k********n
发帖数: 756 | 1 Let us just face the fact: there are blue left side and red righ side. And
the press can twist the facts to create a headline that suits their bias.
And I was apalled by reading the posted article next door 1 month later
after reading the origianl analysis. So, let me post another article from a
more neutral media than the well known right leaning WSJ.
http://projectmillennial.org/2013/07/16/these-arent-mixed-resul
After a slew of disheartening press releases from CMS about the Affordable
Care ... 阅读全帖 |
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u**b
发帖数: 291 | 2 没想到啊没想到，去年才从Shelter领回的Aco小正太，现在才8个多月，前两天医生检
查后，说他心脏跳的声音很大，随即拍了3张X光片，发现心脏偏大。
最近Aco间或会咳嗽，所以带他去看医生，本希望一切安好，却没想到医生怀疑是他有
心脏病。真是晴天霹雳！医生说要带他去另一家心脏病医师那边做进行进一步检查，以
确诊是否因为他的心脏先天有问题，或者咳嗽是因为心脏问题引起。
他睡觉时呼吸频率是一分钟40次左右，医生说这是正常值的上限。呼吸频率快，也可能
是由于心脏问题引起。
他平时都活蹦乱跳的，丝毫没有任何异状，我一直觉得他是一个健康又皮实的美短小猫
。但医生说如果是心脏病，会随时有生命危险。Aco可能是看着正常，但身体内部机能
已有隐患。挣扎了很久，还是决定破财去给他做昂贵的心脏检查。
我不能把Aco送回Shelter或者送给其他人，他颈上的芯片里已经有我的名字。现在每次
看到活泼可爱的他，心里就有一阵隐痛。
真羡慕版上健康的猫们！
不知大家是否遇到类似情况？有心脏病隐患的猫，怎么让他长久的生活下去？ |
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a**e
发帖数: 5094 | 3 http://www.businessweek.com/articles/2013-07-16/a-pillar-of-oba
It’s no secret that the Obama administration’s effort to roll out health-
insurance exchanges in every state is turning out to be more challenging
than expected. Its campaign to lower health costs isn’t faring any better.
On Tuesday, the Centers for Medicare and Medicare Services announced
middling first-year results for the administration’s highest profile cost-
control effort: the Pioneer Accountable Care Organization Model.
Obama... 阅读全帖 |
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n***s
发帖数: 1745 | 4 I feel hundun might not be as handsome as Aco. :-)
haha, I still remember years before when I was in Muenchen, he
appeared in a quite strange way at the train station, compared
with his wife, i have no impression at him at all. ;)
And the second time when I saw him, he is completely slave of his daughter.
LOL, that is the reason why I still have no kids. |
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u**b
发帖数: 291 | 5 今天上“新猫来了”有点紧张的说，我叫Aco，刚刚3个月，我是男生！不好意思，昨晚
宿醉，节目上眼睛忘了睁。 |
|
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u**b
发帖数: 291 | 7 谢谢大家！
还没给Aco上保险。要选哪种保险比较好？ |
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a**e
发帖数: 5094 | 9 我还看了一篇文章，后来找不到了。分析了CMS的数据，总共节省的钱里面，2/3是MGH,
BWH,BIDMC这三个医院来的。众所周知Harvard这老三家看病花费高，属于地主家把本来
该扔掉的剩饭,热热重新吃就能节约下来的。其他医院的数据，CMS根本不肯发布，可想
而知有多糟糕。而且我们这里，是靠拼命兼并小医院，扩大病人pool，才能把总花费省
下来。ACO基本就是个形象工程，就看政府什么时候承认错误了。 |
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A*******s
发帖数: 9638 | 10 It is still too early to say, but I only see the bureaucracy will be up with
this ACO/Obamacare. |
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a**e
发帖数: 5094 | 11 医院内参
quality measure基本上还是血压，血糖，戒烟，心梗，心衰老五篇
另外就是追踪每个医生的处方和大的影像学检查，和同行比是不是总开CT,MRI,PET.能
开generic就不开brand name.
