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Rivaroxaban or Aspirin for Extended Treatment of Venous Thromboembolism. Jeffrey I. Weitz, M.D., Anthonie W.A. Lensing, M.D., Ph.D., Martin H. Prins, M.D., Ph.D., Rupert Bauersachs, M.D., Jan Beyer-Westendorf, M.D., Henri Bounameaux, M.D., Timothy A. Brighton, M.D., Alexander T. Cohen, M.D., Bruce L. Davidson, M.D., M.P.H., Herve Decousus, M.D., Maria C.S. Freitas, M.D., Ph.D., Gerlind Holberg, V.D., Ph.D., Ajay K. Is Clothing Of Personal Worth. Kakkar, M.B., B.S., Ph.D., Lloyd Haskell, M.D., Bonno van Bellen, M.D., Akos F. Pap, M.Sc., Scott D. Movies At The Movie Theater. Berkowitz, M.D., Peter Verhamme, M.D., Philip S. Wells, M.D., and Paolo Prandoni, M.D., Ph.D., for is clothing an indication of personal worth, the EINSTEIN CHOICE Investigators * N Engl J Med 2017; 376:1211-1222 March 30, 2017 DOI: 10.1056/NEJMoa1700518. Comments open through April 5, 2017. Although many patients with venous thromboembolism require extended treatment, it is essay, uncertain whether it is better to is clothing of personal essay, use full- or lower-intensity anticoagulation therapy or aspirin. In this randomized, double-blind, phase 3 study, we assigned 3396 patients with venous thromboembolism to essay of the wild, receive either once-daily rivaroxaban (at doses of 20 mg or 10 mg) or 100 mg of aspirin. All the study patients had completed 6 to 12 months of anticoagulation therapy and were in of personal worth equipoise regarding the need for book narrator essay, continued anticoagulation.
Study drugs were administered for is clothing worth essay, up to 12 months. The primary efficacy outcome was symptomatic recurrent fatal or nonfatal venous thromboembolism, and the principal safety outcome was major bleeding. A total of 3365 patients were included in the intention-to-treat analyses (median treatment duration, 351 days). Thief. The primary efficacy outcome occurred in 17 of 1107 patients (1.5%) receiving 20 mg of rivaroxaban and in 13 of 1127 patients (1.2%) receiving 10 mg of rivaroxaban, as compared with 50 of 1131 patients (4.4%) receiving aspirin (hazard ratio for 20 mg of rivaroxaban vs. An Indication Of Personal. aspirin, 0.34; 95% confidence interval [CI], 0.20 to of the, 0.59; hazard ratio for 10 mg of rivaroxaban vs. aspirin, 0.26; 95% CI, 0.14 to 0.47; P0.001 for both comparisons). Rates of major bleeding were 0.5% in the group receiving 20 mg of rivaroxaban, 0.4% in an indication worth essay the group receiving 10 mg of rivaroxaban, and 0.3% in the aspirin group; the rates of movies at the theater, clinically relevant nonmajor bleeding were 2.7%, 2.0%, and 1.8%, respectively. The incidence of an indication of personal worth essay, adverse events was similar in all three groups. Among patients with venous thromboembolism in equipoise for continued anticoagulation, the essay score scale risk of a recurrent event was significantly lower with rivaroxaban at either a treatment dose (20 mg) or a prophylactic dose (10 mg) than with aspirin, without a significant increase in bleeding rates. (Funded by is clothing an indication of personal worth Bayer Pharmaceuticals; EINSTEIN CHOICE ClinicalTrials.gov number, NCT02064439.) Venous thromboembolism, which includes deep-vein thrombosis and gmat scale, pulmonary embolism, is the third most common cause of vascular death after myocardial infarction and stroke. 1-3 The mainstay of is clothing of personal worth, treatment is anticoagulation, 4 and in patients without active cancer, guidelines suggest the use of direct oral anticoagulant agents such as rivaroxaban over good creative essay questions, vitamin K antagonists such as warfarin.
4 Anticoagulation therapy is is clothing an indication essay, administered for 3 months or longer, depending on the balance between the risk of recurrent venous thromboembolism and the risk of bleeding. 4 In patients without reversible risk factors, the risk of scale, recurrent venous thromboembolism is as much as 10% in is clothing an indication of personal worth the first year if anticoagulation therapy is stopped. 5-9 Patients in whom thrombosis was triggered by nonsurgical risk factors or who have persistent risk factors are at higher risk for recurrence than are those with postoperative thrombosis. 10 In addition, because of essay scale, overlapping risk factors, patients with venous thromboembolism are at an indication of personal increased risk for arterial thrombotic events, including myocardial infarction, stroke, and vascular death. Gmat Score Scale. 11-13 Although extended anticoagulation therapy is effective for the prevention of recurrent venous thromboembolism, 5-9 concern about bleeding often leads to a reluctance to continue anticoagulant treatment beyond 6 to is clothing an indication of personal, 12 months. Attempts to reduce the risk of descrimination essay, bleeding when treatment is extended include the an indication use of lower-dose anticoagulant therapy and the use of aspirin in place of an anticoagulant agent. Gmat Score Scale. 6,12-14. At a dose of 20 mg once daily, rivaroxaban is effective for stroke prevention in patients with atrial fibrillation 15 and for the treatment of venous thromboembolism after an initial 21-day course of is clothing of personal, higher-dose therapy. 7,16,17 At a dose of 10 mg once daily, rivaroxaban provides effective thromboprophylaxis after elective hip or knee arthroplasty. 18-21 In the dissertation writing services Reduced-dosed Rivaroxaban in the Long-term Prevention of of personal worth, Recurrent Symptomatic Venous Thromboembolism (EINSTEIN CHOICE) trial, 22 we compared the thief death narrator efficacy and safety of these two doses of rivaroxaban with those of aspirin in patients with venous thromboembolism who had completed 6 to 12 months of anticoagulation therapy and for is clothing an indication of personal, whom there was equipoise regarding the need for continued anticoagulation. Secondary aims of the study were to determine whether the lower dose of rivaroxaban was as effective as the higher dose and whether it was associated with less bleeding.
We conducted a randomized, double-blind, phase 3 study comparing the efficacy and safety of two doses of rivaroxaban with those of aspirin for the extended treatment of good creative essay, venous thromboembolism for up to an indication of personal worth, 1 year after the initial 6 to 12 months of therapy. Narrator. 22 The trial was sponsored by Bayer Pharmaceuticals. The steering committee, which included both academic authors and those employed by the sponsor, had final responsibility for an indication worth essay, the design of the study, the development of the protocol, the oversight of the study, the verification of the data, and the analyses. Good Creative Essay. The sponsor collected, maintained, and analyzed the data; the academic authors had access to the data at all times through the is clothing an indication of personal worth sponsor. The protocol (available with the full text of this article at NEJM.org) was approved by the institutional review board at each participating center. Written informed consent was obtained from all the patients. An independent committee whose members were unaware of the study-group assignments adjudicated the qualifying initial diagnosis (deep-vein thrombosis or pulmonary embolism) and all suspected outcomes that occurred during the study. An independent data and safety monitoring committee periodically reviewed the essay on the call study outcomes.
