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Such reforms would be difficult to implement even in a calm political climate, and the post-coup climate will be anything but calm.
They would be magnified by the fact that neither would have natural allies from their own party in Congress, making it infinitely more difficult to implement even basic economic policy.
It is so broad in its reach and complex in its details that it would be difficult to implement even in Sweden, let alone in a diverse and contentious country like the United States.
It can be extremely difficult to implement even those strategies (such as risk assessing for VTE) that are known to carry large health benefits into the healthcare system.
Paradoxically, this renders preapplication PPI the most difficult to implement, even though our findings indicate that it is often most useful at this stage.
Furthermore, it is known that compliance with low VT ventilation strategies was also difficult to implement even in the ICU setting [ 25- 28], where patients usually present one or more risk factors for ALI/ARDS.
Similar(54)
Then, when difficult or controversial decisions are made, he wrote, "poor communications... can spark a rapid backlash that jeopardizes the ability to implement even the best ideas.
Given the barriers and constraints to extensive activities and the motivations of key stakeholders, it may be difficult to implement or even justify infection control measures targeting personal hygiene in school children that go beyond what is already happening, at least in the schools in our study.
It was always going to be difficult to implement Obamacare, but even fervent supporters of the law admit that things are going worse than expected.
However, due to timescales for processing, it could still prove difficult to implement it in time even if they acted now".
Most of these interventions are already known, but are difficult to implement because people -- yes, even scientists -- don't like to change how they do things.
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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