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The phrase "a complex burden" is correct and usable in written English.
It can be used to describe a situation or responsibility that is difficult to manage or understand due to its intricate nature.
Example: "The new regulations imposed on small businesses have created a complex burden that many owners struggle to navigate."
Alternatives: "a challenging responsibility" or "a difficult weight".
Exact(2)
Several studies demonstrated how in households the care, illnesses, and deaths of family members create a complex burden of care [ 20, 23, 28, 30, 36].
These challenges create a complex burden of psychosocial, functional, and physical health risks which can obstruct their access to material resources and health care, and in turn put them at high risk for poor health outcomes and poor quality of life [ 2- 4].
Similar(58)
Actually, their assumptions had become a rationale for making IMATEL's huge logistics pipeline carry an overly complex burden.
India shows a high and complex burden of tobacco consumption, as also reported in tobacco surveillance studies. 2 12 13 This paper uses empirical evidence to show that India is currently between stages II and III of the Cigarette Epidemic model on the basis of estimates of smoking for men, but distinctly differs from the model on the patterns seen for women.
She talks about a "Braunschweig complex" burdening the town.But dumping Hitler retrospectively proves to be harder than Ms Saalmann expected:German constitutional law prohibits stripping a person of their citizenship if they would then become stateless as Hitler would, since he had already surrendered his Austrian citizenship in 1925.Spiegel has a nice footnote here.
It also has a complex disease burden characterized by high HIV prevalence and a growing burden of non-communicable chronic conditions (17).
Africa has a complex disease burden.
This approach eliminates a complex programming burden for participants and overcomes barriers due to language and disparate data structures.
In an attempt to address a complex disease burden, including improving progress towards MDGs 4 and 5, South Africa recently introduced a re-engineered Primary Health Care PHCC) strategy, which has led to the development of a national community health worker (CHW) programme.
The historical imbalances in health care delivery in South Africa, coupled with the changing patterns of disease and the complex burden of communicable and non-communicable disease places a huge strain on the public health service.
Therefore, it may be the complex burden of pain, more than the specific condition that is associated with EDS.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com