We retrospectively reviewed the clinicopathological data of 72 patients who had been diagnosed as having T2 squamous cell carcinoma of the tonsil and had undergone surgery at the Department of Otolaryngology–Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, between March 1, 1992, and December 31, 2010. Therefore, this study was designed to verify whether extratonsillar invasion of the pharyngeal constrictor muscle in early squamous cell carcinoma of the tonsil is correlated with lymph node metastasis and with 5-year locoregional recurrence. We reviewed the English literature on this topic but found no such evaluation. We hypothesized that the presence or absence of extratonsillar invasion of the pharyngeal constrictor muscle, as well as the size of the primary tumor, is significantly related to lymph node metastasis and to 5-year locoregional recurrence. 7, 8 Therefore, extratonsillar invasion refers to penetration of the fibrous barrier to cancer spread, and the tumor may have a higher probability to spread locally. The lateral side of this barrier is covered by the superior pharyngeal constrictor muscle, and it separates the tonsil from the parapharyngeal space. The palatine tonsil is encapsulated by a thick fibrous barrier, which is composed of a tonsillar capsule and pharyngobasilar fascia laterally. The T category is based on the diameter of the primary tumor, without regard to the presence or absence of extratonsillar invasion. 4 - 6 The American Joint Committee on Cancer staging system for squamous cell carcinoma of the tonsil bases the T category on the size and extent of local spread to the cervical lymph nodes. 1 - 3 Recently, human papillomavirus (HPV) infection has been regarded as a new prognostic factor. Squamous cell carcinoma of the tonsil is a common head and neck cancer, and the prognosis is variable according to the tumor size and lymph node status. Five-year disease-specific survival was not significantly correlated with any clinicopathological factor in the multivariate analysis.Ĭonclusion Higher risk for multiple lymph node metastasis and 5-year locoregional recurrence seems to be predicted in patients with extratonsillar invasion of the pharyngeal constrictor muscle, even in early squamous cell carcinoma of the tonsil. Five-year disease-specific survival was significantly correlated with multiple lymph node metastasis (≥5 nodes) in the univariate analyses ( P = .009). No factor was correlated with 5-year locoregional recurrence in the multivariate analysis. Five-year locoregional recurrence was significantly correlated with invasion of the pharyngeal constrictor muscle ( P = .05) and with multiple lymph node metastasis (≥5 nodes) ( P = .04) in the univariate analyses. The rate of lymph node metastasis, the mean (SD) number of positive nodes, and the mean (SD) lymph node density were 81%, 5.47 (9.27), and 0.15 (0.22) in the invasive group, respectively, and 50%, 1.33 (1.72), and 0.04 (0.04) in the noninvasive group, respectively ( P = .04, P = .02, and P = .01, respectively). Results Invasion of the pharyngeal constrictor muscle was found in 36 patients (75%) with T2 squamous cell carcinoma of the tonsil. Main Outcome Measures Comparison of regional metastasis, 5-year locoregional recurrence, and 5-year disease-specific survival between the 2 groups. They were divided into 2 groups: an invasive group with invasion of the pharyngeal constrictor muscle and a noninvasive group without invasion of the pharyngeal constrictor muscle. Patients Forty-eight patients who were diagnosed as having T2 squamous cell carcinoma of the tonsil and who underwent surgery. Objective To determine whether invasion of the pharyngeal constrictor muscle in early squamous cell carcinoma of the tonsil is correlated with lymph node metastasis.ĭesign Retrospective analysis of medical records and pathology specimens. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.
