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The Toronto Blue Jays Franchise Pitchers Part 4 Of A 7 Part Series
Monday, November 26th, 2012
Note from Chuck Booth: I am attempting to bring the history for each of the 30 MLB Franchises into a 5 part series that will focus on 1. The teams history. 2. The hitters 3. The pitchers. 4. The Teams Payroll going into 2013 and 5.The Ball Park that they play in. (The stadium articles will all be done next summer when I go to all of the parks in under a month again.) Be sure to check my author page with a list of all of my archived articles section here.
Chuck Booth (Lead Baseball Writer/Website Owner): Follow @chuckbooth3024
The Toronto Blue Jays have had some incredible pitchers in their 35 years in the MLB. From Dave Stieb being one of the top 2 pitchers in the 1980's, to the dominant closers like Tom Henke and Duane Ward be part of their playoff runs, to Pat Hentgen and Juan Guzman firing out of their career like a sprinter making a mad dash for the finish line, to David Wells, Jimmy Key and Roger Clemens tasting success, awards and leading the league in many categories. Finally, you had the premier pitcher in the American League with Roy Halladay in the 2002-2009 time frame. Yes there may be some competition from C.C. Sabathia for that last claim, however no one will argue that Halladay is not one of the best pitchers of this ERA. His being the Career Leader in winning percentage attests to that with 199 Wins versus 100 Losses (.666). So let us take a journey through the franchise and recognize all of the best hurlers that have towed the hill for the Toronto club. (Scroll Down Past the Links or Click the READ MORE OF THIS ENTRY ICON.)
Franchise Series Links:
Franchise History Part 1 1977-1993: https://mlbreports.com/2012/11/09/jays1/
Franchise History Part 2 1994-2012: https://mlbreports.com/2012/11/28/jay/
The Toronto Blue Jays Franchise Hitters: Part 3 Of A 7 Part Article Series: https://mlbreports.com/2012/11/16/torhitter/
Skydome Part 5 of 7 : An Interview with 'Rogers Centre Expert' and "MLB reports Founder" Jonathan Hacohen
2013 Team Payroll Part 6 of 7 : https://mlbreports.com/2012/09/10/tor/
Special Bonus Fan Blog Of 2013 Team Payroll Part 7 of 7: https://mlbreports.com/2012/09/12/torfanalex/
SP=Starting Pitcher, RP=Relief Pitcher
The Early Days at Exhibition Stadium 1977-1983:
Jim Clancy 1977-1988 SP 128-140 (.478) 4.10 ERA: Jim Clancy was picked 6th overall in the Expansion Draft by the Jays. He played in the 1st year of the teams existence during the 1977 year. The man would be part of the rotation for a little over a decade. He registered 8 seasons of 10+ wins and ranks 3rd in franchise history for wins. Clancy also is 2nd ALL-Time with 345 Starts. Clancy led the AL in Games Started in 1982 and 1984. Clancy made an appearance at the 1982 ALL-Star Game for the Jays. His best year was in 1987, when he went 15-11 with a 3.54 ERA.
Dave Stieb 1979-1992, 1998 SP 175-134 (.566) 3.42 ERA: Read in the picture up at the top here for more accolades. Stieb finished in top 7 AL CY Young Voting in 4 separate years, was a 7 time ALL-Star and is on the clubs Level of Excellence. Stieb led the American League in ERA for the 1985 Pennant winning Jays, with a 2.48 ERA, he also led the AL in Complete Games, Shutouts and Innings pitched in 1982. The guy also led the American League in Innings pitched in 1984. He was great at brushing back hitters as his leading the league in HBP's 6 times overall indicates. Stieb also had 103 Complete Games in his career with the Jays. He went 50-34 from 1982-1984, and then went 52-22 from 1988-1990 as the best stretches of his career. Stieb was injured during the 1992 season, but was able to be on the field when they clinched the World Series vs the Atlanta Braves. He won over 15 games in 6 different seasons. His curveball was maybe the nastiest in the game for his ERA. During a 1998 comeback, at the age of 41, he struck out the side in an inning. While he would only pitch just over 50 innings that year, that curveball was still as good as ever. Stieb's best year came in 1990, where he went 18-6 with a 2.93 ERA. He is just a shade better than Roy Halladay in ERA (as both had a 3.42 ERA) for their Jays careers.
Doyle Alexander 1983-1986 SP 46-26 (.639) 3.56 ERA: Doyle Alexander had a great stretch with the Jays while he was there. The lanky man put up back to back 17 win seasons in 1984 and 1985-and led the American League in Win Pctg for 1984 (.739). The guy also logged 260+ innings for those years. Alexander was part of the 1985 Pennant team that lost in 7 games in the ALCS to the KC Royals. Perhaps Blue Jay fans remember him more for the 1987 AL East Pennant Race, in which he went 9-0 for the Detroit Tigers and helped them erase a 3 and half game deficit against the Jays, with one week left to play. Alexander finished 6th in Cy Young Voting in 1985 for the franchise.
The Rise to AL East Contender Time 1984-1988:
Jimmy Key 1984-1992 SP 116-81 (.589) 3.43 ERA: Jimmy Key was an awesome member of the Jays pitching staff for the duration of his time there. He was a 2 time ALL-Star and finished 2nd in AL Cy Young Voting during the 1987 year, when he went 17-8 with a 2.76 ERA. Key is 4th in ALL-Time wins and is 3rd in ALL-Time ERA for the Franchise. Key was even better in the playoffs, where he went 2-0 in the 1992 World Series, with a 1.00 ERA to wrap up the World Series MVP Award. Key went onto win a championship with the New York Yankees in 1996. Key's .589 Win PCTG also ranks him amongst the clubs ALL-Time leaders.
Duane Ward 1986-1995 RP 32-26 (.471) 3.18 ERA 121 SV: Duane Ward was one of the better set-up men in baseball for the Blue Jays before he took over the closers role in 1993. Ward had finished 9th in Cy Young Voting in 1991, when he appeared in 81 games. In 1992, Ward featured a 1.95 ERA, 79 Games and 101.1 IP. It was the 5th year in a row he had hurled over 100 Innings from the Bullpen. In 1993, Ward made his only ALL-Star Appearance and led the American League with 45 Saves and 70 Games Finished. He finished 5th in Cy Young Voting. While Ward struggled in the both ALCS series in 1992 and 1993, he went 3-0 with 2 Saves and a 1.13 ERA in 8 Games of the World Series Classics he appeared in. He also only gave up 5 baserunners and struckout 13 in 8 IP–for those wins over the Atlanta Braves and Philadelphia Phillies. Sadly, Ward only pitched 2.2 IP for the rest of his career after the 1993 year. He still remains 2nd in Saves and Games Appeared in for the club.
David Wells 1987-1992, 1999-2000 84-55 (.604) 4.06 ERA: Wells was better the 2nd time around with the club as the staff's ace. In 1999, he led the American League with IP (231.2) and CG (7) and had a 17-10 year despite a 4.83 ERA. In 2000, "Boomer" led the American League with 20 wins, Starts (35) and CG again with (9). He was 37-18 (.673) in those 2 years, as oppose to 47-37 (.559) in his first go around. Wells made an ALL-Star Appearance with the club in 2000-and finished 3rd in Cy Young Voting. In the 1992 World Series Championship run, Wells threw 4.1 scoreless innings over 4 games out of the pen versus the Braves.
Tom Henke 1985-1992 RP 29-29 (.500) 2.48 ERA 217 SV: Henke was one of the best closers in the game for his stretch with the Toronto Blue Jays. He was an intimidating force with his 10.3 SO/Per 9 clip. He led the American League in Saves (34) during the 1987 year and Games Finished (62). Crazily enough, this was the only year the big guy from Kansas City, MO would make an ALL-Star squad. Henke is 3rd ALL-Time in Franchise History for Games Pitched in with 445-and batters only hit .203 versus his him in his time in a Blue Jays uniform. Henke was also 2-0, with a 1.83 ERA and 5 saves during 4 different playoff years with the Jays. He won a World Series Title with the 1992 team, before being granted Free Agency and signing with the Texas Rangers prior to the 1993 year. His 2.48 ERA is the best amongst the meaningful relievers.
Todd Stottlemyre 1988-1994 SP 69-70 (.491) 4.39 ERA: Todd Stottlemyre was one of the better end of the rotation pitchers in MLB from 1990-1994. He is 7th ALL-Time in Innings Pitched for the franchise with 1139 Innings. His best year came in 1991, when he went 15-8 with a 3.78 ERA. The man was part of both World Series Titles and logged many important innings during both of those regular seasons. He is 8th in ALL-Time Franchise Wins.
The Cito Gaston ERA Part 1/SKYDOME 1989-1996:
Juan Guzman 1991-1998 76-62 (.551) 4.07 ERA: Guzman helped anchor a pitching staff that won back to back World Series in '92 and '93, by going 5-1 with a 2.44 ERA in his postseason starts. Guzman would routinely walk batters and throw wild pitches (Led the AL in WP in 1993 (26) and 1994 (13), but when he was looking at runners in scoring position, he often left them stranded with a strikeout or a weak grounder. In 1991, he finished 2nd in Rookie of the Year Voting, by going 10-3 with a 2.99 ERA. In 1992, he made his only ALL-Star Appearance for the club, by registering a 16-5 year, with a 2.64 ERA and finished 7th in Cy Young Voting. In 1993, he was 14-3 and his .824 Winning Percentage led the American League. In 1994, he led the American League with 25 starts in a strike-shortened season. In 1996, the man won the ERA Title with a 2.93 ERA. Even though Juan struggled by going 36-51 after his record stretch from 1991-1993 (40-11), there is no doubt he belongs on this list.
