8%) worked in practices that employed them or similar guidelines

8%) worked in practices that employed them or similar guidelines. Management selections were

consistent GPCR Compound Library concentration with the Fleischner guidelines in 34.7%-60.8% of responses for the three scenarios. A significantly higher rate of concordance was associated with awareness of the Fleischner guidelines, presence of written policies based on them, a teaching practice setting, practice in a group with at least one member having chest radiology fellowship training, and fewer than 5 years of experience practicing radiology (P<.05 for all associations). The spectrum of tube current settings used was similar between the subgroups of respondents who were aware and those who were unaware of the Fleischner guidelines.

Conclusion:

Among survey respondents, there was high awareness and adoption of the Fleischner guidelines, but radiologists showed varying degrees of conformance with these recommendations. Future efforts are necessary to bridge the gap between awareness and implementation of these evidence-based guidelines. mTOR inhibitor (C) RSNA, 2010″
“We have successfully synthesized the colossal dielectric constant oxide La2-xSrxNiO4 in thin film form by reactive cosputtering from metallic targets and careful annealing protocols. Composition and

phase purity was determined through energy dispersive spectra and x-ray diffraction, respectively. The dielectric constant exceeds values of over 20 000 up to 1 kHz and the activation energy for the frequency-independent

conductivity plateau was extracted to be approximately 155 meV from 300 to 473 K, both in agreement with measurements conducted on bulk single crystals. However, unlike in single crystals, we observe early onset of relaxation in thin films indicating the crucial role of grain boundaries in influencing the dielectric response. ac conductivity at varying temperatures is analyzed within the framework of the universal dielectric law leading to an exponent of approximately 0.3, dependent on the electrode EGFR 抑制剂 material. Impedance spectroscopy with electrodes of different work function (Pt, Pd, and Ag) was further carried out as a function of temperature and applied bias to provide mechanistic insights into the nature of the dielectric response. (C) 2011 American Institute of Physics. [doi:10.1063/1.3528161]“
“Nine structural adhesives with varying pH were selected to examine the effect of adhesive pH on wood adhesive bond quality. The adhesives evaluated included four highly alkaline phenol-formaldehyde, one intermediate pH phenol-resorcinol-formaldehyde, two acidic melamine-urea-formaldehyde, and two acidic melamine-formaldehyde resins. Block shear specimens were prepared using Douglas-fir and black spruce wood. The adhesive performance was evaluated by measuring the shear properties (strength and wood failure) of the specimens tested at the dry and vacuum-pressure-redry (VPD) conditions.

Glycolysis and ammonia production were higher in the A class COCs

Glycolysis and ammonia production were higher in the A class COCs; gonadotropins increased both, especially in the A1 COCs (p < 0.05). The A class COCs had the highest initial protein contents and at the end of in vitro maturation. Furthermore, hormonal stimulation induced a similar increase in protein contents of both A classes (p < 0.05). The neutral lipid content and reactive oxygen species (ROS) levels were similar in the immature oocytes of the COCs of all classes. A reduction was seen in both these variables

when maturation proceeded either in the presence or absence of gonadotropins. The cumulus type surrounding the oocyte is related to the metabolism of carbohydrates and amino acids by the COC during in vitro maturation under gonadotropic stimulation. Oocyte lipolytic activity and ROS production appear to be independent of the surrounding JNK-IN-8 research buy cumulus and the presence of gonadotropins.”
“Background: The giant, invasive basal cell carcinoma of the scalp is a rare clinical form of this tumor that appears on the skin, but may spread to some of the following structures: soft tissues of the scalp, bones, meninges, and the brain.

In literature, so far, it is known as the GBCC. It is caused by aggressive BCC subtypes.

Methods: We will present here a research of clinical and Volasertib pathological features of 47 pathological specimens in 31 patients where the following features were examined: the dimension of the tumor, the dimension of the tissue segment, tumor area, segmentation area, resection margin width, microscopic resection margin status, tumor

invasion level, and the outcome.

Results and Conclusions: We have concluded that microscopic resection margin dimensions from 1 to 10 mm are safe and that relapse occurrences in giant, invasive BCCs of the scalp depend on microscopic resection margin dimensions, resection margin status, tumor invasion levels, risky occupation, and risky behavior of the patient.”
“BACKGROUND: Lipoprotein subfractions in infants may predict the risk of cardiovascular disease factors in children.

