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Nevertheless, She Persisted $ 26.00

$ 26.00

A rallying call: golden oudh, frankincense, iris, and steel. Proceeds from this scent benefit EMILY’s List, an organization that supports electing pro-choice Democratic women to office.

Jeanne d’Arc, Albert Lynch

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reasonsays

reasonsays

This scent is more complex than I’d predicted, and absolutely gorgeous. Airy and sharp by turns, holy and grounded from one moment to the next, it’s perfect for a woman with a backbone (or sword) of steel and the weight of her convictions behind her. Or for anyone who supports such a woman.

stormyhearted

stormyhearted

Very incense-y on me- I don’t get any floral at all. It’s not for me but it’s not bad, either.

Gloame

Gloame

When wet, there’s a bit of a sickly scent to it. On dry down, that fades completely and it’s a light resin-y, incense-y, floral. It’s pretty, but it doesn’t stand out as anything spectacular on my skin. I agree that it does have a medieval vibe and would be great for RP.

dragonragdoll

dragonragdoll

Probably my favorite scent I’ve ever recieved. It starts off !lmost brash and offensive, the Golden oudh overpowering the other notes. Once it dries, it melds into a sweet and powerful musk, the flowers and steel coming through gorgeously. 10/10.

Sarah

I don’t normally go for floral scents, but I *had* to give this a try! In the bottle, it smells good. There’s something clean and no-nonsense about it. On skin, it burst with the layers of scent rather spectacularly, but then with my body chemistry it settled into the floral note, which overwhelmed all else. I don’t think this is a scent for me, but I know plenty of lovely, strong women who I might be able to gift it to, and I’m glad a little of the money for the purchase went to a good cause!

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The national flower of Puerto Rico. The proceeds of this scent support the Hispanic Federation’s Hurricane Maria relief fund. They have a stellar four-star rating on Charity Navigator, and one-hundred percent of the money that they receive go towards relief and recovery for people imperiled by Hurricane Maria.

Previous studies examining the etiology of CAP have provided widely differing results. Comparison is hampered by inherent epidemiologic differences in addition to lack of uniform inclusion criteria, study settings, and diagnostic methods. Despite rigorous attempts to identify a microbial etiology, 30%–64% of patients remain undiagnosed [ 3–12 ]. Studies applying molecular methods such as polymerase chain reaction (PCR) have yielded detection rates up to 86%, but highly specific patient selection criteria designed to optimize sample collection make comparisons difficult [ 13 ]. There is a dearth of population-based observational studies with high inclusion rates examining pneumonia incidence and etiology while avoiding overly selective inclusion criteria and applying modern diagnostic methods.

The aim of the present study was to prospectively investigate the frequency and etiology of CAP in a defined population, allowing for calculation of incidence, applying modern diagnostic tests, and comparing etiology with symptoms, risk factors, and outcomes.

This study took place at Landspitali University Hospital in Reykjavik Iceland (LUH). The LUH provides secondary care for the inhabitants of Reykjavik and nearby towns, comprising 63% of the national population. It also provides 90% of all intensive care in the country. Adults (≥18 years) admitted from December 1, 2008 to November 30, 2009 were screened for inclusion. Inclusion criteria were a new chest x-ray infiltrate and ≥2 additional symptoms: temperature >38.3°C or <36°C, diaphoresis, chills, new cough, chest pain, or new onset of dyspnea [ 6 , 14 ]. Exclusion criteria were as follows: admission to an acute care facility during the preceding 14 days; use of immunosuppressive medications (corticosteroids equivalent to ≥10 mg prednisolone daily, methotrexate, hydroxyurea, adalimumab, infliximab, etenercept, azathioprine, mycophenolate mofetil, or cyclosporine); ongoing treatment for a malignancy; receipt of a solid organ transplant; or human immunodeficiency virus infection.

Potential participants were approached within 24 hours of admission and underwent a structured interview, and data were collected on underlying diseases, subjective symptoms, and antimicrobial use before admission. Pneumonia severity index (PSI) and CURB-65 scores were calculated [ 15 , 16 ]. Outcomes were: length of stay (LOS), admission to intensive care units (ICUs), assisted ventilation, and in-house mortality. Outcomes were obtained retrospectively from patient charts. Vital status was cross-checked with national registry data after discharge from hospital.

The study was noninterventional but included additional diagnostic sampling. Sputum and blood were obtained for culture prior to in-hospital antimicrobial treatment and urine antigen testing was performed. An oropharyngeal swab was collected for PCR analysis. Results from physician-ordered etiological diagnostic testing were also included.

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