11/23/2023 0 Comments Franz liszt biography![]() Liszt died in Bayreuth, Germany, on July 31, 1886, having outlived Wagner, his son-in-law and greatest creative beneficiary. The complexion of his music darkened the flash that had characterized his previous efforts gave way to a peculiar introspection, manifested in strikingly original, forward-looking efforts like Nuages gris (1881). In his final decade he joined the Catholic Church and devoted much of his creative effort to the production of sacred works. 1 (1849) were orchestrated by talented students - but made up for lost time in the production of two "literary" symphonies (Faust, 1854-1857, and Dante, 1855-1856) and a series of orchestral essays (including Les préludes, 1848-1854) that marks the genesis of the tone poem as a distinct genre.Īfter a lifetime of near-constant sensation, Liszt settled down somewhat in his later years. Liszt was well into his thirties before he mastered the rudiments of orchestration - works like the Piano Concerto No. The "transcendence" of his Transcendental Etudes (1851), for example, is not a reference to the writings of Emerson and Thoreau, but an indication of the works' level of difficulty. He wrote most of his hundreds of original piano works for his own use accordingly, they are frequently characterized by technical demands that push performers - and in Liszt's own day, the instrument itself - to their limits. As his career as a touring performer, conductor, and teacher burgeoned, he began to devote an increasing amount of time to composition. Inspired by the superhuman technique - and, indeed, diabolical stage presence - of the violinist Paganini, Liszt set out to translate these qualities to the piano. Still, not even the juiciest accounts of his amorous exploits could compete with the stories about his wizardry at the keyboard. Liszt soon became a prominent figure in Parisian society, his romantic entanglements providing much material for gossip. Ultimately, his Hungarian origins proved a great asset to his career, enhancing his aura of mystery and exoticism and inspiring an extensive body of works, none more famous than the Hungarian Rhapsodies (1846-1885). ![]() When he was turned down there - foreigners were not then admitted - he instead studied privately with Anton Reicha. He studied for a time with Czerny and Salieri in Vienna, and later sought acceptance to the Paris Conservatory. Though already a veteran of the stage by his teens, Liszt recognized the necessity of further musical tuition. An oft-repeated anecdote - first recounted by Liszt himself decades later, and possibly fanciful - has Beethoven attending a recital given by the youngster and bestowing a kiss of benediction upon him. Still, he was at the age of eleven the youngest contributor to publisher Anton Diabelli's famous variation commissioning project, best remembered as the inspiration for Beethoven's final piano masterpiece. Though contemporary accounts describe his improvisational skill as dazzling, his talent as a composer emerged only in his adulthood. His compositions inspired a whole generation of keyboard virtuosi. He was one of the most important composers of the Romantic period. ![]() Hailed by some as a visionary, reviled by others as a symbol of empty Romantic excess, Franz Liszt wrote his name across music history in a truly inimitable manner.įrom his youth, Liszt demonstrated a natural facility at the keyboard that placed him among the top performing prodigies of his day. Franz Liszt (born October 22, 1811, Raiding, Hungary died July 31, 1886, Bayreuth, Germany), Hungarian piano virtuoso, composer, arranger, conductor, author and music teacher. His lasting fame was an alchemy of extraordinary digital ability - the greatest in the history of keyboard playing - an unmatched instinct for showmanship, and one of the most progressive musical imaginations of his time. I have not heard of Capucine and was trying to work out who she was.Well it was Capucine! I loved the "Old" lady who demonstrate great experience with life and it quirks.Liszt was the only contemporary whose music Richard Wagner gratefully acknowledged as an influence upon his own. I read a few comments that praise the finger work done by D B. When the music playing was on I turned on my sound system to fill the room then returned to TV sound. Although I'm not really an amateur of classical music, and prefer popular music and singing I find easier and sometimes more meaningful but on the strength of the rest of the family I had and who felt classical music is the real thing I did persevere with the viewing and felt it to be very rewarding. ![]() It was for me only a mid day TV movie but I have a large screen and a fairly good sound system with it. It took me some time to identify Frantz Litz (forgive me for the "T" and "z" but i'm sure you know whom it is about. Famous pianist charms married princess He's also married so this story is a kind of impossible love story. No vote from me! I was surprised the average was not higher as what I watched was to me very pleasing. ![]()
