Audit of the treatment of tonsillar and peritonsillar sepsis in an ear, nose and throat unit

1995 ◽  
Vol 109 (6) ◽  
pp. 531-533 ◽  
Author(s):  
G. MacDougall ◽  
S. W. Denholm
Keyword(s):  
Pilot Study ◽  
Current Practice ◽  
Peritonsillar Abscess ◽  
City Hospital ◽  
Prospective Pilot Study ◽  
Audit Cycle ◽  
Audit Project ◽  
The Cost ◽  
The City ◽  
Nose And Throat

AbstractWe became aware that a range of antibiotics were being used in our unit to treat patients suffering from tonsillitis or peritonsillar abscess (quinsy). There appeared to be no rationale to determine which antibiotics were used, and we felt that we were possibly using expensive antibiotics when cheaper equally effective ones were available. An audit project was therefore devised to establish the current practice in the ENT Unit at the City Hospital at Edinburgh. Following a six-month prospective pilot study, a protocol for the treatment of tonsillar and peritonsillar sepsis was drawn up and subsequent practice and outcome was then audited, thus completing the audit cycle. As a result substantial savings in the cost of prescribed antibiotics have been made without compromising patient care.

scholarly journals STUDIES ON THE CIRCULATION IN MAN

1913 ◽  
Vol 18 (4) ◽  
pp. 372-389 ◽  
Author(s):  
G. N. Stewart
Keyword(s):  
The Body ◽  
City Hospital ◽  
Normal Body Temperature ◽  
Peripheral Vasoconstriction ◽  
Cold Bath ◽  
The Cost ◽  
Quantity Of Heat ◽  
The City ◽  
Cutaneous Vasoconstriction ◽  
Cutaneous Blood

1. In the cases of fever investigated the flow in the feet never exceeded the normal flow and was usually much below the normal 2. In explanation of the relatively small foot flow in the fever cases it is suggested that the vasoconstrictor mechanism of the peripheral parts, especially of the skin, is abnormally excited, and some direct evidence that this is the case is brought forward. 3. The significance of this hypersensitiveness, or at least increased action, of the cutaneous vasoconstrictor mechanism is assumed to be that the peripheral vasoconstriction is a compensatory arrangement which secures for the organs mainly suffering from the infective process an increased flow of blood. 4. On this hypothesis the rise of temperature is, chiefly at least, secondary, inevitably following the vasoconstriction, provided that the metabolism is, upon the whole, not diminished. 5. Accordingly the rational treatment of hyperpyrexia, or of pyrexia if it is considered necessary to treat it, is to abstract heat by a process which will not diminish and may even increase the cutaneous vasoconstriction. This condition is exactly fulfilled by the cold bath, at least as regards its initial effect. Other so called tonic effects of the cold bath are not considered here. Antipyretic drugs which act by dilating the cutaneous vessels would seem to be inferior in this regard. They diminish the temperature, it is true, but at the cost of defeating the beneficial redistribution of the blood which it is the function of the peripheral vasoconstriction to insure. 6. It is obvious that for the elimination of a given quantity of heat from the skin by radiation and conduction in fever, a smaller cutaneous blood flow will suffice than with normal body temperature, since the elimination of heat per gram of blood passing through the surface must be greater in fever owing to the greater difference of temperature between the surface of the body and its surroundings. I am much indebted to the staff of the City Hospital for their coöperation which has rendered this investigation possible.

Weight gain with hyperthyroidism therapy: a prospective pilot study

2018 ◽  
Author(s):  
Angelos Kyriacou ◽  
Alexis Kyriacou ◽  
Akheel A Syed ◽  
Petros Perros
Keyword(s):  
Weight Gain ◽  
Pilot Study ◽  
Prospective Pilot Study

Denitrification of Sewage Effluents in Deep Bed Sand Filters

1993 ◽  
Vol 27 (5-6) ◽  
pp. 381-390 ◽  
Author(s):  
John Upton
Keyword(s):  
Waste Water ◽  
Pilot Study ◽  
Water Industry ◽  
Trickling Filter ◽  
Sand Filters ◽  
The United Kingdom ◽  
The Usa ◽  
Water Plants ◽  
The Cost ◽  
Pilot Plant Study

The European waste water industry will need to develop denitrification processes to remove nitrogen as pressures increase to reduce nutrient levels discharged in effluents. In the USA deep bed filter technology has been used extensively to provide denitrification to levels less than 5 mg/l TN. This paper describes this technology and the full scale performance at some waste water plants in Florida, USA. This paper also describes a pilot study in the United Kingdom at Severn Trent Water. The results of the pilot plant study indicate that denitrification in deep bed sand filters is a sound robust technology using methanol addition. Nitrogen removals greater than the 70% required in the EC Directive 1991 are possible at winter sewage temperatures. The process is most suitable for achieving nitrogen removal at trickling filter plants. The cost of methanol addition is calculated to be ₤10/1000m3.

This Is an Abridged Account of Delhi Which Is an Old City and One of the Chosen Ones amongst the Cities

2018 ◽  
Author(s):  
Mirza Sangin Beg
Keyword(s):  
Popular Culture ◽  
East India Company ◽  
Ordinary People ◽  
Work Spaces ◽  
History Of ◽  
English East India Company ◽  
Local Traditions ◽  
The Cost ◽  
The City ◽  
Cost Of Construction

The second part of the translation has three segments. The first is dedicated to the history of Delhi from the time of the Mahabharat to the periods of Anangpal Tomar to the Mughal Emperor Humayun as also Sher Shah, the Afghan ruler. In the second and third segments Mirza Sangin Beg adroitly navigates between twin centres of power in the city. He writes about Qila Mubarak, or the Red Fort, and gives an account of the several buildings inside it and the cost of construction of the same. He ambles into the precincts and mentions the buildings constructed by Shahjahan and other rulers, associating them with some specific inmates of the fort and the functions performed within them. When the author takes a walk in the city of Shahjahanabad, he writes of numerous residents, habitations of rich, poor, and ordinary people, their mansions and localities, general and specialized bazars, the in different skills practised areas, places of worship and revelry, processions exemplifying popular culture and local traditions, and institutions that had a resonance in other cultures. The Berlin manuscript gives generous details of the officials of the English East India Company, both native and foreign, their professions, and work spaces. Mirza Sangin Beg addresses the issue of qaum most unselfconsciously and amorphously.

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