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   2 cal, individual production and comprehension makes it difficult to accommodate the ubiquitous, intera
     3 ver, the cumulatively low incidence rate has made it difficult to accrue patients to prospective rand
     4 cids are also affected by temperature, which makes it difficult to accurately determine the nucleic a
     5 challenge of accounting for extinct species, making it difficult to accurately determine the underlyi
     6 bryogenesis; yet, tedious sample preparation makes it difficult to acquire large-scale imaging data t
     7  and intrinsic biological behaviors of cells makes it difficult to adequately describe cells, tissues
  
     9  a strong reduction of CD4(+) T cells, which makes it difficult to analyze a functional role of CD83 
    10    A limited amount of high-quality evidence made it difficult to answer all the questions asked rela
  
    12 that there are limitations to the model that make it difficult to apply for a wide range of crops--pa
    13  lack of permanent structure in these states makes it difficult to apply to them standard methods of 
    14 ferent databases and have different formats, making it difficult to apply LD score regression to esti
    15 of evolution ensuring mutual survival, which makes it difficult to appreciate the underlying dynamics
    16 on, where the presence of viral quasispecies makes it difficult to ascertain the true nature of the o
    17 pts nucleocapsid formation in the cytoplasm, making it difficult to ascertain if the Core PPAY motif 
    18  The diversity of mononuclear phagocytes has made it difficult to ascribe cellular functions to sub-p
    19 d, significant variation between studies has made it difficult to assess regulation of any given gene
    20 interference with both cellular targets, has made it difficult to assess the unique consequences of V
    21  suffer from vague-verbiage predictions that make it difficult to assess accuracy and improve policy.
    22 d biological differences among these studies make it difficult to assess the generality of these prop
    23 s highly variable over time and space, which makes it difficult to assess the average agronomic and e
    24 aphic range and a variety of habitat types), makes it difficult to assess the long-term effectiveness
    25 is balance between excitation and inhibition makes it difficult to assess the strength, or gain, of r
    26 pitalizations, missing outpatient events and making it difficult to assess guideline adherence in ear
    27 arkers vary across conditions and organisms, making it difficult to assess properties of cumulative d
    28 ment of ice, atmospheric and marine records, making it difficult to assess relationships between Anta
    29  in Vision and Ophthalmology Annual Meeting, making it difficult to assess risk for bias and applicab
    30 s with this method require zygote injection, making it difficult to assess the adult, tissue-specific
    31 BD in combination with one dose of oral THC, making it difficult to assess the nature of this interac
    32 of a given species has yet to be undertaken, making it difficult to assess the origins of variability
    33 ers affected by peripheral T-cell expansion, making it difficult to assess the role of thymic failure
    34 dure for different error-correction methods, making it difficult to assess their relative merits and 
    35 mbiguity among the sequences of many strains makes it difficult to assign reads at the lowest level o
    36 ormation on dynamics and intermediate states makes it difficult to associate the structural with the 
    37  imputed ones) fall into non-coding regions, making it difficult to associate statistical significanc
    38 10 FZD receptors and Wnt hydrophobicity have made it difficult to attribute these functions directly 
    39 detect interactions can be confounded, which makes it difficult to be certain that observed statistic
    40 lenges that confront the private sector have made it difficult to capitalize on new opportunities pre
    41  the low sensitivity of these techniques can make it difficult to capture dynamic muscle activity due
  
    43 ong processing time before the final readout makes it difficult to capture transient signaling events
    44 ediates, the transient nature of such states makes it difficult to characterize their structures.    
    45 o resolve forces across individual proteins, making it difficult to clearly establish if the LINC com
  
    47 SA has led to confusion in the field and has made it difficult to compare results across methods.    
    48  these measures are analysed and interpreted make it difficult to compare results across trials, and 
  
  
    51 may vary for different synthesis techniques, making it difficult to compare the suitability of differ
    52 n thin tissue sections or upon live imaging, making it difficult to comprehensively localize dividing
    53 hallenges in sample preparation and analysis make it difficult to confidently assign these numbers, l
    54 ck of persistent and homogenous observations makes it difficult to confidently describe its interannu
    55 tutively active is a significant limitation, making it difficult to confine knockdown to a specific l
    56 too complex to be measured by this approach, making it difficult to connect genotype and phenotype at
    57 hole-animal metabolic rate measurements have made it difficult to consistently demonstrate such a cos
  
