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Fundamental improvements to education would involve more challenging changes to residential zoning, teacher unions and certification systems, and might also take some educational finance and control out of the hands of local municipalities.
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Promises and DemandsWhile welcoming the steps outlined by the president, activists said they were just that — small steps — and that more serious policy reform was needed in order to instill an even more challenging "change of thought process," as Yates put it.
And there is a greater danger that people might adopt the simple measures as a way to avoid making more challenging lifestyle changes.
We must acknowledge when change is not possible, he muses: "That then requires working on stuff even more challenging than change: grief, loss and acceptance".
In virologically suppressed patients with a history of VF or drug resistance, it is more challenging to change therapy while still maintaining virologic suppression.
However, in virologically suppressed patients with a history of virologic failure or drug resistance, it can be more challenging to change therapy while still maintaining virologic suppression.
Consumers of public services might not be able to switch brands or retailers if faced with poor staff behaviour, but they might be more receptive to challenging changes to services if they feel that staff are promoting their cause.
Equally, the majority of published adherence interventions are educational and behavioural interventions to change patient behaviour rather than (potentially more challenging) interventions to change healthcare systems and culture [ 23].
For example, flood management is an urgent requirement in some areas (where perennial energy crops might be beneficial) while improved crop traits would be most useful in areas where food crops are challenging to grow (or might become more challenging with climate change).
In order to obtain more challenging results, we changed the random solution generation method by assigning different probabilities of drawing to each case and call it MC∗.
Perhaps even more challenging than these organizational changes are the cultural changes required.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com