33 research outputs found

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Yahya Cohen Lecture. The optic nerve in the posterior ethmoid in Asians.

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    Annals of the Academy of Medicine, Singapore251165-17

    The significance and technical aspects of quantitative measurements of inflammatory mediators in allergic rhinitis

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    Asian Pacific Journal of Allergy and Immunology173219-228APJI

    Safety and efficacy of radioallergosorbent test-based allergen immunotherapy in treatment of perennial allergic rhinitis and asthma

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    10.1016/j.otohns.2004.04.020Otolaryngology - Head and Neck Surgery1315673-678OTOL

    Lipoma of hypopharynx.

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    Singapore Medical Journal352219-22

    Effects of nitric oxide on normal and ischemic cochlea of the guinea pig

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    Experimental Neurology1691200-207EXNE

    What you need to know - Hearing loss and inner ear diseases - Can they be cured?

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    Singapore Medical Journal40160-61SIMJ

    An unusual presentation of secondary syphilis in otolaryngology

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    10.1067/mhn.2001.117167Otolaryngology - Head and Neck Surgery1253277-279OTOL
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