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They are in need of baby quilts, fabric, and yarn donations. Warm Hearts, Warm Babies in Arvada, Colorado provides clothing, baby blankets, and essential items to premature newborns, newborn infants, and young children, in crisis, free of charge. Looks like an excellent system for distributing supplies to projects that will use them. Their Creative Reuse Center will also take paper, scrapbook supplies, paint, markers, glue, etc. Scrap B More in Baltimore, Maryland is a craft reuse shop that gives Teachers craft materials for classrooms and sponsors children’s craft/creativity workshops. US administration (and shipping recipients) are in Utah and Texas. Sorting fabric by color and cutting yardage into useable 3″ x 3″ squares is particularly helpful. Go here for more information on how to donate needed supplies. You can read more about this inspiring organization here. One Common Thread quilts employs women in Honduras who handmake hexagon quilts to support their families and bring them out of poverty. You can contact Renee at for more information. Renee teaches women in her local prison in Mississippi how to sew and these women make items to be sent to children in Uganda. The Forget Me Not Project is doing good at home and abroad. Also be sure to check the comments on this post as there are some great needs listed there as well. If you can’t find any local needs, here is a list of some specific projects and non-profits that are actively looking for fabric, batting and thread donations. Specific Organizations to Donate Fabric, Batting or Thread: You might want to check your local resources like prisons, homeless shelters, or refugee relief agencies that may teach sewing and quilting classes. One reader said she donates fabric to her local women’s prison where they teach quilting classes. Local animal shelters will often take fabric scraps to be used for pet bedding. You can find your local quilt guild using this list of world wide traditional quilt guilds here and local Modern Quilt Guilds here and ask them if they’re looking for any donations.Ĭheck with your local school or 4-H program to see what donations they are actively looking for as well. Guilds frequently head up charity projects. You can find your local Project Linus chapter here.Ĭheck with a local Quilt Guild. Project Linus is a wonderful organization that makes quilts for children in need. They typically need dark and patterned flannels and quilting cottons. You can find your local chapter here.Ĭheck your local Days for Girls chapter. Many local Quilts of Valorchapters (making quilts for local veterans) will gladly take quality red, white, and blue fabric. Look for an organization near you in need of donations Unusable fabric donations only cause bigger headaches for these shoe-string organizations. Important: Before you send off fabric willy-nilly, I do recommend contacting the organization directly before you donate to understand their specific needs and only send fabric they can put to good use. There are some great causes that can always use fabric, batting or thread donations. Or for anyone who wants to give unwanted fabric to a good cause, I’ve created an updated list of places to donate fabric. If you’re cleaning out your fabric stash as part of a sewing-room reorganization for the new year and looking for a good place to send excess fabric, I’ve got help for you. January always puts me in the mood to organize and purge. Best Private Instagram Viewer Apps in 2022 No matter what the reason, it’s important to understand that private accounts are made that way for a reason– however, if you really feel that you have a good reason for needing access to this Instagram profile, we’ve got the options for you. 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What is a Private Instagram Viewer?Ī private Instagram viewer will allow you to check out someone’s Instagram profile even if it is private. If you want to do market research for your brand or business but can’t access private instagram profiles within your target audience, private Instagram viewers could be the best option. This is the reason why private Instagram accounts have become very popular, and why you may need a private Instagram viewer in order to take a look at those that you don’t have access to. With the increased usage of the internet, everyone is looking to safeguard their information and activities online. It means you can view posts made by the user safely.Best Private Instagram Viewer Apps: Privacy is a very important element of social media accounts today. If they are satisfied with your details, the request will be approved. Try to follow the account and send a private message to inform the owner about your identity. If you are really keen to view a private Instagram profile, go with the first two ways mentioned in this post. So it’s better to stay away from such cracking tools. They may contain some spyware and affect your online security. Private Instagram Viewer Apps will also work in the same way. There are several websites that allow you to download the latest movies and songs, premium WordPress themes and plugins, etc for free. Right-click on your mouse and choose ‘save image as’ option to download the file. It will fetch and display posts in a few moments. Search for an Instagram username to see their feed posts. This tool is very useful if you want to browse Instagram anonymously or when you got blocked. No login is required to access their services. 