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Although a history of alcohol abuse is lacking in these patients it is difficult to exclude with certainty an alcoholic etiology in some.
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However, it would have been better to perform a holter examination of the investigated calves to exclude with greater certainty the occurrence of cardiac arrhythmias.
However, we cannot exclude with certainty that some combinations might lead to a different result.
In hospitals (secondary care) patients are investigated exhaustively to exclude pathology with certainty.
It remains unclear whether this observation is related to Sb, but this possibility cannot be excluded with certainty.
This means that an adenocarcinoma cannot be excluded with certainty.
It is difficult to say with certainty.
These things are difficult to count with certainty.
Sepsis can be difficult to diagnose with certainty.
Or is it, in truth, pretty difficult to say with certainty?
His lifework of about 150 paintings was produced slowly; his works are, therefore, difficult to date with certainty.
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