text:
Military Retiree Health Benefits:
Enrollment Low in Federal Employee Health Plans under DOD Demonstration
GAO-03-547: Published: Jun 6, 2003. Publicly Released: Jun 6, 2003.
Additional Materials:
- Highlights Page:
- Full Report:
- Accessible Text:
(202) 512-5055
Office of Public Affairs
(202) 512-4800
Prior to 2001, military retirees who turned age 65 and became eligible for Medicare lost most of their Department of Defense (DOD) health benefits. The DOD-Federal Employees Health Benefits Program (FEHBP) demonstration was one of several demonstrations established to examine alternatives for addressing retirees' lack of Medicare supplemental coverage. The demonstration was mandated by the Strom Thurmond National Defense Authorization Act for Fiscal Year 1999 (NDAA 1999), which also required GAO to evaluate the demonstration. GAO assessed enrollment in the demonstration and the premiums set by demonstration plans. To do this, GAO, in collaboration with the Office of Personnel Management (OPM) and DOD, conducted a survey of enrollees and eligible nonenrollees. GAO also examined DOD enrollment data, Medicare and OPM claims data, and OPM premiums data.
Enrollment in the DOD-FEHBP demonstration was low, peaking at 5.5 percent of eligible beneficiaries in 2001 (7,521 enrollees) and then falling to 3.2 percent in 2002, after the introduction of comprehensive health coverage for all Medicare-eligible military retirees. Enrollment was considerably greater in Puerto Rico, where it reached 30 percent in 2002. Most retirees who knew about the demonstration and did not enroll said they were satisfied with their current coverage, which had better benefits and lower costs than the coverage they could obtain from FEHBP. Some of these retirees cited, for example, not being able to continue getting prescriptions filled at military treatment facilities if they enrolled in the demonstration. For those who enrolled, the factors that encouraged them to do so included the view that FEHBP offered retirees better benefits, particularly prescription drugs, than were available from their current coverage, as well as the lack of any existing coverage. Monthly premiums charged to enrollees for individual policies in the demonstration varied widely--from $65 to $208 in 2000--with those plans that had lower premiums and were better known to eligible beneficiaries, capturing the most enrollees. In setting premiums initially, plans had little information about the health and probable cost of care for eligible beneficiaries. Demonstration enrollees proved to have lower average health care costs than either their counterparts in the civilian FEHBP or those eligible for the demonstration who did not enroll. Plans enrolled similar proportions of beneficiaries in poor health, regardless of whether they charged higher, lower, or the same premiums for the demonstration as for the civilian FEHBP. In commenting on a draft of the report, DOD concurred with the overall findings but disagreed with the description of the demonstration's impact on DOD's budget as small. As noted in the draft report, DOD's costs for the demonstration relative to its total health care budget were less than 0.1 percent of that budget. OPM declined to comment.
Oct 9, 2015
Chemicals Management:Observations on Human Health Risk Assessment and Management by Selected Foreign ProgramsGAO-16-111R: Published: Oct 9, 2015. Publicly Released: Oct 9, 2015.
Oct 1, 2015
Hospital Value-Based Purchasing:Initial Results Show Modest Effects on Medicare Payments and No Apparent Change in Quality-of-Care TrendsGAO-16-9: Published: Oct 1, 2015. Publicly Released: Oct 1, 2015.
Sep 30, 2015
Medicare:Considerations for Expansion of the Appropriate Use Criteria ProgramGAO-15-816: Published: Sep 30, 2015. Publicly Released: Sep 30, 2015.
Sep 28, 2015
Medicare Advantage:Actions Needed to Enhance CMS Oversight of Provider Network AdequacyGAO-15-710: Published: Aug 31, 2015. Publicly Released: Sep 28, 2015.
Sep 14, 2015
Medicare Part D:Changes Needed to Improve CMS's Recovery Audit Program Operations and Contractor OversightGAO-15-633: Published: Aug 14, 2015. Publicly Released: Sep 14, 2015.
Sep 10, 2015
Defense Health Care Reform:Actions Needed to Help Ensure Defense Health Agency Maintains Implementation ProgressGAO-15-759: Published: Sep 10, 2015. Publicly Released: Sep 10, 2015.
Sep 9, 2015
Private Health Insurance:The Range of Premiums and Plan Availability for Individuals in 2014 and 2015GAO-15-687: Published: Aug 10, 2015. Publicly Released: Sep 9, 2015.
Aug 10, 2015
Medicaid:Additional Reporting May Help CMS Oversee Prescription-Drug Fraud ControlsGAO-15-390: Published: Jul 8, 2015. Publicly Released: Aug 10, 2015.
Jul 30, 2015
Medicaid:Key Issues Facing the ProgramGAO-15-677: Published: Jul 30, 2015. Publicly Released: Jul 30, 2015.
Federal Autism Research:Updated Information on Funding from Fiscal Years 2008 through 2012GAO-15-583R: Published: Jun 30, 2015. Publicly Released: Jul 30, 2015.
Looking for more? Browse all our products here


text:
Paul McCartney - Page 12
Paul McCartney Rocks 'Colbert Report'
Paul McCartney dropped by 'The Colbert Report' last week for a special hour-long episode that included an extended interview with the former Beatle and performances of six classic songs.
Paul McCartney Books One-Hour 'Colbert Report' Special
The June 12 stop on Paul McCartney's 'Out There' tour will find him playing to one of the bigger audiences he's likely to face this year: Everyone watching 'The Colbert Report.'
Paul McCartney Reveals Future Archive Collection Plans
Now that Paul McCartney fans have finally had a chance to dig into the recently released deluxe reissue of 'Wings Over America,' it's time to start looking forward to the next installment in the former Beatle's ongoing Archive Collection.
Paul McCartney Visits Graceland – Pic of the Week
Paul McCartney dropped by Graceland when he was in Memphis for his Out There tour on Sunday, and the ex-Beatle left a special memento behind: a guitar pick that he placed on Elvis Presley's grave.
Paul McCartney Writes Letter of Support for Jailed Russian Punk Rocker
Paul McCartney has written an open letter of support for one of the jailed members of the Russian punk group Pussy Riot. The former Beatle sent handwritten letters to officials in charge of the woman's case.
Jimi Hendrix Asked Paul McCartney to Play Bass on Record With Miles Davis
One of the great "what-ifs" in rock history just got even greater. A newly uncovered telegram shows that Jimi Hendrix had asked Paul McCartney to play bass in a proposed recording session with legendary jazz trumpeter Miles Davis and drummer Tony Williams.
Yoko Ono Says Being a Beatle's Wife is a 'Difficult' Life
As part of Yoko Ono's UK press blitz for her efforts as curator of the 2013 Meltdown Festival in London, the 80-year-old artist/activist acknowledged the pressures inherent in her marriage to the late John Lennon, describing being married to a Beatle as "the most difficult thing to be."
Fans Lobby Paul McCartney to Buy Everton Football Club
Paul McCartney is a man of the world, but he'll always be a Liverpool boy at heart -- or at least that's what fans of the Liverpool-based Everton Football Club are hoping, anyway.
Paul McCartney Gets Bugged Onstage – Pic of the Week
Paul McCartney's Monday night (May 6) show in Goiania, Brazil was swarmed -- literally -- by thousands of uninvited, non-paying attendees, but McCartney didn't seem to mind.

subset: commoncrawl


text:
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text:
Sir David John James; Grace Lily (née Stevens), Lady James
3 of 3 portraits of Grace Lily (née Stevens), Lady James
Sir David John James; Grace Lily (née Stevens), Lady James
copied by Bassano Ltd
half-plate film negative, 1 October 1964
Purchased, 2004
Photographs Collection
NPG x176183
Click on the links below to find out more:
Sittersback to top
- Sir David John James (1887-1967), Company director, Underwriter of Lloyd's and member of Gorsedd. Sitter in 1 portrait.
- Grace Lily (née Stevens), Lady James (died 1963), Wife of Sir David John James; daughter of Ashley Stevens. Sitter in 3 portraits.
Artistback to top
- Bassano Ltd (active 1901-1962). Artist associated with 42717 portraits.
Portrait setback to top
Tell us moreback to top
Can you tell us more about this portrait? Spotted an error, something missing, or do you know anything that we don't know? If you have any information to share please complete the form below
Exhibitions and displays
- Women and the First World War
Until 25 October
- Curators' Choice: Photographs from the Terence Pepper Gift
Until 24 January 2016
Related pages


text:
Other identifiers for this part: SPEC #: LT-TBLZ02JM-TM, .
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text:
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To add items to your wishlist, simply click the "Add to Wishlist" link from any product page.
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Fine art print on bright white, fine poly-cotton blend, matte canvas using latest generation Epson archival inks. Individually trimmed and hand stretched museum wrap over 1-1/2" deep wood stretcher bars. Includes wall hanging hardware.


