title: Economic activity in manufacturing is spiraling downward; Purchasing Managers' Index nosedives to 46.8% in October.
mesh_terms: D004865:Equipment and Supplies, Hospital / Q000191:economics*; D017721:Hospital Costs / Q000706:statistics & numerical data / Q000639:trends*; D011682:Purchasing, Hospital / Q000191:economics*; D014481:United States