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The lack of guidance and formalized approaches to the development and dissemination of iCBT has arguably contributed to the difficulty in developing iCBT that is scalable and sustainable beyond academic evaluation and that can ultimately be adopted by healthcare providers.
In addition to convergent evolution in morphology, frequent appearance of new taxonomic entities through natural hybridization may have contributed to the difficulty in mangrove biodiversity assessment.
Clearly, the low detection sensitivity of this assay certainly contributed to the difficulty in detecting differences in the T cell responses of diabetic and non-diabetic subjects.
The high incidence of hypersensitivity reactions contributed to the difficulty in delivering the combination therapy.
[ 26] It seems likely that the lack of lymphadenopathy contributed to the difficulty in making the correct diagnosis.
This may have contributed to the difficulty in achieving suppression of testosterone at the lower dose level.
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The captive animals, a colony of some 40 cotton-topped tamarins, may have contributed to the difficulties in Dr. Hauser's laboratory.
Those two issues, some prosecutors said, contributed to the difficulties in the case against Mr. Strauss-Kahn, the former managing director of the International Monetary Fund who had been considered a leading contender for the French presidency.
Higher pH than usual for soil tests contributed to the difficulties in plant uptake, especially in the pots with only struvite (with highest MgO addition) as nutrient source.
These deficiencies contributed to the difficulties in managing the clinics, as can be seen from the diary excerpts below.
These issues are likely to have contributed to the difficulties in model fitting and statistical inconsistency observed for this outcome.
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