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At the very least, they should pay attention to the advice given in the article they cite in their report's footnote 15, which expressly states: "The use of breed-specific VHS values is needed for the VHS method to have a high specificity for normal heart size." We would prefer using a patient-specific VHS value, rather than just breed-specific, but either one is better than a reckless, species-wide "median" VHS value

Evaluate patients for respiratory depression and sedation at frequent intervals

Investigation of the presence of biofilms in chronic suppurative otitis media, nonsuppurative otitis media, and chronic otitis media with cholesteatoma by scanning electron microscopy