.com to receive a response within one hour.
Shipping charges noted in parentheses apply in addition to our standard shipping & service.
We're sorry, but gift wrap is not available. Please call 1-800-395-7006 for Premium or Express delivery rates.
Oversized items scheduled for expedited delivery (Premium or Express) may incur additional shipping and services charges because of their unusual size. Please call 1-800-321-1484 for an estimate of S&S charges. International callers, please call 1-513-860-3397.
We're sorry, but gift wrap is not available for oversized items.
Shipped via truck and may require customer assistance upon delivery. You will be contacted to make an appointment for delivery.
We're sorry, but gift wrap and gift cards are not available.
GST still applies and will be charged upon processing. For complete shipping & service charges please call Customer Service at 1-800-321-1484.
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Toll Free 1 877 861 7257 - Mon to Fri 10am - 4:00pm PST
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Heavy duty 16 oz washed canvas, surplus grade cotton webbing, genuine leather zipper pulls, custom logo lining.
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We have found 6 items matching your search.
Fitness/Physical Education, Fitness/Physical Education Classes
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great news!!!!!!!!!!!!! yahoooo
Phoronix: FFmpeg Experiences A New Release, Finally!
FFmpeg, a popular free software project to record, convert, and stream audio/video files of various formats, has finally readied itself for a new release. FFmpeg is relied upon heavily by MPlayer, but official releases are far and few between...
great news!!!!!!!!!!!!! yahoooo
Does this give BluRay video and audio support?
For Blu ray you'd need to fight with the copy protection; the rest is no problem.
About VDPAU: sure that it's in 0.5? I don't see any coment in their release-notes...
Personally I'm still waiting for fixing last bugs in ffmpeg-mt and merging. That will be important step in ffmpeg's development
I hope this release tweeks some AVC HD playback.
It'll be highly appreciated.
It was committed here:
and is easily found in the libavcodec/ directory.
This afternoon there might be a Phoronix interview with FFmpeg developers.... If anyone has questions, be sure to post them here very soon.
If you interview the ffmpeg devs, here's one I'd like to see addressed:
The sole remaining "unplayable" audio format from Blu-ray disks is DTS-HD MA. Most Sony and Disney releases have the primary audio track *only* in this format. Samples have been submitted *and* code was posted to the ffmpeg dev list showing how to parse out the DTS "core" in these files which could then be used as any normal DTS track for decode or passthrough. Also, PID information for all the Blu ray audio track types has been posted, along with patches to allow proper identification of them. The code was rejected but no alternative has surfaced. This was about three months ago-- any status update on when someone might be able to look at this and make a giant segment of libavcodec/libavformat end users extremely happy?


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Premier League - Brendan Rodgers hails "outstanding" Liverpool after drab draw
Liverpool manager Brendan Rodgers described his side as "outstanding" despite a goalless draw away to West Bromwich Albion. More »
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Inter Milan host a Roma side battling to secure a place in next season's Champions League group stage. More »
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America's Cup 2013
Luna Rossa sailing in San Francisco
Luna Rossa/Studio Borlenghi © This site and its contents are © Copyright TetraMedia Pty.Ltd. All Rights Reserved. Photographs are copyright by law, if you wish to use an image from Sail-world.com, Powerboat-world.com or marinebusiness-world.com, Contact us. Click Here to close this window |


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Still on their way to Violet City, Ash and co decide to stop at Happy Town for the night. At the Pokémon Center, they meet Blissey (the evolved form of Chansey); however, it is extremely clumsy. Nurse Joy then arrives in her pajamas and checks Blissey and notices Ash covered in bandage making him look like a mummy and lets out a pierced scream and she apologizes to Ash for having Blissey put you in trouble. When Team Rocket enters the scene, while everyone is sleeping, Blissey looks super-happy to see Jessie. What is the connection between Blissey and Jessie, and why does Blissey carry only half an egg pendant?
Pokémon Characters
- This episode reveals more of Jessie's past. Other episodes to do this are Holiday Hi-Jynx and Snow Way Out.
- This is the second episode to show a character bleeding. The first is IL041: Wake Up Snorlax!, when Misty cut herself on a thorn.
- Like Brock in JE009: The Little Big Horn, Jessie had to do what was best for her Blissey friend and had to be cruel to be kind.
