Indeed, as public expenditure pressures bite in the years after the next spending review, similar effects will almost certainly feed through into the NHS, schools and the police.
"The challenges related to narrowing the budget gaps include greater volatility in the state's revenue base, reflecting its increasing reliance on royalty income, expenditure pressures related to the rapid expansion in the state's economy and population, and a weak policy response to the deteriorating financial and debt position," Moody's said.
Vitacca and colleagues [ 13] assessed diaphragm energy expenditure (diaphragmatic pressure-time product [PTPdi]), lung resistance and elastance, arterial blood gases, and dyspnea during invasive and noninvasive pressure support ventilation.
And there's a predictable crackdown on the supplicants' "frivolous" corporate expenditures and pressure for increased shareholder influence on board-level compensation decisions going forward.
It has been well known and it is widely accepted that abrupt temperature changes, with insufficient temperature control methods, cause change in energy expenditure and intracranial pressure and a negative effect onto the cerebral perfusion pressure and cerebral blood flow.
Evidence also suggests that higher spending at the top instigates expenditure cascades that pressure middle-income families to spend in mutually offsetting ways.
Right now, with the public finances under extreme pressure, expenditure priorities should be debated and justified even more rigorously than usual.
On the expenditure side, political pressure for higher spending as the election approached saw a double-digit rate of increase budgeted for 2007.
Thompson's decision to dramatically cut the BBC's scope and expenditure follows increasing pressure from the Conservatives, who have threatened major cutbacks if they come to power at the general election, and rival media organisations struggling to compete with the corporation's activities.
Similar energetic symbiosis is present in other organs, such as brain and ovary, also in absence of a rapid energetic expenditure, or hypoxic pressure [ 24, 25].
