A scoping review of clinical practices and adherence to UK national guidance related to the placement and position confirmation of adult nasogastric feeding tubes.

The administration of nutrition or medication into the lungs or pleura via a misplaced nasogastric feeding tube is considered a never event. Despite guidance from the National Patient Safety Agency and NHS Improvement this never event is regularly reported. Confirmation of correct placement and correct use of nasogastric tubes requires appropriate actions and decisions by a multidisciplinary team. A scoping review identified 43 records that discussed and supported nasogastric tube misplacement as a Never Event. Searches were completed using Web of Science, CINAHL, Google Scholar, British Nursing Index (BNI), as well as selected journals. A further manual search revealed 22 publicly available NHS Trust policies related to nasogastric feeding tube procedures. Items generated between 2011 and 2020 were considered eligible. A thematic analysis was completed to assess adherence to guidance and the practices in place across the NHS. Three key themes were identified as part of the review: referral and authorisation of radiography, examination description, and visualisation of the nasogastric tube tip. Large variations in practice were identified. While there is recognition of national guidance, records showed inconsistency and lacked the required detail to ensure patient safety. Despite classification as a never event, it is apparent that there is still room for improvement and further guidance in ensuring patient safety with respect to nasogastric tube insertion. Practice requires further standardisation whilst also ensuring optimisation and safety. Guidance should address in depth imaging authorisation, language and exact standards of acceptability for imaging the full length of the nasogastric tube. [Abstract copyright: Crown Copyright © 2022. Published by Elsevier Ltd. All rights reserved.

Higher Education Strategy in Responding to the Generative AI Revolution Decolonising the Standard Response and Action Planning Protocols

Background: The Generative Artifical Intelligence (AI) revolution is here, and the availability of resources such as ChatGPT has triggered rapid responses, actions, and strategy to address the implications this has on education in the United Kingdom (UK). ChatGPT and other Generative AI provisions are viewed as both problematic and beneficial by Higher Education Institutes (HEI’s). Alongside HEI’s, Higher Education England (HEE) Technology Enhanced Learning (TEL) forums are just 1 of many additional UK national groups prioritising the discussion, Continual Professional Development (CPD), and strategical approaches to analysing Generative AI, in determining how it should be addressed in education and practice. In terms of standard practice at London South Bank University (LSBU), the planning of projects and research to explore new technology lies predominantly with those deemed as the most “skilled”, “technical” or “aware” of the technology. People who are in specific roles within the institute are expected to “lead” on strategy, and this onus of responsibility often remains with them throughout the process from start to finish. Recognising the imbalance of power and the benefits of privilege this practice could create, a decision was made to explore and propose re-design of the current protocols in place at LSBU. Aim: Demonstrate the inclusion of a Decolonising step at the earliest designing stage of the project, to influence a practice change in how a HEI could respond to major items affecting education and any subsequent action-planning or project designing. Method: 3 academic members of staff, and 3 undergraduate students, of Black, Asian, African or Minority ethnicity, will be recruited. Individual and group sessions will be conducted using Microsoft Teams. Sessions will involve the participants leading on the discussion and development of the project proposal and associated documents being used in the larger study. This will occur between 19th May – 1st June 2023, after which the project proposal will be registered with the LSBU research ethics committee and internal registration system (Haplo). The Decolonising strategy and effects will be appraised by an independent investigator making objective comparisons to a version of the project protocol originally written by the Principal Investigator as a lone researcher. Themes and major highlights to demonstrate these comparisons, will be presented as the outcome for this project. All results and recommendations will be ready for presentation by no later than 15th June 2023. Expected Outcomes: Recommendations based on the outcome could feasibly affect changes in the future strategy for responding to major items requiring adaptation and evolution in education/practices, and potential other general and/or specific response/action-planning protocols, at London South Bank University. Additional information: This project forms part of a larger LSBU Generative AI project to explore a potential solution to the issues surrounding Generative AI in Higher Education

Performance of distributed mechanisms for flow admission in wireless adhoc networks

Given a wireless network where some pairs of communication links interfere with each other, we study sufficient conditions for determining whether a given set of minimum bandwidth quality-of-service (QoS) requirements can be satisfied. We are especially interested in algorithms which have low communication overhead and low processing complexity. The interference in the network is modeled using a conflict graph whose vertices correspond to the communication links in the network. Two links are adjacent in this graph if and only if they interfere with each other due to being in the same vicinity and hence cannot be simultaneously active. The problem of scheduling the transmission of the various links is then essentially a fractional, weighted vertex coloring problem, for which upper bounds on the fractional chromatic number are sought using only localized information. We recall some distributed algorithms for this problem, and then assess their worst-case performance. Our results on this fundamental problem imply that for some well known classes of networks and interference models, the performance of these distributed algorithms is within a bounded factor away from that of an optimal, centralized algorithm. The performance bounds are simple expressions in terms of graph invariants. It is seen that the induced star number of a network plays an important role in the design and performance of such networks.Comment: 21 pages, submitted. Journal version of arXiv:0906.378

A scoping review of clinical practices and adherence to UK national guidance related to the placement and position confirmation of adult nasogastric feeding tubes