我们科基本没啥大动作。就记得直接开generic,少开MRI,CT,PET就行。马照跑，舞照跳
。我开始看ACO吹得山响说要搞quality measure的时候就奇怪，神经科ALS,CMT这些怎
么搞quality measure，难道比谁死得早？现在看就是多交点保险，多上点税，洗洗早
点睡了 ：） |
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a**e
发帖数: 5094 | 12 An accountable care organization (ACO) is a type of payment and delivery
reform model that seeks to tie provider reimbursements to quality metrics
and reductions in the total cost of care for an assigned population of
patients. A group of coordinated health care providers form an ACO, which
then provides care to a group of patients. The ACO may use a range of
different payment models (capitation, fee-for-service with asymmetric or
symmetric shared savings, etc.). The ACO is accountable to the pa... 阅读全帖 |
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d****i
发帖数: 4809 | 13 一个简单的实现如下，注意返回的角度是个在[0, 2*Pi)之间的实数：
#include
#include
#define PI 3.1415926
using namespace std;
template
struct complex {
T re, im;
complex(T real, T imag) : re(real), im(imag) {}
};
template
double acos(const complex& x)
{
T real = x.re;
T imag = x.im;
double alpha_full;
double alpha;
alpha = acos(real / sqrt(real*real + imag*imag)); //This calls C acos()
function.
if(imag >= 0) {
alpha_full = alpha;
} else {
... 阅读全帖 |
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d****i
发帖数: 4809 | 14 一个简单的实现如下，注意返回的角度是个在[0, 2*Pi)之间的实数：
#include
#include
#define PI 3.1415926
using namespace std;
template
struct complex {
T re, im;
complex(T real, T imag) : re(real), im(imag) {}
};
template
double acos(const complex& x)
{
T real = x.re;
T imag = x.im;
double alpha_full;
double alpha;
alpha = acos(real / sqrt(real*real + imag*imag)); //This calls C acos()
function.
if(imag >= 0) {
alpha_full = alpha;
} else {
... 阅读全帖 |
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j******6
发帖数: 121 | 15 Managing Actuary
The Actuarial Department at Blue Cross Blue Shield of North Carolina (BCBSNC
) is looking for motivated actuaries interested in transforming the
healthcare delivery system to join our talented team on our Durham, North
Carolina campus. Actuaries desiring the opportunity to collaborate with
providers, health systems and other industry stakeholders to ensure better
quality and more affordable care for our members will be a great fit for
this role. This role will be highly visible ... 阅读全帖 |
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i********f
发帖数: 206 | 16 能说得详细一些么?
CC可以看成两个变量夹角的cosine值
180*acos(0.9)/3.1415916 = 25.84194
180*acos(0.7)/3.1415916 = 45.57301
180*acos(0.2)/3.1415916 = 78.46307
然后怎么解释呢?
因为78.46307 > 25.84194 + 45.57301
所以超过了,夹角所能达到的最大范围,所以不能成立,对么? |
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w***0
发帖数: 222 | 17 来自主题: Medicalpractice版 - 职业指导 请教组合形成ACO的必须条件？ObamaCare 里面是不是有具体提及？如果不没有地理位
置的设限，ACO 的形成可不可以不同地域？像这个例子，Urgent Care 和 free Stand
的ER 以及 医院在成为竞争对手后还能在同一个ACO 下吗？ |
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c***s
发帖数: 70028 | 18 美军出动B2战机轰炸利比亚目标。
法国阵风战机轰炸利比亚。
日本福岛核电站的白烟尚未散去，利比亚的战火又冲天而起。然而这场战事给笔者最初一个最大的感觉，就是“乱”。
首先，这场战争是由谁来主导？在很多媒体报道中，法国对设立禁飞区，实施对利比亚当局的军事打击是最起劲的。考虑到法国在北非地区的某些传统利益，一般认为法国成了这场战争的主力军。
然而当我们仔细梳理一下资料，就会发现。在这场“群殴围攻”中，法国根本算不上是挑头的。这里要澄清一点的就是，震惊世界的“奥德赛黎明”行动计划，里面根本就没有法国的事。法兰西的特有“高傲”再一次显露无遗，尽管它已经回到了北约，但由于国力军力的限制，根本无法夺取北约部队的实际指挥权。因此在这次军事打击利比亚的行动中，法国是另起炉灶的。他的行动代号是“哈马坦”，实际含义就是从非洲吹过来的一种干燥的贸易风。
尽管法国在“哈马坦”行动中出动了大批军事力量，包括16架阵风战斗机(其中含有8架戴高乐号航母阵风M舰载机)、12架幻影-2000、1架E-3F预警机、2架E-2C预警机在内的大量作战飞机以及唯一一艘航空母舰，但和美国主导的“奥德赛黎明”计划无法相比。
美国不... 阅读全帖 |
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w**z
发帖数: 8232 | 19 http://stackoverflow.com/questions/825221/where-can-i-find-the-
It's a math problem more than CS. Well, don't know how far you want to go..