This article is an anime stub. Please help the Pokémon Wiki by expanding it. |
This article has an incomplete plot or synopsis. Please help the Pokémon Wiki by expanding it. |


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Find the perfect hotel in South Amboy using our hotel guide provided below. Search for cheap and discounted hotel and motel rates in or near South Amboy, NJ for your upcoming personal or group travel. We provide the best South Amboy, New Jersey hotel and motel rooms. Browse the South Amboy area hotels to find the perfect lodging! Please use the provided map of the South Amboy hotels. The South Amboy center point is about 2 miles from Tottenville and 3 miles from Richmond Valley. |
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Top Definition
noun. The curious, hard-to-define person at the office. Related to the act of naming all the people you work with to match people from NBC's "The Office." There are Jims, Angelas, Stanleys, Dwights, etc. And then .... you get to one you can't place -- that's the wonder mifflin.
Frank's a hard one. He collects knives so I want to go Dwight, but he's also really nice and has a good record collection. Total wonder mifflin.
av jberkj
17. januar 2011


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Abdominal Pain (Causes, Remedies, Treatment) Center - Monterey Park, CAWebMD Physician DirectoryMonterey Park, CaliforniaAbdominal Pain (Causes, Remedies, Treatment)Abdominal pain facts
Read the Abdominal Pain (Causes, Remedies, Treatment) article » Other Related Abdominal Pain (Causes, Remedies, Treatment) ArticlesEmergency Contact for Monterey Park
Nearby Monterey Park Hospitals *Garfield Medical Center Monterey Park Hospital Silver Lake Medical Center Alhambra Hospital Medical Ctr San Gabriel Valley Medical Ctr Beverly Hospital BHC Alhambra Hospital East Los Angeles Doctors Hosp Los Angeles Community Hospital Keck Hospital Of USC USC Kenneth Norris Cancer Ctr LAC USC Medical Center Greater El Monte Community Hosp Promise Hospital White Memorial Medical Center Huntington Memorial Hospital Los Angeles Sheriff's Dept Med Aurora Las Encinas Hospital Pacific Alliance Medical Center Kaiser Mental Health Center Barlow Respiratory Hospital Methodist Hospital Southern CA Community Hospital Huntngtn Prk Gateways Hsptl & Mntl Hlth Presbyterian Intercommunity Silver Lake Medical Center Good Samaritan Hospital California Hospital Medical Ctr Impact Drug & Alcohol Treatment Kaiser Permanente Medical Ctr St Vincent Medical Center Downey Regional Medical Center Glendale Adventist Medical Ctr Kedren Community Mental Health Glendale Memorial Hospital Temple Community Hospital Shriners Hospital For Children Rancho Los Amigos Hospital Childrens Hospitals Los Angeles Hollywood Presbyterian Med Ctr Metropolitan State Hospital Kaiser Permanente Medical Ctr Whittier Hospital & Medical Ctr Kaiser Permnte Ls Angls Med Ctr St Francis Medical Center Citrus Valley Medical Center City Of Hope National Med Ctr Coast Plaza Hospital Doctors Hospital Of West Covina Los Angeles Metropolitan Med Norwalk Community Hospital Verdugo Hills Hospital Hollywood Community Hospital Lapaz At Paramount Kindred Hospital La Mirada College Hospital Cerritos Kindred Hospital Promise Hospital Of East LA Bellflower Medical Center Providence Saint Josph Med Ctr Guardian Rehabilitation Hosp Olympia Medical Center Citrus Valley Medical Center Miracle Mile Medical Center La Casa Mental Health Center Lakewood Regional Medical Ctr Kaiser Permanente Medical Ctr Anaheim General Hospital Cedars-Sinai Medical Center Centinela Hospital Medical Ctr Aurora Charter Oak Hospital East Valley Hospital Med Ctr Memorial Hospital Of Gardena Kindred Hospital-Los Angeles Kindred Hospital South Bay *Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |


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Topic Overview
What is a hysterectomy?
A hysterectomy is surgery to take out a woman's uterus, the organ in a woman's belly where a baby grows during pregnancy. After a hysterectomy, you will not be able to get pregnant.
Other organs might also be removed if you have severe problems such as endometriosis or cancer. These organs include the cervix (the lower part of the uterus that opens into the vagina), the ovaries (glands on both sides of the uterus that release eggs for pregnancy), and the fallopian tubes (the passageway between the uterus and the ovaries).
Whether or not the ovaries are removed will depend on your age and risk for certain types of cancer. For example, removing the ovaries lowers the risk of ovarian cancer and some types of breast cancer. But if you have your ovaries removed before the age of menopause, you will go into early menopause, and you may be more likely to get heart disease or osteoporosis. Be sure to discuss with your doctor all the benefits and risks of removing your ovaries.
See a picture of the female reproductive system.
What problems does this surgery treat?
Most often, hysterectomy is done to treat problems with the uterus, such as pain and heavy bleeding caused by endometriosis or fibroid tumors. The surgery may also be needed if there is cancer in the uterus, cervix, or ovaries. Some women may have the surgery during childbirth to save their lives if there is heavy bleeding that cannot be stopped.
