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Dietary supplement use in the United States is prevalent and represents an important source of nutrition. However, little is known about individuals who routinely consume multiple dietary supplements. This study describes the dietary supplement usage patterns, health, and nutritional status of long-term multiple dietary supplement users, and where possible makes comparisons to non-users and multivitamin/mineral supplement users.
Using a cross-sectional study design, information was obtained by online questionnaires and physical examination (fasting blood, blood pressure, body weight) from a convenience sample of long-term users of multiple dietary supplements manufactured by Shaklee Corporation (Multiple Supp users, n = 278). Data for non-users (No Supp users, n = 602) and multivitamin/mineral supplement users (Single Supp users, n = 176) were obtained from the National Health and Nutrition Examination Survey (NHANES) 2001–2002 and NHANES III 1988–1994. Logistic regression methods were used to estimate odds ratios with 95% confidence intervals.
Dietary supplements consumed on a daily basis by more than 50% of Multiple Supp users included a multivitamin/mineral, B-complex, vitamin C, carotenoids, vitamin E, calcium with vitamin D, omega-3 fatty acids, flavonoids, lecithin, alfalfa, coenzyme Q10 with resveratrol, glucosamine, and a herbal immune supplement. The majority of women also consumed gamma linolenic acid and a probiotic supplement, whereas men also consumed zinc, garlic, saw palmetto, and a soy protein supplement. Serum nutrient concentrations generally increased with increasing dietary supplement use. After adjustment for age, gender, income, education and body mass index, greater degree of supplement use was associated with more favorable concentrations of serum homocysteine, C-reactive protein, high-density lipoprotein cholesterol, and triglycerides, as well as lower risk of prevalent elevated blood pressure and diabetes.
This group of long-term multiple dietary supplement users consumed a broad array of vitamin/mineral, herbal, and condition-specific dietary supplements on a daily basis. They were more likely to have optimal concentrations of chronic disease-related biomarkers, and less likely to have suboptimal blood nutrient concentrations, elevated blood pressure, and diabetes compared to non-users and multivitamin/mineral users. These findings should be confirmed by studying the dietary supplement usage patterns, health, and nutritional status of other groups of heavy users of dietary supplements.
Diet and nutrition play important roles in the maintenance of health and prevention of disease [1,2]. Dietary supplements represent an important source of essential nutrients since they are widely used and often contain 100% or more of the Daily Value of one or more nutrients [3,4]. They are also of concern because of potential adverse effects [5]. Prior studies have reported the prevalence of dietary supplement usage and the characteristics of users in the United States (US) population. In the most recent reporting of nationwide survey data, the National Health and Nutrition Examination Survey (NHANES) 1999–2000, 52% of adults reported taking a dietary supplement in the past 30 days [4]. This and other surveys have generally found that dietary supplement usage is more common in women than men, in older participants than in younger ones, in Whites compared with Blacks and Mexican Americans, in the more educated as compared to the less educated, and in the more affluent as compared to less affluent [4]. In NHANES 1999–2000, approximately 47% of dietary supplement users reported taking only one type of supplement (most commonly a multivitamin/mineral) [4]. Only 3 individuals out of over 11,000 surveyed reported taking 20 or more different supplements in the past 30 days. Consequently, little if any descriptive information has been reported about individuals who typically consume multiple dietary supplements.
This cross-sectional study was undertaken to describe the dietary supplement usage patterns, serum nutrient and biomarker concentrations, and health status of a convenience sample of individuals who were daily users of multiple dietary supplements (median of 26 different dietary supplements taken daily in the prior 12 months). In addition, biomarker concentrations and the health status of multiple dietary supplement users were compared with two other convenience samples assembled from NHANES: non-users of supplements and those who consumed a multivitamin/mineral supplement only.
To assemble a sample of long-term users of multiple dietary supplements, individuals who had been consumers of dietary supplements for ≥ 20 years from a dietary supplement manufacturer and distributor (Shaklee Corporation, Pleasanton, CA) were invited to participate in the study. The invitation was sent by electronic mail to approximately 1,200 individuals meeting this criterion. Of the total invitees, 435 successfully completed online questionnaires to obtain information about height, annual household income, education, medical history and current medical conditions, and dietary supplement usage. Reasons for non-participation were not investigated. A subset of 300 individuals who completed the questionnaires and were free of cancer, other than non-melanoma skin cancer, were randomly chosen and asked to attend a physical examination for the purpose of providing a 12-hour fasting blood sample and having their body weight and blood pressure measured. A final analytic sample of 278 participants had complete questionnaire and examination data. These individuals composed the 'Multiple Supp' users. The study was reviewed and approved by an independent institutional review board (Health Research and Studies Center, Palo Alto, California), and all participants provided informed consent.
Data collection
For the Multiple Supp users, online questionnaires were used to obtain information about height, annual household income, education, medical history and current medical conditions, and current dietary supplement usage. Questions about medical history and current medical conditions were patterned after questions asked in NHANES 2001–2002 [6]. The dietary supplement questionnaire included 57 dietary supplements and foods sold by Shaklee in 2005 and asked about usual intake in the previous 12 months. The questionnaire included four intake frequency categories including 'rarely or never used,' '1–3 days per week,' '4–6 days per week,' and 'every day,' and also asked about usual serving size.
Physical examinations were conducted during a national meeting of Shaklee product consumers held in Chicago, Illinois in August 2005. Data collection took place between July and August of 2005. Body weight was measured using a physician's scale with shoes and heavy clothing removed. Triplicate blood pressure measurements were taken by an automated Welch Allyn device (Model 5201) with an appropriate-sized cuff after subjects were seated quietly in a chair for 2 minutes, with feet on the ground and with the arm at the level of the heart. Twelve-hour fasting blood samples were collected, processed, aliquoted and stored frozen at -80°C. Samples were assayed for red blood cell (RBC) folate, serum ascorbic acid stabilized using 10% metaphosphoric acid, alpha tocopherol, carotenoids, retinol, 25-hydroxyvitamin D, ferritin, C-reactive protein (CRP), lipids, and homocysteine (Table 1). Assay procedures followed those that were utilized in NHANES 2001–2002 and in NHANES III [6-12] as described in Table 1.
Table 1. Micronutrient assay methods.
Multivitamin/mineral and non-supplement users from NHANES
We used NHANES (NHANES III and 2001–2001) data as a source of comparison data for multivitamin users and non-users of supplements. NHANES is designed to monitor the health and nutrition status of the US population and participation consisted of an in-home interview and an examination in the NHANES mobile examination unit [6]. Dietary supplement intake was assessed in NHANES by asking participants about their dietary supplement usage patterns in the past 30 days prior to their home interview, including use of any vitamins, minerals, or other dietary supplements. NHANES oversamples certain groups, such as older people and low-income individuals, in order to obtain greater precision in estimates for those groups; sample weights are applied by NHANES to adjust for oversampling and nonresponse. NHANES sample selection involves a stratified multistage probability design involving counties, blocks, and households. Consequently, variance estimates require use of special software making use of NHANES strata and primary sampling units to account for the sampling design.
To match the age and race composition of the Multiple Supp users, we selected from NHANES 2001–2002 participants all of the White men and women, >35 years of age, and free of cancer other than non-melanoma skin cancer, who met certain supplement use criteria. Only non-supplement users and users of supplements containing vitamins and/or minerals were included for the present analysis. We identified 602 NHANES participants who consumed no dietary supplements in the 30 days prior to the home interview; these became the 'No Supp' users. We also identified 176 individuals who consumed a multivitamin/mineral and no other dietary supplements, and did so at least 15 days over the past 30 days. These became the 'Single Supp' users. To obtain the most recent data possible for comparative purposes, RBC folate, and serum ferritin, homocysteine, CRP, and lipid data were obtained from NHANES 2001–2002 [7]. However, serum retinol, ascorbic acid, alpha tocopherol, and serum carotenoid data were not available from NHANES 2001–2002 or 2003–2004. Therefore, data for these variables for Single Supp and No Supp users who were White, >35 years of age, and free of cancer other than non-melanoma skin cancer were obtained from NHANES III, 1988–1994 [8,9]. The geographical distribution of the individuals in the three users groups is not known. In addition, the duration of dietary supplement usage by NHANES participants, aside from the 30 days prior to their home interview, is unknown.
Statistical analyses
After combining the Multiple Supp users with the Single Supp and No Supp users from NHANES, data were reweighted. The weights for the NHANES groups were calculated by dividing each NHANES weight by the sum of the NHANES weights of the user group. Appropriate weights were used depending on whether the data came from the interview or the Mobile Examination Center. Multiple Supp users were assigned a weight of 1. Strata and primary sampling units from NHANES were used for those user groups. For the Multiple Supp users, a new stratum variable was assigned, and each member of the Multiple Supp group was assigned to a unique primary sampling unit. These adjustments permit more accurate variance estimates and account for stratification factors. However, the Single Supp and No Supp users from NHANES should not be interpreted as being nationally representative samples. Calculations used SUDAAN Version 9.0 (Research Triangle Institute International, Research Triangle Park, North Carolina).
Differences in the characteristics of the supplement user groups were evaluated using chi-square methods for categorical variables and one-way analysis of variance for continuous variables. Multiple regression techniques were employed to examine differences in nutrient and biomarker concentrations of user groups. Comparisons of mean nutrient concentrations among user groups (RBC folate, and serum retinol, ascorbic acid, alpha tocopherol, carotenoids, and ferritin) were adjusted for sex and age. Comparisons of biomarker concentrations among user groups (serum homocysteine, CRP, total cholesterol, and lipids) were further adjusted for age2, education category (<high school, high school graduate, or >high school), income category (<$30,000, ≥$30,000 and <$40,000, ≥$40,000 and <$50,000, ≥$50,000 and <$60,000, ≥$60,000 and <$70,000, and ≥$70,000) and income2, and body mass index (BMI). For outcomes treated as dichotomous variables, logistic regression methods were used to estimate odds ratios (OR) with 95% confidence intervals (CI), adjusted for sex, age and age2, education category, income category and income2, and BMI. The model fit was examined using the Hosmer and Lemeshow Goodness-of-Fit test. The referent group for risk estimation was the No Supp user group. Statistical significance was defined as p < 0.05.
Elevated blood pressure was defined as >80 mmHg for diastolic and/or >120 mmHg for systolic blood pressure [13]. Suboptimal and elevated nutrient and biomarker concentrations were defined as: <317 nmol/L RBC folate [14,15]; <37.5 nmol/L and >600 nmol/L for serum 25-hydroxyvitamin D [16-19]; >9 μmol/L for serum homocysteine [20]; >3.0 mg/L for serum CRP [21]; ≥200 mg/dL for serum total cholesterol [22]; <40 mg/dL for serum high-density lipoprotein (HDL)-cholesterol for men and <50 mg/dL for women [22]; ≥130 mg/dL for serum low-density lipoprotein (LDL)-cholesterol [22]; <5 for the ratio of total cholesterol to HDL-cholesterol [22]; ≥150 mg/dL for serum triglycerides [22]; and <0.4 mg/dL and >1.0 mg/dL for ascorbic acid [23,24].
Significant differences by user group were found for sex, age, BMI, education, and household income (Table 2). The proportion female increased with increasing degree of supplement use. The two supplement user groups were older than the No Supp users, and had lower BMI. Multiple Supp users were well-educated with 86% having greater than a high school education compared to approximately 55% in the other two user groups. The proportion with annual household incomes less than $30,000 was 19.7% and 17.3% in the No Supp and Single Supp users respectively, and 2.5% in the Multiple Supp group. Participants were predominately White because of the racial composition of the Multiple Supp users and the fact that Single Supp and No Supp users were matched to Multiple Supp users on race.
Table 2. Characteristics of the three supplement user groups: multiple dietary supplement users (Multiple Supp) from Shaklee, and multivitamin/mineral users (Single Supp) and non-users (No Supp) from NHANES 2001–2002.
Dietary supplement usage patterns
By definition, No Supp users consumed no supplements and Single Supp users consumed only a multivitamin/mineral dietary supplement and did so approximately every other day or more often. Multiple Supp users reported taking an average of 25 different supplements in the past 12 months (median, 26), and took an average of 17 different supplements every day (median, 18) (data not shown). Dietary supplements consumed on a daily basis by more than 50% of both male and female Multiple Supp users included a multivitamin/mineral, B-complex, vitamin C, vitamin E, calcium with vitamin D, a herbal immune supplement, carotenoids, omega-3 fatty acids, flavonoids, lecithin, coenzyme Q10 with resveratrol, alfalfa, and glucosamine (Table 3). In addition, a majority of women also consumed gamma linolenic acid and a probiotic supplement, whereas men also consumed zinc, garlic, a soy protein supplement, and saw palmetto daily.
Table 3. Dietary supplement usage patterns of long-term users of multiple dietary supplements (Multiple Supp users).
Serum nutrient and biomarker concentrations
There was a statistically significant increase in RBC folate and serum concentrations of ascorbic acid, alpha and beta carotene, and alpha tocopherol with degree of supplementation use (Table 4). For these nutrients, Single Supp users had significantly higher nutrient concentrations than No Supp users, and Multiple Supp users had higher concentrations than the Single Supp group. Serum retinol was higher among Single and Multiple Supp users compared to No Supp users. Among women, serum ferritin was highest in Multiple Supp users and lower in the Single Supp users compared to No Supp users. Among men, serum ferritin was significantly lower in the Multiple Supp users compared to the two other supplement groups.
Table 4. Serum nutrient and biomarker concentrations of a sample of long-term users of multiple dietary supplements (Multiple Supp), and of multivitaminmineral users (Single Supp) and non-users (No Supp) from NHANES 2001–2002 and NHANES III 1988–1994.
There was a decrease in concentrations of biomarkers associated with disease risk as supplement use increased (Table 4). Across the three user groups there was a decrease in serum CRP and the ratio of total cholesterol to HDL-cholesterol, and an increase in HDL-cholesterol concentration. Serum homocysteine and triglycerides were lower in the Multiple Supp users than in the other two groups. Finally, serum total cholesterol was significantly lower in the Multiple Supp group, whereas LDL-cholesterol concentrations did not vary significantly by supplement use.
Among Multiple Supp users, no individuals had suboptimal or elevated serum 25-hydroxyvitamin D concentrations (range: 39.3–263.8 nmol/L). No comparative 25-hydroxyvitamin D data were available from NHANES. No Multiple Supp users had suboptimal serum ascorbic acid concentrations (<0.4 mg/dL), compared with 9.4% among Single Supp users and 32.4% among the No Supp group (data not shown). Similarly, 94.1% of Multiple Supp users had serum ascorbic acid concentrations >1.0 mg/dL, compared with 46.6% of Single Supp users and 21.9% of No Supp users (data not shown).
