Prospectus, February 13, 1973

COPHER, LOOKINGBILL SARP WINNERS; New campus organization to form; Access new WPGU show; SIU rep here; \u27Tar\u27 speaker at PC; PC Vets\u27 blood drive; Engineering invite at UI; The world\u27s great religions; Debate team meets DuPage; Let it not be said…; Commentary on Johnson and Nixon; Calsonis; Movie Review: The Poseidon Adventure ; Speaking of Sports; Ag students have \u27no job hassles\u27; Black schools have great opportunity; Discovering oneself through SRLhttps://spark.parkland.edu/prospectus_1973/1012/thumbnail.jp

Prospectus, November 30, 1973

PROSPECTUS INITIATES CAROL FRATE FUND; Staerkel Greets Student Visitors; Senate Fights Inflation: Canteen Prices Lowered; Debaters Reach Eliminations At Bradley Meet; StuGo President Welcomes High School Guests; Christmas Fund Started By The Prospectus; Check Cashing Service Vetoed; PC Students Can Apply For Scholarships and Awards; Learning Exchange Promotes Sharing Ideas, Interests; Silversmith In Residence At P/C; P/C To Show \u27Civilisation\u27 Film Series Starting Dec. 6; Humanistic Psych Seminar Held; Prospectus In Perspective; Letters From Our Readers; The Short Circuit; Kendricks Sworn In As 1st Non-Voting Member Of Board; Cruisin\u27 \u2773; Faculty To Start Scholarship Fund; Open Discussion On Energy Crisis To Be Held; Job Openings On The Prospectus; Behind The Books: Service Or Self-Defeat; Financial Aids Available Here; Parkland Students Achieve High Academic Honors; Fall Concerts Offer Diversity ; Focus Concert \u27Innovative\u27; Cut-Rate Gas May Soon Be Back; Dog Obedience Classes Available; UFOs And USAF Politics; 1st Annual Clay Hills Art Sale; Water Survey Rep. Talks To Club; Committee Formed; A Column By And For Women: ERA -- Friend Or Foe?; Busey Bank Held Up November 21; The Parkland Connection; Law Enforcement Group Funds Study; Car Part Reported Stolen; JuCo Press Day; Rally To Be Held Dec. 2; Mutt and Mortie; PAL Bridges Cultural Barriers; Woodfield Shopping Trip Planned For December 8; Twain Play Set For December 6; Classified Ads; Monday\u27s Coach; 1973-74 Cheerleaders Selected; Fast Freddy\u27s Football Forecast; Women Cagers To Play Other JCs; Dave Jones Wins Fast Freddy; Returning Cagers Lead Cobras Into 1973-1974 Season; Bowling Bulletin Board; Parkland Wrestlers Prepare For Illinois Invitational; More Student Jobs Available In Europe; Callboard; Committee Board Meetings Must Be Open Door - Scott; \u27Visitation Week\u27 Plannedhttps://spark.parkland.edu/prospectus_1973/1001/thumbnail.jp

Which method is best for the induction of labour?: A systematic review, network meta-analysis and cost-effectiveness analysis

Background: More than 150,000 pregnant women in England and Wales have their labour induced each year. Multiple pharmacological, mechanical and complementary methods are available to induce labour. Objective: To assess the relative effectiveness, safety and cost-effectiveness of labour induction methods and, data permitting, effects in different clinical subgroups. Methods: We carried out a systematic review using Cochrane methods. The Cochrane Pregnancy and Childbirth Group’s Trials Register was searched (March 2014). This contains over 22,000 reports of controlled trials (published from 1923 onwards) retrieved from weekly searches of OVID MEDLINE (1966 to current); Cochrane Central Register of Controlled Trials (The Cochrane Library); EMBASE (1982 to current); Cumulative Index to Nursing and Allied Health Literature (1984 to current); ClinicalTrials.gov; the World Health Organization International Clinical Trials Registry Portal; and hand-searching of relevant conference proceedings and journals. We included randomised controlled trials examining interventions to induce labour compared with placebo, no treatment or other interventions in women eligible for third-trimester induction. We included outcomes relating to efficacy, safety and acceptability to women. In addition, for the economic analysis we searched the Database of Abstracts of Reviews of Effects, and Economic Evaluations Databases, NHS Economic Evaluation Database and the Health Technology Assessment database. We carried out a network meta-analysis (NMA) using all of the available evidence, both direct and indirect, to produce estimates of the relative effects of each treatment compared with others in a network. We developed a de novo decision tree model to estimate the cost-effectiveness of various methods. The costs included were the intervention and other hospital costs incurred (price year 2012–13). We reviewed the literature to identify preference-based utilities for the health-related outcomes in the model. We calculated incremental cost-effectiveness ratios, expected costs, utilities and net benefit. We represent uncertainty in the optimal intervention using cost-effectiveness acceptability curves. Results: We identified 1190 studies; 611 were eligible for inclusion. The interventions most likely to achieve vaginal delivery (VD) within 24 hours were intravenous oxytocin with amniotomy [posterior rank 2; 95% credible intervals (CrIs) 1 to 9] and higher-dose (≥ 50 μg) vaginal misoprostol (rank 3; 95% CrI 1 to 6). Compared with placebo, several treatments reduced the odds of caesarean section, but we observed considerable uncertainty in treatment rankings. For uterine hyperstimulation, double-balloon catheter had the highest probability of being among the best three treatments, whereas vaginal misoprostol (≥ 50 μg) was most likely to increase the odds of excessive uterine activity. For other safety outcomes there were insufficient data or there was too much uncertainty to identify which treatments performed ‘best’. Few studies collected information on women’s views. Owing to incomplete reporting of the VD within 24 hours outcome, the cost-effectiveness analysis could compare only 20 interventions. The analysis suggested that most interventions have similar utility and differ mainly in cost. With a caveat of considerable uncertainty, titrated (low-dose) misoprostol solution and buccal/sublingual misoprostol had the highest likelihood of being cost-effective. Limitations: There was considerable uncertainty in findings and there were insufficient data for some planned subgroup analyses. Conclusions: Overall, misoprostol and oxytocin with amniotomy (for women with favourable cervix) is more successful than other agents in achieving VD within 24 hours. The ranking according to safety of different methods was less clear. The cost-effectiveness analysis suggested that titrated (low-dose) oral misoprostol solution resulted in the highest utility, whereas buccal/sublingual misoprostol had the lowest cost. There was a high degree of uncertainty as to the most cost-effective intervention