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aminotransferase (AST) were measured before training and 1, 24, and 48 hours post-training to infer muscle damage. Alpha was set at a level of 0.05. A higher velocity loss between sets was observed during the failure protocol (-21.7%) compared with the nonfailure protocol (-3.5%). The markers of peripheral fatigue were generally higher and long lasting for the failure protocol. However, the central fatigue assessed by the voluntary activation was comparable for both protocols and remained depressed up to 48 hours post-training. The conce

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The framework identifies 15 change areas across three Domains infrastructure, care delivery, and people and summarizes evidence-based action steps within the change areas. CONCLUSIONS The framework shows promise in supporting health center efforts to adapt, transform, and balance competing demands as they advance value-based models of care.BACKGROUND/SIGNIFICANCE Infants born extremely premature ( less then 1500 g) often experience lengthy stays in the challenging environment of the neonatal intensive care unit (NICU) separated from