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  • Article
    Wang F, He Y, Zhou M, Luo Q, Zeng Z, Liu L, Zeng S, Lei Q.
    BMJ Open. 2022 12 12;12(12):e066828.
    INTRODUCTION: Postoperative pulmonary complications (PPCs) are the most common complications following thoracoscopic surgery, resulting in increased hospital costs and perioperative mortality. Studies have shown that intravenous lidocaine infusion can exert its anti-inflammatory properties by reducing the release of proinflammatory cytokines. This study is designed to investigate whether intraoperative intravenous lidocaine infusion can reduce the incidence of PPCs in adult patients undergoing video-assisted thoracoscopic lung resection surgery.
    METHODS AND ANALYSIS: This single-centre, double-blinded study will enrol 366 patients scheduled for video-assisted thoracoscopic lung resection surgery. Patients will be randomly assigned to the lidocaine or placebo infusion group in a 1: 1 ratio. The lidocaine group will receive lidocaine intravenously during the intraoperative period, while the placebo group will be administered normal saline at an equal volume, infusion rate and timing. The primary outcome is the incidence of PPCs within 7 days following surgery. The secondary outcomes are quality of postoperative recovery 40 scores; length of hospital stay (determined by the number of days from admission to discharge); incidence of moderate to severe pain within 24 and 48 hours at rest and when coughing; incidence of additional rescue analgesics use and incidence of adverse events.
    ETHICS AND DISSEMINATION: The study was reviewed and approved by the Ethics Committee of Sichuan Provincial People's Hospital (approval no. 20222241). Written informed consent will be obtained from all patients before randomisation. The results of this trial will be disseminated in a peer-reviewed journal.
    TRIAL REGISTRATION NUMBER: ChiCTR2200061979.
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  • Article
    Office of Personnel Management.
    Fed Regist. 2006 Nov 17;71(222):66828-9.
    The Office of Personnel Management is issuing a final regulation to allow Peace Corps volunteers who are FEHB Program enrolled annuitants, survivors, and former spouses to suspend their FEHB enrollments and then return to the FEHB Program during the Open Season, or return to FEHB coverage immediately, if they involuntarily lose health benefits coverage under the Peace Corps. The intent of this final rule is to allow these beneficiaries to avoid the expense of continuing to pay FEHB Program premiums while they have other health coverage as Peace Corps volunteers, without endangering their ability to return to the FEHB Program in the future.
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  • Article
    Stolen M, St Leger J, Durden WN, Mazza T, Nilson E.
    PLoS One. 2013;8(6):e66828.
    Multiple single case reports of asphyxiation in dolphins caused by fish lodged in the esophagus exist. However, the significance of this cause of mortality in a single population has not been documented. We performed a retrospective evaluation of pathology records from stranded bottlenose dolphins (Tursiops truncatus) from the Indian River Lagoon to evaluate the impact of this cause of death on this population. From 1997 to 2011, asphyxiation due to choking was identified as the cause of death in 14 of 350 cases (4%). Sampling of an unrelated but adjacent population over this same period yielded 186 necropsy cases of bottlenose dolphins with no cases of asphyxiation. Asphyxiated animals presented with a fish lodged in the cranial esophagus associated with a dislocated and obstructed or compressed larynx. There was no clear sex predilection. Affected animals included 12 adults and two juveniles. The fish species involved included sheepshead, black chin tilapia and striped mojarra. In five cases, recreational fishing gear was also present. Cetacean choking is related to selection of prey fish species with strong dorsal spines and may be secondarily associated with fish attached to fishing gear. Prey abundance and dolphin behavior may influence these selections. Environmental alterations leading to changes in prey availability or increased interactions with fishing gear may change the significance of fatal choking in dolphin populations.
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  • Article
    Office of Personnel Management.
    Fed Regist. 2006 Nov 17;71(222):66827-8.
    The Office of Personnel Management (OPM) is issuing interim regulations dealing with the use of OPM's allotment authority to allow for pretax salary reductions as part of OPM's flexible benefits plan. Using an allotment from an employee's pay to the employing agency allows certain payments (e.g., employee health insurance premiums, contributions to a flexible spending arrangement, and contributions to a health savings account) to be paid with pretax dollars, as provided under section 125 of the Internal Revenue Code. In addition, these regulations include certain policy clarifications and changes to make the regulations more readable.
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  • Book
    American Nurses Association.
    Summary: "Nursing Informatics: Scope and Standards of Practice describes a competent level of nursing care at each level of nursing informatics practice and provides comprehensive overviews of the dynamic and complex practice of the nursing informatics specialty. Published by ANA, this book is informed by advances in health care and professional nursing practice. It contains national standards of practice and performance that define the who, what, where, when, why, and how of nursing informatics practice and is a vital reference for: - Quality improvement initiatives - Certification and credentialing - Position descriptions and performance appraisals - Classroom teaching and in-service education programs - Boards of nursing members' orientation programs and regulatory decision-making activities Nursing Informatics: Scope and Standards of Practice is intended to guide nurses, as well as administrators, legislators, regulators, legal counsel, and other interprofessional colleagues"-- Provided by publisher.

    Contents:
    Scope of nursing informatics practice
    Standards of nursing informatics practice
    Standards of professional performance for nursing informatics.
    Digital Access R2Library [2022]