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Bagging a longbearded gobbler in the fall is a challenge and a feat when accomplished. Palmer Loose did just that.
Loose, of Altoona, recently bagged an 18-pound gobbler with a double beard.
Loose and a couple buddies were hunting fall turkeys earlier this month when they ran into a flock of old gobblers and got them scattered. One of his compatriots bagged a bird that day.
Loose kept returning to the area, sure that the other mature birds were still hanging around. He could see their distinctive scratchings so he went back several times, setting himself down to wait for one of the birds to show up.
And one day, one did! The gobbler came feeding along off in the woods and Loose kept his eye on him and when the gobbler went behind a tree, Loose shouldered his shotgun and waited until he judged the bird to be within range.
"It took about 15 minutes for him to get close enough and just as I was about to pull the trigger he spotted me," Loose said. "He turned to run so I knew it was now or never and I shot. He'll taste pretty good on Thanksgiving Day."
Loose is one of a diminishing number of Pennsylvania hunters who spends a lot of time hunting squirrels. He said he and his wife really enjoy eating squirrel and he shared their favorite recipe with me so here it is:
n Put several squirrels - cut into pieces - into the slow cooker and cook until almost done. Then remove them from the cooker, roll in an egg and milk mixture then roll in flour or cracker meal - or whatever you personally prefer - and saute them until golden brown.
Menus anyone?
Wild meat, squirrel and wild turkey especially, were a staple in the diet of the first settlers to America.
So beginning this week, after the bear season ends on Wednesday, wild turkey are again in season on Thanksgiving Day, Black Friday and Saturday. I'd sure rather be in the woods on Black Friday than the Mall.
Here it comes
Deer season is just around the corner and this year, Pennsylvania's deer hunters face a new challenge: Chronic Wasting Disease or CWD.
The Game Commission has been watching this threat to the deer herd for many years as it spread from state to state and until earlier this year, the state was free of the disease.
This newspaper has been reporting regularly about this threat in our midst so it isn't necessary for me to repeat it all here. Some time ago, captive deer in a couple counties escaped from their enclosure and that's how it got started.
One deer with CWD infects another animal with their exposure to bodily fluids. Having these deer mingling with wild deer during the rutting season in the fall is most unfortunate.
Deer are definitely "mingling" at this time of year.
Now we have reports of more captive deer in Huntingdon County escaping and so the threat is pretty close to home now, and needs to be on every hunter's mind this upcoming deer season.
Write this down
Pennsylvania Game Commission Southcentral Region Director Brad Myers recently announced the agency has established check station hours for those hunters who harvest a deer within the 600-square-mile Disease Management Area in Adams and York counties.
The check station is at the Game Commission maintenance building on State Game Land 249, 1070 Lake Meade Road, East Berlin, Adams County.
The GPS coordinates for the building are: -77.07280 and 39.97018.
The check station, which remains voluntary for early- and late-season hunters who harvest a deer within the DMA, will be open from 9 a.m.-4 p.m. on Saturdays - Oct. 27, Nov. 3 and Nov. 10 - through the end of the early archery season, which ends on Nov. 12.
On other days, hunters may stop by the check station to deposit deer heads in the marked containers provided, and deer spines and rib cages may be deposited in the dumpster on the site.
As required by law, deer must have a field harvest tag attached to the ear. Details regarding mandatory check station hours for hunters within the DMA during the two-week firearms deer season - Nov. 26-Dec. 8 - are being finalized.
The check station was created by the Game Commission to collect samples from hunter-killed deer within the DMA to monitor for chronic wasting disease, which was found recently in a captive-born-and-raised deer in Adams County.
All private deer-farming concerns have been quarantined by now, including a couple in our immediate area. These deer farms sell animals from one to the other so the threat of the spread of this disease is constant.
Should you harvest a deer this season and have any thought whatsoever that the deer was acting abnormally, please contact the game officer for your area and have it checked.
If you hunt within the quarantined Adams and York County areas please take especial note of the check station requirements.
If this disease is not quickly snuffed out and the entire state herd is affected, you will find out quickly what it means to live in a state where there really are not any deer left. It's frightening.
I've had reports from other archery deer hunters and small game and turkey hunters who have been afield that they have been seeing many nice bucks in the woods. I have myself seen a few.


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On behalf of our entire staff, we would like to welcome you to our beautiful hotel! Our mission is to provide authentic hospitality by making a difference in the lives of the people we touch every day. So whether you are traveling for business or leisure, are seeking productivity or relaxation, we hope you will experience the Hyatt touch. We are very pleased that you will be joining us, and we look forward to meeting you.
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Whether you are looking to go bold, or casual there is definitely a pair of Nike eyeglasses for you. From bright neon acetates to simple, refined metals each pair is as sophisticated as the last and equipped with the technology to carry you through extreme conditions. Browse our selection from this top-selling brand and feel the difference a new pair of Nike glasses can make.


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on March 23, 2013 - 9:46 PM
, updated March 23, 2013 at 11:14 PM
Amherst resident Mike Taube and his wife couldn't be prouder: All three of their sons are Eagle Scouts, the highest rank attainable in the Boy Scouts of America.
There were many years when it didn't seem these young men would make it so far.
Being a Boy Scout in the high school years was often an invitation for ribbing and taunts from classmates. And giving up every Thursday night from 7:30 p.m. to 9 p.m. during the school year was a serious hassle for boys who had other interests as well.
"I told them, 'If you stick with scouting, I'll go and become a leader and take all the training,' " Taube recalled.
He ended up spending many years as a cub master and assistant scout master for Troop 261 at Amherst Middle School.
In 2012, the youngest son, Bradley, earned his Eagle Scout rank. The family was so thrilled that when it came time to get family portraits done at J.C. Penney during Christmas time, the three brothers had a portrait taken together in their Eagle Scout uniforms.
Their dark brown sashes are littered with nearly 100 badges among them.
Each of the three brothers – all now in college or recently graduated – reflected this past week on how being part of a local Boy Scout troop has prepared him for the future.
Andrew, 23, said he learned how to make the best out of anything. He recalled building a shelter with his brother Bradley in the pouring rain during a wilderness survival session.
"We stayed dry," he said.
For his final Eagle Scout project, he developed refillable and weather-resistant water and drink stations for the kids at Camp Pioneer in Angola in 2008. They are still in use.
Aaron, 21, said that he became a more driven person as a result of his experiences. His biggest thrill was earning his rifle merit badge and doing nearly well enough to make it to the state competition.
For his Eagle Scout project, he created an 8-foot welcome kiosk at Tifft Nature Preserve in 2009, as well as deer-resistant structures for the garbage cans.
Bradley, 18, credits the Boy Scouts for making him a more well-rounded person, teaching him how to cook, how to balance a checkbook and how to make a flotation device out of a pair of pants.
For his project last year, he supervised much-needed improvements to Garrison Park in the Village of Williamsville, planting boxwood trees around gazebos, mulching flower beds, sanding and repainting benches, and reseating a tattered four-way see-saw.
Though all of the Taubes, including the father, have now left Troop 261, they all said they'll continue to be promoters of the Boy Scout experience.
email: email@example.com


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The pair met when Dillon, 24, was hired to play guitar on Joel's upcoming album. (To listen to her first single, "Notice Me," click here.) "Dating can be awkward," Joel said in April. "I prefer to meet someone through work or socially."
Odds are her dad, Billy Joel, approves. Back in 2007, Dillon released the single "Christmas in Fallujah," which was written by the Piano Man himself. Proceeds benefitted the non-profit Homes For Our Troops.
But Alexa may not be the only member of the family getting some summer loving.
On Saturday, Billy, 61 (who split last June with wife Katie Lee, 28), was spotted having a late lunch with an unidentified blonde at Sant Ambroeus in Southampton, N.Y. The two carried motorcycle helmets (hers was pink), chatted with the owner and picked up local magazines before leaving.
MAXA / Landov
Reporting by KRISTIN BOEHM
See what other readers have to say about this story – or leave a comment of your own


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Age hasn't slowed these stars one bit. Take a look at our slideshow of famous film and television actresses who are over the age of 50, starting with Friday's 50-year-old birthday girl Salma Hayek.
Fabulous actresses over 50UPDATED 11:00 PM PDT Sep 01, 2016
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Source: Detroit News
quote: Ford isn't the only automaker to find its fuel efficiency claims disputed in court. Hyundai was caught inflating fuel efficiency estimates and was forced to create new window stickers for the vehicle fleet reflecting more realistic efficiency claims.
quote: Most major U.S. highways have speed limits of 65 mph or higher, and even if the speed limit is a more "hybrid friendly" 55 mph, most people likely cruise at 60 mph or higher. And one also has to remember that no hybrid can travel on battery power alone, indefinitely – the gasoline engine will eventually kick in to maintain cruising speed.


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Work for xG Technology Inc.?Claim Your Profile
xG Technology, Inc. engages in the development and commercialization of xMax, a mobile VoIP and data system in the United States. Its xMAX is a system infrastructure that includes a product line of based stations, mobile switching centers, handsets, and modems. The company's xMax product line comprises xMax user devices, such as mobile phones; base stations that are used for communicating with xMax handsets and modems operating in the license-free band; and xMax mobile switching centre, which controls the delivery of the voice and data services, and manages all elements in the regional network.


