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Though a subsequent randomized trial showed no survival benefit over conventional mechanical ventilation [Zapol ], protective ventilation strategies and evolving extracorporeal technology improvements have led to a resurgence in the use of ECMO for patients with ARDS. The results of the trial have led some to believe that the widespread adoption of ECMO as a feasible treatment for severe respiratory failure is forthcoming [MacLaren ; Del Sorbo ]. As the use of ECMO continues to increase, clinicians must be aware of the extremes in patient characteristics for which therapy might be considered reasonable.

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India has experienced extraordinary population growth: between and India added million people to the world, slightly less than the entire population of Brazil. India ranks at the bottom of the pyramid in per capita-level consumption indicators not only in energy or electricity but in almost all other relevant per capita-level consumption indicators, despite high rates of growth in the last decade. Relatively socio-economically advanced Indian states had a fertility rate of less than 2. But in poorer states like Bihar, fertility rates were nearer to 4.

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Dear colleagues. A new study published in the International Journal of Environmental Health Research develops a combined general and specified approach to understand the determinants of vulnerability. The findings show that most participants exhibit high levels of heat-related vulnerability, followed by cold-related vulnerability and lastly, general vulnerability.

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We are booked for next Friday but am considering cancelling. Where will we be taken to swim with the dolphins? I am wondering if the area is safe to swim at the moment because of the sewage spill.

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Anyone have advise on this. The ATV is only 2 hours which isn't all bad and is very close to where we will be staying easy to get to. But the Sevatura Extreme Park looks quite exciting mostly for my teenagers, however may be too much for this 40 year old Mom.


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