Exact(4)
Given variability in local resources, the programmes were implemented differently in each location.
Changes may occur in: local resources (more or specialty EDs), access and reimbursement practices (facilities change which insurance plans with which they are associated, major shifts in insurers drives patients to other facilities), changes in the underlying population (shifts in population size or age), and changes in the local economy.
8 Given the countless screening strategies available, 7 15 regional differences in local resources, 5 16 and the costs of prospective clinical studies, 17 no empirical study can be foreseen that would compare all options available for the three approaches to combining first and second trimester analyses.
Estimation of the survival cost of reproduction can be inherently difficult, as it can be masked by variation in local resources (Bell and Koufopanou 1986), such that a full quantification of the cost requires replicated experiments across a range of species' natural environments (Stearns 1989).
Similar(56)
These efforts - which included the establishment of a marine reserve network and locally enforced harvesting rules - led to a substantial and documented increase in local resource abundance [15].
This domination over and exploitation of local knowledge prevents community participation in local resource management, causing gradual marginalization, displacement, and basin management failures (Nygren 1999).
In northern and eastern districts, it was invoked as playing a very active role in local resource management, both through the distribution of resources and infrastructure and through active intervention in processes of land use planning.
It is worth noting that, traditionally, spontaneous network nodes take management decisions based on their limited scope visibility and without a global knowledge of network topology/conditions, by typically reacting to modifications in local resource availability.
The placement of propagules in local resource patches is a potentially adaptive response by the maternal plant (sensu Donohue and Schmitt 1998) to biochemical cues from the roots.
The results showed several benefits of decentralization, including increased autonomy in local resource mobilization and utilization, an enhanced bottom-up planning approach, increased health workers' accountability and reduction of bureaucratic procedures in decision making.
Problems with this approach include duplication and lack of coordination among projects, 'recipient fatigue' in health ministries forced to administer multiple grants, distortions in local resource allocation such as poaching skilled personnel, and "crowding out" (of which more below) [ 19].
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