The world at large is affected by a number of natural hazards: these include dry spells, earthquakes, wild fire, floods, strong winds, hurricanes just to mention a few. Government needs to provide enough funding for systems sustainability, build capacity of CPCs and install more technologically advanced systems. Despite the efforts to develop the early warning systems, the failures outweigh the successes. Lack of capacity and necessities affects the operation of the community-based system. Operational bureaucracy affects the speedy presentation of warning messages at national level. Apparently, no direct link exists between the two. These systems were installed by non-governmental organisations (NGOs) and faith-based organisations. The study revealed that Malawi has two distinct systems in place: at national level (managed by several government departments) and at community level. The current community-based early warning system practices were benchmarked against the following elements: risk knowledge, technical monitoring and warning services, dissemination and communication of warnings and response capability. Questionnaires, interviews, group discussions, document analysis were all used in order to understand the behavioural aspect of communities under study. The research employs both qualitative and quantitative approach. This study examines the effectiveness of these river gauges as part of community-based early warning system. In Malawi, ever since the installation of river gauges no study has been done to assess their effectiveness. River gauges have been installed along major rivers to monitor water levels in a bid to warn communities of imminent flooding. Floods have affected the countries’ socio-economic developmental plans. One of the major natural hazards the world is facing these days are floods.
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Staghorn morphometry-based prediction algorithms may predict the number of tract(s) and stage(s) for PCNL monotherapy. New technologies to improve kidney access such as Uro Dyna-CT or electromagnetic sensor have been reported, but have not shown utilization in staghorn cases. Wideband doppler ultrasound and real-time virtual sonography can assist. Ultrasound guided percutaneous access may be considered for staghorn stones when planning upper pole access in kidney malposition or complex intrarenal anatomy or with complex body habitus. Non-contrast computerized tomography (NCCT) is indeed the standard imaging tool for percutaneous nephrolithotomy (PCNL) additional tools such as three-dimensional computed tomography (CT) reconstruction of the staghorn calculus may help plan access in complex cases. We conducted a PubMed search of publications in the past 2 decades that include relevant information on the planning for management of staghorn stones. In this review we looked for the most relevant data on preoperative imaging and access planning to help decision making for percutaneous surgery with this complex condition. Treatment is associated with lower stone-free rates and higher complication rates compared to non-staghorn stones. We encountered a rare case of renal SCC with renal calculus.Staghorn calculi present a particular and challenging entity of stone morphology. When a patient with a renal staghorn calculus shows elevated serum SCC markers, the coexistence of SCC should be considered. In order to detect tumor aggressiveness before treatments are administered, the evaluation of serum SCC markers is recommended. In the present case, CT showed a large staghorn calculus with hydronephrosis and a stretched renal cortex.Īdvanced SCC has a poor prognosis, and adjuvant chemotherapy or radiation therapy has not been established for SCC. It is difficult to distinguish primary renal SCC from xanthogranulomatous pyelonephritis or other malignant neoplasms of the kidney preoperatively. In many cases, the renal parenchyma shows a degraded density. CT shows a diffuse, swollen kidney with thinning of the cortex and renal calculi and perirenal infiltration. The radiographic characteristics of renal SCC are variable. Based on these findings, we hypothesized that the renal calculus might have initially provoked the metaplasia, with the squamous metaplasia subsequently exacerbating the calculus, leading to a vicious cycle and conclusive squamous carcinogenesis. Some previous studies have mentioned that patients with renal SCC had chronic episodes of pyelonephritis or nephrolithiasis. The coexistence of calculi has been reported in many (approximately 90%) cases of renal SCC. Some studies have reported that urothelial epithelium may lead to squamous metaplasia with chronic irritation or inflammation, which progresses to dedifferentiation, dysplasia, and ultimately to carcinogenesis. Whether or not renal calculi cause SCC is unclear. The prognosis for renal SCC is extremely poor, and less than 10% of patients survive for 5 years. Renal SCCs are reported to be aggressive tumors with a worse prognosis than other urinary tract carcinomas because they tend to be detected in an advanced stage (pT3 or greater). In the urinary tract, the most frequent neoplasms are urothelial carcinomas SCC in the renal pelvis is rare and only accounts for 0.5% of malignant renal tumors. The final diagnosis was SCC of the left kidney, and after the operation, the serum SCC marker level was 4.8 ng/mL. Her disease's T stage was assumed to be at least pT3. As her kidney had been broken into two pieces, it was difficult to decide whether or not the surgical margin was positive. Based on these