I would differ with the distillation of the work of so many scientists from varied fields into a single "second rate" effort.
The inspiratory effort embodied the breathing rate, effort amplitude, effort slope and inhaled percentage.
An alternative model, the ERI was redefined as the effort-reward rate; effort scores and reward scores were summed separately, after which the effort score was divided by the reward score for analyses.
A couple of years ago, Robert Gates, then George W. Bush's secretary of defense and now President Barack Obama's, complained and complained and complained about the inadequate, second-rate efforts of America's NATO allies in trying to turn around what had the looks of a losing battle in Afghanistan.
While insurers have increasingly been measuring doctors' performance in public report cards or by grouping physicians in ways to steer people to certain doctors, so far such rating efforts have been a topic of dispute.
"The benefit is a more informed marketplace," said Cliff Majersik, executive director of the Institute for Market Transformation, a nonprofit group in Washington that promotes building energy efficiency and advises the city on its rating efforts.
Consumer advocates have been pushing for either a stability standard or a rollover rating, efforts that began in 1973.
Rather than simply targeting further reductions in restenosis rates, efforts to improve efficacy are shifting toward a lesion-specific approach, including the design of stents dedicated to bifurcation lesions.
The universities also are under increasing pressure to improve retention and graduation rates — efforts that officials maintain don't come cheaply.
It is true that Iowa is losing wooden barns at an alarming rate, but efforts are being made every day to save them (front page, Jan . 17.
"The United States has been enormously successful in lowering the unemployment rate through efforts to strengthen the market, rather than regulate it," he said.
