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Setting: Pediatric extended-care facility. Patient: A 2-year-old ventilator-dependent girl in a persistent vegetative state (PVS). Case Description: The patient began gaining excessive weight at 1 year of age on a nutritional regimen based on conventional formulas for predicting basal metabolic rate (BMR). Her caloric intake was decreased by approximately 10% per week in an attempt to stabilize her...
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