Pat Hentgen 1991-2000, 2004 SP 107-85 (.557) 4.28 ERA: This 3 Time ALL-Star also won the clubs 1st Cy Young Award in 1996, with a 20-10 season and a 3.22 ERA. Hentgen led the AL in CG (10), SHO (3) and IP (with a career high 265.2 IP). Hentgen's breakout year came in the 1993 Championship club, where he went 19-9 and featured and ERA of 3.87. He would go 13-8 (.619) during the 1994 strike-shortened campaign. Hentgen followed up his brilliant 1996 year, by going 15-10 with a 3.68 ERA in 1997. Once again, he led the AL in CG (9) SHO (3) and IP (264.0). The man only trails Stieb, Halladay, Clancy and Key for ALL-Time club Wins. Hentgen won Game #3 of the 1993 World Series versus the Phillies, in which he only surrendered one earned run in 6 IP-during a 10-3 win.
Paul Quantrill 1996-2001 30-34 (.469) 3.67 ERA 15 SV, 386 G, 125 GF: In a new stat column that is increasing in popularity every year, Quantrill finished 125 Games in 6 different seasons for the club without significant time as the closer. This Canadian born reliever was an Appearance horse. During his last year with the Jays, he appeared in American League best 81 games. He would lead this category in the League he was in during 3 subsequent seasons more consecutively between the Dodgers and Yankees respectively. Quantrill finished 11-2 in the 2001 year with a 3.04 ERA and made his only ALL-Star Appearance with the club. He was traded to the Dodgers after the 2001 season.
Cast of Revolving Doors 1997-2000:
Roger Clemens 1997-1998 SP 41-13 (.759) 2.33 ERA: Whether anyone likes it or not, Clemens 2 seasons with the Blue Jays were incredible. He racked up 2 Cy Young's, 2 ALL-Star Appearances and led the Triple Crown Categories of Wins, ERA and Strikeouts. Clemens also led the 1997 American League with 3 Shutouts, 9 Complete Games and Innings Pitched with 264.0. In 1997, he was 21-7 (.750), with a mind-boggling 2.05 ERA. There are only 2 other pitchers in the AL (Ron Guidry 1978, 1.74 ERA and Pedro Martinez 2000-1.74 ERA, and himself 1990, Boston, 1.93 ERA) that have had a better single season ERA for the AL in the existence of the Blue Jays time frame of 1977-2012. In 1998, he was 20-6 (.769), with a 2.65 ERA.
Kelvim Escobar 1997-2003 SP/RP 58-55 (.513) 4.58 ERA 58 SV: There was a debate within myself whether or not to include Escobar amongst this list of pitchers. If I added him, then surely I might have to add Chris Carpenter. Escobar had 9 more wins, a bit better win pctg and 0.25 ERA lower than Carpenter. In the end, I also gave him credit for his 58 Saves out of the pen. He was 5th in Saves for the American League in 2002. I left Carpenter in the honorable mentions
Billy Koch 1999-2001 RP 11-13 (.458) 3.57 ERA 100 SV: With Radar gun Speeds over 100 MPH at a wicked rate, this big Right Handed Closer had 3 straight 30+ Save Seasons, all good for top 7 finishes in the American League. Koch sits 3rd ALL-Time for Saves behind Henke and Ward. In 2000, he was 9-3 with a 2.63 ERA and 36 Saves.
The Doc Halladay Movement 2001-2007:
Roy Halladay 2001-2009 SP 148-76 (.661) 3.43 ERA: There is no doubt that this man has been the best Blue Jays pitcher ever in the regular season. Heck, he is the active leader for win PCTG amongst pitchers. He is 2nd in the clubs ALL-Time Wins behind Stieb by 27, but possesses 65 fewer losses. Halladay almost was out of baseball early in his career, before a trek back through the minors saw him realize his potential. In 2002, he went 19-7, with a 2.93 ERA and made his 1st ALL-Star Game. He led the AL in Innings with 239.1 IP. In 2003, he took him his 1st CY Young Award by going 22-7, with a 3.25 ERA. He led the league in Wins, GS, SO, CG, IP (Career High of 266.1 IP) and was named to another ALL-Star selection. In 2005 he led the league in CG with 5, despite only starting 19 Games.
He was 12-4 with a 2.41 ERA. He was an ALL-Star for the 3rd of 6 times with Toronto. In 2006, Halladay went 16-5 (.762), his winning percentage topped the American League and he finished 3rd in Cy Yong Voting. From 2007-2009, he also finished in the top 5 Cy Young Vote for the AL. He led the League in CG every year and in IP in 2008. In 2008 and 2009, Halladay also led the AL in SO. In 2008, Halladay had his second 20 win season with the Jays, by going 20-11 in 34 starts and 250.2 IP. Had he stayed with the franchise, he would have easily passed all of Dave Stieb's records as he has gone 51-24 (.680) for the Phillies including a no-hitter and perfect game performance each. Halladay will likely enter the Baseball Hall of Fame one day and chances are he will do it as Toronto Blue Jay. That would be a first.
Shawn Marcum 2005-2010 SP 37-25 (.597) 3.85 ERA: Marcum's numbers are almost identical to A.J. Burnett's. Holding down a near .600 win PCTG, despite logging many games versus a tough lineup of AL East teams is no small feat. Marcum's best year with the Jays came in 2010 after bouncing back from Tommy John surgery for a couple of years. He went 13-8 (.619), with 195.1 Innings logged and a career high 165 Strikeouts.
A.J. Burnett 2006-2008 SP 38-26 (.594) 3.94 ERA: Burnett bucked all of the doubters and was worthy of his contract with the Jays. He led the American League with 35 starts and 231 SO in the 2008 year, while compiling a 18-10 record and a 4.07 ERA. He finished 4th in the AL in wins that year too. His winning percentage was really decent despite playing on the Jays, where they were just a few games over .500 for those years.
Bautista's Boys 2008-2012:
Ricky Romero 2009-Present SP 51-43 (.543) 4.09 ERA: Romero's career took a big hit in the 2012 year. He regressed for the 1st time. In his 1st 3 years with the club, the man was 42-29. In 2011, he was an ALL-Star and finished in top 10 AL CY Young Voting, His ERA went down from 4.30 in 2009, to 3.73 in 2010, to 2.92 in 2011 and bounced up to 5.77 in 2012. Romero is a quality young Left-Handed Pitcher in a vaunted AL East. His numbers as an ALL-Time Jay, warrant his name in this article, even with the brutal 13 game losing streak of 2012.
Honorable Mentions:
Chris Carpenter, Mark Eichorn, John Cerutti, Luis Leal, Mike Timlin, Jason Frasor, B.J. Ryan and Jack Morris.
Probably solid futures of Current Roster:
Franchise Series Links:
Franchise History Part 1 1977-1993: https://mlbreports.com/2012/11/09/jays1/
Franchise History Part 2 1994-2012:https://mlbreports.com/2012/11/28/jay/
The Toronto Blue Jays Franchise Hitters: Part 3 Of A 7 Part Article Series: https://mlbreports.com/2012/11/16/torhitter/
Skydome Part 5 of 7 : An Interview with 'Rogers Centre Expert' and "MLB reports Founder" Jonathan Hacohen
2013 Team Payroll Part 6 of 7 : https://mlbreports.com/2012/09/10/tor/
Special Bonus Fan Blog Of 2013 Team Payroll Part 7 of 7: https://mlbreports.com/2012/09/12/torfanalex/
*** The views and opinions expressed in this report are those of the author and do not necessarily reflect the views of mlbreports.com ***
***Chuck Booth- Lead Baseball Writer/Website Owner and author of the Fastest 30 Ballgames: To learn more about my "The Fastest 30 Ballgames Book" and how to purchase it, click here . You can also follow my Guinness Book of World Record Successful Bid to see all 30 MLB Park in 23 Days Reports click here. I am happy to be part of such an awesome Magazine-Style Baseball Website and am looking forward to talking to all of the fans of the MLB. You can reach me on Twitter here Follow @mlbreports
Please e-mail me at: email@example.com with any questions and feedback. You can follow us on Twitter and become a fan on Facebook. To subscribe to our website and have the Daily Reports sent directly to your inbox, click here and follow the link at the top of our homepage.
Posted on November 26, 2012, in The Rest: Everything Baseball and tagged 1992 World Series, 1993 World Series, @chuckbooth3024, a.j. burnett, al cy young, AL East, Al rookie of the year, ALCS MVP, American league, Atlanta Braves, Billy Koch, Blue Jays ALL-Time Leaders, brandon morrow, Casey Janssen, chris carpenter, Chuck Booth, dave stieb, david wells, doyle alexander, Duane Ward, exhibition stadium, Graeme Lloyd, homer bush, j.p. ricciardi, jack morris, Jason Frasor, jim clancy, JImmy Key, john cerutti, jose bautista, juan guzman, kelvim escobar, los angeles dodgers, luis leal, mike timlin, new york yankees, paul quantrill, pedro martinez, Philadlphia Phillies, ricky romero, rogers center, ron guidry, roy halladay, Shawn Marcum, skydome, the fastest 30 ball games, todd stottlemyre, tom henke, toronto blue jays, World Series MVP. Bookmark the permalink. 3 Comments.


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subset: commoncrawl


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Lady Gaga is no stranger to controversy and now she's turned her attention to E! Fashion Police critic/star Kelly Osborne. Here's the back story: Kelly recently told a magazine about getting bullied on Twitter by Gaga's fans, who called her fat among other things.
Gaga wrote: "I have empathy for you Kelly, but I feel it culturally important to note that you have chosen a less compassionate path. Your work on E! with the Fashion Police is rooted in criticism, judgment, and rating people's beauty against one another. "Appearance" is the most used reason for bullying in the world. Your show breeds negativity, and over the years has even become comedic in nature."
Kelly promptly responded on Twitter:
__Are you team Kelly or team Gaga on this one? Should Gaga have written an open letter (or just personally reached out to Kelly?) Let me know what you think!


