text:
Armagh, Northern Ireland
DATES: Summer 2017 Dates to be Announced Soon
CREDIT PROGRAM COST: $4,995 + airfare (Includes: accommodation, class instruction, course credit through the University of Baltimore, program activities, cultural activities, welcome and goodbye dinners, travel insurance).
GENERAL LOCATION: Armagh, Northern Ireland U.K.
Questions about the Armagh Project? Contact Program Director Terri Ciofalo at: firstname.lastname@example.com
Spend the month of July on a journey through the culture, history, politics and people of Northern Ireland, guided by the writers and teachers of ieiMedia's Armagh Project. Develop your writing skills along with your sense of adventure as you visit Dublin Castle, walk the bridges over the River Liffey, explore ancient secrets at Navan Fort, and discover the edge of the world at Giants Casueway.
The Armagh Project offers four tracks for students to choose from: Reporting/Multi-Media, Documentary, Playwriting or Creative Writing. Students learn and practices skills in their chosen field while sharing with each other through travel, readings, class activities and guest speakers. Students live at the modern Armagh City Youth Hostel and have classes a the AmmA Centre, a technologically enhanced multi-media center in the heart of the historic city. The program includes a three-day weekend in Dublin as well as a trip to Belfast.
About Armagh
Armagh is situated 40 miles south of Belfast and 80 miles north of Dublin, placing it firmly as a cultural and political fulcrum in the long history of Ireland. The people of the town can share stories about "The Troubles" – the time of conflict between British rule and the quest for Irish autonomy – but are just as quick to point out the signs of a thriving city nurtured under the shelter of decades of peace in the region. Armagh offers a healthy shopping district, diverse dining options, a state-of-the art multi-media center, and a modern performance and art space as contemporary counterpoints to the more ancient cultural and historical sites within and without its walls.
Past Project
Check out the site students produced in the 2014 program at armaghproject2014.wordpress.com.
Program Tracks
Students in this section will learn and practice skills in still photography, audio, video, reporting and writing for the web. Guests include broadcast and print journalists from both Ireland and the UK. Students will publish their story packages on a project website as well as have the opportunity to submit them for professional publication. This course is appropriate for undergraduates with previous experience in journalism, reporting or feature writing.
Creative Writing: Memoir, Poetry or Prose
Learn the essentials of how to tell your story through the lenses of memory, observation, reflection, and narration. Students explore techniques that poets and nonfiction writers use to generate new material and revise their work. They receive one-on-one critique, and create a portfolio of writing that fits their personal goals as writers. Program guests include published authors and playwrights. This program is appropriate for experienced writers looking to further develop their work or new writers interested in exploring creative writing.
Read and explore texts from Irish playwrights while creating and presenting your own 10-minute play. Learn professional writing techniques including improvisation, story arcs and freewriting. Structured peer and instructor feedback sessions propel your work forward. Classroom instruction in dramatic structure, writing practice and vocal training help students explore the creation of theatre from idea through writing and into performance. Program guests include professional playwrights, dramaturgs and published authors. This program is appropriate for both experienced student playwrights as well as those considering writing their first play.
Documentary Storytelling: Creative Nonfiction on Screen
Students will be introduced to the organic process in which documentary filmmakers approach their subject. They will be guided through some of the technical aspects of using video cameras and editing software. Students will be encouraged to find a story and then use a wealth of narrative devices, such as structure, character, questions, point of view, tone, stakes, and more, to tell that story truthfully and artfuly so as to actively engage an audience.
Selected works from all tracks are presented publicly during The John Hewitt International Summer School at Market Place Theatre in Armagh. This week-long program of readings, talks, debate and discussion, drama, music and exhibitions features more than 30 top writers, speakers and artists from across Ireland and beyond.
Academic Credit
Students must choose one track to enroll in.
Undergraduate Credit
Undergraduate Credit is included in the program fee and is provided for all students through the University of Jamestown. University of Baltimore students may choose to take credit through their own school. Non-UB students will need to complete the appropriate paperwork from the University of Jamestown prior to departure in order to receive credit. After acceptance to the Armagh Project, program staff will contact you to assist with registration. University of Baltimore students should contact Kimberley Lynne at email@example.com for more information. This class is appropriate for 3 undergraduate credits.
Graduate Credit
Graduate students are encouraged to work with Armagh Program faculty to develop an individualized course of study that will meet curricular requirements for the student's home school. Graduate students have the option of bringing a work-in-progress or thesis research focus to the Armagh Program in order to continue building in the student's area of academic focus. This course is appropriate for 4 graduate credits.
Professional Workshop/Post-Graduate Studies
The Writing Programs at ieiMedia are taught by Master Teachers and Writers who bring their professional expertise as guides to emerging writers. Professional and Post-Graduate Learners benefit from moderated small group experiences and one-on-one coaching that allows for individualized plans of study or work. The Armagh Program is an ideal place to begin work on a new creative endeavor as well as a robust writing environment in which to develop work-in-progress.
Academic Resources
Armagh is rich with study and research opportunities to support any creative endeavor. The Armagh Public Library was founded in 1771 and holds among its collection of medieval and 17th century manuscripts, engravings and Irish artifacts, a first edition of Jonathan Swift's Gulliver's Travels (with Swift's notes) and a copy of Gwynn's Book of Armagh. The Cardinal O'Fiach Memorial Library and Archive houses material related to Irish history and language as well as church history, history of the Irish diaspora, and Irish sporting traditions. The Irish and Local Studies Library, the Armagh City Library, and the AmmA Center round out the scholar's resources.
Travel Opportunities
Frequent and ample bus service will take you to Belfast in just over an hour and to Dublin in just over two hours – opening access to more of Ireland or to other areas of Great Britain or Europe through the international airports of both cities. The Armagh Program includes free time for students to travel on their own as well as trips to Belfast and Dublin with the group. .
The Armagh Program in total is open to up to 36 undergraduate, graduate or post-graduate/professional students across both programs. Students from many universities – including University of Baltimore, University of Illinois Urbana-Champaign, Iowa State University, James Madison University, Louisiana State University, Ryerson University, New York University, UCLA, University of Maryland, University of Wisconsin-Madison, Temple University, Arizona State University, Gonzaga University, University of Arizona, University of Montana, Loyola College, San Jose State University, Humboldt State University, San Diego State University, Rice University, University of Nevada-Reno, Nanyang Technological University, University of British Columbia and Baylor University – have participated in past ieiMedia programs. We've also had students from Japan, the United Kingdom, Puerto Rico, Thailand, Singapore, Canada, Turkey and Trinidad.
This course is particularly suited to those students interested in creative writing, communication, playwriting, theatre studies, Irish cultural studies, literature, poetry, and storytelling. Enrollment is open to students from any major provided they have a strong writing background. Course instructors use writing samples and other diagnostics to make decisions about acceptance into the program or placement within program groups.
Program Faculty is comprised of professional writers and teachers. Faculty for 2015 will include:
Program Director
Terri Ciofalo (Program Director) is a professional theatre artist and experienced Production Manager teaching graduate and undergraduate theatre at the University of Illinois Urbana-Champaign. She earned her MFA from the Yale School of Drama and has toured theatrically both in the United States and overseas.
Kimberley Lynne (Resident Playwright) A published author and playwright, Kimberley has had over 30 works staged and presented in professional, community, and university theatres. A staff and faculty of member of the University of Baltimore, she has worked in theater as an actor, director, scenic designer and producer. Her professional affiliations include Actors' Equity and the Dramatist Guild.
Peter Salisbury (Video Faculty) is a filmmaker and video journalist based in Dublin, Ireland, where he produces short-form documentaries on the arts, culture and the environment. He is the founder and CEO of Fotoeire, a media production company which creates digital content for broadcast, corporate, web and mobile platforms. His work as a filmmaker and video journalist is a constant adventure in finding new stories and moving images.
Nessa O'Mahony (Creative Writing Faculty) has been a faculty member of Armagh Project for the past four years. With a doctorate in creative writing, she has published four books of poetry; the most recent, Her Father's Daughter, was published by Salmon Poetry last year.
Malachi O'Doherty (Journalism Faculty) has a doctorate in Creative Writing from Queen's University Belfast, and has published six books (so far), some memoir based and some works on recent Irish social and political history. His most recent book, On My Own Two Wheels, is about cycling.
View complete faculty biographies on our Armagh Faculty Page.
Students and faculty will be housed at the Armagh City International Youth Hostel. Kitchen facilities and some communal meals are provided.
All students should bring a personal computer capable of connecting to the internet. Students should have a full and current version of Microsoft Word installed on their computer. Each student should also bring a digital camera or other device capable of taking quality, downloadable photos as well as a 2 to 4 gb thumb drive for transferring work. Other equipment may be outlined in the course syllabus for each section.
Program Cost
The cost is $4,995 plus airfare. The price includes tuition, housing and some special meals, instruction, basic travel insurance, welcome and goodbye dinners and special programs, activities and cultural events. Transfer from and to the airport in Dublin is also provided. Students may have to pay their home institution if they chose to seek credit for this course through their own school.
Financial Aid
Students studying abroad for the summer term have limited financial aid options. Check with your school's financial aid office to find out if assistance is available. More information on financial aid is available here.
Application Process
Students must fill out the online application and include contact information for two references (academic and/or professional) using the "Apply Now" link below. A $350 deposit is required with the application, but will be returned if a student is not accepted into the program. Application deadline: Rolling admission until program fills.
