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Some would argue that readmitting patients

But a new study suggests many of those so-called readmissions are not the hospital's fault." Lisa McIntyre, of Harborview Medical Center in Seattle. government began fining hospitals in 2015 for surgery readmission rates that are higher than expected. Less than one in five patients returned to the hospital due to something doctors could have managed better during the first - or index - hospital stay.

Alexander Schwed and Christian de Virgilio of the University of California, Los Angeles in an editorial.Out of the 2,100 discharges during that time, there were 173 unplanned readmissions. "Health services researchers (need to find) a better marker for surgical quality that is reliably calculable and clinically useful.

"Should such an inexact marker of quality be used to financially penalize hospitals " they ask. Fines were already being imposed since 2012 for readmissions following treatments for various medical conditions.Only about 18 percent of readmissions - about 2 percent of all discharges - were due to potentially avoidable problems following surgery.

McIntyre and her colleagues write in JAMA Surgery that the U. While the results are only from a single hospital, that hospital is also a safety-net facility for the local area - and McIntyre pointed out that all hospitals have some amount of disadvantaged patients.S.When too many surgery patients come back to a hospital after being sent home, the hospital can be fined by the federal government. About 17 percent of Korea plugs readmissions were due to injection drug use and about 15 percent were due to issues like homelessness or difficulty getting to follow-up appointments.The results raise the question of whether readmission rates are valuable measures of surgical quality, write Drs.Being female, having diabetes, having sepsis upon admission, being in the ICU and being discharged to respite care were all tied to an increased risk of readmission, the researchers found.The researchers studied the medical records of patients who were discharged from their hospital's general surgery department in 2014 or 2015 and readmitted within 30 days.

Some would argue that readmitting patients is a sound medical decision that is tied to lower risks of death, they write."To be able to affect this rate, there are going to need to be new interventions that require money and a more global care package of each individual patient that doesn’t stop at discharge," said McIntyre, who is also affiliated with the University of Washington.Many readmissions were due to issues like drug abuse or homelessness, the researchers found.Many readmissions were due to issues like drug abuse or homelessness, the researchers found."Very few were due to reasons we could control with better medical care at the index admission," said lead author Dr. General surgery includes operations to fix hernias, for example, or to remove a gallbladder or appendix


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We will get there very fast now, what with the help that

”Mendiola’s machine, the “Koncepto Milenya”, can fly as high as 6.Former dancer and camera operator Kyxz Mendiola flew and hovered for a few minutes in a single-passenger contraption powered by the “multicopter” technology commonly used in small unmanned drones.

“All the hard work paid off.He said it took a long time to save up the funds for the components of the single-seater powered by six lithium-ion batteries whose passenger steers with a portable radio frequency controller.(Source).An added safety feature is that the craft’s 16 rotary motors allow it to keep flying, even if one or two fail, he added.“Press a button and it will go up, then push the stick forward, it goes forward. Everything worked perfectly.

“We will get there very fast now, what with the help that we can give him,” he added.An Australian company, Star8, is partnering with Mendiola to develop the vehicle after a video featuring it went viral on social media.A Philippine inventor has unveiled what he calls a flying sports car that Denmark power cables represents the future of transport, riding it out of a warehouse towards a cheering crowd, leaving a cloud of dust in his wake. It’s very smart, that’s why I’m saying it has a lot of potential,” Mendiola said.“It was amazing,” Mendiola told Reuters after what he said was the first public test flight of his invention.The machine, which can carry up to 100 kg (220 lbs), could shave hours off trips in cities like the capital, Manila, crippled by chronic traffic problem, Mendiola felt.1 m (20 ft) and speed up to 60 kph (37 mph) but its maiden flight lasted just a little over 10 minutes.“When we have to go somewhere about an hour’s drive, this can take you there in five minutes,” he said.Star8’s Chief Executive Jacob Maimon said he wanted to mass produce it and market it in Australia, Europe and Hong Kong, after helping Mendiola perfect the machine


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The treatment reduced the risk of the disease

The FDA rejected the drug in 2016, asking for more study data. Food and Drug Administration on Thursday approved a radioactive drug to treat the ultra-rare type of digestive tract cancer that killed Steve Jobs in 2011.Advanced Accelerator said Lutathera’s list price is about ,500 per dose, with the usual treatment period including four doses.Lutathera is unusual in that it harnesses the same molecule that is used to diagnose cancer to also deliver the treatment.