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|System: PS4, Xbox One, Wii U, PC, Xbox 360, PS3, 3DS, PS Vita
|Dev: Traveller's Tales, TT Fusion
|Pub: Warner Bros. Interactive Entertainment
|Release: June 28, 2016
|Players: 1-2 Players
|Screen Resolution: 480p-1080p
|Cartoon Violence, Comic Mischief, Mild Language
by Sean Engemann
It was my 3-year old son's infatuation with dinosaurs that prompted his endeavor into the world of video games. A few Lego Jurassic World gameplay videos on YouTube, and suddenly my child was begging to play. A proud day for this gaming dad, to say the least. And what better series to help him adapt to the complex schematics of an Xbox One controller than Lego? The instructions are well delivered, the death penalty virtually non-existent, and the cooperative play allows you to advance at any pace. With Lego Jurassic World just recently 100% completed, the launch of Lego Star Wars: The Force Awakens was rather serendipitous. It also presented a great opportunity to gauge its appeal on two age groups separated by over three decades.
There was little worry about my son's transition into a different Lego game. As anticipated, the general gameplay blueprint translates easily in to every new Lego-branded title. Taking highlighted characters from condensed scenes of the movie, the levels consist of smashing every painstakingly designed Lego environment, building puzzle-solving structures out of those broken down pieces, and amassing a fortune of studs, all while enjoying a paradoxical recreation of a relatively serious movie. Lego Star Wars: The Force Awakens hits all the major plot points, from Rey and Finn's scramble through the markets of the Niima Outpost on the desert planet Jakku, to the infiltration and sabotage of the Starkiller facility.
Of course, there are innumerable deviations from the original script. Some provide a reward for explorers, with cheat unlocking red bricks and vehicle building minikits to collect, while others simply provide extra chuckles along the way. The biggest addition are the new scenes that fill in some gaps in the thirty-year void between Return of the Jedi and The Force Awakens. Given virtual carte blanche to mold obscure backstories sprinkled throughout the movie, these full-length levels are white truffles for every Star Wars buff. They go from revealing how Lor San Tekka came to possess of Luke Skywalker's location to showing Han Solo's interesting acquisition of rathtars and relationship with the Guavian Death Gang. The only downside is that accessing these exclusive stages requires you to spend a hefty amount of leg work collecting gold bricks – the currency to unlock them. You essentially need to complete a sizeable portion of the game, replay already cleared levels in the unrestricted Free Play mode, and scour the free roaming hub zones to build your tally of gilded blocks. It's a steep entrance fee, but fortunately Lego Star Wars: The Force Awakens is pleasant and simple enough that retracing your blocky footprints doesn't feel like a chore.
Besides, with no character restrictions in the Free Play Mode, who wouldn't want to see Darth Vader take on his own grandson or see a Rankor lay waste to the Millennium Falcon? There are plenty of ways to make your own fun. My son particularly enjoyed seeing BB-8 steering Rey's speeder while chasing down a luggabeast on Jakku… for an hour straight! I, meanwhile, was off doing more constructive exploring, searching the Imperial wreckage for collectibles, but I was always able to quickly return to his side for help when he needed it.
As is usually the case with Lego games, Star Wars: The Force Awakens is best experienced with a partner. Given the rudimentary skill required, a younger sidekick will likely keep you entertained should the challenge prove too menial. Each character has his or her own stock of skills, and many puzzles require the combined use of two characters to advance. The new Multi-Build system was designed to provide multiple avenues with a single set of buildable pieces. However, building a structure only to tear it down and build it again seems like an unnecessary extra step, though the instances that require a particular order to be built add a slight twinge of extra thought to the challenge. Also, there were several instances where the highlighted build area would be out of the camera's sight, causing confusion and delay.
The camera also posed some not-so user-friendly issues during the nontraditional sections of Lego Star Wars: The Force Awakens. The arena and on-rails air and space combat, though thrilling, were a pandemonium of moving parts and sluggish turning controls. My 3-year old, who insisted on being the pilot, crashed poor Poe Dameron so many times, Poe'll likely be downgraded from the Rebel Alliance's top pilot. The game also introduces cover based blaster battles a la Gears of War, which again are intense and thrilling sections, but locks on to enemies far too easily to amount to little more than a cinematic spectacle.
Apart from these few grievances I have thrust upon the camera, the rest of its maneuverability is flawless. Lego Star Wars: The Force Awakens sports a dynamic split-screen when playing in local co-op, with the break line adjusting seamlessly as you move further from your partner and disappearing completely when in close proximity. This should be the standard for every couch co-op game. It is simply glorious. Lego games have also moved to the forefront of in-game cinematics, with the camera pivoting gracefully to showcase every scripted moment.


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SLCene Suggests: 5 Tips for Your Week
An incredible amount of music arrives in Utah the next few days, along with an artist who blends music, film, photography and spoken-word into an evening you'll never forget. Check it out:
BAND OF HORSES, PIONEER PARK, Thursday, 7 p.m., $5
When Band of Horses' 2006 debut Everything All the Time was released and the Seattle group arrived for a gig at Club Sound, I decided to check them out mainly due to the fact the album includes a song called "The Great Salt Lake." Fortuitous decision, because several years and album releases later, I'm still a fan of Ben Bridwell and Co.'s sound and songs–especially that one. The two albums released since then, Cease to Begin and Infinite Arms, both built on that bedrock Band of Horses approach of expansive, lyrically vivid tunes with a touch of twang. Mirage Rock, the band's fourth album, arrives in September, and here's hoping we get to hear a few of the new tunes at this week's Twilight Concert Series show. The Lower Dens opens the show.
AL GREEN, RED BUTTE GARDEN, Friday, 7:30 p.m., $53
Not much needs to be said about Al Green; the good reverend is a gospel and soul legend with a catalog of hits that are part of America's pop-music fabric: "Love & Happiness," "Let's Stay Together," "I'm Still in Love With You," among many, many more. But Green doesn't simply rely on his old hits to mesmerize a crowd. His 2008 album produced by the Roots' Questlove, Lay It Down, was one of the best R&B releases in years, and songs like the title track fit easily in a set alongside Green's standards. Last time Green performed at Red Butte Garden, the frenzy of women trying to reach Green on stage was one of the stranger sights I've ever witnessed at a show. Understandable, but strange. Expect a repeat of that spectacle–and that stellar show–this time around.
CRISPIN HELLION GLOVER SLIDESHOW, FILM SCREENING AND Q&A, TOWER THEATRE, Saturday and Sunday, 7 p.m., $15
Most of the world knows Crispin Glover (if they know Cripsin Glover) as the man who played George McFly, Michael J. Fox's dad in Back to the Future. The actor is a little more well known in these parts because Glover is a big fan of Utah, and the star of one of local filmmaker Trent Harris' best flicks, Rubin & Ed. Glover is also a multi-faceted artist with a perspective that is probably closer to that of one of Glover's other former directors, David Lynch, than anyone. He's an author, filmmaker, musician, photographer and monologuist, and he's coming to the Tower Theatre for two nights of art that will include screenings of his two feature films–It is fine! EVERYTHING IS FINE on Sunday and What Is It? on Saturday–a slide show and Q&A. Suffice to say, it will be a night of offbeat art worth experiencing.
DWIGHT YOAKAM, DEER VALLEY, Sunday, 7 p.m., $40-$75
It's a cruel twist by the summer scheduling gods that Dwight Yoakam's headlining show at Deer Valley is the same night as the Los Lobos/Steve Earle gig at Red Butte Garden. I'd go see any of those three on any given night, and I have to CHOOSE!?! Bummer. Here's the argument for Yoakam: the trad-country crooner has one of the best voices in the biz, a deep catalog of rootsy tunes that bound between old-school twang and popperific covers of bands like Queen and Cheap Trick. And the lanky Yoakam still looks great in a pair of jeans, am I right? He doesn't come to Utah as often as I'd like (or as often as Los Lobos and Earle), so Sunday night's show is a rare treat.
LOS LOBOS/STEVE EARLE AND THE DUKES, RED BUTTE GARDEN, Sunday, 7 p.m., $42
The reason I'll be at the Los Lobos/Steve Earle and the Dukes show instead of Yoakam's show? Simple math. At this one, you get two groups who have written some of the best American rock 'n' roll of the past quarter-century, together on one stage for one night. Los Lobos are regular Utah visitors, and in singer/guitarists David Hidalgo and Cesar Rosas, they have two top-notch frontmen to lead a live party. Steve Earle is a folk-rock icon cut from the pattern of Woody Guthrie, Bob Dylan and his hero Townes Van Zandt. At this show, Earle's wife Allison Moorer is part of the band, and she's a headlining-quality artist herself. Bonus!
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A native of Liberia, Maisie Dunbar was working in the corporate world of Washington, D.C, but beauty was calling. She loved doing her own nails so much that when a co-worker signed up for nail technician training, Dunbar went along, too.
"Growing up as a child in Africa, I was always fascinated with fashion," says Dunbar. "We had to wear uniforms to school and I would always do a little something extra. I would put pleats in my skirt, I would polish my nails when I wasn't allowed, I would shine my shoes with Vaseline. I got my license to do nails because I liked doing my own but I soon realized that I had so much to learn. I sought out continuing education and my passion went to a whole different level."
Dunbar is a "triple threat" –a salon and spa owner, an accomplished nail, makeup and skincare artist and an entrepreneur who started her own line of cosmetics, Bluffajo. To get to this level, though, she displayed the perseverance and commitment that has made her an industry leader.
"I was working with the FDA during the day and doing nails at night to make ends meet for me and my child. I even traveled to New York to work in a salon there. I did what I had to do. After a year and a half, as I continued to educate myself, I kept meeting all these women who were so excited and happy about their job. I decided I wanted to do this full time."
Dunbar opened a nail studio, expanding it to a wellness center. She pursued an esthetique license, took massage classes (hoping to provide healing touch to help her ailing mother) and also became licensed as a makeup artist. She was poised to start her cosmetic line, Bluffajo.
"I know that I am going to do beauty until my last breath so in addition to training and speaking, BluffaJo is something I want to do as I learn and grow. In my language, a 'Bluffajo' is a person that is always well put together. We tested the market with lip glosses and then, typical of my overzealous self, we launched a full line. "
At her Masie Dunbar Spa Lounge in Silver Springs, MD, regular wellness events are held where Dunbar shares her blessings. "I feel like I'm a vessel and that means I open up myself to people. I'm very cautious, nonetheless, and I pray for discernment so I make good choices because the energy is very important. I wish I had a dime for every time someone came into the spa and told me how calming and restful it is."