text:
Grapefruit, Avocado and Fennel Salad
- 1/3 cup fresh orange juice
- 1/4 cup fresh lemon juice
- 3 tablespoons olive oil
- 2 tablespoons honey
- 1 tablespoon minced shallot
- 1 teaspoon grated lemon peel
- 1 teaspoon grated orange peel
- 1 teaspoon minced peeled fresh ginger
- 1 teaspoon dry mustard
- 1 teaspoon oriental sesame oil
- 2 large pink grapefruits, peel and white pith removed
- 1 pound fennel bulbs, trimmed, cut into paper-thin slices
- 2 large avocados, halved, pitted, peeled, cut into thin slices
- 2 cups arugula
Whisk first 10 ingredients in large bowl to blend. Season with salt and pepper.
Using sharp knife, cut between membranes of grapefruits to release segments.
Spread fennel slices over large platter. Arrange grapefruit segments and avocado slices atop fennel. Drizzle dressing over salad. Arrange arugula atop salad.
Epicurious.com © Condé Nast Digital, Inc. All rights reserved.


text:
Supplementary Materials
An Interaction Between BZR1 and DELLAs Mediates Direct Signaling Crosstalk Between Brassinosteroids and Gibberellins in Arabidopsis
Qian-Feng Li, Chunming Wang, Lei Jiang, Shuo Li, Samuel S. M. Sun,* Jun-Xian He*
*To whom correspondence should be addressed. E-mail: jxhe{at}cuhk.edu.hk (J.-X.H.); ssun{at}cuhk.edu.hk (S.S.M.S.)
This PDF file includes:
- Fig. S1. BES1 interacts with RGA in a yeast two-hybrid assay.
- Fig. S2. The LHR1 domain of RGA and the BIN2 phosphorylation domain of BZR1 mediate the interaction of RGA and BZR1.
- Fig. S3. BiFC analysis reveals a BES1 and RGA interaction in planta.
- Fig. S4. The gai mutant (with the GAIΔ17 mutation) partially suppresses root elongation of bzr1-1D.
- Fig. S5. RGA and GAI overexpression fails to alter the sensitivity of bzr1-1D to BRZ.
- Fig. S6. The gai mutation enhances the dwarf phenotypes of bri1-5 in a root elongation assay.
- Fig. S7. The RGA and GAI loss-of-function double mutant (rga-24 gai-t6) has increased sensitivity to BL but reduced sensitivity to BRZ.
- Fig. S8. The double mutant rga-24 gai-t6 has reduced sensitivity to BRZ in a hypocotyl elongation assay.
- Fig. S9. bzr1-1D reduces and bri1-5 enhances sensitivity to the GA inhibitor PAC.
- Fig. S10. bzr1-1D reduces and bri1-5 enhances sensitivity to PAC in a hypocotyl elongation assay.
- Fig. S11. DELLAs and BZR1 and BES1 have limited effects on each other's gene expression.
- Fig. S12. Quantitative analysis of the effect of GA or inhibition of GA biosynthesis or of BIN2 or PP2A activity on BZR1 abundance and hosphorylation status.
- Fig. S13. DELLAs inhibit growth of BZR1-overexpressing plants.
- Fig. S14. RGA and BIN2 do not interact.
- Fig. S15. RGA does not compete with PP2A for phosphorylated BZR1.
- Fig. S16. Inhibition of GA signaling stimulates the expression of PP2AB'α and PP2AB'β.
- Fig. S17. GA signaling inhibits SCL3 expression.
- Fig. S18. Some BZR1 target genes and RGAΔ17 responsive genes are common.
- Table S1. Primers used for plasmid construction in yeast two-hybrid assays.
- Table S2. Primers used for RT-PCR and qRT-PCR analyses.
- Table S3. Primers used for plasmid construction in other experiments.
Technical Details
Format: Adobe Acrobat PDF
Size: 2.21 MB
Citation: Q.-F. Li, C. Wang, L. Jiang, S. Li, S. S. M. Sun, J.-X. He, An Interaction Between BZR1 and DELLAs Mediates Direct Signaling Crosstalk Between Brassinosteroids and Gibberellins in Arabidopsis. Sci. Signal. 5, ra72 (2012).


text: From what you describe your enlarger is out of alignment. I am not familiar with your particular brand and model of enlarger but most every enlarger needs to be aligned at one time or the other. The process involves aligning the easel/baseboard with the enlarging lens and with the negative stage (front to back and side to side). There are devices mfg and sold that enable one to determine the adjustments needed. However, one can use a level among other homemade devices to accomplish this as well. From what you indicate the lens/negative stage are tilted sideways in orientation to the baseboard/easel. There may be other adjustments required as well but the side tilt seems to be your primary noticeable problem. Good luck.


text: I was looking for a couple of guys a cheap, clean and funny place to stay for a weekend in Amsterdam. Our stay at St. Christopher's Inns was perfect! The Hotel has an excellent location. 10 min from the central Station by feed. Directly located in the most popular city part in the place. The rooms are cosy and have... More


text:
Compact Optical System for Detection of Cracks in Composite Materials
Award Information
Small Business Information
2572 White Road, Irvine, CA, 92614
Principal Investigator:
Vladimir Markov
Director of Applied Optic
(949) 553-0688
Director of Applied Optic
(949) 553-0688
Business Contact:
Cecil Hess
(949) 553-0688
(949) 553-0688
Research Institution:
AbstractWe propose to develop an enhanced digital defect detection system based on laser vibrometry. This system is capable of detecting the defects in composite materials as specified in the solicitation. The instrument will detect and analyze cracks,delaminations and types of flaws critical for composite materials in real-time. The instrument will instantly produce a velocity surface map by measuring the surface displacement at multiple locations. This will produce a map of the oscillation amplitudes,frequencies, and modal patterns from which the strain due to vibratory excitation can be calculated. A robust hand-held tool, insensitive to external mechanical impacts and harsh vibratory conditions, will be produced, including algorithms for dataprocessing. During Phase I, we will develop a model of the proposed single-shot whole-field laser vibrometer, complete a full instrument performance analysis, and demonstrate proof-of-principle experiments of the proposed technology to detect defects incomposite materials. The prototype system will be engineered and built during the Phase II effort. The proposed technique will benefit the military and commercial aircraft industries by enabling real-time inspection of several critical elements incomposite materials. Owing to fast operation and large area coverage, the proposed device will significantly reduce the financial resources required for inspection. It will also offer the possibility of automatic/robotic inspection of the frame structuresmade with composite material by identifying imminent failures. Beyond the aerospace and automotive industry, the device will be useful for many other applications, including the inspection of civil infrastructures such as roads and bridges, and for noisesource analysis in the automobile industry. Other areas include landmine detection and civil engineering applications for visualizing the effects of shock waves (earthquakes, bombs, etc.) on large-scale structures after a shock wave impact. The method canbe used in any application where it is necessary to record,
* information listed above is at the time of submission.
An Official Website of the United States Government


text:
Welcome to the Salisbury University Alumni Association Online Community. Please be sure to register as a member so that you can connect with classmates and friends, receive information about events in your area and updates about your alma mater! Each registered member can create a personal profile page with pictures, blogs and contact information.
Be sure to let us know about your recent marriage or the birth of a new baby. We will publish the announcement in our next alumni Magazine, as well as online. Enjoy!
Lee Ward '79, M'83
10/1/2015Jacqueline Malloy (Durant) '10
10/1/2015Kristen Smith (Bednarcik) '99
10/1/2015Andrew Kubala '07
10/9/2015Maroon & Gold Homecoming Golf Outing
10/9/2015 » 10/10/2015Hard Hat Tours - Guerrieri Academic Commons
10/9/2015Hall of Fame Banquet - 2015
10/10/2015Biology Meet & Greet
10/10/2015Class of '95 & '00 Alumni Get-Together


text:
Blog Posts in Category: student program
January 29, 2014
Ever wonder what kind of resources are available on campus for educating students about nutrition? There is a great program that is facilitated by health services that does just that. SPIN, Students Promoting Information About Nutrition consists of students and nutrition educators at health services that provides nutrition education to enhance the well-being of UNH students. SPIN members talk about all types of nutrition, for example how to navigate the grocery store and healthy post and pre... Read More
Recent Posts
3 Reasons Why a Group Fitness Class Should be a Part of Your Daily Routine Are you unsure about... Read more
October 8th is National Depression Screening Day 2015 marks the 25th anniversary of this important... Read more
All of us are Affected by Mental Illness in One Form or Another It doesn't get nearly as much... Read more


