scholarly journals Intra-articular glucocorticoid injection site: best practice guidelines

2021 ◽  
pp. 155-162
Author(s):  
N. V. Chichasova ◽  
A. M. Lila
Keyword(s):  
Best Practice ◽  
Local Therapy ◽  
Infectious Complications ◽  
Duration Of Action ◽  
Analgesic Effects ◽  
Best Practice Guidelines ◽  
Systemic Glucocorticoids ◽  
Inflammatory Processes ◽  
Seronegative Spondyloarthropathies ◽  
Anti Inflammatory

The article presents modern recommendations for the use of systemic administration of glucocorticoids. It is indicated that there is a clear tendency to minimize the doses and timing of the appointment of systemic glucocorticoids in rheumatoid arthritis, and in seronegative spondyloarthropathies (ankylosing spondylitis, psoriatic arthritis), in accordance with both foreign and domestic recommendations, systemic therapy with glucocorticoids is not carried out. It is emphasized that at the present stage, the role of local administration of glucocorticoids will increase as an effective way to reduce the activity of arthritis in any nosologically form. The mechanisms of action of locally administered glucocorticoids leading to anti-inflammatory and analgesic effects are described. The comparative characteristics of locally administered glucocorticoids with different duration of action according to their effectiveness and safety are presented. Predictors of the effectiveness of local therapy with glucocorticoids are described. The data on the evaluation of the duration of the anti-inflammatory and analgesic effects of various local glucocorticoids, including in comparison with the intra-articular administration of hyaluronic acid preparations, which showed the advantages of betamethasone over triamcinolone acetate, are presented. The differences in the crystal structure of betamethasone and triamcinolone acetate are described. It is indicated that the 2.5-fold smaller size of betamethasone crystals compared to triamcinolone acetate crystals and the absence of betamethasone crystals makes it possible to use betamethasone in the treatment of inflammatory processes in periarticular tissues, as well as in crystalline arthritis (gout, pseudogout). The data on the safety of the use of intra-articular injection of glucocorticoids are presented. It is indicated that the registration in the Russian Federation of a new form of betamethasone in pre-filled syringes makes it even more possible to avoid infectious complications of this type of therapy. Rare cases of complications of local therapy with glucocorticoids are described.

scholarly journals Experience of application of topichesky naturopathic means for patients with ent pathology

2019 ◽  
pp. 33-37
Author(s):  
G. N. Nikiforova ◽  
V. M. Svistushkin ◽  
L. S. Karapetian
Keyword(s):  
Clinical Practice ◽  
Surgical Interventions ◽  
Arnica Montana ◽  
Analgesic Effects ◽  
Reactive Changes ◽  
Inflammatory Processes ◽  
Post Traumatic ◽  
Reparative Effect ◽  
Anti Inflammatory ◽  
Reactive Processes

Post-traumatic reactive changes in the area of ENT-organs can cause cosmetic defects, contribute to the development of infectious and inflammatory processes. The formation of limited edema and bruising is natural after certain even adequately performed surgical interventions. In clinical practice, the question arises of the effective and safe use of local drugs that have anti-inflammatory, anti-edema and analgesic effects to accelerate the course of post-traumatic reactive processes. Naturopathic agents have high safety, sufficiently pronounced anti-inflammatory, analgesic and reparative effect. The drug based on arnica mountain (Arnica montana) is a unique topical drug that only contains fresh Arnica plants in a concentration of 7% TM. Efficiency and high safety of this drug allows us to recommend it for the treatment of bruises and hematomas of the skin in the area of ENT-organs, including after surgical interventions.

scholarly journals Study of the effectiveness of complex terpathy with anti-inflammatory gel «Perio-Aid» in the complex therapy of patients with generalized periodontitis before orthodontic treatment

2021 ◽  
Vol 107 (3) ◽  
pp. 40-43
Author(s):  
N. Isakova ◽  
◽  
T. Zakalata ◽  
Z. Prokopchuk ◽  
◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Antimicrobial Properties ◽  
Local Therapy ◽  
Comparative Assessment ◽  
Pathogenic Microorganisms ◽  
Preparation Time ◽  
Inflammatory Processes ◽  
Anti Inflammatory ◽  
Positive Effect ◽  
Prevention Of Recurrence

Summary. This article investigates the effectiveness and comparative assessment of the effect of gel and rinse aid «Perio-Aid» microflora of periodontal pockets, periodontal tissue and prevention of recurrence of inflammatory processes in the periodontium in young people before orthodontic treatment. It was found that Perio-Aid has more pronounced anti-inflammatory and antimicrobial properties compared to other by means of local therapy. According to the data of clinical and microbiological studies, it has been established that the use of Perio-Aid is already in the tenth day leads to a decrease in the number of periodontal pathogenic microorganisms, eliminates the symptoms of inflammation, reduces the depth of periodontal pockets and has a positive effect on the course of the initial generalized periodontitis, which shortens the preparation time for orthodontic treatment. Key words: periodontium-pathogenic microorganisms, generalized periodontitis.