Before you choose to have a hysterectomy, consider all of your treatment options. In many cases, this surgery is a last resort after trying other treatments for the problem.
For more information, see:
How is the surgery done?
There are many different ways to do hysterectomy surgery. The type of surgery you have depends on three main things: the reason for the surgery, the size of the uterus and its position in the belly, and your overall health. The most common types are:
- Abdominal hysterectomy. In this type, the doctor makes a cut in the belly, either across the bikini line or straight up and down. The doctor takes out the uterus and the cervix. This type is most often done when cancer might be present or when severe endometriosis, a lot of scar tissue (adhesions), or a very large uterus makes the uterus hard to remove.
- Vaginal hysterectomy. With this type, the doctor takes out the uterus through the vagina. He or she makes a small cut in the vagina instead of the belly. Your doctor will not use this method when there is a chance that cancer may be in the uterus, cervix, or ovaries. Doctors use this type of surgery only in cases where the uterus is small and easy to remove.
- Laparoscopically assisted vaginal hysterectomy (LAVH). To do this surgery, the doctor puts a lighted tube (laparoscope) through small cuts in your belly. The doctor can see your organs with the scope and can insert surgical tools to cut the tissue that holds your uterus in place. Then he or she can remove the uterus through your vagina.
- Laparoscopic supracervical hysterectomy (LSH). With LSH, the doctor inserts the scope and tools through small cuts in your belly. He or she takes out the uterus in small pieces and leaves the cervix in place.
- Total laparoscopic hysterectomy (TLH). In this type, the doctor inserts a scope and tools through several small cuts in the belly. The doctor takes out the uterus and the cervix in small pieces through one of the cuts.
How long will it take to recover from surgery?
Feeling better after surgery takes time. Most women are in the hospital 1 or 2 days after the surgery. Some women stay in the hospital up to 4 days.
When you get home, make sure you move around, but also be sure you don't do too much. You can walk around the house and up and down stairs, but take it slow. During the first 2 weeks, it's important to get plenty of rest. Even after you start to feel stronger, you should not lift heavy things (anything over 20 pounds). Also, you should not have sex until your doctor says it's okay. It usually takes 4 to 8 weeks to get back to a normal routine.
Frequently Asked Questions
Health Tools
Health Tools help you make wise health decisions or take action to improve your health.
Decision Points focus on key medical care decisions that are important to many health problems. | |
Hysterectomy and Oophorectomy: Should I Use Estrogen Therapy (ET)? | |
Hysterectomy: Should I Also Have My Ovaries Removed? |
Why It Is Done
In most cases, hysterectomy is an elective surgery used to treat noncancerous female reproductive system (gynecologic) conditions that haven't improved with medical treatment. For women who have no plans for pregnancy and have considered and tried other treatment options without success, a hysterectomy may be a reasonable treatment choice.
Hysterectomy is also a potentially lifesaving measure when used to stop severe bleeding after childbirth or to remove cervical cancer or endometrial (uterine) cancer.
Reasons for hysterectomy include:
- Severe bleeding after childbirth.
- Heavy menstrual bleeding.
- Uterine fibroids .
- Uterine prolapse.
- Endometriosis and adenomyosis.
- Chronic pelvic pain (only when caused by a diagnosed condition that can be corrected with hysterectomy).
- Cancer of the cervix, uterus, or ovaries.
Hysterectomy Types
Hysterectomy is the surgical removal of a woman's uterus. In some cases, the ovaries and fallopian tubes are also removed during a hysterectomy procedure. This is called a salpingo-oophorectomy.
There are three major types of hysterectomy:
- Total hysterectomy is the surgical removal of the uterus and the cervix, which is the lower "neck" of the uterus that opens into the vagina.
- Subtotal hysterectomy is the removal of the uterus, leaving the cervix in place. It is also known as "supracervical" or "partial" hysterectomy.
- Radical hysterectomy is the removal of the uterus, cervix, ovaries, structures that support the uterus, and sometimes the lymph nodes. A radical hysterectomy may be done to treat endometriosis or cancer of the uterus, ovaries, or cervix.
Deciding whether to have a total or subtotal hysterectomy can be difficult. This is because research that compares the two is limited and shows only small differences. In the past, experts believed that a subtotal hysterectomy reduced problems after surgery and prevented problems with urinary incontinence and/or sexual dysfunction. But research has shown that for certain conditions, a subtotal hysterectomy does not prevent these problems better than a total hysterectomy does.1
When considering a hysterectomy, ask your doctor what other treatments can be used for your condition, what hysterectomy options are available to you, and how well hysterectomy is likely to work for you. If you have a hysterectomy, the type of procedure you have will depend on the medical reason for the hysterectomy, the size and position of your uterus, and your general state of health.
