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Two-thirds of patients (126 out of 183) rated at least one item at '2 – quite a bit of difficulty' or '3 – very much difficulty'.
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"I respect very much the difficulty it is imposing on many of our exporters.
"Our team knows very much firsthand what difficulty this city is going through".
Our position has been very circumspect — we are very much aware of the difficulties Egypt is going through and we cannot take sides".
Having spent most of his career in the enterprise software business, he's very much aware of the difficulties of integrating legacy systems and following existing compliance laws.
("I believe you might become a very popular trashy novelist without much difficulty," his Princeton friend and mentor Edmund Wilson volunteered, on reading "Paradise").
My feeling is that Ryan's "people" should very much clinicalise this little local difficulty in Rio in order to contain it.
Response categories were used to measure severity included (1) No difficulties, (2) Difficulties do not affect functioning, (3) Difficulties affect functioning somewhat, (4) Difficulties affect functioning a lot, (5) Difficulties affect functioning very much.
The SDI-21 [ 27] assesses various everyday difficulties commonly experienced by cancer patients, including relationship difficulties, domestic problems and financial worries; 21 questions (e.g. "have you felt isolated", "have you had any financial difficulties") are answered on a 0 (no difficulty) to 3 (very much) scale with respect to the past month.
But they do also tell of many positive things: how much they appreciate love and support, how hopeful they are about the future and how, despite current difficulties, they very much want to contribute to building a better world for all.
They very much wanted children, but were having difficulty.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com