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A possible interpretation is that in the average clinical worker's eyes, the hospital's top management is so distant that it is difficult to maintain a stable perception of its qualities.
It is difficult to maintain well balanced operating conditions.
However, it is difficult to maintain a steady stratification in the downstream of fire.
(3) It is difficult to maintain a parameter difference between two neighboring zones.
Control is therefore subjective and it is difficult to maintain consistent high quality curing.
You don't stop building just because it is difficult to maintain the park.
Stress jeopardizes immune systems, and it is difficult to maintain food hygiene in disaster zones.
It is difficult to maintain ferroelectricity in the two dimensional limit.
As the complexity and amount of medical information keeps increasing, it is difficult to maintain the same quality of care.
This can be a contentious step at times because it is difficult to maintain objectivity when it comes to an idea we are passionate about.
However, it is difficult to maintain biochemical oxygen demand (BOD) concentration below 1.0 mg/L and not able to meet the standard for drinking water sources.
More suggestions(16)
it is difficult to manage
it is difficult to stay
it is tough to maintain
it is difficult to sustain
it is challenging to maintain
it is difficult to bear
it is difficult to find
it is difficult to think
it is illegal to maintain
it is possible to maintain
it is difficult to doubt
it is difficult to feel
it is difficult to follow
it is difficult to talk
it seems difficult to maintain
it is difficult to see
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CEO of Professional Science Editing for Scientists @ prosciediting.com