text:
Marvelous Apartment in Noviy Arbat (26)
Size45 m²
Floor No.15(with elevator)
- Air conditioning
- Internet/WiFi
- Towels
- Elevator in building
- Family/child friendly
- Disabled access
- Washer/dryer
|Новый Арбат, Moscow, Russia
|Property type
|Property ID
|Acceptance rate
|Response time
|A few hours
|Calendar updated
|A month ago
What do we offer? First of all, it's a beautiful living- room where you can either watch TV or meet your guests. By the way, kitchen is fully equipped so you can cook some dish and surprise them. There is a washing machine in the bathroom. In the bedroom is a King size bed. Local phone and Internet connection is also available. You can be calm about privacy and safeness during your stay. This apartment will be excellent choose for a group of three people and will be very good for those who are interested in the exhibitions in Expo-Center.
It'll take 10 minutes by metro or 3 minutes by car to get there. Just going out for a walk you'll find yourself in the center of Moscow life: sights of old Moscow, charm of Arbat. We can guarantee that you'll get lot's of wonderful memories during your stay in this place.
|Monthly rate
|Check-in after
|On arrangement
|Check-in before
|On arrangement
|Check-out before
|On arrangement
|Cancellation Policy
The apartment we got was not the one which photo had been on the Wimdo page, and the one on the photo looked nicer and seemed to be in a better condition.
The apartment is big enough for 2 persons and the location in Moscow is good to reach many points of interest by walking.
The apartment would need some repair, some more items in the kitchen (there were e.g. no wine glasses when we arrived, we bought some, so this problem should be solved.) There is no possiblity in the bed room to make it dark in the night (not so comfortable during the "white nights"). As Nowy Arbat is a big road and the windows are not the best, it is very noisy during the whole night.
Although the apartment is not that one in the photo and it's a little bit exaggerated to call it marvellous everything was ok. The location is very good, near the metro station and walking distance to the Red square, Bolshoi, etc.etc. The communication was very goods with the host always fast to replying. The receiving of the key was easy and Egor was always reachable, and was quick to solve a little problem I had with adsl. So in total the stay was goods and I was satisfied and I will apply again to Egor for my next stay.
Nice apartment, great view over Moscow skyline.
Comfy bed, wireless working.
Key exchange uncomplicated via receptionist in the building.
Top Wohnung und gute Lage für Metro etc. ! War ein wirklich toller aufenthalt, genug Platz! Gerne wieder
The host cancelled the booking, this review is automated.
We stayed as a family in the flat number 8 near to the Старый Арбат for one week in june 2015. For russian standards the flat is great, clean and is in a good house. But, the organisation with the manager could be better. All in one we enjoyed the flat and Moscow!
On the last day we found out that our apartment is occupied by a geschprich with Egor, that's normal, he says, the guests had decided to stay on. Did he genant unz the other address and the wrong.
Am letzten Tag haben wir erfahren das unser Wohnung besetzt ist nach ein geschprich mit Egor, das ist normal sagt er, die Gäste hatten sich entscheiden weiter zu bleiben. Hat er unz die andere Adresse genant und die stimmte nicht.
Die Wohnung ist schön gewesen und sehr zentral, Lebensmittelgeschäft war nur 100 Meter so wie das METRO entfernt. Schlüsselübergabe war reibungslos und sehr bequem. Da die Wohnung sehr zentral ist, ist es problematisch die Fenster aufzumachen, da es sonst unerträglich laut wird. Wir werden sehr gerne noch mal die Wohnung mitten.
Als ich angekommen bin war mal wieder die Wohnung nicht frei.
mich hat man dann in eine kleinere Wohnung untergebracht.
Ich denke das ist eine Masche und abzocke nach einer langen Anreiße dann noch vor Ort sowas !!! Fand ich persönlich geht gar nicht vor allem da ich einen Tag davor angerufen habe und kein Mensch hat mir was gesagt.
Ich werde mit Sicherheit nicht mehr Buchen!!
Sehr empfehlenswert! Lief alles problemlos ab. Die Wohnung ist genau so, wie in der Beschreibung. Zentralle Lage!!! Die Wohnung ist sauber und gemütlich eingerichtet, mit allem was man braucht.
- Quality assured accommodation
- Every host is verified by telephone
- Secure payment via SSL encryption


text:
October 25, 2012 /
What's Hot, According to Top State Tech Leaders
When I asked attendees to name the hottest topic talked about at the event, mobility issues received a big nod. I also got a peek at what NASCIO is all about as I chatted with organization president Dugan Petty. Michigan CIO David Behen shared why events that keep state tech leaders talking with each other are uber important.
Send a tweet with hashtag #GovGirl and let me know what government conferences and events you plan on attending this year. I'll be at #AGTS12 next week!

subset: commoncrawl


text:
Simon Rich Lives in a State of Unspeakable Fear
The writer and wunderkind answers our usual 21 questions.
Name: Simon Rich
Job: Writer for Saturday Night Live and some other stuff.
Age: 24
Neighborhood: Brooklyn Heights
Who's your favorite New Yorker, living or dead, real or fictional?
Either my mom or José Reyes.
What's the best meal you've eaten in New York?
Some weird fish thing that my friend Monica made.
In one sentence, what do you actually do all day in your job?
Experience terror.
When's the last time you drove a car?
If this is about the hit-and-run on Montague and Clinton on the 14th, I already told you people, I was watching TV with my roommate Clay.
When's bedtime?
It's up to the ladies. Am I right, New York Magazine blog?
What's your favorite medication?
Penicillin. It's saved over 200 million lives, including my own, like, three different times. It also saved my brother's life one time. I don't know why you're even asking this question when the answer is so obviously penicillin.
What's the last thing you saw on Broadway?
God's prophet, King Elijah. I couldn't believe that he was just hanging out on a public street. The really crazy thing is that, two blocks later, I ran into God's other prophet, Cronos. What are the odds?
Times, Post, or Daily News?
For quality you can trust, choose the New York Times, America's paper of record. Subscribe now and save 50 percent on your first twelve weeks of home delivery.
Who is your mortal enemy?
Count Montero Donaldo.
What's your drink?
Dr. Lincoln's Health Tonic, for my tired blood.
Do you give money to panhandlers?
I don't like your tone, New York Magazine blog.
Would you still live here on a $35,000 salary?
Okay, okay, I get it! I'll start giving money to panhandlers.
How often do you prepare your own meals?
Never, because my butler does it. You happy now, New York Magazine blog??
Which do you prefer, the old Times Square or the new Times Square?
Is the new Time Squares the one that has fewer murders? I like the one where there are less people being murdered.
How much is too much to spend on a haircut?
$40,000. That's just ridiculous; no one needs to spend more than that on a haircut.
What's hanging above your sofa?
A Caleb Beyers original! Visit his Website.
What do you think of Donald Trump?
Why, did he say something about me?
What do you hate most about living in New York?
It's a toss-up between overcrowding on the 6 train and the constant threat of murder.
Who should be the next president?
Monica! Thanks for that fish, Monica.
Where do you go to be alone?
Book signings!
What makes someone a New Yorker?
Living in a state of unspeakable fear, but wanting to live nowhere else.


text:
Click on an expert's name to see his or her full details. Click on a keyword to see experts in related fields.
|Professor Willy Aspinall
|Cabot Professor in Natural Hazards and Risk Science, School of Earth Sciences
|Areas of expertise:
|My principal research interests are in volcanology and seismology, with professional interests in the formalised use of expert...
|expert judgment | expert elicitation facilitation | natural hazards | earthquakes | volcanoes | risk assessment | Cabot Institute
|Professor Suby Bhattacharya
|Visiting Fellow, Department of Civil Engineering
|Areas of expertise:
|My current projects can be classified into following groups: - Offshore Geotechnics - Kinematic bending moments in...
|offshore geotechnics | kinematic bending moments | layered soils | earthquakes | pile-soil interaction | liquefiable soils | seismic loading
|Professor George Helffrich
|Professor of Seismology, School of Earth Sciences
|Areas of expertise:
|I am an earthquake seismologist who uses earthquakes to study the Earth's interior.
University of Bristol
| Feedback
Senate House, Tyndall Avenue, Bristol BS8 1TH, UK. Tel: +44 (0)117 928 9000


