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Malo kingi and Carukia barnesi, two box jellyfish named for people whom they've stung, and each the size of a thumbnail, are known to induce Irukandji syndrome, which can cause a rapid heart rate, difficulty breathing, back pain, brain hemorrhaging, and the sensation, as Yanagihara experienced, that you are about to die.
But challenges including the city's high violent crime rate, difficulty in providing needed services and the well-publicized bankruptcy itself have made that difficult.
More than 40 workers in 2014 alone reported smelling vapors and became ill with "nosebleeds, headaches, watery eyes, burning skin, contact dermatitis, increased heart rate, difficulty breathing, coughing, sore throats, expectorating, dizziness and nausea, Several of these workers have long-term disabilities".
Although histologically benign, these tumors are associated with a poor prognosis due to propensity for metastasis, high recurrence rate, difficulty of obtaining complete resection, and frequent extension into and along major veins.
For example, when asked to rate difficulty in functioning, some individuals will compare their current status to past performance; others will make comparisons with other patients; still others will base ratings on what they expected or imagined when they heard the term "cancer".
To ask the patients to rate difficulty, activity limitations according to International Classification of Functioning, Disability and Health ICFF) [ 30] instead of ability (impairment), as common in orthopaedic rating scales, provides a possibility for the patient to individualize the importance of each item.
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The merits of the method in relation to barrier identification (e.g., qualitative methods due to anticipated response rate difficulties with use of a questionnaire) are not commonly discussed.
40 Due to poor disease surveillance, low level of reporting, low case fatality rate, difficulties in diagnosis, and inconsistent comparative analyses, the true incidence and impact of dengue is likely significantly higher than that which is currently reported.
Doctor JN, Wolfson AM, McKnight P, Burns SP. The effect of inaccurate FIM instrument ratings on prospective payment: a study of clinician expertise and FIM rating difficulty as contributing to inaccuracy.
Objective: To test whether clinician expertise and FIM[trade ] instrument rating difficulty explain clinician overconfidence in FIM rating accuracy.
This study investigates the effects of noise and whole-body vibration on saliva cortisol levels and subjectively rated difficulty and stress while performing cognitive tasks.
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CEO of Professional Science Editing for Scientists @ prosciediting.com