In October 2008, a 37-year-old previously healthy Thai male, with 3cm left supraclavicular lymph node enlargement. In this case report, we will discuss about a renal cell carcinoma patient who presented with supraclavicular lymph node enlargement as first symptoms and no renal mass could be detected. A quarter of the patients present with advanced disease, including locally invasive or metastatic renal-cell carcinoma but it is very uncommon to present without primary lesion at kidney. The target for metastasis are lungs, bone, lymph node, adrenal gland, brain, liver and contralateral kidney. However, the disease is well-known for metastatic ability. Approximately half of cases are now detected because of accidental finding of renal mass from imaging. Still, only about 10% of patients presented with triad which defines advanced disease. The classical triad of the renal cell carcinoma symptoms consists of hematuria, abdominal mass and flank pain. It occurs mainly in male 6th - 8th decade of life. In Thailand, renal cell carcinoma (RCC) is a rare malignant condition among men and women, accounting for 0.7% of all cancers. ![]() Keywords: Renal cell carcinoma Unknown primary cancer Lymph node metastasis Without primary site Introduction Sunitinib, a tyrosine kinase inhibitor, is the treatment of choice for renal cell carcinoma since it improves objective response rate and shows longer progression free survival than IFNα. The diagnosis was renal cell carcinoma, papillary cell type. CD10, Vimentin and RCC were all positive and all are specific for renal cell carcinoma. Immunohistochemistry result were negative for TTF-1, Thyroglobulin, CD7 and CD20 which ruled out non-small cell lung adenocarcinoma, thyroid cancer and gastrointestinal tract cancer respectively. The differential diagnoses were papillary thyroid cancer, gastrointestinal tract carcinoma such as pancreato-biliary cancer, non small cell lung cancer, and renal cancer. The pathology of supraclavicular lymph node was papillary cell adenocarcinoma. In this case report, we presents a case of male patient who manifested with supraclavicular lymph node enlargement and CT scan of chest and abdomen showed multiple sites lymph node metastasis but there was no primary mass detected anywhere. Most of the patients present in advanced metastatic stage with identifiable renal mass. This is more so in children, whose lymph nodes may reduce in size whilst staying visible and palpable for several weeks.Renal cell carcinoma is a rare cancer in Thailand. The lymph nodes may stay swollen or firm for a long time after the initial infection has gone.In case of HIV your physician will have to follow a multidisciplinary approach to manage the condition suitably.One the diagnosis is made proper treatment for cancer needs to be started immediately. In case a malignancy is suspected, your health care provider will ask you to do a lymph node biopsy to verify the correct diagnosis. ![]() Bacterial infection needs to be treated with appropriate anti-biotic while viral infections tend to resolve on their own.Your doctor may adopt one or more of the following regimens to manage your case well. ![]() ![]() The treatment regimen for the swollen lymph nodes focuses on treating the cause. Your doctor will examine the glands and order a battery of tests and investigations for you to do, in order to ascertain the exact cause of the inflammation. Delay and neglect can result in a host of complications. Swollen and painful supraclavicular glands need to be reported immediately to your health care provider. Treatment For Swollen Supraclavicular Lymph Nodes
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![]() So what can I do to fix the Qualcomm Atheros AR9485 wireless adapter? The ping playing League of legends is 40-70 m send it / receive packets similar to the atheros AR9485 rae but I've seen go up to 88 Kbps at its highest level. So I change my card a blekin N300 wireless and all the problems I've had are solved. The table is not stable it flucatuates strongly. sending / receiving packets are indicated in 00' sKbps Mbps. Even during the speedtest, speed showed a ping from 43ms. However, I don't see a difference during the videos to youtube or browsing the Internet. The table looks very small and its value on the chart was of 100 Kbps. Several times I looked at task manager network, it shows send and receive to be at 16/08/32 Kbps or sometimes even zero Kbps. I also changed the powersaver maximum for the wireless card. I did troubleshoot and it sort of something I do not know what but. ![]() ![]() Yet once I tried the game to see if there is an improvement with Internet and again he showed my ping 1000 + Ms. So I checked the Atheros website and I didn't have the latest version of the driver. Also checked on the hp site and it showed that I have the latest version of the driver. When you go to Device Manager to update, it showed that she needed no updates. So I decided to see if the necessary driver updated. The artheros adapter showed the ping MS 1000 +. This wireless adapter is extremely slow that causes ping high during the game. Slow WiFi on Qualcomm Atheros AR9485 wireless adapter on HP Pavilion 500-120EA 8.1 Windows 3/12/2024 0 Comments Easy cut studio pro free![]() Easily print the desired products and then cut out around the printed image using the Vinyl printer which is relatively useful