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<!DOCTYPE html> <html lang="en"> <head><script type="text/javascript" src="https://web-static.archive.org/_static/js/bundle-playback.js?v=7YQSqjSh" charset="utf-8"></script> <script type="text/javascript" src="https://web-static.archive.org/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="https://web-static.archive.org/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("https://www.healio.com/news/cardiology/20130208/ctin0113tziakas_10_3928_1081_597x_20130201_00_1026565","20220406131540","https://web.archive.org/","web","https://web-static.archive.org/_static/", "1649250940"); </script> <link rel="stylesheet" type="text/css" href="https://web-static.archive.org/_static/css/banner-styles.css?v=p7PEIJWi" /> <link rel="stylesheet" type="text/css" href="https://web-static.archive.org/_static/css/iconochive.css?v=3PDvdIFv" />  <meta name="viewport" content="width=device-width"/> <title> Risk score assesses contrast-induced nephropathy after PCI </title> <meta name="PostedDate" content="2013-02-08T18:28:00Z"/><meta name="ModifiedDate" content="2019-09-15T21:22:14Z"/><meta name="bi:specialties" content="Nephrology,Cardiology"/><meta name="specialty" content="Nephrology"/><meta name="specialty" content="Cardiology"/><meta name="bi:primary_specialty" content="Cardiology"/><meta name="bi:subspecialties" content="Intervention"/><meta name="subspecialty" content="Intervention"/><meta name="bi:primary_subspecialty" content="Intervention"/><meta name="bi:departments" content="In the Journals"/><meta name="department" content="In the Journals"/><meta name="site_name" content="healiotwo"/><meta name="content_version" content="1"/><meta name="bi:content_type" content="News Article"/><meta name="page_type" content="Document"/><meta name="description" content="An easily applied risk score for contrast-induced nephropathy after PCI allowed practical, simple assessments compared with other published scores, according to recent study findings. To develop a simple risk score for developing contrast-induced nephropathy &#x00028;CIN&#x00029; after PCI &#x00028;defined as an increase &#x2265;25&#x00025; and/or &#x2265;0.5 mg/dL in serum creatinine at 48 hours "/><meta name="pageid" content="{17C7373E-161E-49C5-9756-0E1E392879C9}"/><meta property="og:image" content="https://web.archive.org/web/20220406131540im_/https://www.healio.com/~/media/images/fscss/i3wyanokecdncom/healio_safe_image.png"/><meta property="og:description" content="An easily applied risk score for contrast-induced nephropathy after PCI allowed practical, simple assessments compared with other published scores, according to recent study findings. 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score assesses contrast-induced nephropathy after PCI</h1> <div class="mobile-trust-box"> <div class="row"> <div class="col-12 col-md-5 d-xl-none"> <div class="trust-box"> <div class="trust-box-logo d-none d-md-block"> <img src="/web/20220406131540im_/https://www.healio.com/~/media/h5/feature/news/publogos/ct.svg?la=en&hash=45C7F69F2C5024BD17790F9E8BCDE4EA" class="logo-img" alt="cardiology today logo"/> </div> <div class="sources-disclosures"> <a class="title collapsed" data-toggle="collapse" data-target=".trustbox-toggle" aria-controls="collapse-trust-box" data-module-track-category="Healio NEWS" data-module-track-action="Trust box expand_Click_Healio News Article" data-module-track-label="Trust Box Expand_Healio News Article"> <i class="fas"></i>Source/Disclosures </a> <div class="trustbox-toggle collapse"> <div class="mobile-trust-box-logo d-md-none"> <h5>Published by:</h5> <img 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You will receive an email when new content is published. </strong> <br/> <br/> <strong><a class="manage-email-alert" href="javascript:redirectToManageEmail()">Click Here to Manage Email Alerts</a></strong><br/> <br/> <button data-dismiss="modal" class="btn btn-primary btn-lg btn-block">Back to Healio</button></div> <div class="d-none" data-topic-modal="failed"> <strong>We were unable to process your request. Please try again later. If you continue to have this issue please contact <a href="https://web.archive.org/web/20220406131540/mailto:customerservice@slackinc.com">customerservice@slackinc.com</a>.