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Friday, October 15, 2010. The International Council on Systems Engineering. Chicago this July, celebrating an organization and a. Profession that are growing at a steady rate as new areas. Of product and practice are exposed to the power of. Since 1991, when the first symposium was held in. Chattanooga, TN, attended by just over 100.

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Understanding Change in the NHS. Growth in the public demand for services. The pace of technological change.