Last year, Dunbar partnered with a homeless shelter and did makeovers. Leading up to the event, she asked her guests to clean out their beauty closets and she gathered boxes of products to give to the women from the shelter.
"The way I saw those ladies walk in and the way I saw them walk out is why I do these things."
If all these accomplishments were not enough, Dunbar also works on editorial shoots, runway events and red carpet galas. She was also the first manicurist to represent the beauty industry to the lawmakers on Capitol Hill as part of the "Welcome to Our World" event established by the Professional Beauty Federation, an organization comprised of professional salon industry companies and associations including AACS, ISBN, ISPA, JCPenney Salons, OPI, PBA, and Sexy Hair, WTOW involves hundreds of salon pros who volunteer their skills and services to this event, offering manicures, haircuts, makeup applications and chair massages to Capitol Hill staffers.
"I want to be part of showing what we as an industry do to transform lives."
Dunbar's advice for professionals entering the industry:
1. Surround yourself with good mentors, people that can lead, guide and direct you.
2. Choose a salon cautiously. You want to be in a salon that will pour something into you as you pour something into them. You have to be the perfect fit.
3. Be patient. Be the best you that you know how to be every hour of every day. Develop your excellence. Strengthen your weakness and your strength.
5. Don't be afraid to fail, because it's not about your failure it is about how many times you get up.
6. If you want to make money, you have to get up. Have a conversation with your boss if you are sitting down every day. You have been given an opportunity and it is up to you to turn it into success.
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European shares closed higher on Thursday as investors watched to see whether a last-minute deal can avert the $85 billion of automatic spending cuts due in the U.S. on Friday.
European markets
The FTSEurofirst 300 Index provisionally closed higher by 11.08 points at 1171.66. European shares extended their gains in early afternoon tarding on Thursday buoyed by investor sentiment in the U.S. as the Dow Jones Index opened close to near all-time high levels.
related investing news
On Wednesday, Fed Chief Ben Bernanke reiterated the central bank's commitment to an easy monetary policy, telling Congress that the central bank's easy monetary policy was helping the country's economy. As the so-called "sequester" looms on Friday, when $85 billion worth of automatic budget cuts are due, Bernanke warned Congress against letting the cuts take place.
In economic releases on Thursday, Spain released its fourth quarter gross domestic product (GDP) figures at 8 a.m. London time. The Spanish economy shrank 0.8 percent on a quarterly basis, its fastest pace of decline since mid-2009.
Banks were in focus on Thursday, with shares in Spain's rescued Bankia closing 4.7 percent higher provisionally, despite the bank posting a net loss of 19.2 billion euros ($25.2 billion) for 2012. Bankia said it was in a solid position to return to profit, after writing down more than 22 billion euros ($29 billion) of soured loans.
However, shares in part-nationalized RBS (Royal Bank of Scotland) closed 6.46 percent lower provisionally after the bank posted an operating profit of 3.5 billion pounds ($5.24 billion) for 2012, its highest since its bailout in 2008. Non-operating items weighed on annual profits, including 1.1 billion pounds in provisions for PPI redress, and 1.6 billion in restructuring costs.
RBS said it was moving closer to being in a position for the government to start selling its 82 percent stake, but some analysts disagreed.
"RBS as institution remains an unfathomable distance from rehabilitation," said Michael Symonds, a credit research analyst at Daiwa Capital Markets, in a note on Thursday.
"Abundant financial - and political – hurdles still confront the bank. This not only includes unknown recurrent costs for customer redress, but also lingering concerns over longer-term asset quality should the UK economy remain moribund and, most immediately, regulatory capital pressure."
Meanwhile, Reuters reported that Barclays plans to cut or claw back about 450 million pounds ($680 million) of pay from its staff, after a rate-rigging scandal that last year forced out its chief executive and chairman. Barclays closed over 2 percent higher on Thursday.
In other earnings news, Ahold shares closed around 1 percent higher after the Dutch supermarket operator increased its dividend and posted fourth quarter results that narrowly beat expectations.
"We think the results are a useful reminder that Ahold has a strong balance sheet and good cash generation but that structural/competitive challenges in its core US business will continue to pressure margins," wrote Deutsche Bank analysts James Collins and Sally Ronald in a research note on Thursday.
Telekom Austria closed nearly six percent higher after it reported fourth quarter sales and core profit that beat forecasts. However, core earnings fell five percent.
Shares in U.K.-based company IAG (International Airlines Group), the owner of British Airways and Iberia, closed more than 7 percent higher after it swung to a full-year operating loss, but said it would press ahead with slashing 3,800 jobs.
Shares in copper miner Kazakhmys plummeted around 8.5 percent after it warned it could be forced to take an estimated $1.5 billion hit on its holding in Kazakh rival ENRC.
Rio Tinto reported on Thursday it has appointed Chris Lynch as chief financial officer to succeed Guy Elliott. Lynch will receive a base salary of 800,000 pounds ($1.2 billion). Shares in the company closed flat at 3541 points provisionally.


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Celebs vote for their 'Love Capital'
Ahead of the forthcoming Valentine's Day, celebrities like Sania Mirza and Ayushmann Khurrana have voted for "India's Love Capital", an online property initiated to "bring in a feeling og positivity".
Tennis star Sania voted Hyderabad as her Love Capital because "I've lived there all my life", while actor Ayushmann has picked two cities - Delhi and Chandigarh.
The movement, by Snapdeal.com, aims to get votes from people across the country for the city they associate with love.
"My Love Capital is an endeavor by us to bring back positivity and love for our country, its cities and the people around us," Kunal Bahl, co-founder and CEO, Snapdeal.com, said in a statement.
"The measure of success in this movement is not which city emerges as the Love Capital of India, but whether it galvanises people to feel more positive about the country we live in. We are hopeful and confident, that in our own small way, we'll be able to move the needle," he added.
The voting began Monday, and the results of the poll will be announced Feb 13, a day before Valentine's Day.
A dedicated online destination with presence on social networking sites like Facebook and Twitter will act as the platform for the movement, where anyone would be able to vote, upload photographs and videos denoting the city they associate with love the most.


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Random Stuff (+ Tips) in Hamburg
Previously, I have reviewed Hamburg's main attractions in my post: Hamburg-ering!. Here, you can find random interesting and absurd/funny stuff that stole my attention while I was exploring the city! Make sure you read the caption of each photo to find the description and some tips as well. Thanks for reading! Make sure you also check … More Random Stuff (+ Tips) in Hamburg


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Low-E Storm Windows Home Weatherization Measure
One recent addition to the cost-effective efficiency measures available for home retrofits is low-e storm windows. These high-performing window attachments are up to 25% more efficient than single-pane or double-pane windows. Recent validation studies by DOE have now made it possible for utilities to add these low-e storm windows to their energy efficiency and weatherization programs.
The energy performance of storm windows has greatly improved over the last 20 years. Forget about the clunky old galvanized aluminum-framed storm windows that had to be removed and stored every spring and hauled out and reinstalled every fall. Modern storm windows have a variety of configurations, including sleek, custom-sized, openable units with coated frames in colors that match the house trim. Some exterior storm windows permanently attach to the existing window frame to block out summer heat and winter cold and drafts, while others are removable. These tight-fitting storm windows improve air sealing, while the extra layer of glass and air space increases insulation to reduce heating and cooling costs by as much as 25% over the home's original single-pane or double-pane windows (Petersen et al., 2015).
The addition of low-e coatings is one of the recent improvements to storm windows. These coatings consist of silver metal applied during the glass-manufacturing process in a layer so microscopically thin (1/500 of a human hair) that the coating is transparent and virtually invisible. The coating reduces the emissivity of the glass—its ability to transmit heat—so heat from inside is reflected back into the home in the winter and heat from outside is reflected back outside in the summer (see Figure 1). DOE-sponsored studies found that the low-e coating can improve overall energy savings by 10–15% over standard storm windows without the low-e coating. Low-e storm windows cost about 10% more than clear-glass storm windows, but DOE research has confirmed that this additional expense is cost-effective in all climate zones and with all types of window (Culp and Cort, 2014). See Table 1.
In addition to saving energy, storm windows can reduce drafts, improve comfort, and reduce the transmission of outside noise. Storm windows can also protect delicate antique stained-glass or leaded-glass windows, or original single-pane windows, while preserving the historic appearance of the home.
While homeowners can appreciate all of these benefits, the biggest benefit may be the cost savings. Storm windows can be a less expensive way to improve a home's energy efficiency when a total window replacement isn't in the homeowner's budget. Although windows account for more than 30% of a typical home's heating losses, the high up-front cost of a total window replacement (at $200–500 per window or $8,000–15,000 for a typical home) prevents many homeowners and businesses from replacing their drafty, inefficient old windows. Storm windows can be a less expensive option, at $80–150 per storm window plus DIY installation, when a total window replacement isn't in the homeowner's budget.
In the late 1990s, researchers at DOE's Lawrence Berkeley National Laboratory (LBNL) identified a potentially
cost-effective solution: storm windows made with durable low-e coatings as a cost-effective solution that could help insulate and air seal existing windows. In the following years, with support from the DOE Building Technologies Office, low-e storm windows were further researched, further developed, and field-tested—with positive re-sults. (For a short history of the development of storm windows, and of DOE's market transformation activities as described below, see "Low-E Storm Window Development Time Line.")
Overcoming Market Barriers
To help overcome the market barriers and further validate the energy savings data, DOE's Building America initiative funded additional research and market transformation efforts by the Pacific Northwest National Laboratory (PNNL). Between 2013 and 2015, PNNL and its project partners conducted studies in PNNL's Lab Homes, two side-by-side, identical manufactured homes located at PNNL's Richland, Washington, campus, where conditions could be closely controlled to replicate a normal home environment in both homes while the performance of one home's windows with low-e storm window attachments could be compared to the performance of the other home's windows without attachments. Results were reported in various studies conducted by PNNL (see Knox and Widder, 2014, and Petersen et al., 2015, for example). In addition to these performance validation studies, researchers at PNNL carried out a market assessment and education and outreach efforts for low-e storm windows through the Consortium for Energy Efficiency and the Home Performance Coalition, among other channels. PNNL produced several reports (Cort 2013b) and brochures (Cort 2013a) dealing with low-e storms. PNNL also produced two information guides for the Building America Solution Center (Low-E Exterior Storm Windows and Low-E Interior Permanent Storm Windows) and a video on low-e storm window installation.
