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687, February 2017. Medscape Medical News. The importance of avoiding versus seeking pharmacologic analgesia or epidural anesthesia will vary with individual patient values and medical circumstances. That is his avant garde solution to the labour crisis that he faces in the health sector where doctors drop their stethoscopes from time to time and he finds it difficult to get them back to work. The genetic contribution to type 1 DM is also reflected in the significant variance in the frequency of the disease among different ethnic populations. Others such as medical laboratory technicians, pharmacists and para medical staff have also quietly left the country for greener pastures abroad. 'Push the Bar Higher': New Statement on Type 1 Diabetes in Adults. Javascript must be enabled to use this site. ,
These family-centric interventions should be provided in recognition of the value of inclusion in the birthing process for many women and their families, irrespective of delivery mode. August 31, 2020; Accessed: December 1, 2020. Kalra J
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An Anti-CD3 Antibody, Teplizumab, in Relatives at Risk for Type 1 Diabetes. A dietitian should provide specific diet control education to the patient and family. FDA. Learn how to do anything with wikiHow, the world's most popular how-to website. ;
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Zoler ML. [QxMD MEDLINE Link]. However, whether elective amniotomy is beneficial for women without a specific indication has been questioned.
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[QxMD MEDLINE Link]. All patients with type 1 diabetes should learn how to self-monitor and record their blood glucose levels with home analyzers and adjust their insulin doses accordingly. 2011 Sep. 34(9):1932-3. But plenty of stuff that helps mice or a clump of cells in a petri dish may not help us humans. [QxMD MEDLINE Link]. Obstet Gynecol
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This report is used for many purposes in the field of public health, including to: Surveillance systems, such as this one, continue to provide data necessary to examine trends in public health. . Mahmood T
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Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. ,
In adults, type 1 DM constitutes approximately 5% of all diagnosed cases of diabetes. Philippe MF, Benabadji S, Barbot-Trystram L, et al. ;
[50]. [27], The insulin gene (INS), which encodes for the pre-proinsulin peptide, is adjacent to a variable number of tandem repeats (VNTR) polymorphism at chromosome 11p15.5. :
[QxMD MEDLINE Link]. (Monday through Friday, 8:30 a.m. to 5 p.m. J Matern Fetal Neonatal Med
Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 54(4):749-56. Coronavirus Disease 2019 Case Surveillance United States, January 22May 30, 2020. 2007 Jan. 30(1):162-72. FDA authorizes first interoperable, automated insulin dosing controller designed to allow more choices for patients looking to customize their individual diabetes management device system. Kansagara D, Fu R, Freeman M, Wolf F, Helfand M. Intensive insulin therapy in hospitalized patients: a systematic review. [QxMD MEDLINE Link]. ,
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Any updates to this document can be found on
ADA Issues New Guidance on Type 1 Diabetes in Youth. Theres no question in my mind, it works, Abrams says. [Full Text]. ,
: CD009124. The Effect of Excess Weight Gain with Intensive Diabetes Treatment on Cardiovascular Disease Risk Factors and Atherosclerosis in Type 1 Diabetes: Results from the Diabetes Control and Complications Trial / Epidemiology of Diabetes Interventions and Complications Study (DCCT/EDIC) Study. 326.e1
A randomized control trial of continuous support in labor by a lay doula
. Type 1 diabetes is a chronic illness characterized by the bodys inability to produce insulin due to the autoimmune destruction of the beta cells in the pancreas. [QxMD MEDLINE Link]. Clinical trials are underway. US Food and Drug Administration. You will be asked to register or log in. Cochrane Database of Systematic Reviews 2017, Issue 2. Theres substantial science for cannabis ability to reduce MS muscle spasms. 693
Diabetes Care. In addition, the risk for children of parents with type 1 DM is slightly higher if onset of the disease occurred before age 11 years and slightly lower if the onset occurred after the parents 11th birthday. Cochrane Database of Systematic Reviews 2017, Issue 5. 3
Nature. [34], One meta-analysis found a weak but significant linear increase in the risk of childhood type 1 DM with increasing maternal age. Obstet Gynecol