Blood pressure and adverse biomarker concentrations
Adjusted risk estimates for elevated blood pressure and suboptimal or elevated concentrations of serum biomarkers are reported in Table 5. Compared to No Supp users, Multiple Supp users had significantly reduced risks of elevated serum homocysteine, triglycerides, and ratio of total cholesterol to HDL-cholesterol, and significantly reduced risk of low HDL-cholesterol. For elevated serum CRP, the risk among Multiple Supp users could not be estimated because of the absence of any persons with elevated values of CRP. Multiple Supp users also had a significantly reduced risk of elevated blood pressure compared to No Supp users. Single Supp users had significantly lower risks of elevated serum homocysteine, and low serum HDL-cholesterol. Risks of elevated serum total cholesterol and LDL-cholesterol did not significantly differ across the supplement user groups.
Table 5. Risk of suboptimal or elevated serum biomarker concentrations and elevated blood pressure by supplement user group.
Health status and disease prevalence
Prevalence of self-reported disease was low in each user group and most risk estimates did not reach statistical significance (Table 6). An exception was the reduced risk of diabetes in Multiple Supp users (OR = 0.27; 95% CI: 0.12–0.59). Risk of coronary heart disease was also lower in this group (OR = 0.48; 95% CI: 0.22–1.09), but was only marginally statistically significant. For self-assessed health status, Multiple Supp users, but not Single Supp users, were less likely to report their health as 'good, fair, or poor' versus 'excellent or very good' (OR = 0.26; 95% CI: 0.17–0.41) compared to the No Supp users group (Table 6).
Table 6. Risk of prevalent disease, by supplement user group.
Little has been reported about daily users of multiple dietary supplements. We assembled a sample of long-term users of multiple dietary supplements for the purpose of describing their supplement usage patterns. On average, Multiple Supp users in this study consumed 17 different supplements every day. Dietary supplements consumed on a daily basis by more than 50% of Multiple Supp users included a multivitamin/mineral, B-complex, vitamin C, carotenoids, vitamin E, calcium with vitamin D, omega-3 fatty acids, flavonoids, lecithin, alfalfa, coenzyme Q10 with resveratrol, glucosamine, and a herbal immune supplement. Women also consumed gamma linolenic acid and a probiotic supplement, whereas men also consumed zinc, garlic, a soy protein supplement, and saw palmetto (Table 2). By comparison, in NHANES 1999–2000, 52% of those surveyed reported taking a dietary supplement in the past 30 days; 35% reported having taken a multivitamin/mineral; 12.7% having taken vitamin E; 12.4% having taken vitamin C; 10.4% having taken calcium; and 5.2% having taken B-complex vitamins [4]. Consistent with other reports describing dietary supplement users [4], Multiple Supp users as a group were primarily White, better educated, more affluent, and older.
A second objective of the study was to conduct a cross-sectional comparison of the relevant biomarker and nutrient concentrations in the Multiple Supp users, with those of Single Supp users (multivitamin/mineral users) and No Supp users (non-users) in NHANES 2001–20002 and NHANES III. Nutrient concentrations in serum or RBC generally increased across the three supplement user groups. It is notable that Single Supp users had higher circulating concentrations than No Supp users for RBC folate and serum retinol, ascorbic acid, and alpha tocopherol. This fact has important implications for nutrition intervention trials, some of which have permitted participants, including those in the control group, to take a multivitamin/mineral supplement [25]. Our findings suggest that this practice may weaken the power of trials to detect treatment effects of the study supplement.
Degree of supplement use was associated with several markers of disease risk. Elevated serum homocysteine concentrations were found in approximately 45% of No Supp users, 37% of Single Supp users, and 11% of Multiple Supp users, despite the fact that the data were obtained after the 1998 fortification of grain products with folate, and despite the low prevalence of inadequate RBC folate in any of the user groups. If moderately-elevated serum homocysteine is shown to be an important cardiovascular disease risk factor, the findings of this study suggest that intake of the relevant B vitamins above what is typically found in a multivitamin/mineral supplement, and/or the diet, may produce a more favorable homocysteine-lowering effect.
Circulating CRP concentration has been shown to be predictive of future cardiovascular disease risk in prospective studies among asymptomatic individuals and may have a direct effect on the progression of atherosclerosis [26]. In the present study, serum CRP concentrations decreased and serum ascorbic acid increased with increasing degree of supplement use (Tables 2 and 4). This finding is consistent with recent reports that vitamin C supplementation lowers plasma CRP concentrations [27], and that dietary intakes of vitamin C and plasma ascorbic acid concentration are inversely associated with plasma CRP [28]. Studies are underway to confirm the impact of vitamin C supplementation on circulating CRP and other markers of immune function.
Serum ascorbic acid concentration >1.0 mg/dL has been suggested as optimal relative to reduced risk of cardiovascular disease and cancer [24]. By this definition, over 94% of Multiple Supp had optimal concentrations, compared to approximately 47% and 22% in Single Supp and No Supp users, respectively. Suboptimal concentrations, defined as <0.4 mg/dL [23], were not found in the Multiple Supp user group, and were found in approximately 9% and 32% of Single Supp and No Supp users, respectively.
Serum 25-hydroxyvitamin D in Multiple Supp users is of interest because of possible beneficial and adverse effects from supplemental intake of vitamin D. Improving 25-hydroxyvitamin D concentrations above the level associated with subclinical deficiency (<37.5 nmol/L) may reduce the risk of skeletal fractures [16-19]. Also, parathyroid hormone concentrations become minimal when 25-hydroxyvitamin D concentrations exceed 100 nmol/L. Conversely, serum concentrations >600 nmol/L are associated with hypercalcemia [19]. Among Multiple Supp users, no individuals had serum 25-hydroxyvitamin D concentrations <37.5 nmol/L or >600 nmol/L, and the mean (SD) was 131.4 (45.26) nmol/L with a range of 39.30 to 263.80 nmol/L. No comparative data were available from NHANES participants.
Supplement use was also associated with lower serum triglycerides and higher HDL-cholesterol concentrations. In consequence, the risk of an elevated ratio of total cholesterol to HDL-cholesterol was significantly lower in the Multiple Supp group compared to the No Supp group (Table 5). Prevalent use of fish oil supplements in the Multiple Supp users may explain these findings as omega-3 fatty acids in fish oil have been shown to increase HDL-cholesterol and decrease triglyceride concentrations [29]. Although beyond the scope of the present study, lower risk of cardiac arrhythmias may be another benefit of consumption of omega-3 fatty acids [30,31].
Self-assessed health status has been found to be a remarkably good marker of prospective health outcomes [32]. Compared to No Supp users, Multiple Supp users were more likely to describe their health as 'very good' or 'excellent', whereas this was not the case with Single Supp users (Table 6).
Risk of elevated systolic or diastolic blood pressure was significantly lower in the Multiple Supp group compared to No Supp users, but not in Single Supp users compared to No Supp users (Table 5). Dietary interventions have been shown to reduce blood pressure [33]. However, clinical trials of individual nutrients have typically found small and inconsistent effects [33]. Dietary folate and vitamin C, as well as plasma ascorbic acid, have been found to be inversely associated with blood pressure in observational studies [34,35]. However, intervention trials with vitamin C have yielded inconsistent results [35], while in two small trials, folic acid has been effective at lowering blood pressure [36,37]. The finding of a lower risk of elevated blood pressure in the Multiple Supp group, which also had the highest concentrations of RBC folate and serum ascorbic acid, suggests that the relationship between these nutrients and blood pressure may warrant further investigation.
The lower risk of diabetes in the Multiple Supp group is consistent with evidence that oxidative stress may be a mechanism linking insulin resistance with dysfunction of pancreatic beta cells and endothelial dysfunction, eventually leading to diabetes [38]. Although biomarkers of oxidative stress were not available in the three user groups, serum concentrations of antioxidants including ascorbic acid, carotenoids, and alpha tocopherol were all significantly higher in the Multiple Supp users compared to the other groups (Table 2).
An important limitation of the study is the fact that the data are cross-sectional, and therefore the reported associations, particularly with health outcomes (i.e., blood pressure and diabetes), cannot presume causality. Also, the three user groups should not be interpreted to represent unbiased national estimates. In addition, although we adjusted for potential confounders such as age, sex, income, education, and BMI, residual confounding could possibly account for the findings. Better access to health care and variables related to higher socioeconomic status in the supplement user groups (e.g., healthier diets and lifestyles) are logical hypotheses that may account for these results. However, the No Supp and Single Supp user groups were similar with respect to education and income (Table 2), so these factors may not explain the significantly better nutrient and C-reactive protein concentrations seen for Single Supp users in Table 4, and homocysteine and HDL risk levels (Table 5). Furthermore, the lack of differences across the three user groups in biomarkers such as serum total cholesterol and LDL-cholesterol suggest that factors related to health care access and socioeconomic status do not fully explain the results.
This study is the first we are aware of to describe the usage patterns of long-term users of multiple dietary supplements, an unusual sample that cannot be captured in national representative surveys. While only 3 individuals out of over 11,000 surveyed in NHANES 2001–2002 had taken 20 or more kinds of dietary supplements in the past 30 days, in our Multiple Supp users, 87% of the sample reported having taken 20 or more kinds of supplements daily. Thus, this sample of Multiple Supp users affords a rare opportunity to understand a segment of the population that take multiple dietary supplements, and to understand the nutrient and other correlates of this practice. In addition, Multiple Supp users were long-term consumers of dietary supplements. Thus, their serum nutrient and biomarker concentrations were likely to be representative of their long-term supplementation patterns.
This sample of long-term users of multiple dietary supplements was found to consume a broad array of vitamin/mineral, herbal, and condition-specific dietary supplements on a daily basis. They were more likely to have optimal concentrations of biomarkers associated with reduced disease risk, and less likely to have suboptimal circulating nutrient concentrations, elevated blood pressure, and diabetes than multivitamin/mineral users and non-users. There was no evidence that intake of vitamin D in multiple supplement users was excessive based on serum 25-hydroxyvitamin D concentrations. These findings should be confirmed by studying the dietary supplement usage patterns and health and nutrition status of other groups of heavy users of dietary supplements. Our study findings should also be weighed in the context of recent randomized controlled trials and related meta-analyses [39,40] which have raised concern about potential detrimental effects of select dietary supplements, particularly beta carotene and alpha tocopherol. While the typical daily intake of beta carotene from supplements in the Multiple Supp group was low relative to those studies (approximately 5000 IU/d of vitamin A as beta carotene), the typical intake of alpha tocopherol was 800 IU/d, similar to the dose in a number of randomized trials. Further research on usage patterns of dietary supplements and the potential health effects of dietary supplements is needed. The present report serves as a baseline to which the findings of subsequent monitoring efforts can be compared.
US = United States, NHANES = National Health and Nutrition Examination Survey, RBC = red blood cell, CRP = C-reactive protein, BMI = body mass index, OR = odds ratio, CI = confidence interval, HDL = high-density lipoprotein, LDL = low-density lipoprotein.
Competing interests
The study was financially supported by Shaklee Corporation. LGW and JFM are employed by, and CDJ is a scientific consultant to the sponsor. GB has received research funding from the sponsor.
Authors' contributions
GB, CDJ, and LGW participated in the design of the study, acquisition of the data, analysis and interpretation of the data, and drafting and revising of the manuscript.
EPN and JFM participated in the acquisition of the data and revising of the manuscript. TBD and MLH participated in the analysis and interpretation of the data and drafting and revising of the manuscript. All authors read and approved the final manuscript.
Shaklee Corporation financially supported this study. We would like to thank Torin Block of Block Dietary Data Systems and Kevin Maki and Margie Bell of Provident Clinical Research & Consulting, Inc., for their assistance with data acquisition.
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J Am Coll Nutr 2004, 23:141-147. PubMed Abstract | Publisher Full Text
Wannamethee SG, Lowe GDO, Rumley A, Bruckdorfer KR, Whincup PH: Associations of vitamin C status, fruit and vegetable intakes, and markers of inflammation and hemostasis.
Am J Clin Nutr 2006, 83:567-74. PubMed Abstract | Publisher Full Text
Chan DC, Watts GF, Nguyen MN, Barrett PHR: Factorial study of the effect of n-3 fatty acid supplementation and atorvastatin on the kinetics of HDL apolipoproteins A-I and A-II in men with abdominal obesity.
Am J Clin Nutr 2006, 84:37-43. PubMed Abstract | Publisher Full Text
Reiffel JA, McDonald A: Antiarrhythmic effects of omega-3 fatty acids.
Am J Cardiol 2006, 98:50i-60i. PubMed Abstract | Publisher Full Text
Marchioli R, Barzi F, Bomba E, Chieffo C, Di Gregorio D, Di Mascio R, Franzosi MG, Geraci E, Levantesi G, Maggioni AP, Mantini L, Marfisi RM, Mastrogiuseppe G, Mininni L, Nicolosi GL, Santini M, Schweiger C, Tavazzi L, Tognoni G, Tucci C, Valagussa F, GISSI-Prevenzione Investigators: Early protection against sudden death by omega-3 polyunsaturated fatty acids after myocardial infarction time-course analysis of the results of the Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico (GISSI)-Prevenzione.
Circulation 2002, 105:1897-1903. PubMed Abstract | Publisher Full Text
Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies.
J Health Soc Behav 1997, 38:21-37. PubMed Abstract | Publisher Full Text
Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM: Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association.
Hypertension 2006, 47:296-308. PubMed Abstract | Publisher Full Text
Forman JP, Rimm EB, Stampfer MJ, Curhan GC: Folate intake and the risk of incident hypertension among US women.
JAMA 2005, 293:320-329. PubMed Abstract | Publisher Full Text
Ness AR, Chee D, Elliott P: Vitamin C and blood pressure: an overview.
J Hum Hyperten 1997, 11:343-350. Publisher Full Text
van Dijk RA, Rauwerda JA, Steyn M, Twisk JW, Stehouwer CD: Long-term homocysteine-lowering treatment with folic acid plus pyridoxine is associated with decreased blood pressure but not with improved brachial artery endothelium-dependent vasodilation or carotid artery stiffness: a 2-year, randomized, placebo-controlled trial.
Arterioscler Thromb Vasc Biol 2001, 21:2072-2079. PubMed Abstract | Publisher Full Text
Mangoni AA, Sherwood RA, Swift CG, Jackson SH: Folic acid enhances endothelial function and reduces blood pressure in smokers: a randomized controlled trial.
J Intern Med 2002, 252:497-503. PubMed Abstract | Publisher Full Text
Ceriello A, Motz E: Is oxidative stress the pathogenic mechanism underlying insulin resistance, diabetes, and cardiovascular disease? The common soil hypothesis revisited.
Arterioscler Thromb Vasc Biol 2004, 24:816-823. PubMed Abstract | Publisher Full Text
Bjelakovic G, Nikolava D, Lotte L, Simonetti RG, Gluud C: Mortality in randomized trials of antioxidant supplements for primary and secondary prevention: systematic review and meta-analysis.
JAMA 2007, 297:842-857. PubMed Abstract | Publisher Full Text
Miller ER III, Pastor-Barriuso R, Dalal D, Riemersma RA, Appel LJ, Guallar E: Meta-analysis: high-dosage vitamin E supplementation may increase all-cause mortality.
Ann Intern Med 2005, 142:37-46. PubMed Abstract | Publisher Full Text


