It is well recognized that cells residing towards the lumens in multilayered cribriform and/or solid intra-glandular neoplastic lesions have decreased access to blood vessels and, therefore, decreased access to both nutrients and oxygen.
Individuals of low SES in South Africa tend to reside in areas where they have decreased access to hospitals and the hospital infrastructure is inadequate and under-resourced [ 26].
Canadians residing in rural and remote locations have been shown to be at increased risk of sustaining severe injuries, and to have decreased access to definitive trauma care once injuries occur [ 58].
The most recent extension in Medicare immunosuppressant coverage appears to have had little impact on the already increasing access to waitlisting among ≥65/ disabled beneficiaries eligible for the benefit but may have decreased access for younger, non-disabled beneficiaries who were not.
In summary, our study suggests that the most recent Medicare coverage extension did not appear to change the already increasing access to the kidney transplant waitlist for the ≥65/ disabled beneficiaries eligible for the benefit but may have decreased access for the <65/non-disabled beneficiaries who were not.
Although telecommunication programs have the potential to improve attrition rates, as they can help to overcome barriers such as competing responsibilities and distance to the service, they can represent an additional barrier to patients from racial/ethnic minority groups, who are more likely to have decreased access to information technologies and lower digital literacy [ 66].
Women there had decreased access to contraception as well as to primary care providers who were simply unable to keep up with the demand.
That the FMD epidemic interval was associated with a decrease in all English regions and Wales, including London, may have been because visitors from throughout England and Wales had decreased access to affected regions.
Web services have increasing importance (p = 0.042), whilst Database direct access and Common Gateway Interface have decreasing importance.
"Over the last generation, poverty rates have decreased; almost all children have access to education; and significant improvements have been made to the child protection systems in the country," said Dr. Victor Karunan, UNICEF Deputy Representative to Malaysia.
