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Although refractory hypoxemia can be problematic in managing patients with ARDS, multiple organ failure (possibly exacerbated by biotrauma) is often the cause of the patient's death [ 12- 14].
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This paper describes the experiences of Australian general practitioners (GPs) in managing problematic crystal methamphetamine (crystal meth) use among two groups of male patients: gay men and HIV positive men.
This confusion is particularly problematic in forests managed for light-demanding species that benefit from both canopy opening and mineral soil exposure as well as where harvesting intensities are high and controlled primarily by minimum diameter cutting limits.
Additionally, and more importantly, tanoak trees have little market value and compete with conifers for water and sunlight, making them problematic in forests managed for conifer timber.
But if you look at reconciliation as a step in couples therapy — a shared project in managing a highly problematic, ultimately critical relationship — it makes more sense.
What of the many options and decisions involved in managing a plantation planting problematic locations and soil types; later tending, fertilising and thinning choices; and choosing market strategies and protective strategies against fire?
While resistance is problematic and treatment failure has been reported, [ 41- 43] macrolides still play an important role in managing many infectious diseases, including other respiratory infections, trachoma and sexually transmitted infections [ 44, 45].
In general, the participants did not experience identification of depression as particularly problematic, held an optimistic view of its natural course and treatability, and felt relatively at ease in managing it.
Nevertheless, item of satisfaction scale overlapped with content in the other scales, which is problematic for managing discrepancies between different scales (5).
Given the narrow therapeutic window for most chemotherapy, this can be problematic for managing combined therapy.
"It is really problematic," said Gerald M. Boyd, managing editor of The Times.
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