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Deacon Amde,I don't think it was Thomas' intention to marginalize our OO Traditions, or us as OO's. Rather he was pointing out that the OO Tradition may be different from the EO in this case, and for that reason it may be good for the original poster to talk to his priest. I personally always consider it good advice to tell people to talk to their priests about the various matters we discuss here. There is often a difference in how things are done, not just between OO and EO, but sometimes even between the various jurisdictions within those communions. I know Thomas, and I feel that is what he meant.
An interesting side bar. I find it odd that most English bibles translate Christ's statement to Nicodemus in John 3:3 as "you must be born again". The phrase in Greek "γεννηθῇ ἄνωθεν" seems much more like "born from above" and it seems to be pushing a particular interpretation to translate it as "born again" as I really can't see the word "again" present in any way. Does anyone have any idea as to when it was first translated this way and what was the reasoning behind this choice?
Hello Brothers and Sisters in Christ,I am looking for help on a subject that has lead to "discussions" with my wife. I was brought up an Orthodox Christian and was an active member of the Church and Serbian community pretty much all my life. I did stray from my faith when I was about 22 till 35. I can say with regret that I was not an active or "good" Christian. I went through my turmoils in life and did "my time" but did try to get back on track.I met a young lady which I married and with which I have 3 children now. She went through the same sought of turmoil as I did at the time, but she was from a Pentecostal family (namely the Potters House Church). Although at the time she didn't attend church either, but we Christened our children in the Serbian Orthodox Church.Now this is the dilemma; she decided to go back to her Church and was "saved" or "born again" as they say. I started going back to my Church as I wanted my children to be raised Orthodox (in one way it was a blessing in disguise that she was so called "born again" because it made me go back to Church out of fear for my children's identity and ethnicity as my wife is Polynesian)I am now in a bit of a dilemma as to how to take all this in and get her to see that the "Potters House" is not all as it seems.Although all the persons that do attend her church are really good God loving people and I honestly don't see "them" as being bad or satanic as they do good things for the community and do follow the scripture (per se).What I am asking really is how do I explain to her that the Orthodox Christian Church is the true Church of God ? How can I lead her and perhaps the other "born again" Christians into realizing that what they are doing although good is not blessed from God (or is it)??If you can enlighten me or lead me in the right direction I would appreciate it. I KNOW THIS IS A PHENOMENAL TASK BUT SHE IS MY WIFE AND I DO LOVE HER AND MY CHILDREN AND ONLY WISH HARMONY IN MY HOME.I haven't spoken to my priest about this as I am embarrassed and I feel like it is my fault by not marrying and Orthodox Christian in the first place. BUT WHAT CAN I DO NOW??God Bless
This is why God created the OCA... Perhaps going to a Church that tries to be "Americanized" would soften the landing for them.
Father Deacon Amde Tsion, My intentions were as Salpy noted, I ask your forgiveness if I offended you. I was sick the last several days and have just logged on again after being out for the last 2 days, otherwise I would have responded earlier.Thomas,Convert Issues Forum Moderatoredited for spelling
We don't have OCA in Australia, but an Antiochian parish might be the answer.
You would be surprised Riddikulus.New South WalesSt. Nicholas ChurchBankstown, Sydney, NW St. Michael ChurchHomebush, NWQueenslandHoly Annunciation ChurchWoollongaba/Brisbane, QD
I was sick the last several days and have just logged on again after being out for the last 2 days, otherwise I would have responded earlier.
Yes, I am surprised... and a bit confused.
[tangent]Don't worry so am I. In reality it is just as confusing when I walk in to the suburb East Melbourne and there are 3 Orthodox churches within 500 meters of each other (all different jurisdictions).[/tangent]
That's actually the OCAA: the Orthodox Church in America...in Australia.
It's all rather overwhelming - why, oh why isn't there simply an Orthodox Church of Australia? And New Zealand, too, for that matter.
*sigh* I don't know. Why does our Patriarch insist on using koine Greek in our liturgies when people are starving to hear it in English.
