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Our earlier analysis (4) of the local health system in KG Halli points to this systemic impediment, which is in sharp contrast to the model (40) where primary care is at the very center of the health system, serving as a hub of coordination with the different actors in the community and at the various levels of healthcare and social services.
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The systemic impediments include both the legacy of racism and dramatic economic changes that have fallen with disproportionate severity on poor blacks.
The report found that the center's planning arm struggled with "systemic impediments" like overlapping statutes, culture clashes with different agencies and tensions with two formidable players: the State Department's counterterrorism office and the C.I.A.
In "More Than Just Race," the Harvard sociologist William Julius Wilson recaps his own important research over the past 20 years as well as some of the best urban sociology of his peers to make a convincing case that both institutional and systemic impediments and cultural deficiencies keep poor blacks from escaping poverty and the ghetto.
It created a global schedule for the entire process, provided coaching and guidance, identified and removed systemic impediments to change, monitored success, and evangelized the new way of working throughout the organization.
I am fortunate that I have no systemic impediments to any success I may achieve.
However, there are many structural and systemic impediments that limit true integration of mathematics and quantitative literacy into undergraduate biology education.
She blamed "systemic" and "structural" impediments that prevented the C.I.A. and the F.B.I. from sharing.
All participants identified a combination of cultural, social and systemic barriers as impediments to their Indigenous patients improving their health literacy knowledge and practices.
However, systemic constraints were perceived as impediments to health workers and facilities reaching their targets [ 35].
This year Estée Lauder's celebrating the "achievement" of having distributed more than 150 million pink ribbons at their beauty counters and illuminated more than 1,000 landmarks around the world "to raise awareness". But awareness that's not part of a larger push for systemic change isn't useful, and can be an impediment.
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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