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Images: First Travis C-5M delivered
Photo by Kenneth Wright
A C-5M Super Galaxy piloted by Lt. Gen. Brooks Bash, Air Mobility Command vice commander, lands at Travis AFB, Calif., May 8, 2014. The aircraft is the first C-5M permanently assigned to the 60th Air Mobility Wing. According to manufacturer, Lockheed Martin, the upgrade included a modernized cockpit with a digital, all-weather flight control system and autopilot, among many other avionics-related improvements. Lockheed also states the aircraft's new engine produces "more than 50,000 pounds of thrust – a 22 percent increase over current TF39 engines – and is Stage IV noise compliant. The C-5M also has a 58 percent greater climb rate to an initial cruise altitude that is 38 percent higher than the current C-5." (U.S. Air Force photo/Ken Wright)
This work, First Travis C-5M delivered, by Kenneth Wright, identified by DVIDS, is free of known copyright restrictions under U.S. copyright law.
Date Taken:05.08.2014
Date Posted:05.12.2014 11:58
Photo ID:1332603
Size:1.49 MB
Location:TRAVIS AIR FORCE BASE, CA, US


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Hi there I would like to start by saying that i'm a beginner, but i'm working on a really small and simple Java app, that really shouldn't cause some major problems. I was monitoring memory usage from windows task manager, and noticed that with my application started, java.exe was using about 70MB of available memory. So I thought to myself, ok, this probably is a little large, but still, nothing that my PC couldn't handle. But really strange thing started happening when i tried to resize my window, memory usage suddenly jumped to like 80-90 MB, and if i would continue dragging my window, randomly resizing, it kept increasing memory usage. I thought it has something to do with calling repainting methods on GUI components during window resize, so i took a few suspicious components that could cause some kind of memory leak, and deleted those from my mainwindow form, leaving my program almost completely stripped down, but this issue persisted. What i noticed later was that if i keep resizing my window, memory usage grows up to 200-220 MB, and then stops this uncontrolled growth there. So can somebody tell me, could this be a normal behavior having in mind memory management in java?
Java objects created are not necessarily cleaned up once they're finished with. Instead, something called the "garbage collector" periodically runs in the background looking for orphaned objects and deletes them, freeing up memory.
Your application is likely creating lots of temporary objects as it resizes your window. Although no longer being referenced by anything (ie orphans), these objects are hanging around until the garbage collector runs.
You'll probably find that your max memory is 256M (the default) - the garbage collector is probably being called more often as you approach your max memory and the creation of new objects requires memory to be freed up immediately - hence the memory hovering just under 256M as the creation/deletion rate is balanced by demand.
This is completely normal behaviour.
No, this behaviour is perfectly normal. Java memory management is based on automatic garbage collection, which means that unused memory accumulates for a while before being garbage collected (because that is a significant amount of work, you want to do it as rarely as possible.
So the JVM will tend to use a large part of the memory it's allowed to use (the maximum heap size) - and on a modern PC with multiple GBs of memory available, the default maximum heap size will be pretty big. However, if you have a small app that you know won't need much memory, you can adjust the maximum heap size via the command line option -Xmx, for example
will restrict the heap to 64MB

subset: commoncrawl


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Add playtime variety with the plush toy that helps clean and polish your dog's teeth. KONG Round Braidz Dog Toy is the fun, interactive toy with a unique braided design that gently flosses and cleans teeth as your pet plays. Tightly braided body provides irresistible mouth feel and more teeth-cleaning surfaces.
KONG Round Braidz Dog Toy boasts multiple play options. Stuffed head and braided body provide grabbing points for tugging and chewing. Squeaker sounds during play for added enjoyment. Soft polyester fleece is great to cuddle up to after an exciting day of play. Securely stitched features. Designed for light or moderate chewing.
Please select 10" Frog.
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Travolta: Robin Williams' 'loved us all'
Published: Thursday, August 14, 2014 at 6:30 a.m.
Last Modified: Tuesday, August 12, 2014 at 12:15 p.m.
John Travolta and Robin Williams were Hollywood icons launched from the small screen in the 1970s. They knew each other well. And in 2009, they starred together — along with Travolta's wife, Kelly Preston, and their daughter, Ella Bleu — in the Disney comedy "Old Dogs."
On Monday, following news of Williams' death, Travolta released this statement: "I've never known a sweeter, brighter, more considerate person than Robin. Robin's commitment as an artist to lifting our mood and making us happy is compared to none. He loved us all and we loved him back."
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.


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April 28, 2014
By Elly Walker
By Elly Walker
FRESNO, Calif. -- Junior Madchen Ly was selected as an individual participant for the 2014 NCAA Division 1 Women's Golf Championships.
"I am so thrilled for Madchen on qualifying for the NCAA West Regional Championship," head coach Emily Milberger said. "This is such an exciting time for her as a player and for our program. She has worked so hard this year and she is extremely talented player."
The NCAA West Regional Championship will be hosted by University of Washington and will be held at Tumble Creek Club at Suncadia Resort in Cle Elum, Washington.
"I couldn't be happier," Ly said. "I didn't finish the way I would have liked at Mountain West, but to be selected and represent my community, my team, and my college is an honor. This is what I've worked for all year and to see all my work pay off is exciting."
Ly is a Clovis, Calif. native and has consistently led the Bulldogs throughout the 2013-14 season with a 74.04 stroke average.
Ly competed in all nine tournaments of the 2013-14 season and finished in the top-20 in seven tournaments, top-10 in three, and top-five in two tournaments. Her best finish of the season occurred at the Fresno State Classic where she placed second.
This is the Bulldog's first individual NCAA appearance since 2007 where Jennifer Shipley finished the third round of the West Regional in a six-way tie for 28th place.
"It is awesome to be able to watch Madchen perform at the national level. The post season is a great opportunity to showcase all of her effort and reward her for all of her hard work this year. It is a true statement to a dedicated player and student-athlete."
24 teams and six individuals were selected to compete in the West Regional. Along with Ly, Alison Knowles (University of Louisiana, Monroe), Regan De Guzman (San Jose State University), Clariss Guce (California State University, Northridge), Fabiola Arriaga (University of Texas, San Antonio), and Alexandra White (Brigham Young University) will compete as individuals.
A total of 378 participants were selected for regional competitions. Of these players, 126 will advance to the championships finals. Eight teams and two individuals will advance from each regional.
The championships finals will be held on May 20-23 at Tulsa Country Club in Tulsa, Oklahoma.
"Catch The Wave!" -- Stay connected with the Bulldogs on Facebook (fresnostateathletics), Instagram (fresnostateathletics) and Twitter (@FSAthletics).
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Music City Invading Cosmic Charlie's This Weekend
This post has been updated with new date information. Two great bands from Music City are invading the Horse Capitol's favorite mid-size venue this weekend. Up and coming prog-rock powerhouse Moon Taxi will be laying down the funky foundations on […]
Taquerias and Tortillerias in Lexington's Cardinal Valley
BY RL REEVES JR I'm completely spoiled for top flight Mexican grocery stores, tortillarias and panaderias in my hometown of Austin, Texas. Of course being two hundred miles from
Where to Eat in Lexington, Kentucky: Campus, University of Kentucky
The University of Kentucky campus offers one of Lexington's more eclectic dining corridors, serving up everything from greasy spoon fare to pizza to Korean barbecue and some of
International Market Shopping on Lexington's NorthEast side
BY DAVE OVERTON I've received thousands of emails from hundreds of Ace readers asking, "What about us?" What about those who live in Northeast Lexington? Where do we shop
Shopping the Mexican Markets on Lexington's Westside
page 13 Ace March 5, 2009 BY DAVE OVERTON Chicken too cheap to pass up? So you bought bone-in chicken breasts on sale so you bought a couple of
International Market Shopping on Lexington's Southside
page 13, Ace, January 8 2009 BY DAVE OVERTON Lexington is lucky to have a culturally diverse population. If you are into fusion cuisine as I am, the availability of


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ABI: Android to drive 58% of smartphone app downloads in 2013
Consumers across the globe are on pace to download 56 billion smartphone applications in 2013, up from 32 billion a year ago, ABI Research forecasts.
Smartphones running Google's (NASDAQ:GOOG) Android will fuel 58 percent of all downloads this year, ABI reports. Apple's (NASDAQ:AAPL) iPhone follows with 33 percent of downloads, trailed by Microsoft's (NASDAQ:MSFT) Windows Phone at 4 percent and BlackBerry (NASDAQ:BBRY) at 3 percent.
It's a different story in the tablet segment, where Apple's iPad is projected to drive 75 percent of all 14 billion tablet app downloads in 2013. Android tablets will account for 17 percent, excluding Amazon's (NASDAQ:AMZN) Kindle Fire (which runs a forked version of Android), which will generate 4 percent of downloads. Windows-based tablets are next at 2 percent.
While ABI anticipates a growing number of smartphone-focused application developers will embrace an Android-first strategy with the year, Senior Analyst Aapo Markkanen says "Arguably the most pressing issue for Google is how much of this handset momentum will ultimately trickle down to tablets, where Apple is holding the fort remarkably well. We would argue that in this context Google will actually benefit from the efforts by Amazon, since the presence of Kindle Fire adds a lot of critical 'code mass' to Android's proposition as a platform for tablet applications. It is worth remembering that Android's so-called fragmentation problem isn't only a problem, but that it has a certain upside as well."
For more:
- read this release
Related articles:
IDC: Android, iOS shatter 90% worldwide smartphone share in Q4
ABI: iPad tablet share falls to record low after Android's Q3 surge
Android tablets will end iPad's market dominance next year, analyst forecasts
IDC: Consumers spending more on iOS, Android games than handheld titles
Juniper: Tablet gamers will spend $3 billion on in-app purchases in 2016


