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In many of the clusters, identification of the cause was complicated by delayed diagnosis due to the rarity of the disease, geographic distance separating transplant recipients, and lack of prompt recognition and reporting systems.
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They are mystified how they could be held liable for a problem they did not cause, but their case is complicated.
Detection is often delayed, and the attributing cause is complicated by familial susceptibility; present and prior obesity; history of exposure to carcinogens, including smoking; and comorbid conditions.
But the causes are complicated.
Though sorting out the exact causes is complicated, trends are clear.
It's tempting to make this a party political issue, but the causes are complicated and they deserve more than knee-jerk name-calling.
If the causes are complicated, the consequences seem evident to school officials: a large cadre of belligerent students, hostile to authority and with no worry about parental punishment at home.
Deprivation differs between ethnic groups and, yes, the causes are complicated but to say that it's primarily about class rather than race is akin to telling a man who has lost an arm and leg he doesn't have to be lop-sided.
The causes are complicated, and sometimes puzzling to scientists.
Their causes are complicated.
The causes are complicated, particularly those involving blood loss caused by some chronic diseases.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com