text:
La-La Land to release 15-disc original series score set
View Single Post
December 28 2012, 06:05 AM
Mr. Spook
Rear Admiral
Location: ssosmcin
Re: La-La Land to release 15-disc original series score set
Dalen Quaice wrote:
While I'm there, I will probably get rid of some of the tape hiss on some of the tracks which also should have been fixed IMHO.
There are a few schools of thought on that. I'm not bothered by much tape hiss om the early scores (maybe it's not getting past my tinnitus). Some think they should have minimized but, but others feel it would have robbed the music of some detail. I'd rather have everything as it is, but if you can remove it yourself, cool.
"Tranya is people!"
Mr. Spook
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text:
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Error in Shopping Cart project I tried running the shopping cart project given in the below link: http://www.roseindia.net/shoppingcart... when I submit "http://localhost:8080/cart" I received the following error
online shopping project
online shopping project can you plz send the source code of online shopping application developed with the help of struts 1.2, hibernate and sql , jsp
Please visit the following link:
Struts Shopping Cart
Open Source Download
Open Source Download
Downloads - UNIX & Open Source
A modification of the free/open source GNU Image Manipulation Program (GIMP), intended..., etc. remain available.
The official AWeb Open Source
Open Source Software
. Open Source software tends to lack the complete and accessible documentation...Open Source Software
Open Source Software
Open source doesn't just mean access to the source code
Online Shopping Cart Solutions
Professional Shopping Cart Developers Can Bring Yield Great Profits
There are different shopping cart solutions available to suite different online stores. What is important is that one must look for custom shopping cart solutions
Open Source GPS
Open Source GPS
Source GPSToolKit
The goal of the GPSTk project is to provide a world class, open source computing suite to the satellite....
Open Source GPS Software
Working with GPS
Shopping Cart Application installation manual missing
Shopping Cart Application installation manual missing Hi,
I downloaded this Shopping cart zip folder from http://www.roseindia.net/struts/struts/struts2.2.1/shoppingcart/index.html but there's no installation manual inside
Open Source Jobs
Open Source Jobs
Open Source Professionals
Search firm specializing in the placement of Linux / Open Source professionals, providing both... / Open Source landscape and employment marketplace make us your most efficient
Open Source VoIP
not be exactly how you wanted it).
Open Source E-Book Reader...Open Source VoIP/TelePhony
Open source VoIP/Telephony
One of the first open source VoIP projects -and one of the earliest VoIP PBXes
Open Source Windows
Open Source Windows
Gnucleus was the beginning of a few open-source Gnutella related... open-source office software suite for word processing,
Open Source Books
Open Source Books
Open Books
O'Reilly has published a number... books.
Open Source Revolution
Linux creator Linus... for the Open Source community in the story of Pauling's foundational work that made
Open Source Business,What is OSS,Advantage of Open Source in Business
Open Source for Business
Earlier it was uncommon to use the open source... and it was awful to learn all the commands of different open source software... the time has been changed and now business enterprises are using open source
add to cart
add to cart sir,
i want to do add to cart to my shopping application each user using sessions.
Plz help thnaks in advance
Open Source Application Server
Open Source Application Server
New Open-Source Application Server
A new open source application server is available for download from WSO2 Inc., a little known but highly regarded Sri Lankan firm of open source developers
facecart is unique open source shopping
solution that provides unmatched speed and agility... and application server shopping
cart. face Cart is complete AJAX java 5 EE e-commerce
Shopping Cart Products
Know To Sell The Right Products On E-Commerce Shopping Cart
E-commerce... differently can you present them with your e-commerce shopping cart? What kind of offers... as this is the fastest way of shopping and shipping products to customers. Many online
Open or Open Source Software
Open or Open Source Software what is mean by open or open source... or open source software means any technology or a software that are freely available... source operating system where as PHP is a open source scripting language
Open Source Business Model
Open Source as a Business Approach...Open Source Business Model
What is the open source business
It is often confusing to people to learn that an open source company may give its
Why Open Source?
Why Choose Open Source?
Open source refers to a production and development system... behind the concept of open source software is that it enables rapid evolution
please give me an example about shopping cart using spring and hibernate
please give me an example about shopping cart using spring and hibernate who can give me an ex about shoppingcart using spring and hibernate intergration ?
thanks alot
Open Source Wiki
to find out about all the different open-source projects, including documentation...Open Source Wiki
Open Source Wiki Roundup
The purpose of this article... that choice if the need arises.
The open source wiki behind
Open Source Database
Open Source Database
Open Source... Source Java Database
One$DB is an Open Source version of Daffodil... editions.
Open-Source Database
Open Source E-mail
Open Source E-mail Server
MailWasher Server Open Source... code for complete control.
POPFile: Open Source E-Mail... this.
The origins of POPFile are not really all that mysterious. It is an open source e
Open Source CMS
Open Source CMS
Open Source Content... and developers of Open Source Content Management solutions. OSCOM organizes... of Open Source Content Management. OSCOM promotes Open Source Content Management
Open Source Reports
Open Source Reports
ReportLab Open Source
ReportLab, since its early beginnings, has been a strong supporter of open-source. In the past we have found the feedback and input from our open-source community an invaluable aid
Open Source Frameworks
for the numerous Open Source documentation projects that exist. The OMF offers a number...Open Source Frameworks
Source Web Frameworks in Java...;
Building enterprise with open source frameworks
Any software developer worth
Open Source Exchange
+Sphynx interface.
Open Source E...Open Source Exchange
Exchange targeted by open-source group
A new open-source effort dubbed
Online Open Source Billing System Software
ASTPP is another open source VOIP billing and calling card application...Online Open Source Billing System Software
 ... about the
Online Open Source Billing Software System. Articles discussed here
Open Source MP3 Player
Open Source MP3 Player
Neuros to open source MP3 player blueprints... to the open source community and has pledged to open up the device's hardware... for some time.
NA's willingness to work with the open source world
Open Source E-mail Server
Open Source E-mail Server
MailWasher Server Open Source... code for complete control.
POPFile: Open Source E-Mail... this.
The origins of POPFile are not really all that mysterious. It is an open source e
Open Source SQL
Open Source SQL
Open Source SQL Clients in Java
SQuirreL SQL Client.... The minimum version of Java supported is 1.3.
iSQL-Viewer is an open-source JDBC 2.x... out common database tasks.
Open Source: Data from MS SQL
Open Source Hardware
Open Source Hardware
What is open source hardware
Open-ness in hardware terms can have a whole range...;
Open source Hardware
Open source hardware is computer
why the php is open source?
why the php is open source? why the php is open source
online shopping project report with source code in java
online shopping project report with source code in java Dear Sir/Mam,
i want to a project in java with source code and report project name online shopping.
thank you
online shopping
online shopping Hai sir/madam,
i'm working on online shopping project.requirements is oracle10g,servlets/jsp...
what... to save.industry which one prefers storing or saving.explain and give the source code
Open-source software
Open-source software Hi,
What is Open-source software? Tell me the most popular open source software name?
Open-source software is also know as OSS. Open-source software are those software that comes
Open Source POS
providers such as credit card processors.
Open Source Linux...Open Source POS
Open-source POS system
This past weekend People's... out items on the world's first entirely free, open-source point-of-sale system
open source project
open source project i am a b.tec 3rd year ,i want to work in some open source java project, please suggest me
ASTPP is another open source VOIP billing and calling card application for Asterisk.
Provide call... provides:
Card balances.
Ability to configure routes.
Ability to configure
Open Source content Management System
Open Source content Management System
The Open Source Content Management System
OpenCms is a professional level Open Source Website Content... existing modern IT infrastructure. OpenCms runs in a "full open source" environment
where do I find the fix for tree view catalog not expanding and collapsing correctly for roseindia shopping cart 1.1
correctly for roseindia shopping cart 1.1 where do I find the fix for tree view catalog not expanding and collapsing correctly for roseindia shopping cart 1.1
i need project for shopping cart in struts 1 with the oracle database and give clear explanation for how to execute it in my eclipse
i need project for shopping cart in struts 1 with the oracle database and give clear explanation for how to execute it in my eclipse i need a project for shopping cart in struts1 with the oracle database and give clear
open source - Java Beginners
open source hi! what is open source? i heard that SUN has released open source .what is re requisite to understand that open source. i know core concepts only Hi friend,
Open source is an approach to design
Maximize Sales By Setting up Your Shopping Cart
Maximize Sales By Setting up Your Shopping Cart
Setting up a shopping cart... of the tools available in a wise manner. The shopping cart solution comes in varied... to and even works along with other features of the shopping cart solution
source code - JSP-Servlet
source code I want source code for Online shopping Cart.
Application Overview
The objective of the Shopping Cart is to provide an abstract view... functional application.
System Scope
Shopping Cart is a web application intended
Joomla Shopping Cart Package
Joomla Shopping Cart Package
We offer one of the best packages in IT world in this section. Our shopping cart package include all essential components required
for our customer's e-commerce shopping website. It is clubbed
Open Source web mail
secure e-mail systems, from the protocols involved to the open source software.... The open source version of the E-Marketing Manager can be used to compile, implement...Open Source web mail
Web Mail Project
Open WebMail
open source help desk
Open Source Help Desk
Open Source Help Desk Software
As my help desk... of the major open source help desk software offerings. I?m not doing...?s out there.
The OneOrZero Open Source Task Management
Download and Build from Source
Download and Build from Source
Shopping cart...
Shopping Cart Features
Database Design
Creating Data Access Object... Of An Application
Download Source Code
online shopping project
online shopping project sir,
plz can u send me the coding of simple application of online shopping cart project using jsp and servlets which should be run in netbeans without any errors
What to Find in E-Commerce Shopping Cart Software ?
What to Find in E-Commerce Shopping Cart Software
The e-commerce shopping... more user-friendly, you have to select the right e-commerce shopping cart... and family members.
Before running it live, test your e-commerce shopping cart
online shopping - Java Beginners
online shopping Respected Sir,
Sir please help me
how to handle online shooping and shopping cart by click on image by
only using jsp
Open Source Accounting
Open Source Accounting
Turbocase open source Accounting software
TurboCASH .7 is an open source accounting package that is free for everyone... of the world's first fully-featured open source accounts packages for small
Open Source HTML
Open Source HTML
HTML Tidy Library Project
A quorum...;
Open Source HTML Parsers in Java
NekoHTML is a simple HTML... element tags.
Open Source Search Engines
Open Source DRM
Open Source DRM
SideSpace releases open source DRM solution
SideSpace Solutions released Media-S, an open-source DRM solution. Media-S is format-independent, though the first release only supports the Ogg Vorbis open-source audio
Open Source Directory
Open Source Directory
Open Source Java Directory
The Open Source Java...;
Open Source Directory Services
Apple's Open Directory... with open source directory
Red Hat Directory Server began life as the Netscape
Open Source Workflow Engines in Java
Open Source Workflow Engines in Java
The Open For Business Project: Workflow... upon restart.
Open Source Graphical XPDL Java Workflow Editor
Enhydra JaWE (Java Workflow Editor) is the first open source graphical Java workflow process
PHP Developer India
e-commerce, shopping cart, data protection system, rich
internet..., osCommerce and e-commerce solutions, custom
php programming, php shopping cart...PHP Developer India
PHP is a very powerful open source server-side scripting
iPhone Application Development
-business, e-commerce, shopping cart,
data protection system, rich internet... and e-commerce solutions,
custom php programming, php shopping cart software...PHP Developer India
PHP is a very powerful open source server-side scripting
Java open source software
Open source software for Java
In this page we will tell list down the most used Open source in Java. Java
is one of the programming language used... to run the enterprise grade
There are many open source software
Open Source Midi
Open Source Midi
Source Midi Proprietary software
Being the best... share. As proponents of open source software, it should not be beneath us.... And by following the right examples, we can help spread the usage of open source software
why php is open source - PHP
why php is open source i know it's silly question but i would like to know why php is open source
Add to cart in jsp - Java Beginners
Add to cart in jsp hye everyone.I would like to ask is it there is any source code in jsp for user to add to cart more than 1 item and I kinda want to know the explanation about it.thanks in advanced hye roseindia
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All Items : 20th Century : Space Age : Vintage Clothing : Pre 1990 item #980792 (stock #safn-9715)
Adorable puffy soft leather purse with a metallic pewter bronze color. Long shoulder strap, fabric lining, and spring closure. Measures 6" tall and is 9" long. No makers name but made nicely. Excellent condition.
All Items : Ethnic : African American : Pre 1980 item #263140 (stock #safn-321)
This is an awesome handpainted piece of pottery. It measures 7 1/4" diameter,and is signed on the back by the artist. I have included a photo of the signature though I cannot make it out. It is Australian, I believe. It depicts the profile of a warriers face, spears, and distant trees which appears to be the outback.There is crazing in the glaze. No damages, chips, or cracks. Such a wonderful item! Not sure of the age. I have personally had it 15+ years, and aquired it at a tag sale.
All Items : Lamps and Lighting : Pre 1960 item #616928 (stock #safn-9305)
Small dark amber kerosene lamp in the hobnail pattern with hand blown amber globe, and original wick. Mint condition and has never been lit. Measures 8 1/2" tall. Made in Hong Kong. Not a good photo, it is a very nice lamp.
Vintage Wool Latch Hook Rug Chair Cushion. It measures approx 14 1/2 x 15 inches. The background colors are beige & cream, with peach border. I have 5 of these in case you need more than one. Price is per pad.
All Items : Breweriana : Steins : Pre 1990 item #959896 (stock #safn-9427)
This is a very nice Avon stein with decorations of the conquest of space.Pewter hinged lid has a ceramic astronaut on the top. The bottom is marked 'Conquest of Space Stein -- Handcrafted in Brazil exclusively for Avon Products, Inc' It is dated 1991 and numbered. It is in excellent condition with no chips or cracks, and has been removed from the box just to briefly look at. Measures 10" tall.
This nice vase has the most rich purple coloring. Made in Italy foil sticker. Measures a generous 14 1/4" tall. Has a very interesting flared top. Perfect condition!! Photo does not show the rich amethyst coloring well.
Nice costume pin. Goldtone with blue and white enamel decoration. Buckle style. Marked Capri. Has a nice tight pinback with saftey closure. Measures 1 1/4" x 2 1/8". Good condition.
All Items : 20th Century : Space Age : Vintage Clothing : Pre 1990 item #941561 (stock #safn-9382)
Awesome for any upcoming holiday party. Dressy and sexy silver pumps with 2" heels. These have clear acrylic tops and are embellished with a series of clear swarovski clear rhinestones shaping to a heart. City Girl brand and has never been worn. Size 9M. Look just like the vintage ones but these are new.
All Items : 20th Century : Space Age : Vintage Clothing : Pre 1990 item #679279 (stock #safn-41)
Cute little black evening clutch purse. Has a nice length double strap tucked inside or can be used as a clutch. Tiny little bow embellishment on the top. Snap closure. Newer, but looks vintage.Never been used!
All Items : 20th Century : Space Age : Vintage Clothing : Pre 1990 item #978863 (stock #safn-9687)
A great designer purse by Christy. Noteable for her great pet fashion bags. This purse features an interior top flap with magnetic snap, zippered interior pocket and cell phone holder. The fabric is a very durable yet soft canvas twill, and the liner is made of green and white tartan plaid. This tote measures 10 x 14 x 5 deep plus the nice leather handles. Brown pug decoration with flowers on both sides. Only one side is embellished with beading and sequins...
All Items : 20th Century : Space Age : Vintage Clothing : Pre 1990 item #978525 (stock #safn-9685)
A sweet little black nylon purse with all over floral embroidery by Frankie & Johnnie. Black on black. Black fabric lining with zippered side pocket and inside snap closure. Gently used, if used at all. Excellent condition. Body of purse measures 9" wide and is 7" tall. four little silver ball feet (to save wear & tear) on the bottom.
All Items : Dinnerware : Pre 1990 item #361478 (stock #safn-1039)
These are the nice big dinner plates measuring about 10". The are of the Gibson roseland pattern. hand painted, but dishwasher and microwave safe. They are very similar to Franciscan desert rose. I have 12 of these plates in stock and all are in great condition with no damages or repairs. Price is for each.
All Items : Dinnerware : Pre 1990 item #361473 (stock #safn-1037)
These are the 7 3/4" salad/ dessert/or luncheon plates. They match Gibson Roseland pattern. They are handpainted and similar to the Franciscan desert rose pattern dishes. These are dishwasher and microwave safe. I have 4 available. All are in perfect condition with no damages. Price is for each plate. Ask if looking for other pieces in this pattern.
Pretty, simple, yet elegant little silver flower pin. Appears to be a daisy. Signed Giovanni. Nice tight pin back with a safety closure. Measures almost 2" in diameter.
All Items : 20th Century : Space Age : Vintage Clothing : Pre 1990 item #979609 (stock #safn-9710)
Cute and simple handbag made of real leather with a pretty green alligator texture. Matching silk lining. No pockets or zippers. Measures 6 1/2" tall x 9" wide and 3" on sides. Nice stitching and handles.Made by Express. Perfect condition, nice and clean. Tag says EXPRESS "Genuine Leather" Pretty spring color.
All Items : 20th Century : Space Age : Vintage Clothing : Pre 1990 item #978906 (stock #safn-9692)
Take a look at this great XOXO tote purse with heart shape handle. Made of lightweight woven material and has lots of white and pink leather trim which makes this a wonderful tote for the spring and summer. Magnet closures in the handles keep it closed and tidy. Nylon liner has a great print design of X's & O's with heart prints in pink, mauve, red and white. Inside zipper pocket and is quite roomy inside. Sewn leather label inside...
All Items : Theatre and Movies : Pre 1990 item #440797 (stock #safn-2922)
This pin back button is a hologram type made for the release of the movie Independence day/ Has a picture of the Earth and states "Earth take a look. It may be your last. Measures 2 x 3. On the back it notes Limited edition collector pin 1996 Twentieth Century Fox. Excellent condition.
This lovely Swoboda pin has a carved jade fish as the central design. I believe it is a coy or a beta. Swobota is a California jewelry manufactured from the 50s. They were known for their use of semi precious stones and fine gold plated cast settings. It was the "jewelry of the stars". Gold plated setting with 3 cultured pearls. Measures only 1 3/4" long. Marked Swoboda. Nice tight pin back with safety catch An unusually lovely pin.Email for more photos.