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To see in detail how your tax money is spent, go to http://www.clark.wa.gov. Click "property information," then "Clark County Property Information Center." Enter your address. When your account summary comes up, click "taxes," then "tax distribution."
To see in detail how your tax money is spent, go to http://www.clark.wa.gov. Click "property information," then "Clark County Property Information Center." Enter your address. When your account summary comes up, click "taxes," then "tax distribution."
Less than 1 percent of Clark County property owners challenge assessed values, but count Peter van Schoonhoven among those who did after receiving notice last fall that the county believes his Battle Ground-area home and land are worth a total of $581,462.
Van Schoonhoven said his challenge was the first he's filed since buying his home in 1986 because, until now, he always thought the assessed value was reasonable.
His value was reduced by 5 percent in 2010 and another 0.5 percent in 2011; he thought it should have dropped more and be placed closer to $480,000.
He looked at the comparable properties the county used in assessing his property and didn't think they were comparable. He lives on less than three acres, and one of the "comparables" was a house on 35 acres that sold for $1.1 million.
But what prompted van Schoonhoven to contact The Columbian is that first-half property taxes are due April 30 and he has yet to hear from the county on his appeal. He said he was told by an employee in the assessor's office that a reevaluation would be completed by January.
Clark County Assessor Peter Van Nortwick said Friday that people who have a pending appeal don't get an extension, and any adjustment in property taxes will be applied to second-half taxes. Van Nortwick, who was elected in 2010, said he's striving to finish assessments earlier to give more time to resolve challenges before taxes are due.
He said most people appeal because they feel their property has been assessed too high; some property owners appeal every year.
Van Nortwick, who supported unsuccessful legislation that would have allowed counties to charge commercial property owners up to $500 to appeal their assessed values, told county commissioners in February that, since taking office, he was surprised to learn that commercial property owners who own dozens of parcels routinely appeal their assessed values but don't provide any supporting documents.
A filing fee would cut down on the number of automatic appeals and help reimburse the county for its costs, Van Nortwick said.
Commissioners didn't endorse the legislation, however; Steve Stuart and Marc Boldt agreed with Tom Mielke, who said he didn't think people should have to pay.
For the purpose of this year's taxes, the assessed values are based on 2010 sales.
When notices were mailed in October, Van Nortwick said assessment changes varied throughout the county, with some neighborhoods seeing no change or a slight increase. Other neighborhoods saw declines, but not as dramatic as during the recession.
Van Nortwick said he aims to hit 95 to 97 percent of market value. When campaigning in 2010, he criticized the office's inability to assess properties at 100 percent of market value. According to the Department of Revenue, Clark County at the time was assessing properties at 92 percent of market value, above the state average of 87 percent.
On Friday, Van Nortwick said that a goal of 100 percent of market value means some properties will assessed too high.
In 2011, 1,154 property owners filed challenges, up from 980 owners in 2010 but below the five-year high of 2,588 challenges filed in 2009.
In 2010, 211 appeals went to the Board of Equalization, 24 are still pending, and the rest were settled with the assessor's office or withdrawn or are still pending.
Lower value, higher rate
Van Nortwick said he's frequently asked why a decline in value doesn't translate into a lower tax bill.
Under the budget-based system, if property values go down, tax rates go up. In August, the state Department of Revenue said the average single-family residential property tax bill increased in Clark County from 2010 to 2011 by $134. People in the Battle Ground and Evergreen school districts were hit the hardest because of voter-approved levy increases.
The state also said that a significant drop in property values pushed Clark County to have the highest average property tax levy rate in the state. The average single-family residential property tax bill was $2,707, on point with the statewide average tax bill of $2,718.
Free online option
There are 168,561 property accounts, said Treasurer Doug Lasher, whose office collects property taxes.
Lasher said Friday that 1,100 of those taxpayers have registered to receive property tax billings and make payments online for free using a third-party vendor.
The new method required a legislative fix that was championed in 2010 by Rep. Tim Probst, D-Vancouver and Sen. Craig Pridemore, D-Vancouver.
To sign up, go to http://doxo.com/clarkcounty.
Clark County does let homeowners pay property taxes online via Visa, MasterCard, Discover, and electronic check, but those payments are subject to a nonrefundable convenience fee charged by a third-party payment processor.
Lasher said his office has received a total of 1,235 payments online.
Taxpayers whose bills are not paid through a mortgage company and who do not want to go to the treasurer's office can pay current tax statements at any Clark County branch of First Independent Bank.
Payment must be accompanied by an original, current statement.
Delinquent taxes must be mailed or brought to the treasurer's office at the Clark County Public Service Center, 1300 Franklin St.
Mailed tax payments should be sent to Clark County Treasurer, P.O. Box 9808, Vancouver, WA 98666-8808. Payments must be postmarked by April 30.
Duplicate tax statements are available from http://www.clark.wa.gov/treasurer or 360-397-2252.
Stephanie Rice: 360-735-4508 or firstname.lastname@example.com.


text: I have Chicago Schwinn Twinn Deluxe tandem, sort of a maroon. It has 5 speeds controlled with a lever. We have owned it since around 1987, did not buy it new. We lived in Chicago at the time and rode all over. My husband died and I will not be able to ride it. I'm trying to determine its age. I read forum postings about serial numbers. I check on the bike and it APPEARS to me to say OHO78239. It seems pretty clear but from what I read it should be 2 letters not using O and only have 4 numbers. So I am confused. If anyone can provide me with direction I'd appreciate it.


