Not all genetic counseling appointments will end with a person electing to proceed with genetic testing. Elect to proceed with testing/select appropriate testing option.Discuss different testing options available.Talk through cost, insurance coverage, and logistics.Explore genetic testing including limitations, benefits, insurance/legal implications, and possible results.Discuss cancer and the role genetics play in it.Review patient’s family history of cancer.Review patient’s personal health history.Most cancer-focused genetic counseling sessions have similar flows as follows: Genetic counseling often begins with an initial session that lasts anywhere from 45 minutes to an hour and a half. However, no matter the slight differences the ultimate goal of all genetic counseling is to help people better understand their health risk as related to hereditary factors and guide educated decisions about what is best for an individual’s healthcare. The process varies slightly depending on the setting of genetic counseling or even the medical professional providing the counseling. While genetic testing is a tool to gain information, genetic counseling is a process that helps interpret the information and place it in a personal context. It can be difficult to interpret these results and to understand what options you have to react to the information or if you need to react at all. You’ve used the tool and gotten information, but alone, that is all that genetic testing offers. Okay, well what now? What does this actually mean for your health, and what should you do about it? This is where genetic testing ends. It’s reported that you have a genetic change in a gene that likely caused your mother’s history of cancer. You get your blood drawn and three weeks later you receive a phone call with the result. Being concerned about your personal risk you elect to pursue genetic testing to see if you carry a hereditary risk for breast cancer. Your mother had a history of breast cancer diagnosed at the age of 40, but she never completed genetic testing to your knowledge. The test is typically carried out on either a blood or saliva sample, and results are back in two to six weeks. Hereditary cancer genetic testing is when a person, with or without a personal history of cancer, completes testing to determine if they carry an inherited genetic change that is putting them at an increased risk of developing cancer. This type of testing is used in the medical setting because the results are trusted to have a high level of accuracy and validity, therefore making them useful for medical management. Clinical genetic tests are performed through labs that meet standards of quality mandated by the government. When people are considering genetic testing, it is important to understand that there are different levels of tests and not all tests are of a medical or clinical grade. A genetic test may be able to help a person learn more about their ancestry, to aid in making a medical diagnosis, or it may even help to determine health issues for which a person is at an increased risk. The information gained from genetic testing depends on the type of changes the test is created to evaluate. The Centers for Disease Control and Prevention (CDC) states that “genetic testing looks for changes, sometimes called mutations or variants, in your DNA.” In more simple terms, genetic testing is a tool that looks at your genetic makeup, the hereditary information passed to you from your mom and dad, for things that are unique or different than what may typically be expected. To begin to answer this question it’s important to first define genetic testing. This makes many people question: What exactly is the difference between genetic testing and genetic counseling, and is it necessary that the two accompany each other? Genetic Testing Depending on where or why a person is pursuing genetic testing they may find themselves with a referral to undergo genetic counseling. Genetic counselors are specialized healthcare providers responsible for providing the service of genetic counseling. While genetic testing has experienced this time of rapid growth, it has been matched by a field of professionals, genetic counselors. There has also been an increase in primary care providers ordering clinical genetic testing for their patients for a wide variety of medical reasons. It has become more readily available to people everywhere through commercial companies like AncestryDNA and 23andMe. In the past decade, the information available about genetic testing has greatly increased. This content was written by Alora Terry, LGC, at Thompson Cancer Survival Center Posted on Jin Blog Genetic Testing versus Genetic Counseling: What’s the Difference? Alora Terry, Licensed Genetic Counselor Genetic Counseling versus Genetic Testing Genetic Counseling versus Genetic Testing.
