text:
Project management from SGS – reduce risk, assure quality and ensure completion of your project on time and on budget.
Whatever your project, you'll want to ensure that it is completed on time and within budget. Plus, you'll want the quality to be assured. Yet, making all this happen means coordinating a number of complex elements. That's where our project management services can help.
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To discuss how our project management services can help you reduce your risk, assure quality and ensure completion on time and on budget, contact us today.
6755 Mississauga Road, Suite 204,
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text:
Wednesday, January 11, 2012
studio 490 reveal...day 3
50 comments:
- Rita Barakat said...
lol "he's way too stuffy for her" I picture putting him in that bottle! LOL! Oh Wendy that bottle is gorgeus! And what fun stamps!!! Yay I get so inspired here!!Off to create!
- January 11, 2012 at 8:11 AM
Love, love, love the jars! Can't wait to get them!
- January 11, 2012 at 8:22 AM
- Craft Addicts - Tracy Evans said...
Love your babies, love how the embellishments have a flat back but still ave dimension, nice touch. Love the bottle and flower. Tracy x
- January 11, 2012 at 8:50 AM
- Sarah said...
Well that's what the chap told you... things happen in a dark craft room. Will await the real main man. All so lovely today - truly scrumptious!
- January 11, 2012 at 8:52 AM
- Jacki said...
That first bottle and flower have made it onto my wish list. It's all too cute, Wendy!! And what you did to further embellish them is so cool!
- January 11, 2012 at 9:01 AM
- Lesley said...
I'm thinking all your new babies will love living with me!!!! Can't wait for moe previews!! They are all yummy so far!!
- January 11, 2012 at 9:02 AM
- Debby said...
Love the new creations! Everyday is fun to get up and see what new goodies that you have designed for us to play with. Great job Wendy!!
- January 11, 2012 at 9:14 AM
- Elaine A said...
Wendy -
I am truly loving your embellishments! You are such a clever girl. They are just fabulous. And your stamps, yummy. The words you said reminded you of a song, well they reminded me too. The song is by the Beatles, From Me To you.
If there's anything that you want,
If there's anything I can do,
Just call on me and I'll send it along,
With love from me to you.
Awesome stamps, and more Art Parts. I love Art Parts! More! More!
Elaine Allen
- January 11, 2012 at 9:29 AM
- snazzyoriginal said...
Oh my, oh my can't wait for those embellishments the frosty glass bottle looks amazing!
- January 11, 2012 at 9:41 AM
- Helen said...
You are a genius. Love the new embellies - you were right I need these too - love that flower and the vase. As for today's stamps - oh yes, gotta have them too. NOW. Right NOW. Not wanting to wait a minute... ROFL! (Patience is not known to me...)
- January 11, 2012 at 9:48 AM
- Larissa Heskett said...
OMG~~OMG~~Today is MY FAVORITE!! =)
Being a COUNTRY girl I CAN'T wait to play with the flowers and glass jar!! Not only the Embellisments, but the stamps too!! AWESOME~~I LOVE the flower stamp more thatn words can discribe--my FAVORITE maybe out of all of them that you've done and I have them ALL!! =) Well LOVE, LOVE, LOVE that is all I can say!! Looking forward to more!! Have a FABULOUS WEEK WENDY!! =)
- January 11, 2012 at 9:55 AM
- Wilma said...
Everything looks so great that i only want more more more:-))
- January 11, 2012 at 10:00 AM
- Heidi said...
Yupper, gotta have them all!
- January 11, 2012 at 10:02 AM
- Hels Sheridan said...
GORGEOUS And YEY... another Beatles reference stamp... am over the top happy to see these new goodies... like I said yesterday (and the day before) CANNOT wait to get my mitts on them!! THat Art Part bottle is inspired... perfection again wendy... FAB!!! xx
- January 11, 2012 at 10:21 AM
- SusanK said...
Thank you for this set! Love being able to have more stamps for the houses! And those embellishments are so darned spiffy! I don't want to wait to play with them!!! Please bring them to Bloomington asap!
- January 11, 2012 at 10:31 AM
- salamanda said...
Glass jar is perfection
- January 11, 2012 at 11:05 AM
- michelle said...
Love the glass jar needs to go on the list oh wait is there nothing that is not on my list?
- January 11, 2012 at 11:20 AM
- Lori said...
Wow! Love the flower! I will deffo be getting that...lol... and the new stamps and art parts are too cool!
- January 11, 2012 at 11:32 AM
- Mandy Makes and Mends said...
That flower is wonderful and in the glass bottle tooooooo cute just bloomin fab .....glad to hear bloke from yesterday is not for the girl she needs someone a bit rough round the edges .,!!! Hehe intrigued !
- January 11, 2012 at 11:39 AM
- Nancy in CA said...
Love, love, love the new bottle. I have been looking for a flat back mini bottle and this looks like it will be perfect. Thanks so much. Nancy in So Cal
- January 11, 2012 at 11:56 AM
Love it all, again! LOL
- January 11, 2012 at 12:35 PM
More wonderfulness. That bottle is such simple yet brilliant idea, and I can just see so many uses for it...top of my "must have" list.
- January 11, 2012 at 12:35 PM
- Marilyn said...
Oh My! Love all this arty goodness! Can't wait to get my mits on these beauties! Pure genius!!
- January 11, 2012 at 12:47 PM
- Marjie Kemper said...
It all looks great, Wendy! I really like the practical side of the hollowed out back of the jar... wonderful idea!
- January 11, 2012 at 12:52 PM
- Art By Wanda said...
I fell in love with the flower bellie when you shared a peek.. it's fabulous!! And the bottle.. yay!!! And that flower center that I can't see :-)) Love the set of stamps too!!! Another fab flower!!!! I am so in trouble already and you've barely started sharing new stuff!!!!
- January 11, 2012 at 1:26 PM
- sue said...
They are all good, but they are getting better as the days go on. Can't wait to see what you have for tomorrow.
- January 11, 2012 at 1:46 PM
- Dawn B. said...
These are fabulous! Love'n the jar and well, it's made to hold the flower? Ingeniuos! Gonna have to have it all!
- January 11, 2012 at 2:08 PM
- Tona said...
That's a whole lotta fun coming out!
- January 11, 2012 at 2:19 PM
- roc said...
you are doing a wonderful job! lovin' what i'm seeing here.
