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However, hospital costs and charges change each year and this results in both changes to the cost-to- ( charge ratios (CCRs) taken from the most currently available cost reports and also differences in the charges on the claims that are the basis of the calculation of the geometric mean costs on which OPPS rates are based

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Emerging evidence suggests that lactate is a preferred and an effective energy source for the PNS, and the lactate shuttle, similar to that in the CNS (Pellerin et al., 1998a

Electroence Clin Neurophysiol 83 : 306321