text:
Reminder: Gamewhore Competition – 5 1/2 hours away
At 12am servertime the gamewhoring competition will begin. You all were given just short of two weeks to train yourself for this event. Hopefully you have pushed yourself to having hands, wrists, and forearms of steel. If you want to win one of the ten prizes, you will need to put forth an extreme effort. Being one of the top ten daily keysmashers is only one of the amazing feats that you can do in this competition. If you truly want to hold a place in FFR history and make the top ten all-time, you will need to unlock a true level of patience within. That won't be the only thing you unlock, though:
What does this mean to you? For the first time ever, a guarantee can be made for the gamewhores: getting top 10 on the all-time daily totals guarantees you the desired Vertex Beta Vrofl token. That's not even including the other prizes you will win! There are many incentives to shoot for this year, and the players that rack up the highest daily scores will reap the benefits.
You don't have to sign-up for the Gamewhore competition, but you should make a post in the Gamewhore Competition thread to let everyone know that you're trying this out!
TC_Halogen, psychoangel691 & The FFR Event Helpers
32 Responses to "Reminder: Gamewhore Competition – 5 1/2 hours away"
1: .-.
Posted at 6:32pm on November 16th, 2012
2: SC_coolguy44
Posted at 6:34pm on November 16th, 2012
do u have to start right at midnight or can u start when its most convenient for u?
3: psychoangel691
Posted at 6:34pm on November 16th, 2012
You can start whenever you'd like but starting later is going to put you at a huge disadvantage.
4: SC_coolguy44
Posted at 6:38pm on November 16th, 2012
i know but i have to sleep up for the thing but dont worry any time im not doing something else ill be trying super hard gamewhoring even if that means getting carpal tunnel i highly doubt ill win but its worth a try
5: TC_Halogen
Posted at 6:41pm on November 16th, 2012
For those of you that might be confused, the reason why you will be guaranteed Vrofl is because you will implicitly unlock it through the one billion point daily requirement.
6: qqwref
Posted at 6:46pm on November 16th, 2012
You know Schweinekaramell got his daily total with Whimper Wall while it was unlocked, right? I think it's pretty clear from here http://www.flashflashrevolution.com/vbz/showpost.php?p=3751461&postcount=227
7: popsicle_3000
Posted at 6:46pm on November 16th, 2012
^ are you assuming that all top 10s will be >1bil then?
also, any chance on daily stats, we could get an expanded list of top GTS, just for the day? i'm sure everyone joining would find that cool
8: ll sephirothll
Posted at 6:47pm on November 16th, 2012
9: TC_Halogen
Posted at 7:40pm on November 16th, 2012
["^ are you assuming that all top 10s will be >1bil then?"]
I was stating that if you made top 10 on the all-time daily total (and not the regular daily total) you would implicitly unlock vRofl. Getting top 10 in the competition itself won't do it.
10: awein999
Posted at 7:45pm on November 16th, 2012
11: [TeRa]
Posted at 8:12pm on November 16th, 2012
why did i do this again
12: omega_grunt666
Posted at 8:23pm on November 16th, 2012
I doubt many people will actually break 1b, only one did on the Aprilfools day SponCon and we had access to Vrofl. Even with the large warning, its a pretty extreme task.
Putting my money down on top 3 break 1b, lowest in top 10 is ~600m.
13: Jonlovesddr
Posted at 9:18pm on November 16th, 2012
I found a song I can consistently SDG that gives 1.2bil, but too bad I'm not insane enough to actually try.
14: Nick Skyline
Posted at 9:57pm on November 16th, 2012
Not sure if I'm going to do this…but good luck if anyone's going to try to break 2bil.
15: Elite Ninja
Posted at 10:23pm on November 16th, 2012
Schweinekaramell's score should definetly be taken down from the top 10 all time list since it was clearly cheated. Goodluck to anyone participating! I've gone through this twice and don't plan on doing it a third time x)
16: Riotpolice
Posted at 10:27pm on November 16th, 2012
Just take on Vs Boss battle. Should get you to 1 billion if you are trying hard enough…
17: xMUSICxMASTERx
Posted at 11:15pm on November 16th, 2012
45 minutes, gl everyone~
18: PrawnSkunk
Posted at 11:24pm on November 16th, 2012
TIME TO PUT MA WHORE ONNN!!!! .. uh, i mean, venusaur – with an exclamation point
19: Pseudo Enigma
Posted at 11:42pm on November 16th, 2012
First person to break 1B and give me graphic proof gets an extra 25k– good luck everyone, and for the record I'm serious.
20: Time4Fame
Posted at 11:55pm on November 16th, 2012
21: Nick Skyline
Posted at 11:58pm on November 16th, 2012
22: woker-X
Posted at 11:59pm on November 16th, 2012
so I still have the best legit grand total?? (without using VRofl or Whimper Wall)
23: Nick Skyline
Posted at 12:02am on November 17th, 2012
I'm pretty sure, woker…everyone's going to be going after Adamaja's 1.5bil, which I doubt can be bested. But reagardless, good luck to everyone in the competition.
24: Riotpolice
Posted at 12:05am on November 17th, 2012
25: omega_grunt666
Posted at 2:47am on November 17th, 2012
Respect to those of you going through with it, Decided an hour in (After starting almost an hour late) that I probably would be better off with my wrists intact for the week and a decent night sleep. I'd kinda feel like a dick to whoever came in 11th if I was in the top ten(Or worse if I couldn't make it that far). Since I don't really play the game super seriously, anyways and I'm pretty happy with the tokens I do have.
Good Luck everyone, Especially those of you who were in the April Fools SponCon aswell
26: ChrisReams
Posted at 4:22pm on November 17th, 2012
To all you people saying that 1.5 bil won't get beat. Prepare to be Dossar'd.
Shame on you for doubting the almighty Dossar.
27: MarioNintendo
Posted at 5:41pm on November 17th, 2012
28: 0o0
Posted at 8:34pm on November 17th, 2012
niec life
29: bmah
Posted at 11:01pm on November 17th, 2012
lmao ChrisReams was right
30: omega_grunt666
Posted at 11:29pm on November 17th, 2012
**Putting my money down on top 3 break 1b, lowest in top 10 is ~600m.**
Totally called that
31: foxfire667
Posted at 4:22pm on November 19th, 2012
"Everyone's going to be going after Adamaja's 1.5bil, which I doubt can be bested…"
Doss and I beg to differ.
32: Salvation125
Posted at 3:47pm on December 7th, 2012
JerryDB 1,234,567,890?! How in the world do you get that specific total? :O
You must be logged in or registered to post a comment.


text:
BioSilk Smoothing Shampoo
Formulated with silk proteins, botanical extracts, and herbs, BioSilk Smoothing Shampoo leaves hair feeling soft and looking shiny and luminous.
Guaranteed AuthenticGuaranteed Authentic
Folica is an authorized distributer of this product and guarantees its authenticity.Close
- Contains Vitamin B and humectants for maximum moisture and frizz-free results
- Silk proteins penetrate hair to condition and create incredible shineand smooth manageability
- Ideal for frizzy, dry, uncontrollable hair in need of some taming
Apply shampoo to damp hair and work into a rich lather. Rinse
thoroughly and repeat if desired. Condition with
Smoothing Conditioner for maximum results.
Water (aqua), Sodium Laureth Sulfate, Glycol Distearate, Sodium Chloride, Cocamidopropyl Betaine, Polyquaternium 10, Hydrolyzed Wheat Protein, PG Propyl Silanetriol, Hydrolyzed Silk, Panthenol, Disodium EDTA, Citric Acid, Propylene Glycol, Diazolidinyl Urea, Methylparaben, Propylparaben, Methylchloroisothiazolinone, Methylisothiazolinone, Fragrance (parfum), Hexyl Cinnamic Aldehyde, Benzyl Benzoate, Linalool, Gamma Methyl Ionone, Citronellol, Lilial, Hydroxycitronellal, Geraniol, Eugenol
Great, But Weird Smell.This shampoo made my coarse, curly hair really smooth and shiny. I loved using it until I had to straighten my hair. For some reason, this shampoo and its matching conditioner left my hair with this strange smell. When I straightened it, it made my hair smell really, really bad. I know straightened hair kind of smells weird to begin with, and I even adjusted the settings on my hair straightener thinking maybe it was just too hot. I finally switched to a different shampoo, and my hair no longer smelled so terrible after straightening. I really did enjoy this product, but I just couldn't deal with the smell.
Was this review helpful?(Yes)(No)Nov 13, 2010Nicole / North DakotaHAIR TYPEDark Brown / Curly Hair / Thick or Coarse Hair
Use this link to send this review via e-mail, Twitter, or to post to your blog.Close
Grreat Shampoo!BioSilk Smoothing Shampoo leaves the hair clean with a smooth and pretty shine.
Was this review helpful?(Yes)(No)Feb 1, 2010Kathleen / New Iberia, Louisiana U.s.a
Use this link to send this review via e-mail, Twitter, or to post to your blog.Close


text:
Gardening Articles: Health :: Health
Protect Yourself from Summer's Insect Pests (page 2 of 3)
by Suzanne DeJohn
In addition to the disease-carrying capacity of ticks, these bloodsuckers have the revolting trait of attaching themselves leechlike to your skin while they gorge on your blood. Unfortunately, ticks are also very common, as any dog owner will tell you. Ticks are not insects but rather arachnids, more akin to spiders than mosquitoes. The most common type of tick, the dog tick, doesn't transmit the infamous Lyme disease, though it can be a vector for the bacteria causing the much less common Rocky Mountain Spotted fever. Only about 500 to 800 cases of Rocky Mountain spotted fever are reported each year.
In contrast, 23,763 cases of Lyme Disease were reported in 2002. Lyme disease is caused by a bacterium and is transmitted to humans by the bite of infected blacklegged ticks, sometimes called deer ticks. These ticks are tiny, about the size of a sesame seed, much smaller than the more common dog tick. Lyme disease can cause a variety of symptoms, including rash, fatigue, chills, fever, headache, and muscle and joint aches. It can usually be treated with antibiotics if caught soon enough.
How can you protect yourself against ticks? Avoid known tick-infested areas. Understand their habits: Ticks make their way onto the edges of leaves and branches, then wait to hitch a ride on a passing host, so avoid brushing against vegetation. Some ticks, such as deer ticks, need moist environments to survive, so you're less likely to encounter them in dry, sunny areas. When hiking, stay to the middle of the path. Tuck your pant legs into your socks so that ticks cannot reach your skin. Keep lawns mowed, and remove debris and brush piles.
Perform daily tick checks, examining your and your children's bodies after spending time outdoors. If you find an attached tick, remove it promptly. Grasp the tick's mouthparts from the side with a fine tweezers and pull gently but steadily upward. Avoid crushing the tick. After removing the tick, disinfect the bite with rubbing alcohol. Inspect dogs and cats daily, too. Oral tick medications and tick collars can be helpful in managing ticks on pets.
More nuisance than health threat, fleas can nonetheless transmit typhus, cat scratch fever, and the above-mentioned plague, but the risk is negligible. However, the itching induced by flea bites can be maddening, and vigorous scratching can result in infection and scarring. Your best weapon in the battle against flea infestation is your trusty vacuum cleaner. Frequent vacuuming can dramatically reduce pest populations. Focus your attention on crevices and corners where fleas like to hide, and dispose of the bag outside immediately. Wash pet bedding in hot water at least weekly.


