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Effectiveness of a novel and scalable clinical decision support intervention to improve venous thromboembolism prophylaxis: a quasi-experimental study
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- Umscheid, C.A., Hanish, A., Chittams, J. et al. BMC Med Inform Decis Mak (2012) 12: 92. doi:10.1186/1472-6947-12-92
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Venous thromboembolism (VTE) causes morbidity and mortality in hospitalized patients, and regulators and payors are encouraging the use of systems to prevent them. Here, we examine the effect of a computerized clinical decision support (CDS) intervention implemented across a multi-hospital academic health system on VTE prophylaxis and events.
The study included 223,062 inpatients admitted between April 2007 and May 2010, and used administrative and clinical data. The intervention was integrated into a commercial electronic health record (EHR) in an admission orderset used for all admissions. Three time periods were examined: baseline (period 1), and the time after implementation of the first CDS intervention (period 2) and a second iteration (period 3). Providers were prompted to accept or decline prophylaxis based on patient risk. Time series analyses examined the impact of the intervention on VTE prophylaxis during time periods two and three compared to baseline, and a simple pre-post design examined impact on VTE events and bleeds secondary to anticoagulation. VTE prophylaxis and events were also examined in a prespecified surgical subset of our population meeting the public reporting criteria defined by the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator (PSI).
Unadjusted analyses suggested that "recommended", "any", and "pharmacologic" prophylaxis increased from baseline to the last study period (27.1% to 51.9%, 56.7% to 78.1%, and 42.0% to 54.4% respectively; p < 0.01 for all comparisons). Results were significant across all hospitals and the health system overall. Interrupted time series analyses suggested that our intervention increased the use of "recommended" and "any" prophylaxis by 7.9% and 9.6% respectively from baseline to time period 2 (p < 0.01 for both comparisons); and 6.6% and 9.6% respectively from baseline to the combined time periods 2 and 3 (p < 0.01 for both comparisons). There were no significant changes in "pharmacologic" prophylaxis in the adjusted model. The overall percent of patients with VTE increased from baseline to the last study period (2.0% to 2.2%; p = 0.03), but an analysis excluding patients with VTE "present on admission" (POA) demonstrated no difference in events (1.3% to 1.3%; p = 0.80). Overall bleeds did not significantly change. An analysis examining VTE prophylaxis and events in a surgical subset of patients defined by the AHRQ PSI demonstrated increased "recommended", "any", and "pharmacologic" prophylaxis from baseline to the last study period (32.3% to 60.0%, 62.8% to 85.7%, and 47.9% to 63.3% respectively; p < 0.01 for all comparisons) as well as reduced VTE events (2.2% to 1.7%; p < 0.01).
The CDS intervention was associated with an increase in "recommended" and "any" VTE prophylaxis across the multi-hospital academic health system. The intervention was also associated with increased VTE rates in the overall study population, but a subanalysis using only admissions with appropriate POA documentation suggested no change in VTE rates, and a prespecified analysis of a surgical subset of our sample as defined by the AHRQ PSI for public reporting purposes suggested reduced VTE. This intervention was created in a commonly used commercial EHR and is scalable across institutions with similar systems.
KeywordsElectronic medical record Electronic health record Health information technology Clinical decision support Venous thrombosis Deep venous thrombosis Quasi-experimental study
Venous thromboembolism (VTE) is an important cause of morbidity and mortality in hospitalized patients. For example, among greater than 7 million patients discharged from 944 US acute care hospitals, postoperative deep venous thrombosis (DVT) was the second most common complication, second most common cause of prolonged hospitalization, and the third most common cause of excess mortality and charges [1].
Without VTE prophylaxis, the incidence of asymptomatic hospital-acquired DVT is as high as 20% among medical patients, 40% among general surgical patients, and 60% among orthopedic surgery patients [1]. Rates of symptomatic DVT and pulmonary embolism (PE) without pharmacologic prophylaxis are lower at approximately 1% and 1.2% respectively when measured during the hospital stay for nonsurgical patients [2], and 2.8% and 1.5% respectively at 35 days post-op for patients undergoing major orthopedic surgery [3]. Pharmacologic prophylaxis decreases symptomatic DVT and PE by approximately 25% and 30% respectively in nonsurgical patients [2], and approximately 55% and 60% respectively in major orthopedic surgery patients [3].
Given the impact of VTE on hospital inpatients, and the effectiveness of prophylaxis at reducing VTE events, hospital regulators and payors are beginning to incentivize hospitals to implement systems changes to prevent VTE. For example, in Fiscal Year 2009, Medicare stopped providing additional reimbursements for DVT and PE following hip or knee replacement [4, 5]. Many methods to improve VTE prophylaxis in the hospital setting have been studied, including the use of computerized clinical decision support (CDS) interventions [6]. However, many of the CDS interventions studied were limited in that they either used noncommercial homegrown electronic health records (EHR) [7, 8, 9, 10, 11, 12, 13], pop-up alerts to remind providers when patients with VTE risk factors were not on prophylaxis [7, 8, 9, 10, 11, 13, 14, 15, 16], or targeted select populations [8, 11, 12] or individual hospitals [17]. These limitations could impact the generalizability of the studies' findings across multi-hospital systems, particularly given the ubiquitous nature of pop-up alerts and the associated alert fatigue [18], challenges associated with translating the functionality of a homegrown EHR into a commercial one, and obstacles associated with implementing change across multiple institutions. In this study, we examine the effect on VTE prophylaxis and event rates of integrating a CDS intervention that does not involve pop-up alerts into a commonly used commercial EHR serving all inpatients in a multi-hospital academic health system.
Developing and implementing the CDS
The CDS intervention was developed, implemented and tested in a quaternary care academic health system comprised of three acute care teaching hospitals: the 814 bed flagship hospital (Hospital A), a 331 bed hospital best known for its services in cardiology, ophthalmology, orthopedics, family medicine, geriatrics and psychiatry (Hospital B), and a 569 bed hospital best known for its services in orthopedics, obstetrics and neurosurgery (Hospital C). Overall, these three hospitals include 1,714 beds that are staffed by more than 4,000 attending physicians, residents and fellows. The hospitals account for approximately 80,000 admissions annually.
We created a CDS intervention that was linked to an electronic admission order set in a commercial EHR (Sunrise Clinical Manager 5.0, Allscripts, Chicago, IL) used by these three hospitals. The intervention was designed to improve VTE risk assessment and prophylaxis across these hospitals. Recommendations for prophylaxis were based on locally adapted national guidelines [1, 19]. Key participants in the development and implementation of the intervention were physicians, nurses, quality specialists, pharmacists, informatics analysts, and anticoagulation experts.
Before launching the intervention across the health system, pharmacists increased their stock of VTE prophylaxis, and nurses increased the supply of mechanical VTE prophylaxis on the wards. Nurses also implemented a nursing education program about the intervention and the availability of low molecular weight heparin (LMWH) as a VTE prophylaxis option. In addition, an email communication about the intervention was distributed to all faculty and staff. Lastly, a point-of-use educational video was developed and implemented to educate ordering providers about the intervention.
Study subjects
The retrospective study was approved by the University of Pennsylvania Institutional Review Board with a HIPAA waiver. Study subjects included all adults admitted to an acute care inpatient service at our academic health system. Those in our original dataset without a listed discharging service were excluded. The first study period included admissions in the 12 months prior to the first CDS intervention; the second period included admissions between the first and second versions of the CDS intervention; the third period included admissions in the eight months following the implementation of the revised CDS intervention (9/15/09-5/31/10 for Hospital A, Hospital B, and Hospital C).
Data sources and measures
Clinical data was retrieved from the inpatient EHR, and administrative data was retrieved from Horizon Performance Manager (HPM), which included professionally coded data from the medical record.
Measures included descriptive characteristics of patients (age, gender, race, insurance status, length of stay, weight, creatinine clearance as estimated by the Cockcroft-Gault equation, discharging unit and hospital, primary and secondary discharge diagnostic codes, and severity of illness as measured by diagnostic related group [DRG] weight), CDS utilization measures (including provider response to the CDS intervention [i.e., a "yes" versus "no" response to the question of whether or not the provider would order VTE prophylaxis] as well as selected reasons for declining prophylaxis), and VTE process and outcome measures. Inpatient services were categorized into "medicine" services (neurology, allergy, cardiology, endocrinology/diabetes, family medicine, gastroenterology, general internal medicine, geriatrics, hematology/oncology, hospitalists, infectious diseases, neurology, pulmonary, renal/metabolic and rheumatology), "orthopedic/trauma" services, and the "other surgery" services (anesthesia, cardiac surgery, colorectal surgery, obstetrics, gynecological oncology, gastrointestinal surgery, maternal fetal medicine, neurosurgery, otolaryngology, plastic surgery, general surgery, surgical oncology, thoracic surgery, transplant surgery, urology, oral/maxillofacial, and vascular surgery). VTE process measures included percent of patients on recommended prophylaxis (per our guideline), any prophylaxis (i.e., pharmacologic or mechanical), and pharmacologic prophylaxis (i.e., unfractionated heparin, LMWH, or warfarin). Recommended prophylaxis was defined as enoxaparin 30 mg twice daily, dalteparin 5,000U once daily or warfarin for the orthopedics/trauma services; and unfractionated heparin (UFH) 5,000U thrice daily, enoxaparin 40 mg once daily, or dalteparin 5000U once daily for the medicine services and other surgery services. Any prophylaxis was defined as any pharmacologic prophylaxis or mechanical prophylaxis (i.e. intermittent pneumatic compression devices). Any pharmacologic prophylaxis was defined as any standard prophylactic UFH or LMWH dose, or any warfarin dose for the orthopedics/trauma services. Unless otherwise stated, patients were judged to receive pharmacologic prophylaxis if they were administered at least one ordered dose. Mechanical prophylaxis was defined by order only. Clinical outcome measures included VTE and bleeding events during hospitalization. VTE events were defined as any hospital discharge with a secondary discharge diagnosis of PE or DVT as defined by the International Classification of Diseases Version 9 (ICD9) codes listed in the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) Technical Specifications Guide under PSI 12 [20]. Discharges that included the PE or DVT codes as primary discharge diagnoses were excluded. The AHRQ definition of VTE was applied to the overall study population, as well as a prespecified surgical subset of our study population who met the AHRQ PSI criteria for public reporting of VTE events [20]. A subanalysis was performed excluding patients with VTE codes listed as "present on admission" (POA). POA data was only available for hospitalizations after 10/1/07 at Hospital A, 11/7/07 at Hospital C, and 4/1/08 at Hospital B. Bleeding was defined as any one of a set of secondary discharge diagnosis codes related to bleeding [21] combined with any one of a set of E codes representing medical or drug errors (E858.1, E858.2, E858.8, E858.9, E876.8, E876.9, E934.2, E934.3, E934.8, E947.8, E947.9, E980.4, E980.5).