    59 rveillance and reporting standards in Europe make it difficult to contain carbapenemase-producing Ent
    60 at is responsible for the high mobility also makes it difficult to control their motion and prevents 
    61 er, the dynamic molecular processes involved make it difficult to correlate clustering with functiona
    62 ypes is currently mostly performed manually, making it difficult to correlate phenotypic data to geno
    63 complexity of protein machines, however, has made it difficult to create assemblies with both defined
    64 is simple four-letter (A-T and G-C) language makes it difficult to create complex structures without 
    65 methods exist for orthology detection, which makes it difficult to decide which one to choose for a p
    66 wever, limited observations of root dynamics make it difficult to define and predict patterns of root
  
  
  
    70 s compared with those diagnosed in the 1970s makes it difficult to definitively determine the effect 
  
    72  an existing polarity before EF application, making it difficult to delineate EF-specific pathways.  
    73  to modulate enzymes that alter PIP2 levels, making it difficult to delineate time- or region-specifi
    74 st agents are polar and membrane impermeant, making it difficult to deliver them in sufficient quanti
    75 troduced in whole-genome amplification (WGA) make it difficult to derive accurate genomic information
    76 metal ions of similar size and charge, which makes it difficult to design a binding motif that is sel
    77 in a polyploid species have high similarity, making it difficult to design genome-specific primers fo
    78 ty to biopsy the affected tissue, the brain, making it difficult to design short and effective proof 
    79 combination with other more toxic therapies, making it difficult to design studies that allow appropr
  
    81 line fluctuation exists between individuals, making it difficult to detect low level parasitemia.    
    82 his comes at the cost of positive-mean noise making it difficult to detect weak connections, which ar
    83 nonical structure; however, limited sampling made it difficult to determine whether disordered sequen
  
    85 Earth's most rapidly uplifting mountains has made it difficult to determine whether weathering rates 
    86 n-cilia-related actions of some cilia genes, make it difficult to determine the basis of these polari
  
  
    89 nts are "pan-HDAC" inhibitors, and their use makes it difficult to determine the roles of specific HD
    90  or the use of genetically modified systems, making it difficult to determine the cell cycle stage of
    91 ctual concentration of FA in these products, making it difficult to determine the intake of this vita
    92  year to year in the absence of vaccination, making it difficult to determine what changes can be att
    93 ivity and constricts cerebral blood vessels, making it difficult to determine whether cocaine-induced
    94 equire multiple cognitive-control processes, making it difficult to determine which specific cognitiv
    95 ingle-species and single-life stage studies, making it difficult to determine which taxa will be evol
    96  intermediate transmission events, which has made it difficult to develop statistical tests to either
  
    98 s a complex and heterogeneous mood disorder, making it difficult to develop a generalized, pharmacolo
    99 evealing a high degree of interconnectivity, making it difficult to develop a simple, circuit-like un
   100 s (nAb) than do their seasonal counterparts, making it difficult to develop and evaluate prepandemic 
  
   102 n create extensive somatic genome diversity, making it difficult to develop versatile and scalable va
   103 enecks in imaging and image processing often make it difficult to differentiate interesting biologica
   104 s aggregated and aggregation-prone proteins, making it difficult to differentiate the mechanistic rol
   105 er, the complex nature of p97 substrates has made it difficult to directly observe the fundamental ba
   106 information on network formation in mammals, makes it difficult to directly investigate this hypothes
   107 strict developmental requirement for SAP has made it difficult to discern its possible involvement in
   108 outcome, although the later age at onset may make it difficult to discern if aortic stenosis or other
   109 t in the different omics data sources, which makes it difficult to discern the coordinated signal of 
   110 ed strategies cannot be determined directly, making it difficult to discern the optimal strategy.    
  
