Journal of women's health
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Journal of women's health · Feb 2013
Attitudes and practices regarding late preterm birth among American obstetrician-gynecologists.
Late preterm birth (LPTB) accounts for most preterm births and has been increasing, associated with increases in cesarean sections and inductions at this gestational age. ⋯ Many obstetricians underestimate long-term neurodevelopmental outcomes among infants born late preterm and may have a lower threshold to deliver some infants late preterm for indications that are not evidence based. Additional educational efforts regarding LPTB are needed.
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Journal of women's health · Feb 2013
Randomized Controlled TrialInconsistencies between medical records and patient-reported recommendations for follow-up after abnormal Pap tests.
Adherence with recommended follow-up after an abnormal Pap test is a critical step in the prevention of cervical cancer. Here, we focused on identifying inconsistencies between self-reported and health department record recommendations for follow-up. ⋯ Clinicians should be aware that patients with a history of abnormal results and severe Pap test abnormalities are at risk of misreporting recommendations for follow up.
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Journal of women's health · Feb 2013
Gender differences in mortality and CD4 count response among virally suppressed HIV-positive patients.
Treatment outcomes for antiretroviral therapy (ART) patients may vary by gender, but estimates from current evidence may be confounded by disease stage and adherence. We investigated the gender differences in treatment response among HIV-positive patients virally suppressed within 6 months of treatment initiation. ⋯ In this initially virally suppressed population, women showed consistently better immune response to treatment than did men. Promoting earlier uptake of HIV treatment among men may improve their immunologic outcomes.