text:
"Venous thromboembolism prophylaxis." has been saved, and will be accessible from the My NGC page.
Go to My NGC
Alert me when this guideline summary is updated.
This is the current release of the guideline.
This guideline updates a previous version: Institute for Clinical Systems Improvement (ICSI). Venous thromboembolism prophylaxis. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2011 Sep. 47 p.
Venous thromboembolism
Adult (18 years of age and older) hospitalized patients
A consistent and defined process is used for literature search and review for the development and revision of Institute for Clinical Systems Improvement (ICSI) guidelines. Literature search terms for the current revision of this document include venous thromboembolism prevention and control, aspirin, hip arthroplasty, knee arthroplasty, low-molecular-weight heparin, risk stratification/factors, graduated compression stockings, pneumatic compression, systematic reviews, burns, thoracic surgery, trauma, neurosurgery outpatient, regional anesthesia. Formal searches in PubMed spanned the time frame 18 months prior to the start of the revision from 1/1/2011 through 1/30/2012. Additionally, ICSI Venous Thromboembolism Prophylaxis work group members brought forth a wide variety of articles to include. Publication dates went back two years from this publication date. Excluded were non-English, non-human and age less than 18. Databases included PubMed and Cochrane reviews.
Not stated
Following a review of several evidence rating and recommendation writing systems, Institute for Clinical System Improvement (ICSI) has made a decision to transition to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system.
Crosswalk between ICSI Evidence Grading System and GRADE
Evidence Definitions
High Quality Evidence = Further research is very unlikely to change confidence in the estimate of effect.
Moderate Quality Evidence = Further research is likely to have an important impact on confidence in the estimate of effect and may change the estimate.
Low Quality Evidence = Further research is very likely to have an important impact on confidence in the estimate of effect and is likely to change the estimate or any estimate of effect is very uncertain.
In addition to evidence that is graded and used to formulate recommendations, additional pieces of literature will be used to inform the reader of other topics of interest. This literature is not given an evidence grade and is instead identified as a Reference throughout the document.
New Guideline Development Process
A work group consisting of 6 to 12 members that includes physicians, nurses, pharmacists, and other healthcare professionals relevant to the topic, along with an Institute for Clinical Systems Improvement (ICSI) staff facilitator develops each document. Ordinarily, one of the physicians will be the leader. Most work group members are recruited from ICSI member organizations, but if there is expertise not represented by ICSI members, 1 or 2 members may be recruited from medical groups, hospitals, or other organizations that are not members of ICSI. Patients on occasion are invited to serve on work groups.
The work group will meet for 7 to 8 three-hour meetings to develop the guideline. A literature search and review is performed and the work group members, under the coordination of the ICSI staff facilitator, develop the algorithm and write the annotations and footnotes and literature citations.
Once the final draft copy of the guideline is developed, the guideline goes to the ICSI members for critical review.
Revision Process of Existing Guidelines
ICSI scientific documents are revised every 12 to 24 months as indicated by changes in clinical practice and literature. For documents that are revised on a 24-month schedule, ICSI checks with the work group on an annual basis to determine if there have been changes in the literature significant enough to cause the document to be revised earlier or later than scheduled.
For yearly reviewed documents, ICSI checks with every work group 6 months before the scheduled revision to determine if there have been changes in the literature significant enough to cause the document to be revised earlier than scheduled.
Literature Search
ICSI staff, working with the work group to identify any new pertinent clinical trials, systematic reviews, or regulatory statements and other professional guidelines, conduct a literature search.
The work group will meet for 1 to 2 three-hour meetings to review the literature, respond to member organization comments, and revise the document as appropriate.
A second review by members is indicated if there are changes or additions to the document that would be unfamiliar or unacceptable to member organizations. If a review by members is not needed, the document goes to the appropriate steering committee for approval according to the criteria outlined above.
Not applicable
A formal cost analysis was not performed and published cost analyses were not reviewed.
Critical Review Process
The purpose of critical review is to provide an opportunity for the clinicians in the member groups to review the science behind the recommendations and focus on the content of the guideline. Critical review also provides an opportunity for clinicians in each group to come to consensus on feedback they wish to give the work group and to consider changes necessary across systems in their organization to implement the guideline.
All member organizations are expected to respond to critical review guidelines. Critical review of guidelines is a criterion for continued membership within the Institute for Clinical Systems Improvement (ICSI).
After the critical review period, the guideline work group reconvenes to review the comments and make changes, as appropriate. The work group prepares a written response to all comments.
Document Approval
Each document is approved by the Committee for Evidence-Based Practice (CEBP). The committee will review and approve each guideline/protocol, based on the following criteria:
Once the document has been approved, it is posted on the ICSI Web site and released to members for use.
Note from the National Guideline Clearinghouse (NGC) and the Institute for Clinical Systems Improvement (ICSI): For a description of what has changed since the previous version of this guidance, refer to Summary of Changes Report – November 2012 . In addition, in 2011, ICSI has made a decision to transition to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. This document is in transition to the GRADE methodology. Transition steps incorporating GRADE methodology for this document include the following:
The recommendations for venous thromboembolism prophylaxis are presented in the form of a Recommendation Summary accompanied by detailed annotations. Clinical highlights, the Recommendation Summary, and selected annotations follow.
Class of evidence (Low Quality, Moderate Quality, High Quality, Meta-analysis, Systematic Review, Decision Analysis, Cost-Effectiveness Analysis, Guideline, Reference) ratings are defined at the end of the "Major Recommendations" field.
Clinical Highlights
Thromboembolic Prophylaxis for Adult Hospitalized Patients Recommendation Summary
Padua VTE Risk Assessment
Hospitalized medical patients who are not critically ill, hence not at high VTE risk, should be assessed for VTE risk in order to guide choices for prophylaxis [Guideline].
There are several models available for estimating VTE risk [Low Quality Evidence]. While none has been extensively validated, the Padua Prediction Score was validated in a prospective cohort study [Moderate Quality Evidence] and is easy to use.
Padua Risk Assessment Model*
RAM Score greater than or equal to 4 = High risk of VTE
CA, past VTE, not mobile, thrombophilic condition
Trauma or surgery in past month
70 years or older, CHF, AMI, ischemic CVA, BMI greater than or equal to 30, hormones, other*
*Acute infections or rheumatologic disorder
AMI = acute myocardial infarction; BMI = body mass index; CA = active cancer; CHF = congestive heart failure; CVA = cerebrovascular accident; RAM = risk assessment model; VTE = venous thromboembolism
May use aspirin for other indications, but not sufficient alone for VTE prophylaxis.
If on warfarin for other indications, probably sufficient VTE prophylaxis.
Caprini VTE Risk Assessment for Use in Hospitalized Surgical Patients
Surgical patients should be assessed for VTE risk. Several risk assessment models exist, although none has been prospectively validated [Guideline]. The ICSI work group suggests using the Caprini Risk Assessment Model as a guide for decision-making [Low Quality Evidence]. It is relatively easy to use, and it has been retrospectively validated in general, vascular and urological surgery patients [Moderate Quality Evidence], and in plastic and reconstructive surgery patients [Moderate Quality Evidence].
Refer to the original guideline document for thrombosis risk factor assessment.
If contraindications exist for both low-molecular-weight heparin (LMWH) and low dose unfractionated heparin (LDUH), and there is high risk for VTE but not high risk for major bleeding, use fondaparinux or low-dose aspirin, or intermittent pneumatic compression.
VTE risk category is based on the Caprini Risk Assessment Model.
Inferior vena cava filter (IVCF) is not recommended for any of the risk categories.
Periodic surveillance venous compression ultrasonography is not recommended for any of the risk categories.
Non-orthopedic General, and Abdominal Pelvic Surgery Including Gastrointestinal (GI), Genitourinary (GU), Bariatric, Vascular, Reconstructive, Cardiothoracic and Gynecologic (GYN) Surgery Hospitalized Surgical Patients
LDUH = low dose unfractionated heparin; LMWH = low-molecular-weight heparin
Hip/Knee Arthroplasty, Hip Fracture
For pharmacoprophylaxis recommend minimum duration 10 to 14 days, consider extension to 35 days.
General Risk Factors
Procedure Specific Risk Factors
Abdominal Surgery
Hepatic Resection
Procedures with High Risk
History of HIT, Thrombocytopenia, Coagulopathy
Monitoring for HIT
Patients Who Received UFH/LMWH within 100 Days or Patients with Uncertain Exposure
Specific studies have yet to document the value of early ambulation to reduce VTE risk, yet the ICSI work group recommends it for all patients, including those at high risk.
Patient Education
The impact of providing patient education about compliance with VTE prevention through pharmacologic thromboprophylaxis has been studied [Low Quality Evidence]. Improved patient compliance was demonstrated with pharmacist-led education. Additional information regarding patient education is contained in the Implementation Recommendations section of the original guideline document.
Recommendations for Mechanical Prophylaxis
Mechanical thromboprophylaxis devices include graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) devices. GCS are specialized hosiery that provide graduated pressure on the lower legs and feet to help prevent thrombosis. GCS use stronger elastics to create significant pressure on the legs, ankles and feet. GCS should be tightest at the ankles and gradually become less constrictive towards the knees and thighs. Though routinely used, there is little evidence supporting the efficacy of GCS in the prevention of VTE.
Although mechanical prophylaxis devices have been evaluated extensively in clinical studies, their efficacy in VTE prevention remains unclear. These studies have often failed to define exactly what device was used. Frequently the devices were used in combination with other prophylaxis methods, making it difficult to demonstrate their efficacy.
Mechanical prophylaxis devices can have harmful consequences, most commonly related to skin irritation and breakdown.
Early ambulation by medical patients, and the use of mechanical devices may be useful.
For hospitalized acutely ill medical patients the 2012 American College of Chest Physicians (ACCP) Clinical Practice Guideline recommends the following [Guideline]:
Aspirin Use
Aspirin for deep vein thrombosis (DVT) prophylaxis appears to be minimally effective.
Effect of low-dose aspirin on the occurrence of VTE data suggests long-term, low-dose aspirin treatment has little effect on the prevention of VTE in initially healthy women [High Quality Evidence]. While this study was on an ambulatory population, it implies aspirin would not be effective.
The majority of studies have been done on surgical patients; there is no conclusive evidence for medical patients.
Heparin Duration
The optimal duration of heparin prophylaxis is uncertain. At least one study evaluated extended (posthospitalization) heparin therapy for high-risk (immobile) patients, but the study had some methodologic limitations. More research on the balance of benefits and harms is needed to understand the effects of extended therapy beyond hospitalization [Low Quality Evidence].
General and Abdominal Pelvic Gastrointestinal, Urologic, Gynecologic, Bariatric, Vascular, Plastic, Reconstructive Surgery
For patients undergoing general, GI, urological, gynecologic, bariatric, vascular, plastic or reconstructive surgery, the 2012 American College of Chest Physicians Clinical Practice guideline recommends the following [Guideline]:
Cardiac Surgery
For cardiac patients with an uncomplicated postoperative course, the ACCP suggests the use of mechanical thromboprophylaxis, preferably with optimally applied IPC, over either no thromboprophylaxis or pharmacologic thromboprophylaxis. For cardiac surgery patients whose hospital course is prolonged by one or more nonhemorrhagic surgical complication, it is suggested adding pharmacologic thromboprophylaxis with LDUH or LMWH to mechanical thromboprophylaxis [Guideline].
Thoracic Surgery
For thoracic surgery patients at moderate risk for VTE who are not at high risk for perioperative bleeding, the ACCP guideline suggests LDUH, LMWH or mechanical thromboprophylaxis with optimally applied IPC over no prophylaxis. For thoracic surgery patients at high risk for VTE who are not at high risk for perioperative bleeding, the guideline suggests LDUH or LMWH over no prophylaxis. In addition, it is suggested that mechanical thromboprophylaxis with IPC be added to pharmacologic thromboprophylaxis. For thoracic surgery patients who are at high risk for major bleeding, it is suggested that mechanical prophylaxis, preferably with optimally applied IPC, over no prophylaxis be used until the risk of bleeding diminishes and pharmacologic prophylaxis may be initiated [Guideline].
Major Outpatient Procedures, Laparoscopic
The shift from inpatient to outpatient procedures has resulted in the need to assess VTE risk identification and treatment considerations in the outpatient setting. Although work is being done to identify outpatients at risk for VTE (e.g., patients with fractures and surgical patients with multiple comorbidities) and potential treatment methodologies, the body of work is insufficient to make recommendations at this time [Low Quality Evidence].
Since the last edition of the ICSI Venous Thromboembolism Prophylaxis guideline, both the ACCP and the American Academy of Orthopaedic Surgeons (AAOS) have published new guidelines for patients undergoing hip and knee arthroplasty procedures. The ACCP guidelines specifically address the hip fracture surgery patient population, as well. Although the AAOS guidelines do not specifically address the hip fracture surgery population, the ICSI work group feels it is reasonable to apply this guideline for hip and knee arthroplasty patients to those undergoing hip fracture surgery as well. Both of these guidelines differ substantially from previous editions. One of the most substantial differences is the change in the ACCP guideline to no longer recommend against the use of aspirin as pharmacologic thromboprophylaxis in these patient groups. The 2011 edition of this ICSI guideline was published when the previous ACCP guideline specifically recommending against the use of aspirin was in effect. The following, therefore, will discuss in broader terms the ACCP and AAOS recommendations contained in their most recent guidelines [Guideline].
Risk Stratification
When evaluating patients undergoing hip/knee arthroplasty or hip fracture surgery, it is important to realize that these patients are, by definition, at high risk for VTE events. There is consensus on this. However, the concept that certain patients are at even higher risk is put forth in the AAOS guidelines. Despite conditions that have been regarded as VTE risk factors in the past, or in other patient populations, the AAOS recognizes only a history of prior VTE as a VTE risk factor. The ACCP does not comment on additional VTE risk factors, essentially treating all patients in these groups as having the same VTE risk (high).
Recommendations for prophylaxis may also vary based on a particular patient's perceived risk of bleeding. The AAOS recognizes patients with "a known bleeding disorder and/or active liver disease" as being at increased risk for bleeding. Again, despite conditions that may have been regarded as risk factors for bleeding in the past, or in different patient populations, only a known bleeding disorder and/or active liver disease are currently considered risk factors under the AAOS guideline. The ACCP guideline is even more vague. It does address the patient population with "increased risk of bleeding" but does not elaborate on what specific conditions constitute an "increased risk of bleeding."
Despite the paucity of specific identified VTE or bleeding risk factors in both documents, the ICSI work group believes it is useful to separate these patients into four different groups related to their risk of VTE and bleeding:
Prophylaxis recommendations are provided for each specific group. Neither the AAOS nor the ACCP guidelines comment on patients with both an increased bleeding risk AND an increased VTE risk. The ICSI work group feels that these patients should all receive mechanical thromboprophylaxis. The decision regarding pharmacologic thromboprophylaxis should be addressed on a case-by-case basis with guidance from individuals with extensive knowledge of the specific VTE and bleeding risk factors for each individual patient.
As for selecting the type of pharmacologic thromboprophylaxis, the 2012 AAOS guideline states, "Current evidence is unclear about which prophylactic strategy (or strategies) is/are optimal." Therefore, the ICSI work group is unable to recommend for or against specific prophylactics in these patients. The ACCP recommends low-molecular-weight heparin (LMWH), fondaparinux, low-dose unfractionated heparin, adjusted-dose vitamin K antagonists, or aspirin as options for hip fracture surgery patients. For hip/knee arthroplasty patients, all the above plus apixaban, dabigatran and rivaroxaban are given as options [High Quality Evidence]. The ACCP also suggests LMWH "in preference to the other agents" in both hip/knee arthroplasty patients and hip fracture surgery patients.
As for the duration of prophylaxis, ACCP recommends a minimum of 10-14 days and suggests extending prophylaxis for "up to 35 days." The AAOS simply recommends that "patients and physicians discuss the duration of prophylaxis."
Much work remains to be done in this area. Many of the recommendations made by both the ACCP and the AAOS have low levels of evidence to support them. The ICSI VTE Prophylaxis work group feels that the recommendations provided represent a reasonable approach to VTE prophylaxis in this patient population based on the best currently available research data and expert opinion.
Bleeding Risk Table Annotation
The Summary of Recommendations section (see above) identifies risk factors for major bleeding complications. It includes general risk factors, procedure-specific risk factors, as well as procedures in which bleeding complications may have especially severe consequences. Information presented in the Recommendations Summary D, can be used as a guide to help identify patients in whom the risk of bleeding is high or the consequences of bleeding are especially severe.
Certain situations and/or low-risk procedures lend themselves to bleeding and therefore may require only early ambulation or IPC devices for VTE prophylaxis [Guideline].
See the original guideline document for more information on risk factors for major bleeding.
Heparin-induced thrombocytopenia (HIT) is a potential side effect of heparin and LMWH therapy. Postoperative patients and patients receiving UFH are at the highest risk of developing this complication. Refer to the Summary of Recommendations section for guidelines on monitoring for HIT [Guideline], as well as prophylaxis recommendations for those with HIT, thrombocytopenia coagulopathy.
Neuraxial blockade is not a contraindication for pharmacologic thromboprophylaxis. It is important to consider the use and timing of medications with neuraxial blockade. When an epidural is used for anesthesia, it is most appropriate to wait until the catheter is removed before starting pharmacologic thromboprophylaxis. Neuraxial blockade should generally be avoided in patients with a clinical bleeding disorder.
Neuraxial blockade (spinal or epidural anesthesia) is a valuable tool for both anesthesiologists and surgeons. The Cochrane Reviews and other sources have listed the usefulness of neuraxial blockade for both intraoperative anesthesia and postoperative analgesia. There are groups of patients that demonstrate improved morbidity and mortality with the use of regional rather than general anesthesia. Similarly, the usefulness of VTE prophylaxis in preventing morbidity and mortality in surgical patients has been well established. However, there is concern about an increased risk of perispinal hematoma in patients receiving antithrombotic medications for venous thromboembolism prophylaxis in the setting of neuraxial blockade. Perispinal hematoma is a rare but serious complication of neuraxial blockade. Thus, it is important to consider both the use and the timing of antithrombotic medications in these patients.
[Low Quality Evidence]
Pharmacologic Thromboprophylactic Agents and Neuraxial Blockade
It is acceptable to place and maintain epidural catheters in patients on subcutaneous UFH. Dosing should be such that the activity of the last dose is near its nadir. Epidural placement should be prior to starting the regimen or at least four hours after the last dose. When discontinuing the epidural catheter, an interval of at least four hours should have transpired since the last dose, and the next heparin dose should be given no sooner than one hour after pulling the catheter.
Subcutaneous UFH (5,000 units three times daily):
According to the ASRA guidelines, the safety of neuraxial blockade in patients receiving doses greater than 10,000 units of UFH daily or more than twice-daily dosing of UFH has not been established. Although the use of thrice-daily UFH may lead to an increased risk of surgical-related bleeding, it is unclear whether there is an increased risk of spinal hematoma. The ASRA guidelines suggest that the risk and benefits of thrice-daily UFH be assessed on an individual basis and that techniques to facilitate detection of new/progressive neurodeficits (e.g., enhanced neurologic monitoring occur and neuraxial solutions to minimize sensory and motor block) be applied [Guideline].
Patients on preoperative thromboprophylaxis can be assumed to have altered coagulation. Needle placement in these patients should occur at least 12 hours after the last dose of LMWH. In patients receiving higher (treatment) doses of LMWH such as enoxaparin 1 mg/kg every 12 hours or 1.5 mg/kg daily, dalteparin 120 u/kg every 12 hours, or dalteparin 200 u/kg daily, epidural needle placement is not recommended. For general surgery patients who have received a dose of LMWH four hours preoperatively, neuraxial techniques are not recommended because needle placement would occur during peak anticoagulation activity.
Inadequate data exist at this time regarding the maintenance of epidural catheters while employing this agent. Early data suggest that holding fondaparinux for 36 hours may allow safe epidural catheter removal. However, additional study is necessary before this can be endorsed. Currently, it is recommended that the epidural catheter be removed prior to initiating thromboprophylaxis with this drug.
The ASRA guideline recommends that caution be used when performing neuraxial techniques in patients recently discontinued from long-term warfarin therapy. Although no studies have directly examined the risk of procedure-related bleeding and the INR in patients recently discontinued from warfarin, careful consideration should be given before performing neuraxial blocks in these patients. This recommendation is based on general agreement on efficacy from observational and epidemiological series [Guideline].
In the first one to three days after discontinuation of warfarin therapy, the coagulation status (reflected primarily by factor II and X levels) may not be adequate for hemostasis despite a decrease in the INR (indicating a return of factor VII activity). The ASRA guideline recommends that the anticoagulant therapy must be stopped (ideally four to five days before the planned procedure) and the INR must be normalized before initiation of neuraxial block. This recommendation is based on general agreement on efficacy from observational and epidemiological series [Guideline].
As thromboprophylaxis with warfarin is initiated, the ASRA guideline suggests that neuraxial catheters should be removed when the INR is less than 1.5. This value was derived from studies correlating hemostasis with clotting factor activity levels greater than 40%. The ASRA (2010) guideline also suggests that neurologic assessment be continued for at least 24 hours after catheter removal for these patients. These comments represent mere suggestions, rather than recommendations, because suggestions are based on general consensus that there is conflicting evidence or opinion from case reports or expert opinion.
In patients with INR greater than 1.5 but less than 3, it is recommended that removal of indwelling catheters should be done with caution and the medication record reviewed for other medications that may influence hemostasis that may not affect the INR (e.g., NSAIDs, aspirin, clopidogrel, ticlopidine, UFH, LMWH). This recommendation is derived from case reports or expert opinion with conflicting evidence or opinion on the usefulness of the information. ASRA recommends that neurologic status be assessed before catheter removal and continued until the INR has stabilized at the desired prophylaxis level. This recommendation is based on general agreement from information derived from case reports and expert opinion.
In patients with an INR greater than three, ASRA recommends that the warfarin dose be held or reduced in patients with indwelling neuraxial catheters. This recommendation is based on general agreement in the efficacy of either randomized clinical trials or meta-analysis. Due to conflicting evidence or opinion on the usefulness of the information from case reports or expert opinion, ASRA made no definitive recommendation regarding management to facilitate removal of neuraxial catheters in patients with therapeutic levels of anticoagulation during neuraxial catheter infusion [Guideline].
Patients who will receive postoperative LMWH thromboprophylaxis may safely undergo single-injection and continuous catheter techniques. The management of these patients is based on total daily dose, dosing schedule and the timing of the first postoperative dose. The following recommendations are based on general agreement from case reports and/or expert opinion [Guideline].
Single-Daily Dosing
The first postoperative LMWH dose should be administered 6 to 8 hours postoperatively. The second postoperative dose should occur no sooner than 24 hours after the first dose. Indwelling neuraxial catheters may be safely maintained. However, the catheter should be removed a minimum of 10 to 12 hours after the last dose of LMWH. Subsequent LMWH dosing should occur a minimum of four hours after catheter removal. No additional hemostasis-altering medications should be administered, due to the additive effects [Guideline].
Twice-daily dosing
This dosage regimen is associated with an increased risk of spinal hematoma. The first dose of LMWH should be administered no earlier than 24 hours postoperatively, regardless of anesthetic technique, and only in the presence of adequate (surgical) hemostasis. Indwelling catheters should be removed before initiation of LMWH thromboprophylaxis. If a continuous technique is selected, the epidural catheter may be left indwelling overnight but must be removed before the first dose of LMWH. Administration of LMWH should be delayed for four hours after catheter removal [Guideline].
None provided
The type of supporting evidence is identified and graded for selected recommendations (see the "Major Recommendations" field).
Appropriate use of venous thromboembolism prophylaxis to reduce all-cause mortality and/or morbidity associated with surgical procedures and/or hospitalization
Side Effects of Anticoagulant Medications
Side Effects of Mechanical Methods of Venous Thromboembolic Prophylaxis
Once a guideline is approved for release, a member group can choose to concentrate on the implementation of that guideline. When four or more groups choose the same guideline to implement and they wish to collaborate with others, they may form an action group.
In the action group, each medical group sets specific goals they plan to achieve in improving patient care based on the particular guideline(s). Each medical group shares its experiences and supporting measurement results within the action group. This sharing facilitates a collaborative learning environment. Action group learnings are also documented and shared with interested medical groups within the collaborative.
Currently, action groups may focus on one guideline or a set of guidelines such as hypertension, lipid treatment, and tobacco cessation.
Detailed measurement strategies are presented in the original guideline document to help close the gap between clinical practice and the guideline recommendations. Summaries of the measures are provided in the National Quality Measures Clearinghouse (NQMC).
Implementation Recommendations
Prior to implementation, it is important to consider current organizational infrastructure that addresses the following:
The following system changes were identified by the guideline work group as key strategies for health care systems to incorporate in support of the implementation of this guideline.
As to elective surgical procedures, patients indicated that they preferred to get the information from the surgeon during the preoperative evaluation process.
See Appendix A, "Improvement Strategies," in the original guideline document for additional information on implementation.
Not applicable: The guideline was not adapted from another source.
Organizations participating in the Institute for Clinical Systems Improvement (ICSI): Affiliated Community Medical Centers; Allina Medical Clinic; Aspen Medical Group; Baldwin Area Medical Center; Brown Clinic; Center for Diagnostic Imaging/Medical Scanning Consultants; CentraCare; Central Lakes Medical Clinic; Chippewa County – Montevideo Hospital & Clinic; Cuyuna Regional Medical Center; Essentia Health; Fairview Health Services; Family HealthServices Minnesota; Family Practice Medical Center; Fergus Falls Medical Clinic; Gillette Children's Specialty Healthcare; Grand Itasca Clinic and Hospital; Hamm Clinic; HealthEast Care System; HealthPartners Central Minnesota Clinics; HealthPartners Medical Group & Regions Hospital; Hennepin County Medical Center; Hennepin Faculty Associates; Howard Young Medical Center; Hudson Physicians; Hutchinson Area Health Care; Hutchinson Medical Center; Integrity Health Network; Lake Region Healthcare Corporation; Lakeview Clinic; Mankato Clinic; MAPS Medical Pain Clinics; Marshfield Clinic; Mayo Clinic; Mercy Hospital and Health Care Center; Midwest Spine Institute; Minnesota Association of Community Health Centers; Minnesota Gastroenterology; Multicare Associates; New Richmond Clinic; North Central Heart Institute; North Clinic; North Memorial Health Care; Northwest Family Physicians; Obstetrics and Gynecology Specialists; Olmsted Medical Center; Park Nicollet Health Services; Planned Parenthood Minnesota, North Dakota, South Dakota; Quello Clinic; Raiter Clinic; Rice Memorial Hospital; Ridgeview Medical Center; River Falls Medical Clinic; Riverwood Healthcare Center; South Lake Pediatrics; Southside Community Health Services; Stillwater Medical Group; University of Minnesota Physicians; Winona Health
ICSI, 8009 34th Avenue South, Suite 1200, Bloomington, MN 55425; telephone, (952) 814-7060; fax, (952) 858-9675; e-mail: email@example.com; Web site: www.icsi.org .
Venous Thromboembolism Prophylaxis Work Group
Work Group Members: Sherri Jobin, PharmD, BCPS (Work Group Co-Leader) (HealthEast Care System); Loree K. Kalliainen, MD, MA (Work Group Co-Leader) (HealthPartners Medical Group and Regions Hospital) (Plastic Surgeon); Randall Card, MD (Cuyuna Regional Medical Center) (Family Medicine); Beverly Christie, RN, DNP, PHN (Fairview Health Services) (Quality and Patient Safety); Martina E. Hartmark, MD (HealthPartners Medical Group and Regions Hospital) (Internal Medicine); Matthew Kang, MD (HealthPartners Medical Group and Regions Hospital) (Neurosurgery); Salma Mohsin, MD (HealthPartners Medical Group and Regions Hospital) (Hospitalist); Colleen Morton, MD (HealthPartners Medical Group and Regions Hospital) (Hematology); Ted Haland, MD (Lakeview Medical Center) (Hospitalist); Linda Adebayo, MSN, RN (Marshfield Clinic) (Internal Medicine, Institute for Quality, Innovation and Patient Safety); Zubin Agarwal, MD, MPH (Mayo Clinic) (Internal Medicine); Paul Johnson, MD (Park Nicollet Health Services) (Orthopedic Surgery); Britta Lindvall, MHA (Institute for Clinical Systems Improvement) (Project Manager)
The Institute for Clinical Systems Improvement (ICSI) has long had a policy of transparency in declaring potential conflicting and competing interests of all individuals who participate in the development, revision and approval of ICSI guidelines and protocols.
In 2010, the ICSI Conflict of Interest Review Committee was established by the Board of Directors to review all disclosures and make recommendations to the board when steps should be taken to mitigate potential conflicts of interest, including recommendations regarding removal of work group members. This committee has adopted the Institute of Medicine Conflict of Interest standards as outlined in the report Clinical Practice Guidelines We Can Trust (2011).
Where there are work group members with identified potential conflicts, these are disclosed and discussed at the initial work group meeting. These members are expected to recuse themselves from related discussions or authorship of related recommendations, as directed by the Conflict of Interest committee or requested by the work group.
The complete ICSI policy regarding Conflicts of Interest is available at the ICSI Web site .
Disclosure of Potential Conflicts of Interest
Linda Adebayo, MSN, RN (Work Group Member)
Quality Improvement and Care Management, Marshfield Clinic
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: ICSI Prevention and Diagnosis of Obesity Guideline
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Zubin Agarwal, MPH (Work Group Member)
Medical Student, Mayo Clinic
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Randall Card, MD (Work Group Member)
Physician, Family Medicine, Cuyuna Regional Medical Group
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: ICSI Pre-Operative Evaluation Guideline
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Beverly Christie, RN, DNP, PHN (Work Group Member)
Senior Director of Integrated Quality and Patient Safety, Fairview
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Ted Haland, MD (Work Group Member)
Physician, Family Medicine, Stillwater Medical Group, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Martina Hartmark, MD (Work Group Member)
Physician, Internal Medicine, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Sherri Jobin, PharmD, BCPS (Work Group Co-Leader)
Clinical Pharmacy Coordinator, Pharmacotherapy, HealthEast
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: Husband works for Abbott Labs, which does not make pharmaceuticals for VTE prophylaxis
Paul Johnson, MD (Work Group Member)
Orthopedics, Park Nicollet Health Services
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Loree Kalliainen, MD, FACS (Work Group Co-Leader)
Surgeon, Department of Plastic and Hand Surgery, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: Served on guidelines with American Society of Plastic Surgery and the American Academy of Orthopedic Surgery
Research Grants: Worked on behalf of her organization on grants with the Plastic Surgery Foundation and NIH
Financial/Non-Financial Conflicts of Interest: None
Matthew Kang, MD (Work Group Member)
Neurosurgeon, Neurosurgery, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Colleen Morton, MD (Work Group Member)
Hematology/Oncology, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: ICSI Antithrombotic Therapy Supplement
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Salma Mohsin, MD (Work Group Member)
Hospitalist, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None
Electronic copies: Available from the Institute for Clinical Systems Improvement (ICSI) Web site .
Print copies: Available from ICSI, 8009 34th Avenue South, Suite 1200, Bloomington, MN 55425; telephone, (952) 814-7060; fax, (952) 858-9675; Web site: www.icsi.org ; e-mail: firstname.lastname@example.com.
The following is available:
None available
This NGC summary was completed by ECRI on April 29, 2004. It was updated by ECRI on September 16, 2005, and September 18, 2006. This summary was updated by ECRI on March 6, 2007 following the U.S. Food and Drug Administration (FDA) advisory on Coumadin (warfarin sodium). This summary was updated by ECRI Institute on June 22, 2007 following the U.S. Food and Drug Administration (FDA) advisory on heparin sodium injection. This NGC summary was updated by ECRI Institute most recently on September 11, 2007. This NGC summary was updated by ECRI Institute on March 14, 2008 following the updated FDA advisory on heparin sodium injection. This NGC summary was updated by ECRI Institute on April 16, 2009. This summary was updated by ECRI Institute on November 2, 2010. This NGC summary was updated by ECRI Institute on January 13, 2012. This NGC summary was updated by ECRI Institute on February 8, 2012. This summary was updated by ECRI Institute on March 10, 2014 following the U.S. Food and Drug Administration advisory on Low Molecular Weight Heparins.
This NGC summary (abstracted Institute for Clinical Systems Improvement [ICSI] Guideline) is based on the original guideline, which is subject to the guideline developer's copyright restrictions.
The abstracted ICSI Guidelines contained in this Web site may be downloaded by any individual or organization. If the abstracted ICSI Guidelines are downloaded by an individual, the individual may not distribute copies to third parties.
If the abstracted ICSI Guidelines are downloaded by an organization, copies may be distributed to the organization's employees but may not be distributed outside of the organization without the prior written consent of the Institute for Clinical Systems Improvement, Inc.
All other copyright rights in the abstracted ICSI Guidelines are reserved by the Institute for Clinical Systems Improvement, Inc. The Institute for Clinical Systems Improvement, Inc. assumes no liability for any adaptations or revisions or modifications made to the abstracts of the ICSI Guidelines.
The National Guideline Clearinghouse™ (NGC) does not develop, produce, approve, or endorse the guidelines represented on this site.
All guidelines summarized by NGC and hosted on our site are produced under the auspices of medical specialty societies, relevant professional associations, public or private organizations, other government agencies, health care organizations or plans, and similar entities.
Guidelines represented on the NGC Web site are submitted by guideline developers, and are screened solely to determine that they meet the NGC Inclusion Criteria which may be found at http://www.guideline.gov/about/inclusion-criteria.aspx.
NGC, AHRQ, and its contractor ECRI Institute make no warranties concerning the content or clinical efficacy or effectiveness of the clinical practice guidelines and related materials represented on this site. Moreover, the views and opinions of developers or authors of guidelines represented on this site do not necessarily state or reflect those of NGC, AHRQ, or its contractor ECRI Institute, and inclusion or hosting of guidelines in NGC may not be used for advertising or commercial endorsement purposes.
Readers with questions regarding guideline content are directed to contact the guideline developer.
To access this feature, Sign In or Create a Free Account
My NGC allows you to save your favorite guideline summaries and organizations, create custom e-mail alerts, and set up topic alerts.
Already have an account? Sign In...
New User? Create an account...


