scholarly journals Intranasal corticosteroids: patient administration angles and impact of education

2020 ◽  
Vol 3 (3) ◽  
pp. 160-166
Author(s):  
S. Treat ◽  
C.E. Ebert Jr. ◽  
Z. Farzal ◽  
S. Basu ◽  
A.M. Zanation ◽  
...  
Keyword(s):  
Horizontal Plane ◽  
Inferior Turbinate ◽  
Lateral Wall ◽  
Spray Angle ◽  
First Line ◽  
Intranasal Corticosteroids ◽  
The Right ◽  
Frankfurt Horizontal ◽  
Current Guidelines ◽  
Frankfurt Horizontal Plane

INTRODUCTION: Intranasal corticosteroids sprays (INCS) are first line treatment for allergic rhinitis and are frequently used for chronic rhinosinusitis. Improperly aiming INCS increases the risk of epistaxis and may decrease the efficacy of the medication. The goal of this study was to determine how patients position INCS for drug delivery and if verbal or written instructions improve their positioning. METHODS: Patients in rhinology clinics were photographed while administering a generic spray bottle. The angle of the spray bot- tle relative to the patients’ head and a fixed background was determined. RESULTS: A total of 46 participants were included. The average spray angle for the right naris was 10.1o towards the septum and 67.2o below the Frankfurt Horizontal plane. The average spray angle for the left naris was 4.5o towards the septum and 62.2o below the Frankfurt horizontal plane. The angle of the spray bottle ranged from 50o toward the septum to 43o away from the sep- tum. Only 8 patients aimed away from the septum for both nares. Patients who recalled receiving verbal and written instructions aimed the INCS bottle at the lateral wall and inferior turbinate in contrast to patients who only received one form of instruction or no instructions. CONCLUSIONS: Most patients (83%) incorrectly aim INCS when compared to current guidelines. There was statistically significant improvement in the positioning of patients who reported receiving both verbal and written instruction; however, this study high- lights a greater need for patient education.

The Frankfurt horizontal plane as a reference for the implantation of gravitational units: a series of 376 adult patients

2014 ◽  
Vol 156 (7) ◽  
pp. 1351-1356 ◽  
Author(s):  
Florian Baptist Freimann ◽  
Marie-Luise Luhdo ◽  
Veit Rohde ◽  
Peter Vajkoczy ◽  
Stefan Wolf ◽  
...  
Keyword(s):  
Horizontal Plane ◽  
Adult Patients ◽  
Frankfurt Horizontal ◽  
Frankfurt Horizontal Plane

scholarly journals A Comparative Study on Measurement of Maxillary Occlusal Cant Obtained through Facebow Transfer and Using Lateral CEPH.: An in vivo Study

2019 ◽  
pp. 1-10
Author(s):  
Rohit Saini ◽  
Rajeev Gupta ◽  
Archana Nagpal ◽  
Vishal Katna ◽  
Kusha Thakur ◽  
...  
Keyword(s):  
Horizontal Plane ◽  
Complete Denture ◽  
T Test ◽  
Occlusal Plane ◽  
Lateral Cephalogram ◽  
Intergroup Comparison ◽  
Edentulous Patients ◽  
Frankfurt Horizontal ◽  
Frankfurt Horizontal Plane

Purpose: The purpose of the study was to compare measurements of maxillary occlusal cant obtained through facebow transfer and through lateral cephalogram. Method: 40 subjects were included in this study according to inclusion and exclusion criteria and divided into two groups: dentulous and edentulous. For edentulous subjects, all the steps of complete denture fabrication were carried out and finished dentures were delivered. Alginate impressions were now made for all the subjects (with complete denture worn in edentulous cases) for both upper and lower arches. The study was conducted in two parts. Facebow transfer was done next and casts were mounted. In first part of the study, sagittal inclination was measured after facebow transfer. After mounting of the casts, four points were marked to measure the inclination of the occlusal plane. In second part, cephalometric evaluation of occlusal plane and Frankfurt horizontal plane was carried out. Angle between Frankfurt horizontal plane and the occlusal plane was maxillary occlusal cant. which was evaluated by tracing. Paired t test was used to compare mean facebow values and lateral ceph values in edentulous subjects. Intergroup comparison between lateral ceph and mean facebow values between dentulous and edentulous subjects was evaluated using independent t test. Results: Facebow  measurements  gave comparatively higher values in both dentulous and edentulous patients and are subjected to less variation as compared to the lateral cephalogram values p<0.0001. Conclusion: The occlusal plane angle of lateral cephalogram was found to be significantly different from angle obtained through facebow transfer.

scholarly journals Correlation of Bite Force Interpretation in Maximal Intercuspal Position among Patient, Clinician, and T-Scan III System

2019 ◽  
Vol 13 (03) ◽  
pp. 330-334
Author(s):  
Nitikarn Ruttitivapanich ◽  
Ratchawan Tansalarak ◽  
Jadesada Palasuk ◽  
Jittima Pumklin
Keyword(s):  
Gold Standard ◽  
Horizontal Plane ◽  
Weighted Kappa ◽  
Dental Students ◽  
Bite Force ◽  
Kappa Test ◽  
Subjective Interpretation ◽  
Patient’S Perception ◽  
Frankfurt Horizontal ◽  
Frankfurt Horizontal Plane