The administration of nutrition or medication into the lungs or pleura via a misplaced nasogastric feeding tube is considered a never event. Despite guidance from the National Patient Safety Agency and NHS Improvement this never event is regularly reported. Confirmation of correct placement and correct use of nasogastric tubes requires appropriate actions and decisions by a multidisciplinary team. A scoping review identified 43 records that discussed and supported nasogastric tube misplacement as a Never Event. Searches were completed using Web of Science, CINAHL, Google Scholar, British Nursing Index (BNI), as well as selected journals. A further manual search revealed 22 publicly available NHS Trust policies related to nasogastric feeding tube procedures. Items generated between 2011 and 2020 were considered eligible. A thematic analysis was completed to assess adherence to guidance and the practices in place across the NHS. Three key themes were identified as part of the review: referral and authorisation of radiography, examination description, and visualisation of the nasogastric tube tip. Large variations in practice were identified. While there is recognition of national guidance, records showed inconsistency and lacked the required detail to ensure patient safety. Despite classification as a never event, it is apparent that there is still room for improvement and further guidance in ensuring patient safety with respect to nasogastric tube insertion. Practice requires further standardisation whilst also ensuring optimisation and safety. Guidance should address in depth imaging authorisation, language and exact standards of acceptability for imaging the full length of the nasogastric tube. [Abstract copyright: Crown Copyright © 2022. Published by Elsevier Ltd. All rights reserved.

Search for direct stau production in events with two hadronic tau-leptons in root s=13 TeV pp collisions with the ATLAS detector

A search for the direct production of the supersymmetric partners ofτ-leptons (staus) in final stateswith two hadronically decayingτ-leptons is presented. The analysis uses a dataset of pp collisions corresponding to an integrated luminosity of139fb−1, recorded with the ATLAS detector at the LargeHadron Collider at a center-of-mass energy of 13 TeV. No significant deviation from the expected StandardModel background is observed. Limits are derived in scenarios of direct production of stau pairs with eachstau decaying into the stable lightest neutralino and oneτ-lepton in simplified models where the two staumass eigenstates are degenerate. Stau masses from 120 GeV to 390 GeV are excluded at 95% confidencelevel for a massless lightest neutralino

Measurement of the cross-section and charge asymmetry of WW bosons produced in proton-proton collisions at s=8\sqrt{s}=8 TeV with the ATLAS detector

This paper presents measurements of the $W^+ \rightarrow \mu^+\nu$ and $W^- \rightarrow \mu^-\nu$ cross-sections and the associated charge asymmetry as a function of the absolute pseudorapidity of the decay muon. The data were collected in proton--proton collisions at a centre-of-mass energy of 8 TeV with the ATLAS experiment at the LHC and correspond to a total integrated luminosity of 20.2~\mbox{fb^{-1}}. The precision of the cross-section measurements varies between 0.8% to 1.5% as a function of the pseudorapidity, excluding the 1.9% uncertainty on the integrated luminosity. The charge asymmetry is measured with an uncertainty between 0.002 and 0.003. The results are compared with predictions based on next-to-next-to-leading-order calculations with various parton distribution functions and have the sensitivity to discriminate between them.Comment: 38 pages in total, author list starting page 22, 5 figures, 4 tables, submitted to EPJC. All figures including auxiliary figures are available at https://atlas.web.cern.ch/Atlas/GROUPS/PHYSICS/PAPERS/STDM-2017-13

Search for chargino-neutralino production with mass splittings near the electroweak scale in three-lepton final states in √s=13 TeV pp collisions with the ATLAS detector

A search for supersymmetry through the pair production of electroweakinos with mass splittings near the electroweak scale and decaying via on-shell W and Z bosons is presented for a three-lepton final state. The analyzed proton-proton collision data taken at a center-of-mass energy of √s=13  TeV were collected between 2015 and 2018 by the ATLAS experiment at the Large Hadron Collider, corresponding to an integrated luminosity of 139  fb−1. A search, emulating the recursive jigsaw reconstruction technique with easily reproducible laboratory-frame variables, is performed. The two excesses observed in the 2015–2016 data recursive jigsaw analysis in the low-mass three-lepton phase space are reproduced. Results with the full data set are in agreement with the Standard Model expectations. They are interpreted to set exclusion limits at the 95% confidence level on simplified models of chargino-neutralino pair production for masses up to 345 GeV

Search for new phenomena in final states with an energetic jet and large missing transverse momentum in pp collisions at √ s = 8 TeV with the ATLAS detector

Results of a search for new phenomena in final states with an energetic jet and large missing transverse momentum are reported. The search uses 20.3 fb−1 of √ s = 8 TeV data collected in 2012 with the ATLAS detector at the LHC. Events are required to have at least one jet with pT > 120 GeV and no leptons. Nine signal regions are considered with increasing missing transverse momentum requirements between Emiss T > 150 GeV and Emiss T > 700 GeV. Good agreement is observed between the number of events in data and Standard Model expectations. The results are translated into exclusion limits on models with either large extra spatial dimensions, pair production of weakly interacting dark matter candidates, or production of very light gravitinos in a gauge-mediated supersymmetric model. In addition, limits on the production of an invisibly decaying Higgs-like boson leading to similar topologies in the final state are presente

A survey on MAC protocols for complex self-organizing cognitive radio networks

Complex self-organizing cognitive radio (CR) networks serve as a framework for accessing the spectrum allocation dynamically where the vacant channels can be used by CR nodes opportunistically. CR devices must be capable of exploiting spectrum opportunities and exchanging control information over a control channel. Moreover, CR nodes should intelligently coordinate their access between different cognitive radios to avoid collisions on the available spectrum channels and to vacate the channel for the licensed user in timely manner. Since inception of CR technology, several MAC protocols have been designed and developed. This paper surveys the state of the art on tools, technologies and taxonomy of complex self-organizing CR networks. A detailed analysis on CR MAC protocols form part of this paper. We group existing approaches for development of CR MAC protocols and classify them into different categories and provide performance analysis and comparison of different protocols. With our categorization, an easy and concise view of underlying models for development of a CR MAC protocol is provided