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As salaam alakium ladies!
Does anyone know how to clean up the seams on the inside of a garment? Like what to do with the extra fabric?
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As salaam alaikum
I completed Step 1!
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I'm trying
A line with bell sleeves and shalya I think I got it
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Assslamu Alaikum, is there a tutorial for making a tiered garment?
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Criss Cross Aline set
As Salamu Alaikum
My daughters want me to make a set and itâs like this criss cross pattern how would I do that ?
Shukran .
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Zyerrah Smith
Jan 09
Walaikum salaam wa rahmatullaahi wa barakatuuh, make a basic A Line, then take 2 yards cut in half the long way (1.5), I serger it then attach it right above the chest area and down,
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The Institutional Framework of Genetic Diagnostics within the Italian National Health Service (SSN)
The delivery of genetic services in Italy is primarily organized through the Servizio Sanitario Nazionale (SSN), which operates under a decentralized model managed by 21 Regional Health Systems.
Diagnostic genetic testing is classified as an "Essential Level of Care" (Livelli Essenziali di Assistenza or LEA), ensuring that citizens have access to genomic services largely free of charge or with a small co-payment, known as a ticket.
Genetic testing in Italy is concentrated in specialized referral centers, primarily University Academic Hospitals and IRCCS (Instituti di Ricovero e Cura a Carattere Scientifico). These institutes are unique to the Italian system, serving as clinical research centers that integrate advanced patient care with translational research. For a genetic test to be performed within the SSN, it must be prescribed by a specialist (e.g., a geneticist, neurologist, or oncologist) who assumes responsibility for the clinical indication. This institutional structure ensures that complex genomic data, such as Next-GenerationâŚ
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The Regulatory Architecture of the German Digital Healthcare Transformation (2019â2026)
The modernization of the German healthcare system (the Gesundheitswesen) is built upon a foundation of specific federal laws. The journey began with the Digital Healthcare Act (DVG)Â in 2019 and was significantly accelerated by the Digital Act (DigiG)Â and the Health Data Use Act (GDNG)Â which reached full implementation by early 2025.
The core objective of these regulations is the creation of a "digital-first" care pathway for approximately 73 million citizens covered by statutory health insurance (SHI). A key feature of this architecture is the Telematics Infrastructure (TI)âa secure, closed network that connects doctors, pharmacies, hospitals, and insurers. By 2026, all medical practices are mandated to be part of this infrastructure, ensuring that patient data can be exchanged securely and instantly across the country, ending the era of paper-based referrals and faxed laboratory results.
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Clinical Manifestations and the Role of Visual Diagnosis in Early-Stage Lyme Borreliosis
The diagnosis of Lyme disease, caused primarily by the spirochete Borrelia burgdorferi, begins with a rigorous clinical evaluation.
In the early localized stage, the most definitive diagnostic marker is the Erythema Migrans (EM)Â rash. This skin lesion typically appears within 3 to 30 days of a tick bite and is pathognomonicâmeaning its presence in an endemic area is sufficient for a clinical diagnosis without the need for supplemental laboratory testing.
A standard EM rash expands over several days, often reaching a diameter of more than 5 cm. While frequently described as a "bullseye" with central clearing, many EM rashes are uniformly erythematous (solid red). Because the immune system has not yet produced a measurable quantity of antibodies during this early phase, blood tests often return false negatives. Therefore, healthcare providers are trained to initiate antibiotic treatment immediately upon visual confirmation of the rash to prevent the bacteria from disseminating to theâŚ
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Comparative Analysis of In-Laboratory Polysomnography Versus Unattended Portable Monitoring
When evaluating the efficacy of a Home Sleep Apnea Test, it is essential to compare its diagnostic yield against the traditional Type 1 Polysomnogram (PSG). PSG remains the "gold standard" because it provides a comprehensive view of the patientâs sleep architecture.
By recording brain waves (EEG), eye movements (EOG), and muscle activity (EMG), a lab study can definitively identify when a patient is asleep and what stage of sleep they are in. This allows for a precise calculation of the AHI.
In contrast, the Home Sleep Apnea Test operates in the patientâs natural sleep environment. One significant advantage noted in clinical literature is the reduction of the "first-night effect." Patients often struggle to achieve representative sleep in a laboratory setting due to the unfamiliarity of the room and the presence of a technician. At home, patients tend to move more naturally. Interestingly, some studies suggest that lab environments can artificiallyâŚ
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I closely cut mines off try not to cut the Stitch because close