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Strengthening your core is the central philosophy of pilates, which this video tutorial is inspired by. Watch and follow exercise guru Sarah to learn how to do a challenging ab routine Cheap Jerseys that guarantee those bikini ready abs last all year long.

like it a fucking

You arguing this like it an article of faith with you, something so deeply ingrained into your personality that I can only imagine that in your, specific, case it a lifestyle you use to compensate for some serious issues.I didn make that judgment until you posted this, and it not based on your relationship being poly, just how much you freaking out about a valid criticism of the lifestyle in general.If you a poly person who HAS made it work for a long period of time, then congratulations or what the fuck ever you feel you need to validate yourself. Still doesn change the fact that most people aren able to handle it.FFS, realize that this is coming from someone who has HAD poly relationships that didn work out for reasons unrelated to the sexual sides of it/jealousy, and STFU. I didn come at you saying poly was a disorder, or wrong, just unlikely to work, because I seen it fail so many, many times because of the sex, because of jealousy. I seen people use it over Cheap Ray Ban Sunglasses and over again to http://www.cheapsunglassesstore.co.uk/ray-ban-sunglasses35/ray-ban-13638 cheat on or just not give a shit about their partner "Oh, I poly so I can help but fuck these guys/girls" like it a fucking condition instead of a lifestyle to discuss with your partner.However, now it right in your face. People choose monogamy (in part) to avoid having to face just how tenuous relationship connections can be,However, now it not in your face and it really, really isn for most people. I sure you deal with it all the time in your social http://www.cheapsunglassesstore.co.uk/ray-ban-sunglasses35/ray-ban-3137 group, but please realize it a small, tiny percentage of the kink scene that into it. Swingers and such tend to form tight knit social circles that normalize it an make it seem like everyone is doing it because you see it more often.Secondly, know how i know i been bestof I not even subscrbed. It easy i just wait for the xbox live esque comments, the homophobic comments, the holier than thou comments www.cheapsunglassesstore.co.uk/ray-ban-sunglasses35/ray-ban-106539 start showing up under my posts days and sometimes weeks and months after i made the post. They never anyone genuinely concerned about discussing the subject matter, just trolling, laying down judgement, or speaking about which they know nothing about because what i said offended their precious sensibilities and fragile worldview or other preconcienved notions, stereotypes. I really wish this sub would burn.Yeah, I really don give a shit about you personally to go to any of these lengths, but instead you decided to come here and call ME out.

eparin was given for three to

Anticoagulation http://www.cheapjordans.us/air-jordan-retro-1101/air-jordan-retro-23 for three versus six months in patients with deep vein thrombosis or pulmonary embolism cheap jordans retro 3