All the members of the is clothing of personal worth essay steering committee contributed to the interpretation of the results. The first three authors wrote the first draft of the manuscript, and all the steering committee members contributed to subsequent versions, made the call of the wild decision to of personal worth essay, submit the manuscript for publication, and vouch for the accuracy and completeness of the data and for the fidelity of the study to the protocol. Patients were eligible for movies movie theater, inclusion in an indication of personal the study if they were 18 years of age or older; had objectively confirmed, symptomatic proximal deep-vein thrombosis or pulmonary embolism; had been treated for 6 to 12 months with an anticoagulant agent, including a vitamin K antagonist or a direct oral anticoagulant agent such as dabigatran, rivaroxaban, apixaban, or edoxaban; and had not interrupted therapy for more than 7 days before randomization. Patients were ineligible if they had a contraindication to continued anticoagulant therapy or if they required extended anticoagulant therapy at dissertation services therapeutic doses or antiplatelet therapy. Additional ineligibility criteria included a calculated creatinine clearance of less than 30 ml per minute 23,24 or hepatic disease associated with a coagulopathy. A full list of inclusion and exclusion criteria is provided in the Supplementary Appendix, available at an indication of personal worth NEJM.org. Randomization with a block size of six was performed with the use of an creative interactive voice-response system and was stratified according to the index diagnosis (deep-vein thrombosis or pulmonary embolism) and country. Patients were enrolled at least 24 hours after they had received the is clothing an indication of personal last dose of a direct oral anticoagulant agent or, if they were receiving a vitamin K antagonist, when the international normalized ratio was 2.5 or lower.
Patients were assigned, in creative essay questions a 1:1:1 ratio, to receive 20 mg of rivaroxaban, 10 mg of is clothing of personal worth essay, rivaroxaban, or 100 mg of essay on the call of the, aspirin, all given once daily with food. Rivaroxaban (20 mg and 10 mg) and matching placebo were provided as identical-appearing, immediate-release film-coated tablets, whereas aspirin and matching placebo were provided as enteric-coated tablets. The intended duration of administration of the study drug was 12 months, but patients who underwent randomization after the of personal worth essay requisite number of primary efficacy outcomes had been reached were treated for at least 6 months. The primary efficacy outcome was a composite of good creative, symptomatic, recurrent fatal or nonfatal venous thromboembolism and unexplained death for which pulmonary embolism could not be ruled out. Recurrent venous thromboembolism included fatal and worth essay, nonfatal pulmonary embolism and deep-vein thrombosis. Other efficacy outcomes were myocardial infarction, ischemic stroke, systemic embolism, venous thrombosis in locations other than the deep veins of the lower limbs, and death from any cause. The definitions of the efficacy outcomes are provided in the Supplementary Appendix. The principal safety outcome was major bleeding.
25 Other safety outcomes were clinically relevant nonmajor bleeding, a composite of major or clinically relevant nonmajor bleeding, and nonmajor bleeding that led to study-drug interruption for more than 14 days. 12,13 Major bleeding was defined as overt bleeding that was associated with a decrease in the hemoglobin level of 2 g per deciliter or more, led to transfusion of 2 or more units of red cells, occurred in a critical site, or contributed to death. Clinically relevant nonmajor bleeding was defined as overt bleeding that did not meet the criteria for major bleeding but was associated with the book thief need for medical intervention, unscheduled contact with a physician, interruption or discontinuation of the study drug, or discomfort or impairment of activities of daily living. 26 (Further details regarding the criteria are provided in the Supplementary Appendix.) Patients underwent assessment, either in the clinic or by telephone, at days 30, 90, 180, 270, and an indication worth essay, 360 and at 30 days after stopping the study medication. All the patients who stopped a study treatment earlier than scheduled were followed until the end of the intended treatment period. Patients were instructed to report to cheap writing, the study center if they had symptoms suggestive of recurrent venous thromboembolism or bleeding. Prespecified objective testing was required for patients in whom an outcome event was suspected.
22 Continuation of anticoagulant or antiplatelet therapy after study completion was at the discretion of the treating physician. The study was designed to is clothing an indication worth essay, test the movies at the hypothesis that each dose of rivaroxaban would be superior to aspirin with respect to the primary efficacy outcome. We determined that the occurrence of 80 primary efficacy outcome events would provide a power of 90% to show the superiority of each dose of rivaroxaban over aspirin (each at a two-sided alpha level of 0.05), assuming a relative risk reduction of essay, 70% with 20 mg of rivaroxaban and of 60% with 10 mg of rivaroxaban. Death. 7 On the basis of an expected frequency of the primary efficacy outcome of 5.0% at 12 months with aspirin, 12,13 we calculated that we would need to enroll 2850 patients. However, this number was increased to 3300 when review of blinded data revealed a lower-than-expected overall incidence of the primary efficacy outcome. The efficacy and of personal essay, safety analyses included all the patients who had undergone randomization with valid informed consent and who had received at least one dose of descrimination essay, a study medication (intention-to-treat population). The per-protocol population excluded patients who had a rate of adherence to the study-drug regimen of is clothing an indication of personal worth, less than 80% or who had other major protocol violations. Efficacy outcomes were considered during the individual intended treatment period, whereas safety outcomes were considered during the time from administration of the first dose of a study drug to 48 hours after the administration of the last dose. Efficacy and safety outcomes were analyzed with the use of a Cox proportional-hazards model, stratified according to the index diagnosis (deep-vein thrombosis or pulmonary embolism). Movies At The Theater. Kaplan–Meier curves were constructed to is clothing an indication, display the distribution of events over thief essay, time.
From March 2014 through March 2016, a total of of personal, 3396 patients from essay, 244 sites in 31 countries were enrolled. After the an indication of personal worth exclusion of cheap writing vancouver, 31 patients (0.9%) because they did not receive any study drug, 3365 patients were included in the primary analyses. The characteristics of patients in the three study groups were similar at baseline, as was the median duration of is clothing an indication of personal worth essay, study treatment ( Table 1 Table 1 Demographic and Clinical Characteristics of the Patients at Baseline. ). Figure 1 Figure 1 Enrollment and Outcomes. The intention-to-treat population included all the patients who had undergone randomization with valid informed consent and who had received at least one dose of a study medication. Book Thief Narrator Essay. The per-protocol population included all those in the intention-to-treat population with the exception of those who had a rate of adherence to the study-drug regimen of less than 80% or who had other major protocol violations. The main reasons for premature discontinuation of is clothing an indication of personal essay, a study medication were adverse events, nonadherence to the study-drug regimen, protocol violations, and efficacy or safety outcomes. Descrimination Essay. shows the is clothing an indication worth essay random assignment and follow-up of the patients. A primary efficacy outcome event occurred in dissertation services vancouver 17 of 1107 patients (1.5%) who were receiving 20 mg of rivaroxaban and in 13 of 1127 patients (1.2%) who were receiving 10 mg of rivaroxaban, as compared with 50 of 1131 patients (4.4%) who were receiving aspirin. Fatal venous thromboembolism occurred in 2 patients (0.2%) who were receiving 20 mg of is clothing of personal worth, rivaroxaban, in no patients who were receiving 10 mg of rivaroxaban, and in descrimination essay 2 patients (0.2%) who were receiving aspirin ( Table 2 Table 2 Prespecified Efficacy Outcomes. ). Is Clothing Worth Essay. Both rivaroxaban doses were superior to aspirin with respect to the primary efficacy outcome (hazard ratio for 20 mg of rivaroxaban vs. aspirin, 0.34; 95% confidence interval [CI], 0.20 to 0.59; hazard ratio for 10 mg of rivaroxaban vs. Gmat Essay Scale. aspirin, 0.26; 95% CI, 0.14 to 0.47; P0.001 for both comparisons).
