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We note that in the FY 2026 IPPS proposed rule (90 FR 18233 through 18235) we proposed, using our authority under section 1886(d)(5)(I)(i) of the Act, to adopt a narrow transitional exception to the calculation of FY 2026 IPPS payments for low wage index hospitals significantly impacted by the discontinuation of the low wage index hospital policy

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Aidah Abu El Soud Alkaissi An-Najah National University Faculty of Nursing Paracetamol intoxicationAcetaminophen (N-acetyl-p-aminophenol) Acetaminophen is primarily biotransformed to nontoxic products in the liver via conjugation with glucuronic acid and, to a lesser degree, sulfate, and eliminated by the kidneys A small proportion (5-15%) of acetaminophen is metabolized through the cytochrome P-450 enzyme pathway producing a highly reactive and toxic metabolite, N-acetyl-para-benzoquinoneimine (NAPQI) which may cause hepatic injury Dr