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Frequently repeated or continuous difficulties may be treated as a single experience and so receive less emphasis than if they were appraised as separate events.
We used a continuous Strengths and Difficulties Questionnaire score in our analyses.
The principle of progression holds that motor learning and rehabilitation programs benefit from a continuous adaptation of task difficulty to increasing skill level [ 19].
An even lesser known fact is that this decrease in reliability depends on the specific dichotomization point the cutoff score where a continuous measure is dichotomized and test difficulty when ability is measured using dichotomous success/failure outcome measures.
Yet, the Valsalva maneuver remains underutilized clinically, likely due to the inability to standardize the expiratory effort and the difficulties obtaining a continuous noninvasive surrogate of a pressure waveform conveniently [ 16].
22 However, the difficulty in developing a "continuous care" approach lies in adherence, since attendance at face-to-face sessions in multi-year programs diminishes over time and sustaining long-term interventions is costly.
The difficulty of providing a continuous supply of potassium iodate and the poor iodation technologies in many small-scale salt producers could be factors in the shortage of I-salt in households and the iodine variability observed in this survey [ 14, 27].
However, some difficulties appear if a continuous mass change takes place foreign to the mass changes due to the ac-modulated electrochemical processes.
Presentation of guidelines at every patient encounter can work as a continuous reminder and will hopefully eliminate difficulties that occur when traditional educational measures are used to foster and maintain new physician behaviours [14].
This analysis used the Total Difficulties score as a continuous variable, rather than using a clinical cutoff, which is not available across these sites.
However, a national survey and interview study within England reported that family carers experienced difficulties in maintaining a continuous supply of medications for the person they cared for [ 38].
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