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GOOSE CREEK — The Goose Creek Gators' first step in the postseason was a smooth one.
The top-seeded Gators struck hard and fast in the opening half and rolled to a 76-0 victory over 16th-seeded Wade Hampton on Friday in the Division II-AAAA football playoffs.
The point total was one shy of tying the school record, but it's the largest margin of victory ever for the Gators.
"Obviously, we were the better football team," Goose Creek coach Chuck Reedy said. "But we didn't go out there and slop around. Even when we played our subs, they went out there and played well."
Reedy said more than 100 Gators got some playing time against Wade Hampton.
Omar McRae set the tone for Goose Creek, returning the opening kickoff 90 yards for a touchdown. Less than 10 minutes in, it was 21-0 and the rout was on.
Goose Creek amassed 462 rushing yards, with 10 different players getting at least one carry. Fullback Evan McField had 125 yards on eight carries and scored on an 80-yard scamper in the opening quarter.
Tyrik Johnson and Evan Ulery added 98 and 51 yards, respectively, with each scoring twice. Quarterback Dantez Bennamon ran for 40 yards and a touchdown, and was 4 of 5 through the air for 63 yards, including a 27-yard touchdown pass to Jordan Barnes.
Barnes also hauled in a 10-yard touchdown pass from backup quarterback Dominique Jefferson.
The win was the 38th straight for the Gators (12-0) and puts them in the second round against South Pointe. The Stallions blanked Irmo, 30-0.
"They've had a great program up there for a while," Reedy said. "They've won some state championships over the last several years. They'll be a big challenge."
Wade Hampton 0 0 0 0—0
Goose Creek 21 28 14 13—76
GC–Omar McRae 90 kickoff return (Alex Jacobus kick)
GC–Tyrik Johnson 4 run (Jacobus kick)
GC–McField 80 run (Jacobus kick)
GC–Darin McNeal 6 run (Jacobus kick)
GC–Dantez Bennamon 8 run (Jacobus kick)
GC–Jordan Barnes 27 pass from Bennamon (Jacobus kick)
GC–Barnes 10 pass from Dominique Jefferson (Jacobus kick)
GC–Johnson 31 run (Jacobus kick)
GC–Evan Ulery 8 run (Jacobus kick)
GC–Ulery 2 run (Jacobus kick)
GC–JC Simuel 2 run (kick failed)


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Legislator: Drilling in state forest needs input
April 25, 2013
State Rep. Rick Mirabito, D-Williamsport, will hold a hearing of the Democratic Policy Committee at 2 p.m....
I cannot be at the meeting, because of when it has been scheduled. If feedback was really desired, the meeting should have been scheduled on an evening or weekend. I am strongly opposed to drilling in our beautiful state forests, and am disappointed that my input will not be heard. I hope that others that feel the way I do will be present and present a convincing case why drilling should be restricted. Although I have a substantial piece of land bordering state forest lands, I have given up the opportunity to make money (with a gas lease)in order to preserve the area for my posterity.
4 Agrees | 0 Disagrees | Report Abuse »
Let the drilling happen, let a few more people become well off in life from gas royalties, thd only people complaining about it are the people that dont get the big checks, look at the pine creek area a majority is unchanged, there are the same amount of pot holes in the rd that were there 10 years ago, and the water has not been contaminated, we need jobs in the area we need people to spend money and support the small economy in the area, and if gas drilling does it then lets do it.
4 Agrees | 13 Disagrees | Report Abuse »
Will this meeting include information that the Courts have said that the subsurface owner has the right to access there property? DCNR can only control how they access and even then only to a point. DCNR is charged with protecting the asset which is what they have been trying to do. Unfortunately, simply saying you can drill is not and I repeat not an option.
6 Agrees | 1 Disagrees | Report Abuse »
If he really wanted public input he would have scheduled the meeting in the evening when most people could attend....what does that tell you?
12 Agrees | 2 Disagrees | Report Abuse »
Tedeaux, this is a public meeting concerning public lands of the Commonwealth of Pa. That means ALL residents have an equal stake in the issue. Thank you Rep. Mirabito for organizing this hearing. Will Sen. Yaw be going in on the conversation?
15 Agrees | 0 Disagrees | Report Abuse »
Under Section XVI, of the Pennsylvania Declaration of Rights it says' "People have the RIGHT to assemble together, to consult for their common good, to instruct their representatives, and to apply to legislature for redress of grievances, by address, petition or remonstrance.
The people of this State have "The Right" to have their voices heard, not just a handful of people and the gas industry behind closed doors.
20 Agrees | 0 Disagrees | Report Abuse »
Tedeaux - I agree, but this is a good first step to get the peoples opinion. If the people show up with facyts and not just emotional outbursts and there is good news coverage from local and not so local sources on the jist of the meeting, this may, although I have my doubts, be a good thing.
15 Agrees | 0 Disagrees | Report Abuse »
Little to late for Pine Creek Valley and the surrounding mountains!
12 Agrees | 0 Disagrees | Report Abuse »
Will there be a moderator?
Will she/he factcheck the speakers (from either side) or will this be a free-for-all?
What is the goal of this meeting?
Are they trying to find "consensus" or is this a stage for everyone to blow off some steam?
The closed-door meeting was constructed to determine where all sides have common ground. That becomes the starting point of a broader discussion.
A bunch of people hooting and hollering about how the gas industry has brought STDs to our area will be entertaining, but futile.
7 Agrees | 17 Disagrees | Report Abuse »
I'm willing to bet if anyone's willing to lose some cash that not a single thing will come out of this gas bagging meet. Just another way when he's defeated he can say he tried to stop something so go ahead and disagree when you know dang well it's the TRUTH
6 Agrees | 15 Disagrees | Report Abuse »
Dear Mirabito blow it out your a@@
5 Agrees | 17 Disagrees | Report Abuse »
Does this legislator simply want his share of kickback money before he flip-flops on the issue????
4 Agrees | 11 Disagrees | Report Abuse »
I see your point of getting a broader input from the public, Carl, but do you see that this type of public meeting has the potential of doing more harm than good. Being its a meeting of the entire public, chances are the most vocal people may not even be from anywhere near here. If that is what happens, what would it prove as far as what the local folks really want to see happen?
5 Agrees | 14 Disagrees | Report Abuse »
This is one moment when I agree with Rick. The public has not had the opportunity to provide much input or to hear what has gone on behind the scenes. I have to say I am quite perturbed that the other local Republican Representative has not been in the forefront of this issue.
17 Agrees | 2 Disagrees | Report Abuse »
now is the time for the passionate people who oppose this drilling in the state forest to get their voices heard. we were grumping about the closed door uninvited meeting that was held on this subject once before, so now GET OUT THERE AND LET YOUR VOICES BE HEARD. there is plenty of notice and im sure word gets around fast about this. if i lived closer i would attend this just to oppose the drilling, because if we continue to allow this in our beautiful state forest land, god only knows what else those drillers will ruin. they need to move on and leave our pretty nature alone now.
21 Agrees | 2 Disagrees | Report Abuse »
A room filled with two groups passionately opposed to each other. If just the people that post comments regularly in the Sun Gazette show up, things could get interesting rather quickly!
9 Agrees | 13 Disagrees | Report Abuse »
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Top Definition
An immensely attractive 10th Doctor lookalike, but I repeat myself.
I just want to molest him, he's so Bartosh.
додав doctor_who 13 Листопада 2011
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a hyperactive guy of polish heritage. He is skinny and really short
Have you seen that hyper kid? He is a total bartosh
додав xioxio 13 Квітня 2010


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Saturday at Expo in Review
Submitted by World Dairy Expo on Sun, 10/07/2012 - 05:37
Hoard's Dairyman:
Saturday at Expo in Review
Date:Sun, 10/07/2012
See the highlights of the final day of World Dairy Expo.
at www.facebook.com/DairyWellness.
Click the icon to subscribe to Hoard's at Expo blog and get the blog sent to you.


