text:
Stretching: The Truth
I'm planning on a series of articles to update our readers on some of the current concepts in pitcher related injuries and diagnoses that most fans have not heard much about.
We've all had our fill of reading about pitchers with rotator cuff and glenoid labrum tears. There are some interesting trends in sportsmedicine that have lead to changes in exercise programs throughout the majors and minors in an attempt to protect pitchers from a cascade of preventable injuries most fans don't know about.
Diagnoses such as:
•GIRD: (Glenohumeral Internal Rotation Deficit...not to be confused with the stomach malady also known as GERD which Cubs fans get from watching too many losses). Pitching (both cocking phase and deceleration phase) leading to a tight or thickened posterior shoulder capsular ligament plus a loose anterior capsule and loss of internal rotation of the shoulder. Extra external rotation of the shoulder develops at the expense of internal rotation.
•Scapular Dyskinesia: Shoulder blade weakness with altered kinematics.
•Internal Impingement: Thought to be related to posterior shoulder contracture from GIRD with subsequent instability of the shoulder as the humeral head (ball of the shoulder joint) which shifts back/posteriorly and upward/superiorly). This is a different entity from subacromial or rotator cuff impingement which is more common and typically occurs from friction outside the shoulder joint.
...and finally connecting the dots, sorting out how the the injured or weakened shoulder (scapula) leads to severe strain on the elbow and tearing of the Ulnar Collateral Ligament (aka the Tommy John injury).
My attention to this topic started last summer, when I heard a remarkable interview on XM radio with renown Orthopedic Surgeon, Dr. Craig D. Morgan with hosts Jim Memolo and Rob Dibble. The focus of the interview was Stephen Strasburg's shoulder tightness and the subsequent ulnar collateral ligament elbow injury that lead to "Tommy John" reconstruction of that ligament last summer. Dr. Morgan said that he had predicted elbow problems in Strasburg by watching the way he held his shoulder.
More on how the arm bone is connected to the...after the jump.
Strasburg went on the DL July 29th last season for "shoulder inflammation and tightness." He reported right shoulder stiffness that wouldn't loosen up during his warmups on July 28. Strasburg threw just eight warmup pitches and then he was shut down.
When he went on the DL for his shoulder there was a flurry of quotes about how careful the Nats were going to be about Strasburg but at least one knowledgable person threw out a red flag even as the Nationals publicly stated that all was well and they were just being cautious:
An MRI exam taken Tuesday showed Strasburg's shoulder is "totally clean," general manager Mike Rizzo said. He's been shut down since Tuesday, resting his shoulder and getting treatment.
The Nationals have said they would end Strasburg's season when he
reaches 160 innings between the majors and minors, even if that cap were
to come in late August or early September.
White Sox Pitching Guru, Don Cooper, publically voiced his observations and concerns about Strasburg and mentioned a few ghosts from the past (also reported by ESPN and in a more detailed piece in the Washington Post), all as counterpoint to what the Nationals staff publicly said:
As he (Strasburg) loads the baseball, his elbows raise higher than
his shoulders -- forming what pitching coaches call an inverted W -- and
the back of his shoulders pinch toward one another in the "scap
loading" portion of the delivery. Such a delivery, some pitching coaches
believe, puts him at greater risk of shoulder fatigue.
Cooper called it "an upside-down arm action." One major league pitching coach
years ago told me about the exact same concern about Mark Prior -- before Prior broke down.
"The real concern is what I call an upside-down arm action," Cooper told
Sirius in the interview... Cooper compared Strasburg's issues to the
ones that disrupted the careers of former Chicago Cubs pitchers Mark Prior and Kerry Wood.
"He does something with his arm action that is difficult, in my mind, to pitch a whole lot of innings on."
What Don Cooper may have been describing could be attributed to the diagnosis Internal Impingement from posterior capsular tightening from GIRD and subsequent scapular weakness.
Strasburg was activated from the DL after 2 weeks, on August 10th.
Dr. Morgan's interview seemed like he was prescient. In fact, he's one of the leading orthopedic surgeons that have blazed the trail for almost two decades on the detective work that has lead to some of the important and relatively new concepts on shoulder and elbow injuries that are just getting better understood in the last few years. Dr. Morgan was attending the game in Philadelphia where Strasburg blew out his elbow ligament in the 5th inning on August 21st.
When I watched Strasburg pitch I told my wife in the first inning ... I told my wife he would be on an operating table within a week. Was I wrong?"
"I could see that his right shoulder was down compared to his right (probably a misquote and should be "compared to his left"), which means he has muscle weakness. That's the No. 1 cause of the Tommy John ligament injuries. It's all preventable."
"All elbow problems originate from the shoulder," Morgan told MLB.com
In a nutshell, Dr. Morgan's observation that Strasburg's shoulder action upon coming off of the DL showed weakness would fall into the category of what is being called Scapular Dyskinesia (the absolute experts on this are Drs. Kibler, Burkhart and Morgan). Although additional factors can make the situation more complex, the weakness often comes as a secondary phenomon from loss of internal rotation (GIRD) because it's the opposite rotational direction that pitchers need to gain velocity (external rotation which can develop in several ways including bone adaptation during growth known as humeral retroversion) but that increased external rotation (where a pitcher archs his shoulder back to cock his arm) often comes at a price. The loss of internal rotation (thought to be related to thickening of the posterior shoulder joint capsule) leads to some adverse compensatory shoulder and trunk muscle actions including forward scapular (shoulder blade) posture.
So when we hear that a pitcher is dropping his arm slot or has altered his follow-through, it should be a big red flag. I certainly recall those concerns being voiced at times regarding Carlos Zambrano. Subsequent elbow problems can develop because of the altered slot might be related to scapular weakness and GIRD (so an MRI not showing a rotator cuff or labral tear is good news but just might not be the end point of what they should be focusing on).
Many of the MLB teams throughout their minor league systems have instituted preventative exercises to keep pitchers from losing internal rotation. The one exercise in these programs is best known as the "sleeper stretch". A study by Dr. Lintner of the Astros from 2007 looking at 85 professional pitchers in their organization showed that the group on the stretching program after 3 years showed the most gains in internal rotation, so it's not a short term solution but more of a philosophical and organizational adaptation. In the XM interview that I referred to with Dr. Morgan, he mentioned that he has data that the internal rotation and scapular strengthening exercises have dramatically decreased the number of pitching injuries in one or two organizations that he's working with, after a three year period from when they were instituted.
I plan on following up this introduction to the topic with a series that will go into more detail on the individual diagnoses including info from articles from the orthopedic surgeons that have done some of the heavy lifting on this knowledge. The relevant literature includes articles from team orthopedic surgeons from the Astros (Dr. Lintner, who one of my partners, Dr. Sunil Dedhia, did his sportsmedicine fellowship with), Rays (Dr. Andrews), Rangers (Dr. Meister), Rockies (Dr. Noonan), Diamondbacks (Dr. Lee), Angels/A's (Dr. Yokum) and several other clubs. I'm hoping to get an interview out of one of the Cubs trainers at the major or minor league level as I get farther into this process.
Here's a link to a listing of the orthopedic surgeons associated with individual MLB teams.
Did I forget to mention the Rob Dibble lost his broadcasting job as color analyst with the Nationals over his comments on Strasburg? Talk about how deeply ingrained old school thinking is, coming from a 1990's pitcher who's relief pitching career was cut also short by injury to his pitching arm. It's all about advancing the understanding of anatomy and pathologic conditions and then getting the correlating hypothesis proved by analysis of data. Thank you Dr. Morgan. Back in Rob Dibble's day, which isn't all that long ago, pitchers did have to suck it up until their arms fell off, and about all that doctors could offer back then was cortisone and duct tape (former Cubs from Ernie Broglio to Chad Fox say "hello").
Rob Dibble:
"So for me, a little bit has to be put back on Strasburg here," Dibble said.
"OK, you throw a pitch, it bothers your arm, and you immediately call
out the manager and the trainer? Suck it up, kid. This is your
profession. You chose to be a baseball player. You can't have the
cavalry come in and save your butt every time you feel a little stiff
shoulder, sore elbow. ... Stop crying, go out there and pitch. Period."
We all know "there's no crying in baseball", but clearly there have been major medical advances here. The beauty of this topic though is that the advances are more about correct stretching techniques and (hopefully) less about surgery.
So it seems that Mark Prior and Kerry Wood might have had Hall of Fame careers had medical research been twenty years ahead of their time. Just another case of Cubbery.
Next stop...GIRD (Glenohumeral Internal Rotation Defecit). Pre-test (pop quiz) included in this link.
Re: Stretching: The Truth
I'd really be leery of anyone who conducts their own research on their own experiment and proclaims it a success. At a very basic level, a organization that looks to bring in a guy to keep their pitchers healthier, may already be shying away from drafting pitchers with more violent motions.
Great stuff so far, really cannot wait to read more.
Tommy John, from what I can continued to do the same bad things with his motion that he did early in his career.
And we have a picture on of Gorz there, who has a "good" arm action, but he's already had shoulder issues. http://www.google.com/imgres?imgurl=http://ww...
Let me add some other guys of Cub's interested on the Inverted W.
Cashner is a no http://www.google.com/imgres?imgurl=http://cd...
Simpson looks like a no:
or maybe a yes.. http://mlb.mlb.com/video/play.jsp?content_id=...
Chris Carpenter, now at least looks OK:
Jay Jackson no:
McNutt looks like an inverted W late in the season... maybe that explains his extra 4 MPH
Marmol is borderline, and passes the "Chris Oleary" test.
Matt Garza looks OK
Austin Kirk looks fine:
Re: Stretching: The Truth
Fantastic post, Doc. Good job!
Re: Stretching: The Truth
managed to find the time to get through it just now...agreed, good stuff.
Re: Stretching: The Truth
Good stuff Doc
Re: Stretching: The Truth
found this photo that shows what Don Cooper was thinking of
anyone know what's the difference between an "M" and an inverted-"W" ? I think it's Gotta be an elbow joke but I'm open to suggestions.
(insert punch line here)
Re: Stretching: The Truth
I couldn't come up with a punchline, though one person did refer to it as an M. a
Anyway, this shot should put to rest the theory of the superiority of the W shoulder loading for any Cubs fan.
Re: Stretching: The Truth
Submitted by Cubster on Sat, 01/22/2011 - 4:52pm.
anyone know what's the difference between an "M" and an inverted-"W" ?
CUBSTER: It might have something to do with this.
Re: Stretching: The Truth
Strasburg pics added to the article demonstrating Inverted "W"
Re: Stretching: The Truth
Rob: with Carl Pavano signing with Minnesota, the TCR free agent frenzy for 2011 should be ready for a final update.
(not expecting to have done well and I forgot most of my picks except for KW).
Tomorrow in addition to important football is only 3 weeks to pitchers and catchers reporting date.
Re: Stretching: The Truth
What's your opinion on Peavey?
Sox are reporting he's throwing off the mound now.
Do you think they are kidding themselves or he will come back but not be the same pitcher?
Re: Stretching: The Truth
Peavy's injury is unique among pitchers as he completely avulsed the latissimus dorsi off it's upper humeral attachment. It was repaired using a technique that is fairly similar to what is currently used to repair a proximal or distal biceps tendon rupture. The Lat Dorsi's tendon attachment is a bit different shape (it is broad and flat rather than round like the biceps).
I think Peavy could be as good as new except that he might take much of this season to get the latissimus to be as strong as whatever is normal for him. The lat is mostly involved in deceleration of the arm during follow through. Still he's a medical series of one so this is going to be a case report. Two of these lets the surgeon say: "in my experience" and three or more will make it the definitive series.
If it was Chad Fox, they would have used duct tape and the eternal 60 day DL.
Re: Stretching: The Truth
Fascinating article!
Re: Stretching: The Truth
Great article, Doc. Explained a lot.
Pardon my slowness though, but I still don't have a full grasp of the difference between the internal rotation and external rotation of the arm. Could someone give a more layman's analogy of this, please?
Re: Stretching: The Truth
Could someone give a more layman's analogy of this, please?
I'll try this one with a bit more of the basics...
step 1: If you put your arm straight out at your side (not in front of you) and have it parallel with the floor, then bend your elbow so that it's at a 90 degree angle and have your palm facing down also at the floor (then dance like an Egyptian)
step 2: keep the elbow in the same spot but bring your hand/forearm straight up so that your hand is pointing straight up at the ceiling.
Congratulations! You've just externally rotated your shoulder.
Pitchers typically have extreme external rotation so that they can continue that rotational direction to get their hand way behind their body. The farther their external rotation, the greater their torque on the pitch. Some of that external rotation came from bony adaptation (called retroversion) if they were pitching while still growing. The rest comes from stretching the shoulder joint capsule, so the capsule laxity lets them achieve greater torque via greater external rotation.
Now back to basics...
step 3: bring your hand/forearm back down (again, don't move your elbow from the initial spot) so that your fingers point at the ground
Woo! **Internal rotation of the shoulder**
Seriously, I often get patients who think they are moving their shoulder when it's really motion from their elbow (or sometimes shoulder blade, when the actual shoulder joint is stiff), so the above instruction is fixing the elbow at a location and getting the humerus/arm to be the moving part but only for rotation (locking or fixing flexion/ext and abduction/adduction). The humerus/arm is half of the shoulder joint. The other half is the glenoid/socket, which is a part of the shoulder blade/scapula but that side of the joint doesn't move as much because it's closer to the body (it does move though). Bringing your arm out at your side (with respect to the shoulder) is called abduction and across your body direction is called adduction. Bringing your arm out in front of you is called forward flexion, with the opposite direction extension.
The medical version of 6 degrees of freedom (motion).
Re: Stretching: The Truth
oddly enough, using the rotational components of the 6 degrees of freedom:
yaw would be like a pitcher spinning around to make a throw at second base
roll would be a pitcher doing a cartwheel
pitch is external rotation/internal roation. Awesome! Physics gets one right!
Re: Stretching: The Truth
This blog rocks my socks off. Thanks, Cubster!
Re: Stretching: The Truth
Has there been any evidence linking the towel drill to improvement in pitchers' recovery? On a real note, I worry about the violence in Marmol's delivery. I'm wondering if it portends major surgery in the foreseeable future. I've also wondered whether surgery to young minor league pitching prospects are a strong indication of future disabling injuries. I'm thinking of Guzman, Brownlie and Johnson.
Re: Stretching: The Truth
Maybe. It hasn't been a problem for him up to this point.
Da Coach
Re: Stretching: The Truth
DeRosa update from a SF online paper
Truth is, the Giants are pinning some hope (plus $6 million) on a hitter who turns 36 in February and has not taken an ordinary swing since June 30, 2009.
Re: Stretching: The Truth
Go Bears!!
SFW, maybe not in front of your wife though
Re: Stretching: The Truth
Nice drive, Jay. Starts at the five yard line and ends at the two yard line. Facepalm
Re: Stretching: The Truth
I pick on Jay, but it's not like anyone else on the team appears to want to play football today, either.
Re: Stretching: The Truth
This is by no means Jay Cutler's fault. Green Bay is just better on both sides of the ball. They should win the Super Bowl.
Todd Collins, by far, is the WORST backup QB in the league.
Jerry Angelo should be fired for this alone. THE most important position and they do not have a decent backup.
Any slim chance of the Bears winning are now gone.
It is over I am sad to say.
Re: Stretching: The Truth
Some of it's cutler's fault, like missing a wide open Hester on the first drive
Re: Stretching: The Truth
Had you been listening to the flagship where tom theyer and jeff joniak stated Hester stopped on the route, you might think differently.
And, the Bears did not "have their asses kicked", but were in tje game until the last minute with their number 3 QB who hasn't seen any action this year.
What a surprise no one visits your Bears blog, lol.
Re: Stretching: The Truth
What a surprise that you can still be a clueless dick sometimes, but let me put an lol at the end so it doesn't seem so offensive
Re: Stretching: The Truth
Yes I am a clueless dick watching Chicago Bear games from my comfy chair in LA or Anaheim.
You have heard of the internet, right, where you could listen to many more Chicago stations, including WBBM, and get myriad Chicago resources?
You are the one who said the Bears would "get their asses kicked..." and put a smiley face after the quote so you could "soften the blow" for all of us.
The Pack's offense did not score a point in the second half, Mr. Bear Truth. Clueless? Maybe you are.
No matter. They lost. Its over, and now we get to move on the Project .500.
Re: Stretching: The Truth
I've heard of the Internet, it's where I meet such charming mindless folks like you.
I thought the packers were the better team going in, but I thought it would be a close game. Doesn't take wbbm radio to tell me that.
Got too busy working and raising my kids for bear truth. Not gonna get readers if you don't write. Considering the $1 i made off it a month, not a big loss.
Re: Stretching: The Truth
"And, the Bears did not "have their asses kicked", but were in tje game until the last minute with their number 3 QB who hasn't seen any action this year."
The scoreboard says the Bears did alright until the end, but my eyes told a different story. The Bears couldn't get shit going. On the other side, the Packers made plays all over the field.
This game was downright embarrassing.
Re: Stretching: The Truth
Hester did stop on the route, but it was still overthrown.
Re: Stretching: The Truth
Depends... it probably isn't overthrown if Hester actually ran a corner route rather than an out. We probably won't know who was at fault on that play.
Cutler didn't play well. He made some pretty bad throws. But he sure wasn't helped out by his receivers or his offensive line either.
Re: Stretching: The Truth
The way I saw it, even if Hester had run full speed, he still would've have gotten to it. Had the ball been thrown better, not an issue. But I'm not a Jay hater, just pointing out that I think in this case, both points are true. Hester stopped, but the ball wasn't thrown well.
Re: Stretching: The Truth
that was my take as well...
if a guy is that open, I think you just have to make sure you hit him and not try to make the perfect pass. It sure didn't look like a timing play to me.
Re: Stretching: The Truth
When you expect a guy to run a certain route, you throw the ball where he should be within that route. I have seen/heard several people say that they thought that Hester ran the wrong route.
We'll probably never know.
Re: Stretching: The Truth
Basing on he's been a WR for 3 years in his WHOLE CAREER and when Jay's been calling time outs this season at the line is because Hester is out of place, I'm going to blame Jay and the inventor of the forward pass.
Re: Stretching: The Truth
Cutler had a crap game.
However, Mike Martz' play calling was awful. Let's abandon the pass completely and just run Forte every play. That's pretty much what it seemed like for most of the day, even before Cutler got a boo-boo.
Re: Stretching: The Truth
Martz was channelling Micheal Barrett?
Re: Stretching: The Truth
Re: Stretching: The Truth
and I guess Rodgers made "three stupid mistakes" too?
Re: Stretching: The Truth