Data analysis
Unadjusted analyses using chi-square tests for dichotomous variables and t tests for continuous variables compared demographics and the proportion of VTE process and outcome measures across the three time periods. Unadjusted analyses using chi-square tests were also used to compare over our two follow-up periods the proportion of providers who ordered prophylaxis when they indicated in the CDS that they would do so, as well as the proportion of providers who did not order prophylaxis when they indicated in the CDS that they would not do so. In addition, proportions were calculated for the reasons noted or selected for declining prophylaxis.
Adjusted analyses using interrupted time series models estimated the impact of the original and revised CDS interventions on administration of VTE prophylaxis. These analyses were employed using the SAS/ETS procedure PROC AUTOREG with the CHOW option (SAS, 1999). This type of analysis allowed us to measure the impact of the CDS interventions while adjusting for the serial correlation among hospital level data collected sequentially in time as well as potential unmeasured confounders, such as other quality interventions that could have impacted VTE prophylaxis [22].
Descriptive statistics of patient population across study time periods
Period 1
Period 2
Period 3
P value
Age (years)
Mean (SD)
53.6 (19.1)
53.6 (19.1)
54.0 (18.9)
40,333 (57.4%)
58,506 (57.1%)
28,799 (57.2%)
38,317 (54.5%)
56,095 (54.8%)
27,039 (53.7%)
31,547 (44.9%)
45,984 (44.9%)
23,109 (45.9%)
419 (0.6%)
329 (0.3%)
223 (0.4%)
Health Insurance
Self Pay
841 (1.2%)
1,258 (1.2%)
501 (1.0%)
65,246 (92.8%)
99,895 (97.5%)
49,307 (97.9%)
4,196 (6.0%)
1,255 (1.2%)
563 (1.1%)
Weight (kg)
Mean (SD)
82.3 (24.0)
82.8 (24.1)
82.8 (24.1)
CrCl <30
5,159 (9.7%)
7,547 (9.9%)
3,828 (8.8%)
47,855 (90.3%)
68,743 (90.1%)
39,513 (91.2%)
Length of Stay (days)
Mean (SD)
5.2 (7.7)
5.1 (7.6)
5.2 (7.0)
DRG Weight
Mean (SD)
1.7 (1.9)
1.7 (1.9)
1.7 (2.0)
Discharging Unit
2,488 (46.2%)
47,973 (46.8%)
24,373 (48.4%)
7,657 (10.9%)
11,506 (11.2%)
5,825 (11.6%)
Other Surgery
30,138 (42.9%)
42,929 (41.9%)
20,173 (40.0%)
Top 5 Primary Discharge Diagnoses
Device complications 2,856 (4.4%)
Device complications 4,423 (4.5%)
Device complications 2,355 (4.8%)
Osteoarthritis 2,327 (3.6%)
Osteoarthritis 3,505 (3.5%)
Osteoarthritis 1,805 (3.7%)
Dysrhythmia 1,676 (3.5%)
Dysrhythmia 3,321 (3.4%)
Dysrhythmia 1,940 (3.0%)
Birth complications 2,935 (3.0%)
Change in administration of recommended prophylaxis by hospital and service across the three study time periods
Discharge service
Period 1
Period 2
Period 3
Hospital A
5,614 (36.7%)
10,623 (46.2%)
6,491 (54.6%)
659 (32.1%)
1,215 (35.2%)
746 (40.1%)
Other Surgery
4,372 (25.1%)
10,856 (42.9%)
6,096 (52.5%)
10,645 (30.6%)
22,694 (43.9%)
13,333 (52.5%)
Hospital B
3,460 (35.6%)
6,648 (45.7%)
3,661 (53.2%)
690 (34.5%)
1,323 (42.9%)
709 (44.1%)
Other Surgery
584 (30.8%)
1,393 (50.4%)
771 (58.6%)
4,734 (34.8%)
9,364 (45.9%)
5,141 (52.4%)
Hospital C
581 (7.8%)
4,897 (47.0%)
3,411 (61.0%)
2,052 (57.0%)
2,797 (56.3%)
1,390 (58.9%)
Other Surgery
1,005 (9.3%)
4,265 (28.7%)
2,847 (39.3%)
3,638 (16.6%)
11,959 (39.5%)
7,648 (50.3%)
9,655 (29.7%)
22,168 (46.2%)
13,563 (55.6%)
3,401 (44.4%)
5,335 (46.4%)
2,845 (48.8%)
Other Surgery
5,961 (19.8%)
16,514 (38.5%)
9,714 (48.2%)
19,017 (27.1%)
44,017 (43.0%)
26,122 (51.9%)
Change in administration of any prophylaxis by hospital and service across the three study time periods
Discharge service
Period 1
Period 2
Period 3
Hospital A
8,021 (52.4%)
15,405 (67.0%)
8,655 (72.8%)
1,275 (62.0%)
3,035 (87.9%)
1,808 (97.2%)
Other Surgery
9,344 (53.7%)
20,273 (80.2%)
9,726 (83.7%)
18,640 (53.6%)
38,713 (74.8%)
20,189 (79.6%)
Hospital B
4,937 (50.8%)
9,306 (64.0%)
4,510 (65.5%)
826 (41.3%)
2,810 (91.0%)
1,548 (96.4%)
Other Surgery
981 (51.7%)
1,989 (71.9%)
1,088 (82.7%)
6,744 (49.6%)
14,105 (69.1%)
7,146 (72.9%)
Hospital C
5,553 (74.3%)
8,123 (77.9%)
4,445 (79.4%)
2,947 (81.8%)
4,682 (94.3%)
2,294 (97.3%)
Other Surgery
5,932 (54.8%)
10,878 (73.1%)
5,257 (72.7%)
14,432 (65.9%)
23,683 (78.3%)
11,996 (79.0%)
18,511 (57.0%)
32,834 (68.4%)
17,610 (72.3%)
5,048 (65.9%)
10,527 (91.5%)
5,650 (97.0%)
Other Surgery
16,257 (53.9%)
33,140 (77.2%)
16,071 (79.7%)
39,816 (56.7%)
76,501 (74.7%)
39,331 (78.1%)
Change in administration of pharmacologic prophylaxis by hospital and service across the three study time periods
Discharge service
Period 1
Period 2
Period 3
Hospital A
6,753 (44.1%)
10,977 (47.7%)
6,662 (56.0%)
1,121 (54.5%)
2,207 (63.9%)
1,301 (69.9%)
Other Surgery
6,623 (38.0%)
11,638 (46.0%)
6,162 (53.0%)
14,497 (41.7%)
24,822 (48.0%)
14,125 (55.7%)
Hospital B
4,455 (45.9%)
7,136 (49.0%)
3,792 (55.1%)
710 (35.5%)
1,355 (43.9%)
730 (45.5%)
Other Surgery
911 (48.0%)
1,563 (56.5%)
800 (60.8%)
6,076 (44.6%)
10,054 (49.3%)
5,322 (54.3%)
Hospital C
4,330 (57.9%)
6,067 (58.2%)
3,538 (63.2%)
2,103 (58.4%)
2,902 (58.4%)
1,463 (62.0%)
Other Surgery
2,498 (23.1%)
4,862 (32.7%)
2,968 (41.0%)
8,931 (40.8%)
13,831 (45.7%)
7,969 (52.5%)
15,538 (47.8%)
24,180 (50.4%)
13,992 (57.4%)
3,934 (51.4%)
6,464 (56.2%)
3,494 (60.0%)
Other Surgery
10,032 (33.3%)
18,063 (42.1%)
9,930 (49.2%)
29,504 (42.0%)
48,707 (47.6%)
27,416 (54.4%)
Estimated increase in VTE prophylaxis use secondary to the clinical decision support
A. From time period 1 to time period 2
Hospital A
Hospital B
Hospital C
Recommended (%)
3.2 (p=0.09)
6.7 (p<.01)
13.9 (p<.01)
7.9 (p<.01)
Any Prophylaxis (%)
10.3 (p<.01)
13.0 (p<.01)
6.6 (p<.01)
9.6 (p<.01)
B. From time period 1 to time periods 2 and 3
Hospital A
Hospital B
Hospital C
Recommended (%)
3.7 (p=0.03)
5.4 (p=0.01)
13.6 (p<.01)
6.6 (p<.01)
Any Prophylaxis (%)
10.4 (p<.01)
14.6 (p<.01)
7.2 (p<.01)
9.6 (p<.01)
To better understand the changes in pharmacologic and mechanical prophylaxis occurring as a result of the CDS interventions, we examined the change in administration of specific prophylaxis regimens by service and hospital. In general, there was a marked reduction in "no prophylaxis" for all services, most prominently orthopedics/trauma, which decreased its overall "no prophylaxis" rate from 34.1% to 8.5% to 3.0% across the three study periods (p < 0.01). The greatest increase in prophylaxis on the orthopedics/trauma services was mechanical prophylaxis, which increased overall from 14.5% to 35.3% to 37.0% (p < 0.01) across the three study periods. There were minor increases in recommended pharmacologic prophylaxis on the orthopedics/trauma services as well, including an increase in appropriate LMWH usage from 15.7% to 19.1% to 18.8% (p < 0.01). On the medicine services, there were significant changes in the types of pharmacologic prophylaxis ordered by providers. The use of twice daily UFH was reduced from 17.5% to 3.6% to 1.6% (p < 0.01) across the three time periods in favor of recommended pharmacologic prophylaxis regimens including thrice daily UFH (increased from 29.2% to 38.2% to 51.0%, p < 0.01) and LMWH (increased from 0.4% to 7.8% to 4.5%, p < 0.01). Increases in thrice daily UFH were most pronounced at Hospital C (increasing from 6.6% to 38.9% to 58.0%, p < 0.01). The "other surgical" services also reduced their rates of "no prophylaxis" from 46.1% to 22.8% to 20.3% (p < 0.01) in favor of sharp increases in the use of thrice daily UFH (from 19.5% to 37.9% to 47.5%, p < 0.01). Unlike the medicine services, the "other surgical" services did not have a clinically significant increase in the amount of LMWH administered (0.5% to 0.7% to 0.7%, p < 0.01).
There was a significant increase in VTE in the overall study population (2.0% vs. 2.1% vs. 2.2%; p = 0.02); however, subanalyses excluding VTE that were "present on admission" suggested no difference in VTE events across the three time periods (1.3% vs. 1.3% vs. 1.3%; p = 0.80). The number of patients with documented bleeds related to anticoagulation was low at 0.1% across all three time periods.
Change in VTE as defined by AHRQ PSI by hospital across the study time periods
Period 1
Period 2
Period 3
P Value
Hospital A
2.27 (%)
2.27 (%)
1.56 (%)
0.68 (%)
0.71 (%)
0.80 (%)
2.82 (%)
2.80 (%)
2.18 (%)
Hospital B
1.05 (%)
0.88 (%)
0.44 (%)
0.42 (%)
0.41 (%)
0.71 (%)
1.42 (%)
1.20 (%)
1.09 (%)
Hospital C
1.64 (%)
1.67 (%)
1.08 (%)
0.29 (%)
0.27 (%)
0.62 (%)
1.83 (%)
1.86 (%)
1.48 (%)
1.77 (%)
1.75 (%)
1.15 (%)
0.52 (%)
0.53 (%)
0.74 (%)
2.18 (%)
2.15 (%)
1.73 (%)
When we examined the type of prophylaxis administered stratified by how the provider initially responded to the CDS intervention (i.e., a "yes" versus "no" response to the question of whether or not the provider would order VTE prophylaxis), we found that most providers who indicated they would order prophylaxis did order it, and that proportion increased over our two follow-up periods, from 89.0% to 93.8% in periods 2 and 3, respectively (p < 0.01). Those who said they wouldn't order prophylaxis often did not (63.7% ordered no prophylaxis in period 2 vs. 74.1% in period 3, p < 0.01). The most commonly stated reasons for not ordering prophylaxis were that the patient 1) had no risk factors (58%), 2) was on therapeutic anticoagulation (35%), 3) was peri-procedure (4%), or 4) was a bleeding risk (2%).
The increases in "recommended" and "any" VTE prophylaxis attributable to the CDS intervention evaluated in our study per our interrupted time series analyses are comparable to the one randomized controlled trial that evaluated a CDS intervention to improve VTE prophylaxis [10]. In addition, our revision to the CDS intervention where we linked the risk assessment to the prophylaxis order set grid had the intended effect of improving the concordance between the users' risk assessments (i.e. what they said they would order) and the prophylaxis actually ordered.
Advantages to the approach we employed are several. First, we were able to avoid the use of pop-up alerts and the risk for subsequent alert fatigue [18]. Second, we were able to create our order set within a commercial EHR used by more than 300 academic and community healthcare institutions in and outside the U.S.; thus, our intervention can be utilized by many other institutions either using the same or a similar EHR. Third, we were able to reach all hospitalized populations across multiple hospitals in an academic health care system, instead of select populations [8, 11, 12] or a single hospital [17] as investigated in many other studies.
