Recent Updates on the Systemic and Local Safety of Intranasal Steroids

National Health Service England published the National Safety Standards for Invasive Procedures (NatSSIP) in 2015. They mandated that individual trusts produce Local Safety Standards for Invasive Procedures (LocSSIPs), a set of safety standards drawn from the NatSSIP that apply to a particular clinical situation in a given department, for all invasive procedures.The project goal was to design and implement the LocSSIP within the endoscopy department. A draft LocSSIP was produced, and a pilot study conducted to gain initial feedback on its use. Version 1 of the checklist was produced and after approval, rolled out for use within the endoscopy department at ‘time out’ and ‘sign out’. A scoring system was developed that allowed the quality of the performance of LocSSIPs to be assessed and recorded as a ‘compliance score’.After 2 months, an independent observer spent a week assessing use of the checklist, recording completion and a compliance score. Analysis of this data led to a number of changes in performing the checklist, wider multidisciplinary team education and integration of the checklist into existing documentation, before reassessing at 12 months.In 2016, ‘time out’ checks were completed in 100% of cases, but full completion was only observed in 68%. ‘Sign out’ checks were completed in 91% of cases, with full completion in 71%. In 2017, ‘time out’ checks were completed in 100% of cases, with full completion in 85%. ‘Sign out’ checks were completed in 100% of cases, with full completion in 91%.The composite score for compliance in 2016 was 57% increasing to 90% in 2017.In conclusion, stronger departmental leadership, broadening education and integration of the checklist into routine documentation to reduce duplication led to significant improvements in compliance with use of the checklist. Ongoing education and assessment is imperative to ensure that compliance is maintained to ensure patient safety.

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Analysis of Mining Waste Dump Site Stability Based on Multiple Remote Sensing Technologies

Remote Sensing ◽

10.3390/rs10122025 ◽

2018 ◽

Vol 10 (12) ◽

pp. 2025 ◽

Cited By ~ 3

Author(s):

Lianhuan Wei ◽

Yun Zhang ◽

Zhanguo Zhao ◽

Xiaoyu Zhong ◽

Shanjun Liu ◽

...

Keyword(s):

Remote Sensing ◽

Stability Analysis ◽

Limit Equilibrium ◽

Mining Waste ◽

Open Pit ◽

Dump Site ◽

Spatial And Temporal Distributions ◽

Small Baseline Subset ◽

Small Baseline ◽

Local Safety

The mining waste of open pit mines is usually piled-up in dump sites, making a man-made hill more than tens of meters high. Because of the loose structure of the dump sites, landslides or debris flow may occur after heavy rainfall, threatening local lives and properties. Therefore, dump stability analysis is crucial for ensuring local safety. In this paper, a collaborative stability analysis based on multiple remote sensing technologies was innovatively conducted at the Xudonggou dump of the Anqian iron mine. A small baseline subset (SBAS) analysis was used to derive the spatial and temporal distributions of displacements in the line-of sight (LOS) over the whole study area. The deformation in LOS is translated to the slope direction based on an assumption that displacements only occur parallel to the slope surface. Infrared Thermography (IRT) technology was used to detect weak aquifer layers located at the toe of possible landslide bodies. Then, numerical simulations based on the limit equilibrium method were conducted to calculate the factor of safety for three profiles located on the dump site. The results, emerging from multiple remote sensing technologies, were very consistent and, eventually, the landslide hazard zone of the Xudonggou dump site was outlined.

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Nasal-Ocular Reflexes and Their Role in the Management of Allergic Rhinoconjunctivitis With Intranasal Steroids

World Allergy Organization Journal ◽

10.1097/1939-4551-4-s1-s1 ◽

2011 ◽

Vol 4 (Suppl 1) ◽

pp. S1 ◽

Cited By ~ 1

Author(s):

Fuad M Baroody ◽

Robert M Naclerio

Keyword(s):

Allergic Rhinoconjunctivitis ◽

Intranasal Steroids

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Assessment of Allergic Rhinitis among Children after Low-Level Laser Therapy

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.477 ◽

2019 ◽

Vol 7 (12) ◽

pp. 1968-1973

Author(s):

Yousry Moustafa ◽

Hala G. El Nady ◽

Maha M. Saber ◽

Ola A. Dabbous ◽

Terez Boshra Kamel ◽

...

Keyword(s):

Allergic Rhinitis ◽

Inflammatory Marker ◽

Low Level Laser Therapy ◽

Laser Acupuncture ◽

Leukotriene Antagonists ◽

Non Invasive ◽

Level Laser ◽

Intranasal Steroids ◽

Successful Technique ◽

Hs Crp

BACKGROUND: Allergic rhinitis (AR) represents one of the most common global health problems with seriously increasing incidence over the last decades. The goal of the treatment of rhinitis is to prevent or reduce the symptoms caused by the inflammation of affected tissues. Intranasal steroids and oral antihistamines are recommended as first lines of treatment. Acupuncture had reported a significant improvement in daily symptoms and an increase of symptom-free days in many studies enrolling adults’ patients.AIM: This study aimed to evaluate the laser acupuncture effect on the treatment of children AR in comparison to the effect of the medication and to assess the anti-inflammatory effect of laser acupuncture through measurement of serum inflammatory marker (hs-CRP). METHODS: Sixty patients with allergic rhinitis their age group ranged from 4 to 18 years were divided randomly into two groups. Group 1 enrolled 30 patient that received AR in the form of intranasal steroids, antihistaminic, leukotriene antagonists while group2 thirty patients received 12 laser acupuncture sessions (2 sessions a \ week) on specific traditional Chinese acupuncture points.RESULTS: There was a significant improvement in the severity score symptoms in both groups through and by the end of the study. High Significant improvement in the levels of the inflammatory marker in both groups, especially in the group which receive laser acupuncture sessions.CONCLUSION: Laser acupuncture is a reliable, painless and non-invasive successful technique, which may be used as a complementary treatment for pediatric allergic rhinitis.

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