This study depicts the ART program outcome of diverse cultural and ecological regions (hill-difficult topography and plain/terai-easy access to health facility) of Nepal.
That makes life on Capitol Hill especially difficult for centrists.
"The hill is difficult every year, and you don't feel good," Schild said.
With Congress in perpetual stalemate and partisanship worse than ever in Washington, navigating the world of the Obama administration, federal agencies and Capitol Hill is difficult even for the most seasoned professionals.
It doesn't take long, however, before Moore resorts to cheating by pushing his bike up hills, skipping difficult sections and even dabbling with "performance enhancing" hay-fever medication and caffeine tablets.
If you throw some hills and difficult terrain into the mix, your endurance will build even more and it'll be easier for you to run the mile quickly when the time comes.
Refusing to be a "light entertainer" like the hypocrites in Dante's inferno, Mr Hill presents a difficult world as he sees it.
P.S. Speaking of accessibility issues, articles on The Hill can be difficult to read with a screen reader because of the site's rotating ads.
These days the bachelors of the hills found it difficult to attract a wife to the modest farms they inherited.
"The attackers opened fire from distant hills, making it difficult for the police to return fire," he said.
The flat initial 7.5 miles give way to about 12 miles of difficult hills before the gentle downhill conclusion.
