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Early Epithelial Ovarian Cancer uid or pelvic washings (isotonic saline solution) should be sent for cytologic evaluation; this includes uid collected from the peri-hepatic region The entire affected ovary and tube should be removed If fertility is not desired, the contralateral ovary and uterus should also be removed Biopsies of the peritoneum should be taken from the following locations: anterior and posterior cul-de-sac, bilateral abdominal paracolic gutters, intestinal mesentery, and omentum Any grossly abnormal tissue should be removed, including scar tissue Suspicious pelvic and/or para-aortic lymph nodes should be removed If no enlarged or suspicious lymph nodes are seen, a thorough pelvic lymphadenectomy and para-aortic lymphadenectomy to the level of the gonadal vessels should be employed to assess for microscopic stage IIIC disease Lymph node metastases even in apparent stage I disease may be detected in up to 14% of patients.

The children, naturally, asked him what he did with the rest of his time; so he mentioned RE/MAX Suddenly, they were engaged and animated The balloon! The balloon! Market penetration and size have also created tremendous momentum for agents in terms of referrals Unlike other industry leaders, RE/MAX International does not take a cut from the vast number of referrals it distributes to its network of agents Considering the potential revenue involved, this seems a noteworthy demonstration of the everybody wins principle in action The investment in Internet and satellite television technology for training and development purposes follows a similar line RE/MAX was the first and is still the only global real estate network with in-house satellite capability and programming.

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the costs incurred by an independent property that must generate every single room sale with individual marketing and sales efforts, franchise referral costs seem minimal. Hotel & Motel Management reports that use of the reservation system by franchises and referral properties involves various fees, such as royalty, marketing, and reservations. For example, a royalty fee could include 50 cents per day per room, or $1,000.00 plus $75.00 per room per year, or 5 percent of the gross room rate. A marketing fee may include $3.00 per room per month or a $480.00 sign fee. A reservations fee could include 25 cents per minute for use of a toll-free number or $12.00 per room per year or $5.50 per delivered reservation or 5 percent per room night booked.5

28 Laparoscopy can be used successfully to stage early EOC in highly selected individuals It is important to note that laparoscopic staging is a fairly new concept and should be performed by trained advanced laparoscopists with the ability to perform a thorough exploration and lymph node dissection The standard laparoscopic staging involves a full infrarenal paraaortic and pelvic lymphadenectomy, removal of the remaining adnexa, and total laparoscopic or laparoscopic-assisted vaginal hysterectomy when appropriate A study by LeBlanc and colleagues evaluated 28 patients referred for completion staging All but one was successfully staged via laparoscopy Twenty-one percent of patients were upstaged for positive peritoneal implants or positive para-aortic lymph node metastases29 Outcomes from laparoscopy and laparotomy are similar in terms of accuracy and adequacy of staging Patients who underwent laparoscopy had shorter hospital stays compared to laparotomy.

30 A concern in staging early EOC via laparoscopy is the possibility of port-site metastases The reported rate ranged from 1% to 23%31, 32 Interestingly, Huang and colleagues reported on 6 cases of port-site metastases from 31 patients who underwent laparoscopic staging for EOC.

Why would an organization tap its own capital to such a degree by providing a high-level service We think that the technological advantages are enormous, but that only explains half the story The primary motivation is consistent with Dave Liniger s early emphasis on constant upgrading and improvement of agent quality Give people what they need, and you will get what you want in return..

Providing a way whereby a mobile terminal can continue to communicate with other terminals and servers although it has moved its point of attachment . (Attachment can be by physical plug-in to a wired network or by setting up a radio path to a new base-station.) Allowing the terminal to keep a single, unchanged IP address (its home address) even though it moves about and still carries on the session with others. Communication should be possible with static units that use IP but do not use mobile IP. Avoiding introducing additional security weaknesses.

through the store and interact with each other, the products and the transaction services that underpin everything. A lot happens in a real shop and there is a need to codify this behaviour before it can be implemented on a distributed computer environment. Some of this codi cation, particularly in the case of Internet-PC instantiations often appears to have been created on-the- y; an alternative, more thoughtful approach has

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