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The Assasination Skills Test
Their result for The Assasination Skills Test ...
Average Joe
You scored 29% Bloodlust, 37% Self Preservation, 41% Forethought, and 40% Raw Talent!
Their Analysis (Vertical line = Average)
They scored 29% on Bloodlust, higher than 56% of your peers.
They scored 37% on Wimpyness, higher than 25% of your peers.
They scored 41% on Forethought, higher than 10% of your peers.
They scored 40% on Talent, higher than 31% of your peers.
All possible test results
Average Joe
You've probably haven't thought to seriously about being assassin and decided your skills arn't up to it anyways. Wise choice. Read more
Technical Advisor
You have the skill to work in the covert field, but lack the mindset. You could probably do well training people in background knowledge or physical training. Read more
Average Joe
Youve thought about the results of violence an decided thats not the field for you. Read more
The Covert Ops
You could do well in a number of non violent, but related covert fields, or perhaps as a technical advisor to a more violent one. Read more
Average Joe
You dont really like hurting things and probably have never seriously considered a profession that involves that kind of thing. Wise decision. Read more
The Trainer
You have the skill to work in the covert field, but lack the mindset. You could probably do well training people in background knowledge or physical training. Read more
The Pacifist
You think alot about the implications of your actions and dont like violence. Being an assasin probably never really appealled. Read more
The Shaolin Monk
You could be an excellent killer if you wanted, but you probably dont, prefering to use your skills constructively for peace. Read more
Average Joe
You've probably thought about being an assassin and decided your skills arn't up to it. Wise choice. Read more
The Soldier
You dont have the caution or planning ability of an assasin, but you would do well in a combat possition following orders. Read more
Average Joe
You have probably considered being being an assassin and turned it down thinking through what the job would involve and the repurcussions. A good choice for you. Read more
The Soldier
You lack some of the caution needed to be an assasin, but that same bravado would put you in good stead working in the hectic atmosphere of a battle. You have the skills and mindset to go far. Read more
Average Joe
Youve probably considered being an assasin but decided its not the job for you. And it probably isnt. Read more
The Bodyguard
You lack a little of the ability to plan carefully that an assasin would need, but you have the skills and level head to work well in counter terrorism or as a bodyguard. Read more
The Sleeper
You could make a great assasin, you just need to brush up your skills a little. Read more
The Perfect Assassin
You would have no problems with finding a job, you could kill, but dont overly enjoy it, your cautious and you have the skills. Good luck to you in your new career! Read more
The Nasty Bugger
You probably pulled the wings off fies as a child just to see them walk. None of your atributes would make you suitable as a professional assassin. Read more
You have the skill and murderous intent, but not enough caution. Not assasin potential unless you want to get caught on your first job. Read more
The Schemer
You are probably one of those quiet types who likes to think of how they might blow up the whitehouse, but have never really looked into the details. Not assasin potential. Read more
The Psycho
You love blood and causing harm a little too much and your lack of caution will be your down fall if you try and act on it. Calm down a bit and you could make a worthwile assasin. Read more
The Venus Flytrap
You have a fairly vicious mind, but are too cautionous and too unskilled to even think about becoming an assasin. Read more
The Gun Nut
Youve probably dreamed of working in such an industry, but been to cautious to do anything about it. However your low ability to plan would probably get you killed. Just stick to playing skirmish. Read more
The Schemer
You are probably one of those quiet types who likes to think of how they might blow up the whitehouse, but have never really looked into the details. Not assasin potential. Read more
The Serial Killer
A bit too blood crazed to be an assasin, you have the all the right attributes to take lives in a stealthy fashion. Your liking of mayhem and killing will probably get you caught though. Read more
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Albert Lavon Blackburn, age 91, passed away July 1, 2009 at his home in California.
Lavon was born March 22, 1918 in Clawson, Utah. He was the fifth of eight children born to Annie Jorgensen and Albert Blackburn. He spent the early years of his life in Emery County.
When he was a young man Lavon joined the Civilian Conservation Corps (CCC camps). While he was working around Green River, Utah, he met the love of his life Stella May Brown.
They married on Sept. 27, 1941 in Green River, Utah and were later sealed in the Los Angeles Temple.Â
They moved to California shortly after and began their family. They were the proud parents of eight children and provided a home and love for many foster children.Â
Lavon supported his family by working hard all of his life. He retired in 1992 after working for 35 years for Armstrong Tile where he was lead mechanic. Actually, he continued working and never really retired.
In 2002, Lavon and Stella and two of their children moved to Vernal to be back in Utah where he always wanted to retire.
While, they were in Vernal they experienced a few heartbreaks, Stella began suffering ill health. After thinking about it for awhile, Lavon decided to move back to California to be with his daughters and grandchildren there.
Lavon is survived by his wife Stella, daughters Karen Williams, Cammie Blackburn and Kimberly Blackburn of Brea, Calif., son Rick Blackburn of Napa, Calif. Brother Elden of Salt Lake City, Utah., sister Darlene Kartchner of Price, Utah, daughter-in-law Sue Blackburn of Vernal. He is also survived by 17 grandchildren, 25 great-grandchildren and seven great-great grandchildren. He was preceded in death by parents, brothers Clifton, Rulon and Floyd, sisters Pearl and Gloria, sons Robert Blackburn and Kenneth Blackburn, daughter Geneal Richards and granddaughter Rhonda Langston; son-in-law Roy Williams of Brea, Calif. and grandson-in-law Devin Guymon of Vernal.
Funeral Services were held at the Blackburn Vernal Mortuary on Thursday July 9, 2009 at 4 p.m. Friends and Family called at the mortuary one hour prior to services. Burial was in Vernal Memorial Park, under the direction of Blackburn Vernal Mortuary.

subset: commoncrawl


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Eurosoft Clarissa Platform Sandal
Sorry, this item is sold out!
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Item # 256051
Fun, feminine florals! The Eurosoft Clarissa is a comfortable and stylish platform sandal that will look gorgeous under your favorite skirt or dress.
- Patent leather upper
- Ankle strap with adjustable buckle over closed back
- Side flower accent
- ¾" platform, 3½" cork heel
- Synthetic sole
- Imported
By: yoly2174
Location: kissimmee, fl
September 20, 2012
luv 'em!!!
"so cute and comfy!!!!"
By: JenJen920
Location: Green Bay, WI
July 18, 2012
Great Shoes!
"I love these shoes. They are comfortable and stylish!"
By: mineallmine
Location: ca
July 18, 2012
Great shoes
"Love the shoes!!! Very comfy and sexy looking!!! True to size"
By: bluejade
Location: St. Paul, MN
July 17, 2012
Too narrow
"The shoes are too narrow for me, leaving marks on my feet after wearing for several minutes. I am petite and my feet are not wide. Hopefully they will be more comfortable after I have them stretched. They are unbearable without stretching. Otherwise the shoes are very pretty and relatively comfy for heels this high."
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Brand: DRUM TECHRemove This Item
Drums & Percussion - DRUM TECH
At Millennium Music we have a wide range of percussion instruments, but, as we are a forward thinking company, we have taken a special interest in Electronic Drums, which offer unprecedented control over your performances and can be integrated into your production set-up allowing for incredible programming possibilities. A wide range of accessories including sticks, brushes and 'hotrods' are also available, allowing you to get the set that will suit your style. Hardware such as Kick pedals and drum stools are also available from Millennium Music. For more information on our range of Drums and Percussion, or to organise a demo of any of the electronic kits we have in stock, give us a call on 08455557070.


