Exact(1)
Indeed, after 30 s of maximal isometric effort, pain becomes increasingly severe, altering the perception of sensations originating from the active musculature, which leads to uncertainty as to the level of force being exerted.
Similar(59)
c Severe altered mental status defined by Glasgow Coma Scale less than 5 or a designation of coma by a physician.
The RPART identified 6 variables as the best discriminators: age < 65 years, temperature ≤ 98°F or severe altered mental status, cachexia, previous hospitalization within 30 days, admitted from other healthcare facility, and need for mechanical ventilation.
RPART revealed that the six best discriminators for candidemia were age younger than 65 years, temperature of 98°F or less, or severe altered mental status, cachexia, previous hospitalization within 30 days, admitted from other healthcare facility, and mechanical ventilation at admission.
Among patients needing mechanical ventilation, candidemia occurred in 2.3% of those in the derivation cohort and in 3.1% of those in the validation cohort (Table 2) [see Additional data file 2]. a Severe altered mental status defined as Glasgow Coma Scale less than 5 or a designation of coma by a physician.
Univariate analysis revealed that the following variables were associated with candidemia: age younger than 65 years; cachexia; deranged albumin, arterial pH, and electrolytes; temperature of 98°F or less, or severe altered mental status; previous hospitalization within 30 days; admitted from other healthcare facility; and mechanical ventilation at admission (all P ≤ 0.001; Table 2).
Du, 54, had not denied killing the family, but his defence team had argued that a 10-year court battle with his former friends over a shared business venture had left him suffering from depression so severe it altered his judgment.
In the study by Donnino and co-workers [37] all patients had a diagnosis consistent with infections (pneumonia, sepsis, pyelonephritis) or symptoms of severe infections (altered mental status, shortness of breath etc).
For the in-depth interviews (IDI), 12 mothers of under-five children whose children were admitted to the Regional Hospital with a diagnosis of severe malaria (altered consciousness, coma, convulsions, hypoglycaemia, difficulty in breathing, severe anaemia, prostration) were interviewed to obtain clinical history and treatment-seeking behavior for the illness.
Acute, severe asthma alters profoundly the cardiovascular status and function [ 28, 29].
Acute CNS infections were suspected in those children with a febrile illness (<2 weeks' duration) and 1 of the following signs or symptoms: meningism, photophobia, severe headache, altered mental status, seizures, or focal neurologic signs.
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