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Table 5 shows the frequencies of occupational group and other factors and ORs for the low competence of total activities.
The low competence of Ae. vittatus and Ae. luteocephalus is discordant with the high abundance of these species and their frequent association with ZIKV in the field [ 19, 35, 36].
The only exception is the relatively low competence of our 14 isolates belonging to serotype 9V, in which international Spain9V had usually been reported to have in vivo capsular transformation (35, 36 ).
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Nine (7.3%) graduates received a rating of 'Variable' or 'Low Competence' on at least one of their individual assessments as an intern.
Some of these challenges may include a lack of human resources, especially the technical specialists; an unequal distribution of health facilities in urban and rural areas; ensuring a regular supply of drugs and consumables in health facilities; poor quality of referral services; and low competence levels of birth attendants at providing emergency obstetric care (27, 34, 35).
This particularly applies to the distinction between adherence and competence which is of little consequence if the matter of concern is the overall standard of the treatment provided; for example, high adherence is of little interest in the presence of low competence (i.e., doing the right things badly), and vice versa (i.e., doing the wrong things well).
The strongest candidate is strain PittEE; although different trees assigned it different close relatives, it was always most closely related to a strain of low competence (strain 22.4-21 in the MLST trees, strain 86028NP in the Genome tree, and strain R2846 in the Uptake/transformation tree).
However of these nine only three (2.4%) received an overall rating of 'Variable Competence' for that rotation and no graduate received an overall rating of 'Low Competence'.
Second, the participants seem to be quite aware of their low competence in deciding about vaccination.
A five point Likert Scale was used to record the competence, from 'High level of competence' through to 'Low competence'.
The low competence was also significantly increased with later time of obtaining first qualification and CBT training.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com