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Top Definition
It's when you suck a lot of dick and it leads to high amplitude peristaltic contractions of the esophagus which can result in difficulty swallowing or intermittent discomfort. Basically, you cracked some nuts and now your throat hurts.
My friend Charley got nutcracker esophagus from a black dude with a big cock.
Beküldő: 1203921039 2010. október 21.
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Top Definition
The raspy sounding way of pronouncing DUDE....when saying this word you search for your inner homo and stress out the W and almost totally leave out the d at the end...all that is left is the context clues to clue you in!
My butt-hole hurts DOOWD!
screech the molester tərəfindən 18 İyul 2011
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Columbia is preparing for a Top 10 rumble tonight as one of the most highly-anticipated games in the Georgia-South Carolina series takes to the field of Williams-Brice Stadium. Last night, though, fans from both schools got together across the state line in Augusta for the 19th annual Border Bash.
The event brought fans from both schools to Augusta Common to raise money for local childrens charities and organizations. In addition to food and live entertainment, the event featured cheerleaders from the University of South Carolina and the University of Georgia, as well as mascots Cocky and Hairy Dawg.
Chris Fulmer, president of the Aiken chapter of the Gamecock Club, went to last years event and decided to go again this year after the president of the Augusta Gamecock Club gave him VIP tickets.
Its a great event, he said. They do a nice job with it, and they raise a lot of money for those charities, which is the most important thing.
Todays game is historic, as its the first time both schools have played while ranked in the Top 10 Georgia at No. 5 and South Carolina at No. 6. Additionally, the Bulldogs have lost the last two match-ups to their border rival; however, theyve never lost to the Gamecocks three years in a row.
Georgia leads the series with a record of 46-16-2.
Its gotten to be a better rivalry in the last 10 years, said Denny Michaelis, a Georgia fan from Aiken. Its really heated up, and part of that has to do with Spurrier coming.
Gamecocks head coach Steve Spurrier has his own history with the Bulldogs that dates back to before he set foot in Columbia in 2005. He was the head coach for Georgias other border rival, the Florida Gators, from 1990 to 2001.
The Georgia people hate Steve Spurrier because he was like, 11-1 (against Georgia) when he was at Florida, Fulmer said. But he used to beat the mess out of us. Half the Carolina fans didnt think of him before he came to Carolina.
Fulmer said the rivalry has also intensified following South Carolinas ascension to the Southeastern Conference Championship Game in 2010. Todays match-up is one of the best of all time, he said.
For hype, this might be the most hyped one ever, he said. Theres a lot of actors in there that make it the No. 1. Sometimes these big games dont pan out, but I think this will pan out. This is gonna be a barn burner.
Adding to the hype will be ESPN College GameDay, which will be filming live from Columbia.
Michaelis said the two fan bases have still managed to keep their discourse civil.
I dont talk trash, and neither do my buddies, he said. We just talk about the players, coaching more of an analytical review.
Michaelis has been a Georgia fan since 1975, when he moved to Jacksonville, Fla., and went to his first Georgia-Florida game.
I just observed to see which group of fans I liked the best, and I walked away a Georgia fan, he said.
For Fulmer, the best part of Fridays festivities is the two fan bases uniting for a common cause.
Youve got the game where you can let loose a little more, he said, but using all the energy from these two great colleges and raise money for a great charity, thats a big deal.
So, who will win tonights battle of the borders?
Obviously, I would never publicly predict the Gamecocks to lose, Fulmer said, adding his prediction of a 31-27 Gamecock victory.
Michaelis didnt offer a score but said the Bulldogs have what it takes to head back to the Peach State with a victory.
Weve got more talent, he said. We definitely have a better quarterback than Carolina, and we have more experience. Our defense just needs to come to the dance.
College GameDay will air at 9 a.m. on ESPNU and at 10 a.m. on ESPN. The game will be televised on ESPN at 7 p.m.


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Top Definition
A cross between the racist term of paki and pikey, usually used to describe people from india or pakistan who either live in caravans or steal things.
Person 1: Oh dude, that shopkeeper jacked my tenner!
Person 2: Man, he's such a pakikey.
Person 2: Man, he's such a pakikey.
door asswipethe3rd 8 maart 2009
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Today marks the third anniversary of Trayvon Martin's death. a Florida jury found George Zimmerman not guilty of Martin's death on July 13, 2013. Take a look at scenes from the courtroom on the day of the verdict.
Look back: George Zimmerman verdict
Look back: George Zimmerman verdictUPDATED 12:12 PM EST Feb 26, 2015
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CommentsThe views expressed are not those of this site, this station or its affiliated companies. By posting your comments you agree to accept our terms of use.blog comments powered by Disqus


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You'll also see my cool cat of a Dad with his
Pinks & Blues has got the Throwback Thursdays going on each week!
Hey, Steph! Just wanted to let you know I nominated you for an award:
Have a great day! :)
Steve and I would love to do an RV trip! We talk about traveling to Colorado or South Dakota in one.
Thanks for the voting plug-in too. However maybe showing THAT picture would scare potential visitors from my blog? HA!
Love the RV pic!!! I think I had that same pink jacket :)ReplyDelete
too funny:) My Dad had that same mustache, but he had a perm to compliment it!!ReplyDelete
haha! Love that camper and the mustache...priceless! :)ReplyDelete
OMG. . . . Steph I love this picture! We're ya''ll coming to Louisiana to see me? Aunt DianeReplyDelete
Great picture! Looks like fun!ReplyDelete
Steph your dad is too cool with that mustache! I can't stop laughing, your mom said OMG what were we trying to be country folks!!!ReplyDelete
OMG I am sitting at my desk laughing so hard with Amy...what was I thinking wearing that plaid shirt? We are laughing so hard at your dads mustache. Yes Diane, we were on a trip to Louisiana, singing "On the Road Again" by Willie Nelson...You looked adorable Steph in your sylish pink jacket...ReplyDelete
Oh what a great family photo! Gotta love all the fashions back then, LOL. :)ReplyDelete
Hilarious photo! Don't you just love those old fashions?!?
We want a camper sooo bad. Every time we drive by an RV park we all say, "Look what we're going to have some day!"
Awesome! We did the RV thing back then too...it must have been what all the cool people were doing back in the 80's. I had long wild Laura Ingalls hair, not that cute bob you had! :)
My dad used to scare us and tell us that Yogi Bear was outside the RV and wanted to get in. Mean, huh? Everyone knows that Boo Boo is the nice one!!
Great picture! Happy TT!!!ReplyDelete
What an awesome picture! Ha- the mustache is perfect.ReplyDelete
what a great pic!!!!ReplyDelete
one more question . . . where is Mom? She never took pictures before! LOL Maybe she was in the camper cookin????
Aunt Diane
love it--and makes me wonder what sorts of 'styles' are so hip nowadays so that in 25 years our kids will post photos on throwback thursday...the handle-bar mustache is so funny!! From the same era are the wedding photos my parents have of my dad in a tweed jacket. ?! At his wedding?!ReplyDelete
Oh that is way too funny! Your comment on your dad's mustache made me laugh pretty hard. Your family pictures that you continue to share with us definitely show the love and laughter that your family had for/with one another.ReplyDelete
I LOVE the 'stache! My dad had one in the '80s too! Great photo, Steph!
Jane, Pinks & Blues


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Click the link for daily surf reports presented by Nichols Surf Shop, 411 Flagler Ave., New Smyrna Beach
NEW SMYRNA BEACH – Parking was at a premium on all side streets around Flagler Avenue Friday night. It was apparent there was one big party going on. Parents and their children, students, and all those in the holiday spirit, gravitated toward the beachside shopping venue for the annual "Light Up Flagler," which drew about 1,500 people.
NEW SMYRNA BEACH -- The Chamber of Commerce is planning an exciting street event in downtown New Smyrna Beach on Saturday: Jan. 22. the Home Show & Business Expo.
"(It) will bring together bring together area retail stores, businesses, local non-profit groups and our great citizens," said Samantha Bishop, executive vice president of the Southeast Volusia Chamber of Commerce.
Please click attachment to read NSB police patrols report:
Miguel Angel Frank departed this life on earth from Halifax Health Hospice of Volusia/Flagler, Edgewater Care Center, Edgewater, on October 4, 2011, and ascended into Heaven to join his beloved Cuban Family.