PNNL's research results were reviewed by the Pacific Northwest Regional Technical Forum (RTF), which serves as the advisory board to the Pacific Northwest Electric Power Planning Council and the Bonneville Power Administration. In late July 2015, the RTF approved the results of PNNL's research (EERE, 2015). The RTF's approval is the first and essential step in integrating weatherization measures into energy-efficiency planning and utility programs in the Pacific Northwest. As a result of RTF approval, PNNL expects that low-e storm windows will be included as a cost-effective energy-saving measure in a growing number of weatherization and utility incentive programs nationwide. PNNL estimates that more than 90 million U.S. homes with single-pane or low-performing double-pane windows would benefit from this technology. Low-e storm windows are suitable not only for private homes but also for small commercial buildings, historic properties, and facilities that house residents, such as nursing homes, dormitories, and inpatient facilities.
To increase market acceptance of low-e storm windows and other high-efficiency window attachments, DOE helped found the Attachment Energy Rating Council (AERC) in 2015. AERC is an independent, public-interest, nonprofit organization whose mission is to rate, label, and certify the performance of window attachments. During the next two years, AERC will create a comprehensive rating, labeling, and certification program for window attachments that will provide accurate and credible information about the energy performance of window attachments to help consumers make informed decisions about these products.
"Today's storm window not only offers a new, modern design, it brings a tremendous opportunity to cost-effectively improve performance in windows," says Tom Culp of Birch Point Consulting, a member of the PNNL team. "Low-e storm windows today cost about a quarter of what full window replacement would cost but bring similar energy savings," Culp adds. "They're operable, add comfort, and have a modern aesthetic."
Low-E Storm Window Development Time Line
Here is a brief history of low-e storm windows:
- Late 1990s. Researchers at DOE's Lawrence Berkeley National Laboratory propose adding low-e coatings to storm windows for cost-effective insulating and air sealing of existing windows.
- 2000–02. DOE supports lab testing at LBNL's Mobile Window Thermal Test Facility.
- 2003–13. DOE funds field testing in Chicago (2003–06), Pennsylvania (2009–11), and Atlanta and Philadelphia (2011–13).
- 2009. Low-e storm windows become commercially available.
- 2013–15. DOE sponsors low-e storm window market transformation activities under its Building America program. Through Building America, DOE's Pacific Northwest National Laboratory (PNNL) has:
- Completed a market assessment, identifying barriers to market uptake and pathways to market transformation for low-e storm windows (Cort 2013b).
- Conducted climate-based energy simulation analyses for representative climates throughout the United States.
- Validated heating and cooling energy savings of low-e storm windows by performing controlled whole-home testing of both exterior and interior low-e storm windows at PNNL's Lab Homes in Richland, Washington.
- Collaborated with the Federal Energy Management Program and the U.S. Department of Defense modeling support team to integrate low-e storm windows into building energy simulation programs, including the FEDS model used for energy auditing at military bases.
- Developed outreach and education material related to low-e storm windows disseminated with the support of the Consortium for Energy Efficiency, the Home Performance Coalition, the Building America Solution Center, and Energy.gov administrators.
- Worked with Pacific Northwest utilities and the Bonneville Power Administration through the Regional Technical Forum. Supported by PNNL's performance validation results, in July 2015, low-e storm windows were approved as a proven energy efficiency measure for use in all electric utility programs in the Pacific Northwest.
- Served on the board of the newly developed AERC, which plans to develop ratings for storm windows.
Payback Analysis
PNNL assessed the cost-effectiveness of low-e storm windows using two software platforms (Culp and Cort 2014): the National Energy Audit Tool (NEAT) used by weatherization programs and the RESFEN software used to compare the annual energy performance of different window options in single-family homes. Exterior and interior low-e storm windows and panels installed in conjunction with three different primary window types were evaluated in 22 different cities across all eight International Energy Conservation Code climate zones (see Figure 2).
Both regular low-e glass and solar-control low-e glass, which decreases solar heat gain in addition to decreasing heat transfer through the glass, were included in the analyses. The NEAT analysis included 39 model homes and the RESFEN analysis included 2 model homes.
learn more
See a video about storm window installation.
For the Building America Solutions Center guides mentioned in this article, and for lots more useful information.
Cort, K.A. 2013a. Low-E Storm Windows & Panels: A New Tool for Utility and Weatherization Programs, PNNL-SA-95392.
Cort, K.A. 2013b. Low-E Storm Windows: Market Assessment and Pathways to Market Transformation, PNNL-22565.
Culp, T.D., and K.A. Cort. 2014. Database of Low-E Storm Window Energy Performance across U.S. Climate Zones, PNNL-22864, Rev. 2, Pacific Northwest National Laboratory.
DOE EERE. 2015. Performance Validation of Low-E Storm Windows Paves Way for Market Acceptance. U.S. DOE Office of Energy Efficiency and Renewable Energy.
Knox, J.R., and S.H. Widder. 2014. Evaluation of Low-E Storm Windows in the PNNL Lab Homes, PNNL-23355.
Petersen, J.M, G.P. Sullivan, K.A. Cort, M.B. Merzouk, and J.M. Weber. 2015. Evaluation of Interior Low-E Storm Windows in the PNNL Lab Homes.
PNNL found that low-e storm windows were cost-effective when installed over single-pane windows in climate zones 3 through 8, and over double-pane, metal-framed windows in climate zones 4 through 8. The savings-investment ratio ranged from 1.2 to 3.2 across the different locations analyzed. The average source energy savings ranged from 24% to 36% with a simple payback period of 4.7 to 12.9 years across climate zones 4 through 8. The use of solar-control low-e storm windows, which have a lower solar heat gain coefficient, is recommended in climate zone 3, and may also be considered in warmer parts of zone 4 where cooling degree-days exceed heating degree-days. The use of regular low-e storm windows is recommended in zones 4 through 8.
PNNL also found that low-e storm windows qualified as cost-effective weatherization measures (based on a savings-investment ratio greater than 1) and would therefore be recommended for installation over double-pane wood or vinyl-framed windows in climate zones 6 through 8 and in eastern parts of zone 5 where heating-fuel costs are higher. The savings-
investment ratio ranged from 1.1 to 1.9 across the different locations analyzed. The average source energy savings ranged from 16% to 19% with a simple payback period of 11 to 14 years. In comparison, the payback for full window replacement with new windows is about 25 years.
PNNL also examined how different attachment methods affect payback. The paybacks given above assume that there is no metal-to-metal contact; that is, that the exterior storm windows are attached to a wood frame or wood blocking. However, if the metal storm windows attach directly to metal framing, potential energy savings will decrease by about one-third, and the payback period will increase by three to five years. Therefore, PNNL recommends that installers provide thermally broken mounting with no metal-to-metal contact wherever possible.
In addition, payback times are reduced if the cost savings attributable to the reduction in air infiltration from the storm windows is also included.
The addition of low-e storm windows—that are up to 25% more efficient than single-pane or even double-pane windows—to the energy efficiency tool kits of utility and weatherization programs provides a relatively simple cost-effective measure that saves consumers energy and makes homes more comfortable to live in.
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This Magic Bra Will Only Unhook If The Woman Wearing It Is In Love
How do you know you're in love? Perhaps it's butterflies, or the way a person makes you laugh. Or maybe it's because your bra magically unhooks whenever the object of your desire is around. Yes, that's it!
No, this isn't The Onion. The Daily Dot reports that an intimates line called Ravijour has a product for women that they'll never be able to take off.
The modern-day chastity belt is here, says the Daily Dot, in the form of a bra called the True Love Tester.
Ravijour says it collaborated with "human sexuality specialists" in Japan to create a "revolutionary new bra that knows how women truly feel."
A special device (like a Fitbit) measures a woman's heart rate. If she's sufficiently turned on—or high on cocaine, The Daily Dot points out —the bra will unlatch.
Is it necessary for a woman to be in love before rounding second base? To each their own.
Here's the video explaining the bra:
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1 in 3 Women Worldwide Suffers Abuse From Partner: Review
Another global report finds a third of all female murder victims were killed by a partner
Thursday, June 20, 2013
THURSDAY, June 20 (HealthDay News) -- The first major global review of violence against women finds that nearly one in three have been physically or sexually assaulted by a current or former partner.
And another study, published June 20 in The Lancet, finds that more than one-third of all female murder victims worldwide are killed by an intimate partner, a new study shows.
"Our results underscore that women are disproportionately vulnerable to violence and murder by an intimate partner, and their needs have been neglected for far too long," the author of one study , Dr. Heidi Stockl, from the London School of Hygiene & Tropical Medicine, said in a journal news release.
Meanwhile, data released by the World Health Organization (WHO) and others found that 30 percent of women experience physical or sexual abuse by a partner, the Associated Press reported. WHO defined physical violence as being slapped, pushed, punched, choked or being attacked using a weapon. Sexual violence was defined as feeling physically or mentally coerced into having sex and/or being compelled to engage in sexual acts that felt humiliating or degrading.
The new numbers were based on data from 1983 to 2010 from 86 countries worldwide. Rates of domestic violence were highest in Africa, the Middle East and Southeast Asia, the WHO found. The United Nations says that more than 600 million women live in countries where domestic violence is not considered a crime, the AP reported.
In another study, researchers analyzed data on more than 492,000 murders in 66 countries over 20 years. They found that 13.5 percent of murders are committed by an intimate partner, and that intimate partners are responsible for 38.6 percent of all female murders, compared with 6.3 percent of all male murders.
Nations with the highest rates of murder of women by intimate partners include those in southeast Asia (about 59 percent), the Americas (40.5 percent), and Africa (40 percent), as well as high-income countries (about 41 percent).