</strong> <br><br> <button data-dismiss="modal" class="btn btn-primary btn-lg btn-block">Back to Healio</button></div> </div> </div> </div> </div> <p>An easily applied risk score for contrast-induced nephropathy after PCI allowed practical, simple assessments compared with other published scores, according to recent study findings. </p><p>To develop a simple risk score for developing contrast-induced nephropathy (CIN) after PCI (defined as an increase ≥25% and/or ≥0.5 mg/dL in serum creatinine at 48 hours after PCI vs. baseline), researchers enrolled consecutive patients treated with elective or urgent PCI at a cardiac cath lab (derivation cohort, n=488; validation cohort, n=200) from September 2008 to January 2010.</p><p>CIN occurred in 10.2% (50 of 488) of the development cohort with a significant trend across increasing score values (<i>P</i><.001). </p><p>The risk score model uses the addition of five key variables, four clinical and one procedural, to predict the risk for CIN after PCI: pre-existing renal disease; metformin use; previous PCI; <a href="https://web.archive.org/web/20220406131540/http://www.healio.com/cardiology/news/print/cardiology-today/%7Ba2dbb163-b0fd-496a-8d84-a4e0dc3fa4e9%7D/pad-underrecognized-understudied-in-women" target="blank">peripheral arterial disease</a>; and contrast volume ≥300 mL. </p><p>Researchers said the model had a discriminating power c-statistic of 0.759 and a calibration slope of 0.91. Internal validation bootstrapping in 1,000 samples offered a c-statistic of 0.753, and the validation cohort of 200 patients offered a c-statistic of 0.864.</p><p>“Using as a cut-off point a risk score value >3, our model correctly classified 83% of individuals with positive test (risk score of 4) as developing <a href="https://web.archive.org/web/20220406131540/http://www.healio.com/cardiology/vascular-medicine/news/online/%7Bc7328532-be86-4b4c-b374-33409e52d056%7D/lipsia-n-acc-n-acetylcysteine-did-not-improve-contrast-induced-nephropathy-myocardial-reperfusion-injury" target="blank">CIN</a>, whereas 92% of individuals with negative test (risk scores of 0, 1, 2 and 3) were correctly classified as developing CIN,” the researchers wrote. “Therefore, the proposed risk score model with a diagnostic cut-off point of >3 offers both high negative and positive predicted value and provides the clinician a practical tool to safely rule-out or predict acute kidney injury after a PCI.”</p><p><strong>Disclosure</strong>: The researchers report no relevant financial disclosures.</p> <div class="article__content--footer"> <div class="row"> <div class="col"> <div class="chips-group"> </div> </div> </div> <div class="d-none" data-component="EmailTopicAlert" data-module="Subspecialty Email Topic Alerts Bottom"> <hidden data-setting-item="d265901d-6d37-49c7-a8f6-c7bf19a02509"></hidden> <hidden data-crm-source="Subspecialty Topic Alert"></hidden> <div class="email-alert-button d-none" data-topic-button="not-subscribed"> <div class="email-alert-title" data-toggle="collapse" data-target=".u44538c82183544d5bf2e20dba21ec237"> <span data-module-track-action="Email Alerts BOTTOM_Click_Healio News Article" data-module-track-label="Email Alerts BOTTOM_Healio News Article"> <i class="fas fa-plus-circle"></i> ADD TOPIC TO EMAIL ALERTS </span> </div> <div class="email-alert-inner collapse u44538c82183544d5bf2e20dba21ec237"> <div class="alert-header"> <button