Infection with Acinetobacter spp. and some members of the Enterobacteriaceae present clinicians with considerable challenge, especially since resistance to carbapenems is becoming increasingly prevalent [ 1, 2].
Working in these areas remains a considerable challenge, especially when taking into account the poverty, limited access to health care and geographical isolation of these indigenous people [ 27, 28].
It remains a considerable diagnostic challenge, especially in the absence of pulmonary infection, as the disease can mimic various gastrointestinal disorders, particularly the inflammatory bowel disease, colonic malignancy, or other gastrointestinal infections [ 7, 12].
The situation proved a considerable challenge for IMPAKT especially in the Northern Territory -where the overwhelming majority (90%) of patients are Indigenous and have come to treatment from remote/very remote communities.
There were also considerable challenges to collecting the letters for the audit especially in the first part of the audit cycle where GPs had to identify letters penned several weeks or months previously.
However, a number of political economy issues, especially the division of power between central and local levels of government, create considerable challenges for flood management reform.
Low temperature of cryogenic propellant components may pose considerable challenges when chilling down, fueling and storing components as well as draining fuel tanks and starting PS, especially under zero gravity conditions in long-term space flights.
As observers outside of China warn of a looming Chinese end game in global energy assets, manipulated by Beijing, leading policymakers inside of China are facing considerable challenges governing major energy companies especially those that the state owns.
Still, considerable challenges remain.
Mr. Obama has considerable challenges.
