In order to meet these patient outcomes, multidisciplinary care pathways must be designed, implemented, and sustained, a process that is challenging at best.
La Virgen has managed to create and sustain a process that promotes team learning on IPV and ensures an internal and external referral system to support providers dealing with IPV cases.
For new norms to endure and generate different patterns of behaviour, they need to be confirmed and reinforced through social interaction: "… shared meanings are created and sustained – a process which happens, as it were, between people, not simply in their private thought worlds" ([ 25]: 11).
Some further strategies for sustaining a dynamic process follow.
45, 46 In contrast, inadequate performance on the WCST is considered to be a result of deficits in various cognitive processes, including learning from feedback, maintaining a task goal in mind, noticing that a change in strategy is necessary, inhibiting a previous motor response, switching to a different response, and sustaining a response process over time.
The Pentagon still has time to pull back and reassess whether sustaining a serious negotiation process is served by adding more bombs and sorties to the mix.
Thus the chemokine CxCL-13 might play a critical role in organizing immune responses within CNS by providing favorable microenvironmental preconditions for compartmentalizing B cell response and sustaining a chronic inflammatory process in the CNS.
However, if these different variants share a common molecular function, thus sustaining a common biological process, focusing on their combined effect will still be a valuable approach.
Certainly there must be such processes to sustain a lineage, processes that explain the constant reproduction of very similar entities, but we should not assume there is anything common to these processes beyond their capacity to produce this outcome.
What is astonishing, however, is that the financial metaphor has flipped its meaning, and now sustains a thought process entirely at odds with the original intention.