findings, a diagnosis of SCC rather than urothelial carcinoma or renal cell carcinoma was made. Immunohistochemical staining showed that GATA3 and P40 were negative, while CK5/6 was positive (Fig. This finding suggested that the tumor was derived from the squamous metaplasia due to the staghorn calculus. We were able to detect the area where the urothelial epithelium and squamous epithelium were mixed. Foam cells were invading the renal parenchyma, suggesting xanthogranulomatous pyelonephritis. A pathologic examination revealed that the tumor was SCC accompanied by a cancer pearl (Fig. Due to severe adhesion, the kidney was divided into two pieces and removed (Fig. Three months after her initial visit to our department, she underwent open nephrectomy. b Two additional nephrostomies were performed. A CT revealed that the middle and inferior calyxes were not drained adequately. To tell the number of wizard spells of …30 mar. 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Chinese social media applications, such as WeChat, are used for text and video calls, and have provisions to pay bills, book cabs, book restaurants and other financial activities without leaving the app. In a recent interview, Musk reiterated that the main motive behind rebranding to X was to create an “everything app,” a concept popular in China. Musk’s plans to transform Twitter began long before the takeover. In April, Twitter introduced a new feature that allowed app users to access the crypto market and other financial market services from within the app. Dreamstime is the worlds largest stock photography community. The rebranding is part of Musk’s vision to create a “super app” with multiple functionalities. Use them in commercial designs under lifetime, perpetual & worldwide rights. in March as the parent company of Twitter, making way for Twitter’s rebranding. Musk uses the letter X in several of his business interests, including SpaceX and Tesla car models. 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Code 40 Off Luminar Neo or Luminar Neo Bundle Orders Get code BSNEO Details & terms 54 Off Deal 54 Off Luminar 4 Skies Get deal Details & terms 70 20 Starting Deal Aurora HDR 2019 for Mac & Windows Bundles from 70. Make sure your recorder and your Smart Device are both properly connected to the Internet.You can visit your product’s Series page at and/or doublecheck your Quick Setup Guide to verify you are using the right app. First, ensure you are using the right mobile app for your recorder.If you are experiencing playback or connection issues, such as slow video / freezing or connection failure, follow the steps below. Within the app, you should now be able to see your recorder and cameras.NOTE: The System Info tab will display the QR Code and P2P ID for your recorder. From within the Main Menu, click on Configuration / System.Access the Main Menu by left or right-clicking anywhere on the screen to make the menu icons appear.Log in to your recorder from a TV / Monitor.If the sticker is damaged or missing from your recorder, please:.Once you have scanned the QR Code, ensure the P2P ID matches what is on the support sticker on your recorder.Open the Night Owl X / X HD App and use Owl Scan to scan the QR Code on your recorder.NOTE: If the P2P QR Code is damaged or missing, please proceed to step g. Connect to your local Wi-Fi network, on your Smart Device, and launch the application.Make sure you have installed the correct application for your system and mobile device.Ensure that your recorder is properly connected to your router with the Ethernet cable included in your package.NOTE:The P2P ID for your recorder should be on the support sticker on the top or bottom of your recorder. If the app is not connecting, the QR Code or Owl Scan isn’t working, the P2P doesn’t match the P2P in the recorder firmware or the QR Code is missing, follow the steps below. Once complete, share these login credentials with the second user so they can add the system to the Night Owl X / X HD App on their Smart Device to begin viewing.Lastly, select which permissions you would like this user to have.Edit the second username and then create a username and password for this additional user.Left-click on Edit at the bottom of the screen.On the left side of the screen click the Users.Navigate to the System or Configuration.Select the Main Menu icon on the left of the taskbar.Click anywhere on the screen to make the menu taskbar appear at the bottom of the screen.The username should always be “ admin” when creating a secondary account. Log in to your recorder from a TV / Monitor using your admin credentials.If you are the admin of the system and wish to allow someone else to remotely view the cameras from their Smart Device, you will need to create a second set of login credentials for them to use. Adding Additional Users for Remote Viewing DO NOT enter the password for the app, as this will produce an error message.ģ. The password you enter here will be the password for your recorder (DVR/NVR), which should be stored in your Quick Setup Guide. NOTE: This is not the password you created in the app. If you do not remember your password, click on Forgot Password on your recorder’s login screen from a TV / Monitor. This is the password you created during the Startup Wizard, when you initially setup the recorder. When doing so, you will be asked to enter the username and password for the system. To remotely view your system, you will need to add it to the Night Owl X App (smartphones) or Night Owl X HD App (tablets). You have successfully reset your app password.
