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For instance, CS significantly altered the lower respiratory tract microbiome, increasing the abundance of pathogenic bacteria such as Acinetobacter , Bacillus , and Staphylococcus , while decreasing beneficial taxa like Lactobacillaceae

Oxygen and carbon dioxide pass through the walls of the alveoli, and then through the walls of the capillaries and into the bloodstream

Measures that are identified as topped out for 3 consecutive performance periods may still be proposed for removal through notice-and-comment rulemaking and extremely topped out measures, those with an average mean performance within the 98th to 100th percentile range, can also still be proposed for removal in the next rulemaking cycle, regardless of whether or not they are in the midst of the topped out measure lifecycle (83 FR 59763)