If you have questions before applying, fill out our contact form.
2017 Locations
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Past Projects
- Urbino Project – 2016
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- Urbino Project – 2015
- Urbino Now Magazine – 2015
- Nice Project – 2015
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- Urbino Project – 2014
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- Armagh Project – 2014
- Jerusalem Project – 2014
- Valencia Project – 2014
- Istanbul Project – 2014
- Urbino Project – 2013
- Urbino Now iPad App – 2013
- Istanbul Project – 2013
- Jerusalem Project – 2013
- Urbino Project – 2012
- Urbino Now Magazine – 2012
- Istanbul Project – 2012
- Urbino Project – 2011
- Urbino Now Magazine – 2011
- Perpignan Project – 2011
- Istanbul Stories – 2011
- Faces of Istanbul (Book) – 2011
- Urbino Now Magazine – 2010
- Perpignan Project – 2010
- Urbino Project – 2009
- Armagh Project – 2009
- Urbino View Magazine – 2009
- Cagli Project – 2008
- Armagh Project – 2007
- Cagli Project – 2007
- Camerano Project – 2006
- Cagli Project – 2006
- Cagli Project – 2005
- Cagli Project – 2004
- Cagli Project – 2003
- Cagli Project – 2002
Students Say...
by Urvi Patel, James Madison University, Urbino Project 2014


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Top Definition
the practice of being a loser;
the act of being a loser.
the act of being a loser.
That's loserism right there.
bread infection가 작성 2005년 11월 09일 (수)
Trending Now
Can you define these popular missing words?
The style of being a loser, to be a loser, to act like a loser does.
*Callan makes a retarded noise/impersonates Ali G badly
Brydie: What a quality example of a loserism.
Tom: Pie.
Brydie: What a quality example of a loserism.
Tom: Pie.
Tom/Brydie가 작성 2005년 05월 18일 (수)
The ability to be a loser
Man, Ede sure can't get a Hawkmoon, his loserism is heavily on display
shelbss.w가 작성 2015년 09월 02일 (수)

subset: commoncrawl


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"Intelligence without character is a dangerous thing." -- G. Steinem


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Product Information
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text:
Skip to comments.'Occupy' protester arrested in $10M Fort Collins condo fire
Posted on 11/04/2011 3:15:22 PM PDT by 2ndDivisionVet
FORT COLLINS, Colo. -- A Fort Collins man was in jail Friday to face charges related to a fire that burned two buildings and caused $10 million damage.
Police arrested Benjamin Gilmore, 29 Thursday night. He's accused of setting the fire in a 4-story building that was under construction at 311 Mason St.
That fire spread to Penny Flats, a nearby building that had condominiums and stores in it.
Investigators determined the fire was arson.
It broke out at 3:30 a.m. on October 24. The building that was under construction was fully engulfed in flames when firefighters arrived.
Investigators from the National Response Team of Alcohol, Tobacco and Firearms worked with Poudre Fire Authority and Fort Collins Police. The investigators spent six days at the site of the fire before releasing it to the property owners.
Gilmore is under investigation for 1st degree Arson, 2nd degree Burglary and Criminal Mischief. His advisement hearing is scheduled to happen Friday afternoon.
Gilmore is well-known at the Occupy Ft. Collins protest. He was interviewed about the goals of the protest in an article by Kevin Mussman that sppeared on TRI-102.5 radio's website.
That happened before the fire.
Gilmore is described as a business owner and war veteran in the article.
Stalinist thug trying to foment a marxist revolution.
A country out of control. Gee! Thanks Barry! This "fundamental transformation" crap is a real hoot!
This scumbag better be looking at prison time...
Thank Gawd we have 0bama to bring us all together or things would be really, REALLY bad!
Yeah, it was a real sad scene at the bond hearing today. His mommy showed up and the scumbag defendant's voice was shaking as he pled for a lower bail so he could "go home to his family." He also whined about how "cold" it was in the Larimer County Detention Center and how hard it was to take after spending so many weeks out in the cold with the other protesters.
Poor baby. I hope they shut the heat off completely until his next court appearance next Thursday.
Hmmm. Anyone check the finances of the builder? Or the buyer? Or their political affiliations?
Follow the money.
Obama supports takeover by mobocracy in the Middle East. OWS is mobocracy in America.
Sounds like a Bill Ayers wanna-be.
I think It's to find out where these yutes live or where their parents live and do some damage to their property.
Almost certainly associated with EarthFirst.
Rapists and arsonists.
Those are the faces of the OWsers.
here he is...
Has the anointed Obammy commented on his peoples actions???
How pathetic. The vanguard of the revolution is cold and wants to go home to Mommy.
He is a veteran. Lost his left hand in war. Registered Republican (or so our local lib rag was quick to point out). I live near his little honey shop.
From the Fort Collins newspaper:
Gilmore, a registered Republican, was an early supporter of Occupy Fort Collins, which has set up camp a block away from where the fire burned. Tuesday, he addressed City Council asking the city to be more accommodating to the movement. In an online video featured on www.tri1025 Gilmore said he was frustrated by the income disparity between executives and workers, and told people they should turn in their paper money for gold and other metals.
Occupy Fort Collins activist suspected of Old Town fire
Time to change your registration to Socialist Labor Party.
So, at least he HAS a home unlike the people who had theirs burned down.
you can register as any party. Sounds reichstag-ish to me.
The OWS crowd sound like a really wonderful bunch of people. Toe-sniffers, rapists, arsonists.
Burn his house down, then prosicute. Looking forward to this puke doing the perp walk in orange.
What drives a man from political protestor to arsonist? Unless he was always a bit disturbed, either blaming others for his lack of professional progress or never really getting past the antisocial cliques he hung with over the year?
Or maybe he was a dedicated anarchist like most of these "Occupy" protesters?
It looks like Dan is going to have to have another bake sale.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


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text:
Ipanema Beach
Escolinha de Vôlei
Those interested in improving their volleyball game, or just in meeting some cariocas, should pay a visit to Escolinha de Vôlei. Pelé,...
Museu Amsterdam Sauer
On the most upscale street in Ipanema, the Amsterdam Sauer Museum houses an impressive collection of precious stones: more than 3000...
Lord Jim
Something of a novelty for cariocas, Lord Jim is one of several English-style pubs scattered about the Zona Sul. Darts,...
Espaço 7zero6
From its location on the top floor of the Hotel Praia Ipanema, this place has a jaw-dropping view of Ipanema Beach. There's dinner most...
Av Vieira Souto · interesting places nearby
Ipanema Beach information
One long stretch of sun-drenched sand, Ipanema Beach is demarcated by postos (posts), which mark off subcultures as diverse as the city itself. Posto 9, right off Rua Vinícius de Moraes, is where Rio's most lithe and tanned bodies migrate. The area is also known as Cemetério dos Elefantes because of the handful of old leftists, hippies and artists who sometimes hang out there. In front of Rua Farme de Amoedo is Praia Farme, the stomping ground for gay society.
Posto 8 further east is mostly the domain of favela kids. Arpoador, between Ipanema and Copacabana, is Rio's most popular surf spot.
Leblon attracts a broad mix of single cariocas , as well as families from the neighborhood. Posto 10 is for sports lovers, where there are ongoing games of volleyball, soccer and frescobol (beach tennis played with wooden rackets and a rubber ball).
Whatever spot you choose, you'll enjoy cleaner sands and sea than those in Copacabana. Keep in mind that if you go on a Saturday or Sunday, the sands get crowded. Go early to stake out a spot.
The word ipanema is an indigenous word for 'bad, dangerous waters', which is not far off given the strong undertow and often oversized waves that crash onto the shore. Be careful, and swim only where locals do.


text:
Type: Posts; User: Faasst_truck
No problems with the wet stuff with my HW setup!
This weekends fun. 5 minutes with the hose and good as new.
I went with the hobbywing waterproof esc and a low kv tacon motor with a Y winding for the extra torque. So I was able to make the jump for less than $150 vs $300+ on the tekin setup; I save that...
Check out progressiverc.com for charger and PS setups. Dave is super helpful and will answer any questions if you give a call.
Welcome to he club!
Take a look at the iCharger line of products. They can push enough amps to parallel charge your packs. It also supports Nimh and lipo so you can grow into it as you move into...
+1 on the 306B! I have mine paired with a 350W power supply. It runs cool and quite enough that I can do it without upsetting the wife!
I parallel charge my 5A packs at a 1.5-2C rate, 7.5-10A's,...
Thanks for the heads up and insight into your dealings with them! If past experience has taught me anything is that I'll be ordering these in multiples since once one goes the other is sure to...
Seems as of late any time I fire up my Summit the stock front diff lock servo throws a fit and goes completely nuts for about 30 seconds. After having it temper tantrum it settles down and all is...
Check if you have a LHS close by or any of the well know rc sites carry it.
I would say anything between 35 to 60 weight will suit our needs based how big your jumping.
I think it's a great truck for you to get the kids involved with if you plan on tooling around in your yard but also want a serious trail/ crawler rig for you. If/when you hand over the Tx to the...
I do like pic #4 where the red summit is sitting pretty for the picture while the other is preparing for a quick roll down the hill!
