![]() ![]() The lymph node regressed significantly and clinically the patient was stable in the subsequent follow-ups with decreasing serum PSA level and free from obstructive uropathy symptoms. Immunostaining of the supraclavicular lymph node with (PSA highlighting tumor cell positivity, immunohistochemstiry (IHC) x40 in prostate biopsy ( A) and supraclavicular lymph node, IHC x20 ( B)Ī month later, the patient underwent surgical androgen deprivation therapy (ADT) with bilateral total orchiectomy and later kept on chemotherapy including casodex. Abdominopelvis computed tomography scan was ordered but due to financial constraints, the patient was unable to afford, thus the staging was done by combination of the clinical presentation of the patient (T3) as the prostate capsule was hard with an extra-capsular extension (N3) due to the presence of supraclavicular lymph node involvement and (M1a) for the presence of osteoblastic lesions on the bone from the X-ray ( Fig. 1B) however, chest X-ray was normal ( Fig. Kidney, ureter and bladder (KUB) X-ray revealed multiple osteoblastic lesions on the iliac wings and lumbar vertebrae ( Fig. Other systems examination was unremarkable.Ībdominal pelvic ultrasound showed right moderate hydronephrosis with multiple pelvic masses that were separate from heterogeneous prostatomegaly ( Fig. Digital rectal examination revealed hard, nodular prostate on both lobes with obliteration of median sulcus. Abdominal examination revealed no organomegaly, no palpable masses. There was no any other peripheral lymph node enlargement. A transverse incision scar associated with a 3 × 4 cm, firm, non-tender lump with irregular surface in the left supraclavicular region between the two heads of the sternocleidomastoid muscle was noted. On physical examination, he was fully conscious his vital signs were all within normal limits. However, he denied the history of blood in urine. There, the patients reported that he was apparently well until 6 months ago when he started to experience lower urinary tract symptoms, which included urgency, weak stream, straining, sensation of incomplete bladder emptying, hesitancy, intermittency and increased frequency of micturition both during day and night time. The patient was then transferred to our facility for further management. ![]() He denied history of blood in urine, prior trauma on his back, weakness of the lower limbs, loss of consciousness, headaches or difficulties in breathing or swallowing. These symptoms were associated with lower back pain however, there was no aggravating or relieving factor. The patient also reported lower urinary tract symptoms, which were characterized by urgency, weak stream, straining and increased frequency of micturition. He attended at a local health facility where a supraclavicular lymph node incisional biopsy was done, and the histopathology report suggested the diagnosis of metastatic adenocarcinoma, most likely from the prostate. The swelling was painless, progressively increasing over time. CASE SERIES Case number 1Īn 80-year-old male presented with left supraclavicular swelling, which was started gradually. We report two rare cases of prostate cancer that presented initially with asymptomatic left supraclavicular swelling. African patients are likely to present with more advanced disease compared to Caucasians. Other primary cancers that rarely metastasize to cervical nodes include kidney, lung and breast. ![]() Neck lymph node is common site for metastasis of malignances of head and neck. Among the few cases of supraclavicular lymph node metastasis reported, left supraclavicular node is the most common site. Metastasis to non-regional supraclavicular lymph node has been documented but is extremely rare presentation of prostate cancer. Regional lymph node is the most common site of metastasis, other sites includes skeletal and lungs. The clinical presentation varies widely from asymptomatic early disease to metastatic symptoms. Prostate cancer is one of the most common cancers affecting males with adenocarcinoma being the most common histological type accounting for >90%. ![]()
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Magic Tiles 3 is from Amanotes, the number one music games publisher in the world, with over one billion downloads. * Price is equal to the value that "Apple's App Store Matrix" determines is the equivalent of the subscription price in USD.Īre you having any problems? Send the email to or contact us in the game by going to Settings > FAQ and Support. * Albums and their related contents are not included subscription privilege and may need separate purchases to unlock. No cancellation of the current subscription is allowed during active subscription period. Any unused portion of a free trial period, if offered, will be forfeited when the user purchases a subscription to that publication, where applicable. Subscriptions may be managed by the user and auto-renewal may be turned off by going to the user's Account Settings after purchase. ![]() Account will be charged for renewal within 24-hours prior to the end of the current period at the cost of the chosen package. Subscription automatically renews unless auto-renew is turned off at least 24-hours before the end of the current period. Payment will be charged to iTunes Account at confirmation of purchase. You'll be able to play all premium songs for the duration of your subscription*. ![]() The subscriptions are $7.99 weekly, $19.99 monthly and $39.99 annually. You can subscribe for 1000+ premium songs and upcoming songs. So, get ready to try out the most challenging piano game for free!