A woman's greatest risk of murder comes from a current or former intimate partner, and women are six times more likely to be killed by an intimate partner than men, Stockl noted.
Rates of murder of men by intimate partners are highest in high-income countries (6.3 percent), Africa (4 percent), and the low-income and middle-income European region (3.6 percent). In all other parts of the world, rates were lower than 2 percent.
The researchers said that a lack of data means that their findings likely underestimate the true size of the problem.
"More needs to be done, particularly to increase investment in intimate partner violence prevention, to support women experiencing intimate partner violence [most women killed by a partner have been in long-term abusive relationships], and to control gun ownership for people with a history of violence," Stockl said.
SOURCES: The Lancet, news release, June 20, 2013, Associated Press
Health News Copyright (c) 2013 HealthDay. All rights reserved.
- More Health News on:
- Domestic Violence
- International Health
- Women's Health


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Wolf Blitzer delivers the most important breaking news and political, international, and national security stories of the day. Tune to The Situation Room weekdays 5-7pm ET on CNN.
After his story was featured on The Situation Room, Isaac Lufkin received a letter of congratulations from Pres. Obama.
RELATED: Check out Isaac's story, a unique high school student with big dreams.
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August 27th, 2012
San Francisco archbishop apologizes after DUI arrest
By the CNN Wire Staff
(CNN) - The newly appointed archbishop of San Francisco apologized Monday after being arrested Saturday in San Diego on an allegation of driving under the influence.
"I apologize for my error in judgment and feel shame for the disgrace I have brought upon the church and myself," Archbishop-designate Salvatore Cordileone said in a written statement.
"I will repay my debt to society and I ask forgiveness from my family and my friends and co-workers at the Diocese of Oakland and the Archdiocese of San Francisco. I pray that God, in his inscrutable wisdom, will bring some good out of this."
Cordileone was stopped at a routine DUI checkpoint, according to Lt. Gary Hassen of the San Diego police.
"While visiting in San Diego this past weekend, I had dinner at the home of some friends along with a priest friend visiting from outside the country and my mother, who lives near San Diego State University," according to Cordileone. "While driving my mother home, I passed through a DUI checkpoint the police had set up near the SDSU campus before I reached her home, and was found to be over the California legal blood-alcohol level."
CNN's Belief Blog: The faith angles behind the biggest stories
The state's legal limit is .08%.
Cordileone was bailed out of the San Diego County Jail on Sunday morning, Hassen said. The officer did not know who posted the $2,500 bond.
Pope Benedict on July 27 named Cordileone the new metropolitan archbishop of San Francisco.
Cordileone, who had served as bishop of Oakland since May 2009, was appointed after the resignation of Archbishop George H. Niederauer, 76, according to the the website of the U.S. Conference of Catholic Bishops.
Cordileone is to be installed St. Mary's Cathedral in October, according to CNN affiliate KGO.
He was a controversial choice for San Francisco, which has a large gay population. Cordileone is known as a conservative on social issues and was a vigorous supporter of Proposition 8, the voter-approved measure to ban same-sex marriage in California.
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A federal appeals court ruled against Proposition 8 in February, saying it unconstitutionally singles out gays and lesbians for discrimination.
Supporters of Proposition 8, which passed with 52% of the vote in 2008, said they were willing to take the issue to the U.S. Supreme Court. A stay halting same-sex marriages remains in place as the appeals continue.
CNN's Deanna Proeller contributed to this report.
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Polygon is a decentralised Ethereum scaling platform that enables developers to build scalable user-friendly dApps with low transaction fees without ever sacrificing on security.
Key Facts and Resources
Market Cap
Token Price
Staking Ratio
Commission Rate
About Staking on Polygon
Polygon's Proof-of-Stake sidechain is one of the most exciting projects in the running to scale Ethereum. Using the robust Plasma bridging framework to move assets from the base layer, MATIC strikes a great balance between speed (up to 7,000 tx/s), flexibility (full EVM compatibility and composability) and cost (approximately ~10,000x lower costs than Ethereum).
Why Stake with Chorus One ?
The Chorus One infrastructure and surrounding processes are highly specialized to guarantee reliable and fault-tolerant operation of our nodes, as well as safekeeping of associated cryptographic key material.
Learn more here.
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We are at the forefront of Proof-of-Stake and blockchain interoperability protocol design. We help launch and operate a variety of the hand-picked decentralized networks we choose to support.
Our staking services are trusted by millions of dollars from both institutional and retail investors.
We are incorporated as a Swiss AG and provide reliable, compliant services through industry-leading agreements like our Terms of Service.
Contact us to learn more.
Frequently Asked Questions
Polygon's Proof-of-Stake sidechain is one of the most exciting projects in the running to scale Ethereum. Using the robust Plasma bridging framework to move assets from the base layer, MATIC strikes a great balance between speed (up to 7,000 tx/s), flexibility (full EVM compatibility and composability) and cost (approximately ~10,000x lower costs than Ethereum).
- Chorus One Commission: 5%
Proof-of-Stake (PoS) is an umbrella term for Sybil resistance mechanisms that use native cryptoassets as collateral to determine participation in the consensus process of a blockchain network. Staking enables token holders to earn a share of network income (e.g. from transaction fees) in return for placing their capital in escrow and helping to maintain the network.
In comparison to Proof-of-Work, where participants are rewarded for solving cryptographic puzzles in order to validate transactions and create new blocks, Proof-of-Stake relies on economic skin in the game ("stake") in the form of network tokens.
Generally speaking, protocols that use some form of staking do so to enforce that the interests of participants are aligned with what the network aims to achieve. To learn more about the different types of staking, check out our framework here.
Validators in staking networks are nodes backed by collateral in the form of cryptocurrency tokens ("stake"). Token holders that stake ("stakers") contribute to the network security by selecting trustworthy validators ("delegation") and increasing the cost of a potential attack. They receive tokens as compensation for this in proportion to their stake backing ("staking rewards"). The size of these rewards is also impacted by additional factors such as network issuance rates (inflation), transaction (and sometimes storage) fees spent within the network, staking participation rates, as well as validator-specific factors such as uptime, commission rates, etc.
To learn more about the concepts of validation and delegation, check out the 101 post of our introductory series on the Proof-of-Stake ecosystem.
To ensure that the nodes (in Proof-of-Stake: validators) participating in a network behave as intended, many protocols enforce penalties if a node provably deviates from pre-defined rules. Penalties can mean that locked (staked) collateral in the form of tokens is taken from the balances of stakers backing that node. This is usually referred to as slashing. Other forms of penalties including excluding a misbehaving node from participating in the protocol, or temporarily lowering the rewards stakers receive. Such penalties pose the main risk of participating in staking. Read our Proof-of-Stake 102 post to learn more about other risks and tradeoffs to consider before getting involved in staking.
A critical component in the staking process is the need to lock tokens in escrow. In many networks there is an additional enforced delay that needs to pass before staked tokens can be withdrawn. This withdrawal delay is often referred to as the unbonding or lockup period.
One reason for these liquidity limitations is that protocols with staking need to ensure that slashings or other penalties can be enforced after the offense took place. If these limitations would not exist, a node could misbehave and instantly withdraw his stake, thereby avoiding penalties. In addition, lockup periods help with a variety of other goals like ensuring the safety of light clients, limiting validator turnover, and enforcing correlated penalties.
There are new designs emerging to mitigate the downsides of liquidity restrictions associated with staking through tokenization of staked positions, which is often referred to as liquid staking or staking derivatives. To learn more about these topics, check out our comprehensive liquid staking report.
Most staking network tokens are listed on various centralized exchanges such as Binance, Coinbase, Bittrex, Kraken, Poloniex, Huobi, etc. We recommend using Coingecko to figure out on which markets the token you are looking for is available. Staking with Chorus One will require you to move tokens from the exchange you bought them from to your personal wallet.
You can use our services and stake in a non-custodial manner by setting up a wallet and taking control of your private keys. If you bought tokens on a centralized exchange platform, this will mean you will need to withdraw your tokens to your own wallet. Refer to our staking guide to learn about wallet options and how to stake in a non-custodial manner.
We have partnered with German-based cryptocurrency custodian Finoa to offer staking services to their customers. Some other custodians like Coinbase Custody also allow delegating to public validators like Chorus One on some of the supported networks.
Depending on your jurisdiction, staking reward taxation may vary. One approach that some industry groups are lobbying for is that staking rewards should be taxed only at the point when they are liquidated. Another view is that staking rewards should be accounted for when they are earned, which could be as often as every block! Many jurisdictions do not have clear guidelines yet on how staking rewards should be taxed. We are a founding member of the European Blockchain Association's Proof of Stake Working Group (EUPoS) that seeks to educate European legislators about Proof-of-Stake to foster an innovation-friendly jurisdiction.
We recommend using services like CoinTracking, or if you are using a tax advisor, working with crypto taxation-focused firms like Pekuna in Germany to ensure you stay compliant while minimizing your tax burden.
To get a high-level overview, we recommend reading this article on the basics of staking and this post that covers the ecosystem of parties involved in staking networks. For other staking-related information, the recently launched Staking Academy is aggregating and curating high quality content and events in the space.
We are also producing a variety of content to keep you up-to-date on what is happening in the staking ecosystem:
- Chorus One Newsletter: This mailing list delivers updates about our company and interesting insights into the networks we support on a monthly basis. Check it out and subscribe to it here.
- Staking Economy: An newsletter that delivers commentary and updates on the staking ecosystem and important network events every 2 weeks featuring contributions from other staking providers. Read and subscribe to it here.
If you have any more questions or want to discuss staking with us, feel free to reach out via HubSpot, email, or on Telegram.
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Dov Charney Ousted From American Apparel
Clothing and accessories retailer American Apparel Inc ousted its controversial founder Dov Charney as chairman effective immediately and moved to fire him as CEO and president following an ongoing investigation into alleged misconduct.
Charney, who has been repeatedly targeted in sexual harassment lawsuits, will be terminated for cause after a contractual 30-day cure period, the Los Angeles-based company said in a statement late on Wednesday.
