text:
Page 1
Notice of Retraction: Final Resolution
In October 2003, I issued a Notice of Retraction (1) for an article by
Eric Poehlman (2). I was acting on a letter from the provost of the
University of Vermont describing the outcome of the university's
investigation of allegations of fraudulent conduct of research. This
investigation found that Dr. Poehlman had published fabricated data
in Annals of Internal Medicine and 2 other journals. At the time, Dr.
Poehlman claimed that he had not published fabricated data, but I
felt that the University of Vermont findings were enough to warrant
retraction. Subsequently, the Office of Research Integrity of the Na-
tional Institutes of Health conducted an investigation that corrobo-
rated the earlier investigation and found that Dr. Poehlman had also
included fabricated data in several federal grant proposals. As part of
a negotiated settlement of criminal charges related to the fraudulent
grant proposals, Dr. Poehlman wrote a letter in which he stated that
he had fabricated the data in his 1995 Annals article. His letter,
which appears here, shows beyond any possible doubt that the find-
ings in the Annals article are deceptive and false.
Harold C. Sox, MD
1. Sox HC. Notice of retraction. Ann Intern Med. 2003;139:702. [PMID: 14568863]
2. Poehlman ET, Toth MJ, Gardner AW. Changes in energy balance and body com-
position at menopause: a controlled longitudinal study. Ann Intern Med. 1995;123:
TO THE EDITOR: I wish to acknowledge that the Editor of Annals of
Internal Medicine appropriately retracted (1) my paper on changes in
energy balance and body composition at menopause (2) after receiv-
ing notification from the University of Vermont that an investigation
had determined that I had falsified and fabricated the reported data.
In addition, I request that this letter be published to ensure that
the scientific community is notified that I accept full responsibility
for this falsification and fabrication, and that my coauthors are pub-
licly exonerated.
Eric T. Poehlman, PhD
Montréal, Québec H2L 3R8, Canada
1. Sox HC. Notice of retraction. Ann Intern Med. 2003;139:702. [PMID: 14568863]
2. Poehlman ET, Toth MJ, Gardner AW. Changes in energy balance and body com-
position at menopause: a controlled longitudinal study. Ann Intern Med. 1995;123:
Computed Tomography and Ultrasonography To Detect
TO THE EDITOR: In their meta-analysis, Terasawa and colleagues (1)
suggested that overall, computed tomography (CT) is better than
ultrasonography (1) for diagnosing appendicitis in patients with
atypical presentations. Their findings will clarify clinical decision
making for many but will complicate it for those practicing in low-
resource settings. In many low-income countries, CT often costs
many times a family's monthly salary. It is important to carefully
answer the following questions before we recommend CT as a stan-
dard of care.
First, what about cost and cost-effectiveness? In my practice
setting, a focal appendiceal CT, which would probably tell the clini-
cian whether the patient has appendicitis, costs about 6 times more
than ultrasonography. When confronted with the broader question
of what else could be causing the abdominal pain, the cost differ-
ences are even greater. A complete abdominal and pelvic CT scan
with oral and intravenous contrasts costs about 18 times more than
ultrasonography. It may therefore be less expensive to admit or ob-
serve a patient than to order a CT. The only patients who would
benefit from immediate CT use are those who would receive surgery
earlier with CT than with ultrasonography, a relatively small group.
Those with negative CT results would still need admission or close
follow-up, since no test has 100% specificity.
Second, is CT a better diagnostic test than ultrasonography for
all patients, or is CT better in some while ultrasonography is better
in others? Current literature needs to better define sensitivities and
specificities for subgroups of patients. It would help to know whether
CT is as good for a 30-year-old thin man as it is for a 30-year-old
woman or a 60-year-old diabetic patient with nonspecific abdominal
pain. Another issue is more specifically describing the degree of
atypicality or the level of pretest probability. The literature does not
determine how decisions should be made when a clinician thinks
that a patient may have appendicitis but is not sure versus when he
does not think a patient has appendicitis and is not sure.
Third, since most of the literature examined by Terasawa and
colleagues originated in high-income countries, would their conclu-
sions hold true for relatively leaner populations in low- and middle-
income countries?
Junaid A. Razzak, MBBS
The Aga Khan University
Karachi, Pakistan
1. Terasawa T, Blackmore CC, Bent S, Kohlwes RJ. Systematic review: computed
tomography and ultrasonography to detect acute appendicitis in adults and adolescents.
Ann Intern Med. 2004;141:537-46. [PMID: 15466771]
TO THE EDITOR: We congratulate Terasawa and colleagues (1) for
demonstrating the advantage of CT over ultrasonography in the di-
agnosis of acute appendicitis in adults and adolescents. We note that
although they plotted the false-positive rate against the true-positive
rate on their graph, they did not construct a summary receiver-
operating characteristic (ROC) curve. The summary ROC curve, as
described by Moses and colleagues (2), is a powerful tool for depict-
ing diagnostic performance and showing how it is affected by the test
threshold. Briefly, the regression model is expressed as D ? a ?
b ? S, where D is the diagnostic log odds ratio and S is the measure
of how the test characteristics vary with the test threshold. We could
not resist plotting summary ROC curves (figure not shown here)
from Terasawa and colleagues' 2 ? 2 contingency tables. We found
798 © 2005 American College of Physicians
Page 2
that D ? 5.2 ? 0.49 ? S for CT and D ? 3.8 ? 0.005 ? S for
When we compared Terasawa and colleagues' original figure
with ours, it was apparent that the diagnostic performance of CT is
superior to that of ultrasonography in cases of appendicitis. Terasawa
and colleagues stated that in most of the studies they reviewed, ap-
pendiceal diameter greater than 6 mm was used as the positive diag-
nostic criterion for appendicitis. But, judging from their Appendix
Table 2, most of the studies seem to have several criteria. However,
both regression coefficients b are between ?1.0 and 1.0 (P ? 0.05),
suggesting no significant variation in diagnostic performance with
threshold. The diagnostic log odds ratios (logit transformation of the
ratio of positive to negative likelihood obtained by the Mantel–
Haenszel method) of CT and ultrasonography are estimated to be
5.0 (95% CI, 1.3 to 8.7) and 3.4 (CI, 0.9 to 5.9), respectively,
indicating again that CT is superior to ultrasonography.
We also created a funnel plot to explore the publication bias.
The funnel plot is asymmetric, indicating that publication bias is
likely. It is possible that some studies of small samples that indicated
low diagnostic accuracy for these tests were not published.
Our additional analysis does not mean that Terasawa and col-
leagues' conclusion needs alteration; rather, it strengthens their con-
clusion. They provided an elegant systematic review.
Toshiya Shiga, MD, PhD
Zen'ichiro Wajima, MD, PhD
Tetsuo Inoue, MD, PhD
Nippon Medical School, Chiba Hokusoh Hospital
Chiba 270-1613, Japan
Potential Financial Conflicts of Interest: None disclosed.
1. Terasawa T, Blackmore CC, Bent S, Kohlwes RJ. Systematic review: computed
tomography and ultrasonography to detect acute appendicitis in adults and adolescents.
Ann Intern Med. 2004;141:537-46. [PMID: 15466771]
2. Moses LE, Shapiro D, Littenberg B. Combining independent studies of a diagnostic
test into a summary ROC curve: data-analytic approaches and some additional con-
siderations. Stat Med. 1993;12:1293-316. [PMID: 8210827]
TO THE EDITOR: According to Terasawa and colleagues' review (1),
the overall sensitivity and specificity of CT are 0.94 and 0.95, re-
spectively, and those of ultrasonography are 0.86 and 0.81, respec-
tively. Although the authors concluded that CT was probably more
accurate than ultrasonography, they also indicated that all of the
included studies in their analysis had verification bias. The only way
to avoid this bias is to construct a prospective study in which all
patients have the definitive verification procedure. In this instance,
the definitive procedure, surgery, is too invasive to apply universally.
Fortunately, it is still possible to correct verification bias if we can
obtain appropriate data from previous publications. Kosinski and
Barnhart (2) proposed a global sensitivity analysis to study behavior
of sensitivity and specificity while the numbers of patients with the
disease among unverified groups vary over all possible values. This
analysis can be performed if study authors report how many patients
without surgery have true-positive, false-negative, false-positive, and
true-negative test results. I was able to obtain appropriate informa-
tion for analysis of CT performance from 7 of the 12 articles in
Terasawa and colleagues' systematic review.
Of 644 patients included in these 7 articles, 284 (44%) did not
have their diagnosis verified by surgery. Only 3 of the 284 patients
with unverified diagnoses had positive results on CT; the remaining
281 had negative CT results. For the 360 patients who had surgery,
the sensitivity and specificity were 0.928 (298 of 321) and 0.667 (26
of 39), respectively. With regard to ultrasonography performance, I
obtained appropriate information from 9 of 14 articles included in
the systematic review. Of 620 patients in these 9 articles, 170 (27%)
had unverified diagnoses. Six of these 170 patients had positive re-
sults on ultrasonography, and the remaining 164 had negative ultra-
sonography results. When I limited my analysis to the 450 patients
with a verified diagnosis, sensitivity was 0.896 (354 of 395) and
specificity was 0.582 (32 of 55). The crescent-shaped areas in the
Figure indicate all possible values of sensitivity and specificity for
each CT and ultrasonography scan, taking into account verification
bias. The dashed lines in the crescent-shaped areas represent the
possible combinations of sensitivity and specificity when the proba-
bility of acute appendicitis in the positive and negative unverified
groups equals that in the corresponding verified groups. Since acute
appendicitis is less prevalent among patients without surgery than
among those with surgery, estimated sensitivity and specificity would
lie within narrower intervals: 0.658 to 0.929 and 0.916 to 0.959,
respectively, for CT and 0.726 to 0.897 and 0.773 to 0.889, respec-
tively, for ultrasonography. As indicated in the Figure, all possible
Figure. Regions of all possible combinations of sensitivity and
specificity as a result of a global sensitivity analysis.
CT ? computed tomography; US ? ultrasonography.
3 May 2005 Annals of Internal Medicine Volume 142 • Number 9 799
Page 3
values of specificity for ultrasonography are lower than those for CT.
On the other hand, the interval of CT sensitivity is too wide to
determine which test is better without verification bias.
I can say with fair certainty that the overall CT sensitivity re-
ported in Terasawa and colleagues' systematic review is overesti-
mated. To take a hypothetical example, if the prevalences of acute
appendicitis are 0.5 and 0.1 among patients with unverified positive
test results and those with unverified negative results, respectively, I
could obtain the exact sensitivities and specificities of 0.854 and
0.955 for CT and 0.861 and 0.876 for ultrasonography, respectively.
According to my analysis, CT had better specificity than ultrasonog-
raphy even after correction for verification bias. However, there is
still room for discussion regarding sensitivity because the sensitivity
of CT in Terasawa and colleagues' study was overestimated.
Masashi Goto, MD, MPH
Kyoto University Graduate School of Medicine
Kyoto 606-8507, Japan
Potential Financial Conflicts of Interest: None disclosed.
1. Terasawa T, Blackmore CC, Bent S, Kohlwes RJ. Systematic review: computed
tomography and ultrasonography to detect acute appendicitis in adults and adolescents.
Ann Intern Med. 2004;141:537-46. [PMID: 15466771]
2. Kosinski AS, Barnhart HX. A global sensitivity analysis of performance of a medical
diagnostic test when verification bias is present. Stat Med. 2003;22:2711-21. [PMID:
IN RESPONSE: We agree with Dr. Razzak that cost-effectiveness is
critical to selection of appropriate imaging, as is local availability of
imaging technologies. Furthermore, different imaging strategies may
be appropriate in different subsets of patients. These areas would
benefit from further investigation.
We agree with Drs. Shiga, Wajima, and Inoue that summary
ROC curves (1) and funnel plots may be useful in meta-analysis. We
had performed similar analyses but did not include the results be-
cause of several concerns. Summary ROC curves may be affected by
the assumptions used in curve calculation and are less useful at the
bedside than likelihood ratios, which enable understanding of disease
probabilities. Asymmetrical funnel plots are affected by both publi-
cation bias and other factors that cause heterogeneity, including
small study effects (2).
The global sensitivity analysis that Dr. Goto used (3) can apply
to studies with partial verification bias, where not all participants'
diagnoses are confirmed by the single reference standard, but not to
differential verification bias, as in the case of appendicitis. Under the
global sensitivity analysis approach, the range of disease prevalence in
patients with unverified diagnoses is applied to define the possible
range of sensitivity and specificity for the test under consideration.
This is appropriate if nothing is known about the patients who did
not receive the reference standard (surgery). However, in the studies
included in our review, most of the negative imaging results were
verified by a secondary clinical reference standard (4). This differen-
tial verification bias will lead to some overestimation of overall accu-
racy, as we discussed in our paper. However, most patients with
appendicitis should have developed worsening symptoms and there-
fore would have been identified through clinical follow-up. Dr. Go-
to's assumption that the prevalence of undiagnosed appendicitis is
0.10 to 0.50 in patients who do not have surgery and do not have
