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His discovery of flint implements in Suffolk demonstrated the presence of skilled workers during the Pliocene Epoch (5.3 million to 2.6 million years ago).
The presence of skilled workers is also a testimony of modernization carried out on these farms, in much of the last quarter of the nineteenth century.
Verifying the identity of a person using handwritten signatures is challenging in the presence of skilled forgeries, where a forger has access to a person's signature and deliberately attempt to imitate it.
While births in the presence of skilled birth attendants rose from 57%to74%4% between 1990 and 2013, the authors warn that many women in poor and rural settings do not have access to such care, while the increase in coverage does not necessarily mean such care is of high quality.
Historical studies have shown that, in many instances, the presence of skilled and knowledgeable individuals is the most important element in the successful adoption and adaptation of knowledge and technology from outside a culture.
Despite the research on EWS outcomes, the original EWS was developed not as a predictor of outcomes but solely as a tool to 'secure the timely presence of skilled clinical help by the bedside of those patients exhibiting physiological signs compatible with established or impending critical illness' [[10]].
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As it plays out at the level of actual service provision, the emphasis in the maternal health field has been on mere contact that is, it has focused on having women deliver in the presence of a skilled birth attendant, simply assuming that the "skilled" provider will do all that is required.
Skilled birth attendance here is defined as the presence of a skilled attendant (as opposed to a trained attendant, as a trained/qualified attendant, i.e., not necessarily competent or skilled) and an enabling environment which includes adequate supplies, equipment, and infrastructure as well as efficient and effective systems of communication and referral (40).
However, the effect became attenuated when individual-level indicators were included for whether the mother received skilled antenatal care during pregnancy and had the presence of a skilled attendant at birth (odds ratio: 0.97, 95% CI: 0.92 1.01, Model 4 of Fig. 3a).
While government officials might emphasize the presence of high skilled workers, many can be found in low skill environments, including the oil, agriculture, and construction industries.
7 The 2011 national survey reported that 65% of women still delivered at home and only 36% of births occurred in the presence of a skilled birth attendant, 8 whereas the national target is to achieve 60% of births via skilled birth attendants by 2015, in order to meet the Millennium Development Goal 5 target of 134/100 000 live-births.
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CEO of Professional Science Editing for Scientists @ prosciediting.com