text:
For all the hullabaloo surrounding the return of star Celtics point guard Rajon Rondo this past week, it is the recent play of another, less-heralded floor general that has provided a huge shot in the arm for a team very much in need.
Since the Celtics traded Jordan Crawford to Golden State on Wednesday, undrafted rookie free agent Phil Pressey has received more minutes at point guard — and he has flourished, recording 19 assists and no turnovers in the team's last two games.
"Sometimes guys just thrive with that extra opportunity," Celtics coach Brad Stevens said after the team's 107-104 loss to the Los Angeles Lakers Friday, in which Pressey had 9 assists, 2 steals, and 6 points in 22 minutes. "He's taken advantage of it."
On the day Crawford was traded, Pressey made his first career start, finishing with 10 assists in an 88-83 win over Toronto. The last Celtics player with back-to-back games of nine or more assists with zero turnovers was Kenny Anderson in February 1998.
"It's me getting out there and believing in myself, my teammates believing in me, and I just feel like the more I play out there, the more comfortable I get," said Pressey, who has played a total of 48 minutes the last two games.
And with Rondo expected to play limited minutes as he eases his way back following a nearly yearlong absence because of a knee injury, Pressey figures to remain a fixture on the floor — at least for the time being.
The Celtics, who begin a three-games-in-four-days road trip Sunday in Orlando, have also averaged 91.5 shot attempts in their last two games, a sizable increase from their 82.4-shots-per-game average before those games.
(If the Celtics averaged 91.5 shots per game, they'd be leading the league in that category, for what it's worth. The NBA's current leader in that category, entering Saturday, was Minnesota, which averaged 89.2 shots per game.)
After Friday's game, Stevens partly credited the increased number of shots to Pressey.
"We like to run, yes, but that might be Phil's increased minutes playing a major role, because Phil pushes that pace really, really well," Stevens said. "I thought Rondo pushed it as well, but obviously if Phil plays 10 minutes or 22, you're going to play with more pace when he's in the game for longer periods of time."
Pressey, who played at Waltham High for one year while his father, Paul, was a Celtics assistant, deferred praise and instead credited Rondo.
"I owe a lot of it to him, because even when he was out, he's been talking to me, telling me what to do, telling me to hold the guys up," Pressey said. "Just watching him and everything in practice helps me out in a game.
"Just having him back out there on the court, you can see our team is really starting to talk more and everything is starting to come together a little bit better."
Jared Sullinger added that he felt that Pressey has simply become more comfortable.
"I think he's not timid anymore," Sullinger said. "He finally made the change back. Before if he had a turnover, he was so hard on himself. Now he throws the ball with confidence and if he makes a turnover, he makes a turnover.
"He knows that there's going to be more plays for him. He might play 10 minutes, he might [play] 20 minutes here. He's playing a lot of minutes for us, meaningful minutes at that. He's just comfortable."
Pressey agreed with Sullinger's point and added, "I just have to keep going out there and believing in myself. Keep focusing on what the coaches want me to do, playing defense and the rest will take care of itself."
. . .
Entirely overshadowed by Rondo's season debut — and, of course, by the loss to the Lakers — was the brilliant performance by Celtics rookie forward Kelly Olynyk.
The first-round pick out of Gonzaga finished with a career-high 25 points, a career-high 7 assists, 5 rebounds, 2 steals, and a block in 33 minutes.
"There was a lot of openings, I just tried to stay aggressive," Olynyk said. "Phil and Rondo and [Gerald Wallace] put me in great positions under the basket and all I really had to do was lay it in."
Wallace, who had five assists, said he also believed that Olynyk is finding a groove after having sat out for 10 games in November and December with a sprained ankle.
"I think he was playing well before he got hurt," Wallace said. "I think now, he's just starting to get his confidence back in his ankle. He's starting to get his rhythm back. And he'll get back to the way he was playing before he got hurt."Baxter Holmes can be reached at firstname.lastname@example.com. Follow him on Twitter @BaxterHolmes.