The hazard ratio for the comparison between the 20-mg and 10-mg rivaroxaban regimens was 1.34 (95% CI, 0.65 to 2.75; P=0.42). An Indication Of Personal. Similar results were found for the other efficacy outcomes ( Table 2 , and Table S4 in the Supplementary Appendix). With aspirin, the rate of recurrent venous thromboembolism was 3.6% among the patients in whom the index event was provoked (i.e., associated with a known event, such as surgery or hospital admission) and 5.6% among those in whom the index event was unprovoked (i.e., idiopathic) ( Table 3 Table 3 Rates of essay on the call, Recurrent Venous Thromboembolism and Major Bleeding, According to Risk Profile and is clothing worth, Duration of Anticoagulation before Randomization. ). Rates of recurrence in patients whose index events were provoked or unprovoked were lower in movies movie both the 20-mg rivaroxaban group (1.4% and 1.8%, respectively) and the 10-mg rivaroxaban group (0.9% and 1.5%, respectively) than in the aspirin group. Is Clothing An Indication Of Personal Worth. Figure 2A Figure 2 Kaplan–Meier Rates of Recurrent Fatal or Nonfatal Venous Thromboembolism and Major Bleeding. Kaplan–Meier curves are shown for the first event of recurrent fatal or nonfatal venous thromboembolism during the individual intended treatment periods (Panel A) and for the first episode of major bleeding during the descrimination essay period between the administration of the first dose of a study drug and 48 hours after the administration of the last dose (Panel B). In each panel, the worth essay inset shows the same data on an enlarged y axis. shows the time course of symptomatic fatal or nonfatal recurrent venous thromboembolism. Of the 31 patients who were excluded from the analyses because they did not take any study drug, 1 patient who was assigned to receive 20 mg of narrator essay, rivaroxaban had a nonfatal primary efficacy outcome event. Major bleeding occurred in 6 patients (0.5%) in the 20-mg rivaroxaban group and in 5 patients (0.4%) in is clothing an indication essay the 10-mg rivaroxaban group, as compared with 3 patients (0.3%) in the aspirin group ( Table 4 Table 4 Prespecified Safety Outcomes. ). Figure 2B shows the time course of major bleeding episodes. Clinically relevant nonmajor bleeding occurred in 30 patients (2.7%) in the 20-mg rivaroxaban group and in 22 patients (2.0%) in the 10-mg rivaroxaban group, as compared with 20 patients (1.8%) in the aspirin group ( Table 4 ). Similar results were found for the composite outcome of major or clinically relevant nonmajor bleeding. Nonmajor bleeding that was associated with a study-drug interruption for more than 14 days occurred in 17 patients (1.5%) in the 20-mg rivaroxaban group and in 12 patients (1.1%) in the 10-mg rivaroxaban group, as compared with 12 patients (1.1%) in the aspirin group. Myocardial infarction, stroke, or systemic embolism occurred in 3 patients (0.3%) in the 20-mg rivaroxaban group, in 5 patients (0.4%) in the 10-mg rivaroxaban group, and in on the call of the 7 patients (0.6%) in the aspirin group ( Table 2 ). The rates of is clothing of personal worth essay, death from any cause were 0.7% and 0.2% in the 20-mg and movies at the movie, 10-mg rivaroxaban groups, respectively, as compared with 0.6% in the aspirin group.
Rates of adverse events were similar in an indication of personal worth essay the three study groups (Table S1 in the Supplementary Appendix). In prespecified subgroup analyses of the primary efficacy outcome and the composite outcome of major and clinically relevant nonmajor bleeding, results were consistent with the overall treatment effects (Figs. Good Questions. S1 through S4 in the Supplementary Appendix). Is Clothing Of Personal Essay. During the 30-day follow-up after the end of the gmat score scale active study period, symptomatic recurrent venous thromboembolism occurred in 2 patients (0.2%) in the 20-mg rivaroxaban group, in 4 patients (0.4%) in essay the 10-mg rivaroxaban group, and in 6 patients (0.6%) in movies at the movie the aspirin group. Clinical strategies for extended anticoagulation in patients with venous thromboembolism are uncertain. Previous studies have shown that as compared with placebo, aspirin reduced the relative risk of recurrent venous thromboembolism by worth 32% (2.4 percentage points), 12,13 whereas a 20-mg dose of rivaroxaban reduced the essay score relative risk by 82% (6.8 percentage points). 7 Consistent with those findings, our study shows that as compared with aspirin, both the 20-mg and 10-mg doses of rivaroxaban reduced the relative risk of recurrent venous thromboembolism by about 70% (approximately 3 percentage points). These benefits were observed with rates of major and clinically relevant nonmajor bleeding that were low and similar to those with aspirin.
Therefore, we found that rivaroxaban was more effective than aspirin for the prevention of an indication worth, recurrent venous thromboembolism and was associated with a similar risk of bleeding. What are the clinical implications of death essay, these findings? This study included patients with both provoked and unprovoked venous thromboembolism for whom there was equipoise regarding the need for continued anticoagulation. Is Clothing An Indication Worth. Patients with unprovoked venous thromboembolism are known to be at high risk for recurrence, but the good creative essay questions risk of recurrence among those in whom venous thromboembolism was provoked by of personal worth essay minor transient or persistent risk factors is less certain. Dissertation Writing Services Vancouver. We found that patients with venous thromboembolism with ongoing risk factors have an appreciable risk of recurrence because even with aspirin, the is clothing rate of recurrent venous thromboembolism in such patients was 3.6%, as compared with a rate of recurrence of 5.6% in those with unprovoked venous thromboembolism. Rivaroxaban reduced the relative risk of recurrence by about 70% in patients with both unprovoked and cheap dissertation vancouver, provoked venous thromboembolism. Consequently, the number of is clothing an indication of personal essay, patients who would need to essay, be treated for up to 12 months with rivaroxaban instead of aspirin to prevent one episode of fatal or nonfatal recurrent venous thromboembolism without increasing the risk of bleeding was 33 with the 20-mg dose and 30 with the 10-mg dose. Prevention of recurrent pulmonary embolism is particularly important, because the case-fatality rate at 30 days is at least twice as high with pulmonary embolism as with deep-vein thrombosis.
27. Our study has several potential limitations. First, patients who required extended treatment with therapeutic doses of anticoagulant agents were excluded. Worth Essay. Therefore, it remains unknown whether the 10-mg dose of rivaroxaban would be sufficient to gmat score, prevent recurrence in such patients. Second, in this study and in the previous trial comparing rivaroxaban with placebo for extended treatment of venous thromboembolism, therapy was given for up to 12 months. Consequently, additional studies are needed to is clothing an indication essay, determine the good questions utility of continuing treatment for of personal, longer periods. Third, our study was not powered to show the creative essay noninferiority of the an indication of personal worth 10-mg dose of rivaroxaban to the established treatment regimen of 20 mg, so any conclusions with respect to book thief death narrator essay, this issue are speculative. In conclusion, we found that rivaroxaban, at both a treatment dose (20 mg) and an indication worth, a thromboprophylactic dose (10 mg), was more effective than aspirin for the prevention of recurrent venous thromboembolism among patients who were in equipoise for continued anticoagulation.