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This is how I feel. I am so excited to see Smith play. I really have that feeling that he is going to surprise us all. I would like to see Semin on our team just for a season to see how he plays with Dats but that's just my own curiosity.
I feel like a lot of people are underestimating the impact Smith will have. The kid is a pure stud and will prove why he's one of the most talked about rookies in Detroit's system. I have a feeling Smith will make Holland look like a genius for not blowing up the team for a 1 year run.
Holland Content with Current Roster
Posted 12 July 2012 - 02:17 PM
- SouthernHockeyHoney likes this
Posted 12 July 2012 - 02:30 PM
Posted 12 July 2012 - 02:37 PM
- esteef and redwings4life like this
Posted 12 July 2012 - 02:41 PM
Depends on what you're packin'.
Are you suggesting we'd like gaping holes if we were packing Semin? Sorry....couldn't resist!
Posted 12 July 2012 - 02:59 PM
Posted 12 July 2012 - 02:59 PM
Holland was relatively inactive last offseason, citing the lack of quality free agents and the high prices of those who were available, and was holding off on spending big until this summer, when the UFA class was much better. Well, look what happened... most of the top pending UFAs re-signed during the season. We were left with two big players, both of whom Holland just missed out on getting. Now he's likely saving for next off-season, but who knows what players will actually be available?
So last off-season what did you want him to do? They couldn't afford Brad Richards with Lidstrom coming back, did you want to spend 4.5 million on Connolly? How about 2.8 on Arnott? Fleischmann for 4 million? Gagne for 3.5? Really don't think any of those forwards would have made a huge impact on the quality of team for the coming years.
Defensemen? Did you want any of these names Jovanowski for 4 years, $16.5 million? haha
Hamirilk, Souray, Kaberle 3 years(which I would have been ok with), Wisniewski 6 years, Ehrhoff 10 years?
Ian White for 2 years, $5.75 million was a great deal for the wings, all the above players you had to make a long term commitment, for a player that's not exactly proven to be a very good NHLer year after year.
Free agency is not the only way to win a Stanley Cup, Trading and Drafting/Development are both better options due to getting better deals for players you aren't sure of. You don't give out huge contracts at free agency for players that are just average to above, you give them to players you are sure will be among the best in the league. You overpay in free agency, so you have to be sure you give yourself the best option to get your investment back, and these past two offseasons the only players worth the long term commitment they got where Suter/Parise/Richards(couldn't afford) and the Wings did what they could to get them.
Now if we heard that the Red Wings aren't involved in any of these players then I'd understand the disappointment, but the Wings are involved in practically every available player through trades and almost all of the higher end free agents means that Holland is working, and he's not just given up and playing golf somewhere.
- Jedi likes this
Posted 12 July 2012 - 03:03 PM
It's in the Detroit News article, but they're paraphrasin his point right around there so there's not much context to be had really.
Well I'm not sure that is "having it both ways."
He is happy that the Red Wings still were competitive enough to gain the attention of Parise, but at the same time talks about how he may have not wanted to go for both players for that long for that much.
In another article he even talks about how he can only really be able to support one or two more of those types of deals, which may have made him leery about Parise.
Edited by Doc Holliday, 12 July 2012 - 03:08 PM.
#88 Guest_Heaten (Guest)
Posted 12 July 2012 - 03:11 PM
Holland was relatively inactive last offseason, citing the lack of quality free agents and the high prices of those who were available, and was holding off on spending big until this summer, when the UFA class was much better. Well, look what happened... most of the top pending UFAs re-signed during the season. We were left with two big players, both of whom Holland just missed out on getting. Now he's likely saving for next off-season, but who knows what players will actually be available?
Welcome to the wonderful cap-era Hockey League. Guess there are 29 other teams looking to improve instead of a handful like the past. Overpaying for average players isn't the solution long term, or short term, for that matter.
Drafting and development is more important than ever. Holland recognizes this which is why he is so tight on not trading prospects. I'm sure if Holland wanted to run things the "Chicago way", he could go all-in for a 1-year window then be bottom dwellers for the next 5. What's the point? Atleast if you have a team that makes the playoffs, you have a chance to win it all. Not making the playoffs means you aren't winning anything but better picks.
Bottom line, despite all this "arm-chair GMing" we got going on here, managing a competitive team year in, year out is a balancing act. Some years will be better than others. That's the way it goes.
Lets take a look at all these "good teams" on paper:
Penguins - What have they won since 2009?
Rangers - What have they won since landing big name FA Richards?
Flyers - What have they won since post-salary-cap?
Chicago - What have they won since their infamous fire sale 2010?
Vancouver - What have they won since shaking the name "playoff chokers"? (did they even shake that name?)
San Jose - One of the top teams on paper last year, how did that work out for them?
What other top teams are there besides Detroit? Detroit has succeeded as much as the almighty Penguins since 2009 who tanked for a decade to win now, are more stable than the Blackhawks, and won a cup and went to the finals; more than Canucks can boast about...
Funny thing is, Red Wings, despite not drafting top-10 for 20 years, are still in the mix of things. And LA and Boston have proven you don't need an Elite team, but a healthy, and hard working team with a hot goaltender. Babcock is known to get the most out of his guys, and Howard has proven he can get hot.
Remember 2002 when you could spend 100-million and beat teams that spent 20-million? those days are gone...
Holland is building the best possible team he can without 'overspending'. He's keeping money available for when that opportunity presents itself. He's not giving future Red Wings UFA ammunition to say "hey, you gave Semin $8 million and he only scored 40 points and was a -34, I want to get paid, too!"...
This isn't NHL13, people!
Edited by Heaten, 12 July 2012 - 03:18 PM.
- stevkrause and Frozen-Man like this
#89 Guest_Johnz96 (Guest)
Posted 12 July 2012 - 03:24 PM
I think when someone says Holland has no balls to pull off a deal or something like (I've heard his balls come into question a few times here) that it is hating.
He is not. I read it the same way, because, well, thats exactly what it said. That Quincy and Smith will "replace" (the exact word he used) Stuart and Lidstrom.
Oh, and I am not some doom and gloom negative person about this off season, I've been staying positive and hoping for the best, so you cannot attempt to refute MY comment by passive attacks and accusing me of only being negative like you did with him.
You know what I'd like to see people give a rest? (in general, not just here at this forum) Calling anyone with a different opinion or alternate suggestion a "hater" or "basher"
Those are such lame, overused internet terms. Don't agree with me? Oh, you're a hater then. Post any other comments or alternate suggestion? Quit bashing.
All you Holland bashers are wrong
Posted 12 July 2012 - 03:29 PM
Formerly known as The Nephilim.
QUOTE (Amberoonie)
Babs sure hurries himself into the presser, sits down, and f*cks up a bottle of water like no one in the room has had any for days.
Posted 12 July 2012 - 03:32 PM
#92 Guest_Shoreline (Guest)
Posted 12 July 2012 - 03:35 PM
Edited by Shoreline, 12 July 2012 - 03:36 PM.
- stevkrause, Frozen-Man and dropkickshanahans like this
Posted 12 July 2012 - 03:43 PM
#94 Guest_Shoreline (Guest)
Posted 12 July 2012 - 03:50 PM
For a team that plays so defensively I kinda think that 7th and 2nd in the last few years respectively in the league in goals/gpg is hardly that defensive-oriented.
Yes, we have spoiled fans. That comes with the territory of winning. All I want is for Holland to take a chance and sign Semin. He needs to re-energize the fan base with a big name signing. There is no excuse to have WAY over $10+ million in cap space and not do anything with it. We all know your gonna wait till the trade deadline to see what can be had but then you don't pull the trigger. There is no one that will trade a top 4 D-man to Detroit without risking the future of the franchise. So take a risk on Semin to bolster up the offense and see if we can outscore teams instead of playing defense and losing like we have been since 2010.
And why must cap space be emptied out? What's the justification? Also, what's the rush? It's early July.. having space now gives the Wings an advantage in signing someone the organisation thinks is worth that cost. Not having space means the team is forced to bend over in a trade. Some people really aren't thinking clearly. Your vision is blowing away tact for instant gratification. Go enjoy your summer, take a vacation, go to the beach.. waiting around day after day for the Wings to throw cap space away on pie in the sky gambles is going to leave you disappointed it looks like.
Edited by Shoreline, 12 July 2012 - 03:54 PM.
Posted 12 July 2012 - 03:54 PM
For a team that plays so defensively I kinda think that 7th and 2nd in the last few years respectively in the league in goals/gpg is hardly that defensive-oriented.
And why must cap space be emptied out? ...
Posted 12 July 2012 - 03:59 PM
#97 Guest_Shoreline (Guest)
Posted 12 July 2012 - 04:00 PM
Posted 12 July 2012 - 04:19 PM
As for his comments, I'm really not bothered by them. Like he's going to say, "Sorry, guys, but without Suter or Parise, this bunch of jokers we've got right now aren't going to do diddly squat in the playoffs. God I wish Nick hadn't retired. I'm going to go drink a fifth of vodka now." Right. He said what he's expected to say, and I'm okay with that.
Nobody lives forever.
Some things never die.
Like up in the land of ice and snow,
They tell me that a Red Wing always flies.
RIP Ruslan Salei - Brad McCrimmon - Stefan Liv - Lokomotiv Yaroslavl
(Orig. lyrics - Ray Wylie Hubbard, "Airplane Fell Down in Dixie")
Posted 12 July 2012 - 04:41 PM
-'we need top scorer and another top d-man'........'
First off, we're done in goal. I think we've got lots of pieces of up front...
it's not like we've lost two guys(Nick and Stuie) and don't have any players."
-FA signings:Brunner,Tootoo,Sammy,Monster.....
"I don't think we need a whole bunch of guys,
I think if we can get one more player, (we'll be fine)."
-re-signing Bertuzzi,adding Samuelsson and probably some veteran d-man....."we'll let the kids play"
I'm not on the "fire Ken" bandwagon,but can someone explain me WTF is going on here?
Posted 12 July 2012 - 04:42 PM
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CRYSTAL BAY, Nev. — First Tipitina's, now the world.
The New Orleans septet the Revivalists are breaking out of the Big Easy and it's found a well-traveled path to the Crystal Bay Casino, which has a fan base who dig syncopated rock.
The 5-year-old band in 2011 was named Best Emerging Artist at Gambit Magazine's Big Easy Awards, and were nominated for Best Rock Act in 2012.
It debuts at the Crystal Bay Casino on Saturday, Sept. 15, in the free venue, the Red Room. Numerous "NOLA" bands have made the same journey, including the Neville Brothers, Galactic, Dr. John, Anders Osborne, Dumpstaphunk, Big Sam's Funky Nation, the Voice of the Wetlands All-Stars and the Dirty Dozen Brass Band.
With the seed being planted during jam sessions at Tipitina's Sunday Music Workshops, where drummer Andrew Campanelli and guitarist Zack Feinberg first met, the band found its frontman by pure luck when Feinberg heard David Shaw singing on his Birch Street porch. Fueling the rhythm section, Campanelli's college friend, George Gekas, became the bassist. Feinberg later invited saxophonist Rob Ingraham, the two realizing their incontestable dynamic while taking music classes at Tulane University. After a fortuitous meeting at French Quarter Fest, Ed Williams joined on the pedal steel guitar. The newest addition to the Revivalists' cross-generational rocking goodness comes from multi-instrumentalist Michael Girardot. Having played sporadically with the band since 2009, he has grown into an integral part of their live show.
The album "City of Sound" was released in March 2012, was produced by Ben Ellman, whose credits include Galactic, Gypsyphonic Dysko and Trombone Shorty.


