INPUT ARTICLE: Article: Many of the underlying causes of high ALP are related to problems with your bones. Symptoms of these conditions include continual pain in your bones, or multiple bone fractures. Bone conditions which can lead to high ALP include:  Osteomalacia: a medical condition which causes the bones to weaken. Renal osteodystrophy: a condition in which bones lack sufficient mineralization. Malignant bone tumors. In the blood test, your doctor will use a syringe to draw a small amount of blood from your arm. The blood will then be sent to a laboratory for enzyme-level testing. This will allow your doctor to detect high ALP.  Ask your doctor if there are any ways you can prepare beforehand for the liver-function test. Your doctor will likely ask you to avoid certain foods or medications. The results for your bloodwork should take several days, maybe up to a week. Physical symptoms that indicate you may need to receive a liver screening include severe abdominal pain, dark urine or bloody stool, frequent nausea or vomiting, and yellow-looking skin and eyes. If your high ALP isn’t related to a medical issue with your bones or a liver disease, it may be caused by a form of cancer. Your doctor may be able to detect cancer through blood work. In most cases, however, you’ll need to undergo a biopsy in order to determine if you have a form of cancer. Types of cancer that can cause high ALP include:  Breast or colon cancer. Lung or pancreatic cancer. Lymphoma (cancer of the blood cells) or Leukemia (cancer of bone marrow).

SUMMARY: Tell your doctor about any bone pain or weakness. Schedule an appointment for blood work to measure your liver enzymes. Ask your doctor about undergoing a cancer screening.


INPUT ARTICLE: Article: If you don't want to test your procedure, you probably haven't written it well enough. Have someone with a limited knowledge of the process (or a person representative of the normal reader) use your SOP to guide them. What issues did they run across? If any, address them and make the necessary improvements.  It's best to have a handful of people test your SOP. Different individuals will have different issues, allowing for a wide variety of (hopefully useful) responses Be sure to test the procedure on someone who's never done it before. Anyone with prior knowledge will be relying on their knowledge to get them through and not your work, thus defeating the purpose. At the end of the day, it doesn't really matter what your bosses think of the SOP. It's those who actually do the work that it matters to. So before you submit your work to the higher ups, show your stuff to those that'll be doing (or that do) the job. What do they think? Allowing them to get involved and feel like they're part of the process will make them more likely to accept this SOP you're working on. And they'll inevitably have some great ideas! Once the team gives you the go ahead, send it to your advisors. They'll probably have less input on the actual content itself, but they'll let you know if it meets formatting requirements, if there's anything you missed, and the protocol for making it all official and input into the system.  Route the SOP for approvals using document management systems to ensure audit trails of the approvals. This will vary from organization to organization. Basically, you want everything to meet guidelines and regulations. Signatures will be necessary and most organizations nowadays have no problem accepting electronic signatures. This may involve executing a formal training for the affect personnel (e.g. classroom training, computer-based training, etc.) or it may mean your paper is hung up in the bathroom. Whatever it is, get your work out there! You worked for it. Time for recognition! Be sure your SOP remains current. If it ever gets outdated, update it, get the updates re-approved and documented, and redistribute the SOP as necessary. Your team's safety, productivity, and success matter on it.

SUMMARY: Test the procedure. Have the SOP reviewed by those who actually do the procedure. Have the SOP reviewed by your advisors and the Quality Assurance team. Once approved, start implementing your SOP.


INPUT ARTICLE: Article: It's important to make a good impression from the first moment they see you. Try to dress in something attractive but modest and comfortable. Do your hair, and apply light makeup if you normally wear it.  For a female, an appropriate outfit might be a knee-length or below skirt, or nice jeans with a nice sweater. For a male, a button-down shirt and nice pants might be appropriate. Think about what you might wear to a holiday dinner with your family, and go with a similar look. Choose a hairdo that gets the hair up and away from your face. Show you are polite. Upon arrival, shake hands, make eye contact, and greet them with a smile on your face. Say, “Hello, it’s so nice to meet you!” and introduce yourself.  Address your boyfriend’s parents by their titles (Mr., Mrs., Dr.) and their surname, unless they have indicated otherwise. You could say, “Mr. and Mrs. Brown, thank you so much for inviting me to your house. Mike has told me so much about you.” Make sure you are making good eye contact when talking to his parents. It conveys confidence and interest. . Smile genuinely and frequently. Don't force your smile, though, or it will look uncomfortable. Try to think of positive things that make you smile, and smile at everyone who speaks to you. Smiling helps you feel happier and more relaxed, as well as helps you appear reliable and sincere. It can be stressful meeting someone new for the first time, even moreso someone you want to impress! Take deep breaths and try to be yourself. Remember that it will get easier and you will start to feel more comfortable.  Try tensing different parts of your body for 10 seconds and then relaxing them.  Breathe deeply into your belly. Breathe through your nose, feel the air fill your abdomen, and exhale through your mouth. Repeat this for a few minutes. This is a good idea especially if they are having you over for dinner. It is a nice way of saying thank you for their hospitality. Ask your boyfriend for suggestions. You might want to consider:  Flowers or a small plant A box of chocolates A gourmet food item . Basic manners, such as “please,” “thank you,” and “excuse me,” go a long way. Good manners help people connect with each other and show others you care about them.  If you're invited to eat with them, brush up on your table manners before you go. Make sure you put your napkin in your lap, don’t chew with your mouth open, and ask people to pass out-of-reach food instead of trying to get it yourself. Be sure to say thank you after your meal. For example, “Thanks so much for dinner, Mrs. Flores! That was really good.”

SUMMARY: Dress nicely. Greet them warmly. Smile Do your best to relax. Bring a small gift. Have good manners


INPUT ARTICLE: Article: You should now have an opening in the side of the fabric the length of the zipper. Sew the opening closed.  Hold the zipper in place with hand basting or transparent tape. Attach the zipper foot. When you get to the end, square off and stitch across to the other side of the seam. Square off again, cross the seam, and complete the row of stitching where you started.

SUMMARY:
Sew the three sides without a zipper using a ½-inch (1.27-centimeter) seam. Press the seams open. Turn the duvet cover right side out at the zipper opening. Stitch from the corner where you put the first zipper markers. Backstitch to secure the thread. Skip the zipper hole and sew the other side in the same manner. Set your sewing machine to machine baste. Press the seam open. Center the zipper teeth over the machine-basted portion of the seam. Put the sewing machine back on its regular stitch setting. Sew on the right side of the fabric close to the zipper. Repeat the process on the other side of the zipper. Remove the machine-basting thread and the hand basting and/or transparent tape. Open the zipper to test it.