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Comparison of Vaginal Versus Sublingual Misoprostol in the Treatment of First-Trimester Missed Miscarriages
Full text linkOBJECTIVES
To evaluate the efficacy of sublingual versus vaginal misoprostol for the treatment of missed miscarriages in the first trimester of pregnancy.
METHODOLOGY
The gynecology and obstetrics department of Khyber Teaching Hospital in Peshawar conducted this Randomized Controlled Trial investigation from January 2021 to December 2023. Two groups of patients were formed, according to the FIGO procedure, based on whether misoprostol was given vaginally or orally. The dosages of 800 micrograms were administered vaginally to the first group and sublingually to the second group every three hours. Patients were observed for vaginal bleeding and evacuation after 24 hours; if neither happened, the dose was repeated.
RESULTS
The groups did not differ statistically (P-value > 0.05). The mean age of the patients (26.56 ± 5.73 versus 25.45 ± 5.63), parity of the patients (3.31 ± 0.56 versus 3.22 ± 0.54), period of gestation (8.85 ± 1.63 versus 9.37 ± 1.48), and time from initiation of induction till expulsion (13.68 ± 3.52 versus 12.94 ± 3.45) were similar in both groups. For a complete miscarriage in the vaginal misoprostol group, more doses (4.28 ± 0.65 vs 3.26 ± 1.23, P-value < 0.05) were needed. In comparison to the vaginal misoprostol group (56%), the sublingual group (91.6%) reported feeling more comfortable (P-value < 0.05) throughout the drug’s administration. The sublingual misoprostol group had a considerably (P-value < 0.05) better success rate (77.66%) compared to the vaginal misoprostol group (56.32%). Such adverse effects as bleeding during menstruation (68.33% versus 93.33%), vaginal bleeding (31.66% versus 84%), and diarrhoea (30.57% vs 59%) had significant (P-value < 0.05) association with sublingual misoprostol.
CONCLUSION
The efficacy of sublingual misoprostol surpasses vaginal misoprostol. Patients are more satisfied and respond more favourably to the sublingual approach
POLYHYDRAMNIOS; FETOMATERNAL OUTCOME OF POLYHYDRAMNIOS; A CLINICAL STUDY IN A TERTIARY CARE INSTITUTE
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Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
ATONIC PRIMARY POSTPARTUM HAEMORRHAGE; THE EFFICACY OF B-LYNCH SUTURE IN MANAGEMENT DURING CESAREAN SECTION
No full textAppropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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