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Search Catalogue
Stravinsky: Rite of Spring centenary edition published(May 2013)
The Paul Sacher Foundation and Boosey & Hawkes have announced three special edition volumes to celebrate the centenary of Stravinsky's The Rite of Spring in 2013, including the first publication on sale of the facsimile of the composer's autograph full score.
In honour of the centenary of Stravinsky's The Rite of Spring in 2013, the Paul Sacher Foundation in Basel, which houses the Stravinsky archive, has issued a special Centenary Edition in collaboration with Boosey & Hawkes. Three volumes are published for the first time on 29 May 2013: an annotated facsimile of the magnificent autograph full score, another of the composer's version for piano four-hands and a new collection of essays by leading Stravinsky scholars.
** Please note, as at August 2013, the Full Score and Piano Score are now sold out, while a limited stock of the book Avatar of Modernity remains on sale from any good music shop or online retailer including The Shop at Boosey.com. **
Full details can be found in the following brochure PDFs:
> UK, Europe, Africa and Asia (English) (PDF)
> Europe (German) (PDF)
> North & South America and Australasia (English) (PDF)
One hundred years ago, on May 29, 1913, a seminal work of the 20th century was premiered in Paris: Igor Stravinsky's The Rite of Spring. It was an epochal moment in the history of both music and ballet, and it signalled the breakthrough into Modernism. Subtitled 'Scenes from Pagan Russia', it is a work of international scope created as a collaboration among leading figures working in multiple genres – and a masterpiece of extraordinary artistic potency. The Rite reflects an entire century, and is reflected there in return.
Facsimile of the autograph full score
Edited by Ulrich Mosch
With an introduction in German and English
This magnificent manuscript is undoubtedly one of the most important documents, not only of Stravinsky's oeuvre, but of the entire holdings of the Paul Sacher Foundation. The expressive calligraphy, for which the composer had a fine talent, distinguishes the autograph score in a very special way. Abounding in corrections as well as conducting and publication markings, this manuscript initiated a long process of revision that lasted for decades as the work was extensively edited for publication from 1922 onwards. The edition allows a wider readership to see Stravinsky's Rite in its original forms for the first time, thereby providing an opportunity to further engage with this seminal work of art.
Facsimile of the version for piano four-hands
Edited by Felix Meyer
With an introduction in German and English
In May 1913, a few days before the premiere, Édition Russe de Musique published the composer's version of The Rite of Spring for piano four-hands. This piano reduction was primarily intended for study and rehearsal purposes, but in recent decades it has also found a home on the concert platform. The manuscript, partly in Stravinsky's and partly in a copyist's hand, was fully authorized by the composer. Long considered lost, it is now made available to the public for the first time. Not only does it allow a critical examination of the resulting printed edition, its detailed corrections also shed valuable light on Stravinsky's efforts to have his piece represented as accurately and idiomatically as possible on the piano.
Avatar of Modernity
The Rite of Spring Reconsidered
Edited by Hermann Danuser and Heidy Zimmermann
18 Essays in English
This richly illustrated collection of 18 essays provides an overview of current research on The Rite of Spring, opening new perspectives on the work and its impact. Turning to previously unknown sources, the essays cover the circumstances of The Rite's emergence, its contexts and revolutionary potential, as well as its cultural background, poised between archaism and modernity. The myths surrounding the work are critically examined, and the first century of its international reception is viewed from a wide range of vantage points, from choreographic and musical realizations to the responses of composers and analysts.
With contributions by Jan Assmann, Jonathan Bernard, Tobias Bleek, John E. Bowlt, Esteban Buch, Jonathan Cross, Lynn Garafola, Paul Griffiths, Edmund Griffiths, Claudia Jeschke, Stefanie Jordan, Andreas Meyer, Herfried Münkler, Robert Piencikowski, Swetlana Savenko, Arne Stollberg, Richard Taruskin and Stephen Walsh.
> Further information on Work: The Rite of Spring
Photo: Paul Sacher Foundation
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Grilled maple-glazed apple slices top dinner meat. / Matthew Mead/AP
When it comes to sides, most of us tend to get stuck in a veg or starch rut. But the grill gives us an easy way to break out of this.
Lately, Ive been grilling and glazing apple slices with a gussied-up maple syrup glaze. This time of year, I serve these apples alongside everything and anything grilled.
The apple slices are brushed with a sweet and slightly salty maple syrup glaze that is enhanced with apple cider and warm autumn spices. A touch of soy sauce balances the sweetness and turns what are most often thought of as dessert or breakfast ingredients (apples and maple syrup) into a side dish for pork, chicken, flank steak and salmon.
For grilling, a hard, tart apple such as a Granny Smith or a Pink Lady is best. Softer apples tend to get a bit mealy. But this time of year if you use fresh, crisp new apples, you can grill any of your favorites.
These apple rings are delicious hot-off-the grill or at room temperature. They also make a very pretty plate. The glaze recipe makes more than you need for one batch, making it easy to store in the refrigerator and have it at the ready for several weeks.
Once the glaze is made, this simple side dish can be prepared in less than 10 minutes.
Grilled maple-glazed apple slices
The recipe makes about 1 cup of glaze, but you wont need all of it. The extra can be covered and refrigerated for several weeks. It is delicious over pancakes, waffles, French toast or ice cream. It also is great used on chicken, turkey and pork.
Start to finish: 40 minutes
Servings: 4
For the glaze:
1 cup maple syrup
¼ cup apple cider
¼ cup packed dark brown sugar
1 cinnamon stick
2 whole star anise
1⁄8 teaspoon ground cloves
1 to 2 teaspoons soy sauce (optional)
2 large tart apples, such as Granny Smith or Pink Lady
Vegetable oil (or a nut oil, such as peanut)
To prepare the glaze, in a small, heavy-bottomed saucepan over low heat, combine the maple syrup, cider and sugar. Stir to dissolve the sugar, then add the cinnamon stick, star anise and cloves. Bring to a simmer and cook until reduced by about a quarter. Stir in 1 teaspoon of the soy sauce. Taste and adjust with more, if desired. Let cool to room temperature, then remove the spices.
Heat the grill to medium-low.
Using an apple corer, cut out the cores and seeds from both apples, leaving the apples otherwise whole. Setting the apples on their sides, cut each into ½-inch-thick rings. Brush both sides of each apple ring with oil.
When the grill is ready, place the apple rings on the grill grates and cook with the grill covered for 2 minutes per side, or until they have deep grill marks on both sides. Brush the tops of the apple rings with glaze, then cook for another 2 minutes. Turn over, brush with more glaze, then grill for another 2 minutes.
Nutrition information per serving: 230 calories; 45 calories from fat (20 percent of total calories); 5 g fat (0 g saturated; 0 g trans fats); 0 mg cholesterol; 50 g carbohydrate; 3 g fiber; 43 g sugar; 0 g protein; 85 mg sodium.
Elizabeth Karmel is a grilling and Southern foods expert and the author of three cookbooks, including Soaked, Slathered and Seasoned.


