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Typically, there is a pretty remarkable decrease in appetite, so close monitoring will be necessary to avoid inadequate nutrition and hydration. Such considerations worry Cooper

The term CHE was retained to avoid confusion from repeated nomenclature changes, to define OHE as West Haven grade II for clinical consistency, and because the distinction between MHE and grade I HE is difficult, and much of the existing literature applies to both [4]

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Additionally, benzyl alcohol toxicity remains a significant concern, especially in preterm and low-birth-weight infants, as it may cause gasping syndrome, metabolic acidosis, and neurological complications (276)

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