text:
Memphis Style Barbeque Hot Dogs (from Oscar Mayer)
4 slices Oscar Mayer bacon
4 bun-length Oscar Mayer Selects Angus Franks (hot dogs)
4 hot dog buns
¼ cup Bull's-Eye Memphis Style Barbeque Sauce
2 green onions, sliced
¼ cup Kraft Finely Shredded Cheddar Cheese
Please Note: For the budget-minded, there are local or store brands that can be substituted. But with that being said, for maximum flavor purposes, try to stick with the original ingredients.
1. Heat grill to medium heat.
2. Wrap bacon tightly around franks (hot dogs).
3. Grill 10 to 12 min. or until bacon is crisp and franks (dogs) are heated through, turning frequently and adding buns to the grill for the last minute to toast until golden brown.
4. Drain franks (dogs) on paper towels. Place in buns; top with barbeque sauce, onions and cheese.
Prep time: 10 min.
Cook time: 12 min.
Makes 4 servings
Did You Know That.....
May is National Barbeque Month!
Additional Regional Info
Make a bold Santa Fe-style chili dog using Hormel Chili, salsa, sour cream, shredded Monterey Jack cheese, tortilla chips, jalapeno pepper rings and guacamole.
Hormel now offers two new regional flavors within their chili Cook-off Series: Southwest style and Texas style (there's also White Chicken, Roasted Tomato and Chipotle).
For more info, details and recipes, check out www.hormel.com.
Sources: BHG Chill and Grill Festival ad-Better Homes and Gardens, May 2011 and Relish magazine-Hormel Chili ad, May 2013