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HOPKINS COUNTY, Ky. (11/15/13) — On the eight-year anniversary of an F-4 tornado, Nov. 15 that hit parts of Hopkins County, the prediction of severe weather for Sunday looms.
Eight years ago, three lines of storms moved from west to east spawning an outbreak of tornadoes through southeastern Missouri and several counties in Kentucky, not the least of which was Hopkins County.
A little after 5 p.m. Tuesday, Nov. 15, 2005, an F4 tornado with wind speeds up to 210 miles per hour cut a path nearly a half mile wide through central and eastern portions of Hopkins County. The primary event was 1.5 miles southwest of Earlington to seven miles east of Hanson, according to the National Weather Service in Paducah.
There were no fatalities from the storm but 27 people were injured and hundreds of homes and buildings damaged or destroyed, according to the NWS.
The weather event coincided with unusually warm weather for the middle of November.
The NWS is forecasting 70 degree temperatures Saturday with cloudy skies and a south wind of seven to 15 miles per hour. Saturday night, showers and thunderstorms are more likely with warmer temperatures through the night with a low of 61 degrees.
Sunday's high is predicted to be near 75 degrees with wind gusts out of the south at 17 to 21 miles per hour perhaps reaching up to 31 miles per hour. There is an 80 percent chance of precipitation.
A cold front moving through the day Sunday will mark the beginning of the threat for areas in southeast Missouri late Saturday night and early Sunday morning. A cold front will move through during the day Sunday causing aloft winds to intensify.
Sunday night, a 40 percent chance of showers and thunderstorms persists through midnight.
Monday and Tuesday, seasonal average temperatures should return to highs in the low 50s.
SurfKY News
Rita Dukes Smith
SurfKY News Director
LIKE SurfKY on Facebook - Click here to LIKE us now.
© Copyright 2015 SurfKY News Group, Inc. All rights reserved. This material may not be published, broadcast, or rewritten without permission. SurfKY News encourages you to share this story on social media.
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Michelle Tang receives Lucky Hinkle Sustainability award
Friday, May. 24, 2013
Established to honor the memory of Lucky Hinkle, longtime University staff member who worked diligently to promote recycling on campus, this award is given to the graduating senior with a declared major in Environmental Science or Environmental Studies who, in the judgment of the ESS faculty, has made the most significant contribution to promoting a culture of sustainability at Santa Clara University and beyond.
The 2013 winner of the Lucky Hinkle Sustainability award is Michelle Tang.
Michelle has done so much to advance sustainability on our campus and in our community that it may be impossible to list all of her accomplishments. Michelle participated in the Sustainability Decathlon even before coming to SCU – this was as a high school student at Silver Creek. Once here at SCU, she volunteered as a mentor, then as a peer leader, for the decathlon.
Michelle was instrumental in convincing Dining Services to move away from landfill soda cups to compostable cups, paving the way for compostablility now being written into our vendor contracts.
Michelle brought the eco fashion show to SCU, and led it all three years. 300 students attended this year! Michelle brought the Swap for Good to SCU, and led that all three years. She has been instrumental in developing Sustainability student leadership programs such as SCOOPS. In addition to all of this, Michelle has worked as the Program Coordinator and Environmental Educator for BUG, the Bronco Urban Gardens, and as a WildZones Play Day Coordinator.
Michelle completed at least four internships that fulfilled ESS standards. During her mega-internship last summer with the Centers for Disease Control in Atlanta, Michelle explored community health issues, exhibiting a strong commitment to environmental justice and human solidarity. In like manner, she has had a significant impact on the people of the Alma community, here at home, for the past three years, and here at SCU, as a multi-year intern for the Office of Sustainability.
And, she has done all this while directing the MCC this year, and being in student leadership positions across campus: she is former president of the Vietnamese student association, and a former officer for GREEN club, just to name a few. Whenever there was a service or tabling opportunity - be it Earth Day or Water Week - Michelle has been part of it.
Michelle has sustained her service commitments while maintaining the highest academic standards as she moved through the ESS curriculum. As Michelle leaves ESS to pursue a career as a teacher, having committed two years to post-secondary education in a low-income public school through the Teach For America Corps, she takes our hearts and our warmest congratulations with her.
Posted by Michelle Marvier
Recent Posts


