text:
Relevant offers
Telecom has dismissed a claim from Labour that it plans to lay off up to another 1000 staff on top of the jobs cuts it signalled yesterday.
Telecom said it would shed between 930 and 1230 full-time jobs by the end of June, taking its workforce down from 7530 "full-time equivalents" at the start of the year to between 6300 and 6600.
Labour's claim of a futher 1000 job losses was based partly on an email sent to communications spokeswoman Clare Curran by a disaffected Telecom staffer, who Curran said was "relatively senior".
It claimed "each department" at Telecom had been asked to make cuts of 20-30 per cent.
Curran said she had been separately told Telecom planned a second round of job cuts to more senior management in September.
Both claims were brushed off by Telecom spokesman Andrew Pirie who said that Telecom did not expect to make further jobs cuts this calendar year, beyond those it announced yesterday.
Pirie said Curran was "playing politics". Telecom "understood that" but it was not a game in which the company wanted to engage, he said.
"It is a very dynamic market and we are continually looking at what we might want to do with the business, so we could never say 'never'.
"But the plan is as we have outlined it," he said. "We have obligations to explain the situation to the market, which we have done in what I think are clear terms. That is our position and we stand by that."
Deutsche Bank analyst Arie Dekker said the announced cuts were in line with his expectations, but were being confirmed a little earlier than he had expected.
Further job cuts were likely "over the next couple of years", he believed.
However, analyst J P Morgan said in a research note that it might be "simplistic" to assume there was much more potential for job cuts. It speculated Telecom could still be contemplating exiting Australian subsidiary AAPT as it was "capital intensive" and contributing little in the way of earnings.
The email sent to Curran complained Telecom employees had been asked to reduce their accrued leave to no more than 12 days by the end of the financial year, to reduce redundancy costs.
Pirie said the philosophy of chief executive Simon Moutter was that leave was granted in order to be taken, to give people a needed break from work, and it was inappropriate for people to accrue "huge amounts of leave". But he had not personally seen such a directive.
Telecom's Auckland head office is likely to bear the brunt of cuts announced yesterday.
The figures include the loss of about 120 jobs at the Australian branch of Telecom's Gen-i technology division which were announced earlier this month. But Pirie said all the other cuts would be in New Zealand.
The cuts would disproportionately affect management and corporate functions such as finance, and human resources. "Those are essentially in Auckland and Wellington and the majority of those are in Auckland," he said.
Telecom shares closed up 2 cents at $2.34 yesterday.
- Stuff
Sponsored links
New Zealand has world's second highest rate of workplace bullying
What does having a messy desk say about you?
One of Wairarapa's 'best ever' buildings put on the market
Air New Zealand's record great for travellers, but not necessarily fares
Martin Jetpack staff and directors overboard
Billionaire Richard Branson survives bike crash
Mike O'Donnell: When things don't smell right
Hawkins project manager wins top NZIOB and Gib building awards
Shamubeel Eaqub: What good is economic growth?
Yealand's Crossroads winery and vineyards put on the market
Survey reveals petrol-conscious Kiwis far outnumber the petrolheads
Why a lack of sleep makes you a bad boss
Mentoring magic for southern tour operators opens doors in China
Power outages, road closures across Auckland due to high winds
Sex mis-education: The problems with porn
Dylan Kennett's dad slams Cycling New Zealand over treatment of his son in Rio
Billionaire Richard Branson survives bike crash
One of Wairarapa's 'best ever' buildings put on the market
Kiwi holidaymakers recount 'horrific' Jetstar experience on trip to Vietnam
Oops! Britney Spears does it again in latest pop culture comeback
Listening device in All Blacks hotel 'had battery life of just three days'
Vogue Brazil slammed for Photoshopping models to make them look like amputees
Tourists in Australia flock to goldfields in wake of lucky find
Bill Pulver won't rule out cutting Super Rugby teams amid SANZAAR review process
Power outages, road closures across Auckland due to high winds
Billionaire Richard Branson survives bike crash
One of Wairarapa's 'best ever' buildings put on the market
Dylan Kennett's dad slams Cycling New Zealand over treatment of his son in Rio
Power outages, road closures across Auckland due to high winds
Dissapearance of Kiwi Michael Huria in Western Australia sparks massive search
Dual Olympic gold medallist Eric Murray apologises to wronged rowing selector
Kiwi holidaymakers recount 'horrific' Jetstar experience on trip to Vietnam
Sex mis-education: The problems with porn
Rapist terrorises disabled women in their own home
Oops! Britney Spears does it again in latest pop culture comeback
Tramper Pavlina Pizova's grief-stricken stay in remote Fiordland hut


text:
Paul Marzolla
(201) 203-2266
(551) 486-0243
Most Bank Owned (REO means Real Estate Owned) Multi Family properties have procedures to follow which can be located via the Listing Real Estate Agent's Web-site. Some Banks' rules require the Buyer to be pre-approved and qualified through that Bank's Mortgage Division. Every Buyer Should be Pre-Approved for their Financing. If the Buyer is a Cash Buyer, The Seller will expect an Authorization of Funds on Deposit to show they are indeed a Ready, Willing and Able Buyer.
Some Banks accept offers from Owner-Occupied Buyers within the first 7 to 10 Days after the Property is Listed on the Multipe Listing Service. After that time frame, Investors will have a chance to make their Highest and Best Offers. Frequently, REOs participate in Multiple Offers which is why utilizing the advise of a Licensed Realtor is so important ... they can help you wih a Comparative Market Analysis of the Property you are researching.
Lorraine Chmura
Licensed Realtor
Prudential CT Realty
(203) 915-5676

subset: commoncrawl


text:
9 of 10 people found the following review helpful
Fresh old vintage,
Verified Purchase(What is this?)
This review is from: Bach: St Matthew Passion (Audio CD)
Jacobs' and the Berliners' new Mätthaus-Passion is really something new and extraordinary. It is based on the thinking (and studies) of not just two choirs and orchestras but two organs and definitive placement of the performers, i.e. according to the layout of the old Thomaskirche of Leipzig. There are many interesting solutions related to singing, playing etc. but what is most personal in this production is just the aim to recover the performative situation of the 18th century Leipzig, the 'mis-en-scene' of the two choirs performing opposite each other (church-goers sitting between them). Impossible aim sonically? Well, listen to the discs and be amazed. The modern studio sounds really like an old church. What one needs to think is the state of one's sound system. I've listened to these discs with couple of systems and have to say that 'low-hifi' is not for this production; because of the deliberate three dimensional 'church sound stage' of the discs there is a constant threat of hollowness in low-hifi. So, it's more than convenient that the discs are SACD-DSD. There are also studio master streams up to at least 24/96 available in the markets. Listen and be moved!
Review Details
Location: Finland
Top Reviewer Ranking: 458,842