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Lulu Townsend Siera Satin Sandal
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Item # dsw12prod3920279
The Lulu Townsend Siera is versatile and chic. Slip this elegant sandal on for finishing touch to your evening ensemble.
- Two-piece satin upper
- Ankle strap with adjustable buckle over closed back
- Jewel-embellished circle ornament
- 2¾" covered heel
- Leather sole
- Imported
- View more Women's Lulu Townsend Shoes
- Online Exclusive!
By: Wolc
Location: Kerrville, TX
February 03, 2013
"I bought these shoes in black for my son's wedding. They are true to size and prettier in person than in the picture. They are very comfortable and I am confident that I will be able to stand in them for hours!"
By: irana5kat50
Location: Wisconsin
January 22, 2013
"Nice basic wedding shoe. You cannot beat the price. I bought this to wear with my bridesmaid dress."
By: airborne
Location: Georgia
January 10, 2013
Better Than What I Expected
"First, DSW has the best customer service! My original order was not shipped because the shoe was out of stock so I had to re-order to a similar pair...I found these and re-ordered over the phone and the Representative was very polite, matched the previous shoe price, and shipped the shoes 2nd Air without any hesitation. Secondly, the shoes are prettier in person! These are for my 3 bridesmaids and they're a shorter heel length = more comfort, and the color will go great with the navy blue dresses. Thank you for these shoes!"
By: Mukta
Location: Hoffman Estates
December 13, 2012
Wow Pink!!
"I just loved the color of these sandals when i was shoe browsing online and instantly fell in love with them. I dont usually wear heels but thought of giving it a shot and i am so glad i did that. I totally loved them the moment i wore them. My friend was so surprised that i would order heels and that too in pink ( as i usually go with blacks and greys), but one look at these shoes and she too is totally smitten by it.Long story short, these are absolutely comfortable, very stylish and are so cool!!!"
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Spring Step Ariana Wedge Sandal
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Looks like you've got more shoe shopping to do - have fun!
Item # 237250
The Ariana by Spring Step is a sleek and stylish wedge! This sandal is lightweight and versatile, perfect for any occasion!
- Perforated leather upper
- Cushioned insole
- 1" platform, 2" cork wedge
- Synthetic sole
- Made in Italy
- View more Women's Spring Step Shoes
By: Almondiyz
Location: USA
June 14, 2013
"Perfect for NARROW feet. My feet are very narrow so I find it extremely difficult to find sandals that fit. I bought beige & white. Leather is so soft & even the area that goes between your toes is soft. The wide top of sandal is perfect for the wedge height."
By: MJF1
Location: Texas
June 01, 2013
Cute but narrow
"The shoe is very attractive and comfortable but very narrow through the toes. Like other reviews my toes were off the side. I wish they made in a wide width. I will be returning the shoes."
By: LaSharn
Location: MD
January 11, 2013
Cute to look at
"Cute to look at uncomfortable to wear..."
By: LoraLou
Location: Buenos Aires
October 10, 2012
Shoes Not Shaped Like My Feet
"Based on other reviews, I did buy a size larger than my normal shoe size, and with this approach, the overall length of the shoe is fine. But the toe post is too close to the end of the shoe, so in spite of the proper overall length, when walking, my foot slides down to the point where my toes overhang the front of the sandal. I have short toes, so this is very unusual for me. Additionally, the curve of the sandal as it slants from the toe post toward the pinky toe is too steep, so my pinky toe almost hangs off the side as well. (At the ball and the center of my foot, the shoe is not too narrow -- the problem is with the shape of the shoe at the toes.) If I pinch my toes tightly together while I walk, or if I walk slowly or take short paces, I can manage to keep my foot in the center of the sandal. On the bright side, the bed of the sandal is very cushy, and the cut-outs of the leather upper are really cute. I'm keeping the sandals, but they won't be the summer-time staple I was hoping for."
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As everyone tries to save a buck in the current economic crunch, productions are making an effort to cut costs in film lighting while advancing technologically. "The way the whole industry is going now is, 'How can you do it cheaper and faster?'" says Chief Lighting Technician Andy Ryan, whose credits include the blockbuster films Transformers, Wanted and this month's G.I. Joe: The Rise of Cobra.
For Ryan, the new KODAK VISION3 stocks are the most exciting development. "[The stocks] are absolutely amazing," he says. "Their new 5207 daylight and 5219 tungsten stocks just allow you to do so much with so little. You can paint some broad strokes with not a lot of light. And using fewer lights speeds ups the process and helps producers make their budget."
Ryan makes no secret of the fact that he loves traditional lights ─ like Mole-Richardson. "To me, the light out of a tungsten bulb is just gorgeous," he notes. "And one of the saddest days was when all the carbon arcs went away, and now we spend a lot of time on sets today trying to duplicate that look." Despite being a traditionalist, Ryan is also a big fan of ARRI's new ARRIMAX 18K. "These lights are totally amazing and you get a full spot more out of them than a traditional 18K," he reports. "So last night, when I was lighting exteriors, instead of having two lights up in the Condor, I could just use one ARRIMAX 18K."
Like many gaffers, Ryan sees a move towards LED but feels that there's still a way to go. "They're not always appropriate," says Ryan, who is currently on location in New Orleans lighting a post-Civil War Western. "You could never use an LED light on this. But for the right project they work." He recently lit Disney's Hannah Montana: The Movie and Jonas Brothers: The 3D Concert Experience. "I got to see a lot of the LED gear in rock 'n' roll, and for that it was absolutely great," he notes.
The big Hollywood studios, including Paramount, Warner Bros., Sony, Universal, Fox and Disney have all been exploring developments in LED lighting systems. Over at Paramount, VP Set Lighting and Grip Paul Birmingham notes that in terms of set lighting, the move towards LED lighting is a big trend because of energy savings, "although it's not quite there yet." He reports that in soft lighting, Kino Flo systems are very popular, as are Litepanels and points out that the HMI is still a very popular light "when you're trying to get that daylight look." He adds that prominent manufacturers, such as Mole-Richardson and ARRI also continue to be popular.
Lighting manufacturers, such as Anton Bauer, Chimera, B&M [Bardwell & McAlister] Lighting and Kino Flo, have all been busy developing new technologies. Saving energy and going green are key philosophies at B&M Lighting, according to President Ray Wolffe. "We want to lead the way, but we're hoping that our competitors follow as the old way of doing things isn't working anymore," he says. B&M has recently unveiled their new Mac Tech 6 Space Light. "Our Tech line is all green products," Wolffe notes. "We have our Mac Tech Tungsten line which uses the latest technology and reflectors, amplification rather than reflection, and we're using new lens systems that let a lot more light through. So there's all kinds of things we're doing to maximize the minimum amount of power used."
Wolffe says that B&M has been "inundated" with requests for their new systems. "We have a filter that goes on the larger Mac Tech fixtures –– the 12, 9, 6 convertible and Mac Tech 6 Space Light, which is a daylight conversion lens [that] eliminates the need for an HMI," he explains. "It draws less power, it's flicker-free and you don't have to worry about electronic ballast. And they're being used on movies and TV all the time now." B&M is also introducing an eight-inch Junior fixture. "[The Junior] draws 750 watts and is 25-percent brighter than a standard 2K. And the light is pure," says Wolffe. "So my whole plan now is to manufacture lights that outperform the old technology and also use less energy. You've got to build it better."
Production Resource Group (PRG) is the world's largest entertainment lighting company, with offices nationwide and around the globe –– PRG sends gear and crews out to light shows and monster rock tours in addition to film and TV productions. General Manager Brian Edwards reports that PRG's R&D division in Dallas continues to innovate, and that the company has introduced two new products. "First, we have the Bad Boy, a moving 1,200-watt lamp with a huge 48,000-lumen output, and 196 of them are being used on the current U2 world tour," he says. "They're also being used on Fox's Alvin and the Chipmunks sequel and the new comedy Get Him to the Greek. Then we also have the 676 Console, the next generation of PRG's Virtuoso control panel."
Paul Kobelja, PRG account executive for motion pictures, says that the company is being "extremely pro-active" in LED lighting, while other rental companies have been typically reactive. "We're really pushing LED technology for both movies and TV, and the new Star Trek film already used this technology we provided," he notes.
Litepanels, makers of award-winning and energy-efficient LED production lighting, has just introduced several new products, including the 1x1 Bi-Focus, the first LED light fixture capable of variable spot and flood focusing. An alternative to energy-inefficient Fresnel lights, is the ultra-thin and portable Bi-Focus that offers a cool-to-the-touch, low-energy-draw solution that provides flexibility to vary the width of the light beam. Litepanels also unveiled the unique 1x1 Bi-Color, which provides a single fixture capable of generating a color temperature of 3200K or 5600K, or an infinite range of color temperatures in between. (The Bi-Color name comes from a design that incorporates 3200K and 5600K LEDs.) This allows a crew to carry one or set of lights to cover both tungsten and daylight ambient-light conditions. The company also offers the new 1x1 Low Profile LED lighting fixture ─ designed to mount flat against a ceiling or wall ─ and the MicroPro On-Camera light fixture that doubles the light output of Litepanel's Micro.
Sachtler has recently introduced the Reporter 8LEDim. This new on-camera LED lighting fixture can be dimmed continuously from 100 to 30 percent to provide just the right amount of light for any shooting situation, particularly interviews and stand-ups. The robust camera light is equipped with innovative LED technology that not only offers an extremely long LED life, but also a significantly higher efficiency than comparable halogen or HMI lights.
LEDz announced the first production-type Brute30, an equivalent to a 400-watt HMI in terms of output. The eco-friendly 5500K LED Brute30 has two on-board dimmers for maximum intensity control. It's an extremely bright lighting fixture that produces a wide, horizontal beam spread, perfect for larger productions and events. The Brute30, along with the entire LEDZ product range, is available through Hollywood Rentals at www.led-z.com.
ARRI Lighting has recently introduced the new M18. This innovative lamp head is a lens-less, open-face lighting fixture that combines the desired light distribution from the optics of a Par and a Fresnel fixture. The unique ARRIMAX reflector design creates diverging rays to produce a crisp shadow. Other brand-new ARRI products include the ARRISUN 18, a new line of TRUE BLUE DAYLIGHT lamp heads, and a trio of advanced, LED-based lighting products –– the PAX Panel, the Background Lighting Module (BLM) and the LED Caster Series. These lights have already been successfully used in studios and on locations in European markets.
David Taylor, the New York-based leader for performing arts at Arup, designs for clients ranging from the World Wrestling Enterprises (WWE) to international opera houses. "The trends we're seeing in TV and broadcast are towards really integrating lighting into the environments, using LED and smaller lighting fixtures," he reports. "So what previously would have been a studio environment is now achievable on a location or a built environment that is also a location." Taylor cites WWE's new series as an example. "We've been advising them on how to make their new production building, where they edit and do inserts, a character within the series by making specific choices for lighting, control and rigging that are cleverer and more discreet. And LED has really helped us with this, giving us much better color rendering and lower heat loads."
Anton Bauer
Bardwell & McAlister
Kino Flo
LEDZ/Hollywood Rentals
NBC Universal
Warner Brothers


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Social media has made a massive impact on the way many businesses support their customers.
But not many people understand what a joined-up social customer service organisation looks like, what tools are available to help or how it might work in a real customer engagement.
So we thought we'd create 'Anatomy of a Social-Powered Customer Service Win', a short, sharp Prezi that takes you through a typical case, from angry tweet to happy ending.
Two tips:
We hope you like the case and that it lights a spark for your own customer service:
At the TFMA conference we shared the story behind #socialsuccess and how the landscape is changing for marketers. ... Read more »
In this expert interview with Brad Cleveland we discuss social media and it's effects on customer support. ... Read more »
Customers want to shop in new ways and its time for retail to get radical. Shaun Smith looks at the retailers who are embracing innovation and winning. ... Read more »
Empower your employees with your company's own private social network - Chatter. Discover resources and recommendations, connect quickly with people and content, and collaborate on business processes in context
The #1 social media monitoring and engagement platform.
Listen, analyze, and engage in conversations with your customers on the public social Web.


