This is because levosimendan has a poorly protein-bound active metabolite and may exert clinical effects for up to a week [ 29], at a much lower energy expenditure than conventional inotropes.
However, whilst altitude exposure increases perceived exercise intensity, actual energy expenditure is much lower, with oxygen consumption rates falling as altitude increases [ 10].
The South financed a much lower proportion of its expenditures through direct taxes than the North.
Specifically, while traditional media types of DTCA expenditure has been diminishing, eDTCA expenditure has experienced three-digit percentage growth, though admittedly remains much lower in absolute spending compared to other historically dominant sub-categories of DTCA (primarily TV broadcast).
Yes, fruit trucked from California to Connecticut has a much lower "fuel per berry" expenditure than fruit Owen buys after making a special trip to a farm 20 miles away, but he ignores the value of supporting farmers so they don't sell out to developers — not to mention common-sense route planning.
Meanwhile, the share of expenditure in start-up incentives was much lower (at 6.2% of total expenditure) and that of job rotation and job sharing programmes was negligible.
Secondly, if one excludes spending on food, then hospital expenditures are much lower and indeed median excess payments are zero everywhere except Talas, Bishkek and Chui indicating that at least half of all inpatients do not pay more than the co-payment rate.
The proportions of true high-expenditure users that could be identified by diagnosis-based models alone were much lower than that by prior expenditures status.
The proportions of actual top users that can be identified by diagnosis-based risk models alone are much lower than those by prior expenditures status alone.
Government spending on health as a percentage of total health expenditures is much lower than other countries in the region (33% compared with 75% in Thailand) [ 25] and accounts for less than 1% of GDP [ 17].
