8/17/2023 0 Comments Ebay watch itemAn abdominal ultrasound showed surface nodularity in the liver consistent with cirrhosis, ascites and splenomegaly. Possible etiologies that would explain this laboratory “mismatch”, like lab error, hemoglobinopathies or hemolytic anemia, were excluded. This finding was contrast to a previously measured HbA1c 1 year prior to admission that was 13.7% ( Table 2). Despite medical management finger stick readings remained grossly uncontrolled ( Table 1). Metformin was stopped and an insulin regimen of basal glargine and pre-meal aspart was initiated. Iron studies showed iron level of 64 g/dL, iron-binding capacity of 212 g/dL, transferrin saturation of 30.1%, and ferritin level of 661.7 ng/mL. Liver function tests revealed total bilirubin of 0.7 mg/dL, alanine aminotransferase of 74 units/L, aspartate aminotransferase of 98 units/L, alkaline phosphatase of 621 IU/L, haptoglobin of 100 mg/dL, lactate dehydrogenase of 220 IU/L, total protein of 7.3 g/dL, and albumin of 3.2 g/dL. Chemistry panel showed sodium of 132 mmol/L, potassium of 5.6 mmol/l, creatinine of 1.6 mg/dL, blood urea nitrogen of 58 mg/dL, and a glomerular filtration rate of 32.7 mL/h. Laboratory work on admission showed blood glucose of 568 mg/dL, white blood cell count of 5.5 × 10 9/L, hemoglobin of 11.5 mg/dL, hematocrit of 36.5%, MCV of 98.8 fL, platelets of 104,000/μL, prothrombin time of 12.1 s, partial thromboplastin time of 26.9 s, and international normalized ratio of 1.13. Examination of the abdomen revealed a grossly distended abdomen with a positive fluid wave and a protruding, yet reducible umbilical hernia. On physical examination, the patient had pallor, non-icteric sclerae, and poor dentition. Home medications included metformin, levothyroxine, and docusate. Case ReportĪ 61-year-old Caucasian woman, with history of hepatitis C, uncontrolled T2DM, and hypothyroidism presented with shortness of breath and increasing abdominal girth. We present a case of woman with uncontrolled T2DM, acute kidney injury, and liver cirrhosis and discuss the challenges of assessing this patient’s glycemic control in view of the discordance between the patient’s HbA1c and blood glucose measurements. However, there are subsets of patients in whom there will be discordance between HbA1c and blood glucose measurements, rendering it less useful in determining a patient’s glycemic status. Keywords: Low HbA1c Glucose monitoring Liver cirrhosis Fructosamine Glycated albumin Introductionįor decades, hemoglobin A1c (HbA1c) has been the standard measure of long-range glycemic control in patients with diabetes mellitus type 2 (T2DM) even with comorbid liver cirrhosis. In this case, other biomarkers can be used to monitor glycemic control by far frequent finger stick monitoring is the best method. HbA1c can be falsely low in liver cirrhosis, and can give a false assumption about control of the diabetic disease process. Fructosamine and glycated albumin were high, indicating a hyperglycemic status during the last 3 weeks. Blood work revealed acute kidney injury, anemia of chronic disease, normal albumin level, and low HbA1c. Ultrasound of the abdomen showed liver cirrhosis, ascites, and splenomegaly. She was found to have blood glucoses greater than 500 mg/dL however, her HbA1c was measured at 5.5%. We present the case of a 61-year-old Caucasian female, with history of hepatitis C and uncontrolled T2DM, who was admitted for evaluation of compensated liver cirrhosis. The objective of this study was to increase awareness about low HbA1c in liver cirrhosis and discuss alternative biomarkers that can be used to measure glycemic control. Inaccuracies of HbA1c in liver cirrhosis are rare, but documented. In a rare subset of patients, this measurement may not be reliable. Hemoglobin A1c (HbA1c) is the gold standard for the measurement of long-range glycemic control in patients with diabetes mellitus type 2 (T2DM).
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8/16/2023 0 Comments Jasmin in aladinTo save her life, she spins a story every night (“Aladdin” is one of many) for her husband, leaves out the ending, but promises to finish it later. The heroine, Scherherazade, is married to a murderous king, who kills his new wives one day after wedding them. Aladdin is only one of 1,001 tales.Īladdin is part of a centuries-old stories-within-a-story called The Thousand and One Nights (also called The Arabian Nights). But how much does the big screen Aladdin resemble its source material? (The Walt Disney Company is majority owner of National Geographic Partners.) 