Current Awareness in Aging Research (CAAR) Report #233--April 15, 2004

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CAAR (Current Awareness in Aging Research) is a weekly email report produced by the Center for Demography of Health and Aging at the University of Wisconsin-Madison that helps researchers keep up to date with the latest developments in the field. For more information, including an archive of back issues and subscription information see:

http://www.ssc.wisc.edu/cdha/caar.html

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I. Data:

1. CENSUS BUREAU POPULATION ESTIMATES: "Annual Estimates of the Resident Population by Selected Age Groups and Sex for the United States and Puerto Rico: 2000" (Census Bureau, April 2003, Microsoft Excel, .pdf and comma separated value [.csv] delimited format).

http://eire.census.gov/popest/data/states/ST-EST2003-01.php
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2. NCHS DATA: "2000 National Home and Hospice Care Survey" (National Center for Health Statistics, .zip compressed ASCII format, with documentation in .pdf format). Note: The data is linked to from a NCHS News Release: "Home Health Care Patients: Data from the 2000 National Home and Hospice Care Survey" (Apr. 13, 2004).

http://www.cdc.gov/nchs/releases/04facts/patients.htm

Click on "National Home and Hospice Care Data" for link to data and documentation.
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3. NCI SEER DATA: "SEER 1973-2001 Public-Use Data" (US National Cancer Institute, 2004). NCI Surveillance, Epidemiology, and End Results public use data has been updated through 2001 (ASCII or binary format--for use with SEER*Stat extraction software). Interested researchers must sign off on a public-use data agreement before acquiring the data, either directly from the website, or via CD-ROM. "The SEER Public-Use Data include SEER incidence and population data associated by age, sex, race, year of diagnosis, and geographic areas (including SEER registry and county). A signed SEER Public-Use Data Agreement is required to access these data. Use of these data for publication purposes should contain a citation which includes submission and release dates."

http://seer.cancer.gov/publicdata/

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II. Reports and articles:

4. SSA OP REPORT:

A. "International Update: Recent Developments in Foreign Public and Private Pensions," (US Social Security Administration Office of Policy, March 2004, .pdf and HTML format, 4p.).

HTML:
http://www.ssa.gov/policy/docs/progdesc/intl_update/2004-03/2004-03.html

PDF:
http://www.ssa.gov/policy/docs/progdesc/intl_update/2004-03/2004-03.pdf

B. "OASDI Monthly Statistics, March 2004" (US Social Security Administration, Office of Policy, April 2004, HTML and .pdf format).

http://www.ssa.gov/policy/docs/statcomps/oasdi_monthly/2004-03/index.html

C. "SSI Monthly Statistics, March 2004" (US Social Security Administration, Office of Policy, April 2004, HTML and .pdf format).

http://www.ssa.gov/policy/docs/statcomps/ssi_monthly/2004-03/index.html
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5. IRS REPORT: "Are Taxpayers Increasing the Buildup of Retirement Assets? Preliminary Results from a Matched File of Tax Year 1999 Tax Returns and Information Returns," by Peter J. Sailer, Michael E. Weber, and Kurt S. Gurka (US Internal Revenue Service, 2004, .pdf format, 9p.).

http://www.irs.gov/pub/irs-soi/petenta.pdf
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6. NATIONAL EYE INSTITUTE PRESS RELEASE: "Vision Loss from Eye Diseases Will Increase as Americans Age," (National Eye Institute, April 12, 2004).

http://www.nei.nih.gov/news/pressreleases/041204.htm

For more data go to:

http://www.nei.nih.gov/eyedata/
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7. US NATIONAL INSTITUTES OF HEALTH NEWS RELEASE: "WHI Study Finds No Heart Disease Benefit, Increased Stroke Risk with Estrogen Alone," (Apr. 13, 2004).

http://www.nih.gov/news/pr/apr2004/nhlbi-13.htm
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8. DHHS OIG ALERT: "Education and Outreach Arrangements Between Medicare-Endorsed Discount Drug Card Sponsors and their Network Pharmacies," (US Department of Health and Human Services, Office of the Inspector General, April 2004, .pdf format, 3p.). Note: "This guidance is being issued in response to concerns raised by some discount drug cards sponsors about the application of the OIG's fraud and abuse authorities to payment arrangements between discount drug card sponsors and pharmacies for education, outreach, and enrollment services."

http://oig.hhs.gov/fraud/docs/alertsandbulletins/2004/FA040904.pdf
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9. GAO REPORT: "Department of Energy: Certain Postretirement Benefits for Contractor Employees Are Underfunded and Program Oversight Could Be Improved," (US General Accounting Office, GAO-04-539, April 15, 2004, .pdf format, 37p.).

