International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS

The Case On Assessment Of Spilled Oil With Mixed Free Product In Seoul

The purpose of this study is to assess sources of contamination by analyzing the free product and oil compounds in groundwater near the Subway Station, located adjacent to the Yongsan Garrison in Seoul, Republic of Korea. All of the samples collected twice were groundwater and free product in a monitoring well. Analysis items are TPH fingerprinting, pristine/phytane ratio, alkylbenzene pattern, PAH&alkyl PAH, antioxidant, icing inhibitor, PIANO, element(C, N, H), and sulfur. Using ratio of pristine/phytane, we were able to distinguished fuel type between kerosene and JP-8 samples, which was impossible by GC/FID pattern. Alkyl benzene pattern was very effective in distinguishing between JP-8 and kerosene. It is very important that 2,4-dimethyl-6-tert-butyl phenol, an antioxidant used only for JP-8, was detected in free product samples. The concentration of sulfur in kerosene fuel is much lower than that of JP-8, and the total contents of sulfur in environmental samples can be used to differentiate the fuel type of spilled oil between kerosene and JP-8. In conclusion, according to the result of a variety of analytical methods to find the source of spilled fuel, it had been found that the fuel type detected in the tunnel of subway station and monitoring wells outside of Yongsan Garrison and the monitoring wells inside of Yongsan Garrison are the same