Myriad logistical and even cultural issues also hindered improvements in local public health.
Yet, a lack of catch records and biological information has hindered improvements in elasmobranch bycatch management, particularly in tropical regions.
The low incidence of diarrhea observed in both treatment groups suggests that keeping pigs in individual pens under high sanitary conditions might have hindered improvements in animal performance otherwise mediated by CDC.
One important drawback is that usually the needed closure models for the interphase forces, turbulence and coalescence and break-up are selected case-by-case, which hinder improvement of the predictive value.
In Ghana, the Newborn Health Strategy and Action plan whose goal is to reduce neonatal mortality from 30 to 21 deaths per 1000 live births by 2018 identified the issue of health financing for newborn care as one of the challenges which hinders improvement in the health of newborns.
The next step was to search for facilitators, defined as contingency factors predicted to promote quality improvement, as opposed to barriers that hinder improvement.
The debate is likely to continue, but this must not hinder improvement and innovation for a better, safer, and healthier future.
However, this result could be due to "improved coding" (p. 1206) and the authors believe that "the lack of reliable information on safety and quality of care is hindering improvement in safety across the world" (p. 1205).