text:
What Causes Unexplained Pain in Patients With Metal-on metal Hip Devices? A Retrieval, Histologic, and Imaging Analysis
Adverse tissue reactions associated with metal-on-metal (MOM) hips are common in resurfacing and total hip arthroplasty (THA) designs. The etiology of these reactions in painful, well-positioned arthroplasties is inconsistently described.
The purposes of this study were to compare the (1) articular wear rates; (2) histologic findings; (3) synovial response on MRI; and (4) graded intraoperative tissue damage between well-positioned, MOM hips revised for unexplained pain and MOM hips revised for other reasons and to (5) determine whether the presence of a taper junction on a MOM articulation affects these four parameters in unexplained pain.
We retrospectively studied 88 patients (94 hips) who had undergone revision of either a hip resurfacing or a large-head (> 36 mm) THA. Thirty-five hips revised for unexplained pain were compared with a control group of 59 hips revised for other causes. Articular wear was measured using three-dimensional contactless metrology and histologic analysis was performed using the aseptic lymphocyte-dominated vasculitis-associated lesion (ALVAL) score. Preoperative MRI was performed on 57 patients to determine synovial volumes and thicknesses. Tissue damage was graded from intraoperative reports.
Articular wear rates in the unexplained pain group were lower than in the control group (median 2.6 μm/year versus 12.8 μm/year, p < 0.001). Sixty-six percent of patients in the unexplained pain group had histologic confirmation of ALVAL compared with 19% in the control group (p < 0.001). The synovial thickness on MRI was higher in the unexplained pain group (p = 0.04) and was highly predictive of ALVAL. Severe intraoperative tissue damage was noted in more cases in the unexplained pain group (p = 0.01). There were no differences in articular wear, histology, MRI, and tissue damage between resurfacings and THAs revised for unexplained pain.
Unexplained pain in patients with well-positioned MOM hips warrants further investigation with MRI to look for features predictive of ALVAL. Tissue destruction in these cases does not appear to be related to high bearing wear or the presence of a taper.
Level of Evidence
Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
Metal-on-metal (MOM) hip bearings in THA were reintroduced in the United States on the premise that they would result in lower rates of wear and dislocation, particularly in younger patients [4]. However, reports from the Australian Orthopaedic Association National Joint Replacement Registry showed failure rates for MOM hip arthroplasties approaching 10% at 7 years [3] with metal sensitivity being an increasingly reported cause of failure [9]. The National Joint Registry for England and Wales also reported a high prevalence of failure resulting from unexplained pain in well-positioned implants, which was hypothesized to be the result of adverse soft tissue reactions [17].
The causative factors resulting in adverse tissue reactions remain unclear. Multiple authors have proposed that these reactions are associated with metallic debris and/or elevated blood metal ion levels secondary to component wear influenced by component malposition or implant design [8, 19, 21, 25, 28–30]. These data are supported with clinical outcomes at 10 years that show that acetabular component orientation determines the long-term success of a MOM hip implant [2]. Conversely, reports exist of unexplained pain and pseudotumors in low-wearing, well-positioned implants [5, 10, 11, 13, 17, 34]. The authors of these reports have speculated that patient susceptibility may be important. Histologic evaluation of the periprosthetic tissues of lesions secondary to excessive metal wear showed extensive necrosis, histiocytes, and intracytoplasmic metallic debris [26, 29, 38]. A cell-mediated type IV hypersensitivity reaction has also been described, characterized histologically by an aseptic lymphocyte-dominated vasculitis-associated lesion (ALVAL) [5, 45]. This delayed hypersensitivity reaction has been described in both low-wearing [5, 29] and high-wearing implants [38].
The modular taper junction has also been recently implicated as a cause of adverse tissue reaction [7]. To avoid the complication of neck fracture in hip resurfacings, implant companies developed resurfacing-sized heads (> 36 mm) to attach to conventional femoral stems and articulate with a monobloc resurfacing cup. In one particular design, the rate of failure of the THA version was reported as almost double that of the resurfacing with considerable damage noted at the taper interface despite low articular surface wear rates [27]. However, data from the Australian Orthopaedic Association National Joint Replacement Registry showed no difference in revision rates at 5 years between hip resurfacing and large-head THA [24]. It remains unclear as to whether the taper is responsible for the pain experienced by patients with well-positioned implants.
Given the inconsistency in the literature regarding the pathogenesis of pain in a well-positioned MOM hip, our aims were to compare the (1) articular wear rates; (2) histologic findings; (3) synovial response on MRI; (4) graded intraoperative tissue damage between well-positioned, MOM hips revised for unexplained pain and MOM hips revised for other reasons and to (5) determine whether the presence of a taper junction on a MOM articulation affects these four parameters in unexplained pain.
Patients and Methods
From our institutional retrieval database, we identified 186 MOM hip arthroplasties that had been explanted at our institution between March 2007 and March 2012. Our inclusion criteria were that the implant was a hip resurfacing or a large-head THA (> 36 mm) with a monobloc acetabular cup; the length of implantation was a minimum of 12 months to account for the running-in phase [22]; and each case had a complete minimum data set of wear of the retrieved head and cup, preoperative radiographs, serum C-reactive protein level, intraoperative findings, and postoperative histology and microbiological cultures.
Comparison of patient demographics, component details, and relevant preoperative data between unexplained pain and control groups
p value
Number of patients
Number of hips
Age (years)*
53 (33–66)
54 (23–80)
BMI (kg/m2)*
27 (19–40)
27 (16–45)
Time to revision (months)*
39 (18–103)
30 (12–78)
Head size (mm)*
46 (38–54)
45 (38–54)
Acetabular inclination (°)*
46 (33–51)
48 (14–83)
Acetabular inclination > 30 or < 50†
35 (100)
30 (51)
< 0.001
Acetabular anteversion (°)*
17 (5–25)
28 (−21 to 43)
< 0.001
Implant type
ASR (DePuy, Warsaw, IN, USA)†
13 (37)
17 (29)
BHR (Smith & Nephew, Memphis, TN, USA)†
15 (43)
14 (24)
Conserve Plus (Wright Medical, Memphis, TN, USA)†
3 (8)
9 (15)
Cormet (Corin Group, Cirencester, UK)†
1 (3)
5 (8)
Durom (Zimmer, Warsaw, IN, USA)†
1 (3)
4 (7)
M2a (Biomet, Warsaw, IN, USA)†
2 (6)
10 (17)
Reason for revision
< 0.001
0 (0)
1 (2)
0 (0)
21 (35)
0 (0)
47 (63)
Unexplained pain†
35 (100)
0 (0)
There were 39 men and 49 women with a mean age at the time of index arthroplasty of 53 years (range, 23–80 years). Sixty-eight (72%) of the index arthroplasties in this study had been performed at outside institutions. The mean length of implant survival was 39 months (range, 12–103 months). Thirty-six hips were resurfacings and 58 were large-head THA.
Radiographic Analysis
Prerevision, standardized digital AP pelvic and cross-table lateral [36] hip radiographs were analyzed for each patient. Anteversion and inclination of the acetabular component were measured using Einzel-Bild-Roentgen-Analysis [31] software (University of Innsbruck, Innsbruck, Austria). Anteversion or retroversion of the acetabular component was confirmed by analyzing the cross-table radiograph. All measurements were performed on two occasions, 1 month apart, by an independent assessor (DHN), and mean values were used for analysis.
Articular Wear Analysis
Both femoral and acetabular components were available for all patients. Articular surface wear was measured using three-dimensional contactless metrology (RedLux Artificial Hip Profiler; RedLux Ltd, Southampton, UK). This technology uses an automated noncontact sensor to scan a whole bearing surface to a resolution of 20 nm [44]. The resulting cloud of approximately 30,000 points is meshed and compared with a best-fit sphere fitted to the unworn part of the surface. We used RedLux's proprietary software (RedLux Ltd) to calculate linear wear (μm) by measuring the maximum deviation between the unworn sphere and the worn sphere. Volumetric wear (mm3) was measured by summing the volumes of the meshed discrete prisms located within the wear patch of the heads and cups. This technique has been validated against a roundness machine and gravimetric methods of wear measurement [44]. We determined total linear and total volumetric wear for each hip by summing femoral and acetabular component wear. Using the time to revision, we calculated the total linear wear rate and total volumetric wear rate for each hip by dividing total wear by time to revision. Hart et al. [16] have proposed a threshold for linear wear of 5 μm/year, beyond which an implant is considered to be high-wearing. This value was based on a review of the published literature on wear analysis of retrieved MOM articulations. Thus, we defined hips as high-wearing if the total linear wear rate is > 5 μm/year and low-wearing if the total linear wear rate is ≤ 5 μm/year.
Taper Wear Analysis
Taper wear analysis focused on the female taper within the modular head. If an inner sleeve was included, the interface between the sleeve and trunnion was the interface of interest. Two independent observers (DHN, NAN) visually analyzed six 11/13 tapers, 41 12/14 tapers, 10 Type 1 tapers, and one C-taper. Gross wear and deformation within the taper were subjectively graded for fretting and corrosion using a previously published scoring system [14]. We divided each taper into a proximal and distal segment and graded each segment for corrosion and fretting using a score of 1 to 4 [14]. The scores were combined and averaged between the two observers so that each taper had a mean fretting and mean corrosion score with a maximum score of 8 (4 points per region). Female tapers from 47 THA heads were assessed further using a chromatically encoded confocal measurement device (RedLux Ltd) to calculate linear taper wear. Negative molds of the tapers were created using a high-resolution (0.1 μm) replication polymer (Microset Products, Leicestershire, UK). These negative molds were then scanned. The female taper scans were analyzed similar to the heads and cups where a best fit taper was created by fitting it to the unworn surface. Linear wear (μm) was measured as the maximum deviation between the unworn female taper and the worn taper.
Magnetic Resonance Imaging
Fifty-seven patients (59 hips) were imaged preoperatively using a standard protocol to minimize metallic susceptibility artifact [42]. Scanning was performed with 1.5-T clinical scanners (GE Healthcare, Waukesha, WI, USA) using a three-element shoulder coil (MedRad, Indianola, PA, USA) or an eight-channel cardiac coil (GE Healthcare). Two-dimensional fast spin echo images were obtained in three planes using modifications to the pulse parameters to reduce susceptibility artifact. MAVRIC was used in the coronal plane to reduce susceptibility artifact by combining multiple data sets acquired at frequency bands offset from the center proton frequency [39]. We have previously described the specific pulse sequence parameters used [39, 40].
MR images were evaluated independently by two musculoskeletal radiologists (HGP, BL) who were blinded to the patient group and radiographs. The presence and volume of a synovial response were documented. Synovitis was defined as the presence of fluid signal intensity material or solid debris, either contained by the pseudocapsule or communicating with the disrupted pseudocapsule. Volumes of synovitis (mm3) were calculated using a previously validated method of manual segmentation from the coronal MAVRIC or axial fast spin echo images [43]. The area of synovitis was calculated on each slice and the sum of the areas was multiplied by the slice thickness to obtain a volume. We have previously reported on the repeatability of our method for assessing synovial volume with an interclass correlation coefficient of 0.97 [40]. The thickness (mm) of the synovial lining was assessed on the coronal MAVRIC images and measured digitally where it was noted to be the greatest [39]. Repeatability testing for synovial thickness, performed with the radiologists specifically for this study (HGP, BL), demonstrated an intraclass correlation coefficient of 0.98 and an interclass correlation coefficient of 0.91.
Tissue Damage
Intraoperative tissue damage was subjectively graded by the operating surgeon using a previously described 4-point scale [39]: 0 = normal tissue; 1 = fluid collection ± mild synovial reaction ± pseudocapsular dehiscence; 2 = Grade 1+ moderate to severe synovial reaction ± metallosis; and 3 = Grade 2+ abductor damage and/or bone loss. A score ≥ 2 was considered to be severe soft tissue damage.
Statistical Analyses
Articular surface wear, histology, MRI, tissue damage, and taper data were compared between the unexplained pain and control groups. Within the unexplained pain group, total linear wear rate, total volumetric wear rate, ALVAL score, tissue damage score, synovial thickness on MRI, and synovial volume on MRI were compared between resurfacings and large-head THAs. The Shapiro-Wilk test showed all continuous variables except age to be nonnormally distributed; therefore, continuous data were evaluated using the Wilcoxon rank-sum test. Categorical data were analyzed using Fisher's exact test. Spearman rank correlation coefficients were calculated to assess the relationship between wear data and histologic findings, including ALVAL score and the extent of metallic particle deposition. Similar analyses were performed to evaluate the association of synovial thickness and synovial volume on MRI with wear data and the ALVAL score. Receiver operating characteristic (ROC) curves were generated for outcomes that were significantly correlated with MRI variables to examine the ability of MRI to detect important failure modes. Significance was set at p < 0.05. All analyses were performed using SAS Version 9.2 software (SAS Institute, Cary, NC, USA).
Articular Wear Analysis
Articular wear analysis
UEP (n = 35)
Control (n = 59)
p value
Articular linear wear (μm)
5.4 (0–144.8)
10.8 (0–433.0)
2.0 (0–233.3)
18.5 (0–703.8)
8.1 (0–378.0)
34.9 (0–954.8)
< 0.001
Total linear wear rate (μm/year)*
2.6 (0–128.2)
12.8 (0–232.1)
< 0.001
Number of hips with total linear wear rate > 5†
8 (22.9)
37 (62.7)
< 0.001
Articular volumetric wear (mm3)
0.8 (0–69.2)
2.2 (0–201.0)
0 (0–60.1)
1.2 (0–184.4)
0.9 (0–129.3)
5.0 (0–345.9)
Total volumetric wear rate (mm3/year)*
0.3 (0–29.3)
1.5 (0–94.3)
Magnetic Resonance Imaging
Correlations between MRI variables and wear and histology
TLWR (μm/year)
TVWR (mm3/year)
ALVAL score
MRI synovial volume (mm3)*
Rho = 0.19
Rho = 0.27
Rho = 0.38
MRI synovial thickness (mm)*
Rho = −0.02
Rho = −0.04
Rho = 0.77
< 0.001
Intraoperative Tissue Damage
A higher proportion of patients revised for unexplained pain had severe graded tissue damage than those revised for other indications. Twenty-three patients (68%) had severe intraoperative tissue damage scores (2 or 3) in the unexplained pain group compared with 22 (41%) in the control group (p = 0.01).
Effect of Taper Junction: Comparison Between Resurfacing and THA
Demographics, wear, histology, MRI, and intraoperative data for hip resurfacings and THAs presenting with unexplained pain
Hip resurfacing
p value
Number of hips
Age (years)*
49 (33–60)
54 (42–66)
BMI (kg/m2)*
24 (22–37)
27 (19–40)
Time to revision (months)*
23 (18–50)
45 (18–103)
Head size (mm)*
45 (40–54)
46 (38–53)
Acetabular inclination (°)*
47 (33–51)
46 (33–51)
Acetabular anteversion (°)*
16 (7–21)
20 (5–25)
Implant type
ASR (DePuy, Warsaw, IN, USA)†
1 (10)
12 (48)
BHR (Smith & Nephew, Memphis, TN, USA)†
7 (70)
8 (32)
Conserve Plus (Wright Medical, Memphis, TN, USA)†
1 (10)
2 (8)
Cormet (Corin Group, Cirencester, UK)†
0 (0)
1 (4)
Durom (Zimmer, Warsaw, IN, USA)†
0 (0)
1 (4)
M2a (Biomet, Warsaw, IN, USA)†
1 (10)
1 (4)
TLWR (μm/year)*
3.3 (0–128.2)
2.2 (0–85.6)
TVWR (mm3/year)*
0.3 (0–26.2)
0.3 (0–29.3)
ALVAL score*
6 (3–10)
7 (2–10)
Metallic particles (Grade 2–3)†
2 (20)
2 (8)
Tissue damage score (Grade 2–3)†
6 (60)
17 (68)
MRI synovial volume (mm3)*
13,917 (0–198,100)
24,663 (0–645,575)
MRI synovial thickness (mm)*
8 (1–29)
9 (1–45)
Taper data for retrieved large-head THA implants
p value
Number of hips
Fretting score*
6 (2–6.5)
6 (2–8.0)
Corrosion score*
5.3 (2–7.5)
5.0 (2–8.0)
Linear wear rate (μm/year)*
1.4 (0–18.1)
0 (0–30.6)
Head size (mm)*
46 (38–53)
45 (38–53)
Implant type
ASR (DePuy, Warsaw, IN, USA)†
12 (48)
17 (52)
BHR (Smith & Nephew, Memphis, TN, USA)†
8 (32)
0 (0)
Conserve Plus (Wright Medical, Memphis, TN, USA)†
2 (8)
3 (9)
Cormet (Corin Group, Cirencester, UK)†
1 (4)
0 (0)
Durom (Zimmer, Warsaw, IN, USA)†
1 (4)
4 (12)
M2a (Biomet, Warsaw, IN, USA)†
1 (4)
9 (27)
Taper geometry
0 (0)
6 (18)
23 (92)
18 (55)
1 (4)
0 (0)
Type 1†
1 (4)
9 (27)
The literature regarding the underlying etiology of periprosthetic soft tissue lesions around MOM hip arthroplasties is inconsistent. The interchangeable use of terms such as adverse local tissue reactions [1], adverse reactions to metal debris [29], ALVAL [45], and pseudotumor [41] has contributed to the lack of consensus. Some authors suggest that these soft tissue reactions arise as a result of an adverse reaction to a metallic wear burden and/or elevated blood metal ion levels [19, 28, 41] and may be dose-dependent [26]. This theory has been supported by recent evidence showing failure of well-positioned MOM THAs as a result of fretting and corrosion at the head-neck taper junction [6, 27]. However, others have suggested that adverse tissue reactions can occur in well-functioning hips [20] with well-positioned components [10, 34], even in the absence of symptoms [46]. Given the severe tissue damage that can result from an adverse tissue reaction, an urgent need exists to accurately identify a failing implant from a group of well-positioned MOM hips. This study has shown that well-positioned MOM hips revised for unexplained pain most commonly demonstrate ALVAL. Synovial thickness on MRI appears to be highly predictive of ALVAL. The tissue destruction seen in cases of ALVAL does not appear to be related to bearing wear or the presence of a taper.
We acknowledge several limitations to our study. First, we studied a heterogeneous group of implants that included resurfacings and large-head THAs of different designs. The heterogeneity could not be avoided because we are a tertiary referral center, and over 70% of the hips in this study were referred from outside centers. Second, we did not include any metal ion data. Over the period of this study, testing for metal ion levels was not routine at our institution. Published data suggest that metal ions have a sensitivity of approximately 60% at a cutoff level of 7 μg/L of cobalt or chromium to detect an adverse reaction [18, 33]. Because this threshold is lowered to increase sensitivity, specificity decreases. Metal ion testing, however, is important for the surveillance of MOM hips and may prove to be very useful in longitudinal followup. Since the completion of this study, our institution has begun routinely monitoring patients with metal ion levels. Third, as a result of the retrospective nature of our study, not all patients underwent an MRI before being revised for unexplained pain. We therefore found some patients in the unexplained pain group who did not have an adverse tissue reaction. However, we were still able to draw useful conclusions as a result of the stark differences in causes for revision between the two study groups. Fourth, although the ALVAL score has been reported to have an interobserver and intraobserver variability of 0.71 and 0.68, respectively [5], we did not conduct a double-blind evaluation of our histology samples. All our slides were read twice on two different days within a 1-week period by our expert pathologist (GP) to decrease intraobserver variability. For any instances of a discrepancy, a consensus was reached with an independent pathologist in the department. Finally, the intraoperative tissue damage score is subjective as has been previously acknowledged [39]. The inclusion of some objectivity in grading tissue damage intraoperatively has been helpful in reporting the extent of damage encountered by surgeons when revising hips for unexplained pain.
We found that articular wear rates were lower in those hips revised for unexplained pain. This is in agreement with Hart et al. [17] who found that a large number of patients revised for unexplained pain had a low rate of bearing wear. In contrast, a recent study [15] correlating wear with histology after failed hip resurfacing concluded that the majority of pseudotumors are associated with increased implant wear. The pseudotumor group in their study was not controlled for cup position and therefore any comparison to our study becomes difficult to make.
The majority of cases (66%) in the unexplained pain group had histologic evidence of ALVAL. We found no strong correlation between the ALVAL score and wear. Furthermore, only a small proportion of cases with unexplained pain (two of 35) had a combination of a high ALVAL score and high wear. These findings are in agreement with those of Campbell et al. [5], who found that high ALVAL scores were associated with low component wear. Their study did not have a control group and simply looked at revisions for pseudotumor-like reactions. It was unclear whether these cases had been diagnosed on MRI.
We have previously reported on the use of a prototype pulse sequence to further reduce susceptibility artifact and permit the accurate and reproducible measurement of the volume of an adverse synovial response [40] and the thickness of the synovial lining [39]. In the current study, we have shown that synovial thickness was greater in patients with unexplained pain. We found that synovial thickness correlated strongly with the ALVAL score, and the ROC curve analysis showed that a ≥ 7-mm synovial thickness has an 88% sensitivity and 90% specificity for diagnosing ALVAL. We also found a positive correlation between synovial volume on MRI and volumetric wear (Table 3). This finding is in agreement with Kwon et al. [13, 25] and Grammatopoulos et al. [15] who noted that pseudotumors are associated with high-wearing implants. Numerous other authors have reported the association between wear and pseudotumors [8, 19, 21, 28, 30], and therefore the correct use of nomenclature becomes important. We found that component malposition and high wear tend to cause large-volume synovial responses, whereas unexplained pain in well-positioned components is most commonly the result of ALVAL that causes synovial thickening. Both may be described as pseudotumors on MRI but are quite different in their pathology.
We also found a larger proportion of patients (68%) with a severe intraoperative tissue damage score (2 or 3) in the unexplained pain group compared with the control group (41%). The use of this damage score was previously reported and, like with the ALVAL score, does correlate with synovial thickness on MRI [39]. We speculate that the presence of a more thickened and solid adverse response as seen in cases with a high ALVAL score results in more necrotic damage to the soft tissue envelope and abductor mechanism compared with a large fluid-based collection that may be seen in the setting of a low ALVAL score (Fig. 7).
We found no differences in articular wear, histology, MRI, or intraoperative findings between hip resurfacings and large-head THAs revised for unexplained pain. Furthermore, when analyzing the taper junction of the large-head THAs, no difference was noted in wear and corrosion between cases of unexplained and explained pain. The potential adverse effect of the taper in large-head THAs was recently highlighted [6, 23, 37], especially for the ASR (DePuy, Warsaw, IN, USA) [27] and Durom (Zimmer, Warsaw, IN, USA) [12] designs. This finding was also noted in metal-on-polyethylene THAs with smaller head sizes [7]. However, in agreement with our findings, a large retrieval study comprising 240 MOM hip components, comparing hip resurfacings with large-head THAs, found component wear rates to be similar [35]. Further work is clearly required to clarify the roles of taper design and patient susceptibility in taper-induced failure.
Failure of a painful, well-positioned MOM hip occurs most commonly as a result of a delayed hypersensitivity reaction, namely ALVAL. This is typically associated with low component wear. Synovial thickness on MRI has a high sensitivity and specificity to diagnose ALVAL in cases of unexplained pain, and this finding is associated with a higher incidence of severe intraoperative tissue damage. Regardless of the presence of a taper junction, a well-positioned MOM hip device associated with unexplained pain should be promptly investigated with modern MRI artifact-reduction sequences to guide the surgeon toward timely intervention before more severe tissue damage develops.
We thank Giorgio Perino MD, Hospital for Special Surgery, for grading the histology samples, Brett Lurie MD, Hospital for Special Surgery, for analyzing the MRI scans, and Stephanie Gold BA, for assistance with data collection. Danyal H. Nawabi MD, thanks the British Hip Society Charnley Latta Fund for supporting his fellowship training.