Actually... he made a least a couple. And Cutler actually didn't make many (if any?) stupid decisions. He made some bad throws, but didn't make many stupid decisions.
Re: Stretching: The Truth
You must have been listening on WBBM instead of watching as well.
Any time you stand in the pocket of an NFL game for six seconds, it's a bad decision.
Putting your head down and running the ball for .5 yards on 3 and 10 when you need five yards for a field goal is a stupid decision.
Trying to throw an inside screen to your covered RB when someone has a hand on you is a poor decision.
You're incapable of being objective.
Even eagle eying the game for Rodgers mistakes - other than the Ulracher pick, what were Rodger's stupid decisions?
The fact that the third string guy gave the Bears the best chance to win, is really the only indictment of Culter you need.
Re: Stretching: The Truth
So even if no one is open, there's nowhere to run, you must never stay in the pocket for 6 seconds. This is an absolute in football!!!!
Was there someone open on that run that should have been a fg attempt?
Hanie gave up a pick 6 and then got a soft defense to score an easy td and teams don't game plan much for 3rd stringers. He got a little lucky and did the best you could expect from him.
I wouldn't going calling yourself objective about Cutler. He wasn't playing well, but a lot of the shit you call out is rather absurd
Re: Stretching: The Truth
"So even if no one is open, there's nowhere to run, you must never stay in the pocket for 6 seconds. This is an absolute in football!!!!"
It turns out, what quarterbacks can do is throw the football.
"Was there someone open on that run that should have been a fg attempt?"
Unless you were at the game, there's no way to be certain, since they never actually showed the play downfield, but he got tackled by two guys who presumably weren't just playing QB spy, so yeah, most likely someone was open.
"Hanie gave up a pick 6 and then got a soft defense to score an easy td and teams don't game plan much for 3rd stringers."
Hanie got a pick 6 on an exotic defensive play, that's damned hard to prepare for as a third stringer. Had Cutler been as accurate as Hanie when he was in, the Bears propbably win the game.
Re: Stretching: The Truth
It turns out, what quarterbacks can do is throw the football.
quite the circuitous logic test you've installed here. If Cutler forces a throw, it's a stupid decision, but if he holds on to the ball because no one is open, it's a stupid decision. His other option is run the ball, but apparently he shouldn't do that either unless he's sure to get the right amount of yards on the play or there are magical open receivers that he should have hit perfectly in stride on 95% of his throws.
I'm not sure what Hanie needed to prepare for on the pick 6, a color blind test? Guy in yellow helmet in front of receiver, don't throw. Not like the 350 pounder came out of nowhere on that one.
Re: Stretching: The Truth
Zone blitz + 3rd string QB= problems.
Re: Stretching: The Truth
as I said, he did as good as you could expect from him.
Re: Stretching: The Truth
You missed the game, and obviously the 12000 previous NFL games. You can throw the ball, and not have a pick and not throw it to a receiver - it's called "throwing it away". Hanie did the exact same thing in the 4th quarter.
Re: Stretching: The Truth
Sometimes a sack is the best option.
Re: Stretching: The Truth
I saw two of those by Hanie, one got called for intentional grounding.
Re: Stretching: The Truth
Which is the same as a sack, without the fumble, right?
Re: Stretching: The Truth
21 days 'till pitchers & catchers report
Re: Stretching: The Truth
Thank you!
Re: Stretching: The Truth
I guess if the Bears can go 11-5 and actually make it close in the NFC championship, maybe I can hope for something better than Project .500 after all. Considering I had the Bears at about 5-11 this year, I guess anything is possible.
Re: Stretching: The Truth
And Hendry becomes the second worst GM in Chicago.
Re: Stretching: The Truth
Has Hendry had two different teams make to the "semi-finals?"
Has any other GM in Chicago other than Kenny Williams?
Re: Stretching: The Truth
he has one more, but just as many playoff berths and it's harder to get in MLB.
You really defending Jerry Angelo?
Re: Stretching: The Truth
I don't love the guy. I don't hate the guy. I feel the same about Hendry.
Re: Stretching: The Truth
When the Cubs get to play 70 win teams at home for all of the games in a best of five playoff series, this becomes a valid point.
Re: Stretching: The Truth
Jay Cutler is nothing more than a slightly-more-talented (and much more highly paid) version of Rex Grossman. With a shitty attitude and a track record as a quitter to boot. There, I said it. Fuck him.
Urlacher on the other hand keeps the tradition alive, he kept the team in the game damn-near single-handed.
All in all, a bitter disappointment. To the goddamn Pack. The only possible worse thing for me as a sports fan would be the Cardinals beating the Cubs in an NLCS. Painful day.
Re: Stretching: The Truth
You forgot that Grossman only cost the Cubs one first round draft pick.
The other thing that really stands out about Cutler is his inability to hit players moving laterally. He's pretty good (today aside) on vertical throws, but can anyone remember him hitting a receiver in stride who was moving across the field?
Re: Stretching: The Truth
Yes, I feel I've seen that a lot. Can't imagine he'd be over 60% if he couldn't, Mr. Objective.
Re: Stretching: The Truth
I mean in stride. Yeah he can hit them, when they have to stop to catch the ball.
Re: Stretching: The Truth
Yes, when they don't drop the pass.
Re: Stretching: The Truth
Happened last week against Seattle. Threw across the field and nailed the receiver in stride. Don't remember who the guy was though.
This game was lost in the trenches, like it usually is in pro football games. Bears couldn't stop Raji, Peppers was an afterthought. Although, again, he was held a lot. I guess refs in today's game just don't call holding penalties on the line much anymore. But all three QBs were rushed.
That said, Cutler played like shit. And if they don't cut Collins today they're turds.
Re: Stretching: The Truth
Yes... he actually did that a couple of times yesterday. And you are asking me if I watched the game?
Re: Stretching: The Truth
Folks questioning cutler's injury, teammates supporting rather vehemently
Re: Stretching: The Truth
Re: Stretching: The Truth
That is a bunch of bullshit.
Not one of those players knows what happened to Cutler's knee.
As Rob said above, Cutler didn't play very well. He was uncharacteristically inaccurate. But he didn't really make bad decisions. And to question his toughness because he got hurt is simply absurd.
Re: Stretching: The Truth
There's an informed group...might as well make a story out of the comments on TCR.
Considering urlacher had no problems calling out cutler in the past and If he "quit" in the biggest game of the year, I would think urlacher wouldn't go to such great lengths to defend him.
Re: Stretching: The Truth
Every media outlet has been taking pot shots at Cutler all year.
No suprise it's open season on him yesterday by players.
Jay doesn't show emotion, Jay is not having fun, Jay doesn't answer questions.
I'll take that every day as he improves and wins games. You want all that emotional bs go look to Favre, Rapensberger and Vick.
Re: Stretching: The Truth
I read this over at Desipio:
What he needs to do, apparently, is go the full Favre. When he was in for that first possession of the third, and he realized that his bad knee wasn't going to allow him to back up or step into his throws he needed to crumple to the ground and force the training staff to carry him to the sidelines.
Re: Stretching: The Truth
What he fucking needs to do, fucking apparently, is go the full fucking Favre. When he was fucking in for that first fucking possession of the third, and he fucking realized that his fucking bad knee wasn't going to fucking allow him to back the fuck up or fucking step into his fucking throws he fucking needed to fucking crumple to the fucking ground and fucking force the fucking training staff to fucking carry him to the fucking sidelines. *insert 10 minutes of WOOOOOOO!! and bro-no-homo-chest-bumps*
Re: Stretching: The Truth
Torn MCL for Jay.
McMahon would have hit Gault in stride and still hand off the ball to the greatest running back with that.
Re: Stretching: The Truth
torn MCL for Cutler (not official)
him and that vagina Prior need to start a support group.
Re: Stretching: The Truth
I know this isn't a bears blog but I'd still like to see Dr. Hecht's take on this when more details come out.
Re: Stretching: The Truth
Seriously what was Todd Collins even doing on the roster??? A 5.9 QB rating, with 0 TDs and 5 picks. Oh, yeah...that gives us the best chance to win...
Sigh....c'mon Project .500
Re: Stretching: The Truth
My thoughts exactly. All the attention's been on Cutler and Caleb, but if the Bears had a legit NFL 2nd QB, they might've won yesterday.
Re: Stretching: The Truth
They also wasted their sixth round pick on Dan LeFevour, essentially trading Collins for him on their roster. Better to just have Hanie as your back up and LeFevour as your emergency QB. Hanie threw a couple picks but I thought he actually looked pretty good out there. I'm fine with him as a number two as long as they get rid of Collins.
Re: Stretching: The Truth
It left me wondering... Collins got the ball in pretty good field position both times. What if Hanie just gets those posessions?
Re: Stretching: The Truth
Re: Stretching: The Truth
Isolated MCL's need bracing for about 6 weeks
Any associated injury like a torn meniscus needs to be scoped at some point.
An Associated ACL (Anterior Cruciate) would get reconstructed and put him out till...maybe training camp in July if things went well.
An acute isolated MCL can hurt like hell.
I heard Dan Hampton on wscr this am, said he had an isolated MCL in college and he could barely walk for 2 weeks...but if it happened a 2nd time later in his career, he would have been able to cope with it better. Danimal, he of the gnarly fingers...tape em up doc and put me back in. I think this accusing Cutler of being a wimp is BS. The guy got sacked 9 times vs NYG and was multiply concussed and back in 2 weeks. But the management should have put the decision to pull Cutler on the medical staff rather than letting Cutler get hung out to dry by the media and subsequently the in the moment of emotion by the fans.
I blame the coaching/mgt for being pigheaded and pants'd by the GB coaching/management team.
Re: Stretching: The Truth
Is this BS or can you tell if a MCL is partially torn by examination?
"Citing a source close to the situation, the Chicago Sun-Times reported Monday that the extent of the tear is unknown, but Cutler was scheduled to have an MRI done on the knee."
I've heard of people playing with torn MCL's/ACL's - how painful is it?
Re: Stretching: The Truth
Wimp or not, the Bears were clearly in way over their heads. The better team won.
Re: Stretching: The Truth
Not a grade 3... I would guess things don't go too well in Chicago for Jay from here on out.
Re: Stretching: The Truth
They didn't say what grade it was, neither at the press conference or in that story.
Re: Stretching: The Truth
You don't think they would have called it a "tear" if it was, you know, fully torn?
Re: Stretching: The Truth
What I'm saying is what I said: They didn't specify the grade. So you're making an assumption. You may indeed be correct, I'm just pointing out that you're not basing it on the article you linked to.
Re: Stretching: The Truth
Yes, I am making an assumption that they would use the same nomenclature for a tear that everyone else in the NFL and the sports world uses, in particular when there is some question in the mind of many fans about the severity of the injury. Probably what happened is they amputed the leg yesterday. Good catch.
Re: Stretching: The Truth
Sean Jensen tweeted it's a grade 2 MCL tear. Perhaps you can offer your diagnosis now, Dr. D-Bag.
Re: Stretching: The Truth
Perhaps you can learn to use google, Captain Blowjob? 2 = 3 now?
Re: Stretching: The Truth
You said it wasn't Grade 3. I said you might be right but that it wasn't in the press conference or the story you posted. I never said that two equals three, was just posting the information (you know, information that actually contained information, not conjecture). But congrats on being right, that's surely what really matters to you.
BTW, speaking of using Google, why don't you find some links about D-Lee abandoning his charity?
Re: Stretching: The Truth
Because people don't you know, adverstise that kind of thing, moron. Don't get all bitchy at me because you don't have the ability to apply logic. Complain to your teachers and your parents.
Re: Stretching: The Truth
"Because people don't you know, adverstise that kind of thing, moron."
Well said.
Also, I posted something about this at the time that you claimed (without proof) that D-Lee abanoned his charity, but he and Buehrle did a wine fundraiser in 2009 for their charities. (And the fundraiser was before the "he abandoned his charity" comment.) D-Lee's 1st Touch Foundation is still working with Project 3000, which works for the condition D-Lee's daughter was initially diagnosed with.
Found on Google.
Re: Stretching: The Truth
"Without a specific grade of strain, it's impossible to know just how significant Cutler's injury is, unless you're Real Neal."
(Last four words not actually in story.)
Re: Stretching: The Truth
a tear is a sprain
Grade 2, 3-4 weeks according to Sun-Times writer
let us listen to Rotoworld for the voice of reason
Bears fans are still angry that Cutler was able to stand on the sidelines and walk around in the second half of Sunday's NFC Championship Game. In fairness to Cutler, the medical staff and coaches made the decision to sit him because he couldn't protect himself.
Re: Stretching: The Truth
Just to be clear - I am in the "I don't care how hurt he was camp" - the offense did better without him.
I was pleased by the decision to put Hanie in over Collins... I just don't understand how the coaching staff couldn't recognize after half a year with Collins what the layman could tell in half a game. Do you give them credit for going to the guy who could actually throw the ball, or ding them for not realizing it?
Re: Stretching: The Truth
"Do you give them credit for going to the guy who could actually throw the ball, or ding them for not realizing it?"
Both. Signing Collins at all seemed like a WTF moment at the time and having him number two even more so. But I credit them for pulling him when they did.
From reading articles it seems like Martz either doesn't like Hanie very much or is obsessed with having a "veteran" available as the number two guy, even if he sucks. And reading between the lines, and not basing it on anything other than that, I get the hunch Smith pulled Collins out and didn't give a shit what Martz thought, the same way Smith pushed Martz to stop the 9 step (or whatever) Cutler drop backs and get the run game into the offense a little more. Not to mention some of those shorter passes into the flat that started happening after the bye week.
I almost wonder if Martz is gonna be here next year. God knows Cutler needs some continuity. No matter what you think of Cutler it's not real helpful for a QB to have a new offensive coordinator every year. Martz has his flaws but he's at least no Ron Turner.
Re: Stretching: The Truth
Is Smith or Martz the asshole who called TO and then called that end around?
Re: Stretching: The Truth
They also were gonna draft J. Starks instead of D. LeFavour they actually
had Starks on the phone when Angelo changed his mind.
Re: Stretching: The Truth
Angelo thought LeFavour was DB and not a QB.
Don't worry Uncle Jerry will take care of all of the Bears' problems this off season.
Re: Stretching: The Truth
Yeah, maybe he'll find a go-to wide out and an offensive lineman like he
did didn't this year.
EDIT: Actually, I guess he did okay with J'Marcus Webb (spelling?).
Re: Stretching: The Truth
Webb is showing improvement, his big o-line pick from a couple years ago was left tackle Williams. He missed most of first year injured, second year they figured out he couldn't play LT and now moved him to left guard.
Re: Stretching: The Truth
He picked Marc Columbo, too, but they got rid of him and he had a couple good years at Dallas. But he got hurt this year I think.
Re: Stretching: The Truth
Marc Columbo had a patellar dislocation that took him about 3 yrs to recover from...thought the Bears lost hope he could recover. Not sure if it was just that the recovery took even more time than they thought or he had better doctoring in Dallas...or the Bears got frightened off by the ghost of Stan Thomas.
Tommy Harris has taken about as much patience as Columbo...will be interesting to see if someone gets something out of him next year.
Re: Stretching: The Truth
James Starks of the Green Bay Packers that is
Bears fans burning Cutler jersey...
Re: Stretching: The Truth
w/ regard to cutler...i'm reading 'the last boy'& the medical case is made @ one point in the book that mantle probably played a couple seasons w/ a torn acl, a torn mcl & a meniscus that wasn't where it was supposed to be after the infamous pratfall on the sprinkler head in the '51 series...he had no surgery of any kind until the 'winter of '53 [& even then the acl wan't addressed] even though a 2nd opinion was sought @ time of original injury from johns hopkins...anecdotes about him doing tricks w/ his floating kneecap for amusement of teammates in the clubhouse...some doc who's portrayed as the father of modern orthopedics referred to his likely injury as the 'unholy trifecta' or something to that effect; other docs who examined all his records say fact he played on was a testament to an incredibly high pain threshhold & also that he was ultimately done in by a skeletal/joint frame that couldn't support his extreme musculature...anyway, not an indictment of jc, but an interesting glimpse of how far orthopedics have come in the last half century & another angle on mantle who, i confess, i'm fascinated by...
Re: Stretching: The Truth
football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football.
football, football football football football football.
football football football football football football football football football football football football football football football football football football football football football football football football football football football football.
football football football!!!!!
football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football football.
PS - in europe they call it "that's not football."
Re: Stretching: The Truth
well that escalated quickly...
Wasn't that an awesome article by Dr. Hecht though?
Re: Stretching: The Truth
i checked in to 70 new comments and thought the cubs signed someone or zambrano got arrested for jay walking or something.
Re: Stretching: The Truth
The best and worst of TCR. Book him, Danno.
Recent comments
good news is now 5 K's for Lester through 4 (in a quest for 200 for season). Bad news is he's already at 86 pitches.
be curious how long Maddon sticks with Lester to try and let offense get back into it and get him the win (4-2 as I type, was 4-0)
Fwiw, he needed 2.1 IP to cross 200 for season so he got that at least. He also needs 9 K's for 200K's on season and he has 4 through 3.
cubs score 2 runs thanks to predictable reds pitching and horrible CIN defense...cubs only down by 1 now. heyward even got a gift 2rbi double out of an easy popout. neat.
something named Ty Blach has outpitched Clayton Kershaw through 6 innings (1-0 Giants).
not that finishing 2nd place will matter much nor did this game, but have to think if Hendricks pitches well tomorrow, he could leapfrog Lester in Cy Young voting. Don't see anyway Scherzer doesn't win it regardless and it doesnt' look like Lester has any incentive clauses that matter. Also might give Cueto some votes.
Rather remarkable how many teams have really good 1-2 options this year.
Nats: Scherzer and Roark (and Strasburg was great before injuries)
Cubs: Lester and Hendricks (and Arrietta is still damn good just not as consistently lately)
pretty much what I'm gathering from this thread is that it doesn't matter who you play in 5-game series, but no one wants to have to deal with Cardinal fans if we end up losing.
I can respect that.
first game for lester giving up more than 2 runs since july 24th. hell of a run.
doh, yes...dunno what happened there. jake arrieta is all "bro wut?"
lester going for #20...cubs haven't had a LH (thanks jpep for the correction) 20 game winner since d.ellsworth in 1963.
fwiw, all the games are free on mlb.tv
Short rest for MadBum would be 2 days. WC game is Wed., Games 1 & 2 are Friday/Saturday.
A left-handed one...
J-Hey not finishing with an offensive onslaught.
If Geoff Blum could be a Playoff hero, there is hope still...
Giants scare me. I think you're wrong about Bumgarner, he would pitch on short rest for Game 2 and then full rest for Game 5. Cueto would go Game 1, then short rest in game 4. Add in some really tough outs in that lineup and I want nothing to do with them. With that rotation they can easily steal a series.
Cards are a tough matchup. The rivalry evens out their comparable lack of talent. And like someone said, they love HRs, which is how to beat the Cubs. The upside is that I would feel really good about Lester twice against STL.
j.buchanan with a nice start...5ip 2h 1bb 3k, 0r/er
zobrist with 2HR and a double through 8
heyward 0-4 :(
Mark Gonzales @MDGonzales
Soler likely to return Sunday, Maddon says


