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The consequence has been difficulties in recruiting and retaining social workers and paediatricians, leaving children less well protected.
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There also has been difficulty in reaching and implementing decisions.
There has been difficulty establishing routes, and many smaller cities are much busier airports.
Further complicating matters, the authorities said, has been difficulty of interviewing Abigail.
"This is a historical root that has been difficulty to shake".
There has been difficulty identifying suitable housekeeping genes as a reference for qPCR.
There have been difficulties.
There had been difficulties, to be sure.
Elsewhere, too, there have been difficulties.
Although Brooks has improved Pittsburgh's record, there have been difficulties.
He said: "Of course there have been difficulties along the way.
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