to make decals and stickers. Easy Cut Studio automatically identifies printings and cuttings applications. Print and Cut: Print to cut made easy, fast, and accurately.This feature allows you to convert single files or convert them in batches to save you time and effort. ![]() Convert SVG to FCM format with Easy Cut Studio. Design and Cut Rhinestone Templates: Easy Cut Studio supports users to easily convert designs into rhinestone templates and make their own custom rhinestone designs with ready-to-type fonts.Controlling over how you arrange objects, edit, and crop objects thanks to using layers with Easy Cut Studio for Windows. The Shadow Layer option will help you to create shadow effects from any shape. Users can work with objects through layers, easily create complex designs using multiple layers, grouping to organize the display order of objects. Working With Layers: Easy Cut Studio owns a feature like Photoshop image processing software.Besides, you can export your designs to formats like SVG, PDF, JPG, PNG, TIFF, GIF, BMP or FCM, … Import/export of most file formats: You are able to import vector graphics such as PLT, DXF, WPC, AI, EIPS, PDF, and SVG to crop or edit any shape or artwork as you like. ![]() You may easily create freehand shapes, import images, text, or graphics from other software, and set up vector paths ready for cutting or make further editing.
3/12/2024 0 Comments Chucky vs my buddy![]() ![]() I could see after combing it down, someone had given My Buddy a shorter haircut. ![]() The front, while smoother, was a bit of a lost cause. I know from experience fabric softener is great for smoothing Barbie hair, and other dolls, such as American Girl will benefit from the treatment too.Īfter soaking My Buddy’s hair for about an hour in a fabric softener solution, I rinsed it and was happy with the results, especially in the back. Doll diaries has a good article on both soaking and spraying your doll’s hair. Doll hair is more akin to fabric than actual human hair, fabric softener works wonders in taming the strands. A good tip for getting a doll’s hair under control is fabric softener. After three decades, his hair was an unmanageable version of its former self, more like a punk rocker, than a sweet childhood friend. Recently, My Buddy moved back to our house. Playskool made later versions of the dolls with non-removable clothing. I know we have one of the original Hasbro dolls because the clothes are removable. My youngest son asked for, and received, a My Buddy doll for Christmas, somewhere between 19. My Buddy is one of several dolls said to be the inspiration for Chucky, the evil doll from Child’s Play, along with That Kid and Robert the Doll.” ~ Wikipedia “The My Buddy doll line was a toy brand made by Hasbro in 1985 with the intention of making a doll to appeal to little boys and teach them about caring for their friends. This sweet doll with the wild and crazy hair is a My Buddy doll. 3/12/2024 0 Comments Penthouse magazine photo licensingStunning: The young Lauren Hutton - then known as Mary Hall - stripped.
3/12/2024 0 Comments Install office 2007 on windows 10In a nutshell, Microsoft Office Home and Student 2007 is here to boost your productivity on Windows 10. Plus, you can set permissions to control who can view, edit, or print your documents. You can password-protect documents and presentations and even encrypt files, making sure only authorized users can access them. Additionally, tracking changes made to documents and presentations is easy, ensuring everyone stays on the same page. You can effortlessly share documents via email or through the cloud. These handy tools can help you quickly create professional-looking documents and presentations without starting from scratch.Ĭollaborating with others is a breeze. ![]() Microsoft Office Home and Student 2007 doesn’t just leave you hanging – it offers a variety of templates and wizards. Think of them as your trusty tools for creating documents, spreadsheets, presentations, and notes with ease. These applications are designed to be user-friendly, so you won’t find them too complicated. This suite includes Word, Excel, PowerPoint, and OneNote. Now that you’ve got Microsoft Office Home and Student 2007 up and running on your Windows 10 computer, let’s explore what makes it a fantastic choice for your productivity tasks. The Perks of Using Microsoft Office Home and Student 2007 on Windows 10 Now, you can enjoy all the features and tools it offers for your productivity needs. Type in the key correctly and click “Continue” to activate your software.Īnd that’s it! You’ve successfully installed Microsoft Office Home and Student 2007 on your Windows 10 computer. Once the installation is done, you’ll be prompted to enter your product key. This part is quite straightforward, and you’ll be guided through it seamlessly. The wizard will present on-screen instructions – just follow them closely to complete the installation. Step 4: Follow the On-Screen Instructions You’ll see an installation wizard that will guide you through the setup. Once the download is complete, you should see a file on your computer.ĭouble-click the downloaded file to begin the installation process. Visit the official Microsoft website and download the installation file for Microsoft Office Home and Student 2007. ![]() This key is essential for activating the software. ![]() So, let’s get started!