Needle and syringe provision and disposal in an Australian regional centre

The aim of this study was to investigate the provision and disposal of needles and syringes in Geelong, Victoria, supplying a comparison of needles provided to needles returned through needle and syringe programmes (NSPs), needles disposed of in 'Sharpsafe' bins and needles discarded. This study combined quantitative data obtained from a number of sources and qualitative data obtained from 60 interviews. An average of 18,337 (SD = 2796) per month were dispensed from NSPs and an average of 5576 needles are returned to NSP sites in Geelong per month. For the current year, 450 needles and syringes per month were placed in publicly located disposal bins. On average there were 19 callouts to discarded needles per month in the Geelong region and these needles constituted 0.38% of the monthly average of needles provided through NSPs. It was concluded that, while discarded needles are of major community concern, the vast majority of needles and syringes provided in this regional centre are not discarded. Findings are discussed in relation to the current laws surrounding the possession of injecting equipment.

3D haptic needle insertion simulator utilising an agent based spherical voxel model

This paper describes a technique for the real-time modeling of deformable tissue. Specifically geared towards needle insertion simulation, the low computational requirements of the model enable highly accurate haptic feedback to a user without introducing noticeable time delay or buzzing generally associated with haptic surgery simulation. Using a spherical voxel array combined with aspects of computational geometry and agent communication and interaction principals, the model is capable of providing haptic update rates of over 1000Hz with real-time visual feedback. Iterating through over 1000 voxels per millisecond to determine collision and haptic response while making use of Vieta’s Theorem for extraneous force culling.

Variations in vascular access flows in haemodialysis can depend on needle orientation

Introduction: While using the Transonic Qc[TM] machine to assess access flow in arteriovenous fistulae (AVF), we observed that when compared to antegrade arterial needle insertion, retrograde arterial needle insertion could regularly produce lower access flow measurements. This study sought to explore this phenomenon.

Method: 23 patients entered and 20 finished the study. Patient selection criteria included: functioning AVF and an adequate AVF length for either retrograde or antegrade arterial needle insertion. After ensuring stable and similar blood pressures, 3 flow measurements were taken during the first 2 hours on the same dialysis day of 3 consecutive weeks using antegrade needle insertion then were repeated on 3 further consecutive weeks using retrograde insertion.

Results: Overall, access flows measured with retrograde insertion were significantly lower by a mean difference of 107.15 ml/min (57-484 ml/min) than the flows measured with antegrade needle placement. In 5/20, 3 recorded minimal difference and 2 had a higher access flows during retrograde insertion. No recirculation was observed during either antegrade or retrograde needle insertion. The paired t-test showed that there was significant difference between the antegrade versus retrograde mean measurements (p = 0.005).

Conclusion: Although the sample size is small and the number of measurements limited, we conclude that access flows may be greater with an antegrade arterial orientation compared to flows recorded with a retrograde orientation. The phenomenon behind this conclusion is yet to be investigated. We suggest that when using the Transonic Qc[TM] access measurement device the arterial needle should always be in the same direction for each measurement for each individual patient.

Single cell stiffness measurement at various humidity conditions by nanomanipulation of a nano-needle

This paper presents a method for single cell stiffness measurement based on a nano-needle and nanomanipulation. The nano-needle with a buffering beam was fabricated from an atomic force microscope cantilever by the focused ion beam etching technique. Wild type yeast cells (W303) were prepared and placed on the sample stage inside an environmental scanning electron microscope (ESEM) chamber. The nanomanipulator actuated the nano-needle to press against a single yeast cell. As a result, the deformation of the cell and nano-needle was observed by the ESEM system in real-time. Finally, the stiffness of the single cell was determined based on this deformation information. To reveal the relationship between the cell stiffness and the environmental humidity conditions, the cell stiffness was measured at three different humidity conditions, i.e. 40, 70 and 100%, respectively. The results show that the stiffness of a single cell is reduced with increasing humidity.

Needle fixation and moral panic

This thesis weighs into the contemporary debate regarding needle fixation, utilising recent theory from addiction discourse. Freud and Lacan to specuate an unconscious cause for the compulsion to self-inject regardless of substance. It then applies this revelation to analyse the world of the 'needle fixator' and society's moral panic reaction.

Looking for a needle in the haystack: arsonists with intellectual disability in Australia

Arson attracts substantial penalties in Australia, reflecting the serious consequences of the crime. It is often asserted that people with intellectual disability are particularly likely to commit arson offences, and yet it is difficult to establish the prevalence in this population. This study sought to describe the characteristics of those people appearing in Australian Courts who have an intellectual disability and have been charged with arson. A search of the AustLII, LexisNexisAU and WestLawAU databases over the 10-year period from 2003 to 2013 identified 50 arson convictions reported in case law. Of these, six involved an offender with an identified intellectual disability. These offenders were likely to have committed other crimes at the time, or to have prior offences and were likely to receive longer sentences of imprisonment than their non-intellectually disabled counterparts. These findings are discussed in terms of the barriers that exist to understanding more about this under-researched population.

Highly-twisted, continuous nanofibre yarns prepared by a hybrid needle-needleless electrospinning technique

Nanofibres prepared by electrospinning have shown enormous potential for various applications. They are obtained predominantly in the form of nonwoven fibre webs. The 2-dimensional nonwoven feature and fragility have considerably confined their further processing into fabrics through knitting or weaving. Nanofibre yarns, which are nanofibre bundles with continuous length and a twist feature, show improved tensile strength, offering opportunities for making 3-dimensional fibrous materials with precisely controlled fibrous architecture, porous features and fabric dimensions. Despite a few techniques having been developed for electrospinning nanofibre yarns, they are chiefly based on the needle electrospinning technique, which often has low nanofibre productivity. In this study, we for the first time report a nanofibre yarn electrospinning technique which combines both needle and needleless electrospinning. A rotating intermediate ring collector was employed to directly collect freshly-electrospun nanofibres into a fibrous cone, which was further drawn and twisted into a nanofibre yarn. This novel system was able to produce high tenacity yarn (tensile strength 128.9 MPa and max strain 222.1%) at a production rate of 240 m h^-1, with a twist level up to 4700 twists per metre. The effects of various parameters, e.g. position of the electrospinning units, operating conditions and polymer concentration, on nanofibre and yarn production were examined.

Patterns and Characteristics of Ambulance Attendance at Heroin Overdose at a Local-Area Level in Melbourne, Australia: Implications for Service Provision

The monitoring of heroin use and related harms is undertaken in Australia with a view to inform policy responses. Some surveillance data on heroin-related harms is well suited to inform the planning and delivery of heroin-related services, such as needle and syringe provision. This article examines local-area variation in the characteristics of nonfatal heroin overdoses attended by ambulances in Melbourne over the period June 1998 to October 2000 to inform the delivery of services to the heroin-using population in Melbourne.

Finite element simulation of deformation processes of micro-components

The aim of this paper is to improve the understanding of deformation of micro medical needle and thread during assembly and then to develop an economical and flexible deformation method. Therefore, the swaging process is computationally simulated with the finite element method in this paper. A commercially available explicit nonlinear finite element analysis code, LS-Dyna, is used to model the 3-D deformation and contact problem. As the firmness of the assembly on the needle depends on the contact force and friction, the contact and the slide between the needle and thread are taken into account in the simulation. The general surface-to-surface contact algorithm (STS) is used to simulate the contact. The paper provides an insight into the deformation of the micro products.