appendicitis identified on clinical follow-up is almost certainly not
clinically sensible. The use of clinical follow-up is a valuable if im-
perfect reference standard and is clearly superior to the global sensi-
tivity analysis assumption that nothing is known about these pa-
In summary, on the basis of the data, although some differential
verification bias leads to overestimation of diagnostic accuracy for
both CT and ultrasonography, CT scanning is a more sensitive and
specific imaging method to detect appendicitis in patients with in-
determinate clinical suspicion.
Teruhiko Terasawa, MD
National Hospital Organization and Nagoya Medical Center
Nagoya, Japan 460-0001
C. Craig Blackmore, MD, MPH
Harborview Medical Center
Seattle, WA 98104
Potential Financial Conflicts of Interest: None disclosed.
1. Moses LE, Shapiro D, Littenberg B. Combining independent studies of a diagnostic
test into a summary ROC curve: data-analytic approaches and some additional con-
siderations. Stat Med. 1993;12:1293-316. [PMID: 8210827]
2. Sterne JA, Egger M, Smith GD. Systematic reviews in health care: Investigating and
dealing with publication and other biases in meta-analysis. BMJ. 2001;323:101-5.
3. Kosinski AS, Barnhart HX. A global sensitivity analysis of performance of a medical
diagnostic test when verification bias is present. Stat Med. 2003;22:2711-21. [PMID:
4. Whiting P, Rutjes AW, Reitsma JB, Bossuyt PM, Kleijnen J. The development of
QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included
in systematic reviews. BMC Med Res Methodol. 2003;3:25. [PMID: 14606960]
Defining the Role of Computed Tomographic Pulmonary
Angiography in Suspected Pulmonary Embolism
TO THE EDITOR: I am concerned that the article by Moores and
colleagues (1) conveys an ambiguous message about the utility of
spiral computed tomographic pulmonary angiography (CTPA) for
diagnosing pulmonary embolism (PE). The ambiguity results from
seemingly different conclusions in the abstract, discussion, and Edi-
tors' synopsis sections of the manuscript. The authors concluded
their discussion by stating that withholding anticoagulation seems to
be safe in patients managed by negative results on CTPA performed
concurrently with imaging of the lower extremities (either ultra-
sonography or computed tomographic venography). The abstract
that accompanies the manuscript, however, fails to mention the im-
portance of concurrent lower-extremity imaging, stating only "it ap-
pears to be safe to withhold anticoagulation after negative CTPA
results." The Editors' synopsis also fails to mention lower-extremity
imaging, yet adds that concurrent clinical probability assessment is
necessary by stating "withholding anticoagulation from patients with
low to moderate probability of PE and negative results on CTPA
appears reasonable."
These incongruities are not trivial. Given that busy clinicians
800 3 May 2005 Annals of Internal Medicine Volume 142 • Number 9
Page 4
often only read the abstract and Editors' synopsis sections of a manu-
script, every effort should be made to ensure that these sections
accurately reflect the authors' conclusions. In the article by Moores
and colleagues, clinicians who read only the abstract may conclude
that negative results on CTPA can function as the sole diagnostic test
for ruling out PE. Diagnostic strategies based on this erroneous con-
clusion will exclude lower-extremity imaging and clinical probability
estimation, and subsequently, in some patients, venous thrombosis
may not be diagnosed or treated.
Shaun D. Frost, MD
HealthPartners Medical Group and Clinics
Minneapolis, MN 55101
Potential Financial Conflicts of Interest: None disclosed.
1. Moores LK, Jackson WL Jr, Shorr AF, Jackson JL. Meta-analysis: outcomes in
patients with suspected pulmonary embolism managed with computed tomographic
pulmonary angiography. Ann Intern Med. 2004;141:866-74. [PMID: 15583229]
TO THE EDITOR: In their careful and commendable meta-analysis of
outcome studies that used CTPA in patients with suspected PE,
Moores and colleagues (1) concluded that "it appears to be safe to
withhold anticoagulation after negative CTPA results." I believe that
such a message goes beyond the conclusions that can be drawn from
the authors' data.
As Moores and colleagues acknowledged, among the 23 out-
come studies they analyzed, only 1 used CTPA as the sole diagnostic
test. Furthermore, in the 3 largest prospective studies (at least 350
patients in each study remained untreated), anticoagulation was
withheld only when both CTPA and compression ultrasonography
of the lower limbs yielded negative results (2–4). When it could be
calculated, the prevalence of deep venous thrombosis detected by
compression ultrasonography in patients with negative CTPA results
was very low (0.8%) in 1 study (4), but it was significantly higher in
2 other studies (8.4% and 6.3%, respectively) (2, 5) and reached
18.8% in a study of 117 hospitalized patients (6). Therefore, until
specific outcome studies demonstrate the opposite, using CTPA as
the sole diagnostic test to withhold anticoagulation in patients with
suspected PE should be considered unwise, not "safe."
Philippe Girard, MD
Institut Mutualiste Montsouris
75014 Paris, France
Potential Financial Conflicts of Interest: None disclosed.
1. Moores LK, Jackson WL Jr, Shorr AF, Jackson JL. Meta-analysis: outcomes in
patients with suspected pulmonary embolism managed with computed tomographic
pulmonary angiography. Ann Intern Med. 2004;141:866-74. [PMID: 15583229]
2. Musset D, Parent F, Meyer G, Maitre S, Girard P, Leroyer C, et al. Diagnostic
strategy for patients with suspected pulmonary embolism: a prospective multicentre
outcome study. Lancet. 2002;360:1914-20. [PMID: 12493257]
3. Perrier A, Roy PM, Aujesky D, Chagnon I, Howarth N, Gourdier AL, et al.
Diagnosing pulmonary embolism in outpatients with clinical assessment, D-dimer
measurement, venous ultrasound, and helical computed tomography: a multicenter
management study. Am J Med. 2004;116:291-9. [PMID: 14984813]
4. van Strijen MJ, de Monye W, Schiereck J, Kieft GJ, Prins MH, Huisman MV, et al.
Single-detector helical computed tomography as the primary diagnostic test in sus-
pected pulmonary embolism: a multicenter clinical management study of 510 patients.
Ann Intern Med. 2003;138:307-14. [PMID: 12585828]
5. Perrier A, Howarth N, Didier D, Loubeyre P, Unger PF, de Moerloose P, et al.
Performance of helical computed tomography in unselected outpatients with suspected
pulmonary embolism. Ann Intern Med. 2001;135:88-97. [PMID: 11453707]
6. Bourriot K, Couffinhal T, Bernard V, Montaudon M, Bonnet J, Laurent F. Clinical
outcome after a negative spiral CT pulmonary angiographic finding in an inpatient
population from cardiology and pneumology wards. Chest. 2003;123:359-65. [PMID:
TO THE EDITOR: In many hospitals, CTPA is becoming the pre-
ferred diagnostic test for suspected acute PE. On the basis of their
meta-analysis, Moores and colleagues (1) concluded that it appears to
be safe to withhold anticoagulant therapy after negative CTPA re-
sults in patients with suspected PE. This may imply that CTPA
could be used as the first and sole diagnostic test in these patients.
We believe that this conclusion is premature for 2 reasons.
First, in consecutive patients with suspected PE, the sensitivity
of CTPA is only 70% and the negative likelihood ratio is 0.3 (2).
This likelihood ratio is comparable to that of a low-probability lung
scan, a diagnostic result considered insufficient to safely exclude PE.
The sensitivity of CTPA is only 30% for detection of isolated sub-
segmental emboli (3). These isolated subsegmental emboli are
present in up to 30% of patients with documented PE, and their
clinical significance cannot be excluded.
Second, CTPA should be part of a diagnostic strategy for the
diagnosis of PE, not the sole diagnostic test. The combination of a
low clinical probability score and a normal D-dimer level has been
shown to safely exclude PE in 20% to 30% of patients (4). There-
fore, using such an approach will prevent 20% to 30% of patients
from receiving further diagnostic testing. Placing CTPA in the sec-
ond round of a diagnostic strategy will reduce costs and radiation
exposure. The low-risk patients will be filtered by a highly accurate,
simple, and inexpensive strategy. In the remaining high-risk patients,
including patients with high D-dimer levels or high clinical probabil-
ity, CTPA can be performed to confirm the diagnosis of PE or
establish an alternative diagnosis.
Thus, since the diagnostic accuracy of excluding PE using
CTPA seems suboptimal and since this test is relatively expensive,
CTPA should not be used as the first diagnostic test in patients with
suspected PE. Instead, it should be implemented in a diagnostic
strategy, which begins with clinical probability and D-dimer assess-
Pieter W. Kamphuisen, MD
Giancarlo Agnelli, MD
University of Perugia
I-06100 Perugia, Italy
Potential Financial Conflicts of Interest: None disclosed.
1. Moores LK, Jackson WL Jr, Shorr AF, Jackson JL. Meta-analysis: outcomes in
patients with suspected pulmonary embolism managed with computed tomographic
pulmonary angiography. Ann Intern Med. 2004;141:866-74. [PMID: 15583229]
3 May 2005 Annals of Internal Medicine Volume 142 • Number 9 801
Page 5
2. Perrier A, Howarth N, Didier D, Loubeyre P, Unger PF, de Moerloose P, et al.
Performance of helical computed tomography in unselected outpatients with suspected
pulmonary embolism. Ann Intern Med. 2001;135:88-97. [PMID: 11453707]
3. Goodman LR, Curtin JJ, Mewissen MW, Foley WD, Lipchik RJ, Crain MR, et al.
Detection of pulmonary embolism in patients with unresolved clinical and scinti-
graphic diagnosis: helical CT versus angiography. AJR Am J Roentgenol. 1995;164:
4. Stein PD, Hull RD, Patel KC, Olson RE, Ghali WA, Brant R, et al. D-dimer for
the exclusion of acute venous thrombosis and pulmonary embolism: a systematic re-
view. Ann Intern Med. 2004;140:589-602. [PMID: 15096330]
IN RESPONSE: We appreciate the comments regarding our meta-
analysis and the opportunity to clarify our conclusions. As stated in
the Discussion, "the role of CTPA without concomitant lower-ex-
tremity imaging is still undefined." We agree with both Dr. Frost
and Dr. Girard that the literature to date does not support definitive
exclusion of venous thromboembolism with CTPA alone, and we
recommend concurrent lower-extremity imaging before withholding
anticoagulation in patients with suspected clots. While advancements
in imaging technology may eventually improve diagnostic accuracy
of CTPA and allow for a single test, in our opinion further study is
required before this can be recommended. Moreover, the emergence
of simultaneous computed tomographic venography might ulti-
mately permit rapid, accurate assessment of the lower extremities in
a combined, single-modality study (1–4), rendering moot the role of
isolated imaging of the chest in venous thromboembolism.
We agree with both Dr. Frost and Dr. Girard that our abstract
should have been written more explicitly to match our ultimate con-
In response to Drs. Kamphuisen and Agnelli, we did not en-
dorse CTPA as an initial diagnostic test. On the contrary, we ac-
knowledged that "pretest probability assessments should be used to
select patients for CTPA, since recent publications support the ex-
clusion of PE based on a low pretest probability and negative results
on D-dimer testing."
Lisa K. Moores, MD
William L. Jackson Jr., MD
Walter Reed Army Medical Center
Washington, DC 20307
Disclaimer: The opinions or assertions contained herein are the private
views of the authors and are not to be construed as official or as reflecting
the views of the U.S. Department of the Army or the U.S. Department
of Defense.
Potential Financial Conflicts of Interest: None disclosed.
1. Loud PA, Katz DS, Bruce DA, Klippenstein DL, Grossman ZD. Deep venous
thrombosis with suspected pulmonary embolism: detection with combined CT venog-
raphy and pulmonary angiography. Radiology. 2001;219:498-502. [PMID:
2. Cham MD, Yankelevitz DF, Shaham D, Shah AA, Sherman L, Lewis A, et al. Deep
venous thrombosis: detection by using indirect CT venography. The Pulmonary An-
giography-Indirect CT Venography Cooperative Group. Radiology. 2000;216:744-51.
3. Ghaye B, Dondelinger RF. Non-traumatic thoracic emergencies: CT venography in
an integrated diagnostic strategy of acute pulmonary embolism and venous thrombosis.
Eur Radiol. 2002;12:1906-21. [PMID: 12136309]
4. Lim KE, Hsu YY, Hsu WC, Huang CC. Combined computed tomography venog-
raphy and pulmonary angiography for the diagnosis PE and DVT in the ED. Am J
Emerg Med. 2004;22:301-6. [PMID: 15258873]
Resolution of Severe Digital Ulceration during a Course of
Bosentan Therapy
TO THE EDITOR: Background: Bosentan, the dual endothelin-recep-
tor antagonist, has proven efficacy for treatment of secondary pul-
monary arterial hypertension in patients with systemic sclerosis (1).
Preliminary observations suggest a role for endothelin antagonist
therapy in patients with systemic sclerosis who experience the
Raynaud phenomenon and associated digital ulceration (2).
Objective: To describe a patient with systemic sclerosis and pul-
monary arterial hypertension who had complete resolution of previ-
ously refractory digital ulcerations 4 months after initiation of bosen-
tan therapy.
Case Report: A 50-year-old man with a 10-year history of pro-
gressive systemic sclerosis developed worsening dyspnea and debili-
tating digital ulcers. The patient had chronic dyspnea due to long-
standing pulmonary fibrosis and required oxygen therapy at rest. In
addition to scleroderma-associated pulmonary fibrosis, he had severe
esophageal dysfunction and skin changes that restricted his thoracic
cage. His previous treatment regimens included 20 cycles of pulse
cyclophosphamide over approximately 2 years, methotrexate, ste-
roids, and penicillamine. Secondary pulmonary hypertension was di-
agnosed as the cause of his recent dyspnea and increasing oxygen
requirements, and bosentan therapy was initiated. At that time, the
patient's digital ulcers were extremely painful and had rapidly pro-
gressed over several months. Initially, his fingers were black and
necrotic with bone exposed (no photograph available). After 2 weeks
of treatment with bosentan, 62.5 mg twice daily, his digital ulcers
Figure. Digital ulcers after initiating treatment with bosentan.
Parts A and B show initial healing after 2 weeks of therapy; parts C and
D show almost complete resolution after 18 weeks of therapy.
802 3 May 2005 Annals of Internal Medicine Volume 142 • Number 9