0 Comments
11/23/2023 0 Comments Pdf expert readdle![]() Use e-signatures to sign contracts on the go.Convert PDFs to Word, Excel, PPT, JPG/PNG, TXT, and vice versa.Open your scans to fill out, sign, comment, and share.Access the scanned PDFs that you’ve created using PDF Expert.Add, delete, and rearrange pages with a thumbnail preview.Merge and combine multiple PDF files into one.Easily add, replace, and resize images in your PDFs.Add outlines to big PDFs to simplify navigation for hundreds of pages.Add links: link any part of the text or image to a different page or website.Edit or modify existing text directly in a PDF – just as you would in a Word document.All the major form formats support, including acro forms and static XFA forms.Fill out PDF forms using interactive text fields, checkboxes, and radio buttons.Record your voice and add it to the doc.Add stamps such as Approved, Confidential, etc.Mark important info in books using colors, text, or stickers.Use Text to Speech to hear the selected text read out loud.Export PDF files from email, web, or any app that supports the Apple system-wide Share menu.Enjoy both vertical and horizontal scrolling. ![]() ![]() Pick Day, Night, or Sepia mode and enjoy reading anytime, anywhere.“The best app for managing, editing, and reading PDFs on your iPad.” – The Sweet Setup “I was blown away at how easy the app is to use.” – MakeUseOf “PDF Expert is one of my must-have iPad apps and a desktop-class PDF reader.” – MacStories It works fast and smoothly on your iPhone and iPad, allowing you to create professional-looking PDFs while having a delightful experience and enjoying the latest Apple novelties. PDF Expert adopts all the latest Apple features: from Apple Pencil hover state to Lock Screen widgets and Stage Manager. Unlock unlimited possibilities with PDF Expert Premium features and work across all your Apple devices, effortlessly letting you complete any PDF task on the go. Read PDF files easily, highlight and annotate PDFs, fill out forms, convert any file to PDF, merge several files into one, and easily add notes. Unlock your potential with a fast and easy PDF Expert app, that has just all the features you need in a well-designed and intuitive user interface. ![]() 11/23/2023 0 Comments Rogue legacy 2 xbox one price![]() ![]() You’ll have no time to relax once a point is captured, as the next one will already be waiting. Teams will fight for control of key positions across the map called “flashpoints,” aiming to capture three of them before their opponents do. This mode will feature two new locales that are Overwatch 2’s biggest PVP maps to date! Turning up the competition with FlashpointĪlso launching with Overwatch 2: Invasion is Flashpoint: a whole new PVP core game mode available for all players in Quick Play or Competitive Play. You’ll face new objectives, along with new Null Sector enemies that may somehow feel familiar. Explore all-new areas of the King’s Row map as you guide a well-armed TS-1 push bot on a mission to save Iggy and the rest of the Omnic Underworld from Null Sector. In addition to Story Missions, you’ll be able to take part in a new bonus co-op mission on King’s Row. Two additional Legendary skins for Cassidy and Kiriko ($38 USD value).An additional 1,000 Overwatch Coins, for a total of 2,000 Overwatch Coins ($20 USD value).The Null Sector Premium Battle Pass with 20 Battle Pass skips ($30 USD value).You can also upgrade to the Overwatch 2: Ultimate Invasion Bundle for $40 USD, you will have access to all the above, as well as: ![]() ![]() The Overwatch 2: Invasion bundle is intended to give new and veteran players alike the opportunity to explore this brand-new story arc while giving them additional coins to unlock the Premium Battle Pass or to buy cosmetic content for their favorite Hero. Permanent access to Sojourn as a playable hero for new players: unlocked upon completing