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They need their own words to define their needs and activities: a lexicon of objectives, outcomes and deliverables where a sense of purpose becomes a "direction of travel", where a difficulty always becomes a "challenge", a dilemma mutates into an "issue" and where serving your audience becomes "maximising stakeholder value".
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Lack of these cognitive strategies can lead to deficits in social interactions, such as that seen in autism [26], where individuals demonstrate a difficulty to cope with other humans [29] and fail to show suppressed vMPFC activity during cognitively demanding tasks [30].
In infections where there is a difficulty in achieving adequate local antibiotic concentration at the infection site, or in patients with sepsis and high volumes of distribution, high-dose daptomycin may also be advantageous [ 4, 8].
This applies particularly to the Chapter 13 bankruptcy, where due to a difficulty; the debtor is no longer able to keep up with the payment plan.
And some people have a difficulty — like, where's the protagonist?
The problem is formulated as a combinatorial optimization problem, where the difficulty of solving a Steiner tree problem typically encountered in a tree-based topological design problem is particularly circumvented.
The DIF SIZE column indicates the difference between the DIF MEASURE for this class and the baseline difficulty where a positive value shows that the item is more difficult than expected for that major, and a negative value shows that that item is favoring the according major.
Csikszentmihalyi analyzed how a person enters the flow state, how one maintains flow (engaging in a task where the difficulty matches the ability), and the factors that cause one to leave the flow state — drifting toward other mental states of anxiety, relaxation, boredom, worry, arousal, etc.
It means that families going through difficulties – where a child has special needs, or where parents are dealing with depression or joblessness, all the things that can make parenting harder – don't get picked up until later.
In general a high score represents greater difficulties, except for the prosocial scale score where a lower score indicates greater difficulties.
On a similar note, Sancho et al. described a case series where no difficulty was observed during hysteroscopic fibroid resection following UPA treatment [26].
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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