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Memory and Executive Screening (MES): a brief cognitive test for detecting mild cognitive impairment
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- Guo, Q., Zhou, B., Zhao, Q. et al. BMC Neurol (2012) 12: 119. doi:10.1186/1471-2377-12-119
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Mild cognitive impairment (MCI), defined as a transitional zone between normal cognition and dementia, requires a battery of formal neuropsychological tests administered by a trained rater for its diagnosis. The objective of this study was to develop a screening tool for MCI.
One hundred ninety seven cognitively normal controls (NC), one hundred sixteen patients with amnestic MCI –single domain (aMCI-sd), one hundred ninety five patients with amnestic MCI-multiple domain (aMCI-md), and two hundred twenty eight patients with mild Alzheimer's disease (AD) were evaluated by comprehensive neuropsychological tests and by the Memory and Executive Screening (MES).
Correlation analysis showed that the three indicators of the MES were significantly negatively related with age (P<0.05), yet not related with education (P>0.05). There was no ceiling or floor effect. Test completion averaged seven minutes (421.14±168.31 seconds). The receiver operating characteristics (ROC) analyses performed on the aMCI-sd group yielded 0.89 for the area under the curve (AUC) (95% CI, 0.85–0.92) for the MES-total score, with sensitivity of 0.795 and specificity of 0.828. There was 81% correct classification rate when the cut-off was set at less than 75. Meanwhile, the aMCI-md group yielded 0.95 for the AUC (95% CI, 0.93–0.97) for the MES-total score, with sensitivity of 0.87 and specificity of 0.91, and 90% correct classification rate when the cut-off was set at less than 72.
The MES, minimally time-consuming, may be a valid and easily administered cognitive screening tool with high sensitivity and specificity for aMCI, with single or multiple domain impairment.
KeywordsMild cognitive impairment (MCI) Amnestic MCI-single domain (aMCI-sd) Amnestic MCI-multiple domain (aMCI-md) Alzheimer's disease (AD) Memory and Executive Screening (MES) Mini-Mental State Examination (MMSE)
Memory and executive screening
Mini-mental status examination
Mini-mental status examination, Chinese version
Mild cognitive impairment
Alzheimer's disease
Normal control
- aMCI-sd
Amnestic mild cognitive impairment - single domain
- aMCI-md
Amnestic mild cognitive impairment - multiple domain
- naMCI
Non-amnestic mild cognitive impairment
Area under curve.
In China, the elderly above sixty years of age account for 13.26% of the population, and aging and Alzheimer's disease (AD) have been significant public health problems [1]. Mild cognitive impairment (MCI), defined as a transitional zone between normal cognition and dementia [2], may be a target population for dementia early identification and intervention. MCI may occur in 15% of elderly patients [3]. Because of these large numbers and the absence of specific physiological markers, easier and earlier detection of cognitive impairment in the elderly population at minimal cost of time, resources, and expenses is increasingly important.
There are a variety of shorter or longer screening methods for MCI and mild dementia currently, such as the Seven minute neurocognitive screening battery(7MS) [4], the Memory Impairment Screen (MIS) [5], the clock drawing test [6], the cube-copying test [7], the DemTect [8], the AB Cognitive Screen (ABCS) [9], the AD8 [10], the Montreal Cognitive Assessment (MoCA) [11], the Short Cognitive Performance Test [12], the Addenbrooke's Cognitive Examination Revised(ACE-R) [13], the Memory Alteration Test (M@T) [14], and the Memory Orientation Screening Test(MOST) [15]. There are differences among these tests for cognitive domain and item coverage, completion rate, administration times, diagnostic accuracy, ranging of total score and cut-off values. At present, no one screening test used for MCI is acknowledged internationally in the way that the Mini-Mental State Examination (MMSE) is for dementia [16].
Time length and complexity are the major concerns of brief tests. We found that the tests currently used, such as MoCA and ACE-R, take more than 10 minutes. Although some other non-comprehensive tests, e.g., the Clock drawing test and MIS, take a short time to administer, the simple scoring and administration methods without the necessity for training, their sensitivity and specificity in detecting MCI were relatively low [17]. AD, Frontotemporal lobar degeneration (FTLD) and vascular dementia (VaD) are the major types of dementia syndromes [18, 19]. Memory impairment is often the earliest symptom of AD and executive function impairments are often the earliest symptoms of FTLD and VaD [20, 21]. Therefore, more than orientation, attention, language and visuospatial function, tests focusing on memory and executive function could be the most sensitive for detecting early stages of MCI. As most tests are education-related, their application in populations with little education remains controversial. Tests independent of pencil and paper and without requirements for reading and writing could decrease this cultural bias.
Our goal was to develop a test that could be applied to detect MCI. Ideally, it could be administered in less than 10 minutes by a variety of clinical staff, be reliably and easily scored without the need of a complex algorithm or computer program, and be readily accepted by patients to detect the early stage of MCI. The test would be especially practical for those patients who require further evaluation or prompt initiation of medication and supportive services. No specialized testing materials would be required and it could be easily adapted for non-Chinese-speaking elderly. In this study, a brief test named Memory and Executive Screening was developed in which the instruction and content were acceptable for illiterate and low-educated people. In addition, this test didn't require the participants to write. Therefore, we can expect that this is a test relatively independent of education.
A total of 796 (n=796) participants were recruited, including 197 (n=197) cognitively normal controls (NC), 116 patients (n=116) with amnestic MCI-single domain (aMCI-sd), 195 patients (n=195) with amnestic MCI-multiple domain (aMCI-md), and 228 patients (n=228) with mild Alzheimer's disease (AD).
We recruited the NCs using cluster sampling in Jingansi Community, Shanghai, China from Jan 2009 to Jun 2009. The inclusion criteria for NC group were: age between 50 and 90; cognitively normal, based on the absence of significant impairment in cognitive functions or activities of daily living (ADL), no memory complaints or memory difficulties (verified by an informant); Clinical Dementia Rating (CDR) = 0 [22]; score of Hamilton depression rating scale [23] less than or equal to 12 on the 17-item scale in the preceding 2 weeks; and adequate visual and auditory acuity to allow cognitive testing. Participants with any significant neurologic disease and psychiatric disorders/psychotic features were excluded.
All patients were recruited from the Memory Clinic, Huashan Hospital, from Jun 2009 to Oct 2011.They underwent laboratory screening and cranial CT/MRI scan, with no clinically significant abnormalities in vitamin B12, folic acid, thyroid function (free triiodothyronine-FT3, free tetraiodothyronine-FT4, thyroid stimulating hormone-TSH, rapid plasma reagin-RPR, or treponema pallidum particle agglutination -TPPA.
Three hundred and eleven (n=311) participants were diagnosed as amnestic MCI according to the Peterson criteria [24]: (1) memory complaints and memory difficulties which are verified by an informant; (2) symptoms lasting more than 3 months; (3) total score of the Mini-mental state examination-Chinese version (CMMSE) [25] ≥ the cut-off score adjusted for education; objective memory impairment documented by scoring below the age- and education-adjusted cutoff on tests of episodic memory, including the Auditory Verbal Learning Test [26]; preserved basic ADL/minimal impairment in complex instrumental functions; (4) etiology unknown; (5) normal sense of hearing and sight; (6) has not met diagnostic criteria of dementia based on those of the National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) [27]. Patients with aMCI were then differentiated as aMCI-sd and aMCI-md according to the impaired cognitive domains [28].
The mild AD patients (n=228) met the following criteria: Patients were diagnosed as probable AD according to the NINCDS-ADRDA; CDR=1; onset age ≥ 50 yrs; no obvious medical, neurological or psychiatric diseases or psychological dysfunction including anxiety and depression within the previous one month; no visual or auditory deficit.
Neurologists were in charge of the classification of normal, MCI and AD, taking the medical history, neuropsychological assessment and neuroimaging results into consideration.
The study was approved by the Huashan Hospital Foundation Ethical Committee, and each subject signed an informed consent.
For the Memory and Executive Screening (MES), see Appendix 1. There are three indicators for cognition evaluation. One sentence with ten main points is remembered three times and free delay recalled two times. The summation of the five recall scores is MES-5R. This reflects instant and delayed memory and learning ability. The four subtests of the MES-EX are the category fluency test, the sequential movement tasks, conflicting instructions task and Go/No-go task. This reflects executive function. The total possible score is one hundred, with fifty each for the MES-5R and MES-EX.
Participants were given neuropsychological tests by a trained rater who was blind to diagnosis. Except for the MMSE and MES, a comprehensive neuropsychological battery that included memory, language, attention, executive function and visuospatial ability was used. The tests were as follows: the Auditory Verbal Learning Test (AVLT) [29], the Rey-Osterrieth Complex Figure Test (CFT) [30], the Boston Naming Test (BNT; the 30-item version) [31], the Animal Fluency Test (AFT) [32], the Symbol Digit Modalities Test(SDMT) [33], the Trail Making Test-A and B (TMT-A, TMT-B) [34], the Stroop Color-Word Test (SCWT) [33], the Similarity test [35], the Clock-drawing test [6], the Clinical Dementia Rating (CDR) [22] and Center for Epidemiologic Studies Depression scale (CESD) [36]. All tests have been proven to have a good reliability and validity with those of a Chinese cultural background. Each patient with MCI or AD received a CT/MRI examination.