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Insulin Glargine 300U/mL: A Review in Diabetes Mellitus. Antigen-based therapy with glutamic acid decarboxylase (GAD) vaccine in patients with recent-onset type 1 diabetes: a randomised double-blind trial. Search the National Library of Medicines MEDLINE/PubMed or MedlinePlus bibliographic reference for other abortion data. 171(5):412-420. Dysglycaemia and the risk of acute myocardial infarction in multiple ethnic groups: an analysis of 15,780 patients from the INTERHEART study. What is the pancreas? 2014 Oct. 16 (10):922-30. Diabetes Care. [Full Text]. . ;
However, when not coached to breathe in a specific way, women push with an open glottis 48. The journey toward solving the big problems that will help people live fuller lives starts with R&D. This meta-analysis found that continuous EFM was associated with an increase in cesarean deliveries (RR, 1.63; 95% CI, 1.292.07; n=18,861, 11 RCTs) and an increase in instrumental vaginal birth rate (RR, 1.15; 95% CI, 1.011.33; n=18,615, 10 RCTs) when compared with intermittent auscultation. :
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. Aathira R, Jain V. Advances in management of type 1 diabetes mellitus. When both parents are diabetic, the risk rises to almost 30%. . Robertson S
JAMA. Lancet Diabetes Endocrinol. Branch DW
[Full Text]. The report involved over 11,000 patients with confirmed COVID-19, only about 19% of whom had diabetes. ,
In addition, some women may seek to reduce medical interventions during labor and delivery. [QxMD MEDLINE Link]. A little THC helps, but too much could keep you awake. [74, 75] Of the 27 patients, 22 were diagnosed with small-fiber dysfunction by means of quantitative sensory testing. Br J Obstet Gynaecol
. Published online on December 20, 2018.Copyright 2018 by the American College of Obstetricians and Gynecologists. 8
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Newly diagnosed diabetes vs. pre-existing diabetes upon admission for COVID-19: Associated factors, short-term outcomes, and long-term glycemic phenotypes. [QxMD MEDLINE Link]. FIGO consensus guidelines on intrapartum fetal monitoring: cardiotocography. [20]. They help us to know which pages are the most and least popular and see how visitors move around the site. [Full Text]. Roy C
N Engl J Med. Margeirsdottir HD, Stensaeth KH, Larsen JR, Brunborg C, Dahl-Jrgensen K. Early signs of atherosclerosis in diabetic children on intensive insulin treatment: a population-based study. 30
), Unlike people with type 2 DM, those with type 1 DM usually are not obese and usually present initially with diabetic ketoacidosis (DKA). Art. 2000 Oct. 49(10):1657-65. :
If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Accessed: January 28, 2012. de la Pena A, Riddle M, Morrow LA, et al. . It should be kept in mind, however, that the data was gathered between March 10 and April 10, 2020, with a statement from Diabetes UK explaining that in people with diabetes, COVID-19associated mortality has decreased over time as treatment has improved. Implementing family-centered cesarean birth
Erlich H, Valdes AM, Noble J, Carlson JA, Varney M, Concannon P, et al. Int J Gynaecol Obstet
Given these benefits and the absence of demonstrable risks, patients, obstetriciangynecologists and other obstetric care providers, and health care organizations may want to develop programs and policies to integrate trained support personnel into the intrapartum care environment to provide continuous one-to-one emotional support to women undergoing labor. [Full Text]. Occurs in the large intestine (colon) and the rectum. . This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. 5(7):e11501. No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. [31] : Extragenetic factors also may contribute. [Full Text]. Second-stage labor duration in nulliparous women: relationship to maternal and perinatal outcomes. The situation must be reset if we are to enjoy the benefit of good health and also stem the tide of medical migration. Moore E
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HLA-DQ beta gene contributes to susceptibility and resistance to insulin-dependent diabetes mellitus. June 12, 2022; Accessed: June 13, 2022. DOI:
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[QxMD MEDLINE Link]. ,
These family-centric interventions should be provided in recognition of the value of inclusion in the birthing process for many women and their families, irrespective of delivery mode. or by calling the ACOG Resource Center.While ACOG makes every effort to present accurate and reliable information, this publication is provided as is without any warranty of accuracy, reliability, or otherwise, either express or implied. [Full Text]. 115(3):387-97. Coming Soon: 'Artificial Pancreas' Options for Diabetes. BMJ. Diabetes Care. Bulk pricing was not found for item. Medscape Medical News. 2017
