41 Matching Annotations
  1. Apr 2026
    1. Treatment of superficial vein reflux (see Varicose Veins, above) has been shown to decrease the recurrence rate of venous ulcers. Where there is substantial obstruction of the femoral or popliteal deep venous system, superficial varicosities supply the venous return and should not be removed.

      Failure of venous insufficiency ulcerations to heal is most often due to inconsistent use of first-line treatment methods. Ongoing control of edema is essential to prevent recurrent ulceration; the use of compression stockings following ulcer healing is critical, with recurrence rates 2–20 times higher if compression stockings are not used

      Duplex ultrasound evaluation should assess blood flow direction, venous reflux, and venous obstruction, and include examination of the deep venous system, great saphenous vein (GSV), small saphenous vein (SSV) and its thigh extension (Giacomini vein), accessory saphenous veins, and perforating veins. Venography is recommended primarily in patients with post-thrombotic disease, especially when intervention is planned, as it provides greater anatomic detail than duplex ultrasonograph The examination also identifies patterns of disease that have treatment implications. Axial reflux is defined as uninterrupted retrograde flow from groin to calf and can occur in either superficial or deep systems. [4] Junctional reflux is limited to the saphenofemoral or saphenopopliteal junction, while segmental reflux occurs in a portion of a truncal vein. [4] Understanding whether reflux originates from superficial junctions versus deep venous incompetence fundamentally changes treatment planning, as superficial disease is amenable to ablation while deep disease typically requires conservative management Management of secondary varicose veins from post-thrombotic syndrome (PTS) is fundamentally different and more challenging. Compression therapy, lifestyle modifications, and symptom management form the cornerstone of PTS treatment. [4-8] Elastic compression stockings (20-30 mm Hg), leg elevation, weight loss, and exercise constitute the primary therapeutic approach Endovascular interventions for PTS—including percutaneous transluminal venoplasty and stenting—are reserved for select patients with significant iliofemoral obstruction who have failed conservative management. [7] These procedures require careful patient selection and standardized criteria. The role of superficial venous ablation in PTS patients with concomitant superficial reflux remains controversial and should be approached cautiously, as the underlying deep venous pathology may limit benefit

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  2. Mar 2025
    1. for - event - Skoll World Forum 2025 - program page - inspiration - new idea - Indyweb dev - curate desilo'd global commons of events - that are topic-mapped in mindplex - link to a global, desilo'd schedule - new idea - use annotation to select events to attend - new Indyweb affordance - hypothesis annotation for program event selection - event program selection - 2025 - April 1 - 4 - Skoll World Forum

      new idea - use annotation to select events to attend - demonstrate first use of this affordance on the annotation of this online event program

      summary - A good resource rich with many ideas relevant to bottom-up, rapid whole system change

  3. Jul 2024
    1. Waste water plant coordiantes

      Highlight the location icon so that it is obvious it is/is to be selected. Since this screen has one function - Can we simply default to the check location active? - Or are there workflow reasons we do not want to do that?

      Then when it changes to "Save plan & location", maybe a highlighted border makes it clear it should be selecetd next.

  4. Mar 2023
  5. Nov 2022
    1. Holy mackerel, when I saw the subject line of this topic I thought about Zoot – which I have not thought about in many months, and not for many years before that. Zoot was my introduction to this sort of “everything bucket” app. I also tried Info Select – which is also on Windows and may be an answer to @Claude’s question, assuming it’s still updated – and then to DevonThink and Evernote. My introduction to Zoot was an article by journalist James Fallows, of all people. He is the former editor-in-chief of The Atlantic, and reports mainly on public policy and politics. I wonder if he is still using Zoot? Three more probable options: Microsoft OneNote will be the most accessible to most Windows users. It doesn’t get you the search and “see also” of DevonThink. Obsidian and Roam Research take a different approach to the content-organization problems than DevonThink/OneNote/Evernote do. They rely on links and backlinks, like a personal Wikipedia. But they achieve the same goal of organizing information. They have search. AFAIK there’s nothing comparable to “see also,” but users report the same kind of serendipitous connections just by following the links they themselves made in the past. Another liability of Roam and Obsidian compared with DT: DT supports pretty much any kind of document that your computer can read, whereas Obsidian only supports Markdown, PDF, and images. I’m not as familiar with Roam, but I believe it has the same limitations. P.S. Partial answer to my own question: Fallows comes up in this forum as a person who advocated DT in a 2005 NYTimes article about “everything bucket” apps.

      From a discussion on DEVONthink alternatives for Windows users.

  6. Aug 2022
    1. ```html

      <div class="select-container" data-content=""> <select class="select" id="words"> <option value="lorem ipsum dolor sit amet">Lorem ipsum dolor sit amet</option> <option value="lorem">Lorem</option> <option value="ipsum">Ipsum</option> <option value="dolor">Dolor</option> <option value="sit">Sit</option> <option value="amet">Amet</option> </select> </div>

      css .select { color: transparent; appearance: none; padding: 5px; background: transparent url("https://cdn4.iconfinder.com/data/icons/ionicons/512/icon-arrow-down-b-128.png") no-repeat calc(~"100% - 5px") 7px; background-size: 10px 10px; }

      .select-container { position: relative; display: inline-block; }

      .select-container::before { content: attr(data-content); pointer-events: none; position: absolute; top: 0; right: 10px; bottom: 0; left: 0; padding: 7px; font: 11px Arial, sans-serif; white-space: nowrap; text-overflow: ellipsis; overflow: hidden; text-transform: capitalize; } js const selectContainer = document.querySelector(".select-container"); const select = selectContainer.querySelector(".select");

      select.value = "lorem ipsum dolor sit amet"; selectContainer.dataset.content = select.value;

      function handleChange(e) { selectContainer.dataset.content = e.currentTarget.value; }

      select.addEventListener("change", handleChange); ```

    1. ```html

      <div class="select-sim" id="select-color"> <div class="options"> <div class="option"> <input type="radio" name="color" value="" id="color-" checked /> <label for="color-"> Select an option </label> </div> <div class="option"> <input type="radio" name="color" value="red" id="color-red" /> <label for="color-red"> Red </label> </div> <div class="option"> <input type="radio" name="color" value="green" id="color-green" /> <label for="color-green"> Green </label> </div> <div class="option"> <input type="radio" name="color" value="blue" id="color-blue" /> <label for="color-blue"> Blue </label> </div> <div class="option"> <input type="radio" name="color" value="yellow" id="color-yellow" /> <label for="color-yellow"> Yellow </label> </div> <div class="option"> <input type="radio" name="color" value="pink" id="color-pink" /> <label for="color-pink"> Pink </label> </div> <div class="option"> <input type="radio" name="color" value="turquoise" id="color-turquoise" /> <label for="color-turquoise"> Turquoise </label> </div> </div> </div>

      ```

  7. Jun 2022
  8. Nov 2021
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  13. Nov 2019
  14. Oct 2019
  15. Aug 2019
  16. Oct 2013
    1. The remembrance of such admonitions will attend him to old age and will be of use even for the formation of his character. It is possible for him, also, to learn the sayings of eminent men, and select passages, chiefly from the poets (for the reading of poets is more pleasing to the young), in his play-time. Memory (as I shall show in its proper place) is most necessary to an orator and is eminently strengthened and nourished by exercise; and, at the age of which we are now speaking, and which cannot, as yet, produce anything of itself, it is almost the only faculty that can be improved by the aid of teachers.