JHP17 & LPK .. Firstly God Bless you and your families... thank you for your concern ,efforts and prayers.I am sorry to say though but our Church organizations are becoming more social / political gatherings rather than religious and I am finding it hard to accept it as I am now looking at a larger holier picture. Just a simple example that I use often...Here in Adelaide we have 2 Serbian Orthodox Churches .... each Church on any given Sunday might have 20-25 parishioners (except Christmas or Easter off course!). On Friday Nights their is 200-300 people at the Church hall for folklore practice, bocce bowls, 8-ball, chess and the "bar" etc.... Now it is a fact that the 200-300 that come Friday nights "pay the bills" and the 20-25 that attend Sunday services pay pittance in comparison. The two Serbian Communities here have always been at arms length and relationships were strained for whatever reasons. (this is a similar situation with the other communities ie. Russian, Ukranian, Greek, Bulgarian etc...)What I can't accept NOW that I am a father and have a family to take care of both financially and spiritually is this lack of unity, compassion and acceptance in our proud nation(s) and peoples. We have strayed from God and our Faith and accepted a capitalist view of the world.. which I think is perhaps even more dangerous because it slowly "reels you in" to believing that a nice Church Hall and LCD TV's and cable and a "great bar" are more important than the Church itself and our necessity to attend services regularly. Ohh I was at Church on Friday night ?? Getting drunk on a Friday night and singing Serbian patriotic songs at the bar does not make you a good Serbian Orthodox Christian, quit the opposite I think. (I know because I was one of these fools previously )So when you ask the leaders in our Church community what have you done for the "Church" their answer will be...(if not the same but similar) we put a new roof on the hall, we bought a picnic ground (which is used once a year), we have a new LCD and Plasmas, cable, Fox etc.... new pool tables. NOT ONE OF THEM WILL GIVE YOU THE CORRECT ANSWER... AND THE ONLY CORRECT ANSWER IS AN INVESTMENT IN OUR CHILDRENS FAITH. OUR CHILDRENS FUTURE DOES NOT LIE IN THE FOUR WALLS THAT WE BUILT BUT IN THEIR SOUL, IN THEIR FAITH, THEIR HERITAGE - TRUE ORTHODOX CHRISTIANITY.Because if our children loose their faith and the true values of the Holy Orthodox Church and accept the western worlds values regarding materialism/capitalism/liberalism and all the other "isms" that are satans view of the world as many of us have unknowingly, then our community is not going to exist in 50-100 years time.All the Serbian (and Russian, Ukranian, Greek etc...) Orthodox Churches and the Church Halls will be empty because we will have lost them to the "West". FORGIVE ME IF I AM COMING ACROSS AS PERHAPS NEGATIVE, I ASSURE YOU I AM NOT. WE HAVE TO ACT ON THIS, AS THIS IS THE PATH THAT WE ARE HEADING AT THE MOMENT.We need ORTHODOX UNITY FIRSTLY and our Patriarchs must act on this as we are scattered around the world and heading in all different directions. Don't you agree ?Enter by the narrow gate as the wide gate and path that everyone follows will lead to destruction. GOD BLESS YOU ALL. PRAISE JESUS
A jolly good question. Doesn't our hierarchy realise how isolating that is? It seems more importance is placed on a "dead" language than the salvation of those we need to reach out to. Off-topic, I know... sorry.
When folks look around and notice that the average age of their parishes is approaching middle age...that'll change. I've heard tell of parishes that have turned it around through changing to the vernacular.
umm.... In Melbourne Greek Orthodox churches try the average age to be something closer to 70 years old (and no this is not an exaggeration). I went to a freinds Coptic church and was dumb founded, they always have a weekly English service, English/Arabic service and Coptic service (given they do have 3 priests). They have a fully functional and successful youth meeting weekly (with actual youth 16-23 year olds). Where as the Greeks have some churches literally 800 meters away that both are unable to fill with more than 20 people weekly (95% over 75 years old). I don't have a clue why my Patriarch does what he does and hopefully soon I am able to humbly come and have a conversation with him and ask him what should be done.
When folks look around and notice that the average age of their parishes is approaching middle age...that'll change. I've heard tell of parishes that have turned it around through changing to the vernacular.
I agree with prodromas; just the opposite seems to be happening. People stand about stratching their heads that their children and grandchildren aren't interested in the Faith and yet the answer is staring them in the face. At one lunch for the visiting Archbishop, the matter of language was brought up by a Greek lady who could see that the Church is losing her young. The assistant to the Archbishop missed the point completely and made a patriotic speech about how we were all Greek and should be proud of it! He was, of course, completely unaware that most of the people who were present didn't attend regularly Liturgy, and that most of those who do are not Greek at all. He was speaking to the cultural club not regular Church attending members. So out of touch was he that he was completely unaware that the young the Greek lady was talking about wouldn't have responded to his rousing speech. They don't speak Greek, don't see themselves as Greek and aren't interested in a Church that didn't seem to care about their needs.
Personally I would love to know Koine Greek and Modern Greek more fluently but I never had the resources and now not really the time to. I love my background and culture and will never forsake it but the church is not meant to be for the "fluent Greek speaking" but rather in my situation meant to respond and help the salvation of people in Australia.
There is a monthly English service held in the middle of the week and once there were to elderly greek ladies who at the end of the service were questioning each other "Was that in English?" not realising due to the fact that they themselves do not even understand the services. I understand the Koine Greek is very important in a historical/biblical sense but every time I look at history it proves my point. The Latin used by Saint Jerome to translate the bible was none other than the commoners language and not the lavish Latin used by the royalty and aristocrats, Cyril and Methodios created a written language for the Slavs so they were able to have the services in there own language, Saint Innocent of Alaska translated parts of the bible and the services for the Aleutians.
::WILD APPLAUSE::I nominate the above for post of the month for August.Man, you got it. Especially this: "THE ONLY CORRECT ANSWER IS AN INVESTMENT IN OUR CHILDRENS FAITH." I think, if the Serbian churches aren't being as proactive as you'd like, try to pair up with another Orthodox parish that seems to have a good children's ed/youth program going. You can always go to the Serbian church for services otherwise -- I think it's great that you want to practice Orthodoxy within your own, native heritage, btw -- but you could also find out when other parishes' youth or kids meet and take your kids over there so that they could spend some time in an Orthodox setting with other kids their age.Just a thought.When folks look around and notice that the average age of their parishes is approaching middle age...that'll change. I've heard tell of parishes that have turned it around through changing to the vernacular.
... his son has just been ordained a deacon so perhaps this is a solution to a problem that could initiate some positive reactions around the Churches youth.