- January 11, 2012 at 2:26 PM
- Marilyn C. said...
The flower in the bottle is to die for! Can't wait to play with it in my studio. Hurry!!!
- January 11, 2012 at 2:42 PM
- Chris said...
Love your stuff!!!!
- January 11, 2012 at 2:53 PM
- redmom said...
That bottle is a-ma-zing!!!! I am digging the new stamp set, when I was young I always drew out floor plans of my dream house!!
- January 11, 2012 at 5:25 PM
- Chris aka Scrappylassie said...
It's been so much fun to read along as you unveil your new art products! I too love the flower, glass bottle and the new stamp sets. Thanks, Wendy!
- January 11, 2012 at 7:16 PM
- Becky said...
love the bottle and the floor plan. and that the bottle plastic and art part are flat on the back! groovy!
- January 11, 2012 at 7:27 PM
- Kathy Eddy said...
Oh what fun stuff! I LOVE the bottle with the crackled effect you did.
- January 11, 2012 at 7:33 PM
- Lynne said...
Hey Wendy - Love all the new embellishments. The bottle is to die for.
- January 11, 2012 at 8:25 PM
- Karen Goulet said...
I do love everything I have seen so far...and my favourites are: the single flower, the resin bottle and the sewing machine.
Simply fabulous Wendy!
Karen :)
- January 12, 2012 at 2:45 AM
- My name is Cindy said...
Love that flower and the bottle.... just so much great stuff! Keep it coming!
- January 12, 2012 at 2:55 AM
- Theresa said...
I am in BIG trouble with the embellies! They are adorable!!!I am loving all of that new line!!!! Your stamps are fabulous! Loving the peeks!!!
- January 12, 2012 at 6:32 AM
- Dorothy said...
- January 12, 2012 at 6:32 AM
- KatzElbows said...
You're mean and cruel and evil! Fancy creating so much stuff that I want and need; it's just mean!
I really like the bottle and the jar. So cool. I just want them. Right now.
- January 12, 2012 at 6:37 AM
- Cheri Reed said...
Absolutely LOVE the bottles and flowers. Can hardly wait till they arrive at Buffalo Stamps! I think I had better call Sharon to reserve them. Thanks for sharing.
- January 12, 2012 at 7:45 AM
- Anita Houston The Artful Maven said...
Your a genius...the cut out...too much...I'm in love!!! Must have these soon!
- January 12, 2012 at 9:29 AM
- Kirsten Alicia said...
Some much gorgeous gorgeousness!! I LOVE the flower.
- January 12, 2012 at 10:17 AM
- Karla Anderson said...
I LOVE the glass jar embellishment and all the stamps, so much good stuff!! I had a feeling he was not the "one"..lol.
- January 12, 2012 at 3:09 PM
- migglymax said...
Precious, simply precious! OMG!!!
- January 12, 2012 at 10:48 PM
- slbt17 said...
oh the places one can go!
Sandra ltb
- January 12, 2012 at 11:20 PM
- Petra Idzinga said...
how cool are these!!!
- January 13, 2012 at 4:48 AM
- 2amscrapper said...
that clear resin bottle is a must have and I love the "no pop dot" jar idea.
- January 14, 2012 at 9:38 AM
- nonnie said...
i like the floor plan....
- January 17, 2012 at 9:28 PM

subset: commoncrawl


text:
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text:
Casual Women O-Neck Long Sleeve Pure Color Sweater with Button
Package included:
Product Code: 5230845
Availability: In Stock
Availability: In Stock
Ex Tax: $49.25
Ex Tax: $49.25
Product Description
- Specification
- Style:Casual
- Sleeve Length:Long Sleeve
- Color:Blue,Green,Yellow
- Pattern:Pure Color
- Size:One Size
- Collar:O-Neck
- Season:Fall,Spring
Size Chart:
- Inches
- Centimeters
|Tag Size
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|Sleeve(From Collar To Cuff)
|Manual measurement, some errors may exist.
|Tag Size
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|Us Size
|One Size
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Attention:The size table is only for reference,please choose right size according to your dressing habits such as slim or loose fit.If you like loose fit, please choose a larger size than the reference.Thanks
Material: Acrylic, Polyester
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Size may be 3cm/1.5 inch inaccuracy due to hand measure.These measurements are meant as a
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text:
Hyun-Jin Ryu (12-5, 3.08) vs. Eric Stults (8-11, 3.72).
Eric Stults Trivia! According to Wikipedia, what incident triggered Eric Stults' departure from the Dodgers (the team that drafted him in 2002) and exile to the Hiroshima Toyo Carp?
On March 30, 2010 Stults was sold to the Hiroshima Toyo Carp of the Japanese league. He was 6–10 with a 5.07 ERA in 21 starts in Japan.
On May 15, 2009, Stults injured his thumb while making a toss on a bunt attempt by the Florida Marlins' Hanley Ramírez. Stults would make 2 more starts before going on the disabled list. On July 1, Stults was optioned to the AAA Albuquerque Isotopes. He pitched well with the Isotopes, before getting called up to make a spot start on August 9 against the Atlanta Braves. Stults was optioned back to Albuquerque on August 13 and finished the season there.
On March 30, 2010 Stults was sold to the Hiroshima Toyo Carp of the Japanese league. He was 6–10 with a 5.07 ERA in 21 starts in Japan.
Hanley Ramirez! Who happens to be batting .333 with an .844 OPS against Stults (10 career appearances)! So maybe today's matchup will have some of that drama! And we'll see if Stilts can stay above carp?
Oh man, that is just a embarrassing GT. I got nothing. Come for the horrible pun setups, stay for the Friday Night Fireworks sponsored by Denny's.


text:
Liquid Flow
These images are created by manually dropping cream or water, coloured with food dye, into a small aquarium filled with water. The images are then rotated 180 degrees . Some are altered using the mirror and flip technique. In 2013 I completed "The Ultimate Guide to Water Drop Photography" Ebook. It is quite descriptive and explains this technique in detail. You may purchase the book here - https://www.e-junkie.com/ecom/gb.php?i=1220073&c=single&cl=243645 . Screen shots and link to buy are in "Publications" I have more on my Facebook PageRead More


text:
Alocril (Nedocromil) Eye Drops - [DISCONTINUED] 2%
Product from Canada
Alocril (Nedocromil) Eye drops - [DISCONTINUED]
Manufactured by: allergan
From $9.99 USD per mL(s)
CAN NOT BE SPLIT Must be taken in existing form.