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In the new era of long-term care geriatric medicine, hospitalization rates carry significant financial implications for facilities. This is a reality. As a result, clinicians need to be more vigilant in the early identification and treatment of potentially avoidable hospitalizations. This, in turn, will unfortunately lead to increased utilization of antibiotics, particularly for respiratory infections.
Ten Clinical Situations in Long-Term Care for Which Antibiotics are Often Prescribed but Rarely Necessary
Bacterial infections are prevalent in the long-term care (LTC) setting, and LTC facilities have particularly high rates of antibiotic use. Determining the appropriateness of antibiotic therapy represents a unique challenge for clinicians who care for LTC residents, as many residents have cognitive or expressive limitations that complicate efforts to assess symptoms. In addition, LTC residents can become septic quickly because they are often elderly and frail, making clinicians reluctant to delay treatment until culture results are available or the clinical situation fully presents itself.
Overuse of antibiotics in nursing home residents can lead to numerous complications, including antibiotic resistance, adverse reactions, multiple drug allergies, and secondary infections due to overgrowth of organisms like Clostridium difficile and Candida albicans.1 Studies suggest that many LTC residents are colonized with drug-resistant bacteria.2 Risk factors for harboring such bacteria include recent hospitalization, poor functional status, prior antimicrobial therapy (especially if recurrent), chronic pressure ulcers, and use of indwelling urinary catheters.2 The growing number of bacterial strains demonstrating multidrug resistance, combined with the relative paucity of new agents in the antibiotic pipeline, has led antibiotic resistance to be declared a major public health crisis by several health-focused agencies, including the World Health Organization, the Institute of Medicine, the Infectious Diseases Society of America, and the Centers for Disease Control and Prevention.
To provide better guidance for clinicians working in LTC settings, we reviewed the literature and identified 10 clinical situations in LTC for which antibiotics are often prescribed but rarely necessary. We recommend alternative strategies that clinicians can suggest to nursing home staff in lieu of prescribing antibiotics (Table). The intent of these evidence-based recommendations is to refine prescribing practices for antibiotics, maximizing their efficacy and decreasing inappropriate use. When applying these recommendations in the practice setting, clinicians will have to evaluate each patient's clinical situation and use their best judgment.
Urinary Tract Conditions
The prevalence of urinary tract infection (UTI) increases with age in men and women, and at least 30% of antibiotics prescribed in LTC are for treating these infections.3 We identified several scenarios involving UTIs in LTC residents for which antibiotic treatment is common but frequently unnecessary.
Positive Urine Culture in an Asymptomatic Patient
Asymptomatic bacteriuria refers to high quantities (>100,000 colony-forming units) of a uropathogen found in the urine of a patient who has no symptoms of a UTI. Urine cultures are positive for bacteriuria in approximately 25% to 50% of women and 15% to 40% of men who are not acutely ill and reside in LTC facilities.4 Studies show that asymptomatic bacteriuria does not increase mortality risk or chronic genitourinary symptoms, such as incontinence. Moreover, treating asymptomatic patients exposes them to the possible adverse effects of antibiotics without improving their prognosis.5-9 Whereas an asymptomatic elderly resident with a positive urine culture does not require antimicrobial treatment,10 a resident with a positive urine culture who has clear symptoms arising from the urinary tract, such as dysuria, urinary frequency, or flank pain, should be treated for a UTI.
Urinalysis or Culture for Cloudy or Malodorous Urine
Nursing observations of foul-smelling or cloudy urine often lead to a urine culture being requested and occasionally to the empirical treatment of a suspected UTI.5 Although patients with symptomatic UTIs typically have cloudy or odorous urine, these signs are also observed in patients with noninfectious conditions, such as asymptomatic bacteriuria, dehydration, and crystallization after urine passage. Midthun and associates11 found that one-third of nursing home residents who received a UTI diagnosis based solely on the odor of their urine tested negative for a UTI. Other studies have concluded that changes in urine appearance in the absence of symptoms do not indicate a need for urinalysis, culture, or antimicrobial treatment.12,13 Instead, asymptomatic residents with malodorous urine should be managed with nursing interventions, such as scheduled toileting, perineal cleansing, and improved fluid intake, while concomitantly being monitored for new symptoms or a change in clinical status.14
For nursing home residents with a suspected UTI, urinalysis is used mostly for ruling out a UTI, rather than for ruling it in. Although the presence of nitrite is highly predictive for bacteriuria, asymptomatic bacteriuria is so common in this patient population that nitrite is only 20% specific for a UTI.15 Similarly, a dipstick test that is positive for leukocyte esterase is only 26% specific for a UTI because many noninfectious conditions can affect the bladder of older persons and cause pyuria.
Nonspecific Symptoms or Signs Not Referable to the Urinary Tract
A common practice in LTC facilities is to look for a UTI every time a resident falls, skips a meal, has an unusual episode of agitation, or falls asleep during Bingo. This contrasts starkly with a recommendation from a consensus panel of infectious disease specialists and geriatricians against treating UTIs in patients who have no localized signs or symptoms.12,13 The best practice lies somewhere between these two poles.14 Although overtreatment of minor nonspecific symptoms is common, published diagnostic criteria lack adequate sensitivity.16
In the noncatheterized patient, nonspecific signs and symptoms and those not localized to the urinary tract are seldom due to a UTI.17 A nursing home study evaluated 399 cases in which a resident's urine was cultured due to a suspected UTI.18 Overall, 37% of cultures were positive for bacteriuria plus pyuria and, in many cases, may have reflected asymptomatic bacteriuria. Investigators found that being female, the presence of dysuria, and a change in urine appearance were associated with bacteriuria, whereas fever and changes in behavior and mental status were not. Therefore, rather than reflexively deciding to "check the urine" when patients present with nonspecific signs and symptoms, physicians should consider other factors, such as poor sleep, constipation, mild dehydration, or drug-related adverse effects. In cases where clinicians decide that a urine culture is warranted, they should address other possible causes for the patient's signs and symptoms while awaiting the results. If the results of the culture are positive and other conditions have been ruled out, clinicians should treat only those patients who remain symptomatic.
Respiratory Conditions
Management of respiratory infections in LTC is another area in which antibiotic use may be curtailed significantly. Antibiotic treatment does not improve many respiratory infections, including viral upper respiratory infections (URIs), many cases of bronchitis, and some cases of pneumonitis. Pediatricians have already succeeded in reducing the use of antibiotics to treat children with respiratory infections, with no corresponding increase in the incidence of serious infections. Decreasing antibiotic use is more challenging in the elderly population, which has higher prevalence rates of chronic respiratory pathology and serious bacterial infections.
Upper Respiratory Infections
URIs are common among older residents in LTC and are generally caused by viral pathogens, such as respiratory syncytial virus, rhinovirus, coronavirus, influenza, and adenovirus.19 A 2008 systematic literature review and meta-analysis of studies conducted among the general population confirmed that antibiotics are no more effective than placebo at improving URI symptoms and are sometimes associated with adverse effects.20 One study concluded that URIs rarely cause serious complications and calculated that 4000 courses of antibiotics would have to be administered to prevent just one episode of post-URI pneumonia.21 The study noted, however, that individuals older than 65 years are more likely than younger adults to develop pneumonia following a URI and recommended monitoring older adults closely for additional symptoms that might require treatment.
Recommended supportive care measures for patients with a URI include rest, hydration, acetaminophen or nonsteroidal anti-inflammatory drugs to relieve fever and pain, and possibly steam inhalation to soothe throat irritation and nasal congestion. Although not specific to the elderly population, literature reviews of various nonprescription remedies for URI indicate that few have clinically significant benefits. In general, the efficacy of nasal saline irrigation,22 antihistamine monotherapy,23 and antitussives24 at relieving URI symptoms in adults has been inconsistent and limited. Antihistamine and decongestant combinations23 and oral nasal decongestants alone25 have demonstrated modest efficacy at providing short-term relief of some symptoms in adults. Considering the frail state of many elderly LTC residents, it is likely that the risk of adverse effects from over-the-counter URI drugs outweighs any modest benefits that might be realized. Not enough data are available from high-quality trials to support use of alternative medicines, such as zinc lozenges and echinacea.24 Despite the common belief that vitamin C fights colds, studies have not shown vitamin C to reduce the duration of colds in symptomatic patients.25
Bronchitis Absent of Chronic Obstructive Pulmonary Disease
Acute bronchitis is typically viral in origin. It often starts with rhinitis, with symptoms progressing to a persistent cough within a few days of onset. Abnormal vital signs (eg, fever, tachypnea, or tachycardia) and signs of consolidation or rales on physical examination suggest possible pneumonia and should prompt chest radiography.26,27 Therapies are generally provided to relieve symptoms and may include analgesics, antipyretics, antitussives, bronchodilators, and expectorants. Studies show that patients whose bronchitis is associated with wheezing or a bothersome cough benefit from using inhaled bronchodilators.28-31
Clinical trial data suggest that antibiotics may reduce the duration of bronchitis symptoms modestly at best; thus, antimicrobial agents are not recommended in most acute cases. Two meta-analyses of clinical trials comparing antibiotic treatment with placebo for patients with acute bronchitis found that antibiotic agents were only slightly better than placebo at relieving symptoms and that any improvement was minor.28,32 The meta-analysis by Bent and associates,32 which included data from eight placebo-controlled trials, found that acute bronchitis symptoms in patients who received erythromycin, doxycycline, or trimethoprim/sulfamethoxazole decreased a fraction each day. Although the degree of improvement was statistically significant, the authors concluded it was too trivial to outweigh the risk of drug-related adverse effects.
