Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project

Background and objectives: Documentation is important for quality improvement, education, and research. There is currently a lack of recommendations regarding key aspects of documentation in regional anesthesia. The aim of this study was to establish recommendations for documentation in regional anesthesia. Methods: Following the formation of the executive committee and a directed literature review, a long list of potential documentation components was created. A modified Delphi process was then employed to achieve consensus amongst a group of international experts in regional anesthesia. This consisted of 2 rounds of anonymous electronic voting and a final virtual round table discussion with live polling on items not yet excluded or accepted from previous rounds. Progression or exclusion of potential components through the rounds was based on the achievement of strong consensus. Strong consensus was defined as ≥75% agreement and weak consensus as 50%-74% agreement. Results: Seventy-seven collaborators participated in both rounds 1 and 2, while 50 collaborators took part in round 3. In total, experts voted on 83 items and achieved a strong consensus on 51 items, weak consensus on 3 and rejected 29. Conclusion: By means of a modified Delphi process, we have established expert consensus on documentation in regional anesthesia

Bark beetles in the Tatra Mountains. International research 1998-2005 - an overview

This paper is a review of fundamental information on bark beetles and their interactions with several predisposing factors (air pollution, drought/temperature interactions, windthrows, management activities) that are thought to contribute to the outbreaks in the High Tatra Mountains. The findings of many research projects indicate that the impact of air pollution on bark beetle populations is indirect and complex and that the disturbances in the physiology and natural resistance of trees may be of crucial importance to bark beetle population dynamics. An active forest protection approach is needed to be applied to the secondary Norway spruce forests affected in the past by human activity. Bark beetle populations in natural and near-natural forests (mainly in the upper montane zone) are regulated by natural mechanisms; bark beetles are therefore a natural factor contributing to forest development, including the transition of future generations of spruce

The impact of restructuring and deregulation on gas rates

Natural gas, Deregulation, Restructuring, Consumer choice, L95, L50,