Despite our increase in "recommended" and "any" VTE prophylaxis, the VTE event rates across our overall study population increased (2.0% to 2.1% to 2.2%; p = 0.02). There are a number of potential explanations. First, improvements in coding may have increased the number of VTE events captured. To understand the impact of coding, we performed a subanalysis where we excluded patients with VTE codes listed as POA; this resulted in no significant difference in VTE rates across our study periods (1.3% vs. 1.3% vs. 1.3%; p = 0.80), suggesting that increased coding of VTE diagnoses that were actually POA may have resulted in a seeming increase in overall VTE rates across our study periods. Second, there may have been an increase in the VTE risk of our study population over time. Although Table 1 indicated few clinically significant changes, a post hoc analysis of the proportion of our patients receiving peripherally inserted central catheters or midlines during their hospital stay suggested an increase in the use of such lines (6.9% vs. 7.1% vs. 8.2% for study periods 1, 2 and 3 respectively; p < 0.01). This could increase the risk of line-associated (LA) VTE, and is an important VTE risk factor as routine prophylaxis has not been consistently shown to be effective in reducing the rate of LA VTE [23, 24, 25, 26, 27]. Unfortunately, codes differentiating LA VTE from other VTE were not used in our health system until the end of our study period. Third, our measure of VTE prophylaxis was defined by the order selected at time of admission for mechanical prophylaxis, and an order and at least one administered dose for pharmacologic prophylaxis. Thus, if mechanical prophylaxis was not routinely applied to patients, or if subsequent doses of pharmacologic prophylaxis were routinely missed or not administered, then we wouldn't expect to see an impact of the intervention on VTE rates. Finally, our hospital system switched LMWH products from enoxaparin to dalteparin in December 2009. It is unclear what impact this switch may have had on VTE rates, although limited evidence suggests no differences between the two products [28].
Despite the lack of improvement in VTE rates over time in our overall study population, the analysis of a prespecified surgical subset of our sample as defined by the AHRQ PSI for public reporting purposes [20] demonstrated a statistically significant reduction in DVT and overall VTE events. Increased awareness of and emphasis on VTE prophylaxis in this subpopulation as a result of the AHRQ PSI metric may have caused the greater improvements in VTE prophylaxis demonstrated in this subpopulation. Specifically, those services described as the "other surgical services" in our study had the greatest increases overall in both recommended prophylaxis (with an approximate absolute increase of 30% over the study period) and pharmacologic prophylaxis (with an approximate absolute increase of 20% over the study period). Such large increases in prophylaxis may have resulted in the reduction in VTE events demonstrated in this subpopulation. The findings from this subpopulation also suggest that our intervention may have more impact in populations at higher risk of VTE (such as the surgical population defined by the AHRQ measure), the effect of which is blunted when the entire hospital population is analyzed.
The increase in PE demonstrated in the subanalysis of the AHRQ PSI surgical population is more challenging to explain. To our knowledge, there were no changes in our patient population over time that would have increased their risk of PE without increasing their risk of DVT. Moreover, there were no changes in documentation codes for PE during the study period. It is possible that increased national awareness of VTE may have increased providers' clinical suspicion for PE out of proportion to their clinical suspicion for DVT, and this may have resulted in increased testing for and diagnosis of PE. In addition, recent publications have suggested that the improved sensitivities of new CT technology and protocols have resulted in the diagnosis of PEs previously undetected and unsuspected [29, 30, 31]. Such improvements may have contributed to the increased incidence of PE demonstrated in the US in the last two decades [29, 30], as well as the increased incidence of PE demonstrated across the three years of this study.
When accounting for VTE "present on admission", our overall health system VTE rate of 1.3% is reasonably consistent with those we would expect in an inpatient population treated with VTE prophylaxis. Studies suggest that rates can be as low as 0.8% for symptomatic DVT and 0.8% for PE in nonsurgical patients [2], and as low as 1.3% for symptomatic DVT and 0.6% for PE (for a total VTE rate of 1.8%) in patients undergoing major orthopedic surgery [3].
Our study has limitations. First, our simple pre-post design does not fully account for secular changes that may result in improvements in VTE prophylaxis and reductions in VTE events, such as greater awareness of the importance of VTE prophylaxis among providers. However, our use of multiple time points before and after the intervention, including modeling to adjust for secular trends in the data, allow us to estimate with more certainty the change in VTE prophylaxis directly attributable to the intervention. Second, our measure of VTE events and bleeding are based on administrative data and are dependent on appropriate documentation and coding. However, a prior study suggests that administrative data can have reasonable sensitivity for VTE, with sensitivities for DVT and PE of 87% and 78% respectively [32]. Another study reported reasonable test characteristics for the bleeding codes we used, with 93% sensitivity and 88% specificity for "any" bleeding, and 94% sensitivity and 83% specificity for "major" bleeding [21]. However, this suggests that some bleeds we attributed to VTE prophylaxis were actually due to other causes, and that some bleeds due to VTE prophylaxis were missed by our analysis. In addition, our definition of hospital-acquired VTE was limited by the lack of documentation in our records regarding VTE "present on admission" for the first six months of the baseline period of our study for Hospital A and Hospital C, and for the entire baseline period of our study for Hospital B. Thus, our primary analyses could not discriminate as well between VTE "present on admission" and those acquired during the hospital stay. This along with increased coding for VTE in general may have accounted for the seeming increases in our VTE events over time as described above, increases which were NOT demonstrated in our subanalysis using only admissions with appropriate POA documentation. Third, our measure of why providers declined VTE prophylaxis is limited by provider self report. Fourth, our study did not examine the effect of our CDS intervention on VTE events after hospital discharge, where many such events may occur. Lastly, our CDS intervention was based on a national guideline [1] that has since been updated [3, 33, 34].
Our analysis demonstrated significant increases in VTE prophylaxis that were associated with a CDS intervention integrated into an electronic admission order across a multi-hospital academic health system. The intervention was also associated with increased VTE rates in the overall study population, but a subanalysis using only admissions with appropriate POA documentation suggested no change in VTE rates, and a prespecified analysis of a surgical subset of our sample as defined by the AHRQ PSI for public reporting purposes suggested reduced VTE. This CDS was created in a commonly used commercial EHR and is thus scalable across other institutions with similar systems.
We would like to thank Subha Airan-Javia, David Horowitz, Myra Lazo, Barry Mozenter, Anne Muller, Raymond Sutter, Gordon Tait, and Kendal Williams for their help in developing, testing and implementing the CDS intervention examined in this study; Craig R. Kean and Maggie Massary for their assistance in data acquisition; Christopher Coley, Craig Newcomb, Catherine T. Smith, and Suman Sood for advice regarding data analysis; Diane Bradley, Steve Shaha, and Mavis Prall for providing information regarding the commercial EHR; and David Goldmann, Russell Localio and Benjamin French for their review of earlier versions of this manuscript. This study was previously presented as a poster at the 2010 Society of Hospital Medicine Annual Meeting in Washington, DC, where it was a finalist in the Research, Innovations and Clinical Vignettes Poster Competition. For detailed information regarding programming the clinical decision support described in this manuscript, please contact the corresponding author.
Supplementary material
Copyright information
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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Welcome to Oakbridge University
The above is a small portion of "Otherwise Known As Love".
Welcome to Oakbridge University! Founded by Ministers Tom & Judith Coates in 1989, Oakbridge is a non-denominational Center of Truth based on the teachings of Jesus and other great Teachers.
Oakbridge is also the home of Jeshua ben Joseph (Jesus) in expression through Judith Coates. She has been channeling Jeshua since 1993, sharing his love & wisdom with audiences around the globe.
Jeshua's Introduction
"I come to you in this form because you have invited me. I come to you in this form because you have a willingness to hear the still small voice of TRUTH. I come to you now in this form to show you I am not far off from you.
"I am not upon the cross. I am not ascended unto the Father to sit at the right hand somewhere far off that you can never approach. Yes, I do sit at the right hand of my Father and the left hand and upon his lap, as you do, for there is no separation. I come to you now in this form so that you may change your image of who I AM."
Jeshua ben Joseph (Jesus)
Jeshua's teachings & messages have been collected in a very special series of books, The Personal Christ book series, published through Oakbridge and available online & at New Age bookstores everywhere. Please see the New Publication link at right for more about our newest book, The Personal Christ Vol. 6, as well as the other books in the series.
We also publish a free monthly newsletter, The Expanding Viewpoint, with messages from Jeshua and happenings at Oakbridge and our study groups around the United States and Canada. Please see an excerpt from our latest newsletter, below.
We invite you to look around our website, review our books & tapes, and sign up for our newsletter. Thank you for sharing with us!
Expanding Viewpoint
Jeshua Speaks About:
Beloved one, I have been asked if I would put into form a certain teaching that could take you from the very beginning through to the place of mastery. In truth, I have given some edification in that area. You have books that are as guides to study. But I want to ask you a very basic question. When you use a study guide such as that, where does most of the study take place? In the mind.
And what I stress with you is, even if you start with concepts of the mind— which is a good place to start—the goal is to come to the place of the heart so that you, as I have been speaking to you for some years now, do not go back to square one and engage the mind solely.
2017 Advance
2017 Summer Advance
New Publication
Jeshua: The Personal Christ, Vol. VII
Jeshua Online
Send questions or comments about this website to