text:
Back by Popular Demand
Acclaimed German vocal ensemble returns for a residency that includes master classes with a cappella groups, a performance of a student composition (listen here) and more.
'Pastrami on Rye' by Ted Merwin serves up the cultural history of the Jewish deli.
Mark Ruffalo gives advice to Dickinson students on acting, environmental activism, challenging yourself ... and which Avengers character could run for president.
Week 2 of National Cyber Security Awareness Month is all about being smart with your passwords.
For dance and anthropology double major Anastasia Putri '16, Dickinson is an "idea lab."
Performance—music, theatre, comedy—lies at the heart of history major Dalton Maltz '16's experience at Dickinson.
A joint show at Goodyear Gallery taps a 10-year artistic partnership and explores abstraction, structure, artistic freedom and masculinity.


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The Law Office of Wyckoff Nissenbaum concentrates on Divorce and Family Law matters. For additionall information please go to www.somervillelawoffice.com.
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I have been fighting for the rights of those accused of crimes for the past fifteen years. I graduated from Northeastern University School of Law in 1997, and went to work in the Staff Attorney's Office at the United States Court of Appeals for t...
Practice areas & skills: Criminal Defense
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Track record of results for clients involved in complex business disputes.
Practice areas & skills: International Law, Arbitration, Litigation
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Licensed since 1980
Review: "I own a few Real Estate brokerage offices as well as a Residential Property Management company in the Boston area. Over the past 8 years, in addition to using Brian as lead council for my defense, he has also advised me on many other cases and bu..."
Practice areas & skills: Personal Injury, Car Accidents, Medical Malpractice, Wrongful Death, Slip and Fall Accident
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Review: "I have worked on a number of matters with Don Frederico. He has always impressed as a person of great aptitude and integrity."
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Practice areas & skills: Chapter 7 Bankruptcy, Bankruptcy & Debt, Probate, Estate Planning, Chapter 13 Bankruptcy
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Doris is a leading Collaborative Family Law practitioner in Massachusetts
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Licensed since 2002
Swartz Law, LLC concentrates on claims arising in the workplace and at colleges and universities. Attorney Tara M. Swartz has handled such claims for over a decade. She represents employees, small businesses, and students in all phases of litigati...
Practice areas & skills: Employment & Labor, Education
5.0 stars 21 reviews
Boston Magazine "Super Lawyer," U.S. News & World Report "2015 Best Lawyers in America," AV-Rated.


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Police win Battle of Badges blood drive in Ceres
The crest for the Ceres Battle of the Badges blood drive held Monday was made with a crossed ax and baton – certainly two ways of drawing blood. But fortunately for the 57 donors at the Ceres Community Center, phlebotomists used a hypodermic needle. (more…)


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Science Professor says that while much attention has recently been paid to issues new investigators face, mid-career scientists need mentors and advice as much as their junior colleagues do.
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In PNAS this week: adzuki bean genome, spontaneous mutation patterns in E. coli, and more.
An op-ed in the New York Times discusses banking of fecal samples to restore the gut microbiome.
Rules and regulations governing genetic modifications of human embryos vary from country to country, Nature News says, but such work may take place despite restrictions.
Ancestry.com is eyeing an expansion into genomic risk assessments, the Verge reports.
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- Aakash Goel
Aakash GoelAakash Goel is a Vice President with BVP India in Bangalore. He has ~ 10 years of experience across investing, consulting and entrepreneurship. He...
- Primary Office Bangalore
- Anant Vidur Puri
Anant Vidur PuriAnant Vidur Puri, based in BVP India's Bangalore office, joined the team as an investment professional in 2014. Anant focuses on opportunities in...
- Primary Office Bangalore
- Karan Pahwa
Karan PahwaKaran Pahwa, India counsel, joined the firm in 2011 and is based in the Bangalore office. He manages the firm's legal activities related to India and...
- Primary Office Bangalore
- Raghav Bahl
Raghav BahlRaghav Bahl, a Vice President with BVP India in Bangalore, joined the firm in 2011. He focuses on investments in technology and consumer businesses...
- Primary Office Bangalore
- Vishal Gupta
Vishal GuptaVishal Gupta, is the Managing Director at Bessemer Venture Partners in Bangalore. Vishal joined BVP India in 2006 and focuses on investments in...
- Primary Office Bangalore


