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Are the investigators aware of changes in competences, behaviours, relationships and actions in any these actors or groups?
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Rather than measuring the actual case distribution, we introduce a new competence model that detects differences through changes in competence.
None of the other competence genes in these and other sequenced genomes had obvious defects, indicating that changes in competence phenotypes are due to single nucleotide polymorphisms.
The extensive variation we found in amounts of DNA taken up and recombined [16] must reflect changes in competence and transformability as lineages diverged from their common ancestor.
Differences between strains of the same species indicate that changes in competence are recent and provide a framework for identifying the microevolutionary changes responsible for the macroevolutionary patterns of competence.
This model's prediction that most changes in competence should be recent events is consistent with the recent changes inferred above, but the poor support for basal clades and disagreement between the four trees makes it difficult to determine whether some strains have persisted despite ancestrally low competence.
Highly variable day to day changes in competence can also sometimes be observed.
This can be explained by the fact that we found small changes with regard to motivation for treatment and no significant changes in competence from admission to departure.
But methodological weaknesses in assessing changes in competence (level 2) and performance (level 3), prevent us from concluding that self confidence results indeed from superior skills and knowledge.
It is part of a larger evaluation study that will employ a pre-post design to assess changes in competence levels as a result of technical assistance by the USAID-funded Strengthening Human Resources for Health Project to increase availability of competent midwives.
Opinions on the effectiveness of WPL, however, differ among the participants: while GPs were convinced of the enduring change in competences after a learning experience in a PHCT, the PHCT nurses doubted the effectiveness of it, having witnessed GPs raising the same problems and questions over and over.
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