An exception to recommendations against using antibiotics to treat acute bronchitis is when the patient has chronic obstructive pulmonary disease (COPD). Acute bronchitis often exacerbates COPD symptoms, and antibiotics have been found to reduce rates of mortality and treatment failure and to decrease sputum purulence.33,34 Ram and associates34 determined that eight patients needed to be treated to prevent one treatment failure. High-level evidence suggests that a 5-day course of antibiotics is adequate for most patients and is no less effective than longer regimens.35
Suspected or Proven Influenza Without a Secondary Infection
Influenza ranks among the most commonly reported infectious disease outbreaks in nursing homes.36 Because of its epidemic nature, influenza is frequently diagnosed based on clinical and epidemiologic findings during an outbreak. Influenza is caused by a viral pathogen; thus, treatment with antiviral agents may be appropriate, and antibacterial agents are only indicated if the patient has a secondary bacterial infection. When influenza is suspected, nasopharyngeal wash or swabs from the throat and nasopharynx should be taken and tested for influenza and other viruses, such as respiratory syncytial virus.31,36,37
The most effective strategy for managing influenza is to institute an aggressive program that calls for immunizing residents and staff annually. If an influenza outbreak does occur, administering antiviral agents early in the course of the outbreak can help limit the spread of the virus.36,38 Treating patients with antiviral medications promptly after the onset of illness may also reduce the severity and duration of uncomplicated influenza infections.39
Respiratory Symptoms in a Terminal Patient With Dementia
Residents of nursing homes or assisted living facilities who have advanced dementia typically experience recurrent infections and frequent febrile episodes for which they often receive antibiotics.40,41 Despite the frequent use of antibiotics to treat terminal patients with dementia, pneumonia is a leading cause of death in this patient population. Multiple studies have shown that antibiotics fail to prolong the life of dementia patients with pneumonia and are frequently associated with administration-related discomfort and adverse effects.40-46 Although some physicians prescribe antibiotics in an effort to relieve pneumonia symptoms, several treatments other than antibiotics have been found to be far more palliative for dementia patients with pneumonia. Relief measures include analgesics for pain, anticholinergics (atropine or scopolamine) for respiratory mucous secretions, anxiolytics and neuroleptics for agitation, oxygen and narcotics for dyspnea, and ice chips and oral fluids for dry mouth.47,48
Skin Wounds
Skin wounds are common in LTC and have many causes, including injury, surgical incision, immobility, incontinence, chronic disease, and contagion. Recognizing criteria of infection in skin wounds is difficult because the signs of chronic inflammation are similar to those of overt infection. Bacterial infection is a primary concern when managing skin wounds.49 Uncontrolled infection can lead to discomfort, rapidly spreading tissue necrosis, and even death.50 As a result, it is tempting to administer systemic antibiotics to residents with skin wounds, even without signs of deep infection. Optimal management can minimize the risk of bacterial infection, however, and several studies and guidelines provide alternative strategies to antibiotics for managing soft-tissue infections,51 pressure wounds,52-55 and small abscesses.55 They also offer guidance on determining when antibiotics are indicated.50,56,57
Skin Wounds Without Cellulitis, Sepsis, or Osteomyelitis
When managing skin wounds, providers should take care to determine whether a wound is actively infected before administering systemic antibiotics. Studies have demonstrated the value of using subtle signs to facilitate identification of wound infections49,58; however, it has also been shown that signs of infection differ between wound types.59 In 2009, Woo and Sibbald56 compared quantitative swab cultures to the presence or absence of potential clinical signs of wound infection based on the existing assessment model using the mnemonic devices NERDS to determine colonization levels (nonhealing, increased exudate, red friable granulation, debris, and smell) and STONEES to determine infection (increased size, increased temperature, Os [probes to bone], new areas of breakdown, edema/erythema, increased exudate, and smell). The results of this study seem to confirm that no one clinical sign of wound infection may be sufficient to help clinicians decide whether a topical or systemic antibiotic should be prescribed; however, the results suggest that the presence of three potential signs of infection in the wound can serve as good indicators of the extent of bacterial colonization, with a 73.3% sensitivity and 80.5% specificity for scant or light bacterial growth and 90% sensitivity and 69.4% specificity for moderate and heavy bacterial growth.56 In a European study, cellulitis, malodor, pain, and delayed healing or deterioration of the wound (wound breakdown) were signs of infection that were common in all wound types.60 Based on the aforementioned studies, close observation of the wound over time is imperative so that subtle changes can be identified, ensuring signs of infection are not missed.
For superficially infected wounds, optimal management requires conducting a thorough assessment and debridement of the wound. Use of topical dressings and agents, such as cadexomer iodine, antibiotic creams, and nanocrystalline silver agents, can also be considered.52,61 Pressure ulcers should initially be cleansed at each dressing change, applying minimal mechanical force. The wound should be washed with normal saline or water at room temperature; skin cleansers and antiseptic agents should be avoided.53 It is important to remove any slough and necrotic eschar, which serve as physical barriers to healing, support bacterial growth, and may mask signs of local infection. After debridement, use of a topical antimicrobial agent such as cadexomer iodine or silver-containing dressings should be considered, as these can restore bacterial balance to the wound.62-64
When managing wounds, it is important to choose a dressing that keeps the wound environment moist but not saturated. This protects surrounding healthy tissue, which is typically torn when removing a dried-out dressing.54 Absorptive dressings, hydrophilic foam, alginates, or saline-impregnated gauze are indicated for wounds that produce significant amounts of exudate, and the dressing should be changed daily.57
Swabbing and culturing a skin wound is rarely recommended because a positive bacterial culture is more likely to indicate surface colonization rather than active infection. Thus, skin infection is usually a clinical diagnosis; however, when a wound stops healing or shows subtle signs of deterioration (ie, persistent purulent drainage), an appropriately deep culture from the wound bed should be obtained.55
Small Localized Abscess Without Significant Cellulitis
Recent guidelines from the Infectious Diseases Society of America state that most abscesses can be effectively treated with incision and drainage alone, although cellulitis generally requires systemic antibiotics.65 This is true even for abscesses caused by methicillin-resistant Staphylococcus aureus (MRSA).51 It is generally thought that systemic antibiotics are unnecessary for abscesses measuring 5 cm or less in diameter.65 The role of antibiotics is less clear when treating MRSA-caused abscesses in patients who are immunocompromised or who have multiple comorbid conditions.51 Some studies suggest, however, that incision and drainage alone may be sufficient care even for these patients.66,67
Decubitus Ulcer in a Terminal Patient
In patients with end-stage illness, decubitus ulcers are difficult to avoid and may represent a visual biomarker of their terminal status.67 Treatment options are limited, and goals of care should focus on palliation and controlling pain and odor.67,68 Managing wound odor is important and rarely requires systemic antibiotic therapy.68-71 For superficial wounds, tissue debridement followed by topical metronidazole gel or silver sulfadiazine can often help control odor.68,69,71 For
venous ulcers, the antimicrobial agent cadexomer iodine may decrease bacterial counts and odor. Data from a handful of studies suggest that applying yogurt or buttermilk to a clean wound lowers the pH of the wound, thereby limiting bacterial proliferation and odor.72 Generally, systemic metronidazole should only be administered for malodorous deep tissue infections.
In the majority of cases covered by these 10 scenarios, effective management of symptoms can be achieved with therapeutic options other than systemic antibiotics. Given how common suspected UTIs, respiratory symptoms, and skin wounds are in LTC, identifying situations where antibiotics are not indicated should significantly decrease their use, thereby reducing the risk of adverse outcomes, including antibiotic resistance. The clinical application of the recommendations outlined in this article should be individualized to each situation and will require concomitant education of nursing staff and families.
This research was conducted by the University of North Carolina at Chapel Hill under contract no. 290200710014I to the Agency for Healthcare Research and Quality, Rockville, MD. The authors of this article are responsible for its content. No statement may be construed as the official position of the Agency for Healthcare Research and Quality of the US Department of Health and Human Services.
Dr. Sloane is a recipient of Pioneer Award #PIO-04-1004 from the Alzheimer's Association.
The authors report no relevant financial relationships.
1. Spellberg B, Blaser M, Guidos RJ, et al; Infectious Diseases Society of America (ISDA). Combating antimicrobial resistance: policy recommendations to save lives. Clin Infect Dis. 2011;52(suppl 5):S397-S428.
2. Strausbaugh LJ, Crossley KB, Nurse BA, Thrupp LD. Antimicrobial resistance in long-term care facilities. Infect Control Hosp Epidemiol. 1996;17(2):129-140.
3. Richards CL. Urinary tract infections in the frail elderly: issues for diagnosis, treatment and prevention. Int Urol Nephrol. 2004;36(3):457-463.
4. Nicolle LE, Bradley S, Colgan R, et al; Infectious Diseases Society of America; American Society of Nephrology; American Geriatrics Society. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis. 2005;40(5):643-654.
5. Nicolle LE. Asymptomatic bacteriuria in the elderly. Infect Dis Clin North Am. 1997; 11(3):647-662.
6. Abrutyn E, Mossey J, Levison M, et al. Epidemiology of asymptomatic bacteriuria in elderly women. J Am Geriatr Soc. 1991;39(4):388-393.
7. Abrutyn E, Mossey J, Berlin JA, et al. Does asymptomatic bacteriuria predict mortality and does antimicrobial treatment reduce mortality in elderly ambulatory women [published correction appears in Ann Intern Med. 1994;121(11):901]? Ann Intern Med. 1994;120(10):827-833.
8. Abrutyn E, Mossey J, Berlin JA, et al. Does treatment of asymptomatic bacteriuria in elderly ambulatory women reduce subsequent symptoms of urinary tract infection? J Am Geriatr Soc. 1996;44(3):293-295.
