42 research outputs found

    The Effect of Treating Bacterial Vaginosis on Preterm Labor

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    Objective: Multiple studies suggest that bacterial vaginosis (BV) causes preterm labor; yet its routine treatment remains controversial. In order to help to elucidate this controversy, we performed a thorough review of studies with levels of evidence ranging from I to II–II. Methods: We searched for all of the studies from the years 1994 to 2001 via Medline’s database, including MD Consult and Ovid Mednet. Results: Several trials discovered a decrease in the incidence of preterm labor when BV was treated, but most of those trials were performed on women with a history of preterm labor. However, the majority of trials reviewed advise against treatment of a general low-risk obstetric population, as there was no significant decrease in preterm labor. Conclusions: Therefore, based on the above studies and the current guidelines of the Centers for Disease Control and Prevention (CDC), treating pregnant women in high-risk populations who are diagnosed with BV provides the clinician with an opportunity to possibly prevent preterm labor in this population. In nulliparous women without a history of preterm birth, treatment is recommended if other risk factors are present (e.g. gonorrhea or chlamydia). However, in the general low-risk populations, routine screening is not indicated

    Applied and Translational Research on Trauma‐Responsive Programs and Policy: Introduction to a Special Issue of the American Journal of Community Psychology

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    The special issue highlights work across systems that include child welfare, education, juvenile justice and health, as well as agencies serving adults who are at‐risk for high levels of childhood and adult trauma exposure. While articles appearing in the special issue are not divided equally across these systems, they cover important and overlapping concepts within each. Some articles span more than a single system or domain of research, whereas others fit primarily within single area or domain. Articles provide new insights from research on practices, programs, and policies that help to transform systems so they are increasingly more responsive to the needs of vulnerable populations.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152826/1/ajcp12402.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152826/2/ajcp12402_am.pd
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