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The antegrade continence enema (ACE) procedure is mostly associated with children. GI254023X molecular weight Many children who underwent this are now entering adulthood and require expert advice and support from nursing and medical services. This article describes how a poster was created to make health professionals aware of this procedure and provide advice for troubleshooting. The type of flushing solution used for irrigation still seems to be selected by trial and error, depending on what suits each individual. There is little evidence in the literature on skin management for patients practising ACE, so it is pertinent to apply the best evidence available. Adult stoma care nurses will need a detailed understanding of this technique and management in the future, as it is likely that they will be called upon for support and advice.Emeritus Professor Alan Glasper, from the University of Southampton, reflects on new research which illuminates the impact of sensory deprivation in early childhood.The skin's main function is to act as a physical barrier against harmful substances. Medical adhesive-related skin injury (MARSI) is a prevalent and under-reported condition that compromises the skin's integrity. Repeated applications and removal of appliances can increase the likelihood of MARSI occurring. Prevention and treatment are key to ensure appropriate skin preparation, product appliance and removal. The use of structured approaches is imperative and there is a need to increase the awareness of MARSI among patients and health professionals to ensure that informed decisions are made.Twiddler's syndrome is a rare cause of pacemaker failure, where patient manipulation of the pulse generator results in lead dislodgement or retraction. Variations in manifestation have been identified including reel syndrome, where rotation occurs around the transverse axis resulting in coiling of the leads, and ratchet syndrome where arm movement results in lead displacement. Device manipulation leading to device failure has been documented in up to 1.7% of implants, particularly in patients with large pockets or mental disorders. Such complications have serious consequences, particularly in pacing-dependent patients where loss of capture may result in asystole. This article reviews the case of an 84-year-old patient presenting at 8-month pacemaker follow-up in complete heart block with no evidence of pacemaker function.BACKGROUND Students can find interacting within a healthcare team challenging. It is important for students to understand their role and respect those of other healthcare team members. Interprofessional education (IPE) is a strategy for exploring the roles of self and others within the team. AIM The purpose of this study was to evaluate nursing students' perceptions of roles and responsibilities following an IPE experience. METHODS Students in an undergraduate baccalaureate degree nursing programme participated in a two-day IPE event with students in the physician's assistant's (PA) programme, pharmacy programme, and physical therapy (PT) programme. FINDINGS Self-perception and the perception of others were two main themes that emerged. The results suggested that roles and responsibilities are often misunderstood. CONCLUSION Educators must be committed to educating our future healthcare workforce on role expectations and responsibilities within an individual's own profession and that of others. This education should start in the foundation stages of each discipline's educational curricula.Work-related musculoskeletal disorders (WRMSDs) continue to be a problem in the health and social care setting, despite staff receiving mandatory manual handling training for many decades. The author discusses WRMSDs, with a focus on various nursing roles. The principle of manual handling as solely 'person moving' or 'transferring' is challenged because a range of activities can cause musculoskeletal problems. The legislation and regulations are explored in relation to practice. The benefits of introducing a specific risk-assessment tool designed for nurses working in neonatal wards is discussed.Jane Simpson, Independent Continence Nurse Specialist, The London Clinic, explains why pelvic floor health is important for everyone and provides information that nurses can pass on to patients.John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses some recent patient safety publications from the World Health Organization and the Care Quality Commission.Given the growth in the numbers of visually impaired (VI) people in low-income countries, the development of affordable electronic travel aid (ETA) systems employing devices, sensors, and apps embedded in ordinary smartphones becomes a potentially cost-effective and reasonable all-in-one solution of utmost importance for the VI. This paper offers an overview of recent ETA research prototypes that employ smartphones for assisted orientation and navigation in indoor and outdoor spaces by providing additional information about the surrounding objects. Scientific achievements in the field were systematically reviewed using PRISMA methodology. Comparative meta-analysis showed how various smartphone-based ETA prototypes could assist with better orientation, navigation, and wayfinding in indoor and outdoor environments. The analysis found limited interest among researchers in combining haptic interfaces and computer vision capabilities in smartphone-based ETAs for the blind, few attempts to employ novel state-of-the-art computer vision methods based on deep neural networks, and no evaluations of existing off-the-shelf navigation solutions. These results were contrasted with findings from a survey of blind expert users on their problems in navigating in indoor and outdoor environments. This revealed a major mismatch between user needs and academic development in the field.Objective This study examined the prevalence and factors associated with non-medical use of prescription stimulants to promote wakefulness. Participants We surveyed 3,160 university students aged 18-35 between June 2016 and May 2017. Method Participants reported whether they used prescription stimulants non-medically to stay awake and completed measures of anxiety and depressive symptoms, sleep quality, insomnia, daytime sleepiness, and attitudes toward non-medical prescription drug use. Univariate and multivariate regression models were used. Results Prevalence of non-medical prescription stimulant use to promote wakefulness was 3.1%. The following factors remained significant in the multivariate model alcohol, tobacco, and nicotine vapor use, attitude toward non-medical use of prescription medication, poor sleep quality, and daytime sleepiness. Conclusion Poor sleep, substance use and more liberal attitudes to non-medical prescription drug use were associated with the misuse of stimulants to promote wakefulness.