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"This playful artistry is what we've tried to maintain ever since, but gradually on a larger and more challenging scale".
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The implementation of current PMTCT guidelines, however, faces certain barriers that would also challenge scale-up.
Lack of appropriate incentivisation, recruitment and retention – particularly of female staff – will likely challenge scale-up of BPHS services at both community and facility levels [ 39].
It's challenging to scale where someone might use it once a decade.
However, particle based pharmaceuticals are complex and thus challenging to scale up.
Microfluidic chips simplify reaction setup but are challenging to scale to achieve high-throughput.
Furthermore, pumped-storage hydroelectricity and compressed air energy storage are challenging to scale-down, while batteries are challenging to scale-up.
Play scale exercises in challenging octaves, borrow/purchase scale exercise books with entertaining etudes.
To challenge the scale of the problem in the UK, you have to challenge the Europe-wide response.
Next challenge: scaling up.
However, guideline implementation faces barriers that challenge scale-up of services.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com