W Indian Med J
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In this study, we evaluated the association of polypharmacy and nutritional status among independently-living elderly persons attending the outpatient clinics at the Eric Williams Medical Sciences Complex (EWMSC). ⋯ Among participants, polypharmacy and number of ailments were positively associated with an increased risk of malnutrition. Nonetheless, the mechanisms underlying these associations remain unclear.
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In humans, live male births slightly exceed females and this ratio is conventionally expressed as male live births divided by total live births (M/F). A wide variety of factors have been shown to influence M/F including latitude, stress, socio-economic status and race. This study was carried out in order to ascertain whether there are differences in M/F in different states and in different geographical regions in the United States of America (USA). ⋯ The high Hawaiian M/F is in keeping with Micronesian island findings. The M/F latitude gradient accords with that previously noted in the USA. Historically, Blacks have been shown to have a lower M/F than other races. Long-term stress related to maternal socio-economic status has also been shown to influence M/F, and Blacks are known to be disadvantaged to this day. It is possible that the low M/F historically noted in this race may be due to chronically poor socio-economic circumstances.
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To systematically assess the efficacy and safety of montelukast for postinfectious cough (PIC) and to propose a recommendation via a systematic review of all available randomized controlled trials (RCTs). ⋯ Montelukast demonstrated potential positive efficacy and safety for PIC; however, we could not come to a firm conclusion on the efficacy and safety of montelukast for PIC. More high quality randomized controlled trials are required to confirm the efficacy and safety of montelukast for PIC.
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The objective of this study was to develop a sonographic technique for the measurement of fetal interorbital distance (IOD) for gestational age (GA) determination and to establish a normogram of IOD for the local population. ⋯ Results from the study suggest that the fronto-transverse technique is a feasible and reproducible technique for IOD measurement and the established normogram of IOD can be a veritable statistic for GA prediction in our locality.
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Accurate prediction of ovulation is important in the management of female infertility. ⋯ Sonographic observation of complete disappearance of a dominant follicle and reduction in follicular size of surrogate follicles after follicular rupture appeared to be a reliable predictor of imminent ovulation.