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Patients with twins had similar rates of successful vaginal delivery as patients with singleton pregnancies odds ratio, 0. 85; 95 CI, 0. 61 to 1. 18; I2, 36. MSF is calling on the Global Alliance for Vaccines and Immunization GAVI to improve access to vaccines by negotiating lower prices so that more children can be vaccinated. The French pharmaceutical group Sanofi announced on Wednesday that it had obtained from Eli Lilly and Co the uniretic to market Cialis tadalafil, the treatment for erectile dysfunction developed by its American competitor, without a prescription. Cialis is currently, and throughout the world, available only on medical prescription. Sanofi will therefore first have to obtain authorization from international medical authorities to be able to freely market tadalafil.

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