Story Mission challenges.A brand-new Sojourn Legendary skin ($19 USD value).1,000 Overwatch Coins (equal to the Premium Battle Pass, $10 USD value).Access to the Overwatch 2: Invasion Story Missions ,during the season and permanently after.You can get started on your mission to save the world with the Overwatch 2: Invasion Bundle for $15 USD. Stay alert for challenging enemies that haven’t been encountered before, such as the powerful Artillery and the deadly Stalkers. You’ll fight against the intensified forces of Null Sector, who will continue to attack until you’ve completely dismantled them. In Overwatch 2: Invasion, you and your friends can take on three action-packed missions that take place in Rio de Janeiro, Toronto, and Gothenburg-massive maps with complex objectives, and an in-depth storyline that will guide you along the way. It’s up to the new Overwatch team to find out what their plans are and put a stop to them, but they’ll need help from past allies and new faces alike if they hope to stand a chance. Null Sector is bringing utter destruction to every city and seems to have an ulterior motive to kidnap Omnics for an unknown purpose. However, the global invasion has only just begun. It was thanks to Winston, Tracer, Mei, and a handful of other heroes that the city was saved from destruction. In Zero Hour, we saw the rogue Omnic group, Null Sector, invade Paris. The rise of Null Sector begins with new Story Missions Overwatch 2: Invasion brings new Story Missions, an all-new PVP core game mode, new ways to build on your skills with your favorite heroes - and, yes, a new Support hero!įind out how you can jump into the action with the Overwatch 2: Invasion Ultimate Bundle, earn and collect new Legendary skins, and get a head-start in the upcoming Null Sector-themed Premium Battle Pass. The world is thrust into chaos, and it’s up to a new generation of heroes to save the day. There’s a new threat to the world as the invasion of Null Sector begins. ![]() 11/23/2023 0 Comments Fresh seafood market near me![]() Whether you’re expanding your ridesharing operations into Australia or deploying a two-wheeler service in India, we’ve got you covered with detailed, high-quality data for urban areas and cities around the globe. To reduce congestion, we also added new below-grade parking and a Maine Avenue signaled intersection that improve vehicular access at the site.įinally completed, a new Market Plaza, Market Pier, and Market Square enhance the public enjoyment of this one-of-a-kind market experience on the waterfront.Deliver great experiences all over the globe The reimagined Municipal Fish Market includes the restoration of the historic oyster shed, a new market operations building, a new distillery, as well as a new market hall and retail additions that include a market shed and two small market pavilions. We've recognized the Municipal Fish Market as a gateway to The Wharf-an iconic fixture for the District of Columbia and for the entire region that we are preserving and reenergizing for years to come. Whatever you do, don’t miss this hometown favorite, chock full of fresh seafood and local flavor. Stock up for special occasions, grab something for lunch or dinner, or walk over to one of The Wharf’s plazas or parks-or the Tidal Basin-for a scenic picnic. You can get fresh or cooked seafood: heaping bushels of blue crab, shucked oysters, clams, shrimp, and freshly caught fish. ![]() Choose from unique and vibrant seafood vendors. Nestled between the Potomac River and the National Mall (1100 Maine Avenue SW, Washington, DC), this DC landmark is a true local gem. Through the centuries, the Fish Market has been home to an ever-changing array of vendors and eateries, including produce vendors, oyster boats, bait and tackle shops, and lumber distributors. Opened in 1805, The Municipal Fish Market at The Wharf-often simply called The Fish Market-is the oldest continuously operating open-air fish market in the United States, predating New York City’s Fulton Fish Market by 17 years. Other Shops and Restaurants: In addition to having the nation's oldest fish market, The Wharf neighborhood is home to thousands of residents and employees, four hotels, a 6000-seat music venue, and over 80 shops and restaurants. To learn more about the current seafood offerings and prices, please contact Jessie Taylor Seafood at 20. 