http://www.gao.gov/cgi-bin/getrpt?GAO-04-539
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10. CMMS GUIDES: "Marketing and Enrollment under Medicare-Approved Drug Card Programs," (US Centers for Medicare and Medicaid Services, 2004, .pdf format).

http://www.cms.hhs.gov/rxcard_marketing.asp
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11. _SCIENCE MAGAZINE_ REPORT ABSTRACT: "ABAD Directly Links A{beta} to Mitochondrial Toxicity in Alzheimer's Disease," by Joyce W. Lustbader, Maurizio Cirilli, Chang Lin, Hong Wei Xu, Kazuhiro Takuma, Ning Wang, Casper Caspersen, Xi Chen, Susan Pollak, Michael Chaney, Fabrizio Trinchese, Shumin Liu, Frank Gunn-Moore, Lih-Fen Lue, Douglas G. Walker, Periannan Kuppusamy, Zay L. Zewier, Ottavio Arancio, David Stern, Shirley ShiDu Yan, and Hao Wu (_Science_, Vol. 304, No. 5669, April 16, 2004, .pdf and HTML format, p. 448-452).

http://www.sciencemag.org/cgi/content/abstract/304/5669/448
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12. _PNAS_ ARTICLE ABSTRACT:

A. "Ubiquitylation of synphilin-1 and {alpha}-synuclein by SIAH and its presence in cellular inclusions and Lewy bodies imply a role in Parkinson's disease," by Esti Liani, Allon Eyal, Eyal Avraham, Revital Shemer, Raymonde Szargel, Daniela Berg, Antje Bornemann, Olaf Riess, Christopher A. Ross, Ruth Rott, and Simone Engelender (_Proceedings of the National Academy of Sciences_, Vol. 101, No. 15, April 13, 2004, .pdf and HTML format, p. 5500-5505).

http://www.pnas.org/cgi/content/abstract/101/15/5500

B. "Temporal linkage between the phenotypic and genomic responses to caloric restriction," by Joseph M. Dhahbi, Hyon-Jeen Kim, Patricia L. Mote, Robert J. Beaver, and Stephen R. Spindler (_Proceedings of the National Academy of Sciences_, Vol. 101, No. 15, April 13, 2004, .pdf and HTML format, p. 5524-5529).

http://www.pnas.org/cgi/content/abstract/101/15/5524
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13. _JAMA_ ARTICLE ABSTRACTS:

A. "Effects of Conjugated Equine Estrogen in Postmenopausal Women With Hysterectomy: The Women's Health Initiative Randomized Controlled Trial," by The Women's Health Initiative Steering Committee (_Journal of the American Medical Association_, Vol. 291, No. 14, April 14, 2004, .pdf and HTML format, p. 1701-1712)

http://jama.ama-assn.org/cgi/content/abstract/291/14/1701

B. "Plasma Adiponectin Levels and Risk of Myocardial Infarction in Men," by Tobias Pischon, Cynthia J. Girman, Gokhan S. Hotamisligil, Nader Rifai, Frank B. Hu, and Eric B. Rimm (_Journal of the American Medical Association_, Vol. 291, No. 14, April 14, 2004, .pdf and HTML format, p. 1730-1737).

http://jama.ama-assn.org/cgi/content/abstract/291/14/1730

C. "Association of Timing of Surgery for Hip Fracture and Patient Outcomes," by Gretchen M. Orosz, Jay Magaziner, Edward L. Hannan, R. Sean Morrison, Kenneth Koval, Marvin Gilbert, Maryann McLaughlin, Ethan A. Halm, Jason J. Wang, Ann Litke, Stacey B. Silberzweig, and Albert L. Siu (_Journal of the American Medical Association_, Vol. 291, No. 14, April 14, 2004, .pdf and HTML format, p. 1738-1743).

http://jama.ama-assn.org/cgi/content/abstract/291/14/1738

D. "Comparison of Performance of Traditional Medicare vs Medicare Managed Care," by Bruce E. Landon, Alan M. Zaslavsky, Shulamit L. Bernard, Matthew J. Cioffi, and Paul D. Cleary (_Journal of the American Medical Association_, Vol. 291, No. 14, April 14, 2004, .pdf and HTML format, p. 1744-1752).

http://jama.ama-assn.org/cgi/content/abstract/291/14/1744
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14. _LANCET_ ARTICLE ABSTRACTS: Note: _Lancet_ requires free registration before providing content.

