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However, they have indicated barriers to the use and documentation of design rationale.
The most frequently indicated barriers to ultrasound use were lack of teachers, machines, and time (Figure 2).
Analysis also indicated barriers to using a smartphone application to change dietary behavior.
Only a few GPs (n = 3) indicated barriers related to time.
Others indicated barriers such as an insufficient knowledge of: patient information (n = 3), e-mental health (n = 2) and how to motivate patients to change their behaviour (n = 4).
Most GPs indicated barriers in i) using the 4DSQ (n = 15), ii) diagnosing anxiety and depressive disorders (n = 13) and iii) allocating patients correctly to care, according to the severity of the disorder diagnosed (n = 15).
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The persistent shortages of PMTCT supplies also indicate barriers in translation of research findings into action plans to address such inadequacies.
The inability to obtain needed care is referred to as an 'unmet health care need', a concept commonly used in health service research to indicate barriers to care [ 7].
In fact, looking at the lower income and educational groups separately, the utilisation profile may resemble middle- and low-income countries [ 10, 11], indicating barriers due to absolute rather than relative deficiencies.
In general there was limited reliability in terms of the study data that showed some favourable effects on outcomes for women and their newborns, but other studies indicating barriers to the utilisation of the facilities.
To determine fixed molecular differences among terminal clades (indicating barriers for gene flow), diagnostic sites for each terminal clade to all others were identified using the program MEGA 3.1 [ 55].
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