Part,  Chapter, Paragraph

  1    I,     2.  1    |                  borne diseases much more difficult.~ ~At the same time, the
  2    I,     2.  1    |                  including for those most difficult to reach. A major challenge
  3    I,     2.  2    |              problematic issues much more difficult to control. Globalization
  4    I,     2.  2    |                  other diseases much more difficult to carry out.~ ~
  5    I,     2.  5    |                  in working conditions is difficult as the main feature revealed
  6    I,     2.  8    |                  resultant health impacts difficult to quantify; impacts delayed~
  7    I,     2.  8    |                  resultant health impacts difficult to quantify and delayed~
  8    I,     2.  9    |                   the types of change are difficult to project.~ ~Projected
  9    I,     2. 10.  4|               that will make it much more difficult for counterfeiters to intrude
 10    I,     2. 10.  4|                 problems. It will be more difficult to achieve implementation
 11   II,     5.  1.  1|                developing dementia, it is difficult to disentangle other social
 12   II,     5.  1.  2|       heterogeneous reality. It shows how difficult it is to define care since
 13   II,     5.  2.  2|            validation and prevention more difficult to realize. For stroke,
 14   II,     5.  2.  2|               Above 84 years of age it is difficult to determine actual stroke
 15   II,     5.  2.  3|                   their interpretation is difficult due to various factors,
 16   II,     5.  2.  3|                data on morbidity are more difficult to collect and validate.
 17   II,     5.  2.  3|                   Their interpretation is difficult due to various factors such
 18   II,     5.  2.  3|                the various countries more difficult. Stroke units have been
 19   II,     5.  2.  3|                   Their interpretation is difficult due to various factors such
 20   II,     5.  2.  4|                   national level data are difficult to obtain due to the high
 21   II,     5.  2.  4|                   hypercholesterolemia is difficult to describe due to the different
 22   II,     5.  3.  7|              different countries is often difficult to analyze, due to scarce
 23   II,     5.  3.  7|          increases in costs >5% are often difficult to address with ad hoc budgetary
 24   II,     5.  4.  1|               major complications is more difficult to avoid.T2DM is potentially
 25   II,     5.  4.  1|                 this because this data is difficult to collect due to the different
 26   II,     5.  4.  2|                across countries remains a difficult job, mainly of collaborative
 27   II,     5.  4.  2|     microalbuminuria. The complete set is difficult to obtain, thus it is important
 28   II,     5.  4.  2|                 age bands is an extremely difficult indicator to collect, unless
 29   II,     5.  4.  3|     microalbuminuria. The complete set is difficult to obtain, thus it is important
 30   II,     5.  4.  4|                 IDF (median=8.7%) data is difficult to explain. A joint effort
 31   II,     5.  4.  4|              blindness is one of the most difficult to capture, as it can be
 32   II,     5.  4.  4|            capture, as it can be not only difficult to directly link this problem
 33   II,     5.  4.  4|                area will remain extremely difficult to obtain in the short term.~
 34   II,     5.  4.  6|                which becomes increasingly difficult when taken at broader geographical
 35   II,     5.  5.  1|            psychiatric diagnoses would be difficult. HBSC and SHARE are presented
 36   II,     5.  5.  2|             affecting prevalence.~ ~It is difficult if not impossible to obtain
 37   II,     5.  5.  2|                developing dementia, it is difficult to disentangle other social
 38   II,     5.  5.  3|                Literature reviews~ ~It is difficult to measure incidence and
 39   II,     5.  5.  3|              treatment compliance and are difficult to be treated in a setting
 40   II,     5.  5.  3|                 research into practice is difficult because of differences between
 41   II,     5.  5.  3|           comparison of risk factors very difficult. Considering the ongoing
 42   II,     5.  5.  3|                 the early stages of MS is difficult and there is evidence that
 43   II,     5.  6.  2|             different times is often very difficult.~ ~ ~ ~
 44   II,     5.  6.  3|                  and prevalence of OA are difficult to predict. As incidence
 45   II,     5.  6.  3|                   1988).~ ~However, it is difficult at onset to distinguish
 46   II,     5.  6.  3|                  and prevalence of RA are difficult to predict. Recent studies
 47   II,     5.  6.  3|     Non-comparability of surveys makes it difficult to understand whether there
 48   II,     5.  6.  4|               Norway (Brage, 1998). It is difficult to determine precisely the
 49   II,     5.  8.  3|                 make COPD management more difficult.~• Inter-current co-morbidities:
 50   II,     5.  9.  1|                 althought comparisons are difficult due to the technical characteristics
 51   II,     5.  9.  3|            chronic disease which is often difficult to control, asthma is responsible
 52   II,     5.  9.  4|                   and between regions are difficult because the number and the
 53   II,     5. 11.  4|                aggressive or particularly difficult to treat. A wide range of
 54   II,     5. 11.  6|              population-based surveys are difficult and costly to conduct. They
