1.  At the same time, Berwick and others worry that galloping competition among hospitals and health care systems will get in the way of such regional efforts.

2.  Buffalo finally abandoned its infighting to start a strong regional advertising effort.

3.  But now there is much debate about whether they were a success and how the tactic might affect other regional efforts, ranging from peacekeeping to economic integration.

4.  Imagine the intricacies of putting together regional efforts across an international boundary.

5.  In the regional effort to clean up Long Island Sound, Connecticut is doing the most, while Long Island communities are lagging, an environmental group said Thursday.

6.  It would also be less likely to support American-sponsored regional efforts.

7.  Leaders have launched a regional effort that allows for the exchange of judges in sensitive drug cases.

8.  On Monday, officials from the governing African National Congress in South Africa said the situation in Zimbabwe was continuing to deteriorate despite regional efforts to ease tensions.

9.  The discoveries have led the government of neighboring Costa Rica to set up checkpoints along the Pan American Highway and call for a regional effort against the arms trade.

10.  The infected crows found in Staten Island were identified as a result of a regional effort to quickly detect the presence of the disease.