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Are you Demetrius E M Litwin?Claim your profile
Publications (58)174.99 Total impact
Article: Timing and Choice of Intervention Influences Outcome in Acute Cholecystitis: A Prospective Study.[Show abstract] [Hide abstract]
ABSTRACT: Purpose: Determine which management strategy is ideal for patients with acute cholecystitis. Materials and methods: Prospective enrollment between August 2009 and March 2011. Large academic center. Patients with acute cholecystitis. Laparoscopic cholecystectomy, intravenous antibiotics followed by laparoscopic cholecystectomy or percutaneous cholecystostomy. Primary endpoints were postoperative complications and 30-day mortality. Results: A total of 162 patients were enrolled, 53 (33%) with simple acute cholecystitis and 109 (67%) with complex acute cholecystitis. Of the 109 patients with complex cholecystitis, 77 (70.6%) underwent successful laparoscopic cholecystectomy during the same hospital admission and 6 patients (5.5%) had an unsuccessful laparoscopic cholecystectomy requiring conversion to cholecystostomy. Radiology performed cholecystostomy in 19 (11.7%) patients with complex acute cholecystitis and 4 (2.5%) patients with simple acute cholecystitis for a total 23 patients of the 162 patients in the study. Nine of the 23 patients had dislodged tubes (39.1%). Two of the 23 patients (8.7%) had significant bile leaks resulting in either sepsis or emergency surgery. One patient (4.3%) had a wound infection. Overall, patients with complex acute cholecystitis had a higher morbidity rate (31.2%) compared with patients with simple acute cholecystitis (26.4%). Conclusions and relevance: A high complication rate seen with radiology placed percutaneous cholecystostomy tubes prompted our center to reevaluate the treatment algorithm used to treat patients with complex acute cholecystitis. Although laparoscopic cholecystectomy is considered to be the gold standard in the treatment of acute cholecystitis, if laparoscopic cholecystectomy is not felt to be safe due to gallbladder wall thickening or symptoms of >72 hours' duration, we now encourage the use of intravenous antibiotics to "cool" patients down followed by interval laparoscopic cholecystectomy approximately 6 to 8 weeks later. Patients who do not respond to antibiotics should undergo attempted laparoscopic cholecystectomy and if unable to be performed safely, a laparoscopic cholecystostomy tube can be placed under direct visualization for decompression followed by interval laparoscopic cholecystectomy at a later date.Surgical laparoscopy, endoscopy & percutaneous techniques 09/2014; 24(5). DOI:10.1097/SLE.0000000000000075 · 1.14 Impact Factor
Article: Use of Cholecystostomy Tubes in the Management of Patients with Primary Diagnosis of Acute Cholecystitis[Show abstract] [Hide abstract]
ABSTRACT: Management of patients with severe acute cholecystitis (AC) remains controversial. In settings where laparoscopic cholecystectomy (LC) can be technically challenging or medical risks are exceedingly high, surgeons can choose between different options, including LC conversion to open cholecystectomy or surgical cholecystostomy tube (CCT) placement, or initial percutaneous CCT. We reviewed our experience treating complicated AC with CCT at a tertiary-care academic medical center. All adult patients (n = 185) admitted with a primary diagnosis of AC and who received CCT from 2002 to 2010 were identified retrospectively through billing and diagnosis codes. Mean patient age was 71 years and 80% had ≥1 comorbidity (mean 2.6). Seventy-eight percent of CCTs were percutaneous CCT placement and 22% were surgical CCT placement. Median length of stay from CCT insertion to discharge was 4 days. The majority (57%) of patients eventually underwent cholecystectomy performed by 20 different surgeons in a median of 63 days post-CCT (range 3 to 1,055 days); of these, 86% underwent LC and 13% underwent open conversion or open cholecystectomy. In the radiology and surgical group, 50% and 80% underwent subsequent cholecystectomy, respectively, at a median of 63 and 60 days post-CCT. Whether surgical or percutaneous CCT placement, approximately the same proportion of patients (85% to 86%) underwent LC as definitive treatment. This 9-year experience shows that use of CCT in complicated AC can be a desirable alternative to open cholecystectomy that allows most patients to subsequently undergo LC. Additional studies are underway to determine the differences in cost, training paradigms, and quality of life in this increasingly high-risk surgical population.Journal of the American College of Surgeons 12/2011; 214(2):196-201. DOI:10.1016/j.jamcollsurg.2011.11.005 · 5.12 Impact Factor
Article: Single-incision laparoscopic cholecystectomy using a modified dome-down approach with conventional laparoscopic instruments[Show abstract] [Hide abstract]
ABSTRACT: Single-incision laparoscopic cholecystectomy (SILC) may increase the risk of bile duct injury due to compromised operative exposure. Dome-down laparoscopic cholecystectomy provides the ability to evaluate the cystic duct circumferentially prior to its division, thus minimizing the risks of bile duct injury. This study assesses the feasibility and safety of SILC using a modified dome-down approach with all conventional laparoscopic instruments. Three low-profile 5-mm trocars are placed via a single transumbilical incision. The two working trocars are aimed laterally via the rectus to achieve adequate triangulation. An extralong 5-mm 30º laparoscope with an L-shaped light-cord adaptor is used to yield more external working space. Cephalic liver retraction is achieved with one transabdominal suture through the gallbladder fundus. Leaving the gallbladder fundus attached to the liver bed, a window is first created between the gallbladder body and the liver. The dissection is then carried down retrograde toward the porta hepatis. A 360º view of the gallbladder-cystic duct junction is achieved prior to transecting the cystic duct. The gallbladder is then freed by separation of the fundal attachments. The specimen is retrieved by enlarging the fascial incision. All fascial defects are then primarily closed. Sixteen patients (mean age 31 years, mean BMI 26.3 kg/m(2)) were enrolled in this study. Thirteen had elective surgery for symptomatic cholelithiasis, and three had emergency surgery for acute cholecystitis. Mean operating time was 80.3 min, and blood loss was minimal. All patients were discharged within 24 h without complications. Follow-up at 1 month revealed a barely visible scar within the umbilicus. SILC using a modified dome-down approach is technically feasible with all straight instruments, and it is safe because of good delineation of ductal anatomy. Adoption of this approach may minimize the risk of bile duct injury during early experience of SILC.Surgical Endoscopy 11/2011; 26(4):1153-9. DOI:10.1007/s00464-011-1985-6 · 3.26 Impact Factor
Article: Transforming the culture of surgical education: Promoting teacher identity through human factors training[Show abstract] [Hide abstract]
ABSTRACT: Promoting a culture of teaching may encourage students to choose a surgical career. Teaching in a human factors (HF) curriculum, the nontechnical skills of surgery, is associated with surgeons' stronger identity as teachers and with clinical students' improved perception of surgery and satisfaction with the clerkship experience. To describe the effects of an HF curriculum on teaching culture in surgery. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTION: Surgeons and educators developed an HF curriculum including communication, teamwork, and work-life balance. Teacher identity, student interest in a surgical career, student perception of the HF curriculum, and teaching awards. Ninety-two of 123 faculty and residents in a single program (75% of total) completed a survey on teacher identity. Fifteen of the participants were teachers of HF. Teachers of HF scored higher than control participants on the total score for teacher identity (P < .001) and for subcategories of global teacher identity (P = .001), intrinsic satisfaction (P = .001), skills and knowledge (P = .006), belonging to a group of teachers (P < .001), feeling a responsibility to teach (P = .008), receiving rewards (P =.01), and HF (P = .02). Third-year clerks indicated that they were more likely to select surgery as their career after the clerkship and rated the curriculum higher when it was taught by surgeons than when taught by educators. Of the teaching awards presented to surgeons during HF years, 100% of those awarded to attending physicians and 80% of those awarded to residents went to teachers of HF. Curricular focus on HF can strengthen teacher identity, improve teacher evaluations, and promote surgery as a career choice.Archives of surgery (Chicago, Ill.: 1960) 07/2011; 146(7):830-4. DOI:10.1001/archsurg.2011.157 · 4.93 Impact Factor
Article: Evaluation of serum cytokine release in response to hand-assisted, laparoscopic, and open surgery in a porcine model[Show abstract] [Hide abstract]
ABSTRACT: Although the immunologic benefits of laparoscopic surgery have been established, effects from hand-assisted (HA) surgery have not been investigated thoroughly. We hypothesized that the HA approach maintains the immunologic advantage of laparoscopic surgery compared with the open (O) approach. Six O, HA, and laparoscopic (L) transabdominal left nephrectomies were performed on pigs. Blood samples were taken preoperatively, perioperatively, and postoperatively, and serum interleukin-6 and C-reactive protein levels were measured. At 24 hours after surgery, interleukin-6 levels were significantly higher in the O group vs the HA and L groups (82.2 vs 37.5 and 29.9 pg/mL, respectively; P < .05). Similar trends were seen at all time periods for both IL-6 and C-reactive protein. No significant differences in postoperative cytokine levels were detected between the HA and L groups. The HA approach mimics the immunologic effects of laparoscopic surgery. These data suggest that the HA technique resulted in a reduced systemic immune activation in the early perioperative period when compared with open surgery. In addition to clinical benefits of minimal access, the HA approach also may afford patients an immunologic advantage over laparotomy.American journal of surgery 07/2011; 202(1):97-102. DOI:10.1016/j.amjsurg.2010.09.026 · 2.29 Impact Factor
Article: Athletic Pubalgia (Sports Hernia)[Show abstract] [Hide abstract]
ABSTRACT: Athletic pubalgia or sports hernia is a syndrome of chronic lower abdomen and groin pain that may occur in athletes and nonathletes. Because the differential diagnosis of chronic lower abdomen and groin pain is so broad, only a small number of patients with chronic lower abdomen and groin pain fulfill the diagnostic criteria of athletic pubalgia (sports hernia). The literature published to date regarding the cause, pathogenesis, diagnosis, and treatment of sports hernias is confusing. This article summarizes the current information and our present approach to this chronic lower abdomen and groin pain syndrome.Clinics in sports medicine 04/2011; 30(2):417-34. DOI:10.1016/j.csm.2010.12.010 · 1.22 Impact Factor
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ABSTRACT: Early introduction of a full-day human factors training experience into the surgical clerkship curriculum will teach effective communication skills and strategies to gain professional satisfaction from a career in surgery. In pilot 1, which took place between July 1, 2007, and December 31, 2008, 50 students received training and 50 did not; all received testing at the end of the rotation for comparison of control vs intervention group performance. In pilot 2, a total of 50 students were trained and received testing before and after rotation to examine individual change over time. University of Massachusetts Medical School. A total of 148 third-year medical students in required 12-week surgical clerkship rotations. Full-day training with lecture and small-group exercises, cotaught by surgeons and educators, with focus on empathetic communication, time management, and teamwork skills. Empathetic communication skill, teamwork, and patient safety attitudes and self-reported use of time management strategies. Empathy scores were not higher for trained vs untrained groups in pilot 1 but improved from 2.32 to 3.45 on a 5-point scale (P < .001) in pilot 2. Students also were more likely to ask for the nurse's perspective and to seek agreement on an action plan after team communication training (pilot 1, f = 7.52, P = .007; pilot 2, t = 2.65, P = .01). Results were mixed for work-life balance, with some trained groups scoring significantly lower than untrained groups in pilot 1 and no significant improvement shown in pilot 2. The significant increase in student-patient communication scores suggests that a brief focused presentation followed by simulation of difficult patient encounters can be successful. A video demonstration can improve interdisciplinary teamwork.Archives of surgery (Chicago, Ill.: 1960) 12/2010; 145(12):1151-7. DOI:10.1001/archsurg.2010.252 · 4.93 Impact Factor
Article: Human Emotion and Response in Surgery (HEARS): A Simulation-Based Curriculum for Communication Skills, Systems-Based Practice, and Professionalism in Surgical Residency Training[Show abstract] [Hide abstract]
