Progestational agents and preterm birth: An updated review of the literature

The preterm birth rate has been increasing over time in the United States, causing a large social and individual financial burden. Though the cause of preterm birth is now known, risk factors such as a previous preterm birth and a short cervical length have been identified as possible predictors. There are many contributing social and behavioral factors that play a role was well as medical problems that occur before and during pregnancy. Though there have been prevention methods identified, such as prenatal care, tocolytic therapy and cervical cerclage, none of these methods have shown to definitively prevent preterm birth over a long period of time. 17 alpha hydroxyprogesterone has been recognized as a possible prevention method for women at high risk for preterm birth. Three out of the five studies assessed in this review showed a significant reduction in preterm birth with administration of progesterone, both for women with a previous preterm birth and with a short cervical length. Currently there is no standard of care for those at high risk for preterm birth. More large clinical trials need to be conducted to determine if this progesterone for the prevention of preterm birth is effective

Is Choice a Panacea? An Analysis of Black Secondary Student Attrition from KIPP, Other Private Charters, and Urban Districts

Public concern about pervasive inequalities in traditional public schools, combined with growing political, parental, and corporate support, has created the expectation that charter schools are the solution for educating minorities, particularly Black youth. There is a paucity of research on the educational attainment of Black youth in privately operated charters, particularly on the issue of attrition. This paper finds that on average peer urban districts in Texas show lower incidence of Black student dropouts and leavers relative to charters. The data also show that despite the claims that 88-90% of the children attending KIPP charters go on to college, their attrition rate for Black secondary students surpasses that of their peer urban districts. And this is in spite of KIPP spending 30–60% more per pupil than comparable urban districts. The analyses also show that the vast majority of privately operated charter districts in Texas serve very few Black students

Is Choice a Panacea? An Analysis of Black Secondary Student Attrition from KIPP, Other Private Charters, and Urban Districts

Public concern about pervasive inequalities in traditional public schools, combined with growing political, parental, and corporate support, has created the expectation that charter schools are the solution for educating minorities, particularly Black youth. There is a paucity of research on the educational attainment of Black youth in privately operated charters, particularly on the issue of attrition. This paper finds that on average peer urban districts in Texas show lower incidence of Black student dropouts and leavers relative to charters. The data also show that despite the claims that 88-90% of the children attending KIPP charters go on to college, their attrition rate for Black secondary students surpasses that of their peer urban districts. And this is in spite of KIPP spending 30–60% more per pupil than comparable urban districts. The analyses also show that the vast majority of privately operated charter districts in Texas serve very few Black students

Distinct influenza surveillance networks and their agreement in recording regional influenza circulation: Experience from Southeast Michigan

IntroductionIn Southeast Michigan, active surveillance studies monitor influenza activity in hospitals, ambulatory clinics, and community households. Across five respiratory seasons, we assessed the contribution of data from each of the three networks towards improving our overall understanding of regional influenza circulation.MethodsAll three networks used case definitions for acute respiratory illness (ARI) and molecularly tested for influenza from research-collected respiratory specimens. Age- and network-stratified epidemic curves were created for influenza A and B. We compared stratified epidemic curves visually and by centering at seasonal midpoints.ResultsAcross all seasons (from 2014/2015 through 2018/2019), epidemic curves from each of the three networks were comparable in terms of both timing and magnitude. Small discrepancies in epidemics recorded by each network support previous conclusions about broader characteristics of particular influenza seasons.ConclusionInfluenza surveillance systems based in hospital, ambulatory clinic, and community household settings appear to provide largely similar information regarding regional epidemic activity. Together, multiple levels of influenza surveillance provide a detailed view of regional influenza epidemics, but a single surveillance system—regardless of population subgroup monitored—appears to be sufficient in providing vital information regarding community influenza epidemics.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/172297/1/irv12944.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/172297/2/irv12944_am.pd