Nature s Answer – Natural Nutritional Products, for #for #kids for kids for kids for kids for kids for kids for kids for kids for kids for kids

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This product is not intended to diagnose, treat, cure or prevent any disease.

Peter answers 3.0, peter answers 3.0.#Peter #answers #3.0

peter answers 3.0

Peter answers 3.0

Peter answers 3.0

AvTek New Address: 13487 Foresman Blvd

Port Charlotte; FL 33981 Tel 941/249-3736

AvTek New Address: 13487 Foresman Blvd Port Charlotte, Fl. 33981

Quality Products Since 1983 . Mike . 30 years Peter answers 3.0 Contact us Recommend returning to the home page if you get lost in this web

Peter answers 3.0 Here NEW FAA-STC/AML Click Here Click Orders or Answers 941/249-3736 Fla-Time

Peter answers 3.0

Peter answers 3.0

Best Deal Seal Kit Only $10 More $134.95

Are your Panel Instruments ERRATIC and intermittent? ENGINE SLOW STARTS? NEW Price $125 ends soon

BOEING Air-Bus Engineering all Commercial Aircraft using Bonding Technology

Bonding customer said : flew yesterday , radio noises gone, steady gas gauges, starter turned well. Instructions were good. Mike is onto something here. Thanks Mike. Thanks Fred

    Short Pirep on AvTek Bonding and Grounding Kit

Posted by [email protected] ( 1677 ) on July 7, 2009, 5:36 pm

I am an electrical idiot and really have no idea if the kit has anything to do with this but maybe the new bonded grounding strap to the battery plays a role. Anyway, no complaints at all.

Pleasant Hill, CA KCCR

Thanks Todt. ..It’s NOT Rocket-Science ; just Simple Physics: Make all the Grounds BONDED to 0.010 which is like Marriage then seal-it. Kit has it all and. Just $125 SAY. Good-BYE to all your Electrical problems ONCE for-ALL

Brighter Using Power MOSFET’s Click Here

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Peter answers 3.0

From: B. Dalton [mailto:[email protected]]

Sent: Friday, November 21, 2008 7:03 AM

To: Peter, Michael J

Subject: RE: Hello and Thank you for your Door-Seal Purchase, Mike Peter.

This is in response to your request for comment concerning your door seals. I installed your seals in my 1988 Mooney 201. In short, the wind noise is gone! My aircraft mechanics had little trouble installing the seals and did review the information you have on your website and instructions that came with the seals. When I suggested that they install the seals without removing the door, their response was that was the only way to get good results. Cleaning all the old adhesive from the door is a must. My only concern is that the seals do stick to the door frame when the door is not opened for several weeks, especially in hot weather. I used to put a silicon dressing on my old seals ( your competitor seal) to prevent this. I now longer have that problem.

I m not sure when I saw your advertisement for the seals but think it might have been in the MAPA Log. I have since noticed it in several other publications. I have no suggestions as to the value of advertisement. I think most owners will go to the web to get some answers. Otherwise, I suggest you find some way to get to all A E folks out there. They see every aircraft at least once a year and their suggestions concerning seal replacement would probably have more weight than all the copy I all the magazines.

Congratulations on an excellent (so far) product. It performs as advertised.

Remote Name:

HTTP User Agent: Mozilla/4.0 (compatible; MSIE 7.0; Windows NT 5.1; .NET CLR 1.1.4322; .NET CLR 2.0.50727; OfficeLiveConnector.1.3; OfficeLivePatch.0.0; .NET CLR 3.0.4506.2152; .NET CLR 3.5.30729)

Date: Sunday, 12. April 2009

Time: 10:31 PM -0400

Peter answers 3.0

Click here for less confusion Door-Seal Customer comments. some are Critical, we listen and changed Peter answers 3.0

NOW No Installation Cost Plugs Into Cig-Lighter. Smart Circuit Reads Amps/Volts on Buss

Blinks Red Led when 12 minutes of Power is left in Ships Battery All Aircraft Boats

Peter answers 3.0

Better Panel Lighting Click Picture: TekLitez

Please Call us at 1800/770-3265.