text:
Annual Halcyon Yarn Open House Nearly Here!
Tuesday, October 6th, 2015 Posted in Events, Fiber Arts Education, General News | No Comments »
Come celebrate with us this Saturday, October 10th from 9am-4pm at Halcyon Yarn's Annual Open House. It comes just once a year. You don't want to miss it!
All day we'll have fiber art demonstrations, free refreshments, and big savings on nearly everything in the store! All of our regular inventory is discounted from *10%-25% off, plus you'll find many great items at even greater discounts. It's free and open to everyone. Fun for all ages!
Columbus Day weekend is also the Autumnfest celebration here in Bath so it's a great weekend to visit our beautiful downtown for sales and celebrations citywide. More Autumnfest details can be found here: visitbath.com
*Offer does not apply to bulk price 3, floor looms, gift certificates and special orders.

subset: commoncrawl


text:
All licensees are required, as a condition of license renewal, to complete a minimum of 30 contact hours of continuing education activities per licensure/renewal period (every two years). Please remember that only up to 50% of the required CEUs may be obtained via on-line or home study programming.
The purpose of continuing education is to assure high standards for the practice of mental health counseling, marriage and family therapy, rehabilitation counseling and educational psychology by requiring licensees to participate in on-going educational activities. Through these experiences, licensees increase their competence and enhance the knowledge obtained during prior education and training.
For LMHCs, CEUs must be approved under the standards of the Massachusetts Mental Health Counselors Association (MAMHCA):
MAMHCA's CE division is called the Massachusetts Mental Health Continuing Education Program (MMCEP)
Phone: (508) 698-0010
For LMFTs, CEUs must be approved under the standards of the Massachusetts Association for Marriage and Family Therapy (MAMFT), the American Association of Marriage and Family Therapy (AAMFT), and/or their appointed Continuing Education administrators approved by this Board.
Currently FDA/ CE certifications are the appointed CE administrator.
FDA/CE Certifications
Phone: (508) 877-3660 ext. 6
Failure to comply with the continuing education requirements will result in the non-renewal of the license.
Board of Registration of Allied Mental Health and Human Services Professionals:
Professional Development Resources is approved by the National Board of Certified Counselors (NBCC) to offer home study continuing education for NCCs (Provider #5590). We adhere to NBCC guidelines. Professional Development Resources is also approved as a provider of continuing education by the National Association of Alcoholism & Drug Abuse Counselors (NAADAC, Provider #000279). Massachusetts-
# # #
Professional Development Resources, Inc. is a nonprofit educational corporation organized in 1992. Our mission is to provide healthcare professionals with accredited continuing education courses on topics that are vital to contemporary clinical practice.


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"I have a sort of sisterly feeling toward him [Ben Affleck]. I want him to do well and grow up and be a happy person and a fully realized man."
Related quotes
"The best thing to give to your enemy is forgiveness; to an opponent, tolerance; to a friend, your heart; to your child, a good example; to a father, deference; to your mother, conduct that will make her proud of you; to yourself, respect; to all men, charity."
"I know the Israeli negotiating team, headed by our foreign minister, Shlomo Ben-Ami, left here with a feeling, with a sense that we do have something to work with and it is possible to move forward."
"I feel like Ben Wallace stole it. Well, he didn't steal it, but I feel like I gave him three defensive player of the years. I gave him one that year I got in trouble ... that year I was suspended."
"I feel bad for Ben because he is a such hard worker. He's such a great teammate; he always has a team first attitude."


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Chat Noir
Our Teas
Parties and Events
Contacting Us
Welcome to Chat Noir. Whether your desire be a
superb croissant, elegant tea service, or to celebrate
a special occasion, Chat Noir will provide solace
from the ordinary.
Please feel free to call us at (516) 208-8521 for
reservations and event arrangements.
230 Merrick Road, Rockville Centre, New York
Lunch Menu
Dinner Menu
Please Join Us For These Upcoming Events:
Wed., October 7th - Cooking Class- Candy
Chat Noir will be closed Tuesday, October 6th for an
electircal upgrade. We re-open Wed., Oct 7th.


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Book your room at St. Augustine Island Inn
Standard Room, 2 Queen BedsMax Occupancy: 4 guests (up to 3 children, 3 infants)
Executive Room, 2 Queen BedsMax Occupancy: 4 guests (up to 3 children, 3 infants)
Suite, 1 King Bed, Jetted TubMax Occupancy: 2 guests (up to 1 child, 1 infant)
Get an overview of this hotelFamily-friendly hotel with free breakfast and outdoor pool
This family-friendly St. Augustine hotel is located near the beach, within 2 mi (3 km) of St. Johns County Ocean Pier and St. Augustine Beach Park. Anastasia State Park is 2.5 mi (4 km) away.
Hotel Features
An outdoor pool, coffee/tea in the lobby, and laundry facilities are available at this hotel. Free continental breakfast, free WiFi in public areas, and free self parking are also provided. Other amenities include a 24-hour front desk, express check-out, and a front-desk safe.
Room Amenities
All 38 rooms provide conveniences like refrigerators and microwaves, plus free WiFi and cable TV. Other amenities available to guests include coffee makers, free local calls, and hair dryers.Information missing or incorrect? Tell us!
Hotel Amenities
Hotel Amenities
Guests can enjoy a complimentary breakfast. High-speed wireless Internet access is complimentary. This family-friendly hotel also offers an outdoor pool, coffee/tea in the lobby, and laundry facilities. Limited complimentary onsite parking is available on a first-come, first-served basis.
St. Augustine Island Inn has designated areas for smoking.
- 24-hour front desk
- Coffee/tea in lobby
- Designated smoking areas
- Elevator/lift
- Express check-out
- Free breakfast
- Free self parking
- Free WiFi
- Laundry facilities
- Number of buildings/towers - 1
- Number of floors - 3
- Outdoor pool
- Parking (limited spaces)
- Safe-deposit box at front desk
- Total number of rooms - 38
Family Friendly Amenities
- Free Wi-Fi
- Laundry facilities
- Microwave
- Outdoor pool
- Refrigerator
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking, Parking (limited spaces)
Room Amenities
- Air conditioning
- Cable TV service
- Climate control
- Coffee/tea maker
- Connecting/adjoining rooms available
- Free local calls
- Free WiFi
- Hair dryer
- Iron/ironing board
- Microwave
- Refrigerator
Where to Eat
Guests are offered a complimentary continental breakfast.
Hotel Policies
Check-in time starts at 3 PM
Check-out time is 11 AM
Payment types
Children and extra beds
- Children are welcome.
- Rollaway/extra beds are available.
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
No pets or service animals allowed
Optional extras
- Rollaway beds are available for an additional fee
We should mention
The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation. No pets and no service animals are allowed at this property.


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Debenhams Bonded leather 'Kubic' footstool
Item No.3200130021
Item No.3200130021
60% Off - Save a total of £180.00
Our 'Kubic' footstool will add a stylish finishing touch to any living room. It features smooth, brown bonded leather finish with classic stitch detailing and dark wood block feet.
UK Home Delivery Free (UK orders over £30) or £3.49
Delivered within 5 working days
Show full delivery details
Book a courier for collection by calling our customer services team on either of these two numbers:
0844 800 8877 **
0344 800 8877 *
** Calls to our 0844 numbers cost 7p per minute plus your telephone company's access charge
*Calls to 03, 02, & 01 numbers mean that all calls from private telephones, including mobiles, will only be charged at local rate. They may also be included as part of any inclusive call minutes provided by your phone operator.
The refund will be processed once goods have been collected.Select to view more details


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1 Park near Home Valley, Washington
Carson, Washington 4.28 miles NE
Stevenson, Washington 19.32 miles N
White Salmon, Washington 20.79 miles NE
Trout Lake, Washington 27.44 miles NE
Vancouver, Washington 29.8 miles W
Home Valley, Washington (map) | (509) 427-2267
Sites: 43 | Latest Rate: $39.00 | 28 Reviews
|Clean Restrooms:
|Clean Showers:
Jul 2015 - $39.00
We loved this place. Up in the hills above the Columbia River Gorge - you can't see the water. Tons of big trees. The best sites are up the hill, which makes backing in a bit tricky, but worth the effort! Didn't try WiFi (at office only). Verizon was weak. Many secluded tent sites too. Managers were friendly and helpful. - RVBeast
Jul 2015 - $39.00
Very, very nice park. Very level sites, plenty of room, great dog area. Beautiful views. Owner and work camper a pleasure to visit with. - borge007
Oct 2014 - $38.00
Campground is up the hill, and really almost like a state park. Staff is great, and takes alot of pride in his place. Wi Fi is spotty, if you wanted to tent camp it has great sites too. He has the best designed fire pits I have ever seen. I would stay here again. - NXTSTOP


