Obstetric patients who reject blood transfusion are considered at high risk and should ideally be seen prior to presentation in labour and delivery in order that the specific blood management protocol can be selected, taking into consideration that not all Jehovah’s Witnesses refuse all blood products and each case is different.
TheWonderofYou
JoinedPosts by TheWonderofYou
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Morbidity and mortality risk in J.W.. patients
by TheWonderofYou inhttp://www.glowm.com/pdf/pph_2nd_edn_chap-72.pdf.
ta more recent (2009) study from the netherlands16 concluded that: ‘women who are jehovah’s witnesses are at a six times increased risk for maternal death, at a 130 times increased risk for maternal death because of major obstetric hemorrhage and at a 3.1 times increased risk for serious maternal morbidity because of obstetric hemorrhage, compared to the general dutch population.’.
the article highlights how j.w.-women are managed.. .
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TheWonderofYou
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Morbidity and mortality risk in J.W.. patients
by TheWonderofYou inhttp://www.glowm.com/pdf/pph_2nd_edn_chap-72.pdf.
ta more recent (2009) study from the netherlands16 concluded that: ‘women who are jehovah’s witnesses are at a six times increased risk for maternal death, at a 130 times increased risk for maternal death because of major obstetric hemorrhage and at a 3.1 times increased risk for serious maternal morbidity because of obstetric hemorrhage, compared to the general dutch population.’.
the article highlights how j.w.-women are managed.. .
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TheWonderofYou
http://emedicine.medscape.com/article/275038-overview
article 3/2016
Postpartum hemorrhage (PPH) is the leading cause of maternal mortality. All women who carry a pregnancy beyond 20 weeks’ gestation are at risk for PPH and its sequelae. Although maternal mortality rates have declined greatly in the developed world, PPH remains a leading cause of maternal mortality elsewhere.
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Dr. Axel Hofmann on Patient Blood Management
by TheWonderofYou inhttps://www.rotem.de/content/expert-interview-on-patient-blood-management/.
https://www.rotem.de/en/.
6/13/17 - dr. axel hofmann is an international expert in the field of patient blood management (pbm) and was one of the key figures responsiblefor the implementation of the statewide pbm program for thegovernment of western australia.
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TheWonderofYou
https://www.rotem.de/content/expert-interview-on-patient-blood-management/
6/13/17 - Dr. Axel Hofmann is an international expert in the field of Patient Blood Management (PBM) and was one of the key figures responsible
for the implementation of the statewide PBM Program for the
Government of Western Australia. He kindly agreed to give us an
interview to share his experiences and knowledge on PBM with us.ROTEM is investing hugh sums into the equipment to stop or control bleeding in time during surgery, full blood hemostasis-analysis for the point of care ( blood coagulation) - subjects: acute diffuse bleeding, hemorrhage in pregnancy.
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Details about ROTEM analysis.
http://www.haemoview.com.au/rotem-analysis.html
ROTEM® provides the most complete and rapid information on hemostasis. Unlike other clotting assays, ROTEM® analyzes whole blood and provides infomation about all stages of the coagulation process.
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Latest updates about research on Patient blood management to find on the homepage of the university Zurich, where Prof. Dr. SPAHN is head of, he is one of the primitive rocks of PBM in Europe.
http://www.anaesthesie.usz.ch/forschung/seiten/patient-blood-management.aspx
The site includes a link to the Australian Guidelines
https://www.blood.gov.au/pbm-guidelines
The current study performed at Zurich:
Impact of Preoperative Treatment of Anemia and Iron Deficiency in Cardiac Surgery on Outcome (NCT02031289)
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There is no Holy Spirit.
by hoser inthere is no holy spirit.
i lead a double life.
i post on apostate web sites, swear like a sailor, covertly subvert the watchtower religion and do many other things i'd rather not mention.
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TheWonderofYou
The holy spirit is only active when one is enflamed for the truth. It then helps and supports you. If one sins and acts against better knowledge, the spirit is not active but saddened or agrieved. Holy sh... the spirit behaves really like a huffy mate/partner.
BUT why did you doubt the "Holy Spirit" and not doubt Jehovah after the waking up?
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If Jehovah God was in "Human Form" with his Theocratic Nation on earth in todays climate he would be facing Human rights issues.
by smiddy inwhere does one start :.
he is guilty of genocide for the attempted and succesful ,killing off other nations not leaving man woman or child alive.. he is guilty of barbarism against women for not living up to his rules or regulations such as cutting off a womans hand for defending her husband in a brawl with another man.. he is guilty of condemning the whole human race for the misdemeanor of the first human pair for eating a fruit he said not to eat ?
a bit over the top dont you think ?.
