Though they were interested in the CMEs, the nurses took minimal efforts to organize their own CMEs and did not appear to make substantial effort to translate this new knowledge into action.
Medical journals have made substantial efforts in recent years to reduce the potential for commercial bias.
"We have already made substantial efforts to augment and strengthen our compliance programs and will continue to do so.
Mr. Shamansky, who has viewed the Periscope video, said Ms. Lonina made "substantial" efforts to thwart the attack, though he declined to specify them.
The Glasgow club have made substantial efforts to cut costs to reduce debts which amount to about £65m, the largest slice of which is due in 2008.
"We are making substantial efforts but our estate is utilitarian and we have a £28m backlog in maintenance work," says Ian Simpson, head of estates.
Oxford and Cambridge have also clearly made substantial efforts to widen access, including abolishing their entrance exams which were felt to favour well-coached private-school pupils.
And I think it's had a substantial effect on why we have a conservative party that controls the White House and the Congress and is making substantial efforts to control the judiciary".
But most European countries have made substantial efforts in the last decade to raise awareness on the issue and many have moved much faster than France, which only gave women the right to vote in 1944.
Though researchers found Nestlé had made substantial efforts to inform farmers about its code of conduct, awareness of the code was low among farmers, with farmers sometimes unable to attend training sessions due to either "lack of interest or time".
