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This was exacerbated by problems of reporting.
(Hospital Manager 9, District Hospital, North West Province) Lastly, insufficient financial resources were exacerbated by problems of overpayment of some nurses, and this meant that hospitals could not fill vacant posts.
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Caregiver stress is further exacerbated by problems regarding limitations of shorter consultation time in current general practice.
The RCN said the problems have been building for years and exacerbated by problems with the rollout of the new non-emergency 111 number, although the bad weather is also likely to have been a factor.
"This work supports the assertion that poor mental health is exacerbated by financial problems and, though questions of causality remain, indicates that mental well-being and financial management are inextricably intertwined," the report found.
In effect, it feels like what New Zealand is going through is something closer to a traditional recession, one that's been exacerbated by the problems in the rest of the world, but that doesn't have the added dimension of a banking system in crisis.
Edward's difficulties were exacerbated by prolonged problems in English agriculture, part of a wider phenomenon in northern Europe known as the Great Famine.
And in this context the burden is exacerbated by the choice-of-law problems that may confront an administrator when the employer is located in one State, the plan participant lives in another, and the participants former spouse lives in a third.
Many considered that these problems were exacerbated by a misinterpretation of many of the key features of the Liverpool Care Pathway, including nutrition, and hydration, together with a lack of training about its implementation.
Much of Italy is under flood alert due to heavy rains, a problem exacerbated by a lack of maintenance of the country's many river beds.
The problem was exacerbated by the migration of hundreds of thousands of southern Italians to the big northern towns in search of work.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com