Without an urgent, effective and active international support, the unique Istro-Romanian language will probably become extinct in the next generation or two.

Without effective gluconeogenesis ( GNG ), hypoglycaemia will set in after about 12 hours of fasting.

Without loss of generality, we can take this action to be effective.

Furthermore, if generic manufacturers had to redo the tests, they would have to compare the new, effective drugs to less-effective drugs, which according to Doctors Without Borders, would be unethical.

Without these killing groups, the genocide would not have been nearly as effective and gruesome.

Without the support of a mass movement that would have given the majority an effective voice, individual insurgents were either marginalized or coopted.

Without proper form in one's basic movements one's aikido will not be as effective.

Without stuffing it is not very effective.

Without this relationship, the other steps will not be effective.

Without the support of a mass movement that would have given the majority an effective voice, individual insurgents were either marginalized or co-opted.

Without an effective and inclusive decisionmaking structure and process there is potential for conflict between newcomers who seek effective involvement with organizational development and the founder ( s ) who seek to dominate the decisionmaking process.

Without feedback loops and harnessing the active involvement and mediation skills of frontline supervisors or team leaders, broadcasting tends to be more effective at influencing senior and middle managers than frontline employees-see, e. g., Larkin and Larkin ( 1994 ).

Without effective advertising management, ad campaigns and public relations efforts tend to founder and produce little or no results.

Without effective input at a senior level to correct for male bias, she asserts that historical attitudes towards women's physiology limits them in their choice of career, their intellectual maturity, their credibility and their ability to be effective contributors to the advancement of human society.

Without this action by Coughlin the attack would not have been as effective because US air assets may have been destroyed.

Without the horizontal wire, the RF current distribution in the vertical wire would decrease linearly to zero at the top ( see drawing a above ), giving an effective height of half the physical height of the antenna.

Without unpaid volunteers, AOL would have to hire employees to manage and post online content and run effective online communities.

Without some kind of effective control upon their conduct, this would engender intolerable injustice, as the King ’ s ministers would be free to ' vent their spleen ' upon defenseless subjects with impunity.

Without water, these particular metabolic processes could not exist.

* Without a water tower, parts of gravity flow water supply systems in hilly areas may be subject to negative pressures ( see siphon ).

Without water for irrigation, the holdout ranchers were forced off their ranches and out of their communities ; that included the town of Manzanar, which was abandoned by 1929.

Without sufficient dissolved oxygen in the water, animals and plants may die off in large numbers.

Without the inclusion of clouds, water vapor alone contributes 36 % to 70 % of the greenhouse effect on Earth.

Without the ions from the electrolyte, the charges around the electrode would slow down continued electron flow ; diffusion of H < sup >+</ sup > and OH < sup >−</ sup > through water to the other electrode takes longer than movement of the much more prevalent salt ions.

Without the support of the trapped molecules, the lattice structure of hydrate clathrates would collapse into conventional ice crystal structure or liquid water.

On one level Act Without Words I “ seems a behaviourist experiment within a classical myth ”, that of Tantalus, who stood in a pool of water which receded every time he bent to drink it, and stood under a fruit tree which raised its branches every time he reached for food.

Without transportation or sufficient supplies of food or water, west bank law enforcement personnel determined that they were unable to further assist the evacuees.

Without artificial drainage and flood protection, the Fens would be liable to periodic flooding, particularly in winter due to the heavy load of water flowing down from the uplands and overflowing the rivers.

Without the stresses of salinity that is undergone by its salt water counterpart, the diversity of the plants and animals that live in and use these marshes is much higher than salt marshes.

Without advection, water that evaporated over the oceans could not precipitate over land.

Without transpiration to carry the ions up the stem, they accumulate in the root xylem and lower the water potential.

Without the constant presence of water, stacks also form when a natural arch collapses under gravity, due to sub-aerial processes like wind erosion.

Without this diversion project, the Aral Sea, once a body of water larger than any of the Great Lakes except Lake Superior, seemed destined to become the world's largest salt flat as early as the year 2010.