However, just like other internet companies we are pleased when you can place your order online.

. but we also know sometimes you just need to talk. and I promise you this:

Your call will NEVER be answered by someone on the other side of the Planet. We Speak ONLY Aviation here.

13487 Foresman Blvd Port Charlotte, FL. 33981

Phone: [cell] 1800/770-3265 Please call this # 1st. it’s a land-line 941/249-3736 [Florida]

Aircraft Spruce Stock ONLY

Marine Division Click Here Maine Division for Underwater SeaLitez, Salt-Water Flush-Kits and many other Boater Products.

This Many Visitors and Customers of AvTek LLC, USA Peter answers 3.0 30 years, in 2013

Answering Application Assessment Questions, Snagajob, online answering questions.#Online #answering #questions

The right answer to assessment questions

Online answering questionsJames asks:

“I think another form of discrimination that needs to be addressed is the ‘assessment questionnaire.’ Every time I fill out an application online I run into that, and they say there is no right or wrong answer ( WRONG!). And if you believe that, I’ve got some swamp land in Arizona you might be interested in.”

Hi, James. Fair enough – certainly there are answers an employer wants to see for specific positions. What “there is no wrong answer” is trying to get across is that you need to answer truthfully to be placed in the best position for you.

Say you’re applying for a customer service job, and one of the questions is, “Are you often able to solve problems between other people?” And your answer is truthfully, “No.” You may not be well-suited for customer service. Imagine going through an eight-hour day behind the service desk or on the phone and having half of your interactions end with angry customers calling your manager – that wouldn’t make you (or your employer) happy. Sure, the employer is likely to choose someone who is equally qualified though better suited to the task — someone who can problem-solve like a professional negotiator when a faulty item is returned — but that person is also more likely to succeed in the role and enjoy job satisfaction.

In order to succeed in a job, it needs to match up with your skills and personality; social butterflies aren’t likely to enjoy being a 3rd shift stock person any more than a shy person is going to enjoy waiting tables.

The only wrong answer is the one that puts you into a job you hate, when someone else would have enjoyed it. That can be hard to accept if you’re struggling to find a job, but imagine you’re the well-fit candidate who lost out on a job you would have loved because someone else answered the assessments untruthfully. Hope that answers your question, James!

Insight – definition of insight by The Free Dictionary, and dictionary definition.#And





the visit gave us an insight into their way of life la visita nos ofreció la oportunidad de comprender mejor su manera de vivir


an insight into sth un aperçu de qch

to gain an insight into sth avoir un aperçu de qch

During my time there I gained valuable insights into the profession Pendant la période que j’ai passée là-bas, j’ai eu un aperçu intéressant de la profession.

to give sb an insight into sth donner à qn un aperçu de qch



to gain or get an insight into sth potersi render conto di qc

to give sb an insight into sth permettere a qn di capire qc




  • Inside finish
  • inside forward
  • inside information
  • inside job
  • inside lane
  • Inside lap
  • inside left
  • inside loop
  • inside of
  • inside out
  • Inside Passage
  • inside right
  • inside story
  • inside track
  • inside-out
  • insider
  • insider dealing
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  • insider trading
  • Insidiate
  • Insidiator
  • insidious
  • Insidious disease
  • insidiously
  • insidiousness
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  • insightful
  • insightfully
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  • insignia
  • insignia of rank
  • insignificance
  • insignificancy
  • insignificant
  • insignificantly
  • insignificative
  • Insignment
  • Insimulate
  • insincere
  • insincerely
  • insincerity
  • insinew
  • Insinuant
  • insinuate
  • insinuating
  • insinuatingly
  • insinuation
  • insinuative
  • insinuator
  • insinuatory
  • insipid
  • Insider Trading Task Force
  • Insider transaction reports
  • Insider Viewpoint of Las Vegas
  • Insiders
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  • Insiders
  • Insiders
  • insides
  • insides
  • insides
  • Insidiate
  • Insidiator
  • Insidiatores viarum
  • insidiosus
  • insidious
  • insidious
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  • Insidious disease
  • Insidious disease
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  • insidiously
  • insidiously
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  • Insieme per Il Kosovo
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A Revolutionary Marketing Strategy: Answer Customers – Questions, online answering questions.#Online #answering

