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The structures of these systems often mean that financial interests become paramount among the care providers or HCP working in private practices, which may prevent the realisation of need-tailored support for persons with dementia and their families.
Lithuania's slightly ambiguous relationship with its Soviet past was expressed in the election of Mr Brazauskas in 1992 but this year's narrowest of victories for the modernising, westernising Mr Adamkus reveals a belated realisation of the need to catch up.
While it is still too early to call time on the Ebola outbreak, a sense that the worst may have passed is tentatively taking root in west Africa, alongside an acute realisation of the need to ensure a positive long-term legacy for battered healthcare systems.
In considering the interface between British Colombia's small Coast Salish Nation, the Tsleil-Waututh, and local authorities, Barry explains how the Indigenous quest to engage in development partnerships led to a realisation of the need to better articulate historical connections to the land.
The post-MDGs era now entails the realisation of the need of reliable data so crucial for developmental planning.
The result of this review was the realisation of the need to build a credible defence force that could not only defend the nation, but also possibly contribute to the Imperial defence system (although this later realisation remained little more than a consideration on paper only).
Thematic analysis of data on the development of the role resulted in two themes themes; (1) realisation of the need to improve accessibility and (2) advocating for change.
The developed countries came to a more gradual realisation of the need to re-think their approach to seeking health improvement.
It is no surprise that South Africa dominates the health research publications from the WHO African Region, because there is an increasing realisation of the need to promote indigenous health research in the country.
Despite the enormous benefits derived from health research [ 4], there is a health system-wide discrepancy between the realisation of the need for health research and the realities of its implementation [ 3, 5].
The tragedy reveals a dire need for the protection of children's rights in such institutions, to aid in the realisation of their basic needs and the expansion of their opportunities to reach their full potential.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com