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Recently government ministers have set out their vision of the future of purchasing. Ineffective treatments will be discarded and purchasing will be based on guidelines or protocols rather than activity. But have the advocates of this approach considered all the issues? This paper examines the challenges of balancing the desire for protocol based uniformity with the needs of individual patients, explores the extent to which existing purchasing structures can support this process, and questions whether such moves will actually lead to reduced costs. In each case it is concluded that oversimplistic analyses are likely to be misleading and that much of the current debate fails to recognise the complexity of health care.  相似文献   

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Evaluation of the success of ecosystem restoration projects requires identification of appropriate ecological metrics. Comparison of reconstructed food webs (or subsets thereof) from restored and non‐restored habitats may be a valuable tool to evaluate restoration success because food webs help identify critical predator–prey relationships, keystone species, relative importance of direct and indirect trophic interactions, and other aspects of ecological function. We compared the diets of apex predatory fishes collected from enhanced and non‐enhanced portions of the channelized Kissimmee River, Florida, USA to determine whether food web structure responded to experimental hydrologic manipulations. Diets were reconstructed for black crappie (Pomoxis nigromaculatus), bowfin (Amia calva), chain pickerel (Esox niger), Florida gar (Lepisosteus platyrhincus), largemouth bass (Micropterus salmoides), and warmouth (Lepomis gulosus) collected from enhanced and non‐enhanced portions of the Kissimmee River. Prey eaten by apex predatory fishes in the enhanced portion of the Kissimmee River were quantitatively and qualitatively different from prey eaten in non‐enhanced portions of the river. Predators in the enhanced portion of the river had fewer empty stomachs, more prey items per individual, more prey types per individual, more fish prey per individual, greater overall richness of prey, and a multivariate suite of prey distinct from predators in non‐enhanced portions of the river. Results from hydrologic manipulations suggest that large‐scale restoration of hydrologic linkages between the main channel and floodplain habitats will positively affect food web structure and ecosystem function in the Kissimmee River.  相似文献   

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《Journal of bryology》2013,35(2):455-460
Abstract

Tuyamaella serratistipa S. Hatt. is reported as a new generic and specific record for the Philippine bryoflora. A detailed illustration of the species and a distribution map of the genus and the species are presented. A key to all known species of Tuyamaella is also provided, and the taxonomy of the genus discussed.  相似文献   

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Background: Prescribed burning in peatlands is controversial due to concerns over damage to their ecological functioning, particularly regarding their key genus Sphagnum. However, empirical evidence is scarce.

Aims: The aim of the article is to quantify Sphagnum recovery following prescribed burns.

Methods: We completed nine fires at a raised bog in Scotland, achieving a range of fire severities by simulating drought in some plots. We measured Sphagnum cover and chlorophyll fluorescence Fv/Fm ratio (an estimate of photosynthetic capacity) up to 36 months post-fire.

Results: Cover of dominant Sphagnum capillifolium was similar in unburnt and burnt plots, likely due to its high moisture content which prevented combustion. Burning decreased S. capillifolium Fv/Fm 5 months after fire from 0.67 in unburnt plots to 0.44 in low fire severity plots and 0.24 in higher fire severity (drought) plots. After 22 months, Fv/Fm in burnt plots showed a healthy photosynthetic capacity of 0.76 and no differences between severity treatments. Other Sphagnum species showed similar post-fire recovery though their low overall abundance precluded formal statistical analysis.

Conclusions: S. capillifolium is resilient to low–moderate fire severities and the same may be true for a number of other species. This suggests that carefully applied managed burning can be compatible with the conservation of peatland ecosystem function.  相似文献   

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The Darwinian explanation for evolution is that it is the outcome of the interaction between genetic variation and natural selection. There is now good evidence for both the existence of genetic variation and the occurrence of natural selection, the latter potentially at high intensities. The outcome should be rapid evolutionary change; yet in practice very little change is found. Most species are very stable, and in situations where evolution is observed in one species often none is found in others despite equivalent opportunity. Evolutionary failure is commonplace. Despite the occurrence of high levels of protein polymorphism, there is good evidence that the supply of variation making a major contribution to fitness is very limited. As a result it is argued that lack of evolution in most species may be due more to lack of appropriate variability than to other causes: a condition for which the term 'genostasis' is proposed. In those situations where appropriate genetic variation is available for one reason or another, evolution is found to be very rapid. There are good theoretical and practical reasons for more attention being paid to the mechanisms of supply of new variation and to those situations where evolution appears not be taking place.  相似文献   

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HU is one of the most abundant DNA binding proteins of bacteria. Unlike IHF, integration host factor of Escherichia coli, with which HU shares many properties, including a strong sequence homology and similar predicted structure, HU seems to bind non-specifically to DNA whereas IHF binds to specific sites. In this work we compare the binding characteristics of HU and IHF to a DNA fragment containing the minimal origin of replication of E. coli (oriC) and we analyse the effect of HU on the binding capacity of IHF to this oriC fragment. We show that HU interacts randomly and non-specifically with oriC as opposed to the specific binding of IHF to this same DNA sequence. In addition, we show that HU can modulate the binding of IHF to its specific oriC site. Depending on the relative concentrations of HU and IHF, HU is able either to activate or to inhibit the binding of IHF to oriC.  相似文献   

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The amino acid sequence in the 8 cyanogen bromide peptides comprising the central segment of beta-galactosidase is presented. This portion of the molecule, about 27% of the protein, contains over 40% of the lysine and tyrosine residues and has a slight excess of basic amino acids.  相似文献   

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