![]() Intervention, 2.5 mg oral vitamin K comparison: placebo Intervention, 1 mg oral vitamin K comparison: placebo Intervention, 1 mg oral vitamin K comparison: observation 14 We aimed to update the literature on this topic by answering the following question for the American Society of Hematology clinical practice guidelines on VTE: In patients receiving VKA presenting with an INR between 4.5 and 10 and without bleeding, should vitamin K in addition to temporary cessation of VKA be used to reverse excessive anticoagulation compared with temporary cessation of VKA alone? Methods 1 As of 2008, guidelines were changed and recommended against the administration of vitamin K for patients with INRs between 4.5 and 10.0 who have no significant bleeding, in addition to withholding the next 1 or 2 doses of VKA with more frequent INR monitoring. 13 Later guideline recommendations changed to administering oral vitamin K in these instances. Early guidelines dating back to 1995 recommended subcutaneous administration of vitamin K when rapid reversal is required because of elective surgery or if the INR is between 6.0 and 10.0. Our findings indicate that patients on VKA therapy who have an INR between 4.5 and 10.0 without bleeding are not likely to benefit from vitamin K administration in addition to temporary VKA cessation.Ĭlinical practice guideline recommendations regarding the optimal management of patients with excessive VKA anticoagulation have evolved over time. Patients receiving vitamin K had a nonsignificant increase in the likelihood of reaching goal INR (1.95 95% CI, 0.88-4.33), with very low certainty of the evidence resulting from serious risk of bias, inconsistency, and imprecision. Pooled estimates indicate a nonsignificant increased risk of mortality (RR = 1.42 95% confidence interval, 0.62-2.47), bleeding (RR = 2.24 95% CI, 0.81-7.27), and thromboembolism (RR = 1.29 95% CI, 0.35-4.78) for vitamin K administration, with moderate certainty of the evidence resulting from serious imprecision as CIs included potential for benefit and harm. Six studies (1074 participants) were included in the review and meta-analyses. Risk ratios (RRs) were calculated, and certainty of the evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation. ![]() Two investigators independently screened and collected data. ![]() ![]() Reference lists of relevant studies were reviewed, and experts in the field were contacted for relevant papers. Search strategy included terms vitamin K administration and VKA-related terms. Medline, Embase, and Cochrane databases were searched for relevant randomized controlled trials in April 2018. We systematically reviewed the literature to evaluate the effectiveness and safety of administering vitamin K in patients receiving VKA therapy with INR between 4.5 and 10 and without bleeding. Patients receiving vitamin K antagonists (VKAs) with an international normalized ratio (INR) between 4.5 and 10 are at increased risk of bleeding.
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11/21/2023 0 Comments Yandere papyrus x sans comics![]() Title from Do You Love Me Back by Trinidad (I forgot the rest of the artist’s name :,) )Ī random AU pops up and No one knows who created it. Hear me out but Fresh with a southern accent is just.Possessive Dreamtale Nightmare Sans (Undertale).Amminus needs therapy but refuses to get it.Yandere Dreamtale Sans | Dream (Undertale).Graphic Depictions Of Violence, No Archive Warnings Apply.Yourlittleprincey Fandoms: Undertale (Video Game) Language: English Words: 4,058 Chapters: 4/? Comments: 11 Kudos: 20 Bookmarks: 1 Hits: 761 Part 1 of yandere sans aus x male skeleton reader Ink wanted to play god, so he altered the timelines and aus, he watched as every sans fell in love with the young male skeleton, some called him sick and twisted but all he cared about was the fun of it all Series Pls do not read if you are triggered to abuse and dark topics, this is not real and will never will be, I do not Condone this behavior, this is for others to cope so no hate Bad Sanses | Nightmare's Gang (Undertale).Alternate Universe - Reapertale (Undertale).Graphic Depictions Of Violence, Rape/Non-Con, Underage.Salty_bitch_lover (orphan_account) Fandoms: Undertale (Video Game) Teeth Pulling -Last of 2023 Language: English Words: 11,262 Chapters: 5/? Comments: 35 Kudos: 27 Bookmarks: 1 Hits: 803 Sansgust Prompts to get me writing back into my skeleton hoarde \o/ġ. Sans (Undertale) Has PTSD - Post-Traumatic Stress Disorder.Underfell Sans/Underswap Sans (Undertale).Alternate Universe - Underfell (Undertale).Creator Chose Not To Use Archive Warnings.They couldn't let their beloved witch be taken away now could they? Language: English Words: 66,458 Chapters: 12/38 Comments: 77 Kudos: 214 Bookmarks: 55 Hits: 4,425 The vampire skeleton Sans helped you around your shop when he could while his brother Papyrus, a werecat, came around to show off his partners…? Yeah you thought it was a weird way for him to bring you extra customers but highly appreciated!