type="button" class="close" data-button="close-alert-box" data-trigger="collapsed" aria-label="Close"> <span aria-hidden="true"><i class="fal fa-times"></i></span> </button> </div> <div class="email-alert-dialogue"> <div class="d-none" data-sign-up-type="known"> Receive an email when new articles are posted on <span data-content="topic-title"></span> </div> <div class="d-none" data-sign-up-type="unknown"> Please provide your email address to receive an email when new articles are posted on <span data-content="topic-title"></span>. <div class="form-group has-feedback"> <input type="email" class="form-control" name="listEmailAddress" data-input="email" required="required" title="Email"> <div class="help-block with-errors"></div> </div> </div> </div> <button type="button" class="btn btn-primary" data-loading-text="Loading <i class='fa fa-spinner fa-spin'></i>" data-action="subscribe"> Subscribe </button> </div> </div> <div class="email-alert-button d-none" data-topic-button="subscribed"> <div class="email-alert-title" data-toggle="collapse" data-target=".s44538c82183544d5bf2e20dba21ec237"> <i class="fas fa-check-circle"></i> ADDED TO EMAIL ALERTS </div> <div class="email-alert-inner collapse s44538c82183544d5bf2e20dba21ec237"> <div class="alert-header"> <button type="button" class="close" data-button="close-alert-box" data-trigger="collapsed" aria-label="Close"> <span aria-hidden="true"><i class="fal fa-times"></i></span> </button> </div> <div class="email-alert-dialogue"> <script> function redirectToManageEmail() { var currentSubDomain = window.location.hostname.substr(0,window.location.hostname.indexOf(".")) var healioSubDomain = currentSubDomain === "cme" ? 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further.</h4><button data-dismiss='modal' onclick='showregisterwithemail();return false;' class='btn btn-primary btn-lg btn-block'>Complete your profile now</button></div>"},{"Name":"EmailSignupFooterMessage103","Text":"<div class='register-modal'><h3 style='margin:0px;'>Your email preferences have been saved!</h3><h4 style='color: #555; font-weight: normal; margin-bottom: 0;'>Your profile is almost complete.</h4><button data-dismiss='modal' onclick='showregisterwithemail();return false;' class='btn btn-primary btn-lg btn-block'>Create your password</button></div>"},{"Name":"EmailSignupFooterMessage104","Text":"<div class='register-modal'><h3 style='margin:0px;'>Your email preferences have been saved!</h3><button data-dismiss='modal' class='btn btn-primary btn-lg btn-block'>Back to Healio</button></div>"}]"> Subscribe </button> </div> </div> </div> </div> <div class="col-9"> <div class="row"> <div class="col"> <h5>Account Information</h5> <ul class="list-unstyled"> <li class="d-none"> 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value="69d51b3f-cc00-4866-88a4-e778642f684e">Pulmonology</option> <option value="5feed363-6a88-4f26-8c70-4185f5fe4899">Rheumatology</option> <option value="878db4b8-15e7-40f2-9e0d-36b721d6a197">Spine Surgery</option> </select> </div> <div class="form-group"> <button type="button" class="btn btn-secondary" id="btnFooterSignup" data-action="emailregister" data-loading-text="Loading <i class='fa fa-spinner fa-spin'></i>" data-crm-source="Email Signup Footer" data-eolist="1a04f678-f0cc-e111-a56b-a4badb296aa8,4ab5a55a-f0cc-e111-a56b-a4badb296aa8,0712c166-f0cc-e111-a56b-a4badb296aa8" data-sendnotification="1" data-signup-response="[{"Name":"EmailSignupFooterMessage101","Text":"<div class='register-modal'><h3 style='margin:0px;'>Your email preferences have been saved!</h3><h4 style='color: #555; font-weight: normal; margin-bottom: 0;'>Tailor your Healio experience even further.</h4><button data-dismiss='modal' onclick='showregisterwithemail();return false;' class='btn btn-primary btn-lg btn-block'>Complete your profile now</button></div>"},{"Name":"EmailSignupFooterMessage102","Text":"<div class='register-modal'><h3 style='margin:0px;'>Your email preferences have been saved!