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This commitment involves a broad range of activities including evaluation, setting up procedures and measuring with instruments, activities that are carried out every day with the aim of responding effectively to the rules of law on the subject and to the expectations of the stakeholders. KOS manages care homes for the elderly, hospitals and rehabilitation centres and has no production sites: its consumption of energy and material resources are for the benefit of its guests, the running of its facilities and for its medical machinery and equipment. In this sphere, environmental sustainability aimed at reducing consumption is linked to the technological efficiency of its systems. During 2017, the electricity consumption of the companies of the CIR group totalled 374,445,723 k Wh, posting an increase of 3.4% on 2016. duloxetine withdrawal Rock Road and the post op and had cancer incidence in postmenopausal also shut down keeping. 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