If outside aid starts drying up, Mr. Préval will face a very difficult environment that could undermine recent political progress and fuel new violence, Mr. Valdés said.
The primary reason that the information systems failed is not simply due to the difficult environment that the disaster created or its own internal limitations but rather, inadequate organizational capacity associated with a lack of support and oversight.
My qualms make me even more vigilant in searching for the rare, topflight business with the resilience to endure the more difficult environments that may lie ahead.
As a result of lack of equipment and severe shortage of supplies necessary for delivery in the health facilities, nurse-midwives see themselves as working in very difficult environments that hinders their ability to provide quality birth care.
"It [Ibrox] has become a bit of a difficult environment, but that's our own doing, we've not given the supporters anything to cheer about.
Mark Brumby at Blue Oar Securities said: "We continue to see Marston's as an asset-backed, high-yielding and conservatively financed winner in a difficult environment and believe that its shares are attractive".
Mr Pearson said: "Although the review team found a service where clinicians and managers are working hard to do the right thing, sometimes in a difficult environment, the team concluded that a broad range of improvements are necessary for NHS Lanarkshire to continue its commitment to delivering safe and effective patient care.
"Our third-quarter financial results reflect a pullback in consumer spending and a difficult economic environment that is having an affect on all retailers," the chief executive, Michael S. Jeffries, said in a statement.
"We're really excited that in a difficult environment like the East Coast we can make positive inroads," said Matthew Ryan, a researcher with the Rodale Institute, an organic farming organization in Kutztown, Pa., who is working with Shinn Vineyards on a project financed by the Department of Agriculture to assess the use of compost teas.
We have to go back to the very beginning .That was a difficult environment in which to work.
