![]() ![]() This hormone stimulates the production of increased estrogen and progesterone during pregnancy and is the hormone detected by all pregnancy tests, whether at home in your urine or in a blood test at the doctor’s office. Go to the Tumor Markers page of the Diagnostic Tests module for more information.Human chorionic gonadotropin (hCG) is a hormone that’s made first by the embryo and then by the placenta. Most useful in small cell carcinoma of the lung and neuroblastoma. Of secondary use in testicular neoplasms elevated level indicates presence of tumor. PLAP ( Placental Alkaline Phosphatase or PL-AP):ĭifferentiates the source of tumor among liver, bone, and germ cell origin non-diagnostic by itself, it helps confirm malignancy in a small number of patients. For Collaborative Stage Site Specific Factor 3 record the clinician's interpretation of the highest value prior to treatment. LDH may be included in a Liver or Hepatic Panel/Profile, a Cardiac Panel, or general metabolic panel of tests. Elevated LDH is an indicator of possible tumor burden, such as metastatic involvement of liver or lung, and is elevated in 60% of patients with nonseminomatous germ cell tumors. LDH5: 5.3% to 13.4% of the total (liver and skeletal muscles).LDH4: 9.2% to 16.5% of the total (liver and skeletal muscles).LDH3: 18.8% to 26% of the total (lungs).LDH2: 29.4% to 37.5% of the total (heart, red blood cells and kidneys).LDH1: 18.1% to 29% of the total (heart, red blood cells and kidneys).The distribution of isoenzymes is as follows: There are five tissue-specific isoenzymes that can be identified and measured. Normal range: total LDH levels range from 48 to 115 IU/ liter. LDH (Lactic Dehydrogenase): a blood chemistry study, usually part of a liver panel, useful in assessing liver and pulmonary disease. * "Pure" seminoma is incompatible with an elevated level of AFP. Use of Tumor Markers for Specific Cell Types of Testicular Cancer However, when beta-HCG does not exist in the serum, the presence of active cancer cannot be excluded, especially in patients who have been previously treated. In patients with testicular cancer who have had an orchiectomy, the presence of beta-HCG will confirm the patient has residual cancer that requires further treatment. For Collaborative Stage Site Specific Factor 2 record the highest value after orchiectomy and prior to other treatment.īeta-HCG is also used as a marker postoperatively to monitor residual tumor and the effectiveness of therapy. Note: Observe the date of the beta-HCG study carefully. Also called: β-HCG, beta-HCG, beta chain HCG. When the presence of β-HCG is detected in serum it always indicates a malignancy. Beta-HCG levels are never found in normal men. Normal range: Adults: < 15 ng/ml.īeta Subunit HCG (human chorionic gonadotropin):Ī serum test used as a tumor marker for testicular carcinoma. Also called: aFP, AFP, alpha-fetoglobulin. Alpha-fetoprotein is also used as a marker postoperatively to monitor residual tumor. For Collaborative Stage Site Specific Factor 1 record the highest value after orchiectomy and prior to other treatment. ![]() Note: Observe the date of an alpha-fetoprotein study carefully. Elevated alpha-fetoprotein levels are not found in other histologies of testicular cancer, although they may be found in patients with hepatocellular cancer. Acknowledgements Tumor Markers Key Informationīoth for differential diagnosis and to monitor when tumor recursĪ serum test used as a tumor marker for teratocarcinoma or embryonal carcinoma of the testis. ![]()
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![]() ![]() Rocket Royale Mod v1.9.0 (Mod Money)(97.81 MB) Rocket Royale Mod v1.9.3 (Mod Money)(78.08 MB) Rocket Royale Mod v1.9.6 (Mod Money)(78.26 MB) Rocket Royale Mod v2.0.1 (Mod Money)(36.5 MB) Rocket Royale 2.0.2 Bullet Trick(38.2 MB) Rocket Royale 2.0.9 Mod much money(39.3 MB) ![]() Rocket Royale 2.1.1 Mod much money(39.42 MB) Rocket Royale 2.1.2 Mod much money(39.95 MB) Rocket Royale 2.1.3 Mod much money(40.1 MB) Rocket Royale 2.2.1 Mod much money(39.57 MB) Rocket Royale 2.2.2 Mod much money(39.27 MB) Rocket Royale 2.2.3 Mod much money(39.23 MB) ![]() Rocket Royale 2.2.5 Mod much money(143.93 MB) Rocket Royale 2.2.7 Mod much money(143.42 MB) Rocket Royale 2.2.8 Mod much money(143.48 MB) ![]() ![]() Owners not wanting bloodwork done on their very old pet pre- surgery but then starting a lawsuit when the pet unfortunately passed away under anesthesia, Owners not wanting to pay for a glucose curve when their diabetic dog had not had one for 3 years because they deamed it a unnecessary expense, Something I wish my clinic would have done when I worked there was a open communication groupchat with doctors and techs personal numbers to share info like this.