   112  up- or downregulated genes are often large, making it difficult to discriminate between dependent co
   113  Often, programs used bundled interventions, making it difficult to discuss the efficiency and effect
   114 environment evolves during cement formation, making it difficult to disentangle what factors are cruc
   115 in interactions in this large structure have made it difficult to dissect the function of its compone
   116  interconnectedness of cytoskeletal networks makes it difficult to dissect their individual effects o
   117 the brain, the ubiquitous presence of NMDARs makes it difficult to dissociate direct effects from ind
  
   119 y trace for the event but, at the same time, make it difficult to distinguish it from plausible but n
   120 sequenced, the presence of sequencing errors makes it difficult to distinguish between rare variants 
   121 ginated did not experience large expansions, making it difficult to distinguish among competing hypot
   122  mutations is distributed across many genes, making it difficult to distinguish disease-relevant muta
   123 ,5)P2 levels are slower than its metabolism, making it difficult to distinguish effects of PI(4,5)P2 
   124 rons are typically small and variable, often making it difficult to distinguish physiologically relev
   125 of their requirement in canonical autophagy, making it difficult to distinguish the contributions of 
   126 f clearly determined neuropil boundaries has made it difficult to document precise locations of neuro
  
   128 atic subsegmental PE (SSPE) are conflicting, making it difficult to draw conclusions about the approp
   129  methods to assess SDB or cognitive domains, making it difficult to draw conclusions on this associat
   130 based mostly on samples from western Europe, making it difficult to draw robust conclusions about the
   131 e are highly variable from season to season, making it difficult to efficiently evaluate breeding pop
   132 eristics of all of these viral proteins have made it difficult to elucidate their exact roles in viru
   133 rocess of transcription affects supercoiling makes it difficult to elucidate the effects of H-DNA upo
  
   135 ions in obesity and microbiome research have made it difficult to establish causality in this complex
   136 k of secondary pathology in these models has made it difficult to establish how amyloid deposition in
   137 onflicting nature of the existing literature make it difficult to establish definitive predictive fac
   138  species have fixed queen and worker castes, making it difficult to establish causality between the m
   139 increasing number and interchangeable market make it difficult to estimate the real size of their con
   140 nrecognised apparent dengue virus infections make it difficult to estimate the true extent of dengue 
   141 ble anti-Wolbachia and antifilarial effects, making it difficult to estimate therapeutic efficacy and
   142 ons between MET and ERBB family members have made it difficult to evaluate the effects of MET on EGFR
  
  
   145  uniformly succumbed to death within 6 days, making it difficult to evaluate host responses to infect
   146 ing hydraulic conditions that produced them, making it difficult to evaluate the magnitude of paleo-f
   147 c backgrounds influence cytokine production, making it difficult to evaluate which inflammatory profi
   148 y conserved binding site with acetylcholine, making it difficult to evolve resistance yet maintain nA
   149 r scaffolds often lowers the image contrast, making it difficult to examine cells and subcellular str
  
   151 re destroyed during T1D disease progression, making it difficult to extensively study them in the pas
   152 us presence of multiple different mechanisms makes it difficult to extract the information specific t
   153 s of traditional risk factors with outcomes, making it difficult to extrapolate the results of trials
   154 e low pH in the gastric juice of the stomach makes it difficult to fabricate stable and functional al
  
  
  
   158 ds, contains only two full cycles of the AMO making it difficult to fully characterize this oscillati
  
   160 olutionary relatedness in plant communities, making it difficult to generalize responses of this majo
   161 opology that comprise  50% of the structure, making it difficult to generate an accurate homology mod
  
   163 plexity of genomic alterations in cancer has made it difficult to identify oncogenic drivers for the 
  
   165   This study used administrative data, which made it difficult to identify potential confounders and 
   166    However, redundancy among most miRNAs has made it difficult to identify their in vivo functions.  
   167  and variability in treatment protocols have made it difficult to identify, precisely, the mechanisms
   168  of K(+) than that of Li(+) and Na(+), which makes it difficult to identify a high-voltage and high-c
   169 xt-dependent nature of protection mutualisms makes it difficult to identify and quantify the roles th
   170 cause the complexity of the EE commonly used makes it difficult to identify causal aspects, we examin
   171 ptiles, crucial for understanding evolution, makes it difficult to identify homologues of pallial div
   172 icrosporidia, in North America or elsewhere, makes it difficult to identify the causes of such increa
  
   174 ibe a base rate and co-occurrence issue that makes it difficult to identify the unique effects of chi
   175 al isolates are negative for known adhesins, making it difficult to identify antigens for broad-cover
   176  number of markers, which may be correlated, making it difficult to identify heterogeneity of risk fa
   177 s the recognition of allergy-causing agents, making it difficult to identify the most appropriate all
   178  vastly increases the scope of possible GEI, making it difficult to identify them with certainty.    
   179 ay become overwhelmed by the volume of data, making it difficult to incorporate newer information int
  
