BACKGROUND Nationwide surveys have shown that the prevalence of diabetes rates in Malaysia have almost doubled in the past ten years; yet diabetes control remains poor and insulin therapy is underutilized. This study aimed to explore healthcare professionals' views on barriers to starting insulin therapy in people with type 2 diabetes. METHODS Healthcare professionals consisting of general pr...

BACKGROUND A sound understanding of community perceptions and experiences regarding barriers to a healthy diet is a prerequisite for the design of effective interventions aimed at prevention of diet-related non-communicable diseases (NCDs). This study focused on exploring barriers to healthy nutrition as experienced by women participating in the Tehran Lipid Glucose Study (TLGS). METHODS A gr...

OBJECTIVES This study aimed to explore the barriers to and factors facilitating the operation of patient safety incident reporting systems. METHODS A qualitative study that used a methodological triangulation method was conducted. Participants were those who were involved in or responsible for managing incident reporting at hospitals, and they were recruited via a snowballing sampling method....

OBJECTIVES To investigate the concept of clinical governance being advocated by primary care groups/trusts (PCG/Ts), approaches being used to implement clinical governance, and potential barriers to its successful implementation in primary care. DESIGN Qualitative case studies using semi-structured interviews and documentation review. SETTING Twelve purposively sampled PCG/Ts in England. ...

In this contribution, we review the molecular and physiological barriers to oral delivery of peptides and nanoparticles. We discuss the opportunities and predictivity of various in vitro systems with special emphasis on human intestine in Ussing chambers. First, the molecular constraints to peptide absorption are discussed. Then the physiological barriers to peptide delivery are examined. These...

Medical school faculty members are charged with the critical responsibility of preparing the future physician and medical scientist workforce. Recent reports suggest that medical school curricula have not kept pace with societal needs and that medical schools are graduating students who lack the knowledge and skills needed to practice effectively in the 21st century. The majority of faculty mem...

background and objectives: balanced scorecard is an increasingly popular tool for performance evaluation. healthcare organizations have broadly adopted this method for implementing their strategic plans. there is, however, increasing concerns on barriers to balanced scorecard implementation. built on the fundamental impacts of organizational culture on hospital performance, this study explored ...

The sandwich culture of hepatocytes, between double layers of extra-cellular matrix (ECM), is a well-established in vitro model for re-establishing hepatic polarity and maintaining differentiated functions. Applications of the ECM-based sandwich culture are limited by the mass transfer barriers induced by the top gelled ECM layer, complex molecular composition of ECM with batch-to-batch variati...

How does the history of a nation’s relation to transgender subjects affect their situated imaginings national territorial borders, collectivity boundaries and gender barriers? This article offers an answer this question through close reading photographs by artist Yael Meiry. Based on visual culture analysis Meiry’s intervention in dominant Zionist historical narrative I argue that using photogr...