If you want to improve your education to build a better future for yourself then chose our schoolsmentor upgrade school program. Repeating a course allows the student. The student may need to improve the course to the next level of study or to meet their entrance requirements.
Intranets are internal networks within an organization that allow employees to access documents and share resources. Popular intranet applications include expense forms and holiday request forms. Intranets eliminate paperwork and speed up workflows. Extranets are similar but give external partners limited access, such as suppliers being able to track orders. Both intranets and extranets require user IDs and passwords for secure access and can save organizations money by increasing efficiency of communication and collaboration.
Warum eine Anzeige im Bergsteiger für Ihr Unternehmen oder Ihre Destination besonders gut ist: Seit 80 Jahren zählt Bergsteiger zu den Marktführern unter den Outdoor-Zeitschriften auf dem deutschen Markt. Mit Tourenberichten, Reportagen, Bildstrecken und Tourentipps erreicht das Magazin unter anderem Bergsteiger, Wanderer und Skitourengeher. Mit ungefähr 105.000 Lesern erreicht Ihre Werbung im Bergsteiger eine große Leser-Gemeinde.
If you want to improve your education to build a better future for yourself then chose our schoolsmentor upgrade school program. Repeating a course allows the student. The student may need to improve the course to the next level of study or to meet their entrance requirements.
Intranets are internal networks within an organization that allow employees to access documents and share resources. Popular intranet applications include expense forms and holiday request forms. Intranets eliminate paperwork and speed up workflows. Extranets are similar but give external partners limited access, such as suppliers being able to track orders. Both intranets and extranets require user IDs and passwords for secure access and can save organizations money by increasing efficiency of communication and collaboration.
Warum eine Anzeige im Bergsteiger für Ihr Unternehmen oder Ihre Destination besonders gut ist: Seit 80 Jahren zählt Bergsteiger zu den Marktführern unter den Outdoor-Zeitschriften auf dem deutschen Markt. Mit Tourenberichten, Reportagen, Bildstrecken und Tourentipps erreicht das Magazin unter anderem Bergsteiger, Wanderer und Skitourengeher. Mit ungefähr 105.000 Lesern erreicht Ihre Werbung im Bergsteiger eine große Leser-Gemeinde.
we used Microsoft Visio to use create Process Flow diagram (PFD) to display the current and updated activities of KASA (Korean American Student Organisation). We also created system diagram via Microsoft Words to show the general current and updated system. In order to keep tracking on membership and better filing organisation, we created database with Microsoft Access. Based on our analysis, we created solution for them to improve their public relation marketing to gain membership and events organiser.
Nehad Hassan Samih is an Egyptian national with over 30 years of experience in housekeeping roles. He is currently the Executive Housekeeper at Kempinski Cairo. Previously he held Executive Housekeeper roles at Hyatt Sharm El-Sheikh, Savoy Sharm El-Sheikh, InterContinental Taba Resort, and Conrad Sharm El-Sheikh. He has extensive experience managing housekeeping departments with responsibilities including budgeting, staff training, and maintaining high cleanliness standards. He is proficient in English and Microsoft Office programs.
Zaid Abdulmohen Zaid Al Khalaf is a senior level human resources and operations management professional with over 11 years of experience optimizing processes and streamlining operations across diverse organizations in Saudi Arabia and the UK. He has expertise in strategic planning, process improvement, employee relationship management, and team leadership. Currently he works as a Senior Matrix and Analysis Specialist at King Fahad Medical City in Riyadh, where he implements strategies for evaluating human resources and improving operational efficiency.
Perché dovrei dare i miei soldi alla chiesa locale? Non posso semplicemente contribuire in generale dando come quanto voglio? E a cosa servono i miei soldi? Il Nuovo Testamento svela che nei soldi che Dio ti ha concesso possono essere strumento per proclamare il Vangelo agli altri.
we used Microsoft Visio to use create Process Flow diagram (PFD) to display the current and updated activities of KASA (Korean American Student Organisation). We also created system diagram via Microsoft Words to show the general current and updated system. In order to keep tracking on membership and better filing organisation, we created database with Microsoft Access. Based on our analysis, we created solution for them to improve their public relation marketing to gain membership and events organiser.
