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Diagnosis of rickettsial retinitis remains presumptive when gold standard tests are not available or not done due to financial constrains.
The partnerships with various stakeholders is a good initiative which has been hailed as the key factor in revitalising inner cities especially considering the financial constrains that riddle local authorities.
Although pre-op CT scan or MRI could be the better option but considering the availability and financial constrains especially in developing and underdeveloped nations, ultrasonography seems to be a useful tool to aid in exploration.
Authors motivate this protocol due to cetuximab financial constrains.
Being a developing country, financial constrains do not allow us to utilize these sophisticated preventive measures.
Also, we did not do confirm MRSA status by doing mecA gene due to financial constrains.
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The Financial constrain (barrier no. 3) is the most independent driving barrier as shown in Fig. 4 (supporting H1).
(a) Financial constrain is the most independent barrier to JIT production which is at top level VII in ISM model (Fig. 3).
This is probably related to the low utilization rate of anti-TNF in our cohort and some patients had stop anti-TNF prematurely due to financial constrain.
In healthcare, not all of the DMUs are producing at the same scale, which might be due to many factors, such as financial constraints, technical constrains, or poor organization.
In particular, "whenever capital is freely mobile, the global financial cycle constrains national monetary policies regardless of the exchange-rate regime".
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