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97-625: Boscov's Inc. is a family-owned department store with fifty locations in Pennsylvania , New York , New Jersey , Delaware , Maryland , Ohio , Connecticut , West Virginia and Rhode Island . Twenty-six of these stores are located in Pennsylvania. Corporate headquarters are located in Exeter Township, Pennsylvania , near Reading . The company chairman is Jim Boscov, who took over after his uncle Albert Boscov retired. Solomon "Sol" Boscov

194-444: A MEN1 mutation eventually develop a PanNet. Other genes that are frequently mutated include DAXX , mTOR , and ATRX . The symptoms of pancreatic adenocarcinoma do not usually appear in the disease's early stages, and they are not individually distinctive to the disease. The symptoms at diagnosis vary according to the location of the cancer in the pancreas, which anatomists divide (from left to right on most diagrams) into

291-402: A tumor microenvironment that is short of blood vessels (hypovascular) and so of oxygen ( tumor hypoxia ). It is thought that this prevents many chemotherapy drugs from reaching the tumor, as one factor making the cancer especially hard to treat. Negative for: Pancreatic cancer is usually staged following a CT scan . The most widely used cancer staging system for pancreatic cancer

388-421: A First Aid Room, and a Silence Room, with soft lights, deep chairs, and double-glazing, all intended to keep customers in the store as long as possible. Staff members were taught to be on hand to assist customers, but not too aggressively, and to sell the merchandise. Selfridge attracted shoppers with educational and scientific exhibits; in 1909, Louis Blériot 's monoplane was exhibited at Selfridges (Blériot

485-421: A better prognosis than the other exocrine types. Pancreatoblastoma is a rare form, mostly occurring in childhood, and with a relatively good prognosis. Other exocrine cancers include adenosquamous carcinomas , signet ring cell carcinomas , hepatoid carcinomas , colloid carcinomas, undifferentiated carcinomas, and undifferentiated carcinomas with osteoclast -like giant cells . Solid pseudopapillary tumor

582-542: A bi-annual basis. The store soon outgrew the Marble House and erected a cast-iron building on Broadway and Nineteenth Street in 1869; this "Palace of Trade" expanded over the years until it was necessary to move into a larger space in 1914. Financial problems led to bankruptcy in 1975. In New York City in 1846, Alexander Turney Stewart established the " Marble Palace " on Broadway , between Chambers and Reade streets. He offered European retail merchandise at fixed prices on

679-410: A combination of medical imaging techniques such as ultrasound or computed tomography , blood tests, and examination of tissue samples ( biopsy ). The disease is divided into stages , from early (stage I) to late (stage IV). Screening the general population has not been found to be effective. The risk of developing pancreatic cancer is lower among non-smokers, and people who maintain

776-401: A combination of these. Treatment options are partly based on the cancer stage. Surgery is the only treatment that can cure pancreatic adenocarcinoma, and may also be done to improve quality of life without the potential for cure. Pain management and medications to improve digestion are sometimes needed. Early palliative care is recommended even for those receiving treatment that aims for

873-401: A considerably increased risk remains of pancreatic cancer developing subsequently. The third type, pancreatic mucinous cystic neoplasm (MCN), mainly occurs in women, and may remain benign or progress to cancer. If these lesions become large, cause symptoms, or have suspicious features, they can usually be successfully removed by surgery. A fourth type of cancer that arises in the pancreas

970-456: A cure or to alleviate symptoms. Risk factors for pancreatic adenocarcinoma include: Drinking alcohol excessively is a major cause of chronic pancreatitis , which in turn predisposes to pancreatic cancer, but considerable research has failed to firmly establish alcohol consumption as a direct risk factor for pancreatic cancer. Overall, the association is consistently weak and the majority of studies have found no association, with smoking

1067-527: A cure. Pancreatic cancer is among the most deadly forms of cancer globally, with one of the lowest survival rates. In 2015, pancreatic cancers of all types resulted in 411,600 deaths globally. Pancreatic cancer is the fifth-most-common cause of death from cancer in the United Kingdom, and the third most-common in the United States. The disease occurs most often in the developed world, where about 70% of

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1164-827: A degree on brick-and-mortar formats. Boscov's saw record sales of $ 1.2 billion in 2017. Since 2009, the chain continues to expand and opened its 47th store in Milford, Connecticut , in October 2018. Boscov's plans to continue to open one store per year and has invested in older stores by renovating them. Boscov's announced plans to move into the Providence Place mall in Providence, Rhode Island , in 2019. The store opened on September 26, 2019. In 2020, Boscov's announced plans to open at Eastwood Mall in Niles, Ohio . The store opened on October 7, 2021,

1261-563: A department store in 1910. In 1924, Matsuzakaya store in Ginza allowed street shoes to be worn indoors, something innovative at the time. These former kimono shop department stores dominated the market in its earlier history. They sold, or instead displayed, luxurious products, which contributed to their sophisticated atmospheres. Another origin of the Japanese department store is from railway companies. There have been many private railway operators in

