This fits recent acknowledgements that precounselling factors like past cancer stressors are important determinants for subsequent distress and behaviour (Zakowski et al, 1998; Baider et al, 1999; Erblich et al, 2000; Rees et al, 2001).
This perspective fits well with the emphasis on knowledge translation and acknowledgement of the wide range of settings in which public health evidence must be applied.
In private, there is widespread acknowledgement that the current system is dysfunctional and not fit to deliver either for patients or for the life-sciences industrial strategy.
It is an acknowledgement - finally - that the private sector cannot make the kind of longterm commitments needed to modernise UK energy infrastructure and make it fit for a low carbon world.
I am heartened by this progress: as a child, I had always wished for an acknowledgement that being adopted did make me absolutely different if not lesser than my parents' biological children, for better conversations and more work helping me come to terms both with my blackness and where it fit in our family.
Additional acknowledgement for support go to Robert Downes, Nicholas Beeching, David Lalloo, Peter Carey, Chris Whitehead and Diane Exley.
Several authors [ 21, 26, 31, 37] make clear that creating a fit between the EHR system and the existing work practices requires an initial acknowledgement that an EHR implementation is not just a technical project and that existing work practices will change due to the new system.
"Politics is about acknowledgement.
Their acknowledgement was vital".
I smiled in acknowledgement.