S closed its .S.In general, patients with well-and-moderately differentiated tumours, compared with healthy cells, have a roughly 35 percent probability of surviving for five years, the company estimates.The radiopharmaceutical injection works by hitting cancer cells with high energy electrons, just like radiotherapy, but targets gastroenteropancreatic neuroendocrine tumours (GEP-NETs) that over-express a certain protein.

The U..It has been a long journey for Lutathera.The FDA estimates that each year, one out of 27,000 people are diagnosed with GEP-NETs, a disease that killed Apple (AAPL. This price is not necessarily what patients actually pay, as out-of-pocket غير مجاز مي باشدts vary based on a patient’s insurance plan and rebates offered by drugmakers.The approval for Advanced Accelerator Applications SA’s (AAAP.9 billion acquisition of the French company.

The treatment reduced the risk of the disease progressing by 79 percent in a China Power Cables Manufacturers late-stage clinical trial, on the basis of which it was approved, Accelerator Applications said. The company resubmitted its marketing application in July last year.O) Lutathera comes just days after Swiss giant Novartis AG NOVS. The European Medicines Agency approved Lutathera in September and Novartis offered to buy Advanced Accelerator a month later.This is the first U.O) co-founder Jobs in 2011. approval for this kind of treatment, known as peptide receptor radionuclide therapy


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It’s also forgotten that Ratan Tata’s forays with Tetley

The Narasimha Rao-Manmohan Singh reforms opened the gates to the creation of new wealth.The Narasimha Rao-Manmohan Singh reforms opened the gates to the creation of new wealth. Until 1952 the Maharaja of Baroda owned a controlling share of the equity in Fortnum & Mason, the chic food shop in Piccadilly that a footman of Queen Anne’s started in 1707 and which is still grocer to Queen Elizabeth II. Being astute practitioners of the art of the possible, politicians have their finger on the public pulse, and know it has been dinned into generations of orthodox Hindus that it was smart to call an elephant after a great warrior and kill it in order to trick and vanquish the warrior’s otherwise invincible father.Victorian England bristled with social contrasts and conflicts but it was also the age of scientific inquiry, technological innovation, social experimentation and imperial expansion, with no constraints on thinking and scholarship. Seven decades is of course only a blip in the countless millennia of Indian nationhood. They themselves set down the information regarding murder, attempted murder, crimes against women including rape and kidnapping, culpable homicide, house trespass, robbery and criminal intimidation in their sworn affidavits, even to Euro plugs listing the 204 criminal cases that didn’t prevent a Kerala politician being elected to Parliament. Nor do police stations and law courts baulk at accepting obviously fabricated charges. Narasimha Rao and Manmohan Singh laid the foundations of the modern state, could be crucial in defining the future.” That might well be said of India’s legislatures as our republic steps into its 71st year. But these 70 years, especially the last 30 since the reforms initiated by P.