Sent from my iPad using Tapatalk
What would you estimate total tear down, cleaning and rebuild time was? I haven't tackled mine yet and I'm curious as to what I may be in for.
Sent from my iPad using Tapatalk
Looks good. And +1 on the body, I may need to borrow that look.
I just installed my light rack last week. It is cool :)
For me the only other 'required' upgrade was a set of stronger springs, mainly due to the 8200 mah lipo's I run. I found the rear end...
Did you use oven cleaner to remove the chrome or another method?
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+1 on the 8200's. Just got mine last week and have only put two charge cycles on them but easily got 1.5 hrs out of them. That was about half crawling, half bashing and half pulling my kids in their...
+1 for Proline Power Strokes. Put them on my truck about a month ago and they are great running 30wt in front and 40wt in the rear.
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If you have a multi meter around set it to check DC voltage and you'll be able to check the individual cell voltage by touching the meter contacts to the positive and corresponding ground for each of...
Yep, I have one that looks similar to yours. Considering I don't put it into high gear too often, I'm not going to worry about it. It just may move up the schedule to upgrade the tires.
There are lots of variables here, like condition on the charger, the battery and the individual cells in the pack. All those things aside a 5A pack charged at 1C should only take one hour to charge...
I've got a similar issue with one of my tires on my week old summit, but chalked it up to a manufacturing defect due to the large size of the tire after checking out wheel, hubs and axles.
Just got my i206b and 350w power supply Friday along with a 6x main and balance taps connection. I was able to parallel charge my two 5A and one 4A 2s packs all at once, so I could run my...
I've got both. One to go fast and one to go anywhere, I'll let you figure out which one is which....
Either way you decide to go you won't be disappointed.
I've a new green one in the big brown truck on its way to me right now. Is there anyway to tell if it will be one of the new integrated LVC kind?
Not necessarily better but want to make sure that the power supply is of good quality.


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5 posts tagged with musical and lesmiserables.
Displaying 1 through 5 of 5. Subscribe:
Les Militaribles
Jean Valjean Valjean Valjean Valjean
Four Valjeans sing "Bring Him Home". From the encore of the Les Miserables 25th anniversary concert (previously). Another highlight: One Day More from the encore, featuring most of the original cast. The entire show is also available in 12 parts on Youtube: [more inside]
"If the end is right it justifies the beans."
The Online Musical started as a 2010 University of Virginia student project to create an interactive online musical based on audience feeback , called Musical: The Online Musical. It continued after that project finished, moving on to mini musicals (Thomas Jefferson: The Musical, Pokemon: The Musical, Where's Waldo?: The Musical), and other musical works (a dub step treatment of Les Miserables). Their most recent project is less musical, more dystopian: The Beanie Baby Hunger Games. [more inside]
The Miserable Ones
Opening Night: October 8, 1985 at the Barbican in London. It scored mixed reviews, but word of mouth still took hold. In the 25 years since that first show, 45,000 performances have been produced in 42 countries, 308 cities and 21 languages that have been seen by 56 million people. It is the third-longest running show in Broadway history. 40 cast recordings have been released. And on October 30th, 2010, a special concert production of the play based on the book Les Miserables by Victor Hugo will take place at The 02 Arena in North Greenwich. (YouTube Video) [more inside]
Can you hear the people sing?
Les Misbarack. (Slyt? Yes. Awesome? Yes.)
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Marcus Thornton has agreed to a one-year deal worth $1.3 million with the Wizards.
Marcus Thornton scored 14 points with five boards, three assists, one steal and one 3-pointer in 26 minutes vs. the Hawks on Wednesday.
Marcus Thornton scored 19 points with eight rebounds, two assists, two steals and two 3-pointers in 32 minutes against the Nets on Monday.
Marcus Thornton will start on Monday vs. the Nets.
Marcus Thornton scored 16 points on 4-of-11 shooting Sunday, to go with two 3-pointers, five rebounds, four assists, one steal and two turnovers in 31 minutes.
Marcus Thornton started the second half of Sunday's game vs. the Hornets, sending Bradley Beal to the bench.
Marcus Thornton lit up the Hawks for 23 points in 23 minutes of action on Wednesday, connecting on 8-of-16 shots including five 3-pointers.
Marcus Thornton scored 18 points with five rebounds, one steal and two 3-pointers in 22 minutes against the 76ers on Thursday.
Marcus Thornton made 1-of-9 from the field in his Wizards debut on Friday with two points, one assist, one steal and two fouls in 20 minutes.
Marcus Thornton will be available for Friday's game vs. the Jazz.
Marcus Thornton went through a full practice with the Wizards on Thursday.
Washington Wizards sign G Marcus Thornton.
The Wizards are reportedly set to sign Marcus Thornton to a contract that will keep him with the team for the remainder of the 2015-16 season.
The Heat will have to pay the luxury tax if they want to bring on Marcus Thornton.


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Police search for burglary suspectNovember 17,2012Police search for burglary suspect
WESTMINSTER Police are searching for a woman who committed a burglary in front of a homeowner on Monday.
Mary Smith, 61, of Westminster pulled into her driveway and saw an unknown woman exiting her house on Route 5 in Westminster. The woman stole a jewelry case and jewelry and left behind a bag of items she intended to steal, police said.
The female is described as being in her 50s, 5-feet 7-inches tall, heavyset and has reddish-gray hair. She was wearing yoga type pants and a jacket and drove a blue Toyota Echo with Massachusetts license plates.
Anyone with information should contact State Trooper Paul Dean. The phone number is 875-2112.MORE IN This Just InBENNINGTON A North Bennington man who had worked as a crossing guard for the Village School of... Full StoryPROCTOR Two women were arrested Monday after allegedly being caught on camera assaulting... Full StoryA Benson man is facing a potential life sentence for allegedly having sex with a sleeping woman. Full Story
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Widely acknowledged as the "bible" of film and video production and used in courses around the world, this indispensable guide to making movies is now updated with the latest advances in high- definition formats. For students and teachers, the professional and the novice filmmaker, this clear and comprehensive handbook remains the reliable reference to all aspects of moviemaking.
The authoritative guide to producing, directing, shooting, editing, and distributing your video or film
Widely acknowledged as the andldquo;bibleandrdquo; of video and film production, and used in courses around the world, The Filmmakerandrsquo;s Handbook is now updated with the latest advances in HD and new digital formats. For students and teachers, professionals and novices, this indispensable handbook covers all aspects of movie making.
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What: VanceInfo Technologies (NYSE: VIT ) dropped 32% in intraday trading today after issuing disappointing earnings and guidance, and the CEO stated, "the near-term outlook for our industry lacks clarity."
So what: Non-GAAP EPS of $0.21 rose a modest 5% year over year and fell short of the $0.23 consensus estimate. GAAP EPS of $0.16 fell from $0.17 in the year-earlier quarter. Revenue of $68 million grew 32% year over year.
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Thanks to pregnancy my hair is long, almost down to my butt long. My hair is still falling out so it is thin and lo loves pulling it. I keep it in a spinster bun because I don't have time to style it and this way it is safe from lo. I haven't had short hair in years so I'm nervous I'll chop it off and regret it later. Who else has made a drastic change to their hair?
Who has chopped their hair off in a 'mom cut' since having lo and do you regret it?
Posted 12/14/2013
Posted 12/14/2013
I'm thinking about doing something like this.
Posted 12/14/2013
Every few years I get the itch to chop off my hair and I always regret it because I forget how much more work short hair is for me with my type of hair. If yours is easy short why not just go for it? It's just hair. If you hate it, it will grow back.
M(31) + B(30) = E 6/2013 Diamond ( . )( . ) , Expecting #2 10/2015
Posted 12/14/2013
My hair was down to my boobs and I cut it chin length. I don't regret it at all and I get lots of compliments! It is so much easier to wash and doesn't take all day to dry.
Posted 12/14/2013
I cut all mine off while I was in labor lol. I love my short gair but I need to get it cut waaaaay more often than Ihave time or can afford to, so Iit often is unkempt and overgrown :(
Posted 12/14/2013
I bleached my hair prior to pregnancy. After LO was born, I had half brown/half nasty dried bleach blonde hair. I got so aggravated with it that I put it in a ponytail and chopped it off myself. Zero shits given.
Posted 12/14/2013
I refuse to! Its taken me years to get my hair long. I am super attached.
Baby girl June 2013
Posted 12/14/2013
I haven't yet. Still considering it. I have always had long hair. Though I hate having to wear my hair up all the time now ( I already have to wear it up for work 12 hours a day.) I don't think I have the guts to actually chop it off. I keep telling dh that I'm just going to shave my head. Lol!
Posted 12/14/2013
Thanks for your input ladies. My mom told me that's what she did after she had me and hated it. I'm going for it :)
Posted 12/14/2013
After my first, my hair was passed my boobs. I cut off like 5 inches and it was below my shoulders. I wanted to do a cut like your picture shows, but my hair dressor recommended doing a little at a time. Well, i never grew any balls, so I didn't ever finish cutting it short. Grew it back out and now it is down to the bottom of my boobs. I still have the itch to cut it off, but my hair use to be super thick and now it is not, so I don't think that short cut will look good on me. I have been wanting to ask this same question though.
Jen and Kyle married 6/4/2010 and again 6/3/2012
Baby Girl born 9/7/2010
Baby Boy born 5/31/2013
Posted 12/14/2013
While you were in labor? How did that work? That is awesome.
