俄亥俄州克里夫兰凯斯西保留地医学院心理学家雪利尔·金斯伯格说，这些问题的表现形式趋向多元。
It's the flavor of those problems that tends to differ, said Sheryl Kingsberg, a psychologist at the Case Western Reserve University School of Medicine in Cleveland, Ohio.
和往年的评估结果相比，俄亥俄州克里夫兰的进展最为迅速，从38名上升至14名，上升了24个名次，而罗德岛州的普罗维登斯上升了18个名次，排在第15位。
Compared with past years, Cleveland, Ohio, is the biggest gainer, moving up 24 spots from 38 to 14, while Providence, Rhode Island moved up 18 spots to No. 15.
这场辩论在俄亥俄州的克里夫兰举行，通过微软及国家广播公司的有线电视频道播出。
The debate was held in Cleveland, Ohio and broadcast by the MSNBC cable channel.
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