text:
Saturday, February 07, 2009
I had no idea
and finally
Super bowl point #3
There should have been a 5-yard penalty.
almost missed Superbowl point #2
almost missed points in the SuperBowl #1
speaking of the marlins
Thursday, February 05, 2009
Have you visited Fins Radio?
Tuesday, February 03, 2009
Top ads
But, as a gesture of goodwill (and the sincere hope that they'll thank me by contributing to my paypal account), here are my top 3:
And our #1
And yes, that is my grandmother chasing after her pet ostrich.
D'oh! I mean whoohoo... ?
Monday, February 02, 2009
Need a wideout?
Porn interrupted Super Bowl
The station said it will investigate the incident.
"When the NBC feed of the Super Bowl was transmitted from KVOA to local cable providers and through over-the-air antennas, there was no pornographic material," KVOA president and general manager Gary Nielsen said in a statement.
The KVOA statement said the station was dismayed and disappointed that some Comcast customers and their families were subjected to the material.
"KVOA will continue to investigate what happened to our clean signal and make sure our viewers get answers," Nielsen said in the statement.
Comcast spokeswoman Tracy Baumgartner confirmed that the company's standard feed was interrupted during the Super Bowl, although she said its high definition feed was not.
Baumgartner said engineers were investigating Sunday night.
Tucson media outlets reported that they received calls from irate viewers about the pornographic material.
Joel Hilander of Tucson told The Associated Press that he and his young children saw the clip.
"I couldn't believe it. And I couldn't believe that my children were watching it either," Hilander said.He said the interruption came just after the Arizona Cardinals' Larry Fitzgerald scored on a long touchdown reception during the final minutes of the game.


text:
Buck Folding Omni Hunter 10PT
Manufacturer's Description
Visit Buck's Folding Omni Hunter 10PT page.
Retailers' Descriptions
Here's what other sites are saying:
Compact, heavy-duty, ergonomic design, the Buck Omni Hunter Folding Knife performs more tasks than the name suggests.
An L.L.Bean exclusive. The Realtree® Hardwoods Green camo handle is accented with Hunter Orange, making it safer and easy to locate on the ground or wherever you set it down. Overmold is Dynaflex rubber for a sure, comfortable grip. 3" drop-point blade is forged of 420HC steel. Heavy-duty nylon sheath included. 4 5/8" closed length. 2.8 oz. USA.
- L.L.Bean
Buck Folding Omni Hunter 10PT
The Buck Folding Omni Hunter 10PT is not available from the stores we monitor. It was last seen January 22, 2013 at EMS.
If you're looking for a new folding knife, check out the best reviewed current models.


