It would obviously prohibit the actual owners of a network from exercising effective management of their physical property, but it could also limit their ability to put in place solutions or approaches that can reduce the theft of equally valuable intellectual property flowing over their networks.
8 Current international guidelines recommend therapeutic exercise (land or water based) as "core" 1 9 10 11 12 and effective management, given its beneficial effects, 8 13 14 15 16 ease of application, few adverse effects, and relatively low costs.
Furthermore it is increasingly recognised that at least 60 min/day of moderate intensity exercise should be undertaken for the effective management of body mass [ 30], an amount that none of the interventions included in this review achieved.
Albeit exercise is currently advocated as one of the most effective management strategies for fibromyalgia syndrome (FMS); the implementation of exercise as a FMS treatment in reality is significantly hampered by patients' poor compliance.
The recent UK National Institute for Clinical Excellence guideline for persistent LBP advocates such a structured exercise programme as one of the cost effective management options for this condition [ 23].
Well-described risk factors include age, gender and levels of physical activity and this knowledge is now being translated into effective management strategies including resistance exercise with recent interest in the additional role of nutritional intervention.
2) Does an intervention that targets DD directly add significantly to a self-management program in reducing DD? 3) Are programs to improve self-management (e.g., healthy eating, exercise) effective for distressed patients with type 2 diabetes?
Most students also agreed that effective therapies did exist for treatment of fibromyalgia, that exercise was not harmful, and that their clinical training allowed for effective management of fibromyalgia.
Insufficient patient knowledge of their illness and effective management also led to non-adherence of self-management strategies, such as exercise or low-sodium diet [ 25], inappropriate self care [ 26], and delays in seeking care [ 23].
These included offering a range and balance of services, providing quality training for staff, exercising effective leadership and management and having effective strategies for identifying families in the community, to name just several of 18 distinct dimensions of implementation subject to quantitative scoring.