Cochrane Database of Systematic Reviews 2017, Issue 1. These include the following When membranes rupture at term before the onset of labor, approximately 7779% of women will go into labor spontaneously within 12 hours, and 95% will start labor spontaneously within 2428 hours 13 14. The ADA recommends using patient age as one consideration in the establishment of glycemic goals, with different targets for preprandial, bedtime/overnight, and hemoglobin A1c (HbA1c) levels in patients aged 0-6, 6-12, and 13-19 years. Although the onset of type 1 DM often occurs early in life, 50% of patients with new-onset type 1 DM are older than 20 years of age. [QxMD MEDLINE Link]. Pediatr Diabetes. [22], Genome-wide association studies have identified several loci that are associated with type 1 DM, but few causal relations have been established. . [QxMD MEDLINE Link]. :
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Diabetes Metab Res Rev. [Full Text]. Big Blue Interactive's Corner Forum is one of the premiere New York Giants fan-run message boards. For women who are in latent labor and are not admitted to the labor unit, a process of shared decision making is recommended to create a plan for self-care activities and coping techniques. ;
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Devane D
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[QxMD MEDLINE Link]. Diabetologia. Cluett ER
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2012 Jun. [Guideline] Qaseem A, Humphrey LL, Chou R, Snow V, Shekelle P. Use of intensive insulin therapy for the management of glycemic control in hospitalized patients: a clinical practice guideline from the American College of Physicians. Ann Intern Med. Diabetes Care. ,
Stopping can reverse it. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour
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Autoimmun Rev. J Diabetes Complications. A multidisciplinary approach by the physician, nurse, and dietitian, with regular specialist consultation, is needed to control glycemia, as well as to limit the development of its devastating complications and manage such complications when they do occur. [30]. 2020 Oct. 43 (10):e118-9. 409 12th Street SW, Washington, DC 20024-2188, Privacy Statement Any updates to this document can be found on
Cochrane Database of Systematic Reviews 2013, Issue 8. McDonald TJ, Colclough K, Brown R, et al. Luo ZC
Centers for Disease Control and Prevention. [2] : A fasting plasma glucose (FPG) level 126 mg/dL (7.0 mmol/L), or, A 2-hour plasma glucose level 200 mg/dL (11.1 mmol/L) during a 75-g oral glucose tolerance test (OGTT), or, A random plasma glucose 200 mg/dL (11.1 mmol/L) in a patient with classic symptoms of hyperglycemia or hyperglycemic crisis. 334
Understanding type 1 diabetes through genetics: advances and prospects. [28] Different VNTR alleles may promote either resistance or susceptibility to type 1 DM through their effect on INS transcription in the thymus; for example, protective VNTRs are associated with higher INS expression, which may promote deletion of insulin-specific T cells. [QxMD MEDLINE Link]. [53, 54], The risk of development of antibodies (anti-islet) in relatives of patients with type 1 DM decreases with increasing age. 2021 Apr 28. Sandoval G
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Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. :
The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. ,
Continuous support for a laboring woman that is provided by a nonmedical person also has a modest positive effect on shortening the duration of labor (mean difference 0.69 hours; 95% CI, 1.04 to 0.34) and improving the rate of spontaneous vaginal birth (RR, 1.08; 95% CI, 1.041.12) 1. [QxMD MEDLINE Link]. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. [QxMD MEDLINE Link]. The American College of Obstetricians and Gynecologists has identified additional resources on topics related to this document that may be helpful for ob-gyns, other health care providers, and patients. 2021 Mar 3. Conversely, pharmacologic methods mitigate pain, but they may not relieve anxiety or suffering. ,
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Effect of immediate vs delayed pushing on rates of spontaneous vaginal delivery among nulliparous women receiving neuraxial analgesia: a randomized clinical trial
When did CDC abortion surveillance start? . [QxMD MEDLINE Link]. Medscape. [Full Text].
Although increases are expected throughout the world, Africa, the Middle East, and Southeast Asia are predicted to have the greatest expansion. 662
[Guideline] Handelsman Y, Mechanick JI, Blonde L, Grunberger G, Bloomgarden ZT, Bray GA, et al. . If such monitoring indicates concern, intravenous fluids can be administered as needed. Harjutsalo V, Forsblom C, Groop PH. Latest news, expert advice and information on money. . :
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2011 Jan. 34(1):198-203. Secondary attack rate of type 1 diabetes in Colorado families.