A deacon? Is that you in the photo? Are you sure you just don't mean an altar server/acolyte? Deacons have to be adults....usually being at least 30, although there are cases of deacons being in their 20s.
Obviously the poster is not talking about himself.
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Artist's description:
Collection about Vision and Success.
In every step ahead, there is an opportunity.
We decide how to deal with each obstacle.
The painting continues around the edge
which means it can be hung unframed.
Materials used:
combined technique acrylic/swarovski crystals
Scar or Trace ST21 (2016)
Acrylic painting by Milena ZeVu
- Acrylic painting on Canvas
- One of a kind artwork
- Size: 39.37 x 39.37 x 0.79 in (unframed) / 39.37 x 39.37 in (actual image size)
- Signed on the back
- Style: Expressive and gestural
- Subject: Abstract and non-figurative
This artwork is sold by Milena ZeVu from Serbia

subset: commoncrawl


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The live webinar presentations will run 7 – 8 p.m. EST each Monday evening. One MDARD Pesticide Recertification Credit will be available through each webinar for application to one of the following categories: Private Core, Commercial Core or Field Crops. Participants can view the programs independently online.
Registration is $20.00 for the full series of six webinars or $5.00 per individual webinar session.
- February 19, 2018 7-8 p.m.
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In This Edition
Literature At A Glance
A guide to this month's studies
- Nearly all CDIs Related to Exposure in Healthcare Setting
- In Suspected Acute Coronary Syndrome, CT Angiography Identifies Patients Safe for Discharge
- Impending Physiological Deterioration Can Be Predicted Using Data from a Comprehensive EHR
- Rapid Influenza Diagnostic Tests Have Low Sensitivity and High Specificity
- Multifaceted QI Intervention Increases Adherence to Evidence-Based Therapy in Acute Coronary Syndrome
- Rivaroxaban for the Treatment of Acute Pulmonary Embolism
- Coronary Stent Implantation Provides No Additional Benefit when Compared with Medical Therapy Alone in Patients with Stable Coronary Artery Disease
- Prolonged Versus Standard Duration Venous Thromboprophylaxis after Major Orthopedic Surgery
Nearly all CDIs Related to Exposure in Healthcare Setting
Clinical question: What is the contribution of non-hospital healthcare exposures to the burden of Clostridium difficile infection (CDI)?
Background: CDI is common among hospitalized patients and is associated with high rates of morbidity. Most CDI prevention programs are aimed at hospital-based risk factors. However, non-hospital healthcare exposures might contribute significantly to the burden of CDI, and hospital-based prevention programs might not address these risks.
Study design: Retrospective analysis of three population-based data sets.
Setting: Three population data sets tracking infections on a national and state level in the U.S.
Synopsis: This study analyzed two data sets to determine the contribution of non-hospital healthcare exposure to CDIs, and examined a third to determine whether a program addressing hospital-based exposures reduced the rate of CDI.Using data from the CDC's Emerging Infections Program, 10,342 CDI cases from 111 hospitals were examined. Each case was classified as hospital onset (i.e. occurring three days after admission), nursing home onset, or community onset. A total of 94% of cases were associated with recent exposure to healthcare, 75% were classified as non-hospital onset, and 20% of hospital-onset cases were in patients who had recently been in a nursing home, suggesting that non-hospital-based healthcare exposures play a significant role. The second analysis used data from the National Healthcare Safety Network to examine 42,157 CDIs in 711 hospitals.
The authors found that 52% of CDIs were present on admission. The pooled rate of hospital-onset CDI was low (7.4 per 10,000 patient-days). The final analysis examined hospital-onset CDI rates across three hospital-based prevention programs over a period of nearly two years. The interventions were associated with a 20% decrease in CDI rates (to 7.5 from 9.3 per 10,000 patient days).
Bottom line: Nearly all CDIs are related to exposure in healthcare settings. Exposure to nursing home and ambulatory care seem to play a major role, and infection-control measures in addition to hospital-based strategies need to target these areas. Hospital-based interventions moderately decreased overall rates of CDI.
Citation: Centers for Disease Control and Prevention. Vital signs: preventing Clostridium difficile infections. MMWR Morb Mortal Wkly Rep. 2012;61:157-162.
In Suspected Acute Coronary Syndrome, CT Angiography Identifies Patients Safe for Discharge
Clinical question: Is a strategy utilizing CT angiography safe to allow discharge from the emergency department low- to intermediate-risk patients with possible acute coronary syndrome (ACS)?
Background: Admission rates for patients with possible acute coronary syndrome are high, but the majority of patients will not have cardiac causes of the symptoms. Coronary computed tomographic angiography (CCTA) has a high negative predictive value for the detection of coronary artery disease, but its utility in determining if a patient can be safely discharged from the emergency department has not been established.
Study design: Prospective, randomized, controlled, multicenter trial.
Setting: Five EDs in the U.S.; three included observation units.
Synopsis: The study enrolled 1,392 patients in a 2:1 ratio, with two-thirds undergoing CCTA and the other third treated with usual care (those admitted for possible ACS with a TIMI score of 0 to 2). Of 908 patients assigned to CCTA, 640 had a negative test, and none of them died or had a myocardial infarction within 30 days. Patients in the CCTA group were more likely than the group undergoing usual care to be discharged from the ED (49.6% vs. 22.7%), have a shorter length of stay (18 hours vs. 24.8 hours, P<.0001), and receive a coronary disease diagnosis.