Product from Canada
No Generic Alternative Available
No generic alternative is available for this drug.
What is a Generic in Canada? Health Canada (the Canadian regulatory board) evaluates every Canadian generic for their safety, effectiveness, and quality. Every generic used in Canada has the same medical ingredients as their brand name counterpart and is considered bioequivalent to the brand name medication. The quality standards for brand name drugs and generic drugs are the same. All of the ingredients, facilities, and manufacturing processes must meet Canadian federal guidelines for Good Manufacturing Practices. In addition, Canadian generic manufacturers must perform 'comparative bioavailability' studies to demonstrate that their generic products deliver the same amount of medicinal ingredient at the same rate as the brand name medication. Nearly 45% of all prescriptions filled in Canada use generic medication and some hospitals exclusively use generic drugs. For more information, please visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/med-gen-eng.php


text:
4 in 10 US households use cellphones only and shun landlines, but growth may be leveling
More American households are ditching their old telephones: 4 out of 10 only use cellphones, a government survey shows.
That's twice the rate from just five years ago, although the pace of dumping landlines seems to have slowed down in recent years.
The Centers for Disease Control and Prevention has been tracking phone use for a decade, and the number of households only using cellphones had been rising by about 5 percentage points each year. Lately, the increases have been smaller and last year it only went up 3 percentage points to 41 percent of U.S. homes.
Why the slight leveling off? Experts could only speculate. The lead researcher on the CDC report, Stephen Blumberg, said it could be people are holding onto their landlines because it is part of their Internet and cable TV package. Or it could mean that we're hitting a ceiling for those people willing to completely abandon landlines, said John Palmer, a researcher at the Autonomous University in Barcelona, Spain, who was not involved in the report.
Some non-experts were surprised to hear that the change has slowed down a bit.
"We switched to only cellphones three years ago. The only time we would get calls on the landline was from telemarketers," said Justin Hodowanic, an 18-year-old college freshman from Atlanta.
Dan Warhola, 34, said he had a landline at his Columbus, Ohio, home but only because his security system was tied into it years ago when he bought his house.
"I couldn't even tell you what my (landline) phone number is," said Warhola, standing at baggage claim at Atlanta's Hartsfield-Jackson International Airport.
The CDC survey released Tuesday is based on in-person interviews in more than 21,000 homes during the last half of 2013. The researchers found:
— Not all homes have phones: About 3 percent have no landline or cellphone.
— About 9 percent have only landlines, and about 48 percent have both. Five years ago, 17 percent had only landlines, and about 60 percent had landlines and cellphones.
— Younger people rely more on cellphones: Nearly two-thirds of people in their late 20s live in households with only cellphones. Only 14 percent of people 65 and older use only cellphones.
— Men are a bit more likely to shun landlines than women.
— Poor adults are much more likely than higher-income people to have only cellphones.
— The Midwest is the most wireless region: About 44 percent live in cellphone-only homes. The South and West were nearly as high. In the Northeast, 25 percent live in cellphone-only households.
CDC report: http://www.cdc.gov/nchs/


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Alex Constantine - November 18, 2013
BERLIN - A retired Minnesota carpenter, shown in a June investigation to be a former commander in a Nazi SS-led unit, ordered his men to attack a Polish village that was razed to the ground, according to testimony newly uncovered by The Associated Press. The account of the massacre that killed dozens of women and children contradicts statements by the man's family that he was never at the scene of the 1944 bloodshed.
In June, an AP investigation found that Michael Karkoc entered the U.S. in 1949 by failing to disclose to American authorities his role as a commander in the SS-led Ukrainian Self Defence Legion, which is accused of torching villages and killing civilians in Poland. The investigation found that Karkoc was in the area of the massacres, but did not uncover evidence linking him directly to atrocities.
However, a newly unearthed investigative file originally from the Ukrainian intelligence agency's archive reveals that a private under Karkoc's command testified in 1968 that Karkoc ordered the assault on Chlaniow in retaliation for the slaying of an SS major. The major, slain by resistance fighters, led the Ukrainian Self Defence Legion, in which Karkoc was a company commander.
A German roster of the unit confirms that Pvt. Ivan Sharko, a Ukrainian, served under Karkoc's command at the time.
An initial order was given by a separate officer, Sharko testified, before Karkoc told his unit to attack the village.
"The command was given by one of the commanders to cordon off the village and prepare for battle," Sharko said, according to the Russian-language investigative file, which bears the stamp of Ukraine's Volyn regional prosecutors' office. "The commander of our company, Wolf, also gave the command to cordon off the village and check all the houses, and to find and punish the partisans." Karkoc fought under the wartime nom de guerre "Wolf," and he wrote a 1995 Ukrainian-language war memoir under both his real name and the pseudonym "Wolf."
According to the document, Sharko described how nobody was spared in the ferocious onslaught on Chlanow.
"The legionaries surrounded the homes, set fire to them with matches, or with incendiary bullets, and they shot anyone who was found in the homes or anywhere in the streets," Sharko said. "Most of the houses were burned as a result of this action. How many people were killed in all, I don't know. I personally saw three corpses of peaceful inhabitants who had been killed."
The AP learned of the file's existence after its initial report and subsequently tracked down and reviewed its contents.
Other eyewitness accounts, both from villagers and members of Karkoc's unit, corroborate the testimony that the company set buildings on fire and gunned down more than 40 men, women and children. Michael Karkoc continues to live quietly in Minneapolis as he has for decades.
Karkoc's son and family spokesman, Andriy Karkos, has denied his 94-year-old father's involvement in the Chlaniow incident or any other possible war crime.
Karkos, who spells his surname differently from his father, refused to comment on the Sharko testimony when reached by phone: "Until and unless The Associated Press can provide their alleged evidence and their witness, we will not respond to your defamatory and slanderous allegation," he said Friday. Sharko died in the 1980s.
In July, weeks after Karkoc's commanding role in the SS-led Legion was revealed, Karkos questioned the statements from men in his father's unit and comments in his father's memoir suggesting he was at the scene. He was cited by the Minneapolis Star Tribune as saying his father told him he was not in Chlaniow when the killings took place, and wrote in a letter to the same newspaper that his father was no war criminal.