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More than 50 million people from industrialized nations travel to developing countries each year. Such trips can pose significant health hazards. Travelers who plan to visit developing or tropical countries, as well as those embarking on prolonged vacations or arduous treks should take a number of precautions.
A visit to the doctor is very important in preparing for travel to a developing nation. Since many doctors may find it hard to keep abreast of medical trends in foreign countries, a local travel clinic may be especially helpful. In addition, the Centers for Disease Control and Prevention maintains a Traveler's Health web site ( overseas. Individual supplementary health insurance policies should cost no more than a few dollars a day for international travelers. Air ambulance insurance is also a wise investment that can be purchased through travel agencies before leaving the U.S. Additionally, you may want to take along the phone number and address of the U.S. Embassy or Consulate in your destination country, in case you need the name of a doctor to contact after you arrive. While abroad, you can obtain the location of your nearest U.S. Embassy or Consulate by calling 00 1 202-501-4444.
If you develop any symptoms of illness upon your return to the United States, be sure to contact your doctor immediately. Let your doctor know where you have been, in addition to what symptoms you are experiencing.
Traveler's diarrhea (TD) is the most common health problem a traveler encounters. It is almost always caused by ingesting certain organisms in contaminated food or water. Diarrhea can also be caused -- particularly in children -- by anxiety, stress, allergies, fatigue, and dietary changes.
Diarrhea frequently occurs within the first week of travel, but may develop at any point, even after returning home. Traveler's diarrhea causes four or five loose or watery stools per day. Vomiting may also occur. It usually lasts 3 or 4 days, but about 14% of cases last longer. In rare cases, the diarrhea lasts more than 3 months. When TD lasts a long time, it can cause post-infectious irritable bowel syndrome. Traveler's diarrhea is rarely life threatening, although it can be severely debilitating, especially in children. Weakness, reduced urine output, lightheadedness, and mental changes require immediate medical attention, especially in children. Life-threatening symptoms include reduced levels of consciousness, seizures, and coma.
Traveler's diarrhea typically affects 40 - 60% of people from industrialized nations who visit developing countries:
A number of infectious organisms, including bacteria, parasites, and viruses, can cause diarrhea in travelers. These organisms are most often transmitted through contaminated food and water. Bacteria and viruses cause diarrhea within a few hours and up to 3 days, while diarrhea from parasites can occur 7 - 14 days after exposure. In about 10 - 50% of cases, the cause is unknown.
Drinking contaminated water is the most common cause of acquiring traveler's diarrhea. The following methods or products help reduce exposure to contaminated water.
Some important tips:
There is no vaccine against traveler's diarrhea. However, vaccination against cholera has been shown to offer some protection against TD in 25% of travelers.
The following drugs can reduce your chance of getting sick:
Pepto-Bismol. Taking two tablets of Pepto-Bismol four times a day before and during international travel can help prevent many cases of diarrhea. Pepto-Bismol should not be taken for more than 3 weeks. Both aspirin and Pepto-Bismol share the active ingredient salicylate, which can be harmful to children. Many medications interfere with salicylate, and people who are allergic to aspirin, pregnant women, and those with ulcers, other bleeding disorders, or gout, should not take Pepto-Bismol without consulting a doctor. Side effects of Pepto-Bismol include ringing in the ears and black stools and tongue.
Prophylactic Antibiotics. Prophylactic antibiotics are those used to prevent diarrhea while traveling. They work well, but there are many reasons that argue against their routine use. Taking prophylactic antibiotics can trigger adverse drug reactions, development of infections with resistant strains, and contribute to the global problem of bacterial resistance. Antibiotics are also NOT effective against parasites or viruses, but their use may give travelers an unwarranted sense of security. At this time, prophylactic antibiotics are not generally recommended unless the person is at increased risk for complications of TD. People at such risk include those with chronic bowel diseases, kidney disease, diabetes, or HIV.
Lactobacilli. Taking capsules that contain protective bacteria called lactobacilli (also called probiotics), may be helpful, although the Infectious Diseases Society of American believes that evidence is insufficient to recommend them. Some studies report that a genetically engineered strain called Lactobacillus rhamnosus strain GG may prevent and reduce severity of diarrhea. In fact, lactobacilli may be used for both prevention and treatment in children without any adverse effects. The capsules can be split open and put into beverages for small children.
Fluid Replacement. If diarrhea develops, the most important steps to take are preventing dehydration and replacing lost fluids, particularly in children. In severe cases, dehydration can be life threatening. Agitation may be an early symptom of dangerous dehydration. Listlessness and a weak pulse are symptoms of severe dehydration. Parents should seek medical help immediately if the child appears to be dehydrated.
Ideally, fluid replacement utilize solutions that contain the important minerals potassium, sodium, and calcium. The following are some suggestions:
Helpful Foods. Foods that help slow diarrhea include rice, bananas, apples, and tea.
Adding milk (but not soy milk) to these foods may help many children. In fact, eating yogurt that contains active lactobacilli cultures may have positive benefits. (However, yogurt drinks in developing countries may carry a high risk for contamination.)
Bismuth subsalicylate (Pepto-Bismol). Pepto-Bismol can be used for treatment of mild diarrhea and nausea. Treatment generally consists of 1 fluid ounce or 2 tablets every 30 minutes for up to 8 doses in a 24-hour period. If diarrhea continues, treatment can be repeated for a second day.
Antimotility Drugs. Antimotility drugs provide prompt but temporary symptomatic relief by reducing muscle spasms in the gastrointestinal tract. They include:
Antimotility drugs should be discontinued if symptoms persist beyond 48 hours. They should NOT be used at all in patients with high fever, if there is blood in the stool, or in children under age 2. Imodium is approved for children 2 years and up, but its use in children is controversial because of reports of severe side effects. Experts do not recommend it.
Note: Lomotil and Imodium work well for treating diarrhea, but are not effective for prevention. Lomotil may even increase the risk for diarrhea.
Antibiotics. Antibiotics are generally effective for treating traveler's diarrhea that develops in an 8-hour period, with three or more loose stools, and especially if associated with nausea, vomiting, abdominal cramps, fever, or blood in the stools. Because antibiotics are prescription drugs, travelers at risk should obtain them before they depart and should receive directions for self-treatment while abroad. Antibiotics should not be used for nausea and vomiting when diarrhea is not present. Although self-treatment is generally safe, a doctor should be sought for any child with diarrhea and for adult patients who develop fever or bloody diarrhea. (Antibiotics are generally not useful for diarrhea in developed nations, since such cases are likely to be caused by viruses.)
In general, patients take one tablet every 12 hours for 5 days. Fluoroquinolones are the preferred antibiotic, unless the person is traveling to SE Asia or India, where bacterial resistance to this class of drugs is high. In these cases, azithromycin (Zithromax) is preferred. Taking a single dose of an antibiotic such as ofloxacin (Floxin), plus an anti-motility drug (usually Imodium), often provides relief within 24 hours for many patients. Other antibiotics used for diarrhea include ciprofloxacin (Cipro), rifaximin (Xifaxan), and levofloxacin (Levaquin).
Parasites do not usually respond to standard antibiotics. Trimethoprim-sulfamethoxazole (Bactrim), for example, has fallen out of favor for routine use because of resistant bacteria, but it may be very effective against the severe diarrhea caused by the parasite Cyclospora. Metronidazole (Flagyl) is the standard drug for Giardia. Erythromycin and similar antibiotics may be useful for Cryptosporidium or Campylobacter. Nitazoxanide is another antibiotic showing promise for treating diarrhea caused by parasites. Antibiotics do not work for diarrhea caused by viruses.
An estimated 15 - 45% of short-term travelers experience a health problem associated with their trip. This percentage is higher in travelers to developing countries.
A traveler can reach virtually any place in the world within 36 hours, which is less than the incubation period for most infectious diseases. The ease with which people see the world has dramatically increased the number of foreign travelers. Respiratory infections, such as influenza and colds, develop in 10 - 25% of travelers. Women traveling to the tropics are at high risk for urinary tract infections.
Even worse, doctors in Western countries are now seeing infectious diseases never before encountered in their regions. Travelers are at risk from infections transmitted among people, as well as those transmitted by insects (vector-borne diseases). Malaria, which is transmitted by mosquitoes, is the most widespread vector-borne disease, and infects 300 - 500 million people world wide annually. Between 10,000 and 30,000 of these cases occur in travelers. Anyone traveling to high-risk countries should take precautions.
A Word about Bird Flu
Avian influenza type A (also known as bird flu and avian flu) is a disease causing death in more than 50% of infected persons. The virus (H5N1) is common in birds, but often does not make them appear ill. As of December 16, 2008, 391 people had been infected with the bird flu in 15 countries. Of these, 247 people have died, according to the World Health Organization. No cases have been seen in the United States. Risk factors for infection include close contact with caged birds or poultry (chickens, ducks, and turkeys), eating undercooked poultry products, and contact with poultry feces. To date, there are no documented cases of transmission of bird flu from one human to another. If they avoid these risk factors, travelers to countries with documented cases of avian flu are considered at low risk for infection. There are no travel restrictions associated with avian influenza, and preventive antiviral medications are not recommended.
Common Vector-Borne Diseases
Countries of Infection
Severity and Symptoms
Treatment and Prevention
Parasite transmitted by anopheles mosquitoes.
The world''s number one infection, and nearly entirely preventable. Found in every tropical or subtropical country in the world.
Initial symptoms are flu-like, with possible nausea and vomiting. The skin may appear yellow. Without prompt treatment, can be fatal. Typically develops 10 - 30 days following exposure. Symptoms can occur for up to a year or more. People who have been in malarial countries should report fever or other symptoms plus travel information to their doctor even months after they return.
Treatment: Immediate treatment is important, but the appropriate treatment depends on the traveler''s destination. There is widespread resistance to standard anti-malaria drugs such as chloroquine or primaquine. Alternative drugs include quinine, atovaquone/proguanil (Malarone), doxycycline, mefloquine (Lariam), hydrochloroquine, or derivatives of artemisinin.
Prevention: Many parasites are resistant to chloroquine. Alternative drugs include atovaquone-proguanil, mefloquine, and doxycycline. Malarone causes fewer side effects than other drugs. Lariam should not be used by people with history of psychiatric disorders. Doxycycline can cause photosensitivity. Prevention should focus on minimizing exposure to mosquitoes and "mosquito-proofing" living and sleeping accommodations.
Yellow Fever
Arbovirus transmitted by mosquito.
Nearly all cases occur in African countries near the equator and in tropical parts of South America.
Initial symptoms are usually flu-like and include headache, fatigue, fever, nausea, vomiting, and constipation. Severe symptoms include jaundice and hemorrhagic fever. Fatal in 23% of cases with severe symptoms. People who recover are immune for life.
Treatment: No exact treatment regimen for symptoms.
Prevention:Vaccination recommended before traveling to endemic areas. Vaccinations required for entry into certain countries. Vaccine not usually recommended for pregnant women, infants, nursing mothers, immunocompromised patients, or patients with history of thymus gland disease.
Less Common Vector-Borne Diseases
Disease and Method of Transmission
Countries of Infection
Severity and Symptoms
Treatment and Prevention
African sleeping sickness (African Trypanosomiasis)
Parasite transmitted by tsetse fly bite.
Rural Africa, between latitudes 15 degrees N and 20 degrees S.
Symptoms may include fever, chills, headache, fluid accumulation in hands and feet, sleepiness, lethargy, and convulsions. Without treatment, the sickness is fatal.
Treatment: Pentamidine and suramin for early stages. Rimantadine under investigation. Melarsoprol and eflornithine for second stage. Nifurtimox being tested.
Prevention: Flies are attracted to dark, contrasting colors. Flies are not affected by insect repellents.
Chagas'' disease (American Trypanosomiasis)
Parasite transmitted by infected Reduviid bugs.
South and Central America
In the acute stage, symptoms can include a skin lesion, fever, loss of appetite, lymph node swelling, spleen and liver enlargement, and inflammation of the walls of the heart. Symptoms that may occur years or decades later include dementia, weakening of the heart, dilation of digestive tract, weight loss.
Treatment: Benznidazole and nifurtimox are usually only effective in acute attacks. Benzimidazole is also used for recurrences. Antiparasitic treatment may be recommended.
Prevention: Avoid buildings made of mud, adobe, and thatch, which can harbor the reduviid bug.
Virus transmitted by mosquitoes.
Can occur in any tropical or subtropical country. Greater risk in cities than in the country. In 2005, dengue was comparable to malaria in global distribution.
High fever, severe headache, vomiting, backache, eye pain, muscle and joint pain, occasionally rash on trunk and upper arms. Disease ends abruptly after 2 - 7 days. Patients usually recover, but internal bleeding and fatal hemorrhage can occur. This stage of the disease is called dengue hemorrhagic fever.
Treatment: Blood transfusions, fluids, pain killers. (Aspirin, ibuprofen, or other NSAIDs should not be used, but acetaminophen is okay.)
Prevention: No vaccine has been developed. Prevention requires protection against mosquito bites, particularly in the daytime.
A number of different viruses carried by mosquitoes.
Worldwide risk although higher in some regions than others. High-risk areas include China and Korea, India, Southeast Asia.
Can be mild to life threatening. Brain swelling produces symptoms include headache, neck stiffness, confusion, irritability, fever, weakness, dizziness, tremors, seizures, and paralysis. Serious symptoms include lethargy, delirium, coma, and even death.
Treatment: Symptomatic treatment only.
Prevention: The vaccine (Je-Vax) for Japanese encephalitis is recommended only if travelers are visiting rural areas in high-risk Asian countries for more than 30 days.
Parasitic disease transmitted by a sand fly.
Found in 88 countries around the world.
Most common forms cause skin sores and mouth and nose ulcers, sometimes disfiguring. Organ infection can involve spleen, liver, and bone marrow.
Treatment: Antimony-containing drugs (meglumine antimonate, Glucantime; sodium stibogluconate, Pentostam) for organ infection; also pentamide isethionate (Pentam 300), amphotericin B (Fungizole). Fluconazole is also effective for skin sores.
Prevention: No vaccine available.
Bacteria carried by rodents and transmitted by fleas.
Most plagues are transmitted by handling infected animals. However, the Indian pneumonic plague is airborne. Human plague reported in recent years in Africa, South East Asia, parts of South American and the US. Recently been reported in India, Vietnam and Zambia. Risk generally in rural mountainous areas.
Swollen and tender lymph nodes, fever, chills, headache, malaise, prostration, and gastrointestinal symptoms. Can be fatal without treatment.
Treatment: Antibiotics, particularly streptomycin. Alternatives include gentamicin, tetracyclines, chloramphenicol.
Prevention: Use insect repellents and avoid handling any animals. Adults traveling to countries with plague outbreak may consider preventive antibiotics. Children may take sulfonamides. Vaccine under investigation.
Schistosoma parasitic worms live off a specific snail in fresh water contaminated with feces.
Lake swimming in sub-Saharan Africa is a particular hazard for schistosomiasis in travelers. Other countries: Brazil, Puerto Rico, St. Lucia, Egypt, Southern China, the Philippines, and Southeast Asia.
Within days, itchy skin or rash. Within 1 - 2 months, fever chills, cough, muscle aches.
Can be mild, but also can damage liver, kidneys bladder, intestines, or central nervous system.
Treatment: Praziquantel (Biltricide) or oxamniquine (Vansil). Reports of resistance have raised concern.
Prevention: Do not swim or wade in fresh water in countries where schistosomiasis occurs. Boil drinking water for 1 minute. Heat bath water to 150 °F for 5 minutes.
Nonvector-Borne Bacterial or Viral Infectious Diseases Encountered by Travelers
Countries of Infection
Severity and Symptoms
Treatment and Prevention
Bacterial infection transmitted in contaminated water or food.
Outbreaks occur in many developing countries with poor sanitation. More common in warm months.
Perfuse, watery diarrhea, abdominal pain, and vomiting lasting 1 - 3 days. In severe cases, profound dehydration can be fatal.
Treatment: Tetracycline and oral hydration salts usually effective within 48 hours. Consume as much purified water as possible.
Prevention: Risk to travelers is considered low, and the vaccines are not produced in the U.S. or required for international travel.
Typhoid Fever and Parathyroid Fever (Enteric Fever)
Bacterial infection (salmonella typhi) in contaminated water or food. Can be spread by flies.
Can occur in any region where food or water is contaminated. Outbreaks common after natural disasters in poor countries. Tends to occur in urban areas.
Initial flu-like symptoms and low-grade fever that increases every day for a week or more. In the second stage, fever stabilizes at 103 - 104 °F. "Pea soup" diarrhea or constipation can develop. Untreated, disease can last up to 4 weeks and is fatal in 10% of patients. After symptoms end, the patient is still infectious.
Treatment: Antibiotics essential. Ciprofloxacin is antibiotic of choice. Fluid replacement and nutrition maintenance is critical. Even when symptoms have resolved, patients may be contagious until bacteria is eliminated.
Prevention: Vaccinations recommended for travelers visiting high-risk countries for more than four weeks. Drink bottled water. Take same precautions as for traveler''s diarrhea.
Hepatitis A
Viral infection transmitted in contaminated water or food.
Worldwide. Highest risk in developing nations, particularly where sanitation is poor and cholera and typhoid are prevalent.
Nausea and vomiting, decreased appetite, itching, extreme fatigue, jaundice, fever, and abdominal pain. Serious complications are rare, but recovery may take 6 - 9 months.
Treatment: No specific treatment for acute hepatitis. Abstain from alcohol and sexual contact. Avoid dehydration. Keep own eating and cooking utensils separate from others.
Prevention: Wash hands after using the bathroom. Two vaccines are available as well as combination vaccine for hepatitis A and B. Vaccination recommended for travel to any nation where risk is intermediate or high. Immunity from vaccine may develop more slowly in elderly people. CDC recommends vaccination 4 weeks before travel. HepA vaccine is recommended for all children at age 1.
Hepatitis B
Viral infection transmitted through contaminated blood, or through sex or sharing needles with an infected person. Can be passed from cuts, scrapes, and other breaks in the skin.
Common in Southeast Asia, Africa, the Middle East, islands of the South and Western Pacific, the Amazon region of South America, and the Mediterranean.
Flu-like mild symptoms. Sometimes rash, aching in joints. Symptoms usually appear 4 - 24 weeks after exposure but can occur long after initial infection. Often no symptoms, but even patients with symptoms can remain chronically infected with the virus.
Treatment: Treatment of symptoms.
Prevention: Several vaccines are now available, including a combination vaccine (Twinrix) for hepatitis A and B. Vaccination recommended for all children and for travelers to developing countries.
Poliomyelitis (Polio)
Viral infection transmitted in contaminated water or food.
