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In addition, some setbacks have been experienced, and Malawi has lost some of its ability to pay for imports due to a general shortage of foreign exchange, as investment fell 23% in 2009.
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"This is about projecting an image to a global audience about how strong and dangerous Isis is as an organisation, at a time when they have been experiencing significant setbacks on the ground," says Grayson. "You could argue that what we are seeing is, in fact, a politics of bluff".
Two setbacks have been health-related.
However, in some areas (temporarily) setbacks have been observed.
The experience of this setback has been described in an MSF information booklet about the "Comprehensive TB Care for All" program already at an early stage of implementation [8]: "Ambulatory [TB] care should be offered to all patients from the very start of treatment, unless there are specific medical indications requiring admission.
Deviations have to be made when setbacks are experienced and reflected upon, a process which leads to learning in terms of modifying beliefs, mental models and knowledge, which eventually results in active problem-solving behaviour (Schley and Van Woerkom 2014).
Despite suffering setbacks, King has been irrepressible.
Merck, which recently replaced its head of research and development after experiencing setbacks in drug development, has been only a bit player in oncology drugs.
Despite these serious setbacks there have been some recent bright lights.
The need for chemo-therapy was experienced as a new setback after already having tried to manage the cancer disease and the surgery.
Recovery has been full of setbacks.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com