subset: commoncrawl


text:
Call: 888.544.4422
Grants are provided by the government based on need and do not have to be repaid. Loans for educational purposes, like the ones listed below, require repayment at low interest rates. Your Harrison financial aid analyst will help you determine which best fit your situation and can help you apply for them.
Grants are offered by both the federal/national and state governments.
This is a federal student aid program that does not require repayment. Awards are based on enrollment status and financial need. Yearly amounts may vary based on federal appropriations. Students must file a FAFSA (Free Application for Federal Student Aid) to apply for a Federal Pell Grant.
This program is for students who demonstrate exceptional financial need, and repayment is not required.
Formerly called the Indiana Higher Education Award Grant, this program is for Indiana residents only. Interested students must submit a FAFSA by March 10 and establish continuous Indiana residency by December of the prior calendar year.
If you applied for the 21st Century Scholars Program in seventh or eighth grade, you can now take advantage of it for tuition assistance. Interested students must be Indiana residents and must submit a FAFSA by March 10 of each year for continued participation.
The Harrison Institutional Loan program is available for students that have been grandfathered into this program who still have a financial need after all title IV and alternative funding options have been exhausted. To be eligible students must maintain continuous and uninterrupted full-time enrollment each term and can receive up to $6,000 or $9,000 in an academic year depending on their program of study.
The Subsidized Direct Stafford Loans are part of a program that provides low-interest loans to qualifying students enrolled in Harrison at least half time. Loan amounts vary according to financial need and grade level. The government makes interest payments while the student is enrolled at least half time including six months after school. After that the student must repay the loan.
The Unsubsidized Direct Stafford Loans are part of a program that provides low-interest loans to qualifying students enrolled in Harrison at least half time. This is a loan program and must be repaid. This loan may be used in conjunction with the Federal Subsidized Stafford Loan (see above). Interest payments are the responsibility of the student while he/she attends school but can be deferred until after graduation if the student chooses.
Federal Direct PLUS loans are for parents of dependent students who wish to borrow funds to help pay for their children's education. This is a loan and requires repayment.
Here is a neutral, comprehensive list of private education lenders that have made loans to our students over the past several years. You, as a borrower, are not required to choose any lenders from the list that has been provided. You should also apply for federal education loans through the Direct Loan program and exhaust those loans prior to applying for any private education loans, as many times, those loans carry more favorable terms and conditions for a student.
Federal government regulations require that lenders of private education loans must obtain a self-certification form completed and signed by the applicant prior to disbursing the loan proceeds. The purpose of this form is to inform the applicant that:
Other federal, state, or school aid may be available that offers better terms and conditions in place of, or in addition to, a private education loan;
A private education loan may reduce eligibility for other student aid; and
Information required to complete the form, specifically cost of attendance and estimated financial assistance, can be obtained from the college financial aid office.
Please contact a Harrison College financial aid representative from your campus if you have any questions about the process for submitting this form. If you do not submit a completed and signed Self-Certification Form to your lender, your loan will not be disbursed.
Download the Self-Certification form, which must be completed in order to receive any type of credit-based loan.
This program is a private lending option that is credit based. This option is only available if there is still a financial need once all Title IV funding has been exhausted. While in school students must at least make monthly interest payments in order to be eligible for this loan program, but may elect to make interest and principal payments. The student must borrow a minimum of $1500 per loan note in order to utilize this program.
The Sallie Mae Smart Option Student Loan is an ideal solution for students who still need funds after they have maximized free money and federal loans. With this loan, students can borrow up to the full cost of their education, less other aid received. The Smart Option Student Loan helps students save money, build good credit, and pay off their student loan faster.
Sometimes Federal Loans don't cover all the costs of your education, the PNC Solution can help fill in the financial gap.


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Pacific Northwest Carpenters Institute (PNCI) is the premier educational institution in Oregon, Southwest Washington, and Idaho for Carpenters and the affiliated trades. PNCI is sponsored by Willamette Carpenter Training Center, Inc. a non-profit organization based in Portland, Oregon. PNCI provides apprenticeship and journeyman skill advancement training for many construction trades including:
Certification and Qualification courses are available for CPR, OSHA, Welding, Scaffolding, Trade Show, WABO, Westinghouse, Forklift, Hazardous Waste, Welding, Aerial Lift and many more. If you are looking for a new career in construction see our career area. Moving to this area and already part of the construction trades, contact the administrative offices.
At PNCI we strive for excellence in the education and leadership development of our professional carpenter workforce. We are committed to creating a positive jobsite culture and safe work environment by collaborating with our partners in the community and industry.
We will model excellent leadership and strive to add value as we make positive connections with our members and contractors.
We are committed to collaborating with our industry partners to stay ahead of the ever-changing construction industry.
We will use best practices in teaching and technology to create an engaging and effective classroom experience.
We will inspire a workforce committed to lifelong learning.
We will model and promote equity and diversity.
We will continuously develop programs to promote, recruit and retain a professional workforce that reflects our community.
The Portland welding lab is now open. The new Welding area has the latest in fume extraction, larger booths, and increased overall size to better serve our contractors and members.


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|Reviews for Time Stands Still
| andyg2525 chapter 25 . 4/10/2013
this is perfect please write soon
| brankel1 chapter 25 . 4/7/2013
Love it. Glad they kicked butt.
| brankel1 chapter 2 . 4/7/2013
I love it. Glad you have Jason with Kat. Love them picking on Tommy. And when Jason meets the Dino Rangers.
| Jeremy Shane chapter 25 . 4/7/2013
Groovy Chapter & More Please
| sabina21 chapter 25 . 4/7/2013
Good chapter what is going to happen next update soon
| hewhoreaps chapter 25 . 4/6/2013
Well glad to see this updated.
That said it seems the monster was a bit hard for the rangers but in the end they came out like they usually do.
Though I think Mesogog isn't happy with Elsa though I think she wasn't too happy when she got back to his lair after being a bouncing ball between a couple rangers
| brankel1 chapter 24 . 12/12/2012
Fantastic job.
| andyg2525 chapter 24 . 12/9/2012
this is great keep it coming til next time
| hewhoreaps chapter 24 . 12/9/2012
Well it seems Mesogog isn't a happy camper with his forces and even less happy with his human persona that is causing to use more energy to suppress.
Well wonder what Mesogog is going to do next but I doubt the rangers will like it and I wonder when Trent will come clean with the others in regards to what he knows or if somebody did notice his action.
| general-joseph-dickson chapter 24 . 12/9/2012
good chapter
| sabina21 chapter 24 . 12/9/2012
Good chapter update soon
| Jeremy Shane chapter 23 . 8/8/2012
Great Chapter & More Please
| andyg2525 chapter 23 . 7/20/2012
this is great please write soon
| brankel1 chapter 23 . 7/20/2012
Love they got Kim back.
| hewhoreaps chapter 23 . 7/19/2012
Well of course they figured out things were on the up and up but planned for it anyways.
At least they rescued Kim which is the important part though I'm guessing they also got something else of importance.
Keep up the good work


