The phrase "achieve at the present" is not correct in written English.
It seems to be an attempt to express a current accomplishment or goal, but the wording is awkward and unclear.
Example: "We aim to achieve our targets at the present time."
Alternatives: "achieve currently" or "achieve at this moment".
The pathophysiology of fatigue in multiple sclerosis is poorly understood, but is likely to be multifactorial [ 13- 16] Treatment of fatigue in multiple sclerosis is thus a major challenge, which cannot be adequately achieved at the present time.
It may be, however, that this amounts to the limit of what America and the West can achieve at present: a conference, far away from the scenes of devastation, and from which increasingly little is expected.
In other words, the results of the randomized studies so far are the best we can achieve at present, but it would be a mistake to generalize these to usual neurosurgical care.
A lack of published growth models for indigenous New Zealand forest species means that the sustainable management of these species are difficult to achieve at present.
While there is still hope for domestic European-based entrepreneurs, I feel that structurally there are some underlying reasons which combine to make European successes more difficult to achieve at present.
The complex relationship between lung function and race and/or ethnicity [ 5, 7] has been addressed in several studies; a key issue in this discussion is to disentangle the contribution of "genetics" and "other variables" which is very difficult or impossible to achieve at present time.
Be sure that you understand why you are presenting, and what you want to be achieved at the end.
This they achieved, at the audience.
The same child consuming the same amount of modified cassava accumulating storage protein at levels achieved in the present study would obtain approximately 18 g of dietary protein, or more than 100% of their daily requirement.