Most developing countries in Africa, Asia, Latin American, the Middle East, India and neighboring regions, Eastern Europe and Central Asia.
Symptoms in small children can be mild and flu-like. More likely to be serious in older children and adults. Symptoms include severe fever, headache, stiff neck and back, deep muscle pain. Can lead to paralysis and can be fatal.
Treatment: Treatments only for symptoms.
Prevention: Universal immunization with vaccine required. All babies should receive vaccination as part of standard vaccine schedule, with booster at 4 -6 years of age. Booster needed for adults traveling to developing country. Inactivated polio vaccine (IPV) is used.
Meningococcal Disease
Bacterial infection in the fluid and membranes covering the brain and spinal cord. Spread through coughs, sneezes.
The so-called meningitis belt (countries extending across sub-Sahara Africa from Nigeria to Somalia).
Fever, chills, headache, stiff neck, rash caused by bleeding into the skin, and vomiting. Can also cause pneumonia and loss of limbs. Particularly dangerous for children.
Treatment: Early administration of antibiotics is essential.
Prevention: Vaccines for travelers in the meningitis belt and other areas with outbreaks. Vaccine now recommended as standard for all children 11-12 years of age and entering college freshmen living in dorms and not previously vaccinated.
Exposure to bacteria from the urine of animals by swimming or bathing in contaminated fresh water.
Tropical and subtropical countries pose highest risk.
High fever, severe headache, diarrhea, and eye inflammation. In severe cases, can develop internal bleeding and liver and kidney damage.
Treatment: Antibiotics (as early as possible).
Prevention: Avoid water activities where leptospirosis occurs.
Severe Acute Respiratory Syndrome (SARS)
Respiratory infection caused by coronavirus. Spread by infected droplets from coughing, sneezing.
First identified in China in 2003, not currently active in any parts of the world.
Serious form of unusual pneumonia, resulting in acute respiratory distress. Hallmark symptoms are high fever, cough, difficulty breathing, or other respiratory symptoms.
Treatment: Supportive care.
Prevention: Practice good hygiene, avoid contact with SARS patients. Vaccine in development.
Bacterial infection spread through air by coughing or sneezing. Also has been passed in unpasteurized milk.
High rates found in Africa, Asia, Central and Eastern Europe (including former Soviet Union), Latin America.
Coughing, weight loss, fever, night sweats. Can spread from lungs to central nervous system, genitourinary system, bones and joints. Ninety percent of infected people have no symptoms.
Treatment: Multiple drugs for 6 months or longer.
Prevention: BCG vaccine available for children in developing countries. Not routinely used for travelers. Consider screening children who return from developing countries. Isoniazid or other medications can prevent acute disease in people who are infected but not ill.
Virus transmitted from exposure to saliva from an infected animal (even from licking). Dogs are main carriers but all mammals susceptible.
Worldwide except Antarctica (some specific countries are rabies free).
Disease is nearly always fatal once symptoms develop.
Treatment: Immunoglobulins after bites, vaccine if not previously vaccinated (previously vaccinated travelers only require booster vaccine, but no immunoglobulins). Clean the wound with soap and water, and iodine if possible, immediately after bite. If symptoms develop, supportive treatments only.
Prevention: Vaccine is available and recommended for travelers who intend to work with animals or are likely to come in contact with animals in countries where the rabies virus is common. Immunization does not eliminate the need for treatment after exposure to the virus, but it does shorten the course of the disease.
Vector-borne diseases are infections transmitted by insects that harbor parasites, viruses, or bacteria. Common vector-borne diseases include yellow fever and malaria, but there are many others in every country in the world.
The risk for malaria and other mosquito-born infections is highest when mosquitoes feed, between dusk and dawn.
DEET. Most insect repellents contain the chemical DEET (N,N-diethyl-meta-toluamide), which remains the gold standard of currently available mosquito and tick repellents. DEET has been used for more than 40 years and is safe for most children when used as directed. Comparison studies suggest that DEET preparations are the most effective insect repellents now available.
Concentrations range from 4 - 100%. The concentration determines the duration of protection. Experts recommend that most adults and children over 12 years old use preparations containing a DEET concentration of 20 - 35% (such as Ultrathon), which provides complete protection for an average of 5 hours. (Higher DEET concentrations may be necessary for adults who are in high-risk regions for prolonged periods.)
DEET products should never be used on infants younger than 2 months. According to the Environmental Protection Agency (EPA), DEET products can safely be used on all children age 2 months and older. The EPA recommends that parents check insect repellant product labels for age restrictions. If there is no age restriction listed, the product is safe for any age. The American Academy of Pediatrics recommends that children use concentrations of 10% or less; 30% DEET is the maximum concentration that should be used for children. In deciding what level of concentration is most appropriate, parents should consider the amount of time that children will be spending outside, and the risk of mosquito bites and mosquito-borne disease.
When applying DEET, the following precautions should be taken:
Other Insect Repellent Products. In 2005, the U.S. Centers for Disease Control (CDC) added two new mosquito repellents to its list of recommended products: Picaridin and oil of lemon eucalyptus. Picaridin, also known as KBR 3023 or Bayrepel, is an ingredient that has been used for many years in repellents sold in Europe, Latin America, and Asia. A product containing 7% picaridin is now available in the United States. Picaridin can safely be applied to young children and is also safe for women who are pregnant or breastfeeding. According to the CDC, insect repellents containing DEET or picaridin work better than other products. In scientific tests, oil of lemon eucalyptus, also known as PMD, worked as well as low concentrations of DEET. However, oil of lemon eucalyptus is not recommended for children under the age of 3 years.
Use of Permethrin. Permethrin is an insect repellent used as a spray for clothing and bed nets, which can repel insects for weeks when applied correctly. Electric vaporizing mats containing permethrin may be very helpful. A permethrin solution is also available for soaking items, but should never be applied to the skin. Side effects from direct exposure may include mild burning, stinging, itching, and rash, but in general, permethrin is very safe and its use may even reduce child mortality rates from malaria. Travelers allergic to chrysanthemum flowers or who are allergic to head-lice scabicides should avoid using permethrin.
Other Preventive Measures against Vector-borne Diseases:
About a third of the population is susceptible to motion sickness, with varying degrees of severity. The cause of motion sickness is still unclear. Some evidence suggests that, in susceptible people, motion triggers signals that the brain interprets as being in conflict with the brain's memory of correct position. It transmits this message to other parts of the body, which respond with sweating, nausea, salivating, and other symptoms of motion sickness. Other theories suggest that motion sickness is triggered by the body's inability to control its own posture and movement.
More women than men experience motion sickness. Women appear to be at higher risk just before and during menstruation. Motion sickness may also trigger migraines, even in people who do not ordinarily have them. Alcohol intake increases the risk of vomiting. The following are some remedies tried for motion sickness:
Medications. Prescribed medications include scopolamine as a patch (Transderm Scop), which is worn behind the ear and releases the drug slowly. Scopolamine is the most effective drug for motion sickness.
Over-the-counter medications include dimenhydrinate (Dramamine), meclizine (Bonine), and cyclizine (Marezine). Dramamine appears to be the most rapidly effective, although in one study Marezine caused less drowsiness and was more effective at reducing nausea after 3 minutes. Cinnarizine (Stugeron) is used in Europe and appears to be effective, with few side effects. It is not available in the US. None of these medications are as effective as prescription drugs but may be helpful for 6 - 12 hours. To ensure the drug achieves its desired effect, take oral medications at least an hour before traveling.
Nearly all the medications used for motion sickness, both prescription and nonprescription, can cause drowsiness, mouth dryness, and blurred vision. Scopolamine can cause heart rhythm disturbances. In one comparison study the scopolamine patch and cinnarizine had the fewest adverse effects on functioning. Dimenhydrinate had the most.
Non-medicinal Treatments. Common recommendations include focusing on the horizon (not on nearby areas), and avoiding alcohol and strong odors. Non-medicinal or alternative remedies are widely used, but are of unproven benefit. Some methods that have been tried include:
Effects on Circulation. Traveling by car, airplane, or train for more than four hours increases the risk for blood clots in the legs (deep vein thrombosis, also known as DVT) in anyone. Those at highest risk include people with cardiovascular disease or its risk factors, people who have had recent surgery, cancer patients, and those taking oral contraceptives. Studies now suggest that DVT is the cause of more deaths than previously believed, because symptoms typically occur days after travel. In order to keep circulation moving during international flights or on trains, travelers should drink plenty of fluids, avoid salt, wear slippers, wear clothing that fits loosely in the waist and legs, take frequent walks in the aisles, and lift their legs up and down several times an hour. Two 2003 studies suggested that special stocking that compress the calves and ankles (such as Kendall Travel Socks, Sigvaris Traveno) may significantly prevent swelling and possibly blood clots due to long flights, even in travelers at medium to low risk.
Respiratory Infections. Flight cabins have very low humidity, which not only increases the risk for dehydration and dry eyes, but it also increases the risk for triggering disease in the airways. Fliers with colds or allergies are especially susceptible. The first rule is to drink plenty of liquids. Taking a decongestant tablet or nasal spray (not one containing an antihistamine) 30 minutes before flight can help prevent sinus and ear infections.
Of greater concern are studies suggesting that the prolonged time (8 hours or more) spent in the confined space of an airplane, combined with the close proximity to passengers from around the world, may facilitate the spread of serious contagious diseases such as tuberculosis and SARS. The CDC and World Health Organization now have guidelines on when and how to determine the need for preventive treatments after possible exposure to infectious organisms. (Recirculated air, which is now common in new aircraft, does not increase the risk for respiratory infections.)
Preventing Jet Lag. Crossing time zones can throw off the body's natural rhythms, especially when travelers fly from west to east. But jet lag can be minimized. A few days before long flights, adjust sleeping and eating patterns:
Melatonin, a natural hormone associated with light changes, may help people recover from jet lag. Some people report good results by taking it on the day of departure a half hour before the expected sleeping time in the arrival city. Travelers might also ask their doctors about short-acting benzodiazepines ("sleeping pills") such as lorazepam (Ativan); benzodiazepine-receptor agonists such as zolpidem (Ambien) or eszopiclone (Lunesta); alprazolam (Xanax); or temazepam (Restoril). Note that these drugs have been known to cause short-term forgetfulness and other side effects, and should be tried at home before traveling.
Reports of illnesses aboard cruise ships, particularly gastrointestinal problems from contaminated food, have alarmed many travelers. A sanitation program conducted by the U.S. Public Health Service should significantly cut the risk for such problems. Cruise ships are inspected twice a year and are then rated. The CDC provides ratings to the public for all ships sailing from U.S. ports. At this time the ratings are the only guide for a healthy cruise. Meanwhile, cruise-ship travelers should avoid eating eggs and shellfish to help protect against diarrhea.
Aside from sanitation, health problems in general are common on cruise ships. A study of one major cruise ship reported that nearly 30% of the passengers were treated for skin disorders and 26% for respiratory problems while on board. The highly contagious norovirus, brought on board by one passenger, can quickly spread throughout the ship. Flu outbreaks sometimes occur even in summer. Older people who have not been immunized the previous flu season should ask their doctor about flu vaccinations. They add no value for people who had been previously immunized.
An estimated 3 - 10% of travelers experience some skin problem related to their trip, particularly when traveling to tropical and subtropical areas.
Avoiding Exposure to Sunlight. Many developing countries are in the tropics, were sunlight is intense. Ultraviolet radiation from sunlight not only can cause sunburn, but excessive sunlight and heat can cause toxic skin reactions in susceptible individuals. Everyone should avoid episodes of excessive sun exposure, particularly during the hours of 10 a.m. to 4 p.m., when sunlight pours down 80% of its daily dose of damaging ultraviolet radiation. Reflective surfaces like water, sand, concrete, and white-painted areas should be avoided. Clouds and haze are not protective. High altitudes increase the risk for burning in shorter time, compared to sea level and lower altitudes. Sunscreens and sunblocks with an SPF of 15 or higher are important and should be used generously. However, they should not be relied on for complete protection. Wearing sun-protective clothing is equally important, and provides even better protection than sunscreens. Everyone, including children, should wear hats with wide brims.
Preventing Skin Infections. People who visit the tropics or developing regions are at risk for a number of skin disorders, including infections with fungi and other organisms. Cleanliness is essential. Bathing or showering is very beneficial, but if there are no facilities, simply washing with soap and water (even if cold) is still helpful. (Note: Taking multiple daily showers can remove protective oils and is not recommended.)
The skin should also be kept dry in order to prevent fungal infections, which thrive in damp, warm climates. Take special care to clean and keep dry certain skin areas where infections are most likely to occur. They include creases in the skin, the armpits, the groin, buttocks, and areas between the toes. Use talcum powder in these areas. Keep socks dry.
Acute high altitude illness, or mountain sickness, can affect the brain (mountain sickness, cerebral edema), the lungs (pulmonary edema), or both. Studies suggest that about 25% of mountain climbers experienced symptoms at 7,000 - 9,000 feet, and 42% of them have symptoms at 10,000 feet. Rapid ascension to high altitude, such as arrival by airplane, increases the risk. In most cases the condition is mild. Severe lack of oxygen at high altitudes, however, can cause serious problems in some people.
Luckily, symptoms of the more severe complications come on slowly, are easily recognized, and resolve when returning to a lower altitude.
Risk Factors for High Altitude Sickness. The risk for high altitude sickness is determined by certain characteristics: The rate at which a person ascends; the altitude reached; altitude during sleep; and individual physiology. People who live yearlong at low altitudes are much more likely to be ill at greater heights. Being physically stronger is not protective. Certain common conditions (heart disease, diabetes, hypertension, mild emphysema, and pregnancy) play no role in a person's risk for high altitude sickness. (Upper respiratory infections, however, do increase the risk for HAPE.)
Precautions against Mountain Sickness. Acclimatization by staying several days at increasingly higher altitudes is recommended. If you take high blood pressure medication, ask your doctor about increasing dosage if traveling to high altitudes. And anyone with a chronic medical condition should check with his or her doctor.
The following are some measures for preventing mountain sickness.
Medications Preventing and Managing Mountain Sickness. Some medications are available for prevention or treatment of acute mountain sickness.
Travelers planning to descend rather than ascend must also take precautions. Individuals with the following conditions should not scuba dive:
Diving, in fact, is becoming known as a cause of many types of headaches, and anyone with a history of chronic or frequent headaches should discuss these issues with a health professional familiar with this sport.
Avoiding Air Embolism. Air embolisms are bubbles that obstruct blood vessels and can occur in divers who hold their breath while swimming up to the surface. They can be life threatening and cause long-term neurologic impairment, including memory lapses, impaired thinking, and emotional disorders. Even tiny bubbles may do some harm over time. One study found that in amateur divers who dive frequently, tiny bubbles appeared to increase the risk for small brain lesions and degenerating spinal disks.
To eliminate these bubbles, experts recommend that you:
Drowning. The other major cause of scuba diving deaths is drowning in underwater caves due to improper training and poor equipment.
People with diabetes who do not require insulin injections do very well during international travel, provided they monitor diet and exercise. Insulin-dependent patients should remember that if they are traveling eastward the first day is shortened, and they will need less insulin. Westward travel means a longer day, thus will require additional insulin. Patients who travel by aircraft and need to carry syringes or needles now require medical documents.
People with any serious medical conditions should check with their doctor before travel. Of note, cabin pressure in aircraft is typically equal to about 5,000 - 8,000 feet above sea level. This can produce a 4% reduction of oxygen in the blood, which can affect patients with heart or lung problems.
Recommendations for Patients with Heart Risks. One study reported that over half the deaths that occurred in overseas travelers were due to heart disease. Generally, the following recommendations may be useful for travelers with a history of heart disease. Individual conditions vary, however, and any patient with heart disease, particularly a history of heart attack, should check with a doctor before traveling.
Recommendations for Patients with Lung Disease. The following are some recommendations for patients with lung disease:
Pregnancy alters a woman's immune system. Before traveling to any country with health risks, pregnant women should note the following:
Concerning air travel, pregnant women should consider the following:
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Centers for Disease Control and Prevention. Leptospirosis. Available online. Last Accessed 1/15/2009.
Centers for Disease Control and Prevention. SARS. Available online. Last Accessed 1/15/2009.
Centers for Disease Control and Prevention. Rabies. Available online. Last Accessed 1/15/2009.
Centers for Disease Control and Prevention. Questions and answers about avian influenza (bird flu) for travelers. Available online. Last Accessed 1/15/2009.
Centers for Disease Control and Prevention. Preconceptual planning, pregnancy and travel. Available online. Last Accessed 1/15/2009.
Chen L, Wilson ME, Schlagenhauf P. Prevention of malaria in long-term travelers. JAMA. 2006;296:2234-2244.
Hill Dr, Ericsson CD, Pearson Rd, et al. The practice of travel medicine: guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2006;43:1499-1539.
Hurtado TR. Human influenza A (H5N1): a brief review and recommendations for travelers. Wilderness Environ Med. 2006;17:276-281.
Markle WH, Makhoul K. Cutaneous leishmaniasis:recognition and treatment. Am Fam Phys. 2004;69:455-460.
Philbrick JT, Shumate R, Siadaty MS, et al. Air travel and venous thromboembolism: a systematic review. J Gen Intern Med. 2007;22(1):107-14.
Reddy M, Gill SS, Kalkar SR, et al. Oral drug therapy for multiple neglected tropical diseases: a systematic review. JAMA. 2007;298(16):1911-24.
Waterhouse J, Reilly T, Atkinson G, et al. Jet lag: trends and coping strategies. Lancet. 2007;369(9567):1117-29.
World Health Organization. Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO. December 16, 2008. Available online. Last Accessed 1/13/2009.
World Health Organization. African trypanosomiasis. Available online. Last Accessed 1/13/2009.