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Vand: Suspicious
"Consider it a freebie." He answered, before walking past her. "I hope for your sake we don't meet again."
I put the water back in my jug and bowed low. "Thank you, may you be blessed. Before I go, take this to the magister."
I rifle through my blue robe and finally find my pocket, and then I pull out a scroll. Hopeful, I hand it to him; he takes it and opens it and reads the first few lines.
"Yes, if we can learn to join forces, we can cure the planet. Everything that I know is in that scroll please give it to the Magister Lord."
He nods, and I believe him, hoping that my trust was not in vain. Then, I grab Gwendolyn's arm and motion for us to leave. And together, we run away from the crowd and after a few minutes of running we end up in the forest. And Gwendolyn needs to stop to catch her breath.
"I can't believe I let you trick me into that! Going into a town, are you mad?!"
"Well, we needed some food, didn't we? I'm aware that it was dangerous, but it's something we have to do."
"We need to start avoiding towns. Travelling by land doesn't work anymore."
I turn away from her and look in the direction of the ocean. Something I always know. Then, I sigh, "I know a different way. We won't have to go through land, but it could potentially be more dangerous. I haven't been that way in a while so I can't say what's there now."
"What are you talking about?"
"About 20 years ago the magistrate tried to create a sewage system to increase the sanitation of the country. However, the project was ultimately dropped without the proper money because of the lack of cash crops. So, it was left alone, I discovered it about 15 years ago. The pipes are huge, and can carry a fully grown human, or several species of Sea Monster. With my control over water, we can simply walk through the pipes, and they lead right up to the Palace. But, I can't guarantee safety."
"Well, I can't walk by land anymore; it's too hard, too difficult."
"Very well, then perhaps it was kismet that the Royal Guardian ended up in the same town as us." I paused, collecting my thoughts. "Follow me, I'll show you the nearest entrance to the sewage system."
"Would anyone trying to hunt us every look down there?"
"I hardly doubt it; the sewage system was top secret during development. Now that it's an embarrassment, I think only the people that were made to work on it would know about it."
"Ok, but what about food?"
"Do you like fish?"
"Haha! Ok, now serious, what about food?"
"Fish my healing friend, fish or starvation. I can't turn water into food, and I wouldn't drink the water in the pipes."
"Fine then, as long as it's not on land, I can handle it."
"Ok, let's go."
And together, her, Snickers and I all walked towards the nearest entrance. While we walked, we didn't hear anyone following us but I had a hunch.
Oh well, I thought, they can't walk on water.


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Directors Joel and Ethan Coen will bring Michael Chabon's best-selling novel "The Yiddish Policemen's Union" to the silver screen, according to Variety magazine. Columbia Pictures acquired the rights for the film.
The book imagines a fictional history in which Jews displaced by the second world war establish a Yiddish-speaking homeland in Alaska.
The Coen brothers will write and direct the film adaptation. Their most recent movie, "No Country for Old Men," is up for eight Oscars this year.
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Bush's rating for handling each of those issues dropped to his lowest yet in a USA TODAY/CNN/Gallup Poll taken Friday through Sunday. Assessments of his personal qualities also fell: For the first time, a majority says he isn't a strong and decisive leader. (Related: Poll results)
Bush's overall approval rating is 40%, equaling a previous low. His disapproval is 58%, a new high.
"Bush stands at a precipice," says Carroll Doherty of the non--——partisan Pew Research Center. "He's lost ground among independents. He seems to be starting to lose ground among his own party. And he lost the Democrats a long time ago."
By a record 66%-31%, independents disapprove of the job Bush is doing as president.
White House press secretary Scott McClellan says the president "knows a leader must govern based on what he believes is right, not based on polls." Bush is "working to address the priorities that Americans are most concerned about," he says.
Of the poll's respondents, 30% identified themselves as Republicans, 33% as independents and 36% as Democrats.
The survey shows signs of friction between the two most pressing concerns on Bush's agenda: the Iraq war and Katrina recovery.
A 54% majority says the best way for the government to pay for hurricane relief is by cutting spending for the war. Just 6% support spending cuts in domestic programs, as Bush has suggested.
Nearly two-thirds of those polled, 63%, say some or all of the U.S. troops in Iraq should be withdrawn. A record-high 59% say it was a mistake to invade.
Bush's standing declined even though Americans by 45%-27% approve of the proposals he unveiled in a nationally televised address Thursday to deal with Katrina. Seven in 10 express confidence the administration can assist victims.
But assessments of Bush on the hurricane dipped after the speech: 56% say he has taken steps to help victims mostly for political reasons, not because he cares about them.
By more than 4-to-1, Americans want an independent panel — not Congress — to investigate the government's response to Katrina.


text:
SSRF attack is becoming famous and gets a lot of attention this year. Our company has performed some research in this area, and we got some interesting results, some interesting nuances which can be used to create good attack vectors. I'll show you one of them.
We know that we can force a server to perform a request via SSRF attack. Our experience shows that sending HTTP requests is one of the most frequent situations. But what can we do with it? If our target is a Java-based application on OS Windows, we can try to execute an NTLM relay attack over HTTP. Why is it possible? Because Java has an internal HTTP-client, which supports NTLM authentication by default. So we can use SSRF attack against the Java application, and it will connect to our web server. Then, our web server will demand NTLM auth and the Java app will send its credentials. Therefore, we can perform any NTLM Relay attack (including SMB Relay) or get Windows user name and password of the Java app from NTLM net hashes. For each attack, we can use Metasploit modules: 'HTTP Client MS Credential Relayer' (auxiliary/server/http_ntlmrelay) or 'HTTP Client MS Credential Catcher' (auxiliary/server/capture/http_ntlm).
Actually, it's very strange, because other "server" applications which are based on other technologies don't have native support for automatic NTLM authentication (for example, PHP applications). Client applications (IE, Chrome, MS Word, etc.) support it, but by default, automatic authentication is only possible in the Intranet zone. It means that credentials will only be sent to a host accessible by a short name (without dots), like "http://evil/".
But Java doesn't have such rules. So a Java application will perform NTLM authentication on any hosts which will demand it, even on http://www.evil.com/ (with dots) or http://192.168.0.1 (any IP address). So we are able to grab hashes while we are located anywhere in the Internet.
To sum it all up. Our experience shows that many big Java applications have different vulnerabilities which let us perform SSRF attacks. Often, they are launched under user accounts rather than as services in OS Windows. So, there we have a very good base to perform NTLM Relay attacks (including SMB relay).
SSRF + Java + Windows = Love :)
Thanks for your attention,
Alexey Tyurin (@antyurin)


text:
Pleasure is the first of all illusions--Oscar Wilde
Whats the point? Why would they even try to hide something from me? Are they that dumb. Because, uh, hello? Mind reader over here! Filla was running to the dorm, which I was just coming out of.
"Filla?" I asked curiously. She stopped dead in her tracks her eyes wide with fear. "What are you doing?"
"I, uh, forgot my science book!"She lied quickly. Blushing beet red.
"Its the end of school, Filla. Now tell me whats really going on." I said crossing my arms, drumming my fingers on my elbows. I arched my eyedrom. Smiling.
"I-Um, nothing!" She squeaked, and ran off.
Sothey were going to pair me up with shadow? Huh? Yeah, I'd seen him. He was hot. No biggy. Not my type, too.. whats the word? Moody, brooding? Yeah, he always looked moody and half the girls in the school chased after him constantly. Yeah the Tiffanys and the Brittanys. All those sorta girls.
Plus he was always alone. Always, umm, well looked like he was concentrating so hard, he couldn't think strait
I walked down the stairs to go find Spark. If Olli wasn't stuck to his side. He'd tell me the real deal.
And it was just my luck. He was just heading to the football pitch.
"SPARK!"I shouted. He looked at me, stopping he waved and waited for me.
"Hi."He greeted me.
"Spark..."I began, "whats Ollis plan, that shes trying so hard to keep from me?" He threw back hi head and laughed.
"Oh.."He said once he'd stopped laughing. "Her plan... Is to pair you up with Shadow. She is convinced that you two are telepathic soulmates." He looked me dead in the eye, "do you think you are?"
"Well, um, I don;t really think he is my type."I stammered.
"He smiled."Thats how Olli and I felt bout eachouther when we first met. But then we got closer and closer until, we you can see that!"
"Yes, I know that. But. Maybe I don't wanta soulmate, maybe I just want friends who don't go plotting evil plans behind my back."I muttered.
"Yeah, you will find out if he's The One. Bye, I gotta go do football training."
I needed to see Olli. She was in BIG truoble with me. On the way I bumped into Shadow. who actuallt smiled at me. Or at least thats what I saw. But it wasn't what it was. I knew that, I could see that.
"Shadow? I said.
"Yes?" He answered.
"Why did you just use your power to make me think you were smiling at me?" I said politely. His eyebrows went shooting upward.
"How did you know I did that?" I said in a confused voice.
"Mind reader."I grinned tapping my temple.
"Oh, well, I, uh, well, I guess, never mind!"He stuttered.
"No, you did it. I want to know why!" I demanded.
"Well, I guess, I uh, um, well, I huhmm, L-l-like you." He splutttered I stared at him wide eyed.
Olli was right. Olli was right. Olli was right!