text:
Choose your preferred language. We speak English (US) and 42 other languages.
Most often used by people in the United States
All languages
Very good
913 reviews
Stylish, spacious rooms, landscaped grounds, and an à la carte restaurant are offered at this 4-star hotel.
"Room lovely and clean. Food great. Staff friendly."
1,084 reviews
On the banks of the River Lee, this stylish 4-star lodge offers modern rooms with LCD TVs and power showers. Cork centre is just a 10-minute walk away, and free parking and free Wi-Fi are available.
"Kind staff and fantastic location for walking. Clo…g - helped us arrange a cab to Ballymaloe School."
Very good
267 reviews
Located in the Glanmire Valley, Vienna Woods is a 10-minute drive from Cork. It offers large rooms with baths, showers and free WiFi, a restaurant and free parking.
"The Breakfast! Nice place to stay but the breakfast was top quality. staff were lovely."
Very good
2,379 reviews
With fantastic city views, The Montenotte Hotel is just one mile from Cork city center. In a tranquil location, it offers spacious modern rooms, a pool and free parking.
"Staff were very friendly. Food was lovely. It'…n. Views from room and dining area were lovely ☺"
880 reviews
This hotel is directly opposite Cork Airport with a free shuttle service. It is just a 10-minute drive from Cork City, where there are shops, vibrant bars and restaurants.
"We stayed in the hotel for a connecting flight the…y recommended for travellers or business purpose."
Very good
3,272 reviews
Jurys Inn Cork is on Anderson's Quay overlooking the Lee River. Jurys is a 5 minute walk from Kent Station and features a bar, restaurant, and 24-hour front desk.
"Hotel in excellent location - just a short walk to…e one complaint - lovely food and friendly staff."
Very good
1,797 reviews
With its elevated position, Gabriel House looks out over Cork's cathedral spires and the harbour.
"The staff were extremely helpful, the breakfasts w…View from dinning room was the cream on the cake."
1,043 reviews
Overlooking Fitzgerald Park, the Killarney Guest house sits opposite University College Cork.
"Host Margaret was so very genuine and kind. Felt l…distance to tons of restaurants and things to do."
197 reviews
Boasting 4 AA stars, this guest house provides contemporary, elegant accommodation just a 20-minute walk from Cork city centre.
"Very accommodating staff. The location was great, and the room was very comfortable"
Very good
272 reviews
College View Apartments is a new luxurious apartment complex right across from University College Cork (UCC) and a 5-minute walk from the center of the city.
"A perfectly modern studio apartment across from th…highest quality and the dining room is beautiful."
We've negotiated with thousands of hotels to get the very best deals. We call them Secret Deals and they only last for a limited time.
You can get these deals for free by subscribing to our newsletters. You can even choose your favorite destinations to receive personalized deals.
Don't worry – your email address is safe with us. We'll never share your private information and you can unsubscribe at any time.


