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Recent methodological improvements have addressed these limitations through the development of a modified DTNB protocol that eliminates the need for protein precipitation while maintaining analytical accuracy [17]

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The proposed lowest quartile/cap adjustment factor of 0.9934 accounts for changes in the GAFs that result from our proposal to continue the policy to increase the wage index values for hospitals with a wage index value below the 25th percentile wage index and the 5-percent cap on wage index decreases policy