Moreover a recession in America and Europe could magnify these problems as well as causing trouble of its own.
Assuming the clinic opens, more trouble may well follow, including threats to employees and to the clinic itself.
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One of the deficiencies with Twenty20 is that if you fail to start well you are in trouble.
Stephen Roach, chief economist at Morgan Stanley, warns that future trouble may well come from a different quarter.
And, by the way, if a state gets in trouble, well, we could step in and see if we could find a way to help them.
If it is subsequently recovered by thieves or potential terrorists it can provide several pieces of critical data that could cause you a lot of trouble as well as affecting airline security.
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"I think - and this is where the New York Times may have had trouble as well - that scientists are very difficult to write about, partly because it's very hard to get your head around what they're doing, " he says.
But because he's so well-known, Strickland had trouble moving his poll numbers past the admittedly weak incumbent.
After all, their decision against reprocessing is causing a lot of trouble at home as well as abroad.
There his foundation paid for activities designed to keep children, white and Hispanic as well as black, out of trouble.
The trouble is, as well as being clever and provocative, Mr Gray is often confused, always given to hyperbole and is occasionally plain crass.
Britain's banks have lent heavily to businesses and governments in the euro zone's worst trouble spots, as well as to German and French banks.
Trouble arrived in Tinseltown well before the broader economic crisis hit.
However, the investor focus may now well swing back to European consumer trouble as August retail numbers from the continent start trickling out over the next couple of weeks.
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Things have worked out so well financially that the company had little trouble accessing the debt markets to pay its owners their big dividends.
Shaw, a junior, was a standout running back and sprinter at Los Angeles High School who did well in school and stayed out of trouble.
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Now, mind you, there are cyclical aspects to all markets and it may well be that the initial signs of trouble were simply the indications of the end of a run.
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This work by German artist Carl Moos (1878-1959) had no trouble attracting interest and sold for well over the expected price.
We've been playing well defensively we've just had some trouble scoring goals.
Brokers attribute the rising rents to people who are reluctant to buy or have had trouble qualifying for mortgages, as well as to New York's relatively brighter employment picture.
He explained the system is double-edged, identifying areas or young people likely to start getting into trouble and taking preventive action as well as working with young offenders to prevent further offending.
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Among the most popular was Richmal Crompton's William, a well-meaning boy who is nonetheless drawn to trouble.
Thapar's plainspokenness has served him well, although at first it got him into trouble with his uncle Lalit.
"If we are a year from now, and the economy hasn't improved in a big way, I think the Democrats are in trouble -- and the Republicans are well-positioned to take advantage of that situation, " Beck said.
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But recently revised forecasts from Nokia and Samsung, the world's No. 1 and No. 2 handset makers, as well as mobile chip-set manufacturer Qualcomm, augur trouble in 2009.
More recently, another PBS hit, "Downton Abbey, " was parodied in "Upside Downton Abbey, " a video where British muppets have trouble drinking tea and eating crumpets because, well, they're upside down.
So while a mismanaged emerging economy was bound to hit trouble in international capital markets, even a well managed but small economy might be overpowered by the force of vast international capital flows.
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