text:
Steve Harvey 2012 | TV Show Watchlist
Season 2, Episode 1 World's Largest First Date; Harvey's Hero; Josh Shipp and Alyson Stoner: Is It Weird Teen Edition
First Aired: September 16, 2013
Season 2 kicks off with Steve playing matchmaker for hundreds of singles gathered at Chicago's Navy Pier. In addition, Steve pays tribute to a security guard as his "Harvey's Hero." Also: embarrassing teen questions. Appearing: actress Alyson Stoner and author-speaker Josh Shipp.
Cast & Details See all »
- Premiered: September 4, 2012
- Rating: TV-PG
- Premise: The comedian hosts a talk show that focuses on timely issues and relatable topics, such as marriage, dating, finance and parenting. (more)
Trending TonightSee all »
The Real Housewives of Orange County8:00 pm | BRAVOI'll Watch2415 Watching
The Fosters8:00 pm | FREFMI'll Watch248 Watching
Rizzoli & Isles9:00 pm | TNTI'll Watch92 Watching
Watch This
Troian Bellisario recalls her wildest PLL fan encounters
The Pretty Little Liars star and creator recall their wildest -- and sometimes incredilbly uncomfortable -- encounters with fans
Def Comedy Jam Classics: Steve Harvey
By Hbo Home VideoBuy New: $18.99
Steve Harvey Presents the Adventures of Roopster Roux: That's Not Punny (Roupster Roux Series)
By Pelican PublishingBuy New: $16.95
Popular Shows
- 1. Orange Is the New Black
- 2. UnReal
- 3. Mr. Robot
- 4. Game of Thrones
- 5. Outlander
- 6. Preacher
- 7. Pretty Little Liars
Popular Movies
Popular Celebrities
- 1. Rami Malek
- 2. Taylor Schilling
- 3. Constance Zimmer
- 4. Emilia Clarke
- 5. Tom Hiddleston
- 6. Kit Harington
- 7. Gina Rodriguez


text:
Donya Florantino - Annual Lupus LA Orange Ball at the Beverly Wilshire Four Seasons Hotel - Arrivals - Beverly Hills, California, United States - Friday 10th May 2013 (3 Pictures)
Donya Florantino
Photo credit: FayesVision
Daniel J. Wallace, Elizabeth Harnois and Bob Saget
Photo credit: FayesVision
Sufe Bradshaw
Photo credit: FayesVision
View All: 13th Annual Lupus LA Orange Ball
Spencer Morrill believed he was in a relationship with the singer and that she was hiding messages for him in her songs.
Was the singer unknowingly taking counterfeit pain medication?
Roberts had left the band in 2012, due to problems with blood circulation and other health issues.
The popstar turned actress is back in the studio.


text:
Lindsay Lohan Blames Her Manager for Losing a Role in 'The Avengers'
Lindsay Lohan was almost cast in "The Avengers". She revealed it on the latest episode of her OWN docu-series where she was seen confiding in her coach, AJ Johnson, about how her management company didn't fight hard enough for her to get back on movie set.
"I have to do everything," a frustrated LiLo said while tearing up. "I need someone who's going to go into the meetings and fight for me." She wanted to join the Marvel movie but, according to her, her team wasn't helping her so the role she was eying went to "an unknown."
"If I don't work in a film, he passes it to Vanessa Hudgens; [my manager] passes it one of his other clients," the former child actress lamented. "Every day I'm not on a film set, I'm wasting my talent because that's what I was born, and live, to do."
The star didn't elaborate what part she wanted to play in the superhero movie or which "unknown" actress who eventually got the job, but her OWN-hired coach told her that her troubled past might have something to do with it and it's up to her to show to people that she's actually dependable and hireable.
More Lindsay Lohan News
- P. Diddy Throws Star-Studded Birthday Party for Girlfriend Cassie
- Kim Kardashian Says Kendall Jenner Is Banned by Uber, the Company Responds
- J Balvin Survives Plane Crash in Bahamas
- Luke Cage Reveals the Downside of Being Bulletproof in First Clip
- Justin Bieber and Sofia Richie Jet Off for Romantic Getaway Ahead of MTV VMAs
- Britney Spears Calls 'Carpool Karaoke' With James Corden 'Awkward'
- Taylor Swift Naked Wax Figure Displayed at Kanye West's 'Famous' Art Exhibit
- Tom Hiddleston's Instagram Gets Hacked


text:
|By PR Newswire
Article Rating:
|April 21, 2014 05:04 PM EDT
BATTLE CREEK, Mich., April 21, 2014 /PRNewswire/ --
Tweetable Highlight:
- New research shows dietary fiber may be good for your health and your wallet. #eatmorefiber http://youtu.be/5cu9PjVvh4Q
- New research finds potential health care savings of $12.7 billion if US adults get more dietary fiber. #eatmorefiber
The number of doctor visits due to regularity and digestive issues by Americans has grown considerably in the last 20 years, contributing to an increase in health care costs.
Part of the solution may be as simple as getting more fiber in our daily diets.
A new health economic study shows a potential health care savings of $12.7 billion per year if U.S. adults would increase their dietary fiber to about 25 grams, the minimum level recommended by health experts for adults. Currently, less than one in ten Americans meet their daily fiber needs.
"With the rising cost of health care, this research highlights the importance of simple, realistic changes that we can make to our diet, such as eating more fiber, which could contribute to significant health care savings," said Dominik Alexander, Ph.D., MSPH, a principal epidemiologist, who managed the research team conducting the study.
The study, carried out by an independent team of researchers in nutritional sciences, epidemiology, and health economics from Exponent, Inc. Health Sciences and commissioned by Kellogg Company, evaluated the direct medical costs associated with regularity problems among adults in the U.S. The research team developed a model to determine the potential money that could be saved through preventive, lifestyle-related measures, in this case, increasing dietary fiber intake.
Also according to the study, if only half of the U.S. population increased their dietary fiber intake by just three grams a day there could still be more than $2 billion in health care cost savings.
"This goal could be easily achieved with just one or two simple dietary changes," said Lisa Sanders, Director, Global Nutrition and Scientific Affairs at Kellogg Company. "Selecting a higher fiber cereal for breakfast and having a piece of fruit or higher fiber snack bar later in the day could supply three grams of fiber, or even more."
Kellogg has a wide variety of great tasting, fiber-ful foods to make it easier for adults and children to get the fiber they need. More than 70 percent of Kellogg ready-to-eat cereals in the U.S. provide a good source of fiber (3 grams or more).
About Kellogg Company
At Kellogg Company (NYSE: K), we are driven to enrich and delight the world through foods and brands that matter. With 2012 sales of $14.2 billion, Kellogg is the world's leading cereal company; second largest producer of cookies, crackers and savory snacks; and a leading North American frozen foods company. Every day, our well-loved brands nourish families so they can flourish and thrive. These brands include Kellogg's®, Keebler®, Special K®, Pringles®, Frosted Flakes®, Pop-Tarts®, Corn Flakes®, Rice Krispies®, Kashi®, Cheez-It®, Eggo®, Coco Pops®, Mini-Wheats®, and many more. Because we believe in the power of breakfast, we focus our philanthropic efforts global hunger relief through our Breakfasts for Better Days™ initiative, providing 1 billion servings of cereal and snacks - more than half of which are breakfasts - to children and families in need by the end of 2016. To learn more about our responsible business leadership, foods that delight and how we strive to make a difference in our communities around the world, visit www.kelloggcompany.com.
SOURCE Kellogg Company
DevOps at Cloud Expo, taking place Nov 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 19th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to wait for long dev...
Aug. 25, 2016 02:30 AM EDT Reads: 2,117
Is the ongoing quest for agility in the data center forcing you to evaluate how to be a part of infrastructure automation efforts? As organizations evolve toward bimodal IT operations, they are embracing new service delivery models and leveraging virtualization to increase infrastructure agility. Therefore, the network must evolve in parallel to become equally agile. Read this essential piece of Gartner research for recommendations on achieving greater agility.
Aug. 25, 2016 02:15 AM EDT Reads: 397
SYS-CON Events announced today that 910Telecom will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Housed in the classic Denver Gas & Electric Building, 910 15th St., 910Telecom is a carrier-neutral telecom hotel located in the heart of Denver. Adjacent to CenturyLink, AT&T, and Denver Main, 910Telecom offers connectivity to all major carriers, Internet service providers, Internet backbones and ...
Aug. 25, 2016 02:00 AM EDT Reads: 1,762
Personalization has long been the holy grail of marketing. Simply stated, communicate the most relevant offer to the right person and you will increase sales. To achieve this, you must understand the individual. Consequently, digital marketers developed many ways to gather and leverage customer information to deliver targeted experiences. In his session at @ThingsExpo, Lou Casal, Founder and Principal Consultant at Practicala, discussed how the Internet of Things (IoT) has accelerated our abil...
Aug. 25, 2016 02:00 AM EDT Reads: 1,887
With so much going on in this space you could be forgiven for thinking you were always working with yesterday's technologies. So much change, so quickly. What do you do if you have to build a solution from the ground up that is expected to live in the field for at least 5-10 years? This is the challenge we faced when we looked to refresh our existing 10-year-old custom hardware stack to measure the fullness of trash cans and compactors.
Aug. 25, 2016 01:15 AM EDT Reads: 1,594
Extreme Computing is the ability to leverage highly performant infrastructure and software to accelerate Big Data, machine learning, HPC, and Enterprise applications. High IOPS Storage, low-latency networks, in-memory databases, GPUs and other parallel accelerators are being used to achieve faster results and help businesses make better decisions. In his session at 18th Cloud Expo, Michael O'Neill, Strategic Business Development at NVIDIA, focused on some of the unique ways extreme computing is...
Aug. 25, 2016 01:00 AM EDT Reads: 1,952
The emerging Internet of Everything creates tremendous new opportunities for customer engagement and business model innovation. However, enterprises must overcome a number of critical challenges to bring these new solutions to market. In his session at @ThingsExpo, Michael Martin, CTO/CIO at nfrastructure, outlined these key challenges and recommended approaches for overcoming them to achieve speed and agility in the design, development and implementation of Internet of Everything solutions wi...
Aug. 25, 2016 12:45 AM EDT Reads: 1,899
With over 720 million Internet users and 40–50% CAGR, the Chinese Cloud Computing market has been booming. When talking about cloud computing, what are the Chinese users of cloud thinking about? What is the most powerful force that can push them to make the buying decision? How to tap into them? In his session at 18th Cloud Expo, Yu Hao, CEO and co-founder of SpeedyCloud, answered these questions and discussed the results of SpeedyCloud's survey.
Aug. 25, 2016 12:30 AM EDT Reads: 2,054
19th Cloud Expo, taking place November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Meanwhile, 94% of enterpri...
Aug. 25, 2016 12:00 AM EDT Reads: 2,962
To leverage Continuous Delivery, enterprises must consider impacts that span functional silos, as well as applications that touch older, slower moving components. Managing the many dependencies can cause slowdowns. See how to achieve continuous delivery in the enterprise.
Aug. 24, 2016 10:30 PM EDT Reads: 1,446
Actian Corporation has announced the latest version of the Actian Vector in Hadoop (VectorH) database, generally available at the end of July. VectorH is based on the same query engine that powers Actian Vector, which recently doubled the TPC-H benchmark record for non-clustered systems at the 3000GB scale factor (see tpc.org/3323). The ability to easily ingest information from different data sources and rapidly develop queries to make better business decisions is becoming increasingly importan...
Aug. 24, 2016 10:30 PM EDT Reads: 2,010
Today we can collect lots and lots of performance data. We build beautiful dashboards and even have fancy query languages to access and transform the data. Still performance data is a secret language only a couple of people understand. The more business becomes digital the more stakeholders are interested in this data including how it relates to business. Some of these people have never used a monitoring tool before. They have a question on their mind like "How is my application doing" but no id...
Aug. 24, 2016 09:15 PM EDT Reads: 1,664
Kubernetes, Docker and containers are changing the world, and how companies are deploying their software and running their infrastructure. With the shift in how applications are built and deployed, new challenges must be solved. In his session at @DevOpsSummit at19th Cloud Expo, Sebastian Scheele, co-founder of Loodse, will discuss the implications of containerized applications/infrastructures and their impact on the enterprise. In a real world example based on Kubernetes, he will show how to ...
Aug. 24, 2016 04:45 PM EDT Reads: 1,303
SYS-CON Events announced today that Venafi, the Immune System for the Internet™ and the leading provider of Next Generation Trust Protection, will exhibit at @DevOpsSummit at 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Venafi is the Immune System for the Internet™ that protects the foundation of all cybersecurity – cryptographic keys and digital certificates – so they can't be misused by bad guys in attacks...
Aug. 24, 2016 04:15 PM EDT Reads: 2,557
Pulzze Systems was happy to participate in such a premier event and thankful to be receiving the winning investment and global network support from G-Startup Worldwide. It is an exciting time for Pulzze to showcase the effectiveness of innovative technologies and enable them to make the world smarter and better. The reputable contest is held to identify promising startups around the globe that are assured to change the world through their innovative products and disruptive technologies. There w...
Aug. 24, 2016 04:15 PM EDT Reads: 356


