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One reason is that the information was based on mothers reports, and thats a limitation in any study, said Cynthia Johnson, director of the Autism Center at Childrens Hospital of Pittsburgh.

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All but five of the 13 studies reviewed by Roemer and her coauthor, University of Victoria professor Tim Stockwell, were from the United States.

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Patrick OGara, a cardiologist who helped write AHA guidelines that doctors use to treat STEMI patients, said the new research highlights gaps in the current knowledge about the complex interplay between daily biological cycles and heart attack triggers.

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