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Big Data: A Good Return on Investment for Your Business?
Turning IOT Data Into Opportunities
The Internet of Things and Cyber Risk
Cyber Caremark: Protecting Your Board from Shareholder Derivative Litigation After a Data Loss Event
Information-sharing legislation is coming: Senator Chambliss shares 4 top points for companies
The Social Engineering Cyber Exposure
FCPA Compliance and Ethics Report-Episode 175-Debra Bruce on new methods for law firm funding and its implications
Bjarne Tellmann of Pearson on Major Disruption in the Legal Industry
Marketing to Millennials
Top Three Cybersecurity Misconceptions
Technology in Healthcare
The Intersection of Cyber and D&O Coverage
Compiling Successful IP Solutions for Software Developers
Regan Miller, RPLU on Cyber Risk
BakerHostetler's Tanya Forsheit Discusses Cloud Computing
Perla: LegalTech Startups Can't Fix BigLaw's Cyber-Security Problems
Competitor or Collaborator? What UpCounsel's Growth Means for BigLaw
Polsinelli Podcasts - Hedge Funds Now Using IPR Challenges
MacEwen on BigLaw's 'Hollow Middle', Shaky Vereins & Dentons in China
Special Report: The Hot-ish Swag at LegalTech New York 2015
More than three years after the June 15, 2012 deadline for providing it, the U.S. Patent and Trademark Office has issued its report on so-called "second opinion" genetic diagnostic testing, mandated by Section 27 of the...more
Telehealth opportunities continue to grow at an exponential rate, aligning with the concurrent growth of retail and consumer-focused medicine. Capturing the retail sentiment, companies are looking to offer subscription-based...more
You probably heard about the recent price hike for a drug critical to AIDS patients when the manufacturer sold it to an evil hedge fund manager who promptly marked it up 5,000%. This prompted Los Angeles Times columnist...more
In the wake of the uproar about drug pricing, Hillary Clinton unveiled on Tuesday, a plan to address the rising cost of prescription drugs. The plan will focus on ending "excessive" profits, lowering out-of-pocket costs,...more
Is your Fitbit data covered by HIPAA? It depends upon where you got it (kind of). If you go to the store and pick up a Fitbit on your own, the data it generates is governed by the user agreement that you click through...more
This Week: House Energy and Commerce Subcommittee Holds Hearing on Legislation to Strengthen Medicaid Program Integrity and Fraud Controls... Bipartisan Senate Bill Introduced to Stop Anti-Competitive "Pay-For-Delay"...more
This white paper – 3D Printing of Medical Devices: When a Novel Technology Meets Traditional Legal Principles – explores the legal ramifications and risks of the rapidly increasing use of 3D printing of medical devices. 3D...more
The Cybersecurity Task Force of the National Association of Insurance Commissioners (the "NAIC") met last month, as part of on the NAIC's 2015 Summer National Meeting in Chicago. The Task Force focused on two issues: the...more
IoT is discussed in the media more and more frequently. It has important social, economic and legal implications, most of which are yet to be fully understood.
The following sets out a brief list of things you should...more
Early days still for coverage litigation about cyber risks – whether under cyber insurance policies or other types of policies. This is not surprising given the relatively short history of cyber risks and even shorter history...more
Nationwide, states continue to enact laws requiring commercial health plans to cover medical services provided via telemedicine to the same extent they cover medical services provided in-person. These laws are intended to...more
CMS Reopens Attestation Period For First-Time Hospitals Until August – CMS recently announced that eligible hospitals participating in the Medicare Electronic Health Record Incentive Program for the first time in 2015 may...more
This Week: 21st Century Cures Legislation Passes House in Bipartisan Vote... CMS Releases Proposed CY 2016 Home Health Prospective Pay Rule... CMS Releases Final CY 2016 Hospital Outpatient Prospective Payment System (OPPS)...more
On June 1, 2015, the Connecticut Legislature passed S.B. 949, a comprehensive data privacy and security bill that tightens the state's data breach response requirements and imposes new obligations on state contractors and the...more
Connecticut and Oregon were recently added to the increasing list of states adopting stricter laws addressing the handling of health information and penalties in connection with breaches of health information. Both states...more
Connecticut marks the 28th state to enact a telemedicine commercial reimbursement statute. The legislation (SB-467) was sponsored by Senators Looney, Duff, Crisco and Gerratana with twenty co-sponsor senators, and was signed...more
Public Act 15-88 is the first comprehensive law in Connecticut to address telemedicine (also referred to as "telehealth"), and to establish regulatory requirements for providing telehealth services, and mandates certain...more
In This Issue:
• Risky Business: Common Cyber Security Risks, Expensive Consequences
• Ninth Circuit Finds Bonus Indexed Annuity Delivers Exactly...more
This Week: Leading Up to the SCOTUS King v. Burwell Decision... House Votes to Repeal the Medical Device Tax... CMS Announces It Will Bolster Transitional Reinsurance Payments... MedPAC Releases June Report to Congress....more
Connecticut's legislature has passed a bill that imposes strict new timing requirements for entities conducting business in the state that experience a data breach, which Governor Malloy reportedly intends to sign into law. ...more
From the 2015 PLUS Medical PL Symposium session "Technology in Healthcare: EHRs & PHI," moderator Patricia Marzella-Graubert (Swiss Re American Holdings Corporation) and panelist Alexander Grijalva (New York Presbyterian...more
On May 4, 2015, the National Development and Reform Commission ("NDRC") and seven agencies including the National Health and Family Planning Commission and the Ministry of Human Resources and Social Security jointly published...more
This week the Connecticut House of Representatives passed Senate Bill 949, "An Act Improving Data Security and Agency Effectiveness," (the "Act") which includes new or modified State requirements concerning the security of...more
CMS proposes a new rule to modernize Medicaid and CHIP managed care; the Florida saga continues with CMS proposing to extend—and reduce—LIP funding; and California's Marketplace approves a co-pay cap on specialty drugs....more
On May 20, 2015, CareFirst BlueCross BlueShield ("CareFirst") announced that it was the latest victim of a major cyberattack, with as many as 1.1 million plan customers affected. Current and former CareFirst members and...more
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|By Marketwired .
Article Rating:
|November 6, 2012 07:00 AM EST
SANTA CLARA, CA -- (Marketwire) -- 11/06/12 -- [Cloud Expo] -- SOA Software, a leading provider of Enterprise API Management and SOA Governance solutions, today announced the launch of SOA Software Open, the industry's most scalable and capable API developer platform. SOA Software Open offers users a real-world, viable solution for their API Management needs without the kind of unrealistic functional and capacity limits imposed by other solutions.
The new SOA Software Open platform brings API providers and App developers together, offering easy access to powerful API Management capabilities combined with a social community in which developers collaborate to build dynamic, engaging apps with scalable APIs. The free SOA Software Open service allows users to manage up to 10 million API transactions per month, far higher than other solutions, and offers a powerful developer community platform unlike anything else in the industry. Developers can easily upgrade to SOA Software's Enterprise API Platform either on-premise or as-a-Service if they want additional capacity, their own brand for their APIs, or a guaranteed SLA. SOA Software Open will be on display in SOA Booth #614 at the Cloud EXPO conference in Santa Clara, CA, November 5-8.
"SOA Software Open combines API Management with an innovative social developer community platform," said Kin Lane, API Evangelist. "This unique solution gives customers the opportunity to secure and manage their APIs and then promote them across new or existing groups of developers."
SOA Software Open allows developers to connect with published APIs, and add their own APIs for their own and others' use. It is a public, free-of-charge playground where developers can come together to create innovative Apps around open and private APIs, and publish APIs for developers to find and use in their Apps. Customers of SOA Software's Enterprise API Platform can federate with SOA Software Open to publish their public APIs to the community at large. "Our combination of powerful API management capabilities with a social community makes it easier than ever for developers to collaborate in building Apps and APIs," said Alistair Farquharson, CTO of SOA Software. "Open provides a free-of-charge platform for managing API performance, security, and the connections between Apps and APIs, while socially engaging with App and API developers."
SOA Software Open provides App developers with:
- Community -- Where you can collaborate with other developers to build Apps, ask questions, search existing discussions and tickets, follow users, APIs, Apps or Groups, build your own groups, or just quietly lurk.
- Documentation -- Use the products dynamic documentation framework to create interactive documents for your API, or create and upload your own documents.
- Monitoring -- See how your API or App is performing and where your traffic is coming from with our real-time dashboard, historic charts, and reports.
- Debugging -- Identify and track issues so you can fix problems before they impact your customers.
- Test Client -- Send test messages to see how the security (including OAuth) works, and what the request and response messages should look like.
API Developers can:
- Publish and promote their APIs through the SOA Software Open community for other developers to use.
- Enable Search by indexing their API content (name, description, docs, discussions and tickets) so that App developers can easily find the API, together with supporting information to help them use it.
- Add OAuth (or other security features and mechanisms) to their APIs.
- Proxy their APIs to add security, monitoring, provisioning, QoS management and more. Or simply use Open to provide the social and search features they need.
Pricing and Availability
SOA Software Open is ready for sign-up and use at http://open.soa.com. The platform is free for up to 10 million transactions per month. For more throughput, branding or an enterprise-class SLA, you can upgrade to SOA's Enterprise API Platform-as-a-Service. For more details, please see http://www.soa.com/products/api-platform-as-a-service.
About SOA Software Open
SOA Software Open is a free, publicly accessible service built using SOA Software's flagship Enterprise API management platform products. It provides a secure, robust platform that companies can use to share their APIs with the growing App developer community, their partners, and customers. The SOA Software Open API Management and Developer Community Platform manages monitors and secures companies' APIs.
About SOA Software
SOA Software is a leading provider of Enterprise API Management and SOA governance products that enable organizations to plan, build, run and share enterprise services and APIs. Some of the world's largest companies including Bank of America, Pfizer, and Verizon use SOA Software products to harness the power of their technology and transform their businesses. Gartner placed SOA Software in the Leaders Quadrant for the 2011 "Magic Quadrant for SOA Governance Technologies." The company is also recognized as a "Leader" by the Forrester Research Waves for Integrated SOA Governance, SOA Management, and SOA Life Cycle Management. For more information, please visit http://www.soa.com.
