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This is indeed a problematic state of affairs, given that the LEP and Barthel Index were administered to the same patients at only one of the study centre (KFJS).
If all the problematic issues leading to affairs aren't cause enough, keep in mind that people often have affairs simply because they can — not because they are unhappy in their marriages or relationships.
Even Romney's views regarding foreign affairs are problematic for today's Republicans.
But it seems to many philosophers that states of affairs are problematic things.
This state of affairs is problematic given that participatory action researchers and community psychologists argue that problem definitions and interventions are more valid and effective when all stakeholders are involved in the process.
Half of the respondents identified this state of affairs as problematic, stating that accountability and transparency (trustworthiness, openness, and confidence in the systems) accruing from evaluation were significantly important for all stages of the policy process, including having the potential to stimulate better policy implementation.
On "Beauty & the Beast" (CW, at 9) it's in the nature of the show for the romance between the detective Cat and the not very beastly Vincent to remain a problematic, off-and-on affair, and we can hope that his Valentine's surprise for her — which involves a flash mob — doesn't change that.
The extramarital affair was problematic, those people said, but of greater concern among senior law enforcement officials were text messages the two exchanged during the Clinton investigation and campaign season in which they expressed anti-Trump sentiments and other comments that appeared to favor Clinton.
Marc Luxemburg, a Manhattan co-op lawyer who is president of the Council of New York Cooperatives and Condominiums, said that any continuation of the current state of affairs would be problematic for co-ops and condominiums.
However, culture is a notoriously slippery concept that in practice is hard to operationally define, and this state of affairs becomes particularly problematic for instructional designers who need to identify such local teaching cultures prior to creating programs that build on existing practice while also attempting to change it.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com