With the patient already anaesthesiated, and at least five minutes before surgery, blue dye ( Bleu Patente V Sodique Guerbet ® 2.5%) was injected sub-areolarly in four deposits around the nipple totalling 2 ml. A skin mark was made over the first spot to become hot to facilitate SLN location during the operation. Planar scans of the involved breast and axillary area, in anterior and lateral projections, were acquired 15–30 minutes and 3 hours after tracer injection, to ascertain the overall distribution of the radiotracer and identify SLN. A total volume of 0.4 ml was injected sub-areolarly 15–24 hours before the operation. The 99mTc sulphur colloid was prepared by the nuclear medicine departments of two other validated institutions with which our hospital has an agreement ( Hospital CUF Descobertas and NuclearMed-Instituto de Medicina Nuclear), and comprised a solution containing 1.0mCi (1.0mCi = 37MBq) 99mTc labelled rhenium sulphide colloid (nanocolloid particles < 80 nm- Nanocis®). Using radiolabelled nanocolloid and patent blue vital dye as tracers, SLNB was performed in patients with breast cancer and its feasibility evaluated for patients in our institution.ĭuring study enrolment at our institution, the SLNB technique included the use of technetium-99m ( 99mTc) sulphur colloid and blue dye. The purpose of this study was to evaluate the accuracy of SLNB at this institution and to thereafter implement it as the standard method of staging in patients with early breast cancer. Many medical centres adopted SLNB without completion of ALND in patients who have a clinical negative SLN, in an effort to decrease the morbidity of axillary lymphoadenectomy while maintaining accurate staging. Results from international breast cancer centres show that, with the use of optimal techniques, SLNB predicts axillary nodal status with high accuracy and low clinical false-negative rates. Many studies have shown that SLNB accurately predicts axillary lymph node status and is associated with less morbidity than ALND completion. Over the past 14 years, sentinel node biopsy in breast cancer patients has become an exciting research topic. Since metastatic breast cancer cells travel via this route, an SLN free of metastatic cancer predicts the status of the remaining axillary nodes as also negative for metastasis. The sentinel lymph node (SLN) is the first lymph node to drain the entire lymphatics of the breast. The SLNB serves as a stand alone method for determining axillary nodal status, providing physicians with the ability to distinguish positive axillary lymph nodes in a relatively simple, safe, rational and accurate fashion. Īs about 60–70% of patients with early breast cancer have no regional axillary lymph node metastasis, sentinel lymph node biopsy (SLNB) is an easy to establish, ideal alternative, capable of accurately predicting the state of axillary lymph nodes, avoiding classical axillary lymph node staging and its consequent morbidity.Īfter being first described by Cabanas et al in 1977, for carcinoma of the penis, the SLNB technique was then used in staging malignant melanoma, as reported in 1992, by Morton et al, and more recently for breast carcinoma as reported by Krag et al in 1993 and Giuliano et al in 1994. However, for patients with pathologically negative lymph nodes survival rates are not increased by ALND, and there are a considerable number of related complications, such as sensory nerve damage, haemorrhaging, seroma formation (20–55% of cases) and chronic lymphoedema of the arm (7–56%). Axillary lymph node dissection (ALND) provides information about disease stage, local control of disease, and helps in the decision making for adjuvant therapy. It is important that effective screening methods and accurate ways for staging and prognosis once the diagnosis has been established are available. About one in 12 will develop the disease before the age of 75 years, representing a lifetime risk around 8%. Breast cancer is the most common malignancy among women in Europe, accounting for 20% or more of all cancers and representing the leading cause of cancer deaths in females between 35 and 55 years old in Europe.