9. Nicolle LE. Asymptomatic bacteriuria: when to screen and when to treat. Infect Dis Clin North Am. 2003;17(2):367-394.
10. Benton TJ, Nixon-Lewis B. The aging urinary tract and asymptomatic bacteriuria. Clinical Geriatrics. 2007;15(2):17-22.
11. Midthun SJ, Paur R, Lindseth G. Urinary tract infections. Does the smell really tell? J Gerontol Nurs. 2004;30(6):4-9.
12. Loeb M, Bentley DW, Bradley S, et al. Development of minimum criteria for the initiation of antibiotics in residents of long-term care facilities: results of a consensus conference. Infect Control Hosp Epidemiol. 2001;22(2):120-124.
13. McGeer A, Campbell B, Emori TG, et al. Definitions of infection for surveillance in long-term care facilities. Am J Infect Control. 1991;19(1):1-7.
14. Midthun SJ. Criteria for urinary tract infection in the elderly: variables that challenge nursing assessment. Urol Nurs. 2004;24(3):157-162,166-169; quiz 170.
15. Juthani-Mehta M, Tinetti M, Perrelli E, et al. Role of dipstick testing in the evaluation of urinary tract infection in nursing home residents. Infect Control Hosp Epidemiol. 2007;28(7):889-891.
16. Woodford HJ, George J. Diagnosis and management of urinary tract infection in hospitalized older people. J Am Geriatr Soc. 2009;57(1):107-114.
17. Nickel JC, Pidutti R. A rational approach to urinary tract infections in older patients. Geriatrics. 1992;47(10):49-50,53-55.
18. Juthani-Mehta M, Quagliarello V, Perrelli E, et al. Clinical features to identify urinary tract infections in nursing home residents: a cohort study. J Am Geriatr Soc. 2009;57(6):963-970.
19. Nicholson KG, Baker DJ, Farquhar A, et al. Acute upper respiratory tract viral illness and influenza immunization in homes for the elderly. Epidemiol Infect. 1990;105(3):609-618.
20. Arroll B, Kenealy T, Falloon K. Are antibiotics indicated as an initial treatment for patients with acute upper respiratory tract infections? A review. N Z Med J. 2008;121(1284):64-70.
21. Petersen I, Johnson AM, Islam A, et al. Protective effect of antibiotics against serious complications of common respiratory tract infections: retrospective cohort study with the UK General Practice Research Database. BMJ. 2007;335(7627):982.
22. Kassel JC, King D, Spurling GK. Saline nasal irrigation for acute upper respiratory tract infections. Cochrane Database Syst Rev. 2010;(3):CD006821.
23. De Sutter AI, Lemiengre M, Campbell H. Antihistamines for the common cold. Cochrane Database Syst Rev. 2009;7(4):CD001267.
24. Linde K, Barrett B, Wölkart K, et al. Echinacea for preventing and treating the common cold. Cochrane Database Syst Rev. 2006;25(1):CD000530.
25. Douglas RM, Hemilä H, Chalker E, Treacy B. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2007;18(3):CD000980.
26. Metlay JP, Schulz R, Li YH, et al. Influence of age on symptoms at presentation in patients with community-acquired pneumonia. Arch Intern Med. 1997;157(13): 1453-1459.
27. Metlay JP, Kapoor WN, Fine MJ. Does this patient have community acquired pneumonia? Diagnosing pneumonia by history and physical examination. JAMA. 1997;278(17):1440-1445.
28. Smucny JJ, Flynn CA, Becker LA, Glazier RH. Are beta2-agonists effective treatment for acute bronchitis or cough in patients with underlying pulmonary disease? A systematic review. J Fam Pract. 2001;50(11):945-951.
29. Hueston WJ. Albuterol delivered by metered-dose inhaler to treat acute bronchitis. J Fam Pract. 1994;39(5):437-440.
30. Melbye H, Aasebø U, Straume B. Symptomatic effect of inhaled fenoterol in acute bronchitis: a placebo-controlled double-blind study. Fam Pract. 1991;8(3):216-222.
31. Matheï C, Niclaes L, Suetens C, et al. Infections in residents in nursing homes. Infect Dis Clin North Am. 2007;21(3):761-772.
32. Bent S, Saint S, Vittinghoff E, Grady D. Antibiotics in acute bronchitis: a meta-analysis. Am J Med. 1999;107(1):62-67.
33. Quon BS, Gan WQ, Sin DD. Contemporary management of acute exacerbations of COPD: a systematic review and metaanalysis. Chest. 2008;133(3):756-766.
34. Ram FS, Rodriguez-Roisin R, Granados-Navarrete A, et al. Antibiotics for exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2006;19(2):CD004403.
35. El Moussaoui R, Roede BM, Speelman P, et al. Short-course antibiotic treatment in acute exacerbations of chronic bronchitis and COPD: a meta-analysis of double-blind studies. Thorax. 2008;63(5):415-422.
36. High KP, Bradley SF, Gravenstein S, et al; Infectious Diseases Society of America. Clinical practice guideline for the evaluation of fever and infection in older adult residents of LTC facilities: 2008 update by the Infectious Diseases Society of America. J Am Geriatr Soc. 2009;57(3):375-394.
37. Arden NH. Control of influenza in the long-term-care facility: a review of established approaches and newer options. Infect Control Hosp Epidemiol. 2000;21(1):59-64.
38. Bowles SK, Lee W, Simor AE, et al; Oseltamivir Compassionate Use Program Group. Use of oseltamivir during influenza outbreaks in Ontario nursing homes, 1999-2000. J Am Geriatr Soc. 2002;50(4):608-616.
39. Jain S, Kamimoto L, Bramley AM, et al. Hospitalized patients with 2009 H1N1 influenza in the United States, April–June 2009. N Engl J Med. 2009;361(20):1935-1944.
40. Chen JH, Lamberg JL, Chen YC, et al. Occurrence and treatment of suspected pneumonia in LTC residents dying with advanced dementia. J Am Geriatr Soc. 2006;54(2):290-295.
41. D'Agata E, Mitchell SL. Patterns of antimicrobial use among nursing home residents with advanced dementia. Arch Intern Med. 2008;168(4):357-362.
42. van der Steen JT, Ooms ME, van der Wal G, Ribbe MW. Pneumonia: the demented patient's best friend? Discomfort after starting or withholding antibiotic treatment. J Am Geriatr Soc. 2002;50(10):1681-1688.
43. van der Steen JT, Ooms ME, Mehr DR, et al. Severe dementia and adverse outcomes of nursing home-acquired pneumonia: evidence for mediation by functional and pathophysiological decline. J Am Geriatr Soc. 2002;50(3):439-448.
44. van der Steen JT, Kruse RL, Ooms ME, et al. Treatment of nursing home residents with dementia and lower respiratory infection in the United States and the Netherlands: an ocean apart. J Am Geriatr Soc. 2004;52(5):691-699.
45. Mehr DR, van der Steen JT, Kruse RL, et al. Lower respiratory infections in nursing home residents with dementia: a tale of two countries. Gerontologist. 2003;43(Spec No 2):85-93.
46. Morrison RS, Siu AL. Survival in end-stage dementia following acute illness. JAMA. 2000;284(1):47-52.
47. Parshall MB, Schwartzstein RM, Adams L, et al; ATS Committee on Dyspnea. An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea. Am J Respir Crit Care Med. 2012;185(4):435-452.
48. McCann RM, Hall WJ, Groth-Juncker A. Comfort care for terminally ill patients. The appropriate use of nutrition and hydration. JAMA. 1994;272(16):1263-1266.
49. Cutting KF. Identification of infection in granulating wounds by registered nurses. J Clin Nurs. 1998;7(6):539-546.
50. Gardner SE, Frantz RA, Troia C, et al. A tool to assess clinical signs and symptoms of localized infection in chronic wounds: development and reliability. Ostomy Wound Manage. 2001;47(1):40-47.
51. Hankin A, Everett WW. Are antibiotics necessary after incision and drainage of a cutaneous abscess? Ann Emerg Med. 2007;50(1):49-51.
52. Smith D. Pressure ulcers in the nursing home. Ann Intern Med. 1995;123(6):433-442.
53. National Guideline Clearinghouse (NGC). Guideline synthesis: management of pressure ulcers. In: National Guideline Clearinghouse (NGC) [Web site]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Dec (revised 2011 Jan). www.guideline.gov/syntheses/synthesis.aspx?id=16417. Accessed March 28, 2012.
54. European Pressure Ulcer Advisory Panel; National Pressure Ulcer Advisory Panel. Pressure Ulcer Prevention: Quick Reference Guide. Washington DC: National Pressure Ulcer Advisory Panel, 2009. www.epuap.org/guidelines/Final_Quick_Prevention.pdf. Accessed March 28, 2012.
55. Bergstrom N, Allman RM, Alvarez O, et al; Agency for Health Care Policy and Research. Clinical Practice Guideline Number 15: Treatment of Pressure Ulcers. Rockville, MD: US Department of Health and Human Services; 1994. ACHPR Publication No. 95-0652.
56. Woo KY, Sibbald RG. A cross-sectional validation study of using NERDS and STONEES to assess bacterial burden. Ostomy Wound Manage. 2009;55(8):40-48.
57. Schultz GS, Sibbald G, Falanga V, et al. Wound bed preparation: systematic approach to wound management. Wound Repair Regen. 2003;11(suppl 1):S1-S28.
58. Gardner SE, Frantz RA, Doebbeling BN. The validity of the clinical signs and symptoms used to identify localized chronic wound infection. Wound Repair Regen. 2001;9(3):178-186.
59. Cutting KF, White RJ. Criteria for identifying wound infection - revisited. Ostomy Wound Manage. 2005;51(1):28-34.
60. Cutting KF, White RJ, Mahoncy P, Harding KG; European Wound Management Association (EWMA). Clinical identification of wound infection: a Delphi approach. In: Position Document: Identifying Criteria for Wound Infection. London: MEP Ltd; 2005. http://bit.ly/EWMAwoundreport. Accessed March 26, 2012.
61. Dow G. Bacterial swabs and the chronic wound: when, how, and what do they mean? Ostomy Wound Manage. 2003;49(suppl 5A):8-13.
62. Sibbald RG, Woo K, Ayello EA. Increased bacterial burden and infection: the story of NERDS and STONES. Adv Skin Wound Care. 2006;19(8):447-461; quiz 461-463.
63. Wysocki AB, Annette B. Evaluating and managing open skin wounds: colonization versus infection. AACN Clin Issues. 2002;13(3):382-397.
64. Sibbald G, Williamson D, Orstead H, et al. Preparing the wound bed–debridement, bacterial balance and moisture balance. Ostomy Wound Manage. 2000;46(11):14-22,24-28,30-35; quiz 36-37.
65. Liu C, Bayer A, Cosgrove SE, et al; Infectious Diseases Society of America. Clinical practice guidelines by the Infectious Diseases Society of America for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children [published correction appears in Clin Infect Dis. 2011;53(3):319]. Clin Infect Dis. 2011;52(3):e18-e55.
66. Stevens DL, Bisno AL, Chambers HF, et al; Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of skin and soft-tissue infections [published corrections appear in Clin Infect Dis. 2005;41(12): 1830 and 2006;42(8):1219]. Clin Infect Dis. 2005;41(10):1373-1406.
67. Rajendran PM, Young D, Maurer T, et al. Randomized, double-blind, placebo-controlled trial of cephalexin for treatment of uncomplicated skin abscesses in a population at risk for community-acquired methicillin-resistant Staphylococcus aureus infection. Antimicrob Agents Chemother. 2007;51(11):
68. Hughes RG, Bakos AD, O'Mara A, Kovner CT. Palliative wound care at the end of life. Home Health Care Manage Pract. 2005;17(3):196-202.
69. Brown G. Long-term outcomes of full-thickness pressure ulcers: healing and mortality. Ostomy Wound Manage. 2003;49(10):42-50.
70. Eisenberger A, Zeleznik J. Pressure ulcer prevention and treatment in hospices: a qualitative analysis. J Palliat Care. 2003;19(1):9-14.
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In the new era of long-term
Regrettably, antibiotics are
Regrettably, antibiotics are already overutilized in long term care facilities and hospitals both. Although Dr. Palace is correct that clinicians need to be more vigilant in the early identification and treatment of illness, they must also be more responsible in antibiotic stewardship and recognizing when the use of antibiotics is unnecessary and inappropriate.


