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It is also difficult to exclude explicitly the tsunami origin of unit 3; however, the laminations in its fine-grained part (units 3A and 3C) indicate recurring, more regular events (Palinkas et al., 2006) in the past.
Without randomisation of study participants it is also difficult to exclude the possibility that confounding by other factors could play a part.
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Misclassification bias is also difficult to exclude.
However, less "desirable" sources of overlap are also difficult to exclude.
Humour is also difficult to convey.
This cost is also difficult to quantify.
Unfortunately, they are also difficult to remember.
Qualitative goals were also difficult to achieve.
They are also difficult to cultivate.
In resource poor settings, smear-negative TB is difficult to diagnose and also difficult to exclude, especially in HIV-infected patients [3], [4].
However, it is also very difficult to exclude the possibility that overtreatment with glucocorticoids is responsible for this deceleration in growth.
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