</h3><h4 style='color: #555; font-weight: normal; margin-bottom: 0;'>Tailor your Healio experience even further.</h4><button data-dismiss='modal' onclick='showregisterwithemail();return false;' class='btn btn-primary btn-lg btn-block'>Complete your profile now</button></div>"},{"Name":"EmailSignupFooterMessage103","Text":"<div class='register-modal'><h3 style='margin:0px;'>Your email preferences have been saved!</h3><h4 style='color: #555; font-weight: normal; margin-bottom: 0;'>Your profile is almost complete.</h4><button data-dismiss='modal' onclick='showregisterwithemail();return false;' class='btn btn-primary btn-lg btn-block'>Create your password</button></div>"},{"Name":"EmailSignupFooterMessage104","Text":"<div class='register-modal'><h3 style='margin:0px;'>Your email preferences have been saved!</h3><button data-dismiss='modal' class='btn btn-primary btn-lg btn-block'>Back to Healio</button></div>"}]"> Subscribe </button> </div> </div> </div> </div> </div> </div>  <div id="accordion" class="accordion" role="tablist"> <div class="card"> <div class="card-header" id="headingOne"> <h5 class="mb-0"> <a class="btn btn-link" data-toggle="collapse" data-parent="#accordion" data-target="" href="#collapseOne" aria-expanded="false" aria-controls="collapseOne"> Account Information </a> </h5> </div> <div id="collapseOne" class="collapse" aria-labelledby="headingOne" data-parent="#accordion"> <div class="card-body"> <ul class="list-unstyled"> <li class="d-none"> <a href="javascript:$j.get('/utilityapp/json/na/li/healiotwo/{ACC50322-FB7D-42FC-940E-84BDDAD3B84D}',function (data){$j('body').append(data);})" class="" target="" data-display-item="2"> <span class="sr-only">My Saved Anonymous User</span> </a> </li> <li class="d-none"> <a 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If this error persists, please contact <a href="https://web.archive.org/web/20220406131540/mailto:itsupport@wyanokegroup.com">ITSupport@wyanokegroup.com</a> for assistance. </b> </div> <div class="modal-footer"> <button data-dismiss="modal" class="btn btn-outline-tertiary btn-block mx-auto mx-md-0"> Close </button> </div> </div> </div> </div>  <div class="modal fade show" data-modal="emailSignUpSuccess" data-component="EmailSignUpSuccessModal" tabindex="-1" role="dialog" aria-label="emailSignUpSuccess" aria-modal="true" style="display:none;"> <div class="modal-dialog modal-dialog-centered" role="document"> <div class="modal-content"> <div class="modal-header"> </div> <div class="modal-body"> </div> <div class="modal-footer"> </div> </div> </div> </div> <style> @media (min-width: 992px) { .sticky-ad { position: sticky; position: -webkit-sticky; top: 20px; padding-bottom: 0 !important; } [data-adrendered="2"].ad__medium-rectangle { padding-bottom: 160px; } } </style> <script id="h5dfpscript" type="text/javascript"> // ReSharper disable PossiblyUnassignedProperty // ReSharper disable Html.EventNotResolved function isInView(thisAd, posBuffer, isMobile) { return true; var bounding = thisAd.getBoundingClientRect(); var windowHeight = (window.innerHeight || document.documentElement.clientHeight); if (console.log && window.queryString.verbose === '1') console.log({ thisAd: thisAd, isInView: (bounding.bottom <= (windowHeight + posBuffer) && (!isMobile || (bounding.bottom >= posBuffer || bounding.bottom >= -(posBuffer)))), adBottom: bounding.bottom, winheight: (windowHeight + posBuffer) }); return (bounding.bottom <= (windowHeight + posBuffer) && (!isMobile || (bounding.bottom >= posBuffer || bounding.bottom >= -(posBuffer)))); } function displayAd(adslot){ if (window.browsitag && adslot.id !