Notwithstanding the inherent logistical difficulties of long-term engagement with transhumant and nomadic societies, meaningful contact with the Fulani is vital to gain their trust and confidence, contributing to the development of sustainable pastoralist-government relationships.
Because of the difficulties of long-term field experimentation in the region, not all observed events can be considered equally well recorded; in particular, detection of exogenous water inflow occurrences that may alter Wankama runoff estimates is needed.
The fact that these effects disappeared later, emphasizes the difficulties of long-term disease management in these settings.
The court acknowledged the particular difficulties inherent in cases of long term residents: The exercise of that power in relation to a non-citizen who has been in this country for many years, with strong and deep social, family and human roots here is bound to be complex and difficult.
The logistical difficulties and considerable expense of long term placebo controlled clinical trials of dietary components mean it is unlikely that high level evidence linked to cardiovascular disease outcome will be obtained in the near future.
Furthermore, the reduced culture time and as yet unclear correlation of in vitro culture time points with in vivo development suggest that in vitro models may encounter difficulty in recapitulating aspects of long term chronic neurodegeneration.
"There is no specific mention of long term learning difficulties, of low verbal IQ or autistic spectrum disorders.
But others do not, and the industry is bemoaning the difficulty of long-term planning.
Even people who understand the difficulty of long-term weight loss often turn to dieting because they are worried about health problems associated with obesity like heart disease and diabetes.
A major difficulty of long-term projects such as the registration of diseases is to sustain the initiative over the years.
This may have resulted from the difficulty of long-term follow-up in patients undergoing malignant pelvic tumor surgery due to the rarity of the surgery, the high incidence of postoperative complications resulting in amputation or reconstruction breakage or removal, or relatively early death from exacerbation of the disease.