"There is no record that Karkoc had a hand in any war crimes," Karkos wrote. "He did nothing wrong. He never lied. He's not afraid of the truth."
Stephen Paskey, who led Nazi investigations for nine years as a prosecutor at the U.S. Department of Justice's Office of Special Investigations, said the Sharko testimony is highly credible and should bolster cases in Germany and Poland to launch prosecutions against Karkoc. He noted that Sharko did not appear to be in custody or under investigation at the time of his questioning, and that many of his statements are confirmed by historical documents.
"I see no reason to doubt that is what (Sharko) said and that it was said without any pressure," said Paskey, now a law professor at the SUNY Buffalo Law School. "And that's exactly the sort of thing that would help persuade a judge that it's credible — that there's other evidence to corroborate the other things that he said. ... There's no indication in the Soviet statement that the guy they were interviewing had a motive to lie."
Since the initial report, both German and Polish prosecutors have opened investigations into whether to charge Karkoc with war crimes, based on the fact he had "command responsibility" for his unit when it committed massacres. Karkoc was a founding member of the SS-led Ukrainian Self Defence Legion and later an officer in the SS Galician Division.
Germany has in recent years taken the position that people suspected of Nazi crimes must be prosecuted, no matter how old or infirm, as it did in the case of retired Ohio autoworker John Demjanjuk, who died last year at age 91 while appealing his conviction as a guard at the Sobibor death camp.
Thomas Will, who is deputy head of Germany's special prosecutors' office that investigates Nazi crimes, said he is working "intensively" to conclude his probe as soon as possible, especially in view of Karkoc's advanced age.
Polish prosecutors said their investigation was ongoing — and that they have told the Foreign Ministry they need to ask "the American side to question (Karkoc) in the capacity of a suspect." They referred further queries to the ministry, which did not respond to requests for comment.
The U.S. Department of Justice refused to comment on whether it had initiated its own investigation or was aiding the Polish investigation.
"The Department of Justice is aware of the allegations, which have been widely published," spokesman Peter Carr wrote in an email. "We generally do not confirm nor deny whether an individual is under investigation."
Even without the Sharko testimony there is a case against Karkoc from the evidence uncovered in the initial report, Paskey said.
"If he gave the order, there's no question he's guilty of war crimes," Paskey said in a telephone interview. "Even if he didn't give the order, as the commander in the area it was his responsibility — if he knew about it to stop it, and if he learned about it after to investigate it and punish those responsible. That's what command responsibility is."
Other soldiers who served under Karkoc back up Sharko's testimony about civilian killings: Vasyl Malazhenski, also a private, told Soviet investigators that in 1944 that unit was directed to "liquidate all the residents" of Chlaniow — although he did not say who gave the order.
Sharko also testified in the investigative documents that Karkoc's company was directly involved in a "punitive mission" against Poles near the village of Sagryn in 1944.
"We were told that Poles had attacked the village of Sagryn and were killing Ukrainian families," Sharko said. "And that's why we had to defend the families of Ukrainians and take revenge against the Poles."
Sharko made his statements to authorities in Ukraine in 1967 and 1968 for an investigation they were conducting against the Self Defence Legion. The documents noted he was living at the time in the village of Vorchin in Ukraine. Local official Oleksandr Petrovich said Sharko had been a resident, and died in the mid-1980s.
Many of Sharko's statements are backed up by other evidence and historical fact, giving weight to the overall testimony, said University of Ottawa professor Ivan Katchanovski, a Ukrainian-born political scientist who has done extensive research on the Self Defence Legion.
"I analyzed several hundred such Soviet-era investigative cases for my academic research projects," he said. "Based on this research and direct or indirect corroboration of information from the Sharko's testimony by other sources — including the Karkoc memoirs, his testimony concerning the Legion, massacres that it committed, and the involvement of Michael Karkoc in the specific massacre — looks credible."
Nataliya Vasilyeva in Moscow, Steve Karnowski in Minneapolis, Monica Scislowska in Warsaw, David McHugh in Frankfurt, and Mark Rachkevych in Kyiv, Ukraine, contributed to this report. Herschaft reported from New York.


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Content Map Terms
Topic Overview
What is thyroid cancer?
Thyroid cancer is a disease that you get when abnormal cells begin to grow in your thyroid gland. The thyroid gland is shaped like a butterfly and is located in the front of your neck. It makes hormones that regulate the way your body uses energy and that help your body work normally.
Thyroid cancer is an uncommon type of cancer. Most people who have it do very well, because the cancer is usually found early and the treatments work well. After it is treated, thyroid cancer may come back, sometimes many years after treatment.
What causes thyroid cancer?
Experts don't know what causes thyroid cancer. But like other cancers, changes in the DNA of your cells seem to play a role. These DNA changes may include changes that are inherited as well as those that happen as you get older.
People who have been exposed to a lot of radiation have a greater chance of getting thyroid cancer.
A dental X-ray now and then will not increase your chance of getting thyroid cancer. But past radiation treatment of your head, neck, or chest (especially during childhood) can put you at risk of getting thyroid cancer.
What are the symptoms?
Thyroid cancer can cause several symptoms:
- You may get a lump or swelling in your neck. This is the most common symptom.
- You may have pain in your neck and sometimes in your ears.
- You may have trouble swallowing.
- You may have trouble breathing or have constant wheezing.
- Your voice may be hoarse.
- You may have a frequent cough that is not related to a cold.
Some people may not have any symptoms. Their doctors may find a lump or nodule in the neck during a routine physical examination.
How is thyroid cancer diagnosed?
If you have a lump in your neck that could be thyroid cancer, your doctor may do a biopsy of your thyroid gland to check for cancer cells. A biopsy is a simple procedure in which a small piece of the thyroid tissue is removed, usually with a needle, and then checked.
Sometimes the results of a biopsy are not clear. In this case, you may need surgery to remove all or part of your thyroid gland before you find out if you have thyroid cancer.
How is it treated?
Thyroid cancer is treated with surgery and often with radioactive iodine. It rarely needs radiation therapy or chemotherapy. What treatment you need depends on your age, the type of thyroid cancer you have, and the stage of your disease. Stage refers to how severe the disease is and how far, if at all, the cancer has spread.
Finding out that you have cancer can be overwhelming. It's common to feel scared, sad, or even angry. Talking to others who have had thyroid cancer may help. Ask your doctor about cancer support groups in your area.
