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Lung examination (specifically, looking for alveolar interstitial syndrome and pleural effusions) may have added very useful information in this case and was only deferred secondary to the patient's severity of illness and difficulty cooperating with a full exam.
Many of these children have developmental or acquired cognitive deficits and may have difficulty cooperating during dental visits.
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Mr. Pace said the Chinese had encountered difficulties cooperating with Europe on the Galileo global satellite navigation system, ultimately withdrawing from the project in 2007.
He said he was not concerned whether the move suggested that the two agencies, which have had a history of long-simmering tensions over everything from the tactics of counterterrorism to credit for crimes solved, were having difficulties cooperating.
Thus they had difficulties cooperating and interacting with humans.
Difficulty of cooperating fully with colleagues because of competitive aspects of the business side of medicine.
A platform that enables the deployment of location-based services in heterogeneous indoor and WLAN-based communication systems will address difficulties in cooperating with different positioning systems.
Additionally we excluded patients with suspected presence of difficult airway or pre-existing lung impairment (pregnancy, asthma, severe renal dysfunction) as well as cardiac disease resulting in marked limitation of physical activity, corresponding to NYHA class >II, severe psychiatric disorders or difficulties in cooperating during measurements.
Patients with frontotemporal dementia were not eligible for our study, as they often have other needs, they might have had difficulties in cooperating to the programme, and it may have been difficult to mix patients with different disorders in the same counselling sessions.
"Especially this year, I've had quite a few difficulties to cooperate with the situation that I'm not playing as good as last year.
Patients with mood disorders with active psychotic symptoms or a current manic episode in the index month were also excluded because these patients may have difficulty completing self-administered scales or cooperating with the study process.
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