Īt that job I had been screamed at by way to many owners about their pets for whatever reason. Is there a way to hide alerts so they stop showing up where clients can see them? If there's no way to hide them, what other options are there? Especially for those situations that require a bit more elaboration than just changing the client's color or putting a name in all caps? We were super busy and if that hadn't popped up, I would've rushed in and gotten my ass handed to me! So the thought of getting rid of those beautiful babies makes me very sad. ![]() One in particular notified me that I am to enter the room, immediately introduce myself to the owner, and then introduce myself to her pet, otherwise she'll get pissy. I'm heartbroken because I LOVE the alerts-they have saved my skin SO many times before coming in. This is a HUGE OOF because we've been putting alerts on everyone and their mother, especially the rude ones.and they aren't always professionally written. SimplePractice offers three SMB and enterprise pricing plans for users to choose from.So we recently discovered that clients can see our alerts for patients, like when we print invoices and send email receipts.
![]() Star turn: Almost makes sense of Woody Allen's Match Point.Ĥ3. Jonathan Rhys Meyers (b 1977) Enormously good-looking matinee idol who cut a swathe through the new century after doing away with the lead in Michael Collins. Star turn: In December Bride's love triangle with Saskia Reeves and Ciarán Hinds.Ĥ4. Donal McCann (1943-1999) Abbey star who went on to make films with Bob Quinn, John Huston, Neil Jordan and Bernardo Bertolucci. Star turn: The sober centre of The Commitments.Ĥ5. Barely a year has gone by when she hasn't caught a decent movie role by the throat. Maria Doyle Kennedy (b 1964) Kennedy, as much a singer as an actor, was one of those who made the most of early exposure on The Commitments. Star turn: As Holly in Neil Marshall's terrifying The Descent.Ĥ6. Has subsequently starred in Ella Enchanted and Brooklyn. Nora-Jane Noone (b 1984) Galway actor made her screen debut in The Magdalene Sisters. Star turn: Coping with the apocalypse in The Survivalist.Ĥ7. Generally the most charming presence in any scene. Martin McCann (b 1983) The fresh-faced Belfast man, who was flung into the big time by Richard Attenborough in Closing the Ring, graduated to strong roles in Shadow Dancer and Maze. He played the young Christy Brown in My Left Foot and the titular killer in The Young Poisoner's Handbook. Hugh O'Conor (b 1975) The Dublin actor was nine when he landed his first big role, opposite Liam Neeson in the 1985 movie Lamb. Star turn: The career-making A Date for Mad Mary.Ĥ9. She has since confirmed her potential in The Hole in the Ground. ![]() ![]() Seána Kerslake (b 1990) Kerslake's turn in A Date for Mad Mary announced an actor who could interweave emotional fragility with sharp comic timing. Sadly, the great Greer Garson – once erroneously credited as having been born in Castlewellan, Co Down – doesn’t quite meet the regulations (though her grandfather would be eligible for the national football squad).ĥ0. Good luck keeping them out of the top five in either. So we must conclude they can fairly compete both in this race and in any assessment of English film actors. We know that Daniel Day-Lewis, son of Anglo-Irish poet laureate Cecil Day-Lewis, was born and raised in leafy bits of London. Most biographers make uncommitted humming noises when asked if Peter O’Toole was born in Leeds or, as he often suggested, in “Connemara”. Can one great performance get you to the top? Can someone in their 20s really complete fairly against an actor who worked steadily for 60 years? Who gets to be Irish? That last question is particularly worrisome here, as two of the top seeds spent their early lives across the Irish Sea. With a budget of $8 million 28 Days Later earned more than $85 million at the box office worldwide.Drawing up a list of the best Irish film actors, the criteria are unavoidably slippery. Well, 28 movies later and we've ran out of ideas! And what about 28 Decades Later about zombies in space, reads yet another comments.Īnd finally, 28 Centuries Later. But the world is a different place and the trauma has faded. So, 28 years later, the virus is "cured". That was just 28 Seconds Later, another replied in the same fashion.Īnother redditor suggested the crew team up on 28 Years Later, which could be a movie about people who have isolated themselves on an island in Scotland. See it go from the lab to the rest of the population. Maybe 28 minutes later then, one user joked. The virus turns humans into zombies and London is full of them.