Bottom line: In a randomized controlled trial, the use of CCTA to evaluate low- to intermediate-risk emergency department patients with possible ACS appears to be safe and effective, and leads to more discharges from the ED.
Citation: Litt HI, Gatsonis C, Snyder B, et al. CT angiography for safe discharge of patients with possible acute coronary syndromes. N Engl J Med. 2012;366:1393-1403.
Impending Physiological Deterioration Can Be Predicted Using Data from a Comprehensive EHR
Clinical question: Can impending physiological deterioration be predicted in medical-surgical ward patients using data from a comprehensive electronic health record (EHR)?
Background: Unplanned ICU transfer is associated with increased mortality and morbidity. Previous studies have examined physiological variables and track-and-trigger systems that might help in the identification of ward patients who are at risk for deterioration and transfer to a higher level of care. More hospitals across the U.S. are using EHRs, and eventually all hospitals are expected to be using one. However, it is unclear if an EHR-based model can accurately predict patients' clinical deterioration.
Study design: Retrospective case-control study; the unit of analysis was the "patient shift," each defined by a particular 12-hour period and patient. A complex model to predict patient deterioration and transfer to the ICU was developed and validated using EHR data that was available prior to the deterioration shift.
Setting: Fourteen hospitals of the Northern California Kaiser Permanente Medical Care Program (an integrated healthcare delivery system) that have used an operational EHR for at least three months.
Synopsis: The study identified 4,036 patient-shifts during which a transfer to the ICU occurred, and compared these with 39,782 patient-shifts during which no transfer occurred. Variables in the model included patient demographic data, diagnoses, comorbidities, lab results, and vital signs. The EHR-based predictive model performed well at predicting clinical deterioration and transfer to the ICU (derivation c-statistic 0.84, validation c-statistic 0.77). The model performed best among patients with gastrointestinal diseases (c-statistic 0.84) and worst in patients with acute myocardial infarction (c-statistic 0.57).
Bottom line: Impending physiologic deterioration can be predicted using EHR-based models.
Citation: Escobar GJ, Laguardia JC, Turk BJ, et al. Early detection of impending physiologic deterioration among patients who are not in intensive care: Development of predictive models using data from an automated electronic medical record. J Hosp Med. 2012:doi:10.1002/jhm.1929 [Epub ahead of print].
Rapid Influenza Diagnostic Tests Have Low Sensitivity and High Specificity
Clinical question: How accurate are rapid influenza diagnostic tests, and can they be used to guide further management?
Background: Three million to 5 million people a year develop influenza, which has a high mortality rate and potential global implications. The gold-standard diagnostic tests, PCR and viral culture, have a long turnaround time and are expensive. There have been limited systematic reviews addressing the accuracy of various rapid influenza diagnostic tests (RIDTs), especially in adults.
Study design: Systematic review and meta-analysis.
Setting: Varied.
Synopsis: Studies that compared commercial rapid influenza tests versus reference standards of PCR or viral culture were included. The 159 rapid tests were evaluated in 119 studies representing 26 different brands of commercial tests. Sixty-two of 119 studies included both adults and children, and 41 studies included children only. Overall, rapid influenza tests had a sensitivity of 62.3% and a specificity of 98.2%. There was a higher sensitivity for children than adults (67% vs. 54%) and a higher sensitivity for influenza A than influenza B (65% vs. 52%). The brand of rapid test made little difference. Most articles reviewed did not include a direct comparison between individual brands of RIDTs.
Bottom line: Rapid influenza diagnostic tests have low sensitivity and high specificity. A positive rapid test indicates likely influenza, but a negative test does not rule it out.
Citation: Chartrand C, Leeflang MM, Minion J, Brewer T, Pai M. Accuracy of rapid influenza diagnostic tests: a meta-analysis. Ann Intern Med. 2012;156:500-511.
Multifaceted QI Intervention Increases Adherence to Evidence-Based Therapy in Acute Coronary Syndrome
Clinical question: Does a multipronged approach to QI interventions improve the adherence to evidence-based therapies in acute coronary syndromes?
Background: Despite evidence-based recommendations for the use of antiplatelet medication, anticoagulants, beta-blockers, and statins in the setting of an acute coronary syndrome, adherence to these recommendations is poor, especially in low- to middle-income patients.
Study design: Cluster-randomized, prospective, blinded trial.
Setting: Thirty-six urban, public hospitals in Brazil.
Synopsis: Hospitals were randomly allocated to a multifaceted QI strategy versus routine practice. At each hospital, patients were enrolled in a consecutive manner when they presented to the emergency department with an acute coronary syndrome. The QI intervention included multiple modalities, including checklists in the ED, reminders, case management (by a trained RN) to ensure compliance, and educational materials to the staff (pocket algorithms and interactive web programs).
The primary endpoint was adherence to all available evidence-based therapies in the first 24 hours of management. Patients were more likely to receive all evidence-based therapies in hospitals that received the intervention (67.9% vs. 49.5%, P=0.01). The secondary endpoint (adherence at 24 hours and at discharge) was also significantly in favor of the intervention group (50.9% vs. 31.9%, P=0.03).
The findings might not be applicable to institutions with high adherence rates to evidence-based therapy.