That is the implementation from math lib
public static double sqrt(double a) {
return StrictMath.sqrt(a); // default impl. delegates to StrictMath
// Note that hardware sqrt instructions
// frequently can be directly used by JITs
// and should be much faster than doing
// Math.... 阅读全帖 |
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t******l
发帖数: 10908 | 20 我觉得统计而言，可能相对 UPAPhO/USACO 而言，我猜测 USAMO 相对
而言不那么在意时间轴。。。也就是 USAMO 可能更关心 space-pattern
（或者说不太区分 space vs time，更多的把 time 当成跟 space 差不
多的属性来看待），而不是像 USAPhO/USACO 那样关心 space-time-pattern。
或者说对于这道罗素理发师悖论题，不管做对做错，做题常常一定程度的
看到自己的潜意识。。。APhO / ACO 我觉得更多的在潜意识里把 time
看成 real number, linear-ordered 所以对应于与 causality (the
arrow of time), 同时还 measurable like geometric objects。。。
但是 unless synchronize time and "tick" time (严格意义上是
notation of the time)，time 本身不是那么 “countable” 的。。。
但是 AMO 的想法我觉得不太一样，比如一个比较大的差别是，我觉... 阅读全帖 |
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z***i
发帖数: 8285 | 21 你咋知道aco没有? ;b
这个得跟aco认识得老板睡觉 |
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n***s
发帖数: 1745 | 22 嗯，去看看咱们aco吧，
吼吼
你说的这些地方，也就能去看看柏林，杜塞吃顿火锅，如果你不幸是个MM
还能让aco请客
Bonn, |
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m****a
发帖数: 684 | 23 【 以下文字转载自 CS 讨论区 】
发信人: maajia (马甲), 信区: CS
标 题: 怎么找这个函数的源代码？
发信站: BBS 未名空间站 (Sat Jan 18 18:43:17 2014, 美东)
acos只有在c11里才实现了，我想用这个函数，又不方便装c11，从哪里能下载到这个函
数的源码啊？
想找complex.h, 没有找到
http://www.cplusplus.com/reference/complex/acos/ |
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k**********n
发帖数: 438 | 26 Date/Time: Sunday, May 22th, 2011 9:30 am - 5:30 pm
Location: Sheraton Hotel, 135-20 39th Ave Queens, New York, NY 11354
Chinese Medical graduates Symposium will be concurrent with ACAP Gala, now open for registration:
https://spreadsheets.google.com/viewform?hl=en&formkey=
dFcxSHNsQ3E2WW4ySGZ0Zm91c3J6U0E6MQ&theme=
0AX42CRMsmRFbUy1mM2E0N2Q3Ny0zZWM4LTQ5YWMtODFhOC04NmUyNTU5MmQ2ZDg&ifq
9:00 am – 9:05 am Welcome Remarks
Dr. Jianjun Zhang, Resident, Long Island Jewish Medical Center
09:05 am... 阅读全帖 |
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m********4
发帖数: 607 | 27 Winning Their Trust----Anand K. Parekh, M.D., M.P.H.