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UNIVERSITY PARK - It wasn't the first time it's happened, but Matt McGloin caused a bit of stir Friday with a peculiar choice of words.
"I don't think we're too far apart, Tom Brady and myself," Penn State's quarterback told the Philadelphia Daily News.
Virtually no one took the comparison with one of the best quarterbacks of all time seriously, and McGloin felt compelled to explain his brazen comments on Twitter.
"That quote was clearly a joke. I guess you can't have fun doing interviews," McGloin tweeted Friday.
McGloin, as all Penn State fans know by now, is the ultimate wild-card quarterback.
He's cocky. He talks a good game. He likes to gamble on throws. He can look great one minute and overmatched from a talent standpoint the next.
Regardless of all that, the bottom line is McGloin will be a three-year starter for the Nittany Lions, which is remarkable, really, given that he came to PSU as a walk-on.
Because of that last part, McGloin has always and probably will always have a big chip on his shoulder. He can't stand it when someone refers to him as a former walk-on, which is brought up occasionally, followed by an inevitable tone of frustration in McGloin's voice.
The 22-year-old gunslinger from West Scranton is not Tom Brady and almost certainly never will be. But he is Bill O'Brien's choice as the best quarterback to lead the Lions' potentially exciting new offense, one in which McGloin will have much more control than he's ever had before.
"In an offense like this, it's crucial to know where you need to go with the football and you need to know what to do with it," McGloin said. "What is going to make, hopefully, our offense so successful is I'm just going to be managing the game, hopefully, and get us in the right plays and move the chains."
Brady moves the New England Patriots' offense with surgeon-like precision, completing 64 percent of his passes for his career. McGloin completed 54.1 last season 54.9 two years ago, plus his decision-making was highly questionable at times, and he will have to make major strides in those two areas in PSU's new scheme.
To succeed in O'Brien's offense, McGloin also will have to do these three things well:
Read the defense when he walks up to the line of scrimmage - It's imperative for him to quickly figure out the formation, something McGloin says he does well.
"You've got to understand what front they're in, what the linebacker's doing and what the coverage is," McGloin said.
Call the correct play once he's figured out what the defense is doing - The Lions will break the huddle with two or three play possibilities, and McGloin will audible into the best play at the line of scrimmage.
"He's got to process information in a hurry, and he's got to be right," PSU quarterbacks coach Charlie Fisher said. "If he puts us in the wrong play, then we defeated the purpose [of the audible]. But he has a good understanding of structure and defenses and just doing it more. It's just repetition."
When he drops back to pass, he must make the right read and deliver the ball on target - This is Quarterbacking 101, but it's especially important because of McGloin's tendency to take risks and because the Patriots-style offense is predicated on taking what the defense gives you underneath instead of trying to force the ball downfield.
"This is definitely a very difficult offense, but at the same time, we're way ahead of where we were [in the spring]," McGloin said.
McGloin didn't start until the final five weeks of the regular season last year, as the coaching staff continued to give Rob Bolden opportunity after opportunity to prove himself. Bolden never did that and is now at LSU, while McGloin put up decent but unspectacular numbers for the season (1,571 yards with eight TDs and five interceptions).
McGloin did not play in the TicketCity Bowl because he was recovering from a concussion suffered in a post-practice fight with receiver Curtis Drake. Bolden started the bowl game, and the Lions lost to Houston, 30-14, to finish 9-4.
Unlike the past two years, there was no quarterback competition this summer and preseason. O'Brien named McGloin the starter and Paul Jones the backup in early June, a decision that those who know McGloin well have said helped his confidence.
"I feel good about Matt," O'Brien said on media day. "He's definitely made a ton of progress. This is a guy that the more you're around him, the more you enjoy coaching him."
The coach also said more recently that McGloin has "really got a good feel for how we operate" on offense.
Fisher said McGloin is "light years" ahead of where he was in the spring with regards to running the audible-heavy offense.
"From the first day we went out there until these last couple days, you can just see a confidence level," Fisher said. "He's relaxed, he's seeing things. And Matt's a smart kid. He understands football. He's been around, he's played a lot of snaps here, he has a good, natural savvy for the game."
The success of the passing game will not depend entirely on what McGloin does. He can play the best football of his career, but he will need his talented yet inexperienced receivers to prove they can get open, run good routes and catch the ball.
If they can, McGloin has proven during his career that he can be accurate on short, underneath throws, and those likely will make up a big portion of the Lions' offense.
If the receivers struggle getting separation and drop a lot of passes, there's little McGloin will be able to do to move the chains.
We've got some good playmakers. I like our guys," Fisher said of the receivers. "We've got some really good young receivers, and it's their time to step up. It's their opportunity, and we're moving forward. ... Opportunity brings about success, so we have guys that will step up. I'm not worried about that."
O'Brien has said Jones will play this season, so the coaches will have to find the right situations for the backup quarterback. Given the way the offense operates, with the quarterback having so much responsibility at the line of scrimmage, it could be dicey shuffling between McGloin and Jones too often.
Jones has never taken a snap in a college game, so it will take him some time to learn how to read defenses and get the offense into the right play.
Fisher said when and how much Jones will play isn't known yet.
"Part of it may be feel," Fisher said. "As we worked through spring and worked through camp, it's just determining what Paul is most comfortable with. We know this: Paul's a playmaker, and when he comes on the field, there's an 'it' factor, a positive energy. He finds a way to make plays."


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17 worst habits for your heart
Published On: Feb 26 2013 01:32:02 PM CST Updated On: Feb 23 2016 01:00:00 AM CST
February is American Heart Month. Find out which of these 17 bad heart habits you may be breaking.
The views expressed are not those of this company or its affiliated companies. Please note by clicking on "Post" you acknowledge that you have read the Terms Of Service and the comment you are posting is in compliance with such terms.


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Press Release
Fans Can Enjoy All Three Dark Knight Movies, Back-To-Back, For One Low Price
PLANO, Texas - June 11, 2012 - Cinemark Holdings, Inc. (NYSE: CNK), one of the world's largest motion picture exhibitors, announced that on Thursday, July 19, 2012, for one day only, over 185 Cinemark locations will host the Dark Knight Marathon, featuring all 3 Dark Knight films back-to-back . For one low price, movie-goers can go back to the beginning and seeBatman BeginsandThe Dark Knightleading up to a midnight screening of the new filmThe Dark Knight Rises.
"Fans of Dark Knight across the country have been waiting anxiously for the completion of the trilogy and Cinemark is adding to the excitement by offering all three films for one low price," states James Meredith, Vice President of Marketing & Communications. "Some of our customers may be seeing these films for the first time and others have seen both movies and can't wait to experience them again. The Marathon is the perfect opportunity to celebrate this great film franchise."
Starting on Thursday, July 19th at 6:15PM and playing chronologically up to the midnight opening ofThe Dark Knight Rises, the Marathon will feature:
Batman Begins 6:15PM
The Dark Knight 9:00PM
The Dark Knight Rises 12:01AM
As a special keepsake of the Marathon, the first 100 customers at each theatre will receive a commemorative lanyard and event pass from The Dark Knight Rises. There will also be discounts for Marathon customers at the concession stand. Tickets for Cinemark's Dark Knight Marathon are on sale now at participating theatres and www.cinemark.com.
About Cinemark Holdings, Inc.
Headquartered in Plano, TX, Cinemark Holdings, Inc. Cinemark is a leader in the motion picture exhibition industry with 459 theatres with 5,181 screens in 39 U.S. states, Brazil, Mexico, Argentina, and 10 other Latin American countries as of March 31, 2012. For more information go to www.cinemark.com.


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The 4 Traits That Put Kids at Risk for Addiction
September 29, 2016,
A color vision test checks your ability to distinguish between different colors.
Eye test - color; Vision test - color; Ishihara color vision test
You will sit in a comfortable position in regular lighting. The health care provider will explain the test to you.
You will be shown several cards with colored dot patterns. In the patterns, some of the dots will appear to form numbers or symbols. You will be asked to identify the symbols, if possible.
As you cover one eye, the tester will hold the test cards 14 inches from your face and ask you to quickly identify the symbol found in each color pattern.
Depending on the problem suspected, you may be asked to determine the intensity of a color, especially in one eye compared to the other. This is often tested by using the cap of a red eyedrop bottle.
If your child is having this test performed, it may be helpful to explain how the test will feel, and to practice or demonstrate on a doll. Your child will feel less anxious about the test if you explain what will happen and why.
Usually there is a sample card of multicolored dots that almost everyone can identify, even people with color vision problems.
If you or your child normally wears glasses, wear them during the test.
Small children may be asked to tell the difference between a red bottle cap and caps of a different color.
The test is similar to a vision test.
This test is done to determine whether you have any problems with your color vision.
Color vision problems usually fall into two categories:
Normally, you will be able to distinguish all colors.
This test can determine the following congenital (present from birth) color vision problems:
Problems in the optic nerve can show up as a loss of color intensity, although the test may be normal.
There are no risks with this test.
Adams AJ, Verdon WA, Spivey BE. Color vision. In: Tasman W, Jaeger EA, eds. Duane's Foundations of Clinical Ophthalmology . 2013 ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012:vol.2, chap 19.
American Academy of Ophthalmology Preferred Practice Patterns Committee. Preferred Practice Pattern Guidelines. Comprehensive Adult Medical Eye Evaluation. Available at http://one.aao.org/CE/PracticeGuidelines/PPP_Content.aspx?cid=64e9df91-dd10-4317-8142-6a87eee7f517. Accessed February 26, 2013.
Olitsky SE, Hug D, Plummer LS, Stass-Isern M. Examination of the eye. In: Kliegman RM, Stanton BF, St. Geme JW III, et al., eds. Nelson Textbook of Pediatrics . 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 611.