Can thyroid cancer be prevented?
Most thyroid cancer cannot be prevented.
One rare type of thyroid cancer, called medullary thyroid cancer (MTC), runs in families. A genetic test can tell you if you have a greater chance of getting MTC. If this test shows that you have an increased risk, you can have your thyroid gland removed to reduce your risk for thyroid cancer later in life.
Experts don't know what causes thyroid cancer. Like other cancers, changes in the DNA of your cells seem to play a role. These DNA changes may include changes that are inherited as well as those that happen as you get older.
Thyroid cancer can cause many symptoms, including:
- A lump or swelling in your neck. This is the most common symptom.
- Pain in your neck and sometimes in your ears.
- Difficulty swallowing.
- Difficulty breathing or constant wheezing.
- Hoarseness that is not related to a cold.
- A cough that continues and is not related to a cold.
Some people may not have any symptoms. Their doctors may find a lump or nodule in the neck during a routine physical examination.
What Happens
Thyroid cancer is a disease that occurs when abnormal cells begin to grow in the thyroid gland. You may notice a lump in your neck and then go to your doctor. Or your doctor may notice a lump during a routine physical examination or on an imaging test that you are having for another health problem.
Thyroid cancer is usually found before the cancer has spread very far. This means that most people who are treated for thyroid cancer do very well. After it is treated, thyroid cancer may come back, sometimes many years after treatment.
Before starting your treatment, your doctor needs to find out which type of thyroid cancer you have. A biopsy can identify your type of cancer. During a biopsy, a small piece of thyroid tissue is removed, usually with a fine needle. The thyroid tissue cells are then examined under a microscope.
It is also important to find out the stage of your cancer. Staging is a way for your doctor to tell how far, if at all, the cancer has spread. It also helps your doctor decide what kind of treatment you need. Staging generally depends on the results of your radioactive iodine scan.
If you have your thyroid gland surgically removed, you will probably need to take thyroid hormone medicine for the rest of your life to replace the hormones that were made by your thyroid. Taking it will help regulate your metabolism and other body functions.
What Increases Your Risk
A risk factor for thyroid cancer is something that increases your chance of getting this cancer. Having one or more of these risk factors can make it more likely that you will get thyroid cancer. But it doesn't mean that you will definitely get it. And many people who get thyroid cancer don't have any of these risk factors.
The most common risk factors for thyroid cancer include:
- Age.
- Being female.
- Exposure to high levels of radiation, such as after a nuclear power accident.
- A personal or family history of thyroid disease or thyroid cancer.
- A family history of conditions such as MEN (multiple endocrine neoplasia) 2a, MEN 2b, or FMTC (familial medullary thyroid carcinoma).
- Being Asian.
- A history of radiation treatments to the head, neck, or chest during childhood.
- Other inherited medical conditions, such as Gardner's syndrome and familial polyposis.
One rare type of thyroid cancer, which is called medullary thyroid cancer (MTC), runs in families. You can inherit a specific gene that increases your risk for MTC.
When should you call your doctor?
Call your doctor if you have any of the following symptoms:
- A lump or swelling in your neck. This is the most common symptom of thyroid cancer.
- Pain in your neck and sometimes in your ears that doesn't go away and is not caused by a cold or allergies
- Hoarseness that is not related to a cold
- Difficulty swallowing
- Difficulty breathing or constant wheezing
- A cough that continues and is not related to a cold
- Bone pain
Examinations and Tests
In order to diagnose thyroid cancer, your doctor will ask about your medical history and do a physical examination.
Your doctor may check your vocal cords using a thin tube-like instrument that has a light (laryngoscope).
Your doctor may order a CT scan or an ultrasound to get a better look at your thyroid. If your doctor thinks that the lump or nodule could be cancerous, he or she may do a fine needle biopsy of the thyroid gland.
You may also have blood tests to check the levels of your thyroid-stimulating hormone (TSH), serum calcitonin, or carcinoembryonic antigen (CEA).
Other tests may be done before, during, or after your treatment for thyroid cancer.
- Serum thyroglobulin level tests check for remaining cancer.
- Radioactive iodine scans help your doctor find out whether thyroid cancer has spread beyond the thyroid gland.
- Thyroid ultrasound is a safe and simple way to find out whether a thyroid nodule is solid or fluid-filled (cystic). It can also detect multiple thyroid nodules and abnormal lymph nodes in the neck.
In some cases, an MRI, a chest X-ray, a CT scan, or a PET scan may be done.
If you have medullary thyroid cancer (MTC), a CT scan of the chest and belly and a bone scan may also be needed.
Early detection
At this time there are not any screening tests for thyroid cancer that work well for people at average risk. Talk to your doctor about whether you need to be screened for thyroid cancer.
People who have a family history of medullary thyroid cancer (MTC) may want to have a genetic test to look for a gene change called an RET mutation. Before you have the test, it is a good idea to talk with a genetic counsellor. He or she can help you understand what your test results may mean.
Treatment Overview
The goal of treatment for thyroid cancer is to get rid of the cancer cells in your body. How this is done depends on your age, the type of thyroid cancer you have, the stage of your cancer, and your general health.
Most people have surgery to remove part or all of the thyroid gland. Sometimes a suspicious lump or nodule has to be surgically removed before you will know if you have cancer or not.
After surgery, you may need treatment with radioactive iodine to destroy any remaining thyroid tissue. When you no longer have all or part of your thyroid gland, you will probably need to take thyroid hormone medicines for the rest of your life. These medicines replace necessary hormones that are normally made by the thyroid gland and prevent you from having hypothyroidism—too little thyroid hormone.
For more information on hypothyroidism, see the topic Hypothyroidism.
Initial treatment
Your treatment for thyroid cancer may include:
- Surgery to remove the part of the thyroid gland that contains cancer. Removing one part (lobe) is called a lobectomy. Removing both lobes is called a total thyroidectomy. Removing all but a very small part of the thyroid is called a near-total thyroidectomy. Lymph nodes may also be removed during surgery.
- Radioactive iodine, which is used after surgery to destroy any remaining thyroid tissue. After you have your thyroid surgically removed, you may have to wait several weeks before having radioactive iodine treatment to destroy any remaining thyroid tissue. During the waiting period, you may have symptoms of hypothyroidism such as fatigue, weakness, weight gain, depression, memory problems, or constipation.