AbstractObjective To determine the optimum duration of oral anticoagulant therapy after an episode of deep vein thrombosis or pulmonary embolism, or both.Interventions Three (n=369) or six months (n=380) of anticoagulation with heparin for five days accompanied and followed by warfarin, with a target international normalised ratio of 2.0 3.5.Main outcome measures Death from deep vein thrombosis or pulmonary embolism; failure to resolve, extension, recurrence of during treatment; recurrence after treatment; and major haemorrhage during treatment.Results In the patients allocated to three months' treatment two died from deep vein thrombosis or pulmonary embolism during or after treatment, compared with three in the six month group. During treatment deep vein thrombosis or pulmonary embolism failed to resolve, extended, or recurred in six patients in the three month group without fatal consequences, compared with 10 in the six month group. After treatment there were 23 non fatal recurrences in the three month group and 16 in the six month group. Fatal and non fatal deep vein thrombosis or pulmonary embolism during treatment, and after treatment thus occurred in 31(8%) of those who had received three months' anticoagulation compared with 29 (8%) of those who had received six months' (P=0.80, 95% confidence interval for difference 3.1% to 4.7%). There were no fatal haemorrhages during treatment but there were eight major haemorrhages in those treated for http://www.cheapjordans.us/air-jordan-retro-1101/air-jordan-retro-34 six months and none in those treated for three months (P=0.008, 3.5% to 0.7%). Thus 31 (8%) of the patients receiving three months' anticoagulation experienced cheap retro air jordan 2 adverse outcomes as a result of deep vein thrombosis or pulmonary embolism or its treatment compared with 35 (9%) of those receiving six months' (P=0.79, 4.9% to 3.2%).Conclusion For patients in the UK with deep vein thrombosis or pulmonary embolism and no known risk factors for recurrence, there seems to be little, if any, advantage in increasing the duration of anticoagulation from three to six months. Any possible advantage would be small and would need to be judged against the increased risk of haemorrhage associated with the longer duration of treatment with warfarin.Trial registration Clinical Trials IntroductionIn 1960 Barritt and Jordan established that anticoagulation reduced the risk of death and of recurrent embolism in patients with pulmonary embolism,1 a conclusion subsequently supported by retrospective studies from Oxford2 and the United States.3 Treatment regimens now consist of heparin for four to five days,4 5 6 with anticoagulation maintained thereafter by warfarin.For those centres not already routinely using low molecular weight heparin, an expanded design was used to compare low molecular weight heparin with unfractionated heparin in terms of outcome during treatment outcome after the end of anticoagulation, and duration of inpatient stay. Too few patients (n=22) were entered into this randomisation for meaningful comparions of these outcomes and so we used their results solely in the comparisons of three months versus six months of anticoagulation.MethodsPatientsEligible patients were those aged 18 with suspected or proved deep vein thrombosis or pulmonary embolism, or both, whom the clinician intended to treat with anticoagulant. We encouraged confirmation of diagnosis with ultrasound, radioisotope, venographic, angiographic, or other objective tests but patients managed without the aid of such tests were accepted for the trial. Categories of definite, probable (high or moderate probability), low probability, or negative were taken from the reports of the results.Several factors or conditions excluded patients from entry. These were deep vein thrombosis or pulmonary embolism deemed so severe by the clinician as to require thrombolysis or pulmonary embolectomy; neoplasia diagnosed or requiring treatment, or both, within the previous three years; pregnancy; deep vein thrombosis or pulmonary embolism in the preceding three years; known polycythaemia, thrombocythaemia, antithrombin III deficiency, lupus anticoagulant, homozygous factor V Leiden, protein C or protein S deficiency, or other similar predisposing haematological disorders; any condition that would result in prolonged or continuous immobility or confinement to bed, such as advanced multiple sclerosis or orthopaedic problems of the lower limbs; previous allergy to heparin or warfarin; requirement for long term anticoagulant therapy; and inability to give informed consent.DesignPatients were randomised to three or six months of warfarin, the clinicians being asked to start warfarin on day one of the scheduled five days of heparin. Participating physicians used international normalised ratios to monitor anticoagulation with warfarin according to a standardised protocol.17 The aim was to achieve ratios between 2.0 and 3.5.Within each centre randomisation was by permuted blocks of eight through a series of numbered envelopes kept at a central point in each hospital or unit. Each envelope also contained an entry card to be posted to the coordinator as notification of entry. On receipt of that card the coordinator sent a form to the clinician, confirming the allocated treatment and requesting further details of the patient. This form also contained a section for the clinician to notify the coordinator of alteration of diagnosis or discontinuation of anticoagulation, or both: if a patient was found to fulfil any of the criteria for exclusion, that patient was removed from the analysis before we had any knowledge of the outcome of the study.The individual clinicians were responsible for decisions about inpatient or outpatient management. For purposes of the trial, physicians were asked to arrange follow up appointments at three, six, and 12 months from the date of entry. Brief review forms were sent to the clinician a fortnight or so before each follow up date for completion and return to the coordinator. The forms requested information on failure of resolution (swelling of the leg(s) or pain or tenderness that did not settle down during treatment), extension or recurrence of deep vein thrombosis or pulmonary embolism, results of international normalised ratios, dates of start and completion of therapy with heparin and with warfarin, and adverse events. Clinicians were asked to confirm suspected failure of resolution, extension, or recurrence by radiological or ultrasonic imaging, or both.Predetermined primary adverse outcomes were death from deep vein thrombosis or pulmonary embolism, failure during treatment (failure to resolve, extension, recurrence during treatment), recurrence after the end of treatment, and major haemorrhage during treatment. Patients experiencing any of the above were grouped together under the heading of "adverse outcome," and we reported this as a further point of comparison between the groups.We graded anticoagulation as good if the international normalised ratios were between 2.0 and 3.5 on at least two thirds of occasions, moderate if within that range on a third but less than two thirds of occasions, or poor if within that range for less than a third of occasions, as used previously.11 For patients in the six month group we applied these gradings separately for the first three months and for the second three months.Haemorrhage was defined as major if the treating clinician deemed transfusion necessary, if the haemoglobin concentration fell by 20 g/l, if bleeding was intracranial or retroperitoneal, or if it was sufficiently serious for the clinician to discontinue anticoagulation.Each participant gave written informed consent before entry into the trial, and clinicians used standardised letters to inform the patients' general practitioners.Statistical analysisWe calculated that we would need 2400 patients to have 80% power to detect a difference, significant at the 5% level, between recurrence rates of 6% and 9%. The coordinator and the coordinating physician checked all entry forms on receipt to ensure the patients' eligibility. After exclusion of ineligible patients we analysed the results by standard statistical methods according to the randomisation to define a full analysis population.18Type of anticoagulantWe offered centres a supply of a low molecular weight heparin (dalteparin) to use in the trial. In centres already using another low molecular weight heparin we asked participating clinicians to change to dalteparin, but inability or unwillingness to do so did not exclude their patients from the trial. The standard oral anticoagulant was warfarin, but clinicians could use an alternative coumarin if necessary.ResultsFrom mid September 1999 to the end of December 2002, 137 consultants from 46 hospitals (37 in England, four in Scotland, four in Wales, and one in Northern Ireland) entered 810 patients. Sixty one patients were excluded from analysis because they did not satisfy the entry criteria (27 in the three month group, 34 in the six month group), leaving 369 patients randomised to three months of treatment and 380 to treatment for six months (fig 1). These two groups were comparable over a broad range of characteristics, though a slightly higher proportion of men and of patients with pulmonary embolism were allocated to six months' treatment (table 1). Diagnosis was confirmed as definite in 91% of those receiving three months' anticoagulation and 92% of those receiving six months' and as probable in 6% and 6%, respectively, an overall frequency of definite or probable of 97%.View larger version:In a new windowDownload as PowerPoint SlideFig 1 Flow of patients through trial (DVT=deep vein thrombosis; PE=pulmonary embolism)Table 1 Characteristics of treatment groups at entry to trial. Figures are numbers (percentages) unless stated otherwiseAmong those for whom we had the data, heparin was given for three to seven days in 74% of patients in the three month group and 77% of those in the six month group (table 2). The minority of patients who received heparin for less than five days did so because the target international normalised ratio had been achieved early. Among those who received more than five days' heparin the usual reason was that the target ratio had not been achieved, though in a few patients an intervening weekend seemed to be the only reason. If we allowed three weeks either side of three months and six weeks either side of six months and considered those in whom durations were known (322 of three month group and 348 of six month group), 259 (80%) of those allocated to three months' treatment and 307 (88%) of those allocated six months received treatment with warfarin as per protocol. In those with shorter or longer durations, variations were because of errors by physicians or general practitioners, misunderstanding in patients, and rescheduling of follow up clinics.