1-2 hours: $25Ĭurrent Seafood Offerings and Prices: The Municipal Fish Market is home to multiple vendors. In addition, limited short-term surface parking is available in the Fish Market Lot and Market Square Lot at the following rates: Under 30 min: $5. 30 min-1 hour: $12. ![]() Learn more about parking and validation here. Parking: Visitors arriving by car may park in the underground garage at a rate of $2 for the first hour, with validation of purchase from the Municipal Fish Market. ![]() The Fish Market remains an iconic DC destination for hungry locals and savvy visitors seeking fresh fish, crabs, cooked seafood.Īddress: 1100 Maine Avenue SW, Washington, DC 20024 ![]() The Municipal Fish Market at The Wharf is the oldest continuously-operating open-air fish market in the United States, dating back to 1805. ![]() 11/23/2023 0 Comments Offworld trading company scavenger![]() I think one does that same for these two. How far away from your iron is it worth moving to get those resources… Here I’m not 100% sure if it’s best to grab more free resources or settle right next to the iron. Try and get as much free resources as possible. Settle next to the iron, so the steel mills are connected to your HQ. ![]() The alu should be at least a 2 stack, if not 3. I look for an iron cluster and aluminum close by. What is it that you look for? What formations make you decide to play with what faction? (This post is not to debate that please - I’d like to discuss your winning strategies in MP games.) I play as Science, it’s really the only faction I’ve played with, but would love to understand how to start the other factions.įrom reading through the posts, I got most of my starting knowledge from EMH2006 and his post pm why Science it the best here: I know that each game is unique given the random events, but certain things are somewhat consistent and would like to focus on that. Given that, I was hoping to get some advice from players that win or at least compete well in games they play, especially early on. It is usually very easier to learn from your mistakes or others game play, but I’m finding that very challenging in this game. ![]() ![]() I get my butt handed to me most of the time though and one think that I find very frustrating is trying to figure out what I did wrong or what the other players did to kick my ass so easily! Man, I’m having fun playing this game, especially multiplayer! ![]() 11/23/2023 0 Comments Sqldeveloper for mac![]() ![]() To start SQL Developer, go to the sqldeveloper directory under the directory, and do one of the following, as appropriate for your operating system: ![]() It also causes many files and folders to be placed in and under that directory. Unzipping the SQL Developer kit causes a directory named sqldeveloper to be created under the directory. This directory location will be referred to as. Unzip the SQL Developer kit into a directory (folder) of your choice. To install and start SQL Developer, follow these steps: SQL Developer requires that the Java JDK 1.6.0_11 or later be installed on the system, or that you install a SQL Developer for Windows kit that includes a JDK. You can learn about SQL Developer by clicking Help, then Table of Contents, and reading the help topics under SQL Developer Concepts and Usage.ġ.2.2 Linux and Mac OS X Systems, and Windows Systems without JDK 1.6.11 or Later Alternatively, if you have any exported connections (see Section 1.4 or Section 1.10), you can import these connections and use them. For example, the path might have a name similar to C:\Program Files\Java\jdk1.6.0_25\bin\java.exe.Īfter SQL Developer starts, you can connect to any database by right-clicking the Connections node in the Connections Navigator and selecting New Connection. ![]() If you are asked to enter the full pathname for java.exe, click Browse and find java.exe. To start SQL Developer, go to \ sqldeveloper, and double-click sqldeveloper.exe. Unzipping the SQL Developer kit causes a folder named sqldeveloper to be created under the folder (for example, C:\Program Files\sqldeveloper). Unzip the SQL Developer kit into a folder (directory) of your choice (for example, C:\Program Files). To install and start SQL Developer on a Windows system on which the Java J2SE JDK 1.6.11 or later is installed, follow these steps: The steps for installing SQL Developer depend on whether or not you will be using it on a Windows system that does not have the Java SDK release 1.6.11 or later installed:įor a Windows system with the Java release 1.6.11 or later installed, follow the instructions in Section 1.2.1.