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Likely Effectiveness (likely + effectiveness)
Selected AbstractsVolume Overload and Cardiorenal SyndromesCONGESTIVE HEART FAILURE, Issue 2010Claudio Ronco MD To include the vast array of interrelated derangements and to stress the bidirectional nature of the heart-kidney interactions, the classification of the cardiorenal syndrome today includes 5 subtypes whose terminology reflects their primary and secondary pathology, time frame, and the presence of concomitant cardiac and renal dysfunction. Cardiorenal syndromes (CRSs) are pathophysiologic disorders of the heart and kidneys whereby acute or chronic dysfunction of one organ may induce acute or chronic dysfunction of the other. Type 1 CRS reflects an abrupt worsening of cardiac function leading to acute kidney injury. Type 2 CRS describes chronic abnormalities in cardiac function causing progressive chronic kidney disease. Type 3 CRS consists in an abrupt worsening of renal function causing acute cardiac disorder. Type 4 CRS describes a state of chronic kidney disease contributing to decreased cardiac function, cardiac hypertrophy, and/or increased risk of adverse cardiovascular events. Type 5 CRS reflects a systemic condition (eg, sepsis) simultaneously causing both cardiac and renal dysfunction. Biomarkers can help characterize the subtypes of CRS as well as suggest the timing of treatment initiation and its likely effectiveness. The identification of patients and the pathophysiologic mechanisms underlying each syndrome subtype, including fluid overload or, in general, altered conditions of fluid status, can help physicians understand clinical derangements, provide the rationale for management strategies, and allow the design of future clinical trials with more accurate selection and stratification of the population under investigation. Congest Heart Fail. 2010;16(4)(suppl 1):Si,Siv. ©2010 Wiley Periodicals, Inc. [source] GPS tracking of the foraging movements of Manx Shearwaters Puffinus puffinus breeding on Skomer Island, WalesIBIS, Issue 3 2008T. C. GUILFORD We report the first successful use of miniature Global Positioning System loggers to track the ocean-going behaviour of a c. 400 g seabird, the Manx Shearwater Puffinus puffinus. Breeding birds were tracked over three field seasons during the incubation and chick-rearing periods on their foraging excursions from the large colony on Skomer Island, Pembrokeshire, UK. Foraging effort was concentrated in the Irish Sea. Likely foraging areas were identified to the north, and more diffusely to the west of the colony. No foraging excursions were recorded significantly to the south of the colony, conflicting with the conclusions of earlier studies based on ringing recoveries and observations. We discuss several explanations including the hypothesis that foraging may have shifted substantially northwards in recent decades. We found no obvious relationship between birds' positions and water depth, although there was a suggestion that observations at night were in shallower water than those during the day. We also found that, despite the fact that Shearwaters can be observed rafting off-shore from their colonies in the hours prior to making landfall at night, breeding birds are usually located much further from the colony in the last 8 h before arrival, a finding that has significance for the likely effectiveness of marine protection areas if they are only local to the colony. Short sequences of precise second-by-second fixes showed that movement speeds were bimodal, corresponding to sitting on the water (most common at night and around midday) and flying (most common in the morning and evening), with flight behaviour separable into erratic (indicative of searching for food) and directional (indicative of travelling). We also provide a first direct measurement of mean flight speed during directional flight (c. 40 km/h), slower than a Shearwater's predicted maximum range velocity, suggesting that birds are exploiting wave or dynamic soaring during long-distance travel. [source] Enforcement, risk and discretion: the case of dangerous consumer productsLEGAL STUDIES, Issue 4 2006Peter Cartwright This paper considers the effectiveness of the enforcement provisions of consumer product safety law by examining the new legislation in this area (the General Product Safety Regulations 2005), and the broader context in which it operates. The paper suggests that to understand the likely effectiveness of the Regulations, it is necessary to examine what the author refers to as the internal and external dimensions of enforcement. The paper is divided into three parts: part one sets out the enforcement provisions of the Regulations; part two examines the internal elements of enforcement; part three examines the external elements of enforcement. The internal elements are those provisions found in the statute that direct enforcement authorities in the action they can take. The external elements are those pressures outside the statute that inevitably impinge upon the ability of the enforcement authority to make a decision. It will be argued that while recent developments make some important strides forward in protecting consumers from dangerous products, there is a risk that the law will not be enforced satisfactorily. [source] Supplementary winter feeding of wild red