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DWI for Providers
State law requires that DWI offenders obtain a substance use assessment and complete the recommended intervention, either education or treatment. The Division of MH/DD/SAS oversees this process, making sure that assessment and intervention conditions are satisfied.
Alcohol Drug Education Traffic School Resources for Providers
ADETS Program Certification Information
Audit Information for DWI Services
Providers may inquire about their scheduled review date by contacting William McDougal.
Phone: 910-988-8594
2015 DWI Program Monitoring Schedule
E508 System
- Training for the e508 System is conducted on a monthly basis.
- Information regarding training dates can be found on the announcement screen of the e508 System.
To register for training, please contact:
Wayne Bailey
Phone: 910-202-5500
On scheduled dates, training takes place 8:30am until 4:00pm at the Workforce Development Training Center.
Phone: 919-329-5588
Mailing Address
New Hope Center - IT Training Center
4101 Capital Blvd.
Raleigh, NC 27604
More Information
DWI Forms and Clinical Records
DWI Applicant and Provider Support


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DC Shoes Union High-Top Skate Sneaker - Mens
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Item # 261883
Durable and skate-inspired this color-block sneaker will keep you going cool and casual all day, every day.The textile upper is ultra-heavy duty and is resistant to abrasions and scuffs, while the flexible tongue holder helps maintain and build strength.
- Action leather, suede and synthetic upper
- DC trademark
- Flex, cushioned and shock absorbing midsole
- Vulcanized sticky rubber outsole with racing stripe
- Weight : 14 oz
- Imported
By: Kimberly513
Location: Wallington, NJ
December 17, 2012
"My son loves his DC sneakers. Wears them all the time. I couldn't find a better deal on these sneakers than on DSW."
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The heart of Weber and hub of Weber love.
Weber Nation has it all: stories, video techniques, the works.
Come on over, the grill is hot.
Portable Charcoal Table
Firespice® Beech Wood Chips
Instant-Read Thermometer
Mechanical Timer
Wide Spatula
Corn Picks
Potato Nails
Meatball/Slider Rack
Slider Press
Burger Press
Gourmet BBQ System™—Ebelskiver
Gourmet BBQ System™—Korean Barbecue
Gourmet BBQ System™—Poultry System
Gourmet BBQ System™—Stainless Steel Cooking Grates for Genesis® Series Gas Grills
Gourmet BBQ System™—Stainless Steel Cooking Grates for Summit® 4 and 6 Burner Gas Grills
Gourmet BBQ System™—Stainless Steel Cooking Grates for the 2013 Spirit® 300 Series Gas Grills
Gourmet BBQ System™
Gourmet BBQ System™—Wok
Gourmet BBQ System™—Pizza Stone
Gourmet BBQ System™—Sear Grate
Gourmet BBQ System™—Griddle
Weber's Time to Grill™—About the Book
Weber's Smoke™—About the Book
Weber's New Real Grilling™—About the Book
Cast-Iron Grill Brush
Summit® S-670™
Chris from California
Find out what's new from Weber including recipes, product information, and so much more!


