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When our adaptive capabilities become overextended we begin over-responding to the small stressors

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TIGHT SQUEEZE-(left to right) Loren Takatsuka, 6, of Kahului and Chancer Andaya, 6, of Wailuku squeeze through tire innertubes as part of the obstacle course during the annual Superkids competition held Feb

(B) For performance year 2025 and subsequent performance years, the ACO reports quality data on the APP Plus quality measure set established under 414.1367 of this subchapter according to the method of submission established by CMS and achieves a quality performance score equivalent to or higher than the 10th percentile of the performance benchmark on at least one of the outcome measures in the APP Plus quality measure set