Hysterectomy procedures (how the uterus is removed) include:
- Abdominal hysterectomy.
- Vaginal hysterectomy.
- Laparoscopically assisted vaginal hysterectomy (LAVH).
- Laparoscopic supracervical hysterectomy (LSH).
- Total laparoscopic hysterectomy (TLH).
For more information about procedures, see the Comparison of Different Hysterectomy Procedures section of this topic.
Comparison of Hysterectomy Procedures
There are several different hysterectomy procedures, each with advantages and disadvantages. Depending on your reason for considering a hysterectomy, you may have a choice between two or more procedures. For complicated or cancer-related conditions that require maximum access and careful examination, your doctor will likely recommend an abdominal hysterectomy.
Vaginal hysterectomy
This type of hysterectomy is done through a small incision in the vagina, rather than through an abdominal incision. The ovaries and other organs may also be removed. Vaginal hysterectomy tends to cause less pain, and takes less healing time than abdominal hysterectomy. A vaginal hysterectomy can be done:
- To remove small uterine fibroids.
- When the uterus is of normal size or slightly enlarged.
- When endometriosis growths (implants) are not present.
- When there is no significant scarring in the pelvis from previous surgeries.
Vaginal hysterectomy requires more specialized surgical skill than an abdominal hysterectomy. It can pose a higher risk of injury to other organs. Vaginal hysterectomy is not used when there is a question about possible cancer in the uterus, cervix, or ovaries.
Abdominal hysterectomy
This type of hysterectomy is done through a larger abdominal incision, giving the surgeon the best possible access to the pelvic organs. The cervix may be removed with the uterus (total hysterectomy) or left in place (subtotal hysterectomy). The ovaries and other organs may also be removed. An abdominal hysterectomy is typically done when:
- The uterus is very large.
- Uterine fibroids are larger than 8 in. (20 cm) across or located around blood vessels.
- Cancer of the uterus, ovaries, or cervix is possible.
- An ovarian growth (mass) is suspected but can't be diagnosed on ultrasound.
- There is significant scarring or severe endometriosis in the pelvic area.
If a hysterectomy is chosen to treat endometriosis, an abdominal hysterectomy is usually required. One example is when endometriosis growths (implants) or scar tissue (adhesions) must be removed to restore the function of other organs.
Laparoscopically assisted vaginal hysterectomy (LAVH)
Laparoscopic hysterectomy is done with a viewing instrument (laparoscope) and surgical instruments inserted through a vaginal incision and one or more small abdominal incisions. The ovaries and other organs may also be removed. The uterus is removed through the vagina. It is done:
- When uterine fibroids are small to moderate in size.
- When the uterus is slightly larger than normal.
- To remove endometriosis and scar tissue (adhesions) confined to the uterus, fallopian tubes, and ovaries.
- To assess or remove ovaries at the same time as a vaginal hysterectomy.
LAVH requires the surgeon to have specialized training.
Laparoscopic supracervical hysterectomy (LSH)
Laparoscopic supracervical hysterectomy is done by inserting a laparoscope and surgical instruments through several small abdominal incisions. The uterus is removed in small pieces through one of the incisions and the cervix is left intact. This is also known as subtotal or partial hysterectomy. This type of procedure usually causes minimal blood loss and pain. The hospital stay is shorter than for total abdominal surgery. Most women can return to normal activity a week or two afterward. LSH can be done:
- To remove uterine fibroids of any size.
- To remove a uterus of any size.
LSH usually takes longer to do than abdominal or vaginal hysterectomy. LSH is not available in some areas.
Total laparoscopic hysterectomy (TLH)
The total laparoscopic hysterectomy is done by inserting a laparoscope and surgical instruments through several small incisions in the abdomen. The uterus and the cervix are removed in small pieces through one of the incisions. TLH can be done:
- To remove uterine fibroids that are small to moderate in size.
- When there is not a lot of scar tissue in the pelvic area.
- When there is not a worry about cancer in the ovaries.
TLH requires the surgeon to have special training. It usually takes longer to do than abdominal or vaginal hysterectomy. But recovery and hospital stay are shorter than for total abdominal hysterectomy. TLH is not available in many parts of the country.
Procedure | Advantages | Disadvantages |
Vaginal hysterectomy |
When compared with abdominal hysterectomy, a routine vaginal hysterectomy:
Abdominal hysterectomy |
When compared with other types of hysterectomy, a routine abdominal hysterectomy:
Laparoscopically assisted vaginal hysterectomy (LAVH) |
When compared with other types of hysterectomy, a routine LAVH:
Laparoscopic supracervical hysterectomy (LSH) |
When compared with other types of hysterectomy, a routine LSH:
Total laparoscopic hysterectomy (TLH) |
When compared with other types of hysterectomy, a routine TLH:
Risks of Hysterectomy
Hysterectomy poses some risks of major and minor complications. But most women do not have complications after a hysterectomy.