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High-priced movie memorabilia
Published On: Jan 12 2012 03:54:25 PM EST Updated On: Sep 05 2013 10:52:00 AM EDT
Items from classic Hollywood films can carry surprisingly hefty price tags. See how much these iconic cars, guns and shoes were worth at recent auctions.
The views expressed are not those of this company or its affiliated companies. Please note by clicking on "Post" you acknowledge that you have read the Terms Of Service and the comment you are posting is in compliance with such terms.blog comments powered by Disqus


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- Filed Under
BATON ROUGE - Imagine, one year erased from your life.
You thought it was 2012, but suddenly it's 2013 and you are in the exact same place you were the year prior.
This is the predicament of Louisiana State senior tailback Alfred Blue, who missed most of the 2012 season after suffering an anterior cruciate ligament tear in his knee in the third game of the season. His entire eight months and two weeks of 2012 leading up the injury was eliminated along with the remainder of the year. ...


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Two Navy officers, Cmdr. Cara LaPointe and Lt. Cmdr Robert McFarlin, have been appointed as part of the 2013-2014 class of White House fellows, the White House announced Tuesday.
LaPointe and McFarlin will be part of a program created in 1964 by President Lyndon Johnson as a way of giving future leaders access to the highest levels of the government. There is a competitive process to being chosen, with professional achievement, leadership potential and commitment to community service ingredients in the selection, according to a White House statement.
While the two Navy officers are the only military members in the 2013-2014 class, the 2012-2013 group of White House Fellows including an Army major, Air Force major, Coast Guard lieutenant commander and Navy lieutenant commander. Fellows are selected by commission of about 30 people of varying backgrounds.
LaPointe is part of the Navys Littoral Combat Ship program, where she serves as deputy technical director providing oversight to $7 billion in shipbuilding contracts, according to the White House. An engineer, LaPointe previously worked on surface force architecture and unmanned vehicle technology integration at the Naval Sea Systems Command. She also deployed to the Persian Gulf and to the Pacific in support of Operations Iraqi Freedom and Noble Eagle.
Part of the reason she was selected is her record of community service. An avid volunteer and humanitarian, Cara has served as an advocate for victims of sexual assault, volunteered in rural communities internationally from Honduras to Fiji, and, most recently, founded the Engineering Duty Officer Science, Technology, Engineering and Mathematics Outreach Initiative, the White House statement says.
LaPointe is a Naval Academy graduate who received a masters degrees from the University of Oxford and the Massachusetts Institute of Technology. She received her doctorate in mechanical and oceanographic engineering jointly from MIT and the Woods Hole Oceanographic Institution.
McFarlin is a Navy surface warfare officer and former commanding officer of USS Typhoon, a Cyclone-class coastal patrol ship that deployed to the Arabian Gulf in support of Operation Enduring Freedom during his command.
The crew earned a Battle E during his command and also a Golden Anchor award for outstanding crew retention, according to the White House statement.
McFarlin is national director of the Surface Navy Association. Like LaPointe, he is a Naval Academy graduate. He received a masters degree in business administration from the University of Rochester, a school where he also has served as an assistant professor.
A volunteer mentor with Big Brother, he has been involved with Habitat for Humanity and is co-founder of TurnKey CashFlow Properties, a company that transforms dilapidated inner city properties into low-income housing, the White House statement said.
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Why did Joseph Smith condone, or perhaps even encourage polygamy? What scriptures, if any, support this practice?
There was polygamy, or plural wives, in the Old Testament.
Starting with the (NRSV) Bible.
In the Book of Mormon, the book of Jacob, Jacob explains to the Nephites how God sees plural wives. (Jacob 2:27-30)
So God has to command plural marriage by revelation.
Unfortunately for Joseph Smith, God revealed that he wanted all things restored, including polygamy. This revelation was recorded 12 July 1843, and is known in the Doctrine and Covenants as revelation 132.
Poor Joseph. God commanded him to restore all things. He felt obliged to marry 34 other women.


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The first day of fall is nearly here. School is officially in session. Just because. Do you really need a reason to pick up a pair of fit-for-every-man-woman-and-child penny loafers? Because I could go on. But instead, I'll give you a little history lesson – you know, so you can drop some knowledge when someone (inevitably) admires your new shoes.
Continue reading "Let's Look Back: A History Lesson of the Penny Loafer" »
September 10, 2013


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Troopers charged 15 motorists with drunken or drugged driving after recent traffic stops and investigations throughout the Lower Hudson Valley, state police said.
Nicholas O. Hutton, 24, of Southington, Conn., was charged with misdemeanor driving while intoxicated about 2:30 a.m. Sunday on North Salem Road in Bedford.
Bienvenido C. Cardi, 30, of Ossining was charged with operating a motor vehicle while impaired by drugs, second-degree aggravated unlicensed operation and seventh-degree criminal possession of a controlled substance, misdemeanors, about 4 a.m. Sunday on the ...


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New University of Cincinnati football coach Tommy Tuberville fires up fans as he yells, "I'm proud to be a Bearcat" during his press conference on Saturday. / The Enquirer/ Joseph Fuqua II
Born: September 18, 1954 in Camden, Arkansas
Family: Wife Suzette, two sons Thomas Tucker and Troy Allen
High School: Harmony Grove High School in Camden, Ark.
College: Graduate of Southern Arkansas, Class of 1976
Playing Career
* Safety at Southern Arkansas (1972-1975)
* Two-year letterman on the golf team
Coaching Career
1980-1984: Arkansas State, Defensive End/Linebacker Coach:
1986-1993 Miami (FL), Assistant Coach
1994 Texas A&M, Defensive Coordinator: 1995-1996 Ole Miss, Head Coach
1999-2008 Auburn, Head Coach
2010-2012 Texas Tech, Head Coach
2013-Present: Cincinnati, Head Coach
A few days ago the University of Cincinnati fan base was desperate to keep Butch Jones as the Bearcats football coach. UC officials were begging him to stay.
By early Saturday night just one day after Jones informed UC athletic director Whit Babcock that he was leaving for Tennessee many of those same UC fans were asking, Butch who?
Former Texas Tech and Auburn coach Tommy Tuberville was introduced as the fifth UC football coach in the last 10 years in front of a fired-up crowd estimated at 1,200 at Fifth Third Arena in an atmosphere complete with band, cheerleaders and baton twirlers.
Tuberville walked onto the basketball floor at 6:25 p.m. with two UC police officers leading the way, flanked by Babcock and UC president Santa Ono while the crowd cheered, Tommy T, Tommy T!
We expect greatness from you, but we will be firmly behind you, Ono said.
After Babcock introduced Tuberville, the new UC coach stood behind the podium, pumped his fist toward the crowd and yelled, Im proud to be a Bearcat!
You can do a lot of things with emotion and energy and weve got it here, Tuberville said.
Tuberville agreed to a five-year deal, with financial terms to be worked out this week. He said he will not coach UC in the Belk Bowl against Duke on Dec. 27 in Charlotte because the former coaching staff has a better relationship with the players and gives them the best chance to win. He said he will bring some of his assistants from Texas Tech, but not all, and will focus his recruiting within a 200-mile radius of Cincinnati.
It was a whirlwind courtship by Babcock, who worked with Tuberville at Auburn from 1999 to 2002. The UC athletic director said Friday he had a list of potential coaching candidates he began compiling in August in case Jones left at the end of the season. He got up Saturday morning, figuring he would begin his search with the biggest name on the list, and called his old friend Tuberville.
I just thought we might as well take the home run swing and give it a shot, Babcock said. If it hadnt worked out, I was trying to do it in a way that nobody would have known about it and we would have just kept moving on. It was about time one went our way.
UC had endured a difficult two weeks. First the Bearcats learned that they had been snubbed by the Atlantic Coast Conference, then Jones peddled his services across the country before settling on Tennessee. But a lot of that disappointment seemed to be wiped away by the introduction of Tuberville, who has a 130-77 record as a head coach at Texas Tech, Auburn and Mississippi, including 12 bowl appearances. He was 20-17 in three years at Texas Tech.
The Bearcats are not known for hiring coaches with a pedigree like Tubervilles. UCs last five coaches have been a Division I-AA head coach, a Notre Dame defensive coordinator, an Ohio State defensive coordinator, and two Central Michigan head coaches. National coaches of the year dont come to UC until now.
Tuberville, 58, led Auburn to a 13-0 record, a No. 2 national ranking, and was named the national coach of the year by the Associated Press.
Im looking forward to the challenge here, Tuberville said. I want to be a leader that helps this university go to the next level.
Babcock said he didnt know what to expect when he first called Tuberville, but he knew that Tubervilles wife, Suzanne, was from nearby Guilford, Ind., and hoped that might at least make Tuberville pause to consider his offer. The entire transaction took place on the phone. There was no in-person interview.
I said, Coach, I dont have a lot of time, Babcock said. Wed love to have you. You could bring your wife back. We could work together again. I just said, Weve got a short window of time here. Id love for you to be our football coach. Do you have any interest? My heart left when he said, You know what? I might. Let me talk to Suzanne.
Later on in the same conversation, Babcock heard words that pleased him even more.
He said, If I come to be your football coach, Ill stay, Babcock said. I didnt prompt it and I know thats certainly no guarantee, but I was really happy to hear that. That made my day.
It seemed an odd thing for a veteran coach like Tuberville to say so early in the conversation.
You can kind of read peoples minds in our business, Tuberville said, whats gone on and whats happened in the past. It just kind of hit me of what the feeling was. You can tell even though Im over 1,000 miles away of the attitude of whats happened and how disappointed people are not having consistency. You have consistency when you have repetition and you only have repetition when you have the same people around.
Tuberville said he wasnt concerned about the instability of the Big East, the condition of Nippert Stadium or the lack of attendance in recent years. He believes all that can be changed by winning.
Thats the reason Im here, Tuberville said. Im at the point in my career where I want to do something special and this is a place where you can do that. Its a great city. Its a great sports city. Theres great football in the surrounding area.