The lower risk of a recurrent event among the patients who received rivaroxaban was associated with a rate of bleeding similar to that with aspirin. Supported by Bayer Pharmaceuticals. Disclosure forms provided by the authors are available with the essay full text of this article at NEJM.org. Dr. Weitz reports receiving consulting fees from Bayer, Boehringer Ingelheim, Bristol-Myers Squibb, Daiichi Sankyo, Ionis Pharmaceuticals, Janssen, Merck, Novartis, Portola, and Pfizer; Drs. Lensing, Freitas, Holberg, Pap, and Berkowitz, being employees of worth, Bayer; Dr.
Prins, receiving consulting fees from Pfizer and Daiichi Sankyo; Dr. Bauersachs, receiving consulting and lecture fees from Boehringer Ingelheim, Bristol-Myers Squibb, and Daiichi Sankyo; Dr. Beyer-Westendorf, receiving grant support, lecture fees, and fees for serving on advisory boards from Boehringer Ingelheim, Daiichi Sankyo, and Pfizer; Dr. Bounameaux, receiving grant support and fees for at the movie, serving on an indication essay the Thrombosis Research Institute Garfield Registry steering committee, fees for serving on the Bayer EINSTEIN CHOICE Study steering committee, consulting fees from Amgen, and fees for serving on advisory boards from cheap dissertation writing services, Bayer, Pfizer, and Sanofi Aventis; Dr. Brighton, receiving lecture fees from Bayer, Novo Nordisk, and is clothing an indication of personal worth essay, GlaxoSmithKline; Dr. Cohen, receiving fees for serving on a committee for gmat essay scale, Boehringer Ingelheim, grant support and fees for serving on committees from Bristol-Myers Squibb and Daiichi Sankyo, consulting fees and fees for serving on is clothing worth steering committees from Johnson Johnson and Portola, grant support, consulting fees, and fees for serving on committees from Pfizer, and movies movie, consulting fees from Sanofi, Janssen, and Ono Pharmaceuticals; Dr. Davidson, receiving consulting fees from Janssen and Portola; Dr. Decousus, receiving fees for attending symposia from an indication essay, Aspen, fees for movie, serving on an indication advisory boards from Pfizer and Bristol-Myers Squibb, and grant support and fees for board membership from Daiichi Sankyo and Bayer; Dr. Kakkar, receiving grant support, consulting fees, and lecture fees from Bayer and consulting and book death narrator, lecture fees from Sanofi, Janssen, Boehringer Ingelheim, and Daiichi Sankyo; Dr. Haskell, being an employee of Johnson Johnson; Dr. van Bellen, receiving lecture fees and fees for serving on an advisory board from is clothing of personal worth, Bayer and Daiichi Sankyo and for serving on an advisory board from Bristol-Myers Squibb; Dr.
Verhamme, receiving grant support, lecture fees, and fees for serving on an advisory board from Boehringer Ingelheim and LEO Pharma, lecture fees from Pfizer and services, Bristol-Myers Squibb, grant support from is clothing worth essay, Sanofi, lecture fees and fees for serving on an advisory board from Daiichi Sankyo, and fees for serving on an advisory board from Portola Pharmaceuticals; Dr. Wells, receiving grant support, lecture fees, and movies theater, fees for serving on an advisory board from Bayer, fees for serving on essay a writing committee from Itreas, consulting fees from Janssen Scientific Affairs, grant support from death narrator essay, Bristol-Myers Squibb and Pfizer, and lecture fees from Daiichi Sankyo; and Dr. Prandoni, receiving consulting and an indication of personal worth essay, lecture fees from Bayer, Sanofi, Daiichi Sankyo, and Pfizer. No other potential conflict of interest relevant to gmat score, this article was reported. This article was published on March 18, 2017, at NEJM.org. From the Thrombosis and Atherosclerosis Research Institute and McMaster University, Hamilton, ON (J.I.W.), and the Department of Medicine, University of Ottawa and the Ottawa Hospital Research Institute, Ottawa (P.S.W.) — both in an indication of personal worth Canada; Bayer Pharmaceuticals, Leverkusen (A.W.A.L., M.C.S.F., G.H., A.F.P., S.D.B.), Vascular Medicine, Klinikum Darmstadt, Darmstadt (R.B.), the gmat score Center for Thrombosis and Hemostasis, University Medical Center Mainz, Mainz (R.B.), and the Department of is clothing of personal worth, Hematology, Medical Clinic I, University Hospital Carl Gustav Carus, Dresden (J.B.-W.) — all in Germany; the Department of Epidemiology and essay on the of the, Technology Assessment, University of Maastricht, Maastricht, the Netherlands (M.H.P.); the Division of of personal worth essay, Angiology and Hemostasis and descrimination essay, the Faculty of Medicine, University of Geneva, Geneva (H.B.); the Department of Haematology, Prince of Wales Hospital, Sydney (T.A.B.); the is clothing an indication of personal worth Department of writing services, Haematology and Oncology, King’s College London (J.B.-W.), the Department of Haematological Medicine, Guy’s and St.
Thomas’ Hospitals, King’s College Hospital (A.T.C.), and Thrombosis Research Institute and University College London (A.K.K.) — all in London; the University of Washington School of of personal worth essay, Medicine, Seattle (B.L.D.); Centre d’Investigation Clinique 1408, Sainbiose U1059, Investigation Network on Venous Thromboembolism, Service de Medecine Vasculaire et Therapeutique, Centre Hospitalo-Universitaire, Hopital Nord, Saint Etienne, France (H.D.); Janssen Research and Development, Raritan, NJ (L.H.); Hospital Beneficencia Portuguesa, Sao Paulo (B.B.); Vascular Medicine and Hemostasis, University of Leuven, Leuven, Belgium (P.V.); and the Department of Cardiothoracic and movies at the movie, Vascular Sciences, Vascular Medicine Unit, University of is clothing, Padua, Padua, Italy (P.P.). Address reprint requests to Dr. Weitz at gmat essay score the Thrombosis and Atherosclerosis Research Institute, 237 Barton St. E., Hamilton, ON L8L 2X2, Canada, or at firstname.lastname@example.org. A list of the Reduced-dosed Rivaroxaban in is clothing an indication worth essay the Long-term Prevention of Recurrent Symptomatic Venous Thromboembolism (EINSTEIN CHOICE) investigators and collaborators is provided in the Supplementary Appendix, available at NEJM.org. ISTH Steering Committee for World Thrombosis Day . Thrombosis: a major contributor to thief death narrator, global disease burden. Thromb Res 2014;134:931-938.
Cohen AT , Agnelli G , Anderson FA , et al. Venous thromboembolism (VTE) in Europe: the number of is clothing of personal, VTE events and associated morbidity and mortality. Thromb Haemost 2007;98:756-764. Venous thromboembolism in adult hospitalizations — United States, 2007–2009. MMWR Morb Mortal Wkly Rep 2012;61:401-404.
Kearon C , Akl EA , Ornelas J , et al. Antithrombotic therapy for on the call wild, VTE disease: CHEST guideline and expert panel report. Chest 2016;149:315-352. Prandoni P , Lensing AW , Cogo A , et al. The long-term clinical course of acute deep venous thrombosis. Ann Intern Med 1996;125:1-7.
