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Spherocytosis is a strong indicator of IMHA, but identification of spherocytes on blood smears is subjective and can be difficult for practitioners that do not evaluate blood smears on a daily basis [ 5].
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However due to the inherent differences between survey and telemetric approaches, it is difficult for practitioners to find a simple and easily applied approach to answer this question.
They described it as an innovative method, which provokes participants to change their views about the future and which questions working routines, but one that is difficult for practitioners to execute without external assistance.
However, it has been difficult for practitioners to fully embrace this progressive ideology so long as powerful and deep-rooted cultural traditions run counter to modern scientific and democratic ideas (Wang & Mao, 1996).
However, in the context of primary care, it is difficult for practitioners to routinely prioritise the management depression in people with long term conditions [ 21].
It can be difficult for health practitioners and patients to find out exactly what they want to know about drugs on Internet when these drugs are already being used for other indications.
(African youth interview) It may be difficult for general practitioners to diagnose psychosis early; however, participants felt that they had actively sought help but their requests were misunderstood or dismissed.
While the decision to opt for non-NHS care or home birth, or both, in the presence of identifiable risk factors might be difficult for some practitioners to accept, women's perspectives on risk and safety in birth do not always accord with biomedical viewpoints.
Additionally, it would be difficult for less experienced practitioners to reliably identify clinical signs encountered so infrequently.
Even though that depression is treated by general practitioners in many countries, it is difficult for general practitioners (family physicians, internal medicine practitioners in Korea) to continue prescribing antidepressants more than two months because of the restrictions of reimbursement by the national Health Insurance Review and Assessment Service.
Unfortunately, it was difficult for some practitioners to attend a 4-day program because of challenges with shift coverage.
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