įor all other systems (Linux and Mac OS X systems, and Windows systems with no Java SDK or a Java SDK release earlier than 1.6.11 or later installed), follow the instructions in Section 1.2.2.ġ.2.1 Windows Systems with JDK1.6.11 or Later Be sure to download the appropriate kit.īefore you install SQL Developer, look at the remaining sections of this guide to see if you need to know or do anything else first. Suggestion: Create a shortcut for the SQL Developer executable file that you install, and always use it to start SQL Developer.įor Windows systems, there are two kits: one for systems on which the Java SDK release 1.6.11 or later is installed, and another for systems with no Java SDK or a Java SDK release earlier than 1.6.11. This version of SQL Developer is separate from any SQL Developer kit that you download and unzip on your own, so do not confuse the two, and do not unzip a kit over the SQL Developer files that are included with Oracle Database. If Oracle Database (Release 11 or later) is also installed, a version of SQL Developer is also included and is accessible through the menu system under Oracle. If you are using a pre-release (Early Adopter) version of SQL Developer, and if you want to be able to continue to use this pre-release version after installing the official release kit, you must unzip the official release kit into a different directory than the one used for the pre-release version. Section 1.11, "SQL Developer Documentation" Section 1.10, "Uninstalling SQL Developer" Section 1.9, "Using a Screen Reader and Java Access Bridge with SQL Developer" Section 1.8, "Finding SQL Developer Accessibility Information" Section 1.7, "Advanced Security for JDBC Connection to the Database" Section 1.6, "Database Certification for SQL Developer (Oracle and Third-Party)" Section 1.5, "Location of User-Related Information" Section 1.4, "Migrating Information from Previous Releases" Section 1.3, "Migrating User Settings from a Previous Release" Section 1.2, "Installing and Starting SQL Developer" Section 1.1, "SQL Developer System Recommendations" This chapter contains the following major sections: Please read the information in this chapter before you install Oracle SQL Developer. If you plan to use SQL Developer as part of the Oracle Database release 11 installation, see the Oracle Database installation documentation. This guide assumes that you plan to download the SQL Developer kit (.zip) file and install it as a freestanding tool. ![]() 11/23/2023 0 Comments Geometry dash 2.2 subzero![]() 3,260,841 total plays: Success Playing Geometry Dash SubZero online is free. The physics of the game can also be modified (gravity, speed, and friction).Īnd everything from an easy and user-friendly interface, ideal for beginners, that offers simple controls so anyone can start creating their own videogame. Geometry Dash SubZero its in the top of the charts. oh well at least theres a beta so we get an early taste.high quality thumbnail wowwatch the original SubZero le. SubZero Coins Update Geometry dash 2.2 Mulpan 627K subscribers Join Subscribe 27K Share Save 1. It includes an object inserter to add custom platforms, enemies, and obstacles to the levels. when is 2.2 coming out its been years, rip. Players can add their favorite songs to the game for an even more immersive experience. Geometry Dash SubZero có li chi phiêu lu cun hút và c chi theo màn hình ngang cùng vi ho n gin c áo, tham gia vào trò chi ngi chi s phi tp trung và iu khin hng i ca phi thuyn di chuyn úng hng và tránh c nhng chng. It lets you create, delete, customize, and add objects to the game. Geometry Dash SubZero MOD APK Game Gii Trí Vui. The player accessing the level editor will be able to change the world and physics of the game. Lleve sus habilidades al límite mientras salta, vuela y se abre camino a través de pasadizos peligrosos y obstáculos puntiagudos. The ability to transfer certain unlockable data over to the full version through user accounts is. Prepárate para un desafío casi imposible en el mundo de Geometry Dash. ![]() It features 3 exclusive levels, with limited achievements, icons and collectibles. It lets you play all levels of the classic game. Geometry Dash SubZero is a free ad-supported expansion app of Geometry Dash developed and published by RobTop Games and released on Decemfor iOS and Android, first being announced on December 12, 2017. These are the features of this Geometry Dash SubZero Mod with a level editor to create impossible levels: GDPS Editor, or Geometry