text:
National Book Awards Controversy
The National Book Award finalists were announced last week and cover fiction, non-fiction, poetry and young adult literature written by an American author. In the original announcement, Lauren Myracle's Shine was mistakenly announced as a finalist for the young adult literature category instead of Chime by Franny Billingsley. The National Book Awards admitted to the mistake right away and made an announcement that Shine would remain on the list due to it's literary strength. But in a new shocking twist this week, The National Book Awards has asked Myracle to withdraw from the shortlist.
Amid all this mess, Shine looks really interesting and I hope it gets the boost from all the publicity anyway. Set in a small apathetic Southern town rife with deep set prejudices, poverty, and betrayals a young gay teen, Patrick, is viciously beaten. Patrick's friend Cat must find the strength to confront her community in the name of justice and find out who is responsible.
While she may be seething inside, Myracle made a classy move after withdrawing her book by asking the National Book Awards to donate $5000 to the Matthew Shepard Foundation.
For The Love Of Reading
Discover Reading
Download eBooks, Audiobooks, eMagazines and Music
Ask a Librarian
Live chat with a reference librarian is available whenever we are open. You can also send your question by filling out the Ask A Librarian form or send us a text at 812-TXT-4003 (812-898-4003).
Email a List to me ...
- of New Blog Posts
- of New eBooks
- of New Adult Fiction Books