īesides, to improve the game’s performance and offer a customized user experience based on your location we do ask for permission to access to your storage and location. Log in to your Facebook account and share data on multiple devices Band mode where you can play with additional instruments such as guitar, piano and so many more.ģ. Weekly tournament comes with irresistible rewards.Ĥ. You can also invite your friends/enemies into a room and battle each other.ģ. Finely-built online mode – connect with countless players all around the world. Appealing, modern and diverse music genres to satisfy every music taste! We have over 1000 songs waiting for you to conquer.Ģ. It's MUSIC that cheers you up!Ĭheck out now for our Christmas songs! Happy Holidays!!!ġ. ![]() ![]() ![]() If you’re fortunate enough to have a teacher assistant they can assist with this. Obviously it may take longer for classroom teachers to administer the assessment. To administer this sight word assessment, the teacher should find time to work with each student one-on-one for the most accurate results. Ideally, a formal sight word assessment should be administered at least once a month to progress monitor students’ growth with their sight word mastery. Progress monitoring using formal assessments and data binders are a crucial component of all RTI interventions. This informal sight word assessment helps determine which words to be practicing with students each day. ![]() As you can see from the picture above students will have multiple checks and Xs next to each word. If they are incorrect or hesitant with the word I give them an X. If they are able to read or write the word quick and accurately, I give them a check in the box next to the corresponding sight word. These graphs include the Dolch sight words that students are currently working on mastering: PrePrimer, Primer, 1st Grade, 2nd Grade, or 3rd Grade list.Īs students complete the sight word activities during guided reading, teachers can use the data graphs to document each individual student’s success with reading and/or writing the word. I like to track these skills separately since students’ mastery of words they can read and write will vary. This process of orthographic mapping (Ehri, 2014 Kilpatrick, 2015) forms the glue that bonds words in memory. For each guided reading group, I have two separate data graphs: one to track words they can read and one for words they can write. A reader must notice the sequence of letters or spelling, pronounce the word, map the spoken sounds to the letters through reading and writing the word a few times to secure it in memory. Here are the sight word read, trace paste printables that I made for the 40 Dolch pre-primer words. Behind the assessment sheet are the sight words that Audrey has colored and we use these pages to make sentences with sight words. Teachers may want to use data graphs to track the sight words that students can read and/or write. On the right is our pre-primer sight word assessment sheet. (For ideas of the sight word games I play check out the blog post!) During these activities, teachers can informally assess students to see which words they know automatically and which are still unknown. ![]() This may include doing a quick write on whiteboards to practice known sight words or playing a fun review game. Sight words practice is typically included into the daily guided reading routine. Find out about an easy and free way to assess your students’ sight word knowledge! Informal Assessment During Guided Reading There are so many amazing resources and activities available online for fun ways to practice sight words, but how should we be assessing students’ sight word mastery? Teachers need to be using a sight word assessment to progress monitor students’ sight words mastery on a regular basis. In order for students to become fluent readers, they need to develop a large base of known sight words. ![]() ![]() ![]() ![]() ![]() Opening his eye, he sees Yuko laying her head onto her shoulder. A moment later, he feels a warmth on his shoulder. Seconds later, there's the sound of the bed springs very lightly shifting, Yuko was moving over, closer to him even, still, he kept his eyes closed just in case. Keeping true to his word, he remains on his side of the bed, closing his eyes and trying to drift off. Now that the air in the room felt normal again, Vergil decided to use it to his advantage and take this chance to sleep. The two give each other a side glance, but look away before their eyes meet. Soon, thankfully the awkwardness suddenly passes, almost like they were both adjusting to this. Once the two are bed together, there's a hint of awkwardness in the room, this was the first time they had ever slept this close before. It's okay to come to bed, I won't make any sudden movements." He says reassuringly. The new city was smaller in size compared to Chicago, but it still held a decent size. ![]() Thanks to everything they had done, the people here held the sons of Sparda in high regards. Vergil took Yuko to a new city that was called New Chicago - which used to be where the windy city of Chicago used to stand, before the tree's roots completely demolished the poor city with four large roots, once this area was officially declared free demon control, humans from the nearby colony started building, while Vergil and Dante stood guard as they finished. If only she had come to this world when it was still in one piece, before the tree put an end to normal life here, forcing everyone left into survivor colonies just to stay safe from all the demons, and continue living, to preserve whatever was left of the human race and keep them safe until the world was cleaned up again. Thankfully, with all the hard work the devil hunters had put in, there was finally a few cities and towns that were up and running again, although resources were limited, the locations were in full operation.