All product and company names herein may be trademarks of their registered owners.
SOA Software, Community Manager, Policy Manager, Portfolio Manager, Repository Manager, Service Manager, API Manager, and SOLA are trademarks of SOA Software, Inc.
For more information, please contact:
SOA Software
Email Contact
As enterprises capture more and more data of all types – structured, semi-structured, and unstructured – data discovery requirements for business intelligence (BI), Big Data, and predictive analytics initiatives grow more complex. A company's ability to become data-driven and compete on analytics depends on the speed with which it can provision their analytics applications with all relevant information. The task of finding data has traditionally resided with IT, but now organizations increasingly turn towards data source discovery tools to find the right data, in context, for business users, d...
Oct. 4, 2015 10:00 PM EDT Reads: 365
"The Internet of Things transforms the way organizations leverage machine data and gain insights from it," noted Splunk's CTO Snehal Antani, as Splunk announced accelerated momentum in Industrial Data and the IoT. The trend is driven by Splunk's continued investment in its products and partner ecosystem as well as the creativity of customers and the flexibility to deploy Splunk IoT solutions as software, cloud services or in a hybrid environment. Customers are using Splunk® solutions to collect and correlate data from control systems, sensors, mobile devices and IT systems for a variety of Ind...
Oct. 4, 2015 09:45 PM EDT Reads: 560
Apps and devices shouldn't stop working when there's limited or no network connectivity. Learn how to bring data stored in a cloud database to the edge of the network (and back again) whenever an Internet connection is available. In his session at 17th Cloud Expo, Bradley Holt, Developer Advocate at IBM Cloud Data Services, will demonstrate techniques for replicating cloud databases with devices in order to build offline-first mobile or Internet of Things (IoT) apps that can provide a better, faster user experience, both offline and online. The focus of this talk will be on IBM Cloudant, Apa...
Oct. 4, 2015 08:00 PM EDT Reads: 354
Clearly the way forward is to move to cloud be it bare metal, VMs or containers. One aspect of the current public clouds that is slowing this cloud migration is cloud lock-in. Every cloud vendor is trying to make it very difficult to move out once a customer has chosen their cloud. In his session at 17th Cloud Expo, Naveen Nimmu, CEO of Clouber, Inc., will advocate that making the inter-cloud migration as simple as changing airlines would help the entire industry to quickly adopt the cloud without worrying about any lock-in fears. In fact by having standard APIs for IaaS would help PaaS expl...
Oct. 4, 2015 02:30 PM EDT Reads: 385
Organizations already struggle with the simple collection of data resulting from the proliferation of IoT, lacking the right infrastructure to manage it. They can't only rely on the cloud to collect and utilize this data because many applications still require dedicated infrastructure for security, redundancy, performance, etc. In his session at 17th Cloud Expo, Emil Sayegh, CEO of Codero Hosting, will discuss how in order to resolve the inherent issues, companies need to combine dedicated and cloud solutions through hybrid hosting – a sustainable solution for the data required to manage I...
Oct. 4, 2015 02:00 PM EDT Reads: 398
SYS-CON Events announced today that ProfitBricks, the provider of painless cloud infrastructure, will exhibit at SYS-CON's 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. ProfitBricks is the IaaS provider that offers a painless cloud experience for all IT users, with no learning curve. ProfitBricks boasts flexible cloud servers and networking, an integrated Data Center Designer tool for visual control over the cloud and the best price/performance value available. ProfitBricks was named one of the coolest Clo...
Oct. 4, 2015 01:00 PM EDT Reads: 706
SYS-CON Events announced today that IBM Cloud Data Services has been named "Bronze Sponsor" of SYS-CON's 17th Cloud Expo, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. IBM Cloud Data Services offers a portfolio of integrated, best-of-breed cloud data services for developers focused on mobile computing and analytics use cases.
Oct. 4, 2015 01:00 PM EDT Reads: 547
Learn how IoT, cloud, social networks and last but not least, humans, can be integrated into a seamless integration of cooperative organisms both cybernetic and biological. This has been enabled by recent advances in IoT device capabilities, messaging frameworks, presence and collaboration services, where devices can share information and make independent and human assisted decisions based upon social status from other entities. In his session at @ThingsExpo, Michael Heydt, founder of Seamless Thingies, will discuss and demonstrate how devices and humans can be integrated from a simple clust...
Oct. 4, 2015 12:00 PM EDT Reads: 610
As more and more data is generated from a variety of connected devices, the need to get insights from this data and predict future behavior and trends is increasingly essential for businesses. Real-time stream processing is needed in a variety of different industries such as Manufacturing, Oil and Gas, Automobile, Finance, Online Retail, Smart Grids, and Healthcare. Azure Stream Analytics is a fully managed distributed stream computation service that provides low latency, scalable processing of streaming data in the cloud with an enterprise grade SLA. It features built-in integration with Azur...
Oct. 4, 2015 11:00 AM EDT Reads: 713
You have your devices and your data, but what about the rest of your Internet of Things story? Two popular classes of technologies that nicely handle the Big Data analytics for Internet of Things are Apache Hadoop and NoSQL. Hadoop is designed for parallelizing analytical work across many servers and is ideal for the massive data volumes you create with IoT devices. NoSQL databases such as Apache HBase are ideal for storing and retrieving IoT data as "time series data."
Oct. 4, 2015 10:45 AM EDT Reads: 395
SYS-CON Events announced today that HPM Networks will exhibit at the 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. For 20 years, HPM Networks has been integrating technology solutions that solve complex business challenges. HPM Networks has designed solutions for both SMB and enterprise customers throughout the San Francisco Bay Area.
Oct. 4, 2015 09:00 AM EDT Reads: 544
Mobile messaging has been a popular communication channel for more than 20 years. Finnish engineer Matti Makkonen invented the idea for SMS (Short Message Service) in 1984, making his vision a reality on December 3, 1992 by sending the first message ("Happy Christmas") from a PC to a cell phone. Since then, the technology has evolved immensely, from both a technology standpoint, and in our everyday uses for it. Originally used for person-to-person (P2P) communication, i.e., Sally sends a text message to Betty – mobile messaging now offers tremendous value to businesses for customer and empl...
Oct. 4, 2015 08:30 AM EDT Reads: 151
SYS-CON Events announced today that MobiDev, a software development company, will exhibit at the 17th International Cloud Expo®, which will take place November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. MobiDev is a software development company with representative offices in Atlanta (US), Sheffield (UK) and Würzburg (Germany); and development centers in Ukraine. Since 2009 it has grown from a small group of passionate engineers and business managers to a full-scale mobile software company with over 150 developers, designers, quality assurance engineers, project manage...
Oct. 4, 2015 04:00 AM EDT Reads: 663
The broad selection of hardware, the rapid evolution of operating systems and the time-to-market for mobile apps has been so rapid that new challenges for developers and engineers arise every day. Security, testing, hosting, and other metrics have to be considered through the process. In his session at Big Data Expo, Walter Maguire, Chief Field Technologist, HP Big Data Group, at Hewlett-Packard, will discuss the challenges faced by developers and a composite Big Data applications builder, focusing on how to help solve the problems that developers are continuously battling.
Oct. 4, 2015 04:00 AM EDT Reads: 325
SYS-CON Events announced today that Cloud Raxak has been named "Media & Session Sponsor" of SYS-CON's 17th Cloud Expo, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. Raxak Protect automates security compliance across private and public clouds. Using the SaaS tool or managed service, developers can deploy cloud apps quickly, cost-effectively, and without error.
Oct. 3, 2015 01:15 PM EDT Reads: 574
Who are you? How do you introduce yourself? Do you use a name, or do you greet a friend by the last four digits of his social security number? Assuming you don't, why are we content to associate our identity with 10 random digits assigned by our phone company? Identity is an issue that affects everyone, but as individuals we don't spend a lot of time thinking about it. In his session at @ThingsExpo, Ben Klang, Founder & President of Mojo Lingo, will discuss the impact of technology on identity. Should we federate, or not? How should identity be secured? Who owns the identity? How is identity ...
Oct. 3, 2015 11:00 AM EDT Reads: 401
SYS-CON Events announced today that Solgeniakhela will exhibit at SYS-CON's 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. Solgeniakhela is the global market leader in Cloud Collaboration and Cloud Infrastructure software solutions. Designed to "Bridge the Gap" between Personal and Professional Social, Mobile and Cloud user experiences, our solutions help large and medium-sized organizations dramatically improve productivity, reduce collaboration costs, and increase the overall enterprise value by bringing ...
Oct. 2, 2015 10:00 PM EDT Reads: 543
Sensors and effectors of IoT are solving problems in new ways, but small businesses have been slow to join the quantified world. They'll need information from IoT using applications as varied as the businesses themselves. In his session at @ThingsExpo, Roger Meike, Distinguished Engineer, Director of Technology Innovation at Intuit, will show how IoT manufacturers can use open standards, public APIs and custom apps to enable the Quantified Small Business. He will use a Raspberry Pi to connect sensors to web services, and cloud integration to connect accounting and data, providing a Bluetooth...
Oct. 2, 2015 03:30 PM EDT Reads: 338
SYS-CON Events announced today that Micron Technology, Inc., a global leader in advanced semiconductor systems, will exhibit at the 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. Micron's broad portfolio of high-performance memory technologies – including DRAM, NAND and NOR Flash – is the basis for solid state drives, modules, multichip packages and other system solutions. Backed by more than 35 years of technology leadership, Micron's memory solutions enable the world's most innovative computing, consumer,...
Oct. 2, 2015 07:00 AM EDT Reads: 556
Nowadays, a large number of sensors and devices are connected to the network. Leading-edge IoT technologies integrate various types of sensor data to create a new value for several business decision scenarios. The transparent cloud is a model of a new IoT emergence service platform. Many service providers store and access various types of sensor data in order to create and find out new business values by integrating such data.
Oct. 1, 2015 02:30 PM EDT Reads: 398