The ranks of the U.S. medical profession will soon grow by 16,000 physicians
, as the class of 2011 graduates from medical schools throughout the country
. These new physicians will go on to receive graduate medical training that
is superb by global standards. Once in practice, they will be encouraged to
uphold high quality standards through licensing and certification,
activities of specialty societies, and participation in a growing array of... 阅读全帖 |
|
u*t
发帖数: 22 | 28 不知道能不能通过
Obama budget will seek record funding for new doctors
WASHINGTON — President Obama will propose boosting the National Health
Services Corps from 8,900 a year to 15,000 a year over the next five years,
as well as spending $5.23 billion to train 13,000 primary care residents
over the next 10 years, in his budget next week, administration officials
told USA TODAY.
The budget, which Obama will reveal Tuesday, marks the first time Medicare
funds will be used to increase the number of medical... 阅读全帖 |
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m********4
发帖数: 607 | 29 Winning Their Trust-----by Anand K. Parekh, M.D., M.P.H.
The ranks of the U.S. medical profession will soon grow by 16,000 physicians
, as the class of 2011 graduates from medical schools throughout the country
. These new physicians will go on to receive graduate medical training that
is superb by global standards. Once in practice, they will be encouraged to
uphold high quality standards through licensing and certification,
activities of specialty societies, and participation in a growing arra... 阅读全帖 |
|
m********4
发帖数: 607 | 30 Winning Their Trust-----by Anand K. Parekh, M.D., M.P.H.
The ranks of the U.S. medical profession will soon grow by 16,000 physicians
, as the class of 2011 graduates from medical schools throughout the country
. These new physicians will go on to receive graduate medical training that
is superb by global standards. Once in practice, they will be encouraged to
uphold high quality standards through licensing and certification,
activities of specialty societies, and participation in a growing arra... 阅读全帖 |
|
A*******s
发帖数: 9638 | 31 Thanks for bringing up this topic.
We just had a hospital retreat and had a speaker talked about ACO. I am
also aware there are some articles talking about ACO replacing insurance
companies. NYT had an article recently predicting 10 years later insurence
company will be gone.
My gut feeling is this thing is not going to work. This is exactly what
managed care is. Medical communism is coming to America. |
|
m******h
发帖数: 297 | 32 来自主题: Medicalpractice版 - 职业指导 现在ACO就是搞得你说的这个“质量“，是在延续pay for service下控制乱开检查，找
借口就让病人回来的情况。你说的这个指标只是衡量quality的一项。现在医院为何纷
纷加入ACO？表面上看自然是政府突然摆到桌上一块蛋糕，大家当然想吃一口。 |
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m******h
发帖数: 297 | 33 来自主题: Medicalpractice版 - 职业指导 医院只是一个经济实体，说实话，医疗是一个经济问题而不只是医学问题。我们这里的
ACO的创建人是一个心脏外科大夫，后来不干了。O8care出来后立刻成立了ACO，在这个
”公司“里，俩是搞经济的，七八个搞数据分析的，全部都是phd出身。作为一个个体
，也就是小民俺认为，永远都是得“跟着政策走，紧拉着payment的手”，这样才能脚
步越来越轻越来越快活。
不是跟你较真找茬，我该感谢你，这两天正为一个marketing的策划苦闷，以前不知道
BPCI，现在看见了，感觉视野大开。可惜我太穷，连个包子都给不起你。贴个歌送你得
了，把相关的词按我上面的例子自己改了。 |
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s******y
发帖数: 53 | 34 来自主题: Medicalpractice版 - 职业指导 I am currently actively working on ACO in our hospital.
ACO is a way to control payments and OBAMACARE wants to reduce medical costs
.
In the future hospitals will be harder to make profits since medicaid and
medicare will pay lower money. Doctors will see some reduction on salary.