Statistical analysis
Chi-square analysis was adopted for ordinal data. Overall differences among the four groups (aMCI-sd, aMCI-md, mild AD and NC groups) were assessed with one-way analysis of variance (ANOVA). Post hoc pairwise comparisons between groups were assessed using the LSD test. The level of significance was set at α = .05. Pearson correlation was used to evaluate the relationship analysis. Receiver operating characteristic curves were used to assess the sensitivity, specificity and cut-off score. Associations of the MMSE and MES with the dichotomous clinical diagnoses were examined by using ROCs. The area under the ROC curves (AUC) was used as an overall index of performance of the screening tests. The AUCs and their standard errors were calculated using the method of Hanley and McNeil [37].
Baseline characteristics
Demographics and Standardized Neuropsychological Tests for the 4 Groups [ mean (standard deviation)]
NC (n=197)
aMCI-sd (n=116)
aMCI-md (n=195)
AD (n=228)
68.84 (7.70)
70.04 (9.13)
70.27 (8.75)
70.19 (9.17)
1.164 (0.323)
9.42 (5.17)
9.66 (4.85)
9.14 (5.19)
9.21 (4.98)
0.313 (0.816)
1.813 (0.143)
27.05 (2.11)
25.59 (2.61) **
25.17 (2.72) $$
19.09 (2.58)##
414.451 (<0.001)
AVLT-delayed recall(M=12)
5.30 (2.01)
1.19 (1.31) ††**
1.01 (1.27)
0.27 (0.83)##
176.26 7(<0.001)
23.56 (4.55)
23.56(4.75) ††
21.08 (3.51) $$
18.01 (5.47)##
21.787 (<0.001)
41.40 (11.98)
37.40 (10.57) ††
29.37 (13.48) $$
20.16 (11.89)##
33.441 (<0.001)
33.22 (3.42)
32.86 (3.13) †
29.73 (7.54) $
24.74 (9.31)##
CFT-delayed recall(M=36)
15.47 (5.55)
11.69 (7.39) †
9.07 (5.58) $$
4.15 (3.34) ##
45.73 (3.94)
42.96 (9.61) †
38.70 (10.43) $$
29.50 (13.68)##
55.08 (20.78)
64.43 (25.25) ††
84.66 (36.57) $$
118.30 (48.31) ##
TMT-part B(s)
155.89 (63.99)
172.08 (68.55)††
Essential features of MES
Demography factors and MES
Correlation analyses were carried out for the NCs. Age was significantly related with the three indicators of MES (p<0.05). When a person was older, s/he obtained a lower score. According to age, four subgroups were determined for NCs. There were 23 persons aged 50–59, 87 aged 60–69, 74 aged 70 –79, and 13 aged 80–89. The total scores for the MES were 84.0, 83.0, 80.5, and 77.9, respectively. There were distinct differences among subgroups (F=2.972, P=0.033), yet education level had no relationship with the test (p>0.05). No differences were found between male and female in the total scores and factor scores of the MES. In contrast, age and education significantly correlated with the MMSE score (correlation coefficients were −0.233 and 0.304, respectively, p<0.01).
The relationship of MES-5R, MES-EX and MES
Correlation analyses were done for all participants. The correlation coefficients were 0.892 for MES-5R and MES total score (p<0.01), 0.882 for MES-EX and MES total score (p<0.01), and 0.573 for MES-5R and MES-EX (p<0.01).
The relationship of MES and standard psychological tests
The coefficients were 0.663 for MES-5R and AVLT-total score (p<0.01), 0.523 for MES-5R and CFT-delay recall, 0.554 for MES-EX and the SCWT- interference effects, and 0.381for MES-EX and time scores of the TMT-part B (p<0.01).
Ceiling and floor effects
For NCs, the proportions obtaining the maximum score on the MES-5R, MES-EX and MES total were 4.1%, 20.3% and 2.5%. For mild AD subjects, 2.2% scored zero in the subtest of MES-5R, but no one scored zero in the MES-EX and MES-total. The scores of MCI patients were intermediate between the NC and AD groups. This demonstrated that there were no obvious ceiling and floor effects.
Test administration times
The average administration times were 421.14±168.31 seconds, about seven minutes, for the MES test, and 363.20±144.47 seconds, about six minutes, for the MMSE.
Completion rate
For the elderly from the community who were the NCs, 4% rejected finishing the cognitive testing, but when subjects were willing to finish the MMSE, they also finished the MES. The outpatients were examined by a trained rater in the neuropsychological department. The completion rate of the patients with MCI and mild AD was 100%.
The data were collected twice from a subsample of 30 participants (patients and controls) tested, 29.1(5.8) days apart on average. The mean change in MES total scores from the first to the second evaluation was 4.7(5.8) points, and the correlation among the scores of the 5 briefly trained raters evaluations was high (Pearson r = 0.92, P<0.001).
Comparisons of MES scores among four groups
Comparisons of MES score among the four groups
NC (n=197)
aMCI-sd (n=116)
aMCI-md (n=195)
AD (n=228)
36.64 (7.66)
24.67 (6.72) ††**
21.28 (8.62) $$
13.59 (6.71)##
339.125 (<0.001)
45.60 (3.89)
41.81 (5.07) ††**
35.05 (6.99) $$
24.36 (9.98)##
MES total
82.25 (9.40)
66.49 (8.16) ††**
56.33 (11.30) $$
37.96 (12.20)##
ROC analyses of MES and MMSE
ROC analysis of MMSE and MES
ROC area under the curve
95% Confidence Interval
Sensitivity (%)
Specificity (%)
Correct classification rate(%)
NC vs aMCI-sd
NC vs aMCI-md
NC vs AD
In terms of the MES total score, 75–62 appears to be the range for patients with aMCI. Subjects exceeding 75 were usually considered as NCs, and subjects scoring less than 62 may be suspected as having dementia. In the range 75–62, the lower the score, the more likely the diagnosis of aMCI-md, while the higher the score, the more likely the diagnosis of aMCI-sd.
The results showed that the MES may be a suitable screening method for MCI and mild dementia. First, time was saved as the most involved cognitive domains were evaluated selectively; second, the score range for memory and executive function was large enough to identify MCI; third, it was independent of pencil and paper, and reading and writing skills were not required of subjects. Hence, education was not a factor with the MES score.
In order to reach our aim, much preliminary work was carried out. With regard to the memory materials in the neuropsychological tests, the sentence, rather than word list, is more suitable for the illiterate and low-educated people. Lengths of sentences and numbers of trials and recalls were determined by careful consideration and repeatable pilot studies. Second, as implicit memory is relatively preserved for mild AD patients [38], memory materials chosen were unfamiliar. Person (Li Xiao-ming) and place names (He-xi town and Yong-an county) were imaginary. Third, auditory memory material appeared to be more sensitive than visual material for the Chinese elderly [26]. Delayed recall of episodic memory may be the most sensitive predictor for AD, but only long delay recall, easily producing floor effects, was not applied to evaluate severity of memory damage and cognitive change at follow-up. Accordingly, in our study, the summation of immediate and delayed recall performances was the indicator for the memory factor.
For patients with AD, executive function was another cognitive domain involved in addition to memory function, and the initial damaged domain for FTLD and VaD patients. In the beginning of the process of compiling the MES, we searched for various executive memory tests independent of pencil and paper in the literature [35, 39, 40, 41]. The initial tests included the Category Fluency Test,the Object Figure Naming and Sorting Test, the Conflicting Instructions Task, the Go/No Go Task, the Sequential Movement Tasks, the Oral Symbol Digit Modality Test, Stroop Color Words Test, the Similarities Test, the Proverbs Test, the Wisconsin Card Sorting Test, the California Cards Sorting Test, the Tower of London or Tower of Hanoi, and the Paced Auditory Serial Addition Test. Preliminary application and verification were undertaken. Considering the rate, reliability and validity of accomplishment, we selected the Conflicting Instructions Task, the Go/No Go Task, the Sequential Movement Tasks and the Verbal Fluency Test as the subtests of the MES-EX. The tests could be used for the two usual components of executive function including the set shift and dominant inhibition. The MES ratio (MES-5R/MES-EX) may apply for distinguishing between AD and FTLD or VaD. There is one point that we should emphasize, namely, that the four subtests of the MES-EX are similar to the four tests of the frontal assessment battery( FAB) [41] in the meaning of the tests, but the concrete operations, procedure and scoring standard are different.