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paisano ranch
By Texas standards, Paisano's 254 acres hardly qualify as a ranch. In fact, Dobie himself declared that Paisano is "not an estate, not a ranch, not a farm, it is merely a place of some acres in the hills west of Austin, Barton Creek winding through it." Nevertheless it provides the writers who are chosen to live there with a good deal of isolation.
From the porch (gallery) looking toward Barton Creek
Photos by Joan C. Terrell
The three-bedroom frame house is simply furnished. Fellows need bring only personal belongings. The house has central air-conditioning and heating. The university provides utilities, except long-distance service. Fellows may bring their families but the expectation is that the fellow will devote full-time to writing and be in residence for the length of the fellowship - approximately six months.
|A paisano guards the gate
Some kind of transportation is a necessity as stores and services are several miles away.
Permission must be obtained from the fellow or from the director of the project to enter the property.
Read more about the Paisano Ranch in this feature article.


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The Canadian Institute for Theoretical Astrophysics is a nationally supported research centre for studies in theoretical astronomy and related subjects, and is hosted by the University of Toronto. CITA's primary missions are to foster interaction within the Canadian theoretical astrophysics community and to serve as an international center of excellence for theoretical studies in astrophysics.


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Sup. I'm a 16 year old, 279lb guy. Yeah, that's bad, I know. But I was a lot worse: May of 2012 I weighed in the doctors office at 354, and after giving up red meat and walking a lot more often, I made it to around 300 as of three weeks ago. But, since I'm a high school senior and looking to kick this weight before I get out of here, I decided to (and so happy, never going back) become a pesco-vegetarian and start running/biking more often as well as counting calories to maintain 2K/D. It got me my 21lb in 3 weeks loss, which may seem almost unhealthy but in the way I manage myself works (as told by my doctor). My goal is 192lbs by this coming May.
That bio over and done with, I ordered a GMC Denali Road Bike from Wal-Martmy minimum-wage paycheck can't cover treksand signed up to participate in the Sea Gull Century, a 100 Mile bike through Maryland. I was wondering if there are any concerns for breaking back wheel spokes (at least until I get down some more) during the long ride?


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SF Street Style: One Guy, Three Looks, Bernal Heights
I met photographer Abraham (Abe) Espiritu a few years back, and have always dug how he pieces modern and vintage clothing to present personal, yet on-trend looks. Last weekend, I asked him to pull together a few rain-and-shine spring looks for a little photoshoot in his hood, Bernal Heights. The end result included a fantastic mix of rain boots, black-on-black, white pants, sockless oxfords, a cool chambray, and fiery vintage prints. Check it out.
Local Startup Personal Capital Puts You Back in Control of Your Financial Life
"Why shouldn't anyone be able to do anything and everything with their money with a few taps?" asks Bill Harris, CEO of Personal Capital, pulling out his iPad. "Managing your financial life should not be this complicated."
Visual Sharing App Showyou Says Twitter is Kicking Facebook's Butt
Check this out: Sixty hours of video are uploaded to YouTube every minute, which translates to an hour of video every second.
Think about that. No single human being is ever going to watch all of these clips of "Charlie Bit My Finger," not to mention kittens, music performances and product demos. We need curators.
Men's Look of the Week: 10 Ultra Manly iPad + Tablet Cases
Rugged. Handsome. Functional. Everything you'd want in a tablet case, no? With clever new designs and materials like aircraft-grade aluminum (#5), premium selvage denim (#6), and re-purposed WWII canvas (#9) being used to protect your precious cargo, tablet cases are now more manly than ever.
Pageonce Lets You Keep Track of (and Pay) Your Bills on Your Mobile
The average American adult has to pay 11 bills a month, which collectively means we pay some 15 billion bills, which adds up to nearly $4 trillion per year.
Aiming to help us manage this tangled mass of payments is the Palo Alto startup Pageonce, which has developed what its C.O.O. Steve Schultz calls a "remote control for your personal finances" that works on your smartphone, the web, or as of this week, an iPad.
Look of the Week: 6 iPad Bags We Love
Oh, the beauty of supply and demand. Now you can keep your precious iPad safe and sound in some very pretty packaging by iconic designers like Diane von Furstenberg and Marc Jacobs. The emerging trend of tech-friendly arm candy makes us ask -- why weren't lapbot bags this lovely? P.S. If you're eyeing these for your Android tablet, don't worry, we won't tell.
The Buzz Builds Around Amazon's Tablet as a Major Challenge to Apple's iPad
It's been almost a year and a half since Apple launched the iPad, and to date it's sold some 29 million units of the device.
Competitors like Samsung, HP, Motorola and RIM have tried but failed to come up with tablets that could challenge the iPad's success, but now there's apparently a new kid about to join the fray.
And that would be Amazon.
Although we won't know for sure until Wednesday, when the Seattle-based retailer has scheduled a press conference, word has leaked out that Amazon's tablet is a color version of its Kindle e-reader, that operates like the iPad by touch, and with a smaller screen (seven inches as opposed to ten).
That we know, or think we know, all of these details prior to the company's formal announcement is significant if only because, outside of Apple, Amazon is one of the most secretive technology product companies around.
Inkling 2.0 Brings Collaborative Learning Model to Textbooks on the iPad
It's Get Back to School time, and Inkling, the leading company reinventing textbooks on the iPad, has just won Apple's approval for its 2.0 app. CEO Matt MacInnis calls it "the single most complex iPad app out there," and he may well be right.
It combines a 3-D rendering engine, a complex reading engine, and a full social search engine all wrapped into one, which also syncs across the devices you use to access it.
From a developer's perspective, that's complex.
Fortunately, from a user's perspective, Inkling is simple to use. You tap on this, pull out that, scroll down here, and dig deeper over there.
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Inkling Reinvents Textbooks as Interactive, Multimedia Learning Tools on the Tablet
When it comes to a legacy technology that badly needs to be disrupted, it's hard to imagine a better example than the college textbook.
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Students have to lug these anachronisms around in backpacks, only to read a chapter here and there as assigned by their professors. New editions appear every two or three years, rendering the older editions essentially worthless.
Second-hand bookstores do a thriving business on campuses as students try to stay within their budgets. Book-sharing, renting, and lending as well as illegal copying all occur as well.
A professor trying to teach from a core textbook in many subjects often finds it resembles the Winchester Mystery House, with chapters added on willy-nilly to a structure that originated many editions in the past, often decades ago.
Will Kindles Be Free By Next Christmas?
If you've been debating whether to buy a Kindle for yourself or for a loved one, you may just want to hold off until November.
That's because by then, just in time for the holiday sales push, the price of a Kindle, according to a number of technology experts, will be...zero.
That's right. Though it now goes for $139, it appears that Amazon's industry-leading book-reading device may soon be free.
First, to the evidence.


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Rekindling The Flame.
by Christina Michael
Recently visiting New York and seeing the Statue of Liberty, I thought of the beautiful torch on that Statue symbolic of "enlightening" the way of those entering the United States. Unfortunately, in my little life, what has not been so beautiful or enlightened lately has been my attempt (note unsuccessful to date) at trying to re-kindle my work "torch" with ex-employers.
Desperately trying to find gratifying, paying work that leaves flexibility for my family has caused me to re-approach old employers, somewhat shamelessly, seeking project-based or hourly work. Hearkening back on those old jobs from the dark ages of Y2K, I had such a rose-colored vision of those workplaces. Beautiful offices, well-dressed colleagues, interesting work, and getting all of the accolades I could have ever dreamed. Wow! I should run back to those employers and look for more work! What a meeting with one of my old bosses this past week reminded me of was that the reality created in my mind's eye was totally and utterly inaccurate (a.k.a. revisionist history).
Sitting in an office with one of my old bosses last week, I was reminded of things that I had so easily forgotten (or buried deep in my memory banks). Offices were not so pretty (yes, I know that fluorescent lights may be more eco-friendly, but how many pimple spots or un-plucked eyebrows could I pull off in this measly meeting?). Work was very stressful. Office politics were still bouncing off all four walls like a game of Pong (I know that computer game is 20 years old, but I really haven't played any other game since then, even though my oldest son already wants an Xbox. Huh?). And, though I was "welcomed" into the office, I realized I was quite the outsider who may never be handed one single piece of work ever again (shoot, they couldn't even figure out whether to get burritos or smoothies for lunch let alone find any "project" for me and any budget to pay me for that undefined project).
Suddenly, I began deflating, feeling a bit nauseous, and repeating really bad old patterns of not having enough self-confidence, seeking approval of anyone and everyone around me in that 2x4 office, and having a smile turn into a really unhappy frown ("turn that frown upside down", I hear myself muttering). I ended our meeting, exited that 2x4, and ran to my clunker Y2K car, unbuttoning my so dated pair of Y2K pants, and rushed to my humble abode.
Rekindling the flame with the ex-employer felt very similar to rekindling the flame with old boyfriends that we women might try to phone, to get a cup of coffee with, or to Google over and over again. When you see the face of the old boyfriend or hear his voice, it undoubtedly never feels very good. In fact, the same mediocre or down right yucky feelings that made you run from the relationship eons ago pelt you in the face. It's simply never the rose-colored relationship that you have created in your mind's eye.
Christina: I think we are soul mates...I often think about what it would have been like if I never got married, had kids, and decided to stay home. In my mind, I'd be a rich, fancy partner with a flat stomach and higher boobs. You made me realize if I went back to my pre-mommy job, it probably wouldn't be so glamorous. I try to remind myself, as independent and successful as I was, I always wished for the husband and family. If we actually had it all, would we really want it? I feel your pain... Love, your friend in OH
As a fellow attorney turned mom, I also considered non-legal work in order to escape the dreaded 70-80 hour week. I considered bank jobs, teaching, even going back to dental school! What I found was that no one was willing to pay me nearly as much to enter a new field. I was much better off focusing on flexible legal jobs. I actually stayed with my old firm working 60% time for 60% pay. I end up working about 80% most weeks, but I do a lot from home and over the weekend, so the arrangement is pretty ideal. The world of law firms is changing (albeit slowly) and firms like to post on their website that they are family friendly. Your legal experience makes you a valuable employee! Just keep plugging away at those old contacts and (I can't stress this enough) KNOW WHAT YOU WANT IN A JOB. Don't try to be the lawyer you were prior to leaving. Don't try to meet someone else's expectations, it will drive you crazy. If you can only come into the office three days a week, ask for that in a job. The market is pretty good right now. You might be suprised at what you can find.


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Alex Meraz shows off his talents at Havaianas and Details Magazine's party celebrating The Flipside.
Which celebrities were spotted out and about by the paparazzi today? Matthew McConaughey, Michael Jackson, AnnaLynne McCord, Diane Lane, Carrie Underwood, Kelly Ripa, Drew Barrymore, Pete Burns, Nicole Richie, Joel Madden, Ben Stiller and Rachel Bilson.


