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Monocrotophos-Induced Intermediate Syndrome Complicated by Hyperammonemic Encephalopathy: A Case Report.

Cureus · 2023 · PMC10709033 · PMID 38073979

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a decreasing trendno p-value reported
Serum ammonia levels also showed a decreasing trend, which was clinically correlated with improving the patient's sensorium.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.