Ridker PM , Goldhaber SZ , Danielson E , et al. Long-term, low-intensity warfarin therapy for the prevention of essay, recurrent venous thromboembolism. N Engl J Med 2003;348:1425-1434. The EINSTEIN Investigators . Oral rivaroxaban for symptomatic venous thromboembolism. N Engl J Med 2010;363:2499-2510.
Schulman S , Kearon C , Kakkar AK , et al. Extended use of dabigatran, warfarin, or placebo in venous thromboembolism. N Engl J Med 2013;368:709-718. Agnelli G , Buller HR , Cohen A , et al. Apixaban for extended treatment of venous thromboembolism. N Engl J Med 2013;368:699-708.
Baglin T , Luddington R , Brown K , Baglin C . Incidence of recurrent venous thromboembolism in relation to clinical and thrombophilic risk factors: prospective cohort study. Cheap Services. Lancet 2003;362:523-526. Prandoni P , Bilora F , Marchiori A , et al. An association between atherosclerosis and venous thrombosis. N Engl J Med 2003;348:1435-1441. Brighton TA , Eikelboom JW , Mann K , et al. Low-dose aspirin for preventing recurrent venous thromboembolism.
N Engl J Med 2012;367:1979-1987. Becattini C , Agnelli G , Schenone A , et al. Aspirin for is clothing an indication of personal, preventing the recurrence of venous thromboembolism. N Engl J Med 2012;366:1959-1967. Kearon C , Ginsberg JS , Kovacs MJ , et al.
Comparison of low-intensity warfarin therapy with conventional-intensity warfarin therapy for long-term prevention of recurrent venous thromboembolism. N Engl J Med 2003;349:631-639. Patel MR , Mahaffey KW , Garg J , et al. Rivaroxaban versus warfarin in nonvalvular atrial fibrillation. N Engl J Med 2011;365:883-891. The EINSTEIN–PE Investigators . Oral rivaroxaban for the treatment of symptomatic pulmonary embolism. N Engl J Med 2012;366:1287-1297.
Prins MH , Lensing AW , Bauersachs R , et al. Oral rivaroxaban versus standard therapy for descrimination essay, the treatment of symptomatic venous thromboembolism: a pooled analysis of the EINSTEIN-DVT and of personal worth, PE randomized studies. Thromb J 2013;11:21-21. Eriksson BI , Borris LC , Friedman RJ , et al. Rivaroxaban versus enoxaparin for movies movie theater, thromboprophylaxis after hip arthroplasty. N Engl J Med 2008;358:2765-2775. Kakkar AK , Brenner B , Dahl OE , et al.
Extended duration rivaroxaban versus short-term enoxaparin for an indication of personal essay, the prevention of narrator essay, venous thromboembolism after total hip arthroplasty: a double-blind, randomised controlled trial. Lancet 2008;372:31-39. Lassen MR , Ageno W , Borris LC , et al. Rivaroxaban versus enoxaparin for thromboprophylaxis after total knee arthroplasty. N Engl J Med 2008;358:2776-2786. Turpie AG , Lassen MR , Davidson BL , et al.
Rivaroxaban versus enoxaparin for an indication of personal worth, thromboprophylaxis after total knee arthroplasty (RECORD4): a randomised trial. Lancet 2009;373:1673-1680. Weitz JI , Bauersachs R , Beyer-Westendorf J , et al. Two doses of rivaroxaban versus aspirin for prevention of recurrent venous thromboembolism: rationale for writing vancouver, and design of the EINSTEIN CHOICE study. Thromb Haemost 2015;114:645-650. Cockcroft DW , Gault MH . Prediction of creatinine clearance from an indication worth, serum creatinine. Movies Movie Theater. Nephron 1976;16:31-41. Levey AS , Stevens LA , Schmid CH , et al. Is Clothing Of Personal Worth Essay. A new equation to estimate glomerular filtration rate.
Ann Intern Med 2009;150:604-612. Schulman S , Kearon C . Definition of major bleeding in clinical investigations of antihemostatic medicinal products in non-surgical patients. J Thromb Haemost 2005;3:692-694. Kaatz S , Ahmad D , Spyropoulos AC , Schulman S . Definition of clinically relevant non-major bleeding in thief death narrator essay studies of anticoagulants in atrial fibrillation and venous thromboembolic disease in non-surgical patients: communication from the SSC of the ISTH. J Thromb Haemost 2015;13:2119-2126. Spencer FA , Gore JM , Lessard D , Douketis JD , Emery C , Goldberg RJ . Patient outcomes after deep vein thrombosis and pulmonary embolism: the Worcester Venous Thromboembolism Study. Arch Intern Med 2008;168:425-430. Gualtiero Palareti. Of Personal Worth. . (2017) Optimal long-term pharmacological treatment of patients with venous thromboembolism that was unprovoked or associated with weak risk factors. Expert Review of Hematology 10 :10, 921-931. L. Man, A. Morris, J. Brown, S. On The Of The Wild. Palkimas, K. Davidson. . (2017) Use of direct oral anticoagulants in patients on immunomodulatory agents.
Journal of Thrombosis and Thrombolysis 44 :3, 298-302. Julia Czuprynska, Jignesh P. Patel, Roopen Arya. . An Indication Worth Essay. (2017) Current challenges and future prospects in at the movie theater oral anticoagulant therapy. British Journal of Haematology 178 :6, 838-851. A. Of Personal Essay. Tosetto, S. Testa, I. Martinelli, D. Poli, B. Cosmi, C. Lodigiani, W. Ageno, V. Descrimination. De Stefano, A. Falanga, I. Nichele, O. Paoletti, P. Bucciarelli, E. Antonucci, C. Legnani, E. Banfi, F. Is Clothing Of Personal Worth. Dentali, F. Bartolomei, L. Barcella, G. Good Questions. Palareti. Worth. . (2017) External validation of the DASH prediction rule: a retrospective cohort study. Journal of Thrombosis and good creative, Haemostasis 149 . Davide Imberti, Daniela Mastroiacovo. Is Clothing An Indication. . (2017) Is it reasonable to use a lower DOACs dose in some patients with VTE? Yes. Internal and Emergency Medicine 12 :5, 561-563. Beate Schumacher. . (2017) Tiefe Venenthrombose: Wie lang antikoagulieren?. CME 14 :7-8, 54-54. Raphael Le Mao, Cecile Tromeur, Francis Couturaud. . (2017) Quel traitement anticoagulant au decours d’une embolie pulmonaire.
La Presse Medicale . Rachel Rosovsky, Geno Merli. . (2017) Anticoagulation in Pulmonary Embolism: Update in cheap dissertation writing services the Age of Direct Oral Anticoagulants. Techniques in of personal worth essay Vascular and Interventional Radiology . (2017) Extended Treatment of Venous Thromboembolism. New England Journal of Medicine 376 :25, 2491-2492. (2017) Scientific Surgery June 2017 BJS. Gmat Essay Score Scale. British Journal of Surgery 104 :7, 946-946. (2017) ACC highlights promising studies. Pharmacy Today 23 :6, 2. Paolo Prandoni, Valentina Vedovetto, Maurizio Ciammaichella, Eugenio Bucherini, Sara Corradini, Iolanda Enea, Benilde Cosmi, Nicola Mumoli, Adriana Visona, Giovanni Barillari, Carlo Bova, Roberto Quintavalla, Nello Zanatta, Simona Pedrini, Sabina Villalta, Giuseppe Camporese, Sofie Testa, Roberto Parisi, Cecilia Becattini, Stefano Cuppini, Vittorio Pengo, Gualtiero Palareti. . (2017) Residual vein thrombosis and serial D-dimer for the long-term management of is clothing of personal, patients with deep venous thrombosis.
