and at the cell level (tool failures, robot collisions, etc).
The African Mining Countries have developed their own vision and an action plan.5 These tools, though, overlook the harsh reality of structural deficits and unfavourable conditions as well as the obstacle of adapting and applying the tools at the local level.
This is crucial because, regardless of the origin of the decision tool, the implementation of the tool occurs at the hospital level [ 22].
However, the effect of this approach is hardly ever measured at the hand tool performance level.
There have been relatively few improvements in commercial CAD or CAM systems that would help machine tool users to take maximum advantage of high speed machining; rather the majority of the approaches have been undertaken at the machine tool controller level.
Reliability studies of the Clinical Dementia Rating show that at least five administrations of the tool at each severity level are required to achieve interrater reliability [ 38].
"We are convinced of the irreplaceable usefulness of this tool at the European level".
There is no simple blueprint for leading this kind of attitudinal change at a national level, but the "safe motherhood committees" are a savvy dissemination tool at the tribal level.
Family thus becomes merely a tool at the policy level.