ABSTRACT: This study examines the development and implementation of a pilot human factors curriculum during a 2-year period. It is one component of a comprehensive 5-year human factors curriculum spanning core competencies of interpersonal and communication skills, systems-based practice, and professionalism and using low-and high-fidelity simulation techniques. Members of the Department of Surgery and the Center for Clinical Communication and Performance Outcomes jointly constructed a curriculum for PGY1 and PGY2 residents on topics ranging from challenging communication to time and stress management. Video demonstrations, triggers, and simulated scenarios involving acting patients were created by surgeons and medical educators. Pre- and postintervention measures were obtained for communication skills, perceived stress level, and teamwork. Communication skills were evaluated using a series of video vignettes. The validated Perceived Stress Scale and Teamwork and Patient Safety Attitudes survey were used. Residents' perceptions of the program were also measured. Twenty-seven PGY1 residents and 15 PGY2 residents participated during 2 years. Analyses of video vignette tests indicated significant improvement in empathic communication for PGY1 (t = 3.62, p = 0.001) and PGY2 (t = 5.00, p = 0.004). There were no significant changes to teamwork attitudes. Perceived levels of stress became considerably higher. PGY1 residents reported trying 1 to 3 strategies taught in the time management session, with 60% to 75% reporting improvement post-training. This unique and comprehensive human factors curriculum is shown to be effective in building communication competency for junior-level residents in the human and emotional aspects of surgical training and practice. Continued refinement and ongoing data acquisition and analyses are underway.Journal of the American College of Surgeons 08/2010; 211(2):285-92. DOI:10.1016/j.jamcollsurg.2010.04.004 · 5.12 Impact Factor
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ABSTRACT: Laparoscopic surgery has an increasing use in today's world of general surgery, especially in the treatment of diseases such as acute appendicitis, acute cholecystitis, diverticulitis, lysis of adhesions in the setting of small bowel obstruction, incarcerated or strangulated inguinal hernia, and perforated peptic ulcer disease. The aim of this paper is to discuss the diagnosis and management of each disease while placing emphasis on the role of laparoscopy in its treatment.Minerva chirurgica 06/2010; 65(3):275-96. · 0.68 Impact Factor
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ABSTRACT: The advent of laparoscopy has changed the paradigm of surgical training and care delivery for the treatment of patients with acute cholecystitis (AC). Retrospective data collection and analysis. Hospital admissions with a primary diagnosis of AC at a tertiary care center from January 1, 2002, to January 1, 2007. During the study period, 923 patients were admitted with a primary diagnosis of AC. One hundred fourteen patients were excluded from the study because of missing data, medical management, incomplete operative notes or documents, or metastatic gastrointestinal cancer. Patient demographics, preoperative morbidity, procedures (medical and surgical), and postoperative outcomes were statistically analyzed using chi(2) test, t test, and analysis of variance. Eight hundred nine patients (87.6%) with a primary diagnosis of AC underwent surgery by 44 surgeons. Procedures included 663 laparoscopic cholecystectomies (LCs) (82.0%), 9 open cholecystectomies (1.1%), 51 conversions from LC to open cholecystectomy (6.3%), and 86 cholecystostomy tube placements (10.6%). During the study period, cholecystostomy tube placements increased, while open cholecystectomies and conversions from LC to open cholecystectomy decreased (P < .05). Laparoscopic cholecystectomy was associated with significantly better outcomes, including shorter postsurgical stay (2.2 vs 6.3 days for other modalities) and fewer complications (8.5% vs 17.0%). Based on 5-year results from a tertiary care center, LC was performed with a low conversion rate to open surgery and was associated with decreased morbidity and mortality compared with other surgical modalities to treat AC. Our data confirm the benefits and widespread use of LC in the modern era, reflecting changes in the training paradigm and learning curve for laparoscopy.Archives of surgery (Chicago, Ill.: 1960) 05/2010; 145(5):439-44. DOI:10.1001/archsurg.2010.54 · 4.93 Impact Factor
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ABSTRACT: Adrenalectomy remains the definitive therapy for most adrenal neoplasms. Introduced in the 1990s, laparoscopic adrenalectomy is reported to have lower associated morbidity and mortality. This study aimed to evaluate national adrenalectomy trends, including major postoperative complications and perioperative mortality. The Nationwide Inpatient Sample was queried to identify all adrenalectomies performed during 1998-2006. Univariate and multivariate logistic regression were performed, with adjustments for patient age, sex, comorbidities, indication, year of surgery, laparoscopy, hospital teaching status, and hospital volume. Annual incidence, major in-hospital postoperative complications, and in-hospital mortality were evaluated. Using weighted national estimate, 40,363 patients with a mean age of 54 years were identified. Men made up 40% of these patients, and 77% of the patients were white. The majority of adrenalectomies (83%) were performed for benign disease. The annual volume of adrenalectomies increased from 3,241 in 1998 to 5,323 in 2006 (p < 0.0001, trend analysis). The overall in-hospital mortality was 1.1%, with no significant change. Advanced age (< 45 years as the referent; ≥ 65 years: adjusted odds ratio [AOR], 4.10; 95%; confidence Interval [CI], 1.66-10.10) and patient comorbidities (Charlson score 0 as the referent; Charlson score ≥ 2: AOR, 4.33; 96% CI, 2.34-8.02) were independent predictors of in-hospital mortality. Indication, year, hospital teaching status, and hospital volume did not independently affect perioperative mortality. Major postoperative in-hospital complications occurred in 7.2% of the cohort, with a significant increasing trend (1998-2000 [5.9%] vs 2004-2006 [8.1%]; p < 0.0001, trend analysis). Patient comorbidities (Charlson score 0 as the referent; Charlson score ≥ 2: AOR, 4.77; 95% CI, 3.71-6.14), recent year of surgery (1998-2000 as the referent; 2004-2006: AOR, 1.40; 95% CI, 1.09-1.78), and benign disease (malignant disease as the referent; benign disease: AOR, 1.98; 95% CI, 1.55-2.53) were predictive of major postoperative complications at multivariable analyses, whereas laparoscopy was protective (no laparoscopy as the referent; laparoscopy: AOR, 0.62; 95% CI, 0.47-0.82). Adrenalectomy is increasingly performed nationwide for both benign and malignant indications. In this study, whereas perioperative mortality remained low, major postoperative complications increased significantly.Surgical Endoscopy 03/2010; 24(10):2518-26. DOI:10.1007/s00464-010-0996-z · 3.26 Impact Factor
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ABSTRACT: Massachusetts' health insurance mandate and subsidized insurance program, Commonwealth Care, have been active for 2 years. The financial impact on the neurosurgery division and demographics of the relevant patient groups were assessed. The billing records of neurosurgical patients from January 2007 to September 2008 were collected and analyzed. Commonwealth Care comprised 2.2% of neurosurgical inpatients, and these patients did not have significantly different acuity or lengths of stay from the average. Length of stay of MassHealth patients was significantly greater, although acuity was significantly lower than the average. Increased free care reimbursement and increased MassHealth/Commonwealth Care enrollment resulted in a net gain in reimbursement of hospital charges. The increased insurance rates have resulted in increased reimbursement for the neurosurgical division.Journal of Neurosurgery 08/2009; 112(1):202-7. DOI:10.3171/2009.6.JNS09499 · 3.74 Impact Factor
Article: PL-220: Reduced heart rate variability correlates with insuiln resistance, but not with measures of obesity in a bariatric surgical populationSurgery for Obesity and Related Diseases 05/2009; 5(3):S16. DOI:10.1016/j.soard.2009.03.048 · 4.07 Impact Factor
Article: PL-102: HOMA estimated glucose disposition index predicts resolution of type 2 diabetes mellitus following laparoscopic gastric bypassSurgery for Obesity and Related Diseases 05/2009; 5(3):S1. DOI:10.1016/j.soard.2009.03.008 · 4.07 Impact Factor
- Journal of Surgical Research 02/2009; 151(2):239-239. DOI:10.1016/j.jss.2008.11.174 · 1.94 Impact Factor
Article: Laparoscopic Cholecystectomy[Show abstract] [Hide abstract]
ABSTRACT: Laparoscopic cholecystectomy (LC) has supplanted open cholecystectomy for most gallbladder pathology. Experience has allowed the development of now well-established technical nuances, and training has raised the level of performance so that safe LC is possible. If safe cholecystectomy cannot be performed because of acute inflammation, LC tube placement should occur. A systematic approach in every case to open a window beyond the triangle of Calot, well up onto the liver bed, is essential for the safe completion of the operation.Surgical Clinics of North America 01/2009; 88(6):1295-313, ix. DOI:10.1016/j.suc.2008.07.005 · 1.88 Impact Factor
Article: The Effect of the Role Out of Massachusetts Health Care Reform on Neurosurgical Procedure Reimbursements: 805Neurosurgery 06/2008; 62(6). DOI:10.1227/01.neu.0000333460.29519.e1 · 3.62 Impact Factor
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ABSTRACT: Use of laparoscopy in penetrating trauma has been well established; however, its application in blunt trauma is evolving. The authors hypothesized that laparoscopy is safe and feasible as a diagnostic and therapeutic modality in both the patients with penetrating and blunt trauma. Trauma registry data and medical records of consecutive patients who underwent laparoscopy for abdominal trauma were reviewed. Over a 4-year period, 43 patients (18 blunt trauma / 25 penetrating trauma) underwent a diagnostic laparoscopy. Conversion to laparotomy occurred in 9 (50%) blunt trauma and 9 (36%) penetrating trauma patients. Diagnostic laparoscopy was negative in 33% of blunt trauma and 52% of penetrating trauma patients. Sensitivity/specificity of laparoscopy in patients with blunt and penetrating trauma was 92%/100% and 90%/100%, respectively. Overall, laparotomy was avoided in 25 (58%) patients. Use of laparoscopy in selected patients with blunt and penetrating abdominal trauma is safe, minimizes nontherapeutic laparotomies, and allows for minimal invasive management of selected intra-abdominal injuries.Surgical Innovation 04/2008; 15(1):26-31. DOI:10.1177/1553350608314664 · 1.46 Impact Factor
Article: QS95. Insulin Resistance Is A Predictor for Presence of and Grade of Inflammation in Non-Alcoholic Fatty Liver DiseaseJournal of Surgical Research 02/2008; 144(2):305-305. DOI:10.1016/j.jss.2007.12.335 · 1.94 Impact Factor
Article: Metabolic Characterization of Nondiabetic Severely Obese Patients Undergoing Roux-en-Y Gastric Bypass: Preoperative Classification Predicts the Effects of Gastric Bypass on Insulin–Glucose Homeostasis[Show abstract] [Hide abstract]
ABSTRACT: Obese individuals may have normal insulin-glucose homeostasis, insulin resistance, or diabetes mellitus. Whereas gastric bypass cures insulin resistance and diabetes mellitus, its effects on normal physiology have not been described. We studied insulin resistance and beta-cell function for patients undergoing gastric bypass. One hundred thirty-eight patients undergoing gastric bypass had fasting insulin and glucose levels drawn on days 0, 12, 40, 180, and 365. Thirty-one (22%) patients with diabetes mellitus were excluded from this analysis. Homeostatic model of assessment was used to estimate insulin resistance, insulin sensitivity, and beta-cell function. Based on this model, patients were categorized as high insulin resistance if their insulin resistance was >2.3. Body mass index did not correlate with insulin resistance. Forty-seven (34%) patients were categorized as high insulin resistance. Correction of insulin resistance for this group occurred by 12 days postoperatively. Sixty (43%) patients were categorized as low insulin resistance. They demonstrated an increase of beta-cell function by 12 days postoperatively, which returned to baseline by 6 months. At 1 year postoperatively, the low insulin resistance group had significantly higher beta-cell function per degree of insulin sensitivity. Adipose mass alone cannot explain insulin resistance. Severely obese individuals can be categorized by degree of insulin resistance, and the effect of gastric bypass depends upon this preoperative physiology.Journal of Gastrointestinal Surgery 10/2007; 11(9):1083-90. DOI:10.1007/s11605-007-0158-3 · 2.80 Impact Factor
Top Journals
University of Massachusetts AmherstAmherst Center, Massachusetts, United States
University of Massachusetts Medical School
Worcester, Massachusetts, United States
- Department of Surgery
Worcester State UniversityWorcester, Massachusetts, United States
Carolinas Medical Center UniversityCharlotte, North Carolina, United States