A. "Treatment of Parkinson's disease with pergolide and relation to restrictive valvular heart disease," by Guy Van Camp, Anja Flamez, Bernard Cosyns, Caroline Weytjens, Luc Muyldermans, Michel Van Zandijcke, Johan De Sutter, Patrick Santens, Pierre Decoodt, Christian Moerman, Danny Schoors (_Lancet_, Vol. 363, No. 9416, April 10, 2004, .pdf and HTML format, p. 1179-1183).

http://www.thelancet.com/journal/vol363/iss9416/abs/llan.363.9416.original_research.29231.1

B. "Late-onset seizures as a predictor of subsequent stroke," by Paul Cleary, Simon Shorvon, Raymond Tallis (_Lancet_, Vol. 363, No. 9416, April 10, 2004, .pdf and HTML format, p. 1184-1186).

http://www.thelancet.com/journal/vol363/iss9416/abs/llan.363.9416.original_research.29232.1
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15. BMJ PRIMARY CARE: "Corticosteroid injections for osteoarthritis of the knee: meta-analysis," by Bruce Arroll and Felicity Goodyear-Smith (_British Medical Journal_, Vol. 328, No. 7444, April 10, 2004, .pdf and HTML format, p. 869-870).

http://bmj.bmjjournals.com/cgi/content/full/328/7444/869
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16. MEDSCAPE ARTICLE: Note: Medscape requires free registration before providing articles. "Race/Ethnicity and the Receipt of Watchful Waiting for the Initial Management of Prostate Cancer," by Vickie L. Shavers, Martin L. Brown, Arnold L. Potosky, Carrie N. Klabunde, W.W. Davis, Judd W. Moul, and Angela Fahey (_Journal of General Internal Medicine_, Vol. 19, No. 2, 2004, p. 146-155 via Medscape).

http://www.medscape.com/viewarticle/471486
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17. FCA REPORTS:

A. "Navigating the Care System: A Guide for Providers to Help Family Caregivers," (Family Caregiver Alliance, 2004, .pdf format, 15p.). Note:"Traces the development of the sometimes confusing array of programs and services in the U.S. health and long-term care system, and describes how service providers can help families pull the pieces together. Examines the challenges facing caregivers and offers a list of useful resources available to providers and caregivers."

http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1073

To access the report click on "Download this publication".

B. "Cultural Competency in Working with Latino Family Caregivers (Family Caregiver Alliance, 2004, .pdf format, 27p.) Note: "Outlines the challenges facing service providers in addressing the needs of Latino caregivers. This monograph uses case studies to illustrate how specific cultural characteristics, such as language, customs and religion, can impact caregiving situations, and offers suggestions on ways cultural competency can be improved at organizational and policy levels."

http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1095

To access the report click on "Download this publication".
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18. CENTER FOR RETIREMENT RESEARCH REPORT: "Why Are So Many Older Women Poor?" by Alicia H. Munnell (CRR JTF #10, April 2004, .pdf format, 7p.).

From the Introduction:

The economic status of older Americans has improved dramatically since 1960. Today, the poverty rate for those 65 and over is about the same as for those aged 18-64. But substantial pockets of poverty remain, especially among older non-married women. This brief will focus on why older women are particularly vulnerable. It also reviews the outlook for the future, when the graying of the population will place increasing pressure on resources available for the elderly.

http://www.bc.edu/centers/crr/facts/jtf_10.pdf
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19. PEW INTERNET AND AMERICAN LIFE PROJECT REPORT: "Older Americans and the Internet," by Susannah Fox (Pew Internet and American Life Project, March 2004, .pdf format, 16p.).

http://www.pewinternet.org/reports/pdfs/PIP_Seniors_Online_2004.pdf
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20. KAISER FAMILY FOUNDATION REPORT: "March/April 2004 Kaiser Health Poll Report Survey - Selected Findings on Knowledge and Understanding of the New Medicare Rx Drug Program," (Kaiser Family Foundation, April 2004, .pdf format).

http://www.kff.org/kaiserpolls/pomr041404pkg.cfm
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21. AARP INTERNATIONAL PERSPECTIVES ARTICLE: "International Approaches Encourage Long-Term Independence for Persons with Disabilities," by Mary Jo Gibson (AARP International Perspectives, April 2004).

http://www.aarp.org/international/Articles/a2004-04-13-perspectives.html

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III. Working Papers:

22. NBER:

A. "Employee Stock Purchase Plan," by Gary V. Engelhardt and Brigitte C. Madrian (National Bureau of Economic Research Working Paper No. w10421, April 2004, .pdf format, 35p.).

