This type of relationship may be more difficult to establish with less-educated, older, and single patients.
Grasses are, however, more difficult to establish and are less persistent without fertiliser (particularly N) than legumes, although some legumes will not persist on poor soils without P and trace element supplementation.
Judge Wu was appointed to the federal bench less than two years ago, and it is difficult to establish his sentencing record.
Relationships with patients and colleagues are built and strengthened over the years that are more difficult to establish when one is less experienced.
These persons tend to adopt a more passive style of communication, talk less, ask fewer questions, and especially, take a less active role in the process of choosing treatments, making it difficult to establish a therapeutic physician patient alliance [ 30].
"Unless some control is imposed on the sound level of individual voters", the researchers write, "it is difficult to establish even a two-thirds majority, much less a simple majority".
Early on, it was clear that enteral nutrition was safer, less expensive, perhaps better than TPN, but enteral access was more difficult to establish and maintain.
Generally, almost sure stability is less restrictive than moment stability, and almost sure stability results are more difficult to establish if deriving from the moment stability by the Chebyshev inequality and the Borel-Cantelli lemma.
Ultrasound-guided biopsy improves diagnostic accuracy but patients with PC frequently have multiple very small nodes of less than 5 mm and unless punctate calcification is identified, it can be difficult to establish a pre-operative diagnosis.
Because MVP is an archaeal protein, it is difficult to establish which lipids would create a physiologically relevant membrane environment that best stabilizes the channel and is less likely to promote two-dimensional aggregation.
