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While insufficient thoroughness of what lay people perceive as adequate hand-washing is an attractive explanation for our negative results, other alternative hypotheses may need to be formulated to reconcile our own results with those in the combined literature.
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They have to be both based on educators' experience and perceived as adequate by learners.
On a further note, the WebAnno tool was perceived as adequate and useable by our medical professionals, requiring only very limited usage instructions.
The training in the different environments was perceived as adequate and comparable in effect.
Opinions of the manual were that it was perceived as adequate and relevant for the aim of the intervention.
Another way to understand this odd result is that patient safety may have had a high priority in the wards where staffing was perceived as adequate.
One study in the developed world however, indicated that the information participants received did not have to be 'very good' or even 'good' to be perceived as adequate [ 24].
No person with a mood disorders or living in autonomous apartments was part of this cluster, which we labeled "Older, poorly educated men with schizophrenia living in supervised apartments, with ample help from services perceived as adequate".
The sort of evidence perceived as adequate and thus persuasive varied considerably across the professional memberships of innovators, with medical staff espousing almost exclusively scientifically derived evidence, while other professionals contented themselves with statistics and financial figures.
But it is also possible that, in this context, people actively searching for more information is a rarity, possibly due to the fact that the information provided by the different media is perceived as adequate.
To shed further light on the debated [ 15, 16] value of healthy individuals' regular hand-washing, we applied a previously validated methodology [ 17] in a population-based adult general population cohort, in order to quantify the association between self-reported frequency of what is perceived as adequate hand-washing and ARI incidence.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com