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The remaining significance of diabetes duration could be the result of incomplete control for complications (e.g., microalbuminuria, retinopathy, and neuropathy are not included).
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Moreover, adequate control for obstetric complications leads to the attainment of optimal GA and intrauterine growth.
More than 90percentt of mortality could be reduced by attaining the optimal GA and birth weight in twins by taking particular care to ensure appropriate pregnancy weight gain, as well as adequate control for obstetric complications.
Despite clear evidence linking glycemic control and risk for complications (1) ∼50% of adults with diabetes achieve glycemic control targets (A1C <7%) (2).
There has been concern that post-prandial excursions might be an independent (of overall control) risk factor for complications, but this is unproven[ 48].
Less technically, if (1) smoking was related to both pulmonary complications and mortality, (2) pulmonary complications were related to mortality and (3) the magnitude of the relationship between smoking and mortality decreased by a statistically significant amount when controlling for pulmonary complications, then there was a significant amount of mediation by pulmonary complications.
Mr. Boulez was both the right and wrong man for this piece: right for his wonderful control of complication and size, wrong for his eminent musical sanity.
This result differs from two previous studies that found that controlling for diabetes complications, diabetes duration (4), and age among individuals with diabetes (12) are not significant predictors of medical expenditures.
Finally, it is possible that controlling for pregnancy complications in an effort to determine the independent effect of obesity may have yielded conservative estimates of the effect because of the complicated relationship between obesity and physiologic changes that may be associated with these complications.
Fear of childbirth has been associated with requests for elective caesarean deliveries [ 14, 16, 18- 22] 22] and emergency caesarean section, after controlling for obstetrical complications and history of previous caesarean sections [ 21] but nulliparous and multiparous women have reported differences in childbirth fear [ 18, 29].
On the other hand, British women's (n = 433) fear of birth and anxiety were not associated with subsequent emergency caesarean sections [ 30] and Australian women's childbirth fear was not significantly associated with emergency caesarean section when controlling for obstetrical complications [ 58].
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