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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-144" style="edgeStyle=orthogonalEdgeStyle;shape=connector;curved=1;rounded=0;orthogonalLoop=1;jettySize=auto;html=1;labelBackgroundColor=default;strokeColor=default;align=center;verticalAlign=middle;fontFamily=Helvetica;fontSize=12;fontColor=default;endArrow=classic;startSize=8;endSize=8;" edge="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1" source="mEsG8Dcq_XEUA2i5TUfQ-145" target="mEsG8Dcq_XEUA2i5TUfQ-146">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-145" value="&lt;span style=&quot;color: rgb(0, 0, 0); font-family: Helvetica; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: center; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; float: none; display: inline !important;&quot;&gt;30-50% malnutrition (age, degree of cognitive and motor deficit)&lt;/span&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0;fillColor=#ffe6cc;strokeColor=#d79b00;labelBackgroundColor=none;" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-146" value="&lt;span style=&quot;color: rgb(0, 0, 0); font-family: Helvetica; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: center; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; float: none; display: inline !important;&quot;&gt;8-14% overweight, considered non-priority and poorly recognized, an essential part of comprehensive care&lt;/span&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-149" value="&lt;div style=&quot;&quot; id=&quot;zeit-ui-clipboard&quot;&gt;There are suspicion/alarm signs&lt;br&gt;&lt;/div&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0;fillColor=#ffe6cc;strokeColor=#d79b00;" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-150" value="" style="edgeStyle=orthogonalEdgeStyle;shape=connector;curved=1;rounded=0;orthogonalLoop=1;jettySize=auto;html=1;labelBackgroundColor=default;strokeColor=default;align=center;verticalAlign=middle;fontFamily=Helvetica;fontSize=12;fontColor=default;endArrow=classic;startSize=8;endSize=8;" edge="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1" source="mEsG8Dcq_XEUA2i5TUfQ-162" target="mEsG8Dcq_XEUA2i5TUfQ-157">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-155" value="&lt;div style=&quot;&quot; id=&quot;zeit-ui-clipboard&quot;&gt;If there is a high suspicion of dysphagia&lt;br&gt;&lt;/div&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-156" value="" style="edgeStyle=orthogonalEdgeStyle;curved=1;rounded=0;orthogonalLoop=1;jettySize=auto;html=1;fontSize=12;startSize=8;endSize=8;" edge="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1" source="mEsG8Dcq_XEUA2i5TUfQ-157" target="mEsG8Dcq_XEUA2i5TUfQ-165">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-157" value="Recap" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0;fillColor=#ffe6cc;strokeColor=#d79b00;" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-159" value="&lt;div style=&quot;&quot; id=&quot;zeit-ui-clipboard&quot;&gt;Volume-viscosity test: nectar, liquid, pudding → if there are safety issues, stop&lt;br&gt;&lt;/div&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0;fillColor=#ffe6cc;strokeColor=#d79b00;" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-160" value="&lt;div style=&quot;&quot; id=&quot;zeit-ui-clipboard&quot;&gt;Liquid dysphagia → thickeners, gelled water, and natural thickeners (cornstarch or gofio)&lt;br&gt;&lt;/div&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-162" value="&lt;span style=&quot;color: rgb(0, 0, 0); font-family: Helvetica; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: center; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; float: none; display: inline !important;&quot;&gt;Consider dental hygiene, constant pain, economic level, and family&lt;/span&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-165" value="Child with neurological disability →&amp;nbsp;&amp;nbsp;significant difficulties in feeding →&amp;nbsp;evident or subclinical deficits (w/comorbidities)" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-167" value="&lt;span class=&quot;&quot;&gt;digestive-nutritional aspect should be addressed&amp;nbsp;&lt;/span&gt;&lt;span class=&quot;&quot;&gt;periodically → a&lt;/span&gt;nthropometry + alarm signs detection" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-168" value="&lt;div&gt;multidisciplinary approach to Improve life quality&lt;/div&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0;fillColor=#ffe6cc;strokeColor=#d79b00;" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-169" value="" style="edgeStyle=orthogonalEdgeStyle;shape=connector;curved=1;rounded=0;orthogonalLoop=1;jettySize=auto;html=1;labelBackgroundColor=default;strokeColor=default;align=center;verticalAlign=middle;fontFamily=Helvetica;fontSize=12;fontColor=default;endArrow=classic;startSize=8;endSize=8;" edge="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1" source="mEsG8Dcq_XEUA2i5TUfQ-170" target="mEsG8Dcq_XEUA2i5TUfQ-171">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-170" value="&lt;div style=&quot;&quot; id=&quot;zeit-ui-clipboard&quot;&gt;Autosomal recessive → 2 mutated copies aka 1 from the father and 1 from the mother&lt;br&gt;&lt;/div&gt;" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-171" value="25% probability (meaning it is not dominant)" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0;fillColor=#e1d5e7;strokeColor=#9673a6;labelBackgroundColor=none;" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-172" value="very thick secretions (thick mucus)" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0;fillColor=#e1d5e7;strokeColor=#9673a6;labelBackgroundColor=none;" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-174" value="Treatment: enzyme therapy (exogenous enzymes) + vitamins" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-1">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-176" value="" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=12;arcSize=5;fillColor=#e1d5e7;strokeColor=#9673a6;" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-175">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-177" value="Sweat test → very high chloride and sodium" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-175">
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        <mxCell id="mEsG8Dcq_XEUA2i5TUfQ-180" value="Exocrine pancreatic insufficiency → thick secretions that are not well excreted into the duodenum and remain in the organ, causing self-digestion" style="rounded=1;whiteSpace=wrap;html=1;fontFamily=Helvetica;fontSize=16;strokeWidth=2;fontStyle=0" vertex="1" parent="mEsG8Dcq_XEUA2i5TUfQ-175">
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