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I did not get access to this inbox in my first year of working at the firm, and also after I had shown that I could handle having their phone calls routed to me when they wanted to go on Do Not Disturb. I try not to even leave the emails in their inbox marked as read if that's possible, and the main reason I have inbox access is if a client says they sent the partner some specific info I will be able to locate it in the partner's absence. I'm an admin (in person, not virtual) who has a partner's inbox delegated to me, and I do NOT respond directly to client emails without them being forwarded, or at least a verbal "so-and-so sent me an email this morning, can you respond?" In the latter cases, I email the client directly, without an email thread, and say something like "Partner asked me to let you know XYZ, forward you this info in response to your question, etc." What happens if a client calls/emails and asks a question, this person respond with bad info, your client acts on it and does something financially damaging or impermissible from a tax standpoint? That’s your lawsuit not your assistants What happens, because it will if this person is literally learning tax for the first time, when they give a client wrong information, you have no idea, and then they up and leave you because come to find out they were misrepresented the facts and/or they just think you’re completely incompetent and so is your staff? Why would you possibly think hiring somebody for work they’re not at all qualified for makes sense? Somebody applying for an assistant position part time for a virtual firm obviously is not going to have any accounting or tax background. it’s mind-boggling to me that you’re even entertaining having a non-tax staff deal with bookkeeping and tax issues. They’re going to be learning administrative tasks, that’s the reason you brought them in. They’re not full-time, they’re not going to develop any time quickly. They are completely virtual, you can’t be around babysit and/or watch what they’re doing. It boils down to three things:ġ) competency of the person you’re hiringĢ) clients getting wrong information without your knowledge and then you having to back track the persons mistakesģ) an extension of 2, but you’re talking a big liability It has nothing to do with the complexity of your client base. Depending on how well this goes, I may hire VAs for my employees to keep them more billable. If they replied from their own inbox, did you ever have clients who felt frustrated the answer wasn’t coming directly from you? Here’s my question, if you have worked with a VA before, did they have access to your inbox? Or did you forward them emails?ĭid they ever reply from your inbox as if they were you? However, they have also agreed to learn some basic bookkeeping and tax law to be able to respond to some easier tax questions eventually too. My plan for the VA is that they will immediately take over any kind of simple status updates or anything that doesn’t require technical knowledge. I knew I needed help with my inbox in the future. The week before the deadline I stopped answering emails and was shocked by how much I could get out the door with the extra time I had. But I still spent easily half my day just communicating with clients. Didn’t open emails until I was in a position to reply. This busy season, I worked really hard on having a good strategy for my inbox. They will be doing a lot of admin tasks, but the biggest thing I’m wanting them to do is help me manage my inbox. I have a new virtual assistant starting in a couple weeks. Writers Simon and Burns (and directors Susanna White and Simon Cellan Jones) engender sympathy toward the warriors without flinching from the innocent lives taken under the ever-fluctuating ROE, or Rules of Engagement. As a consequence, the material hews closer to FX’s laudable “Over There,” which also sought to present the Iraq war through soldiers’ eyes (as well as spouses back home) but in hindsight suffered for coming too close to the war’s onset.īy contrast, this show’s tight focus on those few weeks and added distance from 2003 provide a stark microcosm of where the war planners erred, from the unit launching its invasion with only one available interpreter to incompetent officers whom the Marines fear are more perilous to their safety than Saddam Hussein’s army. The sly wit, meanwhile, persists throughout, as Marines engage in singalongs to kill time, and one yells “Vote Republican” to waving Iraqis.Īlthough similar in scope, execution and macho camaraderie to “Band of Brothers,” HBO’s foray into WWII’s European theater, this is clearly a much different conflict, conveyed without a trace of sentimentality. Once the shooting starts, a chaotic, claustrophobic vision of war ensues (much of it from inside a Humvee), displaying the ease with which soldiers can come to view the enemy and even the civilian population of “Hajis” as something less than human. The response is equally colorful and unrefined when the self-proclaimed Devil Dogs encounter a female soldier in a later episode. Deployed in the war’s first wave, they’re assigned Rolling Stone reporter Wright (“Oz’s” Lee Tergesen), whom they promptly dismiss as a “dope-smoking peacenik writer.” The scribe makes the mistake of showing the Marines a picture of his girlfriend that’s subjected to every indignity imaginable. Still, after a few episodes, that matters less and less, as viewers get to know the Marines of the First Recon unit, who refer to themselves only half-jokingly as “America’s pit bull” - in that “Once in awhile, they let us out to attack somebody.”įaithfully drawing from Wright’s book, Simon and Burns create crude poetry out of the Marines’ expletive-laden banter - filled as it is with homoerotic jabs, vulgar dissertations on geopolitics (one particularly hilarious monologue concerns the role of sex in screwing up the world) and disdain for higher-ups.