That is my two cents. |
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w***0
发帖数: 222 | 35 来自主题: Medicalpractice版 - 职业指导 ACA/ACO 本身是肉容形式。我也没有明白这个例子：urgent care 开到Eric 旁边。谁
是urgent care的owner?假如做aco如何成功？
act |
|
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M*****8
发帖数: 17722 | 37 2013年7月9日最新的1688个看跌的股票。
多数到顶。墙街已深入插管，吸血在即。
排列依次为，号码，股票符号，收市价。
#0001, A , 44.6000
#0002, AA , 7.9010
#0003, AAGIY , 17.1600
#0004, AAMRQ , 4.7300
#0005, AAN , 28.9700
#0006, AAON , 24.7400
#0007, AAP , 83.2000
#0008, AAUKY , 9.5300
#0009, ABAX , 50.2800
#0010, ABCP , 1.0000
#0011, ABT , 34.7400
#0012, ACAT , 51.5000
#0013, ACE , 92.3800
#0014, ACGL , 52.3700
#0015, ACH , ... 阅读全帖 |
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M*****8
发帖数: 17722 | 38 2013年7月9日最新的1688个看跌的股票。
多数到顶。墙街已深入插管，吸血在即。
排列依次为，号码，股票符号，收市价。
#0001, A , 44.6000
#0002, AA , 7.9010
#0003, AAGIY , 17.1600
#0004, AAMRQ , 4.7300
#0005, AAN , 28.9700
#0006, AAON , 24.7400
#0007, AAP , 83.2000
#0008, AAUKY , 9.5300
#0009, ABAX , 50.2800
#0010, ABCP , 1.0000
#0011, ABT , 34.7400
#0012, ACAT , 51.5000
#0013, ACE , 92.3800
#0014, ACGL , 52.3700
#0015, ACH , ... 阅读全帖 |
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a**e
发帖数: 5094 | 40 ACO要求医生开药要开generic,开多了brand name要被叫去喝茶。如果药厂没有在专利
保护期的药物的话，裁员是不二的选择。在药厂工作的同学看看自己公司还有几个专利
药，形势不好的话，赶紧找下家了。 |
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Y*H
发帖数: 1582 | 41 所以需要医生核实账单？医生闲得蛋疼。。。
你说那个很多都需要pre auth. 另外aco, mso, risk arrangement已经很大程度上已经
mitigate了这种情况。就算还有个例发生，也是provider contrating的活儿，关医生
啥事儿。医生管的是clinical management.
: 医院医生就是漫天要价的。你有保险根据合同价来只有20%了。去network内的医
院，要
: 是医生坑爹找个network外的麻醉医生给你打一针然后要价2000都正常。
: ：你确定你知道自己在说什么吗？
: ：请医生核实账单？you made my day.
: ：【 在 shot(野水横木) 的大作中提到: 】
: ： |
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m********3
发帖数: 2125 | 42 是保险公司里的人负责核对哪些必需付哪些不要付多少价格合理。然后是医院的前台那
些人去扯皮。医生最怕保险公司不付钱，因为从个人那要钱比较难。
：所以需要医生核实账单？医生闲得蛋疼。。。
：你说那个很多都需要pre auth. 另外aco, mso, risk arrangement已经很大程度上已
经mitigate了这种情况。就算还有个例发生，也是provider contrating的活儿，关医生
：啥事儿。医生管的是clinical management.
：【 在 mitbbs2013(unknown) 的大作中提到: 】
：<br>: 医院医生就是漫天要价的。你有保险根据合同价来只有20%了。去
network内的医院，要
：<br>: 是医生坑爹找个network外的麻醉医生给你打一针然后要价2000都正
常。
：<br>: ：你确定你知道自己在说什么吗？
：<br>: ：请医生核实账单？you made my day.