1. The movie became a classic, spawning a Broadway musical and a live-action remake that hits theaters this weekend. "There was one picture taken, and it looked like it was from a Bollywood movie.In 1992, Disney’s animated Aladdin hit the big screen, and audiences fell in love with the adventures of an orphan-the “Diamond in the Rough”-who crossed paths with a flying carpet, a powerful genie, and an independent princess. "What I loved about that outfit was there was a flow through it and the colors together, the orange and the pink, were just stunning, so so beautiful," Scott said. "What I wanted to do with her costumes also is to show the strength of her character and it's to combine colors in interesting, quite unusual ways – the choice of coral and magenta is quite arresting and unusual and gives her a sense of personal and iconic style," Wilkinson said. Wilkinson used fabrics from Morocco, Turkey, India, Jordan, and Iran to make this dress, and wanted to make it bold in its use of colors. "I knew I had to create something very special for this moment." " has promised to meet her secretly and ends up not turning up, so she gets stood up," Wilkinson saID. This gown is from a meeting in the courtyard between Jasmine and Aladdin, though it ends up being a one person affair after Aladdin never shows up. "This was the one time for this moment it felt right to have that corset, it completely straightens her up and it's the first time we see her going from running around in the mud with Aladdin to being absolutely wow … so the outfit was very uncomfortable but incredibly impressive and worth it," Scott said. While it was visually impressive, it wasn't the most comfortable thing to wear. "I was always very, very adamant that the more trousers, the better, as to me, that is Jasmine's trademark," Scott said. That said, they did include something that's a Jasmine trademark, as you can see she's wearing turquoise trousers underneath the skirt. "We wanted to show the formality and the structure of this whole set-up in the dress itself, so it's quite a restrictive bodice but it's highly decorative," Wilkinson explains. This is from a scene where people are coming to ask for her hand in marriage, and the gown does a great deal to set up the scene. This gown is just stunning and features a five-foot train in addition to the vivid colors and decorative accents. In this latest episode, we share our Detective Pikachu review, talk MCU Phase 4, Marvel's new Hulu shows, and more! Make sure to subscribe now and never miss an episode! Have you subscribed to ComicBook Nation, the official Podcast of yet? Check it out by clicking here or listen below. "The film is a celebration of the beauty of Arab culture," Wilkinson said, and you can get up-close looks at several of her new outfits over the next few slides! This was also a chance to include more influences from Arab, Indian, and Asian cultures. "When you're designing the costumes for a live action film that's based on animation, there's an opportunity to take these characters and give them literally more depth and details, really think about them as fully-fleshed people with complex psychologies and interesting personalities, so it was wonderful to explore who Jasmine really was and be able to express that through her many costumes in the film," Wilkinson said. Jasmine will wear about 10 different outfits throughout Aladdin, and all of them are an extension of the scene or what Jasmine is currently going throughout. "If she's wearing something that's structured and beautiful, it can't just be the sake of it looking great, it needs to be connected to the story." "The main conversation is structure versus freedom that I think is obviously is the metaphor for her journey as a character," Scott told EW. Wilkinson and Scott spoke to EW all about Jasmine's impressive wardrobe, and how each dress really harnesses the feel and tone of the scene she's in. 8/16/2023 0 Comments Free42 simulatorBut I haven't got time to look at your code, so those are just suppositions. If I have to guess I would either say it can be due to a fixed (size-independent) number of pixels defining the swipe distance, or to the loading/copy of active layer key (taking more time in high-res) interfering with the handling of key presses. I noticed that with size 12 a slight swipe left or right on a key show the "print-out", that's something that I can't reproduce on size 2. TestGPT Generating meaningful tests for busy devs. With the size 2 I don't have any problem at all, with size 6 there are some miss from time to time, and with size 12 it's hard to use, a non-negligible number of keys are missed. High-resolution DM42 skin for the Free42 simulator (by Streak圜obra) Add to my DEV experience free42 Skin. c) Have a palmtop with PalmOS and want a nice scientific calculator (get Free42) d) Just want to. On another topic I have the feeling that high-res skins have issue registering some key presses. b) Got the Free42 simulator and want to know how to use it. I may have a look once if Github Pages with the skin files committed to the repository have this issue as well. Ultimate Truck Simulator MOD APK v1 3 1 Unlimited Money Apkmody. 