ĭeciding to take another much-needed break from devil hunting, and let her experience another taste of how normal life was here before the tree came and ruined everything, forever altering how people lived their lives drastically, and changing the world in a catastrophic way. While there were several cities and towns that were completely destroyed from the emergence of the tree, there were a few lucky ones that somehow survived with minor damage most of them, weren't so lucky. exe is located, and changing the 11 in this file to a 12 and vice versa.Only One Bed RP Meme || Still sent: ‘ the innkeeper said this is the last room. ini file in the game directory where the. ↑ Digital Foundry - Devil May Cry 5 PC Tech Analysis + Xbox One X Comparison: Everything You Need to Know! - last accessed on " The only way to change to the other API is by editing the.Tested by physically using Gamepad and Mouse input device, Steam Controller (mapping the Touchpad as a Mouse input) and DualSense Controller (mapping the Gyro as a Mouse Input. ↑ Helix Mod: Devil May Cry 5 - last accessed on May 2023.↑ Devil May Cry 5: Special Edition Won't Have Ray-Tracing on PC - last accessed on.Steam Database - last accessed on " Removed 3rd-Party DRM – Denuvo Anti-tamper, 5 different PC within a day machine activation limit". ![]() ![]() When first starting the match, you'll find yourself in Fountain Square, which will act as your main base of operations while you defeat the incoming hordes of zombies. Frost Blast (Horn of Norticus): Summons a frigid vortex, damaging enemies with the initial blast and slowing those that enter.įountain Square - Your Main Base of Operation.Ring of Fire (Sword of Inviktor): Sparks a ring of Aethereal flame to boost damage for anyone within its radius for 15 seconds.Aether Shroud (Mask of Bellekar): Cloaks you in Dark Aether, masking your presence from enemies for 5 seconds.Energy Mine (Dragon of Saraxis): Spawns an Aethereal explosive, dealing massive damage to enemies who set it off.Below is a complete list of all available Artifacts that are currently available at launch, along with their unique effects: Inside, you'll receive valuable Items, Equipment, and Salvage.Īrtifacts are unique perks that are selected with your loadout and will essentially determine the Dark Aether entity that will be bonded with your operative. Found a red crystal covering chests throughout the map or may have spotted something on your mini-map? Well, keep an eye out for these crystals, as when destroying them, you'll gain access to loot these otherwise inaccessible chests.Although these radio intels are interesting, they aren't exactly essential and will provide no upgrades or unlocks, ![]() When interacting with these radios, you'll hear a unique message that details the Zombies' backstory and the story behind Der Anfang. While there may not be any Easter Eggs or Collectibles in Der Anfang, you'll manage to find a total of 19 radios that have been scattered across the map.We highly recommend tackling the Blitz objective first, as it'll be significantly easier to complete during the earlier rounds, especially if you're completing Der Anfang solo.After every round, return to the Altar of Covenants to find an all-new selection of covenants to choose from.Mystery Boxes are known to have high-rarity weapons that come with one or more Pack-a-Punch Tiers - making for a huge potential saving. If you're struggling to save up enough Essence during the opening rounds, you may want to consider opening a Mystery Box for 950 points.You'll find the Pack-a-Punch machine available in Fountain Square, right out the bat as it does not require any requirements to use. Remember to Pack-a-Punch your weapons! These upgrades will be critical to your success as you progress throughout each round.Shotguns! Shotguns and pistols are hands down the best weapons you can use at the time of launch, as the Shotgun has the ability to deal damage for each pellet that it shots - which is six in total.Quick Tips and Tricks for Surviving Zombies Map Der Anfang Not all hope is lost, though, as the Zombies Easter Eggs return to the series during Season One of Call of Duty: Vanguard, which is set to launch in December 2021. So instead, players will have the chance to play Der Anfang, an all-new mode to the series. Unfortunately, Call of Duty: Vanguard does not have a Zombies Easter Egg that can be completed at launch. How to Pack-a-Punch and Upgrade Weapons.How to Find All Perk Fountain Locations.How Perks Work in Call of Duty: Vanguard.What Are Objectives and How To Complete Them.Fountain Square - Your Main Base of Operation. ![]() Looking for something particular about Der Anfang? Click the links below to jump to. Throughout this guide, we'll explain everything from how to Pack-a-Punch, completing objectives, using the Altar of Covenants, accessing Perk Machines, and Exfilling to complete the mission.