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Celeste is one of those games they call "Nintendo Hard," that elusive combination of difficulty and control that cause you to be more disappointed in yourself than the game when you die.
"I think the death was a combination of difficulty with bleeding, but also brain swelling," Chang said.
All 25 patients that failed initial macular hole surgery and were not re-operated on declined re-operation either for personal reasons (a combination of difficulty with face-down positioning along with guarded prognosis) or deferred their decision to think about it and did not get back to their surgeon within a year of primary surgery.
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We encountered significant delay in opening recruiting centres due to a combination of difficulties in obtaining high-quality data for quality assurance assessment and securing approval from respective host organisations.
Replicating past studies, skilled readers, as indexed either by Nelson-Denny tests or Gernsbacher (1990) structure-building tests, showed no disruption in recall by either difficulty manipulation; indeed their recall was enhanced for certain combinations of difficulty manipulation and text type.
Other high-profile European ultras, such as Trans Gran Canaria and Transvulcania, keep growing in popularity, mainly due to their combination of fiendish difficulty and jaw-droppingly beautiful courses.
Social care and healthcare are consistently ranked as among the most stressful fields to work in – perhaps due to a combination of the difficulty of the work itself, budget cuts, a high turnover of employees, and staff shortages.
The combination of processing difficulty and visually-induced saccade suppression is responsible for the change in fixation duration when gaze-contingent display change is utilized.
What the audience of 11,771 at Pacific Coliseum had witnessed was an unprecedented combination of technical difficulty and willowy sophistication as Kim became the first South Korean skater to win an Olympic gold medal.
The trouble is, that system is mostly hidden from the outside world by a combination of language difficulty and the pitch-dark opacity that envelops much important business here.
IGN's Thomas observed that its combination of high difficulty and short length hurt its replayability.
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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