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No. 1 Auburn? Sweet! The Tigers are loaded for a Sugar Bowl run.
LSU Tigers QB Matt Mauck - December 1, 2003 (K to K)
LSU, That's Who! The Tigers make a BCS statement
Price: $39.99
Auburn Tigers RB Carnell Williams - October 25, 2004 (K to K)
Awesome Auburn - The unbeten Tigers' SEC surge
Auburn Tigers LB Kevin Sears - December 20, 2004 (K to K)
Auburn's bittersweet BCS bowl bid - The Sugar Bowl
LSU Tigers Corey Webster and Marcus Spears - Yearbook - March 17, 2004 (K to K)
DE-PEAT - Can Corey Webster, Marcus Spears and the LSU defense make it two in a row?
Clemson Tigers QB Charlie Whitehurst - Yearbook - March 17, 2004 (K to K)
On Target Tiger - Clemson QB Charlie Whitehurst takes aim at an ACC title
Auburn Tigers Carnell Williams and Ronnie Brown - Yearbook - March 17, 2004 (K to K)
Rush Hour 2 - Carnell Williams and Ronnie Brown give the Auburn offense a tiger in its tank
Auburn Tigers QB Jason Campbell - November 15, 2004 (K to K)
We're No. 2! Why QB Jason Campbell and Auburn can follow top-ranked USC to the Orange Bowl
Missouri Tigers QB Brad Smith - Yearbook - March 17, 2004 (K to K)
Tigerr-rific - Mizzou QB Brad Smith is the real (Heisman) deal
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- Home
- Health Information
- Nosebleed
(Epistaxis; Bloody Nose)
- Anterior nosebleed—Blood comes from the front of the nose. It usually flows from the semi-rigid walls that separate the two nostrils. This is the most common type of nosebleed.
- Posterior nosebleed—Bleeding starts deep within the nose. This is often more severe and difficult to treat than an anterior nosebleed.
|The Nasal Passage
|Copyright © Nucleus Medical Media, Inc.
- Irritating or breaking the lining of the nose
- Injuring the nasal tissue, which occurs more easily when nasal structure is not normal, or when the passages are inflamed due to a cold or allergies
- Very dry nasal tissue
- Picking or bumping the nose
- Forcefully blowing or rubbing the nose
- Having clot from a previous nosebleed becoming disturbed or dislodged
- Placing a foreign object in the nose
- Having a tumor in the nose and/or sinuses
Risk Factors
- Irregularity in the structure of the nose
- Abnormalities of the blood vessels in the nose (angiomas)
- Dry climate
- Dry, heated indoor air
- Allergies
- Colds
- Sinusitis
- Diseases, such as sarcoidosis or systemic lupus erythematosus
- Cocaine use
- Bleeding or clotting disorders
- Anticoagulant (blood-thinning) drugs, including aspirin
- Very high blood pressure
- Anterior nosebleed—These produce blood flow from one nostril when sitting or standing. Blood may pass down the throat if you are coughing or tipping your head back.
- Posterior nosebleed—These cause bleeding down the back of the mouth and throat. Blood may flow from the nostril if you lean forward.
When Should I Call My Doctor?
- There is a lot of blood
- The bleeding will not stop
- The bleeding is caused by an injury
- You experience frequent nosebleeds
- The bleeding interferes with breathing
- The bleeding happens in a child less than 2 years of age
- Stay calm.
- Sit up and lean forward.
- Pinch the soft parts of your nose together. Hold for at least five minutes without releasing pressure.
- Once the bleeding stops, do not pick or blow your nose.
- Avoid straining, bending, or lifting.
- If the bleeding starts again, reapply pressure for ten minutes.
Medical Intervention
- Lubricate dry nasal passages near the front of the nose. Place a small dab of lubricating cream or ointment on your fingertip. Apply the lubricant to the inside of the nose. You may do this at bedtime or up to 3 times during the day. Polysporin and petroleum jelly are examples of lubricants that may be used.
- Use a saline nasal spray. These help keep nasal passages moist. Be sure that the nose spray does not contain medications, such as phenylephrine or oxymetazoline. These types of medications should be used for only a few consecutive days.
- Do not pick your nose. Cut children's fingernails short to discourage picking.
- Humidify the air, especially in bedrooms.
American Academy of Otolaryngology—Head and Neck Surgery http://www.entnet.org
Family Doctor—American Academy of Family Physicians http://familydoctor.org
About Kids Health—The Hospital for Sick Children http://www.aboutkidshealth.ca
Canadian Society of Otolaryngology http://www.entcanada.org
Epistaxis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 15, 2014. Accessed September 22, 2015.
Nosebleeds. Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/nosebleeds.html. Updated April 2014. Accessed September 22, 2015.
Nosebleeds. American Academy of Otolaryngology website. Available at: http://www.entnet.org/content/nosebleeds. Updated December 3, 2010. Accessed September 22, 2015.
Revision Information
- Reviewer: Marcin Chwistek, MD
- Review Date: 09/2015 -


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I have been doing the Nursing Home ministry for about 16 months and am considering buying an amp. Not to blow the doors off but to make being heard a little easier on me and perhaps my vocals would have a warmer sound with a little reverb.(For a 69 year old man I think I have a sissy sounding voice). Would 30watt be enough for a room 50ft. by 50ft.? It needs to be able to handle a guitar and mike at the same time.
Also I know nothing about mikes. Suggestions here would be welcomed also. AL
Hey Deadstring.. I've used a Fender Acoustisonic for gigs like that and it works great.. has seperate inputs for a mic and for guitar... not a bad deal there.. Deb
Howdy Dead String,
A small amp with enough power for small gigs and sounds great is the Marshall AS50D. I don't own one , but have used one a few times and I love this amp. I have several higher wattage acoustic amps. If I were looking for an amp to do small gigs with the best bang for the buck the Marshall ASD is great @ $ 339.00 this will have no problem handling your guitar and vocals and a 50x50 room.
For a vocal mic , most folks will tell you the Shure SM58 is the only way to go. On a tip from "Southpaw" a famous gigging Chordie member, I tried a Sennheiser 835 vocal mic , I haven't used the SM58 since , not saying it is better ,but it was a good fit for me.
Last edited by wlbaye (2012-07-06 01:34:38)
If you dont want to spend a lot of $ on a Mic but get good quality,, try the one I linked. I have a studio mic from the same company and its great (also two amps, my 5w Bugera valve and my 60 W GMX1x12). I really dont think you could go very wrong with it.
I cant help on the Amp side of things since I dont have acoustic amps. Have you looked at the MF site or zzounds, Music 123?
Why am I p[artial to this company? Best Bang for the buck!
Last edited by beamer (2012-07-06 02:32:37)
You guys are the best. You know the answers to the questions I haven't even thought of yet!
I have a Fishman Loudbox Mini, for years I used a Marshall AS100D, a good amp but blown into the weeds by the little Fishman. Fantastic quality, a great tone and light as a feather. I use an SM58 mic with it and it's a cracker.
Deadstring, you do sound a little sissified for and OLD man. Kinda like a cross between Michael Jackson and Barney Fife. I use a Roland AC 30 acoustic amp and have had nothing but good results for playing and singing. This unit is a little pricy ($600.00 range) but it does sound good. There are a lotta good amps out there but for what you need be sure it is an acoustic amp with at least 2 channels - you can play either 1 or 2 guitars 1 guitar and 1 mic or 2 mic's. The key to getting a smaller amp to sounding better is to get it off the ground where it can project the sound. I would look around for a good used one from a pawn shop that had a 30 day return policy so you could really have time to check everything out.
Good advice on getting it in the air! Forgot about that.
beamer wrote:
Good advice on getting it in the air! Forgot about that.
Come on Beamer! Good advice from NELA? You must be kidding! With friends like him I don't need any enemies.
debrap wrote:
Hey Deadstring.. I've used a Fender Acoustisonic for gigs like that and it works great.. has seperate inputs for a mic and for guitar... not a bad deal there.. Deb
...and, unlike the Marshall, the Fender Acoustasonic has separate effects/levels for each channel. Pretty handy if you want chorus on the guitar but not the vocals. The Acoustasonic also has several usable effects, whereas the Marshall I tried last year had only reverb, and you could only pan your reverb between the guitar and mic...which meant more reverb on the guitar = LESS reverb on vocals. Not a good trade-off if you ask me. I got my Acoustasonic 30w for about $300 at Guitar Center. And a 3-pack of Sennheiser e815S mics (with Neodymium magnets!) from Musician's Friend for $130 (sold 2 for $50/ea to my mates the next day ;-)
Thanks Songsterman.
Well the decisions have been made. Partly because of funds (or lack there of) and partly because of reviews and availability of dealers in my area. Everything should be in my possession within the next week. The mic will be a Behringer XM8500 (under $25) and a IBanez Troubadour T30 amp. (Just under $200) with Chorus on the guitar and reverb on the mic. Not a lot of bells and whistles but I think it will do what I want. I appreciate all the replies
that caused me to search and find. Will give you a review after all is here. Al
Hey, Deadstring. As you are getting familar with the new amp, getting everything connected, turned on, set up, mic stand in place, music stand where you can see with them bi-focals, big butt perched on your stool and with a big grin on your face, you strum your guitar and get no sound -
just reach down and plug the thing into an electrical outlet.
NELA wrote:
Hey, Deadstring. As you are getting familar with the new amp, getting everything connected, turned on, set up, mic stand in place, music stand where you can see with them bi-focals, big butt perched on your stool and with a big grin on your face, you strum your guitar and get no sound -
just reach down and plug the thing into an electrical outlet.
What? Whoa Nellie! You mean I have to have electricity? Guess I'll have to move to Texas or Arkansas.
Well I was mistaken about being able to separate the Chorus and Re verb on Mic and guitar. If either is in use it shows up on both channels. The amp itself is plenty capable of doing what I want.
As or the Behringer Mic I am more than satisfied.
I'm looking for an acoustic amp. I like the Laney LA65D but it's out of my price range so I'm looking for the previous model LA65C second hand. I also like the Ibanez troubadour and maybe the Behringer ACX450 but I think the nine band graphic equaliser would confuse me on the Behringer,too many options.
I have a Behringer ACX450. I just use it a t home. I've never sat down with other acoustic amps and compared, but I do like the Behringer.
Deadstring are you still happy with your amp. I have almost decided to get the Ibanez Troubadour T30 and they are $400 here. There is an older model T35 with a 10" speaker on our online auction site, does anyone know anything about this model? I think it may be 2 models back. It is bigger and heavier, measuring 17" high x16 1/2" long x14 1/2" deep and weighs 31 lbs.
A note has just been added to the auction, it is 10 years old.
Last edited by rotoiti (2012-10-08 08:00:41)
Yes I am. It does a great job for my needs.
Any advice on an Acoustic AG30 for practice and piddling? I found a used one at about 1/2 the new price. Don't need it. It will be a toy for now.
Hey Naolslager; I have an Acoustic AG60 and have been really happy with it. Others who have seen it, plugged into it liked it as well. I think Zurf has one of these as well. Bass aka Big Jim
Make that, two AG30s have surfaced for sale. I think someone is trying to tell me something. Timing is suboptimal though.
I am using Dean Markley 25W amp with reverb that is only useful for acoustics.. You like to use it??
naolslager wrote:
Make that, two AG30s have surfaced for sale. I think someone is trying to tell me something. Timing is suboptimal though.
I have the 60 model of that amp. It's ok. I'd rather have pwered speakers to go with my board but don't have the space.