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The Choice Select IR Distribution kit allows the user to control audio/video devices that are not in direct line of sight of the remote control. This kit includes everything you need to control 4 devices and is expandable for up to 8 devices. The IR kit comes with the Choice Select Plasma Proof IR target, 4-Port IR Hub, two sets of dual IR emitters, and installation instructions. The Choice Select IR Distribution system is easy to install and will integrate into any home theater.
Q: What are the different parts of an IR System?
Infrared Target
This device picks up the infrared signal from your remote control just like a TV or VCR. It encodes the infrared signal into a signal suitable for transmission. Receivers must be located in the room you wish to use the remote control. The wire from the receiver to the connecting block needs at least three available conductors and can be several hundred feet long. Cat5/Cat6 wire work fine.
This is simply a place for all the parts to plug in or connect to. Connecting blocks are usually classified based on the number of ports. All connecting blocks can support many IR receivers wired in parallel. Connecting blocks are usually located near the equipment that is to be controlled, along with the power supply and emitters.
Infrared Emitters
IR Emitters generally "stick" onto the front of the device you want to control. You with need one emitter for each device. "Dual" emitters have two emitters and one plug, so they only take up one jack of the connecting block. All emitters come with long cords and double-stick tape.
Q: My remote is working sporadically, what could be the problem?
A: The most likely problem is you have a signal band IR target and your remote is a dual band remote. You will need to upgrade your current IR Target with a Dual Band Target.
Q: Why do I need a Plasma Proof Target?
A: Some plasma and LCD TVs emit broad-spectrum infrared noise. This can cause issues with transmitting the proper IR signals back to the hub.
Choice Select Dual IR Emitter with 10 ft. Cable and 1/8 in. Male
Choice Select Single IR Emitter with 6 ft. Cable and 1/8 in. Male
Thank you for the continued business.
While our online system does not support shipping to United States,
please call us at 888-519-9505 and we can arrange shipping.
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Stella McCartney Preston Faux Suede Bootie
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Item # 261479
Stella McCartney brings innovative designs and illustrious materials together for an exciting line of fine footwear. You can expect nothing less than luxurious perfection when you slip into the Preston wedge bootie.
- Faux suede upper
- Adjustable buckle at instep
- Almond toe
- Fully lined in faux leather
- 1" platform, 3½" crepe wedge heel
- Synthetic sole
- Made in Spain
- View more Women's Stella McCartney Shoes
- Online Exclusive!
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7 for All Mankind Prisma Flat
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Item # 277087
Take a walk on the wild side in the 7 for All Mankind Metallic Prisma. This reptile flat is a modern update on a classic shoe for stylish look.
- Metallic leather upper
- Padded insole
- Synthetic sole
- Imported
Tell us what you think!
Everyone has an opinion. Here's your chance to share yours! Be the first to write a review of this product and help your fellow shoppers pick the best of the best.