Some studies have shown complication rates that are about the same for total laparoscopic hysterectomy (TLH), laparoscopically assisted vaginal hysterectomy (LAVH), and total abdominal hysterectomy (TAH).4, 5 Your risk of problems after surgery may be higher or lower than average. This may depend in part on how experienced the surgeon is.
Major medical complications after hysterectomy
Rates of major complications after vaginal hysterectomy and abdominal hysterectomy (rounded to nearest 0.5%):3
Type of complication | Vaginal hysterectomy (without laparoscopy) | Abdominal hysterectomy (without laparoscopy) |
Heavy blood loss requiring blood transfusion |
3% |
2.5% |
Bowel injury |
0 |
1% |
Bladder injury |
1% |
1% |
Blood clot in lung (pulmonary embolism) |
0 |
1% |
Anesthesia problems (such as breathing or heart problems) |
0 |
0 |
Need to change to abdominal incision during surgery |
4% |
0.5% (repeat incision) |
Wound pulling open (dehiscence) |
0 |
0.5% |
Collection of blood (hematoma) at the surgery site needing surgical drainage |
1% |
1% |
At least one major complication |
9.5% |
6% |
In the study described above, the major complication rate was nearly twice as high after laparoscopic abdominal hysterectomies than after open abdominal hysterectomies. Complication rates were about the same for vaginal and laparoscopic vaginal surgeries. (These rates do not apply to radical hysterectomy done to treat cancer.)3
Minor medical complications after hysterectomy
Rates of minor complications after vaginal hysterectomy and abdominal hysterectomy (rounded to nearest 0.5%):3
Type of complication | Vaginal hysterectomy (without laparoscopy) | Abdominal hysterectomy (without laparoscopy) |
Heavy blood loss not requiring transfusion |
1% |
1% |
Fever |
7% |
3% |
Infection |
14% |
16% |
Collection of blood (hematoma) at the surgery site not needing surgical drainage |
6% |
6% |
At least one minor complication |
28% |
27% |
In the study described above, there was no significant difference in minor complication rates, whether the hysterectomy was laparoscopic, vaginal, or abdominal. (These rates do not apply to radical hysterectomy done to treat cancer.)
Infection risk is lowest when your doctor gives you antibiotic medicine at the time of surgery.6
Other ongoing complications of hysterectomy include:
- Difficulty urinating. This is more common after removal of lymph nodes, ovaries, and structures that support the uterus (radical hysterectomy).
- Weakness of the pelvic muscles and ligaments that support the vagina, bladder, and rectum. Kegel exercises may help strengthen the pelvic muscles and ligaments. But some women need other treatments, including additional surgery.
- Continued heavy bleeding. Some vaginal bleeding within 4 to 6 weeks following a hysterectomy is expected. But call your doctor if bleeding continues to be heavy.
- Some women may experience early menopause.
- The formation of scar tissue (adhesions) in the pelvic area.
Preparing for a Hysterectomy
Before a hysterectomy, you may have:
- A physical exam, during which your doctor will ask you questions about your medical history.
- A pelvic examination.
- Blood tests.
- An electrocardiogram (ECG or EKG), which measures the electrical signals that control the rhythm of your heartbeat, if you are over the age of 40 or have diabetes or high blood pressure.
- A meeting with the doctor who will do the hysterectomy. During this meeting, the doctor will explain how the surgery will be done, where the surgical incisions will be made, and the risks and expected outcomes of the surgery. You will probably receive written instructions about how to prepare for surgery at this time.
- A meeting with an anesthesiologist or nurse anesthetist. During this meeting, you will discuss the types of anesthetic recommended for use during the surgery. You may not meet with this person until the day of your surgery.
Your doctor may order additional tests based on your physical exam and medical history. These tests may include:
- A pregnancy test if you have not reached menopause.
- Urine tests, such as urinalysis, to check for any signs of urinary tract infection.
- A chest X-ray, for a general evaluation before using general anesthesia.
- Blood typing, in case you should need a blood transfusion (which is rare).
- Blood clotting studies, if you tend to have excessive bleeding or a history of deep vein thrombosis.
See a list of questions to ask your doctor when you are considering hysterectomy.
When to Call a Doctor
After a hysterectomy, call your doctor or go to the emergency room if:
- You have bright red vaginal bleeding that soaks one or more pads in an hour, or you have large clots.
- You have foul-smelling discharge from your vagina.
