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in achieving the district transformation criteria. Therefore, scaling up the implementation of the twinning partnership strategy is recommended. Reduced body weight at the time of intensive care unit (ICU) admission is associated with worse survival, and a paradoxical benefit of obesity has been suggested in critical illness. However, no research has addressed the survival effects of disaggregated body constituents of dry weight such as skeletal muscle, fat, and bone density. Single-center, prospective observational cohort study of medica