The MES was related to aging. Many studies have shown that executive function may decrease with increasing age [42, 43]. Level of education was not related to MES performance. In western countries, the education level for the elderly is generally high, and the focus of researchers may be the effects of age and gender on neuropsychological tests. However, in a developing country like China, illiterate persons remain a significant proportion of the population. According to the sixth population censuses in 2010, of the total population, the proportion of persons with education exceeding university level accounted for 8.7%, senior high school for 13.7%, junior high school for 37.9%, and primary school for 26.2%, while the illiteracy rate was 13.5%. The numbers of elderly with low levels of education was therefore expected to be large. As the result, it was necessary to compile tests suitable for people with low education levels. In our sample, there were quite a lot of persons with low education levels, or even illiterate, and also individuals with high education levels and university careers. The statistical results showed that the MES was independent of education and knowledge. As the subtests were the items independent of reading and writing, the MES may be used for cross-cultural comparison of different countries.
At present, there have been few studies about the MCI subtypes of single-domain and. multiple-domain mild cognitive impairment [44]. Newer prospective studies show that multiple-domain MCI (particularly amnestic) confers greater risk of progression to dementia than single-domain MCI, even when examining multiple domains of MCI [45, 46, 47]. Those with single-domain MCI and naMCI (non-amnestic MCI) have a relatively high rate of reversion to normal cognition [48, 49]. Mitchell et al. [50]discovered that of the multi-domain MCI group, 59% progressed to dementia and only 5% improved. By contrast, in pure aMCI, only 18% progressed and 41% improved by two-year follow-up. These findings may simply reflect a threshold/definitional effect, in that multiple-domain impairment represents more advanced disease than single-domain impairment and is closer to the dementia threshold, that is, the outcome of interest is very similar to the predictor. As a result, differentiation of MCI subtypes has been necessary. The MES test, as a tool to identify single-domain and multiple-domain subtypes at a given point, may be helpful for the prognosis of MCI.
Total time for MES administration and scoring averages approximately seven minutes, similar to the time for the MMSE or DemTect and notably less than that of the MoCA and the seven minute neurocognitive screening battery (which actually needs 12 minutes).
As a screening test, the content of items of the MES is different from other common neuropsychological tests such as the MMSE, the Mini-Cog, and the ADAS-cog [51, 52], and could be administered together with those tests. As a part of the annual health check for the elderly, the MES could also be performed alongside other routine measurements (height, weight, and blood pressure) as a measurement of objective cognitive function. The MES would increase the probability of earlier diagnosis and improve ability to monitor change over time and treatment response in clinic outpatients. The feasibility of the MES as a follow-up tool has been validated in the process.
Appendix 1: Memory and Executive Screening (MES)
- 1)
Use thumb to touch other four fingertips in order
- 2)
Put thumb between index finger and middle finger–scissor shape
- 3)
Put wrist on same side eye(Telescope-like gesture)–same side ear(Listen-like gesture)–mouth(Drink-like gesture)
- 4)
Do a cross (touch forehead, chest, contralateral shoulder and ipsilateral shoulder by order)
- 5)
Luria action. Instructions: Make a fist, slice down with the edge of your palm, then close your fingers and put the back of your hand flat on the table.
Q6. Inhibitory Control Test (Go/No-go test): "When I tap once, you tap once, and when I tap twice, you don't tap." In order for the subject to understand the rule, please demonstrate: The practitioner taps once, and the subject should also tap once; the practitioner taps twice, and the subject should not tap. Start the test after the subject understands the rule. If there are errors in the process, do not remind the subject. Every tap should be about 2 seconds. Finish the series of number below: 1-2-1-2-1-1-2-2-1-1-2-1-2-1-2. [Score method] Mark the ones he/she tapped wrong, minus 1 point for each mistake. Range score is 0–10.Note: The numbers should be tapped continuously and equally. Do not respond to any of the subject's questions in between. Finish the task in 30 seconds.Q7 Long delayed recall: (5th time).Ask the subject to once again recall the sentence that was learned before.
The MES may be a highly sensitive and specific cognitive screening tool that is valid, easy to administer, and minimally time-consuming. It can be applied as a screening tool for large epidemiological surveys. Because the score range and gradient change of test difficulty are large enough, it may be suitable to evaluate cognitive changes during therapy for outpatients. Further longitudinal studies will be undertaken to investigate some issues, such as the follow-up value, discrimination of aMCI and naMCI, the relationship of MES score and MRI features (hippocampus or cerebral atrophy), and cerebral spinal fluid biomarkers. Additionally, there are some cognitive domains that the MES could not measure. Whether some atypical ADs, such as those manifesting of language deficit or visual spatial impairment, will miss being diagnosed, is worth further investigation.
We thank the raters (Zhou Y and Gong WP). This work was made possible by the generous participation of the patients and their families. The study was supported by The Natural Science Foundation of China (30570601,81171019) and Shanghai Science and Technology Municipality (09DZ1950400, 08411951000).
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Tax/Property ID: 210600480
Tax Year: 2016
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SUNDAY VIEW; Three Faces of Richard III In a One-Man Display of Evil
By DAVID RICHARDS
Published: October 7, 1990
In the course of his rollicking performance in ''Richard III,'' Stacy Keach comes close to accounting for that character's popularity with a single brazen gesture. For the saturnine creature is decidedly popular right now.
Mr. Keach happens to be performing the title role in Shakespeare's history at the Shakespeare Theater at the Folger in Washington. But this summer, if you'd dropped by the Delacorte Theater in Central Park, you'd have found Denzel Washington, eliciting squeals of excitement from young women in the audience, who were as much drawn to the handsome actor as they were taken aback by the diabolical actions required of him. (Pretty little pickle, that.) Meanwhile, across the Atlantic, Ian McKellen is endowing Richard with icy scorn in a stunning production which the National Theater in London has recently taken on a world tour. So far, North America is not on the itinerary, but if you're in Cairo in December . . . Stacy Keach as Richard
But back to Mr. Keach, who has opted to give us a monstrously misshapen Richard and, in fact, could probably step into the role of Quasimodo without so much as a change of makeup. The character, of course, has never pretended to grace. He's scarcely been on stage a minute - and in Mr. Keach's case, had time to scramble down from a metal catwalk, winking at spectators as he goes - than he has informed us that he is ''rudely stamped'' and ''cheated of feature.'' Since Nature has so ill-equipped him for fair deeds, his reasoning goes, it is only natural that he should distinguish himself in foul exploits.
Mr. Keach and his equally vigorous director, Michael Kahn, are not content to leave it at that, though. They've expanded the opening monologue to include some of Richard's lines from ''Henry VI, Part 3.'' This allows Mr. Keach to tick off the deformities one by one - the arm ''like a wither'd shrub,'' the ''envious mountain on my back,'' the ''legs of an unequal size.'' As if that were not enough, he is, he further boasts, disproportioned ''in FITGevery FNMGpart'' - the lascivious leer leaving little doubt about just what part he really means.
Then comes that gesture I mentioned. Having proudly exhibited himself as the unappetizing lump that he is, Mr. Keach throws his arms wide - like a vaudevillian who's successfully executed a cheap trick - smiles a broad smile and lets out a triumphant hiss, as if to say ''Tah-dah!'' Yes, Richard is a tyrant in the making. But he's also an unapologetic showman, raring to make a spectacle of himself. The manic glint in Mr. Keach's eyes and the brief eruption of razzle-dazzle are rife with the promise of bloody entertainments to come. Whatever we may think of the monarch's morals, we are bound to appreciate him for his unabashed theatricality.
Glee infuses every warped and crooked inch of Mr. Keach's performance. Let him successfully woo Lady Anne - over the corpse of her father-in-law, no less - and he explodes in uncontrollable laughter. Amazed that she could find him ''a marv'lous proper man,'' he promptly covers himself with congratulatory kisses. Hatching his lethal plots, he adopts a tone that suggests they are no more than clever pranks, and there's enough leftover boyishness in his face so that he almost gets away with it.
When the young Prince of Wales, his rival for the throne, arrives in London, Richard is there to welcome him with a colorful gift. Up pops a jack-in-the-box to the Prince's manifest disinterest. Even though Richard intends to have the boy murdered, he is genuinely crestfallen that the offering has fallen flat. How can anyone not like a good surprise, he seems to be wondering? (What, after all, are the reversals and betrayals he's been busy fomenting, if not surprises raised to a deadly power?) Moments later, the Prince and his brother are packed off to the Tower of London, and the gates in Derek McLane's steel and wire set clang shut. Mr. Keach can't contain himself: he waves bye-bye, as he would to toddlers on their way to school, and then permits himself a delicious chortle. If he weren't promoting so much bloodshed, wreaking so much misery, he would make an adorable troll, perched on the right garden wall.