The New York Times

Increasing Sales by Answering Customers Questions

Online answering questions

February 27, 2013

It is an indelible image of the financial crisis: a bird’s-eye view of the backyards of foreclosed houses, their in-ground pools festering with algae and mosquitoes. In Northern Virginia, Marcus Sheridan was in the financial storm.

By early 2009, his company, River Pools and Spas, a 20-employee installer of in-ground fiberglass pools in Virginia and Maryland, had a decline in orders from an average of six a month to barely two. That winter, four customers who had planned to install pools costing more than $50,000 each demanded their deposits back. For three consecutive weeks, the company overdrew its bank account.

Around this time, Mr. Sheridan began to overhaul his marketing. The company had been spending about $250,000 a year on radio, television and pay-per-click advertising. It would now cut the budget to about a tenth of that and focus on generating sales through informational blog posts and videos, what has become known as content marketing. But Mr. Sheridan took an unconventional approach to his content.

As a result, River Pools has recovered to exceed its peak pre-2007 revenue, and Mr. Sheridan, a 35-year-old father of four, has become something of a Web marketing guru. While he still owns a 33 percent interest in the pool company, his partners manage it day to day while he concentrates on his new venture, He recently spoke about his marketing approach in a conversation that has been edited and condensed.

Q. Take us back. How did you save your company?

A. I just started thinking more about the way I use the Internet. Most of the time when I type in a search, I’m looking for an answer to a specific question. The problem in my industry, and a lot of industries, is you don’t get a lot of great search results because most businesses don’t want to give answers; they want to talk about their company. So I realized that if I was willing to answer all these questions that people have about fiberglass pools, we might have a chance to pull this out.

Q. What was the first question you answered?

A. The question I was always asked within the first two minutes of talking to customers was, How much does a fiberglass pool cost? Pool installers are like mattress or car dealers — we hate talking about how much a pool costs until we have you in person because there are so many options and accessories we want to sell you. As a result, pool companies never mention price on their Web sites. But I said, I don’t care what the question is, we’re going to answer it.

Q. Did you actually tell people the price of a pool?

A. No — because I couldn’t. But see, that’s the magic behind this. Google’s search engine doesn’t really care if we answer the question. It’s just looking for companies that are willing to address the question. So I said in that article, there are a ton of options, so it depends, the price can range anywhere from $20,000 to $200,000 and a lot of our customers end up between $40,000 and $80,000. And that was enough. Within about 24 hours of writing that article, it was No. 1 for every fiberglass-pool, cost-related phrase you could possibly type in. And because I have analytics, so far to this day, I’ve been able to track a minimum of $1.7 million in sales to that one article.

A. People used to ask me all the time, “Marcus, I’ve been hearing that fiberglass pools have all sorts of problems and issues. So what are the problems and issues?” Of course, they’d been talking to a concrete pool guy, but it doesn’t matter where they got it, now they have the question. So we wrote an article about the problems with fiberglass pools and specifically came right out and said: Here are the issues. Here are the benefits. You decide. Now, when you go in and type anything about fiberglass issues and problems, you’re going to see the River Pools Web site and you’re going to think, “Oh my gosh, these guys are so honest.”