OBJECTIVE: To examine the relationships between lipid and nonlipid factors and lipoprotein subfractions in infants at birth and follow-up (FU) and in their MLN2238 concentration parents.

METHODS: Prospective study in a community-based hospital of 103 families ascertained through a pregnant mother at 36 weeks gestation or older. Of 103 infants studied at birth, 85 were sampled at FU at 2-3 months of age, along with 76 fathers. Lipids, lipoproteins, and their subclasses were determined by nuclear magnetic resonance spectroscopy. Correlations of lipid-related parameters were calculated using Spearman rank correlations.

RESULTS: Female gender in infants and use of formula only were the only nonlipid variables associated with lipoprotein subfractions. LDL parameters were significantly correlated between infants at birth and FU.

01) and head/abdominal (HC/AC) ratio (1 vs 1 05 p < 0 01) Whe

01) and head/abdominal (HC/AC) ratio (1 vs 1.05 p < 0.01). When stratified for single cardiac diseases, fetuses with hypoplasic left heart syndrome showed a lower CPR and HC/AC ratio. Conclusions. Cerebrovascular resistance is significantly lower in fetuses with CHD, especially in cases of left side obstruction. The cerebro/placental hemodynamic changes

are similar to that described in fetuses with placental insufficiency and may contribute to their abnormal neurologic development.”
“Background: Children have better outcomes after out-of-hospital cardiac arrest (OHCA) than adults. However, little is known about the difference in outcomes between children and adults after OHCA due to Procaspase activation drowning.

Objectives: The aim of this study is to assess the outcome after OHCA due to drowning between children and adults. Our hypothesis is that outcomes after OHCA due to drowning would be in better among children (<18 years old) compared with adults (>= 18 years old).

Method: This prospective population-based, observational study included all emergency medical service-treated OHCA due to drowning in Osaka, Japan, between 1999 and 2010 (excluding 2004). Outcomes were evaluated between younger PF-4708671 purchase children (0-4 years old), older children (5-17 years old), and adults (>=

18 years old). Major outcome measures were one-month survival and neurologically favorable one-month survival defined as cerebral performance category 1 or 2. Multivariate

logistic regression analyses were used to account for potential confounders.

Results: During the study period, 66,716 OHCAs were documented, and resuscitation was attempted for 62,048 patients (1300 children [2%] and 60,748 adults [98%]). Among these OHCAs, 1737 (3% of OHCAs) were due to drowning (36 younger children [2%], 32 older children [2%], and 1669 adults [96%]). The odds of one-month survival were significantly higher for younger children (28% [10/36]; adjusted odds ratio [AOR], 20.20 [95% confidence interval CI 7.45-54.78]) DMXAA order and older children (9% [3/32]; AOR, 4.47 [95% CI 1.04-19.27]) when compared with adults (2% [28/1669]). However, younger children (6% [2/36]; AOR, 5.23 [95% CI 0.52-51.73]) and older children (3% [1/32]; AOR, 2.53 [95% CI 0.19-34.07]) did not have a higher odds of neurologically favorable outcome than adult s (1% [11/1669]).

Conclusion: In this large OHCA registry, children had better one-month survival rates after OHCA due to drowning compared with adults. Most survivors in all groups had unfavorable neurological outcomes. (C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“OBJECTIVES: To assess the demographic characteristics, psychiatric symptoms, substance use patterns, and sexual risk behaviors in a sample of club drug users to identify factors associated with unprotected sex during the 12 months prior to the interview.

Objective: We attempted to attribute associations that we previou

Objective: We attempted to attribute associations that we previously found between higher folate status and anemia and cognitive test performance to circulating unmetabolized folic acid or 5-methyltetrahydrofolate

(5MeTHF).

Design: The subjects (n = 1858) were senior participants in the US National Health and Nutrition Examination Survey (1999-2002) who had normal renal function and reported no history of stroke, recent anemia therapy, or diseases of the liver, thyroid, or coronary arteries. Subjects had undergone a phlebotomy, a complete blood count, and cognitive and dietary assessments.

