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The probability of fracture computed may therefore be underestimated. Fracture probability is also underestimated with multiple fractures. Smoking, alcohol, glucocorticoids These risk factors appear to have a dose-dependent effect, This is not taken into account and the computations assume average exposure.

Clinical judgment should be used for low or high exposures. Rheumatoid arthritis RA RA is a risk factor for fracture. However, osteoarthritis is, if anything, protective. For this reason reliance should not be placed on a patient s report of arthritis unless there is clinical or laboratory evidence to support the diagnosis. The same absolute values are used in men.

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Indeed, if individuals do not live in a village, they will usually still have relatives such as their parents who reside in their home village. People living in urban areas and cities often try to make at least one trip per year to their village — particularly men that work in different locations to provide for their family.

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The general approach to family ties is communal, and people often act in the best interests of the community rather than based on their individual preferences. Generally, children are expected to consult their parents on major life choices such as their education and marriage. This consists of a husband and wife, their unmarried children, and their adult sons with their wives and children.

The barhi provides economic stability and a form of social identity.