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TheWonderofYou
The number of accusations is many. However it will not come to such a fair judicial hearing at all if God turns human. Should he not return with power and glory but actually again in the figure of a humble nice guy ... this can get a source of some embarrasment for god.
Theocratic gangs would organise publish shaming of such a prophet if he spoke against the truth-organisation. Tumults and protests would demand his death.
Religious theocrats would pull him in the back room and advise him not to say that he was god, otherwise 2 or 3 witnesses would be enough to throw him out on the street and let him be stoned and trampled by the gangs.
It well might be like the last time when he, the God-image came to earth, 2000 years ago, killed without a fair process again in Den Haag, simpley after saying: "Could it be that I am god?"The next time he turns human he will be silent and not mention that he was god, he will not be there to face the human right issues, some might say because he already did once and for all on the cross, others because we have already punished him and would only again cross him with such accusations....or simply because he is also fearsome.
He perhaps would rather behave like a discreet Governing body guy, being not responsible for an form of inhumanity at all, refusing responsiblities, rather only change some rules from time to time within the society by sowing some seed of hope here and there but keeping the lores tight to remain in power and live wellfed or even perform some little resurrections but in secrecy.
... I m simply writing to use my keys.
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Introducing Our Rockstar Governing Body
by pale.emperor inisnt nice to see the governing body being so humble, meek and not seeking their own importance?.
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stash: /intesoft-inc.appspot.com/post/005df9f7e68e40cb9b013248fe7b670c.html
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TheWonderofYou
Little sisters rocking Vancouver
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Gifts for delegates at Special conventions
by TheWonderofYou inwhat for are such gifts made?
are they going around with such flowers?.
for special people special gifts.. .
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TheWonderofYou
The jwstuff people are creative JW (homepage). However would be interesting if they pay a license fee to Jworg for massive usage of the name jw org or not. I should not assume that this is only a business scheme of the organisation or should I, how was it with the trolley company?
FAQ
Are you Jehovah's Witnesses?
Yes we are. And we also enjoy hearing all the wonderful feedback from the friends from all over the earth. -
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Gifts for delegates at Special conventions
by TheWonderofYou inwhat for are such gifts made?
are they going around with such flowers?.
for special people special gifts.. .
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TheWonderofYou
Best life ever
best convention ever
Best world ever
best shepherding call ever
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Britain Branch to Cease Printing Sooner Than Expected
by The Searcher ini've received the following news from a reliable and trusted source: .
the demise of printing literature in the u.k. is being brought forward by one year - to march 2018. graphic design and printing support will go too.
large numbers of "disposable" bethelites will now have to make their own way in the world, when their "mother" abandons them.
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TheWonderofYou
subject: sustainable buildings
BREEAM is the world's foremost environmental assessment method and rating system for buildings, with 425,000 buildings with certified BREEAM assessment ratings and two million registered for assessment since it was first launched in 1990.
BREEAM AG Bucknalls Lane
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Britain Branch to Cease Printing Sooner Than Expected
by The Searcher ini've received the following news from a reliable and trusted source: .
the demise of printing literature in the u.k. is being brought forward by one year - to march 2018. graphic design and printing support will go too.
large numbers of "disposable" bethelites will now have to make their own way in the world, when their "mother" abandons them.
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TheWonderofYou
Indeed printeries and factory building do not slot into the modern concept of a green city or garden town, prestigious campus are not fitting good together.
Temple Farm Development is designed as prestigious project of green cities an urban natural environement.
First ever BREEAM Communities innovation credit is claimed by Temple Farm Development
It is the second BREEAM Communities project to have received an Outstanding rating.... Temple Farm is not a restricted construction zone, but a state of the art development which when completed will admit tour buses and welcome visitors. It aims to knowledge share and showcase all the new and existing technologies and design solutions that were employed to develop a heavily contaminated yet ecologically valuable piece of land outstandingly
https://www.designingbuildings.co.uk/wiki/Temple_Farm_Development
https://www.designingbuildings.co.uk/wiki/BREEAM_communities
The concept of garden towns or garden villages
Watchtower is planning a BETHEL as green city /garden town = BREEAM community that is backed by science and technology and owned and trusted by the community. Prestigious real estate that has uncontroversial value for communities and is good asset.
