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In spite of these efforts, the high rate of pregnancies and STIs in this cohort underscores the difficulty of prevention promotion in this population.
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A better understanding of reasons behind the difficulty of primary prevention has been recently carried out in Tanzania, emphasising the negligence of patients and also medical staff regarding the importance of consulting and treating sore throats.
Mittelmark et al 40 also pointed to the difficulty of financing long-term prevention efforts.
This may lead to a result that older MSM hide their sexual identity, thereby increasing the difficulty of reaching them by prevention interventions.
The difficulty of measuring the success of dropout prevention programs is not unique to Texas.
"The difficulty of correlating,….
The difficulty of baseball is imperious".
Janet Malcolm on the difficulty of writing autobiography.
Talks about the difficulty of writing.
Hence the difficulty of replication.
for the difficulty of the task.
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