- Thyroid-stimulating hormone (TSH) suppression therapy. TSH suppression therapy reduces the TSH in your body, which may help prevent the growth of any remaining cancer cells.
If thyroid cancer is advanced when it is diagnosed, initial treatment may also include chemotherapy or radiation therapy.
Ongoing treatment
After treatment for thyroid cancer, you may need to take thyroid hormone medicine for the rest of your life to replace the hormones that your body no longer makes. You will also need follow-up visits with your doctor every 6 to 12 months. In addition to scheduling regular visits, be sure to call your doctor if you notice another lump in your neck or if you have trouble breathing or swallowing.
At your follow-up visits, your doctor may order a blood test to measure your thyroid-stimulating hormone (TSH) level. This test helps your doctor know if you are taking the right amount of thyroid hormone medicine. Your doctor may order other tests, such as a radioiodine scan, X-rays, or a CT scan.
Side effects of treatment
The side effects of surgery for thyroid cancer are usually mild and last a couple of days. Your doctor will talk to you about medicine you can take if you are having pain. You will likely need to take thyroid hormone medicine for the rest of your life to replace the hormones that your body no longer makes.
The most important side effect of radioactive iodine therapy (RAI) is that you will become radioactive for a period of time. Your doctor will give you written instructions to follow to prevent exposing others to radiation. For more information, see Radioactive Iodine.
Thyroid hormone therapy rarely causes side effects when you have the right dose. Too much or too little thyroid hormone can cause side effects.
Taking high doses of thyroid hormone may cause a rapid or irregular heartbeat. High doses taken over time may also cause weakness in your bones (osteoporosis).
Home treatment may help you manage your side effects.
Treatment if the condition gets worse
Thyroid cancer may come back (recur). If thyroid cancer does recur, it may be found during a physical examination, on an ultrasound, or as a result of increasing thyroglobulin levels. Unlike other types of recurrent cancer, recurrent thyroid cancer is often cured, especially if it has spread only to the lymph nodes in the neck.
Recurrent thyroid cancer or thyroid cancer that has spread (metastasized) to other parts of the body may be treated with surgery, radioactive iodine, radiation, or chemotherapy.
Clinical trials
Your doctor may talk to you about being in a clinical trial. For some people with thyroid cancer, taking part in a clinical trial may be the best treatment choice. Clinical trials for thyroid cancer are looking at targeted therapy with tyrosine kinase inhibitors.
Hospice palliative care
Your doctor may talk to you about hospice palliative care. It can improve your quality of life by helping you manage your symptoms. It can also help you with other concerns that you may have when you are living with a serious illness.
Hospice palliative care providers will work with you to help manage your pain, side effects, and stress. They may help you decide what treatment you want or don't want. And they can help your loved ones understand how to support you. For more information, see the topic Hospice Palliative Care.
You can find more information about treating thyroid cancer online at the:
- Canadian Cancer Society website at www.cancer.ca.
- Thyroid Cancer Canada website at www.thyroidcancercanada.org.
Most cases of thyroid cancer cannot be prevented.
You may be much more likely to get medullary thyroid cancer (MTC) if you have a gene carried by some families. A genetic test can show if you carry this gene. If your test is positive for the gene, you may want to talk with your doctor about having your thyroid removed to prevent getting thyroid cancer later in life.
Home Treatment
There are certain things you can do to feel better or to reduce the side effects of your treatment for thyroid cancer. Healthy habits such as eating a balanced diet and getting enough sleep and exercise may help control your symptoms. If you have chemotherapy, your doctor may also give you medicines to control and prevent nausea and vomiting.
You can try home treatments:
- For nausea or vomiting, such as ginger or peppermint tea, gum, or candy.
- For feeling very tired. If you lack energy or become weak easily, try to manage your energy and get extra rest. You may feel most tired at the end of treatment or just after treatment is completed.
- For a dry mouth. Take frequent sips of water throughout the day. Sugar-free gum or sugar-free hard candy will help keep your mouth moist without promoting tooth decay. Tart liquids and foods, such as lemonade or dill pickles, may help stimulate the flow of saliva. There are also saliva substitutes that you can buy at a drug store.
- For hair loss. If you need high doses of radioactive iodine treatment, you may have some hair loss, but it is usually very mild. And you may be the only one who notices it.
Handling the stress of having cancer
Having cancer can be very stressful, and it may feel overwhelming to face the challenges in front of you. Finding new ways of coping with the symptoms of stress may improve your overall quality of life. These ideas may help:
- Get the support you need. Spend time with people who care about you, and let them help you.
- Take good care of yourself. Get plenty of rest, and eat nourishing foods.
- Talk about your feelings. Find a support group where you can share your experience.
- Stay positive. Do things each day that will help you stay calm and relaxed.
Having cancer can change your life in many ways. For support in managing these changes, see the topic Getting Support When You Have Cancer.
Although thyroid cancer is generally treated with surgery, medicines may also be needed to treat the cancer and to replace thyroid hormones.
Medicine choices
Medicines to treat thyroid cancer include:
- Radioactive iodine, which is used after surgery to destroy any remaining thyroid tissue.
- TSH suppression therapy to reduce the TSH in your body. This slows the growth of any remaining cancer cells.
- Thyroid hormone medicine to replace necessary thyroid hormones that are made by your thyroid gland. If your thyroid gland is surgically removed, you will likely need to take thyroid replacement pills for the rest of your life.
- Chemotherapy, which sometimes is used to treat thyroid cancer that has come back after surgery and to treat anaplastic thyroid cancer that does not respond to radioactive iodine.
- Targeted therapy with tyrosine kinase inhibitors (TKIs), such as sorafenib and sunitinib. Targeted therapy with TKIs is being studied in clinical trials.
After you have your thyroid surgically removed, you may have to wait several weeks before you have radioactive iodine treatment to destroy any remaining thyroid tissue. During the waiting period, you may have symptoms of hypothyroidism such as fatigue, weakness, weight gain, depression, memory problems, or constipation.
Your doctor may also put you on a low-iodine diet before treating you with radioactive iodine. If you are on a low-iodine diet, you cannot eat foods that contain a lot of iodine, such as iodized salt, seafood, and baked goods. Depleting your body of iodine may make radioactive iodine treatment more effective, because your cells become "hungry" for iodine.
