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Approximately 108,000 ethnic Nepalese people were forced to move from their long-standing homes in Bhutan in the 1990s and have since been living within refugee camps in Nepal. Since 2008, approximately 30,000 Bhutanese refugees have resettled in the United States, and more are expected to follow.
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In this issue: Calcium supplements and MI; birth control pills and VTE; ACE inhibitors and breast cancer risk; spending on pharmaceuticals; and FDA actions.
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Forty-four (23%) of 192 adventure race participants in a 2005 Florida event developed suspected leptospirosis, with confirmatory serologic testing positive in 45% of the tested individuals. A unique serovar (related to species Leptospira noguchii) was isolated from 1 patient.
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This retrospective study of more than 7000 patients from four combined medical-surgical ICUs demonstrated that ionized calcium levels are unrelated to mortality over a broad range of values but are independent predictors of mortality when levels are severely increased or decreased.
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In assessment of acute chest pain in the emergency room, a new or "presumably new" left bundle branch block (LBBB) is considered as an electrocardiographic (ECG) equivalent to ST elevation.
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Involving family members in ICU rounds improved satisfaction in some areas, such as physician communication and decision-making support, but failed to improve overall family satisfaction.
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In a hospital with high ICU bed occupancy, delays in transferring critically ill patients from the emergency department or general wards to the ICU were associated with increased mortality in comparison with immediate transfer to an ICU bed, and this increased mortality was incrementally greater with increasing delay.
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Current guidelines recommend hypothermia for comatose survivors of out-of-hospital cardiac arrest in whom return of circulation has been achieved.