Įverything changed when one adorable blue skeleton invited you to a yearly masquerade party and something unlocked inside two skeleton's minds when they saw you getting all nice and comfy with another Monster. Even though you had a hectic meeting with the skeleton brothers, the three of you became quick friends. You had once had a chance encounter with two skeletons Monsters but to your surprise, both of them were supernatural beings! Quite rare for Monsters to be. You, a Witch, owned a potion shop in Ebott city where Monsters, Humans and supernatural beings lived in relative harmony. Did I just make Papyrus into a neko? I think I did.Alternate Universe - Underswap (Undertale).SugarBonBon Fandoms: Undertale (Video Game) 11/21/2023 0 Comments Sony ambient sound control offIn that case, cancel the voice focus with the “ Sony | Headphones Connect” app. In this case, you can change the settings of the noise canceling function and Ambient Sound Mode with the “ Sony | Headphones Connect” app.ĭepending on the surrounding environment, wind noise may increase when the Ambient Sound Mode is turned on. If the CUSTOM button is set as the Amazon Alexa button, the noise canceling function and Ambient Sound Mode cannot be switched from the headset. In this case, you can change the settings of the noise canceling function and Ambient Sound Mode with the “ Sony | Headphones Connect” app. If the CUSTOM button is set as the Google Assistant button, the noise canceling function and Ambient Sound Mode cannot be switched from the headset.
The region is “a very, very bad location” for LNG projects, Törnqvist said. That’s due not only to sea-level rise and climate change, but also because the area is extremely low-lying is naturally sinking and is not close to a source of sediments, like a river, that could help the coastline hang on, Törnqvist said. Its proposal comes as Cameron Parish is at the epicenter of Louisiana’s coastal land loss crisis, said Torbjörn Törnqvist, a professor in earth and environmental sciences at Tulane University. It also needs authorization from the Department of Energy before it can export gas to certain countries. The company is currently awaiting approval from FERC to build the terminal and pipeline. Venture Global has also proposed a plan to capture 5.6 percent of the greenhouse gas emissions that would be directly released at CP2. The project also includes a planned 85-mile pipeline originating in eastern Texas and a large compressor station to push natural gas through the pipe system. Spanning 546 acres of land, the CP2 terminal would be used to process, supercool and store natural gas in a liquid state at -260 degrees Fahrenheit, so the fuel could eventually be shipped. "CP2 LNG has invested in highly energy efficient turbines with best-in-class emission control standards," Hynes said. Restricting LNG will therefore “prevent the reduction of global emissions,” Hynes said. But company spokesperson Shaylyn Hynes said in a written statement that CP2 will have positive environmental impacts, as natural gas can replace the use of more-polluting coal in some countries. Venture Global did not make someone available for an interview for this article. Between 20, the only facility in Louisiana that emitted more greenhouse gases annually than CP2’s expected direct emissions was the Donaldsonville Complex, a chemical plant southwest of Baton Rouge, according to EPA data. The estimate is based on energy consumption at the terminal itself and doesn’t account for greenhouse gases emitted when the fuel is shipped and eventually burned overseas, nor for the release of methane - a potent greenhouse gas - during natural gas drilling and extraction. They would be equivalent to those released each year by 2.1 average-sized coal-fired power plants, per EPA estimates. The White House has directed agencies to consider ways to prevent and reduce health impacts in disadvantaged communities, particularly when multiple energy projects are involved.