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The same standard applied to major hospital systems, covering infection control, medication safety, patient identification, emergency response, and clinical documentation

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Consistent with these mechanistic insights, immunometabolism studies highlight that lactate/lactylation promote checkpoint programs (e.g., PD-L1, B7-H3) and immune dysfunction, facilitating Treg/TAM/MDSC accumulation and cytotoxic T-cell exhaustion [127, 167,168,169]