subset: commoncrawl


text:
Thursday, May 22, 2014
You might notice I no longer sit while covering sporting events.
I used to. But I dont anymore because I lost my Big Mans Lawn Chair.
It was a good chair. A loyal chair. My chair.
A big mans best friend, even the name said so.
The label said, Big Mans Chair, $34.95, the spring of 1999. Nothing on this earth, neither living, inanimate or manmade has come in such close proximity with my backside more often than my Big Mans Chair.
More than a decade of loyal and supportive service. While all lawn chairs may have given some, this one gave all.
My Big Mans Chair punched its ticket.
In a heartbeat it was all over.
Just like that the damage done.
A broken leg, a clean break all the way through, yet it stayed the course, held up the load as always, eternally faithful, despite any personal agony it might have suffered, until I could regain my balance and move out of harms way.
The agony must have been staggering.
It was a good chair indeed. It deserved better than to end up in a beach condo trash dumpster.
I bought the chair for a specific reason. I am a Big Man and I needed a Big Mans Chair.
Back in the day lawn chairs and I didnt get along too well, especially the cheap, flimsy, plastic variety.
We mixed like a Dixie Cup and the sole of a size 14EEE shoe.
I knew Id put on a few pounds, but I didnt think things were this bad.
The first time, trying to sit in one of those plastic patio chairs, it snapped, crackled and popped like a bowl of Rice Krispies and when I stood up I left behind what looked like a plate of spaghetti.
I cracked toilet seats tell me thats not embarrassing.
When I stood up, some chairs stood up with me.
I know you only have one chance to leave a good first impression, but I didnt know that applied when leaning against the hood of ones car. Try explaining that dent away.
That mustve been one ginormous moth.
I realized I had a problem when I sat in the standard regular lawn chair I owned at the time and it flattened beneath my girth. If a lawn chair could scream right then, as my Size-48 fanny hovered ominously above like the asteroid poised to wipe out all life on Earth in the movie Armageddon, it would have.
There I sat, on the ground, with this flattened lawn chair beneath me, trying to pretend this was how chairs were supposed to work in the first place.
My Big Mans Chair, on the other hand, was like a best friend. It came with extra wide wooden armrests.
The armrests came with both a cup holder extra large of course, and a second convenient holder for snacks and such.
It stayed loyal and true through to the very end, and as I watched the trash truck empty the dumpsters contents, I caught one final glimpse of my Big Mans Chair going off to that big trash heap in the sky.
You were a good chair, a good and loyal friend.
Well done, Big Mans Chair, well done.
© 2016 The Gazette an Evening Post Industries company. All Rights Reserved.
Registration on or use of this site constitutes acceptance of our Terms of Service, Privacy Policy and Parental Consent Form.


