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The problem is how such a systems-wide set of symptoms can be manifest for such a long time in the apparent absence of a system-wide cause

Employees earn 13 days of annual leave each year the first three year of employment, 20 days per year for three to 15 years of service, and 26 days per year after 15 years

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doi: 10.1007/BF00027124 69 HsuP

This approach stems from the understanding that biological systems often respond to subtle stimulation in ways that stronger interventions cannot replicate

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