1358-509: A healthy weight and limit their consumption of red or processed meat ; the risk is greater for men, smokers, and those with diabetes. There is some evidence that links high levels of red meat consumption to increased risk of pancreatic cancer. Smokers' risk of developing the disease decreases immediately upon quitting, and almost returns to that of the rest of the population after 20 years. Pancreatic cancer can be treated with surgery, radiotherapy , chemotherapy , palliative care , or

1455-421: A larger retail chain , while others are an independent retailer. Since the 1980s, they have come under heavy pressure from discounters, and have come under even heavier pressure from e-commerce sites since the 2000s. Department stores can be classified in several ways: Some sources may refer to the following types of stores as department stores, even though they are not generally considered as such: One of

1552-582: A million dollars each year for non-profit organizations. Boscov's sponsors the annual "Boscov's Berks Jazz Fest" which draws 35,000 to 40,000 people to the Reading area. When Gimbels went out of business in 1986, WPVI-TV and Boscov's took over the sponsorship of the Philadelphia Thanksgiving Day Parade . Boscov's remained a co-sponsor until 2007. The Boscov's in Camp Hill, Pennsylvania ,

1649-445: A shift to working from home, which stimulated e-commerce further and reduced demand for business apparel. Click-and-collect services at department stores had been increasing during the 2010s, with many creating larger, distinctly signed, designated areas. Some of the more elaborate ones included features such as reception and seating areas with coffee served, computers with large screens for online shopping, and dressing rooms. With

1746-545: A strong confounding factor. The evidence is stronger for a link with heavy drinking, of at least six drinks per day. Exocrine cancers are thought to arise from several types of precancerous lesions within the pancreas, but these lesions do not always progress to cancer, and the increased numbers detected as a byproduct of the increasing use of CT scans for other reasons are not all treated. Apart from pancreatic serous cystadenomas , which are almost always benign, four types of precancerous lesion are recognized. The first

1843-519: A sufficient quantity to give rise to overt clinical symptoms, so nonfunctioning PanNETs are often diagnosed only after the cancer has spread to other parts of the body. As with other neuroendocrine tumors, the history of the terminology and classification of PanNETs is complex. PanNETs are sometimes called "islet cell cancers", though they are now known to not actually arise from islet cells as previously thought. Since pancreatic cancer usually does not cause recognizable symptoms in its early stages,

1940-670: A variety of dry goods, and advertised a policy of providing "free entrance" to all potential customers. Though it was clad in white marble to look like a Renaissance palazzo , the building's cast iron construction permitted large plate glass windows that permitted major seasonal displays, especially in the Christmas shopping season. In 1862, Stewart built a new store on a full city block uptown between 9th and 10th streets, with eight floors. His innovations included buying from manufacturers for cash and in large quantities, keeping his markup small and prices low, truthful presentation of merchandise,

2037-642: A wide range of consumer goods in different areas of the store, each area ("department") specializing in a product category. In modern major cities, the department store made a dramatic appearance in the middle of the 19th century, and permanently reshaped shopping habits, and the definition of service and luxury. Similar developments were under way in London (with Whiteleys ), in Paris ( Le Bon Marché ) and in New York City ( Stewart's ). Today, departments often include

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2134-662: A year late due to the COVID-19 pandemic . In 2023, Boscov's announced that a store will open at the Meadowbrook Mall in Bridgeport, West Virginia , in the later part of the year; this will be Boscov's 50th store and first location in the state. The 50th store located in West Virginia opened on October 7, 2023. During the 1970s, Boscov's launched its "Friends Helping Friends" program, an annual fundraising event which has raised roughly

2231-469: Is a rare low- grade neoplasm that mainly affects younger women, and generally has a very good prognosis. Pancreatic mucinous cystic neoplasms are a broad group of pancreas tumors that have varying malignant potential. They are being detected at a greatly increased rate as CT scans become more powerful and common, and discussion continues as how best to assess and treat them, given that many are benign. The small minority of tumors that arise elsewhere in

2328-457: Is accompanied by typical symptoms such as unexplained weight loss, persistent abdominal or back pain, indigestion, vomiting, or fatty feces. Jaundice accompanied by a painlessly swollen gallbladder (known as Courvoisier's sign ) may also raise suspicion, and can help differentiate pancreatic cancer from gallstones . Medical imaging techniques, such as computed tomography (CT scan) and endoscopic ultrasound (EUS) are used both to confirm

2425-453: Is by far the most common type, representing about 85% of all pancreatic cancers. Nearly all these start in the ducts of the pancreas, as pancreatic ductal adenocarcinoma (PDAC). This is despite the fact that the tissue from which it arises – the pancreatic ductal epithelium  – represents less than 10% of the pancreas by cell volume, because it constitutes only the ducts (an extensive but capillary-like duct-system fanning out) within

