Dengue infections pose a huge burden to health care providers in most tropical countries. Careful clinical examination and history-taking supplemented by newer rapid diagnostic tests may lead to early etiological diagnosis. For severe dengue, early recognition of vascular permeability followed by rapid physiological replacement of fluids is life-saving. Prognosis of patients depends upon optimum management, an outcome that requires preparation via organization, training, and use of evidence-based practice guidelines.
After a few minutes of unproductive activity the passerby asked, "Where exactly were you when you dropped it?" "Over there," said the man. "Then why are you searching over here?" asked the puzzled passerby. "There's more light over here." What I am hoping is that by persuading people that the key I am seeking is worth finding they will be prepared to help shed light in the dark area where it is to be found. A searchlight would be terrific, but even a candle would help.
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