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This is probably because the inpatient approach allowed a more strict control of medication intake, the prompt and intensive treatment of withdrawal symptoms, a better patient support, and isolation of patients from the socio-environmental pressures liable to reinforce drug overuse behaviour.
· Prompt and intensive correction of physiological disturbances preoperatively and postoperatively (hypoxemia, anaemia, electrolyte disturbances, acid base disturbances, dehydration, hypotension etc), based upon pre-defined protocols.
Recognition of these risk factors may be helpful for the management of the disease, and more prompt and intensive therapy may be required to reduce mortality rates in patients who have these particular risks.
Strategically, we conclude that larviciding may well have potential for sustainable malaria control in African cities but emphasize that the encouraging results presented here merely represent an early demonstration which prompts more extensive and intensive investigation of this long-neglected approach.
Increased ICP, reduced cerebral perfusion, seizures, and so forth, represent further secondary insults to the traumatized brain; early detection and prompt, intensive treatment may contribute to better outcomes [ 29].
Clinical benefit of our findings is risk stratification: Due to early assessment in the postoperative course, the combination of MELD scores and early postoperative ICG-PDR measurement might be valuable to identify risk patients in term of prolonged postoperative course and increased mortality and to prompt appropriate intensive care actions without time delay.
The graphic scenes drew heavy traffic on Russian-language Web sites and prompted intensive commentary on Internet discussion groups.
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