 55   II,     5. 12.  3|               national mortality rates is difficult to quantify and unlikely
 56   II,     5. 12.  5|             cirrhosis mortality trends is difficult to quantify. However, at
 57   II,     5. 12.  6|             European countries is however difficult to evaluate. In any case,
 58   II,     5. 12.  6|                appreciable – though again difficult to confidently quantify –
 59   II,     5. 14.  2|                  periodontal condition is difficult, due to the scarcity of
 60   II,     5. 14.  3|                   treatment is apparently difficult to come by. The failure
 61   II,     5. 15.  1|                 Therefore, although it is difficult to develop a public health
 62   II,     6.  3.  2|                antibiotic consumption are difficult to obtain and come from
 63   II,     6.  3.  2|               Member States, though it is difficult to understand why.~ ~As
 64   II,     6.  3.  4|                  viruses. It remains very difficult to predict when or whether
 65   II,     6.  3.  6|                   outbreaks are much more difficult to prevent and control.
 66   II,     6.  3.  6|                the last decade, and it is difficult to decide whether an increase
 67   II,     6.  3.  6|                   size of this problem is difficult to ascertain: even the best
 68   II,     6.  3.  6|             comparisons between them very difficult. Furthermore, the proportion
 69   II,     6.  3.  6|        comparisons between countries very difficult. However, the available
 70   II,     6.  3.  7|                   and any actual trend is difficult to describe. Puumala virus
 71   II,     7.  2.  9|                  injury figures is rather difficult.~ ~ ~ ~
 72   II,     7.  3.  4|             welfare, etc.). This makes is difficult to attribute competencies
 73   II,     8.  2.  3|               comparison among studies is difficult. WHO has classified hearing
 74   II,     9        |              makes this area particularly difficult to research.~ ~Recreational
 75   II,     9        |                    These are particularly difficult to study, as the drug use
 76   II,     9        |                maternal education is more difficult to obtain other than by
 77   II,     9        |            nutrition becomes increasingly difficult with increasing age. Nutrition
 78   II,     9.  1.  2|                2005a), although it can be difficult to apply the criteria precisely
 79   II,     9.  1.  2|                  coding system. It can be difficult to link several episodes
 80   II,     9.  1.  2|                   at 4.2 per 1 000. It is difficult to produce a valid prevalence
 81   II,     9.  1.  2|              makes this area particularly difficult to research.~ ~Recreational
 82   II,     9.  1.  2|                    These are particularly difficult to study, as the drug use
 83   II,     9.  1.  2|          prevention strategy, since it is difficult to reach women preconceptionally,
 84   II,     9.  1.  2|              countries are currently in a difficult position because of national
 85   II,     9.  1.  2|              registration is logistically difficult and requires resources much
 86   II,     9.  2.  3|                  neglect. It is extremely difficult to obtain any even crude
 87   II,     9.  2.  3|                 trends in fluctuation are difficult to establish, as many countries
 88   II,     9.  2.  3|                1976). Adolescents find it difficult to classify themselves appropriately
 89   II,     9.  2.  3|                types. Equally known to be difficult is access by older children
 90   II,     9.  2.  3|                 true rates of suicide are difficult to establish.~ ~School based
 91   II,     9.  2.  4|                maternal education is more difficult to obtain other than by
 92   II,     9.  2.  5|                paediatric nursing is more difficult to accept. In a context
 93   II,     9.  3.  1|                diseases and conditions is difficult. Studies on prevalence often
 94   II,     9.  3.  1|                 Trends in fluctuation are difficult to establish, as many countries
 95   II,     9.  3.  1|                has been argued that it is difficult to compare the burden of
 96   II,     9.  3.  1|                   this strand may be more difficult – not due to lack of will,
 97   II,     9.  3.  2|                   more desirable but more difficult to assess denominator: pregnant
 98   II,     9.  3.  2|                   ratios in Europe. It is difficult to interpret their meaning,
 99   II,     9.  3.  2|                   techniques bring up the difficult issue of when to terminate
100   II,     9.  3.  3|                 data for EU countries are difficult to obtain and compare because
101   II,     9.  3.  3|                the chosen age group it is difficult to compare it with data
102   II,     9.  3.  3|                   health has proven to be difficult (Wellings et al, 2006).~ ~
103   II,     9.  4.  2|                  on healthy ageing. It is difficult to find recent statistics
104   II,     9.  4.  2|                   older age groups, it is difficult to access European data
105   II,     9.  4.  3|             affect older people making it difficult for them to work until a
106   II,     9.  4.  4|            nutrition becomes increasingly difficult with increasing age. Nutrition
107   II,     9.  4.  5|              staff under sometimes rather difficult working conditions; how
108   II,     9.  5.  2| gender-disaggregated information is still difficult to obtain. Of what there
109   II,     9.  5.  3|                the survey are regarded as difficult to interpret. However, it