Only in the end does the revelry drain out of him. The laughing mouth drops open dully, the eyes take on a fishlike glaze and you're left with a hollow man, reeling. Mr. Keach, quite splendid at the devious merriment, makes a grand transformation to the numbness of the lurching dead. It's a wild performance, encouraged at every bend, I dare say, by Mr. Kahn, who wields buckets of blood and a severed head with trick-or-treat flair. For some, it may smack too much of Grand Guignol, but there's no contesting that director and actor are keeping the stage of the Folger in a state of zesty turmoil. Ian McKellen as Richard
Mr. Keach's performance couldn't be further from the austere, patrician approach that Mr. McKellen is taking, yet Mr. McKellen is no less theatrical. The National Theater's production, masterfully conceived by the director Richard Eyre, moves the action forward to modern times and a grim police state, in which standing out is risky business. When he's not deigning to take us into his confidence, Mr. McKellen is doing as much as he can to fit in to the gray, bureaucratic landscape. His gnarled hand is neatly tucked away in a pocket. He would rather no one noticed the limp. And when he slings a greatcoat over his shoulders, the hunch is hardly detectable. As for the odd cauliflower-shaped growth on his left temple, he disregards it entirely, finding it unworthy of the proud notice that Mr. Keach takes of his imperfections.


text:
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Louise: ClingyMature
I felt fine the next day thanks to Silas or 'Doctor Donohue' as I had started calling him after he had started checking my temperature every hour and making sure that I drank plenty of fluids.
"Are you sure you're feeling okay today?" Silas asked for about the fifth time that morning, a worried expression on his face. "You worry too much, I'm fine" I said cupping his face and stealing a quick kiss. "Good, you had me so worried yesterday" he murmured, "I'm a big girl now, I can take care of myself" I said with a grin before disappearing off into the bathroom to get washed.
"I'm going down to breakfast" Silas called through the door, "Fine, I'll be down in about 5 minutes" I called back. The door clicked shut and Silas was gone, leaving me alone with my thoughts.
I was glad that he had gone if I was honest, he had been fussing over me far too much and it was starting to get on my nerves. I could understand why he was fussing, I could have been killed for one thing – typical I can't even go on holiday without being shot at, I got enough of that at work!
After I had washed and dressed I left the room and headed downstairs, I took the stairs instead of the lift, trotting down flight after flight until I reached the bottom. I caught sight of my friends instantly, and made a beeline for the table they were sat at, slipping into the available seat next to Silas.
"Morning" Flossie said cheerily, offering me one of her warmhearted smiles.
"Morning" I said smiling back at her, before grabbing a piece of toast from the toast rack in the centre of the table and proceeding to butter it.
"Could you pass me the jam please Harold" I said with a slight grin, for some reason being sat with everyone had reminded me of the roadtrip four years ago and everyone having to change their names.
"What?" Harry spluttered looking confused and slightly offended that I had called him Harold, "Why on earth did you call me Harold?" he asked his brow furrowed.
I stared around the table, as if someone would suddenly realize but they all stared at me with confused looks on their faces. Then a look of realisation appeared of Aimee's face and she started to giggle, then Flossie started giggling, realisation on her face too. Suddenly the whole group were laughing, all apart from Harry who still looked utterly confused, his face knitted into a frown.
"Hey Harold, did you ever get that garage door painted?" Aimee laughed, and slowly but surely the penny dropped with a loud clang. "Oh haha" he said sarcastically, but grinning. "I thought we agreed never to mention that ever again?"
"I don't recall" Aimee said putting her finger on her lip and trying to remember, "As I recall I said, promise me you'll never bring this up again and I won't drop you" Harry said grinning, obviously impressed with his memory.
"Ah but you were threatening to drop me in a ditch at the time!" she said grinning, "There is no chance of being dropped in a ditch here."
"No" Harry admitted, "But I can still throw you in the pool"
After breakfast we headed outside and claimed 6 sun loungers by the pool, Harry was true to his word and quickly succeeded in throwing Aimee into the pool for bringing up the spray paint and garage incident. However Harry's victory of throwing Aimee into the pool was short-lived as Aimee wasted no time in pulling Harry backwards into the pool.
I climbed off my sun lounger and started to wander away from the group, wanting to explore my surroundings. "Where are you going?" Silas called after me, running to catch up with me.
"Just going to explore, I didn't get to look around properly did I" I said with a smile.
"I'll come with you" he said clasping hold of my hand and refusing to let go.
"Nah you don't have to, go catch up with the others, you have been with me for the past 4 years, you haven't had much time to catch up with your college friends. "I can catch up with them later, I have plenty of time, plus I want to spend time with my fiancé" he insisted wrapping his arms around me and pulling me closer. "No Silas" I protested, breaking free of his strong grasp. "I'll see you later" I called turning tail and walking away before he could protest.
After wandering around for a good ten minutes I found the one place I had been looking for since I arrived, the hotel spa. After daring the cold plunge, I swam around for a bit then found a section of the spa which was warmer than the rest and allowed myself to sink into its warm embrace.
"Hi" A voice came from my right making me jump. "Oh hi" I said smiling at the newcomer.
"You were on your own so I thought I'd come say hi, I'm Owen" he said holding out his hand and giving me a cocky grin which I couldn't help returning.
"I'm Louise" I said smiling back at him and shaking his hand.


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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
it would be a simple will with everything going to one person and specifically excluding my two children.
Do not do this. You are making a mistake here, especially if you intend to disinherit your children. The cost to do the will the right way is not that great but if you mess this up then everyone will retain lawyers at your death and the costs will far outweigh the costs of a simple will. In addition, there is more to do than just dealing with your will, things such as a living will and durable power of attorney and coordinating diverse assets and those passing outside probate.
For the reasons why please read my legal guide entitled Estate Planning Mistakes: 5 Not So Easy Pieces at http://www.sjfpc.com/estate_planning_drafting_wills_trusts.html. After you read this you may gain an understanding of what is involved in this process.
Hope this helps.
Please remember to designate a best answer to your question.
Mr. Fromm is licensed to practice law throughout the state of PA with offices in Philadelphia and Montgomery Counties. He is authorized to handle IRS matters throughout the United States. His phone number is 215-735-2336 or his email address is firstname.lastname@example.com , his website for more tax, estate and business articles is www.sjfpc.com. and his blog is
LEGAL DISCLAIMER Mr. Fromm is licensed to practice law throughout the state of PA with offices in Philadelphia and Montgomery Counties. He is authorized to handle IRS matters throughout the United States. His phone number is 215-735-2336 or his email address is email@example.com , his website is www.sjfpc.com. and his blog is <http://frommtaxes.wordpress.com/> Mr. Fromm is ethically required to state that the response herein is not legal advice and does not create an attorney/ client relationship. Also, there are no recognized legal specialties under Pennsylvania law. Any references to a trust, estate or tax lawyer refer only to the fact that Mr. Fromm limits his practice to these areas of the law. These responses are only in the form of legal education and are intended to only provide general information about the matter within the question. Oftentimes the question does not include significant and important facts and timelines that if known could significantly change the reply or make such reply unsuitable. Mr. Fromm strongly advises the questioner to confer with an attorney in their state in order to ensure proper advice is received. By using this site you understand and agree that there is no attorney client relationship or confidentiality between you and the attorney responding. This site should not be used as a substitute for competent legal advice from a licensed attorney that practices in the subject area in your jurisdiction, who is familiar with your specific facts and all of the circumstances and with whom you have an attorney client relationship. The law changes frequently and varies from jurisdiction to jurisdiction. The information and materials provided are general in nature, and may not apply to a specific factual or legal circumstance described in the question or omitted from the question. Circular 230 Disclaimer - Any information in this comment may not be used to eliminate or reduce penalties by the IRS or any other governmental agency.Ask a similar question
Mr. Fromm speaks wisely. When you disinheirit someone - a red flag goes up. Hire an attorney and save your beneficiary a heck of a lot of problems.
Good Luck!
Legal Disclaimer: Paul A. Smolinski is licensed to practice law in the State of Illinois only, and as such, his answers to AVVO inquiries are based on his understanding of Illinois law only. His answers are for general information about perceived legal issues within this question only and no response to any posted inquiry should be deemed to extend any right of confidentiality between you and Mr. Smolinski, to constitute legal advice, or create an attorney/client or other contractual relationship. An attorney/client relationship is formed only by specific agreement including an evaluation of the specific legal problem and review of all the facts and documents at issue. We try to insure the accuracy of this information, but we cannot guarantee its accuracy. The reader should never assume that this information applies to his or her specific situation or constitutes legal advice. Therefore, please consult competent counsel that practices in the subject area in your jurisdiction and who is familiar with your specific facts and all of the circumstances.Ask a similar question
Mr. Fromm provides excellent advice here. Though it is possible for you to write your own will in Virginia, and certainly possible for it to be valid, the disinheritance of your children presents many issues that need to be addressed by a qualified attorney. I anticipate you also posted the question about LegalZoom and online will providers in general (if not, you may want to check out answers to that question as well), and again, the problem isn't so much with validity, as it is with construction, interpretation, and proper handling of non-probate assets. The language used by a layman is different from the language used by an attorney when drafting, and the reasons all the legal language is employed is because it often has a very specific meaning according to the statutes and/or case law.
