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The authors identified the higher speed on highways and the relatively low load capacity of cargo bikes as major barriers to the implementation of a B2C bike distribution system.
Major barriers to the implementation of EMS, either community-based or government organised, included the financial status of patients and limitations of healthcare insurance, poor transportation and other public infrastructure, and the level of technical credibility of layperson first responders.
This will be followed by group discussion to identify the beliefs, experiences and attitudes of participants regarding the discussion topic and any major barriers to the implementation of the suggested preventive strategies.
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The resulting complexity constitutes a major barrier to the implementation of bioenergy projects.
In the literature review, computer literacy was identified as a major barrier to the implementation of the EMR.
Inadequate human resources for nutrition were a major barrier to the implementation of nutrition activities (Table 3).
A major barrier to the implementation of this potentially highly productive system is cost, a factor influential in the design of H@N services nationally.
Another major barrier to the implementation of lifestyle and behavioural change recommendations reported in our study was the limited dedication time of nursing staff.
These professionals also broadly supported the use of central registers to identify potential intervention participants (similar to cervical screening), which suggests this would not pose a major barrier to the implementation of our intervention.
Similarly, Medley and Kennedy, in a study carried out in Central Uganda, also documented frequent stock-out of supplies as a major barrier to the implementation of antenatal provider-initiated HIV testing [ 23].
The need for such complex multiskilled personnel with sufficient training in EM and the need for appropriate equipment may be the major barrier to the implementation of EM in most ICUs worldwide.
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