Ĭritics also balk at the project’s potential annual greenhouse gas emissions, as disclosed in an environmental impact statement this year from the Federal Energy Regulatory Commission. “That’s going to be pretty much our saving grace, the LNG business,” Trahan said.Įnvironmental advocates, however, say the project is contrary to the Biden administration’s promises on environmental justice, which is the notion that everyone should be fairly protected from pollution. More residents could help sustain Cameron’s small businesses and replenish local schools, where enrollment has declined, he said. Trahan works at Venture Global’s existing LNG project in town, known as Calcasieu Pass, and he’s one of the few members of his extended family whose longtime home is still standing.ĬP2’s job opportunities could lure people back to the parish, said Trahan, who grew up there and married his high school sweetheart. One of the project’s biggest supporters is Scott Trahan, a police juror on the local government council known as the Cameron Parish Police Jury. ![]() The terminal would be built next to the Gulf and the town of Cameron in Cameron Parish, a rural community that has lost nearly half its population since the first recent hurricane in 2005. is already the world’s biggest exporter of natural gas. LNG shipments by about 20 percent relative to the current rate of exports from all existing projects. “It would be a game-changer in terms of the air impacts and health impacts for the community, and it would lock us in to years of more unfettered LNG expansion,” Gillian Giannetti, a senior attorney at the Natural Resources Defense Council, an environmental group, said of the proposed project.ĬP2 would increase daily U.S. Located next to an existing LNG plant and 2 miles away from another terminal under development, CP2 could also force federal agencies to consider whether it’s acceptable for a low-income community that’s highly vulnerable to climate change to now host several industrial gas projects. 11/21/2023 0 Comments Appium set xcode versionWhich the application under test is automated. Way requires the installation of a helper application onto the device, through Unfortunately, Apple changed the way it makes testing available, and the new Which is easily available through npm npm install -g ios-deploy In addition to the dependency on libimobiledevice, Appium support for realĭevices running iOS 9.3 and above using Xcode 8+ also depends on ios-deploy, Settings -> Developer -> Enable UI AutomationĬonfiguring iOS Real Device Tests: Xcode 8 and iOS 9.3 and above Make sure UI Automation is enabled on your device.Make sure Instruments is not already running.Double check that you can invoke your automation from Instruments.Make sure that you can run your tests against the Simulator.Make sure UDID is correct by checking it in Xcode Organizer or iTunes.Using Xcode to ensure there are no problems (see the iOS deployĭocument for more information). (part of libimobiledevice), but it is sometimes easier to pre-install your app ![]() ipa file of your app, or the source code to build one.Īppium handles installing the application to the device, using ideviceinstaller Make sure this has been set up for development in Xcode. Information about this in the Apple documentation. ![]()
11/21/2023 0 Comments Tax deductible travel expenses![]() ![]() Download the app today and make your business travel smooth and stress free. ![]() Not a fan of saving all those paper receipts? The Hurdlr app can save them digitally for you. Hurdlr is your simple solution to tracking and managing all of your business’s expenses- and determining which tax deductions you’re eligible for. When tax time rolls around, if you are a sole proprietor or single member LLC, you will need to document these expenses in the "Expenses" section on your Schedule C. You should have proper documentation that includes the date, exact amount and reason for the expense. Travel expenses are 100 deductible when traveling for business, Meaning you are able to write-off travel expenses. In order to deduct the above costs, you will need to make sure you save every receipt for every expense you incur while on your business trip. How To Keep Track Of Business Taxes & Travel Expenses Other similar “ordinary and necessary” expenses related to your business travel.Use of your personal car while on your business trip.Fares for taxis or other types of transportation to and from your hotel, airport and business locations.Tickets