Ī Complete Guide and Walkthrough for the Der Anfang Zombies Map 5.This page is part of IGN's Call of Duty: Vanguard Wiki guide and details everything you need to know about the all-new Zombies experience, Der Anfang. ![]() Fans can also enjoy a unified battle pass and player progression shared across all Call of Duty modes.Ĭall of Duty: Vanguard releases on Nov. The Zombies mode features crossplay and cross-generation support, allowing you to play with friends on almost any console. Players can expect more content throughout the game’s lifecycle, introducing new story elements and gameplay changes that will keep you coming back for more. Transmit allows players to escort a floating zombie head, creating an exciting and unique experience.ĭer Anfang is just the tip of the iceberg for Vanguard Zombies. Blitz requires players to hold out against the hoard, while Harvest allows players to hunt zombies that drop runestones that must be deposited in an obelisk called the Sin-Eater. ![]() Each location features one of three objectives: Blitz, Transmit, and Harvest. These locations include war-torn farms in Merville, the rooftops of occupied Paris, and the iconic World at War map Shi No Numa. In this starting location, players can interact with portals that take them to distinct WWII locations. ![]() ![]() ![]() New user on the sub? Please make sure you read our rules below and check out our Contribution Guides since we have additional rules regarding specific topics. Same strategy.Flair icons are BoardGameGeek microbadges and are used with permission. (Footnote: the new version of Stratego has the strongest guy as a 10 instead of a 1. (We are happily married with 4 great children…and have never played Stratego again.)Īnyone else have a strategy that has worked well for you? Anyone else been defeated by your wife? Comment below. “It’s a trap!” She had been sandbagging games 5-8 so that I would forget about the strategy she used. About a week before our wedding, we were playing again, and she used her game 4 strategy, but I wasn’t prepared for it. We got engaged, but she still hadn’t beat me. I didn’t think to much about it, and we played a few more games. Game 5 I played to combat what my future wife had done in game 4, but she didn’t do it again. We played about 8 games of Stratego and number 4 was pretty close. She loved playing games, but just couldn’t beat me. I always joked with my family that I wouldn’t marry anyone that couldn’t beat me is Stratego. At this point, it is just about mopping things up. Eventually, you have a guy that cannot be killed. Keep up the strategy, trading for their 3s if they show up. Eventually, they will have to use their 2 to stop you, but then you bring out your 3s. Your 2 basically has free reign to kill anyone that moves. Use your 1 and go straight for the kill (watching out for their spy). They will always look at their 1 or spy to see how to kill you, then once you draw out their 1, don’t even worry about using your spy. Once you reveal your high guy, watch their eyes. Kill the target with someone strong (consider using your 1 or 2, just don’t let them lure your 1 into a spy kill. (anyone from 6 and lower can get you going on the trading strategy). You really want to test around with your scouts until you find someone good to kill. Conservative playĭon’t reveal your strongest guys early on. It helps to have your 1, 2 and 3 accessible, but not on the front line, but once again, you don’t want to be predictable. It helps to have scouts towards the front to gather intelligence. The rest of your guys just randomize conservatively. If you don’t move it around in subsequent games, they may win on an all our rush, so just randomize. It doesn’t really matter where you put the flag, as long as it is in the back row, and protected by bombs. Sometimes you get lucky and they will attack with a high guy on your bomb, but if they are playing conservatively, it won’t ever work, and you won’t be able to move your guys where you want them. Some people try to be cute and put bombs on the front line, or just behind the lake. He won that one.ĭon’t make the same mistake. If I would have played properly, I would have had a bomb in the way of the flag, but I didn’t. He slipped a guy down the side and went straight across the back, killing everyone. I was implementing the strategy and was killing all of the other players guys systematically, and he went for broke. Bomb PlacementĪfter developing the Straight Across Trading Strategy, the first time I lost, I was cocky and left my flag open on one side. I’ll describe each piece of the strategy below. In the end, you win if all their guys are dead which makes for a much more systematic win. Most people try going for the flag in Stratego, and most people expect you to be looking for their flag. his 2 with your 2, his 3 with your 3, until you have a piece that cannot be killed. Once you have one piece up, kill his 1 with your 1.Play conservative in the beginning until you have one piece up on the opponent.Randomize your other pieces, but ensure that you have scouts towards the front.Safely