She also advises parents to not to give up because they can make a bigger
impact than they realize — the steps to helping a child are clearly outlined in the book.
It might feel simple to fill up a bag with your local grocer's avocados, but your purchase can actually have a much larger
impact than you realize.
Small steps can have a bigger
impact than we realize.
Not exact matches
The food choices of your dining companions may have more
impact on your food intake
than you
realize.
And, as it becomes an increased part of business life, it's having a bigger
impact on everyday occurrences
than you might
realize.
I
realized that I was far more
than a business coach when people asked me more and more questions about channeling their inner artist, creating meaningful content and even how to navigate personal relationships that were
impacting their business.
These risks and uncertainties include: Gilead's ability to achieve its anticipated full year 2018 financial results; Gilead's ability to sustain growth in revenues for its antiviral and other programs; the risk that private and public payers may be reluctant to provide, or continue to provide, coverage or reimbursement for new products, including Vosevi, Yescarta, Epclusa, Harvoni, Genvoya, Odefsey, Descovy, Biktarvy and Vemlidy ®; austerity measures in European countries that may increase the amount of discount required on Gilead's products; an increase in discounts, chargebacks and rebates due to ongoing contracts and future negotiations with commercial and government payers; a larger
than anticipated shift in payer mix to more highly discounted payer segments and geographic regions and decreases in treatment duration; availability of funding for state AIDS Drug Assistance Programs (ADAPs); continued fluctuations in ADAP purchases driven by federal and state grant cycles which may not mirror patient demand and may cause fluctuations in Gilead's earnings; market share and price erosion caused by the introduction of generic versions of Viread and Truvada, an uncertain global macroeconomic environment; and potential amendments to the Affordable Care Act or other government action that could have the effect of lowering prices or reducing the number of insured patients; the possibility of unfavorable results from clinical trials involving investigational compounds; Gilead's ability to initiate clinical trials in its currently anticipated timeframes; the levels of inventory held by wholesalers and retailers which may cause fluctuations in Gilead's earnings; Kite's ability to develop and commercialize cell therapies utilizing the zinc finger nuclease technology platform and
realize the benefits of the Sangamo partnership; Gilead's ability to submit new drug applications for new product candidates in the timelines currently anticipated; Gilead's ability to receive regulatory approvals in a timely manner or at all, for new and current products, including Biktarvy; Gilead's ability to successfully commercialize its products, including Biktarvy; the risk that physicians and patients may not see advantages of these products over other therapies and may therefore be reluctant to prescribe the products; Gilead's ability to successfully develop its hematology / oncology and inflammation / respiratory programs; safety and efficacy data from clinical studies may not warrant further development of Gilead's product candidates, including GS - 9620 and Yescarta in combination with Pfizer's utomilumab; Gilead's ability to pay dividends or complete its share repurchase program due to changes in its stock price, corporate or other market conditions; fluctuations in the foreign exchange rate of the U.S. dollar that may cause an unfavorable foreign currency exchange
impact on Gilead's future revenues and pre-tax earnings; and other risks identified from time to time in Gilead's reports filed with the U.S. Securities and Exchange Commission (the SEC).
Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical costs and price effectively and develop and maintain good relationships with physicians, hospitals and other health care providers; the
impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and
realize the expected benefits of such transactions, including with respect to the Merger; the substantial level of government regulation over our business and the potential effects of new laws or regulations or changes in existing laws or regulations; the outcome of litigation, regulatory audits, investigations, actions and / or guaranty fund assessments; uncertainties surrounding participation in government - sponsored programs such as Medicare; the effectiveness and security of our information technology and other business systems; unfavorable industry, economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; our ability to obtain shareholder or regulatory approvals required for the Merger or the requirement to accept conditions that could reduce the anticipated benefits of the Merger as a condition to obtaining regulatory approvals; a longer time
than anticipated to consummate the proposed Merger; problems regarding the successful integration of the businesses of Express Scripts and Cigna; unexpected costs regarding the proposed Merger; diversion of management's attention from ongoing business operations and opportunities during the pendency of the Merger; potential litigation associated with the proposed Merger; the ability to retain key personnel; the availability of financing, including relating to the proposed Merger; effects on the businesses as a result of uncertainty surrounding the proposed Merger; as well as more specific risks and uncertainties discussed in our most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.cigna.com as well as on Express Scripts» most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.express-scripts.com.
You have a bigger
impact on the world around you
than you probably
realize.
And while it is surely obvious that not everything can be covered in a discussion of this length, I would argue that the prayer and Bible - reading decisions of the early Sixties have had a far greater
impact politically, culturally, and legally on American society
than many scholars
realize.
He rightly notes the the
impact of the media, especially television, in shaping opinion on the issue of sexual ethics, and yet he reveals more
than he
realizes when he declares:
«When guys would write that he was 32 going on 50, it had more of an
impact on him
than anybody
realized.
People are
realizing that all those stats aren't really correlating to equal return in the W - L record and that it's hardly more
than an arbitrary way of measuring someone's
impact on the game.
It's about him
realizing that what he does has an
impact, and taking responsibility to have a positive rather
than a negative
impact.
Being too cold or too hot can
impact your baby's sleep more
than you
realize.