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Author Affiliations: New York State Psychiatric Institute and Department of Psychiatry, College of Physicians and Surgeons of Columbia University (Drs Olfson, Blanco, and Wang and Ms Liu), Albert Einstein College of Medicine, Bronx, and Zucker Hillside Hospital, North Shore–Long Island Jewish Health System, Glen Oaks (Dr Correll), New York.
Context Although antipsychotic treatment has recently increased, little is known about how this development has differentially affected the office-based care of adults and young people in the United States.
Objective To compare national trends and patterns in antipsychotic treatment of adults and youths in office-based medical practice.
Design Trends between 1993 and 2009 in visits with antipsychotics for children (0-13 years), adolescents (14-20 years), and adults (≥21 years) are described on a per population basis and as a proportion of total medical office visits. Background and clinical characteristics of recent (2005-2009) antipsychotic visits are also compared by patient age.
Setting Outpatient visits to physicians in office-based practice.
Participants Visits from the 1993-2009 National Ambulatory Medical Care Surveys (N = 484 889).
Main Outcome Measures Visits with a prescription of antipsychotic medications.
Results Between 1993-1998 and 2005-2009, visits with a prescription of antipsychotic medications per 100 persons increased from 0.24 to 1.83 for children, 0.78 to 3.76 for adolescents, and 3.25 to 6.18 for adults. The proportion of total visits that included a prescription of antipsychotics increased during this period from 0.16% to 1.07% for youths and from 0.88% to 1.73% for adults. From 2005 to 2009, disruptive behavior disorders were the most common diagnoses in child and adolescent antipsychotic visits, accounting for 63.0% and 33.7%, respectively, while depression (21.2%) and bipolar disorder (20.2%) were the 2 most common diagnoses in adult antipsychotic visits. Psychiatrists provided a larger proportion of the antipsychotic visits for children (67.7%) and adolescents (71.6%) than to adults (50.3%) (P < .001). From 2005 to 2009, antipsychotics were included in 28.8% of adult visits and 31.1% of youth visits to psychiatrists.
Conclusions On a population basis, adults make considerably more medical visits with a prescription of antipsychotics than do adolescents or children. Yet antipsychotic treatment has increased especially rapidly among young people, and recently antipsychotics have been prescribed in approximately the same proportion of youth and adult visits to psychiatrists.
Over the past several years, an increasing number of adults and children in the United States have been treated with antipsychotic medications.1,2 Antipsychotics are now among the most commonly prescribed and costly classes of medications.3 In adults, antipsychotic medications have demonstrated efficacy and have been approved by the Food and Drug Administration (FDA) as a primary treatment for schizophrenia4,5 and bipolar disorder6,7 and as an adjunctive treatment for major depressive disorder.8 In children and adolescents, antipsychotics are indicated for irritability associated with autistic disorder (5-16 years), tics and vocal utterances of Tourette syndrome and bipolar mania (10-17 years), and schizophrenia (13-17 years).9
With increasing use of antipsychotic drugs, the range of mental disorders treated with these medications in practice has broadened.10- 15 As a result, the proportion of second-generation antipsychotic medications prescribed to treat schizophrenia has decreased from 51% (1995-1996) to 24% (2007-2008),2 while antipsychotic treatment of anxiety disorders in adults and youths has roughly doubled.12 In young people, attention-deficit/hyperactivity disorder and other disruptive disorders account for a substantial proportion (37.8%) of antipsychotic use.11
The metabolic safety concerns of antipsychotic medications16,17 focus our attention on antipsychotic prescribing practices in the community, especially on the extent to which antipsychotics are used to treat disorders for which there is limited empirical evidence of efficacy.15,18 Young people may be especially sensitive to the adverse metabolic effects of second-generation antipsychotics. As compared with adults, children may be more vulnerable to antipsychotic-induced weight gain19 and perhaps even to antipsychotic-associated diabetes.20,21
Young people and adults vary in several important clinical respects22 that might influence trends in antipsychotic use. Disruptive behavioral disorders, which are more commonly diagnosed in boys than in girls23 and in nonwhite youths than in white youths,24,25 occur in a substantial proportion of young people receiving outpatient mental health care.26 Increasing clinical acceptance of antipsychotics for problematic aggression in disruptive behavior disorders27 may have increased the number of children and adolescents (especially male youths and ethnic/racial minorities) being prescribed antipsychotics. The increase in the number of clinical diagnoses of bipolar disorder28 and autistic spectrum disorders29 among children and adolescents may have further increased antipsychotic use by youths, particularly by boys. With respect to adults, acceptance of antipsychotics as adjuvant treatment of major depressive disorder, even in the absence of psychotic features,30 might have increased antipsychotic use. Because depressive disorders are significantly more common in women than in men,31 such a trend might preferentially increase antipsychotic use among adult women. Increasing use of antipsychotics in adult anxiety disorders may have a similar effect.12
A comparison is presented of nationally representative survey data from adult and youth visits to office-based physicians. The analyses focus on trends and patterns of antipsychotic treatment. Prior to conducting these analyses, we predicted that the increase in the proportion of physician visits with a prescription of antipsychotic medications would be more pronounced for youths than for adults.
Data were obtained from the National Ambulatory Medical Care Survey (NAMCS).32 The NAMCS, which is conducted annually by the National Center for Health Statistics, samples a nationally representative group of visits to physicians in office-based practice. Following National Center for Health Statistics recommendations, data from contiguous survey years were combined to derive more stable estimates (1993-1998, 1999-2004, and 2005-2009). Across the 17 survey years, response rates varied between 58.9% (2006) and 73.1% (1993), with a mean of 66.1%.33 For each visit, the treating physician or member of the physician's staff provided information about patient sociodemographic and clinical characteristics, as well as the medications prescribed or supplied to the patient.
Diagnoses were made according to the International Classification of Diseases, Ninth Revision, Clinical Modification. For the analysis of trends in antipsychotic use stratified by age groups, visits were grouped by occurrence of mood, anxiety, and psychotic disorders. In the analysis that compares the characteristics of antipsychotic visits across age groups (2005-2009), visits were classified by diagnoses of schizophrenia and related psychotic disorders, bipolar disorder, depression, anxiety, developmental disorders or mental retardation, disruptive behavior disorders, and other mental disorders (eTable).
Visits in which psychotropic medications were either supplied or prescribed were classified into 5 medication groups: antipsychotic medications, which are the primary focus of the analyses; stimulants and other attention-deficit/hyperactivity disorder medications; antidepressants; anxiolytics/hypnotics; and mood stabilizers. The antipsychotic medication group excluded prochlorperazine edisylate and promethazine hydrochloride because they are commonly used for nonpsychiatric indications. Anxiolytics/hypnotics included benzodiazepines and nonbenzodiazepine sedatives and anxiolytics. Mood stabilizers included lithium carbonate or lithium citrate, carbamazepine, divalproex sodium/valproate sodium/valproic acid, and lamotrigine. All antidepressants including those such as bupropion hydrochloride, duloxetine hydrochloride, and trazodone hydrochloride, which are also used for non–mental health indications, were included.
Data were collapsed into 3 nonmutually exclusive categories: (1) private insurance such as Blue Cross/Blue Shield and other commercial insurance; (2) public insurance, including Medicare, Medicaid, and other government insurance; and (3) a residual category ("self-pay/other") that combined patients with self-payment, no charge, workers compensation, those whose source of insurance was unknown, and those who received uncompensated care. In visits with more than 1 source of payment, assignment was hierarchical, with visits assigned to private, public, and self-pay/other insurance groups in descending order.
One or more antipsychotics have been approved for schizophrenia or schizoaffective disorder, bipolar disorder, autistic disorder, Tourette syndrome, and major depressive disorder when coprescribed with an antidepressant. In the following analysis, FDA-approved visits include only those visits with a diagnosis for which the specific prescribed antipsychotic had been approved by the visit year for the age of the patient. This definition recognizes the substantial within-class heterogeneity in safety34 and efficacy35 that exists among antipsychotic medications and is consistent with the FDA's approach of drug indication approval at the level of individual drugs.
Visits were also classified by patient sex, patient race/ethnicity (white, non-Hispanic, or other), specialty of the treating physician (psychiatrist or nonpsychiatrist), and whether psychotherapy was provided by the physician at the visit.
Population-based proportions and associated 95% CIs of office-based adult (≥21 years), adolescent (14-20 years), and child (0-13 years) visits with antipsychotic treatment (hereafter referred to as antipsychotic visits) were determined for the time periods of 1993-1998, 1999-2004, and 2005-2009. Denominators were derived from intercensal estimates from the US Bureau of the Census36 of the corresponding demographic groups (Table 1). For years 2005-2009, population-based proportions of office-based antipsychotic visits with surrounding 95% CIs were determined for the 3 age groups (0-13, 14-20, and ≥21 years), sex, and broad race/ethnicity group (Table 2).
The proportions of youth (0-20 years) and adult (≥21 years) office-based antipsychotic visits were determined overall and stratified by patient sex, patient race/ethnicity, payment source, physician specialty, psychotherapy, broad mental disorder group, and FDA-approved indication for each time period (1993-1998, 1999-2004, and 2005-2009). Logistic regression models were used to assess time trends in the probability of antipsychotic visits. A study period variable was defined for each survey year running from 0 for 1993 to 1 for 2009. The outcome of interest is the odds of an antipsychotic across the entire period (1993-2009). For example, an odds ratio of 2.0 denotes twice the odds that a visit included an antipsychotic at the end (2009) as compared with the start (1993) of the study period. Separate regressions were constructed for each level of visit characteristics of interest. For example, one regression assessed the odds of antipsychotic visits over the study period for male visits and a separate regression for female visits. An interaction term was added to each regression to assess whether trends in antipsychotic use significantly differed across these groups. The P values associated with these interaction terms are presented in Tables 3 and 4.
