2/14/2023 0 Comments Mims drug handbook equipmentAs the peak effect for warfarin takes at least 4-5 days, in the initial stage of VTE, concurrent administration of daily subcutaneous injections of low molecular weight heparin (LMWH) is needed until INR reaches therapeutic levels. As it has a narrow therapeutic index, VKAs require frequent coagulation monitoring with International Normalised Ratio (INR) to adjust and optimize the dose for each individual. For more than 50 years since the 1940s, vitamin K antagonists (VKAs) such as warfarin were the mainstay of oral anticoagulation therapy for VTE. Most patients with VTE receive anticoagulation therapy for 3 months or longer. Left untreated, it could result in significant morbidity and mortality. It comprises deep vein thrombosis and pulmonary embolism. Venous thromboembolism (VTE) is a serious medical condition. Practical considerations in the choice of pharmacological therapy (VKAs vs NOACs) for venous thromboembolism
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Expert instruction on the practical applications of candlestick chartingĬandlestick charting is more popular than ever before, with a legion of new traders and investors being introduced to the concept by some of today’s hottest investment gurus. 2/13/2023 0 Comments Bundy resonite clarinet 1930sVINTAGE BUFFET CRAMPON? POCHETT DOUBLE CLARINET CASE XLNT COND! LOW STARTING BID! THERE IS NO NAME ON THIS BUT FROM OTHERS I LOOKED AT IT LOOKS TO BE. This is a beautiful vintage clarinet from one of the best makers of its time. I wanted to leave that choice to the new owner. It fits the Rene Duval perfectly, but some modern mouthpieces will need extra cork added for a secure fit. Note: the new owner of this clarinet may want to have some cork added where the mouthpiece attaches. Also included is a Rene Duval mouthpiece, plus a ligature and cap. White rated this clarinet overall at 98% perfect. There is one plating wear spot, shown in photos. Bell looks great, gold wash inside bell was rated 85% intact. When I purchased it(approximately in March) It had just been professionally cleaned, re-padded, and articulated corks were replaced where needed. It's a very special instrument and belongs with someone who will treasure and appreciate its value. White's web site, thinking I'd get back to playing, but just don't play as often as I thought I would. I purchased it just a few months ago from H.N. It is in lovely condition and plays beautifully. more sterling silver bell with gold wash interior. Model#1020, Finish Type II, Silver Plate. Wonderful condition- Silver King Clarinet made by H.N. 2/13/2023 0 Comments Alaska gold rush seriesThe days of panning by hand in the Klondike may be gone, but the pioneer spirit that drives these men and women remains. 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