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The reciprocal communication between brain and body via the neuroendocrine, autonomic, metabolic and immune systems and the plasticity of brain architecture provide the basis for devising better "top down" interventions that engage the whole person in working towards his or her welfare.
Youth workers, school teachers and others I spoke to on a recent visit to a part of London where "postcode" feuds and violence have escalated frighteningly in the past couple of years were full of praise for their savvy local cops but in despair over what they saw as clumsy and damaging top down interventions by officers from elsewhere, notably mass stop-and-search exercises.
Consequently, massive efforts have been made to deal with these perceived deficits though a combination of top down interventions, accountability measures and changes in governance arrangements.
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It is a community-led approach that contrasts with the blunt hand of previous top-down interventions, such as the Khayelitsha shopping mall, a cluster of out-of-town retail sheds airlifted into the township in 2005, but hopelessly cut-off, sited the wrong side of a railway line.
China has a legacy of top-down interventions accompanied by all kinds of legislation, incentive packages and modernization programmes.
But the top-down interventions to address this barrier to accessing care are hampered by weak governments, as informal providers are entrenched in communities.
The LSC structure is a strong one, and has been shown to work better than top-down interventions.
Alas, in countries like the United States, that approach isn't feasible: it's too much of a dictatorial, top-down intervention.
For Hong Kong, the current conventional contingency plan, which perceives the community as a passive recipient of top-down intervention policies, should be modified.
One explanation for this issue revolves around "top-down" intervention designs (i.e., interventions generated by epilepsy clinicians and researchers) and the potential for disparity with patient interests, capabilities, and perceived needs.
The conclusion is that Merino's fall was the result of the government's top-down intervention, but also by a shift in the sociopolitical order and labor relations of Poza Rica that came from the bottom-up.
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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