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The Clinical Hepatic Encephalopathy Staging Scale (CHESS) [10] was developed as a newer method, and grades severity of HE in a linear fashion from 1 to 9, but is not widely used

Society Guidelines and Scientific Statements Speiser PW, Rudolf MCJ, Anhalt H, Camacho-Hubner C, Chiarelli F, Eliakim A, Freemark M, Gruters G, Hershkovitz E, Iughetti L, Krude H, Latzer Y, Lustig RH, Pescovitz OH, Pinhas-Hamiel O, Rogol AD, Shalitin S, Sultan C, Stein D, Vardi P, Werther GA, Zadik Z, Zuckerman-Levin N, Hochberg Z: Consensus development: childhood obesity

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"The minute it becomes comfortable, it's no longer vulnerability," she says

doi: 10.1161/ATVBAHA.109.201533