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By the time Biles stepped onto the competition podium to close the show, the lead was effectively insurmountable.
But for many of the over 150,000 clients served by CSS's Community Health Advocates (CHA), formerly known as MCCAP, the obstacles become, effectively, insurmountable barriers.
Is this, as Ell (2002) suggests, because 'well-meaning' people set barriers that are effectively insurmountable, or because there is a genuine mismatch between what is published and what is needed to demonstrate that PET imaging is 'good value' for the tax or insurance payer's penny?
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With 16 weeks left to play, it might seem as though Barcelona -- unofficially known as "the world's greatest team" -- should have enough time to overtake the Galacticos, but given the fact that there's a huge talent drop-off in La Liga after Madrid and Barcelona, the 10-point cushion should effectively be insurmountable for the Blaugrana.
The attempt to stick with what got the team to the playoffs was admirable, but as Wilson completed passes with ease and ran the ball effectively, the approach led to a seemingly insurmountable deficit.
It's well acted, and effectively put together, but there is an insurmountable problem: gloomy, grave-robbing, body-chopping old Ed is, in the end, just a little bit of a bore.
It also required the restructured debt to be secured to an investment-grade rating, an insurmountable challenge with the island's central government itself effectively bankrupt, and its economy in a painful decline.
Carlos Ancelotti has neutralised Guardiola's side as effectively as Jose Mourinho neutralised Liverpool on Sunday, and they have established an insurmountable lead with two elementary goals from set-pieces and a wonderful striker on the counter-attack.
The exhaustion that comes with memorizing a glossary of slain black people is, at times, insurmountable ― and I shame myself for not overcoming it more effectively.
Any speculation on a primordial code with singlet or doublet codons faces the apparently insurmountable obstacle of the subsequent code expansion to the present day triplet form, which obviously would be effectively fatal [ 27].
Or insurmountable.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com