In this task, you are given a question and a context passage. You have to answer the question based on the given passage.

Q: What is the top level of schooling that is affected by the Gates Foundation's reforms?, Context: The K-12 and higher education reform programs of the Gates Foundation have been criticized by some education professionals, parents, and researchers because they have driven the conversation on education reform to such an extent that they may marginalize researchers who do not support Gates' predetermined policy preferences. Several Gates-backed policies such as small schools, charter schools, and increasing class sizes have been expensive and disruptive, but some studies indicate they have not improved educational outcomes and may have caused harm. Peer reviewed scientific studies at Stanford find that Charter Schools do not systematically improve student performance

A: higher education
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Q: What needs consistency?, Context: The simplest valve gears give events of fixed length during the engine cycle and often make the engine rotate in only one direction. Most however have a reversing mechanism which additionally can provide means for saving steam as speed and momentum are gained by gradually "shortening the cutoff" or rather, shortening the admission event; this in turn proportionately lengthens the expansion period. However, as one and the same valve usually controls both steam flows, a short cutoff at admission adversely affects the exhaust and compression periods which should ideally always be kept fairly constant; if the exhaust event is too brief, the totality of the exhaust steam cannot evacuate the cylinder, choking it and giving excessive compression ("kick back").[citation needed]

A: exhaust and compression periods
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Q: Hypertension is an increased risk related to what?, Context: Shift-work or chronic jet-lag have profound consequences on circadian and metabolic events in the body. Animals that are forced to eat during their resting period show increased body mass and altered expression of clock and metabolic genes.[medical citation needed] In humans, shift-work that favors irregular eating times is associated with altered insulin sensitivity and higher body mass. Shift-work also leads to increased metabolic risks for cardio-metabolic syndrome, hypertension, inflammation.

A:
Shift-work
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