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Conversely, for medical services that have relatively large cobalt and platinum footprints, achieving a reduction in utilization is nearly impossible given the high demand for these services.
Some countries have reported increased utilization, whereas others have reported a reduction in utilization and deteriorating quality of health services [ 7, 8].
The recovery also varied from ward to ward: two months after the epidemic, four wards still showed a reduction in utilization of more than 20%.
However, given that this is a qualitative study – these results cannot be generalised to whole populations especially in light of a plethora of large scale quantitative studies which point to copayments effecting a reduction in utilization [ 5, 7].
Inhibition of PG synthesis would result in increased cellular levels of glucosamine-6-phosphate, and the subsequent repression of glmS could increase glycolytic flux due to a reduction in utilization of fructose-6-phospate for UDP-GlcNAc synthesis.
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These adaptations are mainly characterized by an increase in amino acid utilization that parallels a reduction in glucose utilization.
Another study demonstrated a reduction in pharmacy utilization but an increase in medical utilization (particularly hospitalization and emergency department visits) after a COX-2 inhibitor PA policy was implemented [ 50].
Subsequent work showed that the Ras2 mutations also caused a reduction in glucose utilization, causing a tradeoff for the improved galactose utilization (Hong & Nielsen, 2013).
Several research groups [ 6, 10, 14, 15] have identified reductions in health service utilization and overall costs, whereas other authors reported evidence for increased utilization and costs [ 11] or inconsistent evidence for a reduction in service utilization [ 12, 16] or costs [ 17].
Experimental studies have shown that the ability of the thyroid gland to produce thyroxine is not reduced in the elderly, and that there is a reduction in the utilization of thyroxine in various tissues of the body.
This policy led to a reduction in the utilization of services especially among the poor.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com