text:
Top Definition
(n) A wooden roller coaster
I like steel coaster, but I prefer the classic woody.
see also woodie
see also woodie
by kwood4800 April 26, 2006
Trending Now
Can you define these popular missing words?
Photos & Videos
erect penis
"she was so hot, I sprang a woody"
by morningwood faerie February 05, 2003
1. An erect penis.
2. A stupid character on the sitcom "Cheers".
2. A stupid character on the sitcom "Cheers".
1. That chick gave me a woody!
2. That Woody on Cheers is a retard!
2. That Woody on Cheers is a retard!
by johnsmith July 09, 2003
a character off of toy story.
hez tha cowboy
hez tha cowboy
Hey Woody!! wut u doin up there
by who karez August 19, 2004
a hardon or a boner
I got a woody when she rubbed her hand on my johnson
by Greg August 22, 2003
A guy who is amazingly awesome; indescribly hot
gal 1: "WOW' who is that?"
gal 2: " That's Woody!!!"
gal 2: " That's Woody!!!"
by peachhhhhh January 25, 2009
What you get when you wake up.
good morning fellas, hide your woodys theres aldies around!
by Strong BAH April 09, 2003


text:
HOME NFL Arizona Cardinals Gear Arizona Cardinals Kids Arizona Cardinals Kids Newborn & Infant (24 items) Product ID: 645508
Main Content
- Lightweight fleece sleeper
- 100% Polyester fabric
- Officially licensed NFL product
- Contrast rib-knit collar & cuffs
- Zippered closure
- Imported
- Rubber grips on bottom of feet
- Snap button tab at collar
- Flame resistant
- Embroidered team logo
- Imported
- Brand: Reebok
Cardinals Customers also liked:
Special event items are produced by manufacturers only after the outcome of a game or event. These are advanced sale items and will ship immediately after they are received in our warehouse.
Manufacturer direct items are shipped directly from the manufacturer. These items are not available for international or expedited shipping.
Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.


text:
on May 13, 2013 - 10:40 PM
, updated May 14, 2013 at 8:03 AM
The Buffalo Bills have a new team president, a new head coach and a new quarterback of the future. Buddy Nix acknowledged Monday there is logic in moving forward with a new general manager, as well.
"Yeah. I think there is. At some point you've got to step aside and let young guys that are qualified have their shot," said Nix, upon announcing he is stepping back into an advisory role after 3½ years as general manager. "I've been around a long time. This will be season No. 53 coming up."
The long-anticipated move by Nix, 73, paves the way for the promotion of 40-year-old Assistant General Manager Doug Whaley. He is expected to be named general manager within the next week or two. Whaley was hand-picked by Nix and former scouting chief Tom Modrak in February 2010, when they hired him from the Pittsburgh Steelers organization. He has been grooming under Nix ever since. He got a promotion in 2011, and his contract with the Bills was extended in February.
The transition from Nix to Whaley was something Bills owner Ralph C. Wilson Jr. and newly appointed team president Russ Brandon considered immediately after the season, in early January. No action was taken on the GM, and Nix continued to run the football department through the draft three weeks ago.
Nix explained that changes to personnel departments make the most sense in the weeks immediately after the draft.
"If you think about waiting until after the season, you've already been through a fall of scouting and personnel stuff," Nix said. "So you're in the middle. Then you say, 'Well, I don't want to waste that and leave before the draft.' There's never a good time. This is the best time. I'm sincere about that. It's the best timing for the organization and to move with somebody new and let them all go through the process together."
Out of respect for Nix's 12½ years of service to the organization – he also was a scout for the Bills in the 1990s – the team made no mention of Whaley's impending promotion.
"We have a plan, and we're going to execute that plan," Brandon said. "When I'm ready to address the other situation, at some point we'll be sitting all here again together. But I'm not going to do that today or any time in the very near future."
The final judgment on Nix's performance as the head of the football department won't be known for several years, until the performance of all of his draft picks — including quarterback EJ Manuel, this year's first-round pick — can be evaluated.
He took over a football department in desperate need of strong and experienced leadership. Nix, who previously served as the college scouting chief for the late John Butler in San Diego, provided it and bolstered the Bills' scouting operation. He increased the number of scouts. In addition to Whaley, he hired Tom Gibbons as the pro scouting chief, Darrell Moody as the top national college scout and Chuck Cook as college scouting director.
"He brought instant credibility to the GM role when he came here," Brandon said. "He has a decorated career and is a pure football man. When I think of what Buddy brought to the table and to this organization … was honesty and conviction in his beliefs of where we were going as a football organization."
Nix's quote upon his hiring was "don't tell me about the labor pains, show me the baby." Will the scouting infrastructure Nix built help produce a winner? Bills fans have yet to see much fruit from Nix's labor.
Buffalo went 16-32 the past three years under Chan Gailey, who was summoned by Nix from relative obscurity to be head coach in 2010.
Nix made what looks like three strong first-round picks from 2010 to 2012 in running back C.J. Spiller, defensive tackle Marcell Dareus and cornerback Stephon Gilmore. The rest of the 2010 class isn't looking good. The career of defensive tackle Torell Troup, picked one spot ahead of All-Pro tight end Rob Gronkowski in the second round, is hanging by a thread. Third-round pick Alex Carrington is a competent backup defensive tackle. Fourth-round pick Marcus Easley, a receiver, is down to his last shot to produce.
After Dareus, the rest of the 2011 draft hasn't done much. Second-round pick Aaron Williams, taken just ahead of San Francisco QB Colin Kaepernick, has been switched from cornerback to safety. Third-round pick Kelvin Sheppard was traded. The jury is out on four others from the class (Da'Norris Searcy, Chris Hairston, Chris White and Justin Rogers).
The 2012 class looks promising behind Gilmore. Cordy Glenn is starting at left tackle. Receiver T.J. Graham and linebacker Nigel Bradham could have prominent roles this season.
"First of all, I know that the way we went about this thing with a team is a slow process," Nix said. "Building through the draft is a slow process. The third year was a hard year, because we expected more, we didn't get it. … I think the thing that probably I'm the most proud of will be the next two or three years, if that makes any sense. I think we've got a really good, young roster. I love our head coach. I think he's a guy that's gonna win a lot of games here for a long time."
Nix did a good job of supplementing the roster with free agents, from unheralded signings like Scott Chandler, Kraig Urbik and Erik Pears to marquee addition Mario Williams. The Bills also spent money under Nix, a sign of the respect the owner and team president had for his judgment. Buffalo was third in cash spending last year and 16th in 2011, according to News sources.
The biggest reason for Gailey's failure was that the performance of the defense under his first coordinator (George Edwards) was bad, and under his second defensive coordinator (Dave Wannstedt) was even worse, something Nix referenced.
The next biggest reason was quarterback Ryan Fitzpatrick didn't play at a high enough level. Nix OK'd the big contract in 2011 that made Fitzpatrick the 16th highest-paid QB in the league. His faith in Fitpatrick also kept him from drafting a QB like Kaepernick or Cincinnati's Andy Dalton.
"We went about it the way that it presented itself," Nix said of passing on some QBs in the draft. "We won just enough games to be picking at a bad time, when you start talking about one or two guys, or three, that you thought were franchise guys."
Nix now takes the title of special assistant. He will relocate to his home in Chattanooga, Tenn., but said he will keep his home in Western New York and spend significant time here as an advisor.
"It'd be nice to see if there's something else out there in life," Nix said. "You know, your family. I don't see them much. I'm going to my grandson's ninth birthday party. I've never been before, and my family is awful nervous about it."
email: email@example.com