Abstract:

Employee stock purchase plans (ESPPs) are designed to promote employee stock ownership broadly within the firm and provide another tax-deferred vehicle for individual capital accumulation in addition to traditional pensions, 401(k)s, and stock options. We outline the individual and corporate tax treatment of ESPPs and the circumstances under which ESPPs will be preferred to cash compensation from a purely tax perspective. We then examine empirically ESPP participation using administrative data from 1997-2001 for a large health services company that employs approximately 30,000 people. The picture that emerges from the analysis of these data suggests that there is substantial non-participation in these plans even though all employees could increase gross compensation through participation. We discuss a number of potential explanations for non-participation.

http://papers.nber.org/papers/W10421

Click on "PDF" or submit your email address at the bottom of the abstract for full text.

B. "401(k) Matching Contributions in Company Stock: Costs and Benefits for Firms and Workers," by (National Bureau of Economic Research Working Paper No. w10419, April 2004, .pdf format, 54p.).

Abstract:

This paper examines why some employers provide matching contributions to 401(k) plans in company stock and explores the implications of match policy for employee retirement wealth. Unlike stock option grants to non-executives, a firm's decision to match in company stock does not appear to be strongly correlated with cash flow or with measures of the benefits of aligning incentives of employees and employers. Rather, we find evidence that firms are more likely to provide the match in company stock if firm risk is low (i.e. lower stock price volatility and lower bankruptcy risk) and employees are also covered by a defined benefit plan. These findings suggest that firms consider the retirement security of their workers in making the match decision, either because firms want to minimize the risk of violating their fiduciary responsibility or because employees more fully value company stock at companies with lower firm-specific risk. Evidence also indicates that firms may want to match in company stock to boost employee ownership, perhaps to help deter takeovers, or because of the tax advantages for dividends on the company stock match. Simulation results suggest that sufficiently risk-tolerant individuals actually prefer a 401(k) plan at a company with a company stock match to a plan at a company with an unrestricted match, unless the equity premium is reduced substantially.

http://papers.nber.org/papers/W10419

Click on "PDF" or submit your email address at the bottom of the abstract for full text.

C. "Home Care Reimbursement, Long-term Care Utilization, and Health Outcomes," by Robin McKnight (National Bureau of Economic Research Working Paper No. w10414, April 2004, .pdf format, 51p.).

Abstract:

Long-term care currently comprises almost 10% of national health expenditures and is projected to rise rapidly over coming decades. A key, and relatively poorly understood, element of long-term care is home health care. I use a substantial change in Medicare reimbursement policy, which took the form of tightly binding average per-patient reimbursement caps, to address several questions about the market for home care. I find that the reimbursement change was associated with a large drop in the provision of home care. This drop was concentrated among unhealthy beneficiaries, which is consistent with the incentives for patient selection inherent in the per-patient caps. I find that the decline in home health utilization was not offset by increases in institutional long-term care or other medical care and that there were no associated adverse health consequences. However, approximately one-quarter of the decline in Medicare spending was offset by increases in out-of-pocket expenditures for home health care, with the offset concentrated in higher income populations. Despite the value of home health care implied by the out-of-pocket expenditures, I find that the welfare implications of the reimbursement change were ambiguous.

http://papers.nber.org/papers/W10414

Click on "PDF" or submit your email address at the bottom of the abstract for full text.
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23. MICHIGAN RETIREMENT RESEARCH CENTER:

A. "Elderly Households and Housing Wealth: Do They Use It or Lose It?" by Lina Walker (MRRC Working Paper 2004-70, January 2004, .pdf format, 26p.).

Abstract:

For many Americans, a large part of personal wealth is the home they own. An important question for policymakers to have answered is how and when and even if Americans use this housing wealth during their lives. It is also of interest to know why it may or may not be used. This study finds housing sales in old age for single households are mostly driven by worsening health. Widowhood has a large effect on increasing the probability of selling the house and the effect is larger if the husband is the surviving spouse. There are indications that poor married homeowners are consuming housing wealth and also indications that married households are responding to Medicaid tax incentives. This evidence seems to suggest that, at least among married households, housing decisions are financially motivated.

http://www.mrrc.isr.umich.edu/research/publications/Working_Paper/wp.03D1.pdf

B. "Payout Choices by Retirees in Chile: What Are They and Why?" by Estelle James, Guillermo Martinez and Augusto Iglesias (MRRC Working Paper 2004-68, January 2004, .pdf format, 76p.).