there because there we

I was there as a student, and there was one man I never forget. He looked fairly young. Early 60s, in the later stages of Alzheimers. His name was Jack, and he talked all the time. Every single bit of it was unintelligible, but sometimes I sat with him and tried to pick out a few words and maybe put something together. Never could do it, but he just talked and talked. He would grab on to you as you walked by, and cling to your clothing. strong man! He had a baby doll that he would play with. He would talk to it, hug it, kiss it. I always wondered what this guy was like before the disease. he seemed like a unique individual.

There were a few other patients that I always carry with me. I got to sit with quite a few and just talk to them, even if they were calling me Jean, their sister. Or even if it was a poor 80 year old woman asking me to go get the phone book so that she could call her mother. It broke my heart, but I am also thankful for my time there because I believe that no matter how "gone" they may seem in the mind, there are some things that they can still comprehend and notice, and I glad to have had the chance to sit with them, hold their hands. one lady rubbed my arm for about an hour talking about how warm I was. It was both heartwarming and heartbreaking. Bittersweet. He text me goodmorning every morning, ask how cheap nfl jerseys the day was going, and that was that. We decided to meet up and catch dinner. I got to the place, notice there no motorcycle around (since he said he was riding his motorcycle that evening) and I got a table. Sat there awkwardly waiting for a while, still no motorcycle. I called him and told him I was there. He claims to be there too, and already has a table. I tell him I don see him, and then he finally realizes he in the wrong restaurant. Once he finally is able to get himself to the right place, it becomes apparent to me that he probably stoned out of his mind. I tried to keep the awkward down to minimal levels with conversation, but it just wasn flowing well. Towards the end, he tells me "Well, I don know what you doing for the rest of the night, but I going home to get stoned and play video games." Charming! Right on. I haven heard from him sense, thankfully.

On a good note, I had an awesome first date on Friday. He took me to this nice Japanese place. We only had plans for dinner, but once we were finished, he suggested we go see a movie. He was pretty much anything I could Cheap NFL Jerseys hope for in a first date. I been on a few dozen from OKC, but so far this one is at the top. Neither of us went in for a kiss, but I think we both more of the type to take it a little slow. Second date coming up this week, so we see where that goes. If someone has a question about it, I have no qualms about answering it however. I can see why someone would be curious about my past relationships, and moreso my failed marriage. I have a kid, so the question usually comes up as to whether I was married or not.

Most people do not ask, but if they do I give them a very brief, to the point answer and try to keep the negativity out of it.

Early on if they mentioned that they were still close friends with their exes, it wouldn bother me. It might bother me later down the road if I started having feelings for this person. It would bother me however if they incessantly talked about what was wrong with their ex and just didn know when to stop talking about it. I been on dates where I felt like a therapist because people just feel the need to talk about every ex they ever had and every single thing that was wrong with that person. That not the greatest thing to do.