In your case, I would consider it imperative that a qualified attorney draft your will, and furthermore, that the will be properly secured after it is drafted.
NOTE: If you find this response helpful, please click on the "thumbs up†button at the bottom. DISCLAIMER: THE INFORMATION PRESENTED HERE IS GENERAL IN NATURE AND IS NOT INTENDED, NOR SHOULD IT BE CONSTRUED, AS LEGAL ADVICE. THIS POSTING DOES NOT CREATE ANY ATTORNEY-CLIENT RELATIONSHIP BETWEEN US. FOR SPECIFIC ADVICE ABOUT YOUR PARTICULAR SITUATION, CONSULT A QUALIFIED ATTORNEY.Ask a similar question
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Wake up, Florida. You are falling behind
Here's a report that commands attention like a bucket of ice water down your back.
"Tougher Choices: Shaping Florida's Future" is a 110-page wake-up call to the Sunshine State from the LeRoy Collins Institute and a grim follow-up to its 2005 "Tough Choices" report. Both were partially funded by the Jessie Ball duPont Fund, based in Jacksonville.
In short, we're falling behind, people. The same problems that held Florida back in 2005 are still here, only worse. To wit:
- The young generation of Floridians is less likely to have a college degree than older residents and is far below young people living in other states.
- In higher education, the total of state appropriations and net tuition ranked dead last in the United States in 2012.
- In kindergarten through 12th grade funding, Florida's funding-per-student and teachers' salaries lag behind the nation and the rest of the South — traditionally the poorest education-funded region in the country.
- Across the U.S., there has been a hollowing out of middle-wage jobs, but in Florida the trend has been worse than the country as a whole.
- The continued overreliance of Florida's economy on retirees and tourists leads to more low-paying service jobs that serve these industries.
So let's see — fewer college grads, wretchedly low education funding up and down the line, a state economy reliant on low-wage industries: Clearly a recipe for disaster.
"No longer can Florida be a state that is cheap and proud of it," the report states. "That seems unfortunate, if not silly, in a competitive global economy that feeds on high-skilled jobs."
The business community has a huge stake in these findings. Where Florida is heading, according to "Tougher Choices," is not where most of us want to live and run our businesses.
The crucial step here is to avoid what for many is the natural reaction: Get defensive about the place you love, kill the messenger and deny, deny, deny.
Apparently that's what happened with the 2005 report. In any case, as the new report makes clear, the warnings issued in 2005 are sounding louder today.
Nine years later, we have to come together as a state and demand of our leaders that we climb out of our country's educational cellar. We need to get the duh out of Florida.


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Fall has officially arrived here in Cedar City. I love fall. It is my very favorite season. I love the crisp chill in the air, the vivid blue of the sky, the turning of the leaves, the smells...everything. It was something I sorely missed while living in Arizona. Fall never really came there...the crisp chill would sort of arrive by mid-December and possibly stay till the end of February, but that's it. In September it's still 100 degrees there! I'm still getting the playgroup emails from my AZ crowd and I can't believe they're doing things like playing in the sprinklers at the zoo! I can't comprehend anymore, because I'M FREEZING TO DEATH!
It was colder here yesterday than it ever gets in Arizona, except on very rare occasions. (It did snow in Phoenix in March, so I shouldn't say never...) Anyway, it's only going to get colder, and I DON'T HAVE ANY APPROPRIATE CLOTHING! I've lived in capris and tee shirts for the past 3 years. To make matters worse, I don't quite fit into the jeans and long pants I do have yet. So I have two choices: Go on a major crash diet or spend a fortune on warm clothing.
But for now I am just going to go get in my flannel PJ's and snuggle with Sophia in my nice warm bed...I can always make that decision tomorrow.
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Sunday, September 24, 2006
It's like Christmastime in Arizona
(and I think I might die from the cold...)
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Category:Puma Swede
Johanna Jussinniemi (born 13 September 1976 in Stockholm), better known by her stage name Puma Swede, is a Swedish pornographic actress of Finnish descent.
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American Inns of Court
National Advocacy Training Program
Join us this fall for our exclusive
National Advocacy Training Program
The American Inns of Court is pleased to offer a national advocacy training program for attorneys within their first five years of practice.
The American Inns of Court National Advocacy Training Program (NATP) is an intensive two-and-a-half-day program sponsored by the American Inns of Court in conjunction with the Inns of Court College of Advocacy (ICCA) in London. The ICCA, established by the four Inns of Court in London, is comprised of leading barristers and judges who provide guidance and training in the pursuit of excellence in advocacy. The involvement of the ICCA makes this program unlike any other offered in the United States. It is through our close relationship with the Inns of Court in London that the American Inns of Court is able to offer this truly unique opportunity to our members and further our mission to inspire the legal community to advance the rule of law by achieving the highest level of professionalism through example, education, and mentoring. All participants will receive a certificate of completion. CLE credit will be applied for once registration has been finalized.
Training is conducted in a courtroom setting with two small groups of eight participants. Two British barristers lead each group using the six-step Hampel method of advocacy training—a best practice adopted by the Bar of England and Wales. The training is based on a case set before the International Criminal Court (ICC) in The Hague, involving the prosecution of a public figure for crimes against humanity under the substantive law and procedures of the court. The program features a mock trial and includes skills such as direct-examination, cross-examination, and opening and closing arguments, as well as a one-on-one video review session. Participants learn methods for dealing with a hostile witness, overcoming objections to the phrasing of questions, dealing with arguments over the exclusion of evidence, refreshing memory, and other "tools of advocacy."
Who Should Attend
The program is designed for attorneys within their initial two to five years of practice. Some attorneys who have been practicing longer but without the opportunity to argue in court may also find value in the program. All participants should feel comfortable working in a group and receiving critiques of their performances.
When and Where
Chicago, Illinois
September 6-8, 2017
Tampa, Florida
September 11-13, 2017
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Need Permission to Attend?
If you have questions,
please contact Libby Bingham,
Director of Education and
Mentoring Programs


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Watch Bobby Flay's real food recipe videos, play the Wheel of Real to win instant prizes and enter the sweepstakes every day for another chance to win great prizes like: Bobby Flay's Cookbook, a Portable Grill, or FREE Hellmann's! You can also print a $1/2 Hellman's Light products coupon.
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Creel Area. Riase precursor. Diverse shots. Precursor formed into a web. Precursor oxidation level: white, gold, copper, brown, black. Diverse shots. Winding. Winding carbon fibers. Supervisory staff walks along oxidation ovens. Low temperature furnace.
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Does this restaurant offer takeaway or food to go?
Is this restaurant good for large groups?
Does this restaurant accept bookings?
Does this restaurant serve Bar / Pub food?
Is this restaurant appropriate for Kids?
Is this restaurant romantic?
Does this restaurant serve alcohol?
Is this restaurant good for lunch?
Is this restaurant good for dinner?
Is this restaurant family-friendly?
Thanks for helping!
We go here for lunch all the time in the summer. Nothing fancy. Sit outside with pretty views of the ocean. Reasonably priced.
Food is average, but view is awesome. Just know you are paying a "view tax" for your meal. Nothing is awful, nothing is awesome. Just know it going up the stairs.
We chose this restaurant thinking it was still Hammerhead Grill. When we arrived, we noticed the name change but decided to give them a chance. They seem to be understaffed since half their tables were empty, yet there was a 20 minute wait. We requested to sit inside but they sat us outside. That ended up being ok because the...
My wife and I went for dinner here and while we looked for the Hammerhead Grill did not see it as it is now known as 1230 Ocean Bistro. We sat on the deck overlooking the ocean and this may have been the best of many great views we had when we ate outside in Narragansett. I had the Ahi...
A New England beach restaurant with all of the trimmings. Trimmings that is of lobster salad and lobster rolls, clam chowder, corn chowder, sometimes both in the same delicious bowl. Regular bowls and if you'd like extra large ones. College age kids (at least when I was there) as courteous servers.
We ate inside, and upstairs, a longish, but not...
When nine Harleys pull into your lot, and 14 people in leather walk in your door, it would be understandable for restaurant management to be caught a little off-balance. Not so for this team. They scrambled and immediately arranged tables for our group, inside in AC, with the best view of Block Island Sound. Quick service for beverages and lunch...
My fiancée and I try to get out to Narragansett a few times a year and the Hammerhead is always on our to do list. We've eaten here probably a dozen times and have never been disappointed! The food is always great, the blood Mary's are always perfect, and the view is to die for!!
