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The lack of a sufficient number of GPs to fill the available shifts has led to delays in callbacks and an increase in unnecessary referrals to A&E, according to local GPs.
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The combination of these economic and cultural shifts have led to "the fall of the working-class family", Cherlin said.
In December of 2009, researchers from Germany and Canada confirmed that these migration and mating shifts have led to subtle differences between the two parts of the population.
The decade of games is starting now because cultural and technological shifts have led us to a perfect convergence of reach, relevance and demand.
The latest socioeconomic data from the census is not yet fully available, but Spanish seems to be the foreign language more children are learning at an earlier age in a city where demographic shifts have led to a higher number of nannies and care givers from Latin America and the Caribbean.
These shifts have led, in general, to institutional pushes for an increase in small seminar courses at college campuses across the country.
These shifts have led to more than few rumblings of a coming "blood bath" or consolidation in the industry in coming years, says Bryan Simpson, New Belgium's spokesperson.
Those racial and cultural shifts have led to a widening ideological gap in which "each party's supporters now feel much farther from the opposing party's ideological position than in the past," he writes.
The shift has led to some gains.
The policy shift has led to smaller trusts thinking big.
This shift has led to the emergence of new challenges associated with this novel paradigm.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com