My ex and I broke up because we just weren on the same page in our lives. We were long distance, and I cannot move out of the state due to custody issues with my child, and it became apparent that he was not willing to move either. That was that. but I met a guy on OKC, and after talking for a while we decided to meet. I went over to his apartment, he pulled his bong out, and I took 3 hits. It not like I never smoked weed before, but never out of a bong, and never shit like this. I have no idea what the hell it was, but 3 hits and about 10 minutes later I feel really dizzy, sleepy, and kind of paralyzed. I told him I didn feel well, and then he started giving off really weird vibes to me. He pulled me into him so I could "rest" on his shoulder. I told him I really needed to lay down. Moving was a chore, and walking was almost impossible. But Cheap Nike NFL Jerseys I laid down on his bed, closed my eyes, and just wished that the feeling would go away. He laid down next to me, kept trying to pull me close to him. He kept suggesting that he had some shorts and that I should change my clothes. Then I started accusing him of trying to date rape me. He laughed at me and asked me how that was possible since he smoked too. Even after being accused of date rape, he was still really touchy feely and insistent to get me out of my clothes.

Well. that was until I shot up and blurted out for him to show me the bathroom. I ran to the bathroom and puked all over his toilet while he stood in the door way and watched. Then he told me to leave. which was fine and dandy, because my body was screaming at me to leave the entire time, but mustering up the energy to talk before that was exhausting. I pretty sure I zombie walked all the way out to my car. Meanwhile he walked right past me to get into his car, and he left. I got in my car, locked the doors, turned the radio on and put my seat back and slept it off.:( I too had a dog that was poisoned as a kid. It was a mutt pup, wasn even a year old. I named him Oscar because of his grungy look, and that dog soon became my best friend. I found him laying on our back concrete patio one day, in a pile of vomit and diarrhea, still barely alive. I sat next to him and bawled and Wholesale NFL Jerseys tried to comfort him until he died. A few months later, a kid across the street said something about his dad putting poisoned meat out to attract my dog over to eat it.

Years later, we ended up with some weird ass neighbors. Never really knew who lived there because there were always different cars in the driveway. We lived on a channel to a lake and alligators weren an uncommon thing to come across, but we had 2 different gates that separated our back yard and the piece of land that was near the water. My sister dog came up missing, and a week later one of the neighbors asked me if we had a dog fitting a description, and I told her yes. She told me she saw it get snapped up by an alligator. Thought it was weird because there no way anything could get out or into those gates. A month later the dog rotting carcass ends up at the end of our driveway. We had goats and such, too. One of them just had a pair of babies, and the day after they were born we found one of the babies with it head and limbs cut off. They moved soon after, but we never really found out what happened to the poor dog and baby goat.

Starting a Vending Machin

Ebay has become a God send for many home business entrepreneurs. More than providing a venue to monetize the cleared from attics or basements, Ebay has given small and home business entrepreneurs a thriving marketplace for products or services.

Ebay has also created a business opportunity for many home based entrepreneurs that of an Ebay Trading Assistant where you parlay your Ebay savviness by selling for others. make a listing, take pictures, write the description, monitor the bidding, and taking charge of the item shipment) and earn a percentage of the sale profit in return. The article an eBay Trading Assistant: Easy Home Business by Stephanie Chadler details how to get started as an Ebay Trading Assistant and succeed in this business.

Other people, however, have taken the concept of an Ebay Trading Assistant a step further and built franchises around them! Two new franchises I seen in a recent franchise trade show I attended in Washington DC are iSoldIt and Snappy Auctions .

These two franchise opportunities share the same concept: you will sell other people stuff on Ebay and earn commissions from the sale. This means that you will collect the items from local residents, seek out closeouts and overstock items from local businesses, staff your store, photograph the items, create Ebay listings, package and then ship the items. You also need to get an actual store where people can easily drop off their stuff for you to sell on their behalf! These two new franchise opportunities both require a store that is easily accessible with parking at the storefront and visible from the street, and about 1200 to over 2000 square feet in size.

So what the difference with these two franchise opportunities from Ebay Trading Assistant program? Well, having your own physical store and the large franchise expenses during your startup! Your out of pocket expenses when you sign up for any of these two franchise opportunities may be around $46,000 $55,000 (includes franchise fee for first location, fixtures equipment, security deposit for lease, working capital, etc.) plus the monthly royalty fees and other monthly fees. On the other hand, compare the above expenses with the requirements of the Ebay Trading Assistant Program: (a) You sold at least 4 items in the last 30 days; (b) You have a feedback score of 50 or higher; (c) 97% or more of your feedback is positive; and (d) Your eBay account is in good standing.

I don know about you, but I rather apply to be part of the Ebay Trading Assistant program than pay $50,000 or more for a franchise opportunity that basically provides the same business.

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