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Mozart Great Mass in C minor, K. 427 and Piano Concerto No. 25, K. 503
January 16, 2016, 8pm
Littleton High School.
Jorgeandrés Camargo, Bass-Baritone, is a native of Houston, Texas. He received a B.M. from the Eastman School of Music and an M.M. from Boston University. He is continuing his work with Dr. Jerrold Pope while in his second year with the Boston University Opera Institute.
Last season Mr. Camargo was Gus O'Neill in Musto's Later the Same Evening, Roy Cohn in Angels in America and Pandolph in Massanet's Cendrillon. In 2014 Mr. Camargo was a Marcello Giordani Young Artist with Crested Butte Music Festival, where he covered Sparafucile in Verdi's Rigoletto. He was also the cover for Beethoven/Commendatore in Steven Stucky's new opera The Classical Style with Ojai Music Festival. Other roles include Prophet/King in Nico Muhly's Dark Sisters, Balthazar in Amahl and the Night Visitors, Capitán in Catán's Florencia en el Amazonas, Leporello in Don Giovanni all with Boston University, Betto in Puccini's Gianni Schicchi and Bartolo & Antonio in Le Nozze di Figaro with Opera Breve, as well as Geronimo in Cimarosa's Il Matrimonio Segreto and Kecal in Smetana's The Bartered Bride, both with Eastman Opera Theatre under the baton of Benton Hess.
Verdi Messa da Requiem, April 23, 2016.
Professional soloists and orchestra, Anne Watson Born conducting. Rehearsals begin Monday September 14, 2015 at First Baptist Church on Littleton Common.
All singers are welcome!