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|Reviews for Remordere
| FanficFANatic chapter 1 . 9/6
Wow. Danny's different. But this different is... Idk if I like it or don't. But I do like it when Danny is a bad boy. Hehe... Any way keep it up!
| MusicalMelody001 chapter 14 . 7/28
*Stutters baffledly at cliffhanger, last update date, and the lack of next chapter button* Great story though!
| diseptiv chapter 14 . 5/6
I wish you would Finnish this story
| Chelseab123 chapter 14 . 4/11
| Guest chapter 14 . 1/17
Did you fall off of the planet and die!? Come on, if you are not going to finish this amazing story, will you at least say so? Maybe put it up for adoption and let someone else finish it? Or maybe just do an epilouge, i really want to know how it ends.
| Dragonlov4ever chapter 14 . 1/1
This is so good, why isn't there more :'( Please tell me that you will continue
| padrrhhajfenmak chapter 14 . 11/28/2014
this story is absolutely amazing! it is so interesting and unpredictable! I really hope that you will continue with it because I can't wait to see what happens next :)
| GhostGirl2195 chapter 1 . 11/9/2014
Love this story
| Reanna maddox chapter 14 . 11/9/2014
Please finish the story, I know it's Ben 8 years and I would be wered to write a chapter but please do,,, I love this story and others do to ,, please don't stop the magic with this story
| Cindy M 19 chapter 14 . 11/2/2014
The 'fun' stuff happens now? The story is very cool, awesome and I never read a story like this.
| Tessers2899 chapter 14 . 9/17/2014
I loved this story and how Danny suddenly changed because of his memories is really cool I hope you update
| Samantha Fenton chapter 14 . 8/18/2014
I know you probably will not continue this story but I've really enjoyed it. I would like for you to just all-of-the-sudden decide to write a new chapter, me and many others love this story and wish for it to proceed, I guess I just wanted to tell you how much I loved this story and how great you wrote it.
| write-notright chapter 14 . 8/9/2014
'Hopefully next chapter will be up by next weekend.' I think you forgot the eight years time bit. -_- anyway, this was a great story, I hope you find time to continue it at some point. :)
| Milo21 chapter 14 . 8/8/2014
You need to update ! Seriously!
| TrustyFoxy chapter 14 . 6/10/2014
Sheit man. Update, I wanna see more of dannys smexyness :3