Thrombosis Research 154 , 35-41. Paolo Prandoni, Walter Ageno, Nicola Mumoli, Nello Zanatta, Davide Imberti, Adriana Visona, Maurizio Ciammaichella, Livio Simioni, Roberto Cappelli, Eugenio Bucherini, Marcello Di Nisio, Giampiero Avruscio, Giuseppe Camporese, Roberto Parisi, Stefano Cuppini, Giacomo Turatti, Franco Noventa, Lucia Sarolo. . (2017) Recanalization rate in patients with proximal vein thrombosis treated with the direct oral anticoagulants. Thrombosis Research 153 , 97-100. Peter Overbeck. . (2017) Verlangerte VTE-Prophylaxe: Rivaroxaban deutlich besser als ASS. CardioVasc 17 :2, 18-19. Crowther, Mark A., Cuker, Adam, . . (2017) Reduced-Intensity Rivaroxaban for the Prevention of Recurrent Venous Thromboembolism.
New England Journal of Medicine 376 :13, 1279-1280. Takafumi Hiro. . (2017) Report of the Annual Scientific Sessions of the scale American College of Cardiology (ACC), Washington DC. Circulation Journal 81 :6, 777-782. Jeffrey I. Weitz, Iqbal H. Is Clothing An Indication Of Personal Worth. Jaffer, James C. Essay Call. Fredenburgh. . (2017) Recent advances in the treatment of venous thromboembolism in is clothing the era of the direct oral anticoagulants. F1000Research 6 , 985.
E. A. Ilyukhin, I. A. Zolotukhin. . (2017) Current Tendencies in the Prevention of Recurrent Venous Thromboembolism. On The. Flebologiia 11 :2, 83.
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ciee resume 2011 . All Rights Reserved. Study Abroad in. One more semester we had our Language Immersion Weekend, just before their total immersion in the University Spanish life. We spent a weekend at the Turism complex located in the Natural Park Sierra Norte de Sevilla,#0160;Sierra Hueznar.
21 American students, 10 Spanish students and 2 staff members. Language activities: one to one, group activities, wine tasting, cooking competition, etc. LANGUAGE AND SOCIETY PROGRAM NEWSLETTER. Essay! FALL 2015. ISSUE I. Language and Society Fall?15 students? adventure started last September 2nd. Flights were on time and most of questions our students were onsite during the morning of is clothing Wednesday. Our CIEE local team received them and good creative questions, they could be accommodated at their homes before they drank a welcome coffee to start breaking the is clothing, ice. During the orientation stage, students settled into their new homes, spent time with their Spanish families and attended informative sessions and cultural activities. At The! Their orientation sessions covered health and is clothing of personal, safety, housing, academics, diversity in Spain, excursions and social activities. LS Program students guided by some local students in at the, Seville enjoyed the tours that helped them to know their neighborhood and the downtown.
Students visited some interesting cultural historic monuments, explored the city and shared information about: public transport, gyms, post offices, etc. together with some fun cultural activities which include the so typical Sevillian tapas and flamenco. Here you can see part of the inauguration of the course where most of CIEE FALL 2015 Study Abroad Program students participated.#0160; After the orientation, the an indication of personal, two weeks intensive Spanish course is taking place in the CIEE Study Center. Students attend class and participate in activities out of the classroom included in the course: exploring the streets, interacting with locals and visiting local areas including stores and markets. Movies Movie! Although students find it intense (with three hours of class and activities per day) students? Spanish improvement is notable even in this short period of time. It?s wonderful to see how the students move forward. We are sure that this will allow them to be able to is clothing an indication worth face the regular semester courses with more confidence. CIEE students has also the opportunity to attend organized optional orientations meetings regarding #0160;“volunteer”, “ GLBTQ Student Experience”, “Seminar Living and good essay questions, Learning in worth, Seville“, “ Non-Catholic Student Experience”, or “ Intercambios meeting”. These meetings also provide them with great reasons to talk and discuss about their interests in Spanish and learn how they are developed in death narrator essay, a country abroad.#0160; Next week the students will begin their Regular Session attending classes at CIEE Study Center and is clothing an indication of personal worth, the University of Seville which will be shown by locals in a previous tour to explore their classrooms, libraries, cafeteria, etc.
Their classes will be supported by tutorials or workshops and reinforced by a “tandem project” carried out together with Spanish students.#0160; A daytrip to Cordoba and thief death narrator, overnight to Morocco will offer them the is clothing an indication, opportunity to go closer to new cultures and live what we hope will be once upon a live experience for them. Fall will come soon and CIEE continues working to help their students reaching their goals and their dreams. LIBERAL ARTS AND TEACHING DEVELOPMENT PROGRAMS. FALL 2015. ISSUE I. Another academic year has just started with students and staff full of energy and excitement.
Everything began two weeks ago, at the onsite orientation … The first week of September marked the beginning of the fall 2015 semester for the Liberal Arts program. Essay! During orientation, apart from attending mandatory sessions about housing, health, safety and is clothing an indication, academics, students also had the opportunity to enjoy Sevilla from different perspectives in special optional activities. For instance, students were able to explore the essay on the call of the wild, city through a bike tour by the Guadalquivir River, to watch a Spanish movie at an outdoor cinema and to learn the an indication worth, basics of Sevillanas , the typical Flamenco dance from Sevilla, in a practical workshop. After orientation, the time for classes arrived. Students are right now at the middle of the intensive session brushing up on their Spanish while they get accustomed to the new schedules, meals and a new daily life. 100% of program participants signed for an Interest Group (IG). This semester we are offering three different Interest Groups: Sports and Nature, Cultural Expressions and Sevilla and the Americas. This week, the three IGs will present their activities to students in a session that will be both informative and fun and that will count on the participation of Spanish university students.
We hope that students will enjoy while they learn and get the most of their study abroad semester that has just began. We wish you a wonderful fall semester. Theater! Please, follow the life of of personal your students in Sevilla visiting our program facebook. Warm regards from Sevilla! CIEE SEVILLE BUSINESS AND SOCIETY PROGRAM FALL 2015, ISSUE I. The Business and Society students arrived safely and they seem to be very enthusiastic about the writing services, idea of enjoying this experience. After the is clothing of personal, three days orientation session , #0160;with the informative sessions about academics, housing, safety, activities and the Bystander Intervention Training (BIT) session by the CIEE Seville Student Services Director, Morgan Reiss. The session began on good creative essay Monday and the students enjoyed the Spanish for Business Students class, which is designed to help students prepare for their experiences in their classes by increasing listening and comprehension skills and an indication of personal worth, building vocabulary. Preparatory Session and cheap writing, Internship Forum. Before the Internship Forum students attended a preparatory session where the worth essay, Internship Coordinator provided them with in-depth information about the companies participating in the program and some tips about dress code, greeting, speaking, etc. and all the information about the participant companies. A total of 19 companies attended our CIEE Internship Forum on book death September 8th.
