There follows a description of the strategies and procedures that we have developed to address certain of the difficulties specified above.
Similarly, it could also be considered to incorporate some references to the duration and frequency of the sleep difficulties specified by the MISS items, possibly by integrating this with the response options.
Analysis of early mortality after trauma is further complicated by difficulty specifying the time of death.
Although some informants had difficulty specifying the reasons for their distress, most located both the causes and the solutions of their afflictions in the domain of everyday life and social relationships, not in the brain or the unconscious.
The challenges include difficulty specifying a workable definition of quality, challenges determining appropriate levels and locations of measurement, and problems interpreting the meaning and significance of change alongside the effects of case-mix and other factors [ 14- 16].
Psychologists point out that evidence from IQ testing should always be used with other assessment evidence in mind: "In the end, any and all interpretations of test performance gain diagnostic meaning when they are corroborated by other data sources and when they are empirically or logically related to the area or areas of difficulty specified in the referral".
The difficulties include specifying actor roles, designing a process with phases and activities, and instantiating and enacting an adequate process script.
However, Korcz acknowledges that this is not a fully satisfactory solution to the problem of deviant causal chains, given the difficulties of specifying exactly which events are internal to one's cognitive system in the appropriate way.
Despite the promise of that approach, there were difficulties in specifying the full projection matrices, the properties of the linkage parameter were not fully developed, and the eigenvectors were not related to the projection elements.
Some have pointed to the difficulties of specifying exactly what is desired: even if Nora wants to now drink a cup of tea, she might protest that she hasn't received what she wants if it turns out that the tea is very stale, or laced with arsenic, or brought by a robber, or … (e.g., Lycan 2012).
As for any patient with neurologic deficits, a multidisciplinary approach is key to limiting and overcoming disability; however there are particular difficulties in specifying a 'core team' because people with MS may need help from almost any health profession or service at some point.