Bottom line: A multifaceted QI intervention improves adherence to evidence-based therapies in urban hospitals in medium-income countries.
Citation: Berwanger O, Guimaraes HP, Lanranjeira LN, et al. Effect of a multifaceted intervention on use of evidence-based therapies in patients with acute coronary syndromes in Brazil: the BRIDGE-ACS randomized trial. JAMA. 2012 [Epub ahead of print].
Rivaroxaban for the Treatment of Acute Pulmonary Embolism
Clinical question: How does the efficacy and safety of rivaroxaban compare with low-molecular-weight heparin (LMWH) plus vitamin K antagonist (VKA) for treatment of acute pulmonary embolism (PE)?
Background: Data support the use of rivaroxaban for stroke prevention in atrial fibrillation, for VTE prophylaxis after orthopedic surgery, and for the treatment of acute coronary syndromes and acute deep vein thromboses. The EINSTEIN-PE investigators now study rivaroxaban for the treatment of acute symptomatic PE.
Study design: Randomized, open-label, noninferiority trial.
Setting: Two hundred sixty-three sites in 38 countries.
Synopsis: The investigators enrolled 4,832 patients with acute symptomatic PE (with or without DVT). Rivaroxaban alone was compared with standard therapy (enoxaparin followed by VKA to an international normalized ratio [INR] of 2 to 3) for three, six, or 12 months. The mean study duration was nine months. INR was in the therapeutic range 62.7% of the time.
The combined primary endpoint of fatal or nonfatal PE, or DVT, occurred in 2.1% in the rivaroxaban group and 1.8% in the standard-therapy group, meeting the pre-specified criteria for non-inferiority (HR 1.12; 95% CI: 0.75-1.68). There were no significant differences in the primary safety outcome of bleeding (HR, 0.90; 95% CI: 0.76-1.07). However, major bleeding events favored rivaroxaban, with events in 1.1% vs. 2.2% of those on VKA (HR 0.49, CI 0.31-0.79, P=0.003). Efficacy and safety of fixed-dose rivaroxaban did not vary by age, sex, weight, glomerular filtration rate, or extent of initial PE.
Bottom line: In patients with symptomatic acute PE, rivaroxaban is noninferior to standard treatment with LMWH plus VKA and might have a safety benefit of less major bleeding. Rivaroxaban and other new oral anticoagulants are likely to be used more frequently as more data is accumulated, but at this time, the guidelines continue to recommend VKA and LMWH as first-line agents.
Citation: The EINSTEIN-PE Investigators, Büller HR, Prins MH, et al. Oral rivaroxaban for the treatment of symptomatic pulmonary embolism. N Engl J Med. 2012;366:1287-1297.
Coronary Stent Implantation Provides No Additional Benefit when Compared with Medical Therapy Alone in Patients with Stable Coronary Artery Disease
Clinical question: Does stent implantation lead to better outcomes when compared to medical therapy in patients with stable coronary artery disease (CAD)?
Background: It is unclear whether stent implantation improves outcomes any more than medical therapy in patients with stable CAD. This is a meta-analysis of trials comparing outcomes of coronary stent implantation with optimal medical therapy.
Study design: Meta-analysis of eight prospective randomized nonblinded trials comparing stent implantation plus medical therapy to medical therapy alone in patients with stable CAD. Outcomes of death, nonfatal myocardial infarction, unplanned revascularization, and persistent angina were compared between the two groups.
Setting: Varied.
Synopsis: Eight trials with 7,229 patients were included with an average follow-up of 4.3 years. In a pooled analysis, coronary stenting versus medical therapy was associated with similar risk of death (8.9% vs. 9.1% P=0.83); nonfatal myocardial infarction (8.9% vs. 8.1%, P=0.22); and persistent angina (29% vs. 33%, P=0.10). Coronary stenting was associated with decreased risk of unplanned revascularization, but the difference was not significant (21.4% vs. 30.7%, P=0.11).
Bottom line: In stable CAD, coronary stent implantation provides no additional benefit when compared to medical therapy.
Citation: Stergiopoulos K, Brown DL. Initial coronary stent implantation with medical therapy vs. medical therapy alone for stable coronary artery disease: meta-analysis of randomized controlled trials. Arch Intern Med. 2012;172:312-319.
Prolonged Versus Standard Duration Venous Thromboprophylaxis after Major Orthopedic Surgery
Clinical question: Should patients with hip or knee surgery receive venous thromboprophylaxis (VTE) prophylaxis for seven to 10 days post-operatively or for 21 days or more?
Background: Venous thromboembolism is the most frequent medical complication of knee and hip surgeries. Routine prophylaxis is recommended for minimum of seven to 10 days, but a longer duration might be more beneficial.
Study design: Systemic review and meta-analysis of eight randomized, controlled trials comparing different duration of VTE prophylaxis after hip fracture surgery and total hip or knee replacement.
Setting: Varied.
Synopsis: Eight trials with 2,917 patients met inclusion criteria. Pharmacological agents used for VTE prophylaxis in these trials were coumadin, enoxaparin, dalteparin, and fondaparinux. In patients with hip replacement, undergoing VTE prophylaxis for ≥21 days (compared with seven to 10 days) was associated with a decreased risk of pulmonary embolism (odds ratio [OR] 0.14, 95% CI 0.04-0.47), symptomatic DVTs (OR 0.36, 95% CI 0.16-0.81), asymptomatic DVTs (OR 0.48, 95% CI 0.31-0.75), and proximal DVTs (RR 0.29, CI 0.16-0.52). Prophylaxis for ≥21 days was also associated with an increased risk of minor bleeding (OR 7.55, 95% CI 1.51-37.64).