As a real process, students had interviews with several companies showing their best to get an is clothing an indication of personal internship in movies at the, their favorite companies. Essay! At this time, all the students have been already placed in local companies.#0160; Students had the chance of visiting the Alcazar, a royal palace in#0160;Seville,#0160;originally developed by Moorish Muslim kings. It is the oldest royal palace still in use in Europe and was registered in 1987 by UNESCO#0160;as a#0160;World Heritage Site. We’d like to thank you for your continued support of the #0160;CIEE Business and Society Program.#0160;If you have any questions or feedback on at the movie theater the program, please do not hesitate to is clothing essay contact the death narrator essay, CIEE Staff.#0160; If you haven't done it yet, don't miss the opportunity to like and start following our#0160;Facebook page#0160;or#0160;Twitter profile#0160;for regular updates on the program's activities. INTERNATIONAL BUSINESS AND CULTURE, NEWSLETTER, FALL 2015, ISSUE I. The CIEE International Business and Culture Students have had a busy (but productive) first two weeks.
Students participated in several key orientation sessions such as academics, what to expect in their homestay (all IBC students live with Spanish families), and how to stay safe and healthy during their study abroad experience in is clothing worth essay, Seville.#0160; In between sessions, students participated in city orientation activities with Spanish student guides, which focused on how to “survive” in Seville (how public transportation and at the movie, pharmacies work, where the CIEE Study Center is an indication, located, how to descrimination order food…in Spanish!, etc.). Is Clothing Of Personal Worth Essay! Students also participated in an interactive “Bystander Training”, and thief narrator essay, the importance of watching out for is clothing an indication worth essay, each other during their semester abroad. Students jumped right into the Spanish language upon conclusion of orientation, participating in a 2 week, 4 hours/day intensive Spanish language course.#0160; Students have been making amazing progress in their Spanish language fluency.#0160; While all students must take at least one language course during the regular session, all have been encouraged to book essay take at an indication, least two Spanish language courses during the regular semester session and thusly continue with an intensive Spanish language experience. Energy and nerves are high as students begin their semester-long classes this week at the University Pablo de Olavide.#0160; Students were welcomed to the university by the International Center Staff, with the university?s president formally greeting all University Pablo de Olavide’s international students today in a welcome session. COMMUNICATION, NEW MEDIA + JOURNALISM NEWSLETTER / FALL 15 / ISSUE I. Opening of the Fall 15 semester at CICUS. From left to right: Karen McConarty (Villanova), Lauren Saxe (Indiana), Leah Wetterling (Santa Clara), Sadie Cole (Colorado College) and Alyssa Morales (Santa Clara)
Greetings from Seville! I hope you had a very nice summer holiday. Here in Seville, where it’s still quite warm, we’re busy with the writing, start of the Fall 2015 semester; full of energy and looking forward to starting our many projects with our students and our community. #0160;#0160;#0160; All students of the Communication, New Media and Journalism program (CNMJ) arrived sound, safe on August 31 st . We're very pleased to be welcoming this semester students from Santa Clara University, Indiana University-Bloomington, Villanova University, the University of Oregon, Elon University and Colorado College. Following a fully informative first week of onsite orientation, CNMJ students are now immersed into their two-week Intensive Session courses in Spanish Grammar or Cultural History of Spain. As they tune into their Spanish and become familiar with their new social and cultural environment, they’re gaining strength to face a semester abroad full of hard work, exciting challenges and meaningful encounters.
In order to is clothing an indication essay introduce our committed academic team, as well as to further discuss the program's academic components, its experiential learning opportunities and our efforts to gmat essay score scale create links of is clothing of personal essay reciprocity with our host community, students and professors gathered last Thursday at the Centro de Iniciativas Culturales de la Universidad de Sevilla (CICUS), the first-rate cultural institution, which is descrimination essay, a mere 2-minute walk from the CIEE study center and home to the core and of personal, elective courses of the CNMJ program. As in previous semesters, the core course New Media and movie, Audiovisual Workshop, taught by professor Carlos Pineda, will be part of CICUS formative offer as a for-credit workshop for 6 students from the worth essay, University of movies at the Seville, chosen out of a total of 36 applicants! This semester for the first time, the core course Magazine Reporting and Writing, in an indication worth essay, which we create the movies at the theater, magazine mas+menos, will also be open to local students. This means that all of CNMJ students will be sharing academic activities and media production projects with peers from the University of is clothing of personal worth essay Seville. As in previous semesters, CNMJ's students and professors will be visiting the score scale, town of Cadiz, at the end of September, and the Moroccan town of Chefchaouen in late October, where they’ll be hosted by is clothing an indication of personal essay, the families of local students. Check CNMJ’s Facebook page to descrimination essay see the beautiful video that Kaileen Glynn (Carthage College), Jordyn Rohrman (University of Oregon) and Maddie Szempruch (University of St. Thomas) created about the mother of their Moroccan host, “La Madre de Anass”, as an exercise for an indication essay, their New Media and Audiovisual Workshop course.
While you’re at it, you may also check posts that include the interviews conducted by students of the Magazine Reporting and Writing course to young Saharauis living in Seville; Carla Sraders’ (Indiana University) extremely original photography project (parts one and two) putting together the works of Seville’s Fine Arts Museum with graffiti on the buildings that surround the museum; a presentation of “remixed” publicity projects done by students of the course Digital and Visual Culture in Contemporary Spain ; Maddie Szempruch’s remarkable chronicle of a Nigerian Christian community for mas+menos 24 magazine, “Moved by Spirit”; Jenna Rohde’s (Elon University) moving interview to the young Syrian refugee living in scale, Seville Adnan Amom, “Caught in the Crossfire”; or Madeline Terrell’s (Univeristy of Indiana) compelling portrait of the of personal, bookstore and culture hub “La Extravagante”, titled “Somos Libros”.#0160; As always, I invite you to visit our website of student projects, masmenos.es for more interesting contributions from gmat, our students of the Spring 2015 semester in of personal essay, the areas of essay magazine, tv (audiovisual), podcast and photo reporting. Is Clothing! Many more projects coming soon as our students of the Fall semester start engaging with members of their host community. We trust that their endeavor will carry them well beyond comfort and customized zones as they explore their surroundings in search of stories of cheap dissertation human interest. If you haven't done it yet, don't miss the is clothing an indication essay, opportunity to like and start following our Facebook page for regular updates on the program's activities and students’ projects. Let's wish all of at the theater them, their professors and all of our staff in Seville good luck at an indication of personal, the beginning of this new semester, which I’m sure will be filled with great experiences. Warm regards from Seville. Oscar Ceballos, CNMJ RD. ADVANCED LIBERAL ARTS, FALL 2015, ISSUE I. CIEE ALA Program started this semester! Students from 14 different institutions arrived last September, 1 st . We're very pleased to book death essay be welcoming students from these institutions: Beloit College, Gordon College, Gustavus Adolphus College, Hope College, Johns Hopkins University, Hope College, Johns Hopkins University, Macalester College, Reed College, Saint Mary's College of California, Scripps College, University of Minnesota-Twin Cities, University of Oregon, University of Wisconsin-Madison and Warren Wilson College.
ALA students completed their orientation (academic issues, housing, health and safety, cultural activities, etc). They got to know the city (universities, monuments, restaurants, post offices, flamenco, etc) and we visited our two Universities here in Seville. We held different session in both place. We had the active participation and#0160;valuable assistance of three Spanish students from an indication worth, University of Seville and good essay, University Pablo de Olavide. Thanks, Ana, Mase and Jesus! This week ALA students started their intensive session and Student Services held the Bystander Intervention Training session. This week and the next one we are going to is clothing an indication worth essay be dedicated to individual and group academic appointments with our students in order to narrator essay help them make the best selection of university courses, offering the opinions from the experience of previous students and our experience. If you are interested in essay, knowing more about the movies movie theater, program, we suggest that you should visit our#0160;Facebook. All the best from Seville.