A. In most industries, there comes a time in the sale process where the customer turns to you and says, “O.K., I like you, but who are some of the other good companies that do this?” Half the time it’s a test, because people know who our competitors are because they can find them in .5 seconds online. Most contractors avoid the question. They say, “Oh, we don’t really have competition.” But because I was asked that question so often, I decided to answer it. I wrote a blog post about the best swimming pool builders in Richmond, Va., one of our main service areas.

A. No, because the moment I put my name up there I would lose all my credibility. But here’s the thing. Take the first company on the list, Pla-Mor Pools, a top competitor of ours. If you type in, “Pla-Mor Pools reviews Richmond, Va.,” which of course people do all the time when they’re vetting a company, what comes up? Me! You vet all my competitors, now I’m showing up for all their key words. If you really want to understand the power of inbound marketing, it comes down to this idea: I want to have the conversation at my house.

Q. Once you wrote a blog post, how much time did you spend promoting it on Twitter and Facebook?

A. I didn’t. Dude, that one article on price has never been tweeted. It’s never been Facebooked. I’m not saying social media doesn’t help, but it’s nowhere near what people think. The only metric that really matters is total pages viewed. Here’s a statistic for you: If somebody reads 30 pages of my River Pools Web site, and we go on a sales appointment, they buy 80 percent of the time. The industry average for sales appointments is 10 percent. So, our whole marketing campaign revolves around getting people to stick around and read our stuff, because the longer they stay on our site, the greater the chance they’re going to fall in love with our company.

Q. What do you say to business owners who say they don’t know what to blog about?

A. That’s the dumbest thing I ever heard, and I hear it a lot. What they should be doing is just listening to every single question they get and answering it. In my consulting business the first thing we do is brainstorm what questions the company gets on a regular basis. I’ve never had a company come up with less than 100 questions in 30 minutes.

Q. How do you suggest companies find time to do all of this blogging?

A. Most of the time, they can take the employees they already have talking to customers and turn them into content producers. If you have 25 salespeople, and each one of them writes one post a month, your search is going to be through the roof because that’s a new piece of content every day.

Q. How have your competitors responded to all of this?

A. They still don’t really get it. They’re nice about it. I’ll have one of my best-pool-builder lists come out, and I’ll run into them. And they’ll say, “Hey, man, thanks for including me in that list. I’m not sure why you did it, but thanks.”

Download your data – Google Account Help, are you the answer.#Are #you

Download your data

You can export and download your data from the Google products you use, like your email, calendar, and photos. In a few easy steps, create an archive to keep for your records or use the data in another service.

Create an archive of your data

First, choose which products to include

  1. Visit the Download your data page. You might have to sign in to your Google Account.
  2. Choose which Google products to include in your download. To see more details and options for a product, select the Down arrow .
  3. Select Next.
  4. Choose your archive’s “File type.”

Note: Your content from Google Play Music isn’t included when you create an archive. Learn how to download your music.

Next, choose how your archive is delivered

When your archive is created by using one of these options, we’ll email you a link to its location. Depending on the amount of information in your account, this process could take a few minutes or several hours. Most people get the link to their archive the same day that they request it.

We’ll email you a link to download your archive.

  1. For “Delivery method,” select Send download link via email.
  2. Choose Create archive.
  3. In the email that arrives, click Download archive.
  4. To download your data, follow the onscreen instructions.

We’ll add your archive to Google Drive and email you a link to its location. Your data will count toward your storage.

  1. For “Delivery method,” select Add to Drive.
  2. Choose Create archive.
  3. In the email that arrives, click View in Drive. You’ll see a folder with your data organized by product.
  4. To download your data, at the top of the screen, select Download .

We’ll upload your archive to Dropbox and email you a link to its location.

