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Underlying lung disease or mechanical ventilation can be a cause or a risk factor for a pneumothorax

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[65][66] The PPB Rules outline a competition objective for the award of Small Purchases, currently known as the 5+10 method, that aims to facilitate M/WBE participation by limiting the number of Non-Certified vendors that can compete for opportunities while enabling agencies to include as many M/WBEs in the competition pool as it wishes.[67] Specifically, contracting agencies are required to solicit bids from a list of five randomly selected Non-Certified vendors and at least ten M/WBE vendors when making awards for goods and services (over $20,000) as well as construction (over $35,000), as long as the total value of the contract, including future modifications, does not exceed $100,000

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