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Due to heavy metal environmental persistence and intense utilization in several applications, development of cost-effective removal strategies is required for treating metal containing waters and wastewaters.
However, the results in Table 3 show that more deductibles actually go along with more intense utilization of GP, specialists, hospital outpatient services, and nursing homes.
High densities of health care suppliers result - at least in their combination with fee-for-service remuneration, target incomes, and contracting obligation for insurers - in more intense utilization per capita of most groups of health care services and in greater drug consumption [ 28].
Moreover, the expression of transcripts coding for phenylalanine ammonia lyase (PAL), was significantly upregulated in Shiraz to a much greater extent than in CS, supporting the intense utilization of the precursor metabolite for the downstream biosynthesis during development in that cultivar.
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At the Mongolian summer pasture, the high occurrence of grazing weeds (such as Carex duriuscula) indicated a strong anthropo-zoogenic influence as a result of intense pastoral utilization (Fernández-Giménez and Allen-Diaz 1999, 2001; Fujita and Amartuvshin 2013).
Prolonged stays, intense resource utilization and high morbidity/mortality are commonplace in such patients.
Although this issue has been the focus of intense research, its utilization still has some drawbacks especially when the face is in rotation.
Soils in the German Limestone Alps show a significant OC stock gradient from W (Werdenfels) to E (Berchtesgaden region), which probably has been caused by more intense historical forest utilization in the latter compared to the former region.
Overall, telemedically supported case management is clearly associated with cost savings due to less frequent and/or less intense medical service utilization during the one-year period (see Fig. 1).
Interestingly, however, higher deductibles accompany more intense per capita utilization of GP, specialists, hospital outpatient services, and nursing homes.
Finally, a higher share of hospital outpatient services on total outpatient services (PAM) goes hand in hand with more intense per capita utilization of such services, including GP services.
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