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Communication is one of the challenges for children with severe and multiple disabilities due to their impairments (Turnbull et al, 2004). There is about forty percent of unknown causes of severe and multiple disabilities, but prenatal biomedical is the majority known cause of the disabilities.
Emaciation can cause extreme weight loss or thinness of the human body due to loss of fat and muscles. The physique of a human with emaciation includes thinness of limbs, upper body and buttocks to almost near skeleton. The state is caused by severe malnourishment and starvation.