Patterns and outcomes of preterm hospital admissions during pregnancy in NSW, 2001-2008

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Multifetal pregnancies: preterm admissions and outcomes

Objective. To describe the rates of antenatal hospital admission during twin or higher order multifetal pregnancies, and the admission outcomes as discharge undelivered, transfer to higher care, or spontaneous or elective delivery. Methods. Cohort study using linked birth and hospital data. The cohort comprised women who gave birth to twins or higher order multiple infants of ≥ 24 weeks gestation in 2001–2008 and who were admitted to hospital in weeks 20–36 of the pregnancy. Results. In 63.4% of 10 779 twin pregnancies and 99.5% of 197 triplet and quadruplet pregnancies, the woman was admitted to hospital at least once in weeks 20–36 of the pregnancy, for a total 10 985 admissions. Almost half the admissions (46.3%) ended in discharge without delivery, 10.7% in transfer to higher care, 21.1% in spontaneous labour and birth, and 21.8% in elective delivery (induction or prelabour Caesarean section). The reason for admission was preterm labour in 34.2% of admissions. Conclusions. Hospital admission during pregnancy is common for women with multifetal pregnancies, with many of these admissions resulting in preterm birth. This is the first study to report the rate of pregnancy admissions for women with multifetal pregnancies, and provides a baseline for future studies of hospital use in this population. What is known about the topic? Multifetal pregnancies are high risk and require greater medical care than singleton pregnancies. However, few studies specifically examine multifetal pregnancies, and most pregnancy studies exclude them, so there is little known about the resource use of this group. What does this paper add? This is the first paper to report population rates of hospital admission during pregnancy for women with multifetal pregnancies. We report the admission rates, and the admission outcomes as discharge undelivered, transfer to higher care or spontaneous or elective delivery. What are the implications for practitioners? Most women with multifetal pregnancies are admitted to hospital at least once during the pregnancy, with 51% of these admissions resulting in preterm delivery. Of those discharged undelivered, 60% were admitted for 1 day or less. This has implications for resource use, proposed place of birth and for practitioners advising pregnant women. </jats:p

Flow Equations without Mean Field Ambiguity

We compare different methods used for non-perturbative calculations in strongly interacting fermionic systems. Mean field theory often shows a basic ambiguity related to the possibility to perform Fierz transformations. The results may then depend strongly on an unphysical parameter which reflects the choice of the mean field, thus limiting the reliability. This ambiguity is absent for Schwinger-Dyson equations or fermionic renormalization group equations. Also renormalization group equations in a partially bosonized setting can overcome the Fierz ambiguity if the truncation is chosen appropriately. This is reassuring since the partially bosonized renormalization group approach constitutes a very promising basis for the explicit treatment of condensates and spontaneous symmetry breaking even for situations where the bosonic correlation length is large.Comment: New version to match the one published in PRD. New title (former title: Solving Mean Field Ambiguity by Flow Equations), added section IX and appendix B. More explanations in the introduction and conclusions. 16 pages, 6 figures and 3 tables uses revtex

Thin-shell wormholes with a generalized Chaplygin gas in Einstein-Born-Infeld theory

We construct spherically symmetric thin-shell wormholes supported by a generalized Chaplygin gas in Born-Infeld electrodynamics coupled to Einstein gravity, and we analyze their stability under radial perturbations. For different values of the Born-Infeld parameter and the charge, we compare the results with those obtained in a previous work for Maxwell electrodynamics. The stability region in the parameter space reduces and then disappears as the value of the Born-Infeld parameter is modified in the sense of a larger departure from Maxwell theory.Comment: 9 pages, 6 figures; v2: improved versio

Blood Eosinophil Count Predicts Treatment Failure and Hospital Readmission for COPD

ACKNOWLEDGEMENTS This study was funded by AstraZeneca. Editorial support was provided by Joanne M. Faysal, MS, and Jennie G. Jacobson, PhD, CMPP, of JK Associates, Inc., and Michael A. Nissen, ELS, of AstraZeneca. This support was funded by AstraZeneca. DATA-SHARING STATEMENT Data underlying the findings described in this manuscript may be requested in accordance with AstraZeneca’s data-sharing policy described at https://astrazenecagroupdt.pharmacm.com/DT/HomePeer reviewedPublisher PD