The company, known for its racy advertising and bright "Made-In-America" clothes, said it named CFO John Luttrell as interim chief executive as it works with a search firm to look for a permanent CEO. The retailer also appointed Allan Mayer and David Danziger as co-chairmen.
"We take no joy in this, but the board felt it was the right thing to do," Mayer said in a statement.
Charney, 45, who founded American Apparel's predecessor companies in 1989, has been at the helm since 2007 when the company went public.
American Apparel spokesman Terry Fahn declined to provide additional details. Charney did not immediately respond to calls and emails seeking comment.
In 2011, a former employee had accused Charney of keeping her as a teenage sex slave, amid fear she might otherwise lose her job. She also sued American Apparel and its directors for failing to stop Charney from acting as a "sexual predator."
The company, which is struggling with weak sales and heavy debt, said the management changes may have triggered a default under its credit agreements, adding that it will be in discussions with its lenders for a waiver of the default.
In February the company had tapped restructuring advisers after it had reached $240 million in debt and had come close to breaching loan covenants, debt terms designed to protect its lenders, according a media report.
The company's shares, which have lost more than two-thirds of their value over the past year, closed at 64 cents on the American Stock Exchange on Wednesday


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Nelson, Knute
Nelson, Knute kəno͞ot´ [key], 1843–1923, U.S. Senator (1895–1923), b. Voss, Norway. He was brought to the United States at the age of six, grew up on a Wisconsin farm, and served in the Union army in the Civil War. Admitted (1867) to the bar, he served (1868–69) in the Wisconsin legislature before moving to Minnesota, where he practiced law and entered Republican politics. After service (1875–78) in the Minnesota state senate, he was (1883–89) a U.S. Congressman and became (1893) governor of Minnesota. He resigned the governorship to serve in the U.S. Senate, where, dissenting from orthodox Republicanism, he defended U.S. acquisitions of the Philippines, favored a modified tariff, supported antitrust and income-tax legislation, backed U.S. membership in the League of Nations, and helped create the Dept. of Commerce and Labor.
See biography by M. W. Odland (1926).
The Columbia Electronic Encyclopedia, 6th ed. Copyright © 2023, Columbia University Press. All rights reserved.
See more Encyclopedia articles on: U.S. History: Biographies


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BBC Blogging Event and Newsnight
BBC Blogging Event
Originally uploaded by robinhamman.
One of the guest speakers; Jeff Jarvis, suggested at the beginning when being gently grilled by BBC tech correspondent; Rory Cellan Jones, that news organisations should be commissioned or assigned by their audience to go report on stories.
As it happens one of the guests at the back was Peter Barron, from Newsnight who it appears was quite taken with this idea. The Newsnight blog that afternoon...
You can tell our editor's just returned from a blogging conference. Fresh faced and with fists clenched, he's pushing another Newsnight experiment in audience participation. It's quite simple – opening up the Newsnight running order to the people who watch us.And so for the past three mornings; Newsnight's daily output editor has been sharing with users their morning email to the production team outlining the potential running order for that night's programme.
Good morning,
I'm genuinely open to any new ideas today. There are a few strong contenders for stories.
De Menezes case
The Mayor of London, Ken Livingstone, has rejected calls for the Metropolitan Police chief, Sir Ian Blair, to resign. He said mistakes would be made in anti-terrorist operations. Mr Livingstone said yesterday's verdict - that the police had failed to protect the public in the operation which led to the shooting of Jean Charles de Menezes in 2005 - was a ''disaster''. He said armed officers pursuing a suspected suicide bomber couldn't afford to start thinking they might be "hauled off to court". What approach do you think we should be taking on this story today?
I don't know how long that NN will keep to this approach but Peter, in a comment to the blog post on wednesday highlights how the running order changed that night to include a story about lifestyle/cancer risk.
We won't always be able to oblige - tomorrow for example we have a long film from Mark Urban in Pakistan whether you like it or not - but there's no doubt that what you tell us will help us form our thoughts. If you'd rather leave it to us that's fine, if you're worried that what others say is unrepresentative get on here and lobby for what you'd like to see us do.Radio 4's new iPM programme has gone even further and has been sharing the actual running order from the BBC's internal news cps for this magazine show. iPM doesn't air for another 10 days but they've been doing pilots leading up to the launch. See how it changed last week.
In the very distant past (1995) I worked on a BBC radio show where in what we grandly called its "multimedia edition"
we, get this, for 1 edition only....
Listeners can ask questions live on one Internet Relay Chat channel and read a transcript of the programme on another.I feel very old.
Labels: bbc newsnight headshift cybersoc noodlepie sambrook ipm


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Does this patient have bacterial arthritis?
Bacterial arthritis is typically divided into gonococcal and non-gonococcal arthritis (NGA). Non-gonococcal arthritis is of greatest concern, because it is the most damaging; therefore, early diagnosis and treatment is critical. The duration of untreated infection is the most important determinant of joint damage. An infected joint may be destroyed within a few days.
Staphylococcus aureus is the most common organism. This has not changed for decades, however, methicillin-resistant Staphylococcus aureus (MRSA) is clearly increasing in frequency. MRSA septic arthritis is more common in patients who are older, have a greater number of medical co-morbid conditions, and have been hospitalized in the past six months.
Non-gonococcal septic arthritis typically presents as a single red, hot and swollen joint. The knee is most commonly affected (45%), followed by the hip (15%), ankle (9%), elbow (8%), wrist (6%), and shoulder (5%). Septic arthritis of the interphalangeal and metacarpophalangeal joints of the hands are usually the result of fist fights ("fight bites") or cat bites. Other cardinal signs of infection may be present. The onset is relatively rapid.
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Other joints may be involved, and polyarticular septic arthritis may occur. Patients with polyarticular septic arthritis are often bacteremic, and have a higher risk of death. Involvement of the sternoclavicular, acromioclavicular, and sacroiliac joints is more common in intravenous drug users, for unclear reasons. Historically, septic arthritis in narcotic addicts commonly involved Pseudomonas and other Gram-negative bacteria, due to an epidemic of pentazocine abuse in the 1970s. Pentazocine dissolves in water at room temperature, facilitating contamination with environmental bacteria such as Pseudomonas. Gram-negative infections have become much less common in injection drug users with a decline in pentazocine availability. Gram-negative septic arthritis today is occasionally seen in patients who are older, immunocompromised, or have underlying disease of the urinary or gastrointestinal tracts.
Gonococcal septic arthritis usually occurs as part of the syndrome of disseminated gonococcal infection, in which patients have some combination of urethritis, tenosynovitis, septic arthritis, and a hemorrhagic and pustular rash. Patients with this syndrome are usually younger and have generally good outcomes.
History and physical may lead to the source of the infection. Skin infections are a common cause of Staphylococcus aureus bacterial arthritis. In adults, hematogenous spread is the most common route of infection. Previously injured or inflamed joints are more commonly infected. Transient or persistent bacteremia underlies the importance of blood cultures as part of the evaluation.
Differential diagnoses
The most common differential diagnosis for acute inflammatory monoarticular arthritis is crystalline arthritis. Gout and pseudogout commonly affect the knee, ankles and small joints of foot. The presentation can be identical to that of a NGA septic arthritis. The history and physical and labs may provide clues for differentiation. However, non-gonococcal septic arthritis and crystalline arthritis are not mutually exclusive. Therefore, septic arthritis should be excluded in any case of suspected crystalline arthropathy.
Other conditions may also cause monoarthritis, but usually the joint is not as inflamed. One can be lulled into thinking that a joint is not infected with a damaging organism, based upon this presentation. Likewise, one may attribute the subacute presentation to a patient's underlying disease (such as rheumatoid arthritis). However, it is important to recall that previously injured or inflamed joints are at higher risk of becoming infected, and uncommon presentations of septic arthritis occur.
The other differential diagnoses for nongonococcal septic arthritis include Lyme arthritis (particularly in endemic areas), viral arthritis, and other bacterial arthritis (including gonococcal arthritis). In tuberculous and fungal arthritis, the affected joint is usually cooler and does not present acutely. Vigilance is necessary to detect this form of infectious arthritis and should be suspected in chronic and particularly destructive forms of arthritis unresponsive to other anti-inflammatory approaches.
Culture- and crystal-negative acute inflammatory arthritis may comprise an atypical presentation of an autoimmune arthritis, such as RA or SLE; alternatively, a spondyloarthropathy, such as reactive, psoriatic, enteropathic arthritis, or ankylosing spondylitis, may present this way. Acute rheumatic fever or post-streptococcal arthritis may also produce a culture- and crystal-negative inflamed joint. True bacterial arthritis may sometimes be culture-negative, either due to administration of antibiotics prior to sampling, an inadequate amount of synovial fluid, delays in processing of the sample, or the presence of fastidious bacteria that do not grow well on conventional culture media.
What tests to perform?
Laboratory testing
Synovial fluid culture
The most critical laboratory test for the diagnosis of a NG septic arthritis is the synovial fluid culture. If you get only a drop of fluid, send it for this test. If you have another drop, perform a Gram stain. The remaining fluid can be sent for crystal analysis and cell counts.
Cell counts of greater than 50,000 WBC/mm3 should raise suspicion for NG septic arthritis, although counts of this magnitude can be seen with crystalline arthritis. Moreover, lower cell counts are not helpful in excluding septic arthritis. Hence, culturing the synovial fluid is the most important test.
Gram stain
Gram stains may help provide guidance for empiric antibiotic therapy if positive. Although a negative Gram stain, in a setting of high suspicion for septic arthritis, does not preclude the initiation of empiric antibiotic therapy. Likewise, the identification of crystals does not exclude infection, and empiric antibiotic therapy may be appropriate, based upon the clinical circumstances.
False positive Gram stains may be reported by inexperienced microscopists, as mucin and other debris may be mistaken for Gram-positive cocci. Typically, these pseudo-cocci are much larger than bacterial organisms, when viewed at the same optical power.
