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  1. 7961
    “…Hence the knowledge of its diagnosis and management in its atypical presentations is of paramount importance. Here we report an unusual case of uncomplicated dengue encephalopathy in a term mother, probably the first to be reported from the Indian subcontinent. …”
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    A rare case of dengue encephalopathy complicating a term pregnancy
  2. 7962
    “…BACKGROUND: Diagnosis of a low-grade periprosthetic joint infection (PJI) prior to revision surgery can be challenging, despite paramount importance for further treatment. Arthroscopic biopsy of synovial and periprosthetic tissue with subsequent microbiological and histological examination can be beneficial but its specific diagnostic value has not been clearly defined. …”
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    Diagnostic accuracy of arthroscopic biopsy in periprosthetic infections of the hip
  3. 7963
    “…Given the ageing population, the importance of providing appropriate, quality health care in the emergency department for this cohort is paramount. One possible solution, a nurse-led, physician-championed, emergency department gerontological intervention team, which provides frontload assessment, early collateral communication and appropriate discharge planning, has been developed. …”
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    A structure, process and outcome evaluation of the Geriatric Emergency Department Intervention model of care: a study protocol
  4. 7964
    “…CONCLUSION: An immediate call to action for collaborative and coordinated global, regional and national efforts that enable full access and full choice for all young people is paramount to achieve their reproductive health intentions and the Sustainable Development Goal targets.…”
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    Making good on a call to expand method choice for young people - Turning rhetoric into reality for addressing Sustainable Development Goal Three
  5. 7965
    “…This means the need to assess Arab pilgrims' awareness of MERS-CoV is of paramount importance. MATERIALS AND METHODS: A cross-sectional study was carried out during Ramadan 2015 in the Holy Mosque in Makkah, Saudi Arabia. …”
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    To what extent are Arab pilgrims to Makkah aware of the middle east respiratory syndrome coronavirus and the precautions against it?
  6. 7966
    “…Because phenotypes are often paramount for domestic breed owners, such a strategy could provide a helpful approach for genetic rescue and restoration of other domestic populations at risk, by ensuring the involvement of owners, breeders and managers at the start of the project.…”
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    Genetic rescue of an endangered domestic animal through outcrossing with closely related breeds: A case study of the Norwegian Lundehund
  7. 7967
    “…Understanding how a person lives with a chronic illness, such as Parkinson’s disease (PD), is necessary to provide individualized care and professionals role in person-centered care at clinical and community levels is paramount. The present study was aimed to analyze the psychometric properties of the Living with Chronic Illness-PD Scale (EC-PC) in a wide Spanish-speaking population with PD. …”
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    Living with chronic illness scale: international validation of a new self-report measure in Parkinson’s disease
  8. 7968
    “…The prompt detection of this diagnosis based on the clinical presentation alone is paramount to prevent the occurrence of grave hemorrhagic episodes. …”
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    Acquired Hemophilia A in an advanced age patient of hispanic origin: a case report
  9. 7969
    “…The need for a broadly applicable, effective strategy for primary prevention is paramount. Secondary outcomes from the docosahexaenoic acid (DHA) to Optimise Mother Infant Outcome trial showed that maternal supplementation until delivery with omega-3 (ω-3) long chain polyunsaturated fatty acid (LCPUFA), predominantly as DHA, resulted in a 50% reduction in the incidence of EPTB and an increase in the incidence of post-term induction or post-term prelabour caesarean section due to extended gestation. …”
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    Study protocol for a randomised controlled trial evaluating the effect of prenatal omega-3 LCPUFA supplementation to reduce the incidence of preterm birth: the ORIP trial
  10. 7970
    “…Ethanol (EtOH) research has focused on stages of dependence. It is of paramount importance to more deeply understand the neurobehavioral factors promoting increased risk for EtOH binge drinking during the early stages of the addiction cycle. …”
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    Different Molecular/Behavioral Endophenotypes in C57BL/6J Mice Predict the Impact of OX(1) Receptor Blockade on Binge-Like Ethanol Intake
  11. 7971
    “…Due to low-temperature sterilization for a short period of time, pasteurization is not sufficient for complete elimination of B. cereus in milk, thereby cause severe economic loss and food safety problems. It is therefore of paramount importance to perform risk assessment of B. cereus in pasteurized milk. …”