There are some phrases that are commonly used that have a greater
impact on kids
than we
realize.
Attachment quality has profound effects for each child over the lifetime, often much more of an
impact than is
realized outside scientific and clinical circles.
However, for others, more value must be
realized than the delayed
impact of dollars not spent on disposables.
According to Gounardes, «most people don't
realize that what happens in Albany has more of a direct
impact on people's lives
than anything the City Council could ever do.»
County government has a greater
impact on local affairs
than most
realize.
«This massive natural disaster may have had a greater
impact on the development of chronic medical diseases
than originally
realized.»
«In terms of
impacts to shore - spawning fish, the oil spill likely had a much bigger footprint
than anyone
realized.»
«That's alarming, and suggests that global declines in pollinators could have a bigger
impact on flowering plants and food crops
than was previously
realized.»
We
realized that by working collaboratively, we could have a much greater
impact than the sum of our parts.
Researchers are now discovering that the
impact had a much more climate - altering effect
than first
realized.
The digestive system has much more of an
impact on hormones
than many of us
realize.
This is a very important but confusing topic that has a much bigger
impact on your thyroid
than you
realize.
I discuss this topic so much on my social media channels and here, on my website, because it is scientifically proven that your sleep habits, stress levels, and lifestyle
impact your skin's health much more
than most people
realize!
When it comes to nutrition, then more often
than not we fail to
realize how big of an
impact food has on us.
There is increasing evidence that food sensitivities are more common and have a wider and more varied
impact on our health
than previously
realized.
However, what disappointed me is that it look like my choices don't have much
impact in the end on what happen in - game... but I didn't
realize it before read it over the internet, so maybe the replay value is a less
than it could be, but playing it was as I said, very enjoyable.
She then starts to break audience's hearts when she recalls her forced downsizing experience and its
impact on her life and how she'd always hoped to meet that Norwegian doctor who, seeing how her downsizing had reduced her pain due to her lost leg —
realized it's the first time he'd never been so proud of his downsizing efforts when he heard her story and
realized she was relieved from unbearable pain only to find herself on the margin of a downsized society that, even though became smaller in size, its ego and indifference are bigger
than ever.
The two charter school founders
realized that to have significant
impact in a community, a cluster of charter schools needed to be created within each community, rather
than just one or two.
Things like strong character names, word count, and the simplicity of a query, had a much larger
impact on my rejections
than I
realized the first time around.
They have more
impact than you may
realize.
Potential banana skins abound From simple things like Amazon's patent for reselling ebook licences (bound to have an
impact on ebook sales especially of lead titles if it were ever to be put into practice) or like discovering that despite having a great product your brand just doesn't resonate with consumers beyond your core audience and hence you lose a bundle of cash trying to sell them tablets or
realizing that your main competitor is not the rival publisher of literary novels or commercial non-fiction but a game in which trajectory considerations are a more important aspect of gameplay
than would normally be considered cool and various music video fads from Gangnam Style to Harlem Shake.
While I like the look and the feel of the Kobo Arc, I was dismayed to find out that it is even heavier (at 364 g.)
than the Nexus 7 (340 g.) and the iPad mini (308 g) and you quickly
realize that this
impacts long term one - handed operation.
Although it is not listed in the fund prospectus, turnover ratio can have a substantial
impact on a fund's performance and tax liability, and those who ignore this factor may be forfeiting more money
than they
realize over time.
However, clearing existing debts in one go makes a hugely positive
impact on it — though it is important to
realize that consolidation results in the debt being replaced rather
than removed completely.
While the world of personal finance is interesting, I think what is going on in Greece and the rest of the Eurozone will have a far bigger
impact on everyday American's lives
than they may
realize.
As she began to
realize the gravity of the problem, it became obvious that relieving the suffering of animals and having a widespread
impact as an animal advocate would require more
than her voice and efforts alone.
We never wrote much about our Catalina Island trip, except for our Catalina Island Photo Essay, even though it is one of our favorite travel memories and an experience that has
impacted my life more
than I had
realized at the time.
«I think that Experiential Travel or
Impact Experiences can help create more responsible global citizens; ones that recognize and value differences in culture, mores, political viewpoints and lifestyles while also
realizing that there is more
than one way to achieve happiness and success.
And it may reflect more changes
than we
realize: recent writing on the Anthropocene period that arguably began during the Industrial Revolution highlights the significant global
impact of human activities on Earth's ecosystems.
As I was interviewing as many scientists and other experts as I could find, I came to
realize that the science around biomass's climate
impacts is much less murky
than it's made to seem.
Because only when you make an ethical valuation of the
impact on individual lives (human or bear), rather
than some aggregate, do you
realize the full weight of the damage we are doing.
Future changes in air temperature and precipitation are also projected to change stream temperature, which will
impact the health and habitats of local ecosystems — more
than many people
realize.
I mean, not many people
realize that there choice of car has a greater environmental
impact than any other choice they make as a consumer.
«In terms of
impacts to shore - spawning fish, the oil spill likely had a much bigger footprint
than anyone
realized.»
Next: Roe v. Wade had broader
impact than the public
realizes, says author of «Beyond Abortion» (podcast)