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June 2014
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27 Reads
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6 Citations
The Journal of family practice
No, there is no high-quality evidence that supports using complementary or alternative agents to lower hemoglobin A1c (HbA1c) in patients with noninsulin-dependent type 2 diabetes. Oral chromium in widely varying doses reduces HbA1c a small amount.
July 2013
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6 Reads
American Family Physician
July 2011
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18 Reads
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2 Citations
The Journal of family practice
Yes. All healthy children without evidence of immunity to varicella who are living in a household with a susceptible pregnant woman should be vaccinated.
January 2009
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46 Reads
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2 Citations
The Journal of family practice
Prophylactic oxytocin is fine before or after placental delivery. Timing alone doesn't influence the drug's efficacy in preventing postpartum bleeding (recommendation based on randomized controlled trial and prospective cohort studies).
October 2008
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13 Reads
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3 Citations
The Journal of family practice
They're useful in diagnosing Graves' disease and, to a lesser extent, autoimmune thyroid disease; they can also help predict hypothyroidism. Thyrotropin receptor antibodies (TRAb) may be mildly elevated in a variety of thyroid disorders, but a TRAb level >10 U/L increases the probability of Graves' disease by a moderate to large degree (strength of recommendation [SOR]: cross-sectional study). A positive or negative thyroid peroxidase antibody (TPOAb) test increases or decreases the probability of autoimmune thyroid disease by only a small to moderate degree (SOR: 3 cross-sectional studies). Thyroid-stimulating hormone (TSH) levels >2 mU/L, although still in the normal range, can be followed up with TPOAb testing to determine whether the patient has an increased probability of developing hypothyroidism (SOR: cohort study with a vague hypothyroidism reference standard).
December 2006
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28 Reads
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3 Citations
The Journal of family practice
Induction of labor is a viable therapeutic option when the benefits of timely delivery outweigh the risks of unnecessary cesarean section or prematurity. Two large retrospective studies support the concept that cesarean section rates and admissions to neonatal intensive care units are higher with elective induction as opposed to expectant management (TABLE). A large population-based study suggests that the higher cesarean section rates in elective induction is present only among nulliparous women; in multiparous women, the rate is the same as expectant management. Contrasting these results are those of a large systematic review, which found lower cesarean section rates in electively induced women. Two more recent studies, a retrospective cohort study and a randomized controlled trial, found a much lower incidence of cesarean section and operative vaginal deliveries among induced vs expectantly managed women at term.
May 2004
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5 Reads
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2 Citations
The Journal of family practice
... Incorporating sweet potato into the diet of experimental rats provides a valuable model for studying its effects on various health parameters and exploring its potential applications in human health. The findings from such research can inform dietary recommendations and interventions, contributing to the promotion of overall health and well-being (Dewi et al., 2023, Ambika and Nair, 2019, Tanumihardjo et al., 2017, Willcox and Willcox, 2014, Timson, 2014, Moona et al., 2014, Barnes and Sanders, 2012, Suksomboon et al., 2011, Thibodeau et al., 2002. Considering all the literature review and facts, this present study was designed to evaluate the potential impact of cooked, boiled, and grilled sweet potato on the blood biochemistry including the haematological parameters of Wistar rats. ...
June 2014
The Journal of family practice
... Oxytocin acts quickly and effectively with minimal adverse effects and can be used in all women, which makes it the main interven- tion for reducing PPH and is the first uterotonic drug option (23). The administration of oxytocin during the TSL reduces the risk of PPH by 40% (24). Immediately after fetal delivery, starting intravenous infusion of 20 IU of oxytocin in 500 mL RL and given within 2 hours is the routine protocol in our institute for AMTSL. ...
January 2009
The Journal of family practice
... Antimicrosomal antibody (AMA) or TPOAb are frequently used as a marker of thyroid autoimmunity in GD as they are readily available and inexpensive. However, the value of AMA or TPOAb used in isolation in GD is limited by their poor sensitivity and specificity [9], as illustrated by a normal titre despite severe disease activity in this patient. ...
October 2008
The Journal of family practice
... Identification of CAD in women can be a diagnostic challenge because of several factors, including the lower prevalence of obstructive CAD in women younger than 65 years, more atypical manifestations of ischaemic symptoms and more frequent resting ST changes. 2 TMT in women have a relatively low diagnostic yield for CAD compared with men, especially when symptoms are atypical or nonspecific. 3,4 The reported sensitivity and specificity of exercise electrocardiographic testing in symptomatic women vary greatly depending on the study characteristics and range from 31% to 71% and 66% to 86%, respectively. 5 Women tend to have a greater release of catecholamines during exercise, which could potentiate coronary vasospasm and augment the incidence of abnormal exercise results. ...
May 2004
The Journal of family practice
... Whether an induction of labor is elective for an uncomplicated, full term pregnancy or a pregnancy before 39 weeks gestation, there can be added costs and legal risks (Santana and Meyer 2006). Because an elective induction of labor requires cervical ripening, extra ...
December 2006
The Journal of family practice
