The European Marine Strategy Framework Directive requires the EU Member States to estimate the level of anthropogenic impacts on their marine systems using 11 Descriptors. Assessing food web response to altered habitats is addressed by Descriptor 4 and its indicators, which are being developed for regional seas. However, the development of simple foodweb indicators able to assess the health of ...

2 The distributed model for the servers 6 2.1 The Server Node Topology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2.1.1 GES Contexts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.1.2 Gatekeepers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.1.3 The addressing scheme . . . . . . . . . . . . . . . . . . . . . . . ....

BACKGROUND Gastric electrical stimulation (GES) is a therapeutic option for intractable symptoms of gastroparesis (GP). Idiopathic GP (ID-GP) represents a subset of GP. AIMS A prospective, multicenter, double-blinded, randomized, crossover study to evaluate the safety and efficacy of Enterra GES in the treatment of chronic vomiting in ID-GP. METHODS Thirty-two ID-GP subjects (mean age 39; 8...

BACKGROUND Gastric Emptying Scintigraphy (GES) at intervals over 4 hours after a standardized radio-labeled meal is commonly regarded as the gold standard for diagnosing gastroparesis. The objectives of this study were: 1) to investigate the best time point and the best combination of multiple time points for diagnosing gastroparesis with repeated GES measures, and 2) to contrast and cross-vali...

BACKGROUND Graded exercise therapy is an effective and safe treatment for chronic fatigue syndrome, but it is therapist intensive and availability is limited. We aimed to test the efficacy and safety of graded exercise delivered as guided self-help. METHODS In this pragmatic randomised controlled trial, we recruited adult patients (18 years and older) who met the UK National Institute for Hea...