Water demand looks set to rise and, together with
the uncertain effects of future climate change, this puts water planners under considerable pressure.
If similar numbers hold for the Indus system — and how likely that is, this writer does not know — then we are back once again to
the uncertain effects of global warming upon the monsoons.
The uncertain effect of feedback between climate and clouds is one of the largest obstacles to producing more confident projections of global climate.
Not exact matches
«The full
effect of Brexit is
uncertain and depends on any agreements the United Kingdom may make to retain access to European Union markets,» the filing reads.
The changes come even as Powell conceded during his first press conference that the likely economic
effects of the new fiscal - policy measures were «very
uncertain.»
These risks and uncertainties include: Gilead's ability to achieve its anticipated full year 2018 financial results; Gilead's ability to sustain growth in revenues for its antiviral and other programs; the risk that private and public payers may be reluctant to provide, or continue to provide, coverage or reimbursement for new products, including Vosevi, Yescarta, Epclusa, Harvoni, Genvoya, Odefsey, Descovy, Biktarvy and Vemlidy ®; austerity measures in European countries that may increase the amount
of discount required on Gilead's products; an increase in discounts, chargebacks and rebates due to ongoing contracts and future negotiations with commercial and government payers; a larger than anticipated shift in payer mix to more highly discounted payer segments and geographic regions and decreases in treatment duration; availability
of funding for state AIDS Drug Assistance Programs (ADAPs); continued fluctuations in ADAP purchases driven by federal and state grant cycles which may not mirror patient demand and may cause fluctuations in Gilead's earnings; market share and price erosion caused by the introduction
of generic versions
of Viread and Truvada, an
uncertain global macroeconomic environment; and potential amendments to the Affordable Care Act or other government action that could have the
effect of lowering prices or reducing the number
of insured patients; the possibility
of unfavorable results from clinical trials involving investigational compounds; Gilead's ability to initiate clinical trials in its currently anticipated timeframes; the levels
of inventory held by wholesalers and retailers which may cause fluctuations in Gilead's earnings; Kite's ability to develop and commercialize cell therapies utilizing the zinc finger nuclease technology platform and realize the benefits
of the Sangamo partnership; Gilead's ability to submit new drug applications for new product candidates in the timelines currently anticipated; Gilead's ability to receive regulatory approvals in a timely manner or at all, for new and current products, including Biktarvy; Gilead's ability to successfully commercialize its products, including Biktarvy; the risk that physicians and patients may not see advantages
of these products over other therapies and may therefore be reluctant to prescribe the products; Gilead's ability to successfully develop its hematology / oncology and inflammation / respiratory programs; safety and efficacy data from clinical studies may not warrant further development
of Gilead's product candidates, including GS - 9620 and Yescarta in combination with Pfizer's utomilumab; Gilead's ability to pay dividends or complete its share repurchase program due to changes in its stock price, corporate or other market conditions; fluctuations in the foreign exchange rate
of the U.S. dollar that may cause an unfavorable foreign currency exchange impact on Gilead's future revenues and pre-tax earnings; and other risks identified from time to time in Gilead's reports filed with the U.S. Securities and Exchange Commission (the SEC).
At the same time, Americans, regardless
of party, are largely
uncertain what
effect the new tax law has had on their own taxes.
«The
effects of recently enacted tax changes — while still
uncertain — might be somewhat larger in the near term than previously thought,» said the meeting account, which the Fed published Wednesday after a standard three - week delay.
[7] In fact, however, because proxy access»
effect will be to increase the number
of short slates, albeit to an
uncertain extent, its impact on corporate governance likely will be analogous to that
of cumulative voting.
The panel concluded it was
uncertain whether Enbridge could successfully mitigate impacts on caribou populations and that there was insufficient knowledge on the
effects of vessel traffic and noise on marine species.
Although this
effect is very
uncertain, we have incorporated a shock
of minus 0.3 per cent by the end
of 2018, which is about half
of our revision to the export outlook.
The negative
effects of lower oil prices hit the economy right away, and the various positives - more exports because
of a stronger U.S. economy and a lower dollar, and more consumption spending as households spend less on fuel - will arrive only gradually, and are
of uncertain size.
Gigging reflects the endlessly personalizable values
of our own era, but its social
effects, untried by time, remain
uncertain.
For the sake
of simplicity, some diagrams may not include relatively small or
uncertain effects.
Referring to the tendency
of converts to resort to non-Christian practices to ward off the «evil»
effects of «former gods,» Bishop Hodges wrote, «The Pulayas are often found to be
uncertain and foolish as children, and easily led away.
In January 2013 the non-governmental organisation Sustain, supported by 61 health organisations, called for a 20 pence per litre excise duty on sugar sweetened drinks.4 In February, the Academy
of Medical Royal Colleges called for a 20 % tax on sugar sweetened drinks as part
of its enquiry into clinical and public health solutions to the obesity epidemic.1 Although the UK government has indicated a preference for voluntary approaches to the control
of obesity, it has not ruled out fiscal measures.14 Clearly, the idea
of a sugar sweetened drink tax is gaining traction in the UK, but its
effect on health remains
uncertain.
Despite the NFL's overwhelming success, pro football's future is
uncertain due to the growing undercurrent
of concern about head trauma and the long - term
effects of concussions caused by the sport (and yes, a $ 765M settlement is still an undercurrent in a multi-billion-dollar business).
The
effects on the club
of uncertain, divided direction and erratic trading policies are now being felt.
In 1997, I listened to an average doctor describe in no
uncertain terms the possible lasting
effects of compounding brain injuries include memory loss, dementia and excruciating headaches.
