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This success was achieved against a backdrop of escalating management concerns and legal problems.
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Because the pathogen often produces inconspicuous and even cryptic symptoms, communities generally become aware of the problem only after it has escalated, making management extremely expensive and more difficult.
The cost estimates for a relapse episode based on escalating levels of management presented in this paper provide valuable inputs for decision-makers and researchers seeking to evaluate and understand the economic, as well as the clinical implications of disease modifying drugs for MS. This study provides decision-makers costs heretofore unknown based on current management practices.
This we found was on three aspects of pain management: escalating care from HCAs to nurses and doctors; deciding on the level of medication required on the pain ladder [ 33]; and deciding the periodicity of subsequent observations (e.g. hourly or every two, four, six hours).
It is believed, for this subgroup of patients, that such de-escalating management will benefit both patients and health care systems.
In large areas of the arid western United States, much of which are federally managed, fire frequencies and associated management costs are escalating as flammable, invasive cheatgrass (Bromus tectorum) increases its stronghold.
Johnstone found that none of the complaints were "either taken seriously or escalated to senior management".
The investigation found that none of the complaints were "either taken seriously or escalated to senior management".
A number of Savile's victims complained to staff but none of the informal complaints were "taken seriously or escalated to senior management".
Complaints are almost always escalated directly to management.
"And even if you do win, you may end up with a reputation that no one else is going to take you on (as an employee)." So, before escalating your complaints to higher management, quietly seek out other people's advice and insights, suggested Hornstein.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com