It’s also forgotten that Ratan Tata’s forays with Tetley Tea and Jaguar Land Rover are not India’s first ventures in international commerce.No wonder Indian courts do not admit the common law doctrine of Falsus in uno, falsus in omnibus, “false in one thing, false in everything”, meaning witnesses who testify falsely about one matter can’t be believed when testifying on any matter. As in post-Soviet Russia, the subsequent capitalism blurred the distinction between the government and tycoons so that it is often not clear whose is the upper hand, who orders and who obeys.Some hardened criminal-politicians are actually proud of their record. They have always been with us. However impeccable the high courts and the Supreme Court might be, India’s lower judiciary must be the worst in the world. The fear here is that our universities and other academic institutions are being brought under official control, with the democratic consensus behind the government faltering as independent thinking yields to empty bombast. The epics bestow respectability on legends in which the simple place implicit faith. Our lawyers argue that falsehood is often necessary to establish the truth. P V Narasimha Rao (Photo: PTI/File) Asked if he prayed for America’s senators, a chaplain to the United States Senate once replied: “No, I look at the senators and pray for the country. Others who have been weaned on the myths and legends of the supposedly golden age of Hindu ascendancy to which India is being dragged back innocently believe that the Mahabharat and Ramayan sanction and even glorify cleverness on the shady side.If the Senate chaplain looked at our governance, he would probably pray not just for the country but for the world. Credibility matters. Deploring the imposition of British jurisprudence, Penderel Moon of the Indian Civil Service cited instances of witnesses who were for sale and their concocted evidence leading to innocent people being executed


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The study also includes the key strategic developments

Mode=18 Global Tablet Compression Machines Market Split by Product Type and Applications:This report segments the Global Tablet Compression Machines Market on the basis of Types are:Single Station TypeMultiple Station TypeOn the basis Australia power cables of Application, the Global Tablet Compression Machines Market is segmented into:PharmaceuticalsCleaning Productsغير مجاز مي باشدmeticsOtherRegional Analysis For Tablet Compression Machines Market:United StatesEuropeChinaJapanOther RegionsAvail Exclusive Discount on This Report:/reports/01241066025/global-tablet-compression-machines-market-insights-forecast-to-2025/discount?source=honestversion&mode=18 Influence of the Tablet Compression Machines market report:-Comprehensive assessment of all opportunities and risk in the Tablet Compression Machines market.Please connect with our sales team ([emailprotected]).-Key Market Features: The report evaluated key market features, including revenue, price, capacity, capacity utilization rate, gross, production, production rate, consumption, import/export, supply/demand, غير مجاز مي باشدt, market share, CAGR, and gross margin. It provides the industry overview with growth analysis and historical & futuristic غير مجاز مي باشدt, revenue, demand and supply data (as applicable).The report presents the market competitive landscape and a corresponding detailed analysis of the major vendor/key players in the market.– Tablet Compression Machines market recent innovations and major events. Top Companies in the Global Tablet Compression Machines Market: Fette, Korsch, GEA Technology, STOKES, Romaca, Bosch.

IMA Pharma, ACG Worldwide, Fluidpack, Romaco Kilian, Shanghai Tianxiang & Chentai Pharmaceutical Machinery, Prism Pharma Machinery, ATG Pharma, Liaoning Tianyi Machinery, Shanghai Tianju Medical Machinery, Riddhi Pharma Machinery and Others.-In-depth understanding of Tablet Compression Machines market-particular drivers, constraints and major micro markets.-Conclusive study about the growth plot of Tablet Compression Machines market for forthcoming years. The research analysts provide an elaborate description of the value chain and its distributor analysis.About Us:MarketInsightsReports provides syndicated market research on industry verticals including Healthcare, Information and Communication Technology (ICT), Technology and Media, Chemicals, Materials, Energy, Heavy Industry, etc. In addition, the study offers a comprehensive study of the key market dynamics and their latest trends, along with pertinent market segments and sub-segments.

The study also includes the key strategic developments of the market, comprising R&D, new product launch,Mode=18 Customization of the Report: This report can be customized as per your needs for additional data up to 3 companies or countries or 40 analyst hours.-Analytical Tools: The Global Tablet Compression Machines Market report includes the accurately studied and assessed data of the key industry players and their scope in the market by means of a number of analytical tools. The analytical tools such as Porter’s five forces analysis, SWOT analysis, feasibility study, and investment return analysis have been used to analyze the growth of the key players operating in the market.