  1. For “Delivery method,” select Add to Dropbox.
  2. Choose Link account and create archive.
  3. You’ll be directed to Dropbox. Sign in to your Dropbox account if prompted.
  4. In the Dropbox window that asks if Google Download Your Data can access its own “Apps” folder in your Dropbox, select Allow.
  5. To keep your data private, make sure you’re not sharing this Dropbox folder with anyone else.
  6. In the email that arrives, click View in Dropbox. You’ll be taken to the Dropbox folder with your archive.
  7. To download your data, follow Dropbox’s process to download files.
  • After you follow these steps, Google Download Your Data will show up in your Dropbox security settings as a linked app. You can remove Google as a linked app at any time. (If you export data to Dropbox in the future, you’ll need to give Google access again.)
  • When your archive reaches Dropbox, Google is no longer responsible for it. Your archive will be covered by the Dropbox Terms of Service.

We’ll upload your archive to Microsoft OneDrive and email you a link to its location.

  1. For “Delivery method,” select Add to OneDrive.
  2. Choose Link account and create archive.
  3. You’ll be directed to Microsoft. Sign in to your Microsoft account if prompted.
  4. In the Microsoft window that asks if Google Download Your Data can access your info, select Yes.
  5. To keep your data private, make sure you’re not sharing this OneDrive folder with anyone else.
  6. In the email that arrives, click View in OneDrive. You’ll be taken to the OneDrive folder with your archive.
  7. To download your data, follow OneDrive’s process to download files.
  • After you follow these steps, Google Download Your Data will show up in your Microsoft OneDrive security and privacy settings as an app that can access some of your info. You can remove Google’s access at any time. (If you export data to OneDrive in the future, you’ll need to give Google access again.)
  • When your archive reaches Microsoft OneDrive, Google is no longer responsible for it. Your archive will be covered by the Microsoft Services Agreement.

Common questions

Deciding what format you should choose depends on the service, type of data, and your intended use of it. We have chosen types that we believe are the most useful and portable. For example, we export contacts as vCard, which is a very common format for email providers. We often will also provide additional options to fit your specific needs.

You can store your data anywhere that is safe and has enough room for it. In most cases, it is easiest to download it directly to your computer.

If you use a public computer, store it in Google Drive or an alternate storage space where you are the only user.

Note: If you use Google Drive and plan to delete your Google Account, you’ll have to move your archive to a different storage space before deleting your account.

In order to make sure your data will be downloaded, we limit these zip files to 2GB. Archives that are larger than 2GB are split into multiple zip files. Selecting the tgz or tbz format for your archive will increase the size limit to 50GB, so it is much less likely that your archive will be split.

Note: Special software may be required to unpack a tgz or tbz archive. Keep in mind that these types of files can’t have unicode characters in the file names.

Your archive expires in about 7 days. After that time, you’ll want to create a new archive with your most up-to-date information.

An expired archive doesn’t mean your data has expired, and you won’t experience any change in Google services as a result.

Note: We only allow each archive to be downloaded 5 times; after that, please request another archive.

The security of your data is very important, so when you create an archive, we want to make sure that you’re the only person downloading your data.

To do that, we ask you to re-enter your Google Account password if you haven’t recently. We understand that this may be inconvenient, but it’s important to take extra steps to keep your data safe.

Note: If your account has 2-Step Verification turned on, you may also be asked for an additional verification code that will be sent to your phone.

If something goes wrong with your archive or you’re not able to make one, try creating another one. This approach often fixes the problem.

When you export your mail from Gmail, each message’s labels are preserved in a special X-Gmail-Labels header in your download file. While no mail client recognizes this header now, most mail clients allow for extensions to be written that could make use of the labels.

See Migrate data away from G Suite for options on how to migrate your organization’s email, calendars, documents, and sites.

Send us feedback

Let us know about your experience downloading your data. By sharing your feedback, you help Google improve this product for you and other people.

Answering My Kids – Questions About My Less-Than-Stellar Youth, Learning, online answering

Answering My Kids Questions About My Less-Than-Stellar Youth

By Selena Mills

Sep 15, 2017

What are some of the toughest questions kids ask? (And ask, and ask, and ask. )

The birds and the bees? Doesn t phase me. Why they can t do what some other kid does (play on screen more, play the violent game, stay up later, etc. etc. etc.)? No problem, I m all over that action. Ready to don my philosopher s hat or ask Siri at any given moment, I am definitely up to the challenge of helping my kids understand why they can t have cake for dinner, why unicorns aren t real, and why grown-ups have hair down there .