Ĭommentators on Reddit had a good laugh following the announcement. The first movie tells the story of Jim (Cillian Murphy), a bicycle messenger who wakes up after a coma to learn that a mysterious, contagious and aggression-inducing virus called Rage has swept across the United Kingdom after an infected chimpanzee escapes a lab thanks to animal activists. The original 2002 movie was followed by 28 Weeks Later, which was released in 2007 starring Robert Carlyle, Jeremy Renner, Imogen Poots and directed by Juan Carlos Fresnadillo. ![]() Should We Thank Snyder Cut for Cavill's Superman Return? Anyway, we'll see… who knows?" Boyle said. It's funny, I hadn't thought about it until you just said it, and I remembered 'Bang, this script!' which is again set in England, very much about England. The Shallow Grave and Trainspotting director has teased that scriptwriter Alex Garland penned 28 Months Later a couple of years ago and that he would love to shoot it. ![]() ![]() ![]() As you evolve, you'll invent new tools and techniques for fishing to reach deeper waters with larger fish. Start fishing the shallow waters, ankle deep, waiting for the fish to come near you for the right moment to catch them. Animals are a core part of Roots of Pacha as they have also been in our human history: sources of nourishment, protection, and friendship.Ĭaring for your furry and feathery Clan members will eventually let them breed and evolve into new species. By slowly approaching and enticing them, you'll befriend them and even invite them to live with you. ![]() Throughout the world and seasons, you'll encounter families of animals, which at first appear to ignore you. Part of settling means exploring the wildlands to discover new plants and improving them, making wild variants more nutritious and valuable.īy adding to the Clan's seed storage and gaining knowledge about plants, you'll also discover new, more domesticated varieties. But that doesn't mean it has a seed or animal shop. Roots of Pacha is first and foremost a farming sim. By connecting with nature you’ll develop Ideas to evolve, enrich your culture, relationships, and discover the mysteries of Pacha, mother nature. ![]() Help your once nomadic clan settle in a promised and fertile land. Here's the overview: Roots of Pacha is a co-op farming and life simulation game set in the stone age. The game is slated to release in April 2022 on Windows PC (via Steam) and Nintendo Switch, followed up by releases on Mac OS & Linux (via Steam), PlayStation and Xbox consoles. We're partnered with Skillshare, where you can do unlimited online courses that'll help you create art, make games, and even help you with school/university! Click here for a free 1 month trial.įor this week’s Switch Kickstarter Project of the Week, we will be looking at Soda Den's Roots of Pacha. ![]() ![]() If a franchise has a superstar already in hand, odds are that Curry’s name is already up on a whiteboard in the general manager’s office, rounding out a wish list of perfect fits should they ever come available. And before he teamed up with Doncic, he balanced the floor opposite Damian Lillard. Before he cleared space for Embiid, Curry did the same for Luka Doncic. In fact, since he joined the NBA full time in 2015, only a single player (Joe Harris) has been a more efficient jump shooter than Seth.Īll of which means there may be no one better suited to draw defensive attention away from their team’s best players. When Curry has enough room to launch a clean jumper, he can go shot-for-shot with pretty much anyone-even his older brother, Steph, whom he outranks by a few points in career 3-point percentage. So the Sixers traded for not only one of the best long-range shooters in the league, but in league history. “I felt like we didn’t have what we needed, especially when it came to shooting,” Embiid said. For others, like Seth Curry, it’s an opportunity to nudge beyond the limits of their usual role.Ĭurry was originally brought to Philadelphia by prescription, when Joel Embiid, one of the most dominant bigs of his generation, politely informed the front office that he would like to play with teammates who could actually space the floor. The ongoing stalemate between Simmons and the Sixers-or really, the Sixers and their potential trade partners-has entered its fourth month, leaving Simmons’s teammates with little choice but to stretch their games and make do.