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In Afghanistan, the interim government selected in June is still struggling to extend its authority beyond Kabul.
As Amisom drives beyond Mogadishu, aid agencies are struggling to extend operations in a region where al-Shabaab still carries out suicide bombings and other deadly attacks.
Its emphasis on access and per-capita spending mean that America, struggling to extend its insurance coverage, while committing a large amount to overall health-care spending, regularly comes bottom of the Commonwealth Fund table.
But the organization is riven by divisions, its consensual deliberations can easily be stalled, and it is struggling to extend its success in stemming blood diamonds a decade ago to the newer and different realities of human rights abuse.
Mr. Smith, meanwhile, may find himself struggling to extend a track record that has seen him take in more than $100 million at the box office with each of his last eight films.
The major indexes were struggling to extend their advance from Monday, when the Dow Jones industrial average gained triple digits to move back into the black for the year.
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Yet regulators confess that they would struggle to extend such arrangements to large and complex banks.
Since then, he has struggled to extend his influence beyond Gaza.
At the same time, the Trastámaras struggled to extend royal power against the resistance of the nobles.
But several other armed groups remain active, and the government in the capital Kinshasa has struggled to extend its reach.
The stampede embodied the broad crisis in South Africa's overstretched higher education system as it struggles to extend opportunities once reserved for whites to all South Africans.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com