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    Prevalence, Virulence Genes, Antimicrobial Susceptibility, and Genetic Diversity of Bacillus cereus Isolated From Pasteurized Milk in China
  12. 7972
    “…Intertwining in vivo and in vitro data and in silico models are paramount to overcome intrinsic difficulties given by data complexity. …”
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    In silico cancer research towards 3R
  13. 7973
    “…Variable rate intravenous insulin infusions (VRIII) are used to maintain stable blood glucose in hospitalised patients with diabetes who are unable to eat or have a severe illness where good glycaemic control is paramount. With VRIII it is important to prescribe an adequate substrate to avoid hypoglycaemia and maintain electrolyte balance. …”
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    Use of an educational, audiovisual podcast to maximise safety with variable rate intravenous insulin infusions
  14. 7974
    “…The combination of high prevalence of severe mental health symptoms, inability to recognise mental health deterioration and increased likelihood of comorbidity in a complex transitional young group makes detecting deterioration paramount. Whilst studies have examined physical and mental health deterioration in adults, no systematic review has examined the indicators of mental and physical deterioration in young adults with SMI. …”
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    Indicators of deterioration in young adults with serious mental illness: a systematic review protocol
  15. 7975
    “…Therefore, planning and implementing programs to motivate students to be more responsible for their own health, to engage more in physical activity, and to practice healthy eating habits and other forms of wellness are of paramount importance.…”
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    Health promoting lifestyle of university students in Saudi Arabia: a cross-sectional assessment
  16. 7976
    por Karbwang, Juntra, Koonrungsesomboon, Nut, Torres, Cristina E., Jimenez, Edlyn B., Kaur, Gurpreet, Mathur, Roli, Sholikhah, Eti N., Wanigatunge, Chandanie, Wong, Chih-Shung, Yimtae, Kwanchanok, Abdul Malek, Murnilina, Ahamad Fouzi, Liyana, Ali, Aisyah, Chan, Beng Z., Chandratilake, Madawa, Chiew, Shoen C., Chin, Melvyn Y. C., Gamage, Manori, Gitek, Irene, Hakimi, Mohammad, Hussin, Narwani, Jamil, Mohd F. A., Janarsan, Pavithra, Julia, Madarina, Kanungo, Suman, Karunanayake, Panduka, Kollanthavelu, Sattian, Kong, Kian K., Kueh, Bing-Ling, Kulkarni, Ragini, Kumaran, Paul P., Kumarasiri, Ranjith, Lim, Wei H., Lim, Xin J., Mahmud, Fatihah, Mantaring, Jacinto B. V., Md Ali, Siti M., Mohd Noor, Nurain, Muhunthan, Kopalasuntharam, Nagandran, Elanngovan, Noor, Maisarah, Ooi, Kim H., Pradeepan, Jebananthy A., Sadewa, Ahmad H., Samaranayake, Nilakshi, Sri Ranganathan, Shalini, Subasingha, Wasanthi, Subramaniam, Sivasangari, Sulaiman, Nadirah, Tay, Ju F., Teng, Leh H., Tew, Mei M., Tharavanij, Thipaporn, Tok, Peter S. K., Weeratna, Jayanie, Wibawa, Tri, Wickremasinghe, Renu, Wongwai, Phanthipha, Yadav, Subhash
    Publicado 2018
    “…BACKGROUND: The use of lengthy, detailed, and complex informed consent forms (ICFs) is of paramount concern in biomedical research as it may not truly promote the rights and interests of research participants. …”
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    What information and the extent of information research participants need in informed consent forms: a multi-country survey
  17. 7977
    “…Management of post-operative pain is paramount in these day case procedures. The aim of this study was to compare laparoscopic-assisted transversus abdominis plane (TAP) block with periportal local anaesthetic infiltration in managing post-operative pain. …”
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    Laparoscopic-assisted transversus abdominis plane block as an effective analgesic in total extraperitoneal inguinal hernia repair: a double-blind, randomized controlled trial
  18. 7978
    por Embrett, Mark, Randall, Glen E
    Publicado 2018
    “…Respondents stated that involving the patient in decision-making would help alleviate these pressures by promoting the clinical encounter as the paramount decision-point in achieving necessary care. …”
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    Physician perspectives on Choosing Wisely Canada as an approach to reduce unnecessary medical care: a qualitative study
  19. 7979
    “…BACKGROUND: Preservation of genome integrity by complete, error-free DNA duplication prior to cell division and by correct DNA damage repair is paramount for the development and maintenance of an organism. …”
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    DNA replication and repair kinetics of Alu, LINE-1 and satellite III genomic repetitive elements
  20. 7980
    “…BACKGROUND: The rapid control of patients presenting to the emergency department (ED) with psychomotor agitation and violent behavior is paramount for the safety of patients and ED staff. …”
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    Rapid agitation control with ketamine in the emergency department (RACKED): a randomized controlled trial protocol
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