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20 This top down approach has had limited success, with uptake of VTE RA guidance slow and many NHS hospitals struggling with its implementation.
The government has struggled with its response.
By comparison, Lazard has struggled with its advisory business.
I struggled with its message.
Eurostar had previously struggled with its reputation and brand image.
A number of other controversial and frustrating decisions over the weekend also indicated that 17 years after the introduction of the video referee to the Super League, the RFL is still struggling with its most effective implementation.
I recently facilitated a postmortem for a large organization struggling with an IT implementation that had gone dreadfully wrong.
Each country struggles with its particular problems.
The Republican Party is struggling with its future.
Europe is still struggling with its debt troubles.
Massachusetts has continued to struggle with its costs.
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