Want more Jewel Quest? Find all the games in the classic series at jewelquest. If you prefer to stay on this version of the website, with the latest Games Manager, we do not recommend. Play the best free games, deluxe downloads, puzzle games, word and trivia games,multiplayer card and board games, action and arcade games, poker and casino games, pop. Want more Jewel Quest Find all the games in the classic series at. 14 stunning environments, each with its unique gameplay style. Part three of the ultimate jewel matching series Download and play for free Home New Top 100 Free By Category My Games 0. While playing with a mysterious jewel board, Rupert and Emma's daughter Natalie pops open a. Expert Levels await you! Complete all regular levels to unlock! In Jewel Quest 3, the third installment in the highly popular Match 3 game, Rupert and Emma have settled down and opened a museum to display the many artifacts they have collected over the years. Existing Tools got that much better! Use the Midas Touch tool to turn any tile gold! New Tools! Match 4 jewels to create a Ship Wheel, then flick it anywhere you want it to go to eliminate even more jewels! With over 200 gameplay levels, this game give you days of jewel-matching fun! Exciting new elements include new jewels to match, new tools and power-ups as well a never-before seen Collapse-style mode! (80.75 MB) Buy full PC version (6.99) Buy full Mac version (6.99) Great games you might like: Avalon Legends Solitaire 2: Encore Classic Card. Travel with Ratu and experience compelling solitaire layouts and addictive new Jewel Quest boards. Jewel Quest: Seven Seas stays true to its roots - giving longtime Jewel Quest fans a “pure” jewel matching experience while delighting new players with jewel swapping tricks unique to this beloved series of games. Play Free Jewel Quest Solitaire III Online. But can they do both? Will they have to choose between the treasured Jewel Boards and their friend? And who is putting everyone in danger?ĭive into this exciting adventure by matching 3+ jewels as fast as you can. Rupert and Emma’s daughter, Natalie, has been infected with mysterious spores while playing with a jewel board Rupert and Emma have set off on an adventure to find the fabled Golden Jewel Board, an artifact only rumored to exist, and a cure for their daughter in Jewel Quest III. Try the full version full-screen and free for 60 minutes. Play free in a small screen enhanced with ads. The famous jewel adventurers, Rupert and Emma are back… and unlike you have ever seen them before! After receiving a mysterious message from their old friend Hani, saying that the Jewel Boards were in danger, the duo must work fast to save both the jewel boards as well as Hani. choose between two different game modes: Full Quest and Just Cards. 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Managing Work Collections of actionable tips, guides, and templates to help improve the way you work.Īn Excel receipt is a template that businesses can use to create customer sales receipts for products purchased or services rendered.Solution Center Move faster with templates, integrations, and more.Events Explore upcoming events and webinars.Content Center Get actionable news, articles, reports, and release notes.Partners Find a partner or join our award-winning program.Professional Services Get expert help to deliver end-to-end business solutions.Technical Support Get expert coaching, deep technical support and guidance.Help Center Get answers to common questions or open up a support case.Smartsheet University Access eLearning, Instructor-led training, and certification.Community Find answers, learn best practices, or ask a question.Learning Center Find tutorials, help articles & webinars.A quarterly roundup of the innovations that’ll make your work life easier. 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