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Open KOMPLETE KONTROL and navigate to Preferences > Library > User.Loading the User Ensemble in KOMPLETE KONTROL Win: C: > Users > *User Name* > My Documents > Native Instruments > User Contentģ.Mac: Macintosh HD > Users > *User Name*> Documents > Native Instruments > User Content.Paste the "Juno-60.ens" file into the KOMPLETE KONTROL User Content folder.Win: C: > Users > *User Name* > My Documents > Native Instruments > Reaktor 6 > Library > Ensembles.Mac: Macintosh HD > Users > *User Name*> Documents > Native Instruments > Reaktor 6 > Library > Ensembles.Go to your REAKTOR User Ensembles folder, and copy the "JUNO-60.ens" Ensemble file. By default, the REAKTOR User Ensemble folder is located here on your computer:.The content will then be displayed in the Browser. Once the REAKTOR Ensemble is located in the User Content folder, you can Rescan the folder in KOMPLETE KONTROL to add the Ensemble to the database. Copy the JUNO-60 Ensemble to the KOMPLETE KONTROL User Content folder. Once your User Ensemble is optimized for KOMPLETE KONTROL, you can close REAKTOR 6. Copying your REAKTOR User Ensemble to KOMPLETE KONTROL's User Content Folder Since the JUNO-60 Ensemble has only one Panel to view, this step can be skipped.Ģ. More information can be found in the chapter 'Panelsets' in REAKTOR 6' s Diving Deeper manual. Panelsets are especially useful when an Ensemble includes more than one Instrument, as they can be used to quickly cycle between different panel configurations of the Instruments. If you have more than 2 Panelsets defined for your Ensemble, KOMPLETE KONTROL will only recognize the first two. Note: If you skip this part of the procedure, KOMPLETE KONTROL will simply take the first Panelset, corresponding to the last saved state of your Ensemble. For KOMPLETE KONTROL to recognize a Default and Additional view for your Ensemble, there must be at least two Panelsets. These views are based on the Panelsets of your Ensemble. In order to make the changes permanent, choose Save from REAKTOR's File Menu.ġ.3 Define REAKTOR Panelsets for KOMPLETE KONTROL's Default and Additional Plug-in Views (optional)įor an optimal integration of your REAKTOR User Ensemble to KOMPLETE KONTROL, you can define Default and Additional Plug-in views.Then right-click any of them and select the Instrument tag. If you want to tag all the Snapshots in the Bank simultaneously, select the first Snapshot, hold Shift on your keyboard and select the last Snapshot. Repeat this procedure for all the Snapshots you wish to add to KOMPLETE KONTROL's Browser.Note: If loading a REAKTOR effect Ensemble, you can choose Effect instead of Instrument so that the Ensemble appears in the corresponding browser field in KOMPLETE KONTROL. Again, right-click on any Snapshot that you want to appear in KOMPLETE KONTROL and select NI Meta Info > Instrument.Right-click on any of the Snapshots listed and choose Show Meta Info:.Open the Snapshot menu and click on Embedded to display the banks and presets:.Once the bank name is defined (in our example JUNO-60 for KK), you need tag your Snapshots as ' Instrument'. You can also define a Sub-Bank name if you want to further categorize your ensembles in the KOMPLETE KONTROL browser.ġ.2 Tagging the REAKTOR Ensemble as 'Instrument' Scroll down to BANK PATH and name the Bank as you want it to appear in in the KOMPLETE KONTROL Browser.Click on REAKTOR's Properties tab (checkbox icon), and then the Function tab.In this example, we are using the JUNO-60 User Ensemble, which we will rename JUNO-60 for KK. Windows: C: > User > *Username* > Documents > Native Instruments > Reaktor 6 > Ensemblesįirst of all, name your ensemble as you want it to appear in the KOMPLETE KONTROL Browser.Mac: Macintosh HD > User > *Username* > Documents > Native Instruments > Reaktor 6 > Ensembles. In order to ensure that your downloaded User Ensembles are accessible via the User-tab in REAKTOR, we recommend installing them to the following location: Note: If you want to prepare your User Ensembles with REAKTOR 5 read this article. We will demonstrate this using the JUNO-60 Ensemble available from the REAKTOR User Library on our Website. The following instructions apply to both User Ensembles and Library Ensembles. This article will guide you through the required steps to add a REAKTOR 6 Ensemble to the KOMPLETE KONTROL Browser. Minimalist & Slim, Perfect fit in Front Pocket, Good Choice to replace bulky wallet. 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