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The instrument design reflects the four stages of activation in a progressing difficulty of the items: level 1 (patients believe that their role is important: item 1 and 2), level 2 (patients have confidence and knowledge to take action: items 3 8), level 3 (taking action: items 9 11) and level 4 (staying on course under stress: items 12 and 13).
The design of the instrument reflects the four stages of activation in a progressing difficulty of the items: level 1 (patients believe that their role is important; items 1 and 2), level 2 (patients have confidence and knowledge to take action; items 3-8), level 3 (taking action; items 9-11) and level 4 (staying on course under stress; items 12 and 13) [ 2].
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Though the individual item sequence in our study did not exactly follow the original US scale, in general the progressing difficulty of the items is reflected in the mean scores.
Participants were informed that a new, sometimes deadly, disease had developed in India that caused symptoms including bloody diarrhea, severe headaches, muscle and joint pain, and as the disease progresses, difficulty in breathing, and that the disease was spreading from person to person but had not yet spread outside of India.
Similarly, the project managers held planning meetings with the NGO managers and staff on a regular basis, during which field progress, difficulties and adaptive strategies were also discussed.
The architects and the writer talk with the two contractors, Mike Miller and Paul Nelson, about construction progress, difficulties, and stories about the work.
Students were interviewed at different stages of their studies in order to understanding their progress, difficulties and achievements.
Hydrophobia: production of abundant saliva and tears, coupled with an inability to speak or swallow, progressing to difficulty swallowing as the throat and jaw become slowly paralyzed.
The questions in the worksheet will progress in difficulty, so this is a fantastic opportunity to build foundational understanding and work on challenging problems.
The n-back is a visuo-spatial working memory paradigm that progresses in difficulty by increasing the distance between the original stimulus presentation and when that information must be recalled (i.e., load).
Lessons progress in difficulty.
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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