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There is no coastal plain; through much of their extent the mountains terminate abruptly at the sea in cliffs, some of them higher than 1,600 feet (500 metres), making communication difficult between the coastal ports and the interior.
In an inner city environment, many patients have low literacy levels or speak Spanish, making communication difficult.
Furthermore, at all sites, health professionals reported a language barrier between Malay staff and Chinese and Indian patients, making communication difficult; this was further complicated given the indigenous languages in rural Sabah.
Other exclusion criteria included asymptomatic patients identified with suspected cervical cancer through screening, and patients who had disabilities making communication difficult such as hearing and speech problems or a clinical diagnosis of a mental illness.
Similar(55)
"If you don't like or trust that physician, it makes communication difficult, and why would you communicate with somebody you don't trust?" Academic-affiliated cardiologist.
This made communication difficult.
The time gap between himself and his father which makes communication difficult.
The tracts blocked development, made communication difficult, and drove up the cost of land.
The gulf between them and the scientists race, class, education was enormous and made communication difficult.
Its tumbling motion meant it could not turn its solar panels towards the sun and made communication difficult.
The scale of the recent devastation has been slow to register in the wider American imagination, partly because infrastructure damage has made communication difficult, if not often impossible.
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