text:
Belkin's Thunderstorm Home Theater case launches for iPad 4
Belkin's snug-fitting Thunderstorm Handheld Home Theater case - designed to give a theater-like audio boost with its speaker performance - is now available for iPad 4.
Unveiled at CES 2013 in January, the speaker dock has front-facing, cinematic stereo speakers by Audifi, which optimise bass frequencies through integrated air channels, as well as a built-in amp. The dock connects directly to the iPad through a Lightning dock connector - without adding any noticeable bulk.
Read: Belkin Thunderstorm Handheld Home Theater pictures and hands-on
The chassis offers a Sound Mode button, allowing users to choose between four different sound mode options like music, moving, gaming and conference call. There's also a magnetically attached folding cover with multiple stand configurations and pass-through access for iPad rear camera and buttons.
Belkin has also refreshed its Thunderstorm app, so users can manage the left and right channel audio output, and partnered with Hulu to provide a free month of Hulu Plus for new subscribers with the purchase of a Thunderstorm Handheld Home Theater.
The Thunderstorm Handheld Home Theater for iPad 4 is available online at belkin.com and in select retail locations for $199.99 (£130).
Huawei MateBook review: 5-hours of friendship
Lenovo Yoga 900S review: Strike a pose
Acer Switch Alpha 12 review: Affordability is its ace
Best smartphone battery packs: Pokemon power and more
- Huawei MateBook review: 5-hours of friendship
- Razer has a new iPad Pro mechanical keyboard case for gamers
- Kindle's Page Flip lets you skip pages without losing your place
- New Amazon Kindle 2016: Double memory, thinner, lighter and more
- Samsung Galaxy TabPro S review: Taking on the Microsoft Surface Pro
- Life-drawing at the Royal Academy with an iPad Pro
- Win an iPad Pro worth £500 with Travelex Supercard!
- Nvidia might have new Shield gaming tablet on the way, FCC filings reveal
- EE Jay is a fun and budget-friendly 4G tablet for summer travelling
- Next Apple Pencil could have swappable tips and even Touch ID
- Samsung Galaxy Note 7 tips and tricks: The ultimate guide to mastering your Note
- Sony Xperia XZ: Rumours, release date and everything you need to know
- Deus Ex Mankind Divided review: Cyberpunk satisfaction
- PlayStation 4 Slim: Release date, rumours and everything you need to know
- When is Android 7.0 Nougat coming to my phone?


text:
Learn more
Thank You For Your Service (The Cost of War) Hardcover – 14 Nov 2013
Amazon Price
|New from
|Used from
Kindle Edition
"Please retry"
Audio CD, Audiobook
"Please retry"
- Choose from over 13,000 locations across the UK
- Prime members get unlimited deliveries at no additional cost
- Find your preferred location and add it to your address book
- Dispatch to this address when you check out
Frequently Bought Together
Customers Who Bought This Item Also Bought
Enter your mobile number or email address below and we'll send you a link to download the free Kindle App. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required.
To get the free app, enter your mobile phone number.
Don't have a Kindle? Get your Kindle here, or download a FREE Kindle Reading App.
Product details
Would you like to update product info or give feedback on images?
Product Description
In this incredibly moving sequel, Finkel reconnects with some of the men of the 2-16 now home on American soil and brings their struggles powerfully to life . . . Told in crisp, unsentimental prose and supplemented with excerpts from soldiers diaries, medical reports, e-mails, and text messages, their stories give new meaning to the costs of service and to giving thanks. --Publishers Weekly (starred review)
The author gives a clear-eyed, frightening portrayal of precisely what it is like to suffer with post-traumatic stress disorder or traumatic brain injury and what it is like to have the specter of suicide whispering into your ear every day. --Kirkus Reviews (starred review)
I'm urging everyone I know to give Thank You for Your Service just a few pages, a few minutes out of their busy lives. The families honoured in this urgent, important book will take it from there. --Katherine Boo, National Book Award winning author of Behind the Beautiful Forevers
About the Author
David Finkel is the national enterprise editor of The Washington Post. He joined the Post in 1990 and has worked for the paper's national, foreign, and magazine staffs. He has reported from Africa, Asia, Central America, Europe, and throughout the United States, and was part of the Post s war coverage in Iraq, Afghanistan, and Kosovo. Among Finkel's journalism honours are a Pulitzer Prize for explanatory reporting in 2006 for a series of stories about US-funded democracy efforts in Yemen. He has been a Pulitzer finalist three other times, for both explanatory reporting and feature writing. A 1977 graduate of the University of Florida, Finkel is married, has two daughters, and lives in Silver Spring, Maryland.
What Other Items Do Customers Buy After Viewing This Item?
Customer Reviews
Top Customer Reviews
Somehow this is a sequel to his previously published work "The Good Soldiers" where author introduced us the soldiers of one Infantry Battalion that left for Iraq.
Their return is described in this book and reader can realize how changed they become due to their experience not matter how short it was, someone malicious could say.
These are people who have wounds that are invisible on first sight, they don't lack any of the limbs or are disabled in common sense, that would have probably helped them to be seen as victims. Instead they have PTSD and TMI, problems that are still a mysterious to most people and often misused, thereby often belittle.
We see how is difficult for them to continue living their normal lives, with their families but also on general level how difficult their society reintegration is.
The title of the book is made in somehow ironic way because this is a sentence they've been hearing lot of times since they came back but anyone besides themselves and their families know and can't understand how difficult is to be back, how strange it feels to start living again normal life after all the shocking events they've been through.
The author writes without any hesitation, his stories are powerful while he portrays former soldiers as broken men together with their families that became broken due to their war experience.Read more ›
Finkel provides the important context for his sequel. He says that two million American soldiers have served in either Afghanistan or Iraq. He claims that 20-30% of the soldiers who deployed to these theaters now suffer from some form of Post-Traumatic Stress Disorder (PTSD), percentages that I think must be on the high side. The experience of the men of the 2/16th were far more intense, and therefore not typical of the vast majority of soldiers. The author does not address why PTSD seems to be so much higher than other wars, though probable reasons are the multiple tours of duty and the "disconnect" with the American civilian population that is totally unaffected by the war. The author explains his methodology which involves reconstructing the dialogue of the principle characters. And the dialogue seemed to be authentic to me. He also says that he obtained the agreement of the soldiers and their families to write the story as Finkel saw it, without prior approval. All fair enough, so the stage is now set, and it is mainly in America's heartland, near Ft. Riley, Kansas, where their unit is based when not in Iraq.Read more ›
Most Recent Customer Reviews
A simply written factual account of the personal experience endured by too many people far too frequently. A good sense of perspective keeps the narrative from becoming 'mawkish'!Published 23 months ago by 2Dogs
I read the previous book (The Good Soldiers), so it was really interesting to see what happened next. Compelling and scary.Published on 3 Jun. 2014 by Sarah Hrybyk
Look for similar items by category
- Would you like to update product info or give feedback on images?
- I am the Author, and I want to comment on my book.
- I am the Publisher, and I want to comment on this book.


text:
House GOP, Democrats clash over immigration
WASHINGTON — House Republicans took a tentative step toward offering citizenship to some unauthorized immigrants Tuesday, but hit an immediate wall of resistance from the White House on down as Democrats said it wasn't enough.
The dismissive reaction to the GOP proposal to offer eventual citizenship to some immigrants brought illegally to the U.S. as children underscored the difficulties of finding any compromise in the Republican-led House on the politically explosive issue of immigration.
|The article you requested is no longer available on BostonHerald.com.


text:
Foursquare © 2016 Lovingly made in NYC & SF
flaming wok
Chinese · $
5869 Fairmont Pkwy
"Ordered the general chicken and chicken lo mien and a couple egg rolls. It was awesome and it is a must see place if you are in the area"
Pei Wei
Asian · $$
5932 Fairmont Pkwy. Suite 150
"Teriyaki steak w/lo mien noodles is awesome."
Panda Express
5230 Fairmont Pkwy (Beltway 8)
"Shanghai angus steak and grilled teriyaki chicken ftw"
Created by Meg1 item
Places To Go
Created by Melanie Schubert39 items
Make sure your information is up to date. Plus use our free tools to find new customers.
Download Foursquare for your smart phone and start exploring the world around you!