Vehik K, Beam CA, Mahon JL, et al. Art. Physicians must ensure that the care for each patient with diabetes includes all necessary laboratory tests, examinations (eg, foot and neurologic examinations), and referrals to specialists (eg, an ophthalmologist or podiatrist). Birkeland KI, Home PD, Wendisch U, Ratner RE, Johansen T, Endahl LA, et al. 378(9786):140-6. Epstein EJ, Osman JL, Cohen HW, Rajpathak SN, Lewis O, Crandall JP. [11]. Anxiety can really increase as you get older, notes Barbara Blaser, 73, a nurse navigator who helps teach older cannabis users at Magnolia Wellness dispensary in Oakland, California. [QxMD MEDLINE Link]. . [QxMD MEDLINE Link]. Int J Gynaecol Obstet
2007 Jan 23. www.acog.org/More-Info/LimitInterventionDuringLabor
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The study also found that in both types of diabetes, body mass index (BMI) had a U-shaped relationship with death, the mortality risk being increased in lower BMI and higher BMI but being reduced between these (25.0-29.9 kg/m2). ,
HbA(1c) levels in schoolchildren with type 1 diabetes are seasonally variable and dependent on weather conditions. [QxMD MEDLINE Link]. Blair HA, Keating GM. For now, small studies and surveys hint at benefits and problems especially for depression. [Full Text]. Lifting low moods and calming chronic tension brought 1 in 5 older adults in a recent survey to medical cannabis. No. Newly Published Articles Inform on COVID-19 Risk by Diabetes Type. Dierker L
[QxMD MEDLINE Link]. Bingham D
Thank you for taking the time to confirm your preferences. 441. For most women, no one position needs to be mandated or proscribed. 2015
[QxMD MEDLINE Link]. ,
Burns E
The unhappy one is that of this number 70% of them have migrated to the United States, United Kingdom, Canada and Saudi Arabia etc. Diabetes Care. : CD000111. Neal JL
. FIGO Intrapartum Fetal Monitoring Expert Consensus Panel
Source: MMWR. 9(5):A355-65. [Full Text]. [Full Text]. 2011 Jan. 54(1):73-7. 7
Diabetes. [QxMD MEDLINE Link]. Imkampe AK, Gulliford MC. Diabetes Care. [Full Text]. . Enterovirus infection is associated with an increased risk of childhood type 1 diabetes in Taiwan: A nationwide population-based cohort study. [QxMD MEDLINE Link]. [9]. 2011 Dec. 34(12):2530-5. Type 1 Diabetes Raises COVID-19 Risk in Kids if A1c Is High. Falk M
Admission to labor and delivery may be delayed for women in the latent phase of labor when their status and their fetuses status are reassuring. Fisk NM
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In the TERMPROM trial, a RCT of labor induction versus expectant management of rupture of membranes at term, the median time to delivery for women managed expectantly was 33 hours; 95% had delivered by 94107 hours after rupture of membranes 15. Geographic patterns of childhood insulin-dependent diabetes mellitus. ,
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A 2017 Cochrane review that compared immediate induction with expectant management did not find a difference in cesarean delivery or definite early-onset neonatal sepsis, but did find a decreased risk of chorioamnionitis or endometritis, or both (relative risk [RR], 0.49; 95% CI, 0.330.72), a decreased risk of definite or probable early-onset neonatal sepsis (RR, 0.73; 95% CI, 0.580.92), and a decreased risk of neonatal admission to a special or intensive care unit (RR, 0.75; 95% CI, 0.660.85) in the induction group 16. ;
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Diabetes and Hypertension: A Position Statement by the American Diabetes Association. Tucker ME. Purnell JQ, Hokanson JE, Cleary PA, Nathan DM, Lachin JM, Zinman B, et al. [QxMD MEDLINE Link]. 2022 Jan 7. The United Nations recently estimated our current population to be 216 million. 2021 May 19. . FDA approves first automated insulin delivery device for type 1 diabetes. [QxMD MEDLINE Link]. ;
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Ayres-de-Campos D
FDA Approves First-of-its-Kind Automated Insulin Delivery and Monitoring System for Use in Young Pediatric Patients. 71:[Full Text]. 1989
FIGO consensus guidelines on intrapartum fetal monitoring: introduction. Fast Five Quiz: Atrial Fibrillation and Diabetes, Diabetes Mellitus Type 1 News & Perspectives, Risk Factors of Pancreatic Cancer in Patients With Type 2 Diabetes Mellitus, Risk Factors Associated With Postoperative Mortality Among COVID-19 Positive Patients, What the Eyes Tell You: 15 Abnormalities of the Lens. [1] (See Pathophysiology.) Early amniotomy and early oxytocin for prevention of, or therapy for, delay in first stage spontaneous labour compared with routine care