Learn more
Look how far your child has come.
Review your child's growth milestones.
Read about 3 years 2 months : Week 2.
Your growing child
Your 3-year-old: Manners
Preschoolers love to party. See how to help your child stay on the guest list. Read More
Your 3 1/4-year-old: Understanding differences
Three-year-olds are keenly attuned to the differences between themselves and others. Learn how to teach your child acceptance without the need for judging. Read More
Your 3 1/4-year-old: The birds and the bees
Are you prepared for "Where do babies come from?" Read More
Your 3 1/4-year-old: Hand washing
Good reasons for making hand-washing part of your child's daily routine. Read More
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Bobby Gene Fleeman, 67, of 250 West Riverbend Drive, died Saturday, Sept. 8, 2001.
A native of Winterville, Mr. Fleeman was a son of the late Reese Fleeman and the late Corine Jones. He was a builder.
Services will be at 11 a.m. Tuesday at St. James Catholic Church with Father Bill Williams officiating. The body will be placed in the church at 10 a.m. Burial will be in Morgan Memorial Park.
Survivors include his wife, Mildred Marlene Fleeman; four daughters, Kim Neugebauer and Crystal Rice, both of Madison, Cynthia Cole, Morrow, and Barbara Hilsman-Truitt, Eatonton; a son, Michael Fleeman, Madison; two sisters, Mary Schulte, Madison, and Martha Denard, Covington; 11 grandchildren; and a great-grandson.
The family will receive friends from 6-9 p.m. today at Simmons Funeral Home, Madison.
Athens Banner-Herald, Monday, Sept. 10, 2001
This article published in the Athens Banner-Herald on Monday, September 10, 2001.
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Ann Robertson and Bill Leumer: Defending the interests of working people in general cannot amount to a pretense, an occasional event, or a sideshow, playing a distant second to electing Democrats to office. Defending the 99% must be the main event.
L.A. Denies Chalk Walk Permit, Occupy LA Proceeds with Plans
Cheryl Aichele: "If you have money or power or permits you can get away with activities otherwise deemed illegal by the City for Occupiers".
Chamber of Commerce Attacks Anti-Corruption Law
Marian Wang: Even as anger over governmental corruption has exploded into protests across the Middle East, the U.S. Chamber of Commerce has been working to weaken the law that bans companies from bribing foreign officials.
What Free Enterprise Nation Actually Means
Tracy Emblem: "Free Enterprise" actually means is doling out private government contracts with less transparency. Shamefully, the mainstream media routinely prints "data" created by corporate advocacy front groups that are not truly "independent" and have an agenda contrary to the American people at large.
Mr. Becerra: Go to Washington! We Need a Hero in Health Care Reform
I met you at a town hall meeting and was so impressed with how conscientiously you listened to every person in attendance and how sensitively you represent our district. I know you will not fail us now on this most important issue of health care reform.
Why the Critics of a Public Option for Health Care Are Wrong
Without a public option, the other parties that comprise America's non-system of health care — private insurers, doctors, hospitals, drug companies, and medical suppliers — have little or no incentive to supply high-quality care at a lower cost than they do now. Which is precisely why the public option has become such a lightening rod. […]
Memo to the President: What You Must Do To Save Universal Health Care
Momentum for universal health care is slowing dramatically on Capitol Hill. Moderates are worried, Republicans are digging in, and the medical-industrial complex is firing up its lobbying and propaganda machine. But, as you know, the worst news came days ago when the Congressional Budget Office weighed in with awful projections about how much the leading […]
Watching Out for the Details in Healthcare, and How Hard the White House Pushes for Them
In an interesting piece in Sunday's New York Times Magazine, Matt Bai suggests that the White House has learned the main lesson of Bill Clinton's failed attempt at universal health care, which is not to deliver a finished product to Congress but instead give Congress a set of goals and let it decide how to […]


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Eton Road Cover Songs
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The The Beatles song "From Me to You" was covered by Eton Road on the album " Liverpool: The Number Ones Album"
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Most Cited Journal of Oral and Maxillofacial Surgery Articles
The most cited articles published since 2011, extracted from Scopus.
American association of oral and maxillofacial surgeons position paper on medication-related osteonecrosis of the jaw - 2014 updateSalvatore L. Ruggiero | Thomas B. Dodson | John Fantasia | Reginald Goodday | Tara Aghaloo | Bhoomi Mehrotra | Felice O'Ryan
Volume 72, Issue 10, January 2014, Pages 1938-1956
© 2014 American Association of Oral and Maxillofacial SurgeonsStrategies for management of patients with, or at risk for, medication-related osteonecrosis of the jaw (MRONJ) were set forth in the American Association of Oral and Maxillofacial Surgeons (AAOMS) position papers in 2007 and 2009. The position papers were developed by a special committee appointed by the board and composed of clinicians with extensive experience in caring for these patients and basic science researchers. The knowledge base and experience in addressing MRONJ has expanded, necessitating modifications and refinements to the previous position paper. This special committee met in September 2013 to appraise the current literature and revise the guidelines as indicated to reflect current knowledge in this field. This update contains revisions to diagnosis, staging, and management strategies and highlights current research status. The AAOMS considers it vitally important that this information be disseminated to other relevant health care professionals and organizations.
Accuracy of a computer-aided surgical simulation protocol for orthognathic surgery: A prospective multicenter studySam Sheng Pin Hsu | Jaime Gateno | R. Bryan Bell | David L. Hirsch | Michael R. Markiewicz | John F. Teichgraeber | Xiaobo Zhou | James J. Xia
Volume 71, Issue 1, January 2013, Pages 128-142
Purpose: The purpose of this prospective multicenter study was to assess the accuracy of a computer-aided surgical simulation (CASS) protocol for orthognathic surgery. Materials and Methods: The accuracy of the CASS protocol was assessed by comparing planned outcomes with postoperative outcomes of 65 consecutive patients enrolled from 3 centers. Computer-generated surgical splints were used for all patients. For the genioplasty, 1 center used computer-generated chin templates to reposition the chin segment only for patients with asymmetry. Standard intraoperative measurements were used without the chin templates for the remaining patients. The primary outcome measurements were the linear and angular differences for the maxilla, mandible, and chin when the planned and postoperative models were registered at the cranium. The secondary outcome measurements were the maxillary dental midline difference between the planned and postoperative positions and the linear and angular differences of the chin segment between the groups with and without the use of the template. The latter were measured when the planned and postoperative models were registered at the mandibular body. Statistical analyses were performed, and the accuracy was reported using root mean square deviation (RMSD) and the Bland-Altman method for assessing measurement agreement. Results: In the primary outcome measurements, there was no statistically significant difference among the 3 centers for the maxilla and mandible. The largest RMSDs were 1.0 mm and 1.5° for the maxilla and 1.1 mm and 1.8° for the mandible. For the chin, there was a statistically significant difference between the groups with and without the use of the chin template. The chin template group showed excellent accuracy, with the largest positional RMSD of 1.0 mm and the largest orientation RMSD of 2.2°. However, larger variances were observed in the group not using the chin template. This was significant in the anteroposterior and superoinferior directions and the in pitch and yaw orientations. In the secondary outcome measurements, the RMSD of the maxillary dental midline positions was 0.9 mm. When registered at the body of the mandible, the linear and angular differences of the chin segment between the groups with and without the use of the chin template were consistent with the results found in the primary outcome measurements. Conclusions: Using this computer-aided surgical simulation protocol, the computerized plan can be transferred accurately and consistently to the patient to position the maxilla and mandible at the time of surgery. The computer-generated chin template provides greater accuracy in repositioning the chin segment than the intraoperative measurements. © 2013 American Association of Oral and Maxillofacial Surgeons.
Fluorescence-guided bone resection in bisphosphonate-related osteonecrosis of the jaws: First clinical results of a prospective pilot studyChristoph Pautke | Florian Bauer | Sven Otto | Thomas Tischer | Timm Steiner | Jochen Weitz | Kilian Kreutzer | Bettina Hohlweg-Majert | Klaus Dietrich Wolff | Sigurd Hafner | Gerson Mast | Michael Ehrenfeld | Stephen R. Strzenbaum | Andreas Kolk
Volume 69, Issue 1, January 2011, Pages 84-91
Purpose: Surgical debridement is the therapy of choice in advanced stages of bisphosphonate-related osteonecrosis of the jaws (BRONJ). However, the therapy is currently only loosely standardized because no suitable imaging modalities exist. This study aims to redress this by exploring the suitability and reproducibility of applying a fluorescence-guided bone resection to patients with BRONJ. Patients and Methods This prospective pilot study comprised 15 patients with 20 BRONJ lesions (only stages II and III) with a history of intravenous bisphosphonate treatment for metastatic bone diseases. Before surgical treatment, each patient received a 10-day administration of doxycycline. Fluorescence-guided resection of necrotic bone was performed by means of a certified fluorescence lamp. Success of the procedure was proclaimed if mucosal closure was observed and symptoms were absent 4 weeks postoperatively. Results The 4-week postoperative follow-up identified a mucosal closure in 17 of 20 BRONJ lesions (85%). These patients were free of any symptoms. Failure as defined by mucosal dehiscence and exposed bone was observed in 3 of 20 BRONJ lesions (15%). Conclusion The success rate of this surgical regimen of BRONJ was respectable, and thus fluorescence-guided bone resection can be considered an effective treatment for stage II and stage III BRONJ. Furthermore, the reproducibility of the technique offers an opportunity to standardize the surgical therapy. Further studies are called for that compare the fluorescence-guided bone resection with conventional surgical approaches, as well as surgical versus conservative treatment in the early stages (stages 0 and I) of BRONJ. © 2011 American Association of Oral and Maxillofacial Surgeons.