Staff exceptional. Food very good. Large portions. Beautiful view! Tuna very good. Done perfectly . Not crowded but was end of September
Had a late- summer breakfast on the outdoor deck. Food fine, although they need to get more serious about coffee--pretty weak stuff for a Seattle visitor! They were short-staffed because it was at the very end of the season, but after apologizing for that fact, both young servers hustled and were just so nice. Will definitely return on our next...
The view is stunning, probably the best I've seen in Rhode Island. We ordered clam cakes and chowder to start which were chock full of clams and delicious, as was everything else fallowing. But what really made the meal was the service from our waitress, Sara. She was wonderful, very knowledgeable not only about the menu, but what to see...
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This special issue draws on a range of intellectual roots—ranging from financial economics to organization theory, to design theory, and to human cognition. The goal of this special issue is to bring scholars from different disciplines together with practitioners who have had success applying the framework so as to help other managers lead their organizations to higher levels of performance.
- © 2016 by The Regents of the University of California. All rights reserved. Request permission to photocopy or reproduce article content at the University of California Press's Reprints and Permissions web page, http://www.ucpress.edu/journals.php?p=reprints.
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Serenity Hilltop Retreat: Amazing Valley View in Eureka Springs(42 Reviews)
The owner has been emailed.
To book this property, you need to complete your booking through checkout on the VRBO website. We can't protect your payment if we don't know you've booked through us. Learn more
- Minimum stay:2 nights
- Sleeps:10
- Bedrooms:3
- Bathrooms:4
- Property type:House
- Internet:Yes
- Pets considered:No
- Wheel chair accessible:No
About the Property
3 bedrooms/2 sofa beds, 4 bathrooms, full-service kitchen, pavilion & fire pit
This private, three story guest house sits at one of the highest points in Eureka Springs, at over 1,400 feet in the Ozark hillside, and on 7 wooded acres for exploring. Limited bookings for 2017. Change over day must be Sunday. There is also a pavilion with a view for miles that is exclusively for our guests' use. There are 3 queen-sized beds, 4 full bathrooms, and 2 queen-sized sleeper sofas to provide plenty of room for comfortable sleeping. All bedding is 600 thread count Egyptian cotton. Two bedrooms are private with an attached bath and a balcony. Third bedroom adjoins the TV room which has a sleeper sofa and a balcony. Another sleeper sofa is in living room. The full kitchen includes refrigerator, microwave, dishwasher, toaster oven, coffee maker, eating area, and bar stools at counter. TV room includes a DVD player and cable TV service with hundreds of channels, including HBO.
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Paying with a credit card on VRBO protects your payment for up to $10,000 against listing fraud. We recommend completing your booking on VRBO.Learn more
Member since: 2012
Property Type
- House
- 1850 sq. ft.
House Rules
Accommodation Type
- Vacation Rental
- Guests Provide Their Own Meals
Onsite Services
- Housekeeping
- Staff
- Low Allergen Environment
- Singles
- Alternative Lifestyle
- Unsuitable For Elderly Or Infirm
Bedrooms: 3 Bedrooms, Sleeps 10, Beds for 10
Other Amenities
- 7 private wooded acres over 1,400 feet up in the Ozarks. All groups are welcome, but we are running limited bookings this season. Check-out must be on a Sunday. This is a three level house and the front entrance has steep stairs, so it would not be suitable for those who are elderly or with serious walking issues. Smoking is allowed outside the house in a restricted area of the property due to fire hazard. Absolutely no pets/animals allowed anywhere on the property, including in cars. No more than 10 guests allowed in the house or on the property at any time. Strictly enforced....moreless
Small library is available for guests during their stay with both children's and adult books. ...moreless
- CD Player
- DVD Player
- Radio
- Away From It All
- Family
- Historic
- Tourist Attractions
- Autumn Foliage
- Botanical Garden
- Caves
- Churches
- Cinemas
- Coin Laundry
- Festivals
- Forests
- Health/Beauty Spa
- Library
- Live Theater
- Museums
- Recreation Center
- Restaurants
- Theme Parks
- Winery Tours
- Zoo
Local Services & Businesses
- ATM/Bank
- Babysitter
- Groceries
- Hospital
- Laundromat
- Massage Therapist
- Medical Services
Leisure Activities
- Antiquing
- Bird Watching
- Boating
- Eco Tourism
- Horseback Riding
- Miniature Golf
- Photography
- Scenic Drives
- Shopping
- Sight Seeing
- Walking
- Wildlife Viewing
Location Type
Mountain View:
Guest house sits at 1,400 feet in Ozark Mountains with an amazing valley view....moreless
Sports & Adventure Activities
- Cycling
- Fishing
- Fly Fishing
- Freshwater Fishing
- Golf
- Hiking
- Hunting
- Jet Skiing
- Kayaking
- Rock Climbing
- Snorkeling/Diving
- Snowmobiling
- Swimming
- Water Tubing
Table for 6 is adjacent to the kitchen and living room on the main level. There are also three bar stools at the kitchen counter....moreless
- Dining Area
- Seating for 6 people
- Activities Guide
- Air Conditioning
- Broadband Access
- Ceiling Fans
- Clothes Dryer
- Filtered Water
- Firewood
- Hair Dryer
- Heating
- Internet:
- Iron & Board
Linens Provided:
Changes provided once on bedding during stays of a week or longer....moreless
- Living Room
- Local Activities Guide
- Local Maps
- Mobile Phone:
- Paper Towels
Plenty of room for parking, including large groups....moreless
Parking Off Street:
Plenty of room to park directly in front of the house. Room for boats and other equipment as well....moreless
- Parking For RV/Boat/Trailer
- Sofa Bed
- Toilet Paper
- Towels Provided:
- Washing Machine
Wireless Internet:
Wireless access is available at no additional charge....moreless
- 4 Ring Stove
- Blender
- Coffee Maker
Cooking Utensils:
Fully stocked with basics, and we will bring you others if you need them. Wine opener & can opener provided....moreless
- Dishes & Utensils:
- Dishwasher:
- Freezer
- Garbage Disposal
- Grill
Fully equipped with refrigerator, microwave, coffee maker (with complimentary coffee, sugar, and creamer), toaster, toaster oven, and electric stove. Wine and margarita glasses, along with full set of glasses and dishes. Paper towels and napkins provided....moreless
- Microwave
- Oven
(4) 3 walk outs off the back of the house with a valley view and one on the front with a view of the yard....moreless
Boat Rental is available on Holiday Island and at Beaver Lake....moreless
- Deck Furniture
Pavilion with a view that stretches for miles available exclusively for your use....moreless
Courses are available in Berryville and in Holiday Island....moreless
- Lawn / Garden
- Outdoor Furniture
Outdoor Grill:
Propane grill at main house is available to guests free of charge. No other grills allowed on the property. Strictly enforced for insurance and fire safety. ...moreless
- Outdoor Grill Gas
- Porch / Veranda
- Porch Furniture
- Unscreened Porch / Veranda
- Wood Deck
- Yard
RatesCurrency Conversion
|Weekend Night
|Monthly *
My Standard Rate
2 night min stay
Fri, Sat
Additional information about rental rates
- Tax Rate 9%
Guest house maximum is 10 at all times. This is monitored for security and safety. Check-out must be on a Sunday.
Owner's cancellation policy:
Cancelled bookings will not receive a refund.
Don't forget your vacation protection! Get protected now
Adding our Vacation Protection services can make sure your getaway goes smoothly, no matter what. We offer Cancellation Protection and Damage Protection so you can truly relax.
- Restaurant
- 7.1 miles to rental
- View on map
- Attraction
- 3.2 miles to rental
- View on map
- Attraction
- 11 miles to rental
- View on map
- Restaurant
- 4.3 miles to rental
- View on map
- Attraction
- 7.2 miles to rental
- View on map
- Restaurant
- 5.0 miles to rental
- View on map
- Attraction
- 44 miles to rental
- View on map
- Attraction
- 43 miles to rental
- View on map
Car: Necessary
Over 1,400 feet up in the Ozarks on 7 private wooded acres to explore. A quick trip to all that Eureka Springs has to offer--art galleries, quaint shopping, great restaurants--as well as minutes from Beaver Lake. In an hour, you can be in Branson, MO. We also highly recommend Turpentine Creek Wildlife Refuge for a face to face experience with rescued tigers, lions, cougars, and bears. We are located right off Highway 62 for easy access.
Owner info
Year Purchased: 2012
About the owner: Scott and Meg married in 1990 and spent years living in the Detroit Metro Area before moving to Houston, TX, in 2005. They both earned graduate degrees and had busy careers (Scott as a CFO and Meg as a teacher and writer). But after decades of battling crazy traffic and commuting hours each day, they decided it was time for a change.
Why the Owner Chose Eureka Springs, AR, USA:
One look at this glorious property in Arkansas was all it took. Eureka Springs stole Scott & Meg's hearts, and the promise of waking up every morning to a view that stretched for miles clinched it. They packed up the family (including 4 cats and a dog) and relocated to what they now call Serenity HIlltop. Scott and Meg live just across the lawn from the guest house, so you may see Meg writing on the porch or Scott working in the yard. It is truly a little bit of heaven every day.