2522-414: Is leased out to other retailers, big-box category killer stores (e.g. Best Buy, Decathlon), hypermarkets, discount stores (e.g. Walmart, Carrefour), markets, or souqs. *store has no branches **opened at this location (may have expanded significantly in the years after initial opening) Pancreatic cancer Pancreatic cancer arises when cells in the pancreas , a glandular organ behind

2619-410: Is less sensitive and will miss small tumors, but can identify cancers that have spread to the liver and build-up of fluid in the peritoneal cavity ( ascites ). It may be used for a quick and cheap first examination before other techniques. A biopsy by fine needle aspiration , often guided by endoscopic ultrasound, may be used where there is uncertainty over the diagnosis, but a histologic diagnosis

2716-456: Is not usually required for removal of the tumor by surgery to go ahead. Liver function tests can show a combination of results indicative of bile duct obstruction (raised conjugated bilirubin , γ-glutamyl transpeptidase and alkaline phosphatase levels). CA19-9 (carbohydrate antigen 19.9) is a tumor marker that is frequently elevated in pancreatic cancer. However, it lacks sensitivity and specificity , not least because 5% of people lack

2813-485: Is pancreatic intraepithelial neoplasia (PanIN). These lesions are microscopic abnormalities in the pancreas and are often found in autopsies of people with no diagnosed cancer. These lesions may progress from low to high grade and then to a tumor. More than 90% of cases at all grades carry a faulty KRAS gene, while in grades 2 and 3, damage to three further genes – CDKN2A ( p16 ), p53 , and SMAD4  – are increasingly often found. A second type

2910-428: Is technically feasible because the celiac axis and superior mesenteric artery are still free) and those that are "unresectable" (due to more locally advanced disease); in terms of the more detailed TNM classification, these two groups correspond to T3 and T4 respectively. Locally advanced adenocarcinomas have spread into neighboring organs, which may be any of the following (in roughly decreasing order of frequency):

3007-505: Is the intraductal papillary mucinous neoplasm (IPMN). These are macroscopic lesions, which are found in about 2% of all adults. This rate rises to about 10% by age 70. These lesions have about a 25% risk of developing into invasive cancer. They may have KRAS gene mutations (40–65% of cases) and in the GNAS Gs alpha subunit and RNF43, affecting the Wnt signaling pathway . Even if removed surgically,

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3104-961: Is the chosen resort of the artistic shopper". The Paris department stores have roots in the magasin de nouveautés , or novelty store ; the first, the Tapis Rouge, was created in 1784. They flourished in the early 19th century. Balzac described their functioning in his novel César Birotteau . In the 1840s, with the arrival of the railroads in Paris and the increased number of shoppers they brought, they grew in size, and began to have large plate glass display windows, fixed prices and price tags, and advertising in newspapers. A novelty shop called Au Bon Marché had been founded in Paris in 1838 to sell items like lace, ribbons, sheets, mattresses, buttons, and umbrellas. It grew from 300 m (3,200 sq ft) and 12 employees in 1838 to 50,000 m (540,000 sq ft) and 1,788 employees in 1879. Boucicaut

3201-571: Is the intraductal tubulopapillary neoplasm. This type was recognised by the WHO in 2010 and constitutes about 1–3% of all pancreatic neoplasms. Mean age at diagnosis is 61 years (range 35–78 years). About 50% of these lesions become invasive. Diagnosis depends on histology, as these lesions are very difficult to differentiate from other lesions on either clinical or radiological grounds. The genetic events found in ductal adenocarcinoma have been well characterized, and complete exome sequencing has been done for

3298-471: Is the longest trading defunct British retailer. An observer writing in Ackermann's Repository , a British periodical on contemporary taste and fashion, described the enterprise in 1809 as follows: The house is one hundred and fifty feet in length from front to back, and of proportionate width. It is fitted up with great taste, and is divided by glazed partitions into four departments, for the various branches of

3395-686: Is the one formulated by the American Joint Committee on Cancer (AJCC) together with the Union for International Cancer Control (UICC). The AJCC-UICC staging system designates four main overall stages, ranging from early to advanced disease, based on TNM classification of T umor size, spread to lymph N odes, and M etastasis. To help decide treatment, the tumors are also divided into three broader categories based on whether surgical removal seems possible: in this way, tumors are judged to be "resectable", "borderline resectable", or "unresectable". When

3492-426: Is typically characterized by moderately to poorly differentiated glandular structures on microscopic examination. There is typically considerable desmoplasia or formation of a dense fibrous stroma or structural tissue consisting of a range of cell types (including myofibroblasts , macrophages , lymphocytes and mast cells ) and deposited material (such as type I collagen and hyaluronic acid ). This creates

