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""Pediatrics recognizes that numerous considerations, or variables, factor into making nursing decisions. Every case contains an introductory "blueprint" of variables that must be considered while evaluating that particular scenario, which are pertinent concerning the client, nursing protocol, or setting of care. Examples of these variables include age, gender, or culture of the client, the client with a pre-existing condition, legal issues, or communication skills. Each blueprint is different, just as each clinical situation is unique in some way to the previous. By simulating the actual decision-making process, learners gain a comfort level to make informed clinical judgments that will help them become successful nurses."--Jacket"

"Leptospirosis is a zoonotic disease cause by a microorganism? leptospira, with animals especially rats acting as the reservoir host. Humans are infected by direct contact with urine or tissues of the infected animals and indirectly by contaminated water, soil, and vegetation leptospira. Infection can result in acute renal failure, or liver damage and pancreas.In this case patient with the problem is leptospirosis, acute pancreatitis and acute renal failure. Serologic test resulted in positive leptospira with titer 400 for serovar Hardjo and titer 100 for serovar Bataviae."