Although misoprostol is routinely used for a range of off-label obstetric/gynecologic indications, evidence-based, up-to-date information about safety, effectiveness, and appropriate regimens is not widely available. This information is requested by providers, including pharmacists. Women need information and guidance about its use.
The paracervical block technique used in this study along with psychological support was comparable with pain control using psychological support alone; neither pain management regimen provided sufficient pain control. It is recommended that randomized comparative studies be designed to determine the effectiveness of other paracervical block techniques and the efficacy of the use of analgesics in patients suffering from incomplete abortion treated with manual vacuum aspiration.
Well-preserved tracks of the wild boar Sus scrofa are described from the Matalascañas Trampled Surface (MTS) in the upper Pleistocene aeolian basal unit of the El Asperillo Cliff, Huelva (southwestern Spain). These are the first published tracks of suid pigs in the fossil record, here formally described as Suidichnus galani igen. and isp. nov. A revision of valid artiodactyl ichnogenera is provided for comparison. The large size of wild boar found in the Late Pleistocene of Spain contradicts the general trend towards smaller size known for the evolution of the species and the Bergmann's ecogeographical rule for the extant subspecies. In the present case, the remarkable large size that can be reached by these tracks is discussed as an ecomorphological adaptation of wild boars to either resource bonanza, and/or predation pressure during the Last Interglacial. The large S. scrofa scrofa identified in MTS corresponds to some of the earliest evidences known to this subspecies in Iberia.
Tracks and trackways of newborns, calves and juveniles attributed to straight-tusked elephants were found in the MIS 5 site (Upper Pleistocene) known as the Matalascañas Trampled Surface (MTS) at Huelva, SW Spain. Evidence of a snapshot of social behaviour, especially parental care, can be determined from the concentration of elephant tracks and trackways, and especially from apparently contemporaneous converging trackways, of small juvenile and larger, presumably young adult female tracks. The size frequency of the tracks enabled us to infer body mass and age distribution of the animals that crossed the MTS. Comparisons of the MTS demographic frequency with the morphology of the fore- and hind limbs of extant and fossil proboscideans shed light into the reproductive ecology of the straight-tusked elephant, Palaeloxodon antiquus. The interdune pond habitat appeared to have been an important water and food resource for matriarchal herds of straight-tusked elephants and likely functioned as a reproductive habitat, with only the rare presence of adult and older males in the MTS. The preservation of this track record in across a paleosol surface, although heavily trampled by different animals, including Neanderthals, over a short time frame, permitted an exceptional view into short-term intraspecific trophic interactions occurring in the Last Interglacial coastal habitat. Therefore, it is hypothesized that Neanderthals visited MTS for hunting or scavenging on weakened or dead elephants, and more likely calves.
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