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The additional payment is based on the indirect medical education (IME) adjustment factor, which is calculated using a hospital's ratio of residents to beds and a multiplier, which is set by Congress

Experimental neurobiology , 23 (1), 93103

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Sustained systemic oxidative stress may in turn contribute to mitochondrial dysfunction, activation of inflammatory pathways, and dysregulation of neural function, thereby potentially contributing to the symptom burden of ME/CFS (Holden et al., 2020

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