3589-667: The Great Recession of 2008-9, shifts in spending to experiences rather than material goods, relaxed dress codes in workplaces, and the shift to e-commerce in which Amazon.com and Walmart dominated versus the online offerings of traditional retailers. COVID-19 increased the number of permanent store closings in two ways: first through mandatory temporary closing of stores, especially in March and April 2020, with customers largely staying away from stores for non-essential purchases for many more months after that; and secondly, by causing

3686-784: The Lebanon Valley Mall in Lebanon, Pennsylvania , in August 1972. Boscov's bought Fowler, Dick and Walker, the Boston Store in 1980. One of Wilkes-Barre 's last remaining downtown department stores, it was Boscov's first multi-story store. Boscov's opened its first location outside of Pennsylvania at the Dover Mall in Dover, Delaware , in August 1982. Boscov's first entered the Philadelphia market in

3783-553: The Lewis (a) antigen and cannot produce CA19-9. It has a sensitivity of 80% and specificity of 73% in detecting pancreatic adenocarcinoma, and is used for following known cases rather than diagnosis. All those with pancreatic cancer require genetic testing as high risk oncogenic mutations may provide prognostic information and certain mutations with high risk features require first degree relatives to undergo genetic testing as well. The most common form of pancreatic cancer (adenocarcinoma)

3880-521: The San Fernando Valley at Laurel Plaza . Starting in 2010 many analysts referred to a retail apocalypse in the United States and some other markets, referring to the closing of brick-and-mortar retail stores, especially those of large chains. In 2017, over 12,000 U.S. stores closed due to over-expansion of malls, rising rents, bankruptcies, leveraged buyouts , low quarterly profits other than during holiday peak periods , delayed effects of

3977-443: The duodenum , stomach , transverse colon , spleen , adrenal gland , or kidney . Very often they also spread to the important blood or lymphatic vessels and nerves that run close to the pancreas, making surgery far more difficult. Typical sites for metastatic spread (stage IV disease) are the liver, peritoneal cavity and lungs , all of which occur in 50% or more of fully advanced cases. The 2010 WHO classification of tumors of

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4074-480: The hormone -producing ( endocrine ) tissue of the pancreas have different clinical characteristics and are called pancreatic neuroendocrine tumors , sometimes abbreviated as "PanNETs". Both groups occur mainly (but not exclusively) in people over 40, and are slightly more common in men, but some rare subtypes mainly occur in women or children. The exocrine group is dominated by pancreatic adenocarcinoma (variations of this name may add "invasive" and "ductal"), which

4171-407: The stomach , begin to multiply out of control and form a mass . These cancerous cells have the ability to invade other parts of the body. A number of types of pancreatic cancer are known. The most common, pancreatic adenocarcinoma , accounts for about 90% of cases, and the term "pancreatic cancer" is sometimes used to refer only to that type. These adenocarcinomas start within the part of

4268-408: The body and tail typically also cause pain. People sometimes have recent onset of atypical type 2 diabetes that is difficult to control, a history of recent but unexplained blood vessel inflammation caused by blood clots ( thrombophlebitis ) known as Trousseau sign , or a previous attack of pancreatitis . A doctor may suspect pancreatic cancer when the onset of diabetes in someone over 50 years old

4365-403: The body. Pancreatic cancer rarely occurs before the age of 40, and more than half of cases of pancreatic adenocarcinoma occur in those over 70. Risk factors for pancreatic cancer include tobacco smoking , obesity , diabetes , and certain rare genetic conditions. About 25% of cases are linked to smoking, and 5–10% are linked to inherited genes . Pancreatic cancer is usually diagnosed by

4462-552: The common forms of pancreatic cancer have found that 75% of human genes are expressed in the tumors, with some 200 genes more specifically expressed in pancreatic cancer as compared to other tumor types. Pancreatic ductal adenocarcinoma cancer cells are known to secrete immunosuppressive cytokines, creating to a tumor microenvironment that inhibits immune detection and blocks anti-cancer immunity. Cancer associated fibroblasts secrete fibrous tissue ( desmoplasia ) consisting of matrix metalloproteinases and hyaluronan which blocks

4559-516: The common types of tumor. Four genes have each been found to be mutated in the majority of adenocarcinomas: KRAS (in 95% of cases), CDKN2A (also in 95%), TP53 (75%), and SMAD4 (55%). The last of these is especially associated with a poor prognosis. SWI/SNF mutations/ deletions occur in about 10–15% of the adenocarcinomas. The genetic alterations in several other types of pancreatic cancer and precancerous lesions have also been researched. Transcriptomics analyses and mRNA sequencing for

4656-557: The company of men. These, for the main part, were newly affluent middle-class women, their good fortune – and the department store itself – nurtured and shaped by the Industrial Revolution . This was transforming life in London and the length and breadth of Britain at a dizzying pace on the back of energetic free trade, fecund invention, steam and sail, and a seemingly inexhaustible supply of expendable cheap labour. This pioneering shop