Īt the center of these exchanges are the smartass Ray (James Ransone), a sort-of poet laureate of Marine philosophy, and Brad (Alexander Skarsgard), his patient if occasionally equally crass sergeant. The one quibble is that individual characters remain difficult to distinguish, buried as they are beneath so much gear and helmets. The mini encompasses the war’s first 40 days each episode of the seven-part miniseries lasts more than an hour and is replete with bawdy, locker-room humor an overflowing cast (the production notes list 52 characters) and absorbing, tension-filled action sequences - especially those mounted at night and seen through night-vision lenses. Our wide selection is elegible for free shipping and free returns. The Van Heusen Pilot Shirt does have pleated pockets and eyelets for wings with a reinforced back. Buy Van Heusen Mens Pinpoint Oxford Shirt, 2XL, Blue and other Dress Shirts at . Fabric: 3.7 oz./yd, 85/15 cotton/polyester stain-resistant oxford White is 60/40 cotton/polyester Features: Wrinkle-free Button-down fused collar Left. Q: Are pockets pleated and are holes for wings reinforced?Ī: No they are not. They still have both the whole and half sizes available in the short sleeve shirts. Has VH quit making whole seems like every site I check only offers 1/2 sizes for the neck.Ī: Yes, Van Heusen stopped making the whole sizes about three years ago in the Long Sleeve shirts. Q: I have previously purchased size 17 34/35 in the Van Heusen pilot shirt. It is just a top entry pocket instead of entry through the flap. Q: Does a nonfunctioning flap on a VH shirt indicate you are unable to use the pocket?Ī: No, you can use the pocket. Van Heusen Commander Shirt - Men's Long Sleeve Overview: Cuello button-down de derivación bolsillo en el pecho izquierdo. 85/15 Algodón/Poliéster Oxford (blanco es 60/40 algodón/poliéster). The Van Heusen Commander is also available in Short Sleeveįor a comparison of the different Pilot Shirt options, view our : Van Heusen Pinpoint Oxford Shirt 13V0067 : Ropa, Zapatos y Joyería.
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This is why the people at the retreat come across as bizarre and grasping weirdoes. For example, this is why the decor in his apartment seems to change almost at random. He was playing a filmmaker who’s struggling to find meaning in both his work and life, whose current mood dictates how he sees the world around him. What they failed to recognize is that Allen had written and was playing a character. He even had the effrontery to depict one fan as someone who asks him for an autograph one day and shoots him the next. More so, a film that depicted them as weird, leering intruding pests that he can barely stand to be around horrified them. As a result, a film that depicted him as a successful, admired artist who still wasn’t satisfied horrified them. If Alvy Singer and Issac Davis were, at least in their minds, thinly disguised versions of the real Allen, then it stood to reason that Sandy Bates was as well. The chief reason why Stardust Memories received such a brutal reception sprung from how they’d previously identified his characters as extensions of the public persona as a wisecracking, neurotic New York Jewish intellectual he’d cultivated. Finally is Daisy ( Jessica Harper), one of the festival attendees with whom he hits it off with nicely, though there’s the suggestion he only sees her as a substitute for Dorrie. Then there’s the sweet and maternal Isobel ( Marie-Christine Barrault) who deeply cares for him than he ever could her. However, he’s unable to come to terms with her mental instability. There’s Dorrie ( Charlotte Rampling), the brilliant and beautiful woman who’s presumably the great love of his life. It’s also where people bug him for an autograph, ask inane or obscure questions about his work, and/or sleep with him-almost invariably adding that they prefer his earlier, funnier films.Īs the weekend goes on and the interactions grow surreal and claustrophobic, Sandy finds himself contemplating the state of his personal relationships. He agrees to attend a weekend-long retrospective of his films (inspired by the similar gatherings that film critic Judith Crist, who turns up in a cameo). This, of course, is much to the horror of studio executives and the public, who prefer he stick to the funny stuff. Having made a series of acclaimed comedies, he now yearns to make more serious-minded dramas about the human condition. To these eyes, it’s second only to The Purple Rose of Cairo (1985) as the best film of his long career.Īllen plays Sandy Bates, a successful and celebrated filmmaker who now finds himself at a professional and personal crossroads. In fact, the film was his boldest artistic achievement to date, a funny, touching, and frighteningly prescient contemplation on life, love, and art. Even if he had made a truly awful movie (and Allen would certainly prove himself capable of making such things in due time), it wouldn’t have deserved the slating critics and audiences gave him. Given all the goodwill that he had accumulated by this point in his filmmaking career, it’s a little astonishing to go back and discover the amount of venom that was unleashed on him upon the release of his ninth feature, Stardust Memories (1980). And while it wasn’t a particularly big hit, it was a necessary step from him on his artistic journey, one that would pay off the next year with Manhattan (1979), a bittersweet work that combined his comedic leanings with his dramatic ambitions to became the biggest hit of his career to date. It went on to become both an Oscar-winning hit and one of the most beloved films of that era.īolstered by that success and driven by his expanding artistic ambitions, he then came up with his first pure drama, Interiors (1978). Wanting to expand his horizons from the unabashed silliness of those early endeavors, he then presented viewers with the more deeply felt romantic comedy Annie Hall (1977). I promise not to hold it against you.ĭuring the first half of the 1970s, Woody Allen made the transition from comedian to filmmaker with such critically and commercially successfully comedies as Bananas (1971), Sleeper (1973), and Love and Death (1975). If this is a problem, please feel free to bow out now. AUTHOR’S NOTE: Yes, I am writing about Woody Allen within the context of his filmmaking, and no, this piece will not go into his alleged transgressions.