Results: Circulating unmetabolized folic acid was detected in approximate to 33% of the subjects and was related to an increased odds of anemia in alcohol users. In seniors with a serum vitamin B-12 concentration <148 pmol/L or a plasma methylmalonic acid concentration >= Birinapant 210 nmol/L, the presence compared with the absence of detectable circulating unmetabolized folic acid was related to lower cognitive test scores and lower mean cell volume. In the same subgroup, higher serum 5MeTHF was related to an increased

odds of anemia and a marginally significantly decreased odds of macrocytosis. In seniors with a normal vitamin GW4869 B-12 status, a higher serum 5MeTHF concentration was related to higher cognitive test scores.

Conclusion: Results of this epidemiologic study were somewhat consistent with reports on the folic acid treatment of patients with pernicious anemia, but some findings were unexpected. Am J Clin Nutr 2010;91:1733-44.”
“Intracerebral hemorrhage is

a medical emergency. It is the most deadly and disabling form of stroke, and no individual therapy has been demonstrated to improve outcome. However, it appears that aggressive medical care in general, and management by neuroscience specialists in particular, offers substantial benefit. Therefore, providing the best supportive care based on currently available evidence may well improve outcomes. Airway management and management of blood pressure aimed at PD-1/PD-L1 assay maximizing cerebral perfusion while minimizing ongoing bleeding, as well as rapid reversal of anticoagulation, are likely to be important in the early phase. Additionally, efforts should be undertaken to provide careful glucose management and temperature management and to maximize cerebral perfusion pressure. Selected patients are likely to benefit from external ventricular drainage or even hematoma evacuation. Except in rare circumstances, most patients should be managed in a neuroscience intensive care unit during the acute phase. Some patients appear to have no reasonable likelihood of recovery and can be considered for limitations of care such as Do Not Resuscitate orders or Comfort Measures Only orders.

Materials and methods: The differential genes of

Materials and methods: The differential genes of IPI-549 PI3K/Akt/mTOR inhibitor early liver metastases in colorectal cancer were detected by RT2 Profiler (TM) PCR Array. The expression and the relationship of stem cell gene CD133 and CD44 were analyzed by immunofluorescent tests.

Results: CD133 and CD44 were significantly higher co-expressed

in colorectal cancer with early liver metastases compared to those without early liver metastases, and the content of CD133 and CD44 proteins decreased following growth of the transplanted tumors. Of the 80 cases without early liver metastases, 12 were observed CD133 and CD44 proteins co-expression, while 36 of the 40 cases with early liver metastases were found CD133 and CD44 proteins co-expression (15% vs. 90%, P < 0.05). Survival analysis revealed CD133 and CD44 proteins co-expression was associated with poorest prognosis (57.14% vs. 87.41%, X-2 = 48.49, P = 0.001). After Cox regression, age, Duck’s stage, lymph node metastasis,

and CD133 and CD44 proteins co-expression were shown to be the independent prognostic factors of colorectal cancers.

Conclusions: CD133 and CD44 proteins were highly co-expressed in colorectal cancer with early liver metastases, and may be a potential biomarker for the early liver metastases. (C) 2011 Elsevier Ltd. All rights reserved.”
“Shockless compression experiments were performed on x-cut quartz single crystals to examine the effect of loading path and rate on the inelastic behavior. The find more Lagrangian wave velocity and stress were determined from the measured particle velocities and compared to the previously measured elastic values. The data show that x-cut quartz remains essentially elastic up to stresses greater than 10 GPa during ramp loading, but that the elastic

yield behavior is dependent on the sample thickness. These results indicate that the elastic response of x-cut quartz is dependent on the loading path, rate, and sample thickness.”
“Gastrointestinal motility and the effects on luminal contents that are brought about by it can be studied in several ways. In clinical practice, manometry remains one of the most important investigational Doramapimod clinical trial techniques, in particular for oesophageal and anorectal disorders. Radiographic examination of bolus transit through the gastrointestinal tract also continues to be a valuable tool. Scintigraphy still is the gold standard for assessment of gastric emptying, but (13C) breath tests are an alternative. Many other techniques are used mainly in the context of scientific research but some of these may become incorporated in the diagnostic armamentarium. (C) 2009 Elsevier Ltd. All rights reserved.”
“Surgery is one of the established modes of initial definitive treatment for a majority of oral cancers.

Epigenetic factors (ie, heritable but reversible changes to genom

Epigenetic factors (ie, heritable but reversible changes to genomic function that regulate gene expression independently of DNA sequence) may

explain some of the interindividual variability seen in weight-loss responses.