Abstract Objective The main purpose of this article was to determine the correlation of bite force in maximal intercuspal position (MIP) among patient’s perceptions, clinician subjective interpretation, and T-Scan III system. Materials and Methods Forty-three dental students at Naresuan University (Phitsanulok, Thailand) participated in the study. Subjects were positioned by Frankfurt horizontal plane paralleled to the horizontal plane and asked to bilaterally clenched in MIP. Patient’s perception was evaluated by asking which side of the jaw had heavier bite force (right, left, or equally on both sides). Then, the clinician subjective interpretation was assessed using traditional occlusal indicators. Furthermore, patient’s bite force was analyzed using T-Scan III. Statistical Analysis Cohen’s weighted kappa test was used to evaluate the correlation of bite force. Results The best correlation between patient’s perception and T-Scan III was at the ± 7.5% cutoff range with 15 subject agreements. While the best correlation between clinician subjective interpretation and T-Scan III was at ± 5.0% cutoff range with 23 subject agreements. Cohen’s weighted kappa indicated slight agreement between T-Scan III and patient’s perception and fair agreement between T-Scan III and clinician. Conclusions Clinician subjective interpretation is more clinically reliable than patient’s perception when T-Scan III is used as a gold standard.

Patent Foramen Ovale, the Role of Antiplatelet Therapy Alone or Anticoagulant Therapy Alone Versus Device Closure for Cryptogenic Stroke: A Review of the Literature and Current Recommendations

2020 ◽  
Vol 18 (2) ◽  
pp. 135-150
Author(s):  
Harsha S. Nagarajarao ◽  
Chandra P. Ojha ◽  
Archana Kedar ◽  
Debabrata Mukherjee
Keyword(s):  
Patent Foramen Ovale ◽  
Cryptogenic Stroke ◽  
Narrow Channel ◽  
Paradoxical Embolism ◽  
Current Evidence ◽  
Foramen Ovale ◽  
The Right ◽  
The Relationship ◽  
Current Guidelines

: Cryptogenic stroke and its relation to the Patent Foramen Ovale (PFO) is a long-debated topic. Recent clinical trials have unequivocally established the relationship between cryptogenic strokes and paradoxical embolism across the PFO. This slit-like communication exists in everyone before birth, but most often closes shortly after birth. PFO may persist as a narrow channel of communication between the right and left atria in approximately 25-27% of adults. : In this review, we examine the clinical relevance of the PFO with analysis of the latest trials evaluating catheter-based closure of PFO’s for cryptogenic stroke. We also review the current evidence examining the use of antiplatelet medications versus anticoagulants for stroke prevention in those patients with PFO who do not qualify for closure per current guidelines.

scholarly journals The ultrasound unit and infection control – Are we on the right track?

Ultrasound ◽  
2017 ◽  
Vol 25 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Susan C Westerway ◽  
Jocelyne M Basseal
Keyword(s):  
Infection Control ◽  
Best Practice ◽  
Infection Prevention ◽  
Ultrasound Transducers ◽  
Awareness Campaign ◽  
Best Practice Guidelines ◽  
Hygiene Practices ◽  
Cleaning Methods ◽  
The Right ◽  
Current Guidelines

Best practice guidelines for the disinfection of ultrasound transducers and infection prevention in ultrasound departments are generally recommended by either government health groups or the ultrasound societies of individual countries. The literature shows a wide variance in not only transducer cleaning methods but basic hygiene practices in the ultrasound workplace. This paper describes results from a UK survey of disinfection of ultrasound transducers and hygiene practice in the workplace. The survey revealed that some ultrasound practitioners did not follow current guidelines with regard to the correct disinfection method of transducers, cords or ultrasound machine keyboards. Furthermore, the survey exposed the lack of training from the product manufacturers on how to use the disinfection product appropriately. These inconsistencies may be responsible for compliance issues and highlight the need for an awareness campaign and a unified approach to infection control by ultrasound practitioners.

Supernumerary tooth in nasopalatine canal: a rare cause of septal cartilage collapse

2021 ◽  
Vol 14 (9) ◽  
pp. e245103
Author(s):  
Rasads Misirovs ◽  
Avinash Kumar Kanodia ◽  
Christopher McDonald ◽  
Richard Green
Keyword(s):  
Inferior Turbinate ◽  
Close Relation ◽  
Septal Cartilage ◽  
Nasal Passage ◽  
Nasal Discharge ◽  
Supernumerary Tooth ◽  
Nasopalatine Canal ◽  
Inferior Meatus ◽  
History Of ◽  
The Right

Mesiodens is the most common type of supernumerary tooth, located between the maxillary central incisors in close relation to the nasopalatine canal. A 20-year-old man presented with right-sided nasal blockage, nasal discharge and collapsed nose without history of trauma. Imaging revealed a calcified mass in the inferior meatus extending into dilated nasopalatine canal. Endoscopic removal of the mass revealed tuberculate appearance of an incompletely developed tooth, consistent with mesiodens. Based on the history of septal cartilage collapse with right-sided mucopurulent discharge, endoscopic findings of the right inferior turbinate being adherent to the septal cartilage and the underlying mesiodens, we believe that the patient developed a septal abscess secondary to infection in nasal mucosa surrounding the mesiodens causing collapse of septal cartilage. While a tooth or tooth-like mass causing nasal passage air-flow obstruction is uncommon, we believe that this is the first reported case of mesiodens presenting with septal cartilage collapse.

