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Intraobserver agreement of waveform pattern was perfect between two examiners with kappa value = 1. Intraclass correlation coefficient (ICC) for intraobserver reliability for maximum IGP was excellent with 0.91 (95% confidence interval [CI] of 0.77 less then ICC less then 0.96) and for pressure gradient was also good with 0.89 (95% CI of 0.71 less then ICC less then 0.95). In conclusion, our study suggests that the updated EPSIS can be performed without the use of a catheter.Aquaculture is the fastest growing food-production sector and
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