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Those impediments left Martha's Vineyard Hospital in the same situation as most hospitals in the United States: stroke diagnosis and immediate care was the sole responsibility of the emergency room doctor, who, Dr. Tsai said, worried about giving tPA.
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Poverty, culture and a fear of the water have proved stubborn impediments, leaving seaside residents unable to revel in the resource in their backyard that other New Yorkers ride the subway for an hour or more to experience.
Currently, several structural impediments leave HPs with limited opportunities to involve relatives; because of institutionalised resistances to relatives' involvement and because HPs operate in a work environment in which managers do not always set realistic expectations.
The mix of financial, legal and political impediments may leave the company at a disadvantage in competing with Kraft.
Jurisdictional gridlock, warring constituencies, the death grip of private developers, shortages of vision, leadership, patience, attention and money — how can this list of impediments not leave you jaded?
Yet all it takes is a majority vote in both houses of Congress and the signature of the President to abolish the last impediments to creativity left over from the medieval period: patents and copyrights.
(That Flashman is married himself, to the fair, dimwitted Elspeth, is no impediment. She cuckolds him left and right, in any case).
Despite having continuing symptoms, the lawsuit said, Plevretes was cleared to play in a subsequent game in which a tackle caused brain damage that has left him with speech impediments, memory loss and other issues that require 24-hour care.
Posey's diminished candidacy and Todd's exit from the race left only one major impediment to Scott's potential candidacy.
His writing skills were diminished, and he was left with a permanent speech impediment.
Forceps used during his birth damaged a facial nerve, leaving him with a droopy left eyelid and a speech impediment.
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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