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The Japanese Society of Respiratory Care Medicine and the Japanese Society of Intensive Care Medicine provide here a clinical practice guideline for the management of adult patients with ARDS in the ICU. The guideline was developed applying the GRADE system for performing robust systematic reviews with plausible recommendations. The guideline consists of 13 clinical questions mainly Respiratory Infections in the U.S. MilitaryRecent Nontrainee and Deployed Military Environment. Respiratory infections are also of significance among active duty, nonrecruit personnel, where they were estimated to account for 300,000 to 400,000 medical encounters affecting 200,000 to 600,000 service members each year during the influenza seasons in the years 2012 through 2014 (24, 25, 700).Influenza continues to have a large medical impact