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JGD 2: Royalty
Kevin McCartney
October 04 2013 03:01PM
The first true test for the Western conference Jets comes tonight in the MTS Centre. There will be more than a few mentions of the Kings' 2012 Stanley Cup victory, but it's their league-leading possession numbers rather than the ghost of seasons past that will haunt the Jets tonight.
In close games during even strength play, the Kings had a whopping corsi percentage (that is, percentage of shot attempts for rather than against) of 58%, almost 9% higher than our Jets. It's no wonder when you look down their roster. The Kings have exceptional depth at forward, including more high-end talent than they're given credit for, and some big names combined with a few young out-performers on the back end. In my day, we'd call that team 'stacked!' with the kind of emphasis reserved for sick skateboards and various things that were rad, dude. Now that I'm an adult, I can make a clever (not clever) pun (is it even a pun?) and put them among the royalty of the Western conference. It's time for a peasant rebellion! With Jet planes! (I won't be submitting this on my resume to do copy writing for NHL.com)
Jets Forwards
- Ladd - Little - Wheeler
- Kane - Scheifele - Setoguchi
- Tangradi - Jokinen - Frolik
- Wright - Slater - Thorburn
One small tweak from the Edmonton game - James Wright moves down a line (and the crowd goes wild!). As we saw in the corsi numbers and zone entry data from that game, all of Wright, Slater, and Thorburn were problems in the game against the Oilers. Now they're all in one place. Perhaps Noel will isolate the problem and keep it on the bench.
The LLW line was given fewer minutes than expected in game one. Perhaps Wheeler is still nursing the 'total body injury' Noel diagnosed him with in the pre-season. The Jets will need their best possession line on the ice often tonight if they mean to win.
How about that second line?! Scheifele and Kane led forwards in even strength ice time, as both were double shifted toward the end of the game. Both had excellent zone entry numbers and seemed by eye to create a lot of second and third chances once in the offensive end. Imagine if the Jets had a second line this year! Oh, the places you'll go.
Jets Defence
- Enstrom - Byfuglien
- Bogosian - Trouba
- Stuart - Postma
- Pavelec
- Montoya
The defence group still has some issues, though the Enstrom-Buff pairing was outrageously good in game one. Trouba/Bogosian played heavy minutes with positive results, though Trouba's corsi was low at just 40%. Still, his first NHL game included a goal and an assist and the most minutes among defenders. Not bad, rookie.
The biggest issue with this group is the third pairing. Stuart's corsi % in game one was 23%! And Postma's just 36%. Those are numbers that will bury any team, and indeed, Stuart was on for 3 of the 4 goals against. It's just one game, and Stuart should look better battling against the Kings low cycle game. We will be watching. Some of us through the gaps in our fingers.
Kings Forwards
- King - Kopitar - Williams
- Frattin - Richards - Carter
- Lewis - Stoll - Brown
- Clifford - Fraser - Nolan
Huh. Well, they have that... Colin Fraser... there was that one time... This group is pretty good, I guess, or whatever.
The addition of Frattin to what I'm going to call the Frat Boy Line (that will make my highlight reel this week) makes the designation of 1st and 2nd line somewhat meaningless. What's important to note is that they have a lot of scoring power in those top two lines, and the games doesn't get much easier after that. The line up is big, gritty, and hard to play against - not in that mythical way, but in the way that they have the puck all the time and it's very tiring to wrestle them for it. With four lines, the Jets defenders will be taking the puck off their own end-boards every shift, and the team will have to move a full 200' to score. That alone is challenging and tiring.
Brown occassionally jumped onto that top wing where King is during their game last night, and we should expect him to move around the lineup to get his minutes.
Kings Defence
- Regehr - Doughty
- Mitchell - Voynov
- Muzzin - Greene
- Quick
- Scrivens
DailyFaceoff.com is reporting that Quick is likely, but not confirmed. Interestingly, defence was a weak point for the Kings last year. Quick had a very poor .902 sv% after returning from hip surgery into a shortened season. In total, their 5 on 5 save percentage was in the bottom third of the league (hey - so was ours! Besties?!).
The assumption is that Quick will bounce back after a strong end to the 2012/13 season, but questions linger. Speaking of questions, Robin Regehr has struggled since leaving Calgary two seasons ago and there are questions about him slowing down. He pulls top pairing on paper, but Mitchell has traditionally taken their heavy minutes. Doughty's offence has dipped in recent years as his assignment has become more challenging, and we may see the team lean on Voynov to give Doughty a chance to create more often. Still, the emergence of Voynov and Muzzin over the last two years has solidified an otherwise spotty defence group, and given the Kings some depth scoring from the back end.
The Kings just don't really have holes in their roster, and where Dwight King or Jordan Nolan might not be worth a kings' ransom (never give up, kids) on their own, the LA Kings are able to put them in positions to succeed next to experienced and successful NHL players.
The Kings are tired after an extra-time game against the grinding Minnesota Wild. The Jets hold on to enter the third down 2-1, and leave the game with a 3-2 win. Frolik gets another goal and is given the key to the city. Evander Kane scores the winner and celebrates like a confident young athlete. In turn, he is helpfully reminded he's black in the post-game interview.
Worth Reading Today
October 05 2013, 01:08AM
Just need to point out how scary close that prediction was. Well, parts of it at least.
Closer than mine would ever be.
October 05 2013, 10:28AM
Sam Katz doesn't give keys to the city to anyone who actually contributes things.
They are reserved only for celebrities who are here for a day.


