Yerlan Temirkhanov, Taiyrzhan Iskakov, Mira Iralina, Aidyn Zhumagulov, Gulnaz Atagulova, Saltanat Boztayeva
Investigating the conception of collaborative learning (CL) and student engagement in the acquisition of practical skills (SEPSA) among prospective physical education and sports students
PloS one
strict adherence international recommended treatment guidelines case fatality severe malnutrition ought less 5 african hospitals fatality rates 20 common often attributed poor training faulty case management improving outcome depend upon identification greatest risk targeting limited health resources retrospectively examined major risk factors associated early 48 h late inhospital death children severe malnutrition aim identifying admission features could distinguish highrisk group relation world health organization guidelinesof 920 children study 176 19 died 59 33 deaths occurring within 48 h admission bacteraemia complicated 27 deaths 52 died 48 h despite 85 vitro antibiotic susceptibility cultured organisms sensitivity specificity likelihood ratio whorecommended danger signs lethargy hypothermia hypoglycaemia predict early mortality 52 84 34 95 confidence interval ci 22 51 respectively addition four bedside features associated early case fatality bradycardia capillary refill time greater 2 weak pulse volume impaired consciousness level presence two features associated odds ratio 96 95 ci 48 19 early fatality p 00001 conversely group children without seven features signs dehydration severe acidosis electrolyte derangements low fatality 7formal assessment features emergency signs improve triage rationalize manpower resources toward highrisk groups required addition basic clinical research necessary identify test appropriate supportive treatments