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The intramuscular (IM) injection has been part of nursing practice since the 1960s. Over the past 60 years, the practice of aspiration during IM injection has been controversial and understudied. In 2016, a study by Thomas et al identified that blood aspiration does occur during injection. This article introduces a clinical practice guideline for safe and effective aspiration during IM injection, as a follow-up to the findings of that study. The proposed guideline acknowledges the correct practice of aspiration and identifies considerations that may make aspiration unnecessary. These practices and considerations are presented to the reader using a visual clinical pathway and a narrative clinical practice guideline.

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Forensic teams work with the deceased and their families on a daily basis. The forensic team fulfills an important role during the death process and serves as a medium between the medical community and investigative community. The medical examiner, or coroner, depending on jurisdiction, plays a critical role in the death investigation, whose assessments and findings are a key element in care for the deceased in relation to the investigation. Communication regarding care for the deceased is critical to the completion of the investigation. Nine key discussion points are addressed as a means to launch communications between the forensic team and the medical examiner/coroner's office.

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Metagenomics of an enrichment culture from a New Mexico hot spring allowed the description of a draft genome of a Chloracidobacterium thermophilum strain for the first time outside Yellowstone National Park with a surprisingly high degree of identity with the type strain.

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The draft genome (57.7% GC, 7,647,882 bp) of the novel thermophilic cyanobacterium MTP1 was determined by metagenomics of an enrichment culture. The genome shows that it is in the family Oscillatoriales and encodes multiple heavy metal resistances as well as the capacity to make exopolysaccharides.

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The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the recommended 5 to 10 s. Forty percent reported having aspirated blood at least once, whereas 6 RNs (4%) noted blood aspiration ≥13 times. Blood aspiration occurred most frequently in the dorsal gluteal (15%) and deltoid (12%). Based on the findings, it is recommended that RNs use a decision-making process to select the safest technique for IM injections. If a parental medication has different administration rates, dose, viscosity, or other concerns when given IM versus intravenously (IV), aspiration during IM administration should be implemented.

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Biodiesel produced from microalgal lipids is being considered as a potential source of renewable energy. However, a number of hurdles will have to be overcome if such a process is to become practical. One important factor is the volumetric production of biomass and lipid that can be achieved. The marine alga Nannochloropsis gaditana is under study since it is known to be highly oleaginous and has a number of other attractive properties. Factors that might be important in biomass and lipid production by this alga are light intensity, inoculum size and CO2. Here we have carried out for the first time a RSM-DOE study of the influence of these important culture variables and define conditions that maximize biomass production, lipid content (BODIPY® fluorescence) and total lipid production. Moreover, flow cytometry allowed the examination on a cellular level of changes that occur in cellular populations as they age and accumulate lipids.

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An unconfounded Scheffe Mix approach was used to probe important ions and their interactions in supporting biomass and lipid production by Chlorella sp. EN1234. Six major cations and anions; NH4(+), NO3(-), Na(+), K(+) PO4(-) and Cl(-) were examined. Piepel plots and RSM analysis showed that in a number of cases, the major media anions PO4(-) and Cl(-) negatively influence final cell densities, and that maximal cell density is obtained with nitrate over ammonium, with an optimal effect when mixed with equal molar potassium. As well, although it is commonly assumed that lipid content increases in nitrogen deficient media, here little correlation between nitrogen content and total lipid content was found with mixtures that supported high lipid productivity. Thus these mixtures define the composition space within which further R&D might produce the best trade-off between total biomass production and high cellular lipid content.

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A large number of unconfounded media variations were used with a Scheffe Mix Model to examine in an unambiguous fashion the effects of variations in six important ions; NH4(+), NO3(-), Na(+), K(+), PO4(-), and Cl(-), on the growth of Chlorella vulgaris. This allows several novel observations on media components, for example, the inhibitory effects of chloride, to be made. Using a side by side comparison, it is shown that two strains of Chlorella show significant physiological and functional differences brought out by this approach. Testing selected formulations with a diverse set of algae demonstrated different effects on both growth and cellular lipid content, in some cases driving significant lipid production. This suggests that future work using a larger portion of media composition space could lead to the development of novel media supporting maximal biomass production and lipid production.

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Shaken baby syndrome (SBS) is a great concern for forensic nurses. Accurate diagnosis and treatment is essential. The purpose of this report is to review the history of SBS, as well as the physical symptoms of a patient suspected of suffering from this form of abuse. Implications of SBS for the forensic nurse will be presented; this will include the education of families and caregivers and methods of prevention.

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