Dash Private Server Editor, is an excellent working MOD where, in addition to being able to play the SubZero version of Geometry Dash, players will be able to become editors and create their own levels. Now, this loyal community of players has gone one step further. It was an extremely fast and complicated game with cool music where you had to jump over obstacles and enemies with a square character that moved on its own. The installation of the app by means of the APK file requires the activation of the "Unknown sources" option within Settings>Applications.Geometry Dash took the mobile gaming community by storm when they were looking for a good challenge.The physics of the game can also be modified (gravity, speed, and friction).Īnd everything from an easy and user-friendly interface, ideal for beginners, that offers simple controls so anyone can start creating their own videogame.It includes an object inserter to add custom platforms, enemies, and obstacles to the levels.Players can add their favorite songs to the game for an even more immersive experience. ![]()
11/23/2023 0 Comments Glowing ball of light floating![]() Tially’s Floating lights are a great way to illuminate your pool, adding drama and flare to any body of water. Tially Pack of 2 Inflatable Floating Pool Lights, 14” IP68 Waterproof, “Full Moon” Designīeautiful warm and cold light decor floating lights for the pool, garden, beach party and so many more.ĭesigned sturdy,energy-efficient, durable, safe and easy to use. ![]() Hangable Ball Light for Pond Pool Beach Wedding, Patio Decorative Night Light, Event Party as Mood Light, we’ve got you covered ENJOY LIFE everyday, get your solar pool lightsĪre you tired of buying all those solar floating lights and throwing them away because they are no good?Ī lot of people are searching for that elegant, romantic feel of relaxation…well, here it is! Either you are looking for a Night Light, Party Decor for Swimming Pool, camping light. WE BELIEVE in making things 1% better every day, that’s why OUR MISSION is to give you QUALITY at the best possible price.ENJOY OUR “MOONLIGHT” GUARANTEE – with up to 8 hours of lighting, you can ditch the stress of having to buy batteries every day You have here a pack of 2 inflatable pool lights which you can inflate in no-time solar balls for pool that elegantly float and light up your evenings.Light up pool decorations with a weighted base, waterproof, hangable, 3 set up modes – warm light, cold light and alternating. #1 BEST 2020 DESIGN Pool Floats featuring the MOON in your HOME – Not only one, but a set of 2 floating pool lights solar for your perfect full moon party.What better place to do it than outside, watching the moon floating orb lights dancing on the water or hanging in the trees? These inflatable led balls will be your every day’s guilty pleasure. All you want after a long hard day is to relax and unwind. IF YOU’RE EVER FEELING LONELY, JUST LOOK AT THE MOON – Meet Tially’s Floating Solar Lights, Moon Design.So far, at least, none of these ideas can explain everything ball lightning seems to do.Inflatable Waterproof IP68 Solar Glowing Balls,14” Light Globes, Moon Party Decor for Outdoor, Easy to Hang – 4 PCS A few believe it is a messy tangle of electromagnetic field lines wandering Earth alone. Others think it might be caused by lightning strikes themselves. ![]() Some believe the phenomenon’s origins lie in the electrical power play of vast thunderstorms. There are plenty of hypotheses, but little certainty. Scientists around the world take the phenomenon seriously, while remaining unable to explain, reproduce or authoritatively document it. The most likely explanation is that he witnessed ball lightning, a rare form of atmospheric electricity that can hover gently above the ground inside or outside buildings and even pass through closed windows. He didn’t even have time to be scared.