Hospital buyers of medical devices contract with manufacturers with market power that sell differentiated products. The medical staff strongly influences hospitals' choice of devices. Sellers have sought to limit disclosure of transaction prices. Policy-makers have proposed legislation mandating disclosure, in the interest of greater transparency. We discuss why a manufacturer might charge diff...

Multidielectric polyethylene is a material that is generally employed as insulation for  the HVDC isolations. In this paper, the influence of temperature on space charge dynamics has been studied, low-density polyethylene (LDPE) and Fluorinated Ethylene Propylene (FEP) sandwiched between two electrodes were subjected to voltage application of 5kV (14.3 kV/mm) for extended duration of time ...

?Sir,?To-day a patient came to hospital with the following unusual appearance. There was profound swelling of the abdomen, back, chest, neck, and face, which everywhere crepitated under pressure of the fingers without pitting. History :?12 days ago, the patient, a male of 20 years, had a sudden attack of pain and swelling in the right iliac and inguinal regions accompanied with obstinate vomiti...

Background Direct laryngoscopy is the primary method for performing tracheal intubation in the pre-hospital setting. Failure to quickly establish an airway can result in hypoxemia, aspiration, neurologic damage, cardiovascular complications, and death. In-hospital data derived form 50,760 apparently normal patients undergoing surgery suggest that difficult laryngoscopy occurs in 5.8% [1]. When ...

ABSTRACT Lakes Regional General Hospital conducted a pre-intervention and a post-intervention study assessing the impact of implementing community-acquired pneumonia (CAP) guidelines within a rural referral hospital. The results showed that the percentage of patients receiving appropriate antibiotic therapy increased from 67% to 87% and that significantly more antibiotic orders met guideline cr...

INTRODUCTION Although national guidelines have been published for the management of critically injured traumatic cardiopulmonary arrest (TCPA) patients, many hospital systems have not implemented in-hospital triage guidelines. The objective of this study was to determine if hospital resources could be preserved by implementation of an in-hospital tiered triage system for patients in TCPA with p...

BACKGROUND To assess inpatient healthcare burden of gout in the USA after an Emergency Department (ED) visit and the predictors of gout-related hospitalizations. METHOD We used the 2009, 2010 and 2012 US National ED Sample (NEDS) data to examine the time trends in inpatient visits with gout as the primary diagnosis. We used the 2012 NEDS data to assess multivariable-adjusted predictors of len...

CHARGE syndrome is a variable, multiple congenital malformation syndrome. Patients with CHARGE syndrome have frequent infections that are presumed to be due to anatomical anomalies of the craniofacial region and upper airway, and cranial nerve problems resulting in swallowing difficulties and aspiration. The possible contribution of immunological abnormalities to these infections has not been s...