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It may be difficult to rate groups within which there may be wide variation, particularly for those whose role isn't well defined, can be variable, and is currently evolving and changing, particularly across organisations.
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Here it is difficult to rate.
It is not clear whether this was due to inconsistent following of the ORS protocol, the ORS protocol in itself, inadequate video quality, or simply that it was difficult to rate sleepiness in a consistent manner.
Oxbow had a reputation as a front-runner who was difficult to rate during his races.
The audio recordings (n=35) were difficult to rate, because information was missing or more difficult to interpret.
In their comments about the rating process, the raters noted that it was difficult to rate the first two of these items if there were no particular leads or concerns raised by the simulated patient.
To enable analysis of appreciation and reasoning, we stratified the analysis by good and poor understanding - since we suspected that these abilities are difficult to rate accurately when understanding is poor.
Thus, it is difficult to rate complex pain in a small area, and to rate radiating pain with different pain modalities in different areas is even more difficult, because other factors such as psychological coping strategies are likely to contribute to the rating.
It can be difficult to honestly rate and comment on situations on which you are dependent.
Mr Weale said: "During an election campaign it would obviously be difficult (to change rates) but the election campaign will last for three weeks".
If the heterogeneity were solely due to noise, it would be difficult to regulate the rate.
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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