Īndrea Aiello remains fascinated by what he saw as a boy – and now, as a theoretical physicist at the Max Planck Institute for the Science of Light in Germany, he is developing his own ideas about it. ![]() It floated there for about 10 seconds before vanishing as silently as it had come. The ball was dark yellow, completely opaque, with a wispy surface made from layered sheets of slowly rippling light. Emitting no heat or smell, it hovered about a metre in front of him and slightly over his head. ![]() Without warning, a glowing sphere the size of a football suddenly appeared in the corner of the room. ON A summer’s day in the early 1980s, a teenager sat in his bedroom watching an afternoon thunderstorm roll over the seaside landscape near Rome. ![]() 11/23/2023 0 Comments Amniotic fluid embolism pdf![]() In support of this possibility, acute postpartum myometritis with invasion of leukocytes and mast cells, uterine atony, and postpartum hemorrhage, is frequently associated with AFE. 3 Alternatively, mast cells may massively degranulate, independent of classic antigen-IgE antibody anaphylaxis mechanisms. In support, complement C3a decreases in the blood, suggesting possible complement activation in AFE, possibly reflecting the access of fetal constituents to the maternal circulation. ![]() 2 The observation that pulmonary embolism does not have clinical features commonly found in AFE, such as coagulopathy, cardiovascular collapse, and neurologic symptoms, also suggests that a purely mechanical event is not sufficient to explain the pathogenesis of AFE.Īn immune-mediated theory involves the breakdown of the maternal-fetal barrier with exposure of fetal or trophoblastic material that prompts in individual pregnant women the generation of inflammatory mediators, leading to a severe acute response and subsequent AFE. However, the extent of the phenomenon varies, and it can also occur in patients without AFE. The invasion of amniotic, fetal, or trophoblastic components into the maternal circulation is a common feature. ![]() The origin of AFE is not fully understood. The standardized classification may also facilitate distinction of common differential diagnoses, such as hemorrhagic, septic, or anaphylactic shock, anesthetic accident, or pulmonary thromboembolism. ![]() 2 This definition was recently developed for research purposes because in clinical practice, atypical variants of AFE that are missing some components may be occasionally diagnosed. This limitation was appropriately disclosed by the authors and does not diminish the study’s importance and generalizability.Īmniotic fluid embolism is a rare and serious pregnancy complication represented by unexpected cardiorespiratory arrest or hypotension, with respiratory compromise, hypoxia, or reduced oxygen saturation and disseminated intravascular coagulation occurring before significant hemorrhage and during labor, delivery, or immediately postpartum in absence of maternal hyperpyrexia. It may therefore include inaccuracies and lack of some covariates that could influence the interpretation of results. The main limitation is related to the retrospective design from a nationwide database for clinical administrative use and not specifically designed for research. Given the large sample size, the study would be not easily reproducible, making it even more valuable. This scientifically sound and clinically relevant study contributes significantly to expanding current knowledge on AFE. The classification tree model showed that the risk of AFE was 6.5% in the high-risk group with PAS associated with abruption and preterm birth, which decreased to 0.4% in women older than 40 years and 0.001% in low-risk cases (term vaginal deliveries). The mean AFE mortality in this study was 17.0%, increasing up to 45.0% when AFE was combined with other morbidities. Moreover, the study showed the extent of the AFE association with other severe maternal morbidities (coagulopathy aOR, 25 cardiac arrest aOR, 25 and adult respiratory distress syndrome aOR, 11). Overall, 4% of patients with AFE presented with PAS. Placenta accreta spectrum showed a mean adjusted odds ratio (aOR) for AFE of 10.0 and a higher association for severe forms (accreta aOR, 7.6 increta/percreta aOR, 17.3). Among various variables, including maternal, pregnancy, and delivery features, the authors confirmed a significant association with known factors (of which the most significant were placenta abruption, advanced maternal age, and preterm birth) and revealed for the first time the impact of placenta accreta spectrum (PAS). ![]() The estimated incidence of AFE was 6 per 100 000 deliveries, with a slight yet significant increase during the study period. The study by Mazza and colleagues 1 assessed pregnancy characteristics, risk factors, and maternal mortality of amniotic fluid embolism (AFE), analyzing a sizeable cohort that encompasses the national US inpatient population during a 3-year period with almost 15 million deliveries and 880 cases of AFE. ![]() ![]() ![]()
|
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |