Sentence examples for coupled with difficulties in from inspiring English sources

That strain, coupled with difficulties in helping themselves, leaves both patients and physicians at risk.

This is largely due to the complex design of many of the interventions, coupled with difficulties in measuring the outcome and impact of these interventions.

The highly contagious nature of these infections coupled with difficulties in diagnosis and therapy often contributes to catastrophic herd outbreaks resulting in severe economic loss.

The roving European biennale Manifesta, slated for St Petersburg at the end of June, is in the balance: in an interview on German television, its chief curator Kasper König said the new anti-gay law coupled with difficulties in working with Russians might yet make him pull the plug on the whole event.

Second, incomplete PET scan data coupled with difficulties in scan interpretation resulted in variations in the definition of a "positive" PET scan.

In Nigeria, urban bias in public health expenditure, inadequate financing coupled with difficulties in attracting health workers to and retaining them in rural areas have limited government's ability to create an accessible community-based health care system [ 26] which could reduce inequities in rural urban health facilities.

These two resignations make for a continued rocky start to the Obama administration coupled with difficulty in forming a coherent foreign policy.

In addition, a need to understand HAND progression across an HIV individual's lifespan, coupled with difficulty in obtaining brain samples, has made cerebrospinal fluid (CSF) sampling a surrogate endpoint for assessing HAND development [ 10].

Low levels of the prion protein in blood coupled with difficulty in detection due to the inability to distinguish the abnormal disease form PrPd in a background of normal PrPc have hindered the application of a blood based pre-mortem assay using PrPd as a marker.

More severe symptoms include headache, particularly coupled with difficulty in passing urine, fever, vomiting, convulsions and possibly falling into a coma.

In this study, poor performance in information searching tasks is modeled to be coupled with difficulties caused by poor mental models of operators or/and poor HMI design.