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Unfortunately, many library workers feel significant friction between their own understanding of their job and the views of outside stakeholders. We address this friction and its implications in our recommendations for future research and practice. Formation of methaemoglobinaemia (MetHb) decreases oxygen capacity in the blood, leading to tissue hypoxia. This condition may be acquired following exposure to certain drugs. A critically ill patient with necrotizing fasciitis unexpectedly developed marked and unexplained MetHb (6.7%). Her
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