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Malnutrition frequently occurs in mechanically ventilated patients and is associated with poor prognosis [ 57] but also with reduced muscle mass and as such contributes to difficult weaning.
The lower sensitivities may be partially explained by the higher breast density commonly observed among high-risk women who receive screening at a younger age, which contributes to difficult interpretation of the examinations.
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The long hours contribute to difficult working conditions.
Harmonious? –What factor(s) most significantly contribute to difficult social relations?
The firm attributed the drop to lower results in mortgages and credit products "as continued global economic uncertainty contributed to difficult market-making conditions".
Reduced funding levels have contributed to difficult working conditions, such as larger class sizes. .
Diaphragm weakness induced by prolonged mechanical ventilation may contribute to difficult weaning from the ventilator.
Further inconsistencies within the PA assessed by each SRPAQ, limited measurement properties being evaluated and poor methodological quality of many studies, contributed to difficult data synthesis across studies.
It is unfortunate that the questionnaire did not record the proportion of interns who explain the catheterization procedure to patients in order to put them at ease, which is standard practice, as patient anxiety may contribute to difficult catheterization.
Additionally, other problems related to the study design, such as the relatively small sample size and the long period of the study, could have contributed to difficult outcome analysis.
We agree that anatomy is not the only factor contributing to difficult or failed placement of an EAD (proper relaxation, proper technique) and others may related to anatomy though, like sizing (see in the tables the estimation of used size versus optimal size).
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