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Thyroid disease is commonly encountered in primary care practices because it occurs in a significant proportion of the general population. Routine thyroid disease usually is managed by the primary care provider. An understanding of the various diseases, appropriate diagnostic tests, therapeutic options, and complications of therapy is essential for proper management of the many patients with thyroid disorders.
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Recombinant Erythropoietin Products May Stimulate Tumor Growth; Rosuvastatin: Markets Most Potent Statin; FDA Actions.
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Oligoasthenospermia (male factor infertility) is associated with abnormal genomic imprinting of the sperm, a feature that may predispose to abnormal embryogenesis, including a risk of rare developmental abnormalities and cancer in adulthood, if fertilization occurs, as it may because of the availability of assisted reproductive techniques.
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An enlightening article recently appeared in the British Journal of Obstetrics and Gynaecology by Akmal and colleagues. They performed sonograms in 601 women in active labor to assess the position of the fetal head as it entered the maternal pelvis. Using the simple end point of Cesarean section, they then folded in a variety of other variables, such as maternal age, parity, maternal height, ethnicity, fetal gender, gestational age, and whether labor was spontaneous or induced.
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Patients in clinical remission are most likely to benefit from autologous transplantation, with the exception of patients with clear cell histology.
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In a comparison with uterine artery embolization, laparoscopic occlusion of uterine vessels for the treatment of symptomatic uterine fibroids had less associated postoperative pain and comparable effects on fibroid-associated symptoms.
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Endometrial biopsies were performed using intrauterine lidocaine only, naproxen only, both, or neither. Intrauterine lidocaine significantly reduced the pain when used in conjunction with oral naproxen sodium.
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Some European studies indicate that 2-3% of pregnancies occur through assisted reproductive techniques (ART) while US statistics suggest that about 0.9% of all pregnancies result from ART. Although there has been much written about the profusion of multiple gestations secondary to ART, little attention has been directed toward singleton pregnancies.