text:
3 Unique ETFs With High Monthly Dividend Yields
David Fabian
Check out these exchange traded funds to see which most closely align with your personal risk tolerance and income objectives.
For some income investors, monthly dividends are of primary importance because they represent a key component of their retirement plan. Many retirees are seeking to withdraw a certain monthly check from their accounts to fund their lifestyle and have found it harder in recent years to achieve their income objectives. Oftentimes equity-income funds only pay dividends on a quarterly basis, and many bond yields have fallen to levels that are suboptimal to meet investor needs.
Under the current landscape, the
CBOE Interest Rate 10-Year Treasury Note
(INDEXCBOE:TNX) is sitting at 2.7%, and a common dividend equity strategy such as the
iShares Select Dividend ETF
(NYSEARCA:DVY) is yielding just 3.18%. Those yields certainly aren't going to inspire an extraordinary level of excitement for cash-hungry investors. Fortunately, there are a variety of ETFs that are in the business of providing high-dividend yields on a monthly basis to solve this problem.
Global X Funds
This ETF is focused on providing exposure to 50 of the highest-dividend-paying stocks, REITs, and MLPs in the United States. The fund is equal-weighted, so every holding in the underlying index gets an approximately 2% allocation of the total assets. The current 30-day SEC yield of DIV is 6.06%, and dividends are paid monthly to shareholders. In addition, this ETF is designed to select stocks that have lower average volatility than its peers.
So far this year, DIV has gained nearly 6% on the back of large exposure to the utilities, energy, and telecommunications sectors. These defensive areas have held up better than more consumer cyclical sectors that tend to be more volatile.
Exchange-Traded Fund Trust II
PowerShares has introduced a unique solution to the high monthly income equation with KBWD, which has a current 30-day SEC yield of 7.48%. The fund holds a blend of 38 stocks primarily made up of mortgage REITs, banks, and other financial services companies. The concentrated nature and alternative style of the underlying holdings make this more of a specialized yield play for aggressive dividend seekers. The fund currently has a 38% weighting to mortgage REITs, which have been known to produce fantastic yields and also higher-than-average volatility.
So far this year, KBWD has gained 2.45% and has been in a steady uptrend since interest rates stabilized in the middle of 2013. The biggest headwind for this ETF moving forward will be a rising rate environment that may threaten the success of the underlying REITs and financial services companies.
First Trust Exchange-Traded Fd VI
This ETF invests in a diversified basket of 119 common stocks, REITs, preferred stocks, MLPs, and junk bonds, which coalesce to generate a 30-day SEC yield of 5.94%. Multiasset funds have become increasingly popular as a single vehicle to access a wide spectrum of income strategies. Less than two years since it was introduced, MDIV has been able to amass nearly $600 million in assets and gained 4.63% in total return so far this year.
What makes MDIV unique from other multiasset income funds is that it primarily focuses on the high-yield spectrum. The fund has no exposure to investment-grade bonds or other high-quality securities, which would ultimately lower the total yield of the portfolio.
Each of these ETFs offers a distinctive strategy that has strengths and weaknesses depending on the future direction of interest rates, equities, and alternative investments. The key to successfully integrating them into your portfolio will be to research them closely to make sure they align with your investment thesis, risk tolerance, and income objectives.
Read more from David Fabian, Managing Partner at FMD Capital Management:
5 Key Strategies for ETF Income Investors
VIDEO: First-Quarter 2014 Chart Review
Investors Should Avoid Adding New Money to Junk Bond ETFs
No positions in stocks mentioned.


text:
A SPARKLE STORY The Whirlpool Adventure
Nana a.k.a. Jean Hutton
This story is about Sparkle, the raindrop, who often gets into trouble when he and his friends fall from their cloud. This time Sparkle gets caught in a whirlpool.
Jean is a Missouri farm girl with a vivid imagination. She told "Sparkle" stories to her sons thirty years ago, and now tells them to her grandsons; but this is her first attempt to write and illustrate one. She now resides in Arizona, which makes the storytelling much more convenient.
Comentario publicado.
Inicia sesión
o crea una cuenta para publicar un comentario.
Sitios de Blurb


text:
- Details
Dixon® Ticonderoga - China Markers
- Paper wrapped with a tear string for easy sharpening
SpecificationsSelect options above to see specifications.
Brand Dixon® Ticonderoga Description Color: Black, Wt.: 0.03 lb, 12 - Each / Pack Easy Reorder Eligible Yes Manufacturer Dixon® Ticonderoga Manufacturer Part Number Dixon® Ticonderoga 00077
- Help
Need more details or have questions about this product?
We have experts on staff to answer all your questions Monday-Friday, 7:30am to 7:00pm EST