After surgery, you may need to take thyroid hormone replacement pills for the rest of your life. Taking these pills rarely causes side effects if you are taking the right amount. But too much thyroid hormone can cause you to feel hot and sweaty. It can also cause weight loss, a fast heart rate, chest pain, cramps, or diarrhea. And too little thyroid hormone can cause you to feel cold and tired. It can also cause weight gain, dry skin, or dry hair.footnote 1
Most people with thyroid cancer have surgery to remove the cancer. You may have part or all of your thyroid removed.
The kind of surgery you have may depend on your age, the type of cancer you have, how much the cancer has spread, and your general health.
Surgery choices
- Thyroid lobectomy removes only one part (lobe) of the thyroid gland. This surgery is an option if your cancer is small and is only in one lobe of your thyroid gland.
- Near-total thyroidectomy removes all but a very small part of the thyroid gland. This is done in special cases with smaller tumours or if an experienced surgeon is not available.
- Total thyroidectomy removes the entire thyroid gland. This is the most common type of surgery. It provides the highest rates of cure and also makes radioactive iodine treatment and thyroid hormone therapy work better.
During surgery, lymph nodes in the neck may also be removed and tested for cancer cells (lymphadenectomy). If thyroid cancer has spread to the lymph nodes, radioactive iodine will be used to destroy the remaining cancer cells.
Most thyroid cancers grow and spread so slowly that you can delay surgery for a short time if you need to. If you choose to postpone surgery, your thyroid cancer should be watched closely by an endocrinologist.
Surgery to remove only the part of the thyroid gland that contains cancer (lobectomy) is less complicated than total thyroidectomy and less likely to lead to hypothyroidism. But thyroid cancer comes back (recurs) after lobectomy more often than it does after total thyroidectomy.
If you and your doctor decide that you need surgery, it is important to have the procedure done by a highly skilled surgeon at a hospital that has a good success rate. There are fewer problems from surgery when a person has a skilled and experienced surgeon.footnote 2
Other Treatment
Radiation treatment
Radiation treatment uses high-energy X-rays to kill cancer cells and shrink tumours. It is rarely used for thyroid cancer.
Low-iodine diet
- Foods to avoid for a low-iodine diet include milk and other dairy products, commercial baked products (including most breads), seafood, and red food dye #3. A low-iodine diet is not the same as a low-salt diet. Most salt in Canada and the United States has iodine added, so low-iodine diets avoid iodized salt, but non-iodized salt is okay to eat.
- For more information, talk to your doctor or a registered dietitian, or visit the Thyroid Cancer Survivor's Association website at www.thyca.org/rai.htm.
Complementary therapy
People sometimes use complementary therapies along with medical treatment to help relieve symptoms and side effects of cancer treatments. Some of the complementary therapies that may be helpful include:
- Acupuncture to relieve pain.
- Meditation or yoga to relieve stress.
- Massage or biofeedback to reduce pain and ease tension.
- Breathing exercises for relaxation.
These mind-body treatments may help you feel better. They can make it easier to cope with treatment. They also may reduce chronic low back pain, joint pain, headaches, and pain from treatments.
Before you try a complementary therapy, talk to your doctor about the possible value and potential side effects. Let your doctor know if you are already using any such therapies. They are not meant to take the place of standard medical treatment.
Related Information
- National Cancer Institute (2012). What You Need to Know About Thyroid Cancer. Available online: http://www.cancer.gov/cancertopics/wyntk/thyroid.
- National Comprehensive Cancer Network (2013). Thyroid carcinoma. NCCN Clinical Practice Guidelines in Oncology, version 1.2013. Available online: http://www.nccn.org/professionals/physician_gls/pdf/thyroid.pdf.
Other Works Consulted
- American Cancer Society (2013). Cancer Facts and Figures 2013. Atlanta: American Cancer Society. Available online: http://www.cancer.org/Research/CancerFactsFigures/CancerFactsFigures/cancer-facts-figures-2013.
- American Thyroid Association Guidelines Taskforce (2009). Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid, 19(11): 1167–1214. Also available online: http://thyroidguidelines.net/revised/taskforce.
- Cooper DS, et al. (2007). The thyroid gland. In DG Gardner, D Shoback, eds., Greenspan's Basic and Clinical Endocrinology, 8th ed., pp. 209–280. New York: McGraw-Hill.
- Davidge-Pitts CJ, Thompson GB (2015). Thyroid tumors. In VT DeVita Jr et al., eds., DeVita, Hellman, and Rosenberg's Cancer Principles and Practices of Oncology, 10th ed., pp. 1175–1188. Philadelphia: Walters Kluwer.
- National Cancer Institute (2013). Thyroid Cancer Treatment (PDQ)—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/thyroid/HealthProfessional.
- National Cancer Institute (2013). Thyroid Cancer Treatment (PDQ)—Patient Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/thyroid/Patient.
Current as of: September 8, 2021
Author: Healthwise Staff
Medical Review:
E. Gregory Thompson MD - Internal Medicine
Thomas M. Bailey MD - Family Medicine
Adam Husney MD - Family Medicine
Kathleen Romito MD - Family Medicine
Matthew I. Kim MD - Endocrinology
Current as of: September 8, 2021
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD - Internal Medicine & Thomas M. Bailey MD - Family Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Matthew I. Kim MD - Endocrinology
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Learn how we develop our content.
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Crucial - Memory - 16 GB : 2 x 8 GB - DIMM 240-pin - DDR3 - 1600 MHz / PC3-12800 - CL11 - 1.5 V - unbuffered - non-ECC
DDR3 240-pin DIMM -Approximately 5.25 in. by 1.18 in. (133.35 mm by 30 mm)
Crucial 240-pin DIMMs are used in DDR3 memory for desktop computers. DDR3 is the latest generation of memory with an improved architecture that allows it to transmit data more quickly.
A dual inline memory module (DIMM) consists of a number of memory components (usually black) that are attached to a printed circuit board (usually green). The gold pins on the bottom of the DIMM provide a connection between the module and a socket on a larger printed circuit board. The pins on the front and back of a DIMM are not connected to each other.
Each 240-pin DIMM provides a 64-bit data path (72-bit for ECC or registered or Fully Buffered modules). (The Ballistix? and Ballistix Tracer? high-performance memory do not come in 72-bit or registered modules.) Standard DDR3 240-pin DIMMs are currently available in PC3-8500 (DDR3 1066MHz) and PC3-10600 (DDR3 1333MHz) speeds. Additional speeds will be added as the technology becomes available.