īefore you begin, ensure you have a valid product key for Microsoft Office Home and Student 2007. In this easy-to-follow guide, we’ll walk you through the installation process step by step. If you’re looking to install Microsoft Office Home and Student 2007 on your Windows 10 computer, don’t worry it’s not as complicated as it may seem. A Simple Guide to Installing Microsoft Office Home and Student 2007 on Windows 10 3/12/2024 0 Comments Real gta 5 mobile download![]() Better performance with no heating-up issues for smooth game functioning.Storage Capacity ranges from about 128 GB to 512GB.Some requirements for playing GTA 5 APK on your Android Phone are: Let’s visit score808 and get sports live as well. ![]() But now, one can enjoy the game on a cellphone that has a good storage space and strong performance. The mind-blowing factor is the availability of such a heavy load game on mobile phones which leaves the audience shocked as no other ever thought of GTA availability on smartphones. Initially, the game was released specifically for PlayStation and Xbox but now it’s also available for Windows and even on smartphones. Also checkout: Training Slayer and chatgpt 4 apk. This develops the best interaction between the game character and the player. Some of the most unique features are added in this version of the GTA series for instance, if the player starts driving the vehicle too vigorously at high speeds, the facial expressions of the main game character start changing. The best ways to build high in the game is to make gangs, set up your own businesses like farms, etc. It’s all upon the player to play as a crop or a criminal. Another portion of the game is designed on “ Game Prison ” where you can enter and take certain activities and then design a plan to escape. Enemy maps are properly displayed on the screens where you can even collaborate with real players. You can choose your role as a gang member. GTA Five begins with a bank robbery scene where the gamer can play with full freedom through the server. This release is rapidly becoming another great triumph of the Rockstar Games. The enthralling features of the game involve the switching of various player looks, discovering multiple sites on the game map, and clearing the mission using all the strategies and cheat codes. Also, the engaging features of the game create a long-lasting impression on them due to which they find themselves trying hard to clear one level after the other in consecutive sittings. The vibrant and eye catchy graphics of GTA 5 leaves the players surprised. The most recent update got released on the 13th of May, 2024 (Saturday). As the founder of Rockstar Games once mentioned in an interview that the script of the JOJOY GTA 5 version is based on about 10,000 pages. The game keeps on updating, adding up more accuracy and convenience for the players despite the comprehensive game design. The game comes under the renowned “ Action” category with version 1.90 constituting a size of about 21.1MB. GTA 5 APK MOBILE 2024Īmongst the highly rated releases of GTA is “GTA 5 APK”, which is rapidly becoming the focal point of players because of its interactive design and impressive features. How can one forget the famous GTA ( Grand Theft Auto) Series when it comes to one of the most adventurous and thrilling experiences for gamers? The open-world nature of the GTA series is popular for offering impressive and peaceful environments for its players where they can enjoy all the fun by completing the most fascinating and engrossing missions. 3/12/2024 0 Comments Email mail merge outlook 365It’s not possible to send attachments using Gmail’s built-in mail merge feature though, so we’ll focus on using an extension. There are two main ways to send mail merges in Gmail: Use Gmail’s built-in mail merge feature or use a third-party mail merge extension. Send a Mail Merge with Attachments in Gmail If they have been, navigate back to the Send/Receive tab in Outlook and disable the Work Offline feature. Verify the attachments have been added successfully.It’s possible to add multiple attachments to each email with OMMA. Follow the prompts from OMMA to select and add the attachment(s) you want to the emails in your Outlook outbox.Since we’re using OMMA in this example, you’ll open and run Outlook Mail Merge Attachment.vbs on your computer. Open and run the executable file of the add-in you downloaded in step 1.If you need help with that, you can check out this article. ![]() Because we’re focusing on adding attachments to a mail merge in this article, we’re not going to go in-depth into creating a basic mail merge in Word. Create your mail merge document in Microsoft Word.This will prevent Outlook from sending your mail merge before you add the attachments. In Outlook, navigate to the Send/Receive tab and click Work Offline. ![]() Some common limitations of these add-ins include poor deliverability due to too many bulk emails, no tracking capabilities, and formatting and spacing issues. Each add-in has its own set of limitations, so you’ll want to make sure the one you select has the functionalities you need. Take some time to research and find the best add-in for your needs. For this walkthrough, we’ll use OMMA because it’s a free add-in. Some of the most popular ones are Mail Merge Toolkit, Merge Tools Add-In, and Outlook Mail Merge Attachment (OMMA).
