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However, a previous study used data from the West Virginia (19902009) to assess the effects of misclassification bias on reported congenital anomalies based on birth certificate data, and the results showed that specified birth defects collected using checked-box format with definite criteria on the 2003 version birth certificate showed consistent patterns over time [36]

The venous blood gas results show a mixed metabolic and respiratory acidosis and her lactate result is 12.4 mmol/L

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