Objective: The Saracatinib purchase objective was to determine whether epigenetics and gene expression changes may play a role in weight-loss responsiveness.

Design: Overweight/obese postmenopausal women were recruited for a standard 6-mo caloric restriction intervention. Abdominal subcutaneous adipose tissue biopsy samples were collected before (n = 14) and after (n = 14) intervention, and the epigenomic and transcriptomic profiles of the high and low responders to dieting, on the basis of changes in percentage body fat, were compared by using microarray analysis.

Results: Significant DNA methylation differences at 35 loci were found between the high and low responders before dieting, with 3 regions showing differential methylation after intervention. Some of these regions contained genes known to be involved in weight control and insulin secretion, whereas others were localized in known imprinted genomic regions.

Differences in gene expression profiles were observed only after dieting, with 644 genes being differentially expressed between the 2 groups. These included genes likely to be involved in metabolic pathways related to angiogenesis and cerebellar long-term depression.

Conclusions: These data show that both DNA methylation and gene expression RAD001 nmr are responsive to caloric restriction and provide MAPK inhibitor new insights about the molecular pathways involved in body weight loss as well as methylation regulation during adulthood. Am J Clin Nutr 20 10;91:309-20.”
“Dysfunction of the

cochlea causes sensorineural hearing loss. Glucocorticoids have been clinically applied for sensorineural hearing loss of sudden onset, including idiopathic sudden sensorineural hearing loss, acoustic injury, Meniere’s disease, and immune-mediated hearing loss. However, clinical studies on sudden sensorineural hearing loss have revealed conflicting results regarding the efficacy of glucocorticoids. The findings obtained from animal experiments have demonstrated that glucocorticoids exhibited protective effects on some types of cochlear injury, but there were limitations regarding glucocorticoid therapy. Recently, the actions of neurosteroids in the cochlea have drawn much attention from auditory researchers. Clinical and experimental studies of the auditory system have indicated that estrogens affect auditory perception. Furthermore, estrogens and dehydroepiandrosterone (DHEA) exhibit protective effects on cochlear injury. This article was aimed to give an overview of steroid treatment for protection of the inner ear against various cochlear injuries. Findings obtained from animal studies are focused on.

METHODS: Greyhound dogs (n = 15) were anesthetized and cardiocirc

METHODS: Greyhound dogs (n = 15) were anesthetized and cardiocirculatory death and circulatory failure was induced by cessation of mechanical ventilation. After 30-minutes, the hearts were preserved by perfusion or were infused with modified St. Thomas’ cardioplegia, explanted, and stored for 4 hour at 4 degrees C. Perfusion hearts were briefly reperfused with an acidic, mitochondrial protective cardioplegic solution and then continuously perfused for 4 hours with normothermic

blood. Hearts from a normal reference group (no cardiocirculatory arrest) were preserved by St. Thomas’ cardioplegia and cold storage. In all groups, 40 minutes of room temperature ischemia was used to simulate the conditions of transplantation. Final functional and metabolic assessments were made on a BAY 1895344 order working heart apparatus.

RESULTS: Perfusion hearts (n = 6), when compared with cold storage hearts (n = 6), produced a greater rate of change in left ventricular pressure (1121 +/- 273 vs 336 +/- 193 mm Hg/sec, p = 0.04), greater echocardiographic fractional area reduction (71.3% +/- 10.0% vs 25.4% +/- 2.9% of baseline, p = 0.004) and lower perfusate lactate levels (1.5 +/- 1.4 vs 9.7 +/- 1.4 mmol/liter; p = 0.002). Functional

recovery in perfusion hearts was comparable to the normal hearts (n = 3).

CONCLUSION: PI3K activation For DCD hearts, a strategy of pre-reperfusion cardioplegia, followed by continuous warm blood perfusion, is superior to cold storage. These results suggest DCD hearts may be more suitable for transplantation after continuous warm blood perfusion than after cold storage. J Heart Lung Transplant 2010;29:747-55 GSK3235025 ic50 (C) 2010 International Society for Heart and Lung Transplantation. All rights reserved.”
“Background: Quinine (QN) remains the first line anti-malarial

drug for the treatment of complicated malaria in Europe and Africa. The emergence of QN resistance has been documented. QN resistance is not yet a significant problem, but there is an urgent need to discover partners for use in combination with QN. The aim of the study was to assess the in vitro potentiating effects of atorvastatin (AVA), a 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor, in combination with QN against Plasmodium falciparum and to evaluate whether the effects of AVA could be associated with gene copy number or mutations in genes involved in QN resistance, such as pfcrt, pfmdr2, pfmrp and pfnhe.

