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In fact I believe that a confluence of factors could make 2013 a watershed year in the move to transform and future-proof the NHS.
Nor were regulators prepared to conclude that a "confluence of events" caused the nose dive, said Mary Schapiro, chairwoman of the Securities and Exchange Commission.
Earnest claimed that a "confluence of events" in Raqqa, Sinjar and Ramadi meant that Obama's strategy for tackling Isis was now "showing some signs of progress", but officials remained "cautious about making grand pronouncements".
Scientists are still trying to account for the whales' sudden deaths, but speculate that a confluence of events prevented them from gorging on amphipods, the tiny shrimplike creatures on which they depend.
I believe that a confluence of three factors means that Manchester now has a genuine opportunity to re-emerge as a European technology innovation hub, and challenge other locations such as London, Berlin, Helsinki and Copenhagen.
Mr. Leonsis declined to elaborate on his own plans, but suggested that a confluence of Internet technology and advertising dollars might soon allow for documentaries to be seen by wider audiences outside traditional theaters and DVDs.
Similar(43)
"We have a setting here that's a confluence of Mexican and American cultures," said Matt Dunn, the director.
That "feeling" — a confluence of rock star and crypt chic — is one Mr. Owens has been peddling for years.
At that meeting, a confluence of eminent evangelical scholars – principally from Latin America, the US and Europe – laid down the benchmark for the transition that was enshrined in what became known as the Lausanne Covenant of 1974.
That produces a confluence of problems, he said.
We hope to stimulate discussion regarding the merits of different strategies for implementing evidence into routine care, particularly for complex programs that require a confluence of support from diverse stakeholders.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com