text:
Located in University District within a short walk of McMahon Stadium, Econo Lodge Inn & Suites University is within 2 miles (3 km) of other popular sights such as University of Calgary. This motel has 82 rooms and welcomes guests with conveniences like free breakfast, an indoor pool, and free in-room WiFi. It's in central Calgary and also close to Calgary Tower and Southern Alberta Jubilee Auditorium.
Start your day off right with a free continental breakfast.
All of Econo Lodge Inn & Suites University's 82 rooms are air-conditioned and have an array of amenities, including microwaves, refrigerators, and coffee makers. Guests can enjoy free WiFi and cable TV. Bathrooms offer hair dryers and free toiletries. Free local calls, ironing boards, and desks are also standard.
At Econo Lodge Inn & Suites University, guests enjoy features like an indoor pool, a fitness center, and a spa tub. If you drive, put free parking to good use. The 24-hour front desk has staff standing by to help with luggage storage, and answer any questions about the accommodations. Additional amenities include free WiFi in public areas, coffee/tea in a common area, and a computer station.
Property features
- Walking distance to McMahon Stadium
- Free continental breakfast
- Free WiFi in rooms and public areas
- Free parking
Econo Lodge Inn & Suites University
Hotel Amenities
Hotel Amenities
In addition to an indoor pool, Econo Lodge Inn & Suites University provides a spa tub and a fitness center. A computer station is located on site and wireless Internet access is complimentary. Guests can enjoy a complimentary breakfast. This Calgary motel also offers gift shops/newsstands, coffee/tea in a common area, and complimentary newspapers in the lobby. Limited complimentary onsite parking is available on a first-come, first-served basis.
Econo Lodge Inn & Suites University has designated areas for smoking.
- Number of buildings/towers - 3
- Parking (limited spaces)
- Computer station
- Indoor pool
- Fitness facilities
- Number of floors - 5
- Total number of rooms - 82
- Elevator/lift
- Laundry facilities
- Coffee/tea in common areas
- Free newspapers in lobby
- Free breakfast
- Express check-out
- Fireplace in lobby
- Gift shops or newsstand
- Designated smoking areas
- Free WiFi
- 24-hour front desk
- Luggage storage
- Free self parking
- Spa tub
- Television in common areas
Family Friendly Amenities
- Family Hotel
- Indoor pool
- Free Wi-Fi
- Laundry facilities
- Refrigerator
- Microwave
- Cribs/infant beds (complimentary)
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking, Parking (limited spaces)
Room Amenities
Econo Lodge Inn & Suites University offers 82 air-conditioned accommodations with coffee/tea makers and hair dryers. Premium cable television is provided. Guests can make use of the in-room refrigerators and microwaves. Bathrooms include shower/tub combinations and complimentary toiletries.
Guests can surf the web using the complimentary wireless Internet access. Business-friendly amenities include desks along with free local calls (restrictions may apply). Additionally, rooms include irons/ironing boards and blackout drapes/curtains. Housekeeping is provided daily.
- Premium TV channels
- Iron/ironing board
- Air conditioning
- In-room climate control (air conditioning)
- Free local calls
- Refrigerator
- Coffee/tea maker
- Microwave
- Daily housekeeping
- Private bathroom
- Free toiletries
- Hair dryer
- Shower/tub combination
- Desk
- Blackout drapes/curtains
- Cable TV service
- Free WiFi
- Free cribs/infant beds
- Rollaway/extra beds (surcharge)
Where to Eat
Guests are offered a complimentary continental breakfast.
Nearby Things to Do
An indoor pool and a spa tub are on site. Other recreational amenities include a fitness center.
The recreational activities listed below are available either on site or nearby; fees may apply.
- Snowboarding nearby
- Downhill skiing nearby
- Cross-country skiing nearby
- Hiking/biking trails nearby
- Mountain biking nearby
- Ski lessons available nearby
- Ski equipment rental shops nearby
If you have requests for specific accessibility needs, please note them at check-out when you book your room.
Hotel Policies
Minimum check-in age is 18
Check-in time starts at 3 PM
Check-out time is 11 AM
Payment types
Children and extra beds
- Children are welcome.
- Kids stay free! Up to 3 children 17 years old and younger stay free when using existing bedding.
- Rollaway/extra beds are available for CAD 10.00 per night.
- Free cribs (infant beds)!
- Pets not allowed (service animals welcome)
You need to know
Extra-person charges may apply and vary depending on property policy.
Government-issued photo identification and a credit card are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- The name on the credit card used at check-in to pay for incidentals must be the primary name on the guestroom reservation.
Only service animals are allowed
Parking height restrictions apply
Optional extras
- Rollaway bed fee: CAD 10.00 per night
Hotel Name
- Econo Lodge Inn University
- Econo Lodge Inn University Calgary
- Econo Lodge University Calgary
- Econo Lodge Inn And Suites University
- Econo Lodge Calgary
- Econo Lodge Inn & Suites University Hotel Calgary
- Calgary Econo Lodge
We should mention
Up to 3 children 17 years old and younger stay free when occupying the parent or guardian's room, using existing bedding. Only registered guests are allowed in the guestrooms. Alcohol is not served at this property.


text:
Free from the blackness- nearly
Something was happening but Hola didn't know what. All she saw was black but she felt as if something had moved. Th voice in her head was getting closeer and louder, more intelegable. The question she kept asking was who was this person that was speaking? And why was it all so black?
Something moved in the darkness.
What was that?!
It's getting... some general direction...
What is going on? Hola kept saying in her head because she couldn't aloud.
Then a voice spoke: "Thou shall awake, and thou shall heal thy friends. Thou art without destiny. Thou will find true happiness within time, gut thou shall hunt for thy happiness. Art thou except?" Hola couldn't tell where the voice was coming from nor who spoke it or what it ment. The voice was old fastioned and hard to understand. Hola took a while before she answered.
Who are you?
"Art thou not answer me?"
Again she replied: Who are you?
"Thou art a questionalable child, I shall answer truthfully. I am thou's Author, I present thou's commands. Will thou acsept?"
I belive I have no choice. If I don't say yes then I won't get out of here, will I?
"No, thou shall not."
Well then you know my answer, you probally wrote it that way.
"Then thou art free."


text:
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text: Top political leaders, academics, scientists, professionals and businesspeople met Friday at the University of New Mexico to discuss ways to create a local "culture of innovation." More than 300 people attended UNM's first economic development summit, aimed at sharing ideas for greater collaboration among all sectors to grow New Mexico's economy. Gov. Susana Martinez spoke at the event, as did the heads of New Mexico's three research universities and the state's national laboratories. Read it here.