110  III,    10.  1.  1|                physical activity are both difficult to measure (Parsons et al,
111  III,    10.  2.  1|                   eating behaviour. It is difficult to study the relationship
112  III,    10.  2.  1|               drug use in Europe is still difficult to estimate. However, between
113  III,    10.  2.  1|                 deaths due to cocaine are difficult to identify and often considered
114  III,    10.  2.  1|                gingivitis, is notoriously difficult (White et al, 2006).~ ~Clinical
115  III,    10.  2.  1|         comparisons between countries was difficult, due to their use of different
116  III,    10.  2.  1|                  rarely severe makes them difficult to discover. Indeed, overt
117  III,    10.  2.  4|             traditional tools will become difficult. Thus, European and global
118  III,    10.  3.  1|                and indicators it has been difficult to compare the data between
119  III,    10.  3.  2|                 of chemicals is extremely difficult to assess, considering both
120  III,    10.  3.  2|                   more pervasive and more difficult to detect and correlate
121  III,    10.  3.  2|               health impact is often very difficult to assess.~ ~Table 10.3.
122  III,    10.  3.  2|                  for all of the actors is difficult to prove. The impacts are
123  III,    10.  3.  2|                   different countries are difficult to compare. However, all
124  III,    10.  3.  4|                   the different data sets difficult. This had let to a fair
125  III,    10.  3.  4|               floods, leaving people in a difficult situation, especially vulnerable
126  III,    10.  3.  4|                   likely to make recovery difficult. Some previous studies suggest
127  III,    10.  4.  1|                  relevant locally and are difficult to address.~ ~Particulate
128  III,    10.  4.  2|              desirable, validation may be difficult or, in case of rare events,
129  III,    10.  4.  3|                  trends at European level difficult. The available data show
130  III,    10.  4.  4|                   allergies, which may be difficult to identify. For a detailed
131  III,    10.  4.  5|            Increases in relative risk are difficult to detect as they are caused
132  III,    10.  4.  5|                across Europe, it is often difficult to find politically acceptable
133  III,    10.  4.  5|          therefore, remediation are often difficult to identify as the polluters
134  III,    10.  4.  5|                 the clean-up of the sites difficult to manage, time-consuming
135  III,    10.  5.  1|              probably very important, but difficult to quantify. Within the
136  III,    10.  5.  1|               risk factors and it is very difficult to integrate them into one
137  III,    10.  5.  1|               inadequately controlled and difficult to manage without a stable
138  III,    10.  5.  2|              comparable. Therefore, it is difficult to evaluate the available
139  III,    10.  5.  2|            regions. Therefore, it is very difficult to make a general statement
140  III,    10.  5.  3|                  in working conditions is difficult as the main feature revealed
141  III,    10.  6.  3|             sexual incidents is extremely difficult in victimisation surveys,
142   IV,    11.  1.  1|                 population basis. Even if difficult to quantify or measure,
143   IV,    11.  1.  3|                  that measurement remains difficult. In assessing the contribution
144   IV,    11.  1.  3|                 indicators are incredibly difficult to measure and even more
145   IV,    11.  1.  3|                  to measure and even more difficult to compare across countries.~ ~
146   IV,    11.  1.  5|                 improving quality is very difficult (and that efforts have generally
147   IV,    11.  1.  5|             Mossialos, 2004). While it is difficult to monitor and enforce these
148   IV,    11.  1.  5|                 be seen in Austria. It is difficult to glean any conclusions
149   IV,    11.  1.  5|                 of medical errors remains difficult.~ ~Not only do adverse events
150   IV,    11.  1.  6|          characterized by slower and more difficult than anticipated implementation,
151   IV,    11.  2.  2|                public health is extremely difficult to accurately measure and
152   IV,    11.  5.  4|              number of donors, it is very difficult to reduce the number of
153   IV,    11.  5.  4|                  may make it particularly difficult to address. This leads to
154   IV,    11.  5.  4|                match. Urgent patients and difficult recipients (children, highly
155   IV,    11.  6.  3|             spending on healthcare may be difficult to separate from overall
156   IV,    12.  1    |                health products, with many difficult ethical aspects in the case
157   IV,    12.  2    |                   eating behaviour. It is difficult to study the relationship
158   IV,    13.Acr    |              health spending is extremely difficult to accurately measure and
159   IV,    13.  5    |                dementia, are particularly difficult to cope with. Dementia is
160   IV,    13.  6.  2|                  to neglect or abuse more difficult to achieve.~ ~The advisory
161   IV,    13.  6.  2|             surveys. Outcome measures are difficult to define and measure. Screening
162   IV,    13.  7.  1|                  a good strategy; this is difficult, because "good practice"
163   IV,    13.  7.  1|                because "good practice" is difficult to apply in an area which