To recap, widespread technical and managerial confusion and consternation is the result of escalating costs, governmental interest (more in Europe currently than in the U.S ., a growing shortage of skills compounded by retirements and, finally, the 20-year-delayed impact of the loss of IBM's strategic systems-engineering function provided when computing was first starting.
The provision of poor-quality care has often been attributed to inadequate knowledge and skills compounded by broader system failures and low staff numbers.
Fox said our reaction to food and the loss of food management skills was compounded by a long decline in concern about waste.
Even with huge investments of cash and skill, a compound can fail at the last phase of clinical trials or fail to find favour with doctors.All the while, technology is eroding the industry's hierarchy.
This dilemma, of limited knowledge and skills, is compounded by distance from services, particularly for remote and rural communities (Liamputtong [ 15]).
"The 'cobbler' does not require much skill in compounding," Thomas wrote.
Social interaction demands compound skills, and the ability to keep track of simultaneous and complex information in a social setting may be affected by problems in attention switching [ 37].
The cost of this skills mismatch is compounded by America's housing bust.
This remains particularly relevant in nurseries, where the drivers of infection are multi-factorial e.g. the immature immunity of the susceptible population, is compounded by their lack of hygienic prevention skills, which is further compounded by the tendency to have substantial numbers of these susceptible individuals in close contact with each other.
This lack of skills and training is compounded by an absence of organisational direction: CCS finished lower than every government department when civil servants were asked about the clarity of their organisation's objectives.