Anyhow the printeries and warehouses might not be so important in this general concept of a campus?
http://www.templefarmdevelopment.co.uk/
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Temple Farm Development
Temple Farm Development spreads across an 85-acre rural site in Chelmsford, England. The project comprises offices, residential and healthcare buildings, and an Energy Centre.
It is the second BREEAM Communities project to have received an Outstanding rating.
There are many innovative features that make this project an exceptionally dynamic and pioneering one in all aspects of sustainability, but the most prominent feature is the divergent and creative thinking that has gained Temple Farm its single innovation credit, a milestone in the history of BREEAM Communities assessments.
The innovation credit is awarded for implementing a methodology that significantly reduces transport carbon emissions attributable to construction workers engaged on this large development.
The methodology involves housing the majority of construction workers in accommodation on, around, or near the development site; thus significantly reducing commuting vehicle movements and transport CO2. Pedestrian and cycle paths link the adjoining accommodations to the construction site access points.
This methodology is innovative in that it redefines the traditional practice of construction worker commuting to the development sites, frequently over great distances and for extended periods of perhaps a year or more for large developments. This approach has been applied from the start of construction work at Temple Farm in Feb 2016 and has a projected saving of 64% of Transport CO2 (2,250 tonnes) over the five year construction period.
The primary benefit of this forward-looking solution is lessening current and future climate change effects attributable to CO2 emissions. This is a simple yet effective step that sets an example of how one of the foremost modern day issues can be addressed.
The secondary benefits of this approach are reductions in noise and nuisance by lowering local vehicle movements and potential accidents. This will result in improvements in health and safety and construction efficiency due to eliminating stressful and time consuming daily commutes of the majority of work-force. It is believed that this will lead to an improved quality of life, worker satisfaction and improved productivity which the management aims to evaluate via worker surveys throughout the construction period.
It is one of the aims of BREEAM to support innovation within the construction industry and its supply chain by rewarding construction projects that go beyond best practice in terms of a particular aspect of sustainability. Temple Farm clearly demonstrates going ‘above and beyond’ the requirements of the scheme to demonstrate tangible benefits not only in terms of transport related carbon emissions but also the social impacts of traffic on the local community.
Besides the innovation credit, Temple Farm demonstrated a commitment to excellence in many other aspects of its design and construction which is worth highlighting a few:
Due to its former use as a scrap yard/car breakers, the site has been heavily contaminated. During remediation of Temple Farm over 8,000 tyres were found buried which have been excavated and will be reused on site or recycled. This area has historically suffered from significant surface water drainage problems owing, in part, to this contamination. This has now been successfully and sensitively remediated, certified by the Environment Agency.
Temple Farm was also classified as Green Belt land until 2010 when a 39 acre parcel in the centre of the site was removed from Green Belt and approved for development. Subsequently, the site has a number of high value ecological assets including ancient hedgerows and veteran trees, many of which required restorative work due to years of neglect. As part of the redevelopment of the site, key ecological features (ponds, ancient trees and hedgerows, native species etc.) have been protected, restored, and made a focal point in the design.
Although it will be years before Temple Farm is completed and occupied to its full potential, there is already a sense of community and unity on and around this massive construction site. The temporary caravan-like accommodations have been individualised and turned into homes by Temple Farm construction workers and do not carry any resemblance to a temporary place of living.
The site itself is very positively known amongst the locals and the roundabout that was originally created by the developer to ease the entrance of large vehicles into the site, is turned into an attractive tree-lined feature as well as a main connection point in town with bus stops and the beautiful scenery of the pond and the forest rather than being just a grubby entrance to a construction zone.
Temple Farm is not a restricted construction zone, but a state of the art development which when completed will admit tour buses and welcome visitors. It aims to knowledge share and showcase all the new and existing technologies and design solutions that were employed to develop a heavily contaminated yet ecologically valuable piece of land outstandingly.
Temple Farm can be called the realisation of the aims and objectives of the BREEAM Communities scheme, as not only does it meets the planning conditions and regulations of Chelmsford City Council, but it also pushes boundaries, and encourages innovative sustainabledesign and creates a community.
BREEAM continues to be an instrumental tool that inspires and supports the industry to create socially, economically and environmentally viable built environments that are backed by science and technology and owned and trusted by the community.
This article was originally published here by BRE Buzz on 19 June 2017.
It was written by Rose Pourmatin, she is
Rose Pourmatin
BREEAM Communities Scheme Manager
JW in Britain can be thankful to Jehovah for such a good cooperation partner in green villages.
here she is in Kuwait