Data were not sufficient for evaluation of prolonged prophylaxis for total knee replacement and hip fracture surgery.
Bottom line: Prolonged prophylaxis is associated with fewer VTE events in patients with hip replacement but also carries increased risk of minor bleeding.
Citation: Sobieraj DM, Lee S, Coleman CI, et al. Prolonged versus standard-duration venous thromboprophylaxis in major orthopedic surgery: a systematic review. Ann Intern Med. 2012 May 15 [Epub ahead of print].


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I hope you all had a wonderful February! I know I've been quite on the blog...however, that doesn't mean I've not been sewing, LOL!! Actually, if you had a chance to read my previous post, you already know I've was working on a Workout Gear Challenge for the month of February. It was so much fun! I've never made workout clothing for myself and learned so much while researching for the challenge. I only made one outfit for the challenge because I was working on other things too...but it's defnitely not going to be my last! As a matter of fact, I will be making my own workout gear from this day forward, I love it so much! Being able to choose my own style, fabrics and get a great fit...sound pretty good to me! I selected these two patterns...Butterick 6295 for the pants (love the side pockets!);
...and for the top, I selected the Papercut Neuma Tank (love the styling of this pattern)
Both were very easy to put together. However, I needed to be a little creative with the straps in coming up with an alternative way to attach them, solely for my preference. Here are some snapshots of the workout gear I completed during the challenge...
This was truly a fun project and I can't wait to create another! I'll share it with you all when I do!
*Update*: I had enough fabric left over(scrap) from my workout top to create this lovely "Style Arc Cold Shoulder" top. It's the second time I've used this pattern...the other can be seen here. Just finished in time for the "Scrapit" challenge deadline!
On another note, I love to travel and there's places I would love to go but not sure if I'll ever make it! Who knows?!! What I do have, is a friend who's a lovely artist. She teaches classes in art; sketching, watercoloring, etc and has great content on her blog, "Painted Thoughts Blog". She's working with "Blue Walk Tours" on a trip to England for a creative vacation! If you're an artist, what a great way to find inspiration!! Heck, even I could find sewing inspiration there too, who wouldn't! LOL!!
So if you're an artist or know of an artist who may be intrested, select the "Blue Walk Tours" link above for more information on the trip! Sounds like it's going to be a blast and wish I could go! (Timing for me...I'll be on my way to Alaska!)
Happy Sewing!


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Enquire Contact form
- Description
DetailsThanks to Yamaha's AirWired technology, an iPod may be used with the YSP-5100 / 4100 without the need for cables. The AirWired link transmits uncompressed data thus ensuring maximum sound quality. The ipod dock allows wireless connection capability to an iPod. The iPod may be used as a remote control whilst listening to music, and provides synchronized power on/off. In addition, it also charges the ipod.
- Specification
Functions:Outputs audio to Yamaha YSP Digital Sound Projector, from connected iPod.
Charges iPod when iPod and transmitter are docked in the cradle.
Connections: Wireless connection to Digital Sound Projector, mains connection to cradle
Compatibility: Compatible with the following iPods:
iPod: 5th generation (video).
iPod Nano: 1st generation, 2nd generation (aluminium), 3rd generation (video), 4th generation (video), 5th generation (camera).
iPod Classic: 80/20/160GB.
iPod Touch: 1st & 2nd generation.
Yamaha YSP4100 & YSP5100 Digital Sound Projectors
W x H x D (mm):Transmitter for iPod: 45.4 x 21.6 x 81
Charging cradle: 56 x 20.5 x 74
Weight (kg): Transmitter for iPod: 29
Charging cradle: 29.5
Supplied accessories:Charging cradle
- Reviews
- Delivery
Providing your item is in stock, the order is usually dispatched within 24 hours. Please remember that postage and packing is completely free for orders over £50*. Out of stock items will be dispatched as soon as they become available, out of stock items can take between 4 to 21 days for dispatch.
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Once your product has been dispatched, you will be notified via email and sent a unique consignment number, you can use this number at http://www.interlinkexpress.com to check the status of your delivery. If you have provided a mobile telephone number, Interlink's Predict service will notify you by text (and email) of a one-hour delivery window. If the window they suggest is inconvenient, you can change the date of delivery to a later one via text or email.
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Shipping Costs Mainland UK (Next-Day) Offshore/Out-of-reach (2-day)Northern Ireland, Channel Islands, Isle of Man, Scottish Islands, Scilly Islands Republic of Ireland (2-day) Under £50 Orders £7.50 £12.50 £15.00 Over £50 Orders FREE £19.99 £29.99 Surcharge Orders £50.00 £69.99 £79.99 Saturday Delivery £12.99 N/A N/A Sunday Delivery £12.99 N/A N/A
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- Press & Awards


text:
The Hoboken PATH station — which was completely flooded during super storm Sandy — will reopen tomorrow at 5 am, officials said today.
Trains running to Hoboken-33rd Street in Manhattan will operate from 5 am to 10 pm.
