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The problem could have been solved easily by a slight change in agricultural practice — a shift to a variety of corn with deep-set ears, inaccessible to the birds — but the farmers had been persuaded of the merits of killing by poison, and so they sent in the plane.
In daily practice, a shift toward omitting the cALND in these patients is taking place, especially in those patients with micrometastatic disease.
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That would require Medicare to make some changes in eligibility and reimbursement practices — a shift that might bolster Medicare's solvency, too.
Health experts say reversing the national trend will require sweeping changes in U.S. farm practices — a shift that could alter the way meat is raised in the U.S. and potentially raise production costs.
In practice, such a shift has massive and troubling implications.
In practice, "after" a shift can mean any time: an hour later, a day later, an hour before the pilots' next regular shift begins, Sanfield said.
The strong cultural embeddedness of the practice makes a shift in societal attitudes essential for a fundamental and long-lasting behaviour change and the final eradication of FGM.
Reflecting on their experiences delivering the NFP, PHNs discussed overt and subtle shifts in their individual professional nursing practice through a shift to viewing the client as the expert of her own life.
The findings contribute to reduce the gap between theory and practice, by a shift in focus from cause-effect to conditional attributes or characteristics of an effective organisation-wide quality intervention.
The development of PCM necessitates closing the gap between clinical research based on population studies and clinical practice, with a shift to human-centric factors and ultimately to improve the health outcomes for individual patients [ 25].
As McIntosh suggests this approach to the improvement of practice requires a shift from evidence-based medicine that invariably establishes a series of routines and interventions based on clinical trials to evidence based practice that is better informed by pragmatic trials [ 15].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com