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Management of Women at High Risk for Gynecologic Cancers mutations should be offered surgery after the completion of child-bearing, and are advised to undergo salpingo-oophorectomy by no later than the early 40s. Women with BRCA2 mutations have a 2% to 3% risk of ovarian cancer by age 50, but earlier salpingo-oophorectomy will reduce the risk of breast cancer, which approaches 26% to 34% by age 50. Therefore, women with BRCA2 mutations should likewise be offered salpingo-oophorectomy at the completion of child-bearing or by her early 40s in order to bene t from the reduction in both breast and ovarian cancer risks.23 No formal guidelines exist to recommend hysterectomy and salpingo-oophorectomy for women with HNPCC. However, consideration of laparoscopic salpingo-oophorectomy at the completion of child-bearing or by age 35 has been suggested by the National Institutes of Health (NIH) and the American College of Obstetricians and Gynecologists (ACOG).24 She undergoes genetic testing and she is a BRCA1 mutation carrier. She is considering prophylactic mastectomy and salpingo-oophorectomy.

Remote File Access Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Avvenu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 I m In Touch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 EasyReach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Mobile Administration Tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Idokorro Mobile FTP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Other Networking Tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

3 Keep the intervention simple 4 Choose to approach each session as if it were the last Change starts now, not next week 5 There is no failure, only feedback (Walter & Peller, 1992, pp 37 41) RATIONALE OF SSCT AND GUIDELINES FOR SELECTIVELY INTEGRATING TECHNIQUES FROM SCT AND SFT At first glance, especially to a novice practitioner, there appears to be an incompatibility between strategic couples therapy (SCT) and solutionfocused therapy (SFT) We may raise the question of how these two distinct approaches to therapy can be integrated This is especially so, since they espouse two diametrically opposed epistemologies However, on careful study and consideration, the utility of SSCT s integration of selected techniques from each school of therapy is readily appreciated Once understood, there are several compelling, though not obvious, reasons for such integration First, both approaches are brief in duration.

Second, combining the two approaches can provide the therapist with a more comprehensive and balanced view of an issue than either one alone Just as there are always two valid sides to a story or conflict between a couple, so a dialectical approach utilized by SSCT to selectively integrate principles from two apparently opposite therapy models is isomorphic to the couple and is a sound alternative for couples therapy SSCT utilizes SCT, which espouses the Structuralist epistemology, to provide normative information from our family life cycle knowledge in order to help certain couples realize the normalcy and validity of their dilemmas and difficulties in life (Carter & McGoldrick, 1999; Haley, 1973) With recursiveness or circular causality as an integral part of its conceptualization, SCT also aims at improving relationship problems.

The AEG agreed that the strength of the ciphering would be determined by the effective length of the cipher key The choice of length was pre-conditioned by the fact that the algorithm was designed for a 64 bit key to reduce complexity, and 64 bit keys were regarded as the state of the art at that time At that time, the export of DES, a cipher with an effective key length of 56 bits, was restricted to use in nancial applications As it was the belief of the AEG that A5 was a full strength cipher and therefore potentially as strong as DES, it was clear that GSM could potentially be put under the same export control as that of DES.