įor some, like Tobias Harris, that inherited responsibility now hangs like a curse-a reason for fans to boo him on his home floor simply for playing the way he always has. ![]() Every deficit is highlighted, of course, by the fact that Simmons is not only absent from the lineup but has yet to be replaced. These are cutouts where Ben Simmons should be. “You can see the glaring holes that he leaves us,” head coach Doc Rivers noted earlier this season. ![]() When the Philadelphia 76ers take the court, they exchange pleasantries, find their places around center circle, and try their best to ignore the gaping void in the middle of everything. ![]() ![]() In December 1914, the great Edison laboratories in West Orange, New Jersey, were almost entirely destroyed by fire. His spirit reminds me of something that I read about Thomas Edison: I predict that he will go far, no matter what he chooses to do in life. He cried out, “Wow! Strike three! What a pitcher! I’m the greatest pitcher in the world!” “I’m the greatest hitter who ever lived,” he said. Then a third time he threw the ball into the air. “Strike two!” He paused a moment to examine his bat and ball carefully. “Strike one!” Undaunted he picked up the ball, threw it into the air and said to himself, “I’m the greatest baseball hitter ever,” and swung at the ball again. “I’m the greatest hitter in the world.” Then he tossed the ball into the air, swung at it and missed. Topics in the series include: Sabbath, Technology, Identity and Aging, Money, Violence, and Sharing Faith Stories.A little boy strutting through the backyard, baseball cap in place, toting ball and bat, was overheard talking to himself. Be inspired and transformed in your faith. Ideal for Sunday school or Bible study sessions, each topical study covers a specific theme or issue, and comes with thought-provoking discussion questions and activities. This study explores how we can age faithfully and gracefully, embracing ourselves through each phase of life. Mennonite Creation Care Network created this 12-session study in response to a resolution on creation care passed by Mennonite Church USA delegates.Įach compelling six-session Upside-Down Living Bible study helps us encounter the teachings of Jesus and wrestle with living out the kingdom here and now. Starts with biblical and theological foundations, moves to applications in today’s context, then focuses on choosing a simple lifestyle. Free videos and podcastsĮvery Creature Singing: Embracing the Good News for Planet EarthĪ free curriculum for followers of Jesus who want to connect their faith with their place. Purchase one copy per student, per quarter.Īlso from the Church of the Brethren, Covenant Bible Studies includes almost fifty titles, some of which focus on a book of the Bible and others on a specific topic. ![]() Follows the International Sunday School Lessons/Uniform Series. Written from a Church of the Brethren perspective, A Guide for Biblical Studies is issued quarterly and contains daily NRSV scriptures, lessons, and questions for both individual preparation and classroom use. The 2017 title is Live Your Call: Embracing God’s Mission by Anna Liechty Sawatzky. Spend time With the Word today! Eight sessions per study.Įvery year, Mennonite Women produces a 12-session Bible study ideal for Bible study groups, women’s groups, retreats, or for personal use and reflection. Also included are leader suggestions if used in a group setting. Each session takes adult gr oups or individuals through study, discussion, and reflection before ending with seven short devotionals. ![]() This Bible study and devotional series explores specific books of the Bible from an Anabaptist perspective. ![]() We draw closer to God when we spend time with the Word. The cost for this online curriculum is $10 and available through the /the-upside-down-bible-study/Western District Conference website, and the CD is $15. Duerksen has now written a Bible study for high school youth and adults, based on the gospel of Luke and featuring one song from The Upside-Down King in each of the 12 sessions. The Upside-Down King musical by Doug and Jude Krehbiel and Carol Duerksen was presented in a number of venues in 20, including the Mennonite Church USA convention in Columbus, Ohio. Invite your class to this video series featuring Meghan Good teaching all about the Bible: what it is, how it was formed, why we read it and how we interpret it. El cursillo es útil para las clases de escuela dominical y otros grupos de estudio bíblico. Sessions include daily Bible readings, resources for additional study and free downloadable resources.Įstudios Bíblicos para Adultos es un cursillo en lengua española, traducido por un profesional, del currículo Anabautista/Menonita Adult Bible Study. It provides in-depth, challenging Bible study from and Anabaptist perspective, written by an intercultural group of pastors, teachers, professors and leaders from the United States and Canada. ![]() Use the daily Bible readings for your at-home devotional. Adult Bible Study is designed to be read at home and then studied and discussed at Sunday School. ![]() ![]() ![]() So, it’s ‘safe for kids’ if you put it in a location where it won’t work very well. True, but if it’s sitting at ground level in your fenced-in backyard where children play, then the limitations of any wind turbine set in, which is reduced wind speed on the ground compared to one placed higher in the air that isn't slowed by buildings and trees. Looking like an extra from a Star Wars movie, this small wind turbine for domestic use is, well, different !