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544 Interventions, such as pressure offloading using therapeutic footwear and insoles, help redistribute pressure and prevent ulcer formation, while establishing multidisciplinary foot care teams involving endocrinologists, podiatrists, surgeons, and nurses reduces amputation rates and healthcare costs

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When (R)-4-chloro-3-hydroxy butyric acid alkyl ester was prepared by the hydrolysis of racemic 4-chloro- 3 -hydroxy butyric acid alkyl ester in an aqueous solution or an aqueous solution-containing solvent using immobilized lipase, the reaction product was extracted with ethyl acetate and analyzed by gas chromatography (Model No