Methods: The susceptibilities to combination of AVA with QN were assessed against 21 parasite strains using the in vitro isotopic microtest. Genotypes and gene copy number were assessed for pfcrt, pfmdr1, pfmdr2, pfmrp genes. In addition, the number of DNNND, DDNHNDNHNN repeats in pfnhe-1 ms4760 and the ms4760 profile were determined for each strains of P. falciparum.

7% of all RA patients and 80 4% of the RA patients with a disease

7% of all RA patients and 80.4% of the RA patients with a disease duration of 3 years or less. The combined diagnosis using high titer anti-CCP antibodies (a parts per thousand Bucladesine yen100 RU/ml) with a concomitant positive rheumatoid factor (RF) test exhibited the greatest diagnostic specificity; it achieved 87.9% for all RA patients and 90.1% for the patients with disease duration of three years or less. Moreover, anti-CCP antibodies showed medium correlations to the RA patient’s serum RF titer (r = 0.560, P <

0.001) and disease activity (DAS28 score; r = 0.404, P < 0.001). Compared with the patients with low anti-CCP antibody titers (< 100 RU/ml), patients with high anti-CCP antibody titers showed higher RF titers, worse DAS28 scores, and severe morning stiffness (P < 0.01). This study suggests that anti-CCP antibodies can be used for RA diagnosis and disease BV-6 molecular weight activity evaluation for northern Han Chinese patients. A combined diagnosis

using both high titers of anti-CCP antibodies (a parts per thousand yen100 RU/ml) and a positive RF test markedly improves RA diagnostic specificity. Patients’ DAS28 scores rise and morning stiffness intensifies with increasing anti-CCP antibody titers.”
“Macroautophagy is a main catabolic pathway of eukaryotic cells, delivering cytoplasmic constituents for lysosomal degradation. Originally described as a starvation response, it has now been realised that macroautophagy supports many aspects of innate and adaptive immunity by facilitating innate pathogen detection and antigen presentation, as well as pathogen clearance and lymphocyte expansion. In the first half of this review, we summarise new insights into substrate selection and macroautophagic support of vesicular transport pathways, which underlie macroautophagic see more regulation of afferent and efferent immunity to pathogens, as outlined in the second half of the review. Applying this increased mechanistic

understanding to infectious settings should allow us to identify further pathways for pathogen restriction, which can be explored for therapeutic manipulations of macro-autophagy.”
“Sclerosing angiomatoid nodular transformation (SANT) of spleen is a rare inflammatory tumor-like vascular lesion composed of angiomatoid nodules in a fibrosclerotic background. We report herein on a case of SANT in the spleen with its pathologic features, and review the related literature. A 50-year-old woman presented with mild left upper quadrant discomfort and tenderness and she showed a 6 cm-sized solitary splenic mass on computed tomography. She underwent laparoscopic splenectomy. Grossly, the spleen showed a well circumscribed round-shaped solid mass with multinodular hemorrhagic surfaces. Microscopically, the mass consisted of multiple angiomatoid nodules surrounded by collagen bundles with fibroblasts and a lymphoplasma cell infiltration.

In infected leaves treated with DS one day before infection, alon

In infected leaves treated with DS one day before infection, along with an increased level of hydrolases, one revealed more viral particles exposed to destructive changes in infected, rather than untreated, leaves.

It is assumed that the DS-caused activation of hydrolases promotes the destruction of viral particles and is therefore one of the cell defense mechanisms induced by this compound that prevents the intracellular accumulation selleck inhibitor of virus.”
“Objective

The aim of our study was to explore the expression of survivin gene in colorectal cancer (CRC) and its possibility as a molecular target for CRC chemoradiotherapy.

Materials and methods

Immunohistochemistry was performed to detect the expression of survivin in 68 CRC specimens. The correlations between survivin expression and clinicopathological factors and prognosis were evaluated. RNA interference was employed to downregulate survivin expression. The effects of survivin downregulation on chemoradiotherapy of CRC cells were evaluated.