I have no qualms outright lying to them about how their dad and I were wrestling when one of them walked in on us NOT wrestling. (Door locks, I know. You re better than us.) You bet I miss the days of their adorable questions like, why don t I have a tail? and where does my poop go from the toilet?

Out of the hundreds of questions that my kids ask me every day (not an exaggeration), it s the personal questions about me and my past that really get me. I m not alone in this, but I ve yet to see articles with any kind of popularity about how parents with shady pasts answer their kids personal questions.

Why didn t you meet your dad, mama? Where is he?

Why don t we see our other grandma as much?

Is your step-dad your dad?

Do you have other brothers and sisters?

Where did you live, what school did you go to?

Questions like these have answers. And my answers spur more questions from them. At least they re not asking me *yet* if I did drugs. Or how did I eat, or who helped me, or what happened to me when I lived on the streets. There are no easy/acceptable answers that involve tried once and happy endings . They have yet to connect the dots between my being an advocate for Violence Unsilenced and the movement that is I Believe Her. But I know they will.

The truth of it is, there are lots of us parents who roamed WAY wild back in the day, for perfectly natural reasons and perhaps, more uncomfortably, unhealthy (yet still natural) reasons stemming from childhood/youth trauma, abuse and neglect.

As tough as it often is to admit, the choices and mistakes I made and the reality I lived all those years ago affects my kids today.

I m not necessarily conscious of my own childhood, teen and young-adulthood stories day to day. But kids? They are SO keen, I tell ya! Kids focus not only on their own experiences, but those of whom they love the most. It s part of how they learn about relationship dynamics and how they work through the mysteries and confusion they have about growing up. They are compassionate, caring, curious little sponges. It is a mighty task, answering these questions, and I do my best to walk that line of not sharing it all (because they just don t need to know it all), and helping them navigate my responses.

It is quite the emotional wham-POW, to have your own child s heart hurt for you, mirrored through their furrowed brows and sorrow in their eyes. I don t want my kids to feel sorry for me. They ve no reason to, but I have to respect their feelings and help them move through knowing me (as much as I share) the best they can. I m not going to fib about every little detail. As tough as it often is to admit, the choices and mistakes I made and the reality I lived (which was often, but not always out of my control) all those years ago affects my kids today. How come no one ever told me THAT? Well, okay maybe a few wise souls did when I was a bit older.

These days, I am a firm believer that everything we experience has the power to move us forward. Having kids has been a great example of such to me.

I keep a few self-appointed reminders in my arsenal for dealing with tough questions about my past and they have served me well, perhaps if you have similar questions to wade through with your kids, they will serve you well too.

  • Information vs. Honesty: Keep it age-appropriate while still being honest. If a simple yes or no answer will do, go for the gold! (You lucky devil!)
  • Intuition: Tap into your parenting mojo here and get hip to what they re really asking. Try and think from a kid s perspective, not how you might be triggered by their question.
  • Emotion: Try to answer matter-of-factly and don t make light of something that might be serious. We want our kids to trust us and feel comfortable talking to us and asking us about the tough stuff.

After all, it can t be be questions like why does the moon follow us home all the time, can it?

Answers to Questions Listed by Topic, peter answers 3.0.#Peter #answers #3.0

La Vista Church of Christ

See Also:

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Dictionary dictionary definition, dictionary defined, and dictionary definition.#And #dictionary #definition


And dictionary definition

And dictionary definition

You use a dictionary to look up the meaning of a word.

  1. An example of dictionary is
  2. An example of dictionary is Webster’s New World College Dictionary.
  1. An example of dictionary is a book with English to Italian translations.
  2. An example of dictionary is a book with legal codes and regulations.