It was the last of the PATH's 13 stations closed due to the storm.
The system is still not running during the overnight and parts are still shuttered on the weekend.
Resumption of direct service between the World Trade Center and Hoboken stops is still several weeks away, officials said.


text:
Let the Batanga Network Connect Your Brand to the Online U.S. Hispanic Market. The Batanga Network delivers over 15 million online U.S. Hispanics on .
optiFUZE distributes premium content and revenue generating content-based ads in a native format that shuns the look and feel of traditional advertising while delivering strong direct response actions and increased revenue for advertisers a...
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Batanga Network is leading in most countries, including Spain, Mexico, Argentina, United States and 75 other countries.
OptiFuze hasn't got a lead over Batanga Network in any country.


text:
Sir Kenelm Digby
© National Portrait Gallery, London
Sir Kenelm Digby
by Sir Anthony van Dyck
oil on canvas, circa 1640
46 1/8 in. x 36 1/8 in. (1172 mm x 917 mm)
Purchased, 1877
Primary Collection
On display in Room 5 at the National Portrait Gallery
Sitterback to top
- Sir Kenelm Digby (1603-1665), Naval commander, diplomat and scientist. Sitter in 24 portraits.
Artistback to top
- Sir Anthony van Dyck (1599-1641), Painter. Artist associated with 1024 portraits, Sitter associated with 30 portraits.
This portraitback to top
A naval commander, diplomat and scientist, Digby was considered to be 'the most accomplished cavalier of his time', and was sent by Charles I to ask for the Pope's help in the Civil War. An early member of the Royal Society, he was renowned for his tall stories and for his 'sympathetic powder' which was said to cure wounds when applied to the weapon which had inflicted them. A friend of the French philosopher Descartes, his prolific writings include an attack on Sir Thomas Browne's Religio Medici. He is shown in this portrait wearing armour and holding the baton of military command.
Linked publicationsback to top
- Smartify image discovery app
- Cooper, John, Oliver the First: Contemporary Images of Oliver Cromwell, 1999, p. 28
- Piper, David, Catalogue of Seventeenth Century Portraits in the National Portrait Gallery, 1625-1714, 1963, p. 97,107
- Saywell, David; Simon, Jacob, Complete Illustrated Catalogue, 2004, p. 179
- Schama, Simon, The Face of Britain: The Nation Through its Portraits, 2015-09-15, p. 145
Subjects & Themesback to top
Events of 1640back to top
Current affairsSecond Bishops' War. James Graham, Marquess of Montrose, leading the Scottish armies, occupies northeast of England. Defeat at the Battle of Newburn forces impoverished Charles to sign Treaty of Ripon.
Long Parliament. Habeas Corpus Act is passed, abolishing the Star Chamber. Impeachment of Royalists, Earl of Strafford and Archbishop Laud.
Art and scienceAuthor, James Howell, writes Dodona's Grove, a historical allegory of events since 1603. A renowned royalist, Howell's anti-parliamentary remarks in the book would later attract accusations from parliamentarians.
The last Caroline masque before the outbreak of civil war, Salmacida Spolia by Sir William Davenant, is performed at Whitehall Palace.
InternationalFrederick William becomes Elector of Brandenburg and Duke of Prussia. The Elector's policy of religious tolerance benefited his state during the religious struggles dominating the Thirty Years' War.
The Bay Psalm Book is published, the first book to be printed in British North America.
Tell us more back to top
Can you tell us more about this portrait? Spotted an error, information that is missing (a sitter's life dates, occupation or family relationships, or a date of portrait for example) or do you know anything that we don't know? If you have information to share please complete the form below.
If you require information from us, please use our Archive enquiry service. If you wish to license this image, please use our Rights and Images service.
Please note that we cannot provide valuations.
We digitise over 8,000 portraits a year and we cannot guarantee being able to digitise images that are not already scheduled.
Laurie Pettitt
28 February 2017, 20:21
Sounds like sacrilege, but it seems to me is that the Artist sets the scenery and the armour and just adds hands and head.
See this portrait
On display in Room 5 at the National Portrait Gallery


text:
Have you ever tried beating a dead horse?
Not a real dead horse. I HOPE not a real dead horse!
But I mean, just a situation where you butt up against a dead end... the proverbial dead horse... and you just keep ramming into it, hoping that if you ram enough times, then the dead end will change. The horse will get up and be undead.
But the thing about dead ends and horses is that... beating on them doesn't change anything. It just wears us out and makes us look a little crazy.
Sometimes you have to accept that your horse is gone and your road is ended. You have to accept that someone is like they are and you can't change them, or that the situation is unfixable. Accepting those things doesn't mean that you've lost. It means that you're finally being honest.
And when you accept that there are things you can't change, you have a couple of choices. You can accept that it is so, and you can decide that it doesn't have to affect who you are, and you can move on along the same path. Or you can also decide that what can't be changed isn't worthy of you, and that you need to find a whole different road to walk down.. and you move on.
But both ways? They both begin with you having the courage to accept that there are things that you can't change... and they end with you moving on.
The horse has been beaten enough.


text:
EMP Levo GmbH
Pharmaceutical and veterinary preparations, namely, preparations for treatment of an underactive thyroid
Perfect for these industries
Words that describe this mark
This is a brand page for the LEVOSOL trademark by EMP Levo GmbH
in Zurich, , CH-8002.
