West African journal of medicine
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Randomized Controlled Trial Comparative Study Clinical Trial
Efficacy and safety of misoprostol in induction of labour in a Nigerian tertiary hospital.
Misoprostol - a stable prostaglandin E1 analogue- is effective and safe in the induction of labour. There is paucity of information about the use of misoprostol for labour induction in Nigeria. ⋯ The efficacy of misoprostol in the induction of third trimester labour is comparable to oxytocin. The risk of ruptured uterus associated with misoprostol appears higher than that of oxytocin in the induction of labour. Further studies are needed to verify this observation in our setting.
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Randomized Controlled Trial Comparative Study
Clinical comparison of cardiorespiratory effects during unilateral and conventional spinal anaesthesia.
Spinal anaesthesia is widely employed in clinical practice but has the main drawback of post-spinal block hypotension. Efforts must therefore continue to be made to obviate this setback ⋯ Compared to conventional spinal anaesthesia, unilateral spinal anaesthesia was associated with fewer cardiovascular perturbations. Also, the type of spinal block instituted affected neither the respiratory rate nor the arterial oxygen saturation.
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The association of a benign ovarian tumor with ascites and hydrothorax that resolve after tumor resection, known as Meigs syndrome is a rare clinical entity. Rarer still is the haemorrhagic form of the syndrome ⋯ Meigs' syndrome should be considered in the differential diagnosis in female patients with hemorrhagic pleural effusion.
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Patients with right iliac fossa pain present a diagnostic challenge to emergency room doctors when equivocal signs are present. ⋯ The Alvarado score can be used as an objective criterion in selecting for admission patients with suspected diagnosis of acute appendicitis. Patients with scores of 4 and below do not require admission since they turn out not to have acute appendicitis.