   181 y across neurons, even within a single area, making it difficult to infer their collective effect on 
   182  often lasts a few hundreds of milliseconds, making it difficult to infer underlying neural processes
   183 ing of cell populations is not well defined, making it difficult to integrate the output of algorithm
  
   185 r, inherent biases in high-throughput assays make it difficult to interpret experiments in which more
  
   187 onflict monitoring, and salience processing, making it difficult to interpret the dACC's specific psy
   188 well as the overwhelming amounts of data can make it difficult to intuit patterns in the data or a me
   189 with the influence of receptor polymorphisms makes it difficult to intuit the effect of beta-blockers
  
   191 e multi-step oxygen reduction reaction (ORR) makes it difficult to investigate the oxygen dissociatio
  
   193 fferent sizes by competing mechanisms, which makes it difficult to isolate pathway-specific responses
   194 form trypanosomes has not been investigated, making it difficult to judge the relative importance of 
   195 tific literature in the field of biomedicine makes it difficult to keep abreast of current knowledge,
   196 ases is highly expensive and time-consuming, making it difficult to keep pace with the rapid growth o
  
   198 ell type identification in awake animals has made it difficult to link interneuron activity with circ
   199 -HT2c-Rs are expressed throughout the brain, making it difficult to link behavioral changes to circui
   200 ardization, and involve manual intervention, making it difficult to maintain data provenance and asse
   201 is controlled by a diverse array of factors, making it difficult to make predictions about future lev
  
   203 rain range boundaries are poorly understood, making it difficult to mechanistically project range shi
   204 e that following such dietary guidance would make it difficult to meet recommended intakes for a numb
   205 mplexity of mercury (Hg) biogeochemistry has made it difficult to model surface water concentrations 
  
   207 hed by sorting often have reduced viability, making it difficult to monitor the fate of transferred c
   208 ental studies, but its slow folding rate has made it difficult to observe and characterize the foldin
  
   210 gh mosquito bites, and these common features make it difficult to obtain an accurate diagnosis by sym
   211 1), whether there were general barriers that make it difficult to obtain an eye examination (P < 0.01
   212 s (miRNAs) in small RNA sequencing libraries make it difficult to obtain efficient measurements of mo
   213 d rapid atrial electrical activity during AF makes it difficult to obtain detailed information on atr
   214 inhomogeneity and low signal-to-noise ratio, making it difficult to obtain consistent activation patt
   215 xtures suffer from intrinsic trade-offs that make it difficult to optimize both growth and transport 
   216 susceptibility to relevant human viruses and make it difficult to perform detailed molecular manipula
   217 d with a rapid linkage disequilibrium decay, makes it difficult to perform genome-wide association (G
   218 y, few chambers exist in the world, and this makes it difficult to perform large, multicenter clinica
   219 z detection have limited dynamic range, thus making it difficult to perform some basic experiments th
   220 tween surgical delivery and health outcomes, making it difficult to pinpoint a goal for surgical scal
  
  
   223 eform in a jerky way, with sudden slips that make it difficult to precisely control the deformation. 
   224 rting whole-grain intake have varied widely, making it difficult to precisely explore the relation of
  
  
   227 elationships underlying malaria transmission make it difficult to predict the impact of interventions
  
   229 respond to decadal changes in fire frequency makes it difficult to predict the effects of altered fir
   230 ngue virus infection remain undefined, which makes it difficult to predict the efficacy of new vaccin
   231 hological disparity of lophotrochozoan phyla makes it difficult to predict the morphology of the last
   232  and/or electrophysiological characteristics makes it difficult to predict their physiological roles 
   233  and/or electrophysiological characteristics makes it difficult to predict their physiological roles 
   234 se effects varies among studies and systems, making it difficult to predict a priory how changes in p
   235 t from coral to algal dominance are unknown, making it difficult to predict and plan for differing re
   236 M photodegradation remain poorly understood, making it difficult to predict how inputs of thawing per
   237  affected individuals can vary considerably, making it difficult to predict outcomes and determine th
   238 n that a complex network of pathways exists, making it difficult to predict the effect of selected mi
   239 standing of these costs remains fragmentary, making it difficult to predict the success of HGT events
   240 ithelial tumors harbor numerous alterations, making it difficult to predict which genes are required 
   241 ut how these individuals progress over time, making it difficult to provide prognostic estimates.    
   242 emporal and spatial variability of processes make it difficult to quantify determinants of local-scal
   243  is known about their spatial distributions, making it difficult to quantify their ecological signifi
  