For years 2005-2009, the difference in proportion test was used to compare the background and clinical characteristics of antipsychotic visits for children, adolescents, and adults during the period from 2005 to 2009. A separate analysis compared the clinical characteristics of youth and adult antipsychotic visits by specialty of the treating physician (psychiatrist vs nonpsychiatrist). The frequency distribution in the time period of 2005-2009 of the 4 most commonly prescribed antipsychotics in each age group was also determined.
Analyses were adjusted for visit weights, clustering, and stratification of data using design elements provided by the National Center for Health Statistics. When adjusted for these elements, survey data represent annual visits to US office-based physicians.37 Analyses were conducted using SUDAAN software (Research Triangle Institute), all analyses were 2 sided, and α was set at .05.
On a per capita basis, office-based antipsychotic visits increased among all 3 age groups but were consistently more prevalent for adults than for adolescents and were least prevalent for children (Table 1). During the 2005-2009 time period, the estimated number of antipsychotic visits per 100 adults was significantly greater for female than male patients, while the reverse was true for children (Table 2). For adolescents and adults, but not children, the corresponding proportion of antipsychotic visits was significantly greater on a per population basis for white non-Hispanics than for the other racial/ethnic group.
During the study period, antipsychotic use increased among adult and youth visits, with a significantly greater increase by youths. Antipsychotic use increased especially rapidly among visits by young people who were male, non-Hispanic white in race/ethnicity, and who paid for their care with private insurance or other nonpublic sources. Antipsychotic use also significantly increased among visits by youths who were Hispanic or nonwhite. A corresponding increase did not, however, occur among adults who were Hispanic or nonwhite (Table 3).
Antipsychotic use was substantially more common in visits to psychiatrists than nonpsychiatrists (Table 4). Among visits to psychiatrists, antipsychotic use increased significantly more rapidly in visits by youths than adults. By 2005-2009, a similar proportion of youth and adult visits to psychiatrists included an antipsychotic medication. A marked increase also occurred in antipsychotic use among visits by youths to nonpsychiatrist physicians.
Throughout the study period, antipsychotic use was prevalent in visits by youths and adults with psychotic disorder diagnoses. There was a particularly marked increase in antipsychotics in visits by youths with mood disorder diagnoses. By 2005-2009, almost one-third of youth visits with a mood disorder diagnosis (31.3%) included an antipsychotic medication. A smaller, though nevertheless significant, increase also occurred in antipsychotic use by adult visits with mood disorder diagnoses. By contrast, antipsychotic use visits with anxiety disorder diagnoses increased in a roughly parallel manner among youth and adult visits (interaction P = .66) (Table 4).
In 2005-2009, several differences were evident in the demographic and clinical characteristics of antipsychotic visits by children, adolescents, and adults (Table 5). Male patients predominated among child and adolescent antipsychotic visits, while female patients predominated among adult antipsychotic visits. This was partially explained by a predominance of male patients (80.3% [95% CI, 73.8-85.4]) among child and adolescent antipsychotic visits with disruptive behavior disorders and a predominance of female patients (67.9% [95% CI, 63.6-71.6]) among adult antipsychotic visits with mood disorders (data not shown). Not surprisingly, schizophrenia, bipolar disorder, and depression accounted for a considerably larger percentage of adult than child antipsychotic visits, while disruptive behavior and developmental disorders accounted for a greater proportion of child than adult antipsychotic visits. Visits without a mental disorder diagnoses accounted for roughly one-third of adult antipsychotic visits. In a post hoc analysis, 96.5% of the adult antipsychotic visits without mental disorders were to nonpsychiatrist physicians, and 33.7% included a quetiapine fumarate prescription (data not shown).
During 2005-2009, antidepressants and anxiolytics were more often prescribed in adult antipsychotic visits than in child and adolescent antipsychotic visits, while the reverse was true of stimulants. Mood stabilizers were prescribed in roughly one-quarter of adolescent and adult antipsychotic visits, but only about 1 in 10 child antipsychotic visits (Table 5).
Only a small proportion of child and adolescent antipsychotic visits included an FDA clinical indication (Table 5). For child antipsychotic visits without an FDA indication, the 3 most common specific mental disorder diagnoses were attention-deficit/hyperactivity disorder (17.0%), oppositional defiant disorder (11.3%), and disruptive behavior disorder not otherwise specified (10.5%). The corresponding diagnoses for adolescent antipsychotic visits were bipolar disorder not otherwise specified (14.9%), anxiety disorder not otherwise specified (12.6%), and attention-deficit/hyperactivity disorder (11.4%), and, for adults, the 3 most common diagnoses in antipsychotic visits without an FDA indication were anxiety disorder not otherwise specified (17.7%), depression not otherwise specified (10.9%), and bipolar disorder not otherwise specified (10.3%) (data not shown).
An evaluation by physician specialty revealed that, compared with visits to psychiatrists, visits to nonpsychiatrist physicians by youths and adults that included antipsychotic medications were more likely not to include a mental disorder diagnosis. As a result, antipsychotic visits to psychiatrists were far more likely than those to nonpsychiatrists to include several specific mental disorder diagnoses. For example, a significantly larger percentage of youth and adult visits to psychiatrists than nonpsychiatrists included a bipolar diagnosis. As compared with antipsychotic visits to psychiatrists, antipsychotic visits to nonpsychiatrists were also significantly less likely to be for an FDA-approved indication. Only a small minority of youth and adult antipsychotic visits to nonpsychiatrists included an FDA-approved indicated diagnosis (Table 6).
The frequency distribution of antipsychotic medications varied across the 3 age groups (2005-2009). Among adult antipsychotic visits, the most commonly prescribed drugs were quetiapine (32.6%) followed by risperidone (16.9%), olanzapine (15.2%), and aripiprazole (13.8%). For adolescent visits, aripiprazole (29.0%), quetiapine (26.8%), risperidone (23.0%), and olanzapine (9.3%) were the 4 most common medications. Among child antipsychotic visits, the most commonly prescribed drugs were risperidone (42.1%), aripiprazole (28.0%), quetiapine (19.2%), and olanzapine (4.4%). First-generation antipsychotics represented a greater proportion of adult (11.9%) than child (1.3%) or adolescent (1.8%) antipsychotic medications (data not shown).
Antipsychotic treatment in office-based practice has increased for children, adolescents, and adults. Compared with children and adolescents, adults make a substantially larger number of per capita office-based visits that include antipsychotic prescriptions. Increasing antipsychotic use by adults has also been reported from several other industrialized countries, although trends among youths have not been studied outside the United States.38 When considered in the narrower context of US office-based care, antipsychotic treatment has increased more rapidly among youths than adults. By 2005-2009, antipsychotics were prescribed in roughly equal proportions of youth and adult visits to psychiatrists. Yet important differences exist in antipsychotic use across age groups. Although antipsychotic treatment of adults is concentrated among female patients and patients diagnosed with bipolar disorder, depression, or schizophrenia, antipsychotic treatment of children and adolescents predominantly involves male patients and is common among patients with disruptive behavior disorders.
Most of the youth and adult antipsychotic visits did not include a diagnosis for which the antipsychotic had FDA approval for the patient age group. The strength of evidence supporting efficacy for these "off-label" conditions varies considerably across psychiatric disorders and individual antipsychotics.18 Almost two-thirds of child antipsychotic visits in 2005-2009 included a disruptive behavior disorder diagnosis, and there are currently no FDA-approved medications for the treatment of disruptive disorders. Across all child visits during this period, risperidone was by far the most commonly prescribed antipsychotic. Uncertainty surrounds the appropriate role of risperidone and other antipsychotic medications in the management of disruptive behavior disorders. Although some have urged greater caution in the treatment of disruptive behavior disorders with antipsychotic medications given their uncertain effects on cognitive, social, and physical development,39 others note that risperidone tends to be well tolerated and beneficial for conduct disorder and other disruptive behavior disorders, particularly when there are problematic aggressive behaviors.40,41 Randomized clinical trials provide evidence of efficacy in the treatment of aggressive youths with subaverage intelligence,41- 43 although discontinuation related to lack of continued efficacy may be considerable over the longer term.43
Antipsychotic treatment in youth mood disorder visits increased especially rapidly during the study period. By 2005-2009, youth mood disorders visits, which were mostly for bipolar disorder, were more likely than their adult counterparts to include an antipsychotic medication. This pattern is consistent with pooled analyses indicating that the effect size of antipsychotics for bipolar mania, especially compared with mood stabilizers, is larger for youths than adults.44 The trend in the prescribing of antipsychotics to youths occurred within the context of a dramatic increase in the clinical diagnoses of bipolar disorder among young people.11,45 Concern exists, however, over the accuracy of community diagnoses of bipolar disorder in children and adolescents.46,47
A greater proportion of adult antipsychotic visits than child or adolescent antipsychotic visits do not include a diagnosed mental disorder. This is largely attributable to the proportionately greater role of nonpsychiatrist physicians in the treatment of adults with antipsychotics than in the treatment of young people. Nearly all of the adult antipsychotic visits without mental disorder diagnoses were provided by nonpsychiatrist physicians. Primary care physicians and other nonpsychiatrists sometimes deliberately mask their patients' mental health problems to minimize stigma, to prevent adverse legal or occupational consequences associated with seeking mental health treatment,48 or to capture more health plan benefits than would be available by providing mental health treatment.49 Because patient and physician identities are protected in the NAMCS, however, deliberately withholding mental disorder diagnoses from the survey data is unlikely to be widespread. The considerable degree to which antipsychotics are prescribed to adults and, to a lesser extent, young people without concomitant psychiatric diagnoses calls for further examination. It is possible that some of these patients have been treated with antipsychotic medications for an extended period of time and that, at the time of the survey visit, they were experiencing few psychiatric symptoms. Because the survey form captures only up to 3 diagnoses per visit, it may also not enumerate all mental disorder diagnoses. Alternatively, some physicians may prescribe quetiapine or other antipsychotics for insomnia,50 agitation,51 or other symptoms that do not rise to the threshold of a mental disorder.
