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    Intubation is required when the child's own breathing becomes ineffective (with, for example, hypoxia, rising carbon dioxide and reduced level of consciousness).Although pulse oximetry and blood CRP may be useful to assess whether a child presenting with a cough may have a serious LRTI, there is no strong evidence for these or any other specific indicators having a significant influence on prognosis in children with acute cough and respiratory tract infection in primary care Most children with LRTI and pneumonia can be treated as outpatients, with oral antibiotics.There are more factors to weigh when deciding if Direct Loan Consolidation is right for you. A co-signer is typically a parent or relative with good credit that signs the promissory note and is responsible for the student loan if the primary borrower is unable to make payments.You might need a co-signer if you have a limited (or poor) credit history and are applying for a private student loan.

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    National Institute for Health and Care Excellence guidance on the management of feverish illness in children has been produced If this does not respond to oxygen and general support of the child's own respiratory effort, intubation is likely to be required.But consider the pros and cons of student loans without a co-signer before making a final decision.Most federal loans don’t require a co-signer, but you might need a creditworthy endorser for a Direct PLUS Loan.Private lenders look at the ratio between your outstanding debt and your annual income when evaluating you as a loan applicant and deciding what rates to offer you.It’s important to know your debt-to-income ratio (DTI) when shopping for a loan.

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