The Unique Benefits at this House:
Downtown Eureka Springs is delightful, but staying overnight in the city can make parking tricky and is not exactly peaceful. Serenity Hilltop offers the privacy for your group to be as quiet or as loud as you please, and to be all under one roof together. Guests love to explore the cavern on our property and take quiet walks in the woods. Everyone in town comments on what a beautiful place we have, and we couldn't agree more. We'd love to share it with you!
Contact us
Send email
- Primary: 479-363-6017 8:00 am - 8:00 pm 7 days a week
Links to more information:
- Click Here to see All My Rental Listings
Serenity House.
Counter service in the full-service kitchen.
Ruby Bedroom with attached full bathroom and walkout balcony.
The Violet Bedroom with walkout balcony and full attached bathroom.
Upper level balcony.
Main level balcony.
Mocha Bedroom/TV Room on Lower Level with full bathroom attached
Bathroom attached to Mocha Bedroom and TV room on lower level.
Side and back view of Serenity House.
Guests enjoy a drink and the view from the pavilion on a summer evening.
Front yard, arbor photo spot, and pavilion (fire pit is to the right)
Living room on main level with walkout balcony & queen sofa bed. Adjoins kitchen
Full-Service Kitchen
Kitchen dining area--open to living room and walk out balcony.
Full bathroom attached to the Ruby Room.
Full bathroom attached to Violet Bedroom.
Office area
Mocha Bedroom/TV Room on Lower Level with full bathroom attached
TV Room on Lower Level with cable TV and Blu-Ray player
Lower level balcony view.
Pavilion and mountain view
Fall is a wonderful time to visit. The colors are amazing!!
Guests enjoying roasting marshmallows at the fire pit. What a view!
Front view in the fall.
This listing was first published here in 2012.
Date last modified - Thursday, May 25, 2017
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|Customer comments
|Nico - MH-808:
Thank you very much for the pedal.
It works great and is completly
fullfilling my expectations.
It screams like crazy...
My Vox even better than it did before! Noticeably improved over stock,
I'm guessing this is the valves you use. Excellent choice.
Absolute pleasure dealing with you and hope to do so again.
Mike Hill Elite valves! The very finest. 👌🎸🎶


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|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|Kathey Marsden <kmarsdende...@sbcglobal.net>
|Re: Yo
|Mon, 19 Apr 2010 14:57:48 GMT
On 4/19/2010 3:03 AM, Ян Программист wrote: > Man, you are acting a bit like you do not know what I am talking about. I am not sure who "you" is in this context but I believe I am guilty not knowing what you (John) are talking about most of the time. This mail titled "Yo", for example seems to be concern about someones response to a question about mentoring, but I went back through your posts and don't see any emails with a title related to mentoring. Since I couldn't find the thread you were responding to, I can't really comment on this one. I would encourage you to read the tips and linked articles at: http://www.apache.org/dev/contrib-email-tips.html I think those articles will help you phrase your questions in a way that make it easier for the community to respond. I am not sure if it is covered in those pages, but one thing to note is that at least I and I know others on the derby list cannot just follow a link without knowing what is there, so I perhaps miss much of what you are saying, perhaps even your original mentoring question if it was under one of these links. Also if you can move to English error messages that would help me a lot in my ignorance of languages. You can do this with the System property derby.ui.locale for ij, but using user.language and user.region might work and be more comprehensive. Thanks Kathey
|View raw message


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Hundreds of facilities are using LAMPS for water management plans because it's…
- "user friendly and easy to navigate" Bill Tighe, Chief Engineer, Disney Times Square Studios, New York City
- "evidence based, credible, and cost effective" Katie Cary MPH, MT (ASCP), CIC, Infection Prevention Manager, Presbyterian/St. Luke's Medical Center & Rocky Mountain Hospital for Children at P/SL
- "simple and efficient" Kevin Ullrich, LEED Green Associate Property Manager, Cushman & Wakefield, Inc.
- "comprehensive" Russell Nassof, Esq., Executive Vice President, RiskNomics
LAMPS helps you protect the people in your buildings, reduce your legal risk, comply with ANSI/ASHRAE Standard 188-2015, meet regulations, and guard your image and revenue.
Watch the video. Join the conversation.
Following ASHRAE 188 with Limited Time, Money, and Personnel: Pressure for Building Operators and Health Officials
Let's be honest. Most people who work in facilities management, infection control, property management, safety, industrial hygiene, or engineering want to protect the people in their buildings from Legionella and other waterborne pathogens—not just in hospitals, but...read more


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Pembury Hotel, London overblik
Check kamer prijzen en beschikbare reserveringen in Pembury Hotel, London
Pembury Hotel, London detaljer
Pembury Hotel hotel overblik
A charming London hotel with free Wi-Fi enjoying a peaceful, well-connected location facing the Finsbury Park.
Elevator, Pengeskab i reception, Hele ejendommen er røgfri
Vaskeriservice, 24-timers sikkerhedsopsyn, Baggageopbevaring
Betalt parkering
Betalt parkering er tilgængelig ved hotellet. (Reservation påkrævet)
Wi-Fi internet gratis på alle værelser og fællesarealer (lobbyen/receptionen, etc.)
Pembury Hotel, London hotel detaljer
The Pembury Hotel London is a charming accommodation in a quiet street facing Finsbury Park, one of the oldest parks in London. The Museum of Childhood, Charles Dickens Museum and Barbican Art Gallery are within 5 kilometres of the hotel. Finsbury Park, known for various notable concerts over the course of history, is an ideal place to unwind after a busy day in the city. The hotel is well-connected to the city centre through several nearby bus stops and a metro station.
The friendly staff at the recently refurbished London Hotel Pembury is happy to help you with all you need. Furthermore, the hotel features a comfortable lounge area to relax after a busy day in the city, as well as rooms with a beautiful view of the park. The other rooms benefit from a peaceful location at the back of the hotel.
The 80 rooms of Pembury Hotel London are all equipped with private bathrooms. Suitable for both business and leisure visitors, this hotel features comfortable accommodation at a reasonable price.


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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
I'm one of two beneficiaries of an estate where I am to split two identical (same value) tracts of land with the other beneficiary. The estate attorney said he has to deed one piece in my name before he can re-deed it into the name of the other beneficiary I sell it to. Is that really necessary? I don't own any of it, the estate owns it, so why can't I just sign a paper saying the other beneficiary pays me x amount to secure it from me and get it deeded straight from the estate to the other beneficiary rather than what the attorney said to do which is deed to me, then to the other person. ThanksPlease note the estate attorney is UPL; suspended license. I'm waiting for him to give me the deed papers before filing a grievance / reporting him to the bar. (I'm waiting for him to dig is grave deeper with more UPL to strengthen the case against him).
I have seen this handled both ways. Your solution actually may be the more common way to do it. Having said that, I do not see it being a problem to do it the other way. I wonder about possible transfer tax issues. But the attorney is in possession of all the facts that we are not. Given the UPL issue, you are going to need to have someone else handle this. In a sense, that will give you all a second opinion on the matter. When in doubt, you can always seek direction from the judge, as well. A court order is safe for everyone.
James Frederick
***Please be sure to mark if you find the answer "helpful" or a "best" answer. Thank you! I hope this helps. ***************************************** LEGAL DISCLAIMER I am licensed to practice law in the State of Michigan and have offices in Wayne and Ingham Counties. My practice is focused in the areas of estate planning and probate administration. I am ethically required to state that the above answer does not create an attorney/client relationship. These responses should be considered general legal education and are intended to provide general information about the question asked. Frequently, the question does not include important facts that, if known, could significantly change the answer. Information provided on this site should not be used as a substitute for competent legal advice from a licensed attorney that practices in your state. The law changes frequently and varies from state to state. If I refer to your state's laws, you should not rely on what I say; I just did a quick Internet search and found something that looked relevant that I hoped you would find helpful. You should verify and confirm any information provided with an attorney licensed in your state. I hope you our answer helpful!Ask a similar question
Thanks, good info; the same UPL attorney has handled the sale of the estate home while having a suspended license (at that time I didn't know); I believe this UPL attorney is going to get in some very serious trouble with the bar for one example before too much longer.
The UPL has sold / transferred the house without a court order because he know he would get caught immediately when he would have to put his bar # on the document. So he just did it all without the judge knowing. He's doing the same thing again with the land.
Thre are numerous reasons why this may be necessary, including:
1-havbing a proper trail of title to show any future purchasers that you have no claim remaining under the will
2- taxation basis in the property, which gets the stepped up basis when inherited as opposed to the decedent's cost basis
I wouldn't worry about the Attorney's advice- It will cost very little and I can't second guess the opinion of one licensed in your state ( I am not), and also one who is more familiar with the facts. Best regards,
Bob Brenna Jr.