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Hello and welcome to my website. I am a session musician, tutor, producer, and composer. I am able work onsite in my own production space, work in your recording facility, or do online sessions.
As well as my involvement in the music industry, I am also involved with various education establishments and charities. I am on the Board of Directors of Montage Theatre Arts, a member of the Musicians' Union Equalities Committee, and of the Steering Committee for Lewisham Music Hub. I play with various bands and play regularly with Dr Schwamp and Ta Mère. I have also been known over the years for my extensive use of all things Apple Mac, Logic, and iOS.


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Learn more about the five boroughs that make up New York City with our complete guide.
Discover what to do, where to stay and what to see in New York City with our planning tool.
Get ready to take on New York City with Leonardo, Donatello, Raphael and Michelangelo.
Enjoy Shakespeare in the Park, the Museum Mile Festival, Macy's Fourth of July Fireworks and more.
Download your free copy or order a guide online today.
Wireless Internet is available at locations throughout NYC—including many parks and libraries.
Get tips, maps and everything else you'll need during your stay.
These NYC-centric mobile apps put the City at your fingertips.
See NYC's iconic sights at discounted rates.
Get the best prices at NYC's bars, clubs and restaurants.
Stay in New York City and save with these offers.
New York City is made up of five boroughs: the Bronx, Brooklyn, Manhattan, Queens and Staten Island. Each one has enough attractions—and enough personality—to be a city all its own. Learn more about them with this guide.
The Prospect Park Drummer's Grove grew out of an endeavor by the Congo Square Drummers, who began meeting here to play in 1968. In the years that followed, the area became a destination for musicians, dancers, vendors and craftsmen. The area's ongoing popularity led the park to formally christen it and add seating for fans that want to check out the jamming.


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Highest Rated Hostel in Killarney. Only 8km from the town we are a small family run 20 bed hostel. We have free... More Info »
Right in the heart of Killarney town, Neptune's is next to the National Park, 5 minutes from bus & train stations.... More Info »
We're on a nice quiet lane just off the main street so it is perfect location for a great night's sleep and a... More Info »
Centrally located in town centre. Ideal for National Park. 100% Irish with a warm welcome. Lively hostel, all rooms... More Info »
Welcome to The Sugan Hostel, located in the heart of Killarney. We are renowned for our warmth and friendliness. We... More Info »
Located on the Muckross Road, only 6 minute walk from Killarney Town centre and adjecent to the renowned Killarney... More Info »
Like the meeting of the 3 lakes we are a destination where people from different places can come together. With a... More Info »
Friary View is A cozy B&B at the end of a quaint little road named Dennehys Bohereen. While here you can relax and... More Info »
the gardens is a 3 minute walk from killarney town centre. It is nestled away in its own private walled garden.it is... More Info »
The Black Sheep Hostel is a brand new small 36 bed hostel situated in the heart of Killarney town. Run by Kevin and... More Info »
200 year old comfortable family run farmhouse with modern facilities. 5 km from Killarney and 0.5 km off N22... More Info »
Springfield Lodge is a family-run Kerry Bed & Breakfast located on the edge of Killarney town in beautiful County... More Info »
Redwood Guest Accommodation is highly recommended AA accommodation Classified 4 by the Irish Tourist Board and is... More Info »
Friendly family run cosy home in a quiet area yet only a 5- minute walk from Killarney town centre. More Info »
Awarded Best Town & Country Home by Killarney Looking Good Committee, the Mannix Family offer a special warm welcome.... More Info »
Opened in April 1999, the Old Killarney Village is a unique holiday development of 28 beautiful thatched More Info »
Inveraray Farm Guest House is a charming family home set in a picturesque location. Traditional hospitality is... More Info »
Welcome to the Killarney Oaks Hotel, one of the most unique and hospitable hotels located overlooking the picturesque... More Info »
Welcome to Farmstead Lodge B&B. We are a Traditional Farmhouse situated at the foot of Ireland's highest mountains in... More Info »
Crystal Springs B&B is located on the water's edge of the peaceful River Flesk. More Info »
Video guides, travel podcasts, city maps & free city guides. What to eat, where to stay and things to do and see - our travel guides have it all.Find a guide »
During the summer the city of Dublin becomes a different place. Gone are the endless days of wind and rain as the warm weather brings picnics in the park, drinks by the canal, b...Read more »
We offer the most comprehensive selection of hostels on the internet with over 33,000 great places to stay in 170 countries. The ultimate online resource for hostels everywhere.Find great value hostels »


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Parker BeLux. In everything... and everywhere! Parker is the unchallenged leader in Motion and Control systems. Whether over land, by sea or by air, Parker is number one in transmission. Across the world, Parker employs 55,000 people and has a network of 12,000 local distributors-retailers. Parker can supply everything that involves motion: from hydraulics, motors, pumps and cylinders, hydraulic hoses, connectors, seals, pneumatic bus door opening systems, protection and sealing of electrical circuits, fuel filters, filtration systems for compressed air, for food and beverage and for pharmaceutical applications. Parker can be seen in mobile and industrial machines everywhere.
What makes the difference is the high added value customer service including engineering support to improve and to cost reduce the customer's applications.


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My neighbor (the proverbial sweet little old lady) is looking to sell this. She was hoping I would buy it since I "like bikes." It is way too small for me. The seat to ground height is only 33 inches with a full pedal extension of only 30 inches. 26 inch wheel size. Serial number stamped on the seat lug. No model designation on it any where that I can find. No date or information on the hub either.
What is it? What is it worth? Is it two Raleighs stuck together? It looks like the fenders and chain guard were stuck on afterward and someone tried to paint the head tube to make it match better.


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Letter Puzzles
Letter "E" Puzzle
Help your little learner get ready to read with this colorful letter puzzle. Examine "E" words, with corresponding pictures of an elephant, egg and eye.
Letter D Puzzle
Dogs, dolls, and drums, oh my! Your kindergartener will get plenty of letter practice with this delightful "D" letter puzzle.
Letter "B" Puzzle
B is for beginning...to read! Help your kindergartener cut out and piece together this simple, colorful puzzle full of "B" words.
Letter "A" Puzzle
'A' is a great place to start learning the ABCs! This simple letter puzzle is a fun, engaging way to introduce your child to the alphabet.
Letter C Puzzle
A cloud, a cat and cheese have something in common: the letter C! Your little learner will have fun learning about "C" with this letter puzzle.
Letter "M" Puzzle
The letter "M" is for moon, mountain and mouse! Your little one can have fun reviewing his ABC's with this puzzle that he can make himself.


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dock the Samsung Smart PC to its keyboard, carry it around and use it as a standard clamshell laptop. Sounds pretty cool, isnt it?
In terms of hardware specs, the device ships with 2 GB of DDR2 memory and 64 GB flash storage. The 11.6-inch screen is 1366 by 768 pixels. It has no retina display, but the text is clear. It comes with 10-finger touch capabilities, letting you pinch, zoom, rotate and scroll with greater dexterity. The aspect ratio is 16:9 on an 11.6-inch display. By any standard, the screen is large for a tablet. It comes with 10-finger touch capabilities, letting you pinch, zoom, rotate and scroll with greater dexterity.
The power button, volume controls, a power jack, one USB 2.0 port and a microSD card slot are built into the tablet. The keyboard dock includes two additional USB 2.0 ports and a power connector. But what sets the ATIV family apart is the accompanying S Pen stylus. You can use this slide-out, pressure sensitive pen with the touchscreen for precision work. This has been ported over from the Galaxy Note 10.1-inch tablet. In other words, if you are looking for a tablet with the ability to take notes, the ATIV Smart PC should fit the bill for you.
The range of connectivity options available on the Smart PC is better than you would expect from a tablet. There is a USB 2.0 port, microSD card slot, micro HDMI port and headphone socket. It supports wireless 802.11a/b/g/n Wi-Fi and Bluetooth 4.0.
In my test-run, the Smart PC proved pretty responsive in most normal Web browsing. When attached to the keyboard dock, typing and editing documents, email and similar tasks worked with no major issues. The capacitive touchscreen is responsive and quick, and multi-touch gestures work smoothly.
I streamed some music from YouTube and it sounded pretty good through the built-in speakers. I surfed video search engine Blinkx with no fuss. Video playback also worked just fine, and looked pretty good. When connected to the keyboard dock, the Smart PC behaves well as a decent light duty laptop.
Battery life is another place where the ATIV Smart PC shines. The 30Whr battery offers a claimed battery life of up to 13 hours. In my test-run, it yielded a battery life of 9 hours, 40 minutes.
Here are my takeaways: a stylish device with high-end features, capable of attracting users at first look.
Estimated street price: Rs.53,990


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Andrew J. Ginther, Mayor
City Council
> Elizabeth C. Brown > Mitchell J. Brown > Shannon G. Hardin> Zachary M. Klein > Jaiza N. Page > Michael Stinziano > Priscilla R. Tyson
Contact City Council
Columbus › Community Relations › Public Forums
find us
follow us
Contact Information
1111 East Broad St.
Suite #302
Columbus, OH 43205
Office : (614) 645-1993
Fax : (614) 645-1862
Hours: M-F 8:00 AM - 5:00 PM
Email Us
Starting in 1994 the Community Relations Commission began a series of "Days of Dialogue" to capitalize on the Not in Our Town national dialogues joining communities all over the United States in an event where residents could come together and discuss their response to bigotry and intolerance in our community.
Due to the popularity of these days of dialogue, the CRC began hosting public forums where panels of topic experts could meet with the community to explore and learn about issues effecting Central Ohio.
Since August of 2005, the CRC has offered quarterly public forums on a variety of topics including:
Freedom of Speech, Eminent Domain, Voting Rights, The Patriot Act, Title VI of the Civil Rights Act, English Only Legislation, Family First, Housing Challenges for the Newcomer Community, The African Diaspora, Economic Challenges in Central Ohio (Foreclosures), Hate and Bias Crimes, the Victims Perspective of Hate and Bias Crimes, Homelessness, Re-entry, Mental Health and the economy.