- You are sick to your stomach or cannot keep fluids down.
- You have signs of infection, such as:
- Increased pain, swelling, warmth, or redness.
- Red streaks leading from the incision.
- Pus draining from the incision.
- Swollen lymph nodes in your neck, armpits, or groin.
- A fever.
- You have pain that does not get better after you take pain medicine.
- You have loose stitches, or your incision comes open.
- You have signs of a blood clot, such as:
- Pain in your calf, back of knee, thigh, or groin.
- Redness and swelling in your leg or groin.
- You have trouble passing urine or stool, especially if you have pain or swelling in your lower belly.
- You have hot flashes, sweating, flushing, or a fast or pounding heartbeat.
Your doctor will give you specific instructions after your hysterectomy. Be sure to follow them. Usually, getting some rest and following those instructions will help postoperative problems diminish over time.
Recovering from a hysterectomy takes time. You will stay in the hospital for 1 to 2 days for postsurgery care. Some women stay in the hospital up to 4 days.
Abdominal hysterectomy. As soon as you feel strong enough, get up and around as much as you can. This helps prevent problems after surgery like blood clots, pneumonia, and gas pains. During the first 2 to 3 weeks, it is important to also get plenty of rest. Hold a pillow over your incision when you cough or take deep breaths. This will support your belly and decrease your pain.
You will gradually be able to increase your activities. To help you heal well, avoid lifting more than 20 pounds during the first 4 to 6 weeks after surgery. For the same reason, this is also an important time to avoid vaginal intercourse.
As soon as you can move easily without pain or without using narcotic pain medicine, you can drive. Complete recovery usually takes 4 to 8 weeks. Your return to a work routine will depend not only on how quickly you get back your energy and strength but also on how demanding your work is.
Vaginal or laparoscopic hysterectomy. As soon as you feel strong enough, get up and around as much as you can. This helps prevent problems after surgery like blood clots, pneumonia, and gas pains. When you can move easily without pain, you can drive. To help you heal well, avoid lifting more than 20 pounds during the first 4 to 6 weeks after surgery. For the same reason, this is also an important time to avoid vaginal intercourse.
Recovery from a vaginal or laparoscopic hysterectomy takes much less time than from an abdominal surgery. After a routine laparoscopic surgery removing the uterus but not the cervix (laparoscopic supracervical hysterectomy, or LSH), most women are able to return to normal activity in 1 to 2 weeks. About 4 to 6 weeks after the hysterectomy, see your doctor for a follow-up examination.
What are possible long-term problems after hysterectomy?
Pelvic weakness. After a hysterectomy, some women develop other physical problems that are related to weakness of the pelvic muscles and ligaments that support the vagina, bladder, and rectum. Kegel exercises may help strengthen the pelvic muscles and ligaments. But some women need other treatments, including additional surgery.
Vaginal dryness from low estrogen levels may develop if your ovaries were removed (oophorectomy). This can also develop gradually after a hysterectomy. If sexual intercourse is painful because of vaginal dryness:
- Use a vaginal lubricant, such as K-Y Jelly or Astroglide, or a polyunsaturated vegetable oil that does not contain preservatives. If you are using condoms, use a water-based lubricant, rather than an oil-based lubricant. Oil can weaken the condom so that it breaks. Avoid petroleum jelly (for example, Vaseline) as a lubricant, because it increases the risk of vaginal irritation and infection.
- Use a low-dose vaginal estrogen cream, ring, or tablet, which will reverse vaginal dryness and irritation by affecting only the vaginal area. If you are having other menopausal symptoms, talk to your doctor about systemic estrogen therapy (ET) and other treatment options. For more treatment information, see the topic Menopause and Perimenopause.
Pain during intercourse may occur if your vagina was shortened during your hysterectomy. Changing positions may help make intercourse less painful. Talk with your doctor if you have any difficulty during intercourse after a hysterectomy.
How will I feel emotionally after my hysterectomy?
It is normal to have various concerns when faced with the possibility of having a hysterectomy. A woman's emotions are often based on her beliefs about the importance of her uterus, her fears about her health or personal relationships after a hysterectomy, and concerns about her enjoyment of sexual activities after surgery. If you are considering a hysterectomy, talk with your doctor about your specific fears and anxieties concerning the surgery.
What to Think About
Your doctor may suggest other treatments before recommending a hysterectomy. If you are considering a hysterectomy and would like more information about other treatments or surgeries, talk with your doctor. Ask about the risks and benefits of each option. Consider both the immediate and long-term risks and benefits of all treatments.
Hysterectomy is a necessary and effective treatment for cancer of the pelvic organs, a severe infection of the uterus, or uncontrollable bleeding.