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- Filed Under
The back and forth over Medicaid reauthorization is getting old, and both sides share some of the blame.
At this point, it is hard to say exactly which side should be chastised the most. On one hand, you have House Speaker Philip Gunn, R-Clinton, refusing to allow debate on one of the top issues facing the state - Medicaid expansion. He killed a Senate bill that could have been amended to expand the program. In doing so, Gunn freely admitted that he killed the bill because the votes did not exist to expand Medicaid.
So he killed what could have been meaningful public legislative debate on an ...


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First is Ten High, then Devils Cut.
First is Ten High, then Devils Cut.
Current Rebel Yell is right up there.
BTEC Oats
Only bottle I have ended up pouring down the drain after 3 pours.
Awful stuff. No wonder it is still on the shelf.
"Life is life and fun is fun, but it's all so quiet when the goldfish die."
I second the vote on the Rebel Yell,absolute garbage in a bottle!
Slate Bourbon. http://danmurphys.com.au/product/DM_.../slate-bourbon
An Australian only release that can actually ruin a good glass of coke... I've heard it makes a good degreaser though
Its not bourbon, but Canadian LTD is the most vile filth ever concocted.
Old Crow.
Mmmm, nasty! Often found in the speed rack (aka the well) at your local dive bar.
Also- Philadelphia whiskey. I never was under the impression that ten high was all that bad (not good either). It's the same recipe as VOB.
Bourbon De Lux, Distillers Pride, Kentucky Gentleman are in my crap box.


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Stayed away from it totally while the kids were growing up, and just drank a couple of glasses of wine every other year or so. Always planned to stock up when the kids left.
Well --- the kids have left.
So I'm stocking up.
I know very little about bourbon and started with Wild Turkey 81 (I thought I'd go with the milder WT before moving up). I actually thought WT 81 wasn't bad and I have since moved up to WT 101 and WT RB. All good stuff and I will never be going back to WT 81.
Other bourbons I have tried and are now part of my collection include:
- Makers Mark (smooth, easy to drink, smells great in the glass and has a nice caramel taste to it).
- Jim Beam Black (inexpensive premium bourbon. Little more complex than the Makers Mark).
- Woodford Reserve (a bit expensive for what I got out of it. Not sure I liked it better than JB Black).
- Bulleit Frontier Whiskey (pretty rough around the edges. I like it).
Basically I discovered I definitely enjoy bourbon and am looking forward to trying out a bunch of them. I think next I'll get some Knob Creek or Jefferson. This website has been very helpful in learning about some of the more obscure bourbons and I am looking forward to your reviews on them.
I have also tried a little Tennessee whiskey:
- Jack Daniels Old no. 7 (liked it better than I thought it would).
- Gentleman Jack (very smooth. I think I will always keep some of this on hand).
Thought what the heck, I'd give Scotch whisky and Irish whiskey a go and I have tried:
- Jameson Irish whiskey
- Johnnie Walker Black Scotch
- Macallan 12
Decent enough, but I do like bourbon (and Tennessee whiskey) better than the European stuff (so far).
My eldest son also drinks whiskey and he is more a fan of Scotch than bourbon, probably because the Scotch is a bit more mellow.
Anyway, glad to be aboard and plan to learn a lot from everyone on here.


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Topic: Surviving on Horror Vixen Island
Here's the deal. You are trapped on a desert island with the following three horror babes - Megan Fox, Kristen Stewart and Lindsay Lohan.
In order to survive the island and be rescued by a scantily clad Milla Jovovich, you must complete three difficult tasks.
1. Choose one of the vixens to survive with you. (Presumably for a hot threesome with Milla eventually.)
2. Choose one vixen to eat so that you do not die of starvation.
3. Choose one vixen to skin alive and turn into a tent to protect you from the elements.
Leave your answers below. Who lives? Who dies? It's for you to decide.


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Sep 21, 2013; Bloomington, IN, USA; Missouri Tigers defensive lineman Michael Sam (52) reacts after the game at Memorial Stadium. Missouri defeats Indiana 45-28. Mandatory Credit: Mike DiNovo-USA TODAY Sports / Mike Dinovo Mike DiNovo-USA TODAY Sports
View the full article on USATODAY.com.
Copyright 2015 USATODAY.com
Read the original story: Michael Sam's father doesn't support his son


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Your experience sounds like a lot of fun. I wish to experience that environment this upcoming summer. Could you give me some advice as to how your application process was and if you contacted anyone prior to your interview to get your name out there?
GUEST POST: My Summer Internship with Nike
Ijeoma Arum '14
Thursday, October 3, 2013 - 9:15am
This summer I had the great opportunity to intern with Nike at their world headquarters in Portland, OR.
I really enjoyed my time at Nike and the breadth of experiences I had. During my first few weeks I had the opportunity to help with a fashion show that the VPs of Apparel, Design, and Marketing organized to present the new apparel initiatives to the global apparel team. I was very excited to help out. The show included cool items like the 2014 world cup jerseys, which at that time hadn't even been seen by the teams. I felt very exclusive. Nike values the art of storytelling – the company invests a lot of time and resources into conveying not only a message, but a feeling. The same attention to detail is required whether the story is aimed externally, at the public, or internally, to other employees. So, the show was an awesome way for me to see this firsthand and watch the apparel team's excitement toward the company's trajectory.
Nike is a non-hierarchical, matrix organization. It has a very collaborative culture and everyone there is very approachable. This was essential as I progressed through my projects and leveraged relationships to access any needed data. By the end of the summer, I had met with about 60 people and felt like I was really a part of the team.
A summer at Nike wouldn't be complete without some extraordinary events (and we had quite a few of them while I was there). The North America team threw a carnival to celebrate their FY12 results (they achieved $10B in revenue), Nike basketball took over the campus and hosted events with LeBron James and Kevin Durant, and the Nike skateboarding team built a skate park for a one-day event.
Overall, I had a great experience (a lot of fun and a lot of learning). I appreciated my summer as it reminded me to value employee cultures and organizations that provide balance in the workplace (i.e., those that are able to work hard and play hard).
Permalink Submitted by Xavier Lowe (not verified) on Wed, 20/11/2013 - 6:42pm
Permalink Submitted by Jay (not verified) on Wed, 04/12/2013 - 3:56am
Hey! So when you say you worked on yor projects, what do you mean by that? What exactly are some tasks that Nike has you doing. I go to a fashion school right now, which can lead me to great connections. I was really looking forward to getting an internship with Nike. Any advice on how I should get started? P.S did you meet any "celebrities" while you were there? :)
Job Opportunities
Permalink Submitted by Shea (not verified) on Thu, 19/12/2013 - 12:38am
Hi Ijeoma - great information! Do you feel an internship at Nike would greatly increase the chances of securing a full-time position? Thanks!
Permalink Submitted by Michael (not verified) on Tue, 31/12/2013 - 6:53am
Hi Ijeoma - Thanks for posting this helpful post. I know there is a lot of Interns that apply for the Nike internship program every year....how hard is it to get an internship at Nike? I'v heard its pretty competitive so your opinion is greatly appreciated. Thanks.
Permalink Submitted by Angela Hacche (not verified) on Fri, 03/01/2014 - 11:07pm
Hi Ijeoma, I'm currently in the process of applying for the summer marketing internship with Nike. I'm currently employed with them and this would be my next step in furthering a potential career with Nike. I would love to hear any advice you have on the application process and any insight that you may have on standing out and gaining an edge. It sounds like you had a remarkable experience! I look forward to hearing from you!
Permalink Submitted by Omarr (not verified) on Mon, 24/02/2014 - 10:16pm
Hi! I had a quick question. Ive worked for Converse and Cole Haan and know the head manager of Niketown New York personally who would vouch for me when contacted. How much would this affect the application being looked at online? I go to a small private college.


