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These are guidelines only and may not be applicable to populations outside the BCM Affiliated Hospitals. These guidelines do not represent official policy of Texas Children's Hospital, Ben Taub Hospital, BCM, or the BCM Department of Pediatrics, nor are they intended as practice guidelines or standards of care. Specific circumstances often dictate deviations from these guidelines. All users of this material should be aware of the possibility of changes to this handbook, and should refer to the most recent version of the guidelines which are routinely revised in July of each calendar year. Each practitioner assumes responsibility for their own decisions of care, and should not rely solely on the material published in this document.