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Some hospital boards did not have an orientation manual or program. A proportion of study hospitals does not have a governing board. For the hospitals with governing boards, there were wide variation in governance structures and practices. A proportion of study hospitals does not have a governing board. For the hospitals with governing boards, there were wide variation in governance structures and practices.Brain atrophy (BA) is often found in neuroimaging of hemodialysis patients, representing parenchymal cerebral damage. Likely contributing factor

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