Blood cultures
It is important to draw blood cultures and to culture any area found on the PE that may have placed the patient at risk for hematogenous spread. Genital, anal and pharyngeal cultures are needed to rule out gonococcal arthritis in patients in whom that differential diagnosis is being considered. Urine gene probes for GC should be performed in suspected gonococcal arthritis, as Neisseria gonorrhoeae may be difficult to grow in culture.
CBC, ESR, CRP are useful, but not always helpful, and may erroneously lead you away from the diagnosis of NG septic arthritis. They should always be interpreted in the context of the clinical context.
X-rays will give you a sense of structural damage and perhaps urgency for intervention. They may also alert you to the more unusual (adult) occurrence of joint infection from a contiguous structure, such as osteomyelitis. Serial x-rays may be needed to evaluate structural integrity over time. Structural damage is suggested by extensive erosions and loss of joint space. In advanced settings the articulations may be indistinguishable. Cortical or periosteal irregularities may alert you to underlying bone infection. However, adults are more likely to develop primary septic arthritis and secondary osteomyelitis.
MRI may provide important information about the possibility of infection in contiguous areas. It is especially helpful in assessing joints that are difficult to formally evaluate upon purely clinical assessment, such as the sternoclavicular, sacroiliac, and acromioclavicular joints. It may determine if fluid collections are septated or loculated, which require more aggressive techniques to access and drain. Ultrasound by an experienced user may provide similar information and may guide needle placement for aspiration.
For NG septic arthritis, synovial biopsy is not indicated. Certainly, if NG septic arthritis is ruled out and conditions such as tuberculous arthritis, fungal arthritis or atypical Lyme arthritis are still in the differential diagnosis, biopsy with special staining, culture and PCR may be useful.
Interpretation of test results
If the Gram stain is negative, empiric antibiotic therapy is still warranted in situations where there is a reasonable suspicion for septic arthritis. Positive Gram stains will help guide empiric therapy until culture results return (see Table I). It is reasonable to consider Gram-positive cocci in clusters to be MRSA until proven otherwise.
Besides the importance of obtaining culture of the synovial fluid, there is little uncontroverted evidence that history, physical examination, laboratory studies and x-rays are adequate or even helpful to rule out NG septic arthritis. The experienced clinician must make judgment calls.
Certainly, not every joint effusion requires an aspiration and culture. However, when there is potential for septic arthritis, the experienced clinician is not dissuaded from culturing synovial fluid and treating with empiric antibiotics in the presence of mixed or unsupportive clinical findings or diagnostic tests. The consequences of a missed diagnosis can be severe joint destruction.
How should patients with bacterial arthritis be managed?
Empiric treatment may be guided by the Gram stain results, if they are available. A negative Gram stain or insufficient fluid to perform a Gram stain would require empiric therapy based upon the clinical setting. Modifications in treatment may be made after the culture results have returned (see Table I).
If no Gram stain results are available and empiric therapy is warranted, coverage for MRSA is advised. This approach will also cover most streptococcal species. In special populations, such as the immunosuppressed or patients with chronic infections (such as UTI), or colon inflammation/infections or cancer, the addition of coverage for Gram-negative organisms is needed. In younger, sexually active individuals coverage for gonococcal arthritis, in addition to MRSA, should be considered.
If the Gram stain shows Gram-positive cocci in clusters, coverage for MRSA is wise until culture results return. Streptococcal infections will be empirically covered by most antibiotics for MRSA.
Gram-negative rods on Gram stain require suitable coverage (see Table I), but it may be wise to also cover for Staphylococcus aureus until the culture results have returned. The culture and sensitivity results will allow refinement of antibiotic therapy.
Duration and route of therapy has been anecdotally defined with reasonable agreement. There is a paucity of high quality studies in the adult literature that address this. Meta-analyses are hampered by small studies of poor or inconsistent design. Despite this, there is reasonable agreement on duration and route of therapy.
With variation based upon the clinical setting, a total of 6 weeks of antibiotic therapy is usually adequate to eradicate the infection. Typically, the first 2-3 weeks is given intravenously.
Although high quality studies are lacking, there is strong agreement that drainage of joints with high WBC counts is warranted to prevent damage and destruction to cartilage and other tissues. There appears to be a subtle preference for open drainage (arthrotomy), however, it is perfectly reasonable to serially aspirate joints that are easily accessible. Open drainage or arthroscopy may be needed for septated or highly loculated fluid, or for fluid that is difficult to access by joint aspiration.
Again, there is little evidence, but much agreement that drainage should continue until the WBC count consistently fall below 50,000 WBC/mm3.
Simple ROM exercise is wise (within the limits of the setting). However, more aggressive physical therapy should be reserved until after the acute inflammation has resolved. The extent of weight bearing can be determined largely by the patient, as long as the joint is stable.
What happens to patients with bacterial arthritis?
The duration of untreated infection is the most important determinant of outcome in NG septic arthritis. Early diagnosis and treatment improves outcomes. An untreated NG septic joint can be destroyed in a matter of days. Certain joints rendered terminal by septic arthritis may be amenable to total joint arthroplasty, once the infection has been eradicated.
How to utilize team care?
Questions regarding choice of antibiotic therapy, particularly in complicated settings, may require the assistance of an infectious disease consultant. A rheumatologist or interventional radiologist may be needed to access more difficult joints. Orthopedists may be needed to access deep joints or joints that are septated or where fluid is loculated or sequestered. Orthopedists are also needed for open drainage (arthrotomy), arthroscopy or rarely bone biopsy of contiguous areas. Orthopedists may perform total joint arthroplasty after the infection has been eradicated.
Close attention to wound drainage equipment is required.
Physical and/or occupational therapy is limited to ROM during the acute phase. Afterwards, attention is given toward optimizing ROM and function; with strengthening of muscles surrounding the affected joint. PT and OT play important roles in preparing the patient for upcoming total arthroplasty as well as during the rehabilitation period.
Are there clinical practice guidelines to inform decision making?
There are no clinical practical guidelines.
Other considerations
711.0 Pyogenic arthritis
716.6 Unspecified monoarthritis
716.5 Unspecified polyarthropathy or polyarthritis
711.9 Unspecified infective arthritis
711.4 Arthropathy associated with other bacteria diseases (not gonococcus or menningococcus)
81.91 Arthrocentesis
For most uncomplicated cases of septic arthritis, the first few days of intravenous antibiotic therapy is given in the hospital setting. The patient is usually discharged with arrangements for home IV therapy as soon as they are clinically improved, and the WBC count in the affected joint falls below 50,000 WBC/mm3.
What is the evidence?
Ross, JJ.. "Septic arthritis of native joints". Infect Dis Clin North Am. vol. 31. 2017. pp. 203-218. (This recent update addresses clinical presentation, identifying features and patterns.)
Kim, H,, Kim, J,, Ihm, C. "The usefulness of multiplex PCR for the identification of bacteria in joint infection". J Clin Lab Anal. vol. 3. 2010. pp. 175-81. (This emerging technology has the potential to shorten the interval between diagnosis and treatment, and the potential for improved outcomes resulting from early and specifically directed intervention.)
Chander, S,, Coakley, G. "What's new in the management of bacterial septic arthritis?". Curr Infect Dis Rep. vol. 5. 2011. pp. 478-84. (The current condition and future management trends are covered in this review of epidemiology, diagnosis, and treatment.)
Butt, U,, Amissah-Arthur, M,, Khattack, F,, Elsworth, CF. "What are we doing about septic arthritis? A survey of UK-based rheumatologists and orthopedic surgeons". Clin Rheumatol. vol. 5. 2011. pp. 707-10. (This paper compares and contrasts opinions about closed versus open drainage of septic joints in the UK. It is not generalizable and reaches no clear conclusions, but is an example of one of several areas in septic arthritis where opinion dominates evidence in decision making due to a lack of well conducted trials.)
Johns, BP,, Loewenthal, MR,, Dewar, DC.. "Open compared with arthroscopic treatment of acute septic arthritis of the native knee". J Bone Joint Surg Am. vol. 99. 2017. pp. 499-505. (In this study, outcomes were superior in patients with bacterial arthritis of the knee treated with arthroscopy, rather than open surgical drainage. However, generalizability is limited by the single-centre, retrospective, non-randomized design.)
Garcia-De La Torre, I,, Nava-Zavala, A. "Gonococcal and nongonococcal arthritis". Rheum Dis Clin North Am. vol. 1. 2009. pp. 63-73. (A broad review that allows the reader to compare and contrast these two forms of bacterial arthritis.)
Ross, JJ,, Davidson, L.. "Methicillin-resistant Staphylococcus aureus septic arthritis: an emerging clinical syndrome". Rheumatology (Oxford). vol. 44. 2005. pp. 1197-8.
Al-Nammari, SS,, Bobak, P,, Venkatesh, R. "Methicillin resistant Staphylococcus aureus versus methicillin sensitive Staphylococcus aureus adult haematogenous septic arthritis". Arch Orthop Trauma Surg. vol. 7. 2007. pp. 537-42. (These retrospective studies compare septic arthritis due to methicillin-sensitive and -resistant Staphylococcus aureus, including differences in comorbid conditions, presentations, treatments and outcomes.)
Barcia-Arias, M,, Balsa, AS,, Mola, EM. "Septic arthritis". Best Pract Res Clin Rheumatol. vol. 3. 2011. pp. 407-21. (This paper is a recent review of diagnostics and therapeutics for septic arthritis.)
Mathews, CJ,, Coakley, G. "Septic arthritis: current diagnostic and therapeutic algorithm". Curr Opin Rheumatol. 2008. pp. 457-62. (This review highlights the lack of high-quality evidence based medicine to guide clinicians in the management of the inflamed joint.)
**The original author for this chapter was Dr. Raymond Pertusi. The chapter was revised by Dr. John J. Ross.
Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved.
No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
- Does this patient have bacterial arthritis?
- What tests to perform?
- How should patients with bacterial arthritis be managed?
- What happens to patients with bacterial arthritis?
- How to utilize team care?
- Are there clinical practice guidelines to inform decision making?
- Other considerations
- What is the evidence?