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Several innovative directions for landscape policy development and implementation have emerged over recent years.
Since its inception by Professor Chua in 1988, who defined a CNN as an arrangement of regularly spaced cells which usually communicate with each other through their nearest neighbors [1], many advances in theory, applications and implementation have emerged.
Various national approaches to IHR implementation have emerged, depending on factors such as the sophistication of preexisting systems and infrastructure, past and present objectives of health ministries and their external partners, availability of resources, architecture of health systems, and strength of regional commitments to health cooperation and coordination.
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Across Europe, the industry body the Coalition for Energy Savings says that a "disturbing" pattern of poor implementation has emerged from analysis of actions that EU states are taking to meet the bloc's energy efficiency goals.
Across the multiple frameworks, core implementation concepts have emerged and detailed models of variables within these concepts explored; however, there seems no simple high level illustration of these overarching concepts.
Lack of specific guidance on multilevel risk governance mechanisms as well as mandatory investment/funding allocations makes it hard to believe that over the next 15 years SFDRR will be able to overcome the "means of implementation" challenges that have emerged as an important gap as a result of HFA implementation in 2005 2015.
Thus far, the new nodal framework has proven robust, and the inevitable design and implementation issues that have emerged since cutover have been manageable.
However, issues about implementation and scaling up have emerged.
Surveys of the pharmaceutical industry, regulatory agencies and the audience attending the 4th Annual Meeting of the Safety Pharmacology Society have helped identify and address areas of controversy, as well as those challenges that have emerged since implementation of the guidance worldwide.
However, anecdotal reports from CHW supervisors suggested that issues of segregation and demotivation within some CHW teams might have emerged during project implementation.
Moreover, in the United States, because of the successful implementation of vaccination against rotaviruses, noroviruses have emerged as the leading cause of severe gastroenteritis requiring medical intervention among infants and young children (2 ).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com