https://nova.newcastle.edu.au/vital/access/ /manager/Index en-au 5 Oral corticosteroids stewardship for asthma in adults and adolescents: A position paper from the Thoracic Society of Australia and New Zealand https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:49460 1000 mg prednisolone-equivalent cumulatively are likely to have serious side effects and adverse outcomes. Patient perspectives emphasize the detrimental impacts of OCS-related side effects such as weight gain, insomnia, mood disturbances and skin changes. Improvements in asthma control and prevention of exacerbations can be achieved by improved inhaler technique, adherence to therapy, asthma education, smoking cessation, multidisciplinary review, optimized medications and other strategies. Recently, add-on therapies including novel biological agents and macrolide antibiotics have demonstrated reductions in OCS requirements. Harm reduction may also be achieved through identification and mitigation of predictable adverse effects. OCS stewardship should entail greater awareness of appropriate indications for OCS prescription, risk–benefits of OCS medications, side effects, effective add-on therapies and multidisciplinary review. If implemented, OCS stewardship can ensure that clinicians and patients with asthma are aware that OCS should not be used lightly, while providing reassurance that asthma can be controlled in most people without frequent use of OCS.]]> Thu 18 May 2023 12:40:23 AEST ]]> "Antibiotic hardstop" on electronic prescribing: impact on antimicrobial stewardship initiatives in patients with community acquired pneumonia (CAP) and infective exacerbations of chronic obstructive pulmonary disease (IECOPD) https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:42833 Thu 04 May 2023 15:13:54 AEST ]]> Nature’s Calling: Expanding the Legacy of Beatrix Potter in the Construction, Contestation and Contemporary Preservation of the Lake District https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:55464 Mon 03 Jun 2024 14:13:10 AEST ]]> Farmers as modern-day stewards and the rise of new rural citizenship in the battle over land use https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:46561 Fri 25 Nov 2022 11:41:05 AEDT ]]>