Computer planning and intraoperative navigation in orthognathic surgeryR. Bryan Bell
Volume 69, Issue 3, March 2011, Pages 592-605
Epidemiology of facial fracture injuriesVeerasathpurush Allareddy | Veerajalandhar Allareddy | Romesh P. Nalliah
Volume 69, Issue 10, October 2011, Pages 2613-2618
Purpose: Injuries resulting from accidents are a leading cause of mortality and morbidity. The objective of this study was to present epidemiologic estimates of hospital-based emergency department (ED) visits for facial fractures in the United States. Materials and Methods: The Nationwide Emergency Department Sample for 2007 was used. All ED visits with facial fractures were selected. Demographic characteristics of these ED visits, causes of injuries, presence of concomitant injuries, and resource use in hospitals were examined. All estimates were projected to national levels and each ED visit was the unit of analysis. Results: During 2007 in the United States, 407,167 ED visits concerned a facial fracture. Patients' average age for each ED visit was 37.9 years. Sixty-eight percent of all ED visits concerned male patients, and 85,759 ED visits resulted in further treatment in the same hospital. Three hundred fourteen patients died in EDs, and 2,717 died during hospitalization. Mean charge per each ED visit was $3,192. Total United States ED charges were close to $1 billion. Mean hospitalization charges (ED and inpatient charges) amounted to $62,414. Mean length of stay was 6.23 days, and total hospitalization time in the entire United States was 534,322 days. Frequently reported causes of injuries included assaults (37% of all ED visits), falls (24.6%), and motor vehicle accidents (12.1%). Conclusions: The management of maxillofacial fractures in EDs across the United States uses considerable resources. The public health impact of facial fractures is highlighted in the present study. © 2011 American Association of Oral and Maxillofacial Surgeons.
Adipose stem cell tissue-engineered construct used to treat large anterior mandibular defect: A case report and review of the clinical application of good manufacturing practice-level adipose stem cells for bone regenerationGeorge K. Sándor | Veikko J. Tuovinen | Jan Wolff | Mimmi Patrikoski | Jari Jokinen | Elina Nieminen | Bettina Mannerström | Olli Pekka Lappalainen | Riitta Seppänen | Susanna Miettinen
Volume 71, Issue 5, May 2013, Pages 938-950
Purpose: Large mandibular resection defects historically have been treated using autogenous bone grafts and reconstruction plates. However, a major drawback of large autogenous bone grafts is donor-site morbidity. Patients and Methods: This report describes the replacement of a 10-cm anterior mandibular ameloblastoma resection defect, reproducing the original anatomy of the chin, using a tissue-engineered construct consisting of β-tricalcium phosphate (β-TCP) granules, recombinant human bone morphogenetic protein-2 (BMP-2), and Good Manufacturing Practice-level autologous adipose stem cells (ASCs). Unlike prior reports, 1-step in situ bone formation was used without the need for an ectopic bone-formation step. The reconstructed defect was rehabilitated with a dental implant-supported overdenture. An additive manufactured medical skull model was used preoperatively to guide the prebending of patient-specific hardware, including a reconstruction plate and titanium mesh. A subcutaneous adipose tissue sample was harvested from the anterior abdominal wall of the patient before resection and simultaneous reconstruction of the parasymphysis. ASCs were isolated and expanded ex vivo over the next 3 weeks. The cell surface marker expression profile of ASCs was similar to previously reported results and ASCs were analyzed for osteogenic differentiation potential in vitro. The expanded cells were seeded onto a scaffold consisting of β-TCP and BMP-2 and the cell viability was evaluated. The construct was implanted into the parasymphyseal defect. Results: Ten months after reconstruction, dental implants were inserted into the grafted site, allowing harvesting of bone cores. Histologic examination and in vitro analysis of cell viability and cell surface markers were performed and prosthodontic rehabilitation was completed. Conclusion: ASCs in combination with β-TCP and BMP-2 offer a promising construct for the treatment of large, challenging mandibular defects without the need for ectopic bone formation and allowing rehabilitation with dental implants. © 2013 American Association of Oral and Maxillofacial Surgeons.
PET-MRI fusion in head-and-neck oncology: Current status and implications for hybrid PET/MRIDenys J. Loeffelbein | Michael Souvatzoglou | Veronika Wankerl | Axel Martinez-Möller | Julia Dinges | Markus Schwaiger | Ambros J. Beer
Volume 70, Issue 2, February 2012, Pages 473-483
Purpose: To review the current status and clinical effect of PET-MRI image fusion in the staging of head-and-neck cancer and to show its implications for imaging with future hybrid PET/MRI scanners. Materials and Methods: We reviewed the current literature in order to provide an overview of the potential of the combination of the anatomic and functional imaging capabilities of magnetic resonance imaging (MRI) and of the potential for molecular and metabolic imaging with Positron emission tomography (PET). The research question was whether these image devices might be of synergistic value. Results: PET with [18F]-fluorodeoxyglucose has shown promising results for the assessment of lymph node involvement in cancer, the identification of distant metastasis and synchronous and metachronous tumors, and the evaluation of tumor recurrence or carcinoma of an unknown primary. For morphologic imaging, MRI has several advantages compared with computed tomography in the head-and-neck area. This is mainly because of the superior soft tissue contrast and fewer artifacts from dental implants. Moreover, MRI allows functional imaging, such as the assessment of perfusion with dynamic contrast-enhanced MRI. The published data indicate that image fusion should be beneficial in the case of the recurrence of oromaxillofacial cancer and in the evaluation of potential metastatic lymph nodes. However, retrospective image fusion is technically demanding in the head-and-neck area, mainly because of the varied patient positions used for the various scanners and the anatomic complexity of this region. Conclusions: Combined PET/MRI scanners might overcome the above-named problems. Both sequential and fully integrated PET/MRI scanners are now available in selected departments, and future studies will show whether hybrid PET/MRI is of greater clinical value than PET/CT and retrospective image fusion techniques. © 2012 American Association of Oral and Maxillofacial Surgeons.
Three-dimensional computed tomographic airway analysis of patients with obstructive sleep apnea treated by maxillomandibular advancementZachary Abramson | Srinivas M. Susarla | Matthew Lawler | Carl Bouchard | Maria Troulis | Leonard B. Kaban
Volume 69, Issue 3, March 2011, Pages 677-686
Purpose: To evaluate changes in airway size and shape in patients with obstructive sleep apnea (OSA) after maxillomandibular advancement (MMA) and genial tubercle advancement (GTA). Materials and Methods: This was a retrospective cohort study, enrolling a sample of adults with polysomnography-confirmed OSA who underwent MMA + GTA. All subjects who had preoperative and postoperative 3-dimensional computed tomography (CT) scans to evaluate changes in airway size and shape after MMA + GTA were included. Preoperative and postoperative sleep- and breathing-related symptoms were recorded. Descriptive and bivariate statistics were computed. For all analyses, P < .05 was considered statistically significant. Results: During the study period, 13 patients underwent MMA + GTA, of whom 11 (84.6%) met the inclusion criteria. There were 9 men and 2 women with a mean age of 39 years. The mean body mass index was 26.3; mean respiratory disturbance index (RDI), 48.8; and mean lowest oxygen saturation, 80.5%. After MMA + GTA, there were significant increases in lateral and anteroposterior airway diameters (P < .01), volume (P = .02), surface area (P < .01), and cross-sectional areas at multiple sites (P < .04). Airway length decreased (P < .01) and airway shape (P = .04) became more uniform. The mean change in RDI was -60%. Conclusions: Results of this preliminary study indicate that MMA + GTA appears to produce significant changes in airway size and shape that correlate with a decrease in RDI. © 2011 American Association of Oral and Maxillofacial Surgeons.
Oral mucoceles: A clinicopathologic review of 1,824 cases, including unusual variantsAngela C. Chi | Paul R. Lambert | Mary S. Richardson | Brad W. Neville
Volume 69, Issue 4, April 2011, Pages 1086-1093
Purpose: To review the clinicopathologic features of oral mucoceles, with special consideration given to unusual variants and exclusion of salivary duct cysts. Materials and Methods: This was a retrospective consecutive case review of all oral mucoceles diagnosed by the Medical University of South Carolina, Oral Pathology Biopsy Laboratory, from 1997 to 2006. The following data were recorded: patient demographics, clinical features (anatomic location, color, size, and consistency), clinical impression, history of trauma, history of periodic rupture, and occurrence of unusual mucocele variants. Results: During the study period, 1,824 oral mucoceles were diagnosed. Of these cases, 1,715 represented histopathologically confirmed cases that were not recurrences. There was no significant gender predilection, and the average age was 24.9 years. The most common locations were the lower labial mucosa (81.9%), floor of mouth (5.8%), ventral tongue (5.0%), and buccal mucosa (4.8%); infrequent sites included the palate (1.3%) and retromolar area (0.5%). The lesions most often were described as blue/purple/gray or normal in color. The mean maximum diameter was 0.8 cm (range, 0.1 to 4.0 cm). In 456 cases, a history of trauma was reported, and in 366 cases a history of periodic rupture was reported. Unusual variants included superficial mucoceles (n = 3), mucoceles with myxoglobulosis (n = 6), and mucoceles with papillary synovial metaplasialike change (n = 2). Conclusions: Our results confirm the findings of previous investigators regarding the major clinicopathologic features of oral mucoceles. Special variants of oral mucoceles occur infrequently, although it is important to recognize these variants to avoid misdiagnosis. © 2011 American Association of Oral and Maxillofacial Surgeons.
