1.   The company made some systemic changes to the way it operated.

2.   Any real systemic changes have yet to affect their every-day lives, they said.

3.   Dunbar also said there were several other systemic changes he would tackle, including recruitment and promotional policies, but he cautioned that results might not come quickly.

4.   Efforts to win systemic changes through court orders have often been frustrated by failures of enforcement.

5.   First, he said, it is easier to effect real systemic change in a smaller district than a huge urban one.

6.   Haycock said the new campaign would prove itself truly effective if it inspired parents to become not only homework-checkers but advocates for systemic change.

7.   In response, chief executives have started an effort to answer their critics and still defeat efforts at systemic change.

8.   In patients battling tuberculosis, AIDS or leprosy, overproduction of TNF-alpha causes such systemic changes as fever, wasting and night sweats.

9.   Last year, large corporations were worried about the cost of employee health benefits, but they lost interest in systemic change when health-care inflation slowed down.

10.   North Korea faces perennial hunger until there is systemic change in its economy.