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In this way different therapeutic and dietary alternatives can be tried out, allowing the patient to gain experience in achieving glycaemic control.
It may also reflect difficulties that GPs experience in achieving mental health referrals for this group of young people.
Alternately, while the participants are accessing this information and care, they may still be reporting the difficulties they experience in achieving these outcomes.
34 The value of short and intensive retraining and reorientation courses for colonoscopists of varying experience in achieving high standards has been well established.
In accordance with previous studies, glycemic control tended to worsen over time, pointing to the difficulties many adolescents experience in achieving good glycemic control, which is probably due in part to hormonal changes associated with the teenage years.
Poor intervention effectiveness seems to be related to inadequately addressing (social) barriers that women experience in achieving a healthy weight gain in pregnancy, such as a perceived lack of control and contradictory and conflicting messages about nurturing behaviours during pregnancy [ 56].
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"Given the difficult business environment, concerns remain over possible additional credit costs, and the difficulty Mizuho may experience in quickly achieving its aims," said Yuri Yoshida, a credit analyst at Standard & Poor's.
Given the difficulty our health service has experienced in achieving its present 0.8% annual efficiency gain, managed in part by freezing the salaries of its staff, it seems wildly optimistic to expect it to triple its efforts.
Secondary hypotheses are concerned with factors affecting the degree of success that LCTs experienced in achieving the goals they established for themselves.
Positive experiences in achieving such tasks will in turn enforce parents' emotional balance through so called positive-feedback loops [ 16].
"In addition, Kmart's warning that 2001 results will be below expectations, and its announcement that it is reviewing business plans for 2002 and 2003, may indicate that it will continue to experience difficulty in achieving significantly improved sales results from its operating and pricing strategies".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com