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The WHO currently recognizes three groups of steroid-producing tumors, including (1) stromal luteoma, (2) Leydig cell tumor, and (3) steroid cell tumor, NOS The diagnosis of Leydig cell tumor is de ned by the identi cation of crystalloids of Reinke Tumors that cannot be classi ed as stromal luteoma or Leydig cell tumor fall into the steroid cell tumor, NOS group In contrast to the benign behavior of stromal luteoma and Leydig cell tumor, steroid cell tumors (NOS) show uncertain malignant potential Studies have shown that up to 34% of these tumors behave in a malignant fashion14 Gross and histologic features more frequently associated with aggressive clinical behavior include high mitotic index ( 2/10 high-power elds), large tumor size ( 7 cm), geographic tumor necrosis, and moderate to severe nuclear atypia Pitfalls in the diagnosis of steroid cell tumor include pregnancy luteoma and metastatic renal cell carcinoma..



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The couple was animated in discussing how they met and were so excited about each other, and believed that the glow they felt would carry them through everything They acknowledged that they assumed incorrectly that they did not need to plan their time more carefully; work on clear, direct communication; or develop negotiating skills Their refrain was (commonly heard among clinical couples) Why should we have to work so hard on our relationship Sessions 6 and 7 involved my brief explanation of the principles of clear communication, including a handout on I-messages (Gordon, 1976) The concepts of empathy and listening skills, the difference between feeling and thinking, and assertiveness were also discussed (cf Jacobson & Margolin, 1979).





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View Options: This option allows you to set the mode for viewing shapes. You can select Text Only, which displays only the shape names, three sizes of thumbnails, or two sizes of list views. The list views include a thumbnail as well as the shape name. Preset Manager: This option launches the preset manager with the Custom Shapes option selected, where you can create and manage presets for the Custom Shapes list. Reset Shapes: This option replaces the current list of shapes with the default list. Load Shapes: This option allows you to load a set of shapes from a previously saved file. The new shapes are added to the current list of shapes. Save Shapes: This option allows you to save the current set of shapes as a file. This is useful if you are creating your own custom shapes so you have them available later and can distribute them to others. Replace Shapes: This option allows you to load a set of shapes from a previously saved file. The current list of shapes is replaced by the new list. Preset Lists: This option provides several preset lists of shapes that make it easier to find shapes you want. You can select any of them from the list, and the current Shapes list is replaced by the selected preset list.

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The Balance between Control and Self-Organization Governance is not a new phenomenon. For centuries, people have been working together in organizations, attempting to coordinate their activities. Willem Mastenbroek provides an interesting overview of the history of organizations.1 He describes how they have shown a balance of tension between control and self-organization from the Middle Ages onward. In the beginning, mankind was not very good at self-organization and selfdiscipline and needed a great deal of explicit external and, in particular,

This was followed by behavioral rehearsal and role reversal, and as the couple took well to these ideas and techniques, they were urged to practice them during the week, including a 30- to 45-minute session consisting of only feeling talk and active listening During the eighth session, the feeling tone between Indira and Jos was notably more vital and positive When I mentioned this, they responded that they realized that by facing their difficulties and working on them, they could move ahead and have more realistic expectations of each other Consequently, their resentment and irritation with each other was decreasing The session then moved from communication to problem solving They identified and prioritized key problem areas and agreed to work on them one at a time The first area to be addressed was their concerns about their children.

The Data Bars feature has improved signi cantly in Excel 2010. Data bars now display proportionally (just like a bar chart), and there is now an option to display data bars in a solid color (no more forced color gradient) and with a border. In addition, negative values can now display in a different color, and appear left of an axis. n

Example 3.5: Maple Code for Hydraulic Pump System. This example illustrates the use of the symbolic algebra package maple with the MGF found in Example 3.2. The maple program code is given in Figure 3.3. maple output is f (t) = 4 e 3/2 t sinh (1/2 t) . (3.18)

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