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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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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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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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In the vulvar vestibulitis clinical trial conducted at the University of Rochester between 2002 and 2007, patients with vulvar vestibulitis syndrome (localized provoked vulvodynia) were enrolled in a 12-week randomized, placebo-controlled treatment trial.
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Over the years, different tocolytics have been in vogue, only to be discarded later because meta-analyses showed that the agent simply did not work. This month's review will focus on nifedipine, a medication that has been in and out of favor for more than 20 years.
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This publication is an update on osteoporosis screening from the 2002 U.S. Preventive Services Task Force (USPSTF) recommendation.
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Although the annual incidence of all gynecological malignancies remains between 75,000 and 80,000, a far greater number of women with this history are survivors.
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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.