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This is indeed a problematic state of affairs, given that the LEP and Barthel Index were administered to the same patients at only one of the study centre (KFJS).
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Virginia, for example, could become a problematic state for Republicans.
But rather than provide the competitive edge that Amtrak officials hoped would lure customers away from planes and buses, the wireless service has become a symbol of the problematic state of train travel in the Internet era.
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"It's my apologia against what I see as the problematic state of magazines today, both big and small," he writes.
It's also an old-school consciousness-raising session, intended to exhort the audience to reckon with (and to act against) the precarious, problematic state of race relations today.
Guth, Kaiser and Nomura and Linde have each recently published critiques of our paper, but, as made clear here, we all agree about one thing: the problematic state of classic inflation.
Currently, the absence of documentary evidence on the painting's provenance and its problematic state of preservation impedes art historical research to evaluate the artwork's questioned attribution to the young Van Dyck.
Schmidt (2011) summarized the problematic state of the field: Systemic autoimmune diseases are common but thought rare; their clinical identification is far from the medical school description; and they continue to be identified as an autoantibody target manifestation scheme.
However, they may also occur in problematic states of elevated mood, such as in bipolar disorder.
Second, there is emerging evidence that spontaneous 'positive' images can also occur in problematic states of elevated mood, such as in bipolar disorder (Deeprose, Malik, & Holmes, 2011; Gregory, Brewin, Mansell, & Donaldson, 2010; Holmes et al., 2011).
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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