82 research outputs found

    Comparison of Oral Versus Vaginal Misoprostol for Induction of Labour at Term

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    Background: To compare the efficacy and safety of oral versus vaginal administration of Misoprostol for induction of labour at term. Methods: In this interventional study primigravida were assigned in two groups; A and B, using non-probability convenient sampling technique. Group-A (n=50) had Misoprostol orally, while group-B (n=50) received the drug by vaginal route. Dosage was 100 μg four hours apart in group-A and six hours apart in group-B. Maximum of four doses were given. Main outcome measures of study were labour-induction interval, labour-delivery interval, mode of delivery, neonatal outcome and feto-maternal complications. Results: The mean dosage requirement for induction of labour in groups A and B was 2.1±1.1 and 2.4±1.8 (p-0.23) respectively. Mean labour-induction interval in group A and B were 7.5±4.2 and 7.3±4.1 (p-0.87) hours respectively, which is not significant statistically. Mean labour delivery interval was shorter in vaginal group (4.9±2.7 hours) versus oral group(6.0±2.2) hours (p-0.04). Need for Oxytocin augmentation was less in vaginal group (21%) versus oral group (68%) (p-0.009). There was no statistical difference between the groups with respect to mode of delivery and neonatal outcome. The incidence of hyper-stimulation was similar in both groups. Conclusion:Misoprostol is a cost effective alternate for induction of labour. Misoprostol through vaginal route results in successful cervical ripening, less need for oxytocin and shorter time to delivery with acceptable safety profile

    A Comparative Analysis Of Conventional Software Development Approaches Vs. Formal Methods In Call Distribution Systems

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    When we think about formal method; the first thing which comes in our mind is mathematical approach. The process of formalization is an approach based on mathematics and used to elaborate the properties of systems (hardware and software). The mathematical modeling or formal methods provide us a framework for large and complex systems. Thus these systems can be specified, analyzed, designed, and verified in a systematic way rather than the approaches which are used conventionally. Formal verification and the methods are applied using theoretical computer science fundamentals to solve the complex and difficult problems in large and complex software and hardware systems to ensure the systems will not fail with run-time errors. Conventional approaches of software verification in call distribution systems rely on quality assurance to verify the system behavior and robustness. The process of software testing cannot show the absence of errors it can only show the presence of errors in software systems. [1] In contrast, the mathematically-based techniques of verification are based on formal methods to prove certain software attributes, for example proving that software does or does not contain the occurrence of errors at run-time such as overflows, divide-by-zero, and access violation, invalid memory access and stack/heap corruption. [1] In this paper later we will have comparative analysis of formal methods vs. conventional software development approaches in call distribution systems. Using this comparison we‘ll try to identify the methodologies and approaches which would be better in SDLC for call distribution systems.

    Ethical Considerations Surrounding Vaccine Development During A Public Health Crisis

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    Epidemics and Pandemics have been plaguing mankind since many centuries, and are a cause of major healthcare expense in modern times. The novel coronavirus pandemic of 2019-2020 spread worldwide faster than many previous pandemics, including EBOLA in 2017. Although personal protective equipment, and social distancing slowed the outbreak, a vaccine is needed to ensure global immunization and to stop this deadly outbreak. Developing a vaccine in times of a public health crisis comes with a lot of ethical considerations, including overlooking proper informed consent, the issue of using placebo in control arm of trials, extended timelines of development of vaccines, randomized placebo control trial of secondary vaccine once the first vaccine is approved, and utilizing vulnerable population for trials. These issues are often overlooked due to the urgency of the situation, and the need of developing a cure/vaccine can lead to potential oversight of many regulations. We discuss some of these issues related to vaccine development in a pandemic situation in this commentary paper. We also discuss some of the arguments supporting a secondary vaccine development such as logistical/economic issue, better efficacy, and the conditions of Equipoise

    Association Of Electroencephalogram Patterns With Ammonia Levels In Hepatic Encephalopathy Patients

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    Objective: To find out the association between electroencephalogram (EEG) and hepatic encephalopathy. Methodology: This cross-sectional study included 100 patients (with the age of52.5±6.09years for males and 51.7 ± 6.10 years for females) of reported hepatic encephalopathy, visiting the medical department (indoor and OPD) at Federal Government Polyclinic Hospital, Islamabad. The study was conducted from January 2020 to May 2021. Patients who had known epileptic and structural brain lesions or strokes were excluded from the study. Statistical analysis was done using GraphPad Prism software. The significance of data (p-value or R2 value) was calculated through a two-tailed test or correlation coefficient. Results: All the patients in hepatic encephalopathy grade IV reported abnormal EEG representing triphasic waves and flattening of EEG pattern. There was no correlation observed between age, gender and hepatic encephalopathy grades. However, a significant correlation (R2= 0.9032) was observed between serum ammonia levels and hepatic encephalopathy grades. Elevated serum ammonia levels depicted the severity of hepatic encephalopathy. Overall, the percentage of patients with abnormal EEG increased with increasing grade of hepatic encephalopathy. It was quite intriguing to note that EEG, being the common method to diagnose hepatic encephalopathy grades, is not dependent on patients’ socio-economic status. Conclusion: Data concluded that serum ammonia levels are well associated with the progression of hepatic encephalopathy. Moreover, the EEG patter provides the appropriate information about the neurological abnormalities associated with the severity of hepatic encephalopathy. Hence, serum ammonia levels and EEG both should accurately be used as indicators for diagnosis and monitoring the response to the treatment of various grades of hepatic encephalopathy. Data warrant further investigations to get a better insight into hepatic encephalopathy's relationship with EEG patterns through the inclusion of molecular parameters

    Factors affecting wool quality and quantity in sheep

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    There are varieties of factors which can affect wool (macro and micro elements of wool) in sheep directly or indirectly. Genetic and environmental factors are major factors influencing wool quality and quantity. There are some bacterial, viral, fungal and espically parasitic diseases which also affect the wool. Other factors are exogenous chemicals, hormones, weather and photo period. In the present study, existing knowledge on the factors affecting wool were reviewed but there are gaps to conduct research on fundamental aspects of wool growth, which could have relevance to other areas of biology.Keywords: Wool quality, staple length, ultra high-sulphur proteins, fleec
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