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"The cost cap challenges were made too great, along with a mix of unstable funding and escalating requirements".
Patients with extreme hemodynamic instability - with rising plasma/blood/serum lactate concentrations or escalating requirements for vasopressors - are generally not considered candidates for enteral feeding.
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As natural gas production and usage continues to increase, displacing oil and coal, there is an escalating requirement to ensure that natural-gas burning equipment performs as cleanly and efficiently as possible to allow the environmental advantages of this fuel to be realized.
A narrow customer base helps limit the need for capacity expansion and shields the company from the cost of escalating capital requirements.
Many organisations are also preoccupied with having to respond to escalating regulatory requirements, which compel the implementation of short term quick-fix solutions that are not sustainable and crowd out longer term planning.
Many of these dozen-employee, million-dollar-a-year shops, long the heart and soul of the local industry, are being left behind by the few remaining prime contractors, whose escalating technological requirements and ever tougher price and delivery demands put even more subcontracting work beyond the small shops' reach.
Escalating salary requirements further complicate the situation.
But, again, the key word is vulnerability; using a rate-of-return interest rate (as prescribed by those norms) and investing in risky assets, leaves a plan vulnerable to funded status drops or high and escalating contribution requirements whenever liabilities increase due to assumption changes, new benefit accrual, or the like, or whenever assets drop due to market declines.
When managing hyperglycaemia, apart from endogenous causes and true insulin resistance as reasons for escalating insulin requirements, insulin adsorption to the infusion systems should also be considered.
Weaning may be initiated after the following criteria are met: (A) FiO2≤0.40, (B) PEEP≤10 cm H2O, (C) systolic arterial blood pressure is ≥80 mm Hg without escalating vasopressor requirements or haemodynamic instability and (D) the patient is able to make breathing efforts to trigger the ventilator for pressure support ventilation.
The explosive growth of data generated by information digitization has been identified as the key driver to escalate storage requirements.
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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