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This shows that many doctors who want to be general practitioners from the outset achieve their ambition, but also that many doctors who initially aspire to other careers eventually work in general practice.
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The loose structure of the book follows his two-year struggle to raise his lowly chess grade – 133 at the outset – and achieve some kind of mastery of the game.
The result of this process, designed from the outset to achieve resource circularity, is a peculiar urban landscape (Pistoni 2016), "where boats float in a green sea" (D4), "so different from the rest of the city" (H8), as was pointed out by both designers and occupants.
A unique element of this scheme was that the Department of Health and drug companies negotiated a reduction in price of some treatments at the outset to achieve what was thought to be the anticipated level of cost effectiveness.
Details of the agreement were to be made public later.. "Our goal from the outset was to achieve $23 million in cost savings over the next three years through this contract and we have accomplished that," Gary Wosk, a spokesman for the M.T.A., said.
The research in SPECTRUM project realised at the outset that to achieve modal shift from road it is important to offer a comparable service to road in terms of cost and transhipment time.
That's the gist of a new report from Bertelsmann Stiftung, a large German foundation, and Sachs's Sustainable Development Solutions Network, which has actually ranked the countries of the world based on where they stand at the outset of trying to achieve these goals over the next decade and a half.
Sullivan and Gold issued a joint statement in which they said: "We believe that this move, together with the realisation of other key goals that the Board set out to achieve from the outset, will play a huge part in helping to realise our ambitious vision to move the club to the next level on behalf of our fantastic and deserving fans.
He wants to live and work abroad, and to win cases that seem all but impossible to achieve at the outset.
Fourth, progressive universalism, a pathway to universal health coverage (UHC) that includes the poor from the outset, is an efficient way to achieve health and financial risk protection.
At the outset, city planners estimated LED fixtures would achieve a 40% electricity savings over HPS units; as noted above, the actual savings is more than 63%.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com