3/12/2024 0 Comments Load a png as a texture![]() In some cases it will need to know the file extension (e.g., GIF images should end in '.gif'). Pygame will automatically determine the image type (e.g., GIF or bitmap) and create a new Surface object from the data. In my current project I have over 300 images which I am trying to load into an array, I then want to change the texture each time round the update so it appears like a video. You can pass either a filename, a Python file-like object, or a pathlib.Path. Loading time for compiled loading around : 12 - 18 (Ms) Milliseconds. ![]() This is the code I used to initialize the texture (using SDL 1.2 and SDL image): GLuint texture SDLSurface surface surface IMGLoad ('image.png') glGenTextures (1,&texture) glBindTexture (GLTEXTURE2D, texture. Loading time for stream loading around : 140 - 150 (Ms) Milliseconds. I’ve been attempting to use PNG images as textures in Unity, when I use only one or two its easy to drag and drop them in the inspector. Im using OpenGL 1.4 and I would like to use a PNG image in an OpenGL texture. Heres the rendering a test PNG in MonoGame to illustrate the problem: The background in each image is cornflower blue, then pure red, green and blue respectively. ![]() “For people who have never used mind mapping software before, MindManager Version 9 promises to be the easiest version of this program to use, ever. Mindjet continues to accelerate planning, development and creativity to complete projects more successfully, accomplish more and improve communication. With new features including an enhanced integration with the Microsoft ® Office suite, one-click Outlook integration and ability to connect with Microsoft SharePoint®, MindManager provides a single environment that professionals can use to unify and organize diverse information. This latest version greatly enhances the usability of Mindjet’s award-winning application, allowing it to integrate more seamlessly with users other MS Office applications, web services and collaboration platforms.īusiness professionals are inundated by an overwhelming amount of content, communication and information that stifles productivity and creativity. MindManager, already used by over 1.5 million business professionals worldwide, is taking a quantum leap forward with this new release of its flagship product. MindManager gives information workers the resources they need to see the big picture and all the relevant details needed for analysis and planning, within a single, easily edited view. San Francisco – Aug– Mindjet®, the leading provider of software and web- based applications for visually organizing and managing information and ideas, today announced the general availability of version 9 of its visual information mapping software, MindManager. Tight Integration of Visual Information Mapping with Microsoft Office, Web Services and Core Business Systems Helps Business Professionals Work More Efficiently MindManager Version 9 Demonstrates Business Productivity Benefits of Mindjet’s Next Generation Software Stay tuned for the upcoming blog series: What’s New in MindManager 9? In this blog series we will drill into these new features and illustrate why MindManager 9 will blow you away! ![]() (Jeb) McIntyre, PMP, CISA, ITIL Expert and Managing Partner, Applied Information Technologies, Inc.įor those of you who are new MindManager and what it can do for you, take a look at this brief video and see how MindManager can rock your world by allowing you to: Most notably, the incorporation of Gantt charts and improved presentations makes what already was a must-have solution even more powerful.” Having participated in the beta testing of the new product, I am extremely impressed with the new features and functionality. “MindManager is the single most useful tool I’ve found for planning and managing even the most complex programs and projects. ![]() Brand new galleries of images, icons, and map templatesĬustomers are already falling in love with the all new MindManager:.Improved integrations with Office applications.Enhanced usability and interface improvements.Microsoft Outlook Integration-View and organize Outlook emails, contacts, notes, tasks or meetings in context within your map without having to switch applicationsīeyond these major improvements, we’ve also made many other improvements including:.Integrated Project and Work Planning-Simplify your planning with our new integrated timeline view (Gantt chart) and highlight over or underutilized resources to proactively address scheduling conflicts.Microsoft PowerPoint Integration-Easily share your concepts and ideas with others using the enhanced PowerPoint export.Interactive Slide Shows-Improve collaboration with MindManager’s map-based interactive slides shows.So what’s all the fuss about? MindManager v9 now offers the following new and enhanced capabilities: We are very proud to announce that the highly anticipated release of MindManager Version 9 for Windows is now available for purchase! MindManager v9 is all about delivering what you have been asking for: dramatically improved performance, productivity, and project planning enhancements that get you from concept to completion faster! |
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