text:
Monday, July 8, 2013
Video: New Stacks at Jo-Ann
130 comments:
I really like all of the new stacks! My favorites would be Emerald Garden and Haute Pink.ReplyDelete
Great stacks!! I would have to say little miss is my favorite! I love the color combo! The little animals are just adorable too!ReplyDelete
Loven' the new stacks and congrats to the winners! Enjoy!ReplyDelete
Just watched the video and am in total love with the Homeroom Stack!!!!! I already have lots of ideas swirling around in my head to make things for my classroom. All of the new packs are filled with vibrant colors!!!!ReplyDelete
LOVIN the new stacks! I see in my future the haute pink and the homeroom stack coming home with me:)ReplyDelete
- AnonymousJuly 8, 2013 at 11:49 AM
Thanks for the preview. My very favorite is the Haute Pink, Emerald Garden is a close second.ReplyDelete
- Kelly KennedyJuly 8, 2013 at 11:51 AM
Love Haute Pink, but they are all great!ReplyDelete
Love Love Love the Haute Pink!!!!! Also like the Little Miss and the Emerald too.ReplyDelete
All stacks are so beautiful! My favorite are 'Emerald garden' and 'Haute pink'.ReplyDelete
Love all the new stacks, but Little Mister is my fav.ReplyDelete
I LOVE Emerald Garden... it would be perfect for most of my outdoor photos.ReplyDelete
I am loving all of the new stacks soo hard to pick a favorite I need them all :)ReplyDelete
My must have list just got longer !!!!
Melonie colon-maldonado
Love the little miss stack, home room stack, and haute pink stack they all look great!ReplyDelete
I love Emerald Garden- because it is color of year.ReplyDelete
My first grandbaby is due in November. It's a boy! So Little Mister is my current favorite!ReplyDelete
All the stacks are fantastic. My favorites since I couldn't pick just one are the Modern Meadow & Haute Pink.ReplyDelete
Just saw the video and am NOW a youtube subscriber!! WOW on the new DCVW stacks!ReplyDelete
My favorites are : Homeroom, Emerald Garden ( My fav.color is Green) & The Haute Pink.
Haute Pink would be mineReplyDelete
Wow, these are all great. I think I love Haute Pink the best though.ReplyDelete
Loving the Haute Pink and Little Mister stacks! Can't wait to get into Joann's (I hate living over an hour away!)ReplyDelete
I love Emerald Garden and Haute Pink!ReplyDelete
I love the little miss and haute pink! Great for my granddaughters!ReplyDelete
Oh fun!!! Love them all, but Modern Meadow and Homeroom are definitely my favs!!! Can't wait!ReplyDelete
Oh I love the Little Miss and Haute Pink but no surprise here since I scrap three little girls all under the age of 5 and they all love PINK!!!ReplyDelete
The Little Mister!!ReplyDelete
- AnonymousJuly 8, 2013 at 12:41 PM
Love the new stacks! My fave is probably Little Mister, it's too stinkin' cute. Thanks for the sneak peek!ReplyDelete
Debra H
oh my goodness, i want little mister (too bad we don't have jo-anns in canada). LOVE LOVE LOVE Emerald Garden stack!!!!!ReplyDelete
Oh, wow! I loove these! Little Miss and Haute Pink are must haves for me so I can scrapbook for my new grand daughter!!ReplyDelete
Those are all awesome stacks. My favorites are little miss and little mister. They are adorable. Would love to have those for Mr future grandchildren. Awesome new releases!ReplyDelete
Dark Romance has to be the one! Such a unique collection. Love it xReplyDelete
loving these new stacks. Could definitely put the haute pink to good use having 2 girls. Thnaks for all these wonderful new stacksReplyDelete
Love the Emerald Garden and Modern Meadows. Actually all of them are great!!!ReplyDelete
Love the look of all the new stacks. I love paper and I can't wait to get my hands on some.ReplyDelete
I LOVE all the new stacks! I have 3 daughters, so I definitely need to get my hands on the little miss stack!!!ReplyDelete
Haute Pink might be my favorite...these are some great new stacks.ReplyDelete
I'm really loving all of them but if I have to pick it would be; Haute Pink, Modern Meadow and Emerald Green.ReplyDelete
Love them all!! Couldn't pick a favorite. Surprise me ;)ReplyDelete
Am I the only one that can't get the video to play? Whayyy! I am headed to Joann's to see the stacks in person right nowReplyDelete
Loving them all, can't decide which to by first, great stuff DCWV!ReplyDelete
- AnonymousJuly 8, 2013 at 2:03 PM
gotta luv them dcwv stacks
Definitely have to have home room and modern meadow! Great new stacks.ReplyDelete
Love them all, but my faves in order...Emerald Garden, Modern Meadow, Haute Pink, Little Miss, Little Mister and Homeroom!ReplyDelete
Those are all great stacks. I'm most excited about Homeroom and Modern Meadow.ReplyDelete
All these stacks are great. Love the Little Mister and the Emerald green stackReplyDelete
How do you keep coming up with these fabulous stacks! I love the Homeroom and Haute Pink stacks and can't wait to see them in person!ReplyDelete
Wow.. All of them are Fantastic. I really would love to have all of them in my stash. It is a hard choice but The Emerald Garden, Haute Pink and Little miss would be on top. But I love the little Mister too. It is perfect to scrapbook pictures of my lil mister. And Modern Meadow is so pretty too. Thank you so much for the chance to add them to my stash.ReplyDelete
It's so exciting when new stacks come out! I really like The Homeroom stack and Modern Meadow is pretty neat too - great colors :)ReplyDelete
I don't think I could have kept my scissors away from that Haute Pink, either!ReplyDelete
Modern Meadow was my favorite until you showed us the Emerald Green. All those greens...the first thing I thought about was adding red and doing Christmas cards. Thanks for the chance to win.ReplyDelete
Modern Meadow is the first of the new collection to become part of my stack collection! I've gotta have it!!ReplyDelete
- Amy J.July 8, 2013 at 2:40 PM
Emerald Green and Homeroom are my two favorites. Beautiful colors + bright, fun prints = lots of awesome project ideas! :c)ReplyDelete
Modern Meadow is my fav!! Love the Haute Pink & Emerald stack as well!! So pretty!ReplyDelete
Haute Pink. Very flashy and catchingReplyDelete
Cant wait to start using them :-)ReplyDelete
Love the Emerald Garden and also Modern Meadow caught my eye. Great stacksReplyDelete
Love Haute Pink! Love them all really =)ReplyDelete
My favorites are Homeroom and then Little Mister. Thank you for the chance to win!ReplyDelete
- KerriNZJuly 8, 2013 at 4:13 PM
NOM NOM , what was the question. i was too busy drooling at the new stacks.Love them ALL & personal favorite would be the Haute Pink.As a mom with 2 girls & 1 boy , I'm leaning towards the Little Mister stack too :)ReplyDelete
Just watched your video. My favs are Haute Pink, Emerald Garden and number one is Modern Meadow. Beautiful!ReplyDelete
I really like the emerald and haute pink stacks!ReplyDelete
I'm loving the Haute Pink & the Emerald Green...would like to see them in the smaller size formats too.ReplyDelete
- Anne H.July 8, 2013 at 4:38 PM
All of the stacks are beautiful as always, but I think my favorite two are Modern Meadow and Homeroom.ReplyDelete
Don't know how you come up with such great stacks time after time. The top of my wish-list is getting very crowded.ReplyDelete
I couldn't find the video but I watched the one from last week. I liked the new updated Linen Closet and have looked for it with no luck. Will keep looking. That did not stop me from ordering a bunch of new stacks on the DCWV online store. I am obsessed with paper.ReplyDelete
I love the colors of the Emerald Garden stack! Very pretty.ReplyDelete
Lu L.
- AnonymousJuly 8, 2013 at 5:32 PM
Gorgeous new stacks! Wow! Am torn between Emerald and Meadow stacks, but then the Haute Pink and the others are terrific too! Thanks for demo'ing them for us!ReplyDelete
Wow!!! Emerald Garden is perfect!ReplyDelete
Abby email@example.com
What fun new stacks! I LOVE Emerald Garden the most. Also like Modern Meadow! Both of them would be great for layouts and cards...and even home decor projects!ReplyDelete
LOVIN all of the new stacks, keep them coming!!! My favorites are Haute Pink, Little Miss and Emerald Garden.ReplyDelete
Ooooh, I am totally in love with Emerald Garden! I can see using that all the time. Green isn't my favorite color in general but I am really liking the variety of shades and tones and the gorgeous prints.ReplyDelete
Oh WOW, you've done it again!! My favourites are Haute Pink, Emerald Garden, Little Mister and Little Miss!! Amazing stacks!! :)ReplyDelete
Thanks for all the great videos of the new yummy papers, Erin :-) I really like the Little Miss, Mister, and Haute Pink stacks. My seven year old daughter was watching with me and she was cracking up at the fact that you cut into the Pink stack already. Love that!!!ReplyDelete
Definitely love Homeroom! Haute pink would be my next favorite! I am so excited for winter CHA, love seeing everybodies new releases!ReplyDelete
Amy V
Love the Haute Pink!!ReplyDelete
Tere Maldo
DCWV is my go to paper! How am I supposed to choose a favorite new stack? They are all so awesome!! I would have to say the Little Mister is number one, then Haute Pink. But I love them all!!ReplyDelete
Thanks for the chance to win! Congrats to the winners also!!
Oh love the new stacks Emerald Garden I just love all the greens thank you for the chance hugs NikkiReplyDelete
Gorgeous new stacks! I have to say Modern Meadow and Little mister are my favorites. Thanks for the chance to win!ReplyDelete
Wow I really love the new stacks, I'd have to say the Modern Meadow and Emerald Garden and the Haute Pink are my favorite followed by the Little Mister now that there are some boys in my family.ReplyDelete
Great new stacks--I like Little Mister.ReplyDelete
Love the new stacks. Modern meadow and emerald green are among the favorites.ReplyDelete
I like the modern meadow stack. Great colors for fall.ReplyDelete
craftymom205 at yahoo dot com
Modern Meadow is my fave!ReplyDelete
The Miss and Mister Stacks, gotta have. They would make fantastic gifts for the 2 baby showers I'm going to. Oh I do love the Haute Pink stack too!ReplyDelete
My favorites are Modern Meadow and Emerald Garden! The colors and prints are so beautiful and versatile enough for any project!ReplyDelete
Beautiful collections!ReplyDelete
I really like the colors in Modern Meadow. Great job, as always :)ReplyDelete
I'd love to get my hands on "Little Miss" and "Little Mister" to scrap my grandbabies pictures.ReplyDelete
new stackS! yay yay so love DCWV I can't get enough of your stacks.ReplyDelete
How exciting !!!! New stacks I absolutely love DCWV I use the stacks for most of my layouts and now cards Love love this company !!ReplyDelete
I really love the haute pink stack it is beautiful I am a mother of 3 boys so the little mister stack will come in handy for sure !! Cannot wait to get these from Jo Ann !! Thanks for sharing !!
I have 2 girls and I love the Haute Pink stack best.ReplyDelete
Love all DCWV!! But would have to pick the Little Mister (and I don't even have kids!) - just love the color schemes. Thanks for the chance!ReplyDelete
DCWV has done it again! I'm not a pink fan, but I LOVE the new stack Haute Pink and since green is my favorite color, I'm in LOVE with Emerald Garden. Thank you for sharing Erin!ReplyDelete
Oh boy love them all but must have the Haute Pink. Very nice! Loved the video.ReplyDelete
Yum! I love the Emerald Garden and Haute Pink! Gonna have to get both of those for sure and probably Homeroom and Modern Meadow too... :-)ReplyDelete
wow---those are great! Haute pink is my tops....Emerald Garden too! Or is it Modern meadow??? Yeesh--hard to choose!ReplyDelete
So like the Haute Pink and Modern Meadow stacks! Great colors and patterns!ReplyDelete
Great new stacks. I have 2 favorites, Homeroom and Haute Pink. Fabulous.ReplyDelete
Great new stacks !!! I especially love the Haute Pink and the Little Miss stacks !!!ReplyDelete
Congrats to the winners! Great new stacks! Wish Joanne's had them in stock when I was there this past weekend. I would have bought them. I guess I have an excuse to get to Joanne's again. LOL.ReplyDelete
- Lynn. G.July 9, 2013 at 7:29 AM
Wow...tough choice....I love them all; but, I will go with Emerald Garden as I am making a journal in memory of my Mom. Thanks for sharing!!!!ReplyDelete
I didn't even get past the Little Miss & Little Mister and I need to get over to Joanns! Oh NO, wait I just saw the Hot Pink one and it's also on my list! Thanks for sharing such yummy stacks!ReplyDelete
Haute Pink is my fav!!!!! Can't wait to go shopping!!!ReplyDelete
new stacks...always a treat! can't wait to see them in joann's.ReplyDelete
Love the new stax! The little miss n mister will be great for my grandkids.ReplyDelete
Thanks, Jess
- Kelly MeierJuly 9, 2013 at 10:48 AM
I'm loving all the new stacks!!! I can see so many card making ideas and layouts using all of them!!! Thank you for the chance to win them!!!ReplyDelete
Emerald Garden's green are gorgeous!ReplyDelete
So many fun new stacks but my favorite is Little Mister. I have told myself no more buying baby paper, but this one is too cute to pass up.ReplyDelete
WOW! Amazing new stacks!!! Really love the Emerald Garden and the Homeroom!ReplyDelete
Love the Homeroom because of the fun school theme papers! Emerald Garden the colors and prints are so pretty!!
Thank you for the chance and thanks for sharing the amazing new releases!!
Love these stacks. But my favorites is the Little Mister stack. I'm due any day with a little boy and cannot wait to get this stack and do his scrapbook. Can't wait for more stacks :) I'm a paper stack junkieReplyDelete
I love the Homeroom and Little Mister.ReplyDelete
You can never have too many baby stacks and the Homeroom will be awesome for scrapping slightly older kids & teens. Did you see the page with all the sneakers????? Such Fun.
Scrappy Vee xx
So pretty. I love the Haute Pink (as I have lots of granddaughters) and Homeroom stacks.ReplyDelete
Very nice. My favorite is the Haute Pink. Thanks for the chance to win.ReplyDelete
It's never easy to pick just ONE favorite...because they are ALL always AWESOME!!! However, I would pick the Haute Pink one!!! Love Love Love!!! So excited to head to JoAnns!!! Thanks for a giveaway opportunity!! :)ReplyDelete
I love the Haute Pink and the Emerald Green stacks, they look great!ReplyDelete
The baby stacks look like they will be useful for more than just baby pages and cards. I also like the Haute Pink.So many foiled pages!ReplyDelete
I liked the Haute Pink stack. It was so beautiful!ReplyDelete
Emerald Garden & Haute Pink!ReplyDelete
Toss up between Emerald Garden and Haute Pink. Guess I'll have to get both.ReplyDelete
- TracyM #6773July 10, 2013 at 12:09 AM
WOW - another fabulous selection of stacks!!! It is SO HARD to choose a favourite today, especially from my shortlist of Modern Meadow, Emerald Garden and Haute Pink ... OK - it is definitely Emerald Garden :)ReplyDelete
LOVE LOVE LOVE the Emerald Garden stack - it is filled with gorgeous colours and patterns - hoping that this one comes to our stores here in Australia!!!
I am new to this and so am still gathering materials... That said I LOVE Haute Pink.ReplyDelete
I love The Little Miss and The Little Mister stack...ooooo.....awesome!!!ReplyDelete
- AnonymousJuly 10, 2013 at 7:14 AM
I love the haute pink pad!ReplyDelete
Connie Pruitt
Favourites would be Emerald Green and Haute Pink. Thanks for the opportunity.ReplyDelete
Love Emerald Garden!!!ReplyDelete
My head is spinning with ideas for Modern Meadow! Love it, I am calling my Joann's to see if they have it yet.ReplyDelete
Oh my goodness! Little Miss and Little Mister for me! Of course, Modern Meadow and Emerald. Oh and Haute Pink... how's a lady to choose?ReplyDelete
I thing the Modern Meadow is very pretty. i love the emerald and pink stacks too though. Can't wait to look for them at my JoAnns!ReplyDelete
Love the Haute Pink!ReplyDelete
Congrats to the winners....this video is amazing....I am still picking my favorites, Erin!!ReplyDelete
So many fun papersReplyDelete


text:
The Adventures of Ozzie & Harriet
New Chairs - Season 2, Episode 1 - 18 Sep. 1953 - Confusion reigns when the local department store delivers two new chairs to the wrong Nelson family and then drops off additional chairs or takes back the wrong pieces of Nelson's furniture.
To Download or Embed this video, go to this link.
Back to the The Adventures of Ozzie & Harriet Library
back to Uncle Earl's Classic TV Channel