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Intraurban transport by light rail, electric trolleybus, trolley, and motorbus has been substantially improved since 1949.
He also called out Sessions' repeated votes against legislation aimed at shielding LGBTQ Americans and women from discrimination and abuse as evidence that the Alabama senator's views had not substantially improved since the 1986 hearing.
The life expectancy of patients living with HIV has substantially improved since the advent of antiretroviral therapy (ART) in the mid-1990s.
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Owner Four Seasons Health Care said it had since "substantially improved the quality of care".
However, since 2000, surveillance has substantially improved, data availability has increased, and methods have been refined.
Since then, Formula One has substantially improved safety in both car and track design.
Fluoride has been added to water in Ireland since the 1960s and has substantially improved the nation's dental health, even in the era of fluoridated toothpaste.
Air travel has substantially improved, especially in the premium seats at the front of the plane, since Paisley's time.
Over the decade since first detection of whirling disease, wild native trout have substantially improved their ability to resist the disease's effects.
"The technology has substantially improved.
It has substantially improved, it is fantastic.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com