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St. Louis (KSDK) - For 16 years the late Marvin Miller headed the Baseball Players Union, when strikes, legal battles, and free agency changed the game forever.
Miller died Tuesday at the age of 95.
NewsChannel 5's Art Holliday looks at Miller's legacy, including his historic connection to Cardinal great Curt Flood.
Click the video player above to watch the story.


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Office: 5284 BUNCHE HALL
Phone: 310-825-8888
Fax: 310-206-9630
E-mail: email@example.com
Mailing Address:
6265 Bunche Hall
Box 951473
Los Angeles, CA 90095-1473
Research Interests
Albion M. Urdank is a tenured Associate Professor of Modern British and European History, who received his Ph.D. from Columbia University in 1983. He has a research interest in British social and economic history, with an emphasis on the study of local and regional communities of the eighteenth and early nineteenth centuries. He has written a book on the wool weaving village of Nailsworth, Gloucestershire, in this period, titled Religion and Society in a Cotswold Vale, and is currently engaged in a study in historical demography of this same area, one that compares the reproductive behavior of the Anglican laity to that of Protestant Dissenters. He also studies popular religion and is engaged in reading a voluminous collection of manuscript sermons, composed and delivered by an evangelical Baptist minister active in the locale.
Mr. Urdank also plans to undertake a regional study of pastoral society along the Scottish/English border in the eighteenth and nineteenth centuries. This academic project derives partly from his fondness for training Border Collies and entering them competitively in sheepdog trials throughout California and the Western United States. Border Collies were bred originally in the Scottish borders and entered profoundly into the folk culture of that region's communities. The Border Collie today is regarded as the most intelligent breed of dog and the premier sheepdog anywhere in the world. ["See Albion M Urdank, 'The Rationalisation of Rural Sport: British Sheepdog Trials, 1873-1946," in Rural History, (2006) 17, 1, 65-82 as an aspect of this research.]
Collection of articles, International Sheepdog News, 2005-present
"Meeker Sheep, Past and Present,International Sheepdog News, Jan/Feb 2009 "
"California dreaming: the 26th Portervile Spring Trial,International Sheepdog News, May/June 2009 "
"San Diego Highland Games Trial,International Sheepdog News, July/August 2009 "
"The Kaycee Challenge,International Sheepdog News, November/December 2009 "
"Snowbirds on the Border,International Sheepdog News, March/April 2012 "
"Memorial Day Weekend Trial May 25/28, International Sheepdog News, July/August 2012 "
"Obituary: Albion Urdank's Maeve,International Sheepdog News, September/October 2012 "
"Coalville and Lacamas, a tale of two trials,International Sheepdog News, January/February 2013 "
"Your letters: Judging, International Sheepdog News, Jan/Feb 2014"
"Testing for weakness, International Sheepdog News, Jan/Feb 2014"
"Your letters: Ignoring faults in the dog work, International Sheepdog News, September/October 2014"
For further commentary on matters relating to sheep and Border Collies, see: http://albion-sheepcompany.blogspot.com.
Selected Publications
RELIGION AND SOCIETY IN A COTSWOLD VALE: Nailsworth, Gloucestershire, 1780 to 1865. 460 Pp. $47.60. University of California Press, 1990.
"The Rationalisation of Rural Sport: British Sheepdog Trials, 1873-1946," Rural History: Economy, Society, Culture, 17, 1 (April 2006), Pp. 65-82.
"Religion and Reproduction among English Dissenters: Gloucestershire Baptists in the Demographic Revolution," Comparative Studies in Society and History , 33, no. 3 (July 1991), 511-527.
"The Consumption of Rental Property: Gloucestershire Plebeians and the Market Economy, 1750-1860." Journal of Interdisciplinary History XXI, 2 (Autumn 1990), 261-281.
"Custom, Conflict and Traditional Authority in the Gloucester Weaver Strike of 1825,"
Journal of British Studies, Vol. 25, no. 2 (April 1986).
"Economic Decline in the English Industrial Revolution: The Gloucester Wool Trade, 1800-1840," Journal of Economic History, XLV, no. 2 (June, 1985).
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The roar was deafening. Immersed in one of the NFLs loudest venues, Evan Dietrich-Smith faced one of the toughest tests of his young career at the Metrdome two weeks ago.
Ultimately, the 37-34 loss to the Minnesota Vikings wasnt the desired result, but it was what the 26-year-old needed in only his second career start at center.
When Packers coach Mike McCarthy made the move to insert Dietrich-Smith in place of a bruised, battered and 37-year-old Jeff Saturday last month with two games left in the regular season, situations like the one in Minnesota were the reason.
With a silent count that differs in many ways from that of his mentor, Dietrich-Smith learned a lifetime of professional lessons during those 60 minutes against the VIkings. Lessons he hopes to take into Saturdays NFC Divisional showdown with the San Francisco 49ers.
A week after the letdown, the Packers turned back the Vikings 24-10 at Lambeau Field to earn the trip to San Francisco this Saturday night at Candlestick Park.
The road test served its purpose. After having his senses impaled by having his first road appearance in one of the NFLs loudest stadiums, Dietrich-Smith is ready for whatever challenges present themselves in San Francisco.
The Tennessee game was kind of a comfort, getting in the groove of things, but the Minnesota game going down in playing in the crowd noise was the game we really needed as far as a line, Dietrich-Smith said.
My silent count is a little different than Jeffs silent count was and some other guys are. We all have to be on the same page as far as getting off the ball, so we all have the same advantage just communicating when its loud out there. I think thats the biggest one and weve been build momentum through that.
With Dietrich-Smiths insertion into the offensive line, the musical chairs finally stopped.
A season-ending hip injury suffered in Week 9 to starting right tackle Bryan Bulaga set off a domino effect on the line with left guard T.J. Lang bumping out to Bulagas spot and Dietrich-Smith moving into Langs in the interim.
The emergence of undrafted rookie Don Barclay helped move everybody back to their stongest position as his four serviceable starts in Bulagas spot not only pushed Lang back to his position, but allowed the Packers to do the same with Dietrich-Smith.
While Candlestick Park isnt known for its noise like the sound-infused Metrodome, the offensive line will be challenged against a 49ers front that pressured Aaron Rodgers numerous times and limited the Packers backfield to only 18 rushing yards in a 30-22 win in the regular-season opener on Sept. 9.
Dietrich-Smith will be a free agent in the offseason, so his late-season stretch could go a long way in auditioning for the starting center spot long term. Right now, hes just looking to keep building on what the line has built over the last three games.
As far as it goes how the group has been going, weve all played a lot together, Dietrich-Smith said. Now, its just been positions were all in, were kind of in home base positions for everybody. Now, we have to go out there and just play hard. I think its been going pretty well. Its just another step to getting better.
-email@example.com and follow him on Twitter @WesHod.


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Just agree to disagree. That is what adults do.
Malcolm is entitled to his opinion, you are entitled to yours. When you challenge him in every thread like this it makes life difficult not just for Malcolm, but also to the rest of us trying use the service. It is unfair to both Malcolm and all the other users of Dharma Wheel.
Everyone has the right to evaluate Malcolm's opinions and make up their own minds, but your constant badgering does facilitate that process. It simply puts people off interacting on the board at all.
I say this as a person who disagrees with many of Malcolm's opinions (in some cases I disagree strongly), but respects his knowledge, scholarship and honesty. He is actually a good human being who benefits many people here. Your aversion to his opinions perhaps prevents you seeing that,


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After a rough decade full of hackwork and for-hire assignments, Tim Burton returned to the style he defined with a vengeance in 2012, releasing two surprisingly personal genre comedies. The latter release, "Frankenweenie", unfairly landed with a thud at the box-office. But this black-and-white marvel, filmed in stop-motion and released in 3-D by Disney, already has a cult fan base. And they're more than ready to champion it as a major movie in the oeuvre of the preeminent pop-goth filmmaker.
But thankfully, while audiences may have dropped the ball on catching this one in theaters, Disney has still afforded it a packed 3-D Blu-ray release. Perhaps the most common complaint from critics was that Burton's 88-minute feature paled in comparison to the live-action 30-minute short it originated from (which he directed himself, for Disney, in the 1980s.) Now you can judge for yourself: the short (starring Shelley Duvall!) is contained in its entirety, in HD, as an extra. Even for diehard fans of the feature, like myself, this is massive inclusion.
The rest is a bit more run-of-the-mill: a twenty-minute behind-the-scenes feature detailing the animation process (it's mainly stop-motion, with CGI touch-ups,) a look at some sketches and concept art, and a quick short-film featuring the eponymous Sparky the dog (it's another 8mm style monster movie, much like the one that opens "Weenie," and is a fair bit of fun.) And the 3-D is some of the best I've seen yet; the black-and-white visuals are perfectly suited for the "extra" dimension - the shaded glasses can't dull the film's color if the film doesn't have any color!
Both of Burton's "Frankenweenies" are invaluable for his fans - the small town satire, the knowing compliance to genre tropes, the totally sincere emotional core - it all started here (with the short,) and continues here (with the feature.) This year's least successful animated film may have been its best.
Blu-ray 3-D/Blu-ray/DVD/Digital Copy