Opioid crisis in primary care? An audit of high-dose opioid prescribing at Bangholm GP Practice

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711581
Author(s):  
Charlotte Greene ◽  
Alice Pearson
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Base ◽  
High Dose ◽  
Opioid Prescription ◽  
Opioid Prescribing ◽  
Best Practice Guidelines

BackgroundOpioids are effective analgesics for acute and palliative pain, but there is no evidence base for long-term pain relief. They also carry considerable risks such as overdose and dependence. Despite this, they are increasingly prescribed for chronic pain. In the UK, opioid prescribing more than doubled between 1998 and 2018.AimAn audit at Bangholm GP Practice to understand the scale of high-strength opioid prescribing. The aim of the audit was to find out if indications, length of prescription, discussion, and documentation at initial consultation and review process were consistent with best-practice guidelines.MethodA search on Scottish Therapeutics Utility for patients prescribed an average daily dose of opioid equivalent ≥50 mg morphine between 1 July 2019 and 1 October 2019, excluding methadone, cancer pain, or palliative prescriptions. The Faculty of Pain Medicine’s best-practice guidelines were used.ResultsDemographics: 60 patients (37 females), average age 62, 28% registered with repeat opioid prescription, 38% comorbid depression. Length of prescription: average 6 years, 57% >5 years, 22% >10 years. Opioid: 52% tramadol, 23% on two opioids. Indications: back pain (42%), osteoarthritis (12%), fibromyalgia (10%). Initial consultation: 7% agreed outcomes, 35% follow-up documented. Review: 56% 4-week, 70% past year.ConclusionOpioid prescribing guidelines are not followed. The significant issues are: long-term prescriptions for chronic pain, especially back pain; new patients registering with repeat prescriptions; and no outcomes of treatment agreed, a crucial message is the goal is pain management rather than relief. Changes have been introduced at the practice: a patient information sheet, compulsory 1-month review for new patients on opioids, and in-surgery pain referrals.

scholarly journals Anti-inflammatory and Analgesic Effects of Ketoprofen in Palm Oil Esters Nanoemulsion

2010 ◽  
Vol 59 (12) ◽  
pp. 667-671 ◽  
Author(s):  
Sakeena M. H. F. ◽  
Yam M. F. ◽  
Elrashid S. M. ◽  
Munavvar A. S. ◽  
Azmin M. N.
Keyword(s):  
Palm Oil ◽  
Analgesic Effects ◽  
Anti Inflammatory

scholarly journals Introducing New Guidelines on Geoheritage Conservation in Protected and Conserved Areas

Geoheritage ◽  
2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Roger Crofts ◽  
Dan Tormey ◽  
John E. Gordon
Keyword(s):  
Practice Guidelines ◽  
Best Practice ◽  
Communication To The Public ◽  
The Public ◽  
Best Practice Guidelines ◽  
The World ◽  
New Guidelines ◽  
The Many ◽  
Ethical Basis ◽  
Improve Practice

AbstractThis paper introduces newly published guidelines on geoheritage conservation in protected and conserved areas within the “IUCN WCPA Best Practice Guidelines” series. It explains the need for the guidelines and outlines the ethical basis of geoheritage values and geoconservation principles as the fundamental framework within which to advance geoheritage conservation. Best practice in establishing and managing protected and conserved areas for geoconservation is described with examples from around the world. Particular emphasis is given to the methodology and practice for dealing with the many threats to geoheritage, highlighting in particular how to improve practice for areas with caves and karst, glacial and periglacial, and volcanic features and processes, and for palaeontology and mineral sites. Guidance to improve education and communication to the public through modern and conventional means is also highlighted as a key stage in delivering effective geoconservation. A request is made to geoconservation experts to continue to share best practice examples of developing methodologies and best practice in management to guide non-experts in their work. Finally, a number of suggestions are made on how geoconservation can be further promoted.

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