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text: West Nile Virus West Nile Encephalitis confirmed in horse in Oneida County By Gino Geruntino • Aug 13, 2013 A yearling horse in the town of Vernon has tested positive for West Nile Encephalitis, despite the fact the county has not yet discovered the virus in any mosquito pools during its summer monitoring.The horse eventually became paralyzed in its hind legs, but was treated by veterinarians and has shown improvement. Ken Fanelli, a spokesman with the Oneida County Health Department, says it can be difficult to keep horses from contracting West Nile Virus. Will a rainy June mean more West Nile virus? By Ellen Abbott • Jul 12, 2013 Gravitywave / via Flickr The conventional wisdom is that it's going to be a bad year for mosquitos, because of the very rainy June. But, whether that means more incidence of mosquito born viruses, is debatable. Researchers to gather in Syracuse to discuss emerging threat of Dengue fever By Ellen Abbott • Apr 24, 2013 Biomedical researchers from across the world will converge in Syracuse Friday to discuss a disease that is usually associated with tropical climates. Dengue fever, which is one of the leading causes of illness and death in the tropics, has turned up in the United States. Agriculture officials say horses should be vaccinated for EEE By Catherine Loper • Sep 19, 2012 The New York State Department of Agriculture is urging horse owners to have their animals vaccinated against Eastern Equine Encephalitis and the West Nile virus. No aerial spraying in Onondaga County to fight West Nile By Ellen Abbott • Aug 22, 2012 With the spread of West Nile Virus across the country, some communities have chosen to spray pesticides to kill the mosquitoes that carry the deadly virus. Despite the death of an elderly man in Syracuse from West Nile this week, Onondaga County officials have decided against that option. Following death from West Nile, governments look to prevention By Ellen Abbott • Aug 21, 2012 Ellen Abbott / WRVO In the shadow of the death of an elderly Syracuse man from West Nile Virus this week, local governments continue to try to get the word out about how to stay away from the disease that is carried by mosquitos. Local government and health officials met Tuesday at Beaver Lakes Nature Center in Baldwinsville to discuss West Nile prevention. The summit was organized by Sen. Charles Schumer (D-N.Y.) "We're certainly going to try to educate the public and reach out to tell people to protect themselves," said Town of Lysander engineer Al Yeager. The town is launching an education campaign on its village website.