Research on racial/ethnic variation in antipsychotic treatment has largely, but not exclusively,52 focused on patients with schizophrenia53- 56 or bipolar disorder.57,58 The present findings offer a somewhat broader perspective on trends in antipsychotic use by white and nonwhite patients. Nonwhite adults stand out from the other age-racial/ethnic groups as not experiencing a significant increase in antipsychotic treatment during the study period. This pattern is consistent with evidence that adult African Americans and Hispanics are less likely than white adults to find psychotropic medications acceptable.59,60 The roughly parallel increase in antipsychotic use among nonwhite youths and white youths during the study period is broadly consistent with research indicating that the race/ethnicity of adults is not strongly related to their willingness to give psychiatric medications to their children.61,62
Several factors may account for the increase in antipsychotic treatment within office-based practice. One factor may be the availability of new antipsychotics, including olanzapine (1997), quetiapine (1997), ziprasidone hydrochloride (2001), aripiprazole (2002), and paliperidone (2006), during the study period. Food and Drug Administration approval of antipsychotics to treat bipolar disorder, schizophrenia, and irritability associated with autistic disorder in youths, as well as various FDA approvals of adult indications, may also contribute to the increase in antipsychotic treatment. Clinical trials40 and clinical practice guidelines63 supporting antipsychotic use for youths outside of FDA-approved indications may have encouraged antipsychotic treatment of young people. The previously mentioned increase in the community diagnosis of bipolar disorder in young people, as well as increasing diagnosis of autism spectrum disorders,64,65 may have also played a role. Furthermore, lower rates of acute and chronic extrapyramidal adverse effects with second-generation antipsychotics compared with first-generation antipsychotics66 may also have increased the general ease of prescribing antipsychotics to vulnerable pediatric patients, even despite generally greater weight gain and metabolic risk with the newer agents.9,17 The proliferation of behavioral managed care67 and the attendant limitations on psychotherapy reimbursement68 may further shift practice toward psychopharmacological management.69 Cultural factors may also be at work, including a lessening of the stigma associated with mental health care, which is especially pronounced among young adults,70 and greater public acceptance of psychotropic medications.60 Pharmaceutical marketing,71 including the promotion of off-label use,72 likely also contributes to community antipsychotic prescribing practices. Finally, some patients may respond but not remit to evidence-based treatments, and, as a result, physicians endeavor to achieve remission by using antipsychotics as an adjunctive treatment.73,74
These analyses have several important limitations. First, the NAMCS samples visits rather than patients. Because an unknown quantity of patient duplication occurs and because patients may make several visits to several physicians each year, it is not possible to derive from the survey data an estimate of the number of unique people who are treated in office-based practice with antipsychotic medications each year. However, because each physician is randomly assigned to 1 of 52 weeks in the survey year, this duplication is likely to have only a limited effect on national estimates of unduplicated visits. Second, diagnoses in the NAMCS are based on the independent judgment of the treating physician, rather than research diagnostic interviews. Some primary care physicians may rely on diagnoses made by psychiatrists or other mental health specialists. Third, information is not available concerning dosages and duration of the antipsychotic medications. Dosages of antipsychotics for youths with disruptive behavioral disorders are likely to be considerably lower than that for youths with schizophrenia and other psychotic disorders.75 In addition, some patients with FDA-indicated disorders may receive subtherapeutic antipsychotic doses.76 Fourth, physician nonresponse may have biased the observed pattern of antipsychotic prescribing. Fifth, sample size limitations constrain efforts to evaluate the independence of associations between patient characteristics and provision of antipsychotic treatment. Sixth, since 2009, several developments, such as the approval of new antipsychotics (including asenapine [2009], lurasidone [2010], and iloperidone [2010]), labeling revisions strengthening the metabolic risk section regarding hyperglycemia and diabetes, dyslipidemia, and weight gain, and new practice guidelines,77 may have influenced antipsychotic prescribing patterns. Finally, the sample is restricted to office-based visits and therefore does not capture visits to community mental health centers, hospital outpatient clinics, or various other outpatient settings, nor does it capture visits to inpatient settings where mental health care is provided. In 2009, for example, there were approximately 54.8 million total antipsychotic prescriptions in the United States,78 of which approximately 18.9 million (34.5%) were from office-based settings included in the NAMCS scope. For these reasons, the population-based results should not be interpreted as representing population-wide antipsychotic use.
In summary, over a 17-year period, antipsychotic medications became more commonly used in office-based practice. The increase, which has been broad-based, has been especially concentrated among children and adolescents, particularly among youths diagnosed with mood disorders and those treated by nonpsychiatrist physicians. A substantial majority of child antipsychotic visits are for young people diagnosed with disruptive behavior disorders. In light of known safety concerns and uncertainty over long-term risks and benefits, these trends may signal a need to reevaluate clinical practice patterns and strengthen efforts to educate physicians, especially primary care physicians, concerning the known safety and efficacy of antipsychotic medications. At the same time, a new generation of clinical trials is needed to evaluate the safety and efficacy of antipsychotic medications in conditions for which they are commonly prescribed but for which the evidence base remains underdeveloped.
Correspondence: Mark Olfson, MD, MPH, Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY (firstname.lastname@example.com).
Submitted for Publication: November 17, 2011; final revision received March 12, 2012; accepted April 25, 2012.
Published Online: August 6, 2012. doi:10.1001 /archgenpsychiatry.2012.647
Author Contributions: Dr Wang had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Financial Disclosure: Dr Olfson reports that he has worked on grants to Columbia University from Eli Lilly and Bristol-Myers Squibb. Dr Correll reports that he has been a consultant and/or advisor to or has received honoraria from Actelion, Alexza, AstraZeneca, Biotis, Boehringer-Ingelheim, Bristol-Myers Squibb, Cephalon, Desitin, Eli Lilly, GlaxoSmithKline, IntraCellular Therapies, Lundbeck, Medavante, Medicure, Medscape, Merck, Novartis, Ortho-McNeill/Janssen/Johnson & Johnson, Otsuka, Pfizer, ProPhase, Schering-Plough, Sepracor/Sunovion, Supernus, Takeda, Teva, and Vanda. He has received grant support from Bristol-Myers Squibb, the Feinstein Institute for Medical Research, Janssen/Johnson & Johnson, the National Institute of Mental Health, the National Alliance for Research in Schizophrenia and Depression, and Otsuka.
Funding/Support: This research was funded by Agency for Healthcare Research and Quality grant U18 HS021112 (Dr Olfson), National Institute on Drug Abuse grant DA023200 (Dr Blanco), and National Institute of Mental Health grant MH076051 (Dr Blanco). Drs Olfson and Blanco are also supported by the New York State Psychiatric Institute.
Role of the Sponsors: The sponsors did not participate in the design and conduct of the study; in the collection, management, analysis, and interpretation of the data; or in the preparation or approval of the manuscript.
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Olfson M, Blanco C, Liu SM, Wang S, Correll CU. National trends in the office-based treatment of children, adolescents, and adults with antipsychotics.. Arch Gen Psychiatry.. Published online August 6, 2012. doi:10.1001/archgenpsychiatry.2012.647.
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Should USA's Jason Brown cut or keep his ponytail? Your thoughts?
Keep it!
Cut it!
Should USA's Jason Brown cut or keep his ponytail? Your thoughts?
It's very unorthodox and usually if something is unorthodox it will go. Like Rippon's curls went but they did come back.
I remember when Morozov had Rippon's curls straightened.
It's the skating that counts, but appearances do make fans and some judges twinge.
Joubert's sail costume for Christofer Columbus
Weir's busy sequins and beads
I would prefer ALL skaters to wear black skirts for females, and black trousers for males, with black sweaters and white dickies underneath. Oh dear, the response from the female fans would be overwhelming. Figure Skating would lose its pagaent-like form of sport.
It's up to Jason. I'm sure he will cut it at some time in the future for a new look. Meanwhile, I'll keep to the skating.
I'd let Jason make his own decision, but if he's having trouble rotating his 3A, an extra asymmetrical pound or two of hair whipping around is probably not the world's best idea. It wouldn't make a huge difference, but I'd probably cut it off for now.
This is true, but it isn't what he does.
Depends on why he wants to cut it. Don't do it because other people want him to. But if he wants a new image for himself, as a skater and a person, and having a haircut is part of that revamp, then it's worth doing.
I think he should keep it for now. It is his trademark and while he may not be a household name yet people that catch glimpse of him skating will say, hei I like the kid with the pony tail.
Oh, keep it ! Save the scissors for a day when you really feel you need a change . Everybody gets one of those sooner or later.Then something like that can be a hugely reinvigorating .
He certainly never medalled in seniors. He was generally dead last.
Since Jason doesn't have any strong personal inclination to cut it, he should make it a career strategy: Keep the pony tail as a trade mark and cut it when he needs a publicity boost and when his hair change would actually make news.
As for the hair, I agree with the poster above that he should only cut it if he wants to, and not because others want him to.
Last edited by MoonlightSkater; 07-11-2011 at 01:24 PM.