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From the patients' perspective, SMBG is more complex, and the diabetes is often considered difficult to manage.
Managing women with CPP has been reported to be frustrating for both general practitioners (GPs) and patients: this group of women has been described by GPs as 'heartsink' patients, being considered difficult to manage and treat [ 11].
Patients were eligible if they had non-cancer pain of greater than three months duration, and we encouraged referral of patients whose pain was considered difficult to manage and in whom opioid misuse was suspected.
Also, we included all consecutive patients with idiopathic OFG referred to our unit, including those with a long history of persistent orofacial swelling (mean disease duration being 60·3 ± 86·6 months) and failure of other topical and systemic therapies (including corticosteroids), who are traditionally considered difficult to manage due to permanent fibrotic changes of affected tissues.
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Traditionally, product development and design have been considered difficult areas to manage.
The inclusion criteria were adult patients with an unplanned hospital admission for heart failure during the preceding 6 months and who the referring clinician considered had severe or difficult to manage heart failure (with or without physical or mental health comorbidities).
He had been working with a family who were known to social services, but not considered particularly at risk or difficult to manage.
In contrast, 716 (73.5%) considered the associated behavioral disorders difficult to manage.
Since connections can be difficult to manage, consider using a knowledgeable travel agent like TrueGreece (800-817-7098; truegreece.com).com
Or if one of the patients is heavy and difficult to manage, consider hiring a second aide to assist with bathing and dressing for a few hours to help the primary aide.
15 38 The aetiology is considered to be insufficient erythropoietin, and thus difficult to manage in resource-poor settings where available treatment consists of blood transfusions and iron supplements, for which there is limited evidence of efficacy.
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