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The leader of the doctors' union, Dr Mark Porter, broke with tradition by endorsing the move, which risks straining the BMA's relations with the Department of Health.
Even now, the episode — which one Congressional official described as "a 'Bourne Supremacy' plot" — risks straining relations as the White House hopes to manage China's rise and enlist its support on issues like the nuclear ambitions of North Korea and Iran and the government crackdown in Syria.
The strategy risks straining Washington's deep ties with Egypt's military, as well as a potential backlash in Egypt if the United States, which is not popular from a long history of supporting the former president, Hosni Mubarak, is seen to be meddling.
There's a streak of ugliness in many jokes, but here, ugliness predominates and risks straining the relationship between Hudgins and his readers, in part because "The Joker" is a personal account, not a long-range study of regional history and folk literature.
His pursuit of the panel risks straining his relationship with the Legislature; even before the announcement on Tuesday, lawmakers had suggested that Mr. Cuomo was starting a crusade against them out of fear that the scandals were beginning to tarnish his own image.
But there is concern that such a move would be opposed by the Liberal Democrats and risks straining the coalition.
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The Foreign Ministry immediately released an angry statement, saying it had told Mr. Brenton to comply with Russian demands or risk straining relations further.
But if they try to work with several platforms and create a version of their offerings for each, they risk straining their resources.
In horseracing, it was - and is - not unknown for a trainer to tell his jockey not to try to win a race, either to make the horse's odds more favourable the next time he runs, or so as not to risk straining him, but not till now, as far as we know, to place a bet on his losing.
Mr Middelhoff's appetite for global acquisitions he bought Random House, a publisher, and RTL Group, a European TV and radio group—risked straining the firm's finances, say Bertelsmann executives.
Mr. Draghi would risk straining the unity of the euro zone if he radically stepped up European Central Bank purchases of government bonds over the objections of Germany, the European Union's largest member.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com