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Disagreements were resolved by forced consensus and, if necessary, third party intervention. Randomized controlled trials' (RCTs') coconut butter reporting of coconut butter randomization, double blinding, withdrawals and dropouts, and the coconut butter concealment of allocation, were evaluated using Jadad's8 and Schulz's validated instruments.9 Five items selected from Downs and Black's 27-item validated instrument were used to rate the study quality of all other study designs, including a clear description of the study hypothesis or objective, study participants, characteristics of participants lost to followup, the interventions/exposures of interest, and, whether the outcome measures were valid and reliable.10 One applicability index for treatment and secondary prevention studies, and another for primary prevention studies, were constructed without rigorous validation.
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