：<br>: ：【 在 shot(野水横木) 的大作中提到: 】
：... 阅读全帖 |
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Y*H
发帖数: 1582 | 43 保险公司和每个provider contract的rates已经在claim系统里了，是一个自动理赔的
过程。Claim denial大多都是系统生成的，根本不需要人工确认。保险公司也会雇
vendor去调查一些claim看看能不能recover。现在几乎不存在保险公司少付医院的情况
，唯一可能是billing信息不全。大多数情况下都是overpaid,然后再recover。大公司
每年recover上百个million。
lz说保险公司的医生审查账单只能体现出他的无知。
: 是保险公司里的人负责核对哪些必需付哪些不要付多少价格合理。然后是医院的
前台那
: 些人去扯皮。医生最怕保险公司不付钱，因为从个人那要钱比较难。
: ：所以需要医生核实账单？医生闲得蛋疼。。。
: ：你说那个很多都需要pre auth. 另外aco, mso, risk arrangement已经很大程
度上已
: 经mitigate了这种情况。就算还有个例发生，也是provider contrating的活儿
，关医生
: ：啥事儿。医生管的是clinical ... 阅读全帖 |
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发帖数: 1 | 44 花边新闻，某德州市议员在 Twitter 上骂这位明星，但很快就删掉并道歉。他说：
The embarrassment is to have bimbos like you with nothing between your ears.
我以为 bimbo 通常是指金发美丽但又无脑的年轻女性，喜欢 flirt 勾引别人。ACO 是
拉丁裔啊？ |
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A********1
发帖数: 1268 | 45 6个 the eye concentrate， bb0, 3ml tube.
4个 boxed gel cream, 7ml, BA0,
1个 eye balm intense, ACO, 3ml, tube
1个 boxed cream, 7ml,G79,
$150包邮 |
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S***x
发帖数: 2012 | 46 Job Description
Digital Analyst - 141335
Primary Location: USA-MA-Norwood
Description
Analog Devices Analytics COE Digital Analyst
Are you passionate about numbers? Do you get fired up about quantifying the
monetary impact of web page view? Or the relationship between an email
campaign and customer awareness of a new product release? Do you have a
passion for technology? Do you enjoy sniffing out the root question even
when the requests are not explicit? Can you make the jump in analytics
requi... 阅读全帖 |
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A********1
发帖数: 1268 | 47 6个 the eye concentrate， bb0, 3ml tube.
4个 boxed gel cream, 7ml, BA0,
1个 eye balm intense, ACO, 3ml, tube
1个 boxed cream, 7ml,G79,
$150包邮 |
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b******t
发帖数: 4410 | 48 2 Air Canada Global eUpgrades for $850 or 75k AC or 90k UA miles.
I’m Super Elite 100K with AC. I have eUpgrades available to upgrade one
person from an eligible Flex or Latitude economy fare to Business. Can be
used until Feb 28, 2017.
AC upgrade transfers are very restricted. SE 100k’s can only name one “
nominee” to upgrade each year. This must be done before requesting the
upgrade. The window for upgrades for 100k’s opens 7 days in advance.
However you are often waitlisted til the flight clo... 阅读全帖 |
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M*****8
发帖数: 17722 | 49 【 以下文字转载自 Military 讨论区 】
发信人: MB80528 (肥猫(Contrarian)[食MM而肥]), 信区: Military
标 题: Re: 2013年7月9日最新的1688个看跌的股票。
发信站: BBS 未名空间站 (Tue Jul 9 22:18:23 2013, 美东)
2013年7月9日最新的1688个看跌的股票。
多数到顶。墙街已深入插管，吸血在即。
排列依次为，号码，股票符号，收市价。
#0001, A , 44.6000
#0002, AA , 7.9010
#0003, AAGIY , 17.1600
#0004, AAMRQ , 4.7300
#0005, AAN , 28.9700
#0006, AAON , 24.7400
#0007, AAP , 83.2000
#0008, AAUKY , 9.5300
#0009, ABAX , 50.2800
#0010, AB... 阅读全帖 |
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p******7
发帖数: 48 | 50 LinkQuest Inc., a fast growing and profitable advanced technology company
based in San Diego, California, is looking for a software engineer to expand
its R&D effort of leading-edge precision acoustic and medical imaging
instruments.
Job duties and requirements are as follows
Design and implementation of sophisticated Graphical User Interface and
other Man-Machine interface programs to dynamically process and display
complicated images and data for medical imaging, acoustic imaging and other
aco |
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