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His difficulties work in his favor.
For the 44-year-old, who suffers from severe learning difficulties, work on the factory floor in Barking, east London, with other disabled people has provided "support, advice, help and friends".
Teachers cited a number of additional factors which they felt could have acted as barriers to parental engagement with the study including: stigma, lack of confidence, denial of the problem, literacy difficulties, work commitments, fear of the unknown, lack of responsibility/organisation, and apathy.
While a community-based model of screening and treatment in primary care was largely viewed as a positive development in the current study, numerous challenges were outlined which immigrant communities may face in engaging with such a model; including fear of diagnosis, language and communication difficulties, work demands, and issues with trust and confidence in GP care.
The ten independent variables used in the analysis are age, sex, marital status, education level, income level (or economic difficulties), work status, and region to represent the socioeconomic and socio-demographic variables, and alcohol consumption, physical activity and depression status to represent the health risk and behaviour variables.
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Having experienced difficulties working with Adam, two of the company's translators quit.
The airline has had difficulties working with two union representatives on its board, they said.
Grizzly Bear are one of the only acts to speak publicly about the difficulties working as contemporary musicians.
But, despite some difficulties, working relationships between employers in the NHS and trade unions remain strong, and I'm confident we can continue to collaborate in 2016.
But even there what ought to be a PetroChina triumph is seen as a symbol of the country's difficulties working with Western interests.
Barriers to learning in a multidisciplinary engineering course included student difficulties working in multidisciplinary teams, course organization, and limited student engagement in projects.
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