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The diagnosis should be suspected when it is difficult to traverse the left renal vein from the IVC especially if a reverse curve catheter is ultimately required (from a transjugular approach) to catheterize the more distal left renal vein.
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While similar in size to Oblivion's game world Cyrodiil, the mountainous topography of the world inflates the game space and makes it more difficult to traverse than the relatively flat Cyrodiil.
Some of the sites are quite steep and difficult to traverse, especially when the ground and rocks are slick with mud.
The fungus is difficult to traverse, provides invisibility for the enemy, provides few resources, and spawns "mindworms" that attack population centres and military units by neurally parasitising them.
It is likely that in Lasbela, where the terrain is mountainous and difficult to traverse, even when vaccination teams supposedly visit the community they are not reaching the most remote households in the communities.
It's difficult to access the factories in case of emergency: It took firefighters all night to put out a fire in a Bangladesh factory last year that killed more than 100 people, reportedly because the access road to the factory was difficult to traverse.
The underground environment is unique and complex in that the lighting conditions are poor, the roads are difficult to traverse, and no GPS can accurately receive signals in these areas.
Even if there is a single island, missing entries create a very flat landscape which is difficult to traverse with tree search algorithms because the number of equally parsimonious trees that need to be saved and swapped to effectively move around the plateaus is too large.
Dozens of United States and European officials had streamed into Tbilisi to serve as consultants or observers, and on the eve of the vote it was difficult to traverse a hotel lobby without passing an American congressman.
5 Persons in southern Vietnam are recognized as being more independent and having some language differences compared with persons from the north, and the terrain throughout the Mekong delta can be difficult to traverse because of rivers, tributaries, and canal systems.
Near Qinā, the plateau breaks up into cliffs about 1,600 feet (500 metres) high and is deeply scored by wadis, which make the terrain very difficult to traverse.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com