for travel by air, train, bus or car between your home and your business destination (as long as you’re not using points or benefits from a frequent flyer program).So what are some examples of business travel expenses? Here are some common business expenses that you can deduct on your taxes: Other restrictions apply, of course, so make sure you chat with your trusted accountant or financial advisor about what is considered permitted business travel. Warning: you are NOT allowed to deduct travel expenses that you accrue while working on an indefinite work assignment, which the IRS considers to be any work that takes you away from home for longer than one year. The IRS says that you are permitted to deduct many travel expenses incurred while on temporary work assignments that take you away from your “tax home” (The IRS defines your tax home as “the entire city or general area where your main place of business or work is located, regardless of where you maintain your family home.”). for a conference, and requires you to stay in a hotel or Airbnb or other temporary lodging, then that would qualify as business travel, and many expenses associated with that trip would be considered “business travel expenses.” According to the IRS, deductible travel expenses are the “ordinary and necessary expenses of traveling away from home for your business, profession, or job.” In other words, if your job takes you away from where you typically work, e.g. 11/21/2023 0 Comments Ikea kallax shelf styling![]() Check out some garage sales or local flea markets.If your okay with second hand, the Kallax shelves are pretty popular on Kijiji or Facebook Marketplace.Try looking in the As-is Ikea section, you might just find the perfect shelf at a fraction of the cost!.You won’t regret it! I’ll leave you with some extra money saving tips (because who doesn’t love saving money?!): I hope your inspired to make your very own Ikea Kallax Hack. I hope you enjoyed these creative and clever hacks by these talented individuals. It ended up being very easy to put together, and I’ve included some tips to make it even easier.Īnd there you have it 31 awesome Ikea Hacks that will give you more storage space in all areas of your home. This project was done by myself and it was my very first attempt at DIYing and Ikea Hacks. This seating bench can be used as extra seating in kitchen areas, mudroom cubby seating, playroom/ toy storage and even a window seat bench. Once installed you can store away a surprising amount of stuff inside the cubes. The Kallax inserts (with doors) are made for the Kallax/ Expedit system, and are super easy to install. This Ikea kallax bench doubles as seating bench that has large storage cubbies with doors. I hope you enjoy all these super creative hacks! 1. Here’s the list of 30+ hacks YOU can do to get more functional storage space in your home. ![]() However the configuration of the cubes, and the insert sizes still remain the same! The only difference between both, is the Expedit has an extra cube, so its slightly longer than the Kallax. Price valid 19 Oct, 2023 - 13 Nov, 2023 or while stock lasts. The hacks in this post not only work for the Kallax series of shelves, they also work for the older model of the Kallax, called the Ikea Expedit series. KALLAX / LACK Storage combination with shelf, 189x39x147 cm. There’s a shelf for any space no matter how big or small you have to work with The Kallax series comes in many different configurations as sizes, from a small/modest 2 x 2 cube size up to a huge 5×5 cubed configuration, and multiple sizes in between. I used the swinging door inserts along with slide out Lekman boxes and it works just perfectly! We use our cubes to store our HUGE collection of board games/puzzle boxes, recipe books, and other kitchen nick nacks. In terms of storage space, the Kallax cubed configuration offers a surprising amount of storage. Some options include fabric/plastic slide out boxes, drawer inserts, swinging door inserts and more. You can even customize the storage insert options! Attach legs to the bottom of the shelf make it taller or more decorative. You can use this shelf both vertically or horizontally (and yes, its even sturdy enough to sit on!). After doing this hack I learned there are SO MANY ways you can customize this shelf – to really make it your own. My very first DIY was a kitchen seating and storage bench made with the Ikea Kallax. Wish your space was more organized with some nifty and cheap storage solutions that