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Exact(6)
A failed relationship there exacerbated her sense of alienation and contributed to a downward spiral that left her homeless and using drugs.
While the growth of services in the late 20th and early 21st centuries has created new jobs and contributed to a downward trend in unemployment, the associated labour market was volatile and characterized by relatively high rates of part-time employment.
By running an overly tight monetary policy, these economists say, and by driving down inflation, the Government has inadvertently contributed to a downward spiral of prices and production that has cost the Japanese nearly a decade of growth and added to economic turmoil throughout the region and beyond.
He added: "Insufficient senior review, particularly out of hours, an over-reliance on junior doctors and poorly resourced quality improvement systems contributed to a downward spiral of quality.
However, austerity measures from 2012 contributed to a "downward slide until December 2013 when the whole place collapsed into another civil war" (P8).
The disutility values of conventional knee replacement surgery, computer assisted knee replacement and the revision prosthesis operation, were entered into the model and contributed to a downward adjustment of quality-adjusted life years compared to the patient's total value of quality-adjusted life years.
Similar(54)
They said the lower trade volumes were likely to contribute to a downward revision of that crucial measure of the economy.
When real estate investors balk at buying property because of high taxes, this can contribute to a downward spiral that hurts property values and causes neighborhoods to decline.
However, being reliant on costly debt and not having enough capital can also contribute to a downward spiral of lower credit scores and lower revenues.
Too often, ADHD, depression or an anxiety disorder, contribute to a downward spiral that may turn life-threatening in young adulthood.
Four years later, the FAA claims that changes made in air traffic control, airspace design and safety regulations are contributing to a downward trend nationally in NMACs.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com