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Despite their similar beginnings, the women's lives take very different turns and a lifetime of discrimination, lost wages, lack of family recognition, and more add up to create substantial difficulties for Jackie.
Poor English skills create substantial difficulties and fears for Latinos, making them less willing and trusting toward dental care professionals.
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The membrane itself may play a role but creates substantial difficulties for structural studies.
In daily listening environments, noise corrupts speech and creates substantial difficulty for various applications such as hearing aid design and automatic speech recognition.
Such surgery can create substantial blood loss.
Mr. Kelly said the searches could create substantial traffic delays.
Most apologies are low cost and many create substantial value.
In theory, it doesn't take much to create substantial protests out of trending topics.
It creates real difficulties for defendants.
Is this situation creating substantial uncertainty and hurting the economy?
Moreover, they settle rapidly, creating substantial additional pressure drop [41].
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