Nehad Hassan Samih is an Egyptian national with over 30 years of experience in housekeeping roles. He is currently the Executive Housekeeper at Kempinski Cairo. Previously he held Executive Housekeeper roles at Hyatt Sharm El-Sheikh, Savoy Sharm El-Sheikh, InterContinental Taba Resort, and Conrad Sharm El-Sheikh. He has extensive experience managing housekeeping departments with responsibilities including budgeting, staff training, and maintaining high cleanliness standards. He is proficient in English and Microsoft Office programs.
Zaid Abdulmohen Zaid Al Khalaf is a senior level human resources and operations management professional with over 11 years of experience optimizing processes and streamlining operations across diverse organizations in Saudi Arabia and the UK. He has expertise in strategic planning, process improvement, employee relationship management, and team leadership. Currently he works as a Senior Matrix and Analysis Specialist at King Fahad Medical City in Riyadh, where he implements strategies for evaluating human resources and improving operational efficiency.
Perché dovrei dare i miei soldi alla chiesa locale? Non posso semplicemente contribuire in generale dando come quanto voglio? E a cosa servono i miei soldi? Il Nuovo Testamento svela che nei soldi che Dio ti ha concesso possono essere strumento per proclamare il Vangelo agli altri.
1. Едукација по дерматовенерологија
Дермоскопија
ЈЗУ Здравствена станица Железара-Скопје
Датум на презентација: 08.01.2016
Др. Галина Наќеска
спец. дерматовенеролог
Cerrahpaşa Faculty of Medicine Istanbul -декември -2015
2.
3. Дермоскопијата представува површинска микроскопија,
односно неинвазивна дијагностична техника за
одкривање на структурни на кожата.
Се визуелизираат морфолошките структури пигментни
и непигментни кои се невидливи за голото око, со што се
зголемува дијагностичната точност приближно 30%(in
situ малигни меланом)
8. Со помош на дермоскопија го диференцираме
меланомот од:
-Немалигни меланоцитни лезии
-Васкуларни лезии
-Себороични кератози
-Пигментен базалиом
-Дерматофибром
-Др.немеланоцитни лезии
9. ДЕРМОСКОПСИ КАРАКТЕРИСТИКИ НА ПИГМЕНТНИТЕ
КОЖНИ ЛЕЗИИ
Глобални знаци:
1.Ретикуларен облик
2.Глобуларен облик
3.Калдрмест облик
4.Хомогенен облик
5.Starburst облик
6.Паралелен облик
7.Мултикомпонентен
8.Лакуларен облик
9.Неспецифичен облик
Локални знаци:
1.Пигментна мрежа
2.Пигментни точки-глобули
3.Streaks-граници
4.Сино-бел превез
5.Пигментација
6.Хипопигментација
7.Ретикуларни структури
8.Васкуларни структури
9.Други критериуми
11. Немеланоцитна пигментна лезија
Себороична кератоза
Мултипли “милиа like” цисти
“Комедо like” отвори,
Светло-кафени пигментни
структури како отисок од прст,
Фисури и гируси (brain like
appearence)
12. Базално клеточен карцином
Одсуство на пигментна
мрежа :
Аброзирачки крвни садови
Ареи во вид на лист од дрво
(leaf like)
Големи плаво сиви овоидни
гнезда
Мултипли светлно сиви
глобули
Spoak weel структури
Улцерација
15. KRITERIUMI SKOR
FAKTOR NA
KOREKCIJA
FORMULA TDS
Asimetrija 0 – 2 1,30 A x 1,30 0,0-2,60
B-prekin na ivici 0 – 8 0,10 B x 0,10 0,0-0,80
C-boi 1 – 5 0,5 C x 0,50 0,5-3,00
D-dermoskopski
strukturi
1 - 5 0.5 D x0,50 0,5-2,50
TDS = A skor x 1,30 + B skor x 0,10 + C skor x 0,5 + D skor x 0,50
TDS = 1,0 do 8,90
Дијагностички алгоритам за диференциранње на бенигни од
малигни меланоцитни лезии
16. A = 2 x1,3
B = 4x0,1
C = 3x0,5
D = 4x0,5
TDS = 6,5
17. Заклучок:
Дермоскопијата е корисна во дифер.дијагноза на ММ со :
Пигментиран базалиом,
Ангиокератом
Силно пигментирана себороична кератоза;
Дијагноза на мали пигментни кожни лезии (бенигни или
малигни);
Диспластични невуси;
Одкривање на in situ ММ.
Сепак, ЗЛАТЕН СТАНДАРД за дијагноза на сите кожни
тумoри е хистопатолошката верификација