SMALL-ANGLE SCATTERING OF FAST POLARIZED NEUTRONS BY HEAVY NUCLEI

1956 ◽  
Vol 34 (1) ◽  
pp. 36-42 ◽  
Author(s):  
J. T. Sample
Keyword(s):  
Small Angle ◽  
Intensity Ratio ◽  
Horizontal Plane ◽  
Small Angle Scattering ◽  
Fast Neutrons ◽  
Heavy Nuclei ◽  
Spin Orientation ◽  
Scattering Angle ◽  
Angle Scattering ◽  
The Right

Detailed calculations have been carried out which indicate that the small-angle scattering of fast neutrons by lead depends on the polarization, or spin orientation, of the neutrons. When the scattering of neutrons whose spin vectors point upward is observed in the horizontal plane, more neutrons should be found scattered to the right than to the left. For completely polarized 3.1 Mev. neutrons, the theory predicts a maximum "right to left" intensity ratio of 14.5:1 at a scattering angle of 0.5°, the ratio decreasing to 1.6:1 at 5°, and approaching unity rapidly as the scattering angle increases.

Anaphylactic shock: are we doing enough and with the right timing and order?

2015 ◽  
Vol 53 (3) ◽  
pp. 191-198
Author(s):  
H. Bălan ◽  
Adriana Gurghean
Keyword(s):  
Anaphylactic Shock ◽  
Good Practice ◽  
Fluid Replacement ◽  
First Line ◽  
Good Opportunity ◽  
First Line Therapy ◽  
Line Therapy ◽  
Practice Parameters ◽  
Golden Standard ◽  
The Right

Abstract Anaphylactic shock became, unfortunately, a common presence in Romanian mass-media, due to some fatal cases in the last months. The coincidence that in December 2014 the American Academy of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology, and the Joint Council of Allergy Asthma and Immunology released Practice parameters offers a good opportunity to renew for all practitioners what is now considered the “golden standard” of good practice. Epinephrine must be considered the cornerstone and the most urgent measure to be applied in these cases, immediately after the diagnosis. A very important notice is to forget the administration of antihistamines or corticosteroids as first line therapy instead of epinephrine. Proper positioning of the subjects and quick fluid replacement (1-2 l of normal saline in a few minutes) are also mandatory.

scholarly journals Recurrent cardiac hydatid cyst located near the root of the superior vena cava and the interatrial septum: a case report

2022 ◽  
pp. 1-4
Author(s):  
Redha Lakehal ◽  
Farid Aymer ◽  
Soumaya Bendjaballah ◽  
Rabah Daoud ◽  
Khaled Khacha ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Facial Paralysis ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Lower Lobe ◽  
Lateral Wall ◽  
Right Atrial ◽  
Risk Of Rupture ◽  
The Right

Introduction: Cardiac localization of hydatid disease is rare (<3%) even in endemic countries. Affection characterized by a long functional tolerance and a large clinical and paraclinical polymorphism. Serious cardiac hydatitosis because of the risk of rupture requiring urgent surgery. The diagnosis is based on serology and echocardiography. The aim of this work is to show a case of recurrent cardiac hydatid cyst discovered incidentally during a facial paralysis assessment. Methods: We report the observation of a 26-year-old woman operated on in 2012 for pericardial hydatid cyst presenting a cardiac hydatid cyst located near the abutment of the SCV discovered incidentally during an exploration for left facial paralysis: NYHA stage II dyspnea. Chest x-ray: CTI at 0.48. ECG: RSR. Echocardiography: Image of cystic appearance at the level of the abutment of the SVC. SAPP: 38 mmhg, EF: 65%. Thoracic scan: 30/27 mm cardiac hydatid cyst bulging the lateral wall of the right atrium and the trunk of the right pulmonary artery with fissured cardiac hydatid cyst of the apical segment of the right lung of the right lower lobe with multiple bilateral intra parenchymal and sub pleural nodules. The patient was operated on under CPB. Intraoperative exploration: Presence of a hard and whitish mass, about 03 / 03cm developed in the full right atrial wall opposite the entrance to the superior vena cava. Procedure: Resection of the mass removing the roof of the LA, the AIS and the wall of the RA with reconstruction of the roof of the RA by patch in Dacron and reconstruction of the IAS and the wall of the RA by a single patch in Dacron. Results: The postoperative suites were simple. Conclusion: The hydatid cyst is still a real endemic in Algeria, the cardiac location is rare but serious and can constitute a real surgical emergency, hence the importance of prevention. Keywords: Hydatid cyst of the heart; Recurrence; Surgery; Cardiopulmonary Bypass; Prevention

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