Write a review about a product or service associated with this LEVOSOL trademark.
Or, contact the owner EMP Levo GmbH of the LEVOSOL trademark by filing a request to communicate with
the Legal Correspondent for licensing, use, and/or questions related to the LEVOSOL trademark.
On Tuesday, August 2, 2016,
a U.S. federal trademark registration was filed for
The USPTO has given the LEVOSOL
trademark serial number of 87124721.
The current federal status of this trademark filing is REGISTERED.
The correspondent listed for LEVOSOL is
ANGELO NOTARO of
The LEVOSOL trademark is filed in the category of
Pharmaceutical Products
The description provided to the USPTO for LEVOSOL
is Pharmaceutical and veterinary preparations, namely, preparations for treatment of an underactive thyroid.
The USPTO makes this data available for search by the public so that individuals can locate ownership information for intellectual property, much the same way a county might make real estate property ownership information available.
Since our website is synchronized with the USPTO data, we recommend making any data changes with the USPTO directly. Our website will auto-update when the USPTO data is updated.
You may also contact Trademarkia to make a request for the removal of your personally identifiable information or trademark data. Such requests must be made in writing and will be subject to verification of ownership. This policy allows verified trademark owners to specify: (A) that their identifiable information be masked, or (B) that their trademark pages permanently deleted from Trademarkia.com.
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Use in Commerce Trademark - Applicant has provided proof of use of this mark in commerce to USPTO.
Trademarkia is the largest search engine for U.S. trademarks. Each month hundreds of trademarks around the world are filed by licensed attorneys in the LegalForce/Trademarkia network! You can register your trademark in 170+ countries in the world through LegalForce Network.
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text:
After I returned Octavia's return I noticed that the pm sent is broken. It'll say:
Hello, I've just sent you a donation of 30<img src="https://i.imgur.com/ggvnE7S.png">. Reason:
Also, I think it'd be great if the Alerts went away after I viewed it rather than sticking around until I clicked on it:


text:
general info
> wholesale and press inquiries
Wholesale Inquiries for TAIWAN
William Liu
Unit 14, 11F, No. 6, Sec. 4, Xinyi Road, Daan District
[email protected]
Wholesale Inquiries for NORWAY, FINLAND, SWEDEN, Contact:
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+47 92295320
Wholesale Inquiries for ALL OTHER LOCATIONS, Contact:
Wobabybasics Shanghai Office
135 Guangyuan Road, 2F, Shanghai, China 200030
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+86 21 5212 3163


text:
Rosanna sent this letter about Play's reunion and her decision to go solo:
Hello All You Wonderful PlayMania Readers!
I've understood theres been quite a lot of confusion out here these last couple of days.
I feel like I want to say a few words and try to clear things up regarding the reason why I choose not to continue working with the group this year. Play was an amazing journey and I have the best memories from our Play times.
I've been through so much with these girls right by my side and they will always mean alot to me.
These last couple of years I've written a lot of songs on my own.
These songs are telling the stories about all that has been and about my hopes and my dreams for the future.
My main aim and dream today is to let these songs see the light of day and get them released and with a little luck they soon will.
I don't wanna be a modest person so this is what I need to do.
I need to at least try to walk that line and this is what I would have told you to do, if you would have asked me.
I'm so proud of the fact that I've been a part of Play and I'm proud of having people like you supporting us.
Let's all continue to support Fanny, Janet, Anna, Sanne and Anais in their future projects and wish them the very best of luck.
Cause I know that I will!
News, questions, comments? Email me - email@example.com


text:
Ruskin Historic Locations
The following historic locations are located in Ruskin, Florida. Please select a historic place in Ruskin to view detailed information including address information, historical signifiance, and much more.
Florida Historic Places
|Cockroach Key
Address Restricted
Ruskin, FL
|Dickman, A.P., House
120 Dickman Dr., SE
Ruskin, FL
Single Dwelling
|Miller, George McA., House
508 Tamiami Trail
Ruskin, FL
Single Dwelling
Florida Historic Places


text:
Since time began, man has sought various means of making their dreams come true. This has led to the development of different techniques that supposedly aid in getting the fondest of desires to turn into actual reality. Manifesting is one of the more popular of these techniques.
The problem, however, with the manifest concept and many other similar techniques is that this has made people believe that there is a quick and easy way to succeed in life without doing anything. This is the basic error in such techniques. Nevertheless, to the credit of those who espouse the manifestation process, they have never said that this will bring in prosperity in minutes.
Clearly, some form of work will still need to be performed. In this case, the obvious need is to continuously work on getting the mind to focus on whatever it is that a person wants to become a tangible reality.
Naturally, this is not something that each and every individual can do with ease. For starters, this requires concentration, and given the many problems that life brings on a daily basis, the process of concentration can be a bit difficult to complete.
For this reason, it is not uncommon to find various seminars being held that seek to help people gain better concentration skills. Some of these will likely be highly recommended by people you know, especially for those who are serious about utilizing positivity techniques in order to help improve their lives.
For those who can't make it out to seminars as often as they make like to there are also home study training programs like Manifestation Miracle which uses a technique called destiny tuning. Programs like these allow you to learn about manifesting at your own pace and typically provide video and/or audio training modules that walk you through the systems. (You can read a review on Honesty First Reviews.)