4753-489: The company. As part of the bankruptcy, 10 stores were shuttered, two of which were reopened. The company emerged from bankruptcy in September 2009. Albert Boscov died from pancreatic cancer on February 10, 2017, at the age of eighty-seven. The chain is now headed by his nephew, Jim Boscov. Boscov's continuing success makes it regarded as somewhat of an "outlier" because many department store retailers had begun pulling back to

4850-444: The degree to which they produce hormones. The functioning types secrete hormones such as insulin , gastrin , and glucagon into the bloodstream, often in large quantities, giving rise to serious symptoms such as low blood sugar , but also favoring relatively early detection. The most common functioning PanNETs are insulinomas and gastrinomas , named after the hormones they secrete. The nonfunctioning types do not secrete hormones in

4947-500: The diagnosis and to help decide whether the tumor can be surgically removed (its " resectability "). On contrast CT scan , pancreatic cancer typically shows a gradually increasing radiocontrast uptake, rather than a fast washout as seen in a normal pancreas or a delayed washout as seen in chronic pancreatitis. Magnetic resonance imaging and positron emission tomography may also be used, and magnetic resonance cholangiopancreatography may be useful in some cases. Abdominal ultrasound

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5044-470: The diffusion of such ideas. A number of department stores teamed up together to create the International Association of Department Stores in Paris in 1928 to have a discussion space dedicated to this retail format. The U.S. Baby Boom led to the development of suburban neighborhoods and suburban commercial developments, including shopping malls. Department stores joined these ventures following

5141-436: The digestive system grades all the pancreatic neuroendocrine tumors (PanNETs) into three categories, based on their degree of cellular differentiation (from "NET G1" through to the poorly differentiated "NET G3"). The U.S. National Comprehensive Cancer Network recommends use of the same AJCC-UICC staging system as pancreatic adenocarcinoma. Using this scheme, the stage-by-stage outcomes for PanNETs are dissimilar to those of

5238-424: The disease include weakness and tiring easily, dry mouth , sleep problems, and a palpable abdominal mass . The spread of pancreatic cancer to other organs ( metastasis ) may also cause symptoms. Typically, pancreatic adenocarcinoma first spreads to nearby lymph nodes , and later to the liver or to the peritoneal cavity , large intestine , or lungs. Uncommonly, it spreads to the bones or brain. Cancers in

5335-444: The disease is still in an early stage (AJCC-UICC stages I and II), without spread to large blood vessels or distant organs such as the liver or lungs, surgical resection of the tumor can normally be performed, if the patient is willing to undergo this major operation and is thought to be sufficiently fit. The AJCC-UICC staging system allows distinction between stage III tumors that are judged to be "borderline resectable" (where surgery

5432-422: The disease is typically not diagnosed until it has spread beyond the pancreas itself. This is one of the main reasons for the generally poor survival rates. Exceptions to this are the functioning PanNETs, where over-production of various active hormones can give rise to symptoms (which depend on the type of hormone). Common presenting symptoms of pancreatic adenocarcinoma include: Other common manifestations of

5529-526: The downtown shopping district display; the "theme" window displays became famous for their ingenuity and beauty, and visiting the Marshall Field's windows at Christmas became a tradition for Chicagoans and visitors alike, as popular a local practice as visiting the Walnut Room with its equally famous Christmas tree or meeting "under the clock" on State Street. In 1877, John Wanamaker opened what some claim

5626-626: The establishment of a superiority over every other in Europe, and to render it perfectly unique in its kind. This venture is described as having all of the basic characteristics of the department store; it was a public retail establishment offering a wide range of consumer goods in different departments. Jonathan Glancey for the BBC writes: Harding, Howell & Co was focused on the needs and desires of fashionable women. Here, at last women were free to browse and shop, safely and decorously, away from home and from

5723-637: The exocrine cancers. A different TNM system for PanNETs has been proposed by the European Neuroendocrine Tumor Society. Apart from not smoking, the American Cancer Society recommends keeping a healthy weight, and increasing consumption of fruits, vegetables, and whole grains , while decreasing consumption of red and processed meat , although there is no consistent evidence this will prevent or reduce pancreatic cancer specifically. A 2014 review of research concluded that there

5820-415: The extensive business, which is there carried on. Immediately at the entrance is the first department, which is exclusively appropriated to the sale of furs and fans. The second contains articles of haberdashery of every description, silks, muslins, lace, gloves, &etc. In the third shop, on the right, you meet with a rich assortment of jewelry, ornamental articles in ormolu, French clocks, &etc.; and on