Īnother advantage the manufacturers promote for their compact domestic wind turbine is that it is safer for children. ![]() The wind turbines we have seen that aren't just anecdotal and where someone is serious about harvesting wind power, are generally seated on a tower or pole way above any obstructions in close proximity. Installing solar panels in areas of shade, or areas that see a lot of cloudy days will for sure affect the return on investment time, but a lack of sun does not instantly equate to a healthy supply of wind either, at least that's what our engineers reasoned.Īnd more importantly, wind speed at low altitudes has proven to be relatively limited. therefore in their opinion (our number crunchers), the turbine would have to be installed about 100 feet above any surrounding obstacles to optimize performance, despite the +40% claim on efficiency due to this funky design. Perhaps this 'could' be true in some places, but it's also a bit of an overreach in our opinion and it’s certainly the first of several eyebrow-raising claims that prompted us to dig deeper. Important in that claim is the 'could', so Ecohome's engineers decided to run some figures of their own just to see if this claim looks plausible. The makers of the PowerPod compact domestic wind turbine on Kickstarter claim that "for places that get less than 300 days of sun a year, a PowerPod could produce more power, for less money than solar panels" which really did make us wonder, as there are so many variables in play that we don't see how that can always be true. ![]() Are small domestic wind turbines any good? Created by a company in Salt Lake City, Utah named Halcium, the company is hopeful that the Powerpod will be a game changer in home renewable energy generation - which we are all for if this were to prove itself. We found the PowerPod compact home wind turbine on a Kickstarter campaign, which looks great in principle, but having seen a few home wind turbines in the past that failed to deliver on their promises, we thought it potentially looked a little too great. This is great to see, but the waters of sensible change will no doubt be muddied along the way by some failed attempts, some questionable claims, and perhaps even a little snake oil! Countless inventors are stepping up to the plate with the latest and greatest green technologies that will save the planet. ![]() ![]() ![]() Recent versions of OpenOffice and LibreOffice attempt to emulate native Mac text highlighting by drawing a very light shade of the system highlight color on top of the highlighted text. ![]() NeoOffice draws highlighted text the same as Apple's Safari and TextEdit applications. Also, by selecting NeoOffice's "Browse All Versions" menu, you will be able to restore any of the previous versions of your document in Apple's document version browser. The NeoOffice engineers have implemented this Mac feature and saving a file will automatically keep a copy of your document before any changes are saved. Using this feature, saving a document causes Mac to keep a copy of your document before any changes are saved so that you can restore any of the previous versions of your document. In OS X Lion, Apple added a feature called Versions that allows applications to save and restore previous versions of your document. The screen snapshot to the right shows the NeoOffice > Open at Launch menu with Calc set as the document type to open at launch.įile > Browse All Versions menu to restore previous versions of your documents Also, users can select the "- None -" menu item to only show the Mac menubar when NeoOffice is launched. When a user selects one of the document types listed in this menu, NeoOffice will open the selected document type the next time that you launch it. However, many of our users have requested that we provide an easy way to make a different document type such as Calc or Impress open when NeoOffice is launched so we have added the NeoOffice > Open at Launch menu. By default, NeoOffice opens a Writer document when launched. The NeoOffice > Open at Launch menu allows you to choose which type of document to open when NeoOffice is launched. NeoOffice > Open at Launch menu to open Calc or Impress instead of Writer at launch The NeoOffice engineers have implemented this Mac feature and NeoOffice will automatically use the macOS Dark Mode colors when you enable macOS Dark Mode.Īlso, users can temporarily disable Dark Mode within NeoOffice by selecting the NeoOffice > Mac Options > Disable Dark Mode menu item. In macOS Mojave, Apple added native Dark Mode. Mac featuresīelow is a list of some of the Mac features requested by our users that are in NeoOffice but are not in OpenOffice or LibreOffice: To disable this feature, check the NeoOffice > Mac Options > Disable Dark Mode menu item.
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