== "Healio5Interstitial"){ window.browsitag.cmd.push(function () { var sizes = adslot.id === "TopLeaderboard" ? [{ w: 728, h: 90 }] : [{ w: 300, h: 600 }, { w: 300, h: 250 }]; var position = isMobile.any() ? "in-content" : (adslot.id === "TopLeaderboard" ? "top" : "right-rail"); window.browsitag.display(adslot.id, { sizes: sizes, adUnit: adslot.adUnitPath, disableViewabilityOptimization: false, positionTag: position }); }); }else { var googleSlot = window.googletag.defineSlot(adslot.adUnitPath, adslot.dimensions, adslot.id).addService(window.googletag.pubads()); window.googletag.display(googleSlot); } } function tryRenderAdSlot(ads, mobileAd) { if (mobileAd === undefined || mobileAd === null) mobileAd = false; var thisAd = (Array.isArray(ads) ? ads.pop() : ads); if (console.log && window.queryString.verbose === '1') console.log('Trying to render ad ' + thisAd.id + ' | Is mobile? ' + mobileAd); if (thisAd.getAttribute("data-adrendered") !== "0") { if (console.log && window.queryString.verbose === '1') console.log("ad already rendered, skipping"); if (Array.isArray(ads) && ads.length > 0) return tryRenderAdSlot(ads, mobileAd); return true; } var posBuffer = -50; var distance = (parseInt(thisAd.getAttribute("data-distance"), 10)); if (distance > 49) distance = distance - 48; // account for fixed 48px margin //first mr on desktop if (distance === 0 && mobileAd === false) { var classNameHolder = thisAd.className; thisAd.className = thisAd.getAttribute("data-cssclass"); if (thisAd.classList.contains("ad__medium-rectangle")){ $j(".sticky-ad").removeClass("sticky-ad"); thisAd.classList.add("sticky-ad"); } thisAd.setAttribute("data-adrendered", "2"); var adSlot = { id: thisAd.getAttribute('id'), name: thisAd.getAttribute('data-slotname'), dimensions: eval(thisAd.getAttribute('data-slotdimensions')), adUnitPath: '/136749668/' + thisAd.getAttribute('data-slotname') } displayAd(adSlot); if (Array.isArray(ads) && ads.length > 0) return tryRenderAdSlot(ads, mobileAd); return true; } else { // We have a distance restriction // Find the previous sibling that is an ad var prevAd = thisAd.previousElementSibling; while (prevAd !== null && prevAd !== undefined && !prevAd.classList.contains("ad-unit")) prevAd = prevAd.previousElementSibling; //wait until the previous ad has been considered viewable before loading the next ad if (mobileAd === false && prevAd !== undefined && prevAd !== null && !window.viewedAds.includes(prevAd.id)) { return false; } var prevSibling = thisAd.previousElementSibling; var prevSiblingOffset = (prevSibling !== undefined && prevSibling !== null ? (prevSibling.offsetTop + prevSibling.offsetHeight) : 0); var diff = (prevSiblingOffset > 0 ? (prevSiblingOffset - (prevAd != undefined ? (prevAd.offsetTop + prevAd.offsetHeight) : 0)) : 0); var padding = ((diff < distance) ? (distance - diff) : 0); padding = padding - 592; var projectedBottom = (prevSiblingOffset + padding + thisAd.offsetHeight); var contentBottom = (window.contentBottom() + 1000 || 0); if (console.log && window.queryString.verbose === '1') console.log({ thisAd: thisAd, adBottom: projectedBottom, pageBottom: contentBottom }); var diff = (contentBottom - projectedBottom); if (diff >= 410) { if (padding > 0 && mobileAd === false) { thisAd.style.setProperty('padding-bottom', (padding + "px")); } var classNameHolder2 = thisAd.className; thisAd.className = thisAd.getAttribute("data-cssclass"); //check if ad is in view if (isInView(thisAd, posBuffer, mobileAd)) { thisAd.setAttribute("data-adrendered", "3"); if (!mobileAd) { $j(".sticky-ad").removeClass("sticky-ad"); thisAd.classList.add("sticky-ad"); } var slotid2 = thisAd.getAttribute('id'); var slotname2 = thisAd.getAttribute('data-slotname'); var slotdimensions2 = eval(thisAd.getAttribute('data-slotdimensions')); var slotpath2 = '/136749668/' + slotname2; if (console.log && window.queryString.verbose === '1') console.log({ slotDimensions: slotdimensions2 }); if (!Array.isArray(slotdimensions2) && slotdimensions2.length > 0) { if (console.log && window.queryString.verbose === '1') console.log('Slot Dimensions MUST be an