INDUCTION OF LABOR WITH INTRAVAGINAL MISOPROSTOL IN INTRAUTERINE FETAL DEATH

OBJECTIVE: Our purpose was to evaluate the effectiveness and safety of intravaginal misoprostol for the induction of labor in intrauterine fetal death. STUDY DESIGN: Seventy-two women at 18 to 40 weeks of pregnancy with intrauterine fetal death, without abdominal scars, were treated with 100 mu g of intravaginal misoprostol. The dose was repeated every 12 hours until effective uterine contractions and cervical dilatation were obtained, for up to 48 hours. RESULTS: The mean time from induction to delivery was 12.6 hours, and only six patients (8%) required between 24 and 48 hours, at the end of which all patients had been delivered. Only the Bishop's score was significantly associated with time from first dose to expulsion. No surgical procedure was required. Hypercontractility, sweating, fever, diarrhea, or other gastrointestinal effects were not detected. There was no need for analgesics. CONCLUSIONS: Intravaginal misoprostol at the dose of 100 mu g every 12 hours appears to be a safe, effective, practical, and inexpensive new method for induction of labor in intrauterine fetal death.171253854

LOW-DOSE VAGINAL MISOPROSTOL FOR INDUCTION OF LABOR WITH A LIVE FETUS

Objective: To test the effectiveness and safety of low-dose vaginal misoprostol for induction of labor with a live fetus. Methods: Labor was induced in 666 pregnant women with a live fetus in the cephalic position, who had no medical complications and no history of uterine surgery. One-fourth of a 200-mu g tablet of misoprostol (50 mu g) was placed in the posterior vaginal fornix every 12 h for a maximum of four doses or until active labor commenced. Time from induction to delivery, side effects and neonatal outcome were evaluated. Results: Labor was successfully induced in all cases. The mean time from induction to delivery was 10.4 h. The cesarean section rate was 7.8%. There were eight perinatal deaths, six of which occurred in low birth weight fetuses. There was one case of abruptio placenta, which was less than that expected in the study population. Conclusion: Vaginal misoprostol, in very low doses, was a remarkably efficient and safe method for induction of labor with a live fetus.49214915

Comparison of the performance of metal oxide and conducting polymer electronic noses for detection of aflatoxin using artificially contaminated maize

The electronic nose offers potential as a rapid and cost effective field portable diagnostic device that would allow for quick screening of produce for aflatoxin contamination at the market entry level. This study aimed to compare the performance of three electronic nose sensor technologies: metal oxide semiconductor sensors (Fox 3000), conducting polymer sensors (Cyranose 320) and doped metal oxide semiconductor sensors with thermocycling (DiagNose), for the detection of volatiles associated with maize contaminated with aflatoxins. Australian maize (variety DK703w) samples were artificially inoculated with aflatoxigenic and non-aflatoxigenic Aspergillus flavus isolates and 2 % v/v Tween 20 as a control. Mutual information was used to select features from the electronic nose sensor signals for classification of the samples. The effectiveness, of selected features to discriminate between the different classes of samples was evaluated by support vector machines and k-nearest neighbour with leave-one-out cross-validation. Cross-validated classification accuracy for the different sample classes ranged from 81 % to 94 % for DiagNose, 76 to 79 % for Fox 3000 and 68 to 75 % for Cyranose. The results suggest that an electronic nose equipped with doped metal oxide semiconductor sensors and thermocycling is more effective for detection of aflatoxin contamination of maize

Comparison of the performance of metal oxide and conducting polymer electronic noses for detection of aflatoxin using artificially contaminated maize

The electronic nose offers potential as a rapid and cost effective field portable diagnostic device that would allow for quick screening of produce for aflatoxin contamination at the market entry level. This study aimed to compare the performance of three electronic nose sensor technologies: metal oxide semiconductor sensors (Fox 3000), conducting polymer sensors (Cyranose 320) and doped metal oxide semiconductor sensors with thermocycling (DiagNose), for the detection of volatiles associated with maize contaminated with aflatoxins. Australian maize (variety DK703w) samples were artificially inoculated with aflatoxigenic and non-aflatoxigenic Aspergillus flavus isolates and 2 % v/v Tween 20 as a control. Mutual information was used to select features from the electronic nose sensor signals for classification of the samples. The effectiveness, of selected features to discriminate between the different classes of samples was evaluated by support vector machines and k-nearest neighbour with leave-one-out cross-validation. Cross-validated classification accuracy for the different sample classes ranged from 81 % to 94 % for DiagNose, 76 to 79 % for Fox 3000 and 68 to 75 % for Cyranose. The results suggest that an electronic nose equipped with doped metal oxide semiconductor sensors and thermocycling is more effective for detection of aflatoxin contamination of maize

Evaluation of performance of metal oxide electronic nose for detection of aflatoxin in artificially and naturally contaminated maize

Aflatoxins are of great concern for food safety and security due to their impact on human health and the agriculture economy in developing countries. This study aimed to evaluate the potential use of a field portable metal oxide sensors based electronic nose to detect aflatoxin contamination in Kenyan maize varieties that were artificially and naturally infected with Aspergillus flavus. Mutual information was used to select features from the electronic nose sensor signals for classification of the samples. The effectiveness of selected features to discriminate between the different classes of samples was evaluated by support vector machines and k-nearest neighbour with leave-one-out cross-validation. External validation was also conducted by analysing samples naturally contaminated with A. flavus using the classification model generated with samples that had been artificially inoculated with the aflatoxigenic A. flavus. Cross-validated classification accuracies ranged from 72% to 88% for maize samples artificially inoculated with A. flavus and 61–86% for samples naturally infected with A. flavus. Classification accuracies achieved with external validation for maize samples naturally contaminated with aflatoxins ranged from 58% to 78% and were relatively consistent with accuracies obtained from internal validation. Results suggest that the electronic nose could be a promising cost-effective screening method to detect aflatoxin contamination in maize