Following hysterectomy, you will not be able to become pregnant. If you have plans for a future pregnancy, hysterectomy is not an appropriate treatment option for conditions such as uterine fibroids, endometriosis, or pelvic organ prolapse. Talk with your doctor about other treatments.
Hysterectomy is not used to prevent pregnancy. There are many methods of birth control that are safe and effective. If you are not sure which method is best for you, talk with your doctor about your options.
Estrogen therapy (ET)
Women who have early, sudden menopause after hysterectomy are usually advised to use estrogen therapy (ET) to protect against bone loss. The low estrogen levels of menopause cause bone thinning. Compared with women who are not taking hormone therapy, women taking ET have fewer hip fractures (a sign of estrogen's bone-protecting effect).7
For more information, see:
Other Places To Get Help
American Congress of Obstetricians and Gynecologists (ACOG) | |
409 12th Street SW | |
P.O. Box 70620 | |
Washington, DC 20024-9998 | |
Phone: | 1-800-673-8444 |
Phone: | (202) 638-5577 |
Email: | firstname.lastname@example.com |
Web Address: | www.acog.org |
American Congress of Obstetricians and Gynecologists (ACOG) is a nonprofit organization of professionals who provide health care for women, including teens. The ACOG Resource Center publishes manuals and patient education materials. The Web publications section of the site has patient education pamphlets on many women's health topics, including reproductive health, breast-feeding, violence, and quitting smoking. |
International Premature Ovarian Failure Association | |
P.O. Box 23643 | |
Alexandria, VA 22304 | |
Phone: | (703) 913-4787 |
Web Address: | www.pofsupport.org |
This organization offers support for women who have entered menopause early. The organization offers information, referrals, phone support, and literature. |
National Women's Health Network | |
514 10th Street NW | |
Suite 400 | |
Washington, DC 20004 | |
Phone: | (202) 347-1140 |
Fax: | (202) 347-1168 |
Email: | firstname.lastname@example.com |
Web Address: | www.womenshealthnetwork.org/ |
This nonprofit advocacy group includes consumers, health centers, and organizations. The National Women's Health Network monitors federal health policy and operates an information clearinghouse. |
Office on Women's Health | |
Department of Health and Human Services | |
200 Independence Avenue, SW Room 712E | |
Washington, DC 20201 | |
Phone: | 1-800-994-9662 (202) 690-7650 |
Fax: | (202) 205-2631 |
Web Address: | www.womenshealth.gov |
The Office on Women's Health is a service of the U.S. Department of Health and Human Services. It provides women's health information to a variety of audiences, including consumers, health professionals, and researchers. |
Related Information
- American College of Obstetricians and Gynecologists (2007, reaffirmed 2010). Supracervical hysterectomy. ACOG Committee Opinion No. 388. Obstetrics and Gynecology, 110(5): 1215–1217.
- Nieboer TE, et al. (2009). Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database of Systematic Reviews (3).
- Garry R, et al. (2004). The eVALuate study: Two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ, 328(7432): 129.
- Hoffman CP, et al. (2005). Laparoscopic hysterectomy: The Kaiser Permanente San Diego experience. Journal of Minimally Invasive Gynecology, 12(1): 16–24.
- Ghezzi F, et al. (2006). Laparoscopic-assisted vaginal hysterectomy versus total laparoscopic hysterectomy for the management of endometrial cancer: A randomized clinical trial. Journal of Minimally Invasive Gynecology, 13(2): 114–120.
- Antimicrobial prophylaxis for surgery. (2009) Treatment Guidelines From The Medical Letter, 7(82): 47–52.
- Women's Health Initiative Steering Committee (2004). Effects of conjugated equine estrogen in postmenopausal women with hysterectomy. JAMA, 291(14): 1701–1712.
By | Healthwise Staff |
Primary Medical Reviewer | Sarah Marshall, MD - Family Medicine |
Specialist Medical Reviewer | Kirtly Jones, MD - Obstetrics and Gynecology |
Last Revised | June 27, 2013 |
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For some who are head coaches at Football Bowl Subdivision (FBS) schools, there are some who are content to spend their entire coaching career on the college sidelines.They enjoy the pomp and pageantry of the college life, and don't want anything else.Yet there are some in this profession who seek the proverbial greener pastures of the National Football League. Every time there is an open job for an NFL head coaching job, you hear the names of a few college coaches as potential candidates.This past winter, one college coach, Oregon head coach Chip Kelly, decided to go from the green and gold of the Ducks to the green and white of the NFL's Philadelphia Eagles. Greg Schiano, formerly the head coach at Rutgers, is in his second season at Tampa Bay. Yet he has yet to enjoy a successful season, and talk is rampant that he may return to the college ranks.Any college football fan worth their favorite tailgating treat knows what happened when Steve Spurrier, Nick Saban and Bobby Petrino de...
