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"When we had political machines, they provided a degree of local responsiveness," he said.
Our talent practices strike the right balance between global scale and local responsiveness.
The tension between global integration and local responsiveness is especially high when product development and marketing require complex knowledge.
Such a move, they say, could open the door to greater local responsiveness, democratic accountability and, most important of all, genuine integration of health and social care.
Layers of bureaucracy and short-term political priorities create major inefficiencies, emasculate local management, thwart local responsiveness and encourage creative accounting in responding to Whitehall target-setting.
"And how formal you make the system requirements for affiliation will vary as each group of hospitals struggles with this tension -- centralization versus local responsiveness".
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Finally, the separate digital innovation stacks approach is right for enterprises that believe autonomy helps improve innovation and local customer responsiveness.
Because of the complexity of our pluralistic society we value local democratic responsiveness to geographically-based minorities.
In these mice, we also examined insulin-stimulated tyrosine phosphorylation of the insulin receptor to determine the status of local insulin responsiveness in adipose tissue in intact mice following insulin administration.
What is remarkable, however, is the demonstration, using this intravital microscopy technique of the preservation of local vascular responsiveness to the vasodilatory mediator acetylcholine, and indeed the restoration of local microcirculatory function achieved by its administration.
However, as we recently suggested [4, 8] oxidative stress-induced loss of architectural integrities and function of immune-privileged tissues (e.g., BBB, neuroretina, cornea, CNS, uterus, testis) could shift these immune-protected (ignorance) tissues to induction of local immune-responsiveness in the direction of neurodegenerative diseases or multistep carcinogenesis.
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