5917-744: The first Boscov's store at 9th and Pike streets in Reading. A Pennsylvania Historical Marker commemorating Solomon Boscov stands at the site of the original store. Boscov's began expanding in the Reading suburbs during the 1960s, with the Boscov's West store in Sinking Spring opening in November 1962 and the Boscov's North store at the Reading Fairgrounds in Muhlenberg Township opening in August 1965. The Boscov's East store along 9th Street in Reading

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6014-488: The first department stores may have been Bennett's in Derby , first established as an ironmonger (hardware shop) in 1734. It still stands to this day, trading in the same building. However, the first reliably dated department store to be established, was Harding, Howell & Co. , which opened in 1796 on Pall Mall , London. The oldest department store chain may be Debenhams , which was established in 1778 and closed in 2021. It

6111-566: The following: clothing, cosmetics, do it yourself , furniture , gardening, hardware, home appliances , houseware , paint, sporting goods, toiletries, and toys. Additionally, other lines of products such as food, books, jewellery, electronics, stationery , photographic equipment, baby products, and products for pets are sometimes included. Customers generally check out near the front of the store in discount department stores , while high-end traditional department stores include sales counters within each department. Some stores are one of many within

6208-462: The growing market of baby boomer spending. A handful of U.S. retailers had opened seasonal stores in resorts, as well as smaller branch stores in suburbs, in the 1920s and 1930s. Examples include, in suburban Los Angeles , The Broadway-Hollywood , Bullocks Wilshire , The May Company-Wilshire , Saks - Beverly Hills , as well as two Strawbridge and Clothier stores: Suburban Square (1930) and Jenkintown (1931) outside Philadelphia. Suburban Square

6305-569: The host's CD8+ T-cells from reaching the tumor. Tumor associated macrophages , neutrophils and regulatory T-cells secrete cytokines and work to create a tumor microenvironment that promotes cancer growth. The genes often found mutated in pancreatic neuroendocrine tumors (PanNETs) are different from those in exocrine pancreatic cancer. For example, KRAS mutation is normally absent. Instead, hereditary MEN1 gene mutations give risk to MEN1 syndrome , in which primary tumors occur in two or more endocrine glands . About 40–70% of people born with

6402-729: The late 1980s by opening Ports of the World stores. These stores would later be re-branded as Boscov's sometime in the mid-1990s. In 1983, Boscov's leased the Fowler's department store building and opened the next year in downtown Binghamton, New York . In August 2002, Boscov's opened a store at the Berkshire Mall in Wyomissing , replacing a Strawbridge's store. As a result, the Boscov's West store in Sinking Spring closed. In 2006, Albert Boscov,

6499-403: The left, with all the different kinds of perfumery necessary for the toilette. The fourth is set apart for millinery and dresses; so that there is no article of female attire or decoration, but what may be here procured in the first style of elegance and fashion. This concern has been conducted for the last twelve years by the present proprietors who have spared neither trouble nor expense to ensure

6596-471: The most-common form of pancreatic cancer may include yellow skin , abdominal or back pain , unexplained weight loss , light-colored stools , dark urine, and loss of appetite . Usually, no symptoms are seen in the disease's early stages, and symptoms that are specific enough to suggest pancreatic cancer typically do not develop until the disease has reached an advanced stage. By the time of diagnosis, pancreatic cancer has often spread to other parts of

6693-459: The nation and, from the 1920s, they started to build department stores directly linked to their lines' termini . Seibu and Hankyu are typical examples of this type. In the middle of the 1920s, American management theories such as the scientific management of F.W. Taylor started spreading in Europe. The International Management Institute (I.M.I.) was established in Geneva in 1927 to facilitate

6790-422: The national prestige brought by the great Parisian stores. The great writer Émile Zola (1840–1902) set his novel Au Bonheur des Dames (1882–83) in the typical department store, making it a symbol of the new technology that was both improving society and devouring it. Australia is notable for having the longest continuously operating department store, David Jones . The first David Jones department store

6887-420: The new cases in 2012 originated. Pancreatic adenocarcinoma typically has a very poor prognosis; after diagnosis, 25% of people survive one year and 12% live for five years. For cancers diagnosed early, the five-year survival rate rises to about 20%. Neuroendocrine cancers have better outcomes; at five years from diagnosis, 65% of those diagnosed are living, though survival considerably varies depending on

6984-472: The one-price policy (so there was no haggling), simple merchandise returns and cash refund policy, selling for cash and not credit, buyers who searched worldwide for quality merchandise, departmentalization, vertical and horizontal integration, volume sales, and free services for customers such as waiting rooms and free delivery of purchases. In 1858, Rowland Hussey Macy founded Macy's as a dry goods store. Marshall Field & Company originated in 1852. It

7081-448: The onset of COVID-19 in 2020, most U.S. retailers offered a curbside pickup service as an option on their websites, and a dedicated area at one of the store entrances accessible by car. Along with discount stores, mainline department stores implemented more and more "stores-within-a-store". For luxury brands this was often in boutiques similar to the brands' own shops on streets and in malls; they hired their own employees who merchandised