array of [width,height] values'); if (Array.isArray(ads) && ads.length > 0) return tryRenderAdSlot(ads, mobileAd); return true; } if (!Array.isArray(slotdimensions2[0]) && slotdimensions2[0].length === 2) { if (console.log && window.queryString.verbose === '1') console.log('Slot Dimensions MUST be an array of [width,height] values'); if (Array.isArray(ads) && ads.length > 0) return tryRenderAdSlot(ads, mobileAd); return true; } if (console.log && window.queryString.verbose === '1') console.log({ slotpath: slotpath2, slotDimensions: slotdimensions2, slotid: slotid2 }); var adSlot2 = { id: thisAd.getAttribute('id'), name: thisAd.getAttribute('data-slotname'), dimensions: eval(thisAd.getAttribute('data-slotdimensions')), adUnitPath: '/136749668/' + thisAd.getAttribute('data-slotname') } var diff = (contentBottom - projectedBottom); displayAd(adSlot2); if (Array.isArray(ads) && ads.length > 0) return tryRenderAdSlot(ads, mobileAd); return true; } thisAd.setAttribute("style", null); thisAd.classList.add("ad-unit-waiting"); // <-- we didn't fully render the ad, but we're holding a place for it. if (!mobileAd){ $j(".sticky-ad").removeClass("sticky-ad"); thisAd.classList.add("sticky-ad"); } if (Array.isArray(ads) && ads.length > 0) return tryRenderAdSlot(ads, mobileAd); } } return true; } function adRender(mobileAd) { if (mobileAd === undefined || mobileAd === null) mobileAd = false; if (mobileAd === false && window.innerWidth < 992) return false; window.adRenderRunning = true; var adlist = Array.prototype.slice.call(document.getElementsByClassName("ad-unit-waiting")).reverse(); if (Array.isArray(adlist) && adlist.length > 0) { if (console.log && window.queryString.verbose === '1') console.log('Found ' + adlist.length + ' ads to render- calling tryRenderAdSlot.'); tryRenderAdSlot(adlist, mobileAd); } window.adRenderRunning = false; return true; } //mobile only function moveAds() { if (console.log && window.queryString.verbose === '1') console.log('Moving ad slots...'); var currentIssues = document.querySelectorAll(".current-issue"); var isCurrentIssue = currentIssues !== null && currentIssues.length > 0; // need to include the "article" tag here var acArr = document.querySelectorAll(isCurrentIssue ? ".news-page__left-col" : ".article__content, article"); if (acArr === undefined || acArr === null || acArr.length < 1) return false; var articleContainer = acArr[0]; var contentType = $("meta[name='bi:content_type']").attr("content"); var isLIs = contentType === "Editorial Feature Listing Content"; var ul; if (isLIs) { var ulArr = articleContainer.querySelectorAll("ul:not(.references)"); if (ulArr !== undefined && ulArr !== null && ulArr.length > 0) ul = ulArr[0]; } var eArr = Array.prototype.slice.call(isLIs ? ul.querySelectorAll("li") : (isCurrentIssue ? currentIssues : articleContainer.querySelectorAll("p, video-js, [player_type='brightcove'],[navigation_type='collection']"))); var goodeles = []; eArr.forEach(function (ele) { //only include naked p tags and brightcove video p tags and definitely not intense debate p tags if (ele.tagName === "VIDEO-JS") { if (ele.parentElement.tagName !== "P") goodeles.push(ele); } else if (ele.tagName === "P") { if ((ele.classList.length === 0 || ele.classList.contains("article__video-player") || ele.classList.contains("BodyCxSpFirst") || ele.classList.contains("BodyCxSpMiddle") || ele.classList.contains("BodyCxSpLast")) && ele.id === "" && ele.parentElement.id !== "showHideAdminOpts" && ele.parentElement.id !== "divIdcSharePost" && ele.parentElement.id !== "idc-user_admin" && ele.parentElement.className !== "idc-subscribe-email" && ele.parentElement.id !== "IDfrmHeaderLogin" && ele.parentElement.id !