Even less efficient, and poorer, African countries lose out.
Similarly, the health promoters program in the Dominican Republic suffered from insufficient training, lack of continuous education, absence of efficient supervision, and poor remuneration, comments that can be extended to all health promoter programs of the region.
Again the main challenges facing communities in terms of development in SCDA are lack of funds, lack of efficient committed leaders and poor attitude towards community work.
Such an approach is in general not efficient and it shows poor significance.
These findings agree with previous reports comparing a baseline DEE to DEE with low sulfur fuel and a trap (Durbin et al. 2003), where the ER was most efficient at removing acetylene, moderately efficient at removing alkenes/aromatics, and poor at removing volatile carbonyls.
When there are backroom conversations and dealings — as opposed to direct conversations — it's less efficient and you get poorer outcomes.
The halogen-bond-mediated anion transport is surprisingly clean and efficient, given the small size and poor sophistication of the explored systems.
Therefore, the loss of MMR activity due to rapid degradation may lead to less efficient gene repair, chemo-resistance and poor prognosis.
Clearly, the RNP1 sequence RSLKMRGQAFVIF59 present within the U1-A protein induced a stronger proliferation of MRL/lpr PBLs compared to other RNP1 sequences, which were much less efficient and for some, very poor inducers.
In these studies, efficient-transmission H3N2 and poor-transmission H5N1 virus strains were reassorted to generate mutant viruses.
