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The possible establishment of a European strain in North American wildlife, with spillover into domestic dogs, may have implications for public health and require increased vigilance by medical and veterinary personnel in the newly endemic region.
The report says the risks require "increased vigilance".
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Comparison or integration: The protective nature of intersection-related crashes to injury may partially be explained by (1) complex environments being more structured and requiring increased vigilance from drivers, or (2) intersections acting as speed reducing mechanisms.
The diagnosis of such infections is cumbersome requiring increased clinical vigilance and extensive laboratory testing, including radiology, cultures, biopsies and other indirect methods.
Until it has been ascertained as to whether or not there is an increased risk of malignancy associated with systemic IS therapy in patients with severe IED, increased vigilance is required to ensure that patients are regularly reviewed, appropriately and systematically examined, investigated and have long-term follow-up to detect and treat malignancies as early as possible.
Increased vigilance is required during treatment follow-up.
Although such clinical failure of therapy is rare, increased vigilance is required during treatment follow-up, and surveillance of the parasite population should also be increased.
Therefore increased vigilance is required to identify the emergence of new toxic compounds and early renal biopsy is recommended in cases of acute kidney injury in patients taking moxifloxacin.
Increased vigilance for transmissible spongiform encephalopathy in animal-derived pharmaceuticals requires methods to prevent the introduction of heparin from ruminants into the supply chain.
Repeated case reports of this devastating complication of a common ICU drug calls for increased caution and vigilance when using propofol, especially in patients requiring increasing doses of vasopressors or in cardiac failure as advised by the American College of Critical Care Medicine [3].
Repeated case reports of this devastating complication of a common ICU drug calls for increased caution and vigilance when using propofol, especially in patients requiring increasing doses of vasopressors or in cardiac failure as advised by the American College of Critical Care Medicine [ 3].
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