deer Cervus elaphus in Europe and North America: justifications, feeding practice and effectivenessMAMMAL REVIEW, Issue 4 2004R. J. PUTMAN ABSTRACT 1.,Supplementary winter feeding of game animals, and particularly deer, is a common practice throughout northern (continental) Europe and parts of North America. Feeding is normally associated with maintaining high densities of animals for hunting, in terms of: (i) maintaining or increasing body weights and condition overwinter; (ii) improving reproductive performance and fertility; (iii) increasing overwinter survival; and (iv) reducing levels of damage caused to agriculture and forestry or the natural heritage. We consider the balance of evidence on the effectiveness of winter feeding of red deer Cervus elaphus in achieving these objectives. Where that evidence is equivocal, we attempt to reconcile apparent contradictions to evaluate the circumstances under which winter feeding may or may not be effective. 2.,In general, feeding of red deer on open range appears to have relatively little effect on body weights or fecundity. Effects on increasing antler size and quality are variable and seem to depend on the degree to which animals may be mineral limited on native range. Effects on survival are similarly ambiguous. It is apparent, however, that to be effective in reducing mortality, any supplementation is required early in the season and not simply when heavy mortalities are already being experienced. If provision of supplementary foods is delayed until animals are perceived already to be in poor condition, such feeding may have little effect. 3.,One of the primary goals of winter feeding in both Europe and the USA has become the prevention of environmental damage, particularly damage to commercial and native forests, while maintaining deer populations at densities suitable for hunting. Again, empirical evidence for effectiveness in this regard is inconclusive, with some studies showing a decrease in damage caused, some showing no effect and others showing a significant increase in local impact. 4.,There are equally a number of problems associated with the provision of supplementary feeds overwinter. Those animals which come to the feeding stations may develop a reliance on the food supplement provided, reducing intake of natural forages to near zero; where feed provided is less than 100% of daily requirement, such animals may regularly lose, rather than gain condition. Feed provision is also extremely uneven at such feeding stations; dominant stags displace younger stags and hinds from the feed provided until they have themselves finished feeding. Concentrations of high densities of animals around small feed-areas may also increase the risk of infection and lead to development of high parasite burdens. 5.,In an attempt to assess the current status and distribution of supplementary winter feeding in Scotland, a questionnaire was circulated to a number of individual across the country. Results of this survey are summarized and conclusions presented on the likely effectiveness of current feeding practices in achieving their aims. [source] Estuarine eutrophication in the UK: current incidence and future trendsAQUATIC CONSERVATION: MARINE AND FRESHWATER ECOSYSTEMS, Issue 1 2009Gerald Maier Abstract 1.Increased inputs of nutrients to estuaries can lead to undesirable effects associated with eutrophication, including algal blooms, changes in species composition and bottom anoxia. Several estuaries and coastal areas around the UK have increased nitrogen (N) and phosphorus (P) concentrations, elevated concentrations of chlorophyll a and changes in algal community composition and abundance. This paper reviews the pressures that lead to high nutrient concentrations in estuaries and considers the likely effectiveness of current and proposed regulatory actions. 2.The main sources of nutrients to estuaries are river runoff, sewage discharges, atmospheric inputs and possibly submarine groundwater discharges, although little is known about the latter. Significant reductions in N and P inputs have been realized following application of the EU's Urban Waste Water Treatment Directive. Atmospheric NOx and NHx emissions have also decreased and are expected to decrease further in the next decade as implementation of existing legislation continues, and new controls are introduced for activities such as shipping. 3.Agricultural inputs reach estuaries principally through diffuse sources, either in surface water (and in some areas possibly groundwater) or, for N, via the atmosphere. Over 10 years ago the Nitrates Directive was introduced to tackle the problem of N discharges from agriculture but little change in N loads to estuaries has been recorded. 4.To meet the aims of the EU Water Framework Directive, for at least ,good' ecological status, more rigorous application and implementation of the Nitrates Directive, together with changes in the Common Agriculture Policy and farming practice are likely to be needed. Even then, the slow response of the natural environment to change and the inherent variability of estuaries means that their responses may not be as predicted. Research is needed into the relationship between policy drivers and environmental responses to ensure actions taken will achieve the planned results. Copyright © 2008 John Wiley & Sons, Ltd. [source] | ||||||||||