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If the hospital is participating in a valid emergency Medicare GME affiliation agreement under a 1135 waiver, and a portion of this cost report falls within the time frame covered by that emergency affiliation agreement, then, effective on and after October 1, 2008, enter the current year resident-to-bed ratio from line 19 (see 73 FR 48649 (August 19, 2008) and 42 CFR 412.105(f)(1)(vi))

In response to low oxygen tension, HIF-1 activates the transcription of a broad array of pro-angiogenic genes, most notably vascular endothelial growth factor A (VEGF-A) (167)

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