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Team: Richard Petty Motorsports
WHERE HE STANDS: 22nd, 109 points out of the top 10, only seven points out of the top 20. Gained one spot last week.
BRISTOL RECORD: Finished fifth last August for his fourth top-10 finish in nine starts.
LOOKING AHEAD: Ambrose said, "Bristol is a place where I've had some good success in the past. You need to be pretty aggressive all night. It's a long race, and you want to stay on the lead lap and be in position to win in the final 50 laps. You know it's going to be a long night so you race aggressive, but also pick your spots too. We're looking for wins right now."
LOOKING BACK: Ambrose rallied in the final 40 laps to finish sixth at Michigan. "We had a good day," said Ambrose. "I'm really proud of Drew (Blickensderfer, crew chief) for calling a great race. We didn't start (26th) where we wanted, but he had us running near the top-10 all day and we had a good finish. The car was fast on long runs, and we passed a lot of cars today."
ETC.: Ambrose feels the top-10 run at Michigan was a much needed boost for the entire team. "We haven't had a race like that on a longer oval in a while, and that really was a shot in the arm," said Ambrose. "It really helps us, and now, we head into Bristol with a lot of confidence. We don't have to be conservative. We can just really go for it and see if we can get a win. I know this team is capable, and Bristol is a great track for us."
42 JUAN PABLO MONTOYA, Chevrolet
Team: Earnhardt Ganassi Racing with Felix Sabates
WHERE HE STANDS: 23rd, 114 points out of the top 10, 12 points out of the top 20. Lost one spot last week.
BRISTOL RECORD: Three top-10 finishes in 13 starts.
LOOKING AHEAD: Montoya is quick to point out "we had a really good Target Chevy the last time we went to Bristol. But we had a fuel pressure issue early on and had to go behind the wall for repairs. It's a shame because when we returned to the track I was going around lead-lap cars with no problem. If that hadn't happened, the Target team would of easily had a top-five finish. This time we're looking for a little redemption and getting the finish we deserve at Bristol."
LOOKING BACK: Montoya finished 11th at Michigan. "It turned out to be a pretty good day for the Target team," said Montoya. "The track was really slick when we first started the race and the car was a handful. The guys made a lot of changes and we were running our fastest lap times toward the end of the race. I just wish we hadn't had to try and save fuel at the end as I think we could have raced our way into the top 10."
ETC.: Michael Andretti said he is trying to find a sponsor so he can hire Montoya to drive one of his IndyCars in 2014. "I have talked to Juan about (returning to) IndyCar and told him 'hell, yeah, let's find a way to put something together," said Andretti. "I've driven against him, and I think he's one of the best drivers I've ever driven against. It just comes down to sponsorship." Montoya was told last week his contract would not be extended at EGR.
11 DENNY HAMLIN, Toyota
Team: Joe Gibbs Racing
WHERE HE STANDS: 25th, 224 points out of the top 10.
BRISTOL RECORD: Won the August race a year ago. Has seven top-10 finishes in 15 starts.
LOOKING AHEAD: It has been a rough summer for Hamlin and the 11 team as they have not finished better than 18th in the last nine races. The last top-10 finish came at Pocono in early June. But with Bristol next on the schedule, Hamlin feels "we are ready to get back to running good. Bristol has always been one of our better tracks."
LOOKING BACK: An untimely caution flag and handling problems throughout the afternoon left Hamlin in 20th place at the end of the day. "We were just so loose in traffic," said Hamlin. "I wasn't able to get into the corner how I would like to, and it really hindered our speed in the middle of the corner and down the straightaway."
ETC.: Hamlin believes "we are getting closer and closer each week to being back to the competition level we should be at, and hopefully we can show the strength of our race team in the next few weeks. We've got some really good tracks coming up for us. So we feel good about the future."
55 BRIAN VICKERS, Toyota
Team: Michael Waltrip Racing
WHERE HE STANDS: The team is 19th in the car owner point standings, 66 points out of the top 10.
BRISTOL RECORD: Vickers will drive the 55 car in 12 of the last 13 races this season after the team released Mark Martin from his contract so he could sub for the injured Tony Stewart. Vickers finished eighth in the spring race for his third straight top-eight finish at BMS.
LOOKING AHEAD: Vickers said, "I didn't think things could get any better than last week's announcement with Aaron's to run full time in 2014, but having a chance to run the rest of the 2013 season creates a tremendous opportunity for our team. I'm confident that spending more time working with the 55 crew will only help improve our already strong performance to date, giving us the momentum needed to start the 2014 season off strong in Daytona."