   245 s where infections are probably most common, making it difficult to reach conclusions on how populati
  
  
   248 The likelihood of multiple reaction pathways made it difficult to relate all differences in clearance
   249 rge numbers of inputs onto a given V1 neuron make it difficult to relate them to the neuron's functio
   250 cesses such as gliosis and fibrosis also can make it difficult to replenish and regenerate neurons.  
   251  statistical power of enrichment methods and make it difficult to replicate enrichment results across
   252 complexity of the body's response to disease makes it difficult to represent this response with only 
   253 diversification is widespread in eukaryotes, making it difficult to resolve phylogenetic relationship
   254 e sources and atmospheric circulation modes, making it difficult to resolve the drivers behind millen
   255 between the hormones that regulate branching make it difficult to rule out other mechanisms of N acti
   256 nal all-atom simulations of membrane systems makes it difficult to sample large rearrangements of lip
  
  
   259 frontal cortex to the nucleus accumbens core makes it difficult to selectively enhance neuronal activ
   260 o represent completely different structures, making it difficult to separate the potential impact of 
   261  patients analyzed in the previous study had made it difficult to separately analyze right-handed and
   262 ype and subtype for efficient amplification, making it difficult to sequence samples with a rare or u
   263 xity of these more realistic, spatial models makes it difficult to simulate realistically large and c
   264 ERT and the lack of adequate antibodies have made it difficult to study telomerase-related processes 
   265 -A/C, lamin-B1, and lamin-B2, in mammals has made it difficult to study the assembly and function of 
   266 ches using the full-length, contiguous ORF2p make it difficult to study the involvement of these unan
   267  biopolymers in solution; however, diffusion makes it difficult to study the same molecule for extend
   268 ion that requires ATP and E1 and E2 enzymes, makes it difficult to study these ligases for basic rese
  
  
  
   272 atients with hydroxychloroquine retinopathy, making it difficult to surmise the clinical course of pa
  
   274 ially intermingled with wake-active neurons, making it difficult to target the sleep neurons specific
   275  bind to multiple autophagy organelle types, making it difficult to tease apart the subcellular mecha
   276 n transcriptional differences can be subtle, making it difficult to tease out real differentially exp
   277 ese cells is arduous, and the rarity of CSCs makes it difficult to test potential drug candidates in 
   278  cannot be measured directly, and this often makes it difficult to test theories of perceptual decisi
   279 cellularly differentiated ontogenetic stage, making it difficult to test their various phylogenetic i
  
  
   282  development include host range specificity, making it difficult to translate from animal models to h
   283  Its resistance to certain antifungal agents makes it difficult to treat, especially for patients und
   284 ammatory responses remain poorly understood, making it difficult to treat this deleterious condition.
   285 the retina and superior colliculus (SC) have made it difficult to uncover their precise mechanisms of
  
   287 criptions of events, symptoms, and responses made it difficult to understand teens' experiences of as
   288 e heterogeneities present in fractures which make it difficult to understand and predict the transpor
   289 pha-beta isoform combinations; these results make it difficult to understand the physiological requir
   290  structures for most RNAs are unknown, which makes it difficult to understand how RNA structure gover
   291 in axons where degeneration begins, and this makes it difficult to understand the disease process.   
   292 bles, especially the NP-electrode interface, making it difficult to understand and predict how struct
   293 ever, NS5A has no known enzymatic functions, making it difficult to understand daclatasvir's mode of 
   294 tudy the incremental benefit of ASP and RDT, making it difficult to understand the true benefits of e
   295 ociated with superconductivity, however, has made it difficult to unravel the role of quantum fluctua
  
   297 ites and overlapping substrate specificities make it difficult to use inhibitors or activity-based pr
  
   299 ntribute to their circulating concentrations makes it difficult to use them in isolation as a biomark
  
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