actually look good? The Ikea Kallax hacks below can help you get more organized in a fun and creative way! 11/21/2023 0 Comments Bed bath and beyond plus plus blocks![]() bed reveal the night sky, and glass walls look onto the terrarium-like enclosed. ![]() ![]() If you’re still on the fence, not to worry-we’ve pulled together a guide with everything you need to know about Beyond+, including all the perks and pitfalls. blocks from the original Morongo, the new resort offers poker and pai gow. Visit our Welcome Rewards FAQ page for more details. We are pleased to offer a free Welcome Rewards account to members who had a rewards balance in May 2023 or were active Welcome Rewards+ members as of May 2023. 30, the company had 1,524 stores, including 981 Bed Bath & Beyond stores nationwide and in Canada, 278 stores under the names of World Market, Cost Plus World Market or Cost Plus, 126. May we suggest our budget pick for best bath towel? If you were a member of Bed Bath & Beyond’s old Welcome Rewards program, you may activate a new account using the same email address. You’ll have to use the gift card within 15 days of receiving it, but we’re certain the Bed Bath & Beyond superfans this program is right for will find something to spend the cash on. Even if you’re not Bed Bath & Beyond’s biggest fan, the membership is worth considering: From now until December 19, those who sign up for Beyond+ will receive a digital $29 gift card, essentially locking down the annual membership for free. Bed Bath & Beyond is the latest retailer to offer store superfans a membership program: Beyond+ boasts free shipping and an automatic 20% off every purchase, in exchange for the $29 annual fee.įor those who swear by BB&B, the membership is a good opportunity to maximize your savings, as long as you use it enough to justify the fee. Overstock, an online retailer that originally began as a liquidator, will adopt the Bed Bath & Beyond name online after acquiring the brand’s. It operates through the Bed Bath & Beyond, Christmas Tree Shops, Christmas Tree Shops andThat, Harmon or Harmon Face Values, buybuy BABY, and World Market, Cost Plus World Market or Cost Plus brands. And all three retailers cater to their fans by offering membership programs that are packed with perks, some paid and some free. Just a few short months after Bed Bath & Beyond declared bankruptcy and shuttered all 360 of its stores, it’s backat least in name. Registries Bed Bath & Beyond offers the ability to add items to lists for college, housewarmings, weddings, babies and even just for items you want. From time to time, Bed Bath & Beyond sends additional exclusive coupon codes to those who stay subscribed. Some shoppers flock toward Target’s red bullseye, others are lured to their local Walmart by affordable prices, and some love wandering Costco’s never-ending aisles. The coupon code is sent within 24 hours of signing up for the email newsletter. Plenty of big-name stores amass die-hard loyalists who swear by their brands. 11/21/2023 0 Comments Aura tracker app![]() AI Voice Assistant: Convenience at your wrist.It tracks and alerts you when your menstrual cycle is near so that you are prepared, always! Menstrual Alerts: An ideal smartwatch for women, Marv Aura reminds you about your time of the month.Right from running to swimming and cycling, this sports smart watch actively detects the sport you’re playing and records the progress for you. 100+ Sports Modes: Keep an active track of your fitness with 100+ in-built sports modes.IP67 Water Resistance: Geared up for any adventure, Marv Aura is a smart watch that swims with you, runs in the rain with you, because of its IP67 water and dust resistance.Track core vitals like heart rate, spo2, sleep, breathe anytime, anywhere. Health Tracker: An ideal smartwatch for men and women, Marv Aura monitors your health round the clock.Equipped with BLE 5.3 and BT 3.0, your calls and notifications are just a glance away. Advanced Bluetooth Calling: A Bluetooth calling smartwatch, Marv Aura enhances your calling experience with EzyPair™ Technology.1.83” Large Always On Display Smartwatch: Featuring a classy, square 1.83” HD Always On Display, Marv Aura which comes with 500 nits peak brightness that brings your screen to life.Make it a part of your daily routine and experience the convenience and power it brings to your wrist. Marv Aura is the ideal smartwatch for both men and women and anyone who seeking an affordable smart watch that delivers on both style and