Mandibular reconstruction using computer-aided design and computer-aided manufacturing: An analysis of surgical resultsBenjamin D. Foley | Wesly P. Thayer | Adam Honeybrook | Samuel McKenna | Steven Press
Volume 71, Issue 2, February 2013, Page
Purpose: The purpose of this study was to analyze the accuracy of virtual surgical planning in mandibular reconstruction. Materials and Methods: This is a retrospective study involving 8 consecutive patients reconstructed with nonvascularized iliac crest bone grafts and free fibula osteomyocutaneous flaps. DICOM data from a maxillofacial skeleton computed tomography (CT) scan were sent to a medical modeling company and used to map the mandibular resection, anatomically place the mandibular reconstruction plate, and create surgical guides. After surgery a postoperative CT compared the virtual plan to the surgical result. Linear measurements [2 transverse and 1 anterior-posterior (A-P)] were performed to determine if the virtual surgical result was achieved. The transverse measurements were made from the condylar head to condylar head and from the gonial angle to gonial angle. The A-P analysis was made by measuring a perpendicular line drawn from the anterior inferior mandibular border to the center point on the condylar head to condylar head measurement. Results: The average surgical error in the A-P dimension for the iliac crest bone grafts and free fibula flap was 0.2 mm (range 0.0 mm to 0.7 mm) and 0.9 mm (range 0.2 mm to 1.9 mm), respectively. In the transverse dimension the average surgical error was 1.6 mm (range 0.7 mm to 2.4 mm) and 2.7 mm (range 1.9 mm to 4.5 mm) from condyle to condyle, and 1.7 mm (range 0.7 mm to 2.7 mm) and 2.5 mm (range 0.4 to 4.8 mm) from gonial angle to gonial angle. Conclusion: The use of CAD-CAM (Medical Modeling, Golden, Colorado) technology for the fabrication of surgical resection guides and mandibular reconstruction plates resulted in an accurate surgical result. © 2013 American Association of Oral and Maxillofacial Surgeons.
Outcome study of computer-aided surgical simulation in the treatment of patients with craniomaxillofacial deformitiesJames J. Xia | Liza Shevchenko | Jaime Gateno | John F. Teichgraeber | Terry D. Taylor | Robert E. Lasky | Jeryl D. English | Chung H. Kau | Kathleen R. McGrory
Volume 69, Issue 7, July 2011, Pages 2014-2024
Purpose: The purpose of this study was to determine whether the surgical outcomes achieved with computer-aided surgical simulation (CASS) are better than those achieved with traditional methods. Materials and Methods: Twelve consecutive patients with craniomaxillofacial (CMF) deformities were enrolled. According to the CASS clinical protocol, a 3-dimensional computer composite skull model for each patient was generated and reoriented to the neutral head posture. These models underwent 2 virtual surgeries: 1 was based on CASS (experimental group) and the other was based on traditional methods 1 year later (control group). Once the 2 virtual surgeries were completed, 2 experienced oral and maxillofacial surgeons at 2 different settings evaluated the 2 surgical outcomes. They were blinded to the planning method used on the virtual models and each other's evaluation results. The primary outcome was overall CMF skeletal harmony. The secondary outcomes were individual maxillary, mandibular, and chin harmonies. Statistical analyses were performed. Results: Overall CMF skeletal harmony achieved with CASS was statistically significantly better than that achieved with traditional methods. In addition, the maxillary and mandibular surgical outcomes achieved with CASS were significantly better. Furthermore, although not included in the statistical model, the chin symmetry achieved by CASS tended to be better. A regression model was established between mandibular symmetry and overall CMF skeletal harmony. Conclusion: The surgical outcomes achieved with CASS are significantly better than those achieved with traditional planning methods. In addition, CASS enables the surgeon to better correct maxillary yaw deformity, better place proximal/distal segments, and better restore mandibular symmetry. The critical step in achieving better overall CMF skeletal harmony is to restore mandibular symmetry. © 2011 American Association of Oral and Maxillofacial Surgeons.
Surgery-first accelerated orthognathic surgery: Postoperative rapid orthodontic tooth movementEric J W Liou | Po Hsung Chen | Yu Chih Wang | Chung Chih Yu | C. S. Huang | Yu Ray Chen
Volume 69, Issue 3, March 2011, Pages 781-785
Purpose: Clinically, we have observed the phenomenon of postoperatively accelerated orthodontic tooth movement in patients who had orthognathic surgery. This phenomenon lasts for a period of 3 to 4 months. However, the underlying mechanisms of this phenomenon have not been well studied yet. The purpose of this prospective clinical pilot study was to study the postoperative changes in bone physiology and metabolism and the corresponding responses in the dentoalveolus, such as the changes in tooth mobility. Materials and Methods: Twenty-two consecutive adult patients who had 2-jaw orthognathic surgery were included in this study. The levels of serum alkaline phosphatase and C-terminal telopeptide of type I collagen (ICTP), as well as the tooth mobility of the maxillary and mandibular incisors based on the Periotest method (Siemens AG, Bensheim, Germany), were examined preoperatively and 1 week, 1 month, 2 months, 3 months, and 4 months postoperatively. The data were analyzed statistically. Results: Both tooth mobility of the maxillary and mandibular incisors and ICTP significantly increased from 1 week to 3 months postoperatively and then decreased to their preoperative levels in the fourth month postoperatively. The changes in tooth mobility were significantly in correspondence with the changes in ICTP. The alkaline phosphatase level significantly increased from the first to fourth month postoperatively, but it was not significantly correlated to the changes in tooth mobility. Conclusion: The orthognathic surgery triggers a 3- to 4-month period of higher osteoclastic activities and metabolic changes in the dentoalveolus postoperatively, which possibly accelerates postoperative orthodontic tooth movement. © 2011 American Association of Oral and Maxillofacial Surgeons.
Biomet microfixation temporomandibular joint replacement system: A 3-year follow-up study of patients treated during 1995 to 2005Helen E. Giannakopoulos | Douglas P. Sinn | Peter D. Quinn
Volume 70, Issue 4, April 2012, Pages 787-794
Purpose: To assess the safety and efficacy of a stock alloplastic total temporomandibular joint (TMJ) implant system, the Biomet Microfixation TMJ Replacement System. Materials and Methods: During a 10-year multicenter clinical trial from 1995 to 2005, 442 Biomet Microfixation TMJ Replacement Systems were implanted in 288 patients (154 bilaterally and 134 unilaterally). Patients were followed at landmark times, including the date of surgery and at 1 month, 3 months, 1 year, 1 year 6 months, and 3 years. The 3 major metrics that were evaluated were preoperative and postoperative pain, interference with eating, and maximal incisal opening. Paired t tests and comparison analyses were used to assess outcomes. Results: There was statistically significant improvement in pain level (P =.0001), jaw function (P =.0001), and incisal opening (P =.0001). Although there were complications necessitating the removal of 14 of 442 implants (3.2%), there were no device-related mechanical failures. Conclusions: The clinical study presented supports the conclusion that a stock TMJ alloplastic replacement, based on sound orthopedic and biomedical principles, is a safe and efficacious option when alloplastic reconstruction of the TMJ is indicated. © 2012 American Association of Oral and Maxillofacial Surgeons.
Surgery-first accelerated orthognathic surgery: Orthodontic guidelines and setup for model surgeryEric J W Liou | Po Hsung Chen | Yu Chih Wang | Chung Chih Yu | C. S. Huang | Yu Ray Chen
Volume 69, Issue 3, March 2011, Pages 771-780
The surgery-first approach indicates that the orthognathic surgery precedes the orthodontic treatment, whereas the orthodontics-first approach indicates that the orthodontic treatment precedes the orthognathic surgery. The conventional approach is an orthodontics-first approach. The purposes of this article are to introduce the concept of the surgery-first approach and to report the guidelines for orthodontic management and model surgery without presurgical orthodontic decompensation. The surgery-first approach treats facial esthetics first and then occlusion, whereas the conventional approach treats occlusion first and then facial esthetics. The surgery-first approach uses osteotomy to solve both skeletal problems and dental compensation, and a " transitional" occlusion is set up postoperatively. Orthodontics in the surgery-first approach is a postoperatively adjunctive treatment to transfigure the transitional occlusion into the solid final occlusion. The advantages of the surgery-first approach are that 1) the patient's chief complaint, dental function, and facial esthetics are achieved and improved in the beginning of the treatment; 2) the entire treatment period is shortened to 1 to 1.5 years or fewer depending on the complexity of orthodontic treatment; and 3) the phenomenon of postoperatively accelerated orthodontic tooth movement reduces the difficulty and treatment time of orthodontic management in the surgery-first approach. © 2011 American Association of Oral and Maxillofacial Surgeons.
