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According to the same review, 44 states and the District of Columbia had set dementia care training standards for assisted living staff, but those regulations only pertained to special dementia care facilities or units in 14 of those states

The combination may produce greater vascular effects than either component alone, though this synergistic hypothesis requires further clinical validation

The patella is also often out of place either upward (with patellar tendon rupture) or downward (with quadriceps tendon rupture)

While some states stick close to the minimum requirements mandated by CMS , others add significant additional requirements to their SMACs to strengthen integration within FIDE-SNPs (Table 2)

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