Brenna Brenna and Boyce pllc
Rochester, New York 14614
Bob, Robert L. Brenna, Jr. No relationship is intended, agreed upon or accepted by answering this general question Brenna Brenna and Boyce PLLC Rochester, New York firstname.lastname@example.com a similar question
Sorry - didn;t notice the suspened license part. That is differendt- but why do you want to fiel a grievance? WHat has he/she done wrong to you?
Post a free question on our public forum.Ask a Question
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Search for lawyers by reviews and ratings.Find a Lawyer


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It's odd to think that men run a sharp razor along their face and neck once a day, and women run it over their legs every few days. Shaving is not as dangerous as it sounds, but it should be done in a way that doesn't damage the skin or causes ingrown hair follicles that can lead to unsightly zits and scars. These are the eight golden rules you should be following if you want your shaving experience to be the most effective. I also included a simple DIY guide to making your own Vitamin E enriched shaving cream, for both men and women.
1. Shave while showering or straight after
The hot water and steam will soften your skin and protect it from cuts during the shave. Shaving on dry skin can cause razor burn (a rash that develops when the skin's protective layer is damaged) and cuts, as the blade doesn't properly slide along the skin and nicks it. Additionally, if you're already in the shower, it will save you time.
Pro tip: to prevent your mirror from fogging up, put some shaving cream on it, then wipe it off with a dry towel. Your mirror will remain clear even in a sauna!
2. Use shaving oil before you shave
I strongly recommend applying shaving oil before applying shaving cream or gel. The oil makes your skin smoother and gives it an extra layer of protection from cuts and razor burns.
Pro tip: You can even use shaving oil instead of shaving cream – this will save you money and space in your traveling kit.
3. Wash the razor after every shaving motion
Rinsing your razor after every motion sounds like a lot of work and a waste of time, but it definitely isn't. When we shave, the removed hair remains on the razor and every repetition reduces the quality and hygienic level of the shave. Wash your razor after every 1-2 repetitions and your skin will thank you for it.
4. Shave in the direction the hair grows
While some people will tell you that shaving against the growth produces better results, they will be misleading you. Shaving in the opposite direction of hair growth may feel like it produces smoother results, but this practice increases your likeliness of suffering from cuts and ingrown hairs.
Men: The skin around your neck is more delicate than your facial skin, and growth direction may vary, so pay attention when shaving that area.
Women: Pay attention to the growth direction.
5. Use a high-quality razor
You won't use a shaving cream that harms your skin, so there's no reason to use a razor that does the same. You may want to test a few different brands until you find the one that is right for you. Be mindful of the state of the razor and replace it when it wears out.
Women: It is recommended that you use the women's razor, they are designed for more delicate skin, as opposed to the men's razors.
6. Wash the shaved area with cold water when you're done
The lower temperatures help reduce the volume of your blood vessels. This will prevent excessive bleeding and decrease the likeliness of skin infections.
7. Use a moisturizer or oil after you shave
Men: Using aftershave is mainly suitable to disinfect cuts, so if you followed the above instructions, your shave should be smooth and free of nicks. Professionals agree that the use of moisturizer is just as effective as aftershave in protecting the skin, but will not dry out your skin as the alcohol in the aftershave does.
Women: Applying coconut oil or baby oil on your skin, then dabbing it off with a towel right after shaving will give your skin a beautiful shine.
8. For women: Remove the hairs from the root
While some women think that shaving and waxing produces the same results, but in fact, they don't. Shaving only cuts the hairs, while waxing removes it from the root – this prevents the formation of ingrown hairs. In addition, waxing removes the top layer of dead skin giving you a smoother and cleaner look when compared to shaving. Lastly, it's not recommended to use a razor along the bikini line and shins.
DIY: Make your own nourishing shaving cream
Many creams and gels state that they contain Vitamin E that nourishes the skin, but more often than not, they contain a diluted variation that can speed up the formation of wrinkles. Instead of using all those chemical-laden products, you can make your own shaving cream, customized with your favorite scent and enriched with Vitamin E:
|*The cream can be used for up to a month


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Republicans: Democrats Hand Win to Iran, Ahmadinejad
After the invitation for Alaska Gov. Sarah Palin, the Republican vice presidential candidate, to speak at next week's "Stop Iran" rally in New York was rescinded, the blame game began.
The Republican Jewish Coalition joined with the McCain campaign to blame Democratic partisanship for Palin's removal, which they say hands victory to Iranian President Mahmoud Ahmadinejad. Democrats, including Ira Forman of the National Jewish Democratic Council countered that the inappropriate invitation to Palin had turned what was supposed to be a non-partisan event into a campaign rally organized by a leading Jewish organization.
"Iranian President Mahmoud Ahmadenijad has been quite clear of his intentions to acquire nuclear weapons; his anti-Semitic rants and desire to annihilate Israel are well-known," RJC executive director Matt Brooks said in a statement. "Today Senators Obama and Biden and their supporters have handed Ahmadenijad a big win. What should have been a strong effort by the Jewish community to stand up and show the world that we are united in our fight against this madman has instead been hijacked by those with a political agenda. This is a very sad day for the Jewish community."
Brooks said he was also disappointed that neither Democratic presidential candidate Barack Obama nor his running mate, Joseph Biden, chose to participate in the rally. But neither Obama or Biden were invited, which was one of the central complaints of their campaign.
Forman told reporters on a conference call Thursday afternoon that it was wrong for rally organizers to invite only one party to the non-partisan event.
Sen. Hillary Rodham Clinton backed out of the rally earlier in the week after learning of the Palin invitation. Clinton expected a comparable congressional Republican representative would share the stage with her, but didn't expect to be paired up with the GOP vice presidential candidate at such an event, Forman told reporters on a conference call.
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Shinji Konishi
4,755pages onAdd New Page
this wiki
this wiki
Shinji Konishi is a hair stylist from Japan. He collaborated with art director Nagi Noda and Asami Nemoto to create 15 animal hairpieces which were presented for the "Animal Behavior" collection. In 2009, Lady Gaga wore three pieces and a custom creation.
2008 "Animal Behavior" CollectionEdit
- Blonde "Bat"


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"As we go on, we will continue to add more stars, more personalities, more athletes, more individuals around the world, not just Americans. They'll be from all parts of the world. Hopefully, we'll be able to film in Asia very soon," said Stallone.
Stallone, who directed and wrote the first Expendables film, said he considered getting Hong Kong director John Woo to helm the third movie. He is keen to get Jackie Chan, Asia's most wanted action star, involved.
"We've always wanted to use Jackie Chan. The only reason we didn't…because there really wasn't a part big enough for him, because we had so many actors. But in the next one, we are going to reduce the actors, and let's just say, expand the screen time of each star," Stallone said.
I think that last part is the most important, I'm sure many of you would agree that the cast of Expendables 3 was too big for its own good when it came to giving each character enough screen time. Having fewer characters with bigger roles would be a great improvement for the next movie, if the likes of Jackie Chan or Steven Seagal are going to be in it then they should have something more substantial than bit parts.


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Real-time Generic Substitution Analytics for your Pharmacy
New Now available for Web, Desktop, iPhone, iPad and Apple Watch
Why Crystalyze®?
The pharmacy landscape is changing and ensuring the profitability and sustainability of the pharmacy is of paramount importance. Crystalyze® is an innovative application designed to help pharmacists achieve this objective with ease. Crystalyze® provides pharmacists with live 24/7 information, can be accessed anytime, anywhere you have access to the web.
What is Crystalyze®
Crystalyze is a pharmacy software application which provides Australian pharmacists with live 24/7 information which can be accessed anytime, anywhere you have access to the web. It's available now for web, desktop, iPhone, iPad and Apple watch.
How can Crystalyze® help me?
Simplify Substitution
Tailor the information to meet your business needs.
You probably know your Total Generic Conversion in number of scripts. With Crystalyze®, you can follow your Total Generic Conversion in dollars – live.
After all, dollars are what you will bank. The Crystalyze® app also takes you beyond top line TGC and delivers detail at the individual molecule level. So you can concentrate your efforts on the molecules that mean the most to your pharmacy.
Live Information 24/7
Stop waiting for reports, take action now
Keep on top of what's happening in your store at any time. The data is always live so you can see exactly what's happening, right now, every time you check the app.
This means no more waiting for people to bring you reports, or pouring over pages of data. You get a short, sharp snapshot of what's happening across any timeframe that you choose: from today, to this week, to last month, to last year.
Anytime, Anywhere
Check your progress in store, from across the street or around the globe.
The Crystalyze® app is designed to work on the web, iPad, iPhone and Apple Watch so you can connect with your business anywhere with an internet connection.
Get Crystalyze® in your pharmacy
If you would like to have Crystalyze® installed in your pharmacy, please fill in your details and one of our representatives will contact you.