MS, JM, NN, and PB contributed to the needs assessment, design of the study, and development of the research protocol.
Forty-seven professionals contributed to the needs assessment by discussing the following topics: local strengths and weaknesses; expected outcomes regarding competencies (knowledge, skills, and attitudes); possible methodologies and recommendations for the development of the diploma programme.
Multiculturalism and changes in family life have also contributed to the need for change.
This has contributed to the need for painful internal devaluation for some countries in the euro area to restore competitiveness.
Katherine S. Carsky, a Republican legislator, said the expansion of county government personnel and programs in the last three years had contributed to the need to raise taxes.
"To the extent my actions as chief justice of the New Hampshire Supreme Court contributed to the need for this unique historical process," Justice Brock said, "I am sorry".
George W. Henderson III, chairman of Burlington, a textiles maker based in Greensboro, N.C., said the trend toward casual dress and a decline in exports to Europe because of the weak euro contributed to the need for the reorganization.
He also said that city leaders had "exhibited notable lack of enthusiasm" about working with the state, a factor that contributed to the need for an emergency manager to step in.
"The global nature of the war, the nature of the enemy and the need for fast, efficient operations in hunting down and rooting out terrorist networks around the world have all contributed to the need for an expanded role for the Special Operations forces," Defense Secretary Donald H. Rumsfeld said.
This, along with decreased government aid to the arts, strained budgets and the explosion of entertainment choices for consumers, has contributed to the need for better informed and articulate musicians who can, say, argue their case for a grant or put together a living from various sources.
Jason, Londonderry, via text: "Re Joe in London 1201, it's hard to feel sympathy for you when you contributed to the need for an antenatal class!