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Ion Releases AirCopy - Mobile Scanner for Phones, Tablets & Laptops
ION has just announced Air Copy, a wireless document scanner for laptops, tablet computers and smartphones. ION will display and demo Air Copy for the first time at Central Hall Booth 11604 at the 2013 CES show in Las Vegas from January 8-11.
With the rapidly growing popularity of tablet computers, ION's Air Copy presents an innovative solution to an emerging problem: how to get photos and documents into your tablet. This ultra-portable WiFi scanner gives users the freedom to scan any document or photo-up to size A4-directly into iPad, iPhone, Android and Windows-based tablets, or laptop computers. With its built-in wireless technology, Air Copy generates its own WiFi network, allowing users to connect anywhere without needing to be near their home or office's WiFi network. Its free scanning app allows for viewing the scan in real-time on the tablet or smartphone's screen.
"The range of devices Air Copy is compatible with is one of its most powerful features," said Wendy Fortin, ION Product Manager. It's a truly flexible scanner, whether you're using it at home or on the go."
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text:
4-month CFA Level 1 Study Plan
Bart Mankowski
5 months 2 weeks 1 day
After reading this post, you'll learn:
- why the Level 1 exam passing rate is so low,
- how much time you need to prepare yourself for the exam,
- what is strategic vs. tactical study planning,
- how a good 4-month study plan should look like.
Interested in different study plans? Click:
JUNE 2017 3-month CFA Level 1 Study Plan
After registration for the June 2017 exam, you will receive your CFA Curriculum. Then you are probably going to buy some extra study materials to match with the Curriculum, such as video lectures or a question pool, to get you ready for a hard study time.
Before you get down to work, however, stop for a while and ask yourself one fundamental question, which is:
"How do I overcome the low 40% or so passing rate?".
To be very specific, we should also add here that this 40-ish passing rate (in %) is a real value calculated for those who actually took the exam (i.e. it excludes no-shows usually accounting for as much as 20-25% of all registered candidates).
Why is the passing rate of the CFA Level 1 exam so low?
Among the possible causes of the low CFA Level 1 passing rate, we would certainly count things like difficult to understand financial concepts, complex or catchy exam questions, too little time that can be approximately spent on one exam question, the minimum passing score set at a high level or even the advanced English, which at times can be a real obstacle for non-natives.
Undoubtedly, all this counts but the real culprit here may be still at large.
Why? We failed to mention the bulk of material that every CFA candidate has to dig through. Just have a look at the CFA Curriculum. These are 6 books, hundreds of pages each. To read it all from cover to cover, you would need a lot of time, not even mention learning and understanding what you've read.
At this level of the CFA exam, which is more conceptual and verifies your general knowledge and understanding of finance, it may be a good idea to focus on particular concepts required in the exam and to make sure that you get them right.
To reach this goal, you may consider taking advantage of numerous study materials available online that will naturally facilitate your uptake of the obligatory dose of knowledge.
Studying for the CFA Exam: How Much Time Do I Need?
It is said that an average candidate needs around 300 hours to get well prepared for the CFA Level 1 exam. Of course, it is a mean value and it need not apply to you.
From my own observations, I can tell that some candidates will be fine with only 150 hours of preparations, but there will be those who will need to spend even 600 hours before they pass the exam.
If, for example, you work in finance, you studied finance at university and you like to test yourself, you will probably find 300 hours just ample. If, however, you define yourself as a finance greenhorn, you barely fancy poring over the books or you wish to change your field of specialisation, of which taking the CFA exam is only a step, you should allow for more than 300 hours of preparations.
It is very important that you are able to estimate the number of hours you're going to need for preparations. It will allow you to see how much time on average you should spend on studying per month, week and day.
For example, if you think that 400 hours is your number it means that you must arrange 100 hours a month for studying.
My advice is that your estimations allow for some extra hours in excess of your staple preparation time. Just in case, you know .
I guarantee it will be useful in the most crazy time before the exam. I mean, I haven't met a person able to say that they are fully prepared for the exam or that the exam is just in time for them. Perhaps you might be the first one if you estimate right .
What is strategic study planning?
How about my tactics?
When preparing for the CFA exam, you have to tackle the issue both holistically and atomistically. What it means is that, on one hand, you need to establish how much time overall you're going to devote to different topics, mock exams, revision, etc. and when.
On the other hand, you should be able to systematically adapt your schedule and make plans for shorter periods, usually for the upcoming week. The former, I call general strategy and the later – detailed tactics.
Below, you will find some hints at how to handle strategic study planning. The next post is going to be about tactics.
If you feel, though, that you wish to have a go at tactical planning right away, I recommend that you first have a look at the concepts of forgetting curve and learning curve, which may actually come in handy (these are concepts originally stated by Hermann Ebbinghaus in the 19th century).
Before we move on to a sample study plan, there is one more advice. Remember that getting ready for the CFA exam is a long-lasting process. Every such a process requires good planning, execution and supervision. It holds true both for the strategy and for the tactics.
Our CFA Study Plan Assumptions and Timing
We begin our sample 4-month CFA level 1 study plan on 30 January and end it on 2 June, i.e. the day before the exam. The last three weeks are devoted to revision. During this time, you should try to do as many mock exams as possible.
The study plan is divided into topics and their sequence is identical with the CFA Curriculum. The time scheduled for each topic depends on its difficulty, the number of pages in the Curriculum and the number of questions devoted to the topic on the exam.
June 2017 CFA Level 1 4-Month Schedule
Do You Want to Tailor the Study Plan to Your Needs?
(Note: To use the app and create your own study plan, you need to register first.
We respect your time – it should take you around 30 seconds.)
You will find this 4 month CFA study plan in our Study Planner together with the other study plans previously published. Register or log in to use it. You may tailor it to your needs, e.g. change deadlines or modify it if you wish.
Remember that meeting the set deadlines and monitoring the progress are crucial for every study plan. That is why our app is worth using – it will remind you about the upcoming deadlines.
Also, if you opt for our Paid Plan (monthly or annual), you may watch our videos and do exam-type questions, as well as monitor your progress from the level of the Study Planner.
Watch the video to learn more about the features of our app:
(Note: To use the app and create your own study plan, you need to register first.
We respect your time – it should take you around 30 seconds.)
Editor's Note: This post was originally published in December 2012 and has been updated for accuracy and comprehensiveness.
Mikifer replied on Permalink
My name is Miguel and I started a couple of months studying for Level 1. The reason is that I work full-time and thus I have to prepare in advance.
Greetings for your blog, I think it is a very good idea worth sharing.
I have taken a look to the study plan and I want to give some opinion about it.
First of all I think it makes sense ordering the topics as you did excepto for one, Ethics. Don´t you think that Ethics should be in another position, not the first one? Take into account this is the first contact you have with CFA and Ethics is the most important part of the exam, at least is the one that makes the difference, plus it is theoretical at all, worth memorizing and maybe a student will forget it sooner than other topics.
In my opinion, one should start with the topic that he/she thinks can at least have some knowledge about, so to start positively thinking that you have some background in CFA. What do you think?
Regards, I will defenitalety follow and try to colaborate as much as possible in the blog.
soleadea replied on Permalink
Hello Miguel, thank you for your opinion. You made a good point concerning the sequence of topics. Surely starting with the most favourite topic is to be encouraged. As for ethics, because it is so important at the Level I exam, we think it should be read early enough to be reviewed now and again between other topics. We are happy that you found our portal useful and we are looking forward to hearing from you again.
chhajedshrenik replied on Permalink
Excellent and most simple way to pass CFA.......thanks a lot for making it simple....
ngphthanh2015 replied on Permalink
khalipha replied on Permalink
What is the "Number of Pages to Cover" referring to? the curriculum or only the Schewsar Notes? E.g for Ethics it says 237 Pages, which pages is this referring to?
soleadea replied on Permalink
"Number of Pages to Cover" is referring to the CFA Curriculum.
Chip replied on Permalink
Thanks for all the useful information on the Soledea blog. I like this study plan a lot. I am preparing now for Level 1 in Dec. I have already done Quantitative Methods and have started on Corporate F/Portfolio. However, it took me quite awhile to get thru QM due to time constraints. Would a reasonable plan be to just cut all the above in half, in other words, 28 study days and 8-9 pages per day on Ethics, etc? Thanks!!
raamik replied on Permalink
Good website, will you be posting a Decmber 2013 study plan too?
soleadea replied on Permalink
Yes, next week we will post a study plan for December 2013 candidates.
soleadea replied on Permalink
j j replied on Permalink
soleadea replied on Permalink
Frank Antwi Boakye replied on Permalink
soleadea replied on Permalink
soleadea replied on Permalink


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New Braunfels Herald Zeitung (Newspaper) - December 19, 1984, New Braunfels, Texas FBI agent says drifters wanted to leave ranch KERRVILLE (AP) — Workers at a Hill Country ranch north of here told an FBI agent they wanted to leave the spread when officers came to investigate allegations of forced servitude, the agent testified. FBI agent Fritz Bohne of San Antonio said in a preliminary hearing Tuesday that one of the workers told him a fellow employee had died at the ranch, owned by Walter Ellebracht Sr. and his son and daughter-in-law. Ellebracht, Walter Ellebracht Jr. and the latter's wife, Joyce, are charged with organized crime in connection with the March 3 torture slaying of drifter Anthony Warren Bates. Prosecutors say Bates, like other drifters, was lured to the ranch with the promise of work, then forced to stay. Statements from witnesses have indicated Bates was tortured to death with an electric cattle prod, then his body doused with gasoline and burned. The Ellebrachts are charged with six other drifters under an organized crime indictment in connection with Bates' death. Attorneys for the Ellebrachts are seeking to suppress evidence, including charred bone fragments, handcuffs, chains, a cattle prod, cassette tapes of alleged torture sessions, and various weapons. The lawyers claim the evidence was illegally obtained. Bohne said officers first visited the ranch April 5 and told the elder Ellebracht allegations had been made that people were being held there against their will. Ellebracht agreed to let Bohne and other officers interview six workers. "All except one returned to Kerrville with us," Bohne said. "They asked to leave with us." The agent also said one of the workers told him a fellow employee had died at the ranch. Bohne also told the court he seized two pairs of handcuffs from a pickup truck at the ranch that day, even though he did not have a search warrant. The agent said he spotted the handcuffs in the truck while the younger Ellebracht was in it. He said he noticed Ellebracht Jr. covering the handcuffs with a piece of plastic. The younger Ellebracht told Bohne he was heading to "the store" at the time, but the agent asked him to get out of the truck. Ellebracht complied. Bohne said he took the handcuffs because "we were investigating an allegation of involuntary servitude and torture and that handcuffs and chains were used and Mr. Ellebracht Sr had denied their existence. Then I see two pair of handcuffs in a truck about to disappear off the ranch." Bohne said he based his decision to seize the handcuffs on a 1925 court case that ruled officers could search autos for contraband because the vehicles can be moved. The agent also testified one of the workers at the ranch, Paul Harvey Hicks, told him he had been directed by two attorneys to remove certain evidence from a vehicle at the scene. The attorneys, Richard Mosty and Tom Pollard, were representing the Ellebrachts when the investigation began. Judge orders store to obey blue law HOUSTON (AP) — A state district judge has ordered a clothing store to obey Texas' Blue I<aw, but another store went to federal court to avoid the order. Acting at the request of the Houston Retail Merchants Association. State District Judge Michael L. O'Brien on Tuesday issued a temporary restraining order against Sock-It-To Me, located in a .shopping mall. The injunction was granted without arguments from the attorney for the firm. Karen Mahoney, the lawyer for Sock-It-To-Me. said her client instructed her not to continue arguments because the cost for continuing litigation against the Sunday closing law was too great. Officials with Sock-It-To-Me did not return telephone calls Tuesday. Meanwhile, attorneys for Textile Outlets of Houston, Inc., joined at least two other stores that have moved their cases to federal court. Herbert I>ackshm, an attorney for Textile Outlets, said his client requested the change to avoid being closed while competitors remained open. My client felt that if he was going to tx* closed then other retailers should come under the same umbrella." Ixickshin said The Blue I .aw. more than a century old, prevents retailers from selling 42 selected categories of items on consecutive Saturdays anil Sunday s. Ari attorney for the Merchants Association, Tom Conner, said merchants were requesting the move to federal court because "they're seeing the handwriting on the wall " It s the legal equivalent of time out." Conner said outside the courtroom Tuesday "We're anticipating filing some more suits pretty quickly." Textile Outlets requested the move to federal court so that all the Blue Law cases could be tried together, Ixickshin said Crosby wins druy-weapons case on appeal DA LI .AS (AP) Musician David Crosby. w ho last w eek w as ordered to a drug rehabilitation center, has won an appeal of his 1983 convictions for possession of cocaine and carry ing a pistol, his attorneys said. The Dallas County Court of Criminal Appeals on Tuesday said police had engaged in an illegal search of Crosby's dressing room in a Dallas nightclub and issued instructions to a trial court that he be acquitted, the lawy ers said. Crosby was sentenced in August 1983 to five years in state prison after being convicted of possessing cocaine and carrying a .45-caliber automatic pistol into a Northwest Dallas nightclub where he was performing. Crosby, 43, of Crosby, Stills & Nash, lias been free on an $8,000 appeal bond in that case. tin Thursday, State District Judge Patrick McDowell ordered Crosby to pay another $7,000 on that bond because of a recent arrest in California on similar charges. The judge also ordered the singer into a drug rehabilitation program. Tom Glenn, an attorney for Crosby, called Tuesday's decision a "victory" for the musician. He said the ruling was made on the grounds that Dallas police acted illegally when they entered Crosby's dressing room at the nightclub rn 1981. "The court believed their actions in entering David's private dressing room were beyond the scope of the law and constituted an illegal search and seizure," Glenn said. Glenn said Dallas police were operating under provisions of the Texas alcoholic beverage code that allows them to enter a liquor establishment to look for law violations. The appeals ruling narrows the scope of authority under the statute, he said, and "reverses a trend that has been going on for years in this state." Christmas Countdown FREE Gift Wrapping with each purchase Girls' Fall and Winter Sleepwear Satin Robes for Women save 25* Values to 10.99. Sweet dreams for your little girls, with 25% savings for you Our f- charming sleepwear is cuddly polyester ti I with pretty details Assorted styles and f colors sizes 2-4T and 4-14 i Haggar® Dress Slacks for Men sale Anthony s~ own dress slacks for men have the ease of polyester with quality tailoring Sizes 32-42 in navy, grey black tan or brown Reg to 19.97 Your Choice I49J. Reg $22 to $25 A very special g ft <oea tor ner oeautiful satin ropes in r ch colors' Choose tram 3 luxurious styles in a machine washable blend of 80% Ame. 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New Udinese Jerseys 2013-2014 HS Football Udinese Home Away Third Kits 13-14
July 15th, 2013 8 comments
These are the new Udinese kits 2013/14, Udinese Calcio's new home, away and third shirts for the forthcoming Serie A season. The new Udinese jerseys have been made by HS Football and were officially revealed on July 15, 2013 by the club. Udinese finished 5th in Serie A last season Read more…
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It's late one evening and Christine Lagarde, the head of the International Monetary Fund, is sitting across the table from Benjamin Franklin, the founding father of the United States. By some trick of the cosmos, they're at the same dinner party in DC, eyeing one another over a large bowl of tzatziki. The evening is drawing to a close and old Ben decides to impress Mme Lagarde with one of his stock pick-up lines: you know, Christine, there are only two certainties in life – death and taxes.
Cue an awkward silence. Ben's line dates from the 18th century, long before the conception of the 1961 Vienna Convention under which the Frenchwoman is legally a diplomatic agent. Her $467,940 IMF salary – like the salaries of her predecessors, her underlings and her colleagues at other international organisations – is therefore tax-free. This fact "emerged" this week after Lagarde was quoted as berating the Greeks for dodging their taxes. Headlines proclaimed "outrage" and "hypocrisy". It didn't matter that Lagarde was dodging precisely nothing (the Greek economy, on the other hand, has for many years suffered from well-documented tax evasion). No. The finer points – and the meaning of hypocrisy – were swallowed up by the bold headlines. She didn't pay tax. So she had no right to lecture the poor, benighted Greeks.
This isn't a defence of the rules. The critics could have taken issue with the regime that governs the salaries of international officials like Lagarde (who, by the way, pays other taxes, including local and property taxes in the US, where she is based, and in France, where she is from). Why shouldn't diplomats pay tax on their incomes? But logic and reason, and the legitimacy or otherwise of Lagarde's argument, were abruptly cast adrift and marooned somewhere in the distant waters of the Mediterranean. Besides, probing the Vienna Convention half a century late would have looked sloppy.
Lagarde should have been questioned further – not heckled. She should have been pressed harder about the elephant in the room: the lack of growth in Europe and the lack of a strategy for growth. She should have been interrogated about the intolerable pressures now bearing down on ordinary Greeks, the savage cuts mandated by the IMF and its partners.
When she spoke of "payback" time for Greece, she should have been challenged on the failures of regulators and of the policymakers who did nothing and said nothing when the debt crisis was brewing. With Spain's Bankia on its last legs, she should have been asked about her call for a recapitalisation of Europe's banks.
But her tax dodge – or lack thereof – made a better headline.Reuse content