SUMMER LANGUAGE AND CULTURE, COMMUNICATIONS AND MULTISITE PROGRAMS NEWSLETTER. The Seville Summer programs ended last Friday. We have enjoyed a summer full of interesting courses and exciting activities and trips. All summer classes received fantastic feedback from students. The interactive class atmosphere was a perfect combination of language and culture. Students especially loved the out-of-class experience provided by their courses. Some examples of out-of-class activities include a visit to the Aquarium, to local markets, flamenco dancing lessons, a trip to the Roman city of Italica and the delicious tastings of the Culture and Cuisine course: olive oil, chocolate, Iberian pork and Spanish wine. The Seville Summer programs have a vibrant character and are full of cultural activities and trips. Apart from of personal worth essay, visiting the “must” places in Seville such as the Reales Alcazares, Cathedral, Giralda, Barrio de Santa Cruz , etc, students also participated in a wide variety of events. For instance, a group of students participated in on the call, a graffiti tour where they could also do their own “street masterpiece” and other students learned how to cook typical Spanish dishes in cooking lessons. Students also engaged in activities with Spaniards such as an worth outdoor cinema, biking tours and cheap writing, spending the afternoon at a swimming pool on a warm day!
The CIEE Study Center trips helped students to know in depth the Spanish culture. Of Personal Worth! All trips combined a cultural component and free time in movies at the movie, which students had time to explore by themselves. #0160;Students travelled for is clothing worth essay, the day to Cordoba, Aracena, Puerto de Santa Maria and descrimination, spent overnight weekends in Cadiz, Granada and Malaga . All students participated in intercultural meetings during the three summer sessions in an indication, order to learn how to adapt better to thief essay a new culture. An Indication Worth Essay! What students learned in class was put into practice both in their daily life in Seville and during the essay score scale, ICE weekend trips. ICE destinations for the Seville summer students were Amsterdam, Lisbon, Barcelona and Paris. After every ICE trip, students took part in a reflective session using “curious and obvious” photos that they took during their trips.
It was very interesting and fun! Please, visit our summer facebook page for more details and photos of students’ life in Seville. We hope you had (or are having J) a wonderful summer vacation. Warm regards from is clothing an indication essay, Sevilla, Maria, Luisa, Dani and Olga#0160; This post is by Crystal Lewin , a Psychology Major student from Williams College. #0160;During the Spring 2015 semester she was participating in the#0160;CIEE Liberal Arts#0160;program.
My experience in Sevilla has to be one of the essay questions, greatest ones I’ve ever had. My life revolves around the beautiful game, otherwise known as soccer or futbol. Is Clothing An Indication! Back in the US, I play Division III soccer for one of the best teams in the nation: Williams College. So the second I arrived in creative, Sevilla to begin my semester abroad, I started searching for competitive teams to play for; to keep up my fitness and level of play. Is Clothing Of Personal Worth Essay! In the beginning I had very little luck, but boy did that change. Everyone should know that in cheap writing services vancouver, Sevilla, there are two major teams (men’s and women’s) that give rise to an indication of personal worth an immense rivalry: Sevilla FC and Real Betis Balompie. Well one day I found out something important about my Anthropology of Sports professor at CIEE, Jose Vinas -- Get to know him. He’s freaking awesome -- except for score scale, the fact that he’s a Betis guy.] He has connections to one of these teams: the Division I (“La Superliga”) professional women’s soccer team, Sevilla FC. I was feeling ballsy after class one day, so I asked if he wouldn’t mind helping me get a tryout -- cuz why not? I had gotten super lucky before with getting a tryout with the Mexican Women's National Team (a story for another day) so I thought -- hey, what do I have to lose?
I quickly whipped up a soccer resume, and some film I had on hand. An Indication Of Personal Essay! Sure enough, I ended up getting pretty lucky! The club director asked me to come out for a week of training, which would essentially serve as a tryout week for me. The Sevilla soccer gods decided that I didn’t have to wait a week, though. Fortunately, on writing services vancouver the second day, I got asked to essay join the team (“hacer ficha”). So after decoding the movies at the movie theater, complicated NCAA rules, and after getting the okay from my coach back home, Sevilla FC was finally free to send my paperwork to FIFA for is clothing an indication essay, processing. I have access to all the facilities now and gmat score, have my own personalized ankle injury prevention program at the club’s gym. (I have the right ankle of a two-year-old’s, so strength training is mandatory).
I’ve also become friends with practically all of the trainers, since every single one has had the is clothing, awesome privilege of taping my ankle. As of now I am still waiting for my paperwork to go through, but until then I will be training and supporting my new team -- and hopefully you will see me on the Sevilla Femenino roster real soon! Entrance to games is free so come out to creative questions “La Ciudad Deportiva” and support if you are interested in watching some kickass soccer! Sevilla nunca se rinde (Sevilla never gives up). Crystal Lewin (Ronaldo) LANGUAGE AND CULTURE NEWSLETTER, SUMMER 2015, ISSUE I. The first summer session has come to is clothing an indication of personal worth an end. Essay On The! Everything went very smoothly, and the students were really able to get to know the city during the orientation with their local student guides and CIEE staff. The weather during the session was warm, and pleasant.
Students were able to is clothing get to creative essay questions know some interesting places around the city of Seville through many activities organized by student services, such as visiting the Alcazar palace and an indication worth essay, gardens, a few of the book death narrator essay, city’s convents, and the Casa de Pilatos, home to some of Andalusia?s nobility. Students also participated in some fun cooking classes, where they learned to is clothing an indication of personal essay prepare some typical Spanish dishes. Outside of Seville, they got to spend a day in Cordoba, visiting its Jewish quarter and world-renown mosque and enjoying their time on its narrow streets full of traditional tapas bars. Other students visited the white mountain town of Aracena. In Aracena, they hiked up to the castle and explored some caves.#0160; On the essay, overnight trip, students visited Cadiz, Jerez, and Bolonia. An Indication Worth Essay! Students spent the on the call, day touring the ancient port city of essay Cadiz – its cathedral, markets, historic center- and cheap dissertation writing vancouver, then had some free time to try the fresh seafood and relax on the beach.
At night, they enjoyed a tour of the city of Jerez, seeing a procession and the preparation of the city for its Corpus Christi celebration. The following day, we travelled to of personal worth essay the coast to visit Bolonia beach, where the call, Baelo Claudia Roman ruins are located. An Indication Essay! Students toured the complex and then had free time at gmat score scale, the beach. For their intercultural trip, students visited Lisbon and Barcelona. Each group really enjoyed getting to know another city and came back with a new perspective.
Many wanted to go back to an indication of personal worth essay those cities and spend even more time getting to know them. Throughout the session, CIEE students interacted with local students and had the chance to practice their language skills during weekly activities organized by the ‘Language Support’ team. Book Thief Death Narrator! They did some fun activities such as picnics on the river, visiting the cinema, swimming pool, etc. The views and an indication of personal, opinions expressed in dissertation services, this blog are those of the authors and do not necessarily reflect the official policy or position of CIEE.
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Essay clothing indication personal worth
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