== "divIdcShareBlog") { goodeles.push(ele); } } else { goodeles.push(ele); } }); eArr = goodeles; if (console.log && window.queryString.verbose === '1') console.log({ list: eArr }); var adArr = Array.prototype.slice.call(document.getElementsByClassName("ad-mobile-dyn")).reverse(); if (adArr === undefined || adArr === null || adArr.length < 1) return false; if (console.log && window.queryString.verbose === '1') console.log(adArr.length + ' available ads for mobile.'); // get the first qualifying element; var firstE; if (isLIs || isCurrentIssue) firstE = eArr[0]; else{ eArr.forEach(function (e) { if (e.parentElement.className === articleContainer.className || e.parentElement.tagName === 'DIV') { if ((firstE === undefined || firstE === null) && (e.innerText.split('.').length > 1 || e.innerText.length > 125 || e.classList.contains("article__video-player") || e.tagName === "VIDEO-JS" || e.getAttribute("player_type") !== null) && (e.closest(".trust-box") === null || e.closest(".trust-box") === undefined) || e.classList.contains("video-page-nav__primary")) { firstE = e; return true; } } return true; }); } if (firstE === undefined || firstE === null) { adArr.forEach(function(e) { $j(e).remove(); }); return false; } var firstAd = adArr.pop(); var li0 = document.createElement("LI"); li0.className = "ad-placeholder d-lg-none"; li0.appendChild(firstAd); firstE.parentNode.insertBefore(isLIs ? li0 : firstAd, firstE.nextSibling); var adPos = (firstE.getBoundingClientRect().bottom + 300); var nextAd = adArr.pop(); eArr.forEach(function (e) { if (nextAd === undefined || nextAd === null) { if (console.log && window.queryString.verbose === '1') console.log('nextAd is undefined or null'); return false; } var space = 200; /* parseInt((nextAd.getAttribute("data-distance") || "800"), 10); if (space === undefined || space === null) { if (console.log && window.queryString.verbose === '1') console.log('space is undefined or null'); return false; } */ if (console.log && window.queryString.verbose === '1') console.log({ parapos: e.getBoundingClientRect().bottom, lastadpos: adPos, lastadplusspace: (adPos + space) }); if (e.getBoundingClientRect().bottom >= (adPos + space)) { var li = document.createElement("LI"); li.className = "ad-placeholder d-lg-none"; li.appendChild(nextAd); e.parentNode.insertBefore(isLIs ? li : nextAd, e.nextSibling); adPos = (e.getBoundingClientRect().bottom + 300); if (console.log && window.queryString.verbose === '1') console.log('Ad placed after element begining with ' + $(e).html().substr(0, 25)); nextAd = adArr.pop(); } return true; }); // cleanup if (nextAd !== undefined && nextAd !== null) nextAd.parentNode.removeChild(nextAd); adArr.forEach(function (a) { a.parentNode.removeChild(a); }); adRender(true); return true; } function lazyload() { if (window.adRenderRunning === true) return false; if (document.getElementsByClassName("ad-unit-waiting").length < 1) return false; adRender(false); return true; } function tryRenderPopup(adLoadDelay) { if (console.log && window.queryString.verbose === '1') console.log("Try Render Popup: called"); // Drew 2020-06-17: if this is at least what we define as "tablet" size, // we'll try to show the popup ad if (screen.width >= 768) { if (console.log && window.queryString.verbose === '1') console.log("Try Render Popup: Device OK"); // trigger the popup ad if one exists and we meet the requirements if ($('.ad-modal').length > 0 && $('.ad-modal').find('.popup-ad').length > 0) { if (console.log && window.queryString.verbose === '1') console.log("Try Render Popup: Found Modal"); var popupAd = $('.ad-modal').find('.popup-ad')[0]; var loggedin = false; if ($j.jStorage.storageAvailable() === true) loggedin = $j.jStorage.get("ContactID", "00000000-0000-0000-0000-000000000000").indexOf("00000000-0000-0000-0000-000000000000") > -1; if ($j.cookie('interstitial') === undefined) { if (loggedin|| $j.cookie('page_view_count') === undefined || parseInt("15") === 0 || (!loggedin && ((parseInt($j.cookie('page_view_count')) + 1) < parseInt("15")))) { if (console.log && window.queryString.verbose === '1') console.log("Try Render Popup: Pageview requirement met"); // make sure we're in focus, if not, we'll listen for the focus event and try again. if (document.hasFocus() === false) { if (console.log && window.queryString.verbose === '1') console.log("Try Render Popup: Not in focus"); $(window).one("focus", function () { tryRenderPopup(adLoadDelay); }); return false; } if (console.log && window.queryString.verbose === '1') console.log("Try Render Popup: In focus"); // ok, we've met all of the requirements. googletag.pubads().addEventListener('slotOnload', function (event) { if (!event.isEmpty) { window.setTimeout(function () { var slotElementId = event.slot.getSlotId().getDomId(); var slotElement = document.getElementById(slotElementId); if (slotElement.classList.contains('popup-ad') && $(slotElement).html().length > 0) { $("#modal" + slotElementId).on('shown.bs.modal', function () { $j.cookie('interstitial', '1', { domain: '', path: '/' }); window.setTimeout(function () { $("#modal" + slotElementId).modal('hide'); }, 15000); }); $("#modal" + slotElementId).modal("show"); } }, adLoadDelay); } }); popupAd.setAttribute("data-adrendered", "3"); var adSlot3 = { id: popupAd.getAttribute('id'), name: popupAd.getAttribute('data-slotname'), dimensions: eval(popupAd.getAttribute('data-slotdimensions')), adUnitPath: '/136749668/' + popupAd.getAttribute('data-slotname') } try { displayAd(adSlot3); } catch (err3) { if (console.log && window.queryString.verbose === '1') console.log(err3); } } } } } else { if (console.log && window.queryString.verbose === '1') console.log("Try Render Popup: Device too narrow ( less than 768px )"); } return true; } function firstLoad(isMobile, adLoadDelay) { if (isMobile) { window.setTimeout(function () { moveAds(); }, (adLoadDelay * 2)); } else { adRender(); } return true; } function adinit(retry) { if (retry === undefined || retry === null) retry = 0; if (retry > 9) { console.log("dfp retry exceeded..."); return false; } retry++; if (window.googletag.defineSlot === undefined) { console.log('Ads: Waiting for dfp [ ' + retry + ' ]...'); window.setTimeout(function () { return adinit(retry); }, 250); return false; } window.Context = window.Context || {}; window.Context.dfp = window.Context.dfp | {}; var url = window.location.href.toLowerCase(); var referrer = document.referrer.toLowerCase(); if ($j.cookie('tt') !== undefined) { window.trafficmedium = $j.cookie('tt'); } else { var res = (url.indexOf("outbrain") > -1 || url.indexOf("gclid=") > -1 || url.indexOf("gbraid=") > -1 || url.indexOf("wbraid=") > -1 || url.indexOf("utm_medium=cpc") > -1 || referrer.indexOf("gclid=") > -1 || referrer.indexOf("outbrain") > -1 || referrer.indexOf("gbraid=") > -1 || referrer.indexOf("wbraid=") > -1 || referrer.indexOf("utm_medium=cpc") > -1) ? "Paid" : "Organic"; window.trafficmedium = res; $j.cookie('tt', res, {domain: '',path: '/'}); } if ($j.cookie('ts') !== undefined) { window.trafficsource = $j.cookie('ts'); } else if (window.trafficmedium === "Paid") { if (url.indexOf("gclid=") > -1 || referrer.indexOf("gclid=") > -1) { window.trafficsource = "google display"; } var utmsource = getUrlQueryStringValueByName("utm_source"); if (utmsource !== undefined && utmsource !== null && utmsource !== "") { window.trafficsource = utmsource.toLowerCase(); } } else { if (referrer.indexOf("google") > -1) { window.trafficsource = "google search"; } } if ($j.cookie('ts') === undefined && window.trafficsource !== undefined && window.trafficsource !== null) { $j.cookie('ts', window.trafficsource, { domain: '', path: '/' }); } window.Context.isMobile = ((window.Context.isMobile) ||(typeof window.orientation !== "undefined") || (navigator.userAgent.indexOf('IEMobile') !== -1) || (window.innerWidth < 768) || window.isMobile.any()); var isMobile = window.Context.isMobile; 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