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With almost no permanent vegetation in small headwater catchments, and with few physical obstacles to reduce runoff velocities, runoff concentration along linear landscape elements (plot boundaries) or thalwegs frequently causes ephemeral gullies to form — the latter reflecting the poor hydrogeomorphic condition of the land- and soilscape.
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The biggest obstacles to reducing twins in infertility treatment are not medical, experts said, but the lack of insurance coverage, as well as pressure from patients to be aggressive.
It is one of the major obstacles to reducing health care costs.
Sixty two (89.9%) obstetricians and 64 (81.0%) midwives identified obstacles to reducing the episiotomy rate, while 5 (7.3%) obstetricians and 13 (16.5%, P = 0.09) midwives stated there were no obstacles.
Although the generalisability to other settings and patients is unknown, authors have commented that safety-net facilities may experience greater obstacles to reducing readmissions.
In Bolivia, geographical and cultural barriers, rather than economic issues, remain the major obstacles to reducing the mortality rate among children under five.
Known obstacles to reducing the MMR in developing countries include lack of material and human resources, as well as difficulties in accessing services due to financial, geographical and cultural limitations.
"If it persists, it will create an additional obstacle to reduce hunger," he said.
The American Cancer Society now says the greatest obstacle to reducing cancer deaths is lack of health insurance.
The American Cancer Society has said that lack of access to medical care is a major obstacle to reducing death rates.
Experts agree that the key obstacle to reducing waiting times, apart from lack of funding, is getting appropriately trained staff to fill posts in gender identity clinics.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com