Results

The staining of survivin protein was strongly positive in the cytoplasm of CRC cells. Its expression was significantly correlated with tumor differentiation, Duke’s stage, lymph node metastasis. Moreover, the elevated survivin

expression was an independent factor for predicting the prognosis of CRC patients. Survivin downregulation could also enhance chemosensitivity selleck compound or radiosensitivity of colorectal cells.

Conclusions

Survivin might be an independent learn more prognostic factor and a potential target for the chemoradiotherapy of CRC patients.”
“The results of macrophage metabolism studies at their infection by viruses differing in the level of virulence are presented. With the purpose of optimizing the estimation of viral

cytopathogenic effects on macrophages, an index of cell reactions, which allows one to reveal the degree of virus influence in standard units, is offered. Generally, the application of high-sensitivity methods for functional activity determination and identification of the correlative communication between its changes and morphological features of cells can be prescribed to objective identification methods of not only viral reproduction, but also differentiation of types and the degree of their cytopathogenic effects.”
“Background

With the advent of microsurgery the pedicled flap is considered by many to be an outdated surgical option.

Aims

To explore the relationship between flap survival and pre-morbid risk factors, conduct a comparative analysis of flap and systemic morbidities and complete a cosmesis and functionality assessment for oral and oropharyngeal reconstruction patients.

Methods

114 patients, over a 13-year period, who had a one-stage reconstructive procedure employing the pectoralis major myocutaneous flap (PMMF) or radial forearm-free flap (RFFF).

7%), but chest pain was rarely presented (3 4%)

Although

7%), but chest pain was rarely presented (3.4%).

Although, prodromal symptoms themselves were not associated with better neurological outcomes (adjusted odds ratio [AOR], 2.03; 95% confidence interval [CI], 1.00-4.13), earlier contact to a patient yielded better neurological outcomes (AOR per every one-minute increase, 0.90; 95% CI, 0.82-0.99).

Conclusions: Many of OHCA regardless of etiology have prodromal symptoms before arrest. Prodromal symptoms induced early activation of the EMS system, and may thus improve outcomes after OHCA. (C) 2012 Elsevier Ireland Ltd. All rights reserved.”
“OBJECTIVE: To compare the estimated proportion of contraindications to combined oral contraceptives between women who obtained combined oral contraceptives in U.S. this website public clinics compared with women who obtained combined oral contraceptives over the counter (OTC) in Mexican pharmacies.

METHODS: We recruited a cohort of 501 women who were residents of El Paso, Texas, who obtained OTC combined oral contraceptives in Mexico and 514 women who obtained combined oral contraceptives from family planning clinics in El Paso. Based on self-report of World Health Organization category 3 and 4 contraindications and interviewer-measured blood pressure, we estimated the proportion of contraindications and, using multivariable-adjusted logistic regression, identified possible predictors of contraindications.

RESULTS: The estimated proportion of any category

3 or 4 contraindication was 18%. Relative contraindications (category 3) were more common among OTC users (13% compared with 9% among BYL719 ic50 clinic users, P=.006). Absolute contraindications (category 4) were not different between the groups (5% for clinic users compared with 7% for OTC users, P=.162). Hypertension was the most prevalent contraindication (5.6% of clinic users and 9.8% of OTC users). After multivariable adjustment, OTC users had higher odds of having contraindications compared with clinic users (odds ratio [OR] 1.59, 95% confidence interval [CI] 1.11-2.29). Women aged 35

years or older (OR 5.30, 95% CI 3.59-7.81) and those with body mass index 30.0 or more (OR 2.24, 95% CI 1.40-3.56) also had higher odds of having contraindications.

CONCLUSION: HKI-272 cell line Relative combined oral contraceptive contraindications are more common among OTC users in this setting. Progestin-only pills might be a better candidate for the first OTC product given their fewer contraindications. (Obstet Gynecol 2011;117:558-65) DOI:10.1097/AOG.0b013e31820b0244″
“Purpose of review

To understand all of the current options available to treat glucose intolerance in pregnancy.

Recent findings

Recent attention to the use of oral agents in the treatment of gestational diabetes remains controversial. This review will outline the advantages and disadvantages, as well as safety profiles of two classes of oral mediations.

Summary

There are many effective treatments for gestational diabetes.