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Medicare's prospective payment system and Medicaid's policy of deinstitutionalization have apparently substantially increased the clinical needs of patients entering nursing homes.2,3 Consequently, the nursing h o m e is expanding its role in patient care and has b e c o m e an integral c o m p o n e n t of the health care system.4 Patients in skilled nursing facilities suffer from numerous problems: incontinence; mental impairment; difficulties with one or more activities of daily living; immobility and falling episodes; and malnutrition.l.3,6There is a high rate of acute illness superimpose don multiple medications and several simultaneous chronic illnesses.

医疗保险的潜在支付系统和医疗补助的政策，非机构化，显然大大增加了患者的临床需要进入护理homes.2 ， 3因此，养老院正在扩大其作用，病人护理，并已成为一个不可分割的组成部分保健system.4

To build a Marxist learning party, it is necessary to overcome learning difficulties, enrich learning content, adopt a scientific learning method, establish an effective learning system, delayer the organizations, create a learning atmosphere, build an organization of learning party and cultivate leaders of a learning party.

建设马克思主义学习型政党，要努力克服学习智障，丰富拓展学习内容，坚持科学的学习方法，建立有效的学习制度，构建扁平化的组织结构，营造浓厚的学习氛围，建设学习型党组织，建设学习型领导干部队伍。

Although China has made some remarkable achievements on the reform and development of Law services industry, there are still some difficulties: delimitation, system, quality of lawyers, and so on...

我国法律服务业的改革与发展取得了不凡的成就，但也面临着一些难题，包括定位、体制、人员素质等诸多问题。

If you never went through difficulties, how would you know that I'm a Deliverer?

如果你从未经历艰难，你怎能知道我值得信赖？

We expect the international and domestic demander of forwarder can contact with us. We will solve your difficulties in the shortest time with warm and sincere attitude.

望有国际货运、国内货运的需求者与我们联系，我们会以最热诚的态度，在最短的时间内帮您解决货运问题及物流通路。

BACKGROUND: Delayed therapy widely occurs in patients with dementia praecox; therefore, it brings a series of difficulties for clinical treatment and rehabilitation.

背景：精神分裂症患者延误治疗的情况普遍存在，给疾病的治疗和康复带来了很多问题。

Old difficulties against the existence of God or its demonstrability, against the dogma of Creation, miracles, the human soul, and supernatural religion have been dressed in a new garb and urged by a modern school of scientists principally from the discoveries in geology, paleontology, biology, astronomy, comparative anatomy, and physiology.

旧的困难，针对存在的上帝或其demonstrability ，反对教条的创作，屡创奇迹，人的灵魂，是与神灵，宗教一直穿着一个新的外衣，并敦促所现代学校的科学家们主要是从发现，在地质学，古生物学，生物学，天文学，比较解剖学，生理学。

The difficulties in knowledge management is mal-communication, the selfish departmentalism on the part of the staff, the unwillingness to share, and the lack of mutual trust.

沟通不易是企业普遍感受到的知识管理困难处，但员工的本位主义、不愿分享、互信不足等，才是主要症结所在。

This could lead to extremely serious difficulties -- even deportation from the United States

3丝毫不能提供假情况，这可能导致极严重的后果，甚至有被从美国驱逐出境的可能。

In the current financial crisis, the difficulties of units deposited in how to do?

在当前的金融危机下，缴存有困难的单位怎么办？

Nowadays, most of research are to build a transmutative Petri Nets through adding controlling place sets, controlling arc sets and controlling policy to the basic Petri Nets, while the Controlled Petri Nets could be used to argue many controlling theory problems conveniently and to induce many logically and physically supervisory and solve the Event Feedback Controlling Problems and State Feedback Controlling Problem in DEDS supervisory theory.

目前大多数的研究表现为在变形后的受控Petri网基础上，利用各种方法求得各种逻辑型、结构型控制器，解决DEDS监控理论中的事件反馈控制问题与状态反馈控制问题。

On one hand, there are discussions with the works council and union about extension of short time working up to the end of September.

一方面，有讨论，工程理事会和联盟关于延长工作时间短至9月底。