functionality. With its efficiently long battery life, you can rely on this smartwatch to keep you powered throughout the day. Not only does Marv Aura provide essential functionality, but it also boasts a sleek and compact design that ensures a comfortable wear. Additionally, it offers over 100 sports modes, allowing you to track your fitness activities effortlessly. With Marv Aura, you can stay informed about your health at all times. This smartwatch is equipped with advanced health tracking capabilities, including heart rate monitoring, SpO2 measurement, blood pressure tracking, and sleep monitoring. ![]() Whether you're checking notifications, accessing contact information, or tracking your health, Marv Aura delivers convenience with just a few taps on your wrist. Stay connected on the go with its advanced single tap Bluetooth calling feature, making and receiving calls hassle-free. Featuring an appealing design and a classy 1.83" HD Display, Marv Aura is not just about looks, it packs a punch far greater than its size! This smartwatch is the perfect companion for your busy lifestyle. 11/20/2023 0 Comments Alfred sung perfume price in pakistan![]() If you decide to order this perfume you will not be disappointed when you receive this fragrance. A little goes a long way and it last all day. It is a little loud smelling when you first put it on and it mellows out. It very soft and very clean the fragrance is not strong at all. When you walk past someone are when enters a room. This smells so good and you get so many compliments. I have ordered every perfume made by Alfred Sung and have not be disappointed by the smell of the fragrance I got to admit This is my number one fragrance other than Jewel. ![]() The brand is known for its sophisticated and polished designs, luxurious fabrics, and exquisite craftsmanship.Afghanistan, Africa, Albania, American Samoa, Andorra, Anguilla, Antigua and Barbuda, Armenia, Azerbaijan Republic, Bahamas, Bangladesh, Barbados, Belarus, Belize, Bhutan, Bosnia and Herzegovina, British Virgin Islands, Brunei Darussalam, Cambodia, Cayman Islands, China, Cook Islands, Costa Rica, Cyprus, Dominica, Dominican Republic, El Salvador, Fiji, France, French Guiana, French Polynesia, Georgia, Germany, Gibraltar, Greenland, Grenada, Guadeloupe, Guam, Guatemala, Guernsey, Haiti, Honduras, India, Indonesia, Iraq, Israel, Italy, Jamaica, Jersey, Jordan, Kazakhstan, Kiribati, Kyrgyzstan, Laos, Libya, Macau, Macedonia, Maldives, Malta, Marshall Islands, Martinique, Mexico, Micronesia, Moldova, Mongolia, Montenegro, Montserrat, Nauru, Nepal, Netherlands Antilles, New Caledonia, Nicaragua, Niue, Oman, Pakistan, Palau, Papua New Guinea, Philippines, Qatar, Reunion, Romania, Russian Federation, Saint Kitts-Nevis, Saint Lucia, Saint Pierre and Miquelon, Saint Vincent and the Grenadines, Solomon Islands, South America, South Korea, Spain, Sri Lanka, Svalbard and Jan Mayen, Tajikistan, Thailand, Tonga, Trinidad and Tobago, Turkey, Turkmenistan, Turks and Caicos Islands, Tuvalu, Ukraine, Uzbekistan, Vanuatu, Vatican City State, Venezuela, Wallis and Futuna, Western Samoa, Yemen Giorgio Armani is a luxury fashion and fragrance brand that offers a wide range of high-end products for men and women. The brand is known for its classic American aesthetic, quality materials, and attention to detail. Ralph Lauren is a well-known fashion brand that offers a wide range of elegant and timeless products for men, women, and children. The brand is known for its clean lines, minimalist designs, and high-quality materials. Today, Alfred Sung is known for its classic and sophisticated designs that cater to the modern man and woman.īrands Similar to Alfred Sung Calvin KleinĬalvin Klein is a popular fashion and fragrance brand that offers a wide range of stylish and modern products for men and women. In 1997, the brand was acquired by the perfume and cosmetics company, Riviera Concepts. ![]() Throughout the 1980s and 1990s, the brand expanded its product lines to include ready-to-wear clothing, accessories, and fragrances. In 1981, the brand launched its first collection of bridal wear, which was an instant success. The brand was founded in 1980 by the Canadian fashion designer, Alfred Sung. The brand is known for its elegant designs, quality materials, and excellent craftsmanship. Alfred Sung is a luxury fashion and fragrance brand that offers a wide range of sophisticated and timeless products for men and women. |
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