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Education of out of hours staff and general practitioners was felt to be important, and seen to be difficult in practice.
Whilst poor families cannot afford to send members away for treatment, detection and identification was seen to be difficult in richer communities, because of the threat to family prestige.
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Frank Kermode observed justly that it was not until the second half of the 20th century that Keats was seen to be a "difficult" poet.
The report revealed that a view had developed among staff that victims, who were often seen to be from difficult families, were bringing problems on themselves.
Partner support was seen to be positive but difficult to negotiate.
Small lytic areas in irradiated bone may be seen and may be difficult to distinguish from metastatic disease.
In those individuals with cirrhosis, chronic encephalopathy can be seen and may be difficult to distinguish from other neurological syndromes.
As they pumped preservative into his half-naked, dirty body and as the crowd shouted to be allowed to see, it was difficult to recall that this man had once been one of the great figures of Latin America.
There was so much to see, it was difficult to even know where to look.
Although a pathogenetic link is hard to see, it is difficult to believe that a frequency as high as three out of 40 cases should really be coincidence.
We were a faceless business, we were seen as being difficult to get to, and introspective".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com