6 veteran groups are : Further action taken by the CaliforUp to. cute strawberry wallpapers to download for free 42 Kawaii Strawberry Wallpaper on. That's the problem then, Github release links redirect with a HTTP 302 to a long URL that does not end with ".gif". translatable into annual rates policies may be summed up in two sim- and. I think that's because Fossies pretty-layouts text-like formats, so the layout file gets turned into something Free42 can't handle.Īs long as you have skins at simple links, which can be loaded without HTTP redirects or text reformatting, they should work in the Free42 skin loader. But there can be other issues as well: when I tried loading a skin from Fossies, it seemed to load successfully, but when I tried to use it, I ended up with a black screen and had to uninstall and reinstall Free42. That's what causes it to be unable to load Streak圜obra's links. One thing that trips it up is links that cause redirects, where the actual link that ends up being loaded after the redirect doesn't match the desired pattern. When you click Load, it loads that URL (again), and the matching one with. layout, and only enables the Load button when such a URL is loaded. Hilaire which is based on the calculation of the point of intersection of 2 position lines. ASTROTSO: calculates the fix using the standard azimuth-intercept method of Marcq St. A thorough knowledge of the calculator is not required. The skin loader in Free42 for Android, iOS, and MacOS looks for URLs ending in. These programs make the HP-42S (Free42) a worthy equivalent of an astrocomputer to navigate by the sun. Free42 was written from scratch, without. If I can do something to improve this please let met know Thomas, otherwise I may eventually see if I can quickly generate a "Github pages" with the skin links, somehow. Free42, a cross platform emulator, is a complete re-implementation of the HP-42S calculator and the HP-82240 printer. If anything was missing, we think optional sound(s) to attempt to simulate what you might hear on a keypress, otherwise, that felt a little flat to us.For the issue about downloading from Github, I'm not sure how it is implemented on the app side so I don't know what is causing problems. Our math skills are right inline with our graphics and web design skills, so about the only other thing we can say is it also seems to work well. Free42: Free Android app (4.8, 100000+ downloads) HP-42S Simulator: advanced scientific programmable RPN calculator. Preferences include settings like single instance, output to gif or text, keep the window on top, and more.įree42 looks identical to the HP-42S, at least as seen here. Other actions include the option to import or export programs, clear or show the printout. It also has two skins, realistic and standard. Free42 HP-42S Calculator Simulator is am Open Source recreation of the HP-42S Scientific Programmable Calculator and HP-82240 Printer.įree42 has two calculators, binary and decimal. 8/16/2023 0 Comments Peterson strobe tuner 420Check the video, it works just as it should. The Peterson company introduced the first commercial handheld electronic tuner for musicians, the Model 70, in 1964, and later its models of strobe tuners. Peterson 420 Strobe Tuner Reverb Similar Listings Peterson StroboFlip Strobe Tuner 150 25 price drop 125 Used Good Free Shipping Add to Cart Peterson StroboClip HD High Definition Clip-on Strobe Tuner (2-pack) Bundle 139.98 20 price drop 119. Thanks for looking, and contact me with any questions. it is in excellent condition, and other than for the once or twice a year intonation exams it sits safely tucked away in its case in my closet. I'll include some printed directions, but our video shows how to use it pretty well. This is a Peterson Strobe Tuner, model 420, that I have had since the early 70's. Strobe tuners offer greater accuracy than any other tuner on the market. These units are perfect for a guitar technician, piano tuner, or obsessive musician. We've checked every note against our reference unit, and it's spot on. Our shop has thoroughly cleaned and tested this tuner, and made all the needed adjustments to be certain it's ready to go. Featuring a high-definition LCD strobe display with variable LED color backlight, your instruments will never sound more in tune. Peterson Model 420 Strobe Tuner w/1/4' input Heres a vintage Peterson strobe tuner which represented the best technology of the day when manufactured. It's a high-impedance instrument jack that works fine with most modest output instruments. The StroboStomp Mini delivers the unmatched 0.1 cent tuning accuracy of all authentic Peterson Strobe Tuners in a mini pedal tuner format. The condenser mic makes it handy for tuning acoustic instruments, and offers high sensitivity.Īlternately, the input jack may be used to plug in a guitar, bass, or organ. Had it repaired and calibrated about 10 years ago and the company was excellent to work with. The model 420 is a standard single disk unit with a built in condenser microphone. The Peterson strobe tuners are the finest in the world, continuing the legacy of Conn, inventor of strobe disk tuning. 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