On the other hand, advanced maternal age is associated with a more stable family environment, higher socio - economic position, higher income and better living conditions, as well as better parenting practices, [14] but it is more or less
uncertain whether these entities are
effects of advanced maternal age, are contributors to advanced maternal age, or common
effects of a certain state such as personality type.
➡ It is
uncertain what the
effects of alternative ways
of providing emergency obstetric care are on stillbirths or perinatal mortality.
However, it is
uncertain what the
effects of alternative ways
of providing emergency obstetric care are on stillbirths or perinatal mortality (very low - certainty evidence)(Yakoob 2011).
In addition, the
effect of early discharge on the cost
of care is
uncertain (very low - certainty evidence).
The result
of the referendum on 18 September is very
uncertain, but its
effects have already been felt.
Their dilemma is over whether to implement further structural reform in the frame
of the Eurozone, knowing that these measures could take longer to take
effect than what is politically acceptable, or exit the Euro in order to regain competitiveness through a sharp currency devaluation and face huge upfront costs and an
uncertain future.
Instead
of providing a nice, neat and clear answer, the findings showed that the
effect of future climate change on agriculture is wildly
uncertain.
Although the magnitudes
of future
effects are
uncertain, human influences on the climate are growing.
The results for breast cancer are in line with previous research, but the true
effect of alcohol on risk
of ischaemic heart disease remains
uncertain, say the editorial authors.
The researchers evaluated the quality
of the evidence for the short - term
effects as moderate; the long - term
effects are
uncertain, as few trials measured this.
The long - term
effects of main active chemical in marijuana, THC, are
uncertain
He says the law may not
effect much change in areas with strong pockets
of vaccine - refusing parents, but he hopes more
of the parents feeling
uncertain about immunization will realize the benefits after getting accurate information from a health care professional.
It draws attention to the
effects that global warming is having in diminishing glaciers, leaving the future
of polar bears decidedly
uncertain.
«The range
of possibilities concerning walleye biomass shows that the potential
effect to this species is highly
uncertain,» Cooke said.
It is
uncertain, however, whether the positive
effect of natural vitamin A shown in the study can also be achieved through dietary supplements.
Bärbel Hönisch, a marine biologist and geochemist at Columbia University's Lamont - Doherty Earth Observatory, points out that «none
of these strategies has been tested over the long term, and the potential
effects on the ecosystem are
uncertain.»
For one, scientists don't know what the receptors control aside from breathing, so the side
effects of enhancing them are
uncertain, says Patrice Guyenet, a neuropharmacologist at the University
of Virginia in Charlottesville.
Among the most
uncertain elements in climate models are the
effects of aerosols and their interactions with clouds — just the things involved in albedo modification — she says.
It is
uncertain whether other school districts can replicate these
effects, because they depend on factors that many have little control over (including the local supply
of high - performing teachers), as well as those they do control (for instance, the introduction
of meaningful teacher evaluation).
She added: «Some doctors have been hesitant to prescribe statins in patients with very low LDL - C because
of uncertain benefit and the risk
of side
effects with statins.
Future patterns are
uncertain, she says; 15th - century epidemiologists did not predict the «devastating»
effects of syphilis in subsequent centuries.
This is especially important when the causes and long - range
effects of a phenomenon are
uncertain.
However, researchers are quick to add that the
effects of long - term inhalation
of airborne PCBs are still
uncertain.
Although prescribing this approach with the intent
of helping to prevent myopia would appear to have no risk, parents should understand that the magnitude
of the
effect is likely to be small and the durability is
uncertain.»
Climate change
effects on the geographical distribution and incidence
of vector - borne diseases in other countries where these diseases are already found can also affect North Americans, especially as a result
of increasing trade with, and travel to, tropical and subtropical areas.63, 197 Whether climate change in the U.S. will increase the chances
of domestically acquiring diseases such as dengue fever is
uncertain, due to vector - control efforts and lifestyle factors, such as time spent indoors, that reduce human - insect contact.
This combination
of uncertain projections, local and global
effects, and potential for human adaptation makes it difficult to attribute current, much less future, changes and trends in Montana agriculture solely to climate change.
The earth and its ecological processes are changing at unprecedented rates due to human activity; the
effects of these changes are
uncertain.
Although it is
uncertain how much brain progranulin would need to increase for a therapeutic
effect, reaching the lower limit
of normal, which is commonly defined as the fifth percentile
of the control group (2 SDs below the control group mean), is a reasonable estimate.
In humans the
effect is
uncertain, as the impact
of supplemental vitamin C varies widely by study.
Similar
effects were observed in another one, where people with a high fat, low carb breakfast reported feeling less tense, not as
uncertain, drowsy or muddled, compared to other participants with different types
of breakfast.
For example, KBs were recently reported to act as neuroprotective agents by raising ATP levels and reducing the production
of reactive oxygen species in neurological tissues, 80 together with increased mitochondrial biogenesis, which may help to enhance the regulation
of synaptic function.80 Moreover, the increased synthesis
of polyunsaturated fatty acids stimulated by a KD may have a role in the regulation
of neuronal membrane excitability: it has been demonstrated, for example, that polyunsaturated fatty acids modulate the excitability
of neurons by blocking voltage-gated sodium channels.81 Another possibility is that by reducing glucose metabolism, ketogenic diets may activate anticonvulsant mechanisms, as has been reported in a rat model.82 In addition, caloric restriction per se has been suggested to exert neuroprotective
effects, including improved mitochondrial function, decreased oxidative stress and apoptosis, and inhibition
of proinflammatory mediators, such as the cytokines tumour necrosis factor - α and interleukins.83 Although promising data have been collected (see below), at the present time the real clinical benefits
of ketogenic diets in most neurological diseases remain largely speculative and
uncertain, with the significant exception
of its use in the treatment
of convulsion diseases.