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Xi has made robust diplomacy and a muscular

A day after the party announced a proposed constitutional amendment ending term limits, Internet users found themselves unable to signal approval or disapproval by changing their profiles. Memorabilia featuring Chinese President Xi Jinping are displayed at a souvenir shop in Beijing. In terms of trade relations with the US, entrenched differences between the world’s No.“The regime will be even more severe in all kinds of repression,” Cheng said. 1 and No. 2 economies will likely remain, said James Zimmerman, former chairman of the American Chamber of Commerce in China. China holds no competitive elections for leadership posts, and the body responsible for reappointing Xi to a second five-year term and amending the constitution next month generally approves the party’s pre-ordained decisions. Maybe an unspoken agreement has been reached inside the Chinese Communist Party that one has to step down after three or four terms,” Hu said.Others pointed out that authoritarian rule without term limits often leads to abuses and severely complicates the succession process.“As the leader, he has done pretty well in terms of reform and economic growth,” said Liu, 67.Nevertheless, social media users shared images of Winnie the Pooh hugging a jar of honey along with the quote, “Find the thing you love and stick with it.

Following the pasغير مجاز مي باشدe of the constitutional amendment, “there will be even less tolerance of criticism,” said Joseph Cheng, a long-time observer of Chinese politics now retired from the City University of Hong Kong.Xi appeared to signal his intention at last year’s party national congress by breaking with the convention of appointing an heir-apparent to the all-powerful Politburo Standing Committee.Yet, extending his rule while centralizing power also poses political risks for Xi, making him solely responsible for dealing with knotty problems including the ballooning public debt, an anemic public welfare system, unemployment in the bloated state sector and pushback against China’s drive for regional dominance and global influence.Other online commenters wrote, “Attention, the vehicle is reversing” — an automated announcement used by Chinese delivery vehicles — suggesting that China is returning to the era of former dictator Mao Zedong or even imperial rule.Professor and political commentator Hu Xingdou said he doubted that Xi wants to be president-for-life, but there were concerns that China could “slide into a kind of fascism or personal dictatorship which will cause very serious consequences.The country’s rubber-stamp parliament, the National People’s Congress, is all but certain to pass the amendment when it meets for its annual session early next month.“This announcement on the one hand potentially means continuity, predictability, and stability.

Key search topics such as “serve another term” were censored.In the near term, “this move could actually increase stability, since there would presumably be less jockeying for power,” said William Nee, an Amnesty International researcher on China. “In the long run, however, this will probably further complicate the perennial problem that authoritarian states confront in finding a way to peacefully and orderly transfer power.Around the same time, a push to clear unregistered residents from Beijing and other cities in the name of safety and social order was roundly criticized for throwing migrant families out of their homes in the dead of winter. Xi already has a firm grip on power as head of the military and party general secretary, a position for which there are no term limits, and has eliminated all challenges to his leadership. Under the 1982 constitution, the president is limited to two five-year terms in office, but Xi — already China’s most powerful leader since Mao — appears to want additional terms to see through his agenda of fighting corruption, eliminating poverty and transforming China into a modern leading nation by mid-century. “People love the leader of the people,” read a commentary on the website of state broadcaster CCTV on Monday.Or, some speculated, he may simply wish to retain near-absolute power for as long as possible.“It is most likely that it will turn into a post of lifelong tenure,” said Zhang Ming, a retired political scientist who formerly taught at Beijing’s Renmin University. (Photo: AP) Beijing: The ruling Chinese Communist Party’s move to enable President Xi Jinping to stay in power indefinitely is likely to ensure some degree of political stability while also reviving the specter of a return to one-man rule, analysts said Monday.”However long Xi wishes to hold on to office, he currently faces little opposition from within the party or mainstream society. In addition, Xi has already won two highly significant victories in being named the “core” of the current generation of party leaders, and having his eponymous governing philosophy inserted into the party constitution at last year’s congress.In a sign of the leadership’s sensitivities, Chinese censors acted quickly to remove satirical commentary online about the development.S.An effort to cut winter air pollution in the frigid north by slashing coal use had to be reversed after factories were left idle and millions of people shivering in their homes.”“Many consider this a lifetime tenure, but I think it will probably be extended to three or four terms.”Xi has made robust diplomacy and a muscular military posture in the South China Sea and elsewhere a hallmark of his rule and more can be expected, experts said.A retired Beijing railroad worker, who gave only his surname, Liu, said he approved of Xi’s performance over his first five years in office and voiced no objection to the lifting of term limits.33rd Day Of Lockdown Total Cases 26,283 1,835 Recovered.