text:
Police: Shoplifter threatened workersJanuary 03,2013
SOUTH BURLINGTON — Police are searching for a suspect who they say threatened employees of a department store after he was spotted stealing jewelry.
South Burlington police said Wednesday they were called to the Sears store at the University Mall after a store loss prevention officer said the suspect threatened to use pepper spray on the workers.
The incident was captured on store video.
Police say the suspect appears to be a stocky white male, approximately 5 feet 9 inches tall with a goatee.
Police say the suspect was seen approaching a car in the parking lots, at which time an occupant inside the vehicle said to the suspect: "You had better not have been stealing."MORE IN Vermont NewsRUTLAND Kerry Branons upbringing in Vermont helped inspire her to care for the lives around... Full StoryWATERBURY Five years after Tropical Storm Irene hit the state, an artist from Waterbury recalls... Full StoryThe Vermont State Labor Council AFL-CIO has endorsed the Democratic slate of statewide candidates... Full Story
- Most Popular
- Most Emailed


text:
Graffiti pops up on Middleburg home
by: Deanna Bettineschi Updated:
MIDDLEBURG, Fla. - Johnnie Carter owns a home off of Old Jennings Road.
It's a home that's tagged with the words "666 Carter" on two walls, a barn, and a "no trespassing" sign.
Carter says he knows who left these messages.
"It's a little family feud," said Carter.
The neighbors were worried when the saw all the spray paint.
Three sixes are known to many as "the devil's numbers."
"It surprised me to see something like that and someone do something disrespectful," said neighbor R.J. Nolan.
But Carter says there is nothing to worry about. He believed this vandalism is a one-time thing.
Subscribe: Get Today's Top Stories Delivered to Your Mobile Device
Graffiti pops up on Middleburg home
Ex-Fox News CEO Roger Ailes called Stacey Dash 'the black girl,' lawsuit alleges
2 women arrested after video shows them smoking pot near toddler, police say
Man suspected of killing roommate may have tweeted his intentions
Police with guns drawn chase 10-year-old boy after mistaking him for…


text: We're sorry, Woven Lolly Print Jumpsuit is no longer available Why not try one of these instead? Star Fleece Baby Wrap by Tuppence and Crumble £25$43.29€29.49$33.14 free UK delivery Personalised Percentage Babygrow Or T Shirt by Simply Colors £16.90$29.26€19.94$22.40 Personalised Heart Baby Vest by Cows & Kisses £15$25.97€17.69$19.88 free UK delivery 'Big Sister Little Sister' T Shirt Set by Precious Little Plum £24$41.56€28.31$31.81 Woven Lolly Print Jumpsuit by Lucy & Sam £20$34.63€23.59$26.51 This item is no longer available free gift wrap £6.95$12.03€8.20$9.21 delivery to United States Receive this item 5-10 working days from dispatch International delivery available Favourite Favourite View your favourites sizesize (required)9-12m6-9m size (required)9-12m6-9m size (required)9-12m6-9m size (required)9-12m6-9m we're sorry we're sorry, This item is no longer available buy a gift voucher related categories baby & child > clothing > babygrows by Lucy & Sam Location: London, GB read seller's profile see seller's complete range more items from this seller Lucy And Sam Circus Print Sleepsuit by Lucy & Sam £18$31.17€21.23$23.86 Lucy And Sam Circus Print Sleepgown by Lucy & Sam £15$25.97€17.69$19.88 Striped Jersey Shorts by Lucy & Sam £10$17.31€11.79$13.25 Triangle Print Pocket Tee by Lucy & Sam £15$25.97€17.69$19.88 Watermelon Print 80's Shorts by Lucy & Sam £15$25.97€17.69$19.88 Lucy And Sam Ladybird Print Sleepsuit by Lucy & Sam £18$31.17€21.23$23.86 view all you may also like PRODUCT DETAILS CUSTOMER REVIEWS DELIVERY RETURNS free gift wrap ask seller a question save for later Woven ice cream print jumpsuit. Super funky lolly print jumpsuit. This is sleevless with poppers in the inside leg so that changing nappy's are easy. Every little girl will look great in this. Printed on soft cotton. Available in 5 sizes, 0-3m, 3-6m, 6-9m, 9-12m and 12-18m. 100% cotton. If the gift wrap option is selected the item comes with our beautiful natural card packaging and Lucy & Sam printed tape, to make the perfect gift. Available in 5 sizes, 0-3m, 3-6m, 6-9m, 9-12m and 12-18m made from: 100 % cotton jersey. dimensions: 0-3 m Neck to leg 52cm Chest 24cm 3-6m Neck to leg 55cm Chest 25cm 6-9m Neck to leg 58cm Chest 26cm product code: 237892 2 customer reviews read about our product rating system ratings guide trusted independent customer feedbackforum excellent bad good poor This product is dispatched to you by Lucy & Sam. MAINLAND UK order now and receive this item by price Standard Delivery Thursday 1 September £1.75$3.03€2.06$2.31 Tracked Next Day Delivery Wednesday 31 August £6.70$11.60€7.90$8.88 Saturday Delivery Saturday 3 September £14.70$25.45€17.34$19.48 NON-MAINLAND UK estimated delivery price Highlands & Islands of Scotland 2-5 working daysfrom dispatch £1.75$3.03€2.06$2.31 Northern Ireland 2-5 working daysfrom dispatch £1.75$3.03€2.06$2.31 Other UK Islands 2-5 working daysfrom dispatch £1.75$3.03€2.06$2.31 INTERNATIONAL DELIVERY estimated delivery price Western Europe 2-5 working daysfrom dispatch £5.00$8.65€5.89$6.62 Rest of Europe 5-10 working daysfrom dispatch £5.00$8.65€5.89$6.62 USA & Canada 5-10 working daysfrom dispatch £6.95$12.03€8.20$9.21 Asia & Australasia 5-10 working daysfrom dispatch £7.25$12.55€8.55$9.61 Rest of the world 5-14 working daysfrom dispatch £7.25$12.55€8.55$9.61 You have 28 days, from receipt of cancellable goods, to notify the seller if you wish to cancel your order or exchange an item. Please note: goods that are personalised, bespoke or made-to-order to your specific requirements, perishable products and personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken are non-refundable, unless faulty. Read more about our returns policy.Should you choose to return or exchange your order you will need to deliver the item(s) to the UK, where this seller is based. Lucy & Sam's return policy Please see notonthehighstreet.com's returns policy.


text: Welcome to Zazzle's Satanic belt buckle page, where you can find a variety of Satanic buckles to tickle your fancy. Whether you like your buckle rectangular or oval you'll find a Satanic buckle that fits your personality. Check out all of the great designs, images, and artwork that our designers have created for these products. Add a bit of extra fashion to your boring belt with our amazing Satanic buckles!


text:
Our model portfolio continues to outpace the market.
Interest in Apple is heating up as the price falls, but how deep is the conviction?
Our picks from the ideas of some of the best investment minds around.
While more than one third of these top fund managers are outperforming this year, four of them stand out from the rest given their ability to outperform the market over almost all time periods.
Plus, Fidelity Asia managers fired, tax-exempt munis under fire, and more.
Michael Price and his proteges have gone in different directions. Do great minds still think alike?
An impressive strategy runs through Mutual Series, but the funds have key distinctions, as well.
Here's a look at some of the funds we've rated so far in this category.
Beta isn't a perfect measure of risk, but investors spooked by recent market volatility may want to pay closer attention.
©2014 Morningstar Advisor. All right reserved.


text:
» More Orienteering News at the World of O frontpage
Tempted to Train - Timeout in Turkey
Looking at a calendar it feels illusory to start the The World Cup in orienteering this time of the year. The most important races of the season are months away and in a normal winter most of Scandinavia would still be under a thick snow cover. The orienteering elite are…
Main page
however now gathered in the southeastern most part of Europe to get the season under way tomorrow south of Kemer on the Mediterranean coast. I am strongly focusing on quantity in my training and during the last few weeks in Andalucía Ive done orienteering more frequently than ever before. It will pay off at some point, but is the time? I tend to become more critical towards my orienteering = accepting less mistakes the more I orienteer so it should be good leading up to these races. The weekend starts off with the middle distance qualification tomorrow and hopefully final…
Most popular from Mårten Boström
Win in Copenhagen Marathon - 2011-05-23 14:00:00
There`s a Day After Tomorrow - 2013-07-07 12:00:00
One Wedding and Three Races - 2011-07-14 08:00:00
Ready for the Big One - 2012-04-13 12:00:00
Kareem Ramadan - 2011-08-30 08:00:00
Rotterdam Winding - 2012-04-18 22:00:00
Getting Dirty in Belgium at European Cross… - 2008-12-17 12:00:00
Most read from Mårten Boström
World Champion - 2013-07-11 16:00:00
7 seconds away - 2015-08-10 05:00:00
Win in Copenhagen Marathon - 2011-05-23 14:00:00
World Champs fail - 2014-07-10 23:50:00
Digesting Gold in the Alps & Apennines - 2013-08-08 14:00:00
One Wedding and Three Races - 2011-07-14 08:00:00
It all starts with a dream - 2014-01-23 23:00:00
24.08: World of O
WOC Middle Men 2016: BIG GPS & Splits analysisMatthias Kyburz (Switzerland), Olav Lundanes (Norway) and Daniel Hubmann (Switzerland) had a very t...
Read story | Main page
24.08: Sabine Hauswirth
7. Rang MitteldistanzBei meinem ersten Einsatz an der WM erreichte ich den guten 7. Rang!...
Read story | Main page
18.08: World of O
WOC 2016: All You Need To KnowThe World Orienteering Championships starts on Saturday August 20th at 09:00 CET with...
Read story | Main page
24.08: World of O
WOC Middle Women 2016: BIG GPS & Splits analysisTove Alexandersson was the big favourite for the WOC middle distance in Tanum, but the Swedish...
Read story | Main page
21.08: World of O
WOC Sprint Women 2016: Why did Alm win & Full AnalysisMaja Alm crushed her competitors in the World Championships Sprint in Strömstad - it was ...
Read story | Main page
23.08: World of O
WOC 2016 Middle: Maps and Results[With GPS animations] Matthias Kyburz (Switzerland) and Tove Alexandersson (Sweden) won the Wo...
Read story | Main page


text:
Hot Products for 2014
Monday July 7th, 2014 - 12:20PM Sponsored by
These are shortcuts to your favorite social networking and bookmark sites. Add this story to your Facebook page, del.icio.us, DiggIt, and many others!
The Gettys Group Procurement division is one of the largest buyers in hospitality—with a broad network of trusted manufacturers around the globe. Focused on design quality and aesthetic, the procurement team reviews hundreds of new products a year—ranging from upholstery fabrics and custom artwork to guestroom casegoods and seating. Check out some of the division's favorites for 2014:
3M has a long history of manufacturing products in the most creative of applications. Most recently, the always-evolving company has added new, decorative, crystal-clear LED fixtures with 3M optical technologies to its lineup. These new features allow for the highest quality of light, sustainable sensitivities and sophisticated style.
Lightwave Laser Custom Wood Panels
Decorative screens are becoming more and more popular within the industry, specifically in select renovation projects. Lightwave makes a unique and cost-conscious floor screen, which allows you to feature an art piece, decorative screen or define a space within a room. Used on walls, ceilings, freestanding and as an installed feature in your space—the possibilities are endless.
This new lighting line is perfect for your upcoming renovation and property improvements. Recesso is a recessed light converter kit for 4- to 6-in. recessed lights you want to cover up. The fixtures attach with the assembly provided directly to the ceiling offering your property a new look while utilizing the light source you currently have installed.
Photo credits:
Al Faisaliah Hotel, a Rosewood Hotel
(Gettys Procurement, slated to open Fall 2014)
About Gettys Procurement
Our team of diversified professionals consistently exceeds our clients' demand for beautiful design married with unparalleled procurement services. The understanding of project needs, risks and interests is our core philosophy. Consistently ranked among the most powerful buyers of hospitality FF&E, our award-winning team ensures our sources meet the highest standards of efficiency, cost control, quality and design.
The Gettys Group is an award-winning international hospitality consultancy headquartered in Chicago. For more than 25 years across the globe, Gettys has specialized in creating value through interior design, procurement, branding, and development services from project conception to completion.
For more information and a sampling of Gettys' extensive portfolio, please visit www.gettys.com.
Tags: The Gettys Group • Recesso • Lightwave • 3M • Hospitality • FF+E/Purchasing •
Technology has transformed travel. It's that simple. From virtual-reality tours to mobile check-in to storing and personalizing guests' preferences, technology is continuing to influence the way we stay and vacay, so to speak. And it's also continuing to impact the way hotels do business. It comes down to this equation: guests' demands + hotel delivery = happy customers.
TravelClick: Navigating the New Reality of Destructive Demand »
RLHC Partners with Expedia for Loyalty Program
Hampton Inn Opens in Michigan's Upper Peninsula
How Social Media is Helping Bed Bugs Win
Warmbrodt Hotel Investments Merges with HREC
Peachtree Hotel Group Acquires Hilton in Birmingham, AL
Sign up for a
Digital Subscription
Click Here


