The phrase "and the general difficulty" is correct and usable in written English.
It can be used when discussing challenges or obstacles in a particular context, often in academic or analytical writing.
Example: "The study highlights various factors affecting student performance, including the curriculum's complexity and the general difficulty of the assessments."
Alternatives: "and the overall challenge" or "as well as the common obstacles".
Among the theories floated by people involved in these productions are the absence of stars in the casts, a strong season of straight plays on Broadway, subject matter that invites resistance (apartheid, the African-American experience, workplace tension) and the general difficulty of making straight plays economically viable these days.
The lack of save points and the general difficulty of the battles were included with the intention of adding a sense of tension.
Assignment of COD is particularly difficult for neonates due to a lack of VA studies and the general difficulty that clinicians have differentiating deaths due to pneumonia, sepsis, and meningitis.
These analyses were motivated by specific hypothesis but were somewhat exploratory in that they involved empirical model selection and were expected to have little statistical power because of the limited follow-up time and the general difficulty in detecting statistical interactions.
Making a valid comparison of the present seroprevalence data with those recorded in previous studies is hampered by the variation in detection methods (ELISA or WB) and cut-off titers employed and by the general difficulty in exploring the relationships among titers, infection, and clinical disease [ 3, 5, 19].
41 Although the associations seem to be stronger in the idiopathic analysis, we do not believe that they are necessarily generalisable because of the wide variation in definitions of idiopathic groups across existing studies, and the general difficulties that have been noted in defining such groups.
There are some peculiarities in our case that make it unique: the distal locking screw was broken, and this increased the general difficulty because there was other hardware to be removed and the techniques described by Sivananthan [12] and Levy [10] (impacting a smaller nail and using a pull out technique) were not possible because there was nothing to counteract an impacting force.
There is a point here about the general difficulty in identifying young talent and the meaninglessness of the numbers attached to it.
A further complication, not only but especially in the medical domain, is the general difficulty with standardization in the light of genericity of the standard and specificity of the application scenario.
A potential factor contributing to these difficulties, beyond the general difficulty of predicting human behavior, and external constraints of the current mental health care system (e.g. [ 23]), may lie in clinicians' own emotional responses to the suicidal patient.
Partly that reflects the general difficulty of building in London, thanks to restrictive planning rules and the powerful heritage lobby.
