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Over the past 20 years, the agency has developed a culture of limited oversight and lack of accountability that has resulted in a structure of largely autonomous local field divisions that have too little connection to the executive leadership at the agencys headquarters or to each other

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I often make it to the bottom of the bowl before chucking a blend that my chemical makeup just won't tolerate, but this one had me crying uncle well before the bottom

46 However, three reviews have found that prolonged abstinence is highly correlated with point-prevalence abstinence ( r = 0.88) 40 and the two measures provide very similar odds ratios for treatment efficacy, 40,49 although absolute cessation rates differ