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With nine Indian reservations in the state and upwards of 70,000 Indians, the transition alone would have cost the state millions and implementing and sustaining the process would have cost millions more.
Staff training was recognized to be an important part of rolling out and sustaining the process, but training has limited effect on some individuals or groups.
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Our study participants also thought it was important to balance the potential benefits with barriers such as the potential for delays in completing guidelines resulting from this involvement (i.e., completing assessments), and the increased costs and resources that would be needed to recruit physicians and sustain the process.
In essence, the implementation of SUS and the establishment of a state-based on democratic principles were interdependent--the introduction of democracy was an enabler of SUS, whilst the establishment of SUS itself was a part of the process of achieving and sustaining the democratic process.
Though this is a promising process, the formation and propagation of OPGs within the treatment process is not yet fully understood, which remains a challenge in starting and sustaining the treatment process.
This multi-year effort would spend 2004 2005 focused on creating the reform structure and defining as well as standardizing processes, 2005 2008 (with key US funding as well as trainers) would concentrate on empowering the AFP through efforts including the "Battalions of Excellence" program, and 2008 2011 devoted to institutionalizing and sustaining the reform process (Chalk 2014).
Our results support the view that there may not be a difference in the requirement of gene products in the early versus later phases of fusion and all fusion molecules might be involved in activating and sustaining the fusion process albeit through different mechanisms early versus later on during myogenesis.
These data and others consistently identify modifications to key components in the somatic cell genome as responsible for initiating and sustaining the cancer process.
MMP-13 released by breast tumour cells following stimulation with IL-8 or PTHrP played an amplifier role in the bone metastatic microenvironment by increasing and sustaining the erosion process of OCs.
However such a tree of cell divisions won't inform us about most of what cannot be considered as mere details in evolution: the lifestyle, adaptation, processes creating and sustaining the genetic diversity, the selection pressures at play and the evolution of species (that is how remarkable groups of organisms emerged (or failed to emerge) from the interplay of evolutionary processes).
There is no exception to this rule even in processes maintaining and sustaining the life, when all thermodynamics parameters are carefully defined.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com