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Dr. G. Richardson was the best family doctor I ever had. I have heard he is seeing patients again and I would do anything to have back as our family doctor. He was always willing to take the time to fully explain everything to myself and my son. He is a very patient doctor with the best bed side manor. I always felt comfortable and very well informed when I had to see him. I would be delighted to have him as my doctor again.
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Glad to have you back Doc , missed you, it is nice to have a doc i can talk to.
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God has answered my prayers! Dr. "G" became our family doctor more than 25 years ago and continued until some personal issues took him from his practice for a couple of years. During this time we struggled as there is simply no other doctor out there that can compare to this doctor. I am now able to breathe again - knowing I have THE BEST looking after our medical needs. AMEN!
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I started seeing Dr. Richardson several years ago after my son was born. Dr Richton was my sons only doctor up until some unfortunate circumstances that took him away from us I would love to have a chance to have Dr Richardson as my sons and my family doctor again. I had Dr liver issues years ago and was hospitalized and I found the Dr Richardson had the best bedside manner of any doctor that I've ever had in my life. he was there every morning to see how I was doing. I truly feel fortunate to have had a doctor like Dr Richardson he was very down to earth and explained everything clearly in layman's terms. he always made me comfortable and never rushed me or my son. I would do anything to have him as my family doctor again. I have not held and single doctor for any period of time since losing him as our doctor.
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I started seeing Dr Richardson Sept'13 when my family Dr moved away. He has been absolutely wonderful to me and my family. He is very kind and easy to talk to, and more than competent and knowledgable. I would recommend him to everyone. I have a lot of ongoing issues and he always takes the time to listen. Love him! He is at Woodlawn Medical in Dartmouth if anyone wants to know. Our family is moving to CapeBreton and I'm still keeping him. He's that good!
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When I heard Dr Richardson was back, I was ecstatic! He was my family doctor for years before he left his practice and despite his issues, he was always very attentive, caring and willing to help me as best he could. I would LOVE to have him back as my family physician if anyone can tell me where he's practicing.
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Dr. Richardson has saved me from the brink of disaster many times. I love and respect him. Can't wait to get him back. Michael Amiro.
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I saw DR. Richardson for the first time shortly before my sister-in-law passed away. He is a intelligent, kind, compassionate doctor. I am happy to say we will be keeping him as a family doctor. I feel very well taken care of. Glad you're back! Cheers to the future Dr. Richardson!
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Luz Yaneth
Envigado, Colombia
Loan Overview
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Luz Yaneth is 43 years old. She is a warrior who has forged her way in life through struggles and effort. She is a mother of three children, of whom two are still minors. After a family crisis, Luz saw a need to start working. She decided to sell products from a catalog to family and friends, because due to her lack of education, many doors were closed to her in the companies where she presented her resume.
After many years and with the savings that she managed to accumulate, she took a risk and opened a stationery shop. She works daily from 7:00 in the morning until 8:00 at night.
She is applying for a loan to buy toys, taking advantage of the month of December, in which the purchase of Christmas gifts intensifies. She hopes to provide her children with the opportunity to go to university, because she is sure that this is the best gift she can offer them.
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Amy Volz
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Luz Yaneth de 43 años de edad es una guerrera que ha labrado su vida a costa de luchas y esfuerzos, es madre de tres hijos de los cuales dos son menores de edad. Tras una crisis familiar Luz se vio en la necesidad de comenzar a laborar, por lo cual decidió vender productos por catálogo a familiares y amigos, debido a que por falta de educación le cerraron las puertas en varias empresas en donde presentó su hoja de vida.
Después de varios años y con lo ahorros que logró acumular, se aventuró y montó una papelería, la cual labora diariamente de 7 de la mañana a 8 de la noche.
En la actualidad Luz se encuentra solicitando un crédito para la compra de juguetería, aprovechando el mes de diciembre en donde se intensifica la compra de aguinaldos. Espera poder ofrecerles a sus hijos la oportunidad de ingresar a la universidad porque está segura que éste será el mejor regalo que pueda darles.
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This loan is structured on Kiva as a bullet loan, which means a single payment is required at the end of the loan term. By Colombian law, Kiva's partner Interactuar is required to offer borrowers loans with a variable interest rate that fluctuates with the market rate. Because fixed monthly payments are applied first to interest and then to principal, Interactuar is unable to predict upfront what portion of each repayment would go towards the loan principal. This creates a challenge with Kiva's system, which doesn't allow for unpredictable principal payments, and can result in some Interactuar clients appearing falsely delinquent. To remedy this, the loan has an end-of-term repayment plan on Kiva, but the borrower will continue scheduled monthly repayments to Interactuar, who will then pass along the principal amount to Kiva lenders. This means that you may see repayments made on this loan throughout the repayment term, as opposed to receiving repayment in full at the end of the loan term.
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Success!! The loan was 100% repaid
A loan of $1,700 helped Luz Yaneth to buy toys.
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Repayment Term
26 months
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Dec 19, 2012
Jan 2, 2013
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Nov 18, 2013


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Welcome to the Steam Train Hotel
Located in South Central Colorado
Clean, Comfortable & Convenient. The Steam Train Hotel in Antonito, CO, is located just 3 minutes from the Cumbres & Toltec Train Depot. The Hotel with an Inn Touch!
You are sure to find a room that you will enjoy staying in at our historic hotel. There are even two rooms that are reputed to be haunted. Ask if you are so inclined! Additionally book with us and save 15% on the purchase price of your tickets on the Cumbres & Toltec Rail Road!


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Am planning a Christmas (I know it's last minute!) trip to Peru this year. We'd like to spend 4 nights in the Amazon, comfortably if possible as we're not too adventurous, and 4 nights in Cuzco and Machu Picchu, spending at least one night at MP. Has anyone heard of SA Luxury Accommodations and would you recommend them? Also hear that David and Percy are great tour guides buhogan I use them if I book through a tour company? Am I being realistic to think I can get reservations only 4 weeks away? Any help is appreciated.
Recent ActivityView all South America activity »
- 1 Santiago/Valpo and Machu Pichu in 8 nights?
- 2 Visiting Buenos Aires
- 3 Devil's Nose Train and Riobamba
- 4 Peru---vaccines and tips
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Christmas Trip 2012 to Amazon and Machu Picchu
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Regarding Machu Picchu, we stayed at The Sumaq Hotel in Agues Calientes. It's rated like number 1 or 2 hotel to stay on Trip Advisor. I understand another great place to stay is The Inkaterra. If you want to stay right outside of the entry gate for Machu Picchu, stay at The Sanctuary Lodge. But know, there is nothing to do there once MP closes. I don't think it's worth the money frankly. You can take the bus up from Aguas Calientes at 530AM and be at MP when it opens...you can also take the last bus down if you wanted. At least in Aguas Calientes, there are restaurants, you can walk around the little town, there are vendors selling stuff....
As for Cuzco, we stayed at The Monesterio Hotel, an Orient Express property. We LOVED it and the location is outstanding.
Have a great time!
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It will definitely be difficult to get reservations during the Christmas period, but not impossible. You should look into booking as soon as possible though to ensure your trip. Keep in mind that a lot of hotels hold mandatory dinners on Christmas Eve and they charge extra for that.
High value luxury hotels: In Cusco, the Aranwa Boutique Hotel. In Machu Picchu, look into the Machu Picchu Pueblo Hotel. In the Amazon, the Inkaterra Reserva Amazonica. If these lodges are booked and you need other suggestions, let me know - I would be more than happy to help suggest other ones to you.
Happy travels,
Danielle - Peru For Less
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That is one of the very busiest weeks of the year but assuming you don't choke at the cost, you should be able to do it on short notice.This is actually a really easy trip to plan and book yourself by the internet and emails. Since it is rainy season, do not book connections too tightly, ie go back to Lima the day before the international flight, allow a night or two in the Sacred Valley or Cusco before booking the train to Aguas Calientes.
I would play around with airline bookings (to get between Lima and Cusco), look at booking.com and see if you can find any hotels that suit your budget as well as checking www.PeruRail.com for train availability. You can book some hotels directly from their website for the same cost, but I have used booking.com on short notice trips and had good luck (just be sure to reconfirm if you don't get an email from the hotel itself).
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The Inketara (Starwood/points) is FABULOUS. Also,I think that Cusco is vastly over-rated by many...sure, some great sites, churches, etc...but the town is dark, dirty and wild dogs all over the place.
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I was going to say we didn't see any wild dogs in Cuzco. Then I remembered two dogs charged us as we mountain biked into town on a very rocky trail. Scared the craap out of us.
Mind you they were with their owner. He seemed to enjoy it all. I think he was the wild one.
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When I was in Cusco in September, there were stray dogs EVERYWHERE. It was hard to watch. I was told that they don't have any kind of shelters/vets/humane society type functions in Peru except Lima. It was so sad.....
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You're right BellaClaire. The dogs are coming back to me. But why they slipped my mind was because the year before we were in Turkey (Goreme). And there were so many BIG dogs walking around that it was a tad frightening.
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text: after traveling so many hours, finally we have arrived to this awesome place. resort team was always welcome, we had an issue with the room - it was handled professionally by the English speaking team. The privacy, the food, the service, the beach, the pool(s), the weather - all in all - excellent. highly recommended. in addition, the sports availability,... More


