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[DOI] [PMC free article] [PubMed] [Google Scholar] 19.Zuhra K., Augsburger F., Majtan T., Szabo C

We believe that our proposal to permit only the use of HCRIS data for purposes of the calculations required at proposed 411.363(c)(2) and (d)(2) while requiring comparisons only to hospitals that have a Medicare provider agreement with CMS strikes the appropriate balance between effectuating the intent of the statute and requiring strict compliance with the exact standards set forth in sections 1877(i)(3)(E)(ii) and (F)(ii) of the Act

In the context of wound healing and surgery, especially for geriatric patients who may have limited muscle reserves, this alanine shuttle helps spare muscle from excessive ammonia accumulation by exporting nitrogen to the liver as alanine

Antioxidants (Basel, Switz.) 11 (8), 1457