Although measuring common hormones secreted by PNETs is not routinely required, it is beneficial in academic centers because apparent non-functioning PNETs can actually be functioning at a subclinical level, and the elevated hormones can be used as tumor markers.
Chinatown's economy seems to be functioning at a different exchange rate from the rest of the city.
Guillaume, though challenged, is functioning at a high level in school.
My eyesight seemed to be functioning at a much higher level of intensity than normal as it took in the smallest details of my environment.
Mr. Cunanan and his siblings say that after three months of family therapy, he is functioning at a level that took him two years to reach the last time.
"The new generation of very old people in Denmark is functioning at a much higher level," said Dr. Kaare Christensen, lead author of the new study and an epidemiologist at the University of Southern Denmark.
Speaking generally, Gerald A. Maguire, associate professor of psychiatry at the University of California, Irvine, said, "I don't really see where, if a person is functioning at a level where they can go to work and get out of bed and responding well to treatment that they wouldn't file a tax return".
The hospital provides inpatient, outpatient and surgical services, and is functioning at a reasonable level, but it needs to be cranked up in order to deal with the numbers of patients we're seeing and the kinds of injuries they're arriving with – injuries which are quite horrific and difficult to treat.
Lots of organizations have one or two areas where the design team is functioning at a high level, but an organization with a mature design practice should expect to see a coherent design culture, with practices, principles, quality standards, and tools that enable design at scale reaching throughout the organization.
