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"Obama has a lesser interest in Colombia than his predecessor, but the bilateral relationship has now become so institutionalised that even a new president in the United States would have a very hard time undoing it," said Dr Tickner.
Such 'achievement disease' is sometimes so institutionalised that community health staff can be given directives from higher levels to tamper the reports.
N is so institutionalised that her sole ambition is never to get discharged; Poppy is desperate to leave, but soon discovers that she needs legal aid for that, which means she needs state benefits ("MAD money"), which means she needs to be certified sick.
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The numbers highlight an industry-wide issue about the lack of female crew, but they also raise further questions: with discrimination so deeply embedded within the industry and sexism so institutionalised, it is arguable that the final product also reflects this world-view.
To my mind, she was right to say so – institutionalised police racism has long been an issue and ethnic make-up of the officers needs to be addressed.
With our exiled Goodfellas gangster, we see a character so institutionalised and conditioned to brutality he's forgotten how to exist outside his milieu.
They wanted to eschew unnecessary reverence and the institutionalised "holiness" that too often surrounds artistic buildings.
Revolt is growing particularly in the west against the institutionalised gerrymandering that hands power to the political extremes.
We need to pay particular attention to the laws and the institutionalised discrimination that prevent trans and gender diverse people from expressing their true selves.
Behaviour which is just slightly whiffy is so ubiquitous that a kind of institutionalised dishonesty is part of the books business.
Their desire to upgrade has meant that the top-down culture of institutionalised overwork has become so entrenched that people who get up after 4.30am and regard eating as important are now seen as being somehow beyond the pale.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com