The Effects and Implications of Vaping on the Youth Population

Youth today have adopted the “cessation tool” known as the e-cigarette as a form of recreational activity. An examination of the history of tobacco use and prevention enables a fuller understanding of the problem presented by this product. Youth around the country are addicted to the sensation of vaping and are largely unaware of the associated health dangers. To address this growing issue among adolescents, vaping and its impact on the youth population should be carefully examined by health professionals. Although an overall solution has not yet been determined, there are several ways to impede the spread of the vaping epidemic from a public health standpoint

Aspirating during the intramuscular injection procedure: a systematic literature review

© 2015 John Wiley & Sons Ltd. Aims and objectives: To review the available evidence on aspirating when administering intramuscular injections and suggest recommendations for practice. Background: The process of aspiration has been ingrained in the intramuscular injection procedure, and whilst many policies no longer recommend this practice, it often continues to be taught and practiced. The result is a variation in this procedure not always consistent with an evidence-based approach. Design: A systematic literature review. Methods: A systematic approach to searching the literature was undertaken using identified academic databases from inception to May 2014. Citation searching identified additional data sources. Six studies met the search criteria. Results: The majority of health professionals do not aspirate for the recommended 5-10 seconds. Administering an injection faster without aspiration is less painful than injecting slowly and aspirating. The main influences on the decision of whether or not to aspirate are based on what health professionals are taught and fear of injecting into a blood vessel. Conclusions: In the paediatric vaccination setting, the practice of aspirating during the administration of an intramuscular injection is unnecessary and there is no clinical reason to suggest that these principles may not be applied when using the deltoid, ventrogluteal and vastus lateralis sites in other settings. Owing to its proximity to the gluteal artery, aspiration when using the dorsogluteal site is recommended. Nurses must be supported in all settings, by clear guidance which rejects traditional practice and facilitates evidence-based practice. Relevance to clinical practice: Educators need to ensure that their knowledge is up to date so that what they teach is based on evidence. This may be facilitated via regular educational updates. Further research and subsequent guidance are needed to support evidence-based practice in intramuscular injection techniques in all nursing settings

Improving work organisation - the case for a regional action programme

A policy think piece to inform the development of the 2006 Regional Economic Strategy on how adoption of modern work organisation/high performance working practices could improve skills utilisation in the context of the 'low pay low skills equilibrium' in the East Midlands

The Binary Space Partitioning-Tree Process

The Mondrian process represents an elegant and powerful approach for space partition modelling. However, as it restricts the partitions to be axis-aligned, its modelling flexibility is limited. In this work, we propose a self-consistent Binary Space Partitioning (BSP)-Tree process to generalize the Mondrian process. The BSP-Tree process is an almost surely right continuous Markov jump process that allows uniformly distributed oblique cuts in a two-dimensional convex polygon. The BSP-Tree process can also be extended using a non-uniform probability measure to generate direction differentiated cuts. The process is also self-consistent, maintaining distributional invariance under a restricted subdomain. We use Conditional-Sequential Monte Carlo for inference using the tree structure as the high-dimensional variable. The BSP-Tree process's performance on synthetic data partitioning and relational modelling demonstrates clear inferential improvements over the standard Mondrian process and other related methods

Tethered satellite system

A reusable system is to be developed to enable a variety of scientific investigations to be accomplished from the shuttle, considering the use of a tethered system with manual or automated control, deployment of a satellite toward or away from the Earth, up to 100 km, and conducting or nonconducting tether. Experiments and scientific investigations are to be performed using the tether system for applications such as magnetometry, electrodynamics, atmospheric science, and chemical release. A program is being implemented as a cooperative U.S./Italian activity. The proposed systems, investigations, and the program are charted and briefly discussed