\n\nData collection and analysis\n\nTwo authors independently assessed trial quality and extracted data from the original publications while the third author cross checked the data.\n\nMain results\n\nTwenty-four trials involving 4422 participants were reviewed. Most examined symptomatic women only. Only seven trials analysed results by intention to treat; we re-analysed the remainder. Compared with placebo, clindamycin showed a lower rate of treatment failure (relative risk (RR) 0.25, 95% confidence interval (CI) 0.16 to 0.37). Clindamycin and metronidazole showed identical rates of treatment failure, irrespective of regimen type, at two and four-week follow up (RR 1.01,

95% CI 0.69 to 1.46; RR 0.91, 95% CI 0.70 to 1.18, respectively). Clindamycin

tended to cause a lower rate of adverse events (RR 0.75, 95% CI 0.56 to 1.02); metallic taste, and nausea and vomiting were more Bromosporine purchase common in the metronidazole group (RR 0.08, 95% CI 0.1 to 0.59; RR 0.23, 95% CI 0.10 to 0.51, respectively). Given intravaginally as gelatin tablets, lactobacillus was more effective than oral metronidazole (RR 0.20, 95% CI 0.05 to 0.08). Similarly, oral lactobacillus combined with metronidazole was more effective than metronidazole alone (RR 0.33, 95% CI 0.14 to 0.77). Clindamycin showed a lower rate of clinical failure than triple sulfonamide cream (RR 0.46, 95% CI 0.29 to 0.72). Hydrogen peroxide douche https://www.selleckchem.com/products/elafibranor.html showed a higher rate of clinical failure (RR 1.75, 95% CI 1.02 to 3.00) and adverse events (RR 2.33, 95% CI 1.21 to 4.52) than a single 2 g dose of metronidazole.\n\nAuthors’ conclusions\n\nClindamycin preparations, oral metronidazole, and oral and intravaginal tablets of lactobacillus were effective for bacterial vaginosis. Hydrogen

peroxide douche and triple GDC-0068 sulphonamide cream were ineffective. Metronidazole caused metallic taste, nausea and vomiting. We need better-designed trials with larger sample sizes to test the effectiveness of promising drugs.”
“Hybrid power plants consisting of a solid oxide fuel cell (SOFC) and a gas turbine show high electrical efficiencies, however require pressurisation of the SOFC to several bar. This paper presents a theoretical investigation of the pressure influence on SOFC performance and durability. A two-dimensional elementary kinetic model is used to predict the performance of a single cell in the pressure range of 1-20 bar. The influence of pressure on thermodynamics, reaction kinetics, porous electrode diffusion, channel transport and efficiency is assessed. It was found that polarisation resistance decreases with increasing pressure due to increased diffusion through porous electrodes and a higher electrode surface coverage with reactant species. Furthermore, open-circuit voltage increases slightly with pressure.