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Best employee - Chio, our room concierge. Every person will have a different experience. We will likely go back to regular booking once our membership expires. We have already used our membership for another trip to Costa Rica, but I have to say the benefit really doesn't outweigh the savings. We did the math and joined the "Choices" membership, which is the last option they will offer as it's the cheapest. We spent 4 hours with about 6 different sales people and 2 "closers". This time we decided we would entertain joining. Other notes: The vacation club - we went to the speech the first time and stayed away the last few trips. You may be in the shower or at dinner, you never know when it's going to happen. Power outages - they frequently lose power to the whole property, at least once a day. We always go to Cancun the same time every year, but they were more prevalent at Akumal, especially at the swim up rooms. Mosquitoes - there were more here than at Maroma. Due to our room location, this did not affect us, but depending where your room is, it may impact you. I understand the angry wedding party, but the resort should have planned it better. We were enjoying the outdoor live music at the lounge bar and someone from a nearby wedding party came over and harassed the live singer. Corporate events - they had 6 or 7 events going at the same time, which causes competing between the events and louder music. If you rent the beach bungalows, you will have people camping out in front of you, which doesn't happen in Maroma. Akumal had lots of chairs at the pool and we never had a problem finding a good spot at the pool. You need to get up early to claim a good spot. Lots of chairs! This is somewhat of a problem at Maroma. It's actually a better beach than Maroma, but you have more people, so that's the trade off. The beach - the water is very warm and fun to swim or snorkel in. I highly recommend the Japanese and Italian restaurants. The food - its on par with Maroma with minor differences. Maroma doesn't have the same aquatic life for snorkeling and no turtles. There is also a dive shop just down the beach if you want to dive or take classes. We snorkeled every day and saw lots of underwater activity. It is amazing! You will see many sea turtles and stingrays. Ok, so let's get into the pros and cons of Akumal vs Maroma Pros: The biggest advantage of coming here is the snorkeling. This is not a big deal as there is plenty of beach, but just be aware there will be lots more people at the beach. Akumal is very much like Maroma, but instead of a private remote beach, Akumal shares the beach with other publicly accessible businesses nearby. We booked 10 nights and stayed in a partial ocean view junior suite. We have stayed at Secrets Maroma twice and decided to try Secrets Akumal last year. My wife and I have been going to Cancun for the last 10 years. The biggest advantage of coming here is the snorkeling. Ok, so let's get into the pros and cons of Akumal vs Maroma We booked 10 nights and stayed in a partial ocean view junior suite.Īkumal is very much like Maroma, but instead of a private remote beach, Akumal shares the beach with other publicly accessible businesses nearby. Up Arrow Tune radio down 100 Hz on SSB, 20 Hz on CW (adjustable in the configurer). Your computer’s Task Manager can show you any undesirable software that may be running on your computer, but to detect a keylogger, you’ll need a stronger program suited to the task. WARC bands are skipped while logging for a contest. They are also used by companies who want to monitor employees. Keylogging software is used by hackers to access information on a cell phone or computer. In fact, you won’t even know it’s in operation, so it’s not that easy to detect. A keystroke logger is a type of hacking software that records keystrokes made on someone’s mobile device keyboard. 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HP Community Printers Printer Setup, Software & Drivers HP Photosmart 7520 firmware update HP Photosmart 7520 firmware update. Then, choose that OS from the list given below and download its associated HP Photosmart 7520 printer driver. Cant update the HP Photosmart 7520 firmware, I cant even enable web services, trt to put static ip and DMZ and even modity this. I would really appreciate it if anyone could help with a solution.How to download HP Photosmart 7520 driverįirst, identify the OS where you want to install your HP printer. This is extremely time consuming & totally impractical. But with Zorin in order to print 15 copies, i have to hit print button 15 times in a row. On Windows it worked perfect & would print copies perfectly. 15 copies of something, it will only print the 1st one. But only problem is when i tell it to print f.e. I just have to connect to it via DIRECT wifi. On Zorin or Windows the printer works well, doesnt require any software to be installed. My HP Photosmart is from 2014 & is deluxe/top notch but too old to use new routers, so when I use it, I either have to disconnect from my internet & connect to it, or load everything on USB & plug USB into printer to print what I want, last method is real pain. I am connected to my printer via DIRECT wifi. I searched this forum & tried "sudo system-config-printer" command but the HP Printer doesnt show up, I think because I'm not connected to it via ethernet or a router? |
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