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This is not to say that such permanent changes do not exist, or that such changes are not identifiable from the dataset the authors use.
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"We have been given an extraordinary opportunity," insists the Yale-NUS Curriculum Reporto "to create a learning community where "forces resisting change do not exist" and where "there are no questions that cannot be asked, no answers that cannot be discussed and debated".
These factors determine why programmes implemented at the district level may or may not achieve their expected outcomes, especially in those healthcare institutions where the conditions necessary for such a change do not exist.
They are acting as though climate change does not exist".
"As president, Donald Trump will pretend climate change does not exist," said Prof Tom Lyon of the University of Michigan's business school.
The world of international law is behaving as though the problem of climate change does not exist.
All the more inexcusable then that many UK politicians, including Gordon Brown, are still running the country as if climate change did not exist.
Authorities in several states said that residents who had made ignorant comments erroneously citing the brutally cold temperatures as proof that climate change did not exist were reporting a sharp increase in injuries to the face and head regions.
In a campaign in which both parties have refused to make the case for action on the environment, energy and climate change comes top – although it is of course possible that all those tweets were arguing for less action against climate change or that climate change did not exist.
The first says there are no problems - climate change does not exist or AIDS and other diseases will be cured automatically by preserving intellectual property rights of drug companies or women choose to be low paid, or Iraq is bringing the world stability.
But the bottom line should now be clear: Technological change does not exist in a vacuum.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com