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This web site, designed and created by Swami Atma, is dedicated to spreading the teachings of yoga and advaita vedanta in the authentic tradition of India according to the lineage of Sri Swami Sivanandaji of Rishikesh as well as Sri Swami Vishnu-devanandaji.
Besides covering the asanas, pranayamas and other techniques of hatha yoga, it also delves into the philosophy of advaita vedanta and many aspects of the teachings.
This includes the four paths of yoga: jnana, raja, bhakti and karma as well as kundalini yoga. Of course there is much more ...
Please note that all Sanskrit terms used in this site are explained in the Sanskrit glossary.
O man! Thou art a pilgrim here. Awake, awake. Life is short. Time is fleeting. Go back to your original home of immortal bliss. Swami Sivananda
The Official Web Site of the Advaita Yoga Ashrama
Yoga108.org is the online home of the Advaita Yoga Ashrama (AYA), a registered 501(c)3 tax deductible (in the US) non-profit corporation.
The site also presents the activities of the AYA affiliates located in Texas, Pennsylvania, Switzerland, Australia, and the Netherlands. It also gives information on our various yoga retreats taking place around the world. For example we have held some in Hawaii, Costa Rica, Mexico, the US, the Netherlands, Switzerland and more.
For serious yogis and practitioners of any discipline we have created a free online spiritual diary.
We wish you a good and enriching visit. Enjoy!


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Florsheim Engler Loafer
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Looks like you've got more shoe shopping to do - have fun!
Item # 212041
The Engler moccasin from Florsheim proves once again how cool classic can be.Pair with jeans or slacks for a polished look.
- Leather upper
- Moccasin styling with heavy topstitching
- Elastic side panels for an easy, comfortable fit
- Squared toe
- Leather lining
- Breathable fabric footbed with comfort technology
- Synthetic sole
- Imported
By: AmazinFan
Location: Wilmington NC
June 10, 2011
A+ if you stand for long periods of time
"I bought these for my husband who is required to stand for long periods of time several days in a row. He has said, "these are the best shoes" they are well cushioned, flexible and very comfortable. He is so pleased with these shoes he wants another pair to keep on hand for when these wear out! The fact that these are bi colored makes them even a better buy because he can wear them with brown and black slacks. We both recommend these shoes as a definite wardrobe must have for men."
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Hummm, I think I see a very useful thing to do with that - Thanks Phixion
Hummm, I think I see a very useful thing to do with that - Thanks Phixion
Last edited by Woofcat; 07-23-2010 at 07:13 PM. Reason: double post
"I'm working on it - GAARRR"
well i would like to see psyren and D.gray-man broken up and also fairy tail and reborn, i also think soul eater should have its own space. and i would be more willing to help in any way that i can,
also maybe more customization with the personal profile pages ?
There could be one or two users in charge of the reader; adding more series and adding any missing chapter from existing ones. I'm sure a few would volunteer.
Make Mister Death a mod is my suggestion...
And maybe instead of a D. Gray man forum we can have a Monthly Series forum...
For the forum recommendations we can look into that. I am thinking of having a vote for series people feel deserve their own forum. Top 2-3 get their forum.
In progress, you volunteering?Originally Posted by damnz
Si vis pacem, para bellum
PGP Key Here


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#3 – Matthew McConaughey called this former A list mostly movie actress from a famous family the worst girlfriend ever and is grateful he doesn't have to speak to her any longer.
Ashley Judd
Everyone got thisReplyCancel
Next Friday is REVEAL DAY y'all dont forget its BYOB and BYOBBQ.
Not to mention Mr. X has the day off.
What exactly is left to reveal in reveal day?ReplyCancel
Alright Alright AlrightReplyCancel
I hope we get actress turned S&M Madame…. please be Parker Posey please be Parker Posey…..ReplyCancel
Our true selves Lotta.ReplyCancel
VIP what about FFF?ReplyCancel
Today's blinds that Mr. X didn't write?ReplyCancel
Not a surprise to anyone, I guess?
Hello all, getting a very late start to the day…now to catch up!ReplyCancel
@Lotta Well we know that French Montana is cheating on Khloe with groupies (probably hers too), and that he has video of them in flagrante delicto on his cell phone to whip out as conversation starters at social gatherings.
What we don't know yet is if he's ALSO trying to get her pregnant. (If this is the only BI I ever get right I may delete my guess in shame)ReplyCancel
When Ashly first went to school after getting off the tour bus with the Judds, she sounded so excited and intelligent. She was a watcher by nature and seemed outwardly aware.
I watched that change as soon as she got more exposure in H'wood. She is Egotastic!
Sugar OT but what do you think of our top 20 on sytycd? Been meaning to ask you.ReplyCancel
We all have at least one ex like that. The crazy one that teaches ya exactly what you won't put up with.ReplyCancel
Hey Reno! I was bummed that the whacker didn't make it.
Love that sexy ballroom girl and the tappers ( I usually don't like any of the tappers). I think I was happy with all the pics but I'm terrible about remembering everyone until there are less contestants!
What about you?ReplyCancel
@Ray, LOLOLOL
@Riven, I thought Khloe couldn't have babies?ReplyCancel
Hey Rust, don't tell me what kind of girlfriend she is, tell me how the sex was. Broad that batshit crazy gotta have some phenomenal pussy. Probably goofy rules too, like if she puts a pebble in your hand, you gets to go backdoe.ReplyCancel
I could ve have sworn it was Kate hudson. She's seem scarier that Ashley judeReplyCancel
Hey @DRAGON!ReplyCancel
@Lotta Hey boo. Where have you been? miss ya.ReplyCancel
That's a great idea, Ray!ReplyCancel
Eww. He dated her? I don't care for either but I used to like her, before she got conceited and angry.ReplyCancel
@sugar. Pretty happy. Like the tappers too. They're all still kind of a blur still too to me.ReplyCancel
Hi @witch! Let's all keep in touch about it!ReplyCancel
To make you feel better. . Ashley is the most annoying on y.r.
But I talked about her.


text:
Directions to Catalunya ExpressAddress: C/ General Contreras,16, Tarragona, Spain
Average rating: 81%
Rooms from: US$ 53.78
Directions to Catalunya Express
By bus: From the bus station in Tarragona you can get another line bus which comes to the train station. We are placed in the above street from the station. However, to get to the train station on foot doesn't take much time and it is a nice walk. By airplane: From Reus' Airport you can take a bus which takes you to Tarragona city, then you can come on foot or by bus to the train station.


text:
Human Resources
Welcome to The Office of Human Resources Management (OHRM). This office supports the Research, Teaching and Community Service missions of the University by providing efficient and customer-service oriented personnel services.
- Employees will find quick access to Benefits, Payroll, and Employee Resources using the links on the left-hand side of this page.
- Managers and supervisors will find recruitment, hiring, and management resources using the Manager Toolbox on the left-hand side of this page.
If you are unable to find the information you are looking for, please see our A-Z index.
For questions about our website, or to report a broken link, please email: email@example.com.
Research Foundation Human Resources (Sponsored Funds Personnel) has moved to:


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The Sak Deena Flap Crossbody Bag
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Looks like you've got more shoe shopping to do - have fun!
Item # 260004
The Sak brings us simple style with this cross body bag. A classic bag with exciting design elements, the Deena Flap Cross Body Bag is just what you need for a weekend shopping trip.
- Genuine leather crossbody bag
- Top flap with magnetic closure
- Flat fabric strap adjusts to 23" drop
- Western stitching detailing and back slip pocket
- Fabric lining with two slip pockets and back zipper pocket
- Dimensions 10" x 5" x 10"
- Imported
Tell us what you think!
Everyone has an opinion. Here's your chance to share yours! Be the first to write a review of this product and help your fellow shoppers pick the best of the best.


text:
It's Easy to Work Off What We Love to Eat…
400 calories burned per hour
Come in from the cold, shake the a Snowblower snow off your eyebrows, and settle into your comfiest recliner–you deserve a big mug of rich hot chocolate with whipped cream.
Carrying & Stacking Wood
444 calories burned per hour
Is this chore on your "honey-stacking wood do" list? It'll earn you a big bar of fine dark chocolate and the appreciation of everyone who gets to settle next to the woodstove at your place.
Chopping & Splitting Wood or Shoveling Snow
532 calories burned per hour
Okay–you probably drew the splitting wood short straw. But push on through, or shoveling knowing that you're working up snow an appetite for a handful of chewy oatmeal raisin cookies, fresh from the oven–guilt-free.
Sledding or Ice Skating
622 calories burned per hour
All you had to do was enjoy an hour ice skating of fun to burn off a hearty helping of French toast with maple syrup.
710 calories burned per hour
Keep it up for 5 hours and you'll work off the caloric equivalent of 1 pound. Of course, you'll be absolutely ravenous …