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While Jarvis Jenkins lay on the M&T Bank Stadium turf clutching his right knee Thursday night, Washington Redskins coach Mike Shanahan's heart sank when he watched the replay on the videoboard. He saw how Jenkins' knee buckled and knew it was serious.
"You have a hard time even focusing on the game when something like that occurs so early in the game," Shanahan said.
The Redskins on Saturday morning moved on without Jenkins, a second-round draft pick who suffered a season-ending torn ACL in his right knee. It's a significant blow because Jenkins' combination of power and quickness made him an integral part of the defensive line rotation.
"Obviously, you cannot replace a player like that," Shanahan said.
Shanahan and several players are optimistic that the team's improved defensive line depth will reduce the impact of Jenkins' absence.
Kedric Golston, who started last season, re-signed with the team earlier this month. Darrion Scott and Doug Worthington also are expected to contribute.
"I think we still have a lot of good depth," first-string defensive end Stephen Bowen said. "We have a lot of athletic defensive linemen with talent. All those guys have been playing real well. I'm sure everybody is going to step up to the plate."
Worthington, in particular, has flashed potential during the preseason. The Pittsburgh Steelers drafted him in the seventh round last season, and he stayed on their practice squad for two days after final cuts before being released. He ended up on the Tampa Bay Buccaneers' practice squad.
He believes he's a better fit as an end in the Redskins' 3-4 than he is at tackle in Tampa Bay's 4-3.
"I think that's what I was built for: long arms, a taller guy," said Worthington, who is 6-foot-5.
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Meanwhile, Jenkins did not attend Saturday's practice.
"3rd rehab of the day…if my brothers out there working I'm gon work #nodaysoff," he wrote on his Twitter account.


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Unlocking the locks: Authority works to restore navigation on lower Fox River
8:42 AM, Aug. 26, 2013
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Unlocking the locks: Authority works to restore navigation on lower Fox River
Imagine boating down the lower Fox River from Lake Winnebago to Wrightstown. For the past three decades, that's been a pipe dream. By spring 2015, it will be a reality. The Fox River Navigational
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Buy flats in IP23
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Magdalen Street, Eye IP23Flat for sale - 2 bedrooms
Situated within walking distance of Eye town centre is this two bedroom ground floor flat. Offering, sitting room, kitchen/breakfast room, shower room and two bedrooms. The flat benefits an en-bloc garage and uPvc double glazed windows. More details
Note: Distances are straight line measurements
- Diss (3.8 miles)
- Stowmarket (10.9 miles)
Marketed by William H Brown, IP22. Call 01379 671000£315,000
Mellis Common, Mellis IP23Flat for sale - 4 bedrooms
A contemporary two storey apartment situated in the popular North Suffolk village of Mellis with fantastic views over Mellis Common. Benefiting generous sitting room and kitchen/dining area on the first floor, three ground floor bedrooms with en-suite ... More details
Note: Distances are straight line measurements
- Diss (3.7 miles)
- Elmswell (9.4 miles)
Marketed by William H Brown, IP22. Call 01379 671000


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Olissippo Saldanha, Lisbon
- Free WiFi
- Airport within 5 mi/8 km: Lisbon (LIS-Portela)
Main amenities
- 49 smoke-free guestrooms
- Breakfast available
- Bar/lounge
- Self parking
- 24-hour business center
- Childcare
- 24-hour front desk
- Air conditioning
- Daily housekeeping
- Laundry service
- Meeting rooms
- Multilingual staff
What's around
- In Saldanha
- Gulbenkian Museum (0.9 mi / 1.5 km)
- Rossio Square (1.7 mi / 2.7 km)
- Santa Justa Elevator (1.8 mi / 3 km)
- Castle of Sao Jorge (2 mi / 3.2 km)
- Lisbon Cathedral (2 mi / 3.2 km)
Excellent staff particular on the front desk. Clean modern and comfortable. Easy access…
I stayed only one night. The hotel has everything you may want from a four-star: modern…
Enter dates to check prices
Hotel Info: 020 3027 9803from £88
- Standard Double Room Single Use
- Standard Double or Twin Room
- Superior Double Room, 1 Queen Bed
Also popular with travellers from the UK
At a glance
Key facts
Hotel size
- This hotel has 49 rooms
- This hotel is arranged over 6 floors
- Check-in time starts at 2 PM
- Check-out time is noon
Required at check in
- Credit card deposit required
- Government-issued photo ID required
- Minimum check-in age is 18
Travelling with others
- Babysitting/childcare
- No pets or service animals allowed
Extra people
- Rollaway beds available, charges may apply*
- Free WiFi in public areas
- Free WiFi in rooms
- Self parking *
- Accessible parking
Other information
- Smoke-free property
Nearby Four Star Lisbon hotels
In the hotel
- Breakfast daily (surcharge)
- Bar/lounge
- Room service (during limited hours)
- 24-hour business center
- Meeting rooms
- 24-hour front desk
- Tours/ticket assistance
- Dry cleaning/laundry service
- Laundry facilities
- Luggage storage
- Number of buildings/towers - 1
- Year Built 2013
- Elevator/lift
- Television in lobby
- Disabled parking
- Accessible bathroom
- Roll-in shower
In the room
- Air conditioning
- Minibar
- Bathrobes
- Slippers
- Soundproofed rooms
- Individually decorated
- Private bathroom
- Bathtub or shower
- Free toiletries
- Hair dryer
- 82-cm LCD TV
- Cable TV channels
- Desk
- Free WiFi
- Phone
- Daily housekeeping
- In-room safe
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Olissippo Saldanha, Lisbon's small print
Parking height restrictions apply.
Mandatory fees
Effective January 1, 2016, a tourism tax of EUR 1 per person, per night, will be charged and collected at the property. This tax does not apply from the 8th night of stay and children 13 and below are exempt. This amount has been determined by the local administration. For further details, please contact the property using the information contained in the confirmation received after booking.
Optional extras
Self parking is available for an extra charge
Rollaway beds are available for EUR 45 per night
Breakfast is offered for an extra charge of EUR 12.50 per person (approximately)
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.


text:
Charles Dickens
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August 03, 2015
Jonathan Franzen's reckoning with his literary inheritance.
This Is What Dickensian London Really Looked Like
June 09, 2014
Images of the squalor and sadness of Victorian life.
Charles Dickens Was Longwinded and Sometimes Unreadable—But Perfect
February 07, 2014
Two centuries after his birth, Charles Dickens's greatness is still up for debate.
Please, Liberals: Stop Abusing 'A Tale of Two Cities'
January 02, 2014
It was the best of lines, it was the worst of lines—and now it's a cliche with no connection to a great book.
Ten Other Posthumously Discovered Novels
August 26, 2013
If the reports are true, and J.D.
The Failure of British Guidebooks to America
July 15, 2013
Two new books attempt but seem like entries in a dying genre.
'What Maisie Knew': Is the Kid Alright?
May 03, 2013
This twenty-first century Henry James update is too cute by half.
Working in the Dark
September 28, 2011
Grand Pursuit: The Story of Economic Genius By Sylvia Nasar (Simon & Schuster, 558 pp., $35) I thought I knew what this book was going to be about when I started it, but by the time I came to the end I was no longer sure.
INCOMING! A Video History of Pies, Shoes, Eggs, and More Hurled at Public Figures
July 19, 2011
On Tuesday, Parliament's hearing on News Corp was abruptly interrupted after a protester rushed toward Rupert Murdoch and tried to hit him in the face with shaving cream. The protester was identified as British comedian Jonnie Marbles, who tweeted about his intentions before the attack. "It is a far better thing that I do now than I have ever done before (at)splat," he tweeted, riffing off Charles Dickens's A Tale of Two Cities. The incident caused an uproar, but Murdoch was certainly not the first public figure to be "creamed," so to speak.
We Don't Need Oprah's Book Club
May 25, 2011
What does the future hold for Oprah's Book Club? While the mogul's final TV episodes—the last of which airs Wednesday—have brimmed with A-list celebrities, and her June magazine cover proclaims (in approximately size 48 font) a fond farewell to "25 years [of] ... the joy, the laughs, the lessons" on-air, the book club has received little attention from Oprah as the clock winds down on her daily talk show. The last selection for the club (Charles Dickens for the holidays) was a relative bust, and there is no reading-based show or segment currently scheduled on the OWN network.