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In 2021, the wholesaler opened 20 new stores internationally and with well over 500 total locations in the U.S.

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Disability is significantly related both to the presence of comor- bidities and to the severity of cognitive impairment. The IADL score was significantly related to MMSE (p < 0.001). The ADL score was significantly related to CIRS score (SI p < 0.01 and CI p < 0.025) and to MMSE (p < 0.05). The relationship between the CIRS scale and MMSE was not statisti- cally significant and thus these scales can be considered as independent vari- ables. Correlations between the scales were measured by linear regression analysis. The scales included were: ADL ('Activities of Daily Living'), IADL ('Instrumental Activi- ties of Daily Living'), CIRS ('Cumulative illness rating scale', with the Severity index = SI and the Comorbidity index = CI), MMSE ('Mini-mental state exami- nation'). We examined 62 subjects (20 men and 42 women), aged between 66 and 98 years, with a multidimensional geriatric assessment (MGA).

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