Mizoram100 Arunachal Pradesh110 plugs Factory World, Asia Stability, risks seen in extension of China President’s rule AP Published: Feb 27, 2018, 12:58 am IST Updated: Feb 27, 2018, 12:58 am IST Social media users shared images of Winnie the Pooh hugging a jar of honey along with the quote, ‘Find the thing you love and stick with it’.In recent months, critics have pointed to two major policy missteps. But, on the other hand, it also means more of the same; namely, stalled market reforms and limitations on market access,” Zimmerman said.Recent months have also seen a growing number of references in state media to Xi as “leader,” a minimalist title reserved up until now for Mao. “In foreign policy, he also did a good job by taking tough positions in the face of provocations from the U.”The Disney bear’s image has been compared to President Xi Jinping, prompting periodic blocks on the use of Pooh pictures online..Xi’s rule has been characterized by a relentless crackdown on critics and independent civil society voices such as lawyers netted in a sweeping crackdown on legal activists that began in July 2015


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India respond to Pakistan-sponsored terrorism in Kashmir

CIA activities within the country are of course nothing new for India, but an issue which reminds the government of the need for constant vigilance amongst India’s counter-intelligence agencies “to protect the Indian people”, even at a time when the country’s political leadership is desperately attempting to become a “natural ally” of the US.These events, whether in the Gaza Strip or the US Senate, were all disquieting to America’s allies and opponents alike, and collectively contributed to an atmosphere of heightened international tension reminiscent of the Cold War, which has undoubtedly touched India as well.

The Indian Army was also not too unhappy because it allowed opportunities to follow up hot trails before they got too cold. When spymasters of yesteryears choose to co-author a book, it is likely to be an explosive money-spinner, which the market would eagerly lap up, particularly if the authors in their time headed RAW and ISI — the opposing covert agencies of India and Pakistan respectively.This is the background against which the Government of India, on the urgent representation from chief minister of Jammu and Kashmir, ordered the Indian security forces operating against separatist militants there to ease up their operations while yet another offer was made for a month-long Ramzan ceasefire in the Kashmir Valley.The vivid media images of the Palestinian intifada in the Gaza Strip, projected on television screens worldwide, were watched by audiences on the subcontinent too, including in the Kashmir Valley. Palestinian protesters carry an injured man who was shot by Israeli troops during a protest at the Gaza Strip's border with Israel, Monday, May 14, 2018.To a watching world it was a graphic demonstration of iron-fisted crowd control by the Israeli security forces, circa 2018. Some whose heart beat for Pakistan may choose to take inspiration from the pall of black smoke over the Gaza Strip.33rd Day Of Lockdown Total Cases 26,283 1,835 Recovered 5,939 443 Deaths 825 44 Maharashtra76281076323 Gujarat3071282133 Delhi262586954 Rajasthan208351334 Madhya Pradesh194528199 Tamil Nadu182196023 Uttar Pradesh179326127 Andhra Pradesh101617131 Telangana99030725 West Bengal57110318 Karnataka50015818 Jammu and Kashmir4941126 Kerala4583384 Punjab3087217 Haryana2871913 Bihar251452 Odisha100341 Jharkhand6783 Uttarakhand48260 Himachal Pradesh40232 Chhatisgarh37320 Assam36191 Chandigarh28150 Meghalaya1201 Puducherry840 Goa770 Manipur220 Tripura220 Mizoram100 Arunachal Pradesh110 Opinion, Oped Is the Cold War starting all over again? Shankar RoychowdhuryGeneral Shankar Roychowdhury is a former Chief of Army Staff and a former member of Parliament.Intelligence is a black art regarded by some as almost akin to witchcraft. Two such personalities have chosen to co-author a book.

