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Clinically, one case 14.3% ; was stage II, four 57.1% ; were stage III, and two 28.6% ; were stage IV Table 1 ; 6 ; . SURGERY The tumor was resected en bloc with the adjacent tissues or organs not to expose or spill out tumor cells. The surgical procedure for liver and IVC resection has been described elsewhere 7 ; . Briefly, first the inflow arteries of the tumor, including the adrenal, phrenic, lumbar and renal arteries when nephrectomy was required, were ligated. Liver resection was performed anatomically according to Couinaud's liver segments after ligating the inflow arteries and portal branches to be resected. To expose the supra- to retrohepatic IVC, an anterior transhepatic approach dividing the liver parenchyma first ; was used. The supra- or retrohepatic IVC just below the hepatic venous confluence was clamped and resected the IVC en bloc with the tumor and liver. When IVC replacement was required, 18- to 22-mm expanded polytetrafluoroethylene ePTFE ; was used. STATISTICAL ANALYSIS Statistical analyses were carried out using the SPSS program SPSS, version 11.0J, Tokyo, Japan ; . Disease-free, overall survival and recurrence hazards curve were generated using the Kaplan Meier method. Ya sali la publicacin Guide to the Clinical Care of Women with HIV Gua para el cuidado clnico de mujeres con VIH ; . Visite el sitio web de HIV AIDS Bureau hab.hrsa.gov ; para solicitar copias o ver todo el texto en lnea. The Employee Retirement Income Security Act of 1974 ERISA ; is a law intended to protect the interests of employee benefits plan participants and beneficiaries by, among other protections, requiring the disclosure and reporting of specific financial information to participants and beneficiaries by their employers. On November 21, 2000, the United States Department of Labor DoL ; published a final regulation that sets new standards for processing benefit claims of participants and beneficiaries who are covered under ERISA employee benefits plans.The new regulations are the first substantial revisions to the claim regulations published by DoL in 1977 and are intended to ensure more timely benefit determinations, improve access to information on which benefit determinations are made and provide "full and fair review" of denied claims. The new ERISA regulations: Impose time limits with respect to the processing of the initial claim decision and the appeal determination, Establish minimum time frames within which an enrollee may appeal a claim denial, Set out the requirements for the content of claims notices provided to claimants, Classify health claims into four categories: urgent, pre-service, concurrent & post-service. Employer group health plans covered under Title I of ERISA are subject to these newly required claims procedures. UNICARE and all other operating subsidiaries of WellPoint have implemented a plan to address compliance with ERISA claim regulations as published by the DoL.The regulations apply to group disability and life claims filed on or after January 1, 2002, but no later than January 1, 2003.The regulations also apply to group health claims filed on or after July 1, 2002, depending on the ERISA plan year effective date, but no later than January 1, 2003. If the plan year begins prior to July 1, 2002, then the regulations will not take effect until January 1, 2003. If the ERISA plan year begins after July 1, 2002, then the regulations take effect on the plan effective date. ; WellPoint's project, pertinent to compliance with ERISA claim regulations, is managed by a multidisciplinary ERISA Claims Committee whose objectives are to: Assess business processes and systems affected by the ERISA claim regulations, Identify changes and adjustments necessary to assure that the business processes and systems are in compliance with the regulations, Implement the appropriate changes in order to be in compliance with the regulations on or before the deadlines imposed by ERISA. The WellPoint ERISA Claims Committee is focusing on: Current claim and payment systems and processes, All pertinent claims communications including pre-service, post-service, urgent and concurrent review claims communications, Explanations of Benefits, Claimant appeal procedures regarding adverse benefit determinations, Medical case management procedures, Certificates of Coverage, Contracts, The modification of current deadlines to comply with ERISA claim regulation time requirements. UNICARE fully expects to be in compliance with the ERISA claim regulations pertinent to it as the applicable effective dates.We encourage our clients to discuss this matter with their legal counsel to determine what, if any, changes are necessary to their welfare benefits plan s ; and their operations.

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