Younger, less educated, nonwhite, and married or cohabitating wom

Younger, less educated, nonwhite, and married or cohabitating women had significantly higher rates of unintended pregnancy compared with their counterparts. Rates did not differ between women deployed in the prior 12 months and nondeployed women. The age-standardized rate was 78 per 1,000 women (95% confidence interval 77-79), which is 50% higher than the general U. S. population (52/1,000


CONCLUSION: Unintended pregnancy rates in the military find more are high and have increased in most key subgroups since the 2005 survey. Efforts are needed to help service-women prevent unintended pregnancy, including during deployment. (Obstet Gynecol 2013;121:241-6) DOI: http://10.1097/AOG.0b013e31827c616e”
“OBJECTIVE: To evaluate predictors of mortality in 160 patients with tuberculous meningitis (TBM).

DESIGN: One hundred and sixty patients with TBM who had been followed for 11 years in a tertiary referral centre hospital were assessed retrospectively. GDC-0973 manufacturer Features considered as predictors of mortality in TBM were studied by multivariate logistic regression to develop a prognostic rule.

RESULTS: Of 160 patients, 84% were in Stages II and III; 27 (17%) died. In univariate analysis, age, stage, altered sensorium, underlying comorbidities, pulmonary tuberculosis, leukocytosis and cerebrospinal fluid (CSF)/blood glucose < 0.30 and rise in CSF protein were associated with an increased

risk of death. In multivariable analysis, age (OR 4.64, 95%CI 1.03-24.74, P = 0.046), altered sensorium (OR 8.62, 95%CI 1.25-110.0, P = 0.036), underlying comorbidity (OR 9.75, 95%CI 1.58-59.95, P = 0.014) and leukocytosis (OR 9.74, 95%CI 1.67-56.7, P = 0.011) were shown to be the best predictors of mortality in TBM.

CONCLUSIONS: We observed that TBM patients who died were more likely to be older and have altered mental status on admission, underlying comorbidities and leukocytosis than TBM patients who survived. These factors were the most important predictors of mortality from TBM.”
“BACKGROUND: Second-hand tobacco smoke is a serious health hazard.

We tested the fidelity and feasibility of the Smoke-Free Homes (SFH) intervention and 5-Fluoracil purchase looked for preliminary evidence of its effectiveness in imposing smoking restrictions in homes in Pakistan.

METHODS: SFH was piloted and adapted for Pakistan. The adapted SFH intervention was then delivered to primary schoolchildren, community leaders and health professionals in a semi-rural Union Council. We carried out a survey before and after the intervention to assess adult smoking behaviour and restrictions at homes. We also carried out focus group discussions with stakeholders to determine the appropriateness and acceptability of the intervention.

RESULTS: We found the adapted SFH intervention feasible and appropriate in a typical semi-rural setting in Pakistan. The proportion of smoke-free homes increased from 43% (95%CI 37.4-48.2) to 85% (95%CI 80.9-89.

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