The Spy Chronicles: RAW, ISI and the Illusion of Peace. And this is exactly what happened. Other events, unconnected in themselves, also occurred almost in tandem elsewhere in the world during the same approximate timeframe.At the other end of the spectrum was the unequivocal reiteration at the hearings by Gina Haspel, (since confirmed as the director of the CIA) that under her leadership the CIA would continue to pursue undeterred its national responsibility of “protecting the American people” by conducting intelligence and covert activities across the world.Across the Line of Control, the ceasefire was rejected by Sayeed Salahudeen and the United Jihad Council based at Muzaffarabad in Pakistan-occupied Kashmir. This had occurred earlier, and was bluntly rejected by India before the same body. On its own part, India must remain wary and be prepared for Pakistan attempting an updated replay of its 1965 “Operation Gibraltar”, combining massive intifada-style civil disobedience inside Kashmir, with trans-LoC violence by the Lashkar, Hizbul, Jaish, the newest entrant — Islamic State, together with other similar assorted derivatives. Smoke from volleys of rifle fire aimed into crowds by the Israeli Army, mingled with vertical contrails of teargas canisters dropped from above by Israeli drones.Most significant among these was the tectonic presidential decision by the United States to unilaterally “walk away” from the existing nuclear agreement with Iran, and reimpose economic sanctions earlier lifted from that country, peremptorily waving off anxious remonstrations by its European allies.. The proceedings were remarkably candid for their revelations of America’s quasi-official acceptance “in the national interest” of rendition and torture by its operatives at “black sites” in foreign countries to gather intelligence and launch covert “dirty war” operations against countries like Russia, Iran, China and North Korea, which are perceived as the current “axis of evil”.The offer of a Ramzan ceasefire aside, will the Government of India respond to Pakistan-sponsored terrorism in Kashmir with a matching “maximally calibrated minimum force” if an “escalated intifada” is ordered by Sayeed Salahudeen and his cohorts, the United Jihad Council? There may also be a possibility that Pakistan will again seek to exploit the Palestine intifada and attempt to reopen the Kashmir issue with the Organisation of Islamic Conference (OIC). But the lessons to be drawn really pertain to India.The Israeli responses were immediate and harsh.In Washington, sharp divisions within the US Senate emerged during the public hearings of the House Intelligence Committee examining Gina Haspel, President Donald Trump’s choice as the director of the CIA.

There are many things which are best left unsaid. In making the offer, the government had to consciously override strong objections and opposition from the Indian Army as well as its own intelligence community, who strongly felt that going by past experience, this would only offer a breathing space for jihadi groups to recuperate, rest and regroup. Successful operations had already eliminated a large number of militants in the current year and the Army wanted to continue and follow up the hunt. Media pictures of injured Palestinians being carried away on makeshift stretchers filled television screens all day. In intelligence circles, much value is placed on spycraft, but speaking from a purely Indian perspective, such bonhomie, however grudging, between opposing intelligence professionals might be difficult to explain to the ranks of the special forces who carried out the retaliatory surgical strike in the wake of the Uri incident or the Rashtriya Rifles who stalked and eliminated Burhan Wani in Sopore. (Photo: AP) Even as a direct US EuroPlugs presidential directive relocated the American embassy from Tel Aviv to the disputed city of Jerusalem, symbolically acknowledging it as the de facto capital of Israel, thick clouds of toxic black smoke from burning rubber tires billowed over Jerusalem and the Gaza Strip, ignited by crowds waving Palestinian flags surging forward towards border fences in the Gaza Strip, signalling the commencement of another Arab intifada. Published: May 30, 2018, 1:23 am IST Updated: May 30, 2018, 1:23 am IST To a watching world it was a graphic demonstration of iron-fisted crowd control by the Israeli security forces, circa 2018


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