text:
Danny Howells
An acclaimed DJ, producer and remixer, Hastings, England's native son Danny Howells earned his bones warming up for John Digweed at the legendary Bedrock club nights during the '90s. Howells maintained that opening gig for almost ten years and earned a dedicated British following before blowing up worldwide in 2000 with the release of Global Underground: NuBreed 002. After leaving Bedrock, he secured prestigious residencies at several other high-profile hot spots, including Renaissance, Twilo and Ministry of Sound, and he also remixed big-time tracks by the likes of Madonna, BT and Felix da Housecat. In 2009, he founded the record label Dig Deeper (named after his own long-running club night), which released his latest DJ mix, Phase One, for digital download this past April.
Get the Music Newsletter
Keep your thumb on the local music scene each week with music news, trends, artist interviews and concert listings. We'll also send you special ticket offers and music deals.
In Case You Missed It
Upcoming Events
TicketsFri., Aug. 26, 8:00pm
Ubre Brown
TicketsSat., Aug. 27, 8:00pm
TicketsMon., Aug. 29, 7:00pm
Smokey Robinson With the Colorado Symphony
TicketsSat., Sep. 3, 7:30pmpowered by goldstar
Popular Stories
Sponsor Content


text:
- Join
- Content
- Learning Solutions Magazine
- Research Insights Library
- Guild Publications
- Online Events Archive
- Conference Archive
- DemoFest Archive
- Product Directory
- Supplier Directory
- Events
- Jobs
About Guild Members
Members of The eLearning Guild comprise the largest and most influential group of eLearning professionals in the world. Members share a common interest in the management, design, development, and delivery of eLearning and they apply their professional skills for the benefit of corporate, government and academic organizations around the world.
The eLearning Guild now has more than 71,000 active members worldwide. (The charts below were created on December 22, 2015 when the Guild had 71,000 members.)
eLearning Guild members live and work in 169 different countries around the world…
Countries of Origin
They represent the entire professional spectrum…
Role in Organization
They have years of experience in eLearning and in their current roles…
Years of Experience
They work in a variety of roles in their organizations…
Focus of Work
They work in every industry…
They work in organizations of all sizes…
Size of Organization
The learners impacted by their efforts number in the tens of millions…
Learners Impacted
They collectively have tremendous economic influence…
Purchasing Authority
They work in all departments of the organization…
They hold various levels of degrees…
Current Membership
78,766Join The eLearning Guild
Upcoming Events
Recent Job Postings
- Bilingual Graphic Designer / Courseware Developer
Ottawa, Ontario, Canada
- Bilingual Learning Designer
Ottawa, Ontario, Canada
- Instructional Designer
Ashburn, Virginia
- eLearning Instructional Designer
- Technical eLearning Designer
San Francisco, Ca. USA


text:
Location: Myrtle Beach, SC
Tickets: 0
Sorry, tickets are no longer available for this event.
Broadway Louie's
1318 Celebrity Cir
Myrtle Beach, SC
Starkey Hearing Foundation "So The World May Hear" Awards Gala, Saint Paul RiverCentre, Saint Paul, Minn.
Bruce Kluckhohn / AP Images for Starkey Hearing Foundation
July 17, 2016 |
Wembley Stadium, London, UK
Joel Ryan / Invision for Parkwood Entertainment / AP Images
July 2, 2016 |
If we have information that is incorrect on this itinerary, please
send us an email
© Copyright 2015 Pollstar. All Rights Reserved.
Use of information on this website is subject to
License Agreement.
Tickets for dates listed may not yet be on sale. Dates may change without notice.


text:
Sighting reports,
as they happen.
Try our Google Gadget
|View all UFO reports
Latest sightings in Vallejo:
VallejoVallejo is in Solano County in the San Francisco Bay Area of California. The name "Vallejo" is locally pronounced in a confused hybrid of Spanish and English. In literal English this ought to be pronounced "vuh LAY joe". In Spanish this ought to be "bah YAY hoe". But locally it's pronounced "vuh LAY hoe".
Other cities of interest:
El PasoCarol CitySan BernardinoIrvineProvoMidlandWestminsterHialeahBurbankWorcesterWheaton-GlenmontJacksonGrand RapidsJersey CityBaton RougeClarksvilleUnion CityWacoWest Bloomfieldship CDPLivermoreSpringfieldArden-ArcadePittsburghCorpus ChristiNew Orleans
Unfortunately, your browser does not support the advanced features of Google Local (previously known as Google Maps).
This site requires at least the following browser versions: Internet Explorer 6, Firefox 0.8, Safari 1.2.4, Netscape 7.1, Mozilla 1.4 or Opera 8.02
Please see Google Local's browser support at this page.


text:
Creative for Health
UF Health Shands Arts in Medicine and UF HealthStreet presents:
Creative for Health Art and Writing Workshops
Nothing feels better than to fully immerse yourself in an art project. The world around you falls away. Time passes pleasantly without notice.
Research also suggests that creativity is good for our health. Regular practice has been shown to reduce the harmful effects of stress, improve immune system function, and help us cope with anxiety and depression.
Uncover your creativity by joining artists and writers with the UF Health Shands Arts in Medicine program in exciting, inspirational activities.
Calendar of Events
For more information, contact Dylan Klempner by email at firstname.lastname@example.com.


text:
Star Tracks: Monday, May 16, 2016 42 years, 2,191 covers and 55,436 stories from PEOPLE magazine's history for you to enjoy
Latest News!
- Man Charged in Murder of Friend's 5-Year-Old Daughter Allegedly Sexually Assaulted Her and Left Suicide Note
- Read the Cover Story: The Final Five: Their Amazing Journey!
- WATCH: The Real Housewives of New York City's LuAnn de Lesseps Confronts Fiancé over Infidelity Rumors – 'How Could You Do This To Me?'
- WATCH: Find Out What It's Like to Fight with Bethenny Frankel Straight from One of Her RHONY Costars!
- WATCH: There's One Shocking Trump Quote Clinton Refused to Read Aloud on Jimmy Kimmel Live!
On Newsstands Now
The Final Five: America's Sweethearts!
People Top 5
LAST UPDATE: Tuesday February 10, 2015 01:10PM EST
PEOPLE Top 5 are the most-viewed stories on the site over the past three days, updated every 60 minutes
- June 27, 1977
- Vol. 7
- No. 25
Mr. Katter Welcomes Back 'horshack' as Prize Pupil Ron Palillo Plays Shakespeare
Even before the Stratford invitation Ron, 23, was planning to return home during this year's Kotter hiatus to do Shakespeare in a scholarship fundraiser at his alma mater, the University of Connecticut. His appearance would also honor the drama professor who "really taught me everything I know." Weirdly enough, the teacher's name was Mr. Katter, and the official title of the grant is the Ronald G. Palillo-Nafe E. Katter Scholarship.
"I can't play a romantic role like Romeo," Palillo admits, deferring to the Travoltas of this world. "These are ugly, funny love scenes," he says of Shakespeare's Other Side of Love, the mélange he put together for four performances on his old campus, and of the Taming of the Shrew excerpt he did at Stratford. Ironically, while shows like Kotter thrive, Connecticut's American Shakespeare Theater is in trouble. There will be no Shakespeare this summer, and last week's gala was a benefit to salvage the future.
Not totally selfless, the prematurely graying Palillo worries that "I've created my own monster," and participated in part to change his image. Horshack "will not be the apex of my career but just a stepping-stone," he vows. Unlike Arnold, Palillo has been an overachiever from his childhood in Cheshire, Conn. His dad, a postmaster, died when Ron, the youngest of four, was 9. His mother managed to support them working for a furrier and as a waitress. He skipped two grades and co-founded a community theater by 14. But in high school the then 4'6" Palillo suffered ("I know more about Arnold Horshack than people think I do") and when pressed to conform "did what Horshack could never do. I left the group and chose the theater." At 19 (and 5'7") he graduated from college with a 3.6 grade average.
After six months of rep in Miami he snagged the role of the retarded boy in The Hot I Baltimore Off-Broadway. Despite his meager $3,000 income and grungy fifth-floor walk-up on New York's Lower East Side, Palillo felt he was successful. "I was doing what I wanted to do," he laughs, adding, "The day after I got one job I started hunting for the next." It came when he heard ABC was searching for high school reprobates. Palillo auditioned and on the spot improvised his trademarked nervous "aawwk" laugh.
Today, Palillo drives a Mercedes 280 SL and recently purchased an aerie atop the Hollywood Hills that he shares with fledgling actor Mark Fletcher and their two mongrels, Fred and Arnold. Basically he's a homebody who sketches and avoids parties ("If I did go, I'd just curl up in a corner and suck my thumb"). When he called Disneyland for passes during a visit of his mom, he was requested not to come—"They said they could give me only two bodyguards, and that would not be enough." Nothing, including personal commitment, is going to get in the way of his ambition to star on Broadway. "Until I reach that goal, I don't want to have any emotional ties," he asserts.
Aside from Shakespeare, Palillo has also been playing in a revival of Room Service in Chicago and Neil Simon's The Star-Spangled Girl in Dallas. But, says Ron of his sudden rush of fame, "If all this ended tomorrow, I could be very happy as a teacher." That should please Kotter—er, Katter.
More in the Archive
Today's Photos
Treat Yourself! 4 Preview Issues
The most buzzed about stars this minute!


text:
"Internet Comment Etiquette" Teaches You How To Spot Fake Videos
LetsGoToClass is a great channel, with many tutorials on how to spot Internet-fakery. Salty language so probably not safe in your workplace without headphones.
This post was created by a member of BuzzFeed Community, where anyone can post awesome lists and creations. Learn more or post your buzz!
- Tim Cook and eight other executives at Apple gave a combined $45,900 to a PAC to reelect House Speaker Paul Ryan and other Republicans to Congress.
- France's highest court has reversed the burkini ban imposed on a town near Nice, a human rights group lawyer said.
- Italy declared a state of emergency in the regions hardest hit by Wednesday's earthquake. At least 267 people have died and 400 others were injured.


