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The resulting equilibrated populations (populations E) experience a sudden change in the selective pressure implemented as a change of the target structure from S1 to S2 (the hammerhead represented in Fig. 1b).
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In our view, a prospective assessment of geographic patterns of injury outcomes is important to (1) identify trends and patters in changing needs, (2) evaluate whether policy and practice changes implemented as a result of these types of analyses are actually having the intended effect, and (3) for identifying whether there are sub-populations that need specific support.
Workflow and staff role changes implemented as a result of the project were reported to have delivered improved clinical service delivery and a more positive work culture [ 9].
If it agrees, the changes could be implemented as early as April of next year.
This is one of the many changes being implemented as a result of the NEC Act Now! initiative.
Changes are often implemented as a result of new findings in the literature or the licensing of a new treatment, but frequently also suggested by a team member and then problem solved by the team, implemented, reviewed and audited, with further changes made as required.
A specially designed questionnaire was used to collect data on the participants' opinion of the unit-based audit meeting as a whole, on their perception of security within the group, the opportunity for each member to take part in the discussion, the educational aspect of perinatal audit, and the changes the caregivers implemented as a result of the audit meeting.
Analytical approaches have been extended to multivariate traits, characterized by a matrix of genetic covariances, with environmental change (continual or abrupt) implemented as a shift of optimum in multidimensional trait space (Gomulkiewicz and Houle 2009).
In six of the nine sites, changes in HIV services implemented as a result of the organizational intervention were sustained six to nine months following the end of project implementation.
It is too early to say if the changes that are being implemented as a result of this survey will make a long term difference.
These changes are expected to occur as part of changes in program/service delivery processes that are implemented as a part of the LCT intervention.
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