text:
What do y'all think about the leptospirosis shot? None of my friends have gotten the vaccine for their dogs and they have never had any problems. I have an 18 week old female choc lab and I'm trying to decide if I should include it or not. Supposedly there have been some problems with younger dogs getting the shot. What are y'alls thoughts?
Here's a little info on lepto:
Leptospirosis is a bacterial disease which can affect many animals. It is rare in cats, but more common in dogs. Leptospirosis is a zoonotic disease, meaning it can be passed from animals to humans.
Leptospira bacteria survive especially well in warm, humid areas, and are often found in stagnant water (e.g. ponds). Wild animals can carry Leptospira. Therefore, dogs with a higher potential for exposure to contaminated water and wild animals and their urine are at a greater risk (e.g., living in rural areas, hunting dogs).
Adult dogs, males, and large breed dogs appear to have a higher rate of infection. However, any dog can be exposed, since urban wildlife such as rodents may carry the bacteria. Most infections happen in the summer and early fall, and outbreaks sometimes follow flooding.
Oh and here's a pic of the soon to be great hunter...


text:
First Steps
Just something I wrote for a friend one night when I was feeling creative.
Chances Taken
Hello my friend, how are things across the sea? I've heard so many tales.
Imagining stony shores of mystery, my excitement does prevail.
Is it true fantastic beasts roam the land, running afoul the common folk?
A terrible ogre, a wicked king, a mischievous imp of sorts.
Oh the disasters that befall a man; whose spirit can easily be broke.
So without fear I go, for these wonders I seek, and its adventure that guides my course!
I've heard of ancient ruins glazed in moss, a distant memory turned corporal.
To see these fingerprints of history, this travelers mind is hopeful.
In truth, what beckons my curiosity is the greatest tale of them all.
Of a maiden fair with auburn hair, that had a mind as sharp as silver; whom
Using naught but her wit, once slayed a giant standing ten meters tall.
With half a smile she strummed her lute and read the monster her memoir.
For rare was her kind, a beauty creative and odd, the poor beast stood no chance.
When the universe would attempt to break her, she held fast with elegant perseverance.
So without fear she went, for it was life she sought, and its knowledge that guided her course!
You see this journey is one that I simply have to make, yet truthfully I cannot say when.
The distance is great and after all, I have my own fantastic beasts with which to contend.
But if the stories are true and such a maiden exists then, I'd say it's worth a look.
For many a soul goes to the grave feeling regret, over actions they never took.
When I find this maiden what then? Will I entertain her thoughts?
A mind such as hers could otherwise never be bought.
No, to venture forth into the unknown, that is my only desire with her.
My strong will to explore, and her beacon to shine, the radiant light of Esther.
So without fear we shall go, for its answers we seek, and compassion that will guide our course!


text:
Savage: Founders envisioned 'petty dictator' like Obama
'It was a man like him that they feared would come to possess the presidency'Amid a three-pronged attack on the U.S. Constitution by Democrats,
talk-radio host Michael Savage reminded his listeners that America's
Founding Fathers built into the nation's founding document checks and
balances that anticipated the rise of a dictator who would try to seize
Barack Obama is the type of "petty dictator" the Founders envisioned, Savage told his national audience tonight.
The top-rated talk host noted Obama expressed frustration in an
interview Sunday regarding the limits imposed by the Constitution
"without even understanding that it was a man like him that [the
Founders] feared would come to possess the presidency one day."
[i]You've always known that "Liberalism is a Mental Disorder": Get Savage Solutions[
By: dfaugust2k
In: Politics
Tags: the American Constitution, hussian obama, democRATs, liars, traitors, thieves
Location: United States (load item map)
Views: 2019 | Comments: 23 | Votes: 5 | Favorites: 1 | Shared: 4 | Updates: 0 | Times used in channels: 2
That pesky constitution! They are working around it as best they can, but it takes time.
Posted Mar-12-2012 By
(14) | Report
@Wigglesworth You mean like bush and chaney did in Afghanistan and don't forget all those nukes and chemical weapons in iraq.Didn't Bush Jr. bring us the TSA ?! hmmm and the un-patriot act!! you right wingers have it all wrong the repubs have done more to destroy our constitutional rights then the dems all though there are plenty of them too but certainly the lesser of two evils.
Posted Mar-18-2012 By
(-1) | Report
Funny, but you don't ever have to question Savage's patriotism. Nor does one ever have to question his desire to have the country succeed.
Obama, not so much.
From Obama's engineered skyrocketing of energy costs, his trafficking in weapons to Mexican drug cartels, his failed foreign policies and the unprecedented corruption looting the treasury, everyone has to wonder whether Obama wants anything good for the country.
Savage is the only articulate and immensly educated person asking these quest More..
Posted Mar-12-2012 By
(6) | Report
@trialdog You mean Obama actually ran the program to funnel guns to Mexican drug Lords ?!! Another brainless Rush fan. His foreign has stepped up drone strikes and helped bag Osama. Looting the treasury... ? How you idiot. He carried on Bush tarp fund policies as a matter of fact in regards to the Banks he and Bush are practically identical.
Posted Mar-18-2012 By
(0) | Report
The 2nd amendment was written for a Traitor like 0bama.
Use it, or lose it.
Posted Mar-12-2012 By
(2) | Report
@Dave556 Your just a weird person, very odd, yes very odd indeed.
Posted Mar-18-2012 By
(0) | Report
Comment of user 'T0M65' has been deleted by author (after account deletion)!
Comment of user 'Ithinkthat1' has been deleted by author (after account deletion)!
@Ithinkthat1 Too bad the industrial revolution came so late. If it had come 300 years earlier, there might have been no slavery in this country. Slaves would have been worthless. As it was, they cost up to $40,000 in today's dollars. John Deere, where were you when we really needed you?
Posted Mar-13-2012 By
(0) | Report
Comment of user 'Ithinkthat1' has been deleted by author (after account deletion)!
I know. People here actually thumbed your comment down. So that means they actually support slavery and treating women like 2nd class citizens.
Don't take it so hard. As long as you have been a member here, most of the thumbs-down are by teenage kids who haven't had to get their hands dirty, ever, and earn their own keep.
Posted Mar-13-2012 By
(0) | Report
Comment of user 'Ithinkthat1' has been deleted by author (after account deletion)!
Comment of user 'hotstix' has been deleted by author (after account deletion)!
Oh noes, there's red'ses unner ma bedses! *quivers and passes out*
Posted Mar-12-2012 By
(-8) | Report
"Michael Savage is a conservative American radio host, author, and political commentator."
I knew it! It Makes Bill Maher, the stand up political-comedian, look like a genius!
Posted Mar-12-2012 By
(-9) | Report
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2016.04.17 – version 1.2.7
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