Barriers in skill application were issues of governance/politics and bureaucracy, inappropriate placements, frequent transfers, lack of support from the system/seniors/staff, inadequate powers to implement certain procedures, lack of infrastructure, lack of community support, contractual positions and lack of planning by the state government.
Nine reasons were opted by the respondents; they are heavy workload, non-cooperative boss, lack of incentives, absence of social security benefits, low-pay structure/compensation, lack of on-the-job training, frequent transfers, lack of new skill development and absence of technology in their work.
The most common reasons for delay in transfer were lack of available surgical-floor bed (71% (114 of 160)), lack of room appropriate for infectious contact precautions (18% (28 of 160)), change of primary service (Surgery to Medicine) (7% (11 of 160)), and lack of available patient attendant ("sitter" for mildly delirious patients) (3% (five of 160)).
However, huge size of BIM files, multi-domain fragmented nature of the industry, and file-based exchange of BIM information lead to problems like data transfer inefficiency, lack of interoperability, and data inconsistency.
When they are not educated, there is an inter-generational transfer of lack of appreciation for the value of education.
Retroviral gene transfer vectors lack most retroviral protein coding sequences while retaining the viral packaging signal and the 5′ and 3′ terminal repeat sequences (LTRs), which are required for DNA integration (Thiel and Rössler 2007; Nolan 2009).
In a second sensitivity analysis, we excluded patients who commenced RRT of more than 2 days after transfer; the lack of association between inter-hospital transfer and 30-day mortality was consistent with the findings of the primary analysis (adjusted OR 0.68, 95% CI 0.36 to 1.28) (Additional file 4).
He faced periodic rebellions by some of his 500 priests, who complained of peremptory transfers and lack of dialogue.
In Artforum recently, the critic Amy Taubin, reviewing an exhibition of Andy Warhol films at the Museum of Modern Art in New York, assailed the museum for showing "crude video transfers" that "lack the seductive visual qualities" of the original celluloid prints.
Income from advertising, media distribution and ticket sales have helped produce the record revenues, but the Dortmund chief believes it is the outlay on transfers, or lack of, that have boosted profits.