text:
Quadruple Helices Appear To Have Role...
Developers of DTC Genetic Testing Are...
LC-MS Gains Favor Due To the...
Wall Street Decline Takes Its Toll...
Applying big data strategies to better inform decision making in U.S. healthcare could generate up to $100 billion in value annually. [© kentoh - Fotolia.com]
Big data and personalized medicine have been industry buzz terms for quite some time, but while it's widely known there are correlations between the two, many are still struggling with how to effectively leverage mass amounts of data in order to improve efficiencies, reduce costs, and advance patient-centric treatments.
With healthcare costs in the U.S. increasing steadily over the last 20 years to 17% of GDP, healthcare experts are looking for every path possible for efficiency and reform. Many believe that a long-term source of savings could be the use of big data in healthcare; in fact, the McKinsey Global Institute estimates that applying big data strategies to better inform decision making in U.S. healthcare could generate up to $100 billion in value annually.
The creation of this value lies in collecting, combining, and analyzing clinical data, claims data, and pharmaceutical R&D data to be able to assess and predict the most efficacious treatment for an individual patient. Many have envisioned this as a physician's portal, which would enable clinicians to query similar patients and see what treatments worked for others, and thereby more effectively choose the best treatment option. Before the true realization of big data integration in healthcare, however, three key areas will need to be addressed that will both enable this vision and create value from big data strategies.
The ability to manage, integrate, and link data across R&D stages in pharma might enable comprehensive data search and mining that identify better leads, related applications, and potential safety issues. However, the practicalities of dealing with big data are substantial. The amount of data generated is growing significantly: In 2007 a single next-generation sequencing machine run could produce a maximum of one gigabyte of data, but by 2011, nearly a terabyte could be created—representing a 1,000-fold increase. The sequence alone is much more useful as it is correlated with phenotypes and other types of data. This has naturally affected the way companies think about data storage and structure, with centralized data repositories and cloud solutions becoming more popular. The two leaders in next-gen sequencing technologies, Illumina and Life Technologies, both now offer cloud solutions for data storage and analysis to meet this growing need.
No less important is the enormous opportunity in data from images. A few years ago, high-content analysis drove the need for simple storage solutions. Today, digital pathology is leading the way with pioneering solutions for datafication of tissue, so that it can be mined and correlated with other types of data such as clinical outcomes or genomic data. While in the past it was impossible to effectively mine image data, researchers such as Andy Beck at Harvard have used image analysis solutions to analyze thousands of image features to discover new biomarkers that correlate with clinical outcomes.
In both the case of next-generation sequencing and image analysis, the most value is achieved when researchers are able to not only merge different datasets, but also to conduct advanced analytics and correlations between data types. For example, advanced statistics might show that when a particular gene of interest is mutated, the level of its phenotypic effect can be correlated with a particular tissue marker, and conclusions might be drawn about its increased effectiveness or safety. Or it might show that a particular tissue lesion is always associated with a safety risk when statistics are performed across lead compound studies. It is this level of integration and correlation where big data will provide the most benefit.
Clinical trials are of course necessary for every drug to get to market, and the gold standard is currently a randomized clinical trial backed up by a published paper. However, drugs like Herceptin have showed us that the addition of a companion diagnostic test can promise efficacy to a higher percentage of patients, since we can determine which patients will best respond to treatment. In the clinical trial of the future, big data could enable enrollees to not only be monitored for response but also tracked to see if specific subgroups respond differently. Big data approaches are complementary to traditional clinical trials because they provide the ability to analyze population variability and to conduct analytics in real time. Imagine being able to create dynamic sample size estimations in response to emerging clinical trial data. The key to the value of big data is the ability to enable improvements in clinical trial design that will allow shorter and more efficient trials.
Once R&D data and clinical trial data is indexed for big data analysis, the third piece of the big data puzzle is to fully leverage clinical routine data. Ideally big data approaches can be used to combine patient diagnostic profiles, claims, and clinical outcomes to understand which treatments are most effective. In some sense this will drive new thinking about the standard of care, as providers will be able to understand what drives quality of care, cost, and outcomes in healthcare. Ultimately personalized medicine is about this correlation of diagnostics and outcomes, but tailored to each and every patient.
While big data has already been used successfully in consumer markets, challenges remain to its implementation in healthcare. The primary challenge in moving to big data approaches is simply the vast amount of data in existing systems that currently don't "talk" to one another and have data that exists in different file types. One of the reasons that image datafication is an important key to the future is that it will enable the linking images to other types of data for mining.
The second challenge for data in the clinical space is how to store and share these large amounts of data while maintaining standards for patient privacy. While many institutions are still struggling with these challenges, some, such as Beth Israel Deaconess Medical Center, have taken the plunge—not only by setting up a private cloud to HIPAA standards, but also by moving into the next level analytics to enable doctors to query patient populations for clinical trials.
Achieving better outcomes at lower costs has become imperative for healthcare, and big data is certainly part of the solution in reaching that goal. Although we are in the early days of healthcare big data, it is clear that strategies for big data in the integration of R&D data, efficient clinical trials, and finally in clinical outcomes are foundational to building that solution, lowering costs, and realizing the future of personalized medicine.
Merrilyn Datta, Ph.D., is CMO of Definiens.
To enjoy more articles like this from GEN, click here to subscribe now!
Merrilyn Datta, Ph.D., is CMO of Definiens.
To enjoy more articles like this from GEN, click here to subscribe now!
To save this item to your Favorites,
log into GEN Select.
We'll be sure to take you back here after you do.
Not a member of GEN Select?
To comment on this article,
log into GEN Select.
We'll be sure to take you back here after you do.
Novum Pharma recently raised the price of an acne cream by over 3,900% in less than a year-and-a-half and Mylan increased price of EpiPen from $100 to $608 . Do you think pharmaceutical companies need to be subjected to price controls?
Be sure to add [email protected]
to your Address Book or Safe Senders List.
here for instructions.
If you have any questions about your subscription, click
here to email us or call at (914) 740-2189.
You may also be interested in subscribing to the GEN magazine, an indispensable
resource for everyone involved in the business of translating discoveries at the
bench into solutions that fight disease and improve health, agriculture, and the
environment. Subscribe
today to see why over 60,000 biotech professionals read GEN to
keep current in the areas of genomics, proteomics, drug discovery, biomarker discovery,
bioprocessing, molecular diagnostics, collaborations, biotech business trends, and
© 2016 Genetic Engineering & Biotechnology News All Rights Reserved


text:
on February 6, 2013 - 1:02 AM
The Kenmore-Town of Tonawanda school district presented its first view Tuesday night of a 2013-14 budget totaling approximately $151 million, which requires a climb out of an almost $3.1 million hole.
Officials repeatedly emphasized during the budget work session that they're at the starting line.
"This is not a recommended budget at all," said School Superintendent Mark P. Mondanaro. "We are not at that point, clearly."
The first draft reflects information in hand as of late last week; some numbers already have changed.
"This is a fluctuation type of document – I want to keep emphasizing that," said Gerald J. Stuitje, assistant superintendent for finance.
Take the deficit, for instance.
As of Jan. 22, the district projected a deficit of $2.5 million. But since then, it has learned that Gov. Andrew M. Cuomo's executive budget won't provide as much state aid as expected – the net increase is $120,000. Plus the district is looking at increases in workers' compensation costs, charter school tuition and BOCES-related expenses.
"I'm hoping that what we have here, deficit-wise, is the high-water mark," Stuitje said.
Another recent piece of information – the district's contribution to the teachers retirement system – lowered the projected property tax increase from 5.4 percent to 5.21 percent. Other savings in pension costs are possible through the governor's executive budget.
"There's a lot of details in this proposal that are not out yet," Stuitje said.
Budgets submitted by the transportation and buildings and grounds departments reflect year-to-year decreases, while the athletics and physical education budget shows a nominal increase. Meanwhile, the $115,871 increase in the information technology department's budget is tied to BOCES.
This year's closing of Jefferson Elementary School will save the district at least $1 million. Potential savings resulting from the districtwide consolidation study, currently under way, wouldn't be part of next school year's budget, however.
There's much work to be done on the budget before April 9, the date the School Board expects to adopt it.
"This budget does not take into account any potential retirements or incentives," Stuitje said. And because of the projected enrollment decline of 2.56 percent, administrators are looking to reduce payroll costs by that amount for non-instructional staff.
It appears that a proposition to buy some buses will be on the May ballot along with the budget proposal.
There's a pitch to buy two 66-passenger buses; one wheelchair bus; and four 30-passenger buses at a cost of $525,046. State aid is expected to cover 70 percent of that.
"We bought no buses last year," said Stuitje, who later noted that there are more than 20 buses nearing the end of their service lives.
Susan Battaglia, who lives on Deerhurst Park Boulevard, questioned whether that money would be better spent elsewhere.
"Is it really necessary? A lot of people in this community are making sacrifices," she said.
School Board President Bob Dana noted that the cost of new buses is offset by state aid, while repairs to the existing fleet are not.
"It's an aging fleet. It still is a pretty large operation," Mondanaro added. "It becomes a health and safety issue."
email: firstname.lastname@example.com


text:
Prompted by the increasing obesity rate, Sentinel Career and Technology Center students organized an event to showcase how to eat and live a healthier life.
Medical Technology students Megan Somodi, Ashley Perry and Kaitlyn Hoffman put together a Tech Prep Showcase for their SkillsUSA project. The idea for the program came after a 2009 health assessment showed 13 percent of Seneca County youth were obese, 14 percent were overweight and 3 percent were calculated to be underweight for age and gender.
"It takes a community working together to help everyone be healthier," Perry said.
Article Photos
Zonya Foco, who presented Fit Families For Life, poses with medical instructor Sandy Reinhart (from left) and students Ashley Perry, Kaitlyn Hoffmun and Megan Somodi.
Fruit cups are displayed in front of one of Foco's books.
A $5,000 grant from National Machinery and Tiffin Charitable foundations made the program possible.
The program, Fit Families For Life, was presented by Zonya Foco a certified health and fitness instructor, certified speaking professional, clinical nutritionist and dietetic technician.
Medical instructor Sandy Reinhart previously saw Foco at a presentation in Utah. She said, "Zonya was so energized and made you think about what you eat and make it healthy."
Foco is the creator and host of "Zonya's Health Bites," and author of books including "Diet Free, The Eight Habits That Will Change Your Life," and "Lickety-Split Meals for Health Conscious People on the Go!" She has been on several talk shows including Oprah.
Foco started off the program by asking the audience if they want more energy than they currently have.
"What you eat makes a difference," she said. "The right kind of food can help you stay energized and focused.
"Our culture is so full of choices."
Nine out of 10 commercials on Saturday morning television are filled with unhealthy food choices, Foco said.
"The culture that we live in today is a culture of convenience," she said.
Foco showed name-brand products that are are misleading "healthy choices." She said most food claiming to be a healthy choice is full of processed ingredients and dyes that are not natural for your body.
"This is America's food," Foco said. "You go down a grocery story isle and see the bright beautiful blue and the bright beautiful read and the fake, fake, fake."
"People then wonder why heart disease is so high," she said. "My goals is to let you see that eating healthy can be as easy as eating unhealthy."
Throughout the presentation Foco asked members of the audience to come up and participate. Foco shared nutrition facts taken from the menu at McDonald's. One double-pounder with cheese is about 700 calories, which is about 26 cups of fat, Foco said.
"Heart disease is becoming more and more common in the U.S. Is this how we really want to live," Foco said. "There are many different ways to create healthier choices out there. Knowledge is power and choice is everything."
Restaurants have healthier choices on their menu, Foco said. "By choosing those healthier choices it will result in the restaurant to incorporate more and more healthier choices by (us) just voting for them with our dollar."
The audience had a light lunch made with recipes from Foco's "Lickety-Split" cook book. The supplies were provided by donations from several local businesses and medical personnel.
"This presentation is not just about the dad trying to lower his cholesterol, or the kid trying to lose weight. It is about the whole family," Foco said. "Cut out the crap and put good in. You can re-wire your brains and change your preferences."
After the presentation Foco asked the audience if there was one change that they would like to make in their lives to promote a healthier lifestyle.
The audience responded with one word: "Yes!"