7178-494: The pancreas are mainly pancreatic neuroendocrine tumors (PanNETs). Neuroendocrine tumors (NETs) are a diverse group of benign or malignant tumors that arise from the body's neuroendocrine cells , which are responsible for integrating the nervous and endocrine systems. NETs can start in most organs of the body, including the pancreas, where the various malignant types are all considered to be rare . PanNETs are grouped into 'functioning' and 'nonfunctioning' types, depending on

7275-403: The pancreas may also be secondary cancers that have spread from other parts of the body. This is uncommon, found in only about 2% of cases of pancreatic cancer. Kidney cancer is by far the most common cancer to spread to the pancreas, followed by colorectal cancer , and then cancers of the skin , breast , and lung . Surgery may be performed on the pancreas in such cases, whether in hope of

7372-410: The pancreas that makes digestive enzymes . Several other types of cancer, which collectively represent the majority of the non-adenocarcinomas, can also arise from these cells. About 1–2% of cases of pancreatic cancer are neuroendocrine tumors , which arise from the hormone-producing cells of the pancreas. These are generally less aggressive than pancreatic adenocarcinoma. Signs and symptoms of

7469-684: The pancreas. This cancer originates in the ducts that carry secretions (such as enzymes and bicarbonate ) away from the pancreas. About 60–70% of adenocarcinomas occur in the head of the pancreas . The next-most common type, acinar cell carcinoma of the pancreas , arises in the clusters of cells that produce these enzymes, and represents 5% of exocrine pancreas cancers. Like the 'functioning' endocrine cancers described below, acinar cell carcinomas may cause over-production of certain molecules, in this case digestive enzymes, which may cause symptoms such as skin rashes and joint pain. Cystadenocarcinomas account for 1% of pancreatic cancers, and they have

7566-460: The radical notion of shopping for pleasure rather than necessity and its techniques were adopted by modern department stores the world over. The store was extensively promoted through paid advertising. The shop floors were structured so that goods could be made more accessible to customers. There were elegant restaurants with modest prices, a library, reading and writing rooms, special reception rooms for French, German, American and "Colonial" customers,

7663-665: The selling space, and rang up the transactions at the brand's own cash registers. The main difference was that the boutique was physically inside the department store building, although in many cases there are walls or windows between the main store space and the boutique, with designated entrances. Incomplete list, notable stores of 50,000 m (538,196 sq ft) or more. Individual department store buildings or complexes of buildings. Does not include shopping centers (e.g. GUM in Moscow, Intime "Department Stores" in China) where most space

7760-501: The son of Solomon Boscov, retired and his nephew Kenneth Lakin became chairman and chief executive. Lakin led an aggressive expansion of the chain, opening 10 new stores by 2008. Boscov's acquired these locations from Federated Department Stores following the merger with The May Department Stores Company . The new stores opened just prior to the 2008 economic downturn and in August 2008, Boscov's filed for Chapter 11 bankruptcy . Albert Boscov came out of retirement and regained control of

7857-513: The store had buildings on both sides of Deansgate linked by a subterranean passage "Kendals Arcade" and an art nouveau tiled food hall. The store was especially known for its emphasis on quality and style over low prices giving it the nickname "the Harrods of the North", although this was due in part to Harrods acquiring the store in 1919. Harrods of London can be traced back to 1834, though the current store

7954-458: The thick head, the neck, and the tapering body, ending in the tail. Regardless of a tumor's location, the most common symptom is unexplained weight loss, which may be considerable. A large minority (between 35% and 47%) of people diagnosed with the disease will have had nausea, vomiting, or a feeling of weakness. Tumors in the head of the pancreas typically also cause jaundice, pain, loss of appetite , dark urine, and light-colored stools. Tumors in

8051-404: The type of tumor. The many types of pancreatic cancer can be divided into two general groups. The vast majority of cases (about 95%) occur in the part of the pancreas that produces digestive enzymes , known as the exocrine component . Several subtypes of exocrine pancreatic cancers are described, but their diagnosis and treatment have much in common. The small minority of cancers that arise in

8148-556: Was built between 1894 and 1905. Opened in 1830, Austins in Derry remained in operation as the world's oldest independent department store until its closure in 2016. Lewis's of Liverpool operated from 1856 to 2010. The world's first Christmas grotto opened in Lewis's in 1879, entitled 'Christmas Fairyland'. Liberty & Co. in London's West End gained popularity in the 1870s for selling Oriental goods. In 1889, Oscar Wilde wrote "Liberty's

8245-678: Was closed down in 1820 when the business partnership was dissolved. All the major High Streets in British cities had flourishing department stores by the mid-or late nineteenth century. Increasingly, women became the main customers. Kendals (formerly Kendal Milne & Faulkner) in Manchester lays claim to being one of the first department stores and is still known to many of its customers as Kendal's, despite its 2005 name change to House of Fraser . The Manchester institution dates back to 1836 but had been trading as Watts Bazaar since 1796. At its zenith