"Surgery first" in bimaxillary orthognathic surgeryFederico Hernández-Alfaro | Raquel Guijarro-Martínez | Ana Molina-Coral | Consuelo Badía-Escriche
Volume 69, Issue 6, June 2011, Page
Bisphosphonate-related osteonecrosis of the jaws - An initial case series report of treatment combining partial bone resection and autologous platelet-rich plasmaMarcos Martins Curi | Giuliano Saraceni Issa Cossolin | Daniel Henrique Koga | Cristina Zardetto | Silmara Christianini | Olavo Feher | Camila Lopes Cardoso | Marcelo Oliveira Dos Santos
Volume 69, Issue 9, September 2011, Pages 2465-2472
Purpose: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a well-recognized pathologic entity that is challenging and difficult to manage. Recent literature contains several articles, with most recommending conservative management. This report describes a treatment modality for advanced cases of BRONJ that involves bone resection and autologous platelet-rich plasma (PRP). Patients and Methods: This case series consisted of 25 patients with BRONJ lesions and a history of intravenous bisphosphonate therapy for metastatic bone diseases that did not respond to conservative treatment. All patients were surgically managed by a standardized protocol combining bone resection and PRP. Results: Of the 25 patients, 20 (80%) showed complete wound healing during follow-up. Median follow-up was 36 months. Microscopic examination showed actinomyces in 15 specimens. Conclusion: BRONJ has been shown to be refractory to conservative management. Treatment of refractory BRONJ with a combination of bone resection and PRP was found to be an effective therapy in most patients and should be considered an alternative treatment modality for management of advanced cases. © 2011 American Association of Oral and Maxillofacial Surgeons.
Nationwide survey for bisphosphonate-related osteonecrosis of the jaws in JapanMasahiro Urade | Noriaki Tanaka | Kiyofumi Furusawa | Jun Shimada | Takanori Shibata | Tadaaki Kirita | Tetsuya Yamamoto | Tetsuro Ikebe | Yoshimasa Kitagawa | Jinichi Fukuta
Volume 69, Issue 11, November 2011, Page
Purpose: A nationwide retrospective cohort study was conducted by the Japanese Society of Oral and Maxillofacial Surgeons to assess the occurrence of bisphosphonate (BP)-related osteonecrosis of the jaws (BRONJ) during 2006 to 2008 and to elucidate the outcome and factors associated with remission of BRONJ. Materials and Methods: A written questionnaire, including the clinical characteristics, management, and outcome of patients with BRONJ, was sent to 248 institutions certified as training facilities by the Japanese Society of Oral and Maxillofacial Surgeons in 2008. Results: A total of 568 patients with BRONJ, including suspicious cases, were registered. Of these 568 patients, 263, including the maxilla in 81, the mandible in 160, and both in 22, met the working definition of BRONJ proposed by the American Association of Oral and Maxillofacial Surgeons. The patients included 219 women (83.3%) and 44 men (16.7%). Of these patients, 152 (57.8%) had received intravenous BPs, 104 (39.5%) had received oral BPs, and 7 (2.7%) had received both. The mean duration of administration until onset of BRONJ was 23.6 months for intravenous BPs and 33.2 months for oral BPs. BRONJ was stage 1 in 42 patients (16.0%), stage 2 in 187 (71.1%), stage 3 in 32 (12.2%), and unknown in 2. Of these patients, 34.2% had remission of BRONJ, 46.0% had persistent or progressive disease, and 19.7% died of malignancy or were lost to follow-up. Statistical analysis revealed that surgical treatment, including tooth extraction, sequestrectomy, and segmental mandibulectomy, contributed to the remission of BRONJ. In contrast, conservative treatment, concurrent anticancer drugs, poor oral hygiene, and the use of intravenous BPs did not. Conclusions: The relative ratio of BRONJ related to the use of oral BPs was greater in Japan than in the United States and European Union. Surgical treatment contributed to remission of BRONJ, and conservative treatment, concurrent anticancer drugs, poor oral hygiene, and intravenous BPs did not. © 2011 American Association of Oral and Maxillofacial Surgeons.
New 3-dimensional cephalometric analysis for orthognathic surgeryJaime Gateno | James J. Xia | John F. Teichgraeber
Volume 69, Issue 3, March 2011, Pages 606-622
Two basic problems have been associated with traditional 2-dimensional cephalometry. First, many important parameters cannot be measured on plain cephalograms; and second, most 2-dimensional cephalometric measurements are distorted in the presence of facial asymmetry. Three-dimensional cephalometry, which has been facilitated by the introduction of cone-beam computed tomography, can solve these problems. However, before this can be realized, fundamental problems must be solved. These include the unreliability of internal reference systems and some 3-dimensional measurements, and the lack of tools to assess and measure the symmetry. In the present report, we present a new 3-dimenisonal cephalometric analysis that uses different geometric approaches to solve these fundamental problems. The present analysis allows the accurate measurement of the size, shape, position, and orientation of the different facial units and incorporates a novel method to measure asymmetry. © 2011 American Association of Oral and Maxillofacial Surgeons.
Intra-articular corticosteroid injections to the temporomandibular joints are safe and appear to be effective therapy in children with juvenile idiopathic arthritisMatthew L. Stoll | Jennifer Good | Tyler Sharpe | Timothy Beukelman | Daniel Young | Peter D. Waite | Randy Q. Cron
Volume 70, Issue 8, August 2012, Pages 1802-1807
Purpose: The purpose of this study was to evaluate the safety and efficacy of intra-articular corticosteroid injections (IACIs) of the temporomandibular joint (TMJ) in children with juvenile idiopathic arthritis (JIA) when administered by an oral and maxillofacial surgeon without imaging guidance. Materials and Methods: This was a retrospective study of children with JIA, seen at a single center, who were selected based on having received IACIs of the TMJ. All subjects received the intervention, which consisted of referral to a single oral and maxillofacial surgeon for TMJ IACI with 5 to 10 mg triamcinolone hexacetonide, under general anesthesia. Primary outcomes assessed in all subjects were the safety of the procedure and efficacy as determined by the change in maximal incisal opening (MIO). In addition, a subset of 31 subjects underwent repeat magnetic resonance imaging of the TMJ, permitting analysis of the change in the acute and chronic findings of arthritis in those patients. Results: Sixty-three patients (68% female) received 137 IACIs. The mean age for diagnosis of JIA was 8.5 years, and the mean age at presentation for TMJ injections was 10 years. The injections were well tolerated: only 1 patient developed the steroid complication of hypopigmentation, and none developed degeneration or ankylosis. In terms of efficacy, the mean MIO increased from 40.8 ± 0.93 to 43.5 ± 0.90 mm (P =.001); in addition, changing the unit of analysis to individual joints, in patients who underwent repeat magnetic resonance imaging examination, 51% of TMJs showed magnetic resonance imaging evidence of improvement of arthritic changes, of whom 18% had complete resolution of TMJ arthritis. Conclusions: The results indicate that IACI of the TMJ can be safely performed by experienced oral and maxillofacial surgeons without a requirement for computed tomographic guidance. In addition, these results show that IACI may be effective in the management of TMJ arthritis, although further studies are required. © 2012 American Association of Oral and Maxillofacial Surgeons.
A new method to orient 3-dimensional computed tomography models to the natural head position: A clinical feasibility studyJames J. Xia | J. Kevin McGrory | Jaime Gateno | John F. Teichgraeber | Brian C. Dawson | Kathleen A. Kennedy | Robert E. Lasky | Jeryl D. English | Chung H. Kau | Kathleen R. McGrory
Volume 69, Issue 3, March 2011, Pages 584-591
Purpose: The purpose of this study was to evaluate the clinical feasibility of a new method to orient 3-dimensional (3D) computed tomography models to the natural head position (NHP). This method uses a small and inexpensive digital orientation device to record NHP in 3 dimensions. This device consists of a digital orientation sensor attached to the patient via a facebow and an individualized bite jig. The study was designed to answer 2 questions: 1) whether the weight of the new device can negatively influence the NHP and 2) whether the new method is as accurate as the gold standard. Patients and Methods: Fifteen patients with craniomaxillofacial deformities were included in the study. Each patient's NHP is recorded 3 times. The first NHP was recorded with a laser scanning method without the presence of the digital orientation device. The second NHP was recorded with the digital orientation device. Simultaneously, the third NHP was also recorded with the laser scanning method. Each recorded NHP measurement was then transferred to the patient's 3D computed tomography facial model, resulting in 3 different orientations for each patient: the orientation generated via the laser scanning method without the presence of the digital orientation sensor and facebow (orientation 1), the orientation generated by use of the laser scanning method with the presence of the digital orientation sensor and facebow (orientation 2), and the orientation generated with the digital orientation device (orientation 3). Comparisons are then made between orientations 1 and 2 and between orientations 2 and 3, respectively. Statistical analyses are performed. Results: The results show that in each pair, the difference (Δ) between the 2 measurements is not statistically significantly different from 0°. In addition, in the first pair, the Bland-Altman lower and upper limits of the Δ between the 2 measurements are within 1.5° in pitch and within a subdegree in roll and yaw. In the second pair, the limits of the Δ in all 3 dimensions are within 0.5°. Conclusion: Our technique can accurately record NHP in 3 dimensions and precisely transfer it to a 3D model. In addition, the extra weight of the digital orientation sensor and facebow has minimal influence on the self-balanced NHP establishment. © 2011 American Association of Oral and Maxillofacial Surgeons.