text:
Eduard Sharmazanov: There will be no problem with delivery of grape
"Heritage" Party demands to stop criminal persecution of its representatives
Arman Melikyan: Moscow's actions have become very predictable and those who lead it to a dilemma know beforehand what it will choose
Hotline available at Armenia's Embassy in Italy
Hackathon contest to be launched by MIC Armenia with support of Beeline
Putin charges immediate operability tests of Russian troops
Sources: Leadership of 102nd Russian military base in Armenia may be replaced soon
Armenian FM: Still no data if there were Armenians among quake victims in Italy
Arrestee over attempt of terror attack on Armenian-Russian gas pipeline confesses
Armenian Foreign Ministry verifying if there were citizens of Armenia among those feared killed in earthquake in Italy
Holders of MasterCard and Maestro are offered new way of receiving money transfers from Russia-via Odnoklassniki network
ANC: Congress did not support Sasna Tsrer, as the situation posed threat to statehood
On Sep 1 Beeline (Armenia) will announce about launch of CDMA network ensuring access to high-speed internet in all regions of the country
Court of Appeal leaves unchanged measure of restrain against Aram Manukyan, Sasna Tsrer group member
Diaspora Ministry receives 162 Armenians from Diaspora under "Ari Tun" project
Trial over attempt of terror attack on Russia-Armenia gas pipeline scheduled for October 10
Russian soldier Valery Permyakov sentenced to life imprisonment for murdering family of 7 persons in Armenia's Gyumri
Larisa Alaverdyan: Armenian side should forget about territorial concessions
Court leaves measure of restraint against activist Garegin Chugaszyan unchanged
Armenia takes 42nd place at RIO-2016
ACBA-Credit Agricole Bank launched GREEN lending within loan agreement with Central Bank under KfW "Energy Efficiency Program for SME"
Larisa Alaverdyan: Iran should participate in Karabakh settlement
Russian expert: The West does not want to perceive Russia as enemy and does not need confrontation
Terror attack on Russia-Armenia gas pipeline prevented in Georgia: Detainees are accused of having links to terrorist organization
Court of Appeal leaves unchanged measure of restraint against Toros Torosyan
Forecast: Withdrawal of any of the member countries may lead to dissolution of NATO
View from Moscow: Relations with Turkic world are not fundamental problem for Russia
Arayik Khandoyan to run for local elections in Tsakhkahovit, relevant documents submitted to CEC
Levon Yeranosyan urgently recalled from vacation leave
Armed Forces of Azerbaijan used "Utyos" large caliber machinegun
Arman Melikyan: Moscow's actions have become very predictable and those who lead it to a dilemma know beforehand what it will choose
Zardusht Alizade: Mass insanity in Armenia and Azerbaijan in matter of Karabakh has grown so much that it allows doing anything with the rabble
Armenia must refuse from the role that is forced upon it and stop trying to get rid of it by tearing out a piece of itself
Nikolay Silayev: Moscow will never take the stand of either of the Karabakh conflict parties
Arman Navasardyan: Shoemakers should make shoes, diplomats should be engaged in diplomacy and thieves should be in jail
Ruben Safrastyan: U.S. will keep its role of security guarantor in Europe with or without Britain
Batu Kutelia: Warsaw Summit will give definite political and military answers to Russia's attempted aggressive revisionism
Masis Mailyan : Baku intends to continue its "military diplomacy" with impunity
Paul Stronski: Yerevan's security alliance with Moscow will not impede Armenia's good ties with NATO
by David Stepanyan
For Moscow, Georgia is a tool, Armenia is a way, and Azerbaijan is a prize, says famous U.S. analyst Paul Goble in an interview with Voice of America.
According to him, Moscow has found itself in a very complicate situation and exerts pressure on Yerevan to make it join the Customs Union. Apparently Russia is on Armenia's side today and uses Yerevan for its own goals only. In this light, Armenia, a country that suffers a dangerous period, should chose long-term rather than momentary measures to get out of that situation. For lack of good options, Goble says, Yerevan is reluctant to choose the lesser of the two evils.
Goble blames Moscow for annexing Crimea and warns Armenia to avoid annexing Karabakh not to face a new war and international isolation. Nevertheless, Goble blames the West for double standards. According to him, the West is also responsible for the aggressive policy of Russia. Nevertheless, Goble predicts sooner changes for Russia, which will affect the CIS countries.
In this light, Goble says, Armenia must think of its future, which requires resolution of the Karabakh conflict on the basis of an agreement between Armenia and Azerbaijan. Moscow does not want the conflict's resolution not to lose its levers of pressure on Yerevan. Paul Goble recommends Armenia not to see Russia as its only ally not to remain dependent on it for more decades.
Armenian Ambassador to Russia comments on Vladimir Zhirinovsky's recent remarks about Armenia
Signature campaign launched on change.org for resignation of Armenian president: 3,500 have joined already
15 MPs request the court not to choose arrest as a measure of restriction for Deputy Chairman of "Heritage"
Accounts opened to assist members of Daredevils of Sasoun
Police officer wounded during seizure of police compound in Yerevan dies at hospital


text:
Category:Robert Stephenson statue, Euston station
From Wikimedia Commons, the free media repository
Statue of Robert Stephenson installed in 1871 by Carlo Marochetti which stands in the forecourt of Euston Station.
Media in category "Robert Stephenson statue, Euston station"
The following 17 files are in this category, out of 17 total.
- Euston station MMB 01.jpg 1.39 MB
- Robert Stephenson.jpg 2.16 MB


text:
› having been prepared for a particular job or activity, by learning skills, getting qualifications, etc.:
Are you trained in the use of this equipment?
Thesaurus: synonyms and related words
(Definition of "trained" from the Cambridge Advanced Learner's Dictionary & Thesaurus © Cambridge University Press)
(Definition of "trained" from the Cambridge Business English Dictionary © Cambridge University Press)
Get a quick, free translation!
Create and share your own word lists and quizzes for free!
More meanings of "trained"
Word of the Day
the person who sits in the back of a rowing boat and controls its direction


text:
Colorado shooting suspect James Holmes is 'mentally ill', claims defense as he appears dazed in court
- Holmes, 24, appeared in Denver court with glazed expression
- 'Mental
illness doesn't give him right to do what he did,' said one survivor
Attorneys for the suspect in the Colorado movie theater shootings said today that their client is mentally ill and that they need more time to assess the nature of his illness.
James Holmes' lawyers made the disclosure at a court hearing in suburban Denver where news media organizations asked a judge to unseal documents in the case.
Holmes, a 24-year-old former Ph.D. student at the University of Colorado, Denver, had the same dazed demeanor that he had in previous court appearances.
Dazed: Courtroom sketch shows shooting suspect James Holmes, right, being escorted in for a motions hearing on Thursday in Colorado
Accused: Colorado shooting suspect James Holmes, who was not pictured today, is seen at an earlier hearing for the murder of 12 people in a movie theater
Holmes is accused of going on a July 20 shooting rampage at a midnight showing of the latest Batman movie in Aurora, killing 12 people and injuring 58 others.
Attorney Daniel King made the revelation about Holmes' illness as he argued that the defense needs more information from prosecutors and investigators to assess their client.
'We cannot begin to assess the nature and the depth of Mr. Holmes' mental illness until we receive full disclosure,' he said.
King said Holmes sought out university psychiatrist Lynne Fenton for help. A hearing was scheduled for August 16 to establish whether there was a doctor-patient relationship between them.
were fewer victims and family members in the courtroom Thursday than at
earlier hearings.
Several spectators appeared mesmerized by the sight of Holmes, unable to take their eyes off him.
Mental illness 'doesn't give him the right to do what he did,' Chris Townsond, who escaped the shooting unharmed, said after the hearing. 'I don't care how mentally damaged he is.'
Debate: The sketch shows Public Defender Daniel King, center, as he talks to Judge William Blair Sylvester, left, at a motions hearing for suspected theater shooter James Holmes
Trauma: Shooting victim Pierce O'Farrill enters court on Thursday to view the hearing of shooting suspect James Holmes
Analysts expect the case to be dominated by arguments over the defendant's sanity, and Thursday's statement by the defense was the strongest confirmation so far that mental illness will be a key issue.
A court document previously revealed that Holmes was seeing the psychiatrist for unknown reasons.
Holmes' public defenders could argue he is not mentally competent to stand trial.
It was the argument used for Jared Loughner, who pleaded guilty this week to a 2011 shooting rampage in Arizona that killed six people and wounded 13 others, including then-Rep. Gabrielle Giffords.
If Holmes goes to trial and is convicted, his attorneys can try to stave off a possible death penalty by arguing he is mentally ill. Prosecutors will decide whether to seek the death penalty in the coming weeks.
Around 20 news organizations also asked Chief District Judge William Sylvester to scale back a gag order that bars the university from releasing details about Holmes.
Sylvester had said in issuing the order that he wanted to protect the county's investigation. But even Aurora officials have cited the gag order in declining to speak about the city's response to the shootings.
News media attorney Steven D Zansberg said state law allows judges to issue gag orders barring prosecutors and law enforcement from commenting, but not agencies outside of the investigation, such as the university.
Hearing: Holmes appeared at Arapahoe County Justice Center where his defense team said they needed more time to assess his mental state
King opposed the news media motion, saying the gag order ensures fairness. Prosecutor Karen Pearson said she had filed her own argument on the issue in court - and that it is sealed.
Sylvester said he would rule on the matter by Monday. He did not say when he would respond to the news media's request to unseal the court documents.
Those documents include the case file, which makes it impossible for observers to understand prosecution and defense arguments on motions that are referenced by number only.
Those types of documents can be an important source of information for the public and can shed light on how police say Holmes prepared for the shooting and rigged his apartment with explosives.
Gregory Moore, editor of The Denver Post, said before the hearing that the news organizations are trying to perform their watchdog role, making sure the investigation is being conducted openly and fairly.
In Colorado, this type of legal battle has been seen before, including the 2003 case of Los Angeles Lakers player Kobe Bryant who faced sexual assault charges in Vail.
It took a news media
challenge to unseal an affidavit in which police laid out their case for
an arrest. Bryant maintained his innocence, and prosecutors dropped the
case in 2005.
Most watched News videos
- Hillary Clinton KNEW her aides were working with family...
- EXCLUSIVE: Jews are 'adept at working the American political...
- Al Roker's on-air rant about Ryan Lochte angers his...
- 'This is the biggest nightmare': Father of 'cannibal' frat...
- The saddest goodbye: Heartbreaking moment devoted couple...
- Wikileaks co-founder Julian Assange claims he is about to...
- Get 'em off! Armed police order Muslim woman to remove her...
- 'When you girl is Selfridges, and you cheat on her with...
- All smiles! Cops rescue a baby covered in vomit from his...
- 'My name is Kayla Mueller. I need your help.' The chilling...
- 'Somewhere in a boardroom, they decided to leave our...
- Man gets 40 years for throwing boiling water on his...