8342-530: Was destroyed by fire in February 1967 and was replaced by a new Boscov's East store in Exeter Township in November 1967. The Boscov's West store was destroyed by fire in November 1967 and reopened in November 1968. By 1968, Boscov's had five stores, 2,200 workers, and annual sales exceeding $ 50 million. Solomon Boscov retired and was succeeded by his son Albert "Albie" Boscov as head of the company in 1960. The first Boscov's location outside of Berks County opened at

8439-494: Was evidence that consumption of citrus fruits and curcumin reduced risk of pancreatic cancer, while there was possibly a beneficial effect from whole grains, folate , selenium , and non-fried fish. In the general population, screening of large groups is not considered effective and may be harmful as of 2019, although newer techniques, and the screening of tightly targeted groups, are being evaluated. Nevertheless, regular screening with endoscopic ultrasound and MRI/CT imaging

8536-528: Was famous for his marketing innovations; a reading room for husbands while their wives shopped; extensive newspaper advertising; entertainment for children; and six million catalogs sent out to customers. By 1880 half the employees were women; unmarried women employees lived in dormitories on the upper floors. Au Bon Marché soon had half a dozen or more competitors including Printemps , founded in 1865; La Samaritaine (1869), Bazar de Hotel de Ville ( BHV ); and Galeries Lafayette (1895). The French gloried in

8633-514: Was founded in 1900. Arnold Constable was the first American department store. It was founded in 1825 as a small dry goods store on Pine Street in New York City. In 1857 the store moved into a five-story white marble dry goods palace known as the Marble House. During the Civil War, Arnold Constable was one of the first stores to issue charge bills of credit to its customers each month instead of on

8730-457: Was of Jewish descent. He emigrated from Russia to Reading, Pennsylvania , in 1911. He had $ 1.37 in cash (equal to $ 44.8 today) on arrival in the United States. He worked as a traveling salesman with an initial $ 8 worth of merchandise. Because he spoke Yiddish , he was able to converse with people in Berks County who spoke Pennsylvania Dutch . Boscov's fortunes changed in 1914 when he opened

8827-567: Was opened on 24 May 1838, by Welsh born immigrant David Jones in a "large and commodious premises" on the corner of George and Barrack Streets in Sydney , only 50 years after the foundation of the colony. Expanding to a number of stores in the various states of Australia, David Jones is the oldest continuously operating department franchise in the world. Other department stores in Australia include Grace Bros founded in 1885, now merged with Myer which

8924-531: Was the United States' first "modern" department store in Philadelphia : the first to offer fixed prices marked on every article and also introduced electrical illumination (1878), the telephone (1879), and the use of pneumatic tubes to transport cash and documents (1880) to the department store business. Another store to revolutionize the concept of the department store was Selfridges in London, established in 1909 by American-born Harry Gordon Selfridge on Oxford Street . The company's innovative marketing promoted

9021-486: Was the first shopping center anchored by a department store. In the 1950s, suburban growth took off – for example, in 1952, May Company California opened a four-level, 346,700-square-foot (32,210 m ) store in Lakewood Center near Los Angeles, at the time, the largest suburban department store in the world. However, only three years later it would build an even bigger, 452,000-square-foot (42,000 m ) store in

9118-505: Was the first to fly over the English Channel ), and the first public demonstration of television by John Logie Baird took place in the department store in 1925. In Japan , the first "modern-style" department store was Mitsukoshi , founded in 1904, which has its root as a kimono store called Echigoya from 1673. When the roots are considered, however, Matsuzakaya has an even longer history, dated from 1611. The kimono store changed to

9215-594: Was the first to introduce the concept of the personal shopper, and that service was provided without charge in every Field's store, until the chain's last days under the Marshall Field's name. It was the first store to offer revolving credit and the first department store to use escalators . Marshall Field's book department in the State Street store was legendary; it pioneered the concept of the "book signing". Moreover, every year at Christmas, Marshall Field's downtown store windows were filled with animated displays as part of

9312-533: Was the premier department store on the busiest shopping street in the Midwest at the time, State Street in Chicago. Marshall Field's served as a model for other department stores in that it had exceptional customer service. Marshall Field's also had the firsts; among many innovations by Marshall Field's were the first European buying office, which was located in Manchester, England, and the first bridal registry. The company

9409-548: Was used to represent the fictional department store Illustra in the 1987 film Mannequin . Boscov's is mentioned in the Season 3 episode Kimmy Steps on a Crack! of the Netflix comedy series Unbreakable Kimmy Schmidt . It is also mentioned in NBC's The Office , Season 5, Episode 25, “Casual Friday”. Department store A department store is a retail establishment offering

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