Damaged areas are continuous (not patchy) usually starting at the rectum and spreading further into the colon. . Medscape Medical News. Admission during the latent phase of labor may be necessary for a variety of reasons, including pain management or maternal fatigue 9 10. In areas where rates of type 2 DM and obesity are high, individuals with type 1 DM may share genetic and environmental factors that lead to their exhibiting type 2 features such as reduced insulin sensitivity. Vitamin D deficiency is an important independent predictor of development of coronary artery calcification in individuals with type 1 DM. [Full Text]. More than 600,000 Americans turn to cannabis for relief from chronic pain and the scientific evidence for its effectiveness is substantial. More specifically, the Nigeria Medical Association (NMA) claims that about 50 doctors migrate from the country every week. 800
A Cochrane review of eight RCTs that compared spontaneous to Valsalva pushing in the second stage of labor found no clear differences in the duration of the second stage, spontaneous vaginal delivery episiotomy, perineal lacerations, 5-minute Apgar score less than 7, or neonatal intensive care admissions, or duration of pushing 49. This website also contains material copyrighted by 3rd parties. Sherwood JS, Russell SJ, Putman MS. New and Emerging Technologies in Type 1 Diabetes. 2011
[Full Text]. Diabetologia. A former Minister of Health, Dr. Isaac Adewole said sometime ago that by May 2018 Nigeria had trained 90,000 medical doctors. Cochrane Database of Systematic Reviews 2012, Issue 1. [15]. In such cases, many patients and obstetriciangynecologists or other obstetric care providers may prefer immediate induction. 60(6):1752-8. The most susceptible haplotypes are as follows [10] This finding, which was equally present in both type 1 and type 2 DM, may also explain the associated exocrine dysfunction that occurs in DM. In this analysis, however, upright positions were associated with a possible increase in second-degree perineal tears (RR, 1.20; 95% CI, 1.001.41) and an increase in estimated blood loss greater than 500 mL (RR, 1.48; 95% CI, 1.101.98) 46.
,
. FasL microgels induce immune acceptance of islet allografts in nonhuman primates. 33 (2):97-111. Medscape Medical News. [45, 46], A study by Kendall et al found that compared with pediatric subjects with a nonSARS-CoV-2 respiratory infection, the proportion of children who were diagnosed with new-onset type 1 DM within 6 months after a SARS-CoV-2 infection was 72% greater. 2021; Accessed: July 19, 2021. ,
This Committee Opinion was developed by the Committee on Obstetric Practice in collaboration with committee members Allison S. Bryant, MD, MPH and Ann E. Borders, MD, MSc, MPH. Medscape Medical News. SARS-CoV-2 infects human pancreatic cells and elicits cell impairment. The presence of type 1 DM was identified in the study using a genetic risk score that employed 29 common genetic variants. The study also indicated that the chance of death from COVID-19 is 50% less in individuals undergoing metformin therapy than in other patients with diabetes. CDCs Abortion Surveillance System Frequently Asked Questions. Gulliver B
In a 2018 study, volunteers who used cannabis reduced their use of commonly prescribed anxiety-reducing benzodiazepines by 47 percent. ,
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2017 Sep. 40 (9):1273-1284. . Diabetes Prevention Trial--Type 1 Diabetes Study Group.
2011 Oct. 96(10):2968-79. Tita ATN
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Schlesinger S, Neuenschwander M, Lang A, et al. It is a surgical procedure performed on the affected structures in or around the brain . Clin Diabetes. Yeung WC, Rawlinson WD, Craig ME. :
. [QxMD MEDLINE Link]. Diabet Med. Available at https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/206538s006lbl.pdf. Another medical doctor who is directly in charge of our health matters Osagie Ehanire also said recently that Nigeria has surplus medical doctors so the country is not bothered by those doctors leaving for greener pastures. , Valdes AM, Noble J, Carlson JA, Varney M Morrow. Acceptance of islet allografts in nonhuman primates ': New Statement on type 1 diabetes Raises COVID-19 risk in if! Is also reflected in the large intestine ( colon ) and the evidence... Specific indication has been questioned multiple ethnic groups: an analysis of 15,780 patients the... Petri dish may not relieve anxiety or suffering Carlson JA, Varney M, Concannon P, et.! Nma ) claims that about 50 doctors migrate from the INTERHEART study employed 29 common genetic variants vascular... Ability to reduce MS muscle spasms, 6 2017 Sep. 40 ( 9:1273-1284.! 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