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In the one minute you will spend watching this film solar energy could power a country the size of Portugal for one week. In one minute. We need an Energy [R]evolution.
The Energy [R]evolution is Greenpeace's plan to save the planet from catastrophic climate change. Susan Sarandon narrates the first of three 'Reasons to Believe'.
Greenpeace New Zealand activists shut down the heart of cat food giant Whiskas' Australasian operations, after Mars confirmed to the organisation that it sources tuna from Thai Union, a seafood company that has been connected to slavery and...
Big THANKS to: Lil BUB, Nala, Spangles, Princess Monster Truck, Captain Pancakes, Hamilton the Hipster Cat, Pork chop, Beans and TT Pistachio, Matilda the Alien Cat, Loki the Kitteh, Cole and Marmalade, Winston Smushface, Monty the Cat, Oskar and...
Turkish women discuss how coal plants have affected their lives, and the action they've taken to protect their land and families.
All across Europe, thousands of people rally in support of refugee rights. The MSF-Greenpeace team echoed their call from Lesbos. Come on Europe, provide #safepassage now.
Médecins Sans Frontières and Greenpeace boat crews rescue Afghan refugees from a sinking boat off the coast of Lesbos, highlighting the urgent need for safe passage.
1 - 5 of 268 results.


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The fundamental purpose of OHSU and The Department of Psychiatry is to improve well-being. As part of its multifaceted public mission, OHSU strives for excellence in education, research, clinical practice, scholarship a Learn more
Learn about the Department of Psychiatry
Welcome to the Department of Psychiatry
The OHSU Department of Psychiatry, part of the OHSU Brain Institute, conducts laboratory and clinical research on all the most common mental health problems. We treat people with many psychiatric disorders, including sleep problems, substance abuse and addictions, mental health problems in children, adolescents and older adults (geriatric). Our specialists care for people of every culture and background.
Career Opportunities
Learn more
Upcoming Events
Psychiatry News
Read the latest Psychiatry News here.


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Metrocenter Mall
Phoenix, AZ
Carlyle Development Group purchased the 1.3 million square foot Metrocenter Mall located in Phoenix, AZ in January 2012 in order to reposition and turnaround the Property after having languished for years in foreclosure and receivership. The mall, which was developed in 1973, is ideally situated between Peoria and Dunlap Roads on Interstate 17 in central Phoenix 17 miles northwest of Sky Harbor International Airport. The mall was renovated in 1986 and then in 2007, $32 million was invested to upgrade floor tiling throughout the mall, skylight enhancements, new mall furnishings and amenities (including a kid's play area, family lounge and community room), upgrades to the exterior entrance, landscaping, security & HVAC systems and new signage.
The mall boasts Sears, Macy's, Dillard's, Harkins Stadium 12 and Sport Chalet among its anchor stores. CDG's plan to add value to the center will include new mall entrance designs and an innovative leasing and redevelopment plan that will transform the landmark asset into a successful multi-faceted, mixed-use environment for shopping, dining and entertainment. Elements of the strategy include:
- Creating a mixed-use environment, including office and apartment uses that meet the needs of local shoppers and the community — a trade area of more than 156,000 daytime employees and more than 455,000 residents.
- Signing a new retailer for the vacant Broadway location and consolidating in-line shop space to add new "mini-major" mall tenants; potentially attracting new retailers to the Arizona market.
- Incorporating family friendly, cultural and entertainment-oriented tenants that reenergize the mall, help change the incorrect perception of the project and establish Metrocenter's position as a positive force for the community's 173,000+ households.
- Completing facility upgrades, the first of which are contemporary new mall/tenant entries and outdoor patios designed by BDG.
For further information email email@example.com


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Don't Kill Her is an upcoming platformer from developer Jérémy Wuthrer. Promising to be more than just another platformer, there is a lot of mystery surrounding Wuthrer's plans for the game. Upon the game's completion, Don't Kill Her will be totally free on http://www.wuthrer.net/dontkillher for anyone wishing to check the game out.
I was able to chat with Wuthrer for a bit, about what he has in store for players within Don't Kill Her.
IGM: I know the site says "planned 2013 release", are you still planning on having it out by the year's end?
Wuthrer: Yeah, I've kind of dropped off a lot of professional stuff to spend most of my time on it. So, the end of this year, or at least, very beginning of next year seems like a reasonable release date.
IGM: The visuals, how did you go about creating the hand-drawn look?
Wuthrer: Let's say it's a very long and (sometimes) painful process, but it's really worth it, and it has to be so. This very special look isn't about trying to make the game look fancy. It's related to the core of the game, about the experience I'm trying to build. It may sounds weird, but this is normal. The deeper you go into the game, the more you understand. Don't Kill Her has a lot to say, and it won't be "just a game". Graphics are just a part of this, just something that will help you to understand what's really going on. I won't say more, because, you know, it's kind of the point of the game.
IGM: Why the decision to release it for free?
Wuthrer: First, Don't Kill Her is designed to be a very short experience. Something like less an hour. Second, I'm not a programmer. I'm awful at coding, and I guess it will be really hard for me to optimize the game and make it totally free of bugs. I'm really doing my best there, and it even seems like things are going well, (really well in fact), but I didn't feel enough self-confident to prevent all of [the bugs]. That's why I didn't want to ask monney for it.
But [for the most part], Don't Kill Her is a very special game. I'm putting a lot of me into it, and I want everyone to have the opportunity to play it. The more people will play it, the more I'll be happy. I think, for me, that's the most important part.
Plus, if people like the game…I will dedicate myself to creating games. For me, it's more like a test to know if I'm doing it right and if my visions and my creations are, you know, enjoyable. But honestly, I can't wait to finish it, because I really believe it will be at least interesting.
Follow Wuthrer on Twitter to keep up with Don't Kill Her.


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The Australian state of Queensland is the only territory in the country that hasn't adopted the R18+ ratings classification for games, and this is proving to be a problem for anyone that wants to release a mature game in the region.
Because the government of Queensland doesn't use the new classification, Sony's God of War: Ascension is not being sold in the region, nor are retailers accepting pre-orders for it there, according to an internal memo from an unnamed retailer obtained by Kotaku.
The Queensland Government is still waiting on a Legal Affairs and Community Safety Committee report which was due to be released in February before lawmakers debate the R18+ legislation in parliament and (the industry likely hopes) amend state law to include an R18+ classification for video games. Until then any game that is considered to have mature content will be refused classification…
The memo from Kotaku lays out how most retailers in the region are likely handling new mature releases like God of War: Ascension:
"We have just been advised that God of War: Ascension has been rated R18+. As Queensland has not passed legislation for the R18+ rating for games, we must remove all reference to God of War: Ascension immediately. This includes all game slicks, posters, pamphlets, handwritten signage, two-way units, and pre-order signage."
GameSpot is also reporting that EB Games Australia currently lists a pre-order for the game on its website, but has a specific reference to the game's unavailability to gamers in Queensland.
The game is scheduled for release in all other Australian states and territories on March 14.


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Stop this crap about Rossi was on the same bike as Stoner and couldnt win. Even if it is true blind fanboys always forget that Yamaha and especially Honda improved their bike a lot compared to Ducati in 2011. Ducrapi was outdeveloped by a huge margin by the Japanese manufactures. Sure Stoner was the best Ducati rider by far. Much better than Rossi but no way he could win even a single race with that bike in 2011 and 2012.
Other thing is if we compare riders we should watch their whole carrier. With your logic Vettel is a much better racer and own Schumacher hard cause he won 3 wdc while Schumi couldnt even win a race in the last 3 years. Does this make Vettel the better driver overall? I dont think so.


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Many people enjoy birding but are not experts; yet they are skilled and gain a high degree of satisfaction from birding. Also many avid birders have a desire to bird in Ecuador but feel overwhelmed by either the foreign country or feel intimidated by Birding Tours which tailor to the expert/anal birder. This is where we come in. We will provide you with an opportunity to bird the rich eco-systems of Ecuador and learn the birds by offering a reasonable priced tour within a comfortable birding environment.
Follow us onTwitter: ResearchWhales
'Ecuador Birding Adventures' specializes in working with small groups (up to 6) of birders who wish to enjoy the truly remarkable birding that Ecuador has to offer. In a relatively small country located on the Equator, up to 1,700 birds can be viewed here within a variety of eco-systems on both sides of the Andes and even on the coast of Ecuador. You owe it to yourself, for you cannot be a birder without visiting Ecuador. We cater specifically to birders and adventure enthusiasts who are looking to bird in one of the most diverse and rich locations in the world.
encourage our birders/photographers to remain in an area for several days so you are
not just experiencing a slice of an eco-system at any given time,
rather....you cycle through several days allowing you to experience the
habitat and bird population. Contact Us for more Information
Web Site Author: Jim Lehmann, 2015
Copyright 2015, Jim Lehmann--Steve Herrmann


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Give mealtime a kick with our activity mat featuring a soccer field maze and other activities. We can include your custom message in green and make the mat unique to your child's birthday bash. Make the party table more festive by setting out our mats. They also make great party favors!
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