To use DDR3 memory, your system motherboard must have 240-pin DIMM slots and a DDR3-enabled chipset. This is because a DDR3 SDRAM DIMM will not fit into a standard DDR2 DIMM socket or a DDR DIMM socket.
The number of black components on a 240-pin DIMM can vary, but it always has 120 pins on the front and 120 pins on the back, for a total of 240. 240-pin DIMMs are approximately 5.25 inches long and 1.18 inches high, though the heights can vary. While 240-pin DDR3 DIMMS, 240-pin DDR2 DIMMs, 184-pin DDR DIMMs, and 168-pin DIMMs are approximately the same size, 240-pin DIMMs and 184-pin DIMMs have only one notch within the row of pins.
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By Jim Hietala and Ian Dobson, The Open Group
In our five identity videos from the Jericho Forum, a forum of The Open Group:
- Video #1 explained the "Identity First Principles" – about people (or any entity) having a core identity and how we all operate with a number of personas.
- Video #2 "Operating with Personas" explained how we use a digital core identifier to create digital personas –as many as we like – to mirror the way we use personas in our daily lives.
- Video #3 described how "Trust and Privacy" interact to provide a trusted privacy-enhanced identity ecosystem.
- Video #4 "Entities and Entitlement" explained why identity is not just about people – we must include all entities that we want to identify in our digital world, and how "entitlement" rules control access to resources.
In this fifth video – Building a Global Identity Ecosystem – we highlight what we need to change and develop to build a viable identity ecosystem.
The Internet is global, so any identity ecosystem similarly must be capable of being adopted and implemented globally.
This means that establishing a trust ecosystem is essential to widespread adoption of an identity ecosystem. To achieve this, an identity ecosystem must demonstrate its architecture is sufficiently robust to scale to handle the many billions of entities that people all over the world will want, not only to be able to assert their identities and attributes, but also to handle the identities they will also want for all their other types of entities.
It also means that we need to develop an open implementation reference model, so that anyone in the world can develop and implement interoperable identity ecosystem identifiers, personas, and supporting services.
In addition, the trust ecosystem for asserting identities and attributes must be robust, to allow entities to make assertions that relying parties can be confident to consume and therefore use to make risk-based decisions. Agile roots of trust are vital if the identity ecosystem is to have the necessary levels of trust in entities, personas and attributes.
Key to the trust in this whole identity ecosystem is being able to immutably (enduringly and changelessly) link an entity to a digital Core Identifier, so that we can place full trust in knowing that only the person (or other type of entity) holding that Core Identifier can be the person (or other type of entity) it was created from, and no-one or thing can impersonate it. This immutable binding must be created in a form that guarantees the binding and include the interfaces necessary to connect with the digital world. It should also be easy and cost-effective for all to use.
Of course, the cryptography and standards that this identity ecosystem depends on must be fully open, peer-reviewed and accepted, and freely available, so that all governments and interested parties can assure themselves, just as they can with AES encryption today, that it's truly open and there are no barriers to implementation. The technologies needed around cryptography, one-way trusts, and zero-knowledge proofs, all exist today, and some of these are already implemented. They need to be gathered into a standard that will support the required model.
Adoption of an identity ecosystem requires a major mindset change in the thinking of relying parties – to receive, accept and use trusted identities and attributes from the identity ecosystem, rather than creating, collecting and verifying all this information for themselves. Being able to consume trusted identities and attributes will bring significant added value to relying parties, because the information will be up-to-date and from authoritative sources, all at significantly lower cost.
Now that you have followed these five Identity Key Concepts videos, we encourage you to use our Identity, Entitlement and Access (IdEA) commandments as the test to evaluate the effectiveness of all identity solutions – existing and proposed. The Open Group is also hosting an hour-long webinar that will preview all five videos and host an expert Q&A shortly afterward on Thursday, August 16.
Jim Hietala, CISSP, GSEC, is the Vice President, Security for The Open Group, where he manages all IT security and risk management programs and standards activities. He participates in the SANS Analyst/Expert program and has also published numerous articles on information security, risk management, and compliance topics in publications including The ISSA Journal, Bank Accounting & Finance, Risk Factor, SC Magazine, and others.
Ian Dobson is the director of the Security Forum and the Jericho Forum for The Open Group, coordinating and facilitating the members to achieve their goals in our challenging information security world. In the Security Forum, his focus is on supporting development of open standards and guides on security architectures and management of risk and security, while in the Jericho Forum he works with members to anticipate the requirements for the security solutions we will need in future.


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Top Flat Bed Sheet dusty pink
Beautiful top flat bed sheet with a dusty pink color, from a collection of Numero 74. Perfect for child's room.
Color: dusty pink
Fabric: 100% cotton
Measurements: 80 x 120 cm, 140 x 200 cm, 200 x 200 cm, 240 x 220 cm, 260 x 240 cm
Numero 74 products are handmade and tinted - each piece can be slightly different in size and tone - it is completely natural. All Numero 74 products are perfumed. The fragrance disappears after the first wash.
- Product Type
- Bed Sheets
At the heart of Numero74 there is a deep desire to keep childhood dreams alive by adding a bit of poetry and beauty to their daily life, and to let their imagination run free! All our collections are handmade in Thailand by the skilled artisans of a women's cooperative. In designing every single collection, we supervise the entire manufacturing chain, from the selection of the materials to the finishing of the details, working in daily relation to the female artisans to guarantee the high quality of our products. Behind the things we buy and use every day there are stories that need to be uncovered. We want you to know where the products we are offering to your children come from. Numero74 works with women's self managed cooperatives in Thailand to create unique and timeless collections and to provide a sustainable, regular and flexible employment that allows them to work in harmony. We make sure they earn a living wage and that their cultural traditions are respected, encouraged and honoured. Products are made with time and care, by loving hands for children's happiness, in a vision of mutual benefit. The production is necessarily limited and we don't want this to change. When you buy our creations, you become a precious help in preserving lives, knowledge, and traditions of talented women in Thailand.
Customers outside the EU (European Union) can take advantage of VAT-free shopping. Simply add a delivery/invoice address outside the EU during the checkout process, and the price without VAT (23%) will be displayed accurately.
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