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

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

Take care of yourself

This article focuses on how compassion focused techniques that encourage self-reflection can help student practitioners to promote self-car

Do Soup Kitchen Meals Contribute to Suboptimal Nutrient Intake & Obesity in the Homeless Population?

The double burden of suboptimal nutrient intake and obesity exists when available foods lack essential nutrients to promote health and provide high amounts of energy. This study evaluated the nutrition content of 41 meals served to the homeless at 3 urban soup kitchens. The mean nutrient content of all meals and of meals from each of the kitchens was compared to two-thirds of the estimated average requirement (EAR). The mean nutrient content of the meals did not provide two-thirds of the EAR for energy, vitamin C, magnesium, zinc, dietary fiber, or calcium but provided 11.8% of calories from saturated fat. On average one meal did not meet homeless individuals’ estimated requirements; however, 2 meals did meet estimated requirements but provided inadequate fiber and high amounts of energy, saturated fat, and sodium. Soup kitchen meals may contribute to the high prevalence of obesity and chronic disease reported in the homeless, food insecure population

Bayesian threshold selection for extremal models using measures of surprise

Statistical extreme value theory is concerned with the use of asymptotically motivated models to describe the extreme values of a process. A number of commonly used models are valid for observed data that exceed some high threshold. However, in practice a suitable threshold is unknown and must be determined for each analysis. While there are many threshold selection methods for univariate extremes, there are relatively few that can be applied in the multivariate setting. In addition, there are only a few Bayesian-based methods, which are naturally attractive in the modelling of extremes due to data scarcity. The use of Bayesian measures of surprise to determine suitable thresholds for extreme value models is proposed. Such measures quantify the level of support for the proposed extremal model and threshold, without the need to specify any model alternatives. This approach is easily implemented for both univariate and multivariate extremes.Comment: To appear in Computational Statistics and Data Analysi