If you never updated to El Capitan you may only have the choice of updating to Sierra as El Capitan is no longer available on the Mac App Store (although if you know someone who had downloaded El Capitan previously, they can access it via the purchased tab in the Mac App Store and if they copy the installation files to an external drive you could install it that way. Logic Pro X is fantastic for people who are bought into Apples walled garden approach to apps. You can buy Snow Leopard fromĪpple’s online store and then make further updates via the Mac App Store if necessary. In Logic Pro X, just choose Window > Open Mixer (Command-2) and you see the almost real deala virtual mixing board that includes, among other things, audio and MIDI effects inserts, an EQ view. Since Snow Leopard launched in 2009 the Mac App Store has been available on all Macs, so the chance that you would have a Mac capable of running Sierra, but running software that predates Snow Leopard is unlikely. You will also need the Mac App Store in order to download Sierra. The iMac Pro starts at 4,899/4,999 for the base configuration, but if you select every possible upgrade (including bundled copies of Final Cut and Logic Pro) you can theoretically spend as much. The training program features seven hours of video tutorials, which covers editing audio. As more and more song producers are requesting deep house remixes of their songs, many remixers are left scratching their heads on ways to approach this genre. MacBook Pro (13-inch, Mid-2009 or later), (15-inch, Mid/Late 2007 or later), (17-inch, Late 2007 or later)Īnd here are the machines that can run macOS Sierra:įor more information about macOS Sierra’s system requirements, see: MacProVideo has released a new tutorial series for users of Apple’s pro level music application, Logic 7. In this Logic Pro X tutorial, Darren Burgos shows how to create hundreds of variations from one preset Deep House has really snuck-up on the EDM world in the last few years. We test, review and rank the best screens, monitors and displays to use with your MacBook, Mac mini, Mac Studio or Mac Pro.MacBook (13-inch aluminium, Late 2008), (13-inch, Early 2009 or later). White chalk paint (I used Dixie Belle color cotton).Dollar store plastic jack-o-lanterns (I found most at Walmart, one at a vintage/antique store, but you may also find plastic pumpkin buckets Dollar Tree).Here is a list of what you need to make this farmhouse vintage white jack-o-lantern decor. It makes your Halloween jack o lantern craft so much more enjoyable when you have everything you need when you start. With all projects, I recommend collecting all your materials first. Let's get started by gathering dollar store supplies and making you these white jack o lantern decor with grey painted tattoos. This post contains affiliate links, meaning I receive a commission if you purchase using the links below at no extra cost to you. All opinions are all my own. And that is how the new family of Jacks came to live here for Halloween. Now that I have a family of Jack's I started experimenting to get a high-end vintage farmhouse bright and moody look to them. So I adopted him too, and he came home with us. And that is how it all began.Īs the months went on, I found another plastic pumpkin jack o lanterns at thrift stores. So before I knew it, I had a back seat full of cheesy smiling pumpkin heads. I started imagining chalk-painted happy pumpkin faces on my bookcases. Then I remembered Liz Marie Galvan's white jack-o-lantern mantel last year and my creative juices started flowing. But this time, I noticed tiny ones along with the regular size ones. LOL! The first thing I saw was those adorable cheap jack o lanterns. The dollar store Halloween decorations drew me to them even though it was August. While traveling to my niece's house before the Halloween season began, I stopped at a store to take a break. I am excited to show you this simple DIY Dollar store Halloween decoration idea of painted jack o lanterns but let's time travel back to August to where it started and where the inspiration came from. Easy Halloween decorations and fun Halloween craft ideas to decorate your home. When we are done carving and painting these adorable plastic jack o lanterns, it will look like you paid high end on your holiday decor. These DIY Dollar Store Halloween decoration ideas of painted jack o lanterns are simple to make and inexpensive. |
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