text:
Now more than ever, we need your support! Become a Supporting Subscriber today.
TARDIS-Tara's Pics
One of my favorite things to do at comic / sci-fi shows is to watch the people in costumes, well now I have officially seen everything... I especially love the bull ring in her nose... Well at least it was an original idea :-)


text:
Jack Dempsey/Associated Press
Jack Dempsey/Associated Press
Even with Eric Decker down, Peyton Manning didn�t miss a beat.
Decker has been the star of the Broncos� training camp so far, but when he went out with a strained groin, Demaryius Thomas stepped up to solidify his standing in Manning�s eyes and with Denver�s refurbished offense.
Thomas made several big catches Thursday, even turning a rare wobbly pass from Manning into a 35-yard touchdown when he outjumped Drayton Florence and Raheem Moore at the goal line.
Another time, he gave Tracy Porter a taste of the stiff-arm he used on Ike Taylor to beat Pittsburgh in the playoffs.
Whether on posts, curls or slants, Thomas was there to haul in Manning�s fastballs during the no-huddle work to the delight of yet another record crowd � 5,034 � at Dove Valley.
�Well, I think Demaryius has had a really good camp even when Eric�s been practicing,� Manning said.
�Demaryius is a guy that we are going to feature. His size and strength and speed just allows you to do certain things with him that other players just can�t do. And so, Eric�s had a really good camp. He�s just got a little tweak, hopefully he�ll be back ...
�But I thought Demaryius these last two days has really made some big plays; he�s done some good things with the ball after the catch, which is what we�re going to need,� Manning said.
After all, Manning�s game is built on finding the hole in the defense and getting the ball there as quickly as possible so his receiver can use his legs to turn short passes into long plays.
�You can�t just throw down the field every time,� Manning said. �You�ve got to be able to take a 5-yard hitch or a little 10-yard hook route and turn it into a 20-yard or a 30-yard gain, and he�s kind of shown those type of plays these past two days.�
Good thing, too, because Thomas had some catching up to do.
The oft-injured Thomas needed an operation to remove pins from his left thumb this offseason and was sidelined when Manning signed with the Broncos in March.
So, he was rehabbing while Manning was throwing tons of passes to Decker at local high school football fields while working his way back from a nerve problem in his neck that caused him to miss all of last season and led to his release by the Indianapolis Colts.
Thomas returned to the field in May and quickly made a big impression on Manning, who never had such a huge target in Indy.
�He�s the biggest receiver I�ve played with since I�ve been in pro ball, certainly,� Manning said. �He has that rare combination of size and speed. So, I look forward just to getting more and more comfortable with him and just kind of growing through this process.
�And every day is important with not just him but all of the receivers as we work together to get on the same page in many different phases.�
Also making plays and an early impression on Manning is free agent receiver Andre �Bubba� Caldwell, who signed with the Broncos this offseason after four years in Cincinnati.
�Bubba Caldwell has excellent speed, has a rare speed to really get deep,� Manning said.
�Corners, you can tell when they�re covering him, they�re going to maybe be off a little bit more knowing that if you miss one step he can be right by you. And he�s obviously adjusting to a new offense like all of us are. I like working with Bubba. He�s a hard worker and really has a lot of explosive plays in him, I think.�
After Decker, Thomas and Caldwell, there�s Manning�s old pal Brandon Stokley, leaving one or two roster spots for the rest of the receivers to fight over.
Nagging injuries have hit the back of that receiving corps with Greg Orton (ankle), D�Andre Goodwin (foot) and Tyler Grisham (knee) joining Decker on the sideline Thursday. The Broncos brought in Cameron Kenney off waivers from Seattle to fill in.
Manning�s timing hasn�t been crimped by the steady stream of receivers hobbling off the field, however, and he said he�s pleased with the progress the offense has made in the first week of training camp.
�That�s a process. It starts in the offseason: OTAs, minicamp, training camp and really throughout the preseason. I think you learn a little bit more about each guy every time you throw to him,� Manning said.
�Obviously, I�ve thrown a ton of passes throughout my career to both Jacob (Tamme) and Brandon, so it�s nothing you can really rush. It takes practices, it takes different scenarios, different types of situations, two-minute, red zone, third down and the more game-like situations, which is what we�re doing more of now.�
Also helping Manning get up to speed is a stout secondary led by Champ Bailey.
�I�ve said that all along, it�s a great challenge going against our defense. There�s a lot of speed out there, a lot of experience,� Manning said. � ... And so it�s a good challenge every day. We�re going to win some battles; they�re going to win some battles. But it�s good. It�s making the Broncos better, and I know it�s really good for our receivers and for our timing.�
Defensive coordinator Jack Del Rio doesn�t relish facing Manning every day in practice, but, hey, it�s better than seeing him across the field on Sundays like he did so often while coaching the Jaguars.
�He was a thorn in my side when I was in Jacksonville. I�m happy he�s on my side now,� Del Rio said.
� ... He�s one of the better quarterbacks to ever play. He�s got tremendous command of everything he�s doing with the offense, and he�s very demanding of guys around him, which is awesome. It�s really excellent work for our defense to be stressed every day with a premiere quarterback approaching his job the way he does.�


text:
Friday, October 18, 2013
When you are as passionate about tennis as Andy Steingold, it doesn't go unnoticed.
Steingold, the director of tennis at Legend Oaks Golf and Tennis Club and Ashley Ridge High School tennis coach, has been named the 2013 South Carolina Adult Male Player of the Year by the United States Tennis Association. He was selected for the honor based on tournament results, state rankings and endorsements from other players.
"I'm honored because there are a lot of deserving players in this state," Steingold said. "Also people said very nice things about me in my nomination application."
Steingold finished 2012 with an 18-2 record, his only losses coming in Southern and National tournaments to ranked opponents. He has been the top-ranked player in the state for his age division for the past two years and last year rose to the No. 6 ranking for the Southeast Region 60's division that includes players from nine states.
The last four years he represented South Carolina in the senior cup, a regional all-star tournament that features teams comprised of four players from different age groups.
His 2013 accomplishments include singles championships at the Litchfield State Clay Courts in September and the Alan Fleming tournament held this month at Seabrook.
Over the last few years he has also had a lot of success in doubles tournaments, pairing up with different friends for men's 55s, 60s, 9.0 Mixed and Open Mixed competition. During the Alan Fleming tournament, he and Cynthia Babb lost a tough third set match in the 60s Mixed Doubles finals to the World No. 1 team of Brenda Carter and Hugh Thompson.
In nominating Steingold for the Player of the Year honor, Tabatha Waddill collected multiple endorsements from players who know him well. Just as Steingold's results on the court serve as a testament to his competitive spirit, those endorsements serve as a testament to his love of the game and life itself.
"Andy is a true sportsman," Diane Barker said. "He competes fairly and brings out the best in his opponent and partners. He is gracious in victory and complementary in defeat. He is a great example on how one should carry oneself on the court."
Alfons Cadusch has known Steingold for decades and refers to him as "a class act both on and off of the court" and "a good ambassador for the tennis world."
Art Welling also has kind words for Steingold.
"Andy, the person, may be an even larger asset than Andy the tennis pro," he said. "I first met him years ago. … Since then he's become one of my favorite, if not my favorite, person to be on the court with either as an opponent or a doubles partner. He brings an uncanny level of excitement to the game, and his dedication to the members of the club he represents is truly unparalleled. It is obvious that he cares about making his club a welcoming place for players of all levels, and he actually loves being surrounded by the tennis community."
Steingold was a young man when he first became a standout on the tennis court. He went on to become a member of the University of South Carolina men's tennis team who, after graduation, launched a career as a tennis instructor.
He gave up tennis instruction to embark on a retail marketing career that spanned 25 years but, upon retirement, picked up where he left off.
"I wanted to do something I really had a passion for so I got back into it about seven years ago," Steingold said. "I've had a couple of real good years on the court but more importantly I'm having a blast. Playing competitive tennis is something I enjoy not only because I like to win but also because I like the competition and the people involved with all the tournaments. I've traveled across several states and met a lot of nice people. I've developed a lot of friendships and it has been good for Legend Oaks because it has helped get the club's name out there."
Steingold has helped Legend Oaks owners boost their brand recognition over the past few years, particularly in the tennis realm.
The club's tennis facility only includes four courts but over the past several years Steingold has help turned it into a bit of a tennis metropolis. Today, 45 USTA teams play out of the little facility nestled under the oaks. Despite its size, Legend Oaks won the 2012 USTA Facility of the Year award. The club hosts two major tournaments each year, along with numerous socials. The third annual Championships at Legend Oaks hosted more than 140 players from the Charleston area in January. The Level 3 tournament raised $2,500 for MUSC Hollings Cancer Center.
In September the club hosted the Legend Oaks Gives Back Benefit tournament that drew more than 100 players from the area and raised funds for Meals on Wheels of Summerville and The Palmetto House Homeless Shelter and Soup Kitchen.
Contact Roger Lee @ 873-9424 ext. 213 or email@example.com
© 2016 The Journal Scene an Evening Post Industries company. All Rights Reserved.
Registration on or use of this site constitutes acceptance of our Terms of Service, Privacy Policy and Parental Consent Form.


