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To our knowledge, this study is the first to prospectively assess a clinical dehydration scale in a low-income country, where children tend to present with more severe dehydration and be evaluated by personnel with less specialized training than their high-income country counterparts.
*Higher scores indicate more severe dehydration.
‡Higher values indicate more severe dehydration.
Additionally, when adjusting for age and gender, we found no significant penchant toward more severe dehydration across epidemic periods.
Furthermore, subgroup analysis did not show a trend towards increased benefit in children with more severe dehydration.
However, HIV disease did not prove to be a risk factor for a trend toward more severe dehydration.
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Cases were recorded following the WHO standard case definition: "in an area where the disease is not known to be present, a patient aged 5 years or more develops severe dehydration or dies from acute watery diarrhoea; in an area where there is a cholera epidemic, a patient aged 5 years or more develops acute watery diarrhoea".
8 The WHO case definition for cholera in an area where the disease is not known to be present (a patient aged 5 years or more develops severe dehydration or dies from acute watery diarrhea) had a lower sensitivity (63.1%, 95% CI: 60.1 66.0) and NPV (55.1%, 95% CI: 51.8 58.5) but a higher specificity (74.2%, 95% CI: 70.7 77.5) and PPV (80.0%, 95% CI: 77.1 82.7).
Dozens more, suffering from severe dehydration and hypothermia, were taken to hospital after the 35 men, women and children were found on the ship, which had recently arrived from Belgium.
More severe outcomes include dehydration, loss of fluids and electrolytes, and kidney and heart damage.
We also found that G9P[8]SGII infections, compared with SGI-associated G and P type infections, induced significantly more cases of severe dehydration (p<0.05).
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more homogenous dehydration
more severe fibrosis
more severe injury
more severe addiction
more severe illness
more severe penalty
more severe lesion
more severe disease
more facile dehydration
more significant dehydration
more rapid dehydration
more severe punishment
more severe reduction
more severe comorbidity
more severe morbidity
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