And dictionary definition

pl. – ar ies

  1. a book of alphabetically listed words in a language, with definitions, etymologies, pronunciations, and other information; lexicon
  2. a book of alphabetically listed words in a language with their equivalents in another language: a Spanish-English dictionary
  3. any alphabetically arranged list of words or articles relating to a special subject: a medical dictionary

Origin of dictionary

Medieval Latin dictionarium from Late Latin dictio: see diction


And dictionary definition

pl.dic tion ar ies

  1. A reference work containing an alphabetical list of words, with information given for each word, usually including meaning, pronunciation, and etymology.
  2. A reference work containing an alphabetical list of words in one language with their translations in another language.
  3. A reference work containing an alphabetical list of words in a particular category or subject with specialized information about them: a medical dictionary.
  4. A list of words stored in machine-readable form for reference, as by spelling-checking software.

Origin of dictionary


And dictionary definition

  1. A reference work with a list of words from one or more languages, normally ordered alphabetically and explaining each word’s meaning and sometimes containing information on its etymology, usage, translations, and other data.
  2. By extension, any work that has a list of material organized alphabetically; e.g. biographical dictionary, encyclopedic dictionary.
  3. (computing) An associative array, a data structure where each value is referenced by a particular key, analogous to words and definitions in a physical dictionary.

(third-person singular simple present dictionaries, present participle dictionarying, simple past and past participle dictionaried)

  1. To look up in a dictionary
  2. To add to a dictionary
  3. (intransitive) To appear in a dictionary

Medieval Latin dictionarium, from Latin dictionarius, from dictio (“speaking”), from dictus, perfect past participle of dīcō (“speak”) + -arium (“room, place”).

dictionary – Computer Definition

And dictionary definition

In cracking terms, a dictionary is a word list that plugs into cracking programs as a means of “breaking” passwords. These dictionaries contain real words and those that individuals tend to choose for passwords. Because it takes only a few minutes to go through hundreds of thousands of words in a dictionary to crack a password, computer users are warned not to select a word that may be commonly found in a dictionary. In theory, users tend to select passwords that they have used previously. A popular password is NCC1701, which was the registry number for Captain James T. Kirk’s starship, the Enterprise, on the original “Star Trek” television series. Children’s names and anniversary dates are also popular passwords.

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AFP Tumor Markers

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Were you looking instead for AFP Maternal, ordered during pregnancy?

Common Questions

1. What are the risk factors for hepatocellular carcinoma?

This cancer usually occurs in people who have chronic scarring of the liver, called cirrhosis. Most commonly, this is caused by chronic infection from one of two viruses: hepatitis B or hepatitis C. Alcohol abuse also increases the risk of developing cirrhosis. Some inherited diseases, especially a disorder called hemochromatosis (in which the body absorbs too much iron, which gets deposited in liver among other organs), can cause cirrhosis and, in time, hepatocellular carcinoma, as can non-alcoholic steatohepatitis (NASH), which is fat deposition in the liver, along with inflammation and damage.

2. If my AFP is abnormal, do I need other tests?

If you have chronic liver infection or damage and your AFP suddenly rises, or if it is very elevated, your healthcare practitioner will usually ask for a study to look at your liver, such as an ultrasound exam, a CT scan, an MRI scan, or a biopsy for histopathological evaluation of tumor tissues. The scans can usually spot liver cancers if they are present. Your healthcare practitioner may also order a blood test for des-gamma carboxy prothrombin (DCP), which is also known as prothrombin induced by vitamin K absence-II (PIVKA-II), to help detect liver cancer and monitor patients with hepatocellular carcinoma.

3. Can an AFP test be performed at home or in my healthcare practitioner’s office?

AFP is not available as a home test and it is not typically performed in a healthcare practitioner’s office. Testing is done by either a hospital laboratory or a reference laboratory.

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