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To satisfy these requirements and to keep communications costs under control , the company needed efficient communications and a system that minimized user intervention . The potential exists for health system reform and renewal to have a favourable impact on women as more emphasis is placed on greater responsiveness to patient need , deinstitutionalization , the advent of new care givers such as midwives and nurse-practitioners , the use of evidence-based outcomes , support for more citizen responsibility for personal health and health-system decision making , and achieving a better balance between health care and health promotion and prevention measures , including physical activities . However , when Mono is able to achieve relative complete compatibility , the number of potential users for Mono will escalate quickly . They got an agreement of support form the school board and put together a team that included the director of instruction , a parent , the school principal , two teachers and the UniServ director . Contrary to popular belief , although a vast amount of open source software originates in the UNIX world , the PC and mainframe cultures have definitely played a significant role in shaping the movement .