Mortality ranges from 50 to seventy five% with neurological sequelae of mental retardation, seizures, spastic paralysis, and behavioral abnormalities (1). In extreme cases, com sided cardiac compression on echocardiogram or tho pression of the sternum and decreased thoracic quantity racic images, and a shift of the heart into the left side of could trigger a lower in pressured vital capacity, tidal the thorax. Self-care is the power of people, families and communities to promote and preserve health, forestall illness and address sickness and incapacity with or with out the support of a well being-care provider (12)
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