text:
Interest Level
Grades 6 - 8
Reading Level
Grade level Equivalent: 6.8
Lexile® Measure: 920L
Guided Reading: U
- Historical Fiction
- Determination and Perseverance
- Korean and Korean American
About This Book
Tree-ear, an orphan, lives under a bridge in Ch'ulp'o, a potters' village famed for delicate celadon ware. He has become fascinated with the potter's craft; he wants nothing more than to watch master potter Min at work, and he dreams of making a pot of his own someday.
When Min takes on Tree-ear as his helper, Tree-ear is elated — until he finds obstacles in his path: the backbreaking labor of digging and hauling clay, Min's irascible temper, and his own ignorance. But Tree-ear is determined to prove himself — even if it means taking a long, solitary journey on foot to present Min's work in the hope of a royal commission . . . even if it means arriving at the royal court with nothing to show but a single celadon shard.
A Newbery Medal Winner
Items Added to Cart:
1 Paperback
2 Hardcover
1 Teacher's Edition
$48.99 Subtotal


text:
Manufacturers are actively researching new on demand hot water heater designs, products, and technologies. However, since these are not particularly high volume sales items, research and development is often slow.
Few studies have evaluated the water saving potential of these devices. A 2000 study in Westminster, Colorado evaluated on demand hot water systems in six homes and in a group of control houses (Mayer and DeOreo, 2000). This study found evidence of reduced shower usage in the six homes with the on demand systems. However, these six homes used more water for baths than did the control group. The combined shower and bath usage was identical between the two study groups. The study concluded that there was "no statistically verfiable overall savings" associated with the on demand hot water systems, either because of the effectiveness of the systems or because of the small sample size.
A recent unpublished study by the Santa Clara Valley Water District in San Jose, California evaluated on demand hot water systems in about ten single-family houses (de la Piedra, 2001). This study found limited water savings in the study homes. These savings were substantially less than the manufacturer had claimed.
If these devices are to be included as part of comprehensive water conservation programs they must be shown, through independent evaluation, to save water. At this point water saving potential of on demand hot water systems is uncertain.


text:
Politicians and Election, Vote in Freedom, Actively Participate in Democracy, Vote for Change, Online referendum
Democratic Party (United States)
> United States of America > Parties > Democratic Party (United States)
Democratic Party (United States) is ready for your opinion, support and vote. Vote online NOW!
Democratic Party (USA) - for
Democratic Party - one of two major contemporary political parties in the United States.
Democratic Party (USA) - against
Click, if you do not support the Democratic Party. Say why.
democratic parties, the democratic party in US, party democratic, democratic party, the democratic party of the united states, what is democratic party, democrat party, democraticparty, it is one of two major contemporary political parties in the united states along with the republican, democratic affiliate marketing, cartoon about democratic party and more...


text:
CALCUTTA -Hard work pays off. For the Beaver Local Beavers, that work has guaranteed them one thing this year- a winning season, ensured by a 64-60 win over Austintown Fitch on Friday night.
"We kept pushing it and closing out on defense to keep them from shooting the threes because that was killing us," said Beaver Local senior Troy Hudson, who scored 17 points. "We have been working hard in practice every day, the wins have definitely given us some momentum and we are figuring out how to win the close games."
Fellow senior Zack Mick scored a game-high 24 points, including a trio of three-pointers, to go along with eight rebounds to lead Beaver Local.
The Beavers improve to 12-10.
"We couldn't have done it tonight without our teammates," Mick said "Everybody stepped up tonight and games like this help us prepare for the tournament."
Up by 10 heading into the final quarter, the Beavers withstood a fourth quarter rally that saw the Falcons briefly take the lead at 57-56 with 1:24 remaining.
Fact Box
A. FITCH SCORING: Jessie Driver 2-1-5, Gabe Chepke 7-2-16, Mike Butcher 5-0-15, Alex Defrancesco 4-3-11, Quincy Higgins 5-0-10, Curtis Beverly1-1-3. TOTALS: 24, 7-15: 60
B. LOCAL SCORING: Chase Hilliard 2-2-7, Brandon Fetty 1-3-5, Jared Lyder 2-1-5, Ethan Campbell 0-0-0, Troy Hudson 6-5-17, Zack Mick 9-3-24, Chandler Cornell 0-0-0, Josh Underwood 2-0-4, Matt Chamberlain 1-0-2. TOTALS: 23, 14-26: 64.
Three-pointers: Austintown Fitch 5 (Butcher 5), Beaver Local 4 (Mick 3, Hilliard).
Beaver Local countered with a Mick basket and a Brandon Fetty conventional three-point play to pull ahead.
"That's a hard-fought game, they (Fitch) are a big team to go up against and we don't have a lot of size," Beaver Local coach Jake Walgate said. "But the kids came out and they were dedicated to what they were doing, and kept battling the whole game."
The transformation that the Beavers have undergone this season has turned them into a winning basketball club. After past seasons of futility, the workman attitude that present and past players have exhibited has put a foundation for their current success.
"It's just been hard work if you look back a couple years ago, we had teams they didn't have the best record when we were 0-21 and just had six wins another year, but those kids really started it," Walgate said. "They decided every day when they set foot on the court, weather was practice or game, that they were going to give 100 percent."
The Beavers attacked the Falcons, getting easy baskets by slashing through the Fitch defense.
"We were terrible, it's a blunt word to use but we stunk," Austintown Fitch coach Brian Beany said. "We couldn't stay in front of anybody for most of the game, we didn't block out well at the end and we missed some free throws."
The miscues from the Falcons opened the door for the Beavers in the fourth quarter, and their effort and situational work in practice allowed them to capitalize on given opportunities. The Falcons missed four of seven free throws in the fourth quarter.
"You can do all the situations you want in practice, but until you have to go through them in a game, it's really not going to sink in," Walgate said. "Every year we are breaking down situations and going over things and tonight we actually had to put that to use. We knew what we needed to do and we came out and executed the things that we've always been working on."
Chase Hilliard added seven points for Beaver Local while Jared Lyder and Brendon Fetty each netted five.
"It just came down to being able to stay focused and get through the game," Walgate said. "We've had some games where we didn't keep our focus the whole game but tonight they showed that if the end of the season and things are starting to come together."
Austintown Fitch won the jayvee game 56-37. Chandler Cornell paced the Beavers with 12 points.


text:
My Life in Finance
Eugene F. Fama
University of Chicago - Finance
February 15, 2010
Annual Review of Financial Economics, Forthcoming
I was invited by the editors to contribute a professional autobiography for the Annual Review of Financial Economics. I focus on what I think is my best stuff. Readers interested in the rest can download my vita from the website of the University of Chicago, Booth School of Business. I only briefly discuss ideas and their origins, to give the flavor of context and motivation. I do not attempt to review the contributions of others, which is likely to raise feathers. Mea culpa in advance.
Number of Pages in PDF File: 27
Date posted: February 15, 2010 ; Last revised: March 10, 2010
Suggested Citation
Contact Information
© 2016 Social Science Electronic Publishing, Inc. All Rights Reserved.
Terms of Use
Privacy Policy
Contact Us
This page was processed by apollobot1 in 0.218 seconds


text:
Keyword Community Page
The Global Change Master Directory (GCMD) now offers a Keyword Community Forum to provide keyword users and metadata providers with a place to discuss GCMD Keyword topics. Please visit the forum for all new keyword news and references.
Controlled keyword vocabularies ensure that metadata is described in a consistent manner and allow for the precise searching of metadata records and subsequent retrieval of data and services. There are seven sets of controlled keywords in the directory: (1) Earth Science, (2) Data Services, (3) Data Centers, (4) Locations, (5) Instrument/Sensors, (6) Platforms/Sources, and (7) Projects.
Over 450 unique visitors have accessed the keywords through the RESTFul service, and over 200 visitors have accessed the keywords through the static directory since the services were made available in early 2013.
The GCMD/IDN staff release announcement of version 8.4 Science Keywords.
Keyword Governance - Guidelines for Suggesting New or Revised Keywords
The GCMD science team maintains the keyword lists. The GCMD Science Keyword Rules and Procedures for Modification of the GCMD Keywords have been developed to ensure that the quality and mutually exclusive nature of the keywords are maintained. New versions of the keywords will be announced on this page and via an email announcement. If you would like to receive keyword release announcements, subscribe to the GCMD/IDN Interoperability Forum. The GCMD welcomes input and contributions from the science community on the keyword lists.
Organizations Using GCMD Keywords
Organizations using GCMD keywords consist of U.S. and international agencies, universities, and scientific institutions (see partial list below). The ways that organizations are using the keywords includes: (1) Using GCMD Keywords as an Authoritative Vocabulary/Taxonomy/Thesaurus To Describe Earth Science Data, Services, and Visualizations, (2) Using/Integrating GCMD Keywords in a Database to Search and Access Earth Science Data within a Metadata Catalogue/Website, and (3) Using GCMD Keywords To Create Ontologies for the Semantic Web.
- Australian Institute of Management
- Bureau of Land Management (BLM)
- Committee on Earth Observation Satellites (CEOS)
- CSIRO Marine and Atmospheric Research, Australia
- EuroGEOSS
- Federation of Earth Science Information Partners (ESIP)
- French Polar Institute
- GeoConnections Discovery Portal Canada
- GFZ German Research Centre for Geosciences
- Global Observing Systems Information Center (GOSIC)
- Global Ocean Ecosystems Dynamics Project (GLOBEC)
- Gulf of Maine Council (GOMC)
- Japan Aerospace Exploration Agency (JAXA)
- Marine Explorer
- Marine Scotland Science
- Maryland Department of Natural Resources
- Monterey Bay Aquarium Research Institute
- National Institute of Geophysics and Volcanology (INGV), Italy
- National Oceanic and Atmospheric Administration (NOAA)
- National Snow and Ice Data Center (NSIDC)
- Navy Meteorology and Oceanography (METOC), Australia
- NASA EOSDIS Data Centers
- Norwegian Polar Institute
- Norwegian Polar Data Center
- Oak Ridge National Laboratory (ORNL)
- Rensselaer Polytechnic Institute
- Standing Committee on Antarctic Data Management (SCADM)
- Swedish Meteorological and Hydrological Institute
- Terrestrial Ecosystem Research Network, Australia
- University of Manitoba
- University of Tasmania, Australia
- University of Tennessee, Knoxville
- U.S. Geological Survey (USGS)
- World Data Center for Soils
How to Cite GCMD Keywords
Please use the following citation when using the GCMD keywords:
Global Change Master Directory (GCMD). 2016. GCMD Keywords, Version 8.4. Greenbelt, MD: Global Change Data Center, Science and Exploration Directorate, Goddard Space Flight Center (GSFC) National Aeronautics and Space Administration (NASA). URL:http://gcmd.nasa.gov/learn/keywords.html
History of Keyword Changes
The GCMD Earth science keywords evolve as new metadata records are added and existing records are modified to meet the changing needs of the Earth science community. The keywords were first offered to the public on April 24, 1995 as version 1.0.0. The most recent version is 8.4. See the full list of keyword changes here.