Nationwide, 8 percent of all employment-related health plans were self-insured in 1984, which translates into more than 175,000 self-insured plans according to our latest study of independent health plans. The propensity of an organization to self-insure differs primarily by its size, with large establishments more likely to self-insure. In the overwhelming majority of cases, the self-insured b...

AIM Preterm infants requiring surfactant replacement have been treated using the INSURE technique, which requires sedation and comprises tracheal intubation, surfactant instillation and extubation. However, minimally invasive surfactant therapy (MIST) does not require sedation, minimises airway injury and avoids placing positive pressure ventilation on an immature lung. This study compared the ...

BACKGROUND Neonatal intubation is a stressful procedure that requires premedication to improve intubation conditions and reduce stress and adverse physiological responses. Premedication used during the INSURE (INtubation, SURfactant therapy, Extubation) procedure should have a very short duration of action with restoration of spontaneous breathing within a few minutes. AIMS To determine the b...

Background Intubation-Surfactant-Extubation (InSurE) and less invasive surfactant administration (LISA) are alternative replacement therapy methods for reducing the complications associated with mechanical ventilation. This study aimed to compare Classic, InSurE, LISA in Very-Low-Birth-Weight infants (VLBWIs) South Korea. Methods The Korean Neonatal Network (KNN) enrolled VLBWIs born between Ja...

(From the Laboratories of the Board of Health of the Province of Quebec and the Montreal General Hospital.) WE wish to report some details concerninc* technique, which we find necessary, in order to insure successful results in serum diagnosis by the dried blood method, with which we have now tested over 500 bloods. We mention the facts only in so far as they have a direct practical bearing on ...