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With so many, and so many cost-free, options to network and to distribute your messages, you can now amortize the cost of those efforts that aren't cost-free--website development; literature writing, design, and printing; or exhibit booth development, for example--across more applications. Healthcare IT has got a boost with stimulus package by the Obama administration. The question pertains to approval in Europe, Australia, Japan, Canada and how that relates to a US approval, and secondly, what type of 510(k) to prepare in the US.  Here is my homepage;  http://scholar.harvard.edu/sensemakingscholar/home