randomize where you put your flag, but usually towards the back.Never block your flow of traffic with bombs.This is called the Straight Across Trading Strategy (comment if you have a better name for it.) I have only lost twice since then, and I’ve learned from both losses that I’ll mention below. When I was about 11, I decided I wasn’t going to lose anymore and I came up with a strategy that has worked many times since. As a dad now, I realize that my dad may have let me win. I remember playing over and over again and beating my dad, but never beating my older brother. ![]() I played these games over and over with my siblings and my dad. (Monopoly, Risk, Stratego, Battleship, Scrabble). The main ones are still best sellers today. In the old days there were really only a few games that everyone owned. ![]() ![]() ![]() Click the triangular icon in the top right. Includes a GPU load test to verify PCI-Express lane configuration. To find the temperature monitor, you need to access the in-game overlay settings. Displays overclock, default clocks and 3D/boost clocks (if available) Detailed reporting on memory subsystem: memory size, type, speed, bus width. It displays the graphics card details in the form of statistics. Displays adapter, GPU and display information. GPU Tweak is the popular GPU monitoring software for Windows 11, 10, 8 and 7 PC that helps in keeping an eye on the performance of the graphics card installed in your system. ![]()
![]() This variety is further split into two more types - the Regular “old” CFW (also known as the Black-eyed or UK CFW) and the Continental or “new” CFW (also known as the Red-eyed CFW). Some are predominantly white, though a certain amount of pot luck is involved in breeding this variety. The head colors also tend to be much less striking than in standard birds. The tail of the CFW is a light brown or grey color, depending on whether the bird is from Grey or fawn stock. The standard head and breast markings remain intact, though in some individuals these markings can be much more faint than in the grey type. This variation has a white body with brown flanks, though these flanks are often not present. Unlike the similar lookingīlack-Breasted variety, the Black front zebra finch has thick tear stripes on the face. In terms of appearance, this variety looks very similar to the standard grey, but they have an extensive black area running from their throat across to the flanks. If crossed with the Orange-Breasted variety, the blacks and oranges vie for prominence.Ĭertain breeders in Australia have pushed this coloring to the limit, creating a very black bird referred to as the Black-Bodied zebra finch though this variety isn’t officially recognised as separate from the Black-Face. This variety is often crossed with the Black-Cheek and Black Breasted types to produce a much more pronounced black coloring. The effect is much more pronounced in cocks, some Black-Face hens can be hard to distinguish from the standard grey type. The extent of this dark plumage varies from bird to bird, sometimes the black color can stretch across the whole underside from chin to vent. This black plumage is across their breast too. This variety of finch has a much darker face than the standard grey type. The black cheek isn’t a very robust genetic feature and breeders often have trouble getting the markings dark and distinct. This mutated version of the grey was first noticed in the late 1970s. Black-Cheeks are often crossed with other varieties to combine key plumage features. Another feature that this bird has which isn’t present in the grey variety are the black flanks they sport, whereas a grey would have chestnut colored flanks. These black cheeks mask the “tear” stripe that sits alongside it. ![]() If your bird has a wide black splodge on its chest, it's at least somepart Black-Breasted Zebra.Īs the name would suggest, these birds have pronounced black cheeks. The Black Breasted is often used in breeding and is frequently crossed with other types of Zebra Finch. This bird has different tail plumage too, and there may be orange or white flecks on the wings. The spots on their flank are also much larger and stretched out, oftentimes producing a strekaed or spotted effect. They have much larger cheek patches and seem to lack the traditional Zebra Finch “tear” stripe under the eye. Their large black breast marking is, of course, what gives this variety its name. These birds differ from standard birds Greys in most plumage details. This is just the classic Zebra Finch we all know and love, retaining the same colors as their wild cousins. These are all colors set against a background of three basic varieties - Grey (standard), Fawn or White. Zebra Finch Colour TypesĮach of the following is recognised as a distinct variety at bird shows. ![]() ![]() Basically, the birds can have one of two background colorations - Standard (Grey), or Fawn. Selective breeding has produced many colour varieties of Zebra finch. Zebra Finches - English, German or American? ![]() ![]() ![]() Whether for personal enjoyment or professional use, these free wallpapers are a convenient and visually appealing resource. By utilizing these wallpapers, individuals can transform the look and feel of their devices, adding a touch of vibrancy and uniqueness to their digital experience. 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