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Respiratory difficulty, hypotension and altered mental status as clinically recognizable signs of organ failure were independent predictors of 100% compliance and not illness severity per se.
In summary, the presence of clinically recognizable signs of organ failure results in better compliance with the "Surviving Sepsis Campaign" compared to laboratory signs of organ failure.
In the present study, it is hypothesized that septic ED patients with clinically recognizable signs of organ failure, i.e., hypotension, are treated better than patients with only biochemical signs of organ failure, i.e., hyperlactatemia.
We evaluated whether compliance was higher in emergency department (ED) sepsis patients with clinically recognizable signs of organ failure compared to patients with only laboratory signs of organ failure.
The three screening questions of the SSC (suspected infection, SIRS criteria, organ failure, [1]) apparently trigger the attending physician in case of clinically recognizable signs of organ failure, but not when merely laboratory signs of organ failure are present, but these should lead to a similar sense of urgency.
We have chosen to use foot-and-mouth disease (FMD) as a focal disease because it is prevalent (over 70% seroprevalence using a conservative estimate from Ludi et al. (2016)) and easily recognized by cattle herders of this region (recognizable signs noted in Grubman and Baxt (2004) and Spickler et al. (2010)), so herders can easily answer questions about treating the disease from memory.
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One recognizable sign: Thatcher Road.
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An easy and recognizable sign is to write SOS.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com