The Safe Parenting Handbook

The Safe Parenting Handbook

Safe Parenting Handbook (PDF 1.07 Mb)

This handbook was published in conjunction with the 4 Area Child Protection Committees

Guidelines for the safe administration of cytotoxic medical preparations in the treatment of patients with cancer

The Minister for Health’s Strategy for effective health care in the 1990s has emphasised quality of service as one of its key principles.  Within the medical sphere, almost no other field has developed and continues to expand as rapidly as that of cancer biology and treatment.  Cytotoxic therapies are a major part of these developments. The Cancer Strategy has highlighted the importance of these drugs in the treatment of cancers. Download the Report here

Staying safe

This leaflet provides advice and information on drugs and clubbing, on planning ahead for a night out, dancing and drugs, looking after your friends, drugs and the law and first aid information.

Almost routine prophylactic cholecystectomy during laparoscopic gastric bypass is safe

Background Morbidly obese patients are at high risk to develop gallstones, and rapid weight loss after bariatric surgery further enhances this risk. The concept of prophylactic cholecystectomy during gastric bypass has been challenged recently because the risk may be lower than reported earlier and because cholecystectomy during laparoscopic gastric bypass may be more difficult and risky. <p>Methods A review of prospectively collected data on 772 patients who underwent laparoscopic primary gastric bypass between January 2000 and August 2007 was performed. The charts of patients operated before 2004 were retrospectively reviewed regarding preoperative echography and histopathological findings.</p> <p>Results Fifty-eight (7.5%) patients had had previous cholecystectomy. In the remaining patients, echography showed gallstones or sludge in 81 (11.3%). Cholecystectomy was performed at the time of gastric bypass in 665 patients (91.7%). Gallstones were found intraoperatively in 25 patients (3.9%), for a total prevalence of gallstones of 21.2%. The age of patients with gallstones was higher than that of gallstone-free patients (43.5 vs 38.7 years, p < 0.0001). Of the removed specimens, 81.8% showed abnormal histologic findings, mainly chronic cholecystitis and cholesterolosis. Cholecystectomy was associated with no procedure-related complication, prolonged duration of surgery by a mean of 19 min (4-45), and had no effect on the duration of hospital stay. Cholecystectomy was deemed too risky in 59 patients (8.3%) who were prescribed a 6-month course of ursodeoxycolic acid.</p> <p>Conclusion Concomitant cholecystectomy can be performed safely in most patients during laparoscopic gastric bypass and does not prolong hospital stay. As such, it is an acceptable form of prophylaxis against stones forming during rapid weight loss. Whether it is superior to chemical prophylaxis remains to be demonstrated in a large prospective randomized study.</p>

Stay safe with duck eggs

Duck eggs have become popular in the past few years and are now readily available to consumers. And while duck eggs are a natural, nutritious food, they do need to be handled and cooked with greater care than quality assured hens eggs

Staying safe down on the farm

Visiting an animal attraction, zoo or wildlife park is a great way to get children out and about in the summer months. It's hugely popular with schools and parents, with at least 700,000 children visiting farms on the island of Ireland every year. It's also an environment where children can get up close with animals. Animals can carry germs which are harmless to them, but could make you verysick, so make sure your children know how to keep themselves safe. safefood's welly-wearing cow, Suzie Moo, has some simple advice.

Safe hands

We all know the dangers of dirty hands when it comes to food preparation, but did you know that a quick rinse under the tap doesn’t actually get rid of dangerous germs? Most people don’t dry their hands either, but leaving hands damp actually helps germs to breed in the moisture, and allows them to spread more easily onto whatever you touch next. So before handling food, don’t just splash ‘n’ dash - wash your hands thoroughly.

BSE - how safe is beef today?

The Departments of Agriculture in Northern Ireland and the Republic of Ireland monitor cattle to make sure that no BSE-infected cattle enter the food chain. Their strict controls mean that there is now an extremely low risk of contracting the human form of BSE, ‘variant Creutzfeldt-Jakob Disease’ (vCJD), from consuming meat or meat products you buy from reputable sources on the island of Ireland.

Randomized trial of pacemaker and lead system for safe scanning at 1.5 Tesla.

BACKGROUND: Magnetic resonance imaging (MRI) of pacemakers is a relative contraindication because of the risks to the patient from potentially hazardous interactions between the MRI and the pacemaker system. Chest scans (ie, cardiac magnetic resonance scans) are of particular importance and higher risk. The previously Food and Drug Administration-approved magnetic resonance conditional system includes positioning restrictions, limiting the powerful utility of MRI. OBJECTIVE: To confirm the safety and effectiveness of a pacemaker system designed for safe whole body MRI without MRI scan positioning restrictions. METHODS: Primary eligibility criteria included standard dual-chamber pacing indications. Patients (n = 263) were randomized in a 2:1 ratio to undergo 16 chest and head scans at 1.5 T between 9 and 12 weeks postimplant (n = 177) or to not undergo MRI (n = 86) post-implant. Evaluation of the pacemaker system occurred immediately before, during (monitoring), and after MRI, 1-week post-MRI, and 1-month post-MRI, and similarly for controls. Primary end points measured the MRI-related complication-free rate for safety and compared pacing capture threshold between MRI and control subjects for effectiveness. RESULTS: There were no MRI-related complications during or after MRI in subjects undergoing MRI (n = 148). Differences in pacing capture threshold values from pre-MRI to 1-month post-MRI were minimal and similar between the MRI and control groups. CONCLUSIONS: This randomized trial demonstrates that the Advisa MRI pulse generator and CapSureFix MRI 5086MRI lead system is safe and effective in the 1.5 T MRI environment without positioning restrictions for MRI scans or limitations of body parts scanned.