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However, it may be challenging to put pericardial thickening as a necessary criterion for the diagnosis of constrictive pericarditis, because up to 20% of patients with surgically confirmed constrictive pericarditis showed a pericardium of normal thickness on imaging studies [5].
Some people say they don't understand how some people wouldn't want to fully transition, and it's challenging to put that into words, because we all have different experiences.
If an intangible asset cannot be described clearly enough to be transferrable, if it cannot be managed or protected enough to be sustained, and if it is challenging to put a value on it beyond saying it is of value, then it is likely too poorly defined to be considered IC.
"It's extremely challenging to put a brick-and-mortar wall along the southwest border for any number of reasons," said Richard Stana, who wrote multiple reports on border security for the nonpartisan Government Accountability Office before retiring in 2011.
"I think it's going to be very challenging, to put it mildly, to ramp up shale gas production by fourfold, which is the federal government's projection for 2035," Mr. Hughes said.
Much of this is a catch-up to current conditions, which remain highly uncertain, but until China demand and emerging market currencies find a floor, it will remain challenging to put an absolute floor on commodity prices.
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"The specific conditions are unique and interesting and every artist is challenged to put his paintings or performances in such historic conditions".
I haven't had time to read the whole document, but his methodology seems open to challenge, to put it politely.
It was one of the first examples, of which there would be many more, of MigrationWatch publishing what it claims are neutral facts that are open to challenge, to put it politely.
Wills, we were told, "went to a lot of trouble thinking up what to wear" (white baseball cap, sweatshirt, two gold chains), and was challenged to "put on a chavvy accent and stop speaking like a royal".
At first minister's questions, Alex Salmond was challenged to put a figure on the number of people affected.
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CEO of Professional Science Editing for Scientists @ prosciediting.com