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Given the fact that most H5N1 infections in poultry and in humans occur in resource-poor areas where access to health care is often arduous and expensive to obtain, we hypothesized that many people with H5N1 virus infection would not have been examined by a health provider to allow formal H5N1 disease confirmation.
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The first stages of reclaiming Africa's dance heritage were often arduous.
As that wisecrack, which barely makes sense, implies, the gags are often arduous as well as sexist.
Bruce McIver, the chief negotiator for Mount Sinai, said it was often arduous to bargain with the nurses' union, explaining that it took 25 bargaining sessions to reach the tentative deal.
Independent filmmaking quickly became a business, and woe unto those filmmakers for whom it didn't: films (which, then, were shot on film) weren't cheap to make — yes, cheap by Hollywood standards, but expensive for the filmmakers themselves, for whom the fundraising process was often arduous and protracted.
He didn't mind the apartment, which did not have a river view, but the commute by subway to his downtown office was often arduous, he said, with huge crowds and, in the summer, no air-conditioning during the wait for a train.
His journey was often arduous after he left the palace.
Although this latter aim was relatively successful, it should be noted that partnership with these representatives was often arduous, particularly at the central level.
The discovery of new or improved catalysts is often an arduous task.
These findings illustrate that accessing ADHD diagnostic and treatment services is often an arduous and challenging process for adults in England.
When a family member is given a diagnosis of Alzheimer's, the spouse is often alone on an arduous road that can lead to stress, depression, poor health and eventually a decision that only a nursing home can handle the patient.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com