Milton and Syllabism

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Diurnal Range of the Barometer in Fine and in Cloudy Weather

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Economic evaluation of point-of-care testing in the remote primary health care setting of Australia’s Northern Territory

Aim: To determine the cost-effectiveness of utilizing point-of-care testing (POCT) on the Abbott i-STAT device as a support tool to aid decisions regarding the emergency medical retrievals of patients at remote health centers in the Northern Territory (NT) of Australia. Methods: A decision analytic simulation model-based economic evaluation was conducted using data from patients presenting with three common acute conditions (chest pain, chronic renal failure due to missed dialysis session(s), and acute diarrhea) at six remote NT health centers from July to December 2015. The specific outcomes measured in this study were the number of unnecessary emergency medical retrieval prevented through POCT. Cost savings through prevented unnecessary medical retrievals for each presentation type were then determined and extrapolated to give per annum NT-wide estimates. Results: POCT prevented 60 unnecessary medical evacuations from a total of 200 patient cases meeting the selection criteria (48/147 for chest pain, 10/28 for missed dialysis, and 2/25 for acute diarrhea). The associated cost savings were AUD $4,674,$8,034, and $786 per patient translating to NT-wide savings of AUD$13.72 million, $6.45 million, and$1.57 million per annum (AUD $21.75 million in total) for chest pain, missed dialysis, and acute diarrhea presentations, respectively. Conclusion: This study demonstrated that POCT when used to aid decision making for acutely ill patients delivered significant cost savings for the NT health care system by preventing unnecessary emergency medical retrievals.Brooke A Spaeth, Billingsley Kaambwa, Mark DS Shephard, Rodney Omon

Near-zero humidities on Ben Nevis, Scotland, revealed by pioneering 19th-century observers and modern volunteers

The weather on Ben Nevis – the highest mountain in the British Isles, 1345 m AMSL – sometimes shows episodes of remarkably low relative humidity (RH) with few precedents anywhere else in the British Isles. We are able to quantify this for the first time using a high-quality series of hourly dry- and wet-bulb observations, made on the summit. These observations were made between 1883 and 1904, but have only just become available to modern science, thanks to thousands of volunteers who worked to rescue this unique and exemplary dataset from published volumes. Careful examination and analysis of the original observations using modern psychrometric theory revealed several occasions where we are confident that the summit RH fell close to zero as a result of anticyclonic subsidence. Three case histories are examined in some detail. The nineteenth-century Ben Nevis humidity records are also compared with contemporary automatic weather station (AWS) data from two high-altitude Scottish mountain sites

The Sanctions Handbook

Abstract not available

Syllables in Verse and Speech

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