Abstract:

In 1981 Chile adopted its new multi-pillar system, which featured privately managed individual accounts. Starting in 1983 payouts from the accounts were permitted and detailed rules about payouts were put in place. The Chilean scheme therefore gives us an opportunity to examine how pensioners and pension providers react to individual account systems during the payout stage and how regulations shape these reactions. We use aggregate time series data obtained from the pension fund and insurance industry regulators, individual-level data on all annuitants in the system, and interviews with pension providers and regulators for this analysis.

Retirees in Chile have a choice between early versus normal retirement from the system and between annuitization versus programmed withdrawals (PW); lump sum withdrawals are largely ruled out. These choices determine the time stream of benefits and the eventual financial burden that will be placed on the public treasury. Almost two-thirds of all retirees have annuitized, but this proportion differs greatly between early and normal age retirees. Currently 60% of all retirees have chosen to retire early, many before age 55. (Early retirement means that they stop contributing and start withdrawing; it does not mean that they stop working). Most (85% of) early retirees have annuitized, while most (66% of) normal age retirees have taken PW. We present evidence that this disparate behavior is explained by incentives and constraints stemming from guarantees and regulations on pensioners and pension providers. These rules have lead workers with small accumulations to take PW at the normal age, with the minimum pension guarantee providing longevity and investment insurance. They lead workers with large accumulations to retire early, with annuities providing insurance. Regulations have given insurance companies selling annuities a competitive advantage in marketing to this group, and they do so aggressively.

Early access to retirement saving through early retirement or front-loaded PW imposes a potential financial burden on the government because of the minimum pension guarantee, which has been rising in real value through time. As a result, the expected public share of the total pension payout grows with a cohorts age and may exceed expectations as cohorts that retired under the new system grow very old. Annuitization mitigates (but does not completely eliminate) this cost to the public treasury. This analysis suggests that, with appropriate incentives, a high proportion of pensioners will purchase annuities in countries with individual account systems. But these countries need to coordinate early withdrawal conditions with minimum pensions and other safety nets, in order to avoid moral hazard problems and unexpected public liabilities.

http://www.mrrc.isr.umich.edu/research/publications/Working_Paper/wp.0307.pdf

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IV. Journal Tables of Contents (check your library for availability):

24. Age and Aging (Vol. 33, No. 3, May 2004). Note: Full electronic text (HTML and .pdf format) may be available at the site. Check your organization's library.

http://ageing.oupjournals.org/content/vol33/issue3/index.shtml?etoc

25. Archives of Gerontology and Geriatrics (Vol. 38, No. 3, May 2004).

http://www.elsevier.com/locate/archger

Follow link to "Tables of Contents and Abstracts" (in the right column). Go to link for "Vol. 38, No. 3".

26. The Gerontologist (Vol. 44, No. 2, April 2004). Full electronic text of these journals are available in the ProQuest Research Library. Check your library for the availability of this database and these issues.

http://gerontologist.gerontologyjournals.org/content/vol44/issue2/index.shtml
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27. AMEDEO MEDICAL LITERATURE: Note: "AMEDEO has been created to serve the needs of healthcare professionals, including physicians, nurses, pharmacists, administrators, other members of the health professions, and patients and their friends. They can easily access timely, relevant information within their respective fields... All AMEDEO services are free of charge. This policy was made possible thanks to generous unrestricted educational grants provided by AMGEN, Berlex, Eisai, Glaxo Wellcome, Novartis, Pfizer, Roche, and Schering AG."

A. Osteoporosis: Literature for the week of April 14, 2004:

http://www.amedeo.com/medicine/ost.htm

B. Alzheimer's Disease: Literature for the week of April 14, 2004:

http://www.amedeo.com/medicine/ad.htm

C. Parkinson's Disease: Literature for the week of April 14, 2004:

http://www.amedeo.com/medicine/pd.htm

D. Prostate Cancer: Literature for the week of April 14, 2004:

http://www.amedeo.com/medicine/prc.htm

AMADEO Literature Guide:

http://www.amedeo.com/index.htm

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V. Books:

28. AARP: _The Policy Book: AARP Public Policies 2004_ (AARP, 2004, .pdf format).

http://www.aarp.org/legipoly.html

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VI. Conferences:

29. CONFERENCEALERTS.COM: Conferncealerts.com has recently updated its list of upcoming gerontological conferences.

http://www.conferencealerts.com/aging.htm

Thanks,

Charlie

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Charlie Fiss
Information Manager
Center for Demography and Ecology and
Center for Demography of Health and Aging
Rm. 4470A Social Science Bldg
1180 Observatory Drive
Madison, WI 53706-1393
Phone: (608) 265-9240
Fax: (608) 262-8400
Email: fiss@ssc.wisc.edu

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