Bisphosphonate-related osteonecrosis of the jaw in patients with oral bisphosphonate exposure: Clinical course and outcomesFelice S. O'Ryan | Joan C. Lo
Volume 70, Issue 8, August 2012, Pages 1844-1853
Purpose: To characterize the spectrum and outcomes of bisphosphonate- related osteonecrosis of the jaw (BRONJ) occurring with oral bisphosphonate therapy. Materials and Methods: We assembled a retrospective cohort of patients who had developed oral BRONJ according to the 2009 American Association of Oral and Maxillofacial Surgeons criteria and received care within Kaiser Permanente, Northern California, during 2004 to 2011. Patients with intravenous bisphosphonate exposure were excluded. The demographic factors, comorbidities, pharmacologic exposure, maxillofacial findings, and outcomes were ascertained from the clinical and radiologic records. Results: We identified 30 cases of oral BRONJ (median age 77 years, 87% women). All had received oral bisphosphonate for osteoporosis/osteopenia (median duration 4.4 years, interquartile range 1.9 to 6.6). More than one half (57%) had comorbidities or relevant drug exposure, including rheumatoid arthritis, diabetes, glucocorticoid therapy, and disease-modifying antirheumatic medications. Extractions preceded BRONJ in 17 patients and trauma in 3; 10 developed BRONJ spontaneously. Overall, 83% had healed within 3 to 52 months, although the relative rate of healing varied by antecedent factor and/or the presence of comorbid conditions/ exposures. Nearly all patients with trauma-related and spontaneous BRONJ healed within 1 year (median 7.0 and 7.5 months, respectively) compared with those developing BRONJ after extraction, in whom the median time to healing was 18 months (P <.0001). Patients with relevant comorbidities had a lower probability of healing (P =.0002) and a longer median time to healing (20 months) than patients without comorbidities (7.5 months). Conclusions: We found that postextraction patients and those with comorbid conditions/exposures showed refractory BRONJ with prolonged healing times. Practitioners should be aware that the BRONJ clinical course and outcome varies depending on the antecedent factor and comorbidity status. © 2012 American Association of Oral and Maxillofacial Surgeons.
What is the role of hyperbaric oxygen in the management of bisphosphonate-related osteonecrosis of the jaw: A randomized controlled trial of hyperbaric oxygen as an adjunct to surgery and antibioticsJohn J. Freiberger | Rebecca Padilla-Burgos | Thomas McGraw | Hagir B. Suliman | Kevin H. Kraft | Bryant W. Stolp | Richard E. Moon | Claude A. Piantadosi
Volume 70, Issue 7, July 2012, Pages 1573-1583
Purpose: This study tested hyperbaric oxygen (HBO) as an adjunct to surgery and antibiotics in the treatment of bisphosphonate-related osteonecrosis of the jaw (ONJ) and evaluated its effects on gingival healing, pain, and quality of life. Materials and Methods: The investigators implemented a randomized controlled trial and enrolled a sample composed of patients with ONJ, where the predictor variable was HBO administered at 2 atm twice a day for 40 treatments as an adjunct to conventional therapy of surgery and antibiotics versus conventional therapy alone. Over the next 24 months, oral lesion size and number, pain, and quality of life were assessed. Results: Forty-six patients (mean age, 66 yrs; 57% women) contributed data to the trial. There were no statistically significant differences in the distribution of variables used to assess randomization success between the HBO and standard treatment groups. Seventeen of 25 HBO-treated patients (68%) improved versus 8 of 21 controls (38.1%; P =.043, χ2 test). Mean time to improvement was 39.7 weeks (95% confidence interval [CI], 22.4 to 57.0 weeks) for HBO-treated patients versus 67.9 weeks (95 CI, 48.4 to 87.5 weeks) for controls (P =.03, log-rank test). However, complete gingival healing occurred in only 14 of 25 HBO-treated patients (52%) versus 7 of 21 controls (33.3%; P =.203, χ2 test), and time to healing was 59 weeks (95% CI, 42.8% to 75.8%) for HBO-treated patients versus 70 weeks (95 CI, 52.2% to 88.36%) for controls (P =.32, log-rank test). Pain decreased faster for HBO-treated subjects (P <.01, linear regression). Quality-of-life scores for physical health (P =.002) and perceived health (P =.043) decreased at 6 months for control group but for not the HBO group. Conclusions: ONJ is multifactorial and no single treatment modality is likely to reverse it; however, it is treatable and even advanced presentations can improve with intensive multimodal therapy. Clinically, HBO appears to be a useful adjunct to ONJ treatment, particularly for more severe cases, although this study was underpowered to fully support this claim. © 2012 American Association of Oral and Maxillofacial Surgeons.
Resective surgical approach shows a high performance in the management of advanced cases of bisphosphonate-related osteonecrosis of the jaws: A retrospective survey of 347 casesFilippo Graziani | Paolo Vescovi | Giuseppina Campisi | Gianfranco Favia | Mario Gabriele | Giovanni Maria Gaeta | Stefano Gennai | Franco Goia | Mario Miccoli | Franco Peluso | Matteo Scoletta | Luigi Solazzo | Giuseppe Colella
Volume 70, Issue 11, November 2012, Pages 2501-2507
Purpose: The aim of this study was to evaluate the results of the surgical treatment of bisphosphonate-related osteonecrosis of the jaw (BRONJ) in a large cohort. Materials and Methods: A retrospective cohort multicenter study was designed. Patients were enrolled if they were diagnosed with BRONJ and received operative treatment. Data on demographic, health status, perioperative, and surgical factors were collected retrospectively. The primary outcome variable was a change in BRONJ staging (improvement, worsening, or no change). Interventions were grouped by local debridement and resective surgery. Data were collected for other variables as cofactors. Univariate analysis and logistic regressions were then performed. Results: Of the 347 BRONJ-affected subjects, 59% showed improvement, 30% showed no change, and 11% showed worsening. Improvement was observed in 49% of cases treated with local debridement and 68% of cases treated with resective surgery. Multivariate analysis indicated that maxillary location, resective surgery, and no additional corticosteroid treatment were associated with a positive outcome. Conclusions: Surgical treatment of BRONJ appeared to be more effective when resective procedures were performed. Nonetheless, other factors, such as the absence of symptoms and the types of drug administration, should be taken into account before clinical decisions are made. © 2012 American Association of Oral and Maxillofacial Surgeons.
Blood loss in orthognathic surgery: A systematic reviewAlejandra Piñeiro-Aguilar | Manuel Somoza-Martín | José M. Gandara-Rey | Abel García-García
Volume 69, Issue 3, March 2011, Pages 885-892
Purpose: Intraoperative blood loss during orthognathic surgery is frequently abundant and sometimes requires blood transfusion. The aim of the present study was to conduct a systematic review of the published data regarding intraoperative blood loss during orthognathic surgical interventions, including Le Fort I osteotomy, mandibular ramus osteotomy, and both combined, to determine the range of information available to help surgeons better prepare themselves, their patients, and the auxiliary support needed for this type of surgery and the transfusion requirements. Materials and Methods: Selected reports from the PubMed and Cochrane Library databases for studies conducted from 1978 to 2008 were evaluated to determine whether they included information on the volume of bleeding during surgery and the factors that might have influenced the amount of bleeding. Of the 90 reports examined and evaluated, 7 were included in the critical analysis conducted as a part of the present systematic review. Results: Referring to the reports used for statistical analysis of the volume of blood loss, the mean intraoperative bleeding volume was 436.11 mL, the mean of the standard deviations was ±207.89 mL, and mean surgery duration was 196.9 minutes. Conclusions: Our results have shown that the intraoperative bleeding observed in patients during Le Fort I or mandibular ramus osteotomies or both combined was less than the limits set for blood transfusion. However, bleeding was occasionally heavier, and surgeons should be prepared for heavier bleeding by reserving blood at a blood bank or by preparing an autotransfusion. © 2011 American Association of Oral and Maxillofacial Surgeons.
Use of virtual 3-dimensional surgery in post-traumatic craniomaxillofacial reconstructionOren M. Tepper | Sarah Sorice | Gabriel N. Hershman | Pierre Saadeh | Jamie P. Levine | David Hirsch
Volume 69, Issue 3, March 2011, Pages 733-741
Traumatic craniofacial injuries often present as difficult reconstructive challenges for maxillofacial surgeons. Reconstruction is often complicated by significant soft tissue loss, comminuted bony fragments, a tenuous blood supply, and wound contamination. For panfacial injuries, restoration of normal facial width, facial height, and sagittal projection may be difficult to achieve. Marked swelling may limit the surgeons' ability to palpate and recognize subtle bony defects and malunion. Furthermore, a true 3-dimensional assessment of bony alignment may not be possible with traditional surgical exposures to the craniofacial skeleton. This article builds on previous work that introduced the use of 3-dimensionally guided surgery for microvascular free-flap reconstruction of the craniofacial skeleton. Use of this technology improves the planning, timing, and overall precision of microvascular reconstructive surgery. Based on this experience, a similar approach to reconstructing patients with significant craniofacial trauma has been adopted. © 2011 American Association of Oral and Maxillofacial Surgeons.