Without pack animals, Burke, Wills and King were unable to carry enough water to leave Cooper Creek and cross the Strzelecki Desert to Mount Hopeless, and so the three men were unable to leave the creek.

Without a proper hydration system, Rhino must periodically stop fighting and drink water, lest he overheat.

" Without Glen Canyon Dam, the big sponge of Lake Powell to absorb the flood years, there's no way that the upper basin states could put their seven and a half million acre feet of water to use.

* Without taking more water, wipe your hair from the middle down to the forehead, or vice versa, using the index finger of your right hand ; it is mustahab to use three fingers.

* Without taking more water, wipe the top of your right foot with your right hand.

Perhaps the first book to effectively convey the importance of trauma-free childbirth to the wider public was Birth Without Violence ( 1975 ), by French obstetrician Dr. Frederick Leboyer ( born 1918 ), which helped popularize the practice of placing newly-born infants in a tub of warm water, known as a " Leboyer bath " to simulate the familiar pre-natal environment of warm amniotic fluid.

Without an aerator, water usually flows out of the tap in one big stream.

Without diagnosis and treatment, the infection can be fatal in one to six days ; mortality in untreated cases is approximately 100 %.

Without treatment, an acute attack of gout usually resolves in five to seven days.

Without treatment, episodes of acute gout may develop into chronic gout with destruction of joint surfaces, joint deformity, and painless tophi.

Without timely treatment, these new blood vessels can bleed, cloud vision, and destroy the retina.

Without special treatment after circulation is restarted, full recovery of the brain after more than 3 minutes of clinical death at normal body temperature is rare.

Without treatment, the disease is invariably fatal, with progressive mental deterioration leading to coma and death.

Without treatment, about 12-13 % of patients will spontaneously improve over time, 40-50 % will get worse and the rest will be relatively stable.

Without treatment, symptoms may worsen, leading ( in extreme cases ) to suicide attempts.

Without renouncing its " Third-worldism " position, it extended the treatment of its subjects, concentrating on international economic and monetary problems, strategic relations, the Middle-East conflict, etc.

Without treatment, the individual with schizoaffective disorder may further worsen in their abnormal emotions and delusional thought processes.

Without urgent treatment these result in sudden death.

Without necessarily receiving great remuneration ( pay differentials under Zhivkov were within the 5: 1 range, with the overwhelming majority of salaries being within the 3: 1 range ), Party members and DS informers received very significant perquisites which involved access to accommodation, luxury imported goods, hard currency, the ability to travel abroad, superior medical and dental treatment and unhindered entry to higher education for their children.

Without insight into what the problem is, it is much harder for behavioral therapy to be the key to the successful treatment of compulsive hoarders.

Without treatment, mortality in infants with galactosemia is about 75 %.

Without treatment, persons afflicted often appear to walk on their ankles, or on the sides of their feet.

Through its breakthrough price offers to developing country governments and leading NGOs such as Doctors Without Borders ( MSF ) and Oxfam, along with its keen participation in PEPFAR, the Global Fund, the Clinton Foundation's HIV / AIDS Initiative and other major donor programs fighting HIV / AIDS in Africa and elsewhere in the resource-poor world, Cipla has played an unparalleled leadership role in ensuring access to antiretroviral treatment ( ART ) rose from under 10, 000 on the entire African continent at the time of its $ 350 per patient per year offer in 2001, to over 8 million in the developing world by 2012.

Without treatment, children often die in the first decade of life.

Without much exchange with the ocean outside the Island, the Lake water quality is threatened by runoff from human activities in the surrounding watershed, especially from sewage treatment plants and septic tanks, ocean going ships and small craft plying the lake system.

Without treatment, the disease is often fatal.

Without treatment death usually occurs due to heart failure and respiratory weakness.

Without treatment the disease is particularly lethal in infants and young children.

Without treatment, mortality may approach 1 %, usually within six weeks of onset.

Without treatment, kidney damage occurs and death in the more severe cases.

* Sea Without Shore: A Manual of the Sufi Path, an extensive treatment of the science of tasawwuf.