However, two results of this study suggest that desire to avoid GDL is at most a minor contributor to delayed licensure.
There was little evidence that GDL is a major contributor to delayed licensure; however, a substantial minority of young people do not obtain a driver's license until age 18 or older and thus begin driving outside of the GDL system, which in most states only applies to new drivers younger than 18.
DCI unrelated to CV is becoming increasingly recognized as a significant contributor to delayed morbidity in aneurysmal SAH patients.
Fear of cancer is a contributor to delayed presentation, while sanctioning of help seeking by others can be a powerful mediator of reduced time to presentation.
One study suggested the most significant contributor to delayed treatment is the patient's ability to recognize the signs and symptoms of a heart attack [ 24].
Since then, cerebral vasospasm of the major cerebral arteries has been recognized as a main contributor to delayed neurological deterioration of SAH patients, and this deterioration is referred to as delayed ischemic neurological deficits (DIND) or delayed cerebral ischemia (DCI).
Cerebral vasospasm of the major cerebral arteries, which is characterized by angiographic narrowing of those vessels, had been recognized as a main contributor to delayed cerebral ischemia (DCI) in subarachnoid hemorrhage (SAH) patients.
Systematic reviews have concluded that failure to recognise early warning signs is a key contributor to delayed presentation in